1
00:00:43,857 --> 00:00:45,233
(BELL RINGS)
2
00:00:47,027 --> 00:00:48,111
Why are you late?
3
00:00:48,236 --> 00:00:50,530
- You're not going to like the answer.
- I already know the answer.
4
00:00:50,656 --> 00:00:51,698
I missed the bus.
5
00:00:51,823 --> 00:00:54,368
I don't doubt it.
No bus stops near Brad's.
6
00:00:54,493 --> 00:00:57,120
You spent the night,
the alarm didn't work, or maybe it did.
7
00:00:57,245 --> 00:00:58,789
I didn't sleep with him.
8
00:00:58,914 --> 00:01:00,832
- Girl, either there's something...
- I missed the bus!
9
00:01:00,957 --> 00:01:02,125
There's something either
very wrong with you
10
00:01:02,250 --> 00:01:04,378
or there's something
very wrong with him.
11
00:01:04,503 --> 00:01:05,712
There's nothing wrong with him.
12
00:01:05,837 --> 00:01:07,547
Please tell me
you know that for a fact.
13
00:01:07,673 --> 00:01:08,924
Melanie, I gotta go.
14
00:01:09,049 --> 00:01:10,175
You're lying, aren't you?
15
00:01:10,300 --> 00:01:13,136
I wouldn't lie to you.
Good morning, guys!
16
00:01:13,261 --> 00:01:15,430
CLASS: Good morning, Ms. Rebecca!
17
00:01:15,555 --> 00:01:16,890
Everybody's in their seats?
18
00:01:17,015 --> 00:01:18,141
CLASS: Yes.
19
00:01:19,351 --> 00:01:20,477
Okay-
20
00:01:21,812 --> 00:01:25,273
Sydney, why don't you tell us
what you did this weekend?
21
00:01:25,482 --> 00:01:28,318
Come on, Sydney.
We know you're not shy.
22
00:01:28,443 --> 00:01:30,862
How come we always have to tell you
what we did,
23
00:01:30,987 --> 00:01:32,197
and you never tell us what you did?
24
00:01:32,322 --> 00:01:33,740
(CHILDREN GIGGLING)
25
00:01:34,116 --> 00:01:35,242
Okay-
26
00:01:35,867 --> 00:01:38,662
I had a really great weekend.
27
00:01:38,787 --> 00:01:40,455
But you can't tell Ms. Melanie, okay?
28
00:01:40,580 --> 00:01:42,249
What did you do?
29
00:01:42,749 --> 00:01:44,793
I made a new friend.
30
00:01:44,918 --> 00:01:46,962
It's so much fun to make new friends,
isn't it?
31
00:01:47,087 --> 00:01:48,714
Yeah. Yeah.
32
00:01:48,839 --> 00:01:52,175
Did you tell your mom and dad
about your new friend?
33
00:01:52,926 --> 00:01:54,511
Absolutely.
34
00:01:54,636 --> 00:01:57,806
You should never keep anything
from your parents.
35
00:01:57,931 --> 00:01:58,765
And I told mine...
36
00:01:58,890 --> 00:01:59,850
(GIBBERS)
37
00:01:59,975 --> 00:02:01,309
(CHILDREN GIGGLE)
38
00:02:01,685 --> 00:02:02,853
(CHUCKLES)
39
00:02:02,978 --> 00:02:04,104
(GIBBERISH)
40
00:02:04,229 --> 00:02:05,355
(CHILDREN GIGGLE)
41
00:02:07,482 --> 00:02:08,775
(CONTINUES GIBBERING)
42
00:02:26,877 --> 00:02:31,381
"C-A-L...
43
00:02:32,299 --> 00:02:34,885
"H-E... The."
44
00:02:35,093 --> 00:02:37,095
GIRL: We know that word. "The."
45
00:02:39,431 --> 00:02:40,557
(GASPS)
46
00:02:45,729 --> 00:02:46,813
(GROANS)
47
00:03:02,913 --> 00:03:04,372
WILSON: Twenty-nine-year-old female.
48
00:03:04,498 --> 00:03:05,874
First seizure one month ago.
49
00:03:05,999 --> 00:03:07,375
Lost the ability to speak.
50
00:03:07,501 --> 00:03:08,835
Babbled like a baby.
51
00:03:08,960 --> 00:03:11,171
Progressive deterioration of
mental status.
52
00:03:11,296 --> 00:03:12,214
HOUSE: You see that?
53
00:03:12,339 --> 00:03:14,800
They all assume that I'm a patient
because of this cane.
54
00:03:14,925 --> 00:03:16,510
So put on a white coat
like the rest of us.
55
00:03:16,635 --> 00:03:18,553
I don't want them to think
I'm a doctor.
56
00:03:18,678 --> 00:03:19,679
You see where the administration
57
00:03:19,805 --> 00:03:21,056
might have a problem
with that attitude?
58
00:03:21,181 --> 00:03:22,974
People don't want a sick doctor.
59
00:03:23,099 --> 00:03:24,142
That's fair enough.
60
00:03:24,267 --> 00:03:25,894
I don't like healthy patients.
61
00:03:26,019 --> 00:03:27,103
The 29-year-old female...
62
00:03:27,229 --> 00:03:30,106
The one who can't talk?
I like that part.
63
00:03:30,232 --> 00:03:31,983
She's my cousin.
64
00:03:32,317 --> 00:03:35,237
And your cousin doesn't like
the diagnosis.
65
00:03:35,779 --> 00:03:37,697
I wouldn't either. Brain tumor.
66
00:03:37,823 --> 00:03:39,449
She's going to die. Boring.
67
00:03:42,327 --> 00:03:43,995
No wonder you're
such a renowned diagnostician.
68
00:03:44,120 --> 00:03:46,331
You don't need to actually know
anything to figure out what's wrong.
69
00:03:46,456 --> 00:03:47,499
You're the oncologist.
70
00:03:47,624 --> 00:03:49,709
I'm just a lowly
infectious disease guy.
71
00:03:49,835 --> 00:03:51,795
Yes. Just a simple country doctor.
72
00:03:51,920 --> 00:03:53,880
Brain tumors at her age
are highly unlikely.
73
00:03:54,005 --> 00:03:55,006
She's 29.
74
00:03:55,131 --> 00:03:56,591
Whatever she's got
is highly unlikely.
75
00:03:56,716 --> 00:03:58,844
The protein markers for the three most
prevalent brain cancers
76
00:03:58,969 --> 00:03:59,970
came up negative.
77
00:04:00,095 --> 00:04:01,304
That's an HMO lab.
78
00:04:01,429 --> 00:04:03,807
Might as well have sent it to a high
school kid with a chemistry set.
79
00:04:03,932 --> 00:04:05,684
No family history.
80
00:04:05,809 --> 00:04:07,811
I thought your uncle died of cancer.
81
00:04:07,936 --> 00:04:09,688
Other side. No environmental factors.
82
00:04:09,813 --> 00:04:10,814
That you know of.
83
00:04:10,939 --> 00:04:12,607
And she's not responding
to radiation treatment.
84
00:04:12,732 --> 00:04:15,318
None of which is
even close to dispositive.
85
00:04:15,443 --> 00:04:17,904
All it does is raise one question.
86
00:04:18,029 --> 00:04:20,574
Your cousin goes to an HMO?
87
00:04:20,699 --> 00:04:21,992
Come on.
88
00:04:22,117 --> 00:04:23,910
Why leave all the fun
for the coroner?
89
00:04:24,035 --> 00:04:27,747
What's the point of putting together a
team if you're not gonna use them?
90
00:04:27,873 --> 00:04:30,959
You've got three overqualified doctors
working for you,
91
00:04:31,084 --> 00:04:32,252
getting bored.
92
00:05:34,814 --> 00:05:36,399
FOREMAN: It's a lesion.
93
00:05:37,984 --> 00:05:39,361
And the big green thing
94
00:05:39,486 --> 00:05:41,738
in the middle of the bigger
blue thing on a map
95
00:05:41,863 --> 00:05:43,698
is an island.
96
00:05:43,823 --> 00:05:45,533
I was hoping for something
a bit more creative.
97
00:05:45,659 --> 00:05:49,704
Shouldn't we be speaking to the patient
before we start diagnosing?
98
00:05:49,829 --> 00:05:51,039
- Is she a doctor?
- No, but...
99
00:05:51,164 --> 00:05:52,832
Everybody lies.
100
00:05:52,958 --> 00:05:54,793
Dr. House doesn't like
dealing with patients.
101
00:05:54,918 --> 00:05:57,087
Isn't treating patients
why we became doctors?
102
00:05:57,212 --> 00:05:59,756
No. Treating illnesses is
why we became doctors.
103
00:05:59,881 --> 00:06:02,801
Treating patients is what makes
most doctors miserable.
104
00:06:02,926 --> 00:06:06,346
So you're trying to eliminate the
humanity from the practice of medicine?
105
00:06:06,471 --> 00:06:10,266
If we don't talk to them, they can't
lie to us, and we can't lie to them.
106
00:06:10,392 --> 00:06:12,185
Humanity's overrated.
107
00:06:12,310 --> 00:06:13,812
I don't think it's a tumor.
