1
00:00:13,035 --> 00:00:15,495
You're not going to
make this easy, are you?
2
00:00:15,954 --> 00:00:20,042
Unfortunately, as much as I
admire your spirit...
3
00:00:22,836 --> 00:00:24,463
(SPEAKING FRENCH)
4
00:00:34,097 --> 00:00:39,061
Subject anesthetized with .5 CC's
of sodium pentobarbital.
5
00:00:39,478 --> 00:00:42,439
Transfected with
human hepatic cancer cells.
6
00:00:42,564 --> 00:00:48,528
Underwent six rounds of intra-abdominal
treatment with ES-22.
7
00:00:50,322 --> 00:00:55,869
Vertical incision through the rectus
sheath opens the abdominal cavity.
8
00:00:56,119 --> 00:00:58,914
Incision extended into...
9
00:00:59,414 --> 00:01:00,874
the thorax.
10
00:01:00,999 --> 00:01:02,876
(COUGHS)
11
00:01:06,129 --> 00:01:09,966
Liver appears normal in color.
No apparent scarring or...
12
00:01:11,968 --> 00:01:13,261
Damn it!
13
00:01:14,638 --> 00:01:19,059
Cancerous tumors still present
on the right lobe,
14
00:01:19,559 --> 00:01:24,690
1.12 centimeters in diameter.
No reduction.
15
00:01:27,943 --> 00:01:29,361
(GASPING)
16
00:01:34,574 --> 00:01:36,993
(BREATHING HEAVILY)
17
00:02:39,973 --> 00:02:42,809
71-year-old
cancer research specialist.
18
00:02:42,934 --> 00:02:47,230
Minor tremors, a localized melanoma
removed two years ago, cataracts.
19
00:02:47,355 --> 00:02:48,398
And he can't breathe.
20
00:02:48,523 --> 00:02:50,859
Also, disregard the facial lacerations.
21
00:02:50,984 --> 00:02:52,903
They're creepy, but unfortunately
irrelevant.
22
00:02:54,654 --> 00:02:55,781
Don't you wanna know why?
23
00:02:55,906 --> 00:02:57,324
You have your cane.
24
00:02:57,491 --> 00:02:59,743
No, why the lacerations
are creepy.
25
00:02:59,868 --> 00:03:02,662
He was about to dissect one of his lab
rats when he collapsed.
26
00:03:02,788 --> 00:03:07,334
The little vermin seized the day, so to
speak, and went medieval on his ass.
27
00:03:08,794 --> 00:03:10,170
What? My fly open?
28
00:03:10,295 --> 00:03:12,172
So, the pain's returned?
29
00:03:12,297 --> 00:03:14,090
There was no pain.
He was unconscious.
30
00:03:14,216 --> 00:03:15,926
I'm guessing because
he wasn't able to breathe.
31
00:03:16,051 --> 00:03:17,344
We're talking about you.
32
00:03:17,469 --> 00:03:19,763
Obviously. I'm obviously not.
33
00:03:19,888 --> 00:03:20,972
What is it with you people?
34
00:03:21,097 --> 00:03:23,016
I don't use the cane, you're shocked.
I use the cane...
35
00:03:23,141 --> 00:03:24,226
We're just concerned.
36
00:03:24,351 --> 00:03:26,436
About the wrong person.
I can breathe.
37
00:03:26,561 --> 00:03:28,605
Ezra Powell, on the other hand,
is gonna die.
38
00:03:28,730 --> 00:03:30,398
- The Ezra Powell?
- The researcher?
39
00:03:30,524 --> 00:03:31,733
The guy who wrote
that textbook?
40
00:03:31,858 --> 00:03:33,318
"That" textbook?
The textbook.
41
00:03:33,443 --> 00:03:35,654
Wait. There's actually
another doctor you admire?
42
00:03:35,779 --> 00:03:38,740
I admire lots of doctors.
43
00:03:38,865 --> 00:03:41,493
Of course, most of them look a lot
better in knee socks than Ezra Powell,
44
00:03:41,785 --> 00:03:43,036
but seeing as they
can all breathe...
45
00:03:43,161 --> 00:03:45,914
CHASE: Oxygenation is through the floor
and lungs are full of fluid.
46
00:03:46,039 --> 00:03:47,582
Gotta be his heart.
47
00:03:47,707 --> 00:03:48,708
Could be amyloidosis.
48
00:03:48,834 --> 00:03:52,170
Or his lungs, probably from years of
inhaling toxic chemicals in his lab.
49
00:03:52,295 --> 00:03:54,422
CHASE: It's not the lungs.
The chest x-ray's clean.
50
00:03:54,548 --> 00:03:55,966
FOREMAN: So's his EKG.
It's not his heart.
51
00:03:56,091 --> 00:03:57,717
We're being too nice.
52
00:03:58,426 --> 00:04:00,262
Outside the hospital
he can't breathe.
53
00:04:00,387 --> 00:04:02,681
Inside the hospital he can,
because we help,
54
00:04:02,806 --> 00:04:05,058
at least enough to screw with
our test results.
55
00:04:05,183 --> 00:04:07,727
The source of the problem's either
in his heart or his lungs,
56
00:04:08,270 --> 00:04:10,564
so all we gotta do is
stop helping,
57
00:04:10,689 --> 00:04:12,858
put a little pressure on him
and see which gives out first.
58
00:04:12,983 --> 00:04:15,610
At 71, we get his
heart or lungs to give out,
59
00:04:15,735 --> 00:04:17,153
we might not get them to give in again.
60
00:04:17,279 --> 00:04:19,197
That's why we're gonna do it
in a hospital.
61
00:04:19,322 --> 00:04:22,659
Put him on an inclined treadmill
and do a stress EKG.
62
00:04:24,578 --> 00:04:25,996
So much for the admiration.
63
00:04:27,205 --> 00:04:31,293
Let's get you started.
I'll turn your oxygen up.
64
00:04:33,837 --> 00:04:34,838
Lull
65
00:04:35,046 --> 00:04:39,384
I worked with Williams on the first
protocol for this machine.
66
00:04:39,509 --> 00:04:41,261
Everyone still uses it.
67
00:04:41,386 --> 00:04:44,973
Except for Williams.
He died four years ago.
68
00:04:45,098 --> 00:04:46,558
I'm sorry.
69
00:04:46,850 --> 00:04:49,603
He was 84.
He died parasailing.
70
00:04:51,396 --> 00:04:53,481
He was always an idiot.
71
00:04:55,775 --> 00:04:56,943
You Okay?
72
00:04:57,569 --> 00:05:01,114
Hang in there. You know the protocol's
only a few minutes.
73
00:05:02,240 --> 00:05:03,742
FOREMAN:
His heart rate's flat.
74
00:05:03,867 --> 00:05:06,077
If we don't get it past 130,
we're not going to see anything.
75
00:05:06,202 --> 00:05:08,496
And if he falls and breaks a hip, we're
not going to see anything either.
76
00:05:08,622 --> 00:05:11,708
Except an increase
in our malpractice insurance.
77
00:05:13,585 --> 00:05:16,212
I figured House might
go back to the pills,
78
00:05:16,338 --> 00:05:19,549
but if he's using his cane,
he's right back to where he was before.
79
00:05:19,674 --> 00:05:20,508
Maybe even worse.
80
00:05:20,634 --> 00:05:23,720
Luckily, he'll handle it
in a stoic, grown-up fashion.
81
00:05:23,845 --> 00:05:26,056
He'd never take it out on us.
