1
00:00:03,108 --> 00:00:04,985
(CHILDREN PLAYING)
2
00:00:11,700 --> 00:00:13,660
(PEOPLE CHATTERING)
3
00:00:14,328 --> 00:00:16,121
ARLENE: Mark? Mark?
4
00:00:16,246 --> 00:00:18,832
Mark, please ask your father
if he wants a burger.
5
00:00:18,957 --> 00:00:19,791
MARK: Mom.
6
00:00:19,916 --> 00:00:21,126
I know. You're defending the free world.
7
00:00:21,251 --> 00:00:23,128
Please ask your Dad
if he wants a burger.
8
00:00:23,253 --> 00:00:25,380
Dad?
9
00:00:26,089 --> 00:00:29,509
Dad? Mom wants to know
if you want a burger.
10
00:00:33,889 --> 00:00:36,850
Mom, I don't know what
he wants. You ask him.
11
00:00:37,976 --> 00:00:39,061
BOY: Aunt Arlene!
12
00:00:42,981 --> 00:00:44,399
Want a burger?
13
00:00:46,610 --> 00:00:48,487
Okay-
14
00:00:57,954 --> 00:01:00,624
(WHEELCHAIR WHIRRING)
15
00:02:05,605 --> 00:02:08,275
(HOUSE PANTING)
16
00:02:11,862 --> 00:02:14,406
(FEEL GOOD INC PLAYING)
17
00:02:48,190 --> 00:02:50,901
The guy drove his wheelchair
into a pool. House would love that.
18
00:02:51,026 --> 00:02:54,529
He'll be bored. It's a great visual,
but it's diagnostically boring.
19
00:02:54,654 --> 00:02:57,365
What about post-hair-transplant
aphasia guy?
20
00:02:57,491 --> 00:03:00,243
Infection-throwing clots. House will
shoot it down and call you an idiot.
21
00:03:00,368 --> 00:03:01,912
Oh, well,
we wouldn't want that.
22
00:03:02,037 --> 00:03:03,413
What about yoga girl?
23
00:03:03,538 --> 00:03:04,581
It has a good hook.
24
00:03:04,706 --> 00:03:05,916
Should we lead with it?
25
00:03:06,458 --> 00:03:10,295
His first day back, he might
want to flex his sarcasm muscle.
26
00:03:10,420 --> 00:03:12,255
Maybe we open with
one of the weaker pitches.
27
00:03:13,632 --> 00:03:15,967
(PANTS)
28
00:03:16,718 --> 00:03:17,677
You ran here?
29
00:03:19,387 --> 00:03:20,847
It's just eight miles.
30
00:03:20,972 --> 00:03:22,015
Why did you...
31
00:03:22,140 --> 00:03:24,726
Why does a dog lick its
workplace-acceptable euphemism
32
00:03:24,851 --> 00:03:27,521
- for testicles?
- Because he can.
33
00:03:27,646 --> 00:03:28,522
What have you got for me, boss?
34
00:03:28,647 --> 00:03:31,191
I thought you said you needed
eight weeks of rehab.
35
00:03:31,316 --> 00:03:33,276
- You should have been back here...
- If I'd come back sooner,
36
00:03:33,401 --> 00:03:36,863
then I'd only be able to run six miles.
I never would have made it in.
37
00:03:36,988 --> 00:03:39,282
- What have you got for me?
- You're completely pain-free?
38
00:03:39,407 --> 00:03:40,700
The ketamine treatment
can wear off.
39
00:03:40,826 --> 00:03:42,869
It's been two months.
It's not wearing off.
40
00:03:42,994 --> 00:03:44,913
- What have you got for me?
- You can take as long as...
41
00:03:45,038 --> 00:03:48,083
Why are we having this discussion?
Want to hear me thank you again?
42
00:03:48,208 --> 00:03:50,544
Thank you, Doctor Cuddy,
not just for removing the bullet,
43
00:03:50,669 --> 00:03:52,379
but thank you for putting me
into a ketamine-induced coma
44
00:03:52,504 --> 00:03:55,131
and changing my life.
Happy? I am.
45
00:03:55,423 --> 00:03:58,093
Middle-aged man had hair transplant
about two months ago...
46
00:03:58,218 --> 00:04:01,304
Infection-throwing clots.
You're an idiot.
47
00:04:02,722 --> 00:04:04,850
Except you're not an idiot,
48
00:04:06,184 --> 00:04:09,229
and she is holding a file
for a 26-year-old female.
49
00:04:09,354 --> 00:04:11,481
What have you
really got for me?
50
00:04:11,606 --> 00:04:14,442
Girl was doing an inverted yoga pose,
neck snapped,
51
00:04:14,568 --> 00:04:16,027
paralyzed from the neck down,
52
00:04:16,152 --> 00:04:20,365
except the x-rays show
no evidence of spinal injury.
53
00:04:20,740 --> 00:04:22,367
And she's cute.
54
00:04:22,492 --> 00:04:24,369
Oh, well played, sir.
55
00:04:28,874 --> 00:04:31,960
What about Stephen Hawking
trying to do the 500 butterfly?
56
00:04:32,085 --> 00:04:36,423
Forget it. Brain cancer, brain surgery.
There's nothing left to diagnose.
57
00:04:36,548 --> 00:04:38,884
I would take the other one.
58
00:04:39,009 --> 00:04:41,344
I'll take them both.
59
00:04:42,095 --> 00:04:43,096
(DOOR CLOSES)
60
00:04:43,847 --> 00:04:44,973
(PEOPLE CHATTERING)
61
00:04:46,975 --> 00:04:48,935
You don't think
he had brain cancer?
62
00:04:49,060 --> 00:04:50,604
Of course he had brain cancer.
63
00:04:50,729 --> 00:04:52,814
Even oncologists
don't screw up for eight years.
64
00:04:52,939 --> 00:04:56,151
So if there's no diagnostic issue,
why are you taking the case?
65
00:04:56,276 --> 00:04:58,403
- Treatment can be interesting.
- Not to you.
66
00:04:58,528 --> 00:04:59,654
- I've changed.
- No, you haven't.
67
00:04:59,779 --> 00:05:02,198
- No, I haven't.
- So why are you taking the case?
68
00:05:02,324 --> 00:05:03,575
The guy tried to kill himself.
69
00:05:03,700 --> 00:05:04,910
The guy had cancer.
He's a lump.
70
00:05:05,035 --> 00:05:08,079
He hasn't been able
to touch his wife, speak to his kids.
71
00:05:08,204 --> 00:05:11,082
He's been in that chair for eight years.
His muscles have atrophied.
72
00:05:11,207 --> 00:05:13,001
Maybe I can help him
with the pain.
73
00:05:13,126 --> 00:05:14,461
Isn't that enough of a reason
to want to help?
74
00:05:14,586 --> 00:05:16,546
- Not for you.
- I've changed.
75
00:05:16,671 --> 00:05:17,923
No, you haven't.
76
00:05:18,048 --> 00:05:20,342
Then why am I
taking this case?
77
00:05:21,676 --> 00:05:22,636
(SIGHS)
78
00:05:27,349 --> 00:05:30,143
- Let's start with the cute paraplegic.
- Welcome back.
79
00:05:30,268 --> 00:05:31,686
- Hey.
- You look...
80
00:05:31,811 --> 00:05:32,646
Healthy.