108
00:06:13,937 --> 00:06:15,563
First-year medical school,
if you hear hoof beats,
109
00:06:15,689 --> 00:06:17,065
you think horses, not zebras.
110
00:06:17,190 --> 00:06:19,943
Are you in first-year medical school?
111
00:06:20,652 --> 00:06:23,488
No. First of all,
there's nothing on the CAT scan.
112
00:06:23,613 --> 00:06:24,990
Second of all, if this is a horse,
113
00:06:25,115 --> 00:06:28,076
then her kindly family doctor in
Trenton makes the obvious diagnosis,
114
00:06:28,201 --> 00:06:30,745
and it never gets near this office.
115
00:06:30,870 --> 00:06:32,122
Differential diagnosis, people.
116
00:06:32,247 --> 00:06:34,332
If it's not a tumor,
what are the suspects?
117
00:06:34,457 --> 00:06:36,418
Why couldn't she talk?
118
00:06:36,543 --> 00:06:39,421
Aneurysm, stroke
or some other ischemic syndrome.
119
00:06:39,546 --> 00:06:40,714
Get her a contrast MRI.
120
00:06:40,839 --> 00:06:42,173
Creutzfeldt-Jakob disease?
121
00:06:42,298 --> 00:06:43,341
Mad cow?
122
00:06:43,466 --> 00:06:44,426
Mad zebra.
123
00:06:44,551 --> 00:06:46,052
Wernicke's encephalopathy.
124
00:06:46,177 --> 00:06:48,221
No. Blood thiamine level was normal.
125
00:06:48,346 --> 00:06:51,558
The lab in Trenton
could have screwed up the blood tests.
126
00:06:51,683 --> 00:06:55,812
I assume it's a corollary
if people lie that people screw up.
127
00:06:55,937 --> 00:06:57,647
Redraw the blood tests
128
00:06:57,772 --> 00:07:00,108
and get her scheduled
for that contrast MRI. ASAP.
129
00:07:00,233 --> 00:07:02,736
Let's find out what kind of zebra we're
treating here.
130
00:07:14,539 --> 00:07:16,833
WOMAN ON PA: Radiology,
please call the page.
131
00:07:16,958 --> 00:07:18,752
Radiology, please call the page.
132
00:07:25,050 --> 00:07:27,427
I was expecting you in my office
20 minutes ago.
133
00:07:27,552 --> 00:07:28,803
Really? Well, that's odd,
134
00:07:28,928 --> 00:07:30,722
because I had no intention of being in
your office 20 minutes ago.
135
00:07:30,847 --> 00:07:32,182
You think we have nothing
to talk about?
136
00:07:32,307 --> 00:07:34,434
No. I just can't think of anything I'd
be interested in.
137
00:07:34,559 --> 00:07:35,560
I sign your paychecks.
138
00:07:35,685 --> 00:07:37,145
I have tenure.
139
00:07:39,439 --> 00:07:41,524
Are you gonna grab my cane now,
stop me from leaving?
140
00:07:41,649 --> 00:07:43,526
That would be juvenile.
141
00:07:48,573 --> 00:07:50,200
I can still fire you
if you're not doing your job.
142
00:07:50,325 --> 00:07:51,409
I'm here from 9:00 to 5:00.
143
00:07:51,534 --> 00:07:53,828
Your billings
are practically nonexistent.
144
00:07:53,953 --> 00:07:56,039
- Rough year.
- You ignore requests for consults.
145
00:07:56,164 --> 00:07:57,290
I call back. Sometimes I misdial.
146
00:07:57,415 --> 00:07:59,834
You're six years behind
on your obligations to the clinic.
147
00:07:59,959 --> 00:08:02,837
See? I was right.
This doesn't interest me.
148
00:08:02,962 --> 00:08:06,299
Six years times three weeks,
you owe me better than four months.
149
00:08:06,424 --> 00:08:08,468
It's 5:00. I'm going home.
150
00:08:09,969 --> 00:08:11,054
To what?
151
00:08:12,180 --> 00:08:13,348
Nice.
152
00:08:14,808 --> 00:08:18,937
Look, Dr. House,
the only reason why I don't fire you
153
00:08:19,062 --> 00:08:21,856
is because your reputation is still
worth something to this hospital.
154
00:08:21,981 --> 00:08:23,608
Excellent.
We have a point of agreement.
155
00:08:23,733 --> 00:08:24,818
You're not gonna fire me.
156
00:08:24,943 --> 00:08:27,570
Your reputation won't last
if you don't do your job.
157
00:08:27,695 --> 00:08:29,948
The clinic is part of your job.
158
00:08:30,073 --> 00:08:31,324
I want you to do your job.
159
00:08:31,449 --> 00:08:33,451
But, as the philosopher Jagger
once said,
160
00:08:33,576 --> 00:08:36,162
"You can't always get what you want."
161
00:08:43,002 --> 00:08:45,880
You're not my doctor.
Are you Dr. House?
162
00:08:46,005 --> 00:08:47,924
Thankfully, no. I'm Dr. Chase.
163
00:08:48,049 --> 00:08:50,051
Dr. House is the head of
Diagnostic Medicine.
164
00:08:50,176 --> 00:08:53,972
He's very busy, but he has taken
a keen interest in your case.
165
00:08:58,184 --> 00:09:00,520
FOREMAN: We inject gadolinium
into a vein.
166
00:09:00,645 --> 00:09:02,313
It distributes itself
throughout your brain
167
00:09:02,438 --> 00:09:03,940
and acts as a contrast material
168
00:09:04,065 --> 00:09:06,526
for the magnetic resonance imager.
169
00:09:07,277 --> 00:09:09,821
Basically, whatever's in your head
lights up like a Christmas tree.
170
00:09:09,946 --> 00:09:11,406
FOREMAN: it might make you feel
a little light-headed.
171
00:09:11,531 --> 00:09:12,532
WOMAN: Dr. Cameron.
172
00:09:12,657 --> 00:09:15,910
I'm sorry. I have to stop you.
There is a problem.
173
00:09:18,246 --> 00:09:19,998
You pulled my authorization!
174
00:09:20,123 --> 00:09:21,541
Yes. Why are you yelling?
175
00:09:21,666 --> 00:09:23,877
No MRls, no imaging studies, no labs.
176
00:09:24,002 --> 00:09:25,920
You also can't make
long-distance phone calls.
177
00:09:26,045 --> 00:09:27,881
If you're going to fire me,
have the guts to face me.
178
00:09:28,006 --> 00:09:30,008
Or photocopies. You're still yelling.
179
00:09:30,133 --> 00:09:33,178
I'm angry!
You're risking a patient's life.
180
00:09:33,303 --> 00:09:34,804
I assume those are
two separate points.
181
00:09:34,929 --> 00:09:36,181
You showed me disrespect.
182
00:09:36,306 --> 00:09:38,558
You embarrassed me. And as long as
I work here, you have no legal...
183
00:09:38,683 --> 00:09:40,268
ls the yelling designed to scare me?
184
00:09:40,393 --> 00:09:43,980
Because I'm not sure what it is
I'm supposed to be scared of.
185
00:09:44,105 --> 00:09:45,523
More yelling?
186
00:09:45,648 --> 00:09:47,192
That's not scary.
187
00:09:47,317 --> 00:09:48,776
That you're going to hurt me?
That's scary.
188
00:09:48,902 --> 00:09:52,197
But I'm pretty sure I can outrun you.
189
00:09:52,739 --> 00:09:55,617
Oh, I looked into that philosopher you
quoted. Jagger.
190
00:09:55,742 --> 00:09:58,119
And you're right,
you can't always get what you want.
191
00:09:58,244 --> 00:10:02,373
But as it turns out, "if you try
sometimes, you get what you need."
192
00:10:03,791 --> 00:10:07,253
So, because you want me
to treat patients,
193
00:10:07,378 --> 00:10:09,631
you're not letting me treat patients?
194
00:10:09,756 --> 00:10:11,799
I need you to do your job.
195
00:10:20,683 --> 00:10:22,936
Do the MRI. She folded.
196
00:10:26,022 --> 00:10:27,023
(SIGHS)
197
00:10:27,148 --> 00:10:28,691
I've got to do four hours a week
in this clinic
198
00:10:28,816 --> 00:10:31,694
until I make up the time I've missed.
199
00:10:32,237 --> 00:10:36,241
2054. I'll be caught up in 2054.
200
00:10:37,367 --> 00:10:40,036
You better love this cousin
a whole lot.
201
00:11:14,654 --> 00:11:17,824
All right, Rebecca, I know you may feel
a little claustrophobic in there,
202
00:11:17,949 --> 00:11:20,159
but we need you to remain still.
203
00:11:21,744 --> 00:11:23,871
CHASE: Okay, we're going to begin.
204
00:11:24,372 --> 00:11:25,707
(MACHINERY CLICKING)
205
00:11:29,210 --> 00:11:30,503
(THUMPING)
206
00:11:33,798 --> 00:11:35,591
I don't feel so good.
207
00:11:35,717 --> 00:11:38,011
CHASE: It's all right.
Just try to relax.