82
00:05:30,685 --> 00:05:31,978
I can't.
83
00:05:32,354 --> 00:05:34,397
I've got to stop.
84
00:05:34,731 --> 00:05:36,524
Just a little longer.
85
00:05:41,196 --> 00:05:44,866
His heart rate's only 90.
I'm going to increase the incline.
86
00:05:47,410 --> 00:05:49,788
I've got to stop.
I've got to get off.
87
00:05:49,996 --> 00:05:51,831
You're doing great.
Just a little faster, okay?
88
00:05:51,957 --> 00:05:55,627
I don't need a cheerleader,
I need oxygen.
89
00:05:56,753 --> 00:05:58,755
Stop. This isn't working.
90
00:06:04,552 --> 00:06:06,346
His heart rate
barely got above 90.
91
00:06:06,471 --> 00:06:08,807
He can't breathe.
There's too much fluid in his lungs.
92
00:06:08,932 --> 00:06:11,518
Really?
He's got fluid in his lungs?
93
00:06:11,643 --> 00:06:14,312
Whatever are we gonna do?
Oh, yeah, now I remember.
94
00:06:14,437 --> 00:06:16,940
Put him on a treadmill and run him like
one of his rats on a wheel.
95
00:06:17,065 --> 00:06:18,525
He can't run.
He can hardly walk.
96
00:06:18,650 --> 00:06:19,818
That's 'cause he's not
trying hard enough.
97
00:06:19,943 --> 00:06:21,444
If he was, his heart rate
would go up.
98
00:06:21,569 --> 00:06:24,280
Exercising with a lung full of
your own bodily fluids tends to hurt.
99
00:06:24,406 --> 00:06:26,992
They don't call it
a stress test for nothing. Do it again.
100
00:06:27,117 --> 00:06:28,076
He's drowning.
101
00:06:28,201 --> 00:06:31,746
Then pull him out of the pool
and do it again.
102
00:06:35,792 --> 00:06:40,171
I'm assuming this isn't
your idea of a long-term solution.
103
00:06:40,296 --> 00:06:41,798
We need to get rid
of the fluid in your lungs,
104
00:06:41,923 --> 00:06:43,383
so you'll be able
to do the test.
105
00:06:43,508 --> 00:06:45,552
To see if it's my heart
or my lungs?
106
00:06:45,677 --> 00:06:46,845
Exactly.
107
00:06:46,970 --> 00:06:48,263
My money's on both.
108
00:06:49,472 --> 00:06:52,600
I've been in and out of the hospital
for the past year.
109
00:06:52,726 --> 00:06:56,646
I'm old. I'm sick.
And I'm getting older and sicker.
110
00:06:56,938 --> 00:07:00,400
Not a very interesting
differential but...
111
00:07:01,901 --> 00:07:03,278
I'm in.
112
00:07:12,370 --> 00:07:14,998
You don't need a $400 handbag.
113
00:07:15,123 --> 00:07:18,084
It's kinda hard to check your throat
when you're flapping your gums around.
114
00:07:18,209 --> 00:07:19,335
Sorry.
115
00:07:19,461 --> 00:07:20,879
But it's for the fall formal.
116
00:07:21,838 --> 00:07:24,716
He doesn't care if it's for
the Presidential Inauguration.
117
00:07:24,841 --> 00:07:27,218
But I'm using Marissa'a
old dress. It's free.
118
00:07:27,552 --> 00:07:29,012
You know what else is free?
119
00:07:29,137 --> 00:07:32,307
The roof over your head, the food
you eat, your phone, your computer.
120
00:07:32,640 --> 00:07:33,933
How long have you
been congested?
121
00:07:34,059 --> 00:07:36,519
All week, ever since we
got back from Fresno.
122
00:07:36,644 --> 00:07:39,689
Fresno? That's in France,
right? See the Parthenon?
123
00:07:40,148 --> 00:07:41,357
California.
124
00:07:41,858 --> 00:07:44,569
I've got no appetite,
I'm aching all over, I'm weak.
125
00:07:45,028 --> 00:07:47,280
- Does that hurt?
- Oh, yeah.
126
00:07:47,697 --> 00:07:51,785
Does his voice always have
that unattractive nasal tone?
127
00:07:52,243 --> 00:07:53,536
Totally.
128
00:07:54,954 --> 00:07:57,624
I'm gonna take that giggle
as a "no".
129
00:07:57,749 --> 00:08:00,210
Fever, aches, weakness,
loss of appetite.
130
00:08:00,335 --> 00:08:03,046
You been having an anal sex
with IV drug users lately?
131
00:08:03,171 --> 00:08:05,256
Of course not. I'm married.
132
00:08:05,673 --> 00:08:06,591
You think she might have
been having...
133
00:08:06,758 --> 00:08:08,384
No!
134
00:08:08,802 --> 00:08:10,220
Probably a rhinovirus.
135
00:08:10,345 --> 00:08:11,471
What's that?
136
00:08:11,930 --> 00:08:13,181
A cold.
137
00:08:13,765 --> 00:08:17,435
Take this four times a day,
and stay off airplanes.
138
00:08:17,560 --> 00:08:19,562
They're flying cesspools.
139
00:08:21,272 --> 00:08:22,398
Oops
140
00:08:23,566 --> 00:08:25,443
You dropped something.
141
00:08:26,319 --> 00:08:29,697
If there's anything else
you can think of, please call.
142
00:08:32,951 --> 00:08:35,620
- Yes?
- He's too old and weak.
143
00:08:45,797 --> 00:08:48,800
Yeah, this is way better.
This'll work.
144
00:08:49,592 --> 00:08:50,969
Just try.
145
00:08:51,302 --> 00:08:54,681
There are 20 words
to describe chest pain.
146
00:08:55,014 --> 00:08:59,018
Burning, squeezing,
stabbing, tearing...
147
00:08:59,144 --> 00:09:01,521
Each one
diagnostically useful.
148
00:09:02,105 --> 00:09:05,024
For that, you have to thank
Dr. Powell's textbook.
149
00:09:05,150 --> 00:09:08,987
But there are no words to describe
degrees of what he's feeling right now.
150
00:09:09,112 --> 00:09:10,780
Shortness of breath.
151
00:09:11,531 --> 00:09:14,492
If he had worked
on those issues, there would be.
152
00:09:14,826 --> 00:09:17,412
He never would have given up
until he had an answer.
153
00:09:17,537 --> 00:09:19,164
This isn't working.
154
00:09:22,625 --> 00:09:24,043
Dr. House...
155
00:09:24,169 --> 00:09:25,295
Please don't get up.
156
00:09:25,420 --> 00:09:27,005
I'm sure you're very busy,
157
00:09:27,130 --> 00:09:30,049
I'm just gonna try
and speed things up a little.
158
00:09:30,175 --> 00:09:31,885
Is that epi?
That's not the protocol.
159
00:09:32,010 --> 00:09:37,056
No. The protocol is what you tried
to do and failed each time.
160
00:09:41,311 --> 00:09:43,479
Over 100. Now we're
getting somewhere.
161
00:09:43,605 --> 00:09:44,522
How does it look, Foreman?
162
00:09:44,647 --> 00:09:46,274
No EKG changes.
163
00:09:47,567 --> 00:09:48,651
Then we push harder.
164
00:09:48,776 --> 00:09:49,903
House, you're gonna kill him.
165
00:09:50,028 --> 00:09:52,488
No, he's right. Let him do it.
