1
00:00:02,190 --> 00:00:04,109
(DRUMS PLAYING)

2
00:00:07,571 --> 00:00:09,489
(GUITAR PLAYING)

3
00:00:09,906 --> 00:00:12,242
This is
a really nice room.

4
00:00:12,367 --> 00:00:14,369
Yeah, it sounds thick.
Too bad he's not coming.

5
00:00:14,494 --> 00:00:16,913
Look, I talked to him myself.
He'll be here.

6
00:00:17,039 --> 00:00:17,873
Right.

7
00:00:17,998 --> 00:00:20,083
You're the one who said
that the song could use a horn part,

8
00:00:20,334 --> 00:00:23,128
- so I got the best, John Henry.
- You think I'm stupid?

9
00:00:23,253 --> 00:00:25,255
Of course I do,
but that's not the point.

10
00:00:26,256 --> 00:00:27,215
He'll be here, okay?

11
00:00:28,592 --> 00:00:30,385
(PLAYING PIANO)

12
00:00:30,510 --> 00:00:33,180
(JAZZ MUSIC PLAYING)

13
00:00:35,682 --> 00:00:37,059
GILES: Take a left up ahead.

14
00:00:37,184 --> 00:00:40,312
South Street?
I canceled this gig.

15
00:00:40,562 --> 00:00:43,190
You said you didn't want to do
any sessions for a while.

16
00:00:43,315 --> 00:00:45,984
For a while.
I called her. I un-canceled it.

17
00:00:46,735 --> 00:00:49,738
- Are you up to it?
- Let's find out.

18
00:00:53,200 --> 00:00:54,201
(SINGING)
You lied to me

19
00:00:54,326 --> 00:00:58,121
<i>John Henry's
never gonna show up</i>

20
00:00:58,246 --> 00:00:59,289
Will you stop?

21
00:00:59,414 --> 00:01:02,167
- It's been, like, two hours.
- And we will keep waiting.

22
00:01:02,292 --> 00:01:04,503
I mean, you've heard this guy play,
and you know what he does,

23
00:01:04,628 --> 00:01:06,129
so can you just
shut up, Tommy?

24
00:01:06,254 --> 00:01:07,214
(DOOR OPENS)

25
00:01:08,965 --> 00:01:10,175
Oh, my God.

26
00:01:11,593 --> 00:01:12,969
Am I late?

27
00:01:14,012 --> 00:01:17,182
(FUNK MUSIC PLAYING)

28
00:01:21,228 --> 00:01:22,229
(MUSIC STOPS)

29
00:01:22,354 --> 00:01:25,357
- You need to hear it again?
- Nope. I get it.

30
00:01:25,524 --> 00:01:28,652
Let's try one. See what we get.
Let's do it.

31
00:01:29,027 --> 00:01:31,655
(MUSIC RESUMES)

32
00:01:58,306 --> 00:02:00,142
(GASPING)

33
00:02:02,352 --> 00:02:03,770
John, you okay?

34
00:02:04,855 --> 00:02:07,441
- You okay?
- I can't breathe. I can't breathe.

35
00:02:07,649 --> 00:02:08,942
(COUGHING)

36
00:02:09,067 --> 00:02:12,320
Call an ambulance!
Now!

37
00:03:00,285 --> 00:03:01,536
I want in.

38
00:03:03,455 --> 00:03:05,665
John Henry Giles,
you a fan of his music?

39
00:03:05,791 --> 00:03:07,334
He's a musician?

40
00:03:08,251 --> 00:03:10,962
That paralysis thing,
guy can't walk for two years,

41
00:03:11,087 --> 00:03:13,507
nobody knows why,
it seems mildly interesting.

42
00:03:13,632 --> 00:03:15,050
Forget his paralysis.

43
00:03:15,175 --> 00:03:16,760
Tell that to the rest
of his bowling team.

44
00:03:17,219 --> 00:03:18,887
As far as this
hospital is concerned,

45
00:03:19,012 --> 00:03:21,264
this is a simple case
of lobar pneumonia. Boring.

46
00:03:21,389 --> 00:03:24,893
But that not-walking thing.
That could turn into something serious.

47
00:03:25,018 --> 00:03:28,230
Marty Hamilton is his primary physician
out in California.

48
00:03:28,355 --> 00:03:29,523
He's dealing
with the paralysis.

49
00:03:29,648 --> 00:03:32,442
Know all about it.
Multiple treatments, multiple surgeries.

50
00:03:32,567 --> 00:03:33,902
He's making real progress.

51
00:03:34,027 --> 00:03:35,195
Fixed everything
but the legs.

52
00:03:35,320 --> 00:03:37,531
Dr. Hamilton already called
and asked for your team.

53
00:03:37,781 --> 00:03:41,243
And by team,
I don't mean you.

54
00:03:41,368 --> 00:03:43,870
Like I always say,
there's no "I" in team.

55
00:03:43,995 --> 00:03:45,914
There is a "me" though,
if you jumble it up.

56
00:03:47,123 --> 00:03:49,084
Foreman did his
residency with Hamilton.

57
00:03:49,209 --> 00:03:52,796
I know. I accidentally glanced
at his resume before I hired him.

58
00:03:52,921 --> 00:03:54,381
He wants someone
he can trust.

59
00:03:54,506 --> 00:03:56,341
He must've spoken to
Foreman's parole officer.

60
00:03:56,466 --> 00:03:59,052
Someone who will stick
to the pneumonia.

61
00:03:59,177 --> 00:04:02,264
John Henry's on an experimental
protocol for the paralysis.

62
00:04:02,389 --> 00:04:04,516
I respect that.
I'm not going to get in his way.

63
00:04:04,641 --> 00:04:08,562
- It's Foreman's case.
- It's pneumonia. He can handle it.

64
00:04:08,687 --> 00:04:11,398
The guy's already paralyzed.
How badly can he screw it up?

65
00:04:28,123 --> 00:04:30,125
So, what are his sats?

66
00:04:30,250 --> 00:04:32,043
Staying in the 90s
on the nasal cannula.

67
00:04:32,168 --> 00:04:33,044
Coughing up
much sputum?

68
00:04:33,169 --> 00:04:34,921
CAMERON: Almost none.
He seems to be stabilized.

69
00:04:35,088 --> 00:04:36,631
Dr. House,
is anything back from micro?

70
00:04:36,756 --> 00:04:39,217
Not yet. You gonna fire me?

71
00:04:39,342 --> 00:04:40,927
You can make up for it
by washing my car.

72
00:04:41,052 --> 00:04:42,596
Oh, this is fun.

73
00:04:42,721 --> 00:04:44,931
FOREMAN: Okay. Let's keep him
on the broad-spectrum antibiotics.

74
00:04:45,056 --> 00:04:47,225
And since he's displaying
septic physiology,

75
00:04:47,350 --> 00:04:50,353
draw blood for adrenal
and thyroid function.

76
00:04:52,314 --> 00:04:53,940
What about the paralysis?

77
00:04:54,065 --> 00:04:55,191
We're sticking
to the pneumonia.

78
00:04:55,317 --> 00:04:58,987
Well, you certainly are, boss,
like a wet tongue sticks to dry ice.

79
00:04:59,112 --> 00:05:02,407
The paralysis has already been
diagnosed by Dr. Hamilton. It's ALS.

80
00:05:02,532 --> 00:05:05,410
Lou Gehrig's disease.
It's a lovely diagnosis.

81
00:05:05,535 --> 00:05:06,786
They make movies about it.

82
00:05:06,912 --> 00:05:09,915
No tests, no treatment,
it's a disease of exclusion.

83
00:05:10,040 --> 00:05:12,000
Because Hamilton has
excluded everything else.

84
00:05:12,125 --> 00:05:13,293
I haven't.

85
00:05:17,881 --> 00:05:18,798
What else could it be?

86
00:05:19,716 --> 00:05:21,635
Guillain-Barre,
which would be reversible.

87
00:05:21,760 --> 00:05:22,761
Excellent.

88
00:05:22,886 --> 00:05:27,140
No. The progression of the paralysis
would be symmetric. This wasn't.

89
00:05:27,265 --> 00:05:28,224
Transverse myelitis.

90
00:05:28,350 --> 00:05:29,517
Hamilton tested for it.
Negative.

91
00:05:29,643 --> 00:05:31,353
And he was negative
for masses and AVM.

92
00:05:31,478 --> 00:05:33,021
Antibodies could be
attacking the nerves.

93
00:05:33,146 --> 00:05:34,397
Multifocal motor
neuropathy.

94
00:05:34,522 --> 00:05:37,567
Uncommon, but it fits.
It's also treatable.

95
00:05:37,692 --> 00:05:39,653
Did Hamilton try
putting the guy on Mg?