81
00:05:38,443 --> 00:05:41,821
Quad with no broken neck.
Struck me as odd.
82
00:05:42,864 --> 00:05:46,618
You can take a whole two minutes
to ease into being back.
83
00:05:46,743 --> 00:05:48,370
I would've taken
a whole month to ease back,
84
00:05:48,495 --> 00:05:50,205
but eight weeks is
the maximum rehab time
85
00:05:50,330 --> 00:05:53,083
for a gunshot wound
to the stomach and neck, so go.
86
00:05:53,208 --> 00:05:55,502
We heard they never found the guy.
There's no new leads.
87
00:05:55,627 --> 00:05:57,587
What? You think he might have
shot this patient, too?
88
00:05:57,712 --> 00:05:59,923
- It would explain her symptoms.
- It could be MS.
89
00:06:00,048 --> 00:06:03,134
See? It's not so difficult.
It's not MS.
90
00:06:03,259 --> 00:06:05,887
She had no symptoms before she
climbed onto her head.
91
00:06:06,012 --> 00:06:09,099
Unless she's been upside-down
for the last 10 years, MS ain't it.
92
00:06:09,224 --> 00:06:11,059
Could be transverse myelitis,
swelling in the disks,
93
00:06:11,184 --> 00:06:14,312
- choking off nerve function.
- MRI is negative for that.
94
00:06:18,692 --> 00:06:21,861
Your leg looks fine.
Totally pain-free?
95
00:06:21,987 --> 00:06:25,323
When did this turn into, "What did
you do over your summer vacation?"
96
00:06:25,448 --> 00:06:27,617
It's a little weird to
discuss the case
97
00:06:27,742 --> 00:06:29,619
while you're staring
at your blood on the floor.
98
00:06:29,744 --> 00:06:32,163
I asked Cuddy to
replace the carpet.
99
00:06:33,790 --> 00:06:38,378
I like the carpet.
What did you do over the summer?
100
00:06:38,503 --> 00:06:39,713
- I...
- Redo the tests.
101
00:06:39,838 --> 00:06:43,925
Let's see if the source of the problem
is in the limbs or the spine. Do an EMG.
102
00:06:45,593 --> 00:06:46,845
Whoa, whoa, whoa, whoa, whoa.
103
00:06:47,595 --> 00:06:51,891
We've got a whole other quad to cover.
This guy's still got fluid in his lungs.
104
00:06:52,017 --> 00:06:53,435
You don't think
that's from the pool he drank?
105
00:06:53,560 --> 00:06:56,604
Give him an O2 mask.
His leg muscles have atrophied.
106
00:06:56,730 --> 00:07:00,233
Tendons have shortened from disuse,
causing intense pain.
107
00:07:00,358 --> 00:07:03,445
Tendon surgery will make him
more comfortable.
108
00:07:03,653 --> 00:07:05,155
Comfortable?
109
00:07:07,365 --> 00:07:08,658
Scoot
110
00:07:13,288 --> 00:07:15,123
Thanks for being here.
111
00:07:16,332 --> 00:07:17,709
Not a problem.
112
00:07:25,717 --> 00:07:27,385
My Dad wouldn't kill himself.
113
00:07:27,510 --> 00:07:29,512
You haven't spoken to him
in over six years.
114
00:07:29,637 --> 00:07:32,140
- I know my dad.
- Mark, the doctor's just trying to...
115
00:07:32,265 --> 00:07:35,351
- He wouldn't kill himself.
- Fine. I'm wrong.
116
00:07:36,311 --> 00:07:38,396
You obviously have
a better understanding of this man
117
00:07:38,521 --> 00:07:41,191
who drools in front of your
TV set 24 hours a day.
118
00:07:41,316 --> 00:07:42,734
Doctor House?
119
00:07:42,859 --> 00:07:46,237
Look, he must have been confused, all
right? It must have been an accident.
120
00:07:46,404 --> 00:07:48,782
I hope it was
a suicide attempt.
121
00:07:48,907 --> 00:07:52,952
If he was trying to kill himself,
then he knows how miserable his life is.
122
00:07:53,078 --> 00:07:56,122
It means there's still
something there to kill.
123
00:07:56,998 --> 00:07:59,250
It means your dad's
still there.
124
00:08:03,671 --> 00:08:05,131
Sorry. Need you.
125
00:08:05,882 --> 00:08:07,634
Thank you.
126
00:08:13,306 --> 00:08:15,767
We were doing the EMG,
but we never got past the insertion
127
00:08:15,892 --> 00:08:19,104
of the conduction pin.
Did she just say, "Thank you"?
128
00:08:19,229 --> 00:08:21,439
I loaned her some money.
What went wrong?
129
00:08:21,564 --> 00:08:22,732
Nothing went wrong.
130
00:08:22,857 --> 00:08:24,734
If nothing went wrong,
then something went right.
131
00:08:24,859 --> 00:08:26,277
You're not gonna tell me
why she thanked you?
132
00:08:26,402 --> 00:08:28,613
You're not gonna tell me
what went right?
133
00:08:28,738 --> 00:08:33,576
You did something for which
she is grateful, and you're embarrassed?
134
00:08:33,701 --> 00:08:36,996
For you. She saw you coming up,
thought you were a 14 year-old boy.
135
00:08:37,122 --> 00:08:38,248
I set her straight.
136
00:08:38,373 --> 00:08:41,167
I am not telling you
what went wrong or right
137
00:08:41,292 --> 00:08:43,711
until you tell me why
she said, "Thank you."
138
00:08:43,837 --> 00:08:48,925
Oh, you got me. You know I need
to know. I am so gonna fold.
139
00:08:49,050 --> 00:08:52,262
Except you're forgetting
there's one thing I can do now.
140
00:08:55,765 --> 00:08:58,351
It's either that
or a reflex response.
141
00:08:58,893 --> 00:08:59,936
What happened?
142
00:09:00,061 --> 00:09:01,187
Okay-
143
00:09:01,312 --> 00:09:03,231
This is Doctor House.
House, this is Caren...
144
00:09:03,356 --> 00:09:04,732
Pleasure's all mine.
What happened?
145
00:09:04,858 --> 00:09:07,569
When we inserted the conduction pin,
she flinched.
146
00:09:07,694 --> 00:09:09,696
She flinched? Did you hear?
147
00:09:09,821 --> 00:09:10,989
Does that mean
I'm getting better?
148
00:09:11,114 --> 00:09:14,951
How big is a flinch? Bigger than
a twitch? Smaller than a spasm?
149
00:09:17,787 --> 00:09:19,831
- Do you smoke?
- Socially, not a lot.
150
00:09:19,956 --> 00:09:21,541
You do yoga, and you smoke?
151
00:09:21,666 --> 00:09:23,042
I know it's hypocritical,
but...
152
00:09:23,168 --> 00:09:27,839
No, the world sees your legs.
No one's checking out your lungs.
153
00:09:27,964 --> 00:09:29,215
How would smoking cause...
154
00:09:29,340 --> 00:09:31,384
It wouldn't.
I just needed a lighter.
155
00:09:32,468 --> 00:09:33,553
(SCREAMS)
156
00:09:33,678 --> 00:09:36,097
- House.
- Oh, my God!
157
00:09:37,390 --> 00:09:40,101
- The case was looking so promising.
- Hey, I'm not faking.
158
00:09:40,226 --> 00:09:42,478
You moved,
therefore you can move.
