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"Teamwork" is the eighth episode of the sixth season of House. It aired on November 16, 2009. This episode^[1] marks the departure of Jennifer Morrison from the series, since it was stated by Fox that Cameron's character would be written out of the series by the middle of season six.

Plot[link]

After House's medical license is reinstated, he reclaims his role as Head of Diagnostics in time to treat Hank Hardwick (guest star Troy Garity), an adult film star admitted to Princeton Plainsboro for pulsating eye pain. Cameron and Chase decide to leave Princeton Plainsboro in order to save their relationship after Dibala's death. Throughout the episode, House tries to reassemble his old team of Foreman, Cameron, Chase, Thirteen, and Taub. Taub and Thirteen initially ignore House's attempts to get them to come back. The patient's and his wife's jobs in porn, make the team confront him about how dedicated they really are to each other.

House orders an STD panel, a tox screen, an ANA to look for autoimmune, a patient history, a lumbar puncture to rule out viral encephalitis, and asks to have a c-reactive protein sent to the lab to look for inflammation. Foreman has to do all this himself. During the lumbar puncture, the patient has tetany - his arm muscles contract. House goes to Taub, who says the only link between the eye and muscle is the brain, and suggests a tumor or a seizure. House then asks Thirteen who states she has an interview with a community health clinic and doesn't give an opinion. House takes her comment on her trip to Thailand as a suggestion that the patient's condition is multifocal. Foreman says cerebral vasculitis would explain the eye and arms, so House tells him to start the patient on steroids, to do a brain angiogram to confirm, and to get an EMG and nerve biopsy as well. When Foreman convinces Chase to remain on the team for the remainder of the case by telling him "you owe me this", he and Cameron agree to finish the case. Foreman gets Chase to do the brain angio.

Cameron thinks it could be a severe vitamin D deficiency, since the patient has a restrictive diet and works long hours indoors. This would explain all the patient's symptoms. Chase decides to take Hank to the phototherapy suite, blast him with ultra-violet light and give him IV vitamins as well as do the brain angio. During the UV light session, the patient gets a nosebleed and petechial hemorrhages - bleeds in his leg. This new symptom rules out both Cameron and Foreman's diagnoses. The patient's blood won't clot. Foreman notes that the UV rays made his capillaries more fragile, which sped up the onset of DIC. Cameron thinks a widespread petechial rash and nervous system involvement indicates a blood infection. She suggests meningococcemia. The team starts him on heparin for the DIC and broad-spectrum antibiotics for the infection. However, the patient soon gets a fever, meaning the antibiotics aren't working.

House goes to Taub again, who tells him he's happy at home and work. He berates House for his addiction to addictions and how he's trying to avoid his problem by solving a different problem which won't work. He says his work helps people, and gives an example of a patient who got a nose job when he couldn't breathe with his nose after a car-crash, and has an idea. He says the antibiotics wouldn't work if the patient's sinuses were infected and clogged, if there was a pocket of bacteria his blood vessels couldn't reach. He says the antibiotics will work if they surgically drain the patient's sinuses. Foreman asks Thirteen to come back, but she resolutely turns him down. Soon, the patient's liver begins to fail, and his abdomen fills with fluid. Cameron suggests a klatskin tumor obstructing his bile ducts. Foreman says he's not jaundiced and there wouldn't be occular effects, but Chase states that inflammation inside the bile channels would mean sclerosing cholangitis which would explain all the symptoms. This would stop him producing clotting proteins and damage his blood cells causing small strokes. The team preps the patient for an ERCP to open his bile channels.

During the ERCP, Chase and Foreman find the patient's liver is filled with worms. The patient has strongyloides - threadworms. The worms spread throughout the patient's body causing all his symptoms. He most likely got the worms from his sexual activity. The patient gets two mebendazole pills. However, the patient's lungs fill with fluid and become severely compromised. Foreman suggests lymphoma. Peritoneal carcinomatosis explains the liver failure and paraneoplastic syndrome explains everything else. House orders chemotherapy. He also tells them to fax the latest update to Taub and Thirteen.

