1 00:00:46,922 --> 00:00:48,005 Why are you late? 2 00:00:48,132 --> 00:00:50,425 - You're not going to like the answer. - I already know the answer. 3 00:00:50,551 --> 00:00:51,592 I missed the bus. 4 00:00:51,719 --> 00:00:54,262 I don't doubt it. No bus stops near Brad's. 5 00:00:54,388 --> 00:00:57,014 You spent the night, the alarm didn't work, or maybe it did. 6 00:00:57,141 --> 00:00:58,683 I didn't sleep with him. 7 00:00:58,809 --> 00:01:00,727 - Girl, either there's something... - I missed the bus! 8 00:01:00,853 --> 00:01:02,019 There's something either very wrong with you 9 00:01:02,146 --> 00:01:04,272 or there's something very wrong with him. 10 00:01:04,398 --> 00:01:05,606 There's nothing wrong with him. 11 00:01:05,733 --> 00:01:07,442 Please tell me you know that for a fact. 12 00:01:07,568 --> 00:01:08,818 Melanie, I gotta go. 13 00:01:08,944 --> 00:01:10,069 You're lying, aren't you? 14 00:01:10,195 --> 00:01:13,030 I wouldn't lie to you. Good morning, guys! 15 00:01:13,157 --> 00:01:15,324 Good morning, Ms. Rebecca! 16 00:01:15,451 --> 00:01:16,784 Everybody's in their seats? 17 00:01:16,910 --> 00:01:18,035 Yes. 18 00:01:19,246 --> 00:01:20,371 Okay. 19 00:01:21,707 --> 00:01:25,168 Sydney, why don't you tell us what you did this weekend? 20 00:01:25,377 --> 00:01:28,212 Come on, Sydney. We know you're not shy. 21 00:01:28,338 --> 00:01:30,757 How come we always have to tell you what we did, 22 00:01:30,883 --> 00:01:32,091 and you never tell us what you did? 23 00:01:34,011 --> 00:01:35,136 Okay. 24 00:01:35,763 --> 00:01:38,556 I had a really great weekend. 25 00:01:38,682 --> 00:01:40,349 But you can't tell Ms. Melanie, okay? 26 00:01:40,476 --> 00:01:42,143 What did you do? 27 00:01:42,644 --> 00:01:44,687 I made a new friend. 28 00:01:44,813 --> 00:01:46,856 It's so much fun to make new friends, isn't it? 29 00:01:46,982 --> 00:01:48,608 Yeah. Yeah. 30 00:01:48,734 --> 00:01:52,069 Did you tell your mom and dad about your new friend? 31 00:01:52,821 --> 00:01:54,405 Absolutely. 32 00:01:54,531 --> 00:01:57,700 You should never keep anything from your parents. 33 00:01:57,826 --> 00:01:58,659 And I told mine... 34 00:02:26,772 --> 00:02:31,275 "C-A-L... 35 00:02:32,194 --> 00:02:34,779 "H-E... The." 36 00:02:34,988 --> 00:02:36,989 We know that word. "The." 37 00:03:02,808 --> 00:03:04,267 Twenty-nine-year-old female. 38 00:03:04,393 --> 00:03:05,768 First seizure one month ago. 39 00:03:05,894 --> 00:03:07,270 Lost the ability to speak. 40 00:03:07,396 --> 00:03:08,729 Babbled like a baby. 41 00:03:08,856 --> 00:03:11,065 Progressive deterioration of mental status. 42 00:03:11,191 --> 00:03:12,108 You see that? 43 00:03:12,234 --> 00:03:14,694 They all assume that I'm a patient because of this cane. 44 00:03:14,820 --> 00:03:16,404 So put on a white coat like the rest of us. 45 00:03:16,530 --> 00:03:18,447 I don't want them to think I'm a doctor. 46 00:03:18,574 --> 00:03:19,574 You see where the administration 47 00:03:19,700 --> 00:03:20,950 might have a problem with that attitude? 48 00:03:21,076 --> 00:03:22,869 People don't want a sick doctor. 49 00:03:22,995 --> 00:03:24,036 That's fair enough. 50 00:03:24,162 --> 00:03:25,788 I don't like healthy patients. 51 00:03:25,914 --> 00:03:26,998 The 29-year-old female... 52 00:03:27,124 --> 00:03:30,001 The one who can't talk? I like that part. 53 00:03:30,127 --> 00:03:31,878 She's my cousin. 54 00:03:32,212 --> 00:03:35,131 And your cousin doesn't like the diagnosis. 55 00:03:35,674 --> 00:03:37,592 I wouldn't either. Brain tumor. 56 00:03:37,718 --> 00:03:39,343 She's going to die. Boring. 