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1
00:00:05,437 --> 00:00:07,462
Cat got your tongue?
2
00:00:07,539 --> 00:00:10,474
No. You killed the cat.
Cut off his head.
3
00:00:10,542 --> 00:00:12,669
Need to take a look at this.
4
00:00:12,745 --> 00:00:15,646
Mom? Mom.
5
00:00:15,714 --> 00:00:17,739
Mom, it's okay.
6
00:00:19,785 --> 00:00:24,654
Just a couple of questions
before I can authorize extending
her disability benefits.
7
00:00:24,723 --> 00:00:27,317
I don't like her.
She's fat.
8
00:00:28,727 --> 00:00:32,288
I could lose a little weight.
9
00:00:38,404 --> 00:00:40,031
You all right?
10
00:00:40,105 --> 00:00:44,769
- Actually, before she signs--
- I killed the cat. Lots of blood.
11
00:00:46,512 --> 00:00:48,571
It's okay.
12
00:00:48,647 --> 00:00:51,673
I have a couple of questions
about some of these dates.
13
00:00:51,750 --> 00:00:54,685
- The first diagnosis--
- Schizophrenia.
14
00:00:54,753 --> 00:00:57,847
Dr. Walters, May 11, last year.
The letter's in the medical file.
15
00:00:57,923 --> 00:01:00,858
And April 6--
that was the last day she worked?
16
00:01:00,926 --> 00:01:04,362
But she received unemployment
benefits for that week.
17
00:01:04,430 --> 00:01:07,866
We fixed that. I know we did.
We returned the money.
18
00:01:11,937 --> 00:01:13,768
That's the canceled check.
19
00:01:13,839 --> 00:01:16,399
Not the real one, you know.
It's a copy.
20
00:01:16,475 --> 00:01:18,409
And you're the dependent?
21
00:01:18,477 --> 00:01:23,312
No. That's my little brother.
I'm 18. Just helping out.
22
00:01:28,120 --> 00:01:30,054
You're all set.
23
00:01:30,122 --> 00:01:31,987
Just need a signature.
24
00:01:32,057 --> 00:01:34,753
Hey! I'm talking to you!
25
00:01:34,827 --> 00:01:38,263
The cat's first.
Now it's your turn, Lucy.
26
00:01:38,330 --> 00:01:40,560
Shut up.
Shut up, shut up!
27
00:01:41,667 --> 00:01:46,001
It's okay. She just--
She just needs a little water is all.
28
00:01:46,071 --> 00:01:48,062
I'll go get it.
29
00:01:52,644 --> 00:01:55,169
Just hold on, okay?
Just--
30
00:01:55,247 --> 00:01:59,741
When she comes back,
sign it and we're gonna be done.
We need this, okay? Please.
31
00:02:01,954 --> 00:02:04,422
Okay.
32
00:02:04,490 --> 00:02:06,515
The voices--
33
00:02:06,592 --> 00:02:08,583
The voices aren't real.
34
00:02:14,700 --> 00:02:16,691
What?
35
00:02:26,445 --> 00:02:28,436
Mom? Mom.
36
00:02:28,514 --> 00:02:31,540
Mom? Mom! Mom!
37
00:03:04,716 --> 00:03:08,777
Thirty-eight-year-old Caucasian woman.
Status: post-respiratory arrest in the field.
38
00:03:08,854 --> 00:03:10,981
Intubated, oxygenating poorly.
39
00:03:18,430 --> 00:03:23,265
Dr. Gregory House,
please call Dr. Cuddy at extension 3731.
40
00:03:25,938 --> 00:03:29,396
This is a good hospital?
41
00:03:29,474 --> 00:03:32,932
Depends what you mean by "good".
I like these chairs.
42
00:03:36,515 --> 00:03:38,415
How is she?
Stable. Okay.
43
00:03:38,483 --> 00:03:40,314
Your Mom had
a small pulmonary embolism--
44
00:03:40,385 --> 00:03:43,286
a blood clot
that got stuck in her lungs,
blocked the oxygen.
45
00:03:43,355 --> 00:03:47,553
But the pain started in her leg.
Where the clot started--
her calf.
46
00:03:47,626 --> 00:03:50,356
It's called a deep vein thrombosis.
Basically, a bigger clot.
47
00:03:50,429 --> 00:03:53,364
It never hurt there before.
I would have noticed.
48
00:03:53,432 --> 00:03:57,198
A piece of that broke off, went up the vein,
through her heart and blocked
the blood flow to her lungs.
49
00:03:57,269 --> 00:03:58,998
No blood flow, no oxygen.
Okay.
50
00:03:59,071 --> 00:04:03,030
Is your Dad here? I have some things
I need to talk to him about.
Uh, my Dad's running a little late.
51
00:04:05,911 --> 00:04:08,846
He's dead. Just talk to me.
I take care of her.
52
00:04:08,914 --> 00:04:13,078
All right.
Your mom's blood alcohol was .12.
10:30 in the morning.
53
00:04:13,151 --> 00:04:16,018
I gave it to her.
Two ounces of vodka.
It cools her out.
54
00:04:16,088 --> 00:04:19,216
But that's the first since Monday.
That was three days ago.
55
00:04:19,291 --> 00:04:21,657
I've been real careful.
56
00:04:25,397 --> 00:04:28,924
She hears voices.
She's schizophrenic.
That explains the D.V.T.
57
00:04:29,001 --> 00:04:31,697
The alcohol makes her pass out.
She's immobile
for long periods of time.
58
00:04:31,770 --> 00:04:34,933
That doesn't happen.
She's not an alcoholic.
She only drinks when you give it to her?
59
00:04:35,007 --> 00:04:38,443
We put her on blood thinners.
You can probably
take her home tomorrow.
60
00:04:38,510 --> 00:04:41,377
It's not the alcohol.
It's gotta be something else.
61
00:04:41,446 --> 00:04:44,574
Ofcourse it's the alcohol.
62
00:04:45,717 --> 00:04:48,117
Hello!
63
00:04:48,186 --> 00:04:50,814
This guy's a professional doctor.
64
00:04:50,889 --> 00:04:53,949
Plays golf and everything, I bet.
65
00:04:54,026 --> 00:04:57,928
He's not gonna tell you your mom's
an alcoholic without proof.
66
00:04:57,996 --> 00:05:00,931
I'm sure he scoped for varices,
checked her esophagus,
ran all kinds of blood tests.
67
00:05:00,999 --> 00:05:03,900
Doctors like this,
they don't make assumptions.
They do the work.
68
00:05:03,969 --> 00:05:06,631
I'd be happy to refer you the case, Dr. House.
You seem so interested.
69
00:05:06,705 --> 00:05:09,765
What case? It's over.
You're sending her home.
70
00:05:09,841 --> 00:05:11,775
- How old is she?
- You're a doctor?
71
00:05:11,843 --> 00:05:13,276
Own my own stethoscope.
72
00:05:13,345 --> 00:05:16,246
Did I ask you how old she was?
I forget.
73
00:05:17,783 --> 00:05:20,718
A 38-year-old woman
with no previous symptoms or history...
74
00:05:20,786 --> 00:05:22,549
presents with deep vein thrombosis.
75
00:05:22,621 --> 00:05:24,384
How did she get it?
76
00:05:24,456 --> 00:05:27,289
Oral contraceptives, smoking, diabetes, obesity.
What's the point here?
77
00:05:27,359 --> 00:05:31,887
A D.V.T. is a D.V.T.
Put her on I.V. Heparin
to prevent future clots.
78
00:05:31,963 --> 00:05:35,490
- What's the big mystery?
- Fine. You're all sleepy. You need a clue.
79
00:05:35,567 --> 00:05:38,627
She's 38 years old.
