Moving the Chains
Encyclopedia
"Moving the Chains" is the thirteenth episode of the sixth season of House
House (TV series)
House is an American television medical drama that debuted on the Fox network on November 16, 2004. The show's central character is Dr. Gregory House , an unconventional and misanthropic medical genius who heads a team of diagnosticians at the fictional Princeton-Plainsboro Teaching Hospital in...

. It aired on February 1, 2010.

The Case

The team takes on the case of 22-year-old Daryl, a large offensive guard who repeatedly banged his head against his helmet shortly after attacking a fellow player during a fit of rage, on a college football practice field. House presumes Daryl is taking drugs to enhance his performance on the field, believing it to be the underlying cause. Foreman dismisses this, thinking it could be a pituitary adenoma
Pituitary adenoma
Pituitary adenomas are tumors that occur in the pituitary gland, and account for about 15% of intracranial neoplasms. Tumors which exceed 10 mm in size are defined as macroadenomas, and those smaller than 10 mm are referred to as microadenomas...

, which results in a raised GnRH. Daryl develops paroxysmal tachycardia
Paroxysmal tachycardia
Paroxysmal tachycardia is a form of tachycardia which begins and ends in an acute manner.It is also known as "Bouveret-Hoffmann syndrome".-Classification:It can be divided by the origin:* supraventricular tachycardia...

, proving that he was not lying about not taking steroids.
House suspects hypertrophic cardiomyopathy
Hypertrophic cardiomyopathy
Hypertrophic cardiomyopathy is a disease of the myocardium in which a portion of the myocardium is hypertrophied without any obvious cause...

 and tells the team to stress the patient's heart until symptoms develop. In the process, House notices that the patient's hands are unusually white. With this new symptom, the team suspects lymphoma. Their diagnosis is confirmed when the patient starts itching, but is refuted later. As Daryl's blood is being drawn, Foreman realizes that it clotted immediately, leading the team to suspect cryoglobulinemia
Cryoglobulinemia
Cryoglobulinemia is a medical condition in which the blood contains large amounts of cryoglobulins - proteins that become insoluble at reduced temperatures. Cryoglobulins typically precipitate at temperatures below normal body temperature and will dissolve again if the blood is heated...

. Daryl wishes to play a game in front of NFL scouts and leaves the hospital, even though treatment is not finished. Foreman accompanies him, and when Daryl starts to experience blurred vision and eventually goes blind, he is readmitted. Foreman admits to having drugged Daryl with nitrates to get him back in the hospital. While House is looking over Daryl's chart, he realizes that he only lost one pound and concludes he has melanoma
Melanoma
Melanoma is a malignant tumor of melanocytes. Melanocytes are cells that produce the dark pigment, melanin, which is responsible for the color of skin. They predominantly occur in skin, but are also found in other parts of the body, including the bowel and the eye...

, which was hard to detect due to Daryl's dark skin.

Foreman's Brother

After everyone leaves House's office to do the tests for GnRH and the adenoma
Adenoma
An adenoma is a benign tumor of glandular origin. Adenomas can grow from many organs including the colon, adrenal glands, pituitary gland, thyroid, prostate, etc. Although these growths are benign, over time they may progress to become malignant, at which point they are called adenocarcinomas...

, he tells Foreman that his older brother, Marcus (Orlando Jones
Orlando Jones
Orlando Jones is an American comedian and film and television actor. He is notable for being one of the original cast members of the sketch comedy series MADtv and for his role as the 7 Up spokesman from 1999-2002.-Early life:...

), needs to be picked up from prison. House tells Foreman to take the day off, but Foreman says he is busy with work. Later, Foreman discovers that House hired Marcus as a personal assistant, much to Foreman's dismay. In his typical fashion, House tries to "dig dirt" on Foreman by interrogating Marcus; House discovers that their mother died three months ago and Foreman refused to deliver the eulogy
Eulogy
A eulogy is a speech or writing in praise of a person or thing, especially one recently deceased or retired. Eulogies may be given as part of funeral services. However, some denominations either discourage or do not permit eulogies at services to maintain respect for traditions...

. Despite Marcus' pleas, House blurts out their mother's death in front of the entire team, which enrages both brothers (causing Marcus to quit the job) but coerces them into talking, thus bringing the brothers closer together. According to Wilson, that was House's plan all along and House is "secretly a nice guy." At the end of the episode, Foreman appears at the halfway house
Halfway house
The purpose of a halfway house, also called a recovery house or sober house, is generally to allow people to begin the process of reintegration with society, while still providing monitoring and support; this is generally believed to reduce the risk of recidivism or relapse when compared to a...

 where Marcus is staying and offers him to come stay with the family; he also offers Marcus the job back, but Marcus argues that once House knows Foreman is OK with it, the job offer will no longer be valid.

House and Wilson

Wilson
James Wilson (House)
James Evan Wilson, M.D., is a fictional character on the Fox medical drama House. He is played by Robert Sean Leonard. The character first appears in the show's pilot episode when he introduces a medical case to Dr. Gregory House, the protagonist of the show. Wilson is Dr. House's only true friend,...

 chastises House for using the bathtub in his bathroom in their new apartment. Later, when Wilson finds an opossum in his bathtub, he assumes House has played a prank on him. Later, House uses Wilson's bathtub again, and the handicap assistance bar that he had installed breaks off. When confronted, Wilson denies responsibility. When they conclude that someone else is tricking them, they lie in wait at night, and the fire sprinkler
Fire sprinkler
A fire sprinkler system is an active fire protection measure, consisting of a water supply system, providing adequate pressure and flowrate to a water distribution piping system, onto which fire sprinklers are connected...

s go off, flooding their apartment, causing damage to Wilson's flat screen TV, leaving them both bewildered as to who the culprit is. Later, Cuddy's boyfriend Lucas admits that it was him, angry that they outbid Cuddy and him on the apartment (in the episode "Wilson
Wilson (House episode)
"Wilson" is the tenth episode of the sixth season of House. It aired on November 30, 2009. The episode, uniquely centered on Wilson and a day in his life, was notable for departing from the usual House-centric storyline.- Plot :...

"). Cuddy tells Lucas that she figured out he was pulling pranks on House and Wilson, but tells him to let it go.

The Soldier

A man comes to House, pretending he has an eye problem. When House finds out that he was lying, the man tells him he is a soldier and that his contract should have expired at that time, so he and his wife planned on having a baby, and she became pregnant. Because the Army prolonged his contract, he wants House to play along so he can get discharged for his fake eye problem so that he can spend more time with his wife. House declines and tells him that real men would have "either moved to Canada or shot themselves in the foot".
After a while, House finds the same man in the hospital, after he shot himself in the foot. House tells him one of his toes is going to get amputated, and the man gets excited, but then House reveals that the army has no trouble having nine-toed infantrymen if they can walk and run. House then leaves him for the second time.
At the end of the episode, after a talk with Wilson, House sees the man in a wheelchair pushed by his pregnant wife; his foot has been amputated. The man stares back at House and then smiles.

External links

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