57 00:03:42,222 --> 00:03:43,890 No wonder you're such a renowned diagnostician. 58 00:03:44,016 --> 00:03:46,225 You don't need to actually know anything to figure out what's wrong. 59 00:03:46,351 --> 00:03:47,393 You're the oncologist. 60 00:03:47,519 --> 00:03:49,604 I'm just a lowly infectious disease guy. 61 00:03:49,730 --> 00:03:51,689 Yes. Just a simple country doctor. 62 00:03:51,815 --> 00:03:53,774 Brain tumors at her age are highly unlikely. 63 00:03:53,901 --> 00:03:54,901 She's 29. 64 00:03:55,027 --> 00:03:56,485 Whatever she's got is highly unlikely. 65 00:03:56,612 --> 00:03:58,738 The protein markers for the three most prevalent brain cancers 66 00:03:58,864 --> 00:03:59,864 came up negative. 67 00:03:59,990 --> 00:04:01,198 That's an HMO lab. 68 00:04:01,325 --> 00:04:03,701 Might as well have sent it to a high school kid with a chemistry set. 69 00:04:03,827 --> 00:04:05,578 No family history. 70 00:04:05,704 --> 00:04:07,705 I thought your uncle died of cancer. 71 00:04:07,831 --> 00:04:09,582 Other side. No environmental factors. 72 00:04:09,708 --> 00:04:10,708 That you know of. 73 00:04:10,834 --> 00:04:12,501 And she's not responding to radiation treatment. 74 00:04:12,628 --> 00:04:15,212 None of which is even close to dispositive. 75 00:04:15,339 --> 00:04:17,798 All it does is raise one question. 76 00:04:17,925 --> 00:04:20,468 Your cousin goes to an HMO? 77 00:04:20,594 --> 00:04:21,886 Come on. 78 00:04:22,012 --> 00:04:23,804 Why leave all the fun for the coroner? 79 00:04:23,931 --> 00:04:27,642 What's the point of putting together a team if you're not gonna use them? 80 00:04:27,768 --> 00:04:30,853 You've got three overqualified doctors working for you, 81 00:04:30,979 --> 00:04:32,146 getting bored. 82 00:05:34,710 --> 00:05:36,293 It's a lesion. 83 00:05:37,879 --> 00:05:39,255 And the big green thing 84 00:05:39,381 --> 00:05:41,632 in the middle of the bigger blue thing on a map 85 00:05:41,758 --> 00:05:43,592 is an island. 86 00:05:43,719 --> 00:05:45,428 I was hoping for something a bit more creative. 87 00:05:45,554 --> 00:05:49,598 Shouldn't we be speaking to the patient before we start diagnosing? 88 00:05:49,725 --> 00:05:50,933 - Is she a doctor? - No, but... 89 00:05:51,059 --> 00:05:52,727 Everybody lies. 90 00:05:52,853 --> 00:05:54,687 Dr. House doesn't like dealing with patients. 91 00:05:54,813 --> 00:05:56,981 Isn't treating patients why we became doctors? 92 00:05:57,107 --> 00:05:59,650 No. Treating illnesses is why we became doctors. 93 00:05:59,776 --> 00:06:02,695 Treating patients is what makes most doctors miserable. 94 00:06:02,821 --> 00:06:06,240 So you're trying to eliminate the humanity from the practice of medicine? 95 00:06:06,366 --> 00:06:10,161 If we don't talk to them, they can't lie to us, and we can't lie to them. 96 00:06:10,287 --> 00:06:12,079 Humanity's overrated. 97 00:06:12,205 --> 00:06:13,706 I don't think it's a tumor. 98 00:06:13,832 --> 00:06:15,458 First-year medical school, if you hear ho of beats, 99 00:06:15,584 --> 00:06:16,959 you think horses, not zebras. 100 00:06:17,085 --> 00:06:19,837 Are you in first-year medical school? 101 00:06:20,547 --> 00:06:23,382 No. First of all, there's nothing on the CAT scan. 102 00:06:23,508 --> 00:06:24,884 Second of all, if this is a horse, 103 00:06:25,010 --> 00:06:27,970 then her kindly family doctor in Trenton makes the obvious diagnosis, 104 00:06:28,096 --> 00:06:30,639 and it never gets near this office. 105 00:06:30,766 --> 00:06:32,016 Differential diagnosis, people. 