96
00:05:39,778 --> 00:05:41,154
No, because
the MRI showed no...

97
00:05:41,279 --> 00:05:43,323
Well, let's do
an MRI of our own.

98
00:05:46,785 --> 00:05:48,912
Guys, it's my case.

99
00:05:50,664 --> 00:05:53,041
ALS fits. It even
predicts the pneumonia.

100
00:05:53,500 --> 00:05:56,711
- The paralysis is progressive.
- It's a death sentence.

101
00:05:57,545 --> 00:05:59,381
That doesn't make it wrong.

102
00:06:01,800 --> 00:06:05,679
<i>(JAZZ MUSIC PLAYING)</i>

103
00:06:13,228 --> 00:06:14,229
(MUSIC STOPS)

104
00:06:17,857 --> 00:06:20,944
So you think the breathing stuff
is connected to my ALS?

105
00:06:21,069 --> 00:06:22,612
It makes sense.

106
00:06:24,990 --> 00:06:26,700
So it's just
gonna get worse, huh?

107
00:06:26,825 --> 00:06:28,868
- Well, Dr. Hamilton...
- Great guy.

108
00:06:28,994 --> 00:06:32,622
Really smart doctor, and his treatment
obviously isn't working.

109
00:06:34,708 --> 00:06:36,042
Do you think
I'm going to die here,

110
00:06:36,167 --> 00:06:38,628
or you think I get to
go back home first?

111
00:06:38,753 --> 00:06:40,380
An MRI would give
us a better idea...

112
00:06:40,505 --> 00:06:42,757
An MRI, come on.
For pneumonia?

113
00:06:42,882 --> 00:06:44,217
Well, Dr. House thinks
we should test for...

114
00:06:44,342 --> 00:06:47,053
House?
Yeah, I heard about him.

115
00:06:47,178 --> 00:06:48,138
Obsessive son of a bitch?

116
00:06:48,263 --> 00:06:49,639
(LAUGHS)
That's him.

117
00:06:51,933 --> 00:06:54,936
So who do you think is right,
Hamilton or House?

118
00:06:55,061 --> 00:06:57,439
Hey, they're both
excellent physicians.

119
00:06:57,564 --> 00:06:59,024
Come on.

120
00:06:59,149 --> 00:07:03,486
One of them says ALS.
The other one says not ALS.

121
00:07:03,611 --> 00:07:05,613
You got to pick one, son.

122
00:07:07,032 --> 00:07:09,075
Everything points to ALS.

123
00:07:10,035 --> 00:07:11,453
Then no MRI.

124
00:07:15,874 --> 00:07:18,043
And I want one of them
papers that say

125
00:07:18,168 --> 00:07:20,211
I don't want nothing done
if something go bad.

126
00:07:20,545 --> 00:07:22,213
HIDE]

127
00:07:22,672 --> 00:07:24,132
Mr. Giles, you don't
want to rush into...

128
00:07:24,257 --> 00:07:28,219
It's been two years. I ain't rushing.
I want to sign one.

129
00:07:30,221 --> 00:07:31,347
Now.

130
00:07:32,891 --> 00:07:35,143
While my arm still works.

131
00:07:35,977 --> 00:07:39,064
(JAZZ MUSIC PLAYING)

132
00:08:00,210 --> 00:08:01,795
He signed a DNR.

133
00:08:05,256 --> 00:08:07,133
He rhymes with dinner?

134
00:08:08,051 --> 00:08:12,472
- He signed a DNR.
- Oh. That makes more sense.

135
00:08:14,015 --> 00:08:16,017
You tell him
it might not be ALS?

136
00:08:16,142 --> 00:08:17,310
No.

137
00:08:18,019 --> 00:08:20,271
Well, no wonder he signed.
Who wouldn't?

138
00:08:20,396 --> 00:08:22,982
I started him
on IV steroids and Synthroid.

139
00:08:23,108 --> 00:08:27,862
Great. If it was my case,
I'd be adding a little Mg to the mix.

140
00:08:27,987 --> 00:08:29,447
For his pneumonia?

141
00:08:29,572 --> 00:08:31,366
That's my story,
and I'm sticking to it.

142
00:08:32,992 --> 00:08:35,912
He doesn't want anything done,
no treatment.

143
00:08:36,121 --> 00:08:39,707
DNR means "do not resuscitate",
not "do not treat".

144
00:08:40,959 --> 00:08:44,420
You do nothing,
doesn't matter which one of us is right.

145
00:08:46,798 --> 00:08:48,633
And hang on to that DNR.

146
00:08:48,758 --> 00:08:51,177
That signature could be worth
a lot of money real soon.

147
00:08:58,643 --> 00:09:01,980
This is Dr. Foreman.
What's Mr. Giles's status?

148
00:09:02,105 --> 00:09:05,024
Okay. Increase the steroids
to 100 milligrams every 12 hours

149
00:09:05,150 --> 00:09:08,611
and start him on Mg.

150
00:09:08,736 --> 00:09:11,197
Yeah, yeah, I'm sure.
One gram per kilo.

151
00:09:13,074 --> 00:09:15,451
My nature isn't
what it used to be.

152
00:09:15,577 --> 00:09:18,204
The little man has lost
some bounce in his step.

153
00:09:18,329 --> 00:09:21,708
He needs to crank it up,
have himself some fun this weekend.

154
00:09:21,833 --> 00:09:23,418
He wants the blue pills.

155
00:09:24,377 --> 00:09:26,796
You're talking about your penis
in the third person.

156
00:09:26,921 --> 00:09:30,008
- Me and him, two people.
- Separate vacations?

157
00:09:30,550 --> 00:09:33,928
That'd be a drag for one of you.
I don't think you need the pills.

158
00:09:34,053 --> 00:09:36,055
I think you have
a conflict in medications.

159
00:09:36,306 --> 00:09:39,475
You need to up your insulin
to chocolate-chip ice-cream levels.

160
00:09:40,059 --> 00:09:42,145
- Insulin?
- Yeah, you remember.

161
00:09:42,270 --> 00:09:43,938
That's the stuff
you take for the diabetes

162
00:09:44,063 --> 00:09:46,065
that you forgot to
tell the nurse about.

163
00:09:46,649 --> 00:09:47,567
Your hands.

164
00:09:49,027 --> 00:09:51,738
No hair,
which means nerve damage.

165
00:09:51,863 --> 00:09:54,157
And your shoes look
about two sizes too small,

166
00:09:54,282 --> 00:09:56,701
which means you've lost
sensation in your feet.

167
00:09:56,826 --> 00:09:58,620
And then there's your pants.

168
00:09:58,745 --> 00:10:00,371
My pants tell you
I have diabetes?

169
00:10:00,496 --> 00:10:01,789
No. They tell me
you're an idiot.

170
00:10:02,498 --> 00:10:05,460
Powdered sugar
on the right pant leg.

171
00:10:05,585 --> 00:10:07,420
Based on the two napkins
in your pocket,

172
00:10:07,629 --> 00:10:10,215
I'd be willing to bet
it's not your first donut of the day.

173
00:10:15,220 --> 00:10:16,429
(SIGHS)

174
00:10:18,848 --> 00:10:22,310
- You're giving me the pills?
- Sure. Why not?

175
00:10:22,477 --> 00:10:26,773
If you've got heart disease from
ignoring the diabetes, they'll kill you.

176
00:10:26,898 --> 00:10:29,317
Otherwise, you two
have a fun weekend.

177
00:10:32,195 --> 00:10:33,196
(DOOR CLOSES)

178
00:10:34,072 --> 00:10:35,657
(GASPING)

179
00:10:38,701 --> 00:10:40,620
- O2 sats are dropping.
- Breath sounds?

180
00:10:40,745 --> 00:10:41,704
Junky-

181
00:10:41,829 --> 00:10:44,958
- Mucus plug?
- Our mistake. Sludging from the Mg.

182
00:10:45,083 --> 00:10:46,084
Blood can't get
through to his lungs.

183
00:10:46,209 --> 00:10:47,669
Start heparin,
500 ccs IV push.

184
00:10:47,794 --> 00:10:49,254
He won't last long
enough for it to work.

185
00:10:49,379 --> 00:10:50,964
We've got to
intubate him stat.

186
00:10:51,673 --> 00:10:55,134
- We can't. He's DNR.
- What?

187
00:11:03,559 --> 00:11:06,479
- Someone likes music.
- Oh, yeah.

188
00:11:13,403 --> 00:11:15,029
His sats are in the 70s.
How long's he been like this?

189
00:11:15,154 --> 00:11:16,406
- Ten minutes.
- Well, why aren't you...

190
00:11:16,531 --> 00:11:18,324
The Mg put him
in respiratory failure.

191
00:11:18,449 --> 00:11:19,617
You put him on Mg?