166
00:09:53,031 --> 00:09:55,450
See? That's why he doesn't
have to wear knee socks.
167
00:09:55,575 --> 00:09:57,076
He can't breathe.
168
00:10:00,955 --> 00:10:03,958
130, our magic number.
169
00:10:04,876 --> 00:10:06,961
Nothing here. Foreman?
170
00:10:07,086 --> 00:10:08,421
Still no sign of blockage.
171
00:10:10,256 --> 00:10:13,468
Which means it's not the heart.
it must be the lungs.
172
00:10:14,594 --> 00:10:17,096
See, that wasn't so hard,
was it?
173
00:10:19,307 --> 00:10:21,726
No. Just give me the rest
of the epinephrine.
174
00:10:21,851 --> 00:10:24,103
The test is over. It's okay.
We're going to stabilize you.
175
00:10:24,229 --> 00:10:25,396
No.
176
00:10:26,064 --> 00:10:29,025
No, just let me die.
177
00:10:29,150 --> 00:10:30,109
You're not gonna die.
178
00:10:30,235 --> 00:10:31,945
Yes, I am.
179
00:10:32,070 --> 00:10:33,905
We'll find a treatment.
180
00:10:34,447 --> 00:10:37,367
I don't want to
live like this.
181
00:10:38,660 --> 00:10:41,996
Please, I'm begging you.
182
00:10:43,289 --> 00:10:44,582
Kill me.
183
00:10:50,046 --> 00:10:51,297
He says no more tests.
184
00:10:51,464 --> 00:10:53,466
He wants to die and he wants us
to help him do it.
185
00:10:53,591 --> 00:10:57,011
And I wanna play a little game I like
to call Block My Spike with Misty May.
186
00:10:57,136 --> 00:10:59,389
He's thought this through.
It's not an impulsive decision.
187
00:10:59,514 --> 00:11:01,307
Neither is mine.
He's depressed.
188
00:11:01,432 --> 00:11:03,017
He'll feel much better
after we cure him.
189
00:11:03,142 --> 00:11:04,644
He's seen all the tests
we've seen.
190
00:11:04,769 --> 00:11:06,688
Even if we figure out
what's causing the lung damage,
191
00:11:06,813 --> 00:11:07,939
it's too late to reverse it.
192
00:11:08,064 --> 00:11:09,899
You can't know that
without knowing what's wrong.
193
00:11:10,024 --> 00:11:11,192
It's his call.
194
00:11:11,317 --> 00:11:12,318
So what do we do?
195
00:11:12,443 --> 00:11:14,404
Do we just put a plastic bag
over his head and get it over with?
196
00:11:14,529 --> 00:11:17,365
No, we give him
a syringe full of morphine.
197
00:11:19,701 --> 00:11:22,203
Every doctor I've ever practiced with
has done it.
198
00:11:22,328 --> 00:11:23,871
They don't want to,
they don't like to,
199
00:11:23,997 --> 00:11:26,416
- but that's the way it is.
- I haven't. I won't.
200
00:11:26,541 --> 00:11:27,333
I couldn't do it either.
201
00:11:27,458 --> 00:11:29,502
You just said we should
respect his decision.
202
00:11:29,627 --> 00:11:32,088
Respect it doesn't necessarily
mean we honor it.
203
00:11:32,213 --> 00:11:34,674
Right. It just means
we talk about it.
204
00:11:35,049 --> 00:11:38,469
At some point, "do no harm" has to mean
allowing nature to take its course,
205
00:11:38,594 --> 00:11:40,263
not stubbornly
standing in the way of it.
206
00:11:40,388 --> 00:11:43,558
Sticking a metal syringe
into a plastic IV line and pumping in
207
00:11:43,683 --> 00:11:46,853
a lethal dose of morphine is not
letting nature take its course,
208
00:11:46,978 --> 00:11:48,229
not according to
the State of New Jersey.
209
00:11:48,354 --> 00:11:51,232
So it's better we allow him
to slowly suffocate in his own plasma?
210
00:11:51,357 --> 00:11:53,234
Whose side are you on,
Senator?
211
00:11:53,359 --> 00:11:56,446
First respect his wishes, then invade
Iraq, then get the troops home.
212
00:11:56,571 --> 00:11:58,489
- Make up your mind.
- Wow.
213
00:11:59,282 --> 00:12:01,326
There's certainly a lot of interesting
things to consider.
214
00:12:01,451 --> 00:12:04,037
The stress EKG
rules out the heart,
215
00:12:04,162 --> 00:12:05,788
which means something's
gotta be attacking his lungs.
216
00:12:05,913 --> 00:12:09,250
Could be mycoplasma
or Strep pneumo, which probably means
217
00:12:09,375 --> 00:12:11,794
it's too late
to do anything about it.
218
00:12:11,919 --> 00:12:13,671
We could try levofloxacin.
219
00:12:13,796 --> 00:12:15,840
Coming up with a new treatment
isn't gonna do us any good
220
00:12:15,965 --> 00:12:18,259
unless we convince him
it's worth trying.
221
00:12:18,384 --> 00:12:22,305
Come on. He's old
and sick and tiny.
222
00:12:22,430 --> 00:12:24,307
And we can do
whatever we want to him.
223
00:12:24,640 --> 00:12:27,143
(PAGERS BEEPING)
224
00:12:34,359 --> 00:12:35,860
What happened?
225
00:12:35,985 --> 00:12:37,320
I don't know.
226
00:12:37,445 --> 00:12:38,488
He must have fallen out of bed
227
00:12:38,613 --> 00:12:41,699
and got the nasal cannula
wrapped around his neck somehow.
228
00:12:41,824 --> 00:12:43,743
Ezra, what are you doing?
229
00:12:43,868 --> 00:12:48,373
I don't want to live hooked to machines,
too weak to wipe my own ass.
230
00:12:48,498 --> 00:12:49,957
Why would you want to
wipe your own ass
231
00:12:50,083 --> 00:12:51,542
when you could have someone
do it for you?
232
00:12:51,667 --> 00:12:53,211
You're wasting your time.
233
00:12:53,336 --> 00:12:55,338
There must be other patients
you could actually help.
234
00:12:55,463 --> 00:12:59,425
All services rendered
on a first come, first served basis.
235
00:12:59,592 --> 00:13:02,428
I won't consent
to any more tests.
236
00:13:03,471 --> 00:13:06,474
And if anyone tries to
so much as touch me,
237
00:13:07,266 --> 00:13:09,394
I'll press charges
for assault.
238
00:13:11,562 --> 00:13:12,939
You heard the man.
239
00:13:13,064 --> 00:13:16,776
He wants everyone to leave him alone.
Why don't you go first?
240
00:13:18,111 --> 00:13:19,404
Get out!
241
00:13:28,454 --> 00:13:31,207
You came to me.
I didn't come to you.
242
00:13:31,457 --> 00:13:33,167
I figured you'd have the guts
243
00:13:33,292 --> 00:13:36,212
to do what had to be done
if it came to that.
244
00:13:37,088 --> 00:13:40,383
We're nowhere near that.
It's time to test your lungs.
245
00:13:45,179 --> 00:13:46,514
Breathe!
246
00:13:46,639 --> 00:13:48,099
You're gonna have to
exhale sometime.
247
00:13:48,224 --> 00:13:49,183
Stop!
248
00:13:49,308 --> 00:13:50,435
House, you're hurting him.
249
00:13:50,560 --> 00:13:51,644
You're hurting me.