80
00:05:38,704 --> 00:05:41,571
She's 20 years too young
to get a deep vein thrombosis.
81
00:05:41,640 --> 00:05:45,235
I treated a 12-year-old girl once,
a soccer player. She got kicked in the leg.
82
00:05:45,310 --> 00:05:48,336
There was no trauma.
None of the risk factors.
You took a history?
83
00:05:48,413 --> 00:05:54,215
I have some notes.
They're not mine, but reliable, I think,
for the purposes of this discussion.
84
00:05:54,286 --> 00:05:59,019
As for the immobility, well,
she's real active right now, ofcourse.
Paranoia keeps her limber.
85
00:05:59,091 --> 00:06:01,958
- Paranoia?
- Oh, yeah. She's schizophrenic.
86
00:06:02,027 --> 00:06:05,463
And her kid wrote this,
so it might be a little biased.
87
00:06:05,530 --> 00:06:08,590
You know, having to take care
of his nutso mom and all.
88
00:06:08,667 --> 00:06:10,999
You think there's a connection?
89
00:06:11,069 --> 00:06:14,505
- Do we include schizophrenia
in the differential for D. V.T.?
- Well--
90
00:06:14,573 --> 00:06:16,598
The answer is no.
91
00:06:16,675 --> 00:06:19,542
Abnormal dopaminergic pathways
in the brain do not cause blood clots.
92
00:06:19,611 --> 00:06:21,340
Schizophrenia
is not the cause of D.V.T.
93
00:06:21,413 --> 00:06:25,349
On the other hand, we don't really
know anything about schizophrenia,
so maybe it is connected.
94
00:06:25,417 --> 00:06:27,351
Well, schizophrenia
explains one mystery--
95
00:06:27,419 --> 00:06:30,354
why you're so fascinated by
a woman with a bump in her leg.
96
00:06:30,422 --> 00:06:33,858
It's like Picasso deciding
to whitewash a fence.
Thanks. I'm more of a Leroy Neiman man.
97
00:06:33,925 --> 00:06:36,860
And it is only about the D.V.T.
She's 38 years old. She shouldn't--
98
00:06:36,928 --> 00:06:40,420
Right, solve this one,
and you're on your way to Stockholm.
We don't even know how to treat it.
99
00:06:40,499 --> 00:06:42,433
Come on.
Fumigation of the vagina?
100
00:06:42,501 --> 00:06:45,436
A little louder.
I don't think everyone heard you.
101
00:06:45,504 --> 00:06:49,497
Two thousand years ago,
that's how Galen treated schizophrenics.
The Marcus Welby of ancient Greece.
102
00:06:49,574 --> 00:06:51,769
Oh, clearly
you're not interested.
Oh, I'm interested.
103
00:06:51,843 --> 00:06:56,712
I'm interested in how voices in the head
could be caused by malposition of the uterus.
There's a better place for it?
104
00:06:56,782 --> 00:06:59,717
Now, what do we got?
We've got lobotomies,
rubber rooms, electric shocks.
105
00:06:59,785 --> 00:07:02,345
My, Galen was so primitive.
Where are you going?
106
00:07:02,421 --> 00:07:06,755
Going to see the patient.
That all-important human connection.
Thought I'd give it a whirl.
107
00:07:06,825 --> 00:07:09,259
You won't talk to patients
because they lie,
108
00:07:09,327 --> 00:07:11,761
but give you a patient
with no concept of reality--
109
00:07:11,830 --> 00:07:15,459
If it wasn't for Socrates,
that raving, untreated schizophrenic,
we wouldn't have the Socratic method--
110
00:07:15,534 --> 00:07:18,970
the best way of teaching everything,
apart from juggling chain saws.
111
00:07:19,037 --> 00:07:22,473
Without Isaac Newton,
we'd be floating on the ceiling.
Dodging chain saws, no doubt.
112
00:07:22,541 --> 00:07:26,272
And that guitar player
in that English band.
He was great.
113
00:07:26,344 --> 00:07:29,404
You think I'm interested
because of the schizophrenia.
114
00:07:29,481 --> 00:07:30,914
Yeah, I'm pretty sure.
115
00:07:30,982 --> 00:07:34,941
Galen was pretty sure
about the fumigation thing.
116
00:07:36,388 --> 00:07:38,379
Pink Floyd.
117
00:07:41,193 --> 00:07:45,061
- Mom, this is Dr. Gr--
- Gregory House.
118
00:07:45,130 --> 00:07:47,064
Nice to meet you.
119
00:07:47,132 --> 00:07:50,067
Would it be all right
if we spoke alone for a while?
120
00:07:50,135 --> 00:07:52,535
Well, you're gonna
need me to--
121
00:07:52,604 --> 00:07:54,936
I've got your case notes, Doctor.
122
00:07:55,006 --> 00:07:56,940
There's a cafeteria downstairs.
123
00:07:57,008 --> 00:07:58,942
Get yourself whatever you want,
124
00:07:59,010 --> 00:08:02,411
as long as there's enough left over
for a Reuben sandwich,
dry, no fries, hold the pickles.
125
00:08:02,481 --> 00:08:04,915
Should run you
about 5.80 with tax.
126
00:08:10,589 --> 00:08:12,580
I'll page you when we're done.
127
00:08:15,727 --> 00:08:18,423
No...
128
00:08:18,497 --> 00:08:20,727
pickles.
129
00:08:25,871 --> 00:08:27,862
Nice kid.
130
00:08:29,374 --> 00:08:31,808
How much do you really drink?
131
00:08:38,483 --> 00:08:41,350
He's really talking to a patient?
132
00:08:41,419 --> 00:08:44,354
I don't know who I am anymore.
133
00:08:44,422 --> 00:08:47,357
It's a blood clot.
What's so fascinating about that?
134
00:08:47,425 --> 00:08:51,191
He likes crazy people.
He likes the way they think.
135
00:08:51,263 --> 00:08:54,198
They think badly.
That's the definition of crazy.
136
00:08:54,266 --> 00:08:57,030
Why would he like--
They're not boring.
137
00:08:57,102 --> 00:08:59,093
He likes that.
138
00:09:02,674 --> 00:09:04,608
And the meds?
139
00:09:04,676 --> 00:09:07,008
Baseball.
I like baseball.
140
00:09:09,014 --> 00:09:11,175
Very nice.
Very sad.
141
00:09:13,018 --> 00:09:16,681
My boy and me,
we went to see a game.
142
00:09:16,755 --> 00:09:20,191
Not "Mets".
Meds. Medicine.
143
00:09:23,962 --> 00:09:26,954
You take what
he tells you to take.
144
00:09:30,468 --> 00:09:32,459
No one believes me.
145
00:09:34,139 --> 00:09:36,130
I do.
146
00:09:43,148 --> 00:09:46,208
I thought
he liked rationality.
147
00:09:46,284 --> 00:09:48,218
He likes puzzles.
148
00:09:48,286 --> 00:09:50,413
Patients are puzzles?
You don't think so?
149
00:09:50,488 --> 00:09:53,013
I think they're people.
Yeah.
150
00:09:53,091 --> 00:09:57,653
Well, he hates them,
and he's fascinated by them.
151
00:09:59,130 --> 00:10:02,327
Tell me you can't relate
to that sentiment.
152
00:10:07,606 --> 00:10:10,973
You told Luke
it never hurt before.
Just rough.
153
00:10:11,042 --> 00:10:13,510
They didn't hurt.
154
00:10:13,578 --> 00:10:15,569
Didn't?
155
00:10:17,048 --> 00:10:19,380
Don't lie to him, Limpy.
156
00:10:19,451 --> 00:10:21,385
Lively Lucy never lies to Lucas.
157
00:10:21,453 --> 00:10:23,444
Look what I do to him.
