House , also known as House, M.D. , is an American television medical drama that debuted on the Fox network on November 16, 2004. The program was co-created by David Shore and Paul Attanasio; Fox officially credits Shore as creator. The show's central character is Dr. Gregory House (Hugh Laurie), an unconventional, maverick medical genius who heads a team of diagnosticians at the fictional Princeton‑Plainsboro Teaching Hospital (PPTH) in New Jersey. The character has similarities to Sherlock Holmes: both are forensic geniuses, musicians, drug users, aloof, and largely friendless. The show's premise originated with Attanasio, while Shore was primarily responsible for the conception of the title character. The show's executive producers include Shore, Attanasio, Attanasio's business partner Katie Jacobs, and film director Bryan Singer. It is largely filmed in Century City.

Dr. House often clashes with his boss, hospital administrator and Dean of Medicine Dr. Lisa Cuddy (Lisa Edelstein), and his diagnostic team, because many of his hypotheses about patients' illnesses are based on subtle or controversial insights. House's only true friend is Dr. James Wilson (Robert Sean Leonard), head of the Department of Oncology. During the first three seasons, House's diagnostic team consists of Dr. Robert Chase (Jesse Spencer), Dr. Allison Cameron (Jennifer Morrison), and Dr. Eric Foreman (Omar Epps). At the end of the third season, this team disbands. Rejoined by Foreman, House gradually selects three new team members: Dr. Remy "Thirteen" Hadley (Olivia Wilde), Dr. Chris Taub (Peter Jacobson), and Dr. Lawrence Kutner (Kal Penn); the latter was written out of the series toward the end of season 5. Chase and Cameron continue to appear in different roles at the hospital until early in season 6. Cameron then leaves the show, and Chase returns to the diagnostic team.

House is critically acclaimed and has high viewership ratings. It was among the top ten rated shows in the United States from its second through its fourth season; in the 2008–09 season, it fell to nineteenth overall. Distributed to 66 countries, House was the most watched television program in the world in 2008. The show has received several awards, including a Peabody Award, two Golden Globe Awards, and three Primetime Emmy Awards. House ' s sixth season, in progress, began with a two-hour premiere on September 21, 2009.

Production

Conception

In 2004, co-creators David Shore and Paul Attanasio, along with Attanasio's business partner Katie Jacobs, pitched the show (untitled at the time) to Fox as a CSI -style medical detective program, a hospital whodunit in which the doctors investigated symptoms and their causes. Attanasio was inspired to create a medical procedural drama by the New York Times Magazine column "Diagnosis," written by physician Lisa Sanders. Fox bought the series, though the network's then-president, Gail Berman, told the creative team, "I want a medical show, but I don’t want to see white coats going down the hallway." Jacobs has said that this stipulation was one of the many influences that led to the show's ultimate form.

After Fox picked up the show, it acquired the working title Chasing Zebras, Circling the Drain ("zebra" is medical slang for an unusual or obscure diagnosis). The original premise of the show was of a team of doctors working together trying to "diagnose the undiagnosable". Shore felt it was important to have an interesting central character, one who could examine patients' personal characteristics and diagnose their ailments by figuring out their secrets and lies. As Shore and the rest of the creative team explored the character's possibilities, the program concept became less of a procedural and more focused upon the lead role. The character was named "House," which was adopted as the show's title as well. Shore developed the characters further and wrote the script for the pilot episode. Bryan Singer, who directed the pilot episode and had a major role in casting the primary roles, has said that the "title of the pilot was 'Everybody Lies,' and that's the premise of the show." Shore has said that the central storylines of several early episodes were based on the work of Berton Roueché, a staff writer for The New Yorker between 1944 and 1994, who specialized in features about unusual medical cases.