The patient suddenly starts to pee blood, and he goes into cardiac arrest. They manage to stabilize him, but he has no red or white cells and almost no platelets either. Foreman suggest aleukemic leukemia meaning the marrow wouldn't be making normal cells. House tells them to ablate the patient's bone marrow, despite the team's arguments that this could kill the patient. He faxes this information and information on the patient's condition to Taub and Thirteen for their opinions. They both are shown to ignore the fax. However, as Thirteen receives a message from the community clinic she applied to, she ignores it and looks at House's fax. Taub looks at the fax as he talks to a rather silly patient. They both call House as the team is about to ablate the patient's marrow.

They reason that the patient's body went to hell hours after the worms were gone because the worms were helping him. They diagnose extra-intestinal Crohn's. The patient lived in a super-clean environment as a kid. It's the hygiene - why there's so much autoimmune disease in developed places and almost none in developing places. The worms were keeping the Crohn's in check and "teaching his immune system what it should've learned eating dirt growing up", but once they were gone, the Crohn's started to run rampant. The team starts the patient on methylprednisolone and helminths.

Meanwhile, Wilson scolds Cuddy for thinking her dating Lucas wouldn't affect House. He says she at least should have told him, so he wouldn't have coached House on how to win Cuddy's affection. Cuddy tells Wilson she's not going to let house affect her relationships, but goes home to Lucas and panics. Lucas says that either she thought they could go on happily with their relationship and not be found out by House, or she thought they wouldn't be together for long. He notes that the former would be Cuddy was delusional, and the latter would mean he was. He also says the only other option would be that Cuddy thought House had matured, which would bring them back to Cuddy being delusional.

Lucas goes to the doctor's lounge and looks through the team's files, looking for anything on them to help keep them to prevent House from being miserable so Cuddy won't be miserable. Wilson thinks House just wants his old team members back as he feels abandoned by Cuddy and wants people he knows. He tells House he can't solve a deeper problem with a surface solution.

During the episode, House talks to Cameron about her leaving the hospital. He says her human-loving nature contradicts the way she's simply forgiving Chase for what he did. Cameron thinks House is simply trying to blow her marriage. House however, gives three reasons for why she's acting weird: his firing Chase is what made her leave the team two years ago, when what Chase did finally hits Cameron their marriage will 'blow up', and finally, the only thing stopping Cameron working at the hospital will be gone. He also suggests to Chase that Cameron might be forgiving him because she loves him, but that there could be another explanation. This stirs doubt in Chases mind, and he asks Cameron her reason for forgiving him, noting she's been harder on the patient than on him. She explains that Chase feels shame and guilt for what he's done, unlike Hank.

House tells Chase his theory on Cameron's reaction. He thinks Cameron feels it was House's fault that Chase did what he did, saying he created the foul climate for it to happen. Cameron tells House to stop his game of trying to hire Thirteen and Taub. This outburst makes Chase realize she's mad at House but not him. He says he did it, and he won't leave the hospital just because Cameron wants to pretend he didn't do it.

Chase eventually meets House at his front door and tells him he wants to remain on the team. At the end of the episode Cameron confirms that her anger was directed towards House as the source of the atmosphere leading to Dibala's murder. She confronts House by saying he ruined Chase's life making him "unable to see right or wrong and not to see the sanctity of human life". Cameron admits her former love for Dr. House – which has disappeared as a result of recent events, along with her love for Chase (as he was when she first met him). She puts her hand out to shake House's hand and he does not accept – much like the end of season three – and she kisses him on the cheek, signaling she is leaving the diagnostic team. Cameron leaves the team but Chase continues working with House, along with Foreman, Thirteen, and Taub.

In the closing scenes, Thirteen is shown treating the patient and she and Foreman look at each other until Foreman leaves. Taub talks to his wife, who is upset with him returning to diagnostics. Cameron is shown walking out on Chase with her bags packed and giving him a tearful hug. Lucas and Cuddy also walk through the lobby of Princeton-Plainsboro with House watching them from above.

Music[link]

• Golden Cage (The Whitest Boy Alive)^[2]
• Where Did You Go? (Jets Overhead)^[2]

References[link]

External links[link]

• "Teamwork" at the Internet Movie Database
• Music and References from Tv.com

A traditional house in Novosibirsk, Siberia, Russia

A ranch-style house in Salinas, California, US

"Terem" – Traditional house in European Russia

A Mongolian ger near the Gurvan Saikhan Mountains (in the background); part of Gobi Gurvansaikhan National Park

A house is a building or structure that has the ability to be occupied for habitation by humans or other creatures.^[1][2] The term house includes many kinds of dwellings ranging from rudimentary huts of nomadic tribes to complex structures composed of many systems.^[3] English-speaking people generally call any building they routinely occupy "home".