159
00:09:45,064 --> 00:09:48,109
Get this lunatic out of here
before she bores again.
160
00:09:48,234 --> 00:09:49,527
I'm not faking!
161
00:10:12,050 --> 00:10:16,888
I heard you were watching surgery
with a patient's family,
162
00:10:17,472 --> 00:10:20,016
talking to a patient's family.
163
00:10:22,018 --> 00:10:25,772
It's because of your hallucination,
isn't it? After you were shot.
164
00:10:25,897 --> 00:10:28,024
You chose life.
You decided you wanted meaning,
165
00:10:28,149 --> 00:10:33,071
so you took a case with no mystery,
something any doctor could do,
166
00:10:33,196 --> 00:10:37,200
a case with no upside
except the satisfaction
167
00:10:37,325 --> 00:10:39,160
of helping
another human being.
168
00:10:40,995 --> 00:10:42,705
She thanked me.
169
00:10:42,830 --> 00:10:45,375
And you felt nothing.
170
00:10:47,085 --> 00:10:49,545
I wasn't sure what
I was supposed to feel.
171
00:10:51,631 --> 00:10:56,844
It's like your leg. It's atrophied.
Keep working it. The feeling will come.
172
00:10:56,970 --> 00:10:58,930
Sorry. Need you again.
173
00:10:59,055 --> 00:11:00,223
I told you to get rid of her.
174
00:11:00,348 --> 00:11:01,975
It's a good thing we didn't.
Tightness in her chest.
175
00:11:02,100 --> 00:11:03,851
She can't breathe.
It could be pleural effusion.
176
00:11:03,977 --> 00:11:07,897
Right. Either that or she's holding
her breath like a four-year-old.
177
00:11:09,899 --> 00:11:12,652
(GASPING)
178
00:11:18,700 --> 00:11:21,160
Relax. I'm not gonna
burn you again.
179
00:11:22,745 --> 00:11:24,747
I'm going to stab you!
180
00:11:31,713 --> 00:11:35,216
Look, either you're faking,
or you've got a pleural effusion.
181
00:11:35,341 --> 00:11:37,677
That's a buildup of fluid
around the lungs, which is very serious,
182
00:11:37,802 --> 00:11:40,305
and I would have no choice but to
stab you in the back with this needle
183
00:11:40,430 --> 00:11:42,056
and suck all of the fluid
out of you.
184
00:11:44,058 --> 00:11:44,892
So...
185
00:11:45,018 --> 00:11:46,811
CAMERON: We should give her a local.
186
00:11:46,936 --> 00:11:48,938
That would defeat
the point of me being nasty.
187
00:11:50,565 --> 00:11:52,066
Ready?
188
00:11:52,191 --> 00:11:53,318
(GASPING)
189
00:12:00,825 --> 00:12:02,118
- Down.
- She can't breathe if she's down.
190
00:12:02,243 --> 00:12:03,244
- Down.
- She can't...
191
00:12:03,369 --> 00:12:05,621
Down, down, down! Come on!
192
00:12:06,581 --> 00:12:07,498
(GASPING)
193
00:12:14,672 --> 00:12:16,299
That's not a pleural effusion.
194
00:12:16,424 --> 00:12:17,842
The problem's in her heart.
195
00:12:19,052 --> 00:12:21,262
Can't fake that.
196
00:12:32,857 --> 00:12:36,152
Had to relieve the pressure
three times in the last two hours,
197
00:12:36,277 --> 00:12:39,530
so either we figure out what's causing
blood to build up around her heart,
198
00:12:39,655 --> 00:12:41,824
or I follow her around
with a needle for the rest of her life.
199
00:12:41,949 --> 00:12:43,993
Echo was clean.
No structural abnormalities.
200
00:12:44,118 --> 00:12:46,329
It could be
an infectious process, TB.
201
00:12:46,454 --> 00:12:48,164
Or vasculitis would also
explain the effusion.
202
00:12:48,289 --> 00:12:53,169
But not the paralysis.
Let's assume that she wasn't faking it.
203
00:12:53,294 --> 00:12:56,798
She moved, therefore she could move.
She wasn't paralyzed.
204
00:12:56,923 --> 00:12:59,801
Doesn't mean she was faking.
It could have been a delusion.
205
00:12:59,926 --> 00:13:01,302
Now, either she was faking
206
00:13:01,427 --> 00:13:03,638
and coincidentally
got a real cardiac problem
207
00:13:03,763 --> 00:13:05,932
at the exact same time,
or it's a delusion,
208
00:13:06,057 --> 00:13:09,185
and the fake paralysis is
a real neurological symptom.
209
00:13:09,310 --> 00:13:11,312
Are you thinking
vascular tumor on her spine?
210
00:13:11,437 --> 00:13:12,605
Her platelets are normal.
211
00:13:12,730 --> 00:13:14,690
And she's been scanned up
and down. It's all clean.
212
00:13:14,816 --> 00:13:16,901
So open her up and find it.
213
00:13:17,610 --> 00:13:19,654
FOREMAN: So what do you want us to do?
Just start at her neck
214
00:13:19,779 --> 00:13:22,824
and just keep on cutting down her spine
until we stumble on something?
215
00:13:22,949 --> 00:13:24,283
That should work.
216
00:13:31,541 --> 00:13:34,085
- His heart rate's a little high.
- Should I be worried?
217
00:13:34,210 --> 00:13:37,004
Probably just means he's still
in discomfort from the surgery.
218
00:13:37,130 --> 00:13:39,632
I'm gonna up his
morphine a little.
219
00:13:39,757 --> 00:13:41,217
You've been so nice to us.
220
00:13:42,468 --> 00:13:43,302
It's the job.
221
00:13:43,428 --> 00:13:47,181
No, I mean, all the other doctors,
all they did was obsess on the cancer,
222
00:13:47,306 --> 00:13:51,394
the treatment, the damage,
just trying to fix him.
223
00:13:52,228 --> 00:13:56,482
You're the first doctor that's given
a damn about the quality of his life.
224
00:13:59,360 --> 00:14:02,697
His heart rate's come down.
The morphine worked. I was right.
225
00:14:08,286 --> 00:14:11,914
What a touching moment.
That's why we become doctors,
226
00:14:12,039 --> 00:14:14,459
for these rare moments
when our hearts are warmed...
227
00:14:14,584 --> 00:14:16,919
Would you like to get a drink?
228
00:14:17,128 --> 00:14:19,714
Are you serious, or are you just trying
to change the subject?
229
00:14:19,839 --> 00:14:21,591
No, I'm serious.
230
00:14:21,716 --> 00:14:27,013
I drink. You drink. We could do it
at the same time, the same table.
231
00:14:28,181 --> 00:14:30,725
If you eat,
we could do that, too.
232
00:14:32,810 --> 00:14:35,897
I mean, if the answer's no,
that's cool, but...
233
00:14:38,483 --> 00:14:44,030
No, it's just you're just coming off of
surgery, and you're not yourself yet,
234
00:14:44,155 --> 00:14:47,783
and I work for you,
and even though last year's...
235
00:14:49,076 --> 00:14:51,954
You're smiling.
I'm saying no, and you're smiling.
236
00:14:52,079 --> 00:14:55,917
Well, don't take it personally.
It's just 'cause you're full of crap.