Shore traced the concept for the title character to his experience as a patient at a teaching hospital. Shore recalled that, "I knew, as soon as I left the room, they would be mocking me relentlessly and I thought that it would be interesting to see a character who actually did that before they left the room." A central part of the show's premise was that the main character would be disabled in some way. The original idea was for House to use a wheelchair, but Fox rejected this. Jacobs later expressed her gratitude for the network's insistence that the character be reimagined—putting him on his feet added a crucial physical dimension. The writers ultimately chose to give House a damaged leg arising from an incorrect diagnosis, which requires him to use a cane and causes him pain that lead to a narcotic dependency.

References to Sherlock Holmes

Similarities between Gregory House and the famous fictional detective Sherlock Holmes, created by Sir Arthur Conan Doyle, appear throughout the series. Shore explained that he was always a Holmes fan, and found the character's indifference to his clients unique. The resemblance is evident in House's reliance on psychology, even where it might not seem obviously applicable, inductive reasoning, and his reluctance to accept cases he finds uninteresting. His investigatory method is to logically eliminate diagnoses as they are proved impossible; Holmes used a similar method. Both characters play instruments (House plays the piano, the guitar, and the harmonica; Holmes, the violin) and take drugs (House is addicted to Vicodin; Holmes uses cocaine recreationally). House's relationship with Dr. James Wilson echoes that between Holmes and his confidant, Dr. John Watson. Robert Sean Leonard, who portrays Wilson, said that House and his character—whose name is very similar to Watson's—were originally intended to work together much as Holmes and Watson do; in his view, House's diagnostic team has assumed that aspect of the Watson role. Shore said that House's name itself is meant as "a subtle homage" to Holmes. The number of House's apartment, 221B, is a reference to Holmes's street address.

Individual episodes of the series contain additional references to the Sherlock Holmes tales. The main patient in the pilot episode is named Rebecca Adler, after Irene Adler, a character in the first Holmes short story. In the season 2 finale, House is shot by a crazed gunman credited as "Moriarty," the name of Holmes's nemesis. In the season 4 episode "It's a Wonderful Lie," House receives a "second edition Conan Doyle" as a Christmas gift. In the season five episode "The Itch," House is seen picking up his keys and Vicodin from the top of a copy of Conan Doyle's The Memoirs of Sherlock Holmes . In another season 5 episode, "Joy to the World," House, in an attempt to fool his team, uses a book by Joseph Bell, Conan Doyle's inspiration for Sherlock Holmes. The volume had been given to him the previous Christmas by Wilson, who included the message "Greg, made me think of you". Before acknowledging that he gave the book to House, Wilson tells two of the team members that its source was a patient, Irene Adler.

Production team

House is a co-production of Heel and Toe Films, Shore Z Productions, and Bad Hat Harry Productions in association with Universal Media Studios for Fox. Paul Attanasio and Katie Jacobs, the heads of Heel and Toe Films; David Shore, the head of Shore Z Productions; and Bryan Singer, the head of Bad Hat Harry Productions, have been executive producers of the program since its inception. Lawrence Kaplow, Peter Blake, and Thomas L. Moran joined the staff as writers at the beginning of the first season after the making of the pilot episode. Writers Doris Egan, Sara Hess, Larkin stone. they accepted when Jacobs offered them jobs again the following year. Since the beginning of season 4, Moran, Friend, and Lerner have been credited as executive producers on the series, joining Attanasio, Jacobs, Shore, and Singer. Hugh Laurie was credited as an executive producer for season 5's second episode, "Not Cancer," and third episode, "Adverse Events".

Shore is House ' s showrunner. Through the end of the fifth season, 24 writers have contributed to the program. The most prolific have been Kaplow (16 episodes), Shore (14), Blake (13), Moran (12), Friend (11), Lerner (11), and Egan (10). Deran Sarafian has directed 22 episodes through the end of season 5. Of the more than three dozen other directors who have worked on the series, only Greg Yaitanes has directed as many as 10 episodes. Elan Soltes has been the visual effects supervisor since the show began. Lisa Sanders, an assistant clinical professor of medicine at the Yale School of Medicine, is a technical advisor to the series. She writes the "Diagnosis" column that inspired House ' s premise.

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