The social unit that lives in a house is known as a household. Most commonly, a household is a family unit of some kind, though households may be other social groups, organizations or individuals.

Etymology[link]

The English word house derives directly from Old English Hus meaning "dwelling, shelter, home, house," which in turn derives from Proto-Germanic Khusan (reconstructed by etymological analysis) which is of unknown origin.^[4] The house itself gave rise to the letter 'B' through an early Proto-Semitic hieroglyphic symbol depicting a house. The symbol was called "bayt", "bet" or "beth" in various related languages, and became beta, the Greek letter, before it was used by the Romans.^[5]

Inside the house[link]

Layout[link]

Example of an early Victorian "Gingerbread House" in Connecticut, United States, built in 1855

Ideally, architects of houses design rooms to meet the needs of the people who will live in the house. Such designing, known as "interior design", has become a popular subject in universities. Feng shui, originally a Chinese method of moving houses according to such factors as rain and micro-climates, has recently expanded its scope to address the design of interior spaces with a view to promoting harmonious effects on the people living inside the house. Feng shui can also mean the "aura" in or around a dwelling. Compare the real-estate sales concept of "indoor-outdoor flow".

The square footage of a house in the United States reports the area of "living space", excluding the garage and other non-living spaces. The "square meters" figure of a house in Europe reports the area of the walls enclosing the home, and thus includes any attached garage and non-living spaces.^{[citation needed]} How many floors, or levels, the home is will play a big role in determining the square footage of a home.^{[citation needed]}

Parts[link]

Floor plan of a "foursquare" house

Many houses have several large rooms with specialized functions and several very small rooms for other various reasons. These may include a living/eating area, a sleeping area, and (if suitable facilities and services exist) washing and lavatory areas. Additionally, spa room, indoor pool, indoor basketball goal, and so forth. In traditional agriculture-oriented societies, domestic animals such as chickens or larger livestock (like cattle) often share part of the house with human beings. Most conventional modern houses will at least contain a bedroom, bathroom, kitchen or cooking area, and a living room. A typical "foursquare house" (as pictured) occurred commonly in the early history of the US where they were mainly built, with a staircase in the center of the house, surrounded by four rooms, and connected to other sections of the home (including in more recent eras a garage).

The names of parts of a house often echo the names of parts of other buildings, but could typically include:

History of the interior[link]

It is unknown of the complete origin of the house and its interior, but it can be traced back to the most simplest form of shelters. Roman architect Vitruvius' theories have claimed the first form of architecture as a frame of timber branches finished in mud, also known as the primitive hut.^[6] Philip Tabor later states the contribution of 17th century Dutch houses as the foundation of houses today.

"As far as the idea of the home is concerned, the home of the home is the Netherlands. This idea's crystallization might be dated to the first three-quarters of the seventeenth century, when the Dutch Netherlands amassed the unprecedented and unrivalled accumulation of capital, and emptied their purses into domestic space.^[7]

Communal rooms[link]

In the Middle Ages, the Manor Houses facilitated different activities and events. Furthermore, the houses accommodated numerous people, including the likes of the family, relatives, employees, servants and their guests.^[6] Their lifestyles were largely communal, as areas such as the Great Hall enforced the custom of dining and meetings and the Solar intended for shared sleeping beds.^[8]

Interconnecting rooms[link]

During the 15th and 16th centuries, the Italian Renaissance Palazzo consisted of plentiful rooms of connectivity. Unlike the qualities and uses of the Manor Houses, most rooms of the palazzo contained no purpose, yet were given several doors. These doors adjoined rooms in which Robin Evans describes as a "matrix of discrete but thoroughly interconnected chambers."^[9] The layout allowed occupants to freely walk room to room from one door to another, thus breaking the boundaries of privacy.