192
00:11:19,742 --> 00:11:22,954
- We did this.
- So undo it. Chase?

193
00:11:23,079 --> 00:11:24,205
It's too late.
We killed him.

194
00:11:24,330 --> 00:11:26,291
Nobody killed him.
He's not dead.

195
00:11:26,416 --> 00:11:28,793
- Chase, intubate him.
- He's DNR.

196
00:11:40,096 --> 00:11:41,472
What are you doing?

197
00:11:47,020 --> 00:11:48,646
You can't do this!

198
00:11:50,481 --> 00:11:52,942
- Bag.
- You can't do this.

199
00:11:53,067 --> 00:11:54,402


200
00:12:02,493 --> 00:12:06,164
He had a bad reaction
to some medicine we gave him.

201
00:12:06,372 --> 00:12:10,668
- What did you just do?
- He saved his life.

202
00:12:26,059 --> 00:12:28,770
CHASE: He's stable on the ventilator,
oxygenating well.

203
00:12:28,895 --> 00:12:30,646
The Mg made him worse,

204
00:12:30,772 --> 00:12:34,192
which means multifocal motor
neuropathy was a bad diagnosis.

205
00:12:34,317 --> 00:12:35,777
Okay, what's
really wrong with him?

206
00:12:35,902 --> 00:12:37,070
What's wrong with you?

207
00:12:37,195 --> 00:12:38,279
Everyone knows
what's wrong with me.

208
00:12:38,404 --> 00:12:40,073
What's wrong with him
is much more interesting.

209
00:12:40,198 --> 00:12:42,325
You tubed him,
and he didn't want to be tubed.

210
00:12:42,450 --> 00:12:44,452
He has a legal paper
saying just that.

211
00:12:44,577 --> 00:12:47,747
To intubate or not to intubate,
that is the big ethical question.

212
00:12:47,872 --> 00:12:49,248
Actually, I was hoping
we could avoid it,

213
00:12:49,374 --> 00:12:50,458
maybe just
practice some medicine.

214
00:12:50,583 --> 00:12:53,378
There is no question.
It's the patient's decision.

215
00:12:53,503 --> 00:12:55,421
If the patient is
competent to make it.

216
00:12:55,546 --> 00:12:57,924
If his thyroid numbers
aren't making him sad.

217
00:12:58,049 --> 00:12:59,175
Oh, my God.
You don't believe that.

218
00:12:59,300 --> 00:13:00,676
His thyroid levels
were a little...

219
00:13:00,802 --> 00:13:03,262
It's nothing.
Do not defend him!

220
00:13:03,388 --> 00:13:05,223
Why did he sign that DNR?

221
00:13:05,348 --> 00:13:06,182
I didn't talk him into...

222
00:13:06,307 --> 00:13:08,184
No. He signed
the DNR 'cause he didn't

223
00:13:08,309 --> 00:13:10,186
want a slow,
painful death from ALS.

224
00:13:10,311 --> 00:13:12,105
What was happening to him
had nothing to do with his ALS.

225
00:13:12,230 --> 00:13:15,733
Right, exactly! It's the Mg.
You screwed up!

226
00:13:15,858 --> 00:13:18,152
You're not going to let him die
because you screwed up.

227
00:13:19,320 --> 00:13:22,698
Technically, your case,
you screwed up.

228
00:13:22,824 --> 00:13:25,701
Is that what this is about,
looking bad in front of your old boss?

229
00:13:25,827 --> 00:13:27,245
You assaulted that man.

230
00:13:27,370 --> 00:13:29,288
- Fine, I'll never do it again.
- Yes, you will.

231
00:13:29,414 --> 00:13:31,707
All the more reason
this debate is pointless.

232
00:13:32,417 --> 00:13:33,376
(SCOFFS)

233
00:13:37,213 --> 00:13:40,299
His lungs are worse.
Any theories?

234
00:13:41,384 --> 00:13:44,595
Oh, I'm sure he just went to the
little boys' room. Come on, people.

235
00:13:45,638 --> 00:13:46,597
Vasculitis?

236
00:13:46,722 --> 00:13:48,224
Wouldn't likely
hit both lungs.

237
00:13:48,349 --> 00:13:50,893
It could be
Wegener's granulomatosis.

238
00:13:51,018 --> 00:13:52,186
Dr. House?

239
00:13:54,814 --> 00:13:57,233
Cuddy sent me
a stripper again?

240
00:13:57,358 --> 00:13:59,152
Love that woman,
so thoughtful.

241
00:14:00,278 --> 00:14:02,155
Sorry.

242
00:14:02,447 --> 00:14:03,990
There are case
reports of Wegener's

243
00:14:04,115 --> 00:14:05,283
hitting both
the lungs and the spine.

244
00:14:05,408 --> 00:14:08,703
Well, it's not great, but it's better
than ALS. At least it's treatable.

245
00:14:08,828 --> 00:14:09,996
It's a restraining order.

246
00:14:10,121 --> 00:14:12,248
You're not to come within 50 feet
of John Henry Giles,

247
00:14:12,373 --> 00:14:16,210
and they've asked the D.A.
to file criminal charges for battery.

248
00:14:18,004 --> 00:14:22,258
- Cameron, test the blood for c-ANCA.
- These are criminal charges.

249
00:14:22,383 --> 00:14:24,427
They're not going to let you
take blood to make more tests.

250
00:14:24,552 --> 00:14:26,053
He has blood left
in the lab.

251
00:14:26,179 --> 00:14:27,388
Just add on the c-ANCA.

252
00:14:27,513 --> 00:14:30,308
Foreman got you doing bronchoscopic
suctioning for the pneumonia?

253
00:14:30,433 --> 00:14:31,267
Every four hours.

254
00:14:31,392 --> 00:14:33,728
Well, while you're down in his lungs,
grab a biopsy.

255
00:14:33,853 --> 00:14:36,063
We'll need it to
confirm Wegener's.

256
00:14:36,189 --> 00:14:37,940
And move the patient
to the second-floor ICU.

257
00:14:38,065 --> 00:14:40,193
- Why?
- It's right above the clinic.

258
00:14:40,318 --> 00:14:42,361
I'm pretty sure it's
50 feet in any direction.

259
00:14:43,488 --> 00:14:46,365
It's nice having a court order saying
you don't have to work clinic duty.

260
00:14:56,209 --> 00:14:59,378
(PEOPLE CHATTERING)

261
00:15:03,466 --> 00:15:05,092
Dr. Cuddy!

262
00:15:05,551 --> 00:15:06,844
Excuse me.

263
00:15:08,179 --> 00:15:10,431
- You paged me.
- Why the yelling?

264
00:15:10,723 --> 00:15:14,352
His bed is behind that wall,
the plaintiff's.

265
00:15:14,477 --> 00:15:17,104
I can't, you know,
come any closer.

266
00:15:18,314 --> 00:15:20,233
It's right over the clinic.
Very cute.

267
00:15:20,358 --> 00:15:23,444
Can we get the lecture over with
'cause I've got to...

268
00:15:24,403 --> 00:15:26,948
Actually, I've got nothing to do.
Take your time.

269
00:15:27,448 --> 00:15:28,616
You need a lawyer?

270
00:15:29,659 --> 00:15:32,078
You don't have
a problem with what I did?

271
00:15:32,203 --> 00:15:34,622
When I hired you,
I knew you were insane.

272
00:15:34,747 --> 00:15:38,125
I will continue to try and stop you
from doing insane things,

273
00:15:38,251 --> 00:15:42,255
but once they're done,
trying to convince an insane person

274
00:15:42,380 --> 00:15:45,258
not to do insane things is,
in itself, insane,

275
00:15:45,383 --> 00:15:49,637
so when I hired you, I also set aside
$50,000 a year for legal expenses.

276
00:15:50,846 --> 00:15:53,391
So far, you've come in
under-budget.

277
00:15:53,516 --> 00:15:57,228
Great. Any chance you could
help me run some tests?

278
00:15:58,271 --> 00:16:02,775
Dr. Foreman called Dr. Hamilton.
He's flying in from LA.

279
00:16:02,900 --> 00:16:04,610
You can talk to him.

280
00:16:04,735 --> 00:16:10,366
Dr. Hamilton is flying in as a friend
of John Henry's to pull the plug.

281
00:16:14,996 --> 00:16:17,665
Yeah. I need a lawyer.

282
00:16:23,004 --> 00:16:25,214
LAWYER: Your Honor,
on behalf of Gregory House,

283
00:16:25,339 --> 00:16:27,717
we have convened
an emergency session of this court

284
00:16:27,842 --> 00:16:32,138
to bring a motion requesting that
John Henry Giles remain on life support.

285
00:16:32,263 --> 00:16:38,686
Mr. House faces criminal charges
for battery against John Henry Giles.