237
00:14:56,042 --> 00:15:00,213
You have no interest in going out with
me. Maybe you did, when I couldn't walk,
238
00:15:00,338 --> 00:15:03,633
when I was a sick puppy
that you could nurture back to health.
239
00:15:03,758 --> 00:15:06,761
Now that I'm healthy,
there's nothing in it for you.
240
00:15:07,803 --> 00:15:10,014
You are not healthy.
241
00:15:12,517 --> 00:15:14,393
Cuddy wants to see you.
242
00:15:22,360 --> 00:15:24,403
You've been back at work
24 hours,
243
00:15:24,529 --> 00:15:28,032
and you're already playing
hide-and-seek in a woman's spine.
244
00:15:28,157 --> 00:15:29,075
Who won the pool?
245
00:15:29,200 --> 00:15:30,576
There's no tumor.
246
00:15:30,701 --> 00:15:32,578
Her platelets are normal.
The scans didn't...
247
00:15:32,703 --> 00:15:37,166
What's the worst that can happen? Might
paralyze her. She won't even notice.
248
00:15:37,291 --> 00:15:39,877
Her lawyers might.
You're not doing the surgery.
249
00:15:40,002 --> 00:15:41,837
And lower the morphine
on your other patient.
250
00:15:41,963 --> 00:15:44,882
Fine, I'll lower it
if you let me do the surgery.
251
00:15:45,007 --> 00:15:47,843
What? You want to trade?
252
00:15:48,386 --> 00:15:52,098
We're not swapping a couple of goats
for your help putting up a barn.
253
00:15:52,223 --> 00:15:54,350
You want something.
I want something. We compromise.
254
00:15:54,475 --> 00:15:56,060
It's the grownup way
to resolve our differences.
255
00:15:56,185 --> 00:15:57,436
There already is
a mechanism for that,
256
00:15:57,562 --> 00:15:59,730
it's called
the employer-employee relationship,
257
00:15:59,855 --> 00:16:02,149
I get what I want,
and you don't.
258
00:16:17,999 --> 00:16:19,834
You tried to swap?
259
00:16:19,959 --> 00:16:23,629
Ran a few more tests. They came back
negative. The surgery's on.
260
00:16:33,806 --> 00:16:35,391
You really don't give a crap,
do you?
261
00:16:35,516 --> 00:16:37,435
Does that make me evil?
262
00:16:37,560 --> 00:16:38,894
Yeah.
263
00:16:39,020 --> 00:16:41,731
The girl's life is at stake. All
we're talking about with the guy is...
264
00:16:41,856 --> 00:16:45,526
All we're talking about is the reason
you took the case, to help someone.
265
00:16:45,651 --> 00:16:47,320
- Too bad for them.
- Too bad for you.
266
00:16:47,445 --> 00:16:51,741
The reason we crave meaning
is because it makes us happy.
267
00:16:52,825 --> 00:16:55,119
The first level
of happiness...
268
00:16:55,661 --> 00:16:57,246
I'm not going away.
269
00:16:57,371 --> 00:17:01,709
WILSON: The fifth level of happiness
involves creation, changing lives.
270
00:17:01,834 --> 00:17:05,463
HOUSE: The sixth level is heroin.
The seventh level is you going away.
271
00:17:05,588 --> 00:17:09,091
You're saving lives,
which is tantamount to creating lives,
272
00:17:09,216 --> 00:17:12,178
but all you're taking away
from this is the game.
273
00:17:12,303 --> 00:17:13,512
You don't have to listen
to them thanking you.
274
00:17:13,638 --> 00:17:16,515
You don't have to change the cases
you take or even how you handle them.
275
00:17:16,641 --> 00:17:20,144
You just have to know
that you made a difference.
276
00:17:28,736 --> 00:17:31,822
- House! You're not...
- I'm not an idiot.
277
00:17:31,989 --> 00:17:32,948
Move.
278
00:17:33,074 --> 00:17:34,033
SURGEON: House, leave her alone.
279
00:17:34,158 --> 00:17:35,701
Close her up.
You want to know why?
280
00:17:35,826 --> 00:17:36,994
The room's no longer sterile.
281
00:17:37,119 --> 00:17:40,456
True, but it's not
the most interesting reason.
282
00:17:40,581 --> 00:17:43,125
HOUSE:
That is not a sexy big toe.
283
00:17:43,250 --> 00:17:44,669
You'd never put that
in your mouth.
284
00:17:44,794 --> 00:17:45,628
What the hell does
that got to do...
285
00:17:45,753 --> 00:17:49,423
I told you it was interesting,
but it gets even better.
286
00:17:53,260 --> 00:17:54,261
Scurvy?
287
00:17:54,387 --> 00:17:55,763
Yeah. Drink.
288
00:17:55,888 --> 00:17:58,349
Like what sailors get
when they don't eat right?
289
00:17:58,474 --> 00:18:02,061
Aye, aye. Your arms and leg tissues
are choked with blood.
290
00:18:02,186 --> 00:18:05,690
It makes it hard to move.
It also damages your hair and toenails.
291
00:18:05,815 --> 00:18:08,275
But I'm on this great diet,
lots of protein, lots of...
292
00:18:08,401 --> 00:18:11,737
No vitamin C. Now drink.
293
00:18:11,862 --> 00:18:13,155
(SLURPING)
294
00:18:14,824 --> 00:18:16,784
Well, thank you.
295
00:18:18,661 --> 00:18:20,287
And thank Doctor House.
296
00:18:20,413 --> 00:18:22,039
You can send him a note.
297
00:18:23,165 --> 00:18:28,045
The nurse changed his morphine.
I thought you were worried about...
298
00:18:28,462 --> 00:18:32,967
It's just post-op discomfort.
He's ready to go home.
299
00:18:33,092 --> 00:18:35,052
So he won't have any pain?
300
00:18:35,177 --> 00:18:36,929
Eventually.
301
00:18:38,180 --> 00:18:39,515
Thank you.
302
00:18:40,099 --> 00:18:41,684
Everything else
will be the same.
303
00:18:41,809 --> 00:18:45,688
Well, you took away his pain,
and that changes a lot.
304
00:18:49,984 --> 00:18:53,362
Why don't you put him
in some sort of facility,
305
00:18:54,739 --> 00:18:56,991
some place without a pool?
306
00:18:59,326 --> 00:19:02,204
Yeah, I could dump him there,
307
00:19:02,329 --> 00:19:05,791
except he's my husband.
308
00:19:06,459 --> 00:19:07,793
He's my son's father.
309
00:19:07,918 --> 00:19:10,880
Right. Kids need a dad,
310
00:19:11,005 --> 00:19:13,507
someone to play catch with,
talk about girls.
311
00:19:13,632 --> 00:19:15,968
You know, Mark's learning
that you don't have to abandon someone
312
00:19:16,093 --> 00:19:18,137
- just because...
- Get a dog.
313
00:19:20,389 --> 00:19:23,809
I'm taking care of him
for the same reason you helped us.
314
00:19:23,934 --> 00:19:27,146
Because some guy shot you,
and you hallucinated?
315
00:19:27,438 --> 00:19:28,981
I have a responsibility.
316
00:19:29,106 --> 00:19:31,984
So he's just an anchor,
weighing you and your family down,
317
00:19:32,109 --> 00:19:35,780
sapping your energy, wasting your life?
That's the meaning you take from this?
318
00:19:35,905 --> 00:19:37,364
I want to take care of him.