"Once inside it is necessary to pass from on room to the next, then to the next to traverse the building. Where passages and staircases are used, as inevitably they are, they nearly always connect just one space to another and never serve as general distributors of movement. Thus, despite the precise architectural containment offered by the addition of room upon room, the villa was, in terms of occupation, an open plan, relatively permeable to the numerous members of the household."^[9]

Although very public, the open plan however encouraged sociality and connectivity for all inhabitants.^[6]

Corridor[link]

It is believed that the segregation of rooms and the initiation of privacy may have been first founded in 1597, England at the Beaufort House, Chelsea. Designed by English architect John Thorpe, he writes on his plans, "A Long Entry through all".^[10] The separation of the passageway from the room developed the function of the corridor. This new extension was revolutionary at the time, allowing the integration of one door per room, in which all universally connected to the same corridor. English-German architect Sir Roger Pratt states "the common way in the middle through the whole length of the house, [avoids] the offices from one molesting the other by continual passing through them."^[11] Social hierarchies within the 17th century was highly regarded, as architecture was able epitomize the servants and the upper class. More privacy is offered to the occupant as Pratt further claims, "the ordinary servants may never publicly appear in passing to and fro for their occasions there."^[11] These prejudices between rich and poor soon influenced the integration of the corridor in housing by the 19th century.

Sociologist Witold Rybczynski wrote, "the subdivision of the house into day and night uses, and into formal and informal areas, had begun."^[12] Rooms were changed from public to private as single entryways forced notions of entering a room with a specific purpose.^[6]

Work-free house[link]

Compared to the large scaled houses in England and the Renaissance, the 17th Century Dutch house was smaller, and was only inhabited by up to four to five members.^[6] This was due to their embracement of "self-reliance",^[6] distinguishing the dependence on servants and encompassing lifestyles surrounded by family. It was important for the Dutch to separate work from domesticity, as the home became an escape and a place of comfort. This way of living and the home is noted to be highly similar to the contemporary family and their inhabitations. House layouts also possessed the idea of the corridor as well as the importance of function and privacy.

By the end of the 17th Century, the house layout was soon transformed to become work-free, enforcing these ideas within the long future. This came in favour for the industrial revolution, gaining large-scale factory production and workers.^[6] The house layout of the Dutch and its functions are still relevant today.

Technology and privacy[link]

The introduction of technology and electronic systems within the house has questioned the impressions of privacy as well as the segregation of work from home. Technological advances of surveillance and communications allow insight of personal habits and private lives.^[6] As a result, the "private becomes ever more public, [and] the desire for a protective home life increases, fuelled by the very media that undermine it" writes Hill.^[6] Work also, has been altered due to the increase of communications. The "deluge of information",^[6] has expressed the efforts of work, conveniently gaining access inside the house. Although commuting is reduced, "the desire to separate working and living remains apparent."^[6] In Jonathan Hill's book Immature Architecture, he identifies this new invasion of privacy as Electromagnetic Weather. Natural or man-made weather remains concurrent inside or outside the house, yet the electromagnetic weather is able to generate within both positions.^{[6][clarification needed]}

Construction[link]

The structure of the house (under demolition). This house is constructed from bricks and wood and was later covered by insulating panels. The roof construction is also seen.

In the United States, modern house-construction techniques include light-frame construction (in areas with access to supplies of wood) and adobe or sometimes rammed-earth construction (in arid regions with scarce wood-resources). Some areas use brick almost exclusively, and quarried stone has long provided walling. To some extent, aluminum and steel have displaced some traditional building materials. Increasingly popular alternative construction materials include insulating concrete forms (foam forms filled with concrete), structural insulated panels (foam panels faced with oriented strand board or fiber cement), and light-gauge steel framing and heavy-gauge steel framing.^{[citation needed]}

More generally, people often build houses out of the nearest available material, and often tradition and/or culture govern construction-materials, so whole towns, areas, counties or even states/countries may be built out of one main type of material. For example, a large fraction of American houses use wood, while most British and many European houses utilize stone or brick.

In the 1900s, some house designers started using prefabrication. Sears, Roebuck & Co. first marketed their Sears Catalog Homes to the general public in 1908. Prefab techniques became popular after World War II. First small inside rooms framing, then later, whole walls were prefabricated and carried to the construction site. The original impetus was to use the labor force inside a shelter during inclement weather. More recently builders have begun to collaborate with structural engineers who use computers and finite element analysis to design prefabricated steel-framed homes with known resistance to high wind-loads and seismic forces. These newer products provide labor savings, more consistent quality, and possibly accelerated construction processes.

Lesser-used construction methods have gained (or regained) popularity in recent years. Though not in wide use, these methods frequently appeal to homeowners who may become actively involved in the construction process. They include:

• Cannabrick construction
• Cordwood construction
• Geodesic domes
• Straw-bale construction
• Wattle and daub

Thermographic comparison of traditional (left) and "passivhaus" (right) buildings.

