Homer's Triple Bypass
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"Homer's Triple Bypass" is the eleventh episode of the fourth season of the American animated television series ''
The Simpsons ''The Simpsons'' is an American animated sitcom created by Matt Groening and developed by Groening, James L. Brooks and Sam Simon for the Fox Broadcasting Company. It is a Satire (film and television), satirical depiction of American life ...
''. It originally aired on
Fox Foxes are small-to-medium-sized omnivorous mammals belonging to several genera of the family Canidae. They have a flattened skull; upright, triangular ears; a pointed, slightly upturned snout; and a long, bushy tail ("brush"). Twelve species ...
in the United States on December 17, 1992. In this episode,
Homer Homer (; , ; possibly born ) was an Ancient Greece, Ancient Greek poet who is credited as the author of the ''Iliad'' and the ''Odyssey'', two epic poems that are foundational works of ancient Greek literature. Despite doubts about his autho ...
suffers a
heart attack A myocardial infarction (MI), commonly known as a heart attack, occurs when Ischemia, blood flow decreases or stops in one of the coronary arteries of the heart, causing infarction (tissue death) to the heart muscle. The most common symptom ...
due to his very poor health and diet. Dr. Hibbert tells Homer that he needs
triple bypass Coronary artery bypass surgery, also known as coronary artery bypass graft (CABG, pronounced "cabbage"), is a surgical procedure to treat coronary artery disease (CAD), the buildup of plaques in the arteries of the heart. It can relieve Angina ...
surgery, but the Simpson family resorts to discount surgeon Dr. Nick after learning how expensive the operation would be in a regular hospital. The episode was written by Gary Apple and Michael Carrington and directed by David Silverman.


Plot

One evening while eating a feast in bed,
Homer Homer (; , ; possibly born ) was an Ancient Greece, Ancient Greek poet who is credited as the author of the ''Iliad'' and the ''Odyssey'', two epic poems that are foundational works of ancient Greek literature. Despite doubts about his autho ...
seems to be having heart problems but is not concerned. The next morning,
Marge Marge is a feminine given name, a shortened form of Marjorie, Margot or Margaret. Notable Marges include: People * Marge (cartoonist) (1904–1993), pen name of Marjorie Henderson Buell, American cartoonist * Marge Anderson (1932–2013), Ojibwe ...
makes him oatmeal for breakfast but he rejects it (claiming there is a bug in it) in favor of bacon and eggs, despite the chest pains he has been feeling. Driving to work, he hears an irregular thumping noise, and is relieved when a gas station mechanic tells him the noise is coming from his heart, not his car. After
Mr. Burns Charles Montgomery Plantagenet Schicklgruber "Monty" Burns, usually referred to as Mr. Burns or C. Montgomery Burns, is a recurring character and the main antagonist of the Fox animated television series ''The Simpsons'', voiced initially by Ch ...
observes Homer eating and sleeping on the job, he brings Homer into his office, berates him, and threatens to fire him. Due to the extreme stress he is experiencing in that moment, Homer has a heart attack. Homer is taken to the hospital, where Dr. Hibbert informs him and Marge that Homer needs a coronary artery bypass surgery, which will cost $30,000. Hearing this, Homer has another heart attack, and the fee rises to $40,000. Marge and Homer both worry they will not be able to afford the operation. Homer manages to obtain an insurance policy, but has another heart attack as he is signing the contract, which causes the policy to be immediately revoked. He then approaches leaders of various religious communities, hoping they will give him money, without success. The Simpson family learns Dr. Nick Riviera will perform any operation for $129.95, so they decide to hire him to perform the surgery on Homer. Dr. Nick rents a tape to learn how to perform the surgery, but another program has been recorded over parts of it. In the operating theater, Dr. Nick does not know how to operate on Homer, but
Lisa Lisa or LISA may refer to: People People with the mononym * Lisa (Japanese musician, born 1974), stylized "LISA" * Lisa, stagename of Japanese singer Lisa Komine (born 1978) * Lisa (South Korean singer) (born 1980) * Lisa (Japanese musician, b ...
, who has been studying
cardiology Cardiology () is the study of the heart. Cardiology is a branch of medicine that deals with disorders of the heart and the cardiovascular system. The field includes medical diagnosis and treatment of congenital heart defects, coronary artery di ...
, calls down instructions from her place in the viewing gallery. The operation is a complete success.


