Wilson's Heart
| "Wilson's Heart" | |
|---|---|
| House episode | |
| Episode no. | Season 4 Episode 16 |
| Directed by | Katie Jacobs |
| Written by |
Peter Blake David Foster Russel Friend Garrett Lerner |
| Original air date | May 19, 2008 |
| Guest appearance(s) | |
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"Wilson's Heart" is the sixteenth episode and season finale of the fourth season of House and the eighty-sixth episode overall. It aired on May 19, 2008, on Fox. It is the second and final part of the two-part fourth season finale, the first part being "House's Head".
In the second part of the two-part season finale, House remains affected by injuries sustained in a bus crash that has also left Amber Volakis rapidly deteriorating from a mysterious condition. Clues inside House's head hold the key to Amber's condition, and House's friendship with Wilson is tested as murky memories from the bus accident threaten to change their lives forever.
The episode begins with House and Wilson at Princeton General Hospital, where the eight overflow victims of the bus crash that weren't taken to Princeton-Plainsboro ended up being taken, including Amber, who up until now was only known as Jane Doe #2 due to a lack of ID on her. The attending physician at Princeton General cannot explain Amber's sudden onset tachycardia, but explains that whatever is causing this condition isn't from the bus crash. House demands that she be moved via ambulance to Princeton-Plainsboro, which the attending initially refuses, until House says that her "husband" Wilson can demand she be moved, which Wilson does.
While being moved via the ambulance, Amber's tachycardia degenerates into v-fib. House goes to shock Amber to stabilize her heart, but Wilson demands he stop and put her into protective hypothermia. He tells House that if he restarts her heart now, it will keep racing, shoot off free radicals, and kill her brain. In an attempt to buy more time for a proper diagnosis, Wilson figures protective hypothermia along with dialysis is her best option. House agrees; however, during the further testing that follows, Amber develops multisystem organ failure, including liver and neurological damage.
In an attempt to remember exactly what he saw that caused his initial concern and help definitively diagnosis Amber, House decides to undergo deep brain stimulation with Wilson's urging. During the stimulation, he recalls the symptom which presented in Amber before the bus crash. House also remembers the events that led up to him and Amber being on the bus to begin with: he got drunk at Sharrie's bar, and the bartender (Fred Durst) took his keys away, so House called Wilson for a ride, but he was on call so Amber came instead. House angrily stormed off after Amber wouldn't drink with him, and boarded a bus. Amber followed him to give him his cane, which he had forgotten as he left her to pay his tab at the bar.
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