319
00:19:37,490 --> 00:19:39,074
You enjoy this?
320
00:19:39,200 --> 00:19:40,743
I can't abandon him.
321
00:19:43,579 --> 00:19:45,956
So you don't want to
take care of him?
322
00:19:46,248 --> 00:19:49,752
Taking care of him doesn't fulfill you,
make you happy,
323
00:19:50,920 --> 00:19:54,507
but not taking care of him
would make you miserable?
324
00:19:57,593 --> 00:19:58,594
Hmm.
325
00:20:05,851 --> 00:20:08,562
Okay, here we go.
326
00:20:09,063 --> 00:20:10,523
(GRUNTS)
327
00:20:12,024 --> 00:20:13,818
ARLENE: Okay, slowly.
328
00:20:17,655 --> 00:20:19,782
I don't need your help.
I've done this a million times.
329
00:20:19,907 --> 00:20:22,117
Here, lie him like that.
330
00:20:26,288 --> 00:20:29,875
Do that again.
Make that sound.
331
00:20:33,921 --> 00:20:34,922
(GRUNTS)
332
00:20:44,765 --> 00:20:46,642
What was that?
333
00:20:46,767 --> 00:20:50,062
That was talking.
334
00:20:57,194 --> 00:20:59,029
You guys are lousy doctors.
335
00:20:59,154 --> 00:21:01,282
You were in such a rush
to make the patient feel better,
336
00:21:01,407 --> 00:21:03,367
you forgot to check
what was wrong.
337
00:21:03,492 --> 00:21:05,828
Yoga girl walked out of here
two hours ago. You fixed her.
338
00:21:05,953 --> 00:21:08,330
- Not her. The other guy.
- He had brain cancer.
339
00:21:08,455 --> 00:21:12,126
They removed it eight years ago. His
condition's been the same ever since.
340
00:21:12,251 --> 00:21:14,128
Until last night. He spoke.
341
00:21:15,170 --> 00:21:16,589
What'd he say?
342
00:21:17,339 --> 00:21:18,883
(GRUNTS)
343
00:21:19,967 --> 00:21:21,051
He grunted?
344
00:21:21,176 --> 00:21:22,928
You want us to
dissect eight years
345
00:21:23,053 --> 00:21:25,472
of medical history with grunting
in the differential?
346
00:21:25,598 --> 00:21:28,809
Sounds good.
Call me when you're done.
347
00:21:33,147 --> 00:21:35,608
You're fabricating a mystery
because you're bored.
348
00:21:35,733 --> 00:21:37,735
I am not bored.
349
00:21:39,987 --> 00:21:41,280
Damn it!
350
00:21:41,405 --> 00:21:43,490
You didn't tell the wife
it was only a grunt?
351
00:21:43,616 --> 00:21:44,825
Of course not.
352
00:21:44,950 --> 00:21:47,953
'Cause then she would never have
consented to a bunch of dangerous tests.
353
00:21:48,078 --> 00:21:49,872
I don't remember
you being this bitchy.
354
00:21:49,997 --> 00:21:52,917
The Vicodin dulled it. In the sober
light of day, I'm a buzz-kill.
355
00:21:53,584 --> 00:21:55,669
You're giving false hope
to a family that's been wrecked.
356
00:21:55,794 --> 00:21:58,505
Don't torture them. Let it go.
Tell the wife it was only a grunt.
357
00:21:58,631 --> 00:21:59,465
Tell her to go home.
358
00:21:59,590 --> 00:22:01,425
I can't let her down
like that.
359
00:22:01,550 --> 00:22:04,345
I pumped her up
with too much false hope.
360
00:22:08,057 --> 00:22:12,937
I stuck that primo!
How rad am I?
361
00:22:35,960 --> 00:22:38,337
FOREMAN:
2002, patient had dry eyes.
362
00:22:38,462 --> 00:22:40,464
Dry eyes plus a grunt.
363
00:22:41,715 --> 00:22:43,717
- It all makes sense.
- Could be a neurological issue.
364
00:22:43,842 --> 00:22:46,637
I get hay fever, I put drops in my eyes.
I don't go to a neurologist.
365
00:22:46,762 --> 00:22:49,640
Dry eyes could indicate
an autonomic dysfunction.
366
00:22:49,765 --> 00:22:50,599
It goes on the board.
367
00:22:50,724 --> 00:22:52,309
What about coughing
or boogers?
368
00:22:52,434 --> 00:22:53,352
Should we include boogers?
369
00:22:53,477 --> 00:22:55,020
I'm happy we're doing this.
370
00:22:55,145 --> 00:22:58,273
I'd much rather do this
than lengthen some guy's tendon.
371
00:22:58,565 --> 00:23:01,610
Patient's headaches increased.
Doc scanned his head, found a tumor.
372
00:23:01,735 --> 00:23:03,821
- You like wasting your time?
- I'm learning.
373
00:23:03,946 --> 00:23:06,907
To do what?
Reconsider solved cases
374
00:23:07,032 --> 00:23:08,784
because you don't wanna deal
with the real world?
375
00:23:08,909 --> 00:23:10,202
He's pushing
where there's nothing.
376
00:23:10,327 --> 00:23:12,454
Cameron,
you are an excellent doctor.
377
00:23:12,579 --> 00:23:15,040
You'll get lots of tearful thank-yous
from grateful patients.
378
00:23:15,165 --> 00:23:17,167
Yeah, aren't I
such a bitch for wanting that?
379
00:23:17,292 --> 00:23:19,920
No, it's not a bad thing,
but it's not why I'm here.
380
00:23:20,045 --> 00:23:21,755
I took this fellowship
to learn from House.
381
00:23:21,880 --> 00:23:24,425
He's teaching you
to be a masochist.
382
00:23:24,717 --> 00:23:27,636
Dry eyes goes on the board.
383
00:23:30,180 --> 00:23:33,267
FOREMAN: In eight years,
the patient experienced 214 symptoms,
384
00:23:33,392 --> 00:23:34,768
many of them repeated.
385
00:23:34,893 --> 00:23:35,936
Any patterns?
386
00:23:36,061 --> 00:23:40,065
Fever plus frequent urination
could mean prostatitis.
387
00:23:40,190 --> 00:23:41,942
Or a urinary-tract infection.
388
00:23:42,067 --> 00:23:44,153
White count was normal.
No infection.
389
00:23:44,278 --> 00:23:46,613
FOREMAN: If you add pain
into the mix, fever,
390
00:23:46,739 --> 00:23:50,492
frequent urination
could indicate a kidney problem.
391
00:23:50,617 --> 00:23:51,910
I like it.
392
00:23:52,036 --> 00:23:54,496
No, creatinine and BUN
were both normal.
393
00:23:54,621 --> 00:23:56,498
Not the kidney part.
The pain part.
394
00:23:56,623 --> 00:23:59,960
HOUSE: Abdominal pain plus all that
stuff could equal a pancreatic cyst.
395
00:24:00,085 --> 00:24:03,297
Perfect. You managed to pick
the one symptom he never had,
396
00:24:03,422 --> 00:24:04,298
abdominal pain.
397
00:24:04,423 --> 00:24:06,300
It's the first symptom
on the board, "grunt."
398
00:24:06,425 --> 00:24:08,594
Grunting isn't pathognomonic
for abdominal pain.