106 00:06:32,142 --> 00:06:34,226 If it's not a tumor, what are the suspects? 107 00:06:34,352 --> 00:06:36,312 Why couldn't she talk? 108 00:06:36,438 --> 00:06:39,315 Aneurysm, stroke or some other ischemic syndrome. 109 00:06:39,441 --> 00:06:40,608 Get her a contrast MRI. 110 00:06:40,734 --> 00:06:42,068 Creutzfeldt-Jakob disease? 111 00:06:42,194 --> 00:06:43,235 Mad cow? 112 00:06:43,361 --> 00:06:44,320 Mad zebra. 113 00:06:44,446 --> 00:06:45,946 Wernicke's encephalopathy. 114 00:06:46,073 --> 00:06:48,115 No. Blood thiamine level was normal. 115 00:06:48,241 --> 00:06:51,452 The lab in Trenton could have screwed up the blood tests. 116 00:06:51,578 --> 00:06:55,706 I assume it's a corollary if people lie that people screw up. 117 00:06:55,832 --> 00:06:57,541 Redraw the blood tests 118 00:06:57,667 --> 00:07:00,002 and get her scheduled for that contrast MRI. ASAP. 119 00:07:00,128 --> 00:07:02,630 Let's find out what kind of zebra we're treating here. 120 00:07:14,434 --> 00:07:16,727 Radiology, please call the page. 121 00:07:16,853 --> 00:07:18,646 Radiology, please call the page. 122 00:07:24,945 --> 00:07:27,321 I was expecting you in my office 20 minutes ago. 123 00:07:27,447 --> 00:07:28,697 Really? Well, that's odd, 124 00:07:28,824 --> 00:07:30,616 because I had no intention of being in your office 20 minutes ago. 125 00:07:30,742 --> 00:07:32,076 You think we have nothing to talk about? 126 00:07:32,202 --> 00:07:34,328 No. I just can't think of anything I'd be interested in. 127 00:07:34,454 --> 00:07:35,454 I sign your paychecks. 128 00:07:35,580 --> 00:07:37,039 I have tenure. 129 00:07:39,334 --> 00:07:41,418 Are you gonna grab my cane now, stop me from leaving? 130 00:07:41,545 --> 00:07:43,420 That would be juvenile. 131 00:07:48,468 --> 00:07:50,094 I can still fire you if you're not doing your job. 132 00:07:50,220 --> 00:07:51,303 I'm here from 9:00 to 5:00. 133 00:07:51,429 --> 00:07:53,722 Your billings are practically nonexistent. 134 00:07:53,849 --> 00:07:55,933 - Rough year. - You ignore requests for consults. 135 00:07:56,059 --> 00:07:57,184 I call back. Sometimes I misdial. 136 00:07:57,310 --> 00:07:59,728 You're six years behind on your obligations to the clinic. 137 00:07:59,855 --> 00:08:02,731 See? I was right. This doesn't interest me. 138 00:08:02,858 --> 00:08:06,193 Six years times three weeks, you owe me better than four months. 139 00:08:06,319 --> 00:08:08,362 It's 5:00. I'm going home. 140 00:08:09,865 --> 00:08:10,948 To what? 141 00:08:12,075 --> 00:08:13,242 Nice. 142 00:08:14,703 --> 00:08:18,831 Look, Dr. House, the only reason why I don't fire you 143 00:08:18,957 --> 00:08:21,750 is because your reputation is still worth something to this hospital. 144 00:08:21,877 --> 00:08:23,502 Excellent. We have a point of agreement. 145 00:08:23,628 --> 00:08:24,712 You're not gonna fire me. 146 00:08:24,838 --> 00:08:27,464 Your reputation won't last if you don't do your job. 147 00:08:27,591 --> 00:08:29,842 The clinic is part of your job. 148 00:08:29,968 --> 00:08:31,218 I want you to do your job. 149 00:08:31,344 --> 00:08:33,345 But, as the philosopher Jagger once said, 150 00:08:33,471 --> 00:08:36,056 "You can't always get what you want." 151 00:08:42,898 --> 00:08:45,774 You're not my doctor. Are you Dr. House? 152 00:08:45,901 --> 00:08:47,818 Thankfully, no. I'm Dr. Chase. 153 00:08:47,944 --> 00:08:49,945 Dr. House is the head of Diagnostic Medicine. 