286
00:16:39,895 --> 00:16:41,772
You beat up a guy
in a wheelchair?

287
00:16:41,897 --> 00:16:45,192
Dr. House is alleged
to have forced a tube

288
00:16:45,318 --> 00:16:48,154
down Mr. Giles's throat
against his will.

289
00:16:48,404 --> 00:16:50,990
A medical tube,
saving his life.

290
00:16:51,115 --> 00:16:54,327
Dr. House, please let
your attorney speak for you.

291
00:16:54,452 --> 00:16:55,286
(CLEARS THROAT)

292
00:16:56,746 --> 00:16:58,998
I'm sorry, Your Honor,
I was way out of line.

293
00:17:01,334 --> 00:17:05,296
So, your client forced
the patient into this position,

294
00:17:05,671 --> 00:17:10,635
and now he wants a court order
to force the patient to stay that way.

295
00:17:10,760 --> 00:17:14,430
Without the tube, there's a high
likelihood that Mr. Giles will die.

296
00:17:14,555 --> 00:17:17,850
Well, I assume the patient knows that.
He had a DNR.

297
00:17:17,975 --> 00:17:21,020
That's why your client is facing
criminal charges, right?

298
00:17:21,145 --> 00:17:23,814
Exactly.
And Mr. Giles's death

299
00:17:23,939 --> 00:17:26,776
will violate my client's
Sixth Amendment right.

300
00:17:27,068 --> 00:17:31,697
His right to face his accuser.
That's clever, huh?

301
00:17:31,822 --> 00:17:35,326
Your <i>Honor, in Commonwealth</i>
of <i>Pennsylvania v. Hoselton,</i>

302
00:17:35,451 --> 00:17:37,620
the Third District
ruled that a defendant

303
00:17:37,745 --> 00:17:39,830
may not use that status
to rule against a felony charge.

304
00:17:39,955 --> 00:17:40,915
(CLEARS THROAT)

305
00:17:41,040 --> 00:17:43,167
Why are you doing this?
It's not gonna keep you out of jail.

306
00:17:43,292 --> 00:17:44,251
No.

307
00:17:44,377 --> 00:17:46,253
Even if you win,
the restraining order

308
00:17:46,379 --> 00:17:49,423
and battery charge stay in place,
so what have you gained?

309
00:17:49,548 --> 00:17:50,466
Time.

310
00:17:50,591 --> 00:17:51,550
(STUTTERING)

311
00:17:51,676 --> 00:17:53,344
To diagnose him?
You can't get near him.

312
00:17:53,469 --> 00:17:54,595
I don't want to
be near him.

313
00:17:55,554 --> 00:17:58,140
Well, some doctors have
the messiah complex.

314
00:17:58,265 --> 00:17:59,725
They need to
save the world.

315
00:17:59,850 --> 00:18:01,936
You've got
the Rubik's complex.

316
00:18:02,061 --> 00:18:03,229
You need to
solve the puzzle.

317
00:18:03,354 --> 00:18:07,233
Are you done, or do you have more
references to 1980s fads?

318
00:18:07,358 --> 00:18:08,359
I'm trying to
listen to this.

319
00:18:09,777 --> 00:18:11,821
LAWYER: That DNR
may not be valid.

320
00:18:11,946 --> 00:18:13,823
The patient was
suffering from depression,

321
00:18:13,948 --> 00:18:15,741
brought on by
a thyroid imbalance.

322
00:18:15,866 --> 00:18:22,415
The DNR order was witnessed
by Dr. House's own staff, Dr. Foreman.

323
00:18:22,540 --> 00:18:24,333
My staff are idiots.

324
00:18:24,458 --> 00:18:26,043
I'm sure you know
what it's like, Your Honor.

325
00:18:26,168 --> 00:18:27,628
Sit down.

326
00:18:31,465 --> 00:18:35,010
LAWYER: The validity
of the DNR is a question of fact.

327
00:18:35,136 --> 00:18:36,929
Dr. House should
have the opportunity

328
00:18:37,054 --> 00:18:39,014
to make his argument
at a full trial.

329
00:18:39,140 --> 00:18:41,016
And this poor guy
has got to stay

330
00:18:41,142 --> 00:18:43,853
on life support
until we can schedule a trial.

331
00:18:43,978 --> 00:18:44,979
Your Honor.

332
00:18:45,104 --> 00:18:46,063
Dr. House,

333
00:18:46,188 --> 00:18:50,317
I will hold you in contempt
if you don't sit down.

334
00:18:50,443 --> 00:18:51,610
I have a medical issue.

335
00:18:51,736 --> 00:18:53,028
If it pertains to this case,
your attorney...

336
00:18:53,154 --> 00:18:54,613
It doesn't.

337
00:18:56,157 --> 00:18:58,951
Do you have any history
of heart disease in your family?

338
00:18:59,076 --> 00:19:00,077
Your Honor!

339
00:19:00,202 --> 00:19:01,162
Your fingers.

340
00:19:01,287 --> 00:19:05,040
They show signs of clubbing,
which indicates a heart problem.

341
00:19:05,166 --> 00:19:07,001
Remember Bart Giamatti?

342
00:19:07,126 --> 00:19:09,003
Same thing,
just dropped dead one day.

343
00:19:09,128 --> 00:19:10,796
Please see your doctor.

344
00:19:10,921 --> 00:19:12,965
He's admitted
this isn't relevant.

345
00:19:13,090 --> 00:19:15,676
Can we get back
to the motion?

346
00:19:15,801 --> 00:19:17,636
Of course. I'm sorry.

347
00:19:17,762 --> 00:19:19,555
LAWYER 2: Your Honor,

348
00:19:19,680 --> 00:19:23,309
a person's right to control the
treatment of their own body

349
00:19:23,434 --> 00:19:26,187
is fundamental to
understanding this case.

350
00:19:26,312 --> 00:19:30,149
A long line of cases,
both federal and state, stand to...

351
00:19:30,816 --> 00:19:33,986
Congratulations.
Impressive legal argument.

352
00:19:34,111 --> 00:19:35,362
I watched Matlock
last night.

353
00:19:35,488 --> 00:19:36,697
Say no more.

354
00:19:36,822 --> 00:19:38,657
I didn't notice any clubbing
on the judge's fingers.

355
00:19:38,783 --> 00:19:40,201
Neither did I.

356
00:19:40,326 --> 00:19:42,203
So the family
history thing...

357
00:19:42,328 --> 00:19:44,914
Every family has some history
of heart disease.

358
00:19:45,039 --> 00:19:46,707
And mental illness.

359
00:19:50,169 --> 00:19:52,379
Biopsy only shows inflammation.

360
00:19:53,172 --> 00:19:54,757
Start him on Cytoxan.

361
00:19:54,882 --> 00:19:57,092
You're diagnosing Wegener's
based on a little inflammation?

362
00:19:57,468 --> 00:20:00,221
Well, unfortunately, I think we've
exhausted all the tests we can do

363
00:20:00,346 --> 00:20:03,224
in our capacity as the doctors
that he doesn't want doing tests on him.

364
00:20:03,349 --> 00:20:04,183
But you don't...

365
00:20:04,308 --> 00:20:05,226
We'll know I'm right
if he starts walking.

366
00:20:05,351 --> 00:20:07,728
We can't do any more tests,
but you want me to treat him?

367
00:20:07,853 --> 00:20:09,271
Medicine's in the pharmacy.

368
00:20:09,396 --> 00:20:11,148
Patient's immobilized
in the ICU.

369
00:20:11,273 --> 00:20:13,901
Sounds like
a simple geography problem.

370
00:20:14,985 --> 00:20:16,153
Are you asking us
to jeopardize

371
00:20:16,278 --> 00:20:18,197
our medical licenses
for this treatment?

372
00:20:44,306 --> 00:20:46,016
Can I help you?

373
00:20:47,226 --> 00:20:48,644
I'm Dr. House.

374
00:20:48,769 --> 00:20:51,230
Greg, right? I'm Marty Hamilton,
John Henry's doctor.

375
00:20:54,275 --> 00:20:55,901
We should talk.

376
00:20:59,572 --> 00:21:01,991
Appreciate any list of medications,
anything like that.

377
00:21:02,116 --> 00:21:04,118
I've started him on Cytoxan.

378
00:21:05,202 --> 00:21:07,121
For Wegener's, right?

379
00:21:07,246 --> 00:21:08,455
Look, Greg.

380
00:21:09,290 --> 00:21:11,417
I checked you out, you know?

381
00:21:11,542 --> 00:21:13,127
I know you're a good doctor,

382
00:21:13,252 --> 00:21:15,379
and you have to appreciate
that I'm a good doctor, too.

383
00:21:15,504 --> 00:21:16,630
Why?

384
00:21:16,755 --> 00:21:18,924
Wegener's is one of the first
things I looked for.

