In of House, M.D. , titled " Ugly ," Dr. Gregory House and his fellowship candidates must diagnose a teenager whose life-changing facial reconstruction surgery is halted by a sudden heart attack—all while being followed by a documentary film crew. Case Summary
Dr. Chris Taub, a former plastic surgeon, believes the heart issues are secondary to intracranial pressure caused by the deformity. House, however, suspects a systemic issue like juvenile rheumatoid arthritis. UglyHouse M.D. : Season 4 Episode 7
The episode explores the social weight of appearance. House argues that people are biologically repulsed by "ugliness," while the documentary crew manipulates footage to present House as a "caring" doctor, a portrayal he finds "horrific" and dishonest. In of House, M
The episode features a stylistic shift, using black-and-white handheld footage for the documentary segments to contrast with the show's standard cinematography. Case Summary Dr
Kenny Arnold, a teenager with a severe craniofacial deformity.
Just before his reconstructive surgery, Kenny suffers a heart attack, requiring an emergency pacemaker.
The episode was watched by approximately 11.4 million viewers.