154 00:08:50,071 --> 00:08:53,866 He's very busy, but he has taken a keen interest in your case. 155 00:08:58,079 --> 00:09:00,414 We inject gadolinium into a vein. 156 00:09:00,540 --> 00:09:02,208 It distributes itself throughout your brain 157 00:09:02,334 --> 00:09:03,834 and acts as a contrast material 158 00:09:03,960 --> 00:09:06,420 for the magnetic resonance imager. 159 00:09:07,172 --> 00:09:09,715 Basically, whatever's in your head lights up like a Christmas tree. 160 00:09:09,841 --> 00:09:11,300 It might make you feel a little light-headed. 161 00:09:11,426 --> 00:09:12,426 Dr. Cameron. 162 00:09:12,552 --> 00:09:15,804 I'm sorry. I have to stop you. There is a problem. 163 00:09:18,141 --> 00:09:19,892 You pulled my authorization! 164 00:09:20,018 --> 00:09:21,435 Yes. Why are you yelling? 165 00:09:21,561 --> 00:09:23,771 No MRIs, no imaging studies, no labs. 166 00:09:23,897 --> 00:09:25,814 You also can't make long-distance phone calls. 167 00:09:25,941 --> 00:09:27,775 If you're going to fire me, have the guts to face me. 168 00:09:27,901 --> 00:09:29,902 Or photocopies. You're still yelling. 169 00:09:30,028 --> 00:09:33,072 I'm angry! You're risking a patient's life. 170 00:09:33,198 --> 00:09:34,698 I assume those are two separate points. 171 00:09:34,824 --> 00:09:36,075 You showed me disrespect. 172 00:09:36,201 --> 00:09:38,452 You embarrassed me. And as long as I work here, you have no legal... 173 00:09:38,578 --> 00:09:40,162 Is the yelling designed to scare me? 174 00:09:40,288 --> 00:09:43,874 Because I'm not sure what it is I'm supposed to be scared of. 175 00:09:44,000 --> 00:09:45,417 More yelling? 176 00:09:45,543 --> 00:09:47,086 That's not scary. 177 00:09:47,212 --> 00:09:48,671 That you're going to hurt me? That's scary. 178 00:09:48,797 --> 00:09:52,091 But I'm pretty sure I can outrun you. 179 00:09:52,634 --> 00:09:55,511 Oh, I looked into that philosopher you quoted. Jagger. 180 00:09:55,637 --> 00:09:58,013 And you're right, you can't always get what you want. 181 00:09:58,139 --> 00:10:02,268 But as it turns out, "If you try sometimes, you get what you need." 182 00:10:03,687 --> 00:10:07,147 So, because you want me to treat patients, 183 00:10:07,274 --> 00:10:09,525 you're not letting me treat patients? 184 00:10:09,651 --> 00:10:11,694 I need you to do your job. 185 00:10:20,578 --> 00:10:22,830 Do the MRI. She folded. 186 00:10:27,043 --> 00:10:28,585 I've got to do four hours a week in this clinic 187 00:10:28,712 --> 00:10:31,588 until I make up the time I've missed. 188 00:10:32,132 --> 00:10:36,135 2054. I'll be caught up in 2054. 189 00:10:37,262 --> 00:10:39,930 You better love this cousin a whole lot. 190 00:11:14,549 --> 00:11:17,718 All right, Rebecca, I know you may feel a little claustrophobic in there, 191 00:11:17,844 --> 00:11:20,054 but we need you to remain still. 192 00:11:21,639 --> 00:11:23,766 Okay, we're going to begin. 193 00:11:33,693 --> 00:11:35,486 I don't feel so good. 194 00:11:35,612 --> 00:11:37,905 It's all right. Just try to relax. 195 00:11:46,081 --> 00:11:47,331 Rebecca? 196 00:11:49,334 --> 00:11:50,542 Rebecca? 197 00:12:00,261 --> 00:12:01,553 Rebecca? 198 00:12:03,348 --> 00:12:04,348 Get her out of there. 199 00:12:04,474 --> 00:12:05,432 She probably fell asleep. 200 00:12:05,558 --> 00:12:07,476 She's exhausted. She was claustrophobic 30 seconds ago. 201 00:12:07,602 --> 00:12:08,727 She's not sleeping. We gotta get her out of there. 202 00:12:08,853 --> 00:12:09,853 It'll just be another minute. 203 00:12:09,979 --> 00:12:11,480 If she's having an allergic reaction to the gadolinium, 204 00:12:11,606 --> 00:12:12,940 she'll be dead in two minutes. 205 00:12:16,736 --> 00:12:18,654 - Hold her neck. - All right. 