250
00:13:51,769 --> 00:13:53,521
(COUGHING)
251
00:13:56,566 --> 00:14:00,027
Fine. If you don't help us,
we don't help you.
252
00:14:02,029 --> 00:14:04,866
Your lungs slowly
fill with fluid.
253
00:14:04,991 --> 00:14:08,119
You gasp to catch every breath,
but never can.
254
00:14:08,244 --> 00:14:10,246
Every breath is petrifying.
255
00:14:10,913 --> 00:14:15,293
It'll be slow,
painful, torturous.
256
00:14:17,044 --> 00:14:21,299
We don't choose our birth.
And we don't choose our death.
257
00:14:23,509 --> 00:14:27,263
What if you could?
How about we make a deal?
258
00:14:28,264 --> 00:14:30,016
Give me one more day.
259
00:14:30,933 --> 00:14:34,479
If I don't find out exactly
what's wrong with you by then,
260
00:14:35,521 --> 00:14:37,690
- I'll help you die.
- House.
261
00:14:39,525 --> 00:14:41,110
Twenty-four hours.
262
00:14:42,487 --> 00:14:44,739
Come on,
it's not gonna kill you.
263
00:14:52,497 --> 00:14:55,291
Old guy, lungs, fluid. Go.
264
00:14:55,416 --> 00:14:56,584
You cannot help him
kill himself.
265
00:14:56,709 --> 00:14:57,543
Of course I can.
266
00:14:57,668 --> 00:14:58,961
Chase says we do it
all the time.
267
00:14:59,086 --> 00:15:01,714
- Cuddy is not gonna let you.
- Enough!
268
00:15:01,839 --> 00:15:03,424
You don't want me to kill him.
Fine.
269
00:15:03,549 --> 00:15:05,510
Here's a big shock.
I don't want to kill him either.
270
00:15:05,635 --> 00:15:08,596
How do I not kill him?
By you guys doing your job.
271
00:15:08,930 --> 00:15:12,391
We have 24 hours to figure out
what's wrong with him.
272
00:15:12,517 --> 00:15:13,559
'Fink-tuck, fink-tuck.
273
00:15:13,684 --> 00:15:16,604
I'll draw cultures. Pneumonia.
Should be bacteria in his blood.
274
00:15:16,729 --> 00:15:18,064
That's gonna take
longer than 24 hours.
275
00:15:18,189 --> 00:15:19,440
Not if I spin down the sample.
276
00:15:19,565 --> 00:15:22,360
Separate off the buffy coat,
then Gram stain for bacteria.
277
00:15:22,568 --> 00:15:26,781
Great. Do an amylase, D-dimer,
C-reactive peptide, get a urine,
278
00:15:26,906 --> 00:15:28,741
and do a bronchial sputum
while you're at it.
279
00:15:28,866 --> 00:15:31,244
And you, check his home
and lab for radiation and toxins.
280
00:15:31,452 --> 00:15:32,537
And do a bone marrow biopsy.
281
00:15:32,662 --> 00:15:34,747
- All of that in 24 hours?
- Nah.
282
00:15:34,872 --> 00:15:38,459
Whatever you don't get done,
you can finish at the autopsy.
283
00:16:52,325 --> 00:16:55,494
Wow. You guys look like crap.
284
00:16:56,662 --> 00:16:59,123
- What have you got?
- Purple dye on my fingers.
285
00:16:59,248 --> 00:17:01,500
- What did the bone marrow biopsy show?
- I don't have the results.
286
00:17:01,626 --> 00:17:03,669
What? What have you
been doing all night?
287
00:17:03,794 --> 00:17:05,546
Jell-O shots and wild sex,
what else?
288
00:17:05,671 --> 00:17:07,715
FOREMAN: There's no bacteria
in the blood cultures.
289
00:17:07,840 --> 00:17:10,009
We still have some cooking,
but so far, nothing.
290
00:17:10,134 --> 00:17:11,135
Nothing in the urine.
291
00:17:11,260 --> 00:17:14,472
Lab was clean enough to do surgery in,
because, well, they do.
292
00:17:14,597 --> 00:17:17,642
And there was no sign of viruses
or fleas on any of the rats.
293
00:17:17,808 --> 00:17:18,934
Yeah.
294
00:17:20,394 --> 00:17:21,479
Who?
295
00:17:22,396 --> 00:17:24,440
Tell her to call the clinic.
296
00:17:24,565 --> 00:17:27,568
Then tell her to leave a message
and I'll get back to her.
297
00:17:27,693 --> 00:17:30,112
Then tell her to leave
a personal message.
298
00:17:30,404 --> 00:17:32,615
- Who's that?
- That's your protégé.
299
00:17:32,865 --> 00:17:33,949
What are these?
300
00:17:34,075 --> 00:17:35,743
Dictation tapes. He records everything.
301
00:17:35,868 --> 00:17:36,744
Why?
302
00:17:36,869 --> 00:17:38,454
Because he's
a diligent researcher?
303
00:17:38,579 --> 00:17:39,789
Or he's losing his memory.
304
00:17:39,997 --> 00:17:41,374
A lot of people
dictate their notes.
305
00:17:41,499 --> 00:17:44,335
Yes, we could assume that
and we'd have nothing.
306
00:17:44,752 --> 00:17:45,920
Or we could assume
it's a symptom,
307
00:17:46,045 --> 00:17:49,340
in which case whatever's in his lungs
is also in his brain,
308
00:17:49,465 --> 00:17:50,758
unless you've got
something more promising.
309
00:17:51,092 --> 00:17:52,426
I'll go get an MRI
of his head.
310
00:17:52,551 --> 00:17:54,470
Keep testing
till you find something.
311
00:17:54,595 --> 00:17:57,348
I'm going to my office
to rest for a while.
312
00:17:58,933 --> 00:18:03,187
It's been a long time
since I took an anatomy class,
313
00:18:03,312 --> 00:18:07,400
but I'm pretty sure you're moving
farther and farther away from my lungs.
314
00:18:07,525 --> 00:18:09,860
Running out of places to look,
aren't you?
315
00:18:09,985 --> 00:18:12,071
It doesn't mean
we're gonna stop looking.
316
00:18:12,196 --> 00:18:14,240
Oh, no.
Not for six more hours.
317
00:18:14,365 --> 00:18:16,534
- Do you want us to fail?
- No.
318
00:18:17,326 --> 00:18:18,911
But you will.
319
00:18:28,421 --> 00:18:32,341
No abnormal nuclei means
no leukemia. He a drinker?
320
00:18:32,466 --> 00:18:33,634
Not according to the history.
321
00:18:33,759 --> 00:18:34,760
Which means yes, he drinks,
322
00:18:34,885 --> 00:18:37,680
which gives us a nice mundane
explanation for the acellularity.
323
00:18:37,805 --> 00:18:40,850
Or he's telling the truth, which means
fungus is still on the table.
324
00:18:40,975 --> 00:18:43,894
But your entire view
of human nature gets destroyed.
325
00:18:44,019 --> 00:18:46,522
Six of one,
half a dozen of the other.
326
00:18:48,274 --> 00:18:50,693
Bad news fast. Good news,
you can take your time.
327
00:18:50,860 --> 00:18:53,446
Head's clean. You were wrong.
His faculties are intact.
328
00:18:53,571 --> 00:18:55,364
Too bad.
If his brain was addled,
329
00:18:55,489 --> 00:18:57,158
we wouldn't have
to listen to anything he says.