158
00:10:26,124 --> 00:10:29,059
Radiation therapist to Oncology.
159
00:10:29,127 --> 00:10:31,425
Learn anything
from the "human connection"?
160
00:10:31,496 --> 00:10:33,430
Yeah.
The Mets suck.
161
00:10:33,498 --> 00:10:38,834
Also, for the last two months,
she hasn't shaved her legs.
Because of the tremors, she cuts herself.
162
00:10:38,903 --> 00:10:41,565
- The tremors aren't new.
She must always cut herself.
- Exactly.
163
00:10:41,640 --> 00:10:43,574
Something changed
in the last two months.
164
00:10:43,642 --> 00:10:48,272
I'm thinking the amount of blood
when she cut herself.
So let's start with some blood work.
165
00:10:48,346 --> 00:10:52,043
Collect and send for clotting studies,
P.T., P.T.T., factor five, protein "C" and "S".
166
00:10:52,117 --> 00:10:54,244
The whole shebang.
Good luck.
167
00:10:55,520 --> 00:10:57,818
No pickles, and it's cold now.
168
00:10:57,889 --> 00:11:00,449
- If it's a Reuben,
that's the way he likes it.
- Everyone, this is Luke.
169
00:11:00,525 --> 00:11:03,460
- Allison Cameron. It's nice to finally meet you.
- Yeah. Save it. We're busy.
170
00:11:03,528 --> 00:11:07,294
Luke, give us another half hour
with your mom.
We need to do some tests.
171
00:11:11,136 --> 00:11:13,070
Nice kid.
172
00:11:13,138 --> 00:11:16,073
Take her off the psych meds.
That way we'll know what's what
on the physical side.
173
00:11:16,141 --> 00:11:19,599
And who knows,
we might get more out of her.
174
00:11:22,647 --> 00:11:24,638
Don't worry. No pickles.
175
00:11:26,017 --> 00:11:28,008
Happy birthday.
176
00:11:29,854 --> 00:11:32,482
Okay. Whose?
177
00:11:32,557 --> 00:11:36,823
I was going through your mail,
and it was on a form.
Happy birthday.
178
00:11:39,364 --> 00:11:41,298
Oh.
179
00:11:51,910 --> 00:11:53,844
No! No blood!
Not mine!
180
00:11:53,912 --> 00:11:55,846
For the test.
Dr. House told us--
181
00:11:55,914 --> 00:12:00,214
You're gonna steal it! Sell it!
No! No blood!
182
00:12:00,285 --> 00:12:03,721
No! No blood!
No! No blood!
183
00:12:03,788 --> 00:12:05,722
Haldol, five milligrams, stat.
184
00:12:05,790 --> 00:12:09,123
No! No! No!
185
00:12:09,194 --> 00:12:12,721
No! No!
186
00:12:12,797 --> 00:12:15,630
No! No! Oh, no!
187
00:12:15,700 --> 00:12:18,362
N-No!
188
00:12:22,507 --> 00:12:24,441
No.
189
00:12:32,250 --> 00:12:35,742
Well, good news.
The lab says it's not strep,
so we're done.
190
00:12:35,820 --> 00:12:38,755
Wait a second.
No, really not strep.
191
00:12:38,823 --> 00:12:42,224
The boys in the lab, sure,
they're hard drinkers,
but they're pros, you know.
192
00:12:42,293 --> 00:12:44,853
Plus, your kid actually has none
of the symptoms for strep.
193
00:12:44,929 --> 00:12:47,864
It was quicker running the test
than arguing with you.
My point is, go!
194
00:12:47,932 --> 00:12:50,867
I just wanted to ask
your opinion, Doctor.
195
00:12:50,935 --> 00:12:53,870
She's having a birthday party next week,
and she's upset that
I'm getting a sugarless cake.
196
00:12:53,938 --> 00:12:56,873
The other kids hate it.
This is why you're here.
197
00:12:56,941 --> 00:12:59,876
Sugar is the leading cause
of obesity in America.
198
00:12:59,944 --> 00:13:02,879
You want a doctor to scare her
about the dangers of sugar.
199
00:13:02,947 --> 00:13:05,882
She needs to get her weight
under control.
200
00:13:05,950 --> 00:13:11,388
Well, you know, I feel sorry
for those other kids, Wendy,
who don't have a mom like yours--
201
00:13:11,456 --> 00:13:15,893
a mom who knows
that sugar causes heart disease,
appendicitis and athlete's foot.
202
00:13:15,960 --> 00:13:18,895
That's not fair.
Oh, yes, it is.
No, I get it.
203
00:13:18,963 --> 00:13:22,399
You want her to slim down a little
so she can wear pretty clothes like yours.
204
00:13:22,467 --> 00:13:24,401
Love the bracelets.
205
00:13:24,469 --> 00:13:27,404
Hey, what about matching outfits?
You could be twins.
206
00:13:27,472 --> 00:13:29,872
She can't be your daughter.
207
00:13:29,941 --> 00:13:32,466
It's impossible!
You look way too young.
208
00:13:32,544 --> 00:13:34,478
Happy birthday.
209
00:13:34,546 --> 00:13:36,480
Get the kid
a damned ice cream cake.
210
00:13:36,548 --> 00:13:39,676
Dr. Wyland to Obstetrics.
Dr. Wyland, Obstetrics.
211
00:13:39,751 --> 00:13:42,914
- You drugged her.
- Actually, I didn't.
212
00:13:42,987 --> 00:13:45,547
I've taken her off
all medication.
Your guy Foreman gave her Haldol.
213
00:13:45,623 --> 00:13:49,286
We needed blood for tests.
I assumed that was
the only way to get it.
214
00:13:49,360 --> 00:13:53,421
He knocked her out.
Look, I have a cane,
and I know how to use it.
215
00:13:53,498 --> 00:13:55,489
I hired you.
You work for me.
216
00:13:55,567 --> 00:13:57,194
Okay.
217
00:13:57,268 --> 00:13:59,293
Can I go now, boss?
218
00:14:02,473 --> 00:14:04,407
The Haldol changes her.
219
00:14:04,475 --> 00:14:08,809
She says it makes her soul numb.
Don't give it to her.
220
00:14:13,351 --> 00:14:15,285
"If there be rags enough,
221
00:14:15,353 --> 00:14:19,187
he will know her name
and be well pleased remembering it".
222
00:14:21,993 --> 00:14:24,427
You okay?
223
00:14:24,495 --> 00:14:26,486
Old days.
224
00:14:29,634 --> 00:14:31,568
"For in the old days,
225
00:14:31,636 --> 00:14:34,571
"though she had young men's praise
and old men's blame,
226
00:14:34,639 --> 00:14:37,608
among the poor,
both old and young gave her praise".
227
00:14:40,945 --> 00:14:43,106
Oh!
228
00:14:46,951 --> 00:14:49,442
Help! Somebody help!
229
00:14:54,425 --> 00:14:59,795
So, when I said no psych meds,
I'm just curious--
which word didn't you understand?
230
00:14:59,864 --> 00:15:02,799
The Haldol had nothing to do
with the bleed.
231
00:15:02,867 --> 00:15:05,734
You know that.
I used it purely as a chemical restraint.
232
00:15:05,803 --> 00:15:07,964
Oh, great.
Well, that's good to hear.
233
00:15:08,039 --> 00:15:12,669
So she won't experience any
of those pesky little side effects you get
when your motives aren't pure.
234
00:15:12,744 --> 00:15:14,974
Oh--
Those side effects are so rare!
235
00:15:15,046 --> 00:15:18,812
What, passing out,
increased confusion, depression?
That's not gonna happen.
236
00:15:18,883 --> 00:15:22,944
That's not gonna screw up our diagnosis,
'cause you just used it to restrain her.