206 00:12:18,780 --> 00:12:20,364 Oh, she's ashen. 207 00:12:21,032 --> 00:12:23,075 She's not breathing. Epi.5. 208 00:12:23,201 --> 00:12:25,411 Come on. 209 00:12:26,204 --> 00:12:27,830 I can't ventilate. 210 00:12:30,750 --> 00:12:32,543 Too much edema. Where's the surgical airway kit? 211 00:12:32,669 --> 00:12:33,961 Yeah. Coming. 212 00:13:11,124 --> 00:13:12,541 Good call. 213 00:13:33,271 --> 00:13:35,647 We'll get that tube out of your throat later today. 214 00:13:35,773 --> 00:13:38,025 Just get some rest for now, okay? 215 00:13:42,113 --> 00:13:44,448 Told you. You can't trust people. 216 00:13:44,574 --> 00:13:46,158 She probably knew she was allergic to gadolinium. 217 00:13:46,284 --> 00:13:48,744 Figured it was an easy way to get someone to cut a hole in her throat. 218 00:13:48,870 --> 00:13:50,370 Can't get a picture. 219 00:13:50,497 --> 00:13:51,830 Gonna have to get a thousand words. 220 00:13:51,956 --> 00:13:55,792 You actually want me to talk to the patient, get a history? 221 00:13:56,169 --> 00:13:58,462 We need to know if there's some genetic or environmental cause 222 00:13:58,588 --> 00:14:00,881 that's triggering an inflammatory response. 223 00:14:01,007 --> 00:14:02,883 I thought everybody lied. 224 00:14:03,676 --> 00:14:06,637 Truth begins in lies. Think about it. 225 00:14:09,098 --> 00:14:11,767 That doesn't mean anything, does it? 226 00:14:15,355 --> 00:14:17,731 12:52 p.m. Dr. House checks in. 227 00:14:17,857 --> 00:14:18,941 Please write that down. 228 00:14:19,067 --> 00:14:20,734 Do you have cable TV here somewhere? 229 00:14:20,860 --> 00:14:22,027 General Hospital starts in eight minutes. 230 00:14:22,153 --> 00:14:24,196 No TV, but we've got patients. 231 00:14:24,322 --> 00:14:26,406 Can't you give out the aspirin yourself? I'll do paperwork. 232 00:14:26,533 --> 00:14:28,700 I made sure your first case was an interesting one. 233 00:14:28,826 --> 00:14:30,869 Cough just won't go away? Runny nose looks a funny color? 234 00:14:30,995 --> 00:14:33,163 Patient admitted complaining of back spasms. 235 00:14:33,289 --> 00:14:34,831 Oh? I think I read about something like that 236 00:14:34,958 --> 00:14:35,958 in 'The New England Journal of Medicine'. 237 00:14:36,084 --> 00:14:37,376 Patient is orange. 238 00:14:37,502 --> 00:14:38,502 The color? 239 00:14:38,628 --> 00:14:39,586 No, the fruit. 240 00:14:39,712 --> 00:14:40,879 You mean yellow. It's jaundice. 241 00:14:41,005 --> 00:14:41,964 I mean orange. 242 00:14:42,090 --> 00:14:44,216 - Well, how orange? It's probably... - Exam Room 1. 243 00:14:44,342 --> 00:14:46,718 Dr. Kahn, you're needed in Pediatrics. 244 00:14:47,971 --> 00:14:50,764 I was playing golf and my cleats got stuck. 245 00:14:50,890 --> 00:14:53,016 It hurt a little, but I kept playing. 246 00:14:53,142 --> 00:14:55,602 The next morning, I could barely stand up. 247 00:14:55,728 --> 00:14:59,773 Well, you're smiling, so I take it that means this isn't serious. 248 00:15:00,692 --> 00:15:02,818 What's that? What are you doing? 249 00:15:02,944 --> 00:15:03,986 Painkillers. 250 00:15:04,112 --> 00:15:06,154 Oh, for you. For your leg. 251 00:15:06,281 --> 00:15:07,823 No, 'cause they're yummy. 252 00:15:07,949 --> 00:15:10,909 You want one? Make your back feel better. 253 00:15:12,579 --> 00:15:15,330 Unfortunately, you have a deeper problem. 254 00:15:15,957 --> 00:15:18,333 Your wife is having an affair. 255 00:15:18,459 --> 00:15:20,877 - What? - You're orange, you moron. 256 00:15:21,337 --> 00:15:22,588 It's one thing for you not to notice, 257 00:15:22,714 --> 00:15:23,797 but if your wife hasn't picked up on the fact 258 00:15:23,923 --> 00:15:26,842 that her husband has changed colors, she's just not paying attention. 