1 00:00:05,527 --> 00:00:07,696 MAN: Cat got your tongue? 2 00:00:07,821 --> 00:00:10,699 No. You killed the cat. Cut off his head. 3 00:00:10,824 --> 00:00:12,993 NURSE: Need to take a look at this. 4 00:00:13,118 --> 00:00:15,829 Mom? Mom. 5 00:00:16,163 --> 00:00:17,956 Mom, it's okay. 6 00:00:20,459 --> 00:00:21,835 Just a couple of questions 7 00:00:21,960 --> 00:00:24,838 before I can authorize extending her disability benefits. 8 00:00:24,963 --> 00:00:27,507 I don't like her. She's fat. 9 00:00:29,301 --> 00:00:31,261 I could lose a little weight. 10 00:00:31,386 --> 00:00:33,597 (GROANS) 11 00:00:38,935 --> 00:00:40,228 You all right? 12 00:00:40,896 --> 00:00:44,983 - Actually, before she signs... - I killed the cat. Lots of blood. 13 00:00:47,069 --> 00:00:48,111 It's okay. 14 00:00:48,236 --> 00:00:52,199 I have a couple of questions about some of these dates. 15 00:00:52,324 --> 00:00:54,868 - The first diagnosis... - Schizophrenia. 16 00:00:55,243 --> 00:00:58,413 Dr. Walters, May 11, last year. The letter's in the medical file. 17 00:00:58,538 --> 00:01:01,500 And April 6, that was the last day she worked? 18 00:01:01,625 --> 00:01:04,419 But she received unemployment benefits for that week. 19 00:01:04,544 --> 00:01:08,048 We fixed that. I know we did. We returned the money. 20 00:01:12,719 --> 00:01:16,723 That's the canceled check. Not the real one, you know. It's a copy. 21 00:01:17,140 --> 00:01:21,103 - And you're the dependent? - No. That's my little brother. 22 00:01:21,228 --> 00:01:23,522 I'm 18. Just helping out. 23 00:01:29,027 --> 00:01:32,864 You're all set. Just need a signature. 24 00:01:32,989 --> 00:01:35,534 MAN: Hey. I'm talking to you. 25 00:01:35,659 --> 00:01:38,745 The cat's first. Now it's your turn, Lucy. 26 00:01:38,870 --> 00:01:41,790 Shut up. Shut up, shut up. 27 00:01:42,999 --> 00:01:46,211 It's okay. She just... She just needs a little water, is all. 28 00:01:46,628 --> 00:01:48,505 I'll go get it. 29 00:01:52,843 --> 00:01:56,346 Just hold on, okay? Just... When she comes back, sign it, 30 00:01:56,471 --> 00:01:59,683 and we're gonna be done. We need this, okay? Please. 31 00:02:02,936 --> 00:02:06,314 - Okay. - The voices... 32 00:02:06,606 --> 00:02:08,608 The voices aren't real. 33 00:02:15,115 --> 00:02:15,949 What? 34 00:02:26,543 --> 00:02:28,628 Mom? Mom. 35 00:02:29,337 --> 00:02:31,715 Mom? Mom. Mom. 36 00:03:04,956 --> 00:03:06,708 MAN ON RADIO: 38-year-old Caucasian woman. 37 00:03:06,833 --> 00:03:09,002 Status, post-respiratory arrest in the field. 38 00:03:09,127 --> 00:03:11,213 lntubated, oxygenating poorly. 39 00:03:12,339 --> 00:03:14,049 (SIGHS) 40 00:03:18,595 --> 00:03:19,888 WOMAN ON PA: Dr. Gregory House, 41 00:03:20,013 --> 00:03:24,351 please call Dr. Cuddy at extension 3731. 42 00:03:26,561 --> 00:03:28,313 This is a good hospital? 43 00:03:29,689 --> 00:03:34,361 Depends what you mean by "good". I like these chairs. 44 00:03:36,613 --> 00:03:38,657 - How is she? - Stable. Okay. 45 00:03:38,782 --> 00:03:40,867 Your mom had a small pulmonary embolism, 46 00:03:40,992 --> 00:03:44,120 a blood clot that got stuck in her lungs, blocked the oxygen. 47 00:03:44,246 --> 00:03:47,499 - But the pain started in her leg. - Where the clot started, her calf. 48 00:03:47,624 --> 00:03:50,919 It's called a deep vein thrombosis. Basically, a bigger clot. 49 00:03:51,044 --> 00:03:53,171 It never hurt there before. I would have noticed. 50 00:03:53,296 --> 00:03:54,631 A piece went up the vein, 51 00:03:54,756 --> 00:03:56,800 and blocked the blood flow to her lungs. 52 00:03:56,925 --> 00:03:59,553 - No blood flow, no oxygen. - Okay. 53 00:03:59,678 --> 00:04:02,097 Is your dad here? I have some things I need to talk to him about. 54 00:04:02,222 --> 00:04:04,724 My dad's running a little late. 55 00:04:06,309 --> 00:04:08,520 He's dead. Just talk to me. I take care of her. 56 00:04:08,645 --> 00:04:10,146 All right. 57 00:04:10,272 --> 00:04:13,483 Your mom's blood alcohol was 0.12, 10:30 in the morning. 58 00:04:13,608 --> 00:04:16,486 I gave it to her. Two ounces of vodka. It cools her out. 59 00:04:16,611 --> 00:04:19,531 But that's the first since Monday. That was three days ago. 60 00:04:19,656 --> 00:04:21,867 I've been real careful. 61 00:04:25,787 --> 00:04:27,831 - She hears voices. - She's schizophrenic. 62 00:04:27,956 --> 00:04:30,417 That explains the DVT. The alcohol makes her pass out. 63 00:04:30,542 --> 00:04:32,002 She's immobile for long periods of time. 64 00:04:32,127 --> 00:04:33,879 That doesn't happen. She's not an alcoholic. 65 00:04:34,004 --> 00:04:36,172 She only drinks when you give it to her? 66 00:04:36,298 --> 00:04:38,258 We put her on blood thinners. 67 00:04:38,383 --> 00:04:41,219 It's not the alcohol. It's gotta be something else. 68 00:04:41,344 --> 00:04:44,806 Of course it's the alcohol. 69 00:04:45,849 --> 00:04:47,559 Hello. 70 00:04:48,476 --> 00:04:51,187 This guy's a professional doctor. 71 00:04:51,313 --> 00:04:54,190 Plays golf and everything, I bet. 72 00:04:54,316 --> 00:04:56,985 He's not gonna tell you your mom's an alcoholic without proof. 73 00:04:57,110 --> 00:04:59,321 I'm sure he scoped for varices, checked her esophagus, 74 00:04:59,446 --> 00:05:01,114 ran all kinds of blood tests. 75 00:05:01,239 --> 00:05:04,326 Doctors like this, they don't make assumptions. They do the work. 76 00:05:04,451 --> 00:05:07,412 I'd be happy to refer you the case, Dr. House. You seem so interested. 77 00:05:07,537 --> 00:05:10,498 What case? It's over. You're sending her home. 78 00:05:10,624 --> 00:05:12,375 - How old is she? - You're a doctor? 79 00:05:12,500 --> 00:05:14,252 Own my own stethoscope. 80 00:05:14,377 --> 00:05:17,923 Did I ask you how old she was? I forget. 81 00:05:18,173 --> 00:05:21,092 A 38-year-old woman with no previous symptoms or history 82 00:05:21,217 --> 00:05:23,845 presents with deep vein thrombosis. How did she get it? 83 00:05:23,970 --> 00:05:27,015 Oral contraceptives, smoking, diabetes, obesity. 84 00:05:27,140 --> 00:05:28,266 What's the point here? 85 00:05:28,391 --> 00:05:33,146 A DVT is a DVT. Put her on IV Heparin to prevent future clots. 86 00:05:33,271 --> 00:05:35,732 Fine. You're all sleepy. You need a clue. 87 00:05:36,441 --> 00:05:38,985 She's 38 years old. 88 00:05:39,194 --> 00:05:42,113 She's 20 years too young to get a deep vein thrombosis. 