208
00:11:38,136 --> 00:11:39,387
(LOUD HUMMING)
209
00:11:40,430 --> 00:11:41,764
(GASPING)
210
00:11:46,185 --> 00:11:47,437
Rebecca?
211
00:11:47,562 --> 00:11:48,855
(CONTINUES GASPING)
212
00:11:49,439 --> 00:11:50,648
CAMERON: Rebecca?
213
00:12:00,366 --> 00:12:01,659
Rebecca?
214
00:12:03,453 --> 00:12:04,454
Get her out of there.
215
00:12:04,579 --> 00:12:05,538
She probably fell asleep.
216
00:12:05,663 --> 00:12:07,582
She's exhausted. She was claustrophobic
30 seconds ago.
217
00:12:07,707 --> 00:12:08,833
She's not sleeping.
We gotta get her out of there.
218
00:12:08,958 --> 00:12:09,959
It'll just be another minute.
219
00:12:10,084 --> 00:12:11,586
If she's having an allergic reaction to
the gadolinium,
220
00:12:11,711 --> 00:12:13,046
she'll be dead in two minutes.
221
00:12:16,841 --> 00:12:18,760
- Hold her neck.
- All right.
222
00:12:18,885 --> 00:12:20,470
Oh, she's ashen.
223
00:12:21,137 --> 00:12:23,181
She's not breathing. Epi .5.
224
00:12:23,306 --> 00:12:25,516
(OXYGEN HISSING) Come on.
225
00:12:26,309 --> 00:12:27,935
I can't ventilate.
226
00:12:30,855 --> 00:12:32,648
Too much edema.
Where's the surgical airway kit?
227
00:12:32,774 --> 00:12:34,067
CHASE: Yeah. Coming.
228
00:13:11,229 --> 00:13:12,647
Good call.
229
00:13:14,899 --> 00:13:16,067
(OXYGEN PUMPING)
230
00:13:33,376 --> 00:13:35,753
We'll get that tube out of
your throat later today.
231
00:13:35,878 --> 00:13:38,131
Just get some rest for now, okay?
232
00:13:42,218 --> 00:13:44,554
Told you. You can't trust people.
233
00:13:44,679 --> 00:13:46,264
She probably knew
she was allergic to gadolinium.
234
00:13:46,389 --> 00:13:48,850
Figured it was an easy way to get
someone to cut a hole in her throat.
235
00:13:48,975 --> 00:13:50,476
Can't get a picture.
236
00:13:50,601 --> 00:13:51,936
Gonna have to get a thousand words.
237
00:13:52,061 --> 00:13:55,898
You actually want me to talk to
the patient, get a history?
238
00:13:56,274 --> 00:13:58,568
We need to know if there's some genetic
or environmental cause
239
00:13:58,693 --> 00:14:00,987
that's triggering
an inflammatory response.
240
00:14:01,112 --> 00:14:02,989
I thought everybody lied.
241
00:14:03,781 --> 00:14:06,742
Truth begins in lies. Think about it.
242
00:14:09,203 --> 00:14:11,873
That doesn't mean anything, does it?
243
00:14:15,460 --> 00:14:17,837
12:52 p.m.
Dr. House checks in.
244
00:14:17,962 --> 00:14:19,046
Please write that down.
245
00:14:19,172 --> 00:14:20,840
Do you have cable TV here somewhere?
246
00:14:20,965 --> 00:14:22,133
General Hospital
starts in eight minutes.
247
00:14:22,258 --> 00:14:24,302
No TV, but we've got patients.
248
00:14:24,427 --> 00:14:26,512
Can't you give out the aspirin
yourself? I'll do paperwork.
249
00:14:26,637 --> 00:14:28,806
I made sure your first case
was an interesting one.
250
00:14:28,931 --> 00:14:30,975
Cough just won't go away?
Runny nose looks a funny color?
251
00:14:31,100 --> 00:14:33,269
Patient admitted complaining of
back spasms.
252
00:14:33,394 --> 00:14:34,937
Oh? I think I read about
something like that
253
00:14:35,062 --> 00:14:36,063
in 'The New England
Journal of Medicine'.
254
00:14:36,189 --> 00:14:37,482
Patient is orange.
255
00:14:37,607 --> 00:14:38,608
The color?
256
00:14:38,733 --> 00:14:39,692
No, the fruit.
257
00:14:39,817 --> 00:14:40,985
You mean yellow. It's jaundice.
258
00:14:41,110 --> 00:14:42,069
I mean orange.
259
00:14:42,195 --> 00:14:44,322
- Well, how orange? It's probably...
- Exam Room 1.
260
00:14:44,447 --> 00:14:46,824
WOMAN ON PA: Dr. Kahn,
you're needed in Pediatrics.
261
00:14:48,075 --> 00:14:50,870
I was playing golf
and my cleats got stuck.
262
00:14:50,995 --> 00:14:53,122
It hurt a little, but I kept playing.
263
00:14:53,247 --> 00:14:55,708
The next morning,
I could barely stand up.
264
00:14:55,833 --> 00:14:59,879
Well, you're smiling, so I take it that
means this isn't serious.
265
00:15:00,796 --> 00:15:02,924
What's that? What are you doing?
266
00:15:03,049 --> 00:15:04,091
Painkillers.
267
00:15:04,217 --> 00:15:06,260
Oh, for you. For your leg.
268
00:15:06,385 --> 00:15:07,929
No, 'cause they're yummy.
269
00:15:08,054 --> 00:15:11,015
You want one?
Make your back feel better.
270
00:15:12,683 --> 00:15:15,436
Unfortunately,
you have a deeper problem.
271
00:15:16,062 --> 00:15:18,439
Your wife is having an affair.
272
00:15:18,564 --> 00:15:20,983
- What?
- You're orange, you moron.
273
00:15:21,442 --> 00:15:22,693
It's one thing for you not to notice,
274
00:15:22,818 --> 00:15:23,903
but if your wife hasn't picked up
on the fact
275
00:15:24,028 --> 00:15:26,948
that her husband has changed colors,
she's just not paying attention.
276
00:15:27,073 --> 00:15:28,950
By the way, do you consume
just a ridiculous amount
277
00:15:29,075 --> 00:15:31,077
of carrots and megadose vitamins?
278
00:15:31,202 --> 00:15:33,120
Carrots turn you yellow,
the niacin turns you red.
279
00:15:33,246 --> 00:15:35,081
Find some finger paint and do the math.
280
00:15:35,206 --> 00:15:37,041
And get a good lawyer.
281
00:15:42,046 --> 00:15:43,422
HOUSE: Deep breath.
282
00:15:43,548 --> 00:15:45,091
It's cold.
283
00:15:46,634 --> 00:15:48,302
Has he been using his inhaler?
284
00:15:48,427 --> 00:15:51,764
Not in the past few days. He's only 10.
285
00:15:51,889 --> 00:15:55,851
I worry about children taking such
strong medicine so frequently.
286
00:15:55,977 --> 00:15:57,061
What happened to your leg?
287
00:15:57,186 --> 00:15:58,854
HOUSE: Your doctor probably
was concerned
288
00:15:58,980 --> 00:16:00,481
about the strength of
the medicine, too.
289
00:16:00,606 --> 00:16:03,985
She probably weighed that danger
against the danger of not breathing.
290
00:16:04,110 --> 00:16:06,612
Oxygen is so important during
those prepubescent years,
291
00:16:06,737 --> 00:16:08,406
don't you think?
292
00:16:08,656 --> 00:16:10,324
Okay, I'm gonna assume that
nobody has ever told you
293
00:16:10,449 --> 00:16:11,492
what asthma is.
294
00:16:11,617 --> 00:16:14,370
Or if they have,
you had other things on your mind.
295
00:16:14,495 --> 00:16:17,540
A stimulant triggers cells
in your child's airways
296
00:16:17,665 --> 00:16:18,749
to release substances
297
00:16:18,874 --> 00:16:21,419
that inflame the air passages
and cause them to contract.
298
00:16:21,544 --> 00:16:24,880
Mucus production increases,
the cell lining starts to shed.
299
00:16:25,006 --> 00:16:26,716
But the steroids...
300
00:16:27,341 --> 00:16:31,012
The steroids stop the inflammation.
301
00:16:32,305 --> 00:16:34,640
The more often this happens...
302
00:16:35,016 --> 00:16:37,184
What?
The more often this happens, what?
303
00:16:37,310 --> 00:16:41,063
HOUSE: Forget it. If you don't trust
steroids, you shouldn't trust doctors.
304
00:16:42,064 --> 00:16:44,525
REBECCA: My mother passed away
four years ago.
305
00:16:44,650 --> 00:16:45,985
She had a heart attack,
306
00:16:46,068 --> 00:16:49,363
and my father broke his back
doing construction...
307
00:16:49,530 --> 00:16:50,781
(PAGER BEEPS)
308
00:16:51,949 --> 00:16:54,535
It's House. It's urgent. I'm sorry.
309
00:16:58,998 --> 00:17:01,083
You couldn't have knocked?
310
00:17:01,876 --> 00:17:03,919
Steroids. Give her steroids.