Production

The idea for "Homer's Triple Bypass" was pitched by
James L. Brooks James Lawrence Brooks (born May 9, 1940) is an American director, producer, screenwriter and co-founder of Gracie Films. He co-created the sitcoms ''The Mary Tyler Moore Show'', ''Taxi'', and ''The Simpsons'' and directed the films '' Terms of ...
. However, the writers disagreed with the choice of such a heavy topic. The episode was not written by a member of the show's regular staff due to the show suffering from a depleted writing team after the third season ended. It was scripted by
freelance ''Freelance'' (sometimes spelled ''free-lance'' or ''free lance''), ''freelancer'', or ''freelance worker'', are terms commonly used for a person who is self-employed and not necessarily committed to a particular employer long-term. Freelance w ...
writers Gary Apple and Michael Carrington, who were hired by Brooks. Carrington would provide voice work for later episodes, such as "
I Love Lisa "I Love Lisa" is the fifteenth episode of the fourth season of the American animated television series ''The Simpsons''. It originally aired on Fox in the United States on February 11, 1993. In the episode, Lisa gives Ralph Wiggum a Valentine's ...
" (as Sideshow Raheem), "
Homer and Apu "Homer and Apu" is the thirteenth episode of the fifth season of the American animated television series ''The Simpsons''. It originally aired on the Fox network in the United States on February 10, 1994. In the episode, Homer participates in a ...
" (as a comedian), and "
Simpson Tide "Simpson Tide" is the nineteenth episode of the The Simpsons season 9, ninth season of the American animated television series ''The Simpsons''. It originally aired on Fox Broadcasting Company, Fox in the United States on March 29, 1998. After b ...
" (as Homer's drill instructor). Apple and Carrington decided to have a scene where Lisa and
Bart Bay Area Rapid Transit (BART) is a rapid transit system serving the San Francisco Bay Area in California. BART serves List of Bay Area Rapid Transit stations, 50 stations along six routes and of track, including eBART, a spur line running t ...
visit Homer before his surgery and were unsure of how to do it, so they approached Brooks, who made up the entire scene on the spot. Originally, the surgery was supposed to be performed by Dr. Hibbert, but it was later changed to Dr. Nick. The episode's production staff decided that David Silverman would be able to make the episode funny, so he was selected to direct it. He went "all out" and did his best to make Homer's grimaces as humorous as possible, to keep the episode at least somewhat lighter in tone. Silverman added some special touches: for example, when Homer has an out of body experience, his foot was still touching his body to signify that he was not dead. A doctor acted as a medical consultant for the episode. The episode was to have concluded with Homer eating a pizza in his hospital bed following the operation, and with Marge asking a nurse where the pizza had come from. This reflects the earlier flashback scene where
Grampa Simpson Abraham Jebediah "Abe" Simpson II, better known as Grampa Simpson, is a recurring character in the animated television series ''The Simpsons''. He made his first appearance in the episode entitled " Grandpa and the Kids", a one-minute Simpsons s ...
watches Homer as an infant, chewing on a slice of pizza in the hospital. Out of concern that it was making light of the unhealthy lifestyle that had caused the infarction, the episode instead concluded with the family visiting Homer while he is recuperating in
intensive care Intensive care medicine, usually called critical care medicine, is a medical specialty that deals with seriously or critically ill patients who have, are at risk of, or are recovering from conditions that may be life-threatening. It includes p ...
.