259 00:15:26,968 --> 00:15:28,844 By the way, do you consume just a ridiculous amount 260 00:15:28,970 --> 00:15:30,971 of carrots and megadose vitamins? 261 00:15:31,097 --> 00:15:33,015 Carrots turn you yellow, the niacin turns you red. 262 00:15:33,141 --> 00:15:34,975 Find some finger paint and do the math. 263 00:15:35,101 --> 00:15:36,935 And get a good lawyer. 264 00:15:41,941 --> 00:15:43,317 Deep breath. 265 00:15:43,443 --> 00:15:44,985 It's cold. 266 00:15:46,529 --> 00:15:48,196 Has he been using his inhaler? 267 00:15:48,323 --> 00:15:51,658 Not in the past few days. He's only 10. 268 00:15:51,784 --> 00:15:55,746 I worry about children taking such strong medicine so frequently. 269 00:15:55,872 --> 00:15:56,955 What happened to your leg? 270 00:15:57,081 --> 00:15:58,749 Your doctor probably was concerned 271 00:15:58,875 --> 00:16:00,375 about the strength of the medicine, too. 272 00:16:00,501 --> 00:16:03,879 She probably weighed that danger against the danger of not breathing. 273 00:16:04,005 --> 00:16:06,506 Oxygen is so important during those prepubescent years, 274 00:16:06,633 --> 00:16:08,300 don't you think? 275 00:16:08,551 --> 00:16:10,218 Okay, I'm gonna assume that nobody has ever told you 276 00:16:10,345 --> 00:16:11,386 what asthma is. 277 00:16:11,512 --> 00:16:14,264 Or if they have, you had other things on your mind. 278 00:16:14,390 --> 00:16:17,434 A stimulant triggers cells in your child's airways 279 00:16:17,560 --> 00:16:18,644 to release substances 280 00:16:18,770 --> 00:16:21,313 that inflame the air passages and cause them to contract. 281 00:16:21,439 --> 00:16:24,775 Mucus production increases, the cell lining starts to shed. 282 00:16:24,901 --> 00:16:26,610 But the steroids... 283 00:16:27,236 --> 00:16:30,906 The steroids stop the inflammation. 284 00:16:32,200 --> 00:16:34,534 The more often this happens... 285 00:16:34,911 --> 00:16:37,079 What? The more often this happens, what? 286 00:16:37,205 --> 00:16:40,957 Forget it. If you don't trust steroids, you shouldn't trust doctors. 287 00:16:41,959 --> 00:16:44,419 My mother passed away four years ago. 288 00:16:44,545 --> 00:16:45,879 She had a heart attack 289 00:16:45,963 --> 00:16:49,257 and my father broke his back doing construction... 290 00:16:51,844 --> 00:16:54,429 It's House. It's urgent. I'm sorry. 291 00:16:58,893 --> 00:17:00,977 You couldn't have knocked? 292 00:17:01,771 --> 00:17:03,814 Steroids. Give her steroids. 293 00:17:03,940 --> 00:17:05,273 High doses of prednisone. 294 00:17:14,075 --> 00:17:16,702 You're looking for support for a diagnosis of cerebral vasculitis? 295 00:17:16,828 --> 00:17:18,787 Inflammation of blood vessels in the brain is awfully rare, 296 00:17:18,913 --> 00:17:20,080 especially for someone her age. 297 00:17:20,206 --> 00:17:21,957 So is a tumor. Her sed rate is elevated. 298 00:17:22,083 --> 00:17:23,041 Mildly. 299 00:17:23,167 --> 00:17:25,252 That could mean anything. Or nothing. 300 00:17:25,378 --> 00:17:28,755 Yeah, I know. I have no reason to think that it's vasculitis. 301 00:17:28,881 --> 00:17:30,340 Except that it could be. 302 00:17:30,466 --> 00:17:31,633 If the blood vessels are inflamed, 303 00:17:31,759 --> 00:17:33,051 that's gonna look exactly like what we saw 304 00:17:33,177 --> 00:17:34,428 on the MRI from Trenton County, 305 00:17:34,554 --> 00:17:36,638 and the pressure is gonna cause neurological symptoms. 306 00:17:36,764 --> 00:17:38,056 We can't diagnose