At the beginning of the episode, attached to the very open demonstration of death and loss, was a mixed feeling of horror and realism. Death staring at you in the face. Dr. Treiber begins the autopsy of a woman whose time of death has just been called. We explicitly see her heart being excised from her chest. The image of her heart being ripped out of her body makes me think of how House feels about Wilson dying of cancer. Dr. Treiber slices open his face during what seems to be a psychotic break, which House dismissively diagnoses as 'walking corpse syndrome'; another dark parallel to Wilson's current situation. Treiber won't trust anyone but House to take his case as he is obsessed with medical conduct and malpractice. Treiber is absolutely meticulous in his work, to the point where the final diagnosis comes in part from the soap with which he obsessively washes his hands. The soap, combined with the energy drink he consumes to stay sharp, causes hypothyroidism.
Wilson decides he will be 'indifferent', a term he uses throughout the episode to prove that he is letting go of any concerns, any feelings towards other people, in order to live a selfish and careless life. His overuse of the word indicates just how impossible it is for him to stop caring. Wilson buys, or more likely hires, a convertible red corvette to go on a road trip. He forces House to join him. Usually House would be raring to go, but from the moment Wilson adopts this 'new' attitude House's concern for him grows. Wilson says he wants to go and see Julie Christie, who he's had a crush on since he was young. He later admits that this is just an excuse to stay away from the hospital, as he's supposed to have an MRI of his thymoma in three days. Everything at the hospital reminds him of how real his cancer is, so he creates a false persona, Kyle, as a form of escapism. This was the guy who got the girl in high school. So, 'Kyle' eats the biggest steak anyone has ever seen, has a threesome, drives his car recklessly until it crashes. From the moment the car crashes everything becomes real again, the anger and frustration have been expelled (see 'Moving On'). On a side note, I thought it was interesting that House was knocked unconscious by the car crash. This might later be relevant.
Wilson can no longer show indifference and instead of abandoning an old lady with Alzheimer to get a taxi back, he stays, because that's who he is, and as the House axiom suggests, people don't change. Just as the lady would remember nothing and Wilson's kindness would have no lasting impact on her life, his friendship, and his acts of persistence and kindness have also rescued House many times, and in his case are life changing. Wilson doesn't abandon the lady just as he could never really abandon House. House pretends to be angry about missing the taxi, but on the bus he talks about how Kyle would probably have abandoned him (but Wilson hasn't). Throughout this Thelma and Louise-like adventure House looks at Wilson with expressions of deep fear and apprehension. Wilson is, in part, acting like House, and the reflection is disconcerting. Wilson goes overboard when he overtakes a very serious, solemn funeral procession to feel free, to let go of everything and just live for the moment.
Throughout the episode the team are looking for the cause of Dr. Treiber's condition, and Chase believes that the answer most likely lies with the corpses in the morgue. This would suggest that the dead not only emotionally but physically affect the living. Dying changes everything. This of course makes me think of House and Wilson. However, just as the corpses are not responsible for Dr. Treiber's symptoms perhaps what is happening to Wilson won't develop quite how we might believe. The House writers have this fantastic ability to create scenarios that we could never see coming, or at least not their full impact or extent. Chase heads up the diagnostic team and proceeds with treating Treiber as though he were representing House's orders. Treiber makes him consider his life as a doctor and how, by now, he should have progressed to running his own diagnostics team. The Chase arc in season 8 has been fantastic in my opinion, his relationship with House after the stabbing and in 'Blowing the Whistle' show the extent of how much Chase has grown and learnt. At the end when Chase is saying goodbye to House it was hard not to feel a pang in the chest, to see him thanking House, and seeing House recognise how much the experiences they've had have meant, with a Housian quip, a look and a handshake. It was even more poignant considering this is nearly goodbye for us as well.
By the end of the episode I thought I might go into tachycardia. The tension was overwhelming as I watched House cut his sentence short and stare at the monitor and then at Wilson. His solemn face of shock virtually unreadable. Has the tumour grown despite the drastic measures? Has it shrunk to virtual insignificance? Are there more tumours? It's hard to say. As I've said previously I don't think House can live without Wilson. For me, one of the most poignant moments of the episode was on the bus, when House says he could live without Kyle, implying he couldn't live without Wilson.
The writing and acting in this episode were phenomenal. The expressions House gives Wilson have ingrained themselves in my memory. The attempt to have fun and be carefree is tinged with the bitterness of a reality that awaits them, and us. Only two episodes left...