330
00:18:57,283 --> 00:18:58,784
Hand me the 10 percent KOH.
331
00:18:58,909 --> 00:19:00,494
It's 4:00.
We have nothing to tell him.
332
00:19:00,619 --> 00:19:03,581
Then we have no reason to talk to him.
We still haven't ruled out fungus.
333
00:19:03,706 --> 00:19:06,459
Yeah, we have.
No bugs, no hyphae.
334
00:19:09,295 --> 00:19:12,173
Okay. Next procedure.
335
00:19:12,298 --> 00:19:14,633
We sneak in,
turn back the clock.
336
00:19:20,222 --> 00:19:24,268
Whole team. Must be bad news.
337
00:19:24,393 --> 00:19:25,269
Nope.
338
00:19:26,020 --> 00:19:29,482
Your bone marrow biopsy
revealed multiple myeloma.
339
00:19:29,774 --> 00:19:32,485
It's not good news,
but there are some treatments.
340
00:19:32,610 --> 00:19:35,196
- I need to draw some blood.
- What about my breathing?
341
00:19:35,321 --> 00:19:37,406
Associated hyper-viscosity syndrome
342
00:19:37,531 --> 00:19:39,492
gummed up the blood vessels
in your lungs.
343
00:19:39,617 --> 00:19:43,370
Dr. Chase said
my calcium is normal.
344
00:19:43,746 --> 00:19:45,873
We call him Dr. Idiot.
345
00:19:45,998 --> 00:19:48,083
There's no
M protein in my urine.
346
00:19:48,209 --> 00:19:49,710
Odd presentation.
347
00:19:50,628 --> 00:19:54,423
It's so odd that Dr. Cameron
doesn't believe it either.
348
00:19:59,178 --> 00:20:00,429
Just give me 12 more hours.
349
00:20:00,554 --> 00:20:03,057
We had a deal. No more tests.
350
00:20:03,933 --> 00:20:07,228
Fair enough.
Give me six more hours.
351
00:20:08,354 --> 00:20:11,106
Listen, there is no evidence
that you are terminal.
352
00:20:11,232 --> 00:20:13,067
You a man of your word or not?
353
00:20:13,192 --> 00:20:14,819
No, as a matter of fact,
I'm not.
354
00:20:14,944 --> 00:20:17,446
Fine. Then discharge me.
355
00:20:19,406 --> 00:20:21,909
My lungs will slowly
fill with fluid.
356
00:20:22,868 --> 00:20:26,872
I'll gasp to
catch every breath, but never can.
357
00:20:26,997 --> 00:20:32,169
Every breath will be petrifying.
It'll be slow, painful, torturous.
358
00:20:35,381 --> 00:20:38,175
You really gonna
let me die like that?
359
00:21:16,755 --> 00:21:19,049
- Where are you going?
- Nowhere.
360
00:21:36,775 --> 00:21:39,778
Everybody who can walk
should get out of here.
361
00:21:40,863 --> 00:21:43,490
- You can't do that.
- I can't do what?
362
00:21:43,616 --> 00:21:47,286
Administer a prescription pain killer
to a patient who's in pain?
363
00:21:47,411 --> 00:21:48,412
Go.
364
00:21:48,537 --> 00:21:50,915
Make sure somebody sees you
downstairs in the cafeteria.
365
00:21:51,040 --> 00:21:52,958
I can't let you do this.
366
00:21:53,500 --> 00:21:57,087
Either I die in pain
or I just die.
367
00:21:57,254 --> 00:22:00,090
That's what the argument is here.
368
00:22:00,215 --> 00:22:02,718
No. It's about whether
you die or we murder you.
369
00:22:02,843 --> 00:22:03,802
What's gonna happen here
370
00:22:03,928 --> 00:22:07,389
is that someone's
getting a buttload of morphine.
371
00:22:07,514 --> 00:22:10,100
I'm not sure exactly who
at this point.
372
00:22:26,617 --> 00:22:28,661
I can't be a part of this.
373
00:22:53,352 --> 00:22:54,520
Thank you.
374
00:22:58,023 --> 00:23:02,444
I always wondered exactly what
was on the other side.
375
00:23:04,530 --> 00:23:05,572
Nothing.
376
00:23:20,504 --> 00:23:22,297
(MACHINE BEEPING)
377
00:23:39,982 --> 00:23:41,650
What are you doing?
378
00:23:41,817 --> 00:23:43,694
Getting a laryngoscope.
379
00:23:46,780 --> 00:23:48,449
Don't just stand there, help!
380
00:23:48,574 --> 00:23:49,533
But you told him that...
381
00:23:49,658 --> 00:23:51,410
A little something
I like to call a lie.
382
00:23:51,577 --> 00:23:55,330
It's bad, I know, but it's way further
down the list than murder.
383
00:24:02,963 --> 00:24:06,341
He's unconscious.
No more whining.
384
00:24:07,301 --> 00:24:09,261
We can keep testing him.
385
00:24:11,555 --> 00:24:15,350
Go get a ventilator.
I'm not gonna do this all night.
386
00:24:22,399 --> 00:24:24,568
HOUSE: We can legally assume
that he'd consent
387
00:24:24,693 --> 00:24:27,029
to whatever a reasonable person
would consent to.
388
00:24:27,154 --> 00:24:30,908
And a reasonable person would
obviously consent to being put
389
00:24:31,033 --> 00:24:34,495
in a coma against their will
just to satisfy your curiosity?
390
00:24:34,787 --> 00:24:38,165
I try to kill him, you're mad.
I don't kill him, you're mad.
391
00:24:38,290 --> 00:24:39,625
All he wanted
was some dignity.
392
00:24:39,750 --> 00:24:41,001
Were you in that room
with him?
393
00:24:41,126 --> 00:24:44,546
Was he wearing a tux while he
was choking on his own plasma?
394
00:24:44,671 --> 00:24:50,260
Keep doing the tests. Take your time.
Do it right. Go! Get to work.
395
00:24:51,720 --> 00:24:52,930
Wait!
396
00:24:56,850 --> 00:25:00,437
Cameron, why did you do these cuts
so far down on this MRI of his head?
397
00:25:00,562 --> 00:25:02,064
I wanted to get his brain stem
and his C-spine
398
00:25:02,189 --> 00:25:04,066
to make sure his diaphragm
wasn't paralyzed.
399
00:25:04,191 --> 00:25:07,736
You also caught the top of his lungs.
There's scarring.
400
00:25:10,405 --> 00:25:12,866
You do know that you can't really pierce
me with your stares.
401
00:25:12,991 --> 00:25:16,620
Lung scarring along with the bad bone
marrow points to an autoimmune disease.
402
00:25:16,745 --> 00:25:18,789
- Could be pulmonary fibrosis.
- Or lupus.
403
00:25:18,914 --> 00:25:20,791
He can kill himself
after we get him better.
404
00:25:20,916 --> 00:25:23,669
Start him on an MG
for the lupus and get a colonoscopy.
405
00:25:23,794 --> 00:25:25,921
The lupus could be
hiding there.
406
00:25:32,761 --> 00:25:34,263
I can't do this.
407
00:25:37,933 --> 00:25:39,434
Drama queen.
408
00:25:40,686 --> 00:25:42,688
Descending colon's clean.
409
00:25:43,772 --> 00:25:45,816
Moving into the sigmoid...
410
00:25:46,900 --> 00:25:49,194
We sure could use
a little more help around here.
411
00:25:49,319 --> 00:25:50,946
She's doing what
she believes in.