311
00:17:04,045 --> 00:17:05,379
High doses of prednisone.
312
00:17:14,180 --> 00:17:16,807
You're looking for support for
a diagnosis of cerebral vasculitis?
313
00:17:16,932 --> 00:17:18,893
Inflammation of blood vessels
in the brain is awfully rare,
314
00:17:19,018 --> 00:17:20,186
especially for someone her age.
315
00:17:20,311 --> 00:17:22,063
So is a tumor.
Her sed rate is elevated.
316
00:17:22,188 --> 00:17:23,147
Mildly.
317
00:17:23,272 --> 00:17:25,358
That could mean anything. Or nothing.
318
00:17:25,483 --> 00:17:28,861
Yeah, I know. I have no reason
to think that it's vasculitis.
319
00:17:28,986 --> 00:17:30,446
Except that it could be.
320
00:17:30,571 --> 00:17:31,739
If the blood vessels are inflamed,
321
00:17:31,864 --> 00:17:33,157
that's gonna look exactly
like what we saw
322
00:17:33,282 --> 00:17:34,533
on the MRI from Trenton County,
323
00:17:34,659 --> 00:17:36,744
and the pressure is gonna cause
neurological symptoms.
324
00:17:36,869 --> 00:17:38,162
We can't diagnose that
without a biopsy.
325
00:17:38,287 --> 00:17:39,288
Yes, we can.
326
00:17:39,413 --> 00:17:40,665
We treat it.
327
00:17:40,790 --> 00:17:41,957
If she gets better,
we know we're right.
328
00:17:42,083 --> 00:17:44,043
And if we're wrong?
329
00:17:44,126 --> 00:17:45,628
Then we learn something else.
330
00:17:50,633 --> 00:17:51,676
Why steroids?
331
00:17:51,801 --> 00:17:53,886
Just part of your treatment.
332
00:17:54,011 --> 00:17:55,513
You haven't had many visitors.
333
00:17:55,638 --> 00:17:57,765
- No boyfriend?
- Three dates.
334
00:17:57,890 --> 00:18:01,185
I wouldn't have stood by him
if he were vomiting all day.
335
00:18:01,310 --> 00:18:04,271
What about work?
You must have friends from work.
336
00:18:04,397 --> 00:18:07,483
Pretty much everybody I like
is five years old.
337
00:18:09,026 --> 00:18:12,113
The nurse said
you're stopping my radiation.
338
00:18:12,822 --> 00:18:14,865
We're just trying
some alternative medication.
339
00:18:14,990 --> 00:18:16,075
So where's your family from then?
340
00:18:16,158 --> 00:18:19,120
Steroids aren't
an alternative to radiation.
341
00:18:19,370 --> 00:18:21,539
The tests weren't really conclusive.
342
00:18:21,664 --> 00:18:23,874
We're treating you for vasculitis.
343
00:18:23,999 --> 00:18:27,169
It's the inflammation of
blood vessels in the brain.
344
00:18:27,294 --> 00:18:29,130
It's not a tumor?
345
00:18:30,131 --> 00:18:32,133
I don't have a tumor?
346
00:18:35,094 --> 00:18:38,472
Hey, you should have told her
the truth. It's a long-shot guess.
347
00:18:38,597 --> 00:18:40,099
Thank you. If House is right, no harm.
348
00:18:40,182 --> 00:18:42,977
If he's wrong, I've given a dying woman
a couple days' hope.
349
00:18:43,102 --> 00:18:43,936
False hope.
350
00:18:44,061 --> 00:18:48,190
If there was any other type available,
I would have given her that.
351
00:18:56,031 --> 00:18:58,617
Why are you smelling Billy's pants?
352
00:18:59,076 --> 00:18:59,910
I'm not.
353
00:19:00,035 --> 00:19:01,203
Looked like you were.
354
00:19:01,328 --> 00:19:02,747
I was smelling the floor.
355
00:19:02,872 --> 00:19:03,998
Oh.
356
00:19:04,665 --> 00:19:06,083
Do you have any pets in this class?
357
00:19:06,208 --> 00:19:10,379
No. But we used to have a gerbil,
but Carly L. dropped a book on it.
358
00:19:10,963 --> 00:19:11,964
Careless.
359
00:19:12,089 --> 00:19:13,632
Do you need to smell it?
360
00:19:13,758 --> 00:19:15,760
No. I'm smelling for mold.
361
00:19:16,594 --> 00:19:19,972
- I don't need to smell it.
- You could smell our parrot.
362
00:19:20,097 --> 00:19:22,683
You said you didn't have any pets
in this class.
363
00:19:22,808 --> 00:19:24,185
A parrot is a bird.
364
00:19:24,310 --> 00:19:25,561
Listen, Jax is not the father...
365
00:19:25,686 --> 00:19:28,689
FOREMAN: Parrots are
the primary source of psittacosis.
366
00:19:29,106 --> 00:19:29,899
It's not the parrot.
367
00:19:30,024 --> 00:19:32,318
And psittacosis can lead to
368
00:19:32,443 --> 00:19:34,862
nerve problems
and neurological complications.
369
00:19:34,987 --> 00:19:36,947
- How many kids were in the class?
- 20.
370
00:19:37,072 --> 00:19:38,157
How many are home sick?
371
00:19:38,282 --> 00:19:39,325
None, but...
372
00:19:39,450 --> 00:19:41,243
None. But you figured that
five-y ear-dds
373
00:19:41,368 --> 00:19:44,955
are more serious about bird hygiene
than their teacher?
374
00:19:45,289 --> 00:19:46,415
Have you been through her home?
375
00:19:46,540 --> 00:19:47,792
FOREMAN: She lives in Trenton.
376
00:19:47,917 --> 00:19:50,836
I can go up to her room tomorrow
morning, ask her for the key.
377
00:19:50,961 --> 00:19:52,963
Would the police call for permission
378
00:19:53,088 --> 00:19:54,924
before dropping by
to check out a crime scene?
379
00:19:55,049 --> 00:19:56,008
It's not a crime scene.
380
00:19:56,133 --> 00:19:58,969
As far as I know, she's running
a math lab out of her basement.
381
00:19:59,094 --> 00:20:00,262
She's a kindergarten teacher.
382
00:20:00,387 --> 00:20:04,475
And if I were a kindergarten student
I would trust her implicitly.
383
00:20:05,684 --> 00:20:08,729
Okay. I'll give you a "for instance."
384
00:20:08,854 --> 00:20:13,442
The lady back there who made
your egg salad sandwich,
385
00:20:13,567 --> 00:20:16,195
her eyes look glassy.
Did you notice that?
386
00:20:16,320 --> 00:20:19,198
Now, hospital policy is to stay home
if you're sick.
387
00:20:19,323 --> 00:20:20,866
But if you're making $8.00 an hour,
388
00:20:20,991 --> 00:20:23,702
then you kind of need
the $8.00 an hour, right?
389
00:20:23,828 --> 00:20:25,079
And the sign in the bathroom says
390
00:20:25,204 --> 00:20:27,540
that employees must wash
after using the facilities,
391
00:20:27,665 --> 00:20:30,417
but I figure that somebody
who wipes snot on a sleeve
392
00:20:30,543 --> 00:20:33,629
isn't hyper-concerned
about sanitary conditions.
393
00:20:33,921 --> 00:20:36,757
So what do you think,
should I trust her?
394
00:20:36,882 --> 00:20:40,094
I want you to check the patient's home
for contaminants, garbage, medication.
395
00:20:40,219 --> 00:20:42,096
I can't just break into
someone's house.
396
00:20:42,221 --> 00:20:45,266
Isn't that how you got into
the Felkers' home?
397
00:20:49,854 --> 00:20:51,939
Yeah, I know.
398
00:20:52,064 --> 00:20:53,232
Court records are sealed.
399
00:20:53,357 --> 00:20:55,943
You were 16. It was a stupid mistake.
400
00:20:56,318 --> 00:20:58,696
But your old gym teacher
has a big mouth.
401
00:20:58,821 --> 00:20:59,947
Should write a thank-you note.
402
00:21:00,072 --> 00:21:01,407
I should thank him?
403
00:21:01,532 --> 00:21:02,700
Well...
404
00:21:04,076 --> 00:21:07,246
I needed somebody around here
with street smarts.
405
00:21:09,456 --> 00:21:13,294
Okay? Who knows when they're being
conned, knows how to con.
406
00:21:13,419 --> 00:21:15,004
I should sue you.
407
00:21:15,546 --> 00:21:17,965
Pretty sure you can't sue somebody
for wrongful hiring.
408
00:21:18,090 --> 00:21:20,259
But I'm pretty sure I can sue
if you fire me
409
00:21:20,384 --> 00:21:22,970
for not breaking
into some lady's house.
410
00:21:35,482 --> 00:21:38,944
Doing research.
People are fascinating, aren't they?
411
00:21:39,069 --> 00:21:41,530
Why are you giving Adler steroids?
412
00:21:41,655 --> 00:21:42,948
Because she's my patient.
413
00:21:43,073 --> 00:21:44,909
That's what you do with patients,
you give them medicine.
414
00:21:45,034 --> 00:21:46,952
You don't prescribe medicine
based on guesses.