89 00:05:42,238 --> 00:05:43,990 I treated a 12-year-old girl once, 90 00:05:44,115 --> 00:05:45,742 a soccer player. She got kicked in the leg. 91 00:05:45,867 --> 00:05:47,827 HOUSE: There was no trauma. None of the risk factors. 92 00:05:47,953 --> 00:05:50,622 - You took a history? - I have some notes. 93 00:05:50,747 --> 00:05:52,624 They're not mine, but reliable, I think, 94 00:05:52,749 --> 00:05:54,542 for the purposes of this discussion. 95 00:05:54,668 --> 00:05:57,879 As for the immobility, well, she's real active right now, of course. 96 00:05:58,004 --> 00:06:00,048 - Paranoia keeps her limber. - Paranoia? 97 00:06:00,173 --> 00:06:02,133 Oh, yeah. She's schizophrenic. 98 00:06:02,258 --> 00:06:05,053 And her kid wrote this, so it might be a little biased. 99 00:06:05,178 --> 00:06:08,556 You know, having to take care of his nutso mom and all. 100 00:06:08,682 --> 00:06:10,934 You think there's a connection? 101 00:06:11,059 --> 00:06:13,770 Do we include schizophrenia in the differential for DVT? 102 00:06:13,895 --> 00:06:15,647 - Well... - The answer is no. 103 00:06:16,064 --> 00:06:19,693 Abnormal dopaminergic pathways in the brain do not cause blood clots. 104 00:06:19,818 --> 00:06:22,278 Schizophrenia is not the cause of DVT. 105 00:06:22,404 --> 00:06:25,073 On the other hand, we don't really know anything about schizophrenia, 106 00:06:25,198 --> 00:06:27,575 - so maybe it is connected. - Schizophrenia explains one mystery, 107 00:06:27,701 --> 00:06:29,953 why you're so fascinated by a woman with a bump in her leg. 108 00:06:30,078 --> 00:06:31,913 It's like Picasso deciding to whitewash a fence. 109 00:06:32,038 --> 00:06:34,249 Thanks. I'm more of a LeRoy Neiman man. 110 00:06:34,374 --> 00:06:37,460 And it is only about the DVT. She's 38 years old. She shouldn't... 111 00:06:37,585 --> 00:06:39,379 Solve this one, and you're on your way to Stockholm. 112 00:06:39,504 --> 00:06:43,508 We don't even know how to treat it. Come on. Fumigation of the vagina? 113 00:06:43,633 --> 00:06:45,051 I don't think everyone heard you. 114 00:06:45,176 --> 00:06:48,263 Two thousand years ago, that's how Galen treated schizophrenics. 115 00:06:48,388 --> 00:06:50,890 - The Marcus Welby of ancient Greece. - Oh. clearly you're not interested. 116 00:06:51,016 --> 00:06:54,561 I'm interested in how voices in the head could be caused 117 00:06:54,686 --> 00:06:56,855 - by mal-position of the uterus. - There's a better place for it? 118 00:06:56,980 --> 00:06:59,899 What do we got? We've got lobotomies, rubber rooms, electric shocks. 119 00:07:00,025 --> 00:07:02,694 - My, that Galen was so primitive. - Where are you going? 120 00:07:02,819 --> 00:07:04,237 Going to see the patient. 121 00:07:04,362 --> 00:07:07,157 That all-important human connection. Thought I'd give it a whirl. 122 00:07:07,282 --> 00:07:09,034 You won't talk to patients because they lie, 123 00:07:09,159 --> 00:07:11,077 but give you a patient with no concept of reality... 124 00:07:11,202 --> 00:07:14,622 If it wasn't for Socrates, that raving, untreated schizophrenic, 125 00:07:14,748 --> 00:07:17,083 we wouldn't have the Socratic method, the best way of teaching everything, 126 00:07:17,208 --> 00:07:19,377 apart from juggling chain saws. 127 00:07:19,502 --> 00:07:21,504 Without Isaac Newton, we'd be floating on the ceiling. 128 00:07:21,629 --> 00:07:22,881 Dodging chain saws, no doubt. 129 00:07:23,006 --> 00:07:26,384 And that guitar player in that English band. He was great. 130 00:07:26,509 --> 00:07:29,387 You think I'm interested because of the schizophrenia. 131 00:07:29,512 --> 00:07:31,139 Yeah, I'm pretty sure. 132 00:07:31,264 --> 00:07:33,516 Galen was pretty sure about the fumigation thing. 133 00:07:36,853 --> 00:07:38,605 Pink Floyd. 134 00:07:42,484 --> 00:07:47,155 - Mom, this is Doctor... - Gregory House. Nice to meet you. 135 00:07:47,280 --> 00:07:51,117 Would it be all right if we spoke alone for a while? 136 00:07:51,242 --> 00:07:52,744 Well, you're gonna need me to... 137 00:07:52,869 --> 00:07:55,163 I've got your case notes, Doctor. 138 00:07:56,039 --> 00:07:57,791 There's a cafeteria downstairs. 139 00:07:57,916 --> 00:08:00,043 Get yourself whatever you want, as long as there's enough 140 00:08:00,168 --> 00:08:03,546 left over for a Reuben sandwich, dry, no fries, hold the pickles. 141 00:08:03,671 --> 00:08:06,216 Should run you about 5.80 with tax. 142 00:08:10,720 --> 00:08:13,056 I'll page you when we're done. 143 00:08:16,267 --> 00:08:20,021 No... pickles. 144 00:08:26,111 --> 00:08:27,862 Nice kid. 145 00:08:29,531 --> 00:08:32,033 How much do you really drink? 146 00:08:38,665 --> 00:08:41,376 He's really talking to a patient? 147 00:08:42,043 --> 00:08:44,003 I don't know who I am anymore. 148 00:08:44,129 --> 00:08:47,006 It's a blood clot. What's so fascinating about that? 149 00:08:47,132 --> 00:08:50,885 He likes crazy people. He likes the way they think. 150 00:08:51,010 --> 00:08:54,848 They think badly. That's the definition of crazy. 151 00:08:54,973 --> 00:08:59,144 - Why would he like... - They're not boring. He likes that. 152 00:09:03,314 --> 00:09:07,360 - And the meds? - Baseball. I like baseball. 153 00:09:09,237 --> 00:09:11,823 - Very nice. - Very sad. 154 00:09:13,158 --> 00:09:16,077 My boy and me, we went to see a game. 155 00:09:16,870 --> 00:09:20,248 Not "Mats". Meds. Medicine. 156 00:09:24,252 --> 00:09:26,921 You take what he tells you to take. 157 00:09:31,342 --> 00:09:33,386 No one believes me. 158 00:09:35,138 --> 00:09:36,347 I do. 159 00:09:44,022 --> 00:09:46,482 I thought he liked rationality. 160 00:09:46,608 --> 00:09:49,611 - He likes puzzles. - Patients are puzzles? 161 00:09:49,736 --> 00:09:52,447 - You don't think so? - I think they're people. 162 00:09:52,572 --> 00:09:57,869 Yeah. Well, he hates them, and he's fascinated by them. 163 00:10:00,288 --> 00:10:02,874 Tell me you can't relate to that sentiment. 164 00:10:03,791 --> 00:10:06,169 (LAUGHING) 165 00:10:07,795 --> 00:10:11,174 - You told Luke it never hurt before. - Just rough. 166 00:10:11,299 --> 00:10:13,134 They didn't hurt. 167 00:10:14,344 --> 00:10:15,803 Didn't? 168 00:10:17,430 --> 00:10:19,599 Don't lie to him, Limpy. 169 00:10:19,724 --> 00:10:24,103 Lively Lucy never lies to Lucas. Look what I do to him. 170 00:10:26,231 --> 00:10:29,859 WOMAN ON PA: Radiation therapist to Oncology. 