The Mistake (House)
|Episode no.||Season 2
|Directed by||David Semel|
|Written by||Peter Blake|
|Original air date||November 29, 2005|
|Season 2 episodes|
|List of House episodes|
Throughout the episode the story of the patient's death is presented through flashbacks as Chase and House share the story with Stacy, the hospital lawyer. Both Chase and House lie about the reason for his mistake, resulting in multiple conflicting narratives.
The episode's cold opening is set in a school auditorium, where dedicated mother Kayla McGinley is watching her two daughters, Dory and Nikki, perform in a school show. While sitting in the audience, Kayla suddenly suffers from severe stomach pain. She screams loudly, causing her daughters and the crowd to focus their attention on her.
Cuddy then consults Stacy, as the hearing for the McGinley case is coming up soon. Stacy refuses to work with House, but Cuddy forces her, stating that as House is the cause of most legal trouble in the hospital, if Stacy is unable to work with him, she will be unable to work at Princeton-Plainsboro. As House and Wilson are playing a coin game in House's office, Stacy walks in and informs him that his presence will be needed at the hearing. Stacy then begins the consult with Chase, who relates the story of Kayla months earlier: Kayla first came into the clinic, presenting with severe pain. Foreman performed the exam and discovered uveitis, prompting House to take over the case. As the team is performing the initial diagnosis meeting, Chase spills House's bottle of Vicodin, causing House to force him to take over the case.
Chase finds ulcers, leading him to believe it is Behçet's Disease, and prescribes textbook treatment. When Kayla returns for the test, Chase, who was just on the phone, is distracted and fails to ask further questions when she complains of further stomach pains. This is the titular "mistake" of the episode. Kayla is then brought in again later, and the team finds two bleeding ulcers, one of which has already perforated, resulting in sepsis and major damage to her organs.
Kayla's liver is too damaged, and she needs a new one. However, her blood type is rare (AB-), and although she is high on the transplant list, chances are low she will get one in the next couple days. Her brother, Sam, offers to donate his own liver, which is a perfect match. House goes to one of the hospital's surgeons and tries to bribe him to perform the operation. When he does not comply with the bribe, House then blackmails him with information about the surgeon cheating on his wife, which is successful. However, after the operation, House tells the surgeon's wife anyway, after which the wife keys her husband's car.
During a routine checkup two months later, Chase discovers Kayla is running a slight temperature, which should not happen with the medication she's on. She then spikes a fever an hour later. Chase believes it is strep, but Sam then arrives and brings up the possibility of hepatitis. House realizes Sam has Hepatitis C, which was transplanted along with the liver and given to Kayla. House then deduces that both patients now have liver cancer. Kayla needs a new liver once again, and once again is exempt because of the cancer.
As Chase is being interrogated in Cuddy's office, he reveals the real reason for the lawsuit: After discovering Kayla will not be able to obtain a legitimate transplant, Sam went into the black market and found a doctor in Mexico willing to perform the operation. Although at first Chase is willing to go along with it, he is convinced by Foreman and Cameron to tell the truth to Kayla: that she will die regardless. Kayla ends up not getting the operation and dies. Months later, Sam comes into the hospital for a routine checkup. Chase, guilt-ridden, tells Sam that he was hungover during the checkup, resulting in him not further questioning Kayla's stomach pains, misdiagnosing her ulcer and ultimately killing her. Sam, furious, sues the hospital.
As Stacy and Cuddy are reeling from this revelation, House takes Chase outside, where he accuses Chase of lying: Chase was not distracted in the checkup because he was hungover, he was distracted because he had just received a phone call bearing the news that his father had died from lung cancer. As Chase decides to tell the truth during the hearing, Stacy admits that she still has feelings for House, hinting at the possibility of them getting together again.
The panel decides to penalize both Chase and House; Chase receiving one week of suspension and a letter in his permanent file, while House must have his practice supervised by another doctor for at least one month. Furious about the supervision, House attempts to fire Chase, but is stopped by his supervisor, who is revealed to be Foreman.
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