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House MD Season 2 Two-Part Episode - Euphoria

The two-part episode involves the mysterious case of a police officer presenting euphoria from a gunshot wound and a bullet in his skull. House and his team initially diagnose the patient with carbon monoxide poisoning and Legionnaires' disease. However, the patient's condition suddenly worsens. Foreman also starts exhibiting symptoms and is put in isolation. After many tests, House determines the patients have primary amebic meningoencephalitis caused by the brain-eating amoeba Naegleria fowleri from contaminated water in an irrigation system. Foreman survives but has neurological effects from the disease and brain biopsy.
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0% found this document useful (0 votes)
313 views2 pages

House MD Season 2 Two-Part Episode - Euphoria

The two-part episode involves the mysterious case of a police officer presenting euphoria from a gunshot wound and a bullet in his skull. House and his team initially diagnose the patient with carbon monoxide poisoning and Legionnaires' disease. However, the patient's condition suddenly worsens. Foreman also starts exhibiting symptoms and is put in isolation. After many tests, House determines the patients have primary amebic meningoencephalitis caused by the brain-eating amoeba Naegleria fowleri from contaminated water in an irrigation system. Foreman survives but has neurological effects from the disease and brain biopsy.
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House MD Season 2 Two-part Episode “Euphoria”: A Movie Review

The two-part episode involves a mysterious case of a police officer presenting


unexplainable giddiness following a gunshot wound leaving a bullet in his skull, a reason why
the patient is not suitable to be examined on MRI. However, House and his team grapples as
Joe’s condition suddenly experience extreme pain.
The first episode begins when House’s diagnostic team encounters a case of a cop that
has a gunshot wound and presents euphoria or extreme happiness. This leads them to discuss
which and what are the underlying causes. At first, they have assumed it was due to drugs yet
tox screen revealed it was clean. The team scratches the idea of trauma since the symptom
started before the incident. And so the symptom’s nature leads them to suspect it was carbon
monoxide poisoning. The test indeed shows positive for carbon monoxide poisoning.
House assumed that the officer got the condition in his environment that is why he
want to conduct environmental scan on his workplace and apartment. House visited Joe’s
station to which he observed an aircon unit close to Joe’s seat and the other officer coughing
right before Joe’s desk. On the other hand, Dr. Foreman examined Joe’s apartment and he
accidentally visits a dump where a bunch of planted marijuana is hidden however he found
nothing that will relate the symptoms Joe is portraying.
Eventually, the x-ray test results revealed the cop’s diagnosis as Legionnaires disease.
At first, the cop has initially responded well to the treatment when suddenly he goes blind,
following a series of bleeding eyes, tachycardia and shock. But the weirdest part is, Foreman
kept laughing, which leads them to suspect he is also infected and so they put them to
isolation.
Foreman explains that it may be brain abscess, assuming it may be staph infection and
so they decided to perform surgery on Foreman yet instead inserting the shunt, House took a
piece of his brain to be tested. Joe’s condition has worsen as Foreman is also inhabiting the
symptoms. To his desperation, he stabbed Cameron with a needle so that she will visit the
apartment. House assume that the agent may be Listeria since Cameron discovered a bucket
full of pigeon stool. But as Cameron examines the sample, the agent is not Listeria and is
unidentified, leaving them devastated as Foreman responded to the now lifeless Joe.
The second half of the episode involves around Foreman’s battle to the unknown
disease that may cost his life while House’s struggle and caution of finding the underlying
cause to save Foreman. As I observe the characters, their determination to save their friend
arises as their bond for Foreman seems to be at loss. I also get to know Foreman’s father and
Foreman’s family better as it was revealed he has a brother and a mother who had dementia,
to which I believe impacted why Foreman is not a firm believer in religion and God.
As Joe’s corpse is contained and cannot be touched to autopsy, Dr. House finds another
way in infecting his pet rat Steve by revisiting Joe’s apartment yet to his surprise, he finds
Steve to be perfectly healthy which House assumed that the agent may be affecting people but
not animals. And so he decided to enter on the apartment once again to realize that they
tested the wrong water source and the time difference between Foreman and Cameron’s visit
on the place which only Foreman has been exposed to and has inhaled the leaked
contaminated water on the irrigation system containing Naegleria fowleri. However, Dr.
Cameron had already performed brain biopsy on Dr. Foreman that leaves some side effects
that may impact his profession and life.
On analysing the patients’ case, Officer Joe Luria (deceased) and Doctor Eric Foreman
(alive) has been diagnosed of Primary Amebic Meningoencepalitis (PAM) caused by the brain-
eating ameba Naegleria fowleri and has a secondary bacterial infection of Legionnaires
disease caused by Legionella bacteria. N. fowleri is contagious enough especially if inhaled
through a nasal opening in which Foreman has been in contact to, the moment he visits the
dump where the irrigation system is located. PAM can be incredibly fatal that is why N.
fowleri trophozoites are recovered post-mortem. Yet on Foreman’s case, the biopsy is
successful but his lobes appeared to be crossed as he showed wiggling his right toes instead of
left and moving his left arm instead of right.

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