171 00:10:29,984 --> 00:10:32,070 Learn anything from the "human connection"? 172 00:10:32,195 --> 00:10:34,155 Yeah. The Mats suck. 173 00:10:34,280 --> 00:10:37,325 Also, for the last two months, she hasn't shaved her legs. 174 00:10:37,450 --> 00:10:39,285 Because of the tremors, she cuts herself. 175 00:10:39,410 --> 00:10:41,579 The tremors aren't new. She must always cut herself. 176 00:10:41,704 --> 00:10:43,873 Exactly. Something changed in the last two months. 177 00:10:43,998 --> 00:10:45,917 I'm thinking the amount of blood when she cut herself. 178 00:10:46,042 --> 00:10:48,002 So let's start with some blood work. 179 00:10:48,127 --> 00:10:52,340 Collect and send for clotting studies, PT, PTT, factor five, protein C and S. 180 00:10:52,465 --> 00:10:55,343 - The whole shebang. - Good luck. 181 00:10:55,718 --> 00:10:57,470 No pickles, and it's cold now. 182 00:10:57,595 --> 00:11:00,598 - That's the way he likes a Reuben. - Everyone, this is Luke. 183 00:11:00,723 --> 00:11:02,600 Allison Cameron. It's nice to finally meet you. 184 00:11:02,725 --> 00:11:03,685 Save it. We're busy. 185 00:11:03,810 --> 00:11:07,522 Luke, give us another half hour with your mom. We need to do some tests. 186 00:11:11,484 --> 00:11:13,278 Nice kid. 187 00:11:13,403 --> 00:11:14,487 Take her off the psych meds. 188 00:11:14,612 --> 00:11:16,406 That way we'll know what's what on the physical side. 189 00:11:16,531 --> 00:11:19,826 And who knows, we might get more out of her. 190 00:11:23,788 --> 00:11:26,124 Don't worry. No pickles. 191 00:11:27,333 --> 00:11:29,502 Happy birthday. 192 00:11:30,169 --> 00:11:32,588 Okay. Whose? 193 00:11:32,714 --> 00:11:37,051 I was going through your mail, and it was on a form. Happy birthday. 194 00:11:39,512 --> 00:11:41,222 Oh. 195 00:11:52,150 --> 00:11:55,820 - No. No blood. Not mine. - For the test. Dr. House told us... 196 00:11:55,945 --> 00:12:00,325 You're gonna steal it. Sell it. No. No blood. 197 00:12:00,450 --> 00:12:04,495 No. No blood. No. No blood. 198 00:12:04,620 --> 00:12:08,750 - Haldol, five milligrams, stat. - No. No. No. 199 00:12:09,459 --> 00:12:11,919 No. No. 200 00:12:12,754 --> 00:12:15,715 No. No. Oh, no. 201 00:12:15,840 --> 00:12:17,383 (GROANING) 202 00:12:17,508 --> 00:12:20,345 No. No. 203 00:12:32,273 --> 00:12:33,566 HOUSE: Well, good news. 204 00:12:33,691 --> 00:12:36,736 The lab says it's not strep, so we're done. 205 00:12:36,861 --> 00:12:39,405 - Wait a second. - No, really, not strep. 206 00:12:39,530 --> 00:12:40,698 The boys in the lab, sure, 207 00:12:40,823 --> 00:12:42,658 they're hard drinkers, but they're pros, you know. 208 00:12:42,784 --> 00:12:44,619 Plus, your kid has none of the symptoms for strep. 209 00:12:44,744 --> 00:12:48,081 It was quicker running the test than arguing with you. My point is, go. 210 00:12:48,206 --> 00:12:50,458 I just wanted to ask your opinion, Doctor. 211 00:12:50,583 --> 00:12:52,001 She's having a birthday party next week, 212 00:12:52,126 --> 00:12:54,045 and she's upset that I'm getting a sugarless cake. 213 00:12:54,170 --> 00:12:56,881 - The other kids hate it. - This is why you're here. 214 00:12:57,006 --> 00:12:59,342 Sugar is the leading cause of obesity in America. 215 00:12:59,467 --> 00:13:02,845 You want a doctor to scare her about the dangers of sugar. 216 00:13:02,970 --> 00:13:05,848 She needs to get her weight under control. 217 00:13:05,973 --> 00:13:08,101 Well, you know... 218 00:13:08,226 --> 00:13:10,603 I feel sorry for those other kids, Wendy, 219 00:13:10,728 --> 00:13:13,898 who don't have a mom who knows that sugar causes 220 00:13:14,023 --> 00:13:16,359 heart disease, appendicitis and athlete's foot. 221 00:13:16,484 --> 00:13:18,903 - That's not fair. - Oh, yes, it is. No, I get it. 222 00:13:19,028 --> 00:13:22,615 You want her to slim down so she can wear pretty clothes like yours. 223 00:13:22,740 --> 00:13:24,325 Love the bracelets. 224 00:13:24,450 --> 00:13:28,371 Hey, what about matching outfits? You could be twins. 225 00:13:28,496 --> 00:13:32,834 She can't be your daughter. It's impossible. You look way too young. 226 00:13:32,959 --> 00:13:36,712 Happy birthday. Get the kid a damned ice cream cake. 227 00:13:39,590 --> 00:13:41,384 You drugged her. 228 00:13:41,509 --> 00:13:44,178 Actually, I didn't. I've taken her off all medication. 229 00:13:44,303 --> 00:13:48,182 - Your guy Foreman gave her Haldol. - We needed blood for tests. 230 00:13:48,307 --> 00:13:49,892 I assume that was the only way to get it. 231 00:13:50,017 --> 00:13:51,102 He knocked her out. 232 00:13:51,227 --> 00:13:53,646 Look, I have a cane, and I know how to use it. 233 00:13:53,771 --> 00:13:55,731 I hired you. You work for me. 234 00:13:56,399 --> 00:13:59,318 Okay. Can I go now, boss? 235 00:14:02,655 --> 00:14:07,910 The Haldol changes her. She says it makes her soul numb. 236 00:14:08,035 --> 00:14:10,163 Don't give it to her. 237 00:14:13,875 --> 00:14:15,501 "If there be rags enough, 238 00:14:15,626 --> 00:14:19,255 he will know her name and be well pleased remembering it." 239 00:14:19,380 --> 00:14:21,966 (COUGHING) 240 00:14:22,258 --> 00:14:23,885 You Okay? 241 00:14:25,303 --> 00:14:27,180 Old days. 242 00:14:29,849 --> 00:14:31,142 "For in the old days, 243 00:14:31,267 --> 00:14:34,687 though she had young men's praise and old men's blame, 244 00:14:34,812 --> 00:14:37,773 among the poor, both old and young gave her praise." 245 00:14:38,149 --> 00:14:39,567 (COUGHING) 246 00:14:47,283 --> 00:14:49,660 Help. Somebody help. 247 00:14:55,124 --> 00:14:58,419 So, when I said no psych meds, 248 00:14:58,544 --> 00:15:00,671 I'm just curious, which word didn't you understand? 249 00:15:00,796 --> 00:15:04,592 The Haldol had nothing to do with the bleed. You know that. 250 00:15:04,717 --> 00:15:06,511 I used it purely as a chemical restraint. 251 00:15:06,636 --> 00:15:10,223 Oh, great. Well, that's good to hear. So she won't experience any of those 252 00:15:10,348 --> 00:15:13,935 pesky little side effects you get when your motives aren't pure. 253 00:15:14,060 --> 00:15:15,686 Those side effects are so rare. 254 00:15:15,811 --> 00:15:18,064 What, passing out? Increased confusion? 255 00:15:18,189 --> 00:15:21,317 Depression? That's not gonna happen. That's not gonna screw up our diagnosis, 256 00:15:21,442 --> 00:15:23,819 'cause you just used it to restrain her. I'm so relieved. 