399
00:24:08,719 --> 00:24:12,931
No, the traditional diagnostic
marker is compression of the diaphragm,
400
00:24:13,057 --> 00:24:15,768
vibration of the larynx,
leading to the audible sound,
401
00:24:15,893 --> 00:24:17,352
"I have a pain in my abdomen."
402
00:24:17,478 --> 00:24:20,355
Richard's symptoms are culled
from eight years of medical history.
403
00:24:20,481 --> 00:24:24,109
They're not patterned. These are
random, individual events over time.
404
00:24:24,234 --> 00:24:28,072
Illnesses have incubation periods.
Do an upper endoscopic ultrasound.
405
00:24:28,197 --> 00:24:29,448
His throat will collapse.
406
00:24:29,573 --> 00:24:32,076
Muscle degeneration in his neck
won't tolerate the scope.
407
00:24:32,201 --> 00:24:33,952
- It's an automatic trach.
- You're talking about him
408
00:24:34,078 --> 00:24:34,995
like he's an invalid.
409
00:24:35,120 --> 00:24:36,288
We were insensitive.
410
00:24:36,413 --> 00:24:40,084
Does he drool? Can he hold his neck
straight? Does he choke on his food?
411
00:24:42,711 --> 00:24:45,380
His neck's fine.
His throat's not gonna collapse.
412
00:24:45,506 --> 00:24:47,508
Cameron,
get consent from the wife.
413
00:24:50,385 --> 00:24:51,970
Open.
414
00:24:59,394 --> 00:25:01,230
I need you to swallow.
415
00:25:11,406 --> 00:25:13,408
Sorry about that.
416
00:25:19,832 --> 00:25:21,458
Here we go.
417
00:25:31,093 --> 00:25:33,220
We're passing through
the lower esophageal sphincter
418
00:25:33,345 --> 00:25:34,847
into the antrum
of the stomach.
419
00:25:38,225 --> 00:25:39,810
There's the tail
of the pancreas.
420
00:25:39,935 --> 00:25:41,145
Looks clean.
421
00:25:41,270 --> 00:25:44,481
Moving medially. The body
and the head of the pancreas look clean.
422
00:25:44,606 --> 00:25:46,650
Get it out. Get it out.
423
00:25:46,775 --> 00:25:49,403
It's stuck. I can't move it.
His throat's collapsed.
424
00:25:49,570 --> 00:25:50,612
(CHOKES)
425
00:25:50,988 --> 00:25:53,991
His vitals are all over
the place. We're losing him.
426
00:25:55,325 --> 00:25:57,244
Cutting.
427
00:25:58,829 --> 00:26:02,583
We trached him, endoscopically removed
the probe, and he's breathing again,
428
00:26:02,708 --> 00:26:05,252
so, all in all, great idea.
429
00:26:05,377 --> 00:26:07,504
Get a look at the pancreas
before the world ended?
430
00:26:07,629 --> 00:26:08,463
It was clean.
431
00:26:08,589 --> 00:26:10,174
Which means,
barring anything else,
432
00:26:10,299 --> 00:26:12,259
meaning you,
he can go home tomorrow.
433
00:26:12,384 --> 00:26:14,386
This man nearly died.
How can you discharge him?
434
00:26:14,511 --> 00:26:16,680
His throat collapsed
because of what we predicted.
435
00:26:16,805 --> 00:26:18,724
You stick something
down someone's throat,
436
00:26:18,849 --> 00:26:23,187
they gag, spasm, which he did. it took
us a half an hour to get the thing out.
437
00:26:23,312 --> 00:26:25,355
Except our patient's throat
was sedated,
438
00:26:26,648 --> 00:26:29,985
which means the brain should have
sent a signal not to do anything.
439
00:26:31,069 --> 00:26:34,656
This could be cancer
or some bizarre neuro-degeneration,
440
00:26:34,781 --> 00:26:39,161
- even a new type of vascular...
- Stop it. You're enjoying this.
441
00:26:39,953 --> 00:26:41,371
I find it interesting.
442
00:26:41,496 --> 00:26:42,748
It's interesting
only if you're right.
443
00:26:42,873 --> 00:26:45,083
If you're wrong,
we're torturing this guy to amuse you.
444
00:26:47,961 --> 00:26:49,796
Half hour to remove the probe?
445
00:26:51,089 --> 00:26:52,466
House.
446
00:26:53,091 --> 00:26:54,009
It's not a spasm.
447
00:26:55,469 --> 00:26:57,888
His throat didn't collapse.
it locked down.
448
00:26:58,013 --> 00:27:00,641
The brain is supposed to tell every
muscle in the body to relax and contract
449
00:27:00,766 --> 00:27:03,143
at the same time.
This muscle was only contracting,
450
00:27:03,268 --> 00:27:05,187
which means the signal from the brain
was not getting through.
451
00:27:05,312 --> 00:27:08,148
There are no lesions on his brain,
nothing to interrupt any orders.
452
00:27:08,273 --> 00:27:09,608
All it takes is one wire down.
453
00:27:09,733 --> 00:27:11,109
You have no evidence
of any wires down.
454
00:27:11,235 --> 00:27:15,781
A few microtumors on the meninges,
and suddenly you're choking to death.
455
00:27:16,198 --> 00:27:18,200
You want to look at
the lining of his brain?
456
00:27:18,325 --> 00:27:21,453
The amount of contrast material
you need to pump up there just to see...
457
00:27:21,578 --> 00:27:24,039
- He'll bleed into his brain!
- No, he won't.
458
00:27:24,164 --> 00:27:28,919
Because that wouldn't be interesting.
You can get permission this time.
459
00:27:31,797 --> 00:27:34,967
HOUSE: The brain is enclosed
in a sack called the meninges.
460
00:27:35,092 --> 00:27:37,427
Does this mean
the cancer's back?
461
00:27:37,552 --> 00:27:39,680
- No. No, no, no.
- House.
462
00:27:44,226 --> 00:27:50,023
If we found cancer, it wouldn't be
the original cancer. It'd be new.
463
00:27:50,148 --> 00:27:53,527
So, what, more surgery,
more radiation.
464
00:27:53,652 --> 00:27:54,945
Might not be the worst thing.
465
00:27:56,780 --> 00:28:00,701
If this isn't just ancient history, then
maybe it's something we can correct.
466
00:28:01,410 --> 00:28:03,203
Might even get some
brain function back.
467
00:28:04,830 --> 00:28:06,081
He could get better?
468
00:28:06,206 --> 00:28:07,416
No.
469
00:28:14,715 --> 00:28:17,384
But understanding
what you're saying will be nice.
470
00:28:17,509 --> 00:28:19,845
Maybe you could figure out
ways to communicate.
471
00:28:22,639 --> 00:28:24,266
Thank God he spoke to you.
472
00:28:24,391 --> 00:28:30,355
Mrs. McNeil, the test to do
this is very risky. He could die.
473
00:28:34,526 --> 00:28:36,862
He's already dead.
474
00:28:50,208 --> 00:28:52,377
FOREMAN: Chase, go slow.
475
00:28:52,502 --> 00:28:54,629
I've already injected it
into his spinal canal.
476
00:28:55,672 --> 00:28:57,924
Next stop, his brain.
477
00:29:03,305 --> 00:29:06,808
FOREMAN: Contrast material
entering into the fourth ventricle.
478
00:29:06,933 --> 00:29:08,769
No parenchymal bleeds.