I'm so relieved.
237
00:15:23,021 --> 00:15:24,955
She spit in my face.
238
00:15:25,023 --> 00:15:27,958
That must have been
so frightening for you.
239
00:15:28,026 --> 00:15:30,961
What was I supposed to do,
tie her down?
Yeah. Anything but give her drugs.
240
00:15:31,029 --> 00:15:32,963
That's basically my point.
241
00:15:33,031 --> 00:15:37,593
The clotting studies. Pretty fast.
Did you promise to date the entire lab?
242
00:15:37,669 --> 00:15:40,035
No, I save that for emergencies.
243
00:15:40,104 --> 00:15:43,471
I told them she bled out two units
and if it happened again, she'd die.
244
00:15:43,541 --> 00:15:46,476
If it had happened at home,
she would have died.
245
00:15:46,544 --> 00:15:49,308
The E.R. doc,
he was gonna send her home.
246
00:15:49,380 --> 00:15:52,781
- I used my best judgment.
- It turns out your best judgment
is not good enough.
247
00:15:52,850 --> 00:15:56,308
- Here's an idea-- next time, use mine.
- I think they're choosing a movie.
248
00:15:56,387 --> 00:15:59,151
Why did the patient bleed out?
249
00:15:59,223 --> 00:16:01,817
The clotting studies so far
are normal.
250
00:16:01,893 --> 00:16:04,828
Well, cover your ears if you don't
want me to spoil the ending.
251
00:16:04,896 --> 00:16:08,559
Everything was normal,
except for a prolonged P.T. time.
252
00:16:08,633 --> 00:16:13,127
- Which means what?
- Usually it means whoever
drew the blood didn't do it right.
253
00:16:13,204 --> 00:16:15,536
Oh, that's right,
'cause you drew the blood.
254
00:16:15,606 --> 00:16:20,066
- But you were precise because you knew
the tube was purely for the P.T. study.
- That's right.
255
00:16:20,144 --> 00:16:23,580
And I'm right with you.
I trust this result,
for two reasons--
256
00:16:23,648 --> 00:16:26,208
"A", because you are
a good doctor,
257
00:16:26,284 --> 00:16:29,014
and "B", because
five milligrams of I.V. Haldol...
258
00:16:29,087 --> 00:16:32,022
makes for a spectacularly
cooperative patient.
259
00:16:33,424 --> 00:16:36,689
The prolonged P.T. time
makes me think she's got
a vitamin "K" deficiency.
260
00:16:36,761 --> 00:16:39,662
Vitamin "K" would explain the bleed,
but not the clot.
261
00:16:39,731 --> 00:16:43,098
Without vitamin "K",
protein "C" doesn't work.
Without protein "C", she clots.
262
00:16:43,167 --> 00:16:46,102
Clotting and thinning
all at the same time.
263
00:16:46,170 --> 00:16:49,537
What about another drug
interacting with Heparin,
an antibiotic like ampicillin?
264
00:16:49,607 --> 00:16:52,542
That would cause the bleed.
Clever,
but she's not on ampicillin.
265
00:16:52,610 --> 00:16:56,046
Two months ago,
she complained of a sore throat,
and he got her ampicillin.
266
00:16:56,114 --> 00:16:58,412
- Which she refused to take.
- He just said she didn't take it.
267
00:16:58,483 --> 00:17:01,680
What is it, everybody lies
except for schizophrenics
and their children?
268
00:17:01,753 --> 00:17:05,712
It's more likely than malnourishment.
Why not scurvy or the plague?
269
00:17:05,790 --> 00:17:08,350
Gee, I wish my idea
was as cool and with-it as yours.
270
00:17:08,426 --> 00:17:11,623
What is yours, by the way?
Do you have one?
Alcohol.
271
00:17:11,696 --> 00:17:15,496
Simple. It causes immobility,
which explains the D.V.T.
272
00:17:15,566 --> 00:17:20,765
It also causes cirrhosis,
which explains the bleed
and the prolonged P.T. time.
273
00:17:20,838 --> 00:17:23,739
- Let's ultrasound the liver.
- Three theories.
274
00:17:23,808 --> 00:17:27,073
Check out her place
for ampicillin and diet.
275
00:17:27,145 --> 00:17:29,079
Then ultrasound her liver.
276
00:17:29,147 --> 00:17:32,310
Let's find out who's right
before she bleeds to death.
277
00:17:46,497 --> 00:17:48,488
101.
278
00:17:55,773 --> 00:18:00,142
So House says the kid is sensitive,
thinks he takes good care of her.
279
00:18:00,211 --> 00:18:03,408
But if we don't find anything,
why let him know we did it in the first place?
280
00:18:03,481 --> 00:18:05,415
What's the point?
281
00:18:05,483 --> 00:18:10,216
Why not just make old Foreman
lift the key from the kid's backpack?
282
00:18:24,969 --> 00:18:27,631
Looks like Luke
sleeps in the living room.
283
00:18:34,946 --> 00:18:37,471
Nothing in there.
284
00:18:37,548 --> 00:18:39,482
He lays out her clothes?
285
00:18:39,550 --> 00:18:43,680
Enough organization, enough lists,
you think you can control
the uncontrollable.
286
00:18:43,754 --> 00:18:47,815
Fix her meds, fix her clothes,
maybe you can even fix her.
287
00:18:49,127 --> 00:18:51,561
Pick that up
on your psych rotation?
288
00:19:01,205 --> 00:19:04,606
Trifluoperazine, Thorazine, Clozarile.
289
00:19:04,675 --> 00:19:06,973
Whew.
They tried everything.
290
00:19:07,044 --> 00:19:11,310
The ampicillin--
never touched it.
291
00:19:11,382 --> 00:19:15,546
There goes Cameron's theory.
Oh, God, I hope it's not
a vitamin "K" deficiency.
292
00:19:22,793 --> 00:19:25,421
Damn.
293
00:19:25,496 --> 00:19:27,430
Breakfast, lunch and dinner.
294
00:19:27,498 --> 00:19:29,432
House was right.
295
00:19:32,503 --> 00:19:34,937
That's the only thing
she'll eat.
Yeah.
296
00:19:35,006 --> 00:19:37,941
The problem is,
you can't actually live on this stuff.
297
00:19:38,009 --> 00:19:41,945
I checked it out. I looked on the box.
All the nutritional values are solid.
298
00:19:42,013 --> 00:19:43,947
There's plenty
of protein and calories.
299
00:19:44,015 --> 00:19:48,042
Yeah, vitamin "A" and "C", but no "K".
That's why your mom got sick.
300
00:19:50,588 --> 00:19:53,751
So what's the plan then?
Load her up with vitamin "K".
301
00:19:53,824 --> 00:19:58,158
That's it?
If it all checks out, you can
take her home in a couple of days.
302
00:20:01,966 --> 00:20:04,457
Oh, God, you're upset
about something.
303
00:20:05,736 --> 00:20:09,467
You're gonna open up to me now,
aren't you?
It's all my fault.
304
00:20:10,608 --> 00:20:12,542
Here we go.
305
00:20:12,610 --> 00:20:16,603
Okay, I'm gonna say this once:
You have done a very good job
taking care of your mother.
306
00:20:16,681 --> 00:20:20,879
If this was all she'd eat,
then what else could you do?
Gosh, just being a kid is a full-time job.
307
00:20:20,952 --> 00:20:24,945
Shut up! I'm 18.
I should be able
to take care of my mom.
308
00:20:26,324 --> 00:20:29,555
I almost killed her.
Good example.
309
00:20:29,627 --> 00:20:34,564
Just the time it takes
to express those ridiculous,
self-centered teenage ideas.
310
00:20:34,632 --> 00:20:36,691
I don't envy your schedule.