257 00:15:23,945 --> 00:15:25,696 She spit in my face. 258 00:15:25,821 --> 00:15:27,698 HOUSE: That must have been so frightening for you. 259 00:15:27,823 --> 00:15:29,617 FOREMAN: What was I supposed to do, tie her down? 260 00:15:29,742 --> 00:15:34,038 HOUSE: Anything but give her drugs. That's basically my point. 261 00:15:34,163 --> 00:15:38,793 The clotting studies. Pretty fast. Did you promise to date the entire lab? 262 00:15:38,918 --> 00:15:42,755 No, I save that for emergencies. I told them she bled out two units 263 00:15:42,880 --> 00:15:44,173 and if it happened again, she'd die. 264 00:15:44,298 --> 00:15:47,176 If it had happened at home, she would have died. 265 00:15:47,301 --> 00:15:50,012 The ER doc, he was gonna send her home. 266 00:15:51,055 --> 00:15:53,224 It turns out your best judgment is not good enough. 267 00:15:53,349 --> 00:15:54,934 Here's an idea. Next time, use mine. 268 00:15:55,059 --> 00:15:57,019 I think they're choosing a movie. 269 00:15:57,895 --> 00:16:02,817 - Why did the patient bleed out? - The clotting studies are normal. 270 00:16:02,942 --> 00:16:06,153 Well, cover your ears if you don't want me to spoil the ending. 271 00:16:06,279 --> 00:16:10,866 Everything was normal, except for a prolonged PT time. Which means what? 272 00:16:10,992 --> 00:16:14,120 Usually it means whoever drew the blood didn't do it right. 273 00:16:14,245 --> 00:16:16,247 Oh, that's right, 'cause you drew the blood. 274 00:16:16,372 --> 00:16:20,251 But you were precise because you knew the tube was purely for the PT study. 275 00:16:20,376 --> 00:16:22,003 - That's right. - And I'm right with you. 276 00:16:22,128 --> 00:16:24,338 I trust this result, for two reasons. 277 00:16:24,463 --> 00:16:26,924 A, because you are a good doctor, 278 00:16:27,049 --> 00:16:29,468 and B, because five milligrams of IV Haldol 279 00:16:29,594 --> 00:16:32,722 makes for a spectacularly cooperative patient. 280 00:16:34,223 --> 00:16:37,393 The prolonged PT time makes me think she's got a vitamin K deficiency. 281 00:16:37,518 --> 00:16:39,520 CAMERON: Vitamin K would explain the bleed, but not the clot. 282 00:16:39,645 --> 00:16:41,480 Without vitamin K, protein C doesn't work. 283 00:16:41,606 --> 00:16:43,858 Without protein C, she clots. 284 00:16:43,983 --> 00:16:46,402 Clotting and thinning all at the same time. 285 00:16:46,527 --> 00:16:48,738 What about another drug interacting with Heparin, 286 00:16:48,863 --> 00:16:53,242 - an antibiotic like ampicillin? - Clever, but she's not on ampicillin. 287 00:16:53,367 --> 00:16:55,620 Two months ago, she complained of a sore throat, 288 00:16:55,745 --> 00:16:57,997 - and he got her ampicillin. - Which she refused to take. 289 00:16:58,122 --> 00:17:00,583 CAMERON: He just said she didn't take it. Everybody lies 290 00:17:00,708 --> 00:17:02,251 except for schizophrenics and their children? 291 00:17:02,376 --> 00:17:05,921 It's more likely than malnourishment. Why not scurvy or the plague? 292 00:17:06,047 --> 00:17:09,425 Gee, I wish my idea was as cool and with-it as yours. 293 00:17:09,550 --> 00:17:11,385 What is yours, by the way? Do you have one? 294 00:17:11,510 --> 00:17:16,265 Alcohol. Simple. It causes immobility, which explains the DVT. 295 00:17:16,390 --> 00:17:17,683 It also causes cirrhosis, 296 00:17:17,808 --> 00:17:21,187 which explains the bleed and the prolonged PT time. 297 00:17:21,312 --> 00:17:24,440 - Let's ultrasound the liver. - HOUSE: Three theories. 298 00:17:25,232 --> 00:17:27,860 Check out her place for ampicillin and diet. 299 00:17:27,985 --> 00:17:29,862 Then ultrasound her liver. 300 00:17:29,987 --> 00:17:33,074 Let's find out who's right before she bleeds to death. 301 00:17:56,430 --> 00:17:58,391 So House says the kid is sensitive, 302 00:17:58,516 --> 00:18:00,476 thinks he takes good care of her. 303 00:18:00,601 --> 00:18:02,353 But if we don't find anything, 304 00:18:02,478 --> 00:18:05,690 why let him know we did it in the first place? What's the point? 305 00:18:05,815 --> 00:18:11,779 Why not just make old Foreman lift the key from the kid's backpack? 306 00:18:25,793 --> 00:18:28,295 Looks like Luke sleeps in the living room. 307 00:18:35,761 --> 00:18:37,847 Nothing in there. 308 00:18:38,347 --> 00:18:41,892 - He lays out her clothes? - Enough organization, enough lists, 309 00:18:42,017 --> 00:18:44,311 you think you can control the uncontrollable. 310 00:18:44,437 --> 00:18:49,316 Fix her meds, fix her clothes, maybe you can even fix her. 311 00:18:49,650 --> 00:18:52,111 Pick that up on your psych rotation? 312 00:19:01,871 --> 00:19:05,791 Trifluoperazine, Thorazine, Clozaril. 313 00:19:05,916 --> 00:19:07,668 They tried everything. 314 00:19:08,210 --> 00:19:13,424 The ampicillin, never touched it. There goes Cameron's theory. 315 00:19:13,549 --> 00:19:16,260 Oh, God, I hope it's not a vitamin K deficiency. 316 00:19:23,476 --> 00:19:24,560 (GRUNTS) 317 00:19:24,685 --> 00:19:26,187 Damn. 318 00:19:26,312 --> 00:19:30,149 FOREMAN: Breakfast, lunch and dinner. House was right. 319 00:19:30,274 --> 00:19:32,234 (MICROWAVE BEEPING) 320 00:19:33,736 --> 00:19:36,155 - That's the only thing she'll eat. - Yeah. 321 00:19:36,280 --> 00:19:38,908 The problem is, you can't actually live on this stuff. 322 00:19:39,033 --> 00:19:40,493 I checked it out. I looked on the box. 323 00:19:40,618 --> 00:19:42,787 All the nutritional values are solid. 324 00:19:42,912 --> 00:19:44,705 There's plenty of protein and calories. 325 00:19:44,830 --> 00:19:48,751 Vitamin A and C, but no K. That's why your mom got sick. 326 00:19:51,170 --> 00:19:54,465 - So what's the plan, then? - Load her up with vitamin K. 327 00:19:54,590 --> 00:19:55,800 That's it? 328 00:19:55,925 --> 00:20:00,596 If it all checks out, you can take her home in a couple of days. 329 00:20:01,055 --> 00:20:02,181 (LAUGHING) 330 00:20:02,306 --> 00:20:05,017 Oh, God, you're upset about something. 331 00:20:06,393 --> 00:20:08,145 You're gonna open up to me now, aren't you? 332 00:20:08,270 --> 00:20:10,189 It's all my fault. 333 00:20:11,232 --> 00:20:12,858 Here we go. 334 00:20:13,359 --> 00:20:14,735 Okay, I'm gonna say this once. 335 00:20:14,860 --> 00:20:17,696 You have done a very good job taking care of your mother. 