MANAGERIAL STYLES

HOUSE M.D., S02E02,

Show Summary
House (aka House MD), from executive producers Paul Attanasio, Katie Jacobs, David Shore, and Bryan Singer is a new take on mystery, where the villain is a medical malady and the hero is an irreverent, controversial doctor who trusts no one, least of all his patients. Dr. Gregory House (Hugh Laurie) is devoid of bedside manner and wouldn't even talk to his patients if he could get away with it. Dealing with his own constant physical pain, he uses a cane that seems to punctuate his acerbic, brutally honest demeanor. While his behavior can border on antisocial, House is a maverick physician whose unconventional thinking and flawless instincts have afforded him a great deal of respect. An infectious disease specialist, he's a brilliant diagnostician who loves the challenges of the medical puzzles he must solve in order to save lives.

AUTOPSY

Cast of Characters
Main cast Hugh Laurie as Dr. Gregory House Lisa Edelstein as Dr. Lisa Cuddy Omar Epps as Dr. Eric Foreman Robert Sean Leonard as Dr. James Wilson Jennifer Morrison as Dr. Allison Cameron Jesse Spencer as Dr. Robert Chase

Episode Recap
House and his team struggle to find the cause of hallucinations that Andie (Sasha Pieterse) is seeing. She is a 9-year-old girl with terminal cancer (alveolar
1 Starling D. Hunter III 2012 | starling@qatar.cmu.edu| Carnegie Mellon University in Qatar | http://qatar.cmu.edu

rhabdomyosarcoma), but tests reveal that her cancer is in remission, meaning that the hallucinations are unrelated to her cancer. Meanwhile House questions Andie's motives for her bravery, suggesting it may itself be a symptom of a problem in her amygdala. House discovers a benign tumor in her heart, which is surgically removed, but it does not account for the hallucinations. House deduces that there must be a clot which the cancer deployed prior to removal. He suggests employing therapeutic hypothermia to discover the clot, which does not show on an angiography: Cooling her body temperature down to 21 deg Celsius will stop her heart, effectively making her clinically dead. Then the doctors will remove 2-3 liters of blood and discover the clot when the blood is pumped back in. House compares this procedure to "performing an autopsy on a living person." The blood removal and temperature can not be held for more than 60 seconds or she will suffer permanent damage. Wilson calls it a "lottery shot", but finding the clot will give her an additional year to live. In a tense moment Foreman finds the clot, which only appeared for a fraction of a second, and with his direction the surgery is successful. Wilson confronts House about the placement of the blood clot it wasn't in her amygdala. House concedes he was wrong about Andie's bravery being a symptom of her clot, but replies to Wilson saying the girl is dead anyway. Wilson states that Andie could outlive him. When Andie is leaving the hospital she hugs each of the staff, finally reaching House, who stands and looks awkward as she hugs him. Andie tells House, "It's sunny outside, you should go for a walk." As House is leaving the hospital he stands and admires some motorcycles. He asks the salesman if he can take one for a test ride. The episode ends with House riding the motorcycle down a long stretch of empty road.

Discussion Question
1. What is Dr. Eric Foremans managerial styleType A, B, C, or D?

Solutions
Write to starling@qatar.cmu.edu to obtain a copy of the solution to this case.

Starling D. Hunter III 2012 | starling@qatar.cmu.edu| Carnegie Mellon University in Qatar | http://qatar.cmu.edu