479
00:29:08,894 --> 00:29:11,480
CHASE: Blood pressure's high,
but it's holding.
480
00:29:11,605 --> 00:29:14,816
Meninges are intact.
No bleeding.
481
00:29:19,529 --> 00:29:21,573
Oh, God. Foreman, get in here.
482
00:29:37,964 --> 00:29:40,175
Surgeon repaired the CSF leak.
483
00:29:40,300 --> 00:29:41,385
You're lucky he didn't die.
484
00:29:41,510 --> 00:29:43,678
I'm lucky?
He's the one who didn't die.
485
00:29:43,804 --> 00:29:45,138
We told you he'd hemorrhage.
486
00:29:45,263 --> 00:29:48,016
You told me he'd bleed
into his brain, not out of his ear.
487
00:29:48,141 --> 00:29:49,643
You've got to drop this.
488
00:29:49,768 --> 00:29:51,269
We're missing something.
489
00:29:51,395 --> 00:29:55,607
We did a dangerous test, and something
bad happened. That's all this is.
490
00:29:57,109 --> 00:30:01,321
Give me a tour of the brain, Foreman.
Walk me through the scans.
491
00:30:01,446 --> 00:30:04,408
1998, what happened?
492
00:30:04,533 --> 00:30:08,078
Five-centimeter, grade-four astrocytoma
between the parietal...
493
00:30:08,203 --> 00:30:12,290
Nothing. Next? The speck
on the superior temporal region.
494
00:30:12,416 --> 00:30:14,209
It's a re-growth, benign.
495
00:30:14,334 --> 00:30:16,253
The star thingy
next to the Rathke cleft?
496
00:30:16,378 --> 00:30:17,838
Scar tissue from a biopsy.
497
00:30:17,963 --> 00:30:19,756
House, every speck
is not a suspect.
498
00:30:19,881 --> 00:30:23,969
It's years of surgeons
digging around in his head. Let him go.
499
00:30:24,469 --> 00:30:28,306
Redo every blood test
he's ever had. Rescan his head.
500
00:30:28,432 --> 00:30:29,641
No.
501
00:30:32,060 --> 00:30:34,896
He's been suffering for eight years.
I'm not gonna help you make it worse.
502
00:30:35,021 --> 00:30:37,274
I'm not gonna help you
make it interesting.
503
00:30:37,399 --> 00:30:40,193
That's okay. Foreman's better
at that stuff than you are.
504
00:30:40,777 --> 00:30:44,656
We need five-millimeter cuts through
the occipital and hypothalamic regions.
505
00:30:45,574 --> 00:30:46,867
No.
506
00:30:56,084 --> 00:30:58,170
How many millimeters?
507
00:31:00,505 --> 00:31:02,382
HOUSE: I can help him.
508
00:31:02,507 --> 00:31:04,676
That's it?
That's your argument?
509
00:31:05,385 --> 00:31:06,386
It seems like a good one.
510
00:31:06,511 --> 00:31:09,306
If I thought for a second you wanted to
help him, you'd have carte blanche.
511
00:31:09,431 --> 00:31:11,433
You're doing this
because it's fun.
512
00:31:11,558 --> 00:31:13,185
Does nobody in this hospital
513
00:31:13,310 --> 00:31:15,187
have anything better
to talk about than my motives?
514
00:31:15,312 --> 00:31:16,730
My motives have nothing
to do with the case.
515
00:31:16,855 --> 00:31:19,149
Your motives have everything
to do with your judgment.
516
00:31:19,274 --> 00:31:21,485
For the first time in years,
I got no opiates in my body.
517
00:31:21,610 --> 00:31:22,652
Now you question my judgment?
518
00:31:22,777 --> 00:31:25,280
Twenty-four times a year,
you come storming into my office,
519
00:31:25,405 --> 00:31:28,867
spouting that you can help someone,
only you never say those words.
520
00:31:28,992 --> 00:31:30,535
You say something like,
521
00:31:30,660 --> 00:31:34,498
"His pancreas is gonna explode
because his brain is on fire."
522
00:31:34,623 --> 00:31:36,958
You come here with medicine,
not with platitudes.
523
00:31:37,626 --> 00:31:39,336
I didn't wanna bore you
with the details.
524
00:31:39,461 --> 00:31:41,963
There are no details.
You have a hunch.
525
00:31:42,881 --> 00:31:46,927
House, you don't use hunches.
You always have reasons.
526
00:31:47,552 --> 00:31:51,223
This hospital doesn't exist
for your whims. I'm sorry.
527
00:31:52,224 --> 00:31:55,268
As of 7:00 a.m. tomorrow morning,
I'm sending your patient home.
528
00:32:03,360 --> 00:32:04,778
The answer's no.
529
00:32:04,903 --> 00:32:07,989
Cuddy called 30 seconds after you left
and said you'd try an end-around.
530
00:32:10,617 --> 00:32:11,743
(DOOR CLOSES)
531
00:32:24,005 --> 00:32:25,549
My leg hurt.
532
00:32:28,301 --> 00:32:29,219
How bad?
533
00:32:29,344 --> 00:32:31,179
Enough that I'm telling you.
534
00:32:32,055 --> 00:32:32,889
Did it go away?
535
00:32:34,641 --> 00:32:35,725
Ached for a while.
536
00:32:38,186 --> 00:32:41,106
First time I've felt anything
there since the surgery.
537
00:32:42,065 --> 00:32:43,358
But it went away?
538
00:32:45,485 --> 00:32:48,280
It was muscular.
There was some cramping.
539
00:32:50,448 --> 00:32:51,908
What are you smiling about?
540
00:32:54,369 --> 00:32:56,121
You're 40-something years old.
541
00:32:56,246 --> 00:32:58,081
You've been running God knows
how many miles a day,
542
00:32:58,206 --> 00:32:59,958
fallen a hundred times
off that skateboard,
543
00:33:00,083 --> 00:33:01,710
and you're shocked
to have some soreness?
544
00:33:01,835 --> 00:33:03,253
Just give me a prescription.
545
00:33:03,378 --> 00:33:04,588
For Vicodin?
546
00:33:04,713 --> 00:33:07,257
House, people get
aching joints, cramps.
547
00:33:07,382 --> 00:33:09,718
They put on an ice pack.
They take some ibuprofen.
548
00:33:09,843 --> 00:33:11,636
I know what the pangs
of middle age feel like.
549
00:33:11,761 --> 00:33:14,723
No, you don't
because you've been stuffing Vicodin
550
00:33:14,848 --> 00:33:16,474
every five minutes
since you turned middle-aged.
551
00:33:16,600 --> 00:33:18,101
The surgery didn't work.
552
00:33:18,226 --> 00:33:19,311
Don't play me.
553
00:33:19,436 --> 00:33:21,146
You think this is a scam?
554
00:33:21,271 --> 00:33:23,148
I think you want me
to feel sorry for you
555
00:33:23,273 --> 00:33:27,193
and either do the end-around on Cuddy
or give you the drugs.
556
00:33:29,904 --> 00:33:33,366
Either way, you get the high
you think you need.
557
00:33:37,329 --> 00:33:40,457
House, your surgery worked. You're fine.
558
00:33:40,582 --> 00:33:44,294
It's just gonna take time
for it to feel good.