336 00:20:17,822 --> 00:20:20,032 If this was all she'd eat, then what else could you do? 337 00:20:20,157 --> 00:20:22,117 Gosh, just being a kid is a full-time job. 338 00:20:22,243 --> 00:20:26,288 Shut up. I'm 18. I should be able to take care of my mom. 339 00:20:26,872 --> 00:20:30,251 - I almost killed her. - Good example. 340 00:20:30,376 --> 00:20:31,669 Just the time it takes 341 00:20:31,794 --> 00:20:35,256 to express those ridiculous, self-centered teenage ideas. 342 00:20:35,381 --> 00:20:37,550 I don't envy your schedule. 343 00:20:39,885 --> 00:20:41,887 No pickles. 344 00:20:42,012 --> 00:20:46,392 - My mom doesn't like them either. - Smart woman. 345 00:20:47,560 --> 00:20:50,521 Before she got sick, I didn't like how bossy she was. 346 00:20:51,397 --> 00:20:55,150 Always telling me what to do, the right way to do it. 347 00:20:57,570 --> 00:20:59,655 Never thought I'd miss that. 348 00:20:59,780 --> 00:21:01,448 (GROANING) 349 00:21:03,951 --> 00:21:05,411 You should get that looked at. 350 00:21:05,536 --> 00:21:06,160 I still don't buy a vitamin K deficiency. 351 00:21:06,161 --> 00:21:08,247 I still don't buy a vitamin K deficiency. 352 00:21:08,372 --> 00:21:11,750 House was right. That usually makes you happy. Less work for us. 353 00:21:11,876 --> 00:21:13,961 The kid feeds his mom a steady diet of booze, 354 00:21:14,086 --> 00:21:17,006 - and the problem is too many burgers? - The kid's in a tough situation. 355 00:21:17,131 --> 00:21:18,549 You do what you gotta do to survive. 356 00:21:18,674 --> 00:21:22,219 Feeding alcohol to an alcoholic is not a survival technique. 357 00:21:22,344 --> 00:21:25,723 - Where I come from, if it works... - Yeah, right. I'm rich. 358 00:21:25,848 --> 00:21:30,144 I couldn't possibly understand what this kid is going through. 359 00:21:30,269 --> 00:21:31,812 Just because you're drinking pricier stuff 360 00:21:31,937 --> 00:21:34,398 doesn't mean you don't have a problem. 361 00:21:34,523 --> 00:21:37,109 You've seen someone stagger down that road? 362 00:21:37,234 --> 00:21:39,778 No way vitamin K is the whole story. 363 00:21:46,285 --> 00:21:49,371 It's not broken. See this, right here? 364 00:21:49,496 --> 00:21:53,417 It's the epiphyseal plate, otherwise known as the growth plate. 365 00:21:53,542 --> 00:21:56,795 - What's wrong with it? - Amazing thing, this bone. 366 00:21:56,921 --> 00:22:00,549 If you know how to read it, it can tell you how old someone really is. 367 00:22:00,674 --> 00:22:03,344 - Exactly how old. - Great. 368 00:22:04,094 --> 00:22:08,265 Not even 15. Almost, though. 369 00:22:08,390 --> 00:22:11,060 Two weeks away. Maybe a month. 370 00:22:12,519 --> 00:22:15,856 Last week. I was 15 last week. 371 00:22:15,981 --> 00:22:18,651 Happy birthday to both of us. 372 00:22:19,026 --> 00:22:21,987 If you're gonna lie, though, go big. Go 21. 373 00:22:22,112 --> 00:22:25,866 That way you won't need your crazy mom to help you buy vodka. 374 00:22:25,991 --> 00:22:28,369 Great. Thanks for the tip. 375 00:22:29,828 --> 00:22:31,872 Now, when I bring my mom home, 376 00:22:31,997 --> 00:22:34,625 is there anything I need to know about taking care of her? 377 00:22:34,750 --> 00:22:37,378 I suppose your biggest worry isn't the booze. 378 00:22:37,503 --> 00:22:40,297 You're 15, basically no mom. 379 00:22:40,422 --> 00:22:42,424 If Child Welfare let kids get away with that, 380 00:22:42,549 --> 00:22:44,259 they wouldn't need those nice foster homes, 381 00:22:44,385 --> 00:22:48,347 - and that would make them sad. - They'd put her someplace, too. 382 00:22:48,472 --> 00:22:51,809 - My life is working. - Not the word I'd use. 383 00:22:52,810 --> 00:22:56,647 Most 15-year-old kids are doing what they're supposed to be doing. 384 00:22:56,772 --> 00:23:01,068 - They're huffing glue, catching crabs. - If you turn me in, I'll sue you. 385 00:23:01,193 --> 00:23:03,195 That's privileged information. 386 00:23:03,320 --> 00:23:06,407 Oh, relax. It's not even your X-ray. 387 00:23:10,911 --> 00:23:14,498 - She's awfully calm. - House wrote new orders. 388 00:23:18,210 --> 00:23:21,547 There's a little bit of scarring. Not much. Not enough to... 389 00:23:21,672 --> 00:23:25,134 It's cirrhosis. But she doesn't drink. 390 00:23:25,259 --> 00:23:27,886 Congratulations. You win. 391 00:23:30,222 --> 00:23:32,016 Actually... 392 00:23:33,392 --> 00:23:37,855 - no one wins. - Tumor. Cystic? 393 00:23:38,355 --> 00:23:40,858 CAMERON: Solid mass. 394 00:23:41,191 --> 00:23:42,693 Cancer. 395 00:23:44,528 --> 00:23:48,782 The vitamin K caused the DVT and aggravated the liver, 396 00:23:48,907 --> 00:23:51,326 but the tumor's the real reason for the bleed. 397 00:23:51,452 --> 00:23:53,704 The tumor's the problem. 398 00:23:53,829 --> 00:23:56,081 Mrs. Palmeiro, I'm Dr. Wilson. 399 00:23:56,206 --> 00:24:00,169 I'm afraid I have some bad news from your ultrasound. 400 00:24:00,294 --> 00:24:01,462 You have cancer. 401 00:24:36,121 --> 00:24:38,582 It's big. 5.8 centimeters. 402 00:24:38,707 --> 00:24:41,543 We do nothing, she dies from liver failure within 60 days. 403 00:24:41,668 --> 00:24:43,253 - She needs a transplant. - That's gonna happen. 404 00:24:43,378 --> 00:24:44,671 She's 38 years old. She's a mother. 405 00:24:44,797 --> 00:24:48,175 She's a schizophrenic mother with no money, on the public dole, in fact, 406 00:24:48,300 --> 00:24:50,719 who knocks back vodka every time a breeze blows her way. 407 00:24:50,844 --> 00:24:53,972 Mickey Mantle had a whole bar named after him. He got a transplant. 408 00:24:54,098 --> 00:24:57,976 Yeah, well, Lucy can't switch-hit. Plan B, surgery to resect the tumor. 409 00:24:58,102 --> 00:24:59,895 Joe Bergin does the gamma knife thing. 410 00:25:00,020 --> 00:25:02,356 Laser cauterizes while it cuts, saves more liver. 411 00:25:02,481 --> 00:25:04,775 The tumor's way too big. He won't even consider it. 412 00:25:04,900 --> 00:25:06,401 Not a big risk-taker, Bergin. 413 00:25:06,527 --> 00:25:08,362 Won't even drink milk on its expiration date. 414 00:25:08,487 --> 00:25:13,408 He has no discretion. 5.8 centimeters is past the surgical guidelines. 415 00:25:15,327 --> 00:25:17,496 Would he do it at 4.6? 416 00:25:18,122 --> 00:25:20,541 Why don't we just say it's zero? Then we don't need him at all. 417 00:25:20,666 --> 00:25:22,793 Tumors grow, they don't shrink. 418 00:25:22,918 --> 00:25:24,670 This one does. 419 00:25:25,963 --> 00:25:28,715 Ninety-five percent ethanol. 