311
00:20:39,036 --> 00:20:41,402
No pickles.
312
00:20:41,472 --> 00:20:43,599
My mom
doesn't like 'em either.
313
00:20:43,674 --> 00:20:45,665
Smart woman.
314
00:20:46,877 --> 00:20:49,812
Before she got sick,
I didn't like how bossy she was.
315
00:20:49,880 --> 00:20:53,475
Always telling me what to do,
the right way to do it.
316
00:20:54,318 --> 00:20:57,947
Never thought I'd miss that.
317
00:20:58,022 --> 00:21:01,651
Oww.
318
00:21:03,327 --> 00:21:05,352
You should get that looked at.
319
00:21:05,429 --> 00:21:08,364
I still don't buy
a vitamin "K" deficiency.
House was right.
320
00:21:08,432 --> 00:21:11,367
That usually makes you happy.
Less work for us.
321
00:21:11,435 --> 00:21:14,962
The kid feeds his mom
a steady diet of booze,
and the problem is too many burgers?
322
00:21:15,039 --> 00:21:17,974
The kid's in a tough situation.
You do what you gotta do to survive.
323
00:21:18,042 --> 00:21:21,478
Feeding alcohol to an alcoholic
is not a survival technique.
324
00:21:21,545 --> 00:21:23,877
Where I come from, if it works--
Yeah, right.
325
00:21:23,948 --> 00:21:27,941
I'm rich.
I couldn't possibly understand
what this kid is going through.
326
00:21:29,153 --> 00:21:33,590
Just because you're drinking
pricier stuff doesn't mean
you don't have a problem.
327
00:21:33,658 --> 00:21:36,593
You've seen someone
stagger down that road?
328
00:21:36,661 --> 00:21:39,596
No way vitamin "K"
is the whole story.
329
00:21:44,201 --> 00:21:47,136
It's not broken.
330
00:21:47,204 --> 00:21:49,138
See this, right here?
331
00:21:49,206 --> 00:21:53,506
It's the epiphyseal plate,
otherwise known as the "growth plate".
What's wrong with it?
332
00:21:53,577 --> 00:21:56,239
Amazing thing, this bone.
333
00:21:56,314 --> 00:21:59,340
If you know how to read it,
it can tell you how old someone really is.
334
00:21:59,417 --> 00:22:02,648
- Exactly how old.
- Great.
335
00:22:02,720 --> 00:22:05,553
Mmm, not even 15.
336
00:22:05,623 --> 00:22:07,557
Almost though.
337
00:22:07,625 --> 00:22:10,389
Two weeks away.
Maybe a month.
338
00:22:11,929 --> 00:22:15,160
Last week.
I was 15 last week.
339
00:22:15,232 --> 00:22:18,030
Happy birthday to both of us.
340
00:22:18,102 --> 00:22:20,935
If you're gonna lie though, go big.
Go 21.
341
00:22:21,005 --> 00:22:23,940
That way
you won't need your crazy mom
to help you buy vodka.
342
00:22:24,008 --> 00:22:27,500
Uh, great.
Thanks for the tip.
343
00:22:29,113 --> 00:22:33,812
Now, when I bring my mom home,
is there anything I need to know
about taking care of her?
344
00:22:33,884 --> 00:22:36,819
I suppose your biggest worry
isn't the booze.
345
00:22:36,887 --> 00:22:39,822
You're 15, basically no mom.
346
00:22:39,890 --> 00:22:42,518
If Child Welfare let kids get away
with that, they wouldn't need
those nice foster homes,
347
00:22:42,593 --> 00:22:44,527
and that would make them sad.
348
00:22:44,595 --> 00:22:46,495
They'd put her someplace too.
349
00:22:46,564 --> 00:22:48,555
My life is working.
350
00:22:49,633 --> 00:22:52,101
Not the word I'd use.
351
00:22:52,169 --> 00:22:55,730
Most 15-year-old kids are doing
what they're supposed to be doing.
352
00:22:55,806 --> 00:22:57,740
You know, they're huffing glue,
catching crabs.
353
00:22:57,808 --> 00:23:00,436
If you turn me in, I'll sue you.
354
00:23:00,511 --> 00:23:02,706
That's privileged information.
355
00:23:02,780 --> 00:23:05,305
Oh, relax.
It's not even your X-ray.
356
00:23:09,553 --> 00:23:11,487
She's awfully calm.
357
00:23:11,555 --> 00:23:13,546
House wrote new orders.
358
00:23:17,661 --> 00:23:20,425
There's a little bit of scarring.
Not much.
359
00:23:20,498 --> 00:23:22,432
Not enough to--
It's cirrhosis.
360
00:23:22,500 --> 00:23:24,593
Oh, but she doesn't drink.
361
00:23:24,668 --> 00:23:26,659
Congratulations.
You win.
362
00:23:29,306 --> 00:23:31,297
Actually,
363
00:23:32,576 --> 00:23:34,510
no one wins.
364
00:23:34,578 --> 00:23:37,513
Tumor. Cystic?
365
00:23:37,581 --> 00:23:39,947
Solid mass.
366
00:23:40,017 --> 00:23:42,076
Cancer.
367
00:23:43,487 --> 00:23:47,924
The vitamin "K" caused the D.V.T.
and aggravated the liver,
368
00:23:47,992 --> 00:23:50,927
but the tumor's
the real reason for the bleed.
369
00:23:50,995 --> 00:23:53,156
The tumor's the problem.
370
00:23:53,230 --> 00:23:55,698
Mrs. Palmero, I'm Dr. Wilson.
371
00:23:55,766 --> 00:23:59,395
I'm afraid I have some bad news
from your ultrasound.
372
00:23:59,470 --> 00:24:01,404
You have cancer.
373
00:24:34,939 --> 00:24:37,339
It's big.
5.8 centimeters.
374
00:24:37,408 --> 00:24:40,138
We do nothing,
she dies from liver failure
within 60 days.
375
00:24:40,211 --> 00:24:42,645
- She needs a transplant.
- That's gonna happen.
376
00:24:42,713 --> 00:24:47,082
- She's 38 years old. She's a mother.
- She's a schizophrenic mother with no money,
on the public dole, in fact,
377
00:24:47,151 --> 00:24:49,585
who knocks back vodka
every time a breeze blows her way.
378
00:24:49,653 --> 00:24:52,918
Mickey Mantle had
a whole bar named after him.
He got a transplant.
379
00:24:52,990 --> 00:24:54,924
Yeah, well, Lucy can't switch-hit.
380
00:24:54,992 --> 00:24:57,358
Plan "B"--
surgery to resect the tumor.
381
00:24:57,428 --> 00:25:01,228
Joe Bergin does the gamma knife thing.
Laser cauterizes while it cuts, saves more liver.
382
00:25:01,298 --> 00:25:03,994
The tumor's way too big.
He won't even consider it.
383
00:25:04,068 --> 00:25:07,435
Not a big risk-taker, Bergin.
Won't even drink milk
on its expiration date.
384
00:25:07,505 --> 00:25:10,269
He has no discretion.
5.8 centimeters is past
the surgical guidelines.
385
00:25:13,844 --> 00:25:16,176
Would he do it at 4.6?
386
00:25:16,247 --> 00:25:21,275
Why don't we just say it's zero?
Then we don't need him at all.
Tumors grow, they don't shrink.
387
00:25:21,352 --> 00:25:23,343
This one does.
388
00:25:24,788 --> 00:25:27,723
Ninety-five percent ethanol.
389
00:25:27,791 --> 00:25:31,056
The ethanol dehydrates
the tumor cells.
390
00:25:31,128 --> 00:25:33,119
Literally sucks them dry.
391
00:25:34,999 --> 00:25:36,933
It shrinks the tumor temporarily.