559
00:34:43,728 --> 00:34:45,271
(KNOCK ON DOOR)
560
00:35:03,081 --> 00:35:04,833
(GASPS)
561
00:35:08,837 --> 00:35:10,088
(SIGHS)
562
00:35:16,094 --> 00:35:19,222
Circumventricular system
senses cytokines
563
00:35:19,347 --> 00:35:21,474
released in the early stages
of the immune response,
564
00:35:21,599 --> 00:35:23,518
but CVOS releases
prostaglandins
565
00:35:23,643 --> 00:35:25,895
that reset the hypothalamic
set point upward
566
00:35:26,020 --> 00:35:30,066
unless it's countered by antipyretic
therapy, so, yeah, his brain is on fire.
567
00:35:31,067 --> 00:35:33,403
The suicide attempt
was not a suicide attempt.
568
00:35:33,528 --> 00:35:35,071
He drove that wheelchair
into the pool
569
00:35:35,196 --> 00:35:37,490
because he couldn't regulate
his body temperature.
570
00:35:37,615 --> 00:35:39,492
He had a hypothalamic
dysregulation.
571
00:35:40,493 --> 00:35:45,999
And you discovered this when
you stepped into the university pool?
572
00:35:46,666 --> 00:35:49,294
Fountain. I can cure him.
573
00:35:49,419 --> 00:35:50,420
Cure him!
574
00:35:50,545 --> 00:35:52,464
Even if the fountain
proved anything,
575
00:35:52,589 --> 00:35:55,467
fixing hypothalamic dysregulation
isn't gonna regenerate brain.
576
00:35:55,592 --> 00:35:58,094
No, but if the scar tissue
on his hypothalamus
577
00:35:58,219 --> 00:35:59,637
is resting against
the pituitary,
578
00:35:59,763 --> 00:36:02,599
the adrenals would shut down.
Addison's disease.
579
00:36:02,724 --> 00:36:05,393
You didn't see any scar tissue
on his MRI, his CT scans...
580
00:36:05,518 --> 00:36:07,979
- His brain is functional.
- His temperature's normal.
581
00:36:08,104 --> 00:36:10,982
There is nothing wrong
with his hypothalamus or his pituitary!
582
00:36:11,107 --> 00:36:12,567
I can make him walk.
I can make him talk.
583
00:36:12,692 --> 00:36:14,152
This is a wild guess
584
00:36:14,277 --> 00:36:16,988
that came to you
because you were sweating.
585
00:36:17,113 --> 00:36:20,533
Inject him with cortisol. The guy
will have sex with his wife again.
586
00:36:20,658 --> 00:36:25,663
He'll hug his kid again. Hopefully,
that's the combination he was using.
587
00:36:25,789 --> 00:36:27,540
It'd be a shame
if I had cured a pedophile.
588
00:36:29,501 --> 00:36:31,085
You're smiling.
That's a bad sign.
589
00:36:32,045 --> 00:36:32,921
You're high.
590
00:36:33,046 --> 00:36:35,173
I told you,
I haven't had anything in three months.
591
00:36:35,298 --> 00:36:37,258
This is as high as you get,
592
00:36:37,383 --> 00:36:40,762
a theory that ties your case up
in a neat little bow,
593
00:36:40,887 --> 00:36:43,223
but you don't have
a lick of substantiating proof.
594
00:36:43,848 --> 00:36:45,266
(SIGHS)
595
00:36:46,893 --> 00:36:49,062
Your decision doesn't make any sense.
596
00:36:49,187 --> 00:36:51,272
There is no risk
to a cortisol injection.
597
00:36:51,397 --> 00:36:53,316
If I'm wrong, big deal.
598
00:36:53,441 --> 00:36:55,819
He goes home a vegetable
like he already is, but if I'm right...
599
00:36:55,944 --> 00:36:58,988
This is not about downsides
or risk management.
600
00:36:59,739 --> 00:37:02,450
It is a big deal
for you to understand the word "No."
601
00:37:04,327 --> 00:37:05,203
(SIGHS)
602
00:37:05,328 --> 00:37:07,205
I'm sorry, House.
603
00:37:32,230 --> 00:37:33,982
He's on his way out of here.
604
00:37:34,107 --> 00:37:36,693
I figured you'd be on your scooter,
racing down the halls
605
00:37:36,818 --> 00:37:38,945
to stab the patient
in the neck with cortisol.
606
00:37:41,197 --> 00:37:43,199
She was right to say no.
607
00:37:44,450 --> 00:37:47,412
I had no objective reason
to think that I was right.
608
00:37:49,289 --> 00:37:51,583
Just needed the puzzle.
609
00:38:05,680 --> 00:38:07,599
Hold on a sec.
610
00:38:07,724 --> 00:38:08,975
Is everything all right?
611
00:38:10,935 --> 00:38:14,397
Yeah, it's just
something I forgot.
612
00:38:25,992 --> 00:38:27,702
What's that?
613
00:38:27,827 --> 00:38:33,166
This is cortisol,
and it's to fight infection.
614
00:38:35,001 --> 00:38:38,630
Want to hold onto that?
Let's put a bandage on it.
615
00:38:57,231 --> 00:38:58,232
Is he okay?
616
00:39:03,279 --> 00:39:04,322
Yes.
617
00:39:04,447 --> 00:39:05,865
Can we go now?
618
00:39:05,990 --> 00:39:08,368
You can go.
619
00:39:17,377 --> 00:39:19,587
Excuse me.
620
00:39:24,300 --> 00:39:25,677
(GASPING)
621
00:39:46,072 --> 00:39:47,615
Richard. Richard.
622
00:39:53,955 --> 00:39:55,289
Dad, you okay?
623
00:40:04,882 --> 00:40:08,136
Richard? Richard! Richard!
624
00:40:09,387 --> 00:40:11,639
Richard!
625
00:40:13,057 --> 00:40:15,560
Richard.
626
00:40:22,358 --> 00:40:26,738
Richard, you're standing.
627
00:40:38,624 --> 00:40:39,584
(GRUNTS)
628
00:40:49,927 --> 00:40:52,221
Thank you.
629
00:41:03,566 --> 00:41:05,151
CUDDY: He got up.
630
00:41:06,277 --> 00:41:07,403
I have to go tell House.
631
00:41:07,528 --> 00:41:11,324
No. Cuddy, you can't tell him.
632
00:41:11,866 --> 00:41:13,576
I have to tell him.
He was right.
633
00:41:13,701 --> 00:41:16,704
Why did you do it?
Why did you think he might be right?
634
00:41:17,663 --> 00:41:19,040
Because he's House.
635
00:41:19,165 --> 00:41:21,292
Medically, what made you think
he was right?
636
00:41:22,585 --> 00:41:23,419
Nothing.
637
00:41:23,544 --> 00:41:26,297
He got lucky. That's all that happened.
638
00:41:27,048 --> 00:41:29,425
Telling him no
was a good thing
639
00:41:29,550 --> 00:41:33,012
because next time, he won't get lucky.
He'll kill someone.
640
00:41:34,138 --> 00:41:37,975
Just because he was right
doesn't mean he wasn't wrong.
641
00:41:39,811 --> 00:41:42,230
(EXHALES)
642
00:41:44,941 --> 00:41:48,236
I see him every day.
I can't just...
643
00:41:48,986 --> 00:41:50,863
Everybody lies.
644
00:42:00,832 --> 00:42:05,169
(CAN'T ALWAYS GET
WHAT YOU WANT PLNHNG)