420 00:25:29,091 --> 00:25:32,177 The ethanol dehydrates the tumor cells. 421 00:25:32,302 --> 00:25:35,013 Literally sucks them dry. 422 00:25:36,306 --> 00:25:40,561 - It shrinks the tumor temporarily. - How temporarily? 423 00:25:41,478 --> 00:25:44,231 Well, if we're lucky... 424 00:25:46,859 --> 00:25:50,070 just long enough to fool the surgeon. 425 00:25:57,661 --> 00:26:02,958 WOMAN ON PA: Dr. Shopius, report to Psych Exam. 426 00:26:03,500 --> 00:26:07,379 - Good morning, Dr. House. - Good morning, Dr. Cuddy. 427 00:26:07,629 --> 00:26:09,089 Love that outfit. 428 00:26:09,214 --> 00:26:12,259 It says, "I'm professional, but I'm still a woman". 429 00:26:12,384 --> 00:26:14,511 Actually, it sort of yells the second part. 430 00:26:14,636 --> 00:26:17,681 Yeah, and your big cane is real subtle, too. 431 00:26:17,806 --> 00:26:22,102 Gotta go. Those running noses aren't just gonna start walking on their own. 432 00:26:22,227 --> 00:26:23,687 The clinic can wait. 433 00:26:24,688 --> 00:26:27,274 How long? Maybe we could catch a movie. 434 00:26:27,399 --> 00:26:30,444 You should know by now my doctors have no secrets from me. 435 00:26:32,029 --> 00:26:36,074 I don't believe it. Who came running to mommy? 436 00:26:36,575 --> 00:26:40,662 It doesn't matter who. The point is, I know exactly what you did. 437 00:26:41,121 --> 00:26:43,207 You have no idea what I'm talking about. 438 00:26:43,332 --> 00:26:46,501 Somebody knows about a bad thing you did. 439 00:26:46,627 --> 00:26:47,920 That's a big field. 440 00:26:48,045 --> 00:26:52,382 But somebody you think might've told me. That narrows it down quite a bit. 441 00:26:52,507 --> 00:26:54,968 Someone who views me as a maternal authority figure. 442 00:26:55,093 --> 00:26:58,472 A young person, perhaps? How am I doing? Think I'm gonna get there? 443 00:26:58,597 --> 00:27:00,474 Presumably hospital business. How many patients... 444 00:27:00,599 --> 00:27:03,268 It's Cameron. She found out about my birthday. 445 00:27:03,393 --> 00:27:05,479 I thought she told you and I'd have to stand here and smile 446 00:27:05,604 --> 00:27:08,482 while you gave me a sweatshirt or a fruit basket. 447 00:27:08,607 --> 00:27:11,568 You know, made me feel that deep sense of belonging. 448 00:27:11,944 --> 00:27:15,489 Actually, I was just gonna remind you, you owe me six clinic hours this week. 449 00:27:16,156 --> 00:27:17,991 Oops. 450 00:27:24,748 --> 00:27:26,500 Hi, this is Dr. Cuddy. 451 00:27:26,625 --> 00:27:30,128 I need all the charts on Dr. House's current patients. 452 00:27:32,339 --> 00:27:34,091 (HICCUPPING) 453 00:27:34,216 --> 00:27:36,885 - I've tried everything. - Mmm-hmm. 454 00:27:37,010 --> 00:27:41,556 "Pulling the tongue, ice packs on the throat,hitting yourself, 455 00:27:41,682 --> 00:27:43,976 the groin pinch." 456 00:27:44,810 --> 00:27:48,814 Well, you've certainly covered all the normal medical bases. 457 00:27:48,939 --> 00:27:51,566 How are you hitting yourself, though? Is it... 458 00:27:51,692 --> 00:27:54,236 - Is it an open hand or a fist? - Open hand. 459 00:27:54,361 --> 00:27:59,616 Well, that's how they teach it at Harvard Med. How hard, though? 460 00:28:02,119 --> 00:28:04,913 I'm sorry. I missed that. Could you do that again? 461 00:28:06,456 --> 00:28:09,376 That's... That's very good. It's hiccups. 462 00:28:09,501 --> 00:28:11,378 I need to speak with you now. 463 00:28:12,087 --> 00:28:13,839 I need to go pee-pee. 464 00:28:13,964 --> 00:28:17,217 Dial it up a notch and repeat. I'll be back. 465 00:28:28,603 --> 00:28:31,857 Girl in the boy's bathroom. Very dramatic. 466 00:28:31,982 --> 00:28:35,569 It must be very important, what she has to say to me. 467 00:28:36,653 --> 00:28:39,698 Yesterday your patient's tumor was 5.8 centimeters. 468 00:28:39,823 --> 00:28:41,908 Today it's 4.6. How does that happen? 469 00:28:42,034 --> 00:28:45,871 Well, at a guess, I'd say, "That Dr. House must be really, really good. 470 00:28:45,996 --> 00:28:49,791 Why am I wasting him on hiccups?" I wash before and after. 471 00:28:52,461 --> 00:28:55,881 You also requisitioned 20 cc's of ethanol. 472 00:28:56,006 --> 00:28:58,675 What patient was that for? Or are you planning a party? 473 00:28:58,800 --> 00:29:00,635 Do me a favor. 474 00:29:03,430 --> 00:29:06,183 I was gonna say leave, but that works. 475 00:29:07,017 --> 00:29:08,226 You shrunk the tumor. 476 00:29:08,352 --> 00:29:09,936 Only way to get the guy to do the surgery. 477 00:29:10,062 --> 00:29:12,647 Fraud was the only way? 478 00:29:13,482 --> 00:29:16,026 There is a reason that we have these guidelines. 479 00:29:16,151 --> 00:29:19,112 I know. To save lives. Specifically, doctors' lives. 480 00:29:19,237 --> 00:29:22,032 And not just their lives, but their lifestyles. 481 00:29:22,157 --> 00:29:24,034 Wouldn't want to operate on anyone really sick. 482 00:29:24,159 --> 00:29:25,619 They might die and spoil our stats. 483 00:29:25,744 --> 00:29:28,288 Bergin has a right to know what he is operating on. 484 00:29:28,413 --> 00:29:30,749 True. I got all focused on her right to live and forgot. 485 00:29:30,874 --> 00:29:33,377 You do what you think is right. 486 00:29:42,761 --> 00:29:46,264 - You really didn't know? - No, I didn't. 487 00:29:46,390 --> 00:29:48,850 And, frankly, I'm angry. 488 00:29:49,726 --> 00:29:52,938 The correct response, I guess. What are you talking about? 489 00:29:53,063 --> 00:29:55,565 - Your birthday. - Oh. 490 00:29:56,274 --> 00:29:58,026 Anger was a bad guess. 491 00:29:59,069 --> 00:30:01,029 Well, normally, I'd put on a festive hat 492 00:30:01,154 --> 00:30:04,574 and celebrate the fact that the Earth has circled the sun one more time. 493 00:30:04,699 --> 00:30:06,660 I really didn't think it was gonna make it this year, 494 00:30:06,785 --> 00:30:10,664 but darn it if it wasn't the little planet that could all over again. 495 00:30:10,789 --> 00:30:14,668 It's a birthday. It's an excuse to be happy. 496 00:30:14,793 --> 00:30:17,129 You think that's lame? 497 00:30:18,213 --> 00:30:21,216 Why are you here? Did you buy me a pony? 498 00:30:22,759 --> 00:30:25,720 I'm just waiting for the surgery. 