385
00:21:19,049 --> 00:21:21,385
The biopsy and the blood test
were negative, just like yours.

386
00:21:21,510 --> 00:21:23,929
There's an error rate, Marty.

387
00:21:24,054 --> 00:21:26,307
And there's
a time to let go.

388
00:21:26,765 --> 00:21:28,309
Look, I'm gonna take him
off the ventilator,

389
00:21:28,434 --> 00:21:30,144
and John Henry's
going to die.

390
00:21:30,269 --> 00:21:31,520
He's accepted that.

391
00:21:31,645 --> 00:21:32,771
FOREMAN: Dr. Hamilton.

392
00:21:33,731 --> 00:21:34,982
- Hey-
- Hey-

393
00:21:35,107 --> 00:21:37,151
<i>'</i> He)!' hOW you doing?
- How you doing?

394
00:21:37,276 --> 00:21:38,777
Listen, Dr. Hamilton,
I'm sorry.

395
00:21:38,903 --> 00:21:40,112
I should have never
put your patient on Mg.

396
00:21:40,237 --> 00:21:41,488
HAMILTON:
It's not your fault, Eric.

397
00:21:41,614 --> 00:21:44,283
No, it's mine, Eric.

398
00:21:44,408 --> 00:21:45,910
That's not what I said.

399
00:21:46,035 --> 00:21:47,369
Everybody asks
about you out in LA.

400
00:21:47,494 --> 00:21:48,996
FOREMAN: How's
the old place doing?

401
00:21:49,121 --> 00:21:52,833
Oh, this is wonderful, but before
you guys break out the oil,

402
00:21:52,958 --> 00:21:54,251
I should point
out that you can't

403
00:21:54,376 --> 00:21:56,211
pull the plug.
I have a court order.

404
00:21:57,463 --> 00:21:58,797
You used to, but...

405
00:21:58,923 --> 00:22:01,508
I have the right to face my accuser.
Judge said so.

406
00:22:01,634 --> 00:22:03,344
Not if no one's
accusing you.

407
00:22:03,469 --> 00:22:05,346
All the charges
have been dropped.

408
00:22:12,645 --> 00:22:14,563
He doesn't have to die.

409
00:22:17,858 --> 00:22:19,276
It's not Wegener's.

410
00:22:34,333 --> 00:22:38,003
If it's Wegener's,
his lungs won't be able to handle it.

411
00:22:38,128 --> 00:22:40,631
Soon as they pull
that plug, he'll die.

412
00:22:40,756 --> 00:22:43,634
That's why they call it
"pulling the plug".

413
00:23:04,363 --> 00:23:06,323
I'm gonna miss you.

414
00:23:29,722 --> 00:23:31,765
(GASPING)

415
00:23:34,309 --> 00:23:35,352
(EXHALES)

416
00:23:43,944 --> 00:23:46,989
- He's still breathing.
- His O2 sats are holding.

417
00:23:52,327 --> 00:23:55,289
- He's holding his own.
- He's still breathing.

418
00:23:56,582 --> 00:23:58,000
It's not Wegener's.

419
00:24:06,008 --> 00:24:07,301
Wrong again.

420
00:24:12,765 --> 00:24:15,559
WILSON: He's stable,
but one of his arms is now paralyzed.

421
00:24:15,684 --> 00:24:18,771
The real question is,
why is he still alive?

422
00:24:18,896 --> 00:24:21,065
Do you think he's
just being stubborn?

423
00:24:21,190 --> 00:24:23,901
He's alive because you were wrong.
It's not Wegener's.

424
00:24:24,026 --> 00:24:26,028
Yeah. Seem to be
doing that a lot lately.

425
00:24:26,153 --> 00:24:28,113
People keep living
because of my mistakes.

426
00:24:28,238 --> 00:24:29,698
Progression of
the paralysis pretty much

427
00:24:29,823 --> 00:24:31,450
confirmed Hamilton was right.
It's ALS.

428
00:24:31,575 --> 00:24:33,786
Assuming this is a progression
of his paralysis.

429
00:24:33,911 --> 00:24:35,162
He can't move his arm.

430
00:24:35,287 --> 00:24:38,248
Yes, his arm is paralyzed.
Yes, his legs are paralyzed.

431
00:24:38,373 --> 00:24:41,960
Why is everyone so gung ho
to connect those two conditions?

432
00:24:42,086 --> 00:24:44,755
You can think I'm wrong,
but that's no reason to stop thinking.

433
00:24:44,880 --> 00:24:47,007
How about this one?
He's not our patient.

434
00:24:47,132 --> 00:24:48,675
Nope. Not good enough.

435
00:24:48,801 --> 00:24:51,095
He could've suffered a stroke
when he was intubated.

436
00:24:51,678 --> 00:24:53,722
Well, blood clots are common
in paralyzed patients.

437
00:24:53,847 --> 00:24:55,057
The inactivity causes...

438
00:24:55,182 --> 00:24:56,308
Not interested in why.

439
00:24:56,433 --> 00:24:59,103
Let's get an MR angiogram,
check for an embolic stroke.

440
00:24:59,228 --> 00:25:00,187
He doesn't want
you treating him.

441
00:25:00,312 --> 00:25:01,438
They dropped the court order.

442
00:25:01,563 --> 00:25:03,690
Yeah, and that girl dropped
the charges against Kobe,

443
00:25:03,816 --> 00:25:06,151
doesn't mean he should call her
and see if she's free to get a sundae.

444
00:25:06,276 --> 00:25:09,363
Good point. But I can go
within 50 feet of him now.

445
00:25:16,203 --> 00:25:18,080
If you need,
have them page me, anytime.

446
00:25:18,205 --> 00:25:19,248
Okay-

447
00:25:19,373 --> 00:25:21,500
(COUGHING)

448
00:25:32,302 --> 00:25:33,971
(DOOR OPENS)

449
00:25:36,348 --> 00:25:38,100
Get out of here.

450
00:25:38,225 --> 00:25:42,896
Sure. That makes sense.
You hate me for saving your life.

451
00:25:43,230 --> 00:25:44,606
Well, in fairness
to your side,

452
00:25:44,731 --> 00:25:46,024
you were also dying
because of me, so...

453
00:25:46,150 --> 00:25:47,734
You knew I didn't
want to be saved.

454
00:25:47,860 --> 00:25:49,153
That's what's interesting.

455
00:25:49,278 --> 00:25:52,781
Your thyroid was low,
but not enough to cause depression.

456
00:25:53,198 --> 00:25:55,284
So you came here to tell me
that even if I can't walk,

457
00:25:55,409 --> 00:25:57,995
I can still hear
the birds sing,

458
00:25:58,120 --> 00:26:00,914
enjoy a rainbow,
the feeling of sunshine on my face.

459
00:26:02,374 --> 00:26:04,168
Those things are fun.

460
00:26:05,419 --> 00:26:07,254
Okay. Life sucks.

461
00:26:08,172 --> 00:26:10,465
Your life sucks
more than most.

462
00:26:10,591 --> 00:26:14,219
It's not as bad as some,
which is depressing all by itself,

463
00:26:15,429 --> 00:26:17,055
but do me a favor.

464
00:26:18,182 --> 00:26:21,143
Just let me find out
what's wrong with you.

465
00:26:21,518 --> 00:26:24,229
Then if you still
want to kill yourself,

466
00:26:26,982 --> 00:26:30,110
I'll give you a hand.
That sound fair?

467
00:26:30,235 --> 00:26:31,195
Yeah. Sure.

468
00:26:32,237 --> 00:26:35,199
I'll stick around
to indulge your obsession.

469
00:26:35,949 --> 00:26:38,327
It's over. I lost my air.

470
00:26:39,494 --> 00:26:41,205
The session the other night
with those kids,

471
00:26:41,330 --> 00:26:43,665
that was a test to see
if I could still play.

472
00:26:44,208 --> 00:26:45,334
I can't.

473
00:26:45,751 --> 00:26:48,295
And that's all
you are, a musician?

474
00:26:49,213 --> 00:26:55,010
- I got one thing, same as you.
- Really?

475
00:26:55,135 --> 00:26:58,013
Well, apparently,
you know me better than I know you.

476
00:26:58,138 --> 00:27:02,184
I know that limp.
I know the empty ring finger.

477
00:27:02,726 --> 00:27:06,313
And that obsessive nature of yours,
that's a big secret.

478
00:27:07,105 --> 00:27:09,274
You don't risk jail
and your career

479
00:27:09,399 --> 00:27:11,235
to save somebody
who doesn't want to be saved

480
00:27:11,360 --> 00:27:15,030
unless you got something,
anything, one thing.