415
00:21:47,077 --> 00:21:49,455
At least we don't
since Tuskegee and Mengele.
416
00:21:49,580 --> 00:21:52,416
You're comparing me to a Nazi? Nice.
417
00:21:52,541 --> 00:21:54,668
I'm stopping the treatment.
418
00:21:59,423 --> 00:22:00,549
She's my patient.
419
00:22:00,674 --> 00:22:02,051
It's my hospital.
420
00:22:02,635 --> 00:22:05,429
I did not get her sick.
She is not an experiment.
421
00:22:05,554 --> 00:22:07,973
I have a legitimate theory about
what's wrong with her.
422
00:22:08,098 --> 00:22:09,433
With no proof.
423
00:22:09,558 --> 00:22:10,643
There's never any proof.
424
00:22:10,768 --> 00:22:12,811
Five different doctors come up
with five different diagnoses
425
00:22:12,937 --> 00:22:13,979
based on the same evidence.
426
00:22:14,104 --> 00:22:16,273
You don't have any evidence.
427
00:22:18,651 --> 00:22:19,693
And nobody knows anything, huh?
428
00:22:19,818 --> 00:22:21,528
Then how is it you always think
you're right?
429
00:22:21,654 --> 00:22:25,199
I don't. I just find it hard to operate
on the opposite assumption.
430
00:22:25,324 --> 00:22:27,534
And why are you so afraid of
making a mistake?
431
00:22:27,660 --> 00:22:29,453
Because I'm a doctor.
432
00:22:29,578 --> 00:22:31,497
Because when we make mistakes,
people die.
433
00:22:31,622 --> 00:22:33,123
Oh, come on.
434
00:22:36,961 --> 00:22:40,422
People used to have more respect
for cripples, you know.
435
00:22:42,007 --> 00:22:43,676
They didn't really.
436
00:22:47,638 --> 00:22:48,931
So how you feeling?
437
00:22:49,056 --> 00:22:50,265
Much better, thanks.
438
00:22:51,100 --> 00:22:52,351
Are you Dr. House?
439
00:22:52,476 --> 00:22:53,727
I thought he was a he, but...
440
00:22:53,852 --> 00:22:55,020
No.
441
00:22:56,563 --> 00:22:58,816
Don't eat too much, too fast.
442
00:22:59,900 --> 00:23:01,443
Thank him for me.
443
00:23:01,610 --> 00:23:02,903
Right.
444
00:23:15,499 --> 00:23:17,876
Should I discontinue the treatment,
boss?
445
00:23:18,002 --> 00:23:19,420
You got lucky.
446
00:23:23,966 --> 00:23:25,050
Cool, huh?
447
00:23:27,761 --> 00:23:28,846
Okay, once again.
448
00:23:28,971 --> 00:23:30,556
(INHALES DEEPLY)
449
00:23:30,681 --> 00:23:31,849
(EXHALES)
450
00:23:32,057 --> 00:23:33,934
Good.
451
00:23:34,059 --> 00:23:36,437
Am I ever gonna meet Dr. House?
452
00:23:37,688 --> 00:23:41,191
Well, you might run into him
at the movies or on the bus.
453
00:23:41,567 --> 00:23:43,152
Is he a good man?
454
00:23:43,902 --> 00:23:46,238
He's a good doctor.
455
00:23:47,531 --> 00:23:49,867
Can you be one without the other?
456
00:23:49,992 --> 00:23:51,827
Don't you have to care about people?
457
00:23:51,952 --> 00:23:53,912
Caring is a good motivator.
458
00:23:55,039 --> 00:23:57,082
He's found something else.
459
00:23:59,043 --> 00:24:00,961
Feel this, both sides?
460
00:24:01,086 --> 00:24:04,506
Okay, squeeze. Harder. All right.
461
00:24:06,008 --> 00:24:07,885
He's your friend, huh?
462
00:24:09,011 --> 00:24:10,095
Yeah.
463
00:24:10,596 --> 00:24:12,514
Does he care about you?
464
00:24:13,182 --> 00:24:14,224
I think so.
465
00:24:14,349 --> 00:24:15,392
You don't know?
466
00:24:16,477 --> 00:24:19,396
As Dr. House likes to say,
"Everybody lies."
467
00:24:20,022 --> 00:24:23,442
It's not what people say.
It's what they do.
468
00:24:26,445 --> 00:24:28,739
Yeah. He cares about me.
469
00:24:32,826 --> 00:24:34,203
REBECCA: I can't see.
470
00:24:37,581 --> 00:24:40,167
I can't see.
471
00:24:44,088 --> 00:24:45,589
(MONITOR BEEPS RAPIDLY)
472
00:24:48,842 --> 00:24:50,677
A little help in here!
473
00:25:05,400 --> 00:25:08,028
Your chest will be sore for a while.
474
00:25:08,403 --> 00:25:11,490
We needed to shock you
to get your heart going.
475
00:25:13,408 --> 00:25:18,288
Okay, can you arrange these
to tell a story?
476
00:25:32,970 --> 00:25:34,763
FOREMAN: She couldn't put them
in order.
477
00:25:34,888 --> 00:25:37,975
Could the damage have been caused
by a lack of oxygen during her seizure?
478
00:25:38,100 --> 00:25:42,104
No. I gave her the same test five
minutes later. She did just fine.
479
00:25:42,229 --> 00:25:43,897
The altered mental status is
intermittent,
480
00:25:44,022 --> 00:25:45,691
just like the verbal skills.
481
00:25:45,816 --> 00:25:46,775
So what now?
482
00:25:46,900 --> 00:25:50,529
Given the latest symptoms, it's clearly
growing deeper into the brain stem.
483
00:25:50,654 --> 00:25:52,531
Soon, she won't be able to walk.
484
00:25:52,656 --> 00:25:54,199
She'll go blind permanently,
485
00:25:54,324 --> 00:25:56,785
and then the respiratory center
will fail.
486
00:25:56,910 --> 00:25:57,953
How long do we have?
487
00:25:58,078 --> 00:25:59,872
If it's a tumor,
we're talking a month or two.
488
00:25:59,997 --> 00:26:01,498
If it's infectious, a few weeks.
489
00:26:01,623 --> 00:26:04,918
If it's vascular,
that'll probably be fastest of all.
490
00:26:05,043 --> 00:26:06,253
Maybe a week.
491
00:26:06,378 --> 00:26:08,714
We're gonna stop all treatment.
492
00:26:10,174 --> 00:26:11,717
FOREMAN: I still think it's a tumor.
493
00:26:11,842 --> 00:26:13,135
I think we should go back
to the radiation.
494
00:26:13,260 --> 00:26:14,887
CHASE: She didn't respond to
the radiation.
495
00:26:15,012 --> 00:26:17,848
Well, maybe we didn't see the effect
until after we started steroids.
496
00:26:17,973 --> 00:26:19,433
No, it's not a tumor.
497
00:26:19,558 --> 00:26:21,435
Those steroids did something.
498
00:26:21,560 --> 00:26:22,561
I just don't know what.
499
00:26:22,686 --> 00:26:25,939
So we're just gonna do nothing?
We're just gonna watch her die?
500
00:26:26,064 --> 00:26:28,275
Yeah, we're gonna watch her die.
501
00:26:28,942 --> 00:26:30,986
Specifically, we're gonna watch
how fast she's dying.
502
00:26:31,111 --> 00:26:33,864
You just told us, each diagnosis
has its own time frame.
503
00:26:33,989 --> 00:26:37,868
When we see how fast it's killing her,
we'll know what it is.
504
00:26:37,993 --> 00:26:40,537
And by then, maybe there's nothing
we can do about it.
505
00:26:40,662 --> 00:26:45,167
There's got to be something we can do.
Something better than watching her die.
506
00:26:45,292 --> 00:26:48,670
Well, I got nothing. How about you?
507
00:26:53,842 --> 00:26:54,927
Bastard.
508
00:26:55,427 --> 00:26:57,137
Oh, Cameron.
I need you for a couple of hours.
509
00:26:57,262 --> 00:26:58,263
What's up?
510
00:26:58,388 --> 00:26:59,640
When you break into someone's house,
511
00:26:59,765 --> 00:27:01,516
it's always better to have
a white chick with you.
512
00:27:01,642 --> 00:27:04,144
Adler's house?
Why don't we just ask her for her keys?
513
00:27:04,269 --> 00:27:07,022
For all we know, she could be running
a meth lab out of her basement.
514
00:27:07,564 --> 00:27:09,066
MAN: I'm tired a lot.
515
00:27:10,525 --> 00:27:14,613
Any other reason why you think you
might have chronic fatigue syndrome?
516
00:27:14,738 --> 00:27:15,948
It's kind of the definition, isn't it?
517
00:27:16,073 --> 00:27:17,658
It's kind of the definition
of getting older.
518
00:27:17,783 --> 00:27:20,953
I had a couple headaches last month,
a mild fever.
519
00:27:21,078 --> 00:27:24,331
Sometimes I can't sleep,
and I have trouble concentrating.
520
00:27:24,456 --> 00:27:27,834
Apparently not while researching
this stuff on the Internet.