499 00:30:26,888 --> 00:30:29,599 Yeah, well, go scrub in. 500 00:30:40,444 --> 00:30:40,734 All right, we're done. Close her up. 501 00:30:40,735 --> 00:30:43,196 All right, we're done. Close her up. 502 00:30:48,285 --> 00:30:52,247 The tumor didn't just walk itself into a bar 503 00:30:52,372 --> 00:30:56,877 and order up a double shot of ethanol. Someone shrunk it down. 504 00:30:57,002 --> 00:30:59,629 I'm sorry. It was very, very wrong. 505 00:31:00,255 --> 00:31:03,216 House is lucky I didn't just close her up. 506 00:31:03,341 --> 00:31:05,927 He tries it again, that's what happens. 507 00:31:06,052 --> 00:31:07,804 I'll pass it on. 508 00:31:11,141 --> 00:31:12,642 CHASE: It looks like the surgeon got it all, 509 00:31:12,767 --> 00:31:15,353 but she's gonna have to have some chemotherapy. 510 00:31:15,479 --> 00:31:17,063 LUKE: What kind is it? 511 00:31:19,065 --> 00:31:20,901 Luke, stop writing. 512 00:31:28,366 --> 00:31:31,244 If you stop for a second, it's not all gonna fall apart. 513 00:31:31,369 --> 00:31:32,829 Give yourself a break once in a while. 514 00:31:32,954 --> 00:31:35,707 The fact is, your mom's gonna have an extra drink every now and then. 515 00:31:35,832 --> 00:31:40,128 - No. No. She won't. She doesn't. - Fine. 516 00:31:41,087 --> 00:31:44,633 There are some things you just can't fix. 517 00:31:44,799 --> 00:31:50,138 That's how you'd handle it, something like this? You'd just give up? 518 00:31:50,263 --> 00:31:52,224 No. 519 00:31:52,891 --> 00:31:55,310 I'd do it just like you. 520 00:31:57,604 --> 00:31:59,189 It's an infusion. 521 00:31:59,314 --> 00:32:01,399 She's gonna have a drain in her abdomen. 522 00:32:01,525 --> 00:32:04,402 You're going to have to check for possible infection. 523 00:32:04,528 --> 00:32:06,279 TRINA: Lucas Palmeiro? 524 00:32:06,404 --> 00:32:09,741 Trina Wyatt, Child Services, State of New Jersey. 525 00:32:09,866 --> 00:32:11,952 Can I help you? This is a private room. 526 00:32:12,077 --> 00:32:14,788 He's only 15 years old, a minor. 527 00:32:14,913 --> 00:32:18,500 He's in a tough living situation. We're just here to help. 528 00:32:18,625 --> 00:32:21,586 - I don't need your help. -15? 529 00:32:21,711 --> 00:32:26,258 Lucas, you're gonna have to come with us right now. 530 00:32:26,383 --> 00:32:29,803 - Where are you taking him? - Until the determination is made, 531 00:32:29,928 --> 00:32:31,805 he'll be housed at Children's Services. 532 00:32:31,930 --> 00:32:34,766 - I don't want to be housed. - I live with my mom. 533 00:32:34,891 --> 00:32:37,060 TRINA: Not for the next few days. 534 00:32:38,103 --> 00:32:41,314 Come on. Let's not make this difficult. 535 00:32:42,732 --> 00:32:43,858 LUKE: Mom? 536 00:32:45,235 --> 00:32:46,736 Mom? 537 00:32:48,613 --> 00:32:50,448 I love you. 538 00:32:52,826 --> 00:32:56,955 When the Mets lost, you remember? 539 00:32:57,872 --> 00:32:59,749 Yeah. 540 00:33:00,000 --> 00:33:02,085 I remember. 541 00:33:02,752 --> 00:33:04,546 I love you. 542 00:33:23,523 --> 00:33:26,234 WILSON: Cuddy didn't say anything about pushing Bergin to finish the surgery? 543 00:33:26,359 --> 00:33:30,238 Not a word. Some kind of mind game. She's waiting for me to crack. 544 00:33:30,363 --> 00:33:32,407 Well, either that or she's just being nice. 545 00:33:32,532 --> 00:33:35,285 - Yeah, right. - You said you wouldn't call. 546 00:33:35,410 --> 00:33:38,455 You're a real bastard, you know. 547 00:33:41,333 --> 00:33:44,753 Yeah, I get that a lot. 548 00:33:49,007 --> 00:33:51,384 I don't think mom's crazy. 549 00:33:56,181 --> 00:34:00,852 "For in the old days, though she had young men's praise and old men's blame, 550 00:34:00,977 --> 00:34:06,232 among the poor, both old and young gave her praise." 551 00:34:12,280 --> 00:34:16,451 You called Social Services. It was you. 552 00:34:16,576 --> 00:34:19,245 No. No. No. 553 00:34:19,371 --> 00:34:22,332 It's okay, it's okay. I get it. 554 00:34:23,958 --> 00:34:26,670 He'll have an easier time dealing with the system. 555 00:34:26,795 --> 00:34:30,757 Sure, he won't be with his real mother, but his real mother's sick. 556 00:34:30,882 --> 00:34:33,385 Someone needs to take care of him. 557 00:34:34,636 --> 00:34:37,055 I'm not gonna live here. 558 00:34:37,180 --> 00:34:42,143 What would his future have been, taking you to chemo and back on the bus? 559 00:34:42,268 --> 00:34:45,647 And even if the cancer's in complete remission, 560 00:34:45,772 --> 00:34:48,858 he'll still have a mother who hears voices. 561 00:34:48,983 --> 00:34:51,444 Talk no more. 562 00:34:51,861 --> 00:34:53,738 Talk no more. 563 00:34:54,447 --> 00:34:57,826 "Look what I do to him, Limpy." 564 00:34:58,201 --> 00:35:00,078 You said that. 565 00:35:01,454 --> 00:35:03,540 I checked the phone records. 566 00:35:04,624 --> 00:35:07,210 Only one call from this room. 567 00:35:07,335 --> 00:35:10,213 Smart, because they charge you two bucks a call. 568 00:35:10,338 --> 00:35:14,384 It was to Social Services, the State of New Jersey. 569 00:35:15,009 --> 00:35:18,638 You're his mother. You couldn't do it to him anymore. 570 00:35:21,599 --> 00:35:23,017 Good for you. 571 00:35:24,894 --> 00:35:27,147 WILSON: Schizophrenics can make rational decisions. 572 00:35:27,272 --> 00:35:28,857 On the small stuff, yeah. 573 00:35:28,982 --> 00:35:31,526 When to sleep, what to drink, you know. 574 00:35:31,651 --> 00:35:34,529 "No lemonade, but I'll take some hemlock if you've got it." 575 00:35:34,654 --> 00:35:35,530 Your man Socrates. 576 00:35:35,655 --> 00:35:38,491 But giving up your son because it's better for him, 577 00:35:38,616 --> 00:35:41,745 it's so sane, it's so rational. 578 00:35:41,870 --> 00:35:44,372 Self-sacrifice is not a symptom of schizophrenia. 579 00:35:44,497 --> 00:35:47,459 - It excludes the diagnosis. - She's not schizophrenic? 580 00:35:47,584 --> 00:35:49,794 Look, she's 36 years old when she first presents. 581 00:35:49,919 --> 00:35:51,629 It's a little late, but within the parameters. 582 00:35:51,755 --> 00:35:55,091 The internist sends her to a shrink. One shrink sends her to the next. 583 00:35:55,216 --> 00:35:57,343 She tells them all she's not crazy. The drugs don't work. 584 00:35:57,469 --> 00:35:59,262 And why would they if she's not a head case? 585 00:35:59,387 --> 00:36:02,724 She got clearer when I took her off the psych meds. 586 00:36:04,058 --> 00:36:05,268 You think I'm crazy. 587 00:36:05,393 --> 00:36:08,980 Well, yeah, but that's not the problem. Didn't we just leave your office? 