Energy efficiency[link]

In the developed world, energy-conservation has grown in importance in house-design. Housing produces a major proportion of carbon emissions (30% of the total in the UK, for example).^[14]

Development of a number of low-energy building types and techniques continues. They include the zero-energy house, the passive solar house, the autonomous buildings, the superinsulated and houses built to the Passivhaus standard.

Earthquake protection[link]

One tool of earthquake engineering is base isolation which is increasingly used for earthquake protection. Base isolation is a collection of structural elements of a building that should substantially decouple it from the shaking ground thus protecting the building's integrity^[15] and enhancing its seismic performance. This technology, which is a kind of seismic vibration control, can be applied both to a newly designed building and to seismic upgrading of existing structures.^[16]

Normally, excavations are made around the building and the building is separated from the foundations. Steel or reinforced concrete beams replace the connections to the foundations, while under these, the isolating pads, or base isolators, replace the material removed. While the base isolation tends to restrict transmission of the ground motion to the building, it also keeps the building positioned properly over the foundation. Careful attention to detail is required where the building interfaces with the ground, especially at entrances, stairways and ramps, to ensure sufficient relative motion of those structural elements.

Found Materials[link]

In many parts of the world, houses are constructed using scavenged materials. In Manila, houses in the Payatas neighborhood are made primarily of material sourced from a nearby garbage dump.^[17]

In Dakar it is not uncommon to see houses made of recycled materials standing atop a mixture of garbage and sand which serves as a foundation. The garbage-sand mixture is also used to protect the house from flooding.^[18]

Legal issues[link]

Buildings with historical importance have restrictions.

United Kingdom[link]

New houses in the UK are not covered by the Sale of Goods Act. When purchasing a new house the buyer has less legal protection than when buying a new car. New houses in the UK may be covered by a NHBC guarantee but some people feel that it would be more useful to put new houses on the same legal footing as other products.^{[citation needed]}

United States and Canada[link]

In the US and Canada, many new houses are built in housing tracts, which provide homeowners a sense of "belonging" and the feeling they have "made the best use" of their money. However, these houses are sometimes built as cheaply and quickly as possible by large builders seeking to maximize profits. Many environmental health issues may be ignored or minimized in the construction of these structures. In one case in Benicia, California, a housing tract was built over an old landfill. Home buyers were never told, and only found out when some began having reactions to high levels of lead and chromium.^{[citation needed]}

Identifying houses[link]

With the growth of dense settlement, humans designed ways of identifying houses and/or parcels of land. Individual houses sometimes acquire proper names; and those names may acquire in their turn considerable emotional connotations: see for example the house of Howards End or the castle of Brideshead Revisited. A more systematic and general approach to identifying houses may use various methods of house numbering.

Animal houses[link]

Humans often build "houses" for domestic or wild animals, often resembling smaller versions of human domiciles. Familiar animal houses built by humans include bird-houses, hen-houses/chicken-coops and doghouses (kennels); while housed agricultural animals more often live in barns and stables. However, human interest in building houses for animals does not stop at the domestic pet. People build bat-houses, nesting-sites for wild ducks and other birds, bee houses, giraffe houses, kangaroo houses, worm houses, hermit crab houses, as well as shelters for many other animals.

Shelter[link]

A modern-style house in Canberra, Australia.

A mountain house in Barzio, Italy.

Forms of (relatively) simple shelter may include:

Houses and symbolism[link]

Houses may express the circumstances or opinions of their builders or their inhabitants. Thus a vast and elaborate house may serve as a sign of conspicuous wealth, whereas a low-profile house built of recycled materials may indicate support of energy conservation.

Houses of particular historical significance (former residences of the famous, for example, or even just very old houses) may gain a protected status in town planning as examples of built heritage and/or of streetscape values. Commemorative plaques may mark such structures.

Home ownership provides a common measure of prosperity in economics. Contrast the importance of house-destruction, tent dwelling and house rebuilding in the wake of many natural disasters.

Peter Olshavsky's "House for the Dance of Death"^[19] provides a 'pataphysical variation on the house.

See also[link]

Wikimedia Commons has media related to: Houses

References[link]

External links[link]

Look up house in Wiktionary, the free dictionary.

• Housing from UCB Libraries GovPubs