521
00:27:27,960 --> 00:27:30,963
I was thinking
it also might be fibromyalgia.
522
00:27:33,465 --> 00:27:34,883
Excellent diagnosis.
523
00:27:35,008 --> 00:27:36,927
Is there anything for that?
524
00:27:40,889 --> 00:27:43,517
You know, I think there just might be.
525
00:27:43,642 --> 00:27:46,436
I need 36 Vicodin
and change for a dollar.
526
00:28:10,294 --> 00:28:11,878
Exam Room 2.
527
00:28:13,797 --> 00:28:15,674
House doesn't believe in pretense.
528
00:28:15,799 --> 00:28:17,759
Figures life's too short
and too painful.
529
00:28:17,884 --> 00:28:20,095
So he just says what he thinks.
530
00:28:20,971 --> 00:28:23,015
Nothing interesting in the garbage.
531
00:28:23,140 --> 00:28:25,934
"I say what I think" is just
another way of saying "I'm an asshole".
532
00:28:28,437 --> 00:28:31,690
Well, if you wanted to be judged
for your medical prowess only,
533
00:28:31,815 --> 00:28:33,942
maybe you shouldn't have broken into
someone's home.
534
00:28:34,067 --> 00:28:35,444
I was 16.
535
00:28:37,571 --> 00:28:40,407
Don't know about ticks,
but her dog's definitely got fleas.
536
00:28:43,035 --> 00:28:45,912
I managed to make it to 17
without a criminal record.
537
00:28:49,875 --> 00:28:53,962
Yeah? Well, you obviously
didn't grow up in my neighborhood.
538
00:28:54,880 --> 00:28:58,884
That's right. You stole a loaf of bread
to feed your starving family, right?
539
00:28:59,009 --> 00:29:00,552
You always eat during break-ins?
540
00:29:00,677 --> 00:29:04,598
Am I supposed to respect their food
more than I respect their DVD players?
541
00:29:04,723 --> 00:29:06,350
- You want some?
- No.
542
00:29:06,475 --> 00:29:07,851
You gonna go hungry until she dies?
543
00:29:07,976 --> 00:29:09,686
- No.
- You know what?
544
00:29:09,811 --> 00:29:12,731
After centuries of slavery,
decades of civil rights marches,
545
00:29:12,856 --> 00:29:15,484
and, more significantly,
living like a monk,
546
00:29:15,609 --> 00:29:19,696
never getting less than a 4.0 GPA,
you don't think it's kind of disgusting
547
00:29:19,821 --> 00:29:23,867
I get one of the top jobs in the
country because I'm a delinquent?
548
00:29:24,201 --> 00:29:26,953
We'll eat,
then we'll tear up the carpet.
549
00:29:28,997 --> 00:29:31,833
- You went to Hopkins, right?
- Yeah.
550
00:29:31,958 --> 00:29:34,127
So you went to a better school
than I did.
551
00:29:34,252 --> 00:29:36,254
You got better grades than I did.
552
00:29:36,380 --> 00:29:37,339
(CHUCKLES)
553
00:29:37,464 --> 00:29:38,924
So how did you get the job?
554
00:29:39,049 --> 00:29:40,967
You stab a guy in a bar fight?
555
00:29:49,893 --> 00:29:51,228
FOREMAN: Nothing.
556
00:29:51,353 --> 00:29:52,771
It's not a tumor.
557
00:29:52,896 --> 00:29:54,398
She's getting worse too fast.
558
00:29:54,523 --> 00:29:55,816
She can't stand up.
559
00:29:55,941 --> 00:29:57,484
No toxins? No medications?
560
00:29:57,609 --> 00:29:59,528
Nothing that would explain
these symptoms.
561
00:29:59,653 --> 00:30:01,238
Family history of
neurological problems?
562
00:30:01,363 --> 00:30:03,782
Not that I could tell
from her underwear drawer.
563
00:30:03,907 --> 00:30:06,159
You said "nothing that would explain
these symptoms."
564
00:30:06,284 --> 00:30:09,871
What did you find
that doesn't explain these symptoms?
565
00:30:10,789 --> 00:30:15,043
Dr. Wilson convinced you to treat
this patient under false pretenses.
566
00:30:15,293 --> 00:30:17,170
Adler's not his cousin.
567
00:30:17,337 --> 00:30:19,881
That's ridiculous. You can ask her
yourself. Can we get back...
568
00:30:20,006 --> 00:30:22,175
- She's not Jewish.
- Rachel Adler's not Jewish?
569
00:30:22,300 --> 00:30:23,718
I had ham at her apartment.
570
00:30:23,844 --> 00:30:24,970
(CHUCKLES)
571
00:30:25,762 --> 00:30:27,764
Dr. Foreman, a lot of Jews
have non-Jewish relatives,
572
00:30:27,889 --> 00:30:30,016
and most of us don't keep kosher.
573
00:30:30,142 --> 00:30:31,601
I can see getting through high school
574
00:30:31,726 --> 00:30:33,812
without learning a thing about Jews,
but medical school?
575
00:30:33,937 --> 00:30:37,274
Okay, maybe she's Jewish,
but she's definitely not your cousin.
576
00:30:37,399 --> 00:30:39,985
(STAMMERING) Really? This guy is...
577
00:30:40,110 --> 00:30:41,570
FOREMAN: You don't even know
her name.
578
00:30:41,695 --> 00:30:44,531
You called her Rachel.
Her name is Rebecca.
579
00:30:44,656 --> 00:30:46,908
Yes. Yes, her name is Rebecca.
580
00:30:48,368 --> 00:30:49,911
I call her Rachel.
581
00:30:50,036 --> 00:30:51,872
You idiot!
582
00:30:51,997 --> 00:30:53,832
Listen, he's...
583
00:30:53,957 --> 00:30:55,959
Not you. Him.
584
00:30:56,084 --> 00:30:57,377
You said you didn't find anything.
585
00:30:57,502 --> 00:30:58,670
Everything I found was in my...
586
00:30:58,795 --> 00:30:59,921
You found ham.
587
00:31:00,922 --> 00:31:02,090
So?
588
00:31:02,215 --> 00:31:04,009
Where there's ham, there's pork.
589
00:31:04,134 --> 00:31:06,428
Where there's pork,
there's neurocysticercosis.
590
00:31:06,553 --> 00:31:07,679
Tapeworm?
591
00:31:07,804 --> 00:31:08,930
You think she's got a worm
in her brain?
592
00:31:09,055 --> 00:31:10,015
It fits.
593
00:31:10,140 --> 00:31:12,309
Could have been living there for years.
Never occurred to me that...
594
00:31:12,434 --> 00:31:13,643
Millions of people eat ham every day.
595
00:31:13,768 --> 00:31:15,937
It's quite a leap to think
that's she's got a tapeworm.
596
00:31:16,062 --> 00:31:18,273
Okay, Mr. Neurologist,
597
00:31:18,398 --> 00:31:21,693
what happens when you give steroids
to a person who has a tapeworm?
598
00:31:21,818 --> 00:31:25,030
They get a little better,
and then they get worse.
599
00:31:27,782 --> 00:31:29,951
Just like Rebecca Adler did.
600
00:31:40,086 --> 00:31:43,381
In a typical case,
if you don't cook pork well enough,
601
00:31:43,507 --> 00:31:46,301
you digest live tapeworm larvae.
602
00:31:47,302 --> 00:31:48,970
They've got these little hooks,
603
00:31:49,095 --> 00:31:52,140
they grab onto your bowel, they live,
they grow up, they reproduce.
604
00:31:52,265 --> 00:31:53,683
Reproduce?
605
00:31:53,808 --> 00:31:56,019
There's only one lesion,
and it's nowhere near her bowel.
606
00:31:56,144 --> 00:31:58,855
That's because
this is not a typical case.
607
00:31:58,980 --> 00:32:02,859
Tapeworm can produce
20,000 to 30,000 eggs a day.
608
00:32:02,984 --> 00:32:03,818
Guess where they go?
609
00:32:03,944 --> 00:32:05,028
FOREMAN: Out.
610
00:32:05,570 --> 00:32:06,905
HOUSE: Not all of them.
611
00:32:07,030 --> 00:32:08,073
Unlike the larvae,
612
00:32:08,198 --> 00:32:10,909
the egg can pass right through the
walls of the intestines
613
00:32:11,034 --> 00:32:12,285
into the bloodstream.
614
00:32:12,410 --> 00:32:13,870
And where does the bloodstream go?
615
00:32:13,995 --> 00:32:15,455
CAMERON: Everywhere.
616
00:32:15,914 --> 00:32:19,709
As long as it's healthy, the immune
system doesn't even know it's there.
617
00:32:19,834 --> 00:32:20,877
The worm builds a wall,
618
00:32:21,002 --> 00:32:23,380
uses secretions to shut down
the body's immune response
619
00:32:23,505 --> 00:32:25,131
and control fluid flow.
620
00:32:25,257 --> 00:32:26,925
It's really very beautiful.
621
00:32:27,050 --> 00:32:29,928
As long as it's healthy.
So what do we do?