481
00:27:15,948 --> 00:27:20,911
The reason normal people got wives
and kids and hobbies, whatever,

482
00:27:21,620 --> 00:27:24,164
that's because they ain't got
that one thing that,

483
00:27:24,289 --> 00:27:27,251
that hits them
that hard and that true.

484
00:27:27,376 --> 00:27:30,003
I got music. You got this.

485
00:27:30,128 --> 00:27:31,838
The thing you think about
all the time,

486
00:27:31,964 --> 00:27:34,007
thing that keeps
you south of normal.

487
00:27:34,258 --> 00:27:38,053
Yeah. Makes us great.
Makes us the best.

488
00:27:38,178 --> 00:27:40,722
All we miss out on
is everything else.

489
00:27:41,807 --> 00:27:45,560
Little woman waiting at home after work
with the drink and the kiss.

490
00:27:45,686 --> 00:27:50,565
- That ain't gonna happen for us.
- That's why God made microwaves.

491
00:27:51,358 --> 00:27:53,068
Yeah.

492
00:27:53,193 --> 00:27:58,073
But when it's over,
it's over.

493
00:28:03,078 --> 00:28:03,996
Yeah.

494
00:28:21,805 --> 00:28:23,015
What are you doing?

495
00:28:23,140 --> 00:28:24,933
(MACHINE BEEPING)

496
00:28:25,058 --> 00:28:26,310
It's not over for me.

497
00:28:26,435 --> 00:28:30,314
Either you're gonna call the cops again,
or we're doing this.

498
00:28:30,439 --> 00:28:33,942
You want to die, you can do it
just as easily inside an MRI machine.

499
00:28:38,822 --> 00:28:39,948
HAMILTON:
That's another nice place.

500
00:28:40,073 --> 00:28:41,116
FOREMAN: Exactly.

501
00:28:42,451 --> 00:28:46,038
So when I go back to LA, I'm doing
the Dana lectures again this year.

502
00:28:46,163 --> 00:28:48,290
- Wow.
- Thank you.

503
00:28:48,415 --> 00:28:49,499
Thanks.
That's quite an honor.

504
00:28:49,624 --> 00:28:52,627
- It's all political.
- Don't be modest. You've earned it.

505
00:28:53,128 --> 00:28:55,213
I got lucky on
a couple studies I was doing.

506
00:28:55,339 --> 00:28:56,965
It all sells tickets.

507
00:28:57,090 --> 00:28:58,467
You remember last year's lectures,
don't you?

508
00:28:58,592 --> 00:29:00,469
I remember
the cigar bar afterwards.

509
00:29:00,594 --> 00:29:02,846
The only reason to attend the thing,
cigars and pool.

510
00:29:03,305 --> 00:29:04,431
(LAUGHING)

511
00:29:06,558 --> 00:29:08,352
You enjoy working with Dr. House?

512
00:29:10,645 --> 00:29:12,064
Not the word I'd use.

513
00:29:12,939 --> 00:29:16,193
We work too hard
not to enjoy ourselves, right?

514
00:29:17,736 --> 00:29:20,072
- You seeing anybody?
- Kind of, sort of.

515
00:29:20,197 --> 00:29:23,617
- Serious?
- I don't know. It could be.

516
00:29:23,742 --> 00:29:25,869
You think she'd enjoy LA?

517
00:29:43,929 --> 00:29:46,139
Hamilton offered me a job.

518
00:29:46,264 --> 00:29:48,392
- You gonna take it?
- I haven't decided.

519
00:29:48,517 --> 00:29:50,060
You already have
the most prestigious fellowship.

520
00:29:50,185 --> 00:29:51,812
It's a partnership.

521
00:29:51,937 --> 00:29:55,941
Three times the money, car allowance,
moving expense, pension plan,

522
00:29:56,066 --> 00:29:58,735
the chance to work for a guy who gives
a crap what other people think.

523
00:29:58,860 --> 00:30:01,029
So why didn't you
just tell him yes?

524
00:30:01,154 --> 00:30:04,032
- I made a commitment here.
- Right.

525
00:30:04,157 --> 00:30:06,159
House would let you out of it
in a heartbeat.

526
00:30:06,284 --> 00:30:07,994
Or he wouldn't,
just to jerk me around.

527
00:30:08,954 --> 00:30:10,622
Would you guys have
taken the job?

528
00:30:10,747 --> 00:30:11,706
Don't need the money.

529
00:30:11,832 --> 00:30:14,292
I'm not like you.
I don't hate House.

530
00:30:14,418 --> 00:30:17,254
You guys really don't have a problem
with him, with what he did?

531
00:30:17,379 --> 00:30:19,172
He knows we disagree
with his choice.

532
00:30:19,297 --> 00:30:21,550
Choice? Chase, it's not
apples and oranges.

533
00:30:21,675 --> 00:30:22,843
It's right and wrong.

534
00:30:22,968 --> 00:30:24,428
And he does it
like he doesn't care.

535
00:30:24,553 --> 00:30:26,179
He assaults
the guy and moves on

536
00:30:26,304 --> 00:30:27,431
to the next differential diagnosis
like it's...

537
00:30:27,556 --> 00:30:28,890
What do you
want from him?

538
00:30:29,015 --> 00:30:30,392
More hand-wringing,
more torment?

539
00:30:30,517 --> 00:30:32,060
You want him to cry himself
to sleep at night?

540
00:30:32,185 --> 00:30:35,480
Yeah! Yeah, I want some clue
that he knows it's a big deal.

541
00:30:35,605 --> 00:30:37,732
That it scares him,
that it matters.

542
00:30:37,858 --> 00:30:38,817
Whoa!

543
00:30:39,192 --> 00:30:40,318
What was that?

544
00:30:42,154 --> 00:30:43,572
It was a stroke.

545
00:30:44,948 --> 00:30:47,325
- Well done, Cameron.
- House called it.

546
00:30:47,451 --> 00:30:49,286
The arm and legs
are unrelated.

547
00:30:49,953 --> 00:30:52,164
You make enough calls,
one of them is bound to be right.

548
00:30:52,289 --> 00:30:55,333
Yeah. He's just
a lucky, lucky guy.

549
00:30:55,459 --> 00:31:00,297
Listen, listen. I just think it wouldn't
hurt him to learn a little humility.

550
00:31:00,881 --> 00:31:02,716
So what's the verdict?

551
00:31:03,550 --> 00:31:06,678
Embolus. The arm problem was
caused by a clot.

552
00:31:06,803 --> 00:31:09,347
There's a good chance
we can still bust the clot with tPA.

553
00:31:10,056 --> 00:31:12,726
Do it.
See what happens to his arm.

554
00:31:22,569 --> 00:31:25,155
We found a blood clot
in your brain.

555
00:31:25,280 --> 00:31:28,366
We'd like to start you on heparin.
It's a blood thinner.

556
00:31:28,492 --> 00:31:29,743
What are the side effects?

557
00:31:30,494 --> 00:31:33,246
Well, your lungs are kind of chewed up
from the pneumonia.

558
00:31:33,371 --> 00:31:34,873
Good chance
there'll be an effusion.

559
00:31:35,165 --> 00:31:37,751
- Bleeding?
- Into his lungs.

560
00:31:37,876 --> 00:31:40,378
It's our best chance
to give you back the use of your arm.

561
00:31:40,504 --> 00:31:42,172
I don't need my arm
without my air.

562
00:31:42,339 --> 00:31:44,132
The damage would
likely be minimal.

563
00:31:44,257 --> 00:31:45,634
No.

564
00:31:47,969 --> 00:31:49,387
It's his call.

565
00:31:51,598 --> 00:31:53,892
Or we could do
an embolectomy.

566
00:31:54,017 --> 00:31:56,102
Basically, we go in
and pull the clot out.

567
00:31:56,728 --> 00:32:00,273
He's saying no to drugs,
and you're recommending brain surgery?

568
00:32:00,398 --> 00:32:02,359
Bypasses the risk
to the lungs.

569
00:32:02,484 --> 00:32:03,568
It'll either help
your arm, or...

570
00:32:03,693 --> 00:32:05,153
It'll kill me.

571
00:32:05,278 --> 00:32:07,948
From your point of view,
it's a win-win.

572
00:32:09,658 --> 00:32:10,825
Okay-

573
00:32:11,451 --> 00:32:13,370
We'll set up
the procedure for today.

574
00:32:25,173 --> 00:32:27,634
We're in your carotid artery.

575
00:32:27,759 --> 00:32:31,513
This is gonna take us
all the way up into your brain.

576
00:32:31,638 --> 00:32:33,265
You all right?

577
00:32:33,932 --> 00:32:35,058
Yes.

578
00:32:42,232 --> 00:32:44,359
CAMERON: The sludge is
blocking the blood flow to

579
00:32:44,484 --> 00:32:46,861
the part of the brain
that controls your arm.