392
00:25:37,001 --> 00:25:38,992
How temporarily?
393
00:25:40,337 --> 00:25:42,828
Well, if we're lucky,
394
00:25:45,709 --> 00:25:48,701
just long enough to fool the surgeon.
395
00:25:55,819 --> 00:25:58,982
Dr. Shopius, report to Psych Exam.
396
00:25:59,056 --> 00:26:02,287
Dr. Shopius, Psych Exam.
397
00:26:02,359 --> 00:26:04,293
Good morning, Dr. House.
398
00:26:04,361 --> 00:26:06,295
Good morning, Dr. Cuddy.
399
00:26:06,363 --> 00:26:08,297
Love that outfit.
400
00:26:08,365 --> 00:26:10,993
It says, "I'm professional,
but I'm still a woman".
401
00:26:11,068 --> 00:26:13,502
Actually, it sort of yells
the second part.
402
00:26:13,571 --> 00:26:16,506
Yeah, and your big cane
is real subtle too.
403
00:26:16,574 --> 00:26:20,704
Gotta go. Those running noses aren't
just gonna start walking on their own.
404
00:26:20,778 --> 00:26:23,303
The clinic can wait.
405
00:26:23,380 --> 00:26:25,940
How long?
Maybe we could catch a movie.
406
00:26:26,016 --> 00:26:29,110
You should know by now
my doctors have no secrets from me.
407
00:26:30,554 --> 00:26:32,488
I don't believe it.
408
00:26:32,556 --> 00:26:35,047
Who came running to Mommy?
409
00:26:35,125 --> 00:26:38,117
It doesn't matter who.
The point is, I know exactly what you did.
410
00:26:39,797 --> 00:26:42,322
You have no idea
what I'm talking about.
411
00:26:42,399 --> 00:26:46,335
Somebody knows about a bad thing you did.
That's a big field.
412
00:26:46,403 --> 00:26:50,635
But somebody you think might've told me.
That narrows it down quite a bit.
413
00:26:50,708 --> 00:26:53,643
Someone who views me
as a maternal authority figure.
414
00:26:53,711 --> 00:26:57,044
Ayoung person perhaps?
How am I doing?
Think I'm gonna get there?
415
00:26:57,114 --> 00:27:00,049
Presumably hospital business.
How many patients--
It's Cameron.
416
00:27:00,117 --> 00:27:02,051
She found out about my birthday.
417
00:27:02,119 --> 00:27:07,056
I thought she told you and I'd have to
stand here and smile while you gave me
a sweatshirt or a fruit basket.
418
00:27:07,124 --> 00:27:09,524
You know, made me feel
that deep sense of belonging.
419
00:27:09,593 --> 00:27:14,155
Actually, I was just gonna remind you,
you owe me six clinic hours this week.
420
00:27:14,231 --> 00:27:16,222
Oops.
421
00:27:23,140 --> 00:27:25,074
Hi, this is Dr. Cuddy.
422
00:27:25,142 --> 00:27:29,135
I need all the charts
on Dr. House's current patients.
423
00:27:32,950 --> 00:27:35,885
I've tried everything.
Mm-hmm.
424
00:27:35,953 --> 00:27:40,185
"Pulling the tongue,
ice packs on the throat, hitting yourself,
425
00:27:40,257 --> 00:27:42,487
the groin pinch".
426
00:27:43,627 --> 00:27:47,154
Well, you've certainly covered
all the normal medical bases.
427
00:27:47,231 --> 00:27:50,166
Uh, how are you hitting yourself
though?
428
00:27:50,234 --> 00:27:52,896
Is it with an open hand
or a fist?
Open hand.
429
00:27:52,970 --> 00:27:55,905
Uh-huh. Well, that's--
that's how they teach it
at Harvard Med.
430
00:27:55,973 --> 00:27:57,964
How hard though?
431
00:28:00,310 --> 00:28:02,835
I'm sorry. I missed that.
Could you do that again?
432
00:28:02,913 --> 00:28:04,505
Uh--
433
00:28:04,581 --> 00:28:06,515
That's-- That's very good.
434
00:28:06,583 --> 00:28:08,517
It's hiccups.
435
00:28:08,585 --> 00:28:11,019
I need to
speak with you now.
Mm-hmm.
436
00:28:11,088 --> 00:28:13,022
I need to go pee-pee.
437
00:28:13,090 --> 00:28:15,888
Dial it up a notch and repeat.
I'll be back.
438
00:28:25,636 --> 00:28:28,571
Ooh.
Girl in the boy's bathroom.
439
00:28:28,639 --> 00:28:30,573
Very dramatic.
440
00:28:30,641 --> 00:28:33,633
It must be very important,
what she has to say to me.
441
00:28:35,312 --> 00:28:38,247
Yesterday your patient's tumor
was 5.8 centimeters.
442
00:28:38,315 --> 00:28:40,840
Today it's 4.6.
How does that happen?
443
00:28:40,918 --> 00:28:44,354
Well, at a guess,
I'd say, "That Dr. House
must be really, really good.
444
00:28:44,421 --> 00:28:46,355
Why am I wasting him
on hiccups?"
445
00:28:46,423 --> 00:28:48,414
I wash before and after.
446
00:28:51,028 --> 00:28:54,327
You also requisitioned
20 c.c.'s of ethanol.
447
00:28:54,398 --> 00:28:57,333
What patient was that for?
Or are you planning a party?
448
00:28:57,401 --> 00:28:59,392
Do me a favor.
449
00:29:01,605 --> 00:29:04,267
I was gonna say leave,
but that works.
450
00:29:05,476 --> 00:29:08,411
- You shrunk the tumor.
- Only way to get the guy
to do the surgery.
451
00:29:08,479 --> 00:29:12,108
Fraud was the only way?
452
00:29:12,182 --> 00:29:15,117
There is a reason
that we have these guidelines.
453
00:29:15,185 --> 00:29:18,120
I know. To save lives.
Specifically, doctors' lives.
454
00:29:18,188 --> 00:29:21,123
And not just their lives,
but their lifestyles.
455
00:29:21,191 --> 00:29:24,627
Wouldn't want to operate
on anyone really sick.
They might die and spoil our stats.
456
00:29:24,695 --> 00:29:27,289
Bergin has a right to know
what he is operating on.
True.
457
00:29:27,364 --> 00:29:30,492
I got all focused
on her right to live and forgot.
You do what you think is right.
458
00:29:40,577 --> 00:29:42,511
You really didn't know?
459
00:29:42,579 --> 00:29:45,207
No, I didn't.
460
00:29:45,282 --> 00:29:47,216
And, frankly, I'm angry.
461
00:29:47,284 --> 00:29:49,218
Which I'm guessing
is the correct response.
462
00:29:49,286 --> 00:29:52,653
- Ofcourse, I'll know better once
you tell me what you're talking about.
- Your birthday.
463
00:29:52,723 --> 00:29:54,657
Oh.
464
00:29:54,725 --> 00:29:57,660
Anger was a bad guess.
465
00:29:57,728 --> 00:30:02,825
Well, normally, I'd put on a festive hat
and celebrate the fact that the Earth
has circled the sun one more time.
466
00:30:02,900 --> 00:30:05,835
I really didn't think
it was gonna make it this year,
467
00:30:05,903 --> 00:30:09,304
but darn it if it wasn't
the little planet that could
all over again.
468
00:30:09,373 --> 00:30:12,740
It's a birthday.
It's an excuse to be happy.
469
00:30:12,810 --> 00:30:14,801
You think that's lame?
470
00:30:16,380 --> 00:30:19,372
Why are you here?
Did you buy me a pony?
471
00:30:21,418 --> 00:30:23,409
I'm just waiting for the surgery.
472
00:30:25,455 --> 00:30:28,117
Yeah, well, go scrub in.