412
00:25:51,071 --> 00:25:54,533
Yeah, if she was acting on principle,
she'd be in here trying to stop us.
413
00:25:54,658 --> 00:25:56,827
All she's doing is
running away from the principle,
414
00:25:56,952 --> 00:25:58,912
so she won't have to feel
uncomfortable facing it.
415
00:25:59,037 --> 00:26:00,205
And if you were
acting on principle,
416
00:26:00,330 --> 00:26:01,165
you would have called the cops
417
00:26:01,290 --> 00:26:04,001
when you thought House
was killing the guy.
418
00:26:04,126 --> 00:26:06,044
- We better hurry up.
- Why?
419
00:26:06,628 --> 00:26:08,130
'Cause I don't think she's
gonna have a problem
420
00:26:08,255 --> 00:26:10,883
deciding what to tell Cuddy.
421
00:26:11,008 --> 00:26:12,384
(MONITOR BEEPING)
422
00:26:12,509 --> 00:26:14,511
FOREMAN: 02 sats,
89 and dropping.
423
00:26:21,852 --> 00:26:22,978
I thought you were only
supposed to put on
424
00:26:23,145 --> 00:26:24,730
a pound a week
during your last trimester.
425
00:26:25,355 --> 00:26:26,982
I'm not pregnant.
426
00:26:27,107 --> 00:26:29,610
I heard about
your little stunt with Dr. Powell.
427
00:26:29,735 --> 00:26:32,905
Not really a stunt.
More of a trick. A ruse, a hoodwink.
428
00:26:33,030 --> 00:26:34,573
- A lie.
- Okay.
429
00:26:35,032 --> 00:26:37,034
Lying is sometimes good,
right?
430
00:26:37,159 --> 00:26:40,829
Like when you're trying to teach someone
a lesson about humility or something.
431
00:26:40,954 --> 00:26:43,707
All I'm trying to do is save his life.
He's not gonna learn anything.
432
00:26:43,832 --> 00:26:45,083
I just thought
the same principle might apply.
433
00:26:45,209 --> 00:26:46,460
It does.
434
00:26:47,211 --> 00:26:48,837
I could have just let him die.
435
00:26:48,962 --> 00:26:50,881
We're not gonna get sued
for keeping him alive.
436
00:26:51,006 --> 00:26:53,884
We could.
I completely disregarded his wishes.
437
00:26:54,009 --> 00:26:57,346
Do you want me to disagree with you?
You want me to yell at you?
438
00:26:57,471 --> 00:26:58,472
It is comforting.
439
00:26:58,597 --> 00:27:01,892
We're doctors.
We treat patients, we don't kill them.
440
00:27:02,851 --> 00:27:04,436
How right you are, Dr. Cuddy!
441
00:27:04,561 --> 00:27:07,731
We also don't pad our bills,
swipe samples from the pharmacy,
442
00:27:07,856 --> 00:27:10,734
or fantasize about the teenage daughters
of our patients, either.
443
00:27:10,859 --> 00:27:13,904
True. It better be true,
and you're a pig.
444
00:27:16,240 --> 00:27:18,242
I'm sorry about your leg.
445
00:27:18,408 --> 00:27:21,954
Yeah. We really should
spend some time talking about that.
446
00:27:22,246 --> 00:27:24,039
The MG made him worse.
447
00:27:24,164 --> 00:27:25,874
02 sats plummeted.
448
00:27:26,375 --> 00:27:28,418
So we know it's not lupus.
449
00:27:28,877 --> 00:27:29,920
What else could it be?
450
00:27:30,045 --> 00:27:32,172
Idiopathic
pulmonary fibrosis.
451
00:27:32,297 --> 00:27:35,384
We're gonna need
an open lung biopsy to confirm.
452
00:27:36,176 --> 00:27:38,470
So now we're gonna
operate on the guy?
453
00:27:38,595 --> 00:27:42,766
Well, unless you've invented
a new way of doing an open lung biopsy.
454
00:27:45,686 --> 00:27:48,021
When you searched
Dr. Powell's office,
455
00:27:48,146 --> 00:27:51,942
(“d you find a copy of the January 196'!
Massachusetts Medical Journal?
456
00:27:52,067 --> 00:27:52,901
Why?
457
00:27:53,026 --> 00:27:54,945
I just figured
if you're not doing any work,
458
00:27:55,279 --> 00:27:57,531
you might like something
to pass the time.
459
00:27:57,656 --> 00:27:59,658
The centerfold's a killer.
460
00:28:13,964 --> 00:28:15,132
Hows
you f leg?
461
00:28:15,257 --> 00:28:17,718
It hurts. And it's gonna
keep on hurting.
462
00:28:17,843 --> 00:28:20,846
- You gonna keep on asking?
- How's Ezra Powell?
463
00:28:22,014 --> 00:28:23,515
Resting comfortably.
464
00:28:23,640 --> 00:28:25,934
That's not what Cameron says.
465
00:28:26,059 --> 00:28:27,894
I hate practicing medicine
in high school.
466
00:28:28,020 --> 00:28:31,773
He's not asking you to help him kill
himself. He's just asking for help.
467
00:28:31,898 --> 00:28:33,191
The disease will kill him.
468
00:28:33,317 --> 00:28:35,736
I know what he was asking for.
I just said, "No."
469
00:28:35,861 --> 00:28:38,113
You've done it before,
plenty of times.
470
00:28:38,238 --> 00:28:39,906
To patients that I knew
were terminal.
471
00:28:40,032 --> 00:28:41,033
Oh, give me a break.
472
00:28:41,158 --> 00:28:43,452
This has nothing to do
with saving a life.
473
00:28:43,577 --> 00:28:44,953
You just can't bear
the thought of a patient dying
474
00:28:45,078 --> 00:28:47,039
before you've been able to
figure out why.
475
00:28:47,164 --> 00:28:50,334
If we're gonna keep refusing
to cure patients just to rein in my ego,
476
00:28:50,459 --> 00:28:53,045
then we might start having a little
problem in patient recruitment.
477
00:28:53,170 --> 00:28:56,256
Worried about meeting
your one-patient-a-week quota?
478
00:28:56,506 --> 00:29:00,344
I'm a cripple, remember?
Accommodations must be made.
479
00:29:10,062 --> 00:29:13,398
Wedge of left lobe isolated,
and removed.
480
00:29:15,650 --> 00:29:16,860
Clamp.
481
00:29:20,489 --> 00:29:22,157
Why'd you have me
look up that article?
482
00:29:22,282 --> 00:29:23,325
Did you find it interesting?
483
00:29:23,492 --> 00:29:25,702
He injected newborn babies
with radioactive agents
484
00:29:25,827 --> 00:29:27,621
just to see
if they had urethral reflux.
485
00:29:27,746 --> 00:29:28,830
He was curious.
486
00:29:28,955 --> 00:29:31,249
He didn't even tell their parents
he was doing an experiment.
487
00:29:31,375 --> 00:29:33,251
He wasn't doing anything
his peers weren't doing.
488
00:29:33,377 --> 00:29:35,587
His peers at Tuskegee
and Willowbrook?
489
00:29:35,712 --> 00:29:38,173
He ignored the rights of a few
to save many.
490
00:29:38,298 --> 00:29:40,050
So you're okay
with what he did?
491
00:29:40,175 --> 00:29:42,135
It doesn't matter
what I think.
492
00:29:42,260 --> 00:29:44,346
It's what you think
that's relevant.