580
00:32:55,954 --> 00:32:58,707
All done. You still okay?

581
00:33:00,834 --> 00:33:02,002
I think so.

582
00:33:03,128 --> 00:33:04,838
I don't know.
I guess...

583
00:33:04,963 --> 00:33:06,548
It's just with
Dr. Hamilton here,

584
00:33:06,673 --> 00:33:08,758
I noticed a difference in styles.

585
00:33:09,593 --> 00:33:11,803
His style involves humility?

586
00:33:13,263 --> 00:33:15,348
Another difference
in our styles,

587
00:33:15,473 --> 00:33:18,560
I don't care much for apologies.
You can go.

588
00:33:18,685 --> 00:33:20,979
I didn't know you were standing there
when I said that, okay?

589
00:33:21,104 --> 00:33:22,397
It was completely rude.

590
00:33:22,522 --> 00:33:24,149
Do you mean genuine humility,

591
00:33:24,274 --> 00:33:26,860
you know, all the self-doubt
and the self-questioning,

592
00:33:26,985 --> 00:33:30,739
or Hamilton's polite, patronizing,
aw-shucks humility?

593
00:33:30,864 --> 00:33:31,906
You're both
excellent doctors.

594
00:33:32,032 --> 00:33:32,991
Thank you.

595
00:33:33,116 --> 00:33:34,951
And humility is
an important quality,

596
00:33:35,869 --> 00:33:37,245
especially if
you're wrong a lot.

597
00:33:37,370 --> 00:33:40,040
You've been wrong
every step of the way.

598
00:33:44,544 --> 00:33:49,549
'Course, when you're right, self-doubt
doesn't help anybody, does it?

599
00:33:50,592 --> 00:33:54,262
(PAGER BEEPING)

600
00:33:55,972 --> 00:33:57,599
We got to go.

601
00:34:05,190 --> 00:34:06,483
Congratulations, Greg.

602
00:34:08,068 --> 00:34:10,779
Congratulations.
Why, Marty?

603
00:34:10,904 --> 00:34:13,156
John woke up.
He can use his arm.

604
00:34:14,074 --> 00:34:15,325
Thank you.

605
00:34:15,450 --> 00:34:17,243
Now, look, I know we've had
our differences,

606
00:34:17,369 --> 00:34:19,120
but I think when
a person does something well,

607
00:34:19,245 --> 00:34:21,289
it ought to
be recognized.

608
00:34:21,414 --> 00:34:23,124
The phone works.

609
00:34:23,249 --> 00:34:24,250
Next time
you want to make me feel

610
00:34:24,376 --> 00:34:26,044
all warm and fuzzy,
leave a message.

611
00:34:26,878 --> 00:34:29,214
Don't get me wrong.
I'm overcome with joy.

612
00:34:29,589 --> 00:34:31,091
- Doc.
- Yeah.

613
00:34:31,216 --> 00:34:34,177
- What?
- You just touched my leg.

614
00:34:35,011 --> 00:34:37,722
What, are you gonna charge me
with assault again?

615
00:34:37,847 --> 00:34:38,890
No.

616
00:34:40,100 --> 00:34:41,559
I felt it.

617
00:34:51,653 --> 00:34:54,072
HOUSE: He now has feeling
all the way up to the calf.

618
00:34:54,197 --> 00:34:57,033
This is the way
medicine evolved.

619
00:34:57,158 --> 00:34:58,827
Patients sometimes
get better.

620
00:34:58,952 --> 00:35:02,330
You have no idea why, but unless
you give a reason, they won't pay you.

621
00:35:02,455 --> 00:35:04,374
Anybody notice
if there's a full moon?

622
00:35:04,499 --> 00:35:06,501
You're saying he just
spontaneously got better?

623
00:35:06,626 --> 00:35:09,087
No, I'm saying let's rule out
the lunar god and go from there.

624
00:35:09,212 --> 00:35:11,214
Something he's on
is working.

625
00:35:11,339 --> 00:35:14,384
The enzyme replacement protocol
is working, reversing the ALS.

626
00:35:14,509 --> 00:35:16,845
The timing doesn't
seem suspicious to you?

627
00:35:16,970 --> 00:35:18,805
Do you think Dr. House
will see it that way,

628
00:35:18,930 --> 00:35:20,724
figure it's his medication
doing the job?

629
00:35:20,849 --> 00:35:22,267
I'm sure he will.

630
00:35:22,392 --> 00:35:23,518
HOUSE: It's one of ours.

631
00:35:23,643 --> 00:35:25,645
How do we figure out which drug
is doing the trick?

632
00:35:25,770 --> 00:35:27,897
Easy.
We just stop all of them.

633
00:35:28,022 --> 00:35:29,107
One of those drugs
is helping him.

634
00:35:29,232 --> 00:35:32,110
And the rest,
steroids, antibiotics,

635
00:35:32,235 --> 00:35:33,778
anti-inflammatories,
they're toxic.

636
00:35:33,903 --> 00:35:34,863
If we leave him
on all of them...

637
00:35:34,988 --> 00:35:35,947
He'll walk again.

638
00:35:36,072 --> 00:35:37,073
Yeah, to his own funeral.

639
00:35:37,198 --> 00:35:38,700
But if we stop everything,
he'll get worse.

640
00:35:38,825 --> 00:35:41,244
True. Then we'll add our medications
back one at a time.

641
00:35:41,369 --> 00:35:43,079
When he gets better,
then we'll have our answer.

642
00:35:43,204 --> 00:35:46,958
- And if he doesn't get better?
- Then we're in trouble.

643
00:35:47,083 --> 00:35:51,921
Not as much as he is,
but I suppose that was your point.

644
00:35:54,174 --> 00:35:56,134
I assume you want me
to convince Hamilton

645
00:35:56,259 --> 00:35:57,302
to stop his treatments, too.

646
00:35:57,427 --> 00:35:58,636
Don't care.

647
00:35:58,762 --> 00:36:01,431
FOREMAN: You know at least five of the
medications are part of his protocol.

648
00:36:01,556 --> 00:36:04,225
If his stuff was helping, the guy
would be playing tennis months ago.

649
00:36:04,559 --> 00:36:06,811
It's our round of
treatment that's helping.

650
00:36:06,936 --> 00:36:09,230
Right. So that's
what you'll stop.

651
00:36:10,106 --> 00:36:12,484
It shouldn't be more
than 15 to 20 minutes.

652
00:36:12,609 --> 00:36:13,902
So your philosophy is,

653
00:36:14,027 --> 00:36:16,196
if they don't want treatment,
they get it shoved down their throat,

654
00:36:16,321 --> 00:36:19,324
but if it might cure their paralysis,
whoa, better slow down.

655
00:36:19,449 --> 00:36:20,575
Yeah.

656
00:36:20,700 --> 00:36:23,953
HOUSE: My old philosophy
used to be live and let live,

657
00:36:24,078 --> 00:36:26,039
but I'm taking this
needlepoint class,

658
00:36:26,164 --> 00:36:28,249
and they gave us
these really big pillows.

659
00:36:28,374 --> 00:36:30,126
What's your philosophy
on employee relations?

660
00:36:30,251 --> 00:36:32,170
That's a very tiny pillow.

661
00:36:32,295 --> 00:36:34,047
Great. It sounds like
you know what you're doing.

662
00:36:34,172 --> 00:36:35,215
(KNOCKING ON DOOR)

663
00:36:35,673 --> 00:36:37,842
Greg, can I have a word?

664
00:36:37,967 --> 00:36:40,804
Can it wait for
the commercial, Marty?

665
00:36:40,929 --> 00:36:42,972
Say hi to
my friend Jimmy.

666
00:36:44,140 --> 00:36:45,266
Pleasure.

667
00:36:46,309 --> 00:36:48,228
Your diagnostic trial.

668
00:36:48,353 --> 00:36:50,605
Seriously, commercial's
in about five minutes.

669
00:36:50,730 --> 00:36:51,815
That's a dangerous game.

670
00:36:51,940 --> 00:36:53,483
Only if we're
watching in the bathtub.

671
00:36:54,234 --> 00:36:57,320
I need to know exactly what medications
you were giving John Henry.

672
00:36:57,445 --> 00:36:58,571
Forget it.

673
00:36:58,696 --> 00:37:00,949
And if Foreman tells you
what John Henry used to be on...

674
00:37:01,074 --> 00:37:03,827
- You're gonna fire him?
- Nope.

675
00:37:03,952 --> 00:37:06,287
I'll make him live out every day
of his two-year contract.

676
00:37:06,412 --> 00:37:08,039
- Foreman asked to leave?
- Not yet.

677
00:37:08,164 --> 00:37:11,793
- But how do you know I made him...
- You're a polite twit, not an idiot.