622
00:32:30,053 --> 00:32:32,472
Call a vet, nurse the little guy back
to health?
623
00:32:32,597 --> 00:32:35,016
It's too late for that. It's dying.
624
00:32:35,559 --> 00:32:37,978
And as it dies,
this parasite loses the ability
625
00:32:38,103 --> 00:32:40,146
to control the host's defenses.
626
00:32:40,272 --> 00:32:42,816
The immune system wakes up,
attacks the worm
627
00:32:42,941 --> 00:32:44,150
and everything starts to swell.
628
00:32:44,276 --> 00:32:47,195
And that is very bad for the brain.
629
00:32:47,320 --> 00:32:50,073
WILSON: It could still be
a hundred other things.
630
00:32:50,407 --> 00:32:52,284
The eosinophil count was normal.
631
00:32:52,409 --> 00:32:54,369
It's only abnormal in 30% of cases.
632
00:32:54,494 --> 00:32:55,495
Proving nothing.
633
00:32:55,620 --> 00:32:57,622
No, no, no, no. It...
634
00:32:57,747 --> 00:32:59,499
Don't you see? It fits. It's perfect.
635
00:32:59,624 --> 00:33:00,625
It explains everything.
636
00:33:00,750 --> 00:33:01,793
But it proves nothing.
637
00:33:01,918 --> 00:33:03,128
I can prove it by treating it.
638
00:33:03,253 --> 00:33:04,879
No, you can't.
639
00:33:07,048 --> 00:33:09,092
I was just with her.
She doesn't want any more treatments.
640
00:33:09,217 --> 00:33:13,430
She doesn't want any more experiments.
She wants to go home and die.
641
00:33:35,952 --> 00:33:37,954
Would you excuse us, please?
642
00:33:43,793 --> 00:33:45,170
I'm Dr. House.
643
00:33:46,254 --> 00:33:48,089
It's good to meet you.
644
00:33:52,010 --> 00:33:53,136
You're being an idiot.
645
00:33:53,261 --> 00:33:54,346
(CLEARS THROAT)
646
00:33:58,975 --> 00:34:01,436
You have a tapeworm in your brain.
647
00:34:02,937 --> 00:34:04,898
It's not pleasant,
but if we don't do anything,
648
00:34:05,023 --> 00:34:06,191
you'll be dead by the weekend.
649
00:34:06,316 --> 00:34:08,735
Have you actually seen the worm?
650
00:34:09,027 --> 00:34:11,780
When you're all better,
I'll show you my diplomas.
651
00:34:11,905 --> 00:34:14,616
You were sure I had vasculitis, too.
652
00:34:15,158 --> 00:34:17,994
Now I can't walk
and I'm wearing a diaper.
653
00:34:18,119 --> 00:34:19,871
What's this treatment gonna do for me?
654
00:34:19,996 --> 00:34:23,249
I'm not talking about a treatment.
I'm talking about a cure.
655
00:34:23,375 --> 00:34:26,378
But because I might be wrong,
you want to die.
656
00:34:28,505 --> 00:34:30,465
What made you a cripple?
657
00:34:34,010 --> 00:34:35,428
I had an infarction.
658
00:34:35,553 --> 00:34:36,721
A heart attack?
659
00:34:37,889 --> 00:34:39,849
It's what happens
when blood flow is obstructed.
660
00:34:39,974 --> 00:34:42,102
If it's in the heart,
it's a heart attack.
661
00:34:42,227 --> 00:34:44,521
If it's in the lungs,
it's a pulmonary embolism.
662
00:34:44,646 --> 00:34:45,772
If it's in the brain, it's a stroke.
663
00:34:45,897 --> 00:34:47,524
I had it in my thigh muscles.
664
00:34:47,649 --> 00:34:48,817
Wasn't there something they could do?
665
00:34:48,942 --> 00:34:50,777
There was plenty they could do,
666
00:34:50,902 --> 00:34:53,113
if they'd made the right diagnosis.
667
00:34:53,238 --> 00:34:55,532
But the only symptom was pain.
668
00:34:56,991 --> 00:34:59,869
Not many people get to experience
muscle death.
669
00:35:00,203 --> 00:35:01,913
Did you think you were dying?
670
00:35:02,038 --> 00:35:03,957
I hoped I was dying.
671
00:35:05,959 --> 00:35:08,878
So you hide in your office,
refuse to see patients,
672
00:35:09,003 --> 00:35:12,048
because you don't like the way
people look at you.
673
00:35:12,298 --> 00:35:13,508
You feel cheated by life,
674
00:35:13,633 --> 00:35:16,594
so now you're gonna get even
with the world.
675
00:35:16,928 --> 00:35:19,013
But you want me to fight this.
676
00:35:19,764 --> 00:35:20,849
Why?
677
00:35:21,975 --> 00:35:25,186
What makes you think
I'm so much better than you?
678
00:35:25,395 --> 00:35:27,856
What?
You're scared you'll turn into me?
679
00:35:27,981 --> 00:35:30,358
I just want to die
with a little dignity.
680
00:35:30,483 --> 00:35:32,318
There's no such thing.
681
00:35:33,153 --> 00:35:34,404
Our bodies break down.
682
00:35:34,529 --> 00:35:35,530
Sometimes when we're 90.
683
00:35:35,655 --> 00:35:36,740
Sometimes before we're even born.
684
00:35:36,865 --> 00:35:39,993
But it always happens,
and there's never any dignity in it.
685
00:35:40,118 --> 00:35:42,787
I don't care if you can walk,
see, wipe your own ass.
686
00:35:42,912 --> 00:35:44,873
It's always ugly. Always.
687
00:35:48,918 --> 00:35:52,005
We can live with dignity.
We can't die with it.
688
00:36:10,607 --> 00:36:11,983
No treatment.
689
00:36:12,984 --> 00:36:16,029
Maybe we can get a court order,
override her wishes,
690
00:36:16,154 --> 00:36:18,823
claim she doesn't have the capacity
to make this decision.
691
00:36:18,948 --> 00:36:19,991
But she does.
692
00:36:20,116 --> 00:36:21,826
CAMERON: But we could claim
that the illness
693
00:36:21,951 --> 00:36:23,703
made her mentally incompetent, right?
694
00:36:23,828 --> 00:36:25,163
FOREMAN: A pretty common result.
695
00:36:25,288 --> 00:36:26,748
That didn't happen here.
696
00:36:26,873 --> 00:36:28,208
He's not gonna do it.
697
00:36:28,333 --> 00:36:30,460
She's not just a file to him anymore.
698
00:36:30,627 --> 00:36:32,170
He respects her.
699
00:36:32,420 --> 00:36:35,882
So because you respect her,
you're going to let her die?
700
00:36:37,008 --> 00:36:39,886
I solved the case. My work is done.
701
00:36:42,347 --> 00:36:44,474
HOUSE: Patients always want proof.
702
00:36:44,891 --> 00:36:46,100
We're not making cars here.
703
00:36:46,226 --> 00:36:48,228
We don't give guarantees.
704
00:36:51,022 --> 00:36:53,274
I think we can prove it's a worm.
705
00:36:53,900 --> 00:36:56,152
It's noninvasive. It's safe.
706
00:36:56,277 --> 00:36:57,904
I'm not completely sure, but...
707
00:36:58,029 --> 00:36:59,906
Yeah, yeah, yeah. What's the damn idea?
708
00:37:00,031 --> 00:37:02,200
Have you ever seen a worm
under an X-ray?
709
00:37:02,325 --> 00:37:05,328
A regular, old, no-contrast,
hundred-year-old-technology X-ray?
710
00:37:05,453 --> 00:37:09,123
They light up like shotgun pellets,
just like on a contrast MRI.
711
00:37:09,249 --> 00:37:10,959
Which is the same thing as a CT scan,
712
00:37:11,084 --> 00:37:12,544
which we did, which proved nothing.
713
00:37:12,669 --> 00:37:15,380
The worm's cyst is the same density
as the cerebrospinal fluid.
714
00:37:15,505 --> 00:37:18,341
We're not gonna see anything
in her head.
715
00:37:18,466 --> 00:37:19,884
But Chase is right.
716
00:37:20,009 --> 00:37:21,135
He's right. We should X-ray her.
717
00:37:21,261 --> 00:37:22,428
But we don't X-ray her brain.
718
00:37:22,554 --> 00:37:24,305
We X-ray her leg.
719
00:37:24,889 --> 00:37:26,349
Worms love thigh muscle.
720
00:37:26,474 --> 00:37:29,352
If she's got one in her head,
I guarantee you there's one in her leg.
721
00:37:43,533 --> 00:37:45,285
Hold still, Rebecca.
722
00:37:53,418 --> 00:37:54,794
CHASE: This here
723
00:37:56,504 --> 00:37:58,047
is a worm larva.
724
00:37:58,423 --> 00:38:00,717
So, if it's in my leg,
it's in my brain?
725
00:38:00,842 --> 00:38:03,344
Are you looking for a guarantee?
726
00:38:03,595 --> 00:38:06,598
It's there.
Probably been there 6 to 10 years.
727
00:38:07,015 --> 00:38:08,308
Do I have more?