493
00:29:44,971 --> 00:29:48,975
Because if I think
less of him, I'll help you more?
494
00:29:51,395 --> 00:29:52,979
You're wrong.
495
00:29:53,605 --> 00:29:56,149
The fact that a patient did bad things
doesn't change anything.
496
00:29:56,274 --> 00:29:59,027
He still deserves to
have some control over his own body.
497
00:29:59,152 --> 00:30:01,696
If he had control
over his own body, he'd be dead.
498
00:30:01,822 --> 00:30:04,991
Some control. We can withhold
treatment without killing him.
499
00:30:05,117 --> 00:30:07,244
No, you can't!
500
00:30:07,369 --> 00:30:11,957
You either help him live or you help
him die. You can't have it both ways.
501
00:30:16,420 --> 00:30:18,672
Well, I guess it's not lPF.
502
00:30:19,089 --> 00:30:21,049
(MACHINE BEEPING)
503
00:30:21,174 --> 00:30:24,845
Maybe he'll die right now,
make everything easy for all of us.
504
00:30:29,474 --> 00:30:32,185
- Heart rate's fast.
- BP's low.
505
00:30:34,396 --> 00:30:36,898
No breath sounds on the right side.
He's dropped his right lung.
506
00:30:37,190 --> 00:30:40,694
Air's building up in his chest,
compressing his heart.
507
00:30:52,914 --> 00:30:53,915
Heart rate's decreasing.
508
00:30:54,040 --> 00:30:55,917
BP's stabilizing.
509
00:31:16,104 --> 00:31:18,023
What are you doing?
510
00:31:24,321 --> 00:31:27,491
He withdraws from pain stimuli
on the left side but not the right.
511
00:31:27,616 --> 00:31:29,117
Those are just reflex arcs.
512
00:31:29,242 --> 00:31:30,452
He's under anesthesia.
513
00:31:30,577 --> 00:31:32,996
Or he's lost sensation
in some places.
514
00:31:33,121 --> 00:31:36,041
Or the hypoxia from the arrest
stunned his CNS.
515
00:31:36,166 --> 00:31:38,710
Only one way to tell.
Do somatosensory evoked potentials.
516
00:31:38,835 --> 00:31:41,338
We can't do that
while he's in a coma.
517
00:31:41,755 --> 00:31:44,925
Only two ways to tell. Get a hammer
and check his deep tendon reflexes.
518
00:31:45,050 --> 00:31:48,136
It won't work. He needs muscle relaxants
to be on the ventilator.
519
00:31:48,303 --> 00:31:50,847
Only one more way to tell.
Pupillary reflexes.
520
00:31:50,972 --> 00:31:53,391
- All that tests is the brain stem.
- See, I was right.
521
00:31:53,517 --> 00:31:56,144
Only one way to tell.
Do somatosensory evoked potentials.
522
00:31:56,269 --> 00:31:58,313
I just said, we can't do that
while he's in a coma.
523
00:31:58,438 --> 00:32:00,065
So wake him up.
524
00:32:14,371 --> 00:32:17,040
Don't go towards the light.
525
00:32:18,667 --> 00:32:21,044
You'll fall
and break your hip.
526
00:32:24,381 --> 00:32:26,091
(COUGHING)
527
00:32:45,402 --> 00:32:48,071
What's happening? l..-
528
00:32:50,156 --> 00:32:51,992
You took a little nap.
529
00:32:53,743 --> 00:32:56,997
I thought I told you
I didn't want...
530
00:32:57,122 --> 00:32:59,040
Sorry. A little deaf
in one ear.
531
00:32:59,624 --> 00:33:01,668
Your bone marrow
is hypocellular.
532
00:33:01,793 --> 00:33:05,088
We've ruled out lupus
and pulmonary fibrosis.
533
00:33:05,213 --> 00:33:08,174
But it looks like it could be
attacking your nerves.
534
00:33:08,300 --> 00:33:12,137
So this is all a waste?
A huge failure?
535
00:33:13,930 --> 00:33:17,475
Impossible.
You're Gregory House.
536
00:33:17,642 --> 00:33:19,769
We need to attach some sensors
to your skin.
537
00:33:19,978 --> 00:33:20,812
No.
538
00:33:20,937 --> 00:33:22,647
Look, we can't
do what you want.
539
00:33:22,772 --> 00:33:25,525
We've assigned a nurse to watch you,
so you can't do it either.
540
00:33:25,692 --> 00:33:27,235
So you might as well
just let us do the test.
541
00:33:27,360 --> 00:33:29,112
No. I want to be discharged.
542
00:33:29,237 --> 00:33:32,198
You can't be discharged.
You've got two chest tubes in.
543
00:33:32,324 --> 00:33:33,366
Then take them out!
544
00:33:33,491 --> 00:33:35,118
Oh, get over yourself.
545
00:33:35,243 --> 00:33:38,079
The ventilator puffed up your lungs.
You'll be fine for a few hours.
546
00:33:38,204 --> 00:33:40,206
Just let us run the tests.
547
00:33:42,792 --> 00:33:43,918
Okay-
548
00:33:45,629 --> 00:33:48,256
But first,
let's clean you up a little.
549
00:33:51,092 --> 00:33:53,011
- What...
- Does that feel nice?
550
00:33:53,136 --> 00:33:55,180
- What are you trying to prove?
- Just cleaning him up.
551
00:33:55,305 --> 00:33:57,140
What does it look like?
552
00:33:58,016 --> 00:34:01,102
Pay no attention
to the man behind the curtain.
553
00:34:04,439 --> 00:34:05,732
Get out!
554
00:34:06,232 --> 00:34:09,861
Okay, I'm going already.
Can't you see I'm a cripple?
555
00:34:12,697 --> 00:34:14,324
Okay, so you've
got me curious.
556
00:34:14,449 --> 00:34:15,492
I was right.
557
00:34:15,617 --> 00:34:17,952
Whatever is attacking his lungs
is attacking his nerves.
558
00:34:18,078 --> 00:34:19,704
And you got that by
splashing ice water on him?
559
00:34:19,829 --> 00:34:22,666
No sensation in the left leg,
abdomen, right arm.
560
00:34:22,791 --> 00:34:23,958
Technology's overrated.
561
00:34:24,084 --> 00:34:25,752
That means the clean MRI
of his brain means
562
00:34:25,877 --> 00:34:27,420
it's just affecting
the peripheral nerves.
563
00:34:27,545 --> 00:34:28,630
And bone marrow.
564
00:34:28,755 --> 00:34:30,256
Kawasaki's would explain
the kidney failure.
565
00:34:30,382 --> 00:34:32,467
- So would lymphoma.
- So would sarcoidosis.
566
00:34:32,592 --> 00:34:35,679
All potentially treatable.
The question is which?
567
00:34:35,804 --> 00:34:38,682
We need to catch
the little bastards in the act.
568
00:34:38,807 --> 00:34:39,766
What's the largest organ?
569
00:34:39,891 --> 00:34:42,143
- Skin.
- We need to get a piece.
570
00:34:42,894 --> 00:34:45,855
Sure. We'll just wait until he leaves
his room without his skin,
571
00:34:45,980 --> 00:34:47,982
sneak in and take a piece.
572
00:34:48,942 --> 00:34:51,945
I want you to get
a skin sample for a biopsy.
573
00:34:52,320 --> 00:34:54,322
And I want to get a foot massage
from Johnny Damon.