678
00:37:12,710 --> 00:37:16,422
I need to know what medications
you've taken him off of.

679
00:37:18,842 --> 00:37:21,261
Wait a second.
You're not an idiot.

680
00:37:24,889 --> 00:37:29,060
You need to know what medications
I've stopped because...

681
00:37:32,063 --> 00:37:33,773
He's getting worse.

682
00:37:38,862 --> 00:37:41,656
Right now you still
work for me. Come on.

683
00:37:43,741 --> 00:37:45,618
No feeling, no wiggling.

684
00:37:45,743 --> 00:37:47,829
Bad news is John Henry's back
where he started.

685
00:37:47,954 --> 00:37:49,706
Good news is
Hamilton looks bad.

686
00:37:49,831 --> 00:37:50,874
Yeah, it's not
whether you win or lose.

687
00:37:51,040 --> 00:37:52,375
It's whether
the other guy loses.

688
00:37:52,500 --> 00:37:53,877
What was the first thing
we put him on?

689
00:37:54,002 --> 00:37:55,044
Steroids, for the pneumonia.

690
00:37:55,169 --> 00:37:57,964
Well, put him back on them.
Give him 24 hours. See what happens.

691
00:37:58,089 --> 00:37:59,507
His lungs
aren't great.

692
00:37:59,632 --> 00:38:01,092
They might cause another
respiratory collapse.

693
00:38:01,217 --> 00:38:02,051
I sure hope not.

694
00:38:02,176 --> 00:38:04,304
I didn't much like that lawyer.
And get an MRI.

695
00:38:04,429 --> 00:38:05,513
He already got one
and an MRA.

696
00:38:05,638 --> 00:38:08,099
Well, obviously something is
different now. Do it again.

697
00:38:08,224 --> 00:38:09,267
Chase, take care
of the scan.

698
00:38:09,392 --> 00:38:11,227
Cameron, put him
on the steroids.

699
00:38:14,272 --> 00:38:16,566
We should
probably talk, huh?

700
00:38:21,946 --> 00:38:23,031
CHASE: Thin cuts.

701
00:38:23,156 --> 00:38:24,115
What levels?

702
00:38:24,657 --> 00:38:27,952
T-9 through the cauda equina,
same as the last time.

703
00:38:29,037 --> 00:38:31,956
You really think House would let
Foreman out of his contract?

704
00:38:32,081 --> 00:38:35,209
He has to. If he doesn't,
he's telling Foreman he needs him.

705
00:38:35,335 --> 00:38:37,295
House can't handle that.

706
00:38:42,884 --> 00:38:44,010
Oh, my God.

707
00:38:49,807 --> 00:38:51,434
I checked him out.

708
00:38:52,936 --> 00:38:54,687
He's a great doctor.

709
00:38:55,939 --> 00:38:57,440
You think he's
better than I am?

710
00:38:58,524 --> 00:39:02,612
- This about your ego?
- Answer the question.

711
00:39:04,030 --> 00:39:06,532
It's not gonna change
how I think about myself.

712
00:39:06,658 --> 00:39:08,368
Might affect my
opinion of you,

713
00:39:08,493 --> 00:39:11,245
but that shouldn't affect
your opinion of yourself.

714
00:39:12,121 --> 00:39:13,498
Now I'm getting confused.

715
00:39:13,706 --> 00:39:15,416
If you think he's a better doctor
than I am,

716
00:39:15,541 --> 00:39:17,001
then you should take the job.

717
00:39:17,126 --> 00:39:18,836
Otherwise, you should
get him to buy you

718
00:39:18,962 --> 00:39:20,964
two or three more
nostalgic lunches

719
00:39:21,089 --> 00:39:22,674
and then politely decline.

720
00:39:22,799 --> 00:39:26,094
It's that simple? I should just
ignore the mockery and abuse?

721
00:39:26,219 --> 00:39:29,180
- Oh, how do I abuse you?
- How do you not?

722
00:39:29,305 --> 00:39:30,139
If I make a mistake...

723
00:39:30,264 --> 00:39:31,933
I hold you accountable.
So what?

724
00:39:32,058 --> 00:39:34,978
Dr. Hamilton forgives.
He's capable of moving on.

725
00:39:35,103 --> 00:39:36,604
That is not what he does.

726
00:39:36,729 --> 00:39:38,189
I screwed up his case.
He told me...

727
00:39:38,314 --> 00:39:39,857
He never said
you were forgiven.

728
00:39:39,983 --> 00:39:41,818
I was there. He said
it wasn't your fault.

729
00:39:41,943 --> 00:39:43,945
- So?
- So, it was.

730
00:39:44,904 --> 00:39:46,948
You took a chance.
You did something great.

731
00:39:47,073 --> 00:39:49,200
You were wrong,
but it was still great.

732
00:39:49,325 --> 00:39:50,368
You should feel great that it was great.

733
00:39:50,493 --> 00:39:52,912
You should feel like crap
that it was wrong.

734
00:39:53,037 --> 00:39:54,414
That's the difference
between him and me.

735
00:39:54,789 --> 00:39:57,041
He thinks you do your job,
and what will be, will be.

736
00:39:57,166 --> 00:40:00,253
I think that what I do
and what you do matters.

737
00:40:01,587 --> 00:40:04,298
He sleeps better at night.
He shouldn't.

738
00:40:04,424 --> 00:40:05,383
(DOOR OPENS)

739
00:40:07,385 --> 00:40:11,389
- Arteriovenous malformation.
- lntradural. Compressing his spine.

740
00:40:13,099 --> 00:40:15,018
Causing his paralysis.

741
00:40:15,143 --> 00:40:15,977
(SCOFFS)

742
00:40:16,102 --> 00:40:18,021
How could Hamilton
have missed an AVM?

743
00:40:18,146 --> 00:40:21,691
Well, we missed it, too,
'cause it wasn't there before.

744
00:40:22,525 --> 00:40:24,277
Are you saying it
just grew overnight?

745
00:40:24,402 --> 00:40:26,029
No.

746
00:40:26,154 --> 00:40:29,949
It was on the spine.
It wasn't on the MRI.

747
00:40:30,491 --> 00:40:32,243
Same anatomic location.

748
00:40:33,119 --> 00:40:34,120
It's not there.

749
00:40:34,912 --> 00:40:37,248
- Well, what is there?
- Nothing.

750
00:40:37,915 --> 00:40:40,668
Or something that
looks like nothing.

751
00:40:42,420 --> 00:40:45,715
- Background noise, static?
- Scar tissue? Inflammation?

752
00:40:45,840 --> 00:40:49,469
If it's inflammation,
the steroids would've shrunk it down.

753
00:40:49,927 --> 00:40:52,138
Revealing the AVM,

754
00:40:52,263 --> 00:40:54,474
which has always been there,
hiding behind its own swelling.

755
00:40:54,599 --> 00:40:56,309
We remove that,
he'll walk again.

756
00:41:45,900 --> 00:41:47,110
Dr. House.

757
00:41:49,570 --> 00:41:52,281
Cora's meeting me
outside with the limo.

758
00:41:52,698 --> 00:41:54,492
I'm being discharged.

759
00:41:55,368 --> 00:41:58,329
50 bucks says
I can beat you to the curb.

760
00:41:59,580 --> 00:42:01,666
Thanks for sticking
with the case.

761
00:42:01,791 --> 00:42:03,835
I can't do anything else.

762
00:42:05,837 --> 00:42:08,131
You're much more easily amused
when you can walk.

763
00:42:08,256 --> 00:42:09,507
How bizarre.

764
00:42:10,299 --> 00:42:12,510
I'm guessing that
you weren't exactly Mr. Sunshine

765
00:42:12,635 --> 00:42:15,263
even before
your leg got messed up.

766
00:42:17,140 --> 00:42:19,350
<i>(JAZZ MUSIC PLAYING)</i>

767
00:42:19,475 --> 00:42:20,560
I want you to have this.

768
00:42:31,279 --> 00:42:32,321
Wow.

769
00:42:32,446 --> 00:42:33,489
You can sell it
if you want to.

770
00:42:33,614 --> 00:42:35,575
Just promise me
you won't play it.

771
00:42:40,830 --> 00:42:43,124
How many of those
pills you taking?

772
00:42:44,876 --> 00:42:46,169
I'm in pain.

773
00:42:48,296 --> 00:42:49,422
Yes.

774
00:42:51,799 --> 00:42:52,758
Aren't we all?

775
00:42:55,386 --> 00:42:56,929
So, where do you
buy these things?

776
00:42:57,054 --> 00:42:58,306
Do they have cane stores?

777
00:42:58,431 --> 00:43:02,393
Oh, don't worry about it. You'll be
jogging before you need a second one.

778
00:43:02,518 --> 00:43:04,395
See you tomorrow,
Eric.