473
00:30:38,969 --> 00:30:42,063
All right, we're done.
Close her up.
474
00:30:46,977 --> 00:30:52,745
The tumor didn't just walk itself into a bar
and order up a double shot of ethanol.
475
00:30:52,816 --> 00:30:55,250
Someone shrunk it down.
476
00:30:55,319 --> 00:30:58,755
I'm sorry.
It was very, very wrong.
477
00:30:58,822 --> 00:31:01,416
House is lucky
I didn't just close her up.
478
00:31:01,491 --> 00:31:04,426
He tries it again,
that's what happens.
479
00:31:04,494 --> 00:31:06,485
I'll pass it on.
480
00:31:09,433 --> 00:31:11,367
It looks like the surgeon got it all,
481
00:31:11,435 --> 00:31:14,131
but she's gonna have to have
some chemotherapy.
482
00:31:14,204 --> 00:31:16,638
What kind is it?
483
00:31:16,707 --> 00:31:19,505
Luke, stop writing.
484
00:31:26,717 --> 00:31:29,652
If you stop for a second,
it's not all gonna fall apart.
485
00:31:29,720 --> 00:31:32,154
Give yourself a break
once in a while.
486
00:31:32,222 --> 00:31:35,157
The fact is, your Mom's gonna have
an extra drink every now and then.
487
00:31:35,225 --> 00:31:37,250
No. No. She won't.
She doesn't.
488
00:31:37,327 --> 00:31:39,261
Fine.
489
00:31:39,329 --> 00:31:43,288
There are some things you just can't fix.
That's all I'm saying.
490
00:31:43,367 --> 00:31:47,736
That's how you'd handle it,
something like this?
You'd just give up?
491
00:31:49,106 --> 00:31:51,040
No.
492
00:31:51,108 --> 00:31:53,303
I'd do it just like you.
493
00:31:56,413 --> 00:31:59,678
It's an infusion.
She's gonna have a drain
in her abdomen.
494
00:31:59,750 --> 00:32:03,117
You're going to have to check
for possible infection.
495
00:32:03,186 --> 00:32:05,120
Lucas Palmero?
496
00:32:05,188 --> 00:32:08,680
Trina Wyatt, Child Services,
State of New Jersey.
497
00:32:08,759 --> 00:32:10,693
Can I help you?
This is a private room.
498
00:32:10,761 --> 00:32:13,696
He's only 15 years old,
a minor.
499
00:32:13,764 --> 00:32:15,698
He's in a tough living situation.
500
00:32:15,766 --> 00:32:17,700
We're just here to help.
501
00:32:17,768 --> 00:32:20,566
I don't need your help.
Fifteen?
502
00:32:20,637 --> 00:32:25,301
Lucas, you're gonna have to
come with us right now.
503
00:32:25,375 --> 00:32:27,036
Where are you taking him?
504
00:32:27,110 --> 00:32:30,511
Until the determination is made,
he'll be housed at Children's Services.
505
00:32:30,580 --> 00:32:34,141
I don't want to be "housed".
I live with my mom.
506
00:32:34,217 --> 00:32:36,708
Not for the next few days.
507
00:32:36,787 --> 00:32:40,052
Come on.
Let's not make this difficult, huh?
508
00:32:41,058 --> 00:32:43,925
Mom?
509
00:32:43,994 --> 00:32:45,985
Mom?
510
00:32:47,130 --> 00:32:49,121
I love you.
511
00:32:51,601 --> 00:32:55,332
When the Mets lost,
you remember?
512
00:32:55,405 --> 00:32:57,396
Yeah.
513
00:32:58,709 --> 00:33:00,734
I remember.
514
00:33:00,811 --> 00:33:03,371
I love you.
515
00:33:22,632 --> 00:33:26,068
Cuddy didn't say anything about
pushing Bergin to finish the surgery?
Not a word.
516
00:33:26,136 --> 00:33:29,071
Some kind of mind game.
She's waiting for me to crack.
517
00:33:29,139 --> 00:33:32,370
Well, either that
or she's just being nice.
Yeah, right.
518
00:33:32,442 --> 00:33:35,775
You said you wouldn't call.
You're a real bastard, you know.
519
00:33:39,850 --> 00:33:43,411
Yeah, I get that a lot.
520
00:33:47,624 --> 00:33:50,115
I don't think Mom's crazy.
521
00:33:54,931 --> 00:33:59,766
"For in the old days,
though she had young men's praise
and old men's blame,
522
00:33:59,836 --> 00:34:04,170
among the poor,
both old and young gave her praise".
523
00:34:10,814 --> 00:34:13,408
You called Social Services.
524
00:34:13,483 --> 00:34:15,417
It was you.
525
00:34:15,485 --> 00:34:18,010
N-- No. No.
526
00:34:18,088 --> 00:34:20,648
It's okay, it's okay.
I get it.
527
00:34:22,059 --> 00:34:24,994
He'll have an easier time
dealing with the system.
528
00:34:25,062 --> 00:34:29,499
Sure, he won't be with his real mother,
but his real mother's sick.
529
00:34:29,566 --> 00:34:32,057
Someone needs to take care of him.
530
00:34:33,470 --> 00:34:35,404
I'm not gonna live here.
531
00:34:35,472 --> 00:34:40,842
What would his future have been,
taking you to chemo and back on the bus?
532
00:34:40,911 --> 00:34:43,880
And even if the cancer's
in complete remission,
533
00:34:43,947 --> 00:34:46,882
he'll still have a mother
who hears voices.
534
00:34:46,950 --> 00:34:50,408
Talk no more.
535
00:34:50,487 --> 00:34:52,421
Talk no more.
536
00:34:52,489 --> 00:34:56,516
"Look what I do to him, Limpy".
537
00:34:56,593 --> 00:34:59,118
You said that.
538
00:34:59,196 --> 00:35:01,460
I checked the phone records.
539
00:35:03,333 --> 00:35:05,893
Only one call from this room.
540
00:35:05,969 --> 00:35:08,904
Smart, because they
charge you two bucks a call.
541
00:35:08,972 --> 00:35:11,770
It was to Social Services,
the State of New Jersey.
542
00:35:13,844 --> 00:35:16,972
You're his mother.
You couldn't do it to him anymore.
543
00:35:20,217 --> 00:35:22,208
Good for you.
544
00:35:23,220 --> 00:35:25,313
Schizophrenics
can make rational decisions.
545
00:35:25,388 --> 00:35:29,950
On the small stuff, yeah--
when to sleep, what to drink, you know.
546
00:35:30,026 --> 00:35:32,722
"No lemonade,
but I'll take some hemlock
if you've got it".
547
00:35:32,796 --> 00:35:34,730
Huh.
Your man Socrates.
548
00:35:34,798 --> 00:35:39,929
But giving up your son
because it's better for him,
it's so sane, it's so rational.
549
00:35:40,003 --> 00:35:42,938
Self-sacrifice is not
a symptom of schizophrenia.
550
00:35:43,006 --> 00:35:44,940
It excludes the diagnosis.
551
00:35:45,008 --> 00:35:47,943
She's not schizophrenic?
Look, she's 36 years old
when she first presents.
552
00:35:48,011 --> 00:35:50,445
It's a little late,
but within the parameters.
553
00:35:50,514 --> 00:35:54,143
The internist sends her to a shrink.
One shrink sends her to the next.
554
00:35:54,217 --> 00:35:57,516
She tells them all she's not crazy.
The drugs don't work.
And why would they if she's not a head case?
555
00:35:57,587 --> 00:36:00,351
She got clearer
when I took her off the psych meds.
556
00:36:02,692 --> 00:36:06,128
You think I'm crazy.
Well, yeah,
but that's not the problem.