574
00:34:54,447 --> 00:34:58,410
Kawasaki's disease, lymphoma,
and sarcoidosis are all treatable.
575
00:34:58,535 --> 00:35:02,080
And it could be a hundred other things
that aren't treatable. You have no idea.
576
00:35:02,205 --> 00:35:03,498
But you do.
577
00:35:03,707 --> 00:35:05,500
- You know everything.
- I didn't say that I...
578
00:35:05,625 --> 00:35:06,751
Exactly!
579
00:35:07,377 --> 00:35:10,255
You can't decide if we're helping
or hurting him.
580
00:35:10,380 --> 00:35:14,926
If it's good or bad, or if you want
paper, plastic, or a burlap sack.
581
00:35:16,678 --> 00:35:18,221
Do your damn job.
582
00:35:20,640 --> 00:35:22,642
I'm not gonna lie to him.
583
00:35:26,813 --> 00:35:30,775
Fine. Tell the truth.
Just get me a pound of flesh.
584
00:35:38,867 --> 00:35:39,743
What do you want?
585
00:35:39,868 --> 00:35:43,079
House wants to biopsy your skin.
He sent me to get it.
586
00:35:43,204 --> 00:35:44,247
And you agreed?
587
00:35:44,372 --> 00:35:48,001
I had nothing to do with putting you in
a coma or any of the subsequent tests.
588
00:35:48,126 --> 00:35:49,794
Which brings us to now.
589
00:35:49,919 --> 00:35:51,671
I read some of your articles.
590
00:35:52,130 --> 00:35:54,132
There were a lot of them.
591
00:35:56,050 --> 00:35:58,887
1967 Massachusetts Medical Journal.
592
00:35:59,846 --> 00:36:04,184
You radiated babies, just like that.
No forms, no questions, nothing.
593
00:36:04,309 --> 00:36:06,978
Who knows how many cancers
you caused?
594
00:36:07,103 --> 00:36:08,396
I don't know.
595
00:36:08,938 --> 00:36:11,316
But what I do know is,
we discovered techniques that
596
00:36:11,441 --> 00:36:15,820
prevent fatal kidney failures
in hundreds of thousands of other kids.
597
00:36:16,321 --> 00:36:17,489
You're not sorry.
598
00:36:17,614 --> 00:36:19,532
I don't regret what I did.
599
00:36:19,657 --> 00:36:24,454
Informed consent, patient rights...
Holds back research.
600
00:36:27,540 --> 00:36:29,292
(GROANS)
601
00:36:29,876 --> 00:36:31,336
What the hell are you doing?
602
00:36:31,461 --> 00:36:34,506
Informed consent
is holding back our diagnosis.
603
00:36:35,298 --> 00:36:36,883
Good for you.
604
00:36:38,426 --> 00:36:43,056
Finally standing up for something.
Acting on what you believe.
605
00:36:49,020 --> 00:36:51,981
Dr. House? Hi. How are you?
606
00:36:52,106 --> 00:36:54,025
Not as good as you think I am.
607
00:36:54,150 --> 00:36:56,528
Don't worry, I'm not stalking you.
My dad just lost his medicine.
608
00:36:56,653 --> 00:36:58,321
I needed to come back
for another prescription.
609
00:36:58,446 --> 00:36:59,906
Yeah, right.
610
00:37:00,031 --> 00:37:01,741
He's moving it
on the street, isn't he?
611
00:37:01,866 --> 00:37:04,661
Yeah, my dad,
the meth kingpin.
612
00:37:06,788 --> 00:37:09,749
Why haven't you returned
any of my calls?
613
00:37:11,042 --> 00:37:13,962
I plan to
in a couple of years.
614
00:37:14,420 --> 00:37:17,924
I was just calling to say thank you
and to tell you how impressed I was.
615
00:37:18,049 --> 00:37:19,843
You diagnosed my dad
by just looking at him.
616
00:37:20,760 --> 00:37:22,595
I felt his glands, too.
617
00:37:24,931 --> 00:37:27,433
Well, there's my dad.
I've got to go.
618
00:37:28,101 --> 00:37:29,269
Yeah, me, too.
619
00:37:29,394 --> 00:37:33,189
And, you really don't have to wait
a couple of years to return my calls.
620
00:37:33,481 --> 00:37:35,900
Just six months,
till I turn 18.
621
00:37:47,704 --> 00:37:50,206
It's not Kawasaki's either.
What's next?
622
00:37:50,331 --> 00:37:51,583
Congo red.
623
00:37:51,958 --> 00:37:53,042
Amyloidosis?
624
00:37:53,167 --> 00:37:55,128
What the hell else
would I mean by Congo red?
625
00:37:55,253 --> 00:37:56,212
It's not on the list.
626
00:37:56,337 --> 00:37:57,755
There's no reason
for it to be on the list.
627
00:37:57,881 --> 00:38:00,884
An abnormal protein is building up
inside the cells of his body,
628
00:38:01,009 --> 00:38:03,344
shutting down his organs one by one.
It explains everything.
629
00:38:03,511 --> 00:38:06,097
The infiltrates on the x-ray,
the bone marrow, kidney failure.
630
00:38:06,264 --> 00:38:09,809
We rejected amyloidosis because it
didn't fit the first symptom we found.
631
00:38:09,934 --> 00:38:11,060
- It would affect his heart.
- It did.
632
00:38:11,185 --> 00:38:12,353
It wasn't on the stress test.
633
00:38:12,478 --> 00:38:14,188
We didn't push him
hard enough.
634
00:38:14,314 --> 00:38:16,774
Add the stain
and let's find out.
635
00:38:18,067 --> 00:38:19,819
Congo red added.
636
00:38:20,486 --> 00:38:23,489
Change the polarization
of the light already.
637
00:38:31,039 --> 00:38:33,583
That means
it should be treatable.
638
00:38:34,000 --> 00:38:35,043
How the hell did you
pull that out of...
639
00:38:35,209 --> 00:38:37,462
Not out of mine.
I had a muse.
640
00:38:40,048 --> 00:38:45,011
Oh, God. Protein type AA.
641
00:39:02,820 --> 00:39:03,988
Dr. House...
642
00:39:04,113 --> 00:39:05,615
You have amyloidosis.
643
00:39:06,741 --> 00:39:09,827
It's in your lungs, kidneys,
bone marrow and brain.
644
00:39:11,746 --> 00:39:13,748
Why should I believe you now?
645
00:39:18,461 --> 00:39:22,215
If I was lying, I wouldn't tell you
the sub-type is AA.
646
00:39:24,384 --> 00:39:25,969
It's terminal.
647
00:39:28,137 --> 00:39:29,847
Congratulations.
648
00:39:32,433 --> 00:39:34,143
You got your answer.
649
00:39:35,979 --> 00:39:38,731
(INTO DUST PLAYING)
650
00:41:08,029 --> 00:41:10,239
Ezra Powell
passed away last night.
651
00:41:10,364 --> 00:41:12,575
I'm sure you already
knew about that.
652
00:41:12,825 --> 00:41:14,660
No, I just got in.
653
00:41:15,078 --> 00:41:16,412
The nurse charted at 2:00 a.m.
654
00:41:16,537 --> 00:41:19,040
He was stable,
breathing labored but regular.
655
00:41:19,165 --> 00:41:22,794
Then, at 2:30, he suddenly stopped.
You know anything about that?
656
00:41:22,919 --> 00:41:25,797
If I did, would you
really want to know?
657
00:42:39,829 --> 00:42:41,372
I'm proud of you.