House on FOX

2004, TV Show

House Episode: "The Tyrant"

Season 6, Episode 4
Episode Synopsis: An ailing African dictator (James Earl Jones) charged with crimes against humanity arrives at the hospital for treatment. Meanwhile, Wilson wants to end a feud with a neighbor, but a prying House gets in the way.
Original Air Date: Oct 5, 2009
Guest Cast Garikayi Mutambirwa: Ruwe David Marciano: Murphy Roger Aaron Brown: Ntila Christopher Fairbanks: Agent Bass James Earl Jones: Dibala
Full Episode
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Season 6, Episode 4
Paid | iTunes
Length: 43:55
Aired: 10/5/2009
Also available on Amazon Instant Video
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House Episode Recap: "Instant Karma" Season 6, Episode 4

A wealthy businessman brings his son, who's suffering from debilitating stomach pains, to Princeton-Plainsboro, and believes the young boy is in this position as a result of karma. Meanwhile, Chase and Foreman struggle to find a way to explain a blood work discrepancy in the Dibala case, which Chase purposely botched.

The Billionaire with Bad Karma
This week's episode begins when an insanely rich businessman, Roy, calls a meeting at his lavish mansion. He presses his team to close a deal, but cuts his meeting short to see the doctor making a house call for his son Jack. The doctor cannot find a diagnosis and suggests Jack go to a hospital.

Roy meets with Cuddy as he demands to have House on his son's case, but she pushes Foreman instead (since House doesn't have his license yet). Roy says unless House is "dead, comatose or insane," he's the only doctor he wants heading up the case. Cuddy agrees and tells the team that while it will still be Foreman's patient, House will be the one making the diagnostic decisions.

Roy thinks Jack's condition is his fault. He explains he inherited an extremely lucrative pipeline business at age 24, was worth over a billion at thirty, and that everything he touches turns to gold — except his family. Roy blames karma for taking his first his wife and now going after his son.

The Great Cover-Up
Cuddy tells Foreman he needs to present Dibala's case, and you can see the fear in both his and Chase's eyes. They both try to say they were simply wrong in making a diagnosis but Cuddy says the misdiagnosis is worth a discussion. Chase and Foreman sit down to discuss how Foreman will present the case, and House walks in on the two of them. He can tell something's up.

Foreman later learns the lab ran a full blood panel on blood Chase got from the corpse that he submitted as Dibala's blood. Chase says not to worry because he made sure the other patient had the same blood type as Dibala, but Foreman says he didn't match the cholesterol levels which were off by 20 percent. Oops.

Chase meets with Foreman early in the morning to try to come up excuses, but Foreman says he can't go in and stack lie after lie. Chase is visibly distraught after the conversation, and when Cameron calls him out on it, he admits there's a problem with the Dibala case because a prior blood panel doesn't match the last one taken. Of course, he doesn't tell her the real reason for the discrepancy and says Foreman is just being overly concerned about it.

Chase's solution is to say he gave Dibala a drug that would have affected his cholesterol and forgot to put it in the record. Foreman shoots down the idea because it will just raise more questions and says he'll just tell the truth. And by truth, Forman means he'll tell Cuddy he doesn't want to present the case because he has too much going on and it's pointless. Clearly, that plan doesn't work, and Chase is freaked yet again.

House catches yet another glimpse of Chase stressing out just before Chase takes off for Cuddy's office. Chase is about to tell her the truth about submitting the wrong blood so that Dibala's incorrect treatment would result in his death, but Cuddy gets called away.

Later, Chase finds a document that says one of Dibala's former doctors was prescribing niacin-bound chromium supplements to boost his HDL cholesterol levels. When Chase tells Foreman how great it is they have something to point to, Foreman says he didn't request the info. It's then they both realize House has been busy at work.

Chase confronts House asking how he figured it out and if House thinks he should be fired. House doesn't seem to think so, and Chase tells him whether he wants to be the boss or not, he always will be. That really makes House question if he should assume his old position.

Thirteen Wants Out
House bumps into Thirteen who tells him she's going to take some time to herself by taking a trip to Thailand. But in the days following, Thirteen's flight reservations are mysteriously canceled, and she automatically assumes House is to blame. She confronts him, but he tells her he doesn't want her back at work and that she's of no use to him.

House confronts Foreman about Thirteen's travel woes, but Foreman claims to know nothing about her even taking a trip. House actually believes Foreman when he says he's done all he could to save their relationship.

Thirteen arrives at Wilson's office telling him Cuddy had the IP addresses traced to find out who hacked into her reservation, and Wilson's computer came up. Wilson confesses that he wants her to stay because she keeps House grounded. Thirteen turns to walk away, and Wilson says she shouldn't throw a job she loves away because of a bad breakup. She proceeds to leave and board a plane headed for Thailand.

Wilson goes to House's office and tells him he just confessed to Thirteen about something he didn't do. House's only explanation for the tampering with her flight plans is that Thirteen is a smoking hot single bisexual.

The Treatment
The team notices Jack's swollen abdomen and treats for Hirschsprung's disease, a congenital disorder of the nerves in the colon. Jack seems to be doing well after they treat for it, but he starts to seize. And nothing seems to reduce the pressure in the skull except for when Chase drills his head. Quite a lovely scene.

House comes in to try to figure out why fluid is still building up in Jack's abdomen. Foreman notices something odd in the X-ray and House suspects brain cancer. The biopsy comes back negative, and House thinks it's still cancer, except in the stomach. That gets negated as well, and now Jack has red spots all over his body. House says it's Degos disease, which is incurable, and breaks the news to Roy that his son only has one day to live. 

Roy takes drastic measures by calling in his lawyers and signing the necessary documents to cause his stocks to flop and ultimately bankrupt himself. Just as he does, Jack flatlines.

But alas, House has his light bulb moment and realizes Jack has Antiphospholipid syndrome, a treatable disease. Jack gets treated and rebuilds his strength. Perhaps the Gods were pleased with Roy's offering.

What did you think of the episode?

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A wealthy businessman brings his son, who's suffering from debilitating stomach pains, to Princeton-Plainsboro, and believes the young boy is in this position as a result of karma. Meanwhile, Chase and Foreman struggle to find a way to explain a blood work discrepancy in the Dibala case, which Chase purposely botched.

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Premiered: November 16, 2004, on FOX
Rating: TV-14
User Rating: (6,749 ratings)
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Premise: He has little patience for patients, but misanthropic Gregory House is a brilliant diagnostician who probes life-and-death medical mysteries while 'CSI'-style graphics follow each disease's progression. 'X-Men' director Bryan Singer is one of the executive producers.

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