557
00:36:06,196 --> 00:36:09,290
Didn't we
just leave your office?
I like to walk.
558
00:37:09,593 --> 00:37:12,528
Is that Dr. Jeffrey Walters?
Hi.
559
00:37:12,596 --> 00:37:15,463
My name is Greg House.
I'm a doctor--
560
00:37:16,466 --> 00:37:20,095
Oh, is that the time?
I'm-- Yeah. I'm sorry.
My watch must have stopped.
561
00:37:20,170 --> 00:37:24,732
Uh, listen, you treated a patient
about 18 months ago,
a woman named Lucille Palmero.
562
00:37:24,808 --> 00:37:27,800
I wondered if you recalled
running any tests...
563
00:37:29,112 --> 00:37:30,739
at all.
564
00:37:31,481 --> 00:37:35,247
Oh, how terribly foolish of me, Doctor.
Is it that late?
565
00:37:35,318 --> 00:37:38,981
Yes, I'm calling from London, you see?
Must have got my times mixed up--
566
00:37:46,563 --> 00:37:48,963
I have a headache.
It's my only symptom.
567
00:37:49,032 --> 00:37:52,433
I go to see three doctors.
The neurologist tells me it's an aneurysm.
568
00:37:52,502 --> 00:37:54,697
The immunologist says
I've got hay fever.
569
00:37:54,771 --> 00:37:56,705
The intensivist can't be bothered.
570
00:37:56,773 --> 00:38:00,209
Sends me to a shrink,
who tells me that I'm punishing myself
'cause I want to sleep with my mommy.
571
00:38:00,277 --> 00:38:04,771
- Maybe you're just not getting enough sleep?
- Pick your specialist, you pick your disease.
572
00:38:04,848 --> 00:38:08,284
If it's not schizophrenia,
what else presents
with psych symptoms?
573
00:38:08,351 --> 00:38:10,945
- Porphyria.
- The Madness of King George.
574
00:38:11,021 --> 00:38:14,286
What about that copper thing?
What's it called? It's genetic.
575
00:38:14,357 --> 00:38:16,222
The body accumulates
too much copper.
576
00:38:16,293 --> 00:38:18,761
Oh, um, uh, Wilson's Disease?
577
00:38:18,828 --> 00:38:20,762
Yeah.
Very rare.
578
00:38:20,830 --> 00:38:22,764
Nice. I like it.
579
00:38:22,832 --> 00:38:25,960
- If any of us did this, you'd fire us.
- Well, that's funny.
580
00:38:26,036 --> 00:38:29,062
I thought I encouraged you
to question.
You're not questioning.
581
00:38:29,139 --> 00:38:31,573
You're hoping.
You want it to be Wilson's.
582
00:38:31,641 --> 00:38:33,905
Boom. Give her
a couple of drugs, she's okay.
583
00:38:33,977 --> 00:38:36,002
July 17.
An appointment with a Dr. Karn.
584
00:38:36,079 --> 00:38:39,640
She didn't keep it.
She never kept another appointment
with a shrink he made after that.
585
00:38:39,716 --> 00:38:42,913
Karn is not a shrink.
I looked him up.
He's an ophthalmologist.
586
00:38:42,986 --> 00:38:45,420
Now why would she
want her eyes checked?
587
00:38:45,488 --> 00:38:47,820
Wilson's presents with cataracts,
I think.
Yes, it does.
588
00:38:47,891 --> 00:38:53,158
It also causes slight cirrhosis,
which Dr. Chase so eagerly
attributed to alcohol.
589
00:38:53,229 --> 00:38:55,663
So what are we still doing here?
590
00:38:55,732 --> 00:38:57,359
Lucy!
591
00:38:57,434 --> 00:38:59,994
I don't think you're crazy.
592
00:39:00,070 --> 00:39:02,868
Neither do I.
593
00:39:02,939 --> 00:39:06,272
But I'm crazy.
Come on.
Lean over here.
594
00:39:06,343 --> 00:39:08,334
Come on.
595
00:39:09,746 --> 00:39:11,680
That's it.
596
00:39:11,748 --> 00:39:15,844
Put your hands on the bar here
and your chin in here.
597
00:39:15,919 --> 00:39:17,853
Thank you.
598
00:39:17,921 --> 00:39:20,287
You're gonna see
a bright light, okay?
599
00:39:20,357 --> 00:39:23,292
Your body might be accumulating
too much copper.
600
00:39:23,360 --> 00:39:26,727
If it is, this should help us
see something
called Keyser-Fleischer rings--
601
00:39:27,931 --> 00:39:29,865
copper-colored circles
around your corneas.
602
00:39:29,933 --> 00:39:31,798
Wow.
603
00:39:33,370 --> 00:39:37,067
I guess we should start
treating her for Wilson's.
604
00:39:37,140 --> 00:39:39,233
That's what I'd do.
605
00:39:49,986 --> 00:39:54,252
"I will talk no more
of books or the long war,
606
00:39:54,324 --> 00:39:59,956
"but walk by the dry thorn
until I have found some beggar
sheltering from the wind...
607
00:40:00,029 --> 00:40:04,329
"and there manage the talk
until her name come round.
608
00:40:04,401 --> 00:40:09,805
If there be rags enough,
he will know her name
and be well pleased remembering it."
609
00:40:11,141 --> 00:40:16,374
"For in the old days,
though she had young men's praise
and old men's blame,
610
00:40:16,446 --> 00:40:20,815
among the poor,
both old and young gave her praise".
611
00:40:29,626 --> 00:40:32,186
Hi, Mrs. Palmero.
Ready to go home?
612
00:40:33,363 --> 00:40:35,297
Almost.
613
00:40:35,365 --> 00:40:37,595
Mom?
614
00:40:47,310 --> 00:40:49,107
How are you?
615
00:40:49,179 --> 00:40:51,943
I'm good.
616
00:40:55,018 --> 00:40:56,952
Oh!
617
00:40:57,020 --> 00:40:59,545
Oh--
618
00:40:59,622 --> 00:41:02,557
Oh, you really need a haircut.
619
00:41:28,117 --> 00:41:30,108
Dr. House.
620
00:41:31,187 --> 00:41:33,178
Luke, we're making
Dr. House wait.
621
00:41:33,256 --> 00:41:35,781
That's okay.
We're just here for the music.
622
00:41:35,859 --> 00:41:38,191
Luke, come on.
623
00:41:49,072 --> 00:41:52,064
I'm being discharged.
I heard a rumor.
624
00:41:53,510 --> 00:41:55,842
Thank God I had cancer, huh?
625
00:41:57,046 --> 00:42:01,540
- It's terrible having everybody
think you're nuts.
- Really?
626
00:42:02,952 --> 00:42:06,581
- I called to thank you.
Did you get my message?
- Yes.
627
00:42:09,259 --> 00:42:11,227
You're welcome.
628
00:42:13,630 --> 00:42:16,622
I'm never thanking you.
You turned me in.
629
00:42:17,734 --> 00:42:21,830
I told you we were doing okay.
It was none of your business.
630
00:42:21,905 --> 00:42:24,305
Look, I don't care
how you were living.
631
00:42:24,374 --> 00:42:27,036
I just wanted you out of my life.
632
00:42:28,811 --> 00:42:31,541
That's why I had Dr. Cuddy
call Social Services.
633
00:42:48,464 --> 00:42:50,398
You okay?
634
00:42:50,466 --> 00:42:52,400
You were right.
635
00:42:52,468 --> 00:42:56,734
It wasn't the D.V.T.
It was the schizophrenia.
I know.
636
00:42:56,806 --> 00:42:59,138
She's not nearly
as interesting anymore.
637
00:43:00,643 --> 00:43:03,635
Isn't it your birthday
around now?
50610
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