588 00:36:09,105 --> 00:36:10,899 I like to walk. 589 00:36:17,447 --> 00:36:22,076 (HOUSE PLAYING PIANO) 590 00:36:34,839 --> 00:36:42,847 (PLAYING HAPPY BIRTHDAY) 591 00:37:10,792 --> 00:37:13,753 Is that Dr. Jeffrey Walters? Hi. 592 00:37:13,878 --> 00:37:16,589 My name is Greg House. I'm a doctor... 593 00:37:17,549 --> 00:37:21,302 Oh, is that the time? Yeah. I'm sorry. My watch must have stopped. 594 00:37:21,427 --> 00:37:24,556 Listen, you treated a patient about 18 months ago, 595 00:37:24,681 --> 00:37:26,099 a woman named Lucille Palmeiro. 596 00:37:26,224 --> 00:37:29,352 I wondered if you recalled running any tests... 597 00:37:30,228 --> 00:37:32,063 at all. 598 00:37:32,772 --> 00:37:35,233 (IN BRITISH ACCENT) Oh. How terribly foolish of me, Doctor. 599 00:37:35,358 --> 00:37:36,442 Is it that late? 600 00:37:36,568 --> 00:37:41,531 Yes, I'm calling from London, you see? Must have got my times mixed up... 601 00:37:47,996 --> 00:37:51,332 I have a headache. It's my only symptom. I go to see three doctors. 602 00:37:51,457 --> 00:37:53,751 The neurologist tells me it's an aneurysm. 603 00:37:53,877 --> 00:37:56,004 The immunologist says I've got hay fever. 604 00:37:56,129 --> 00:37:58,089 The intensivist can't be bothered. 605 00:37:58,214 --> 00:38:00,842 Sends me to a shrink, who tells me that I'm punishing myself 606 00:38:00,967 --> 00:38:02,427 'cause I want to sleep with my mommy. 607 00:38:02,552 --> 00:38:04,095 Maybe you're just not getting enough sleep? 608 00:38:04,220 --> 00:38:06,389 Pick your specialist, you pick your disease. 609 00:38:06,514 --> 00:38:09,767 If it's not schizophrenia, what else presents with psych symptoms? 610 00:38:09,893 --> 00:38:11,477 - Porphyria. - The Madness of King George. 611 00:38:11,603 --> 00:38:15,607 CAMERON: What about that copper thing? What's it called? It's genetic. 612 00:38:15,732 --> 00:38:18,985 - The body accumulates too much copper. - Oh... 613 00:38:19,110 --> 00:38:20,820 - Wilson's Disease? - CAMERON: Yeah. 614 00:38:20,945 --> 00:38:24,073 Very rare. Nice. I like it. 615 00:38:24,198 --> 00:38:27,201 - If any of us did this, you'd fire us. - Well, that's funny. 616 00:38:27,327 --> 00:38:29,037 I thought I encouraged you to question. 617 00:38:29,162 --> 00:38:32,832 You're not questioning. You're hoping. You want it to be Wilson's. 618 00:38:32,957 --> 00:38:34,792 Boom. Give her a couple of drugs, she's okay. 619 00:38:34,918 --> 00:38:37,378 July 17. An appointment with a Dr. Karn. 620 00:38:37,503 --> 00:38:39,505 She didn't keep it. She never kept another appointment 621 00:38:39,631 --> 00:38:42,383 - with a shrink he made after that. - Karn is not a shrink. 622 00:38:42,508 --> 00:38:44,594 I looked him up. He's an ophthalmologist. 623 00:38:44,719 --> 00:38:46,304 Now why would she want her eyes checked? 624 00:38:46,429 --> 00:38:49,140 - Wilson's presents with cataracts. - HOUSE: Yes, it does. 625 00:38:49,265 --> 00:38:54,479 It also causes slight cirrhosis, which Dr. Chase attributed to alcohol. 626 00:38:55,104 --> 00:38:56,981 So what are we still doing here? 627 00:38:57,106 --> 00:38:58,691 HOUSE: Lucy. 628 00:38:59,984 --> 00:39:03,863 - I don't think you're crazy. - Neither do I. 629 00:39:03,988 --> 00:39:07,575 - But I'm crazy. - Come on. Let me give you a hand. 630 00:39:08,284 --> 00:39:09,827 Come on. 631 00:39:10,954 --> 00:39:12,497 That's it. 632 00:39:12,914 --> 00:39:17,961 Put your hands on the bar here and your chin in here. 633 00:39:18,086 --> 00:39:19,170 Thank you. 634 00:39:19,295 --> 00:39:21,005 You're gonna see a bright light, okay? 635 00:39:21,130 --> 00:39:23,925 Your body might be accumulating too much copper. 636 00:39:24,050 --> 00:39:28,054 If it is, this should help us see something called Keyser-Fleischer rings. 637 00:39:29,347 --> 00:39:32,141 Copper-colored circles around your corneas. 638 00:39:32,266 --> 00:39:33,726 Wow. 639 00:39:34,644 --> 00:39:38,147 I guess we should start treating her for Wilson's. 640 00:39:38,272 --> 00:39:40,566 That's what I'd do. 641 00:39:51,411 --> 00:39:55,289 LUCY: "I will talk no more of books for the long war, 642 00:39:55,415 --> 00:39:58,209 but walk by the dry thorn until I have found 643 00:39:58,334 --> 00:40:00,920 some beggar sheltering from the wind, 644 00:40:01,045 --> 00:40:05,174 and there manage the talk until her name come round. 645 00:40:05,550 --> 00:40:08,428 If there be rags enough, he will know her name 646 00:40:08,553 --> 00:40:11,264 and be well pleased remembering it. 647 00:40:12,223 --> 00:40:16,853 For in the old days, though she had young men's praise and old men's blame, 648 00:40:17,311 --> 00:40:21,941 among the poor, both old and young gave her praise." 649 00:40:26,946 --> 00:40:28,656 (SIGHS) 650 00:40:31,367 --> 00:40:33,870 Hi, Mrs. Palmeiro. Ready to go home? 651 00:40:34,495 --> 00:40:36,205 Almost. 652 00:40:36,706 --> 00:40:38,499 Mom? 653 00:40:49,677 --> 00:40:52,805 - How are you? - I'm good. 654 00:41:01,105 --> 00:41:03,858 Oh, you really need a haircut. 655 00:41:30,009 --> 00:41:31,427 LUCY: Dr. House. 656 00:41:32,386 --> 00:41:34,931 Luke, we're making Dr. House wait. 657 00:41:35,056 --> 00:41:37,600 That's okay. We're just here for the music. 658 00:41:37,725 --> 00:41:39,894 Luke, come on. 659 00:41:49,987 --> 00:41:53,282 - I'm being discharged. - I heard a rumor. 660 00:41:54,492 --> 00:41:56,911 Thank God I had cancer, huh? 661 00:41:58,538 --> 00:42:01,791 It's terrible having everybody think you're nuts. 662 00:42:01,916 --> 00:42:03,417 Really? 663 00:42:04,669 --> 00:42:06,712 I called to thank you. Did you get my message? 664 00:42:06,838 --> 00:42:08,589 Yes. 665 00:42:10,383 --> 00:42:12,552 You're welcome. 666 00:42:14,971 --> 00:42:19,016 I'm never thanking you. You turned me in. 667 00:42:19,142 --> 00:42:22,979 I told you we were doing okay. It was none of your business. 668 00:42:23,104 --> 00:42:25,857 Look, I don't care how you were living. 669 00:42:25,982 --> 00:42:28,359 I just wanted you out of my life. 670 00:42:30,444 --> 00:42:33,739 That's why I had Dr. Cuddy call Social Services. 671 00:42:36,701 --> 00:42:38,786 (ELEVATOR BELL DINGING) 672 00:42:49,881 --> 00:42:51,757 You Okay? 673 00:42:51,924 --> 00:42:56,470 You were right. It wasn't the DVT. It was the schizophrenia. 674 00:42:56,596 --> 00:43:00,892 I know. She's not nearly as interesting anymore. 675 00:43:01,893 --> 00:43:05,897 WILSON: Isn't it your birthday around now?