728
00:38:08,433 --> 00:38:09,684
Probably.
729
00:38:11,978 --> 00:38:13,271
It's good news.
730
00:38:13,396 --> 00:38:14,814
What do we do now?
731
00:38:14,939 --> 00:38:16,190
Now we get you better.
732
00:38:18,902 --> 00:38:20,361
Albendazole.
733
00:38:23,364 --> 00:38:24,782
- Two pills?
- Yeah.
734
00:38:24,908 --> 00:38:27,577
Every day, for at least a month,
with a meal.
735
00:38:27,702 --> 00:38:29,287
- Two pills?
- Yeah.
736
00:38:29,829 --> 00:38:32,123
Possible side effects
include abdominal pain,
737
00:38:32,248 --> 00:38:36,252
nausea, headaches, dizziness,
fever and hair loss.
738
00:38:36,586 --> 00:38:38,129
We'll probably make you
keep taking the pills
739
00:38:38,254 --> 00:38:41,424
even if you get every one of those.
740
00:38:46,721 --> 00:38:48,097
(WOMAN CHATTERS OVER PA)
741
00:38:58,900 --> 00:39:00,610
Why did you hire me?
742
00:39:02,278 --> 00:39:03,279
Does it matter?
743
00:39:03,404 --> 00:39:05,365
Kind of hard to work for a guy
who doesn't respect you.
744
00:39:05,490 --> 00:39:06,866
- Why?
- Is that rhetorical?
745
00:39:06,991 --> 00:39:10,870
No. it just seems that way 'cause
you can't think of an answer.
746
00:39:11,287 --> 00:39:13,748
Does it make a difference what I think?
747
00:39:13,873 --> 00:39:17,627
I'm a jerk. The only thing that matters
is what you think.
748
00:39:17,752 --> 00:39:18,795
Can you do the job?
749
00:39:18,920 --> 00:39:21,089
You hired a black guy
because he had a juvenile record.
750
00:39:21,214 --> 00:39:23,967
No. It wasn't a racial thing.
751
00:39:24,550 --> 00:39:25,802
I didn't see a black guy.
752
00:39:25,927 --> 00:39:29,889
I just saw a doctor
with a juvenile record.
753
00:39:30,974 --> 00:39:33,851
I hired Chase 'cause
his dad made a phone call.
754
00:39:33,977 --> 00:39:37,397
I hired you because
you are extremely pretty.
755
00:39:38,982 --> 00:39:40,525
You hired me to get into my pants?
756
00:39:40,650 --> 00:39:42,819
I can't believe that
that would shock you.
757
00:39:42,944 --> 00:39:44,904
It's also not what I said.
758
00:39:45,029 --> 00:39:47,782
No, I hired you because you look good.
759
00:39:47,907 --> 00:39:49,784
It's like having a nice piece of art
in the lobby.
760
00:39:49,909 --> 00:39:51,077
I was in the top of my class.
761
00:39:51,202 --> 00:39:52,286
But not the top.
762
00:39:52,412 --> 00:39:54,288
I did an internship at the Mayo Clinic.
763
00:39:54,414 --> 00:39:55,748
Yeah. You were a very good applicant.
764
00:39:55,873 --> 00:39:56,833
But not the best.
765
00:39:56,958 --> 00:39:58,918
Would that upset you? Really?
766
00:39:59,043 --> 00:40:01,379
To think that you were hired because of
some genetic gift of beauty
767
00:40:01,504 --> 00:40:03,214
instead of some genetic gift of
intelligence?
768
00:40:03,339 --> 00:40:05,550
I worked very hard to get where I am.
769
00:40:05,675 --> 00:40:07,593
But you didn't have to.
770
00:40:08,136 --> 00:40:10,972
People choose the paths
that gain them the greatest rewards
771
00:40:11,097 --> 00:40:14,726
for the least amount of effort. That's
a law of nature, and you defied it.
772
00:40:14,851 --> 00:40:16,102
That's why I hired you.
773
00:40:16,227 --> 00:40:18,563
You could have married rich.
You could have been a model.
774
00:40:18,688 --> 00:40:20,857
You could have just shown up
and people would have given you stuff.
775
00:40:20,982 --> 00:40:22,817
Lots of stuff.
776
00:40:22,942 --> 00:40:24,569
But you didn't.
777
00:40:24,694 --> 00:40:26,279
You worked
your stunning little ass off.
778
00:40:26,404 --> 00:40:27,739
Am I supposed to be flattered?
779
00:40:27,864 --> 00:40:30,700
Gorgeous women do not go
to medical school,
780
00:40:30,825 --> 00:40:34,162
unless they're as damaged as
they are beautiful.
781
00:40:34,871 --> 00:40:36,414
Were you abused by a family member?
782
00:40:36,539 --> 00:40:38,374
- No.
- Sexually assaulted?
783
00:40:38,499 --> 00:40:39,500
No!
784
00:40:40,334 --> 00:40:42,754
But you are damaged, aren't you?
785
00:40:43,713 --> 00:40:45,006
(PAGER BEEPS)
786
00:40:49,302 --> 00:40:50,845
I have to go.
787
00:40:54,432 --> 00:40:55,850
I followed her.
788
00:40:56,309 --> 00:40:57,351
Oh.
789
00:40:57,977 --> 00:40:59,645
I couldn't stop thinking about what
that doctor said.
790
00:40:59,771 --> 00:41:01,439
I told you not to listen to him.
He's an idiot.
791
00:41:01,564 --> 00:41:03,024
I was orange!
792
00:41:03,816 --> 00:41:05,902
I don't want to know
what you found out.
793
00:41:06,027 --> 00:41:07,028
You don't care?
794
00:41:07,153 --> 00:41:08,863
I'm your doctor.
795
00:41:09,363 --> 00:41:12,658
You've been good to me and good
to this hospital. Of course I care.
796
00:41:12,784 --> 00:41:15,787
But I don't see how this conversation
can end well for me.
797
00:41:15,912 --> 00:41:17,747
Either your wife is having an affair,
798
00:41:17,872 --> 00:41:19,290
or she's not having an affair,
799
00:41:19,415 --> 00:41:22,210
and you have come here because
you rightly think I should fire him.
800
00:41:22,335 --> 00:41:25,254
But I can't.
Even if it costs me your money.
801
00:41:26,506 --> 00:41:29,509
The son of a bitch is
the best doctor we have.
802
00:41:36,140 --> 00:41:37,183
Feeling any better?
803
00:41:37,308 --> 00:41:39,143
I can't complain.
804
00:41:39,268 --> 00:41:41,229
As you know,
the hospital has certain rules.
805
00:41:41,354 --> 00:41:44,857
And as you also know,
we tend to ignore them.
806
00:41:44,982 --> 00:41:46,776
But I think this one's gonna be
a little obvious
807
00:41:46,901 --> 00:41:48,778
unless we get your help.
808
00:41:48,903 --> 00:41:51,739
If anyone asks,
you have 11 daughters and 5 sons.
809
00:41:51,864 --> 00:41:55,034
Hi! Look who's here!
810
00:41:55,868 --> 00:41:58,746
It's so good to see you guys.
I missed you.
811
00:41:59,831 --> 00:42:01,624
This is for me?
812
00:42:01,749 --> 00:42:03,334
It's beautiful.
813
00:42:06,921 --> 00:42:08,631
Oh, I love you guys.
814
00:42:09,382 --> 00:42:12,218
I wanted to thank Dr. House,
but he never visited again.
815
00:42:12,343 --> 00:42:14,846
He cured you. You didn't cure him.
816
00:42:16,389 --> 00:42:19,016
Okay, I want a hug and a kiss from
every single one of you!
817
00:42:19,142 --> 00:42:20,768
Get up here right now!
818
00:42:22,895 --> 00:42:24,856
There.
819
00:42:24,981 --> 00:42:26,065
MAN ON TV: Hold on.
820
00:42:26,732 --> 00:42:28,442
WOMAN ON TV: She's converted.
821
00:42:30,736 --> 00:42:32,989
You said she was your cousin.
822
00:42:33,364 --> 00:42:34,949
Why would you lie?
823
00:42:35,533 --> 00:42:37,743
It got you to take the case.
824
00:42:38,536 --> 00:42:40,830
You lied to a friend
to save a stranger.
825
00:42:40,955 --> 00:42:43,040
You don't think
that's kind of screwed up?
826
00:42:43,166 --> 00:42:45,084
You've never lied to me?
827
00:42:45,209 --> 00:42:47,003
I never lie.
828
00:42:47,879 --> 00:42:49,338
Oh, right.
829
00:42:50,673 --> 00:42:51,674
MAN ON TV: Why do we do this?
830
00:42:51,799 --> 00:42:52,925
WOMAN ON TV: Because we're doctors.
831
00:42:53,050 --> 00:42:55,469
If we make mistakes, people die.
832
00:42:58,222 --> 00:42:59,223
(KNOCK ON DOOR)
833
00:43:00,016 --> 00:43:02,393
Dr. House? You have a patient.
834
00:43:09,358 --> 00:43:11,402
He says he needs a refill.
835
00:43:13,988 --> 00:43:15,740
Got change for a dollar?