Cultural references

The opening sequence of the episode is a parody of American reality show '' Cops''; it was not in the original
animatic A storyboard is a graphic organizer that consists of simple illustrations or images displayed in sequence for the purpose of pre-visualizing a motion picture, animation, motion graphic or interactive media sequence. The storyboarding proces ...
and added later because the episode was too short to fit in its required 22-minute length. When Homer is performing a sock-puppet show to Lisa and Bart, he uses
Akbar and Jeff ''Life in Hell'' was a comic strip by Matt Groening that was published weekly from 1977 to 2012. Its main characters include anthropomorphic rabbits and a gay couple. The comic covers a wide range of subjects, such as love, sex, work, and death, ...
, characters from
Matt Groening Matthew Abram Groening ( ; born February 15, 1954) is an American cartoonist, writer, producer, and animator. He is best known as the creator of the television series ''The Simpsons'' (1989–present), ''Futurama'' (1999–2003, 2008–2013, 2 ...
's weekly comic strip ''
Life in Hell ''Life in Hell'' was a comic strip by Matt Groening that was published weekly from 1977 to 2012. Its main characters include anthropomorphic rabbits and a gay couple. The comic covers a wide range of subjects, such as love, sex, work, and deat ...
''. Homer follows behind the house that was the birthplace of
Edgar Allan Poe Edgar Allan Poe (; January 19, 1809 – October 7, 1849) was an American writer, poet, editor, and literary critic who is best known for his poetry and short stories, particularly his tales involving mystery and the macabre. He is widely re ...
, which was placed in the episode by David Silverman. During this scene Homer starts to hear a heartbeat, a reference to Poe's " The Telltale Heart". The scene where Homer sings "
O Holy Night "O Holy Night" (original title: ) is a sacred song about the night of the birth of Jesus Christ, described in the first verse as "the dear Saviour", and frequently performed as a Christmas carol. Based on the French-language poem ''Minuit, ch ...
" in a church as a boy is based on the film ''Empire of the Sun''.


Reception

In its original broadcast, "Homer's Triple Bypass" finished 16th in ratings for the week of December 14–20, 1992, with a
Nielsen rating Nielsen Media Research (NMR) is an American firm that measures media audiences, including television, radio, theatre, films (via the AMC Theatres MAP program), and newspapers. Headquartered in New York City, it is best known for the #Nielsen TV ...
of 14.3, equivalent to approximately 13.2 million viewing households. It was the highest-rated show on the Fox network that week, beating '' Married... with Children''.
Gary Russell Gary Russell (born 18 September 1963) is a British freelance writer, producer and former child actor. As a writer, he is best known for his work in connection with the television series ''Doctor Who'' and its spin-offs in other media. As an ac ...
and Gareth Roberts, authors of ''I Can't Believe It's a Bigger and Better Updated Unofficial Simpsons Guide'', called it "a cautionary tale that gives Dr Nick his biggest chance to shine." They also praised the "cloud goes up, cloud goes down" line.
IGN ''IGN'' is an American video gaming and entertainment media website operated by IGN Entertainment Inc., a subsidiary of Ziff Davis, Inc. The company's headquarters is located in San Francisco's SoMa district and is headed by its former e ...
noted that the episode "introduced fans to one of the show's more endearing background players, Dr. Nick." Krusty's line "this ain't make-up" is one of
Matt Groening Matthew Abram Groening ( ; born February 15, 1954) is an American cartoonist, writer, producer, and animator. He is best known as the creator of the television series ''The Simpsons'' (1989–present), ''Futurama'' (1999–2003, 2008–2013, 2 ...
's favorite lines from the show. Nathan Rabin writes "A crisis brings out the best in everyone in 'Homer’s Triple Bypass', especially Homer. The episode’s superb writing, voice acting, and animation don’t just make an animated sitcom about a man on the brink of death palatable; the make it consistently hilarious and ultimately quite moving."


References


External links

* * {{The Simpsons episodes, 4 The Simpsons season 4 episodes 1992 American television episodes Television episodes about diseases and disorders Television episodes directed by David Silverman (animator) fi:Simpsonit (4. tuotantokausi)#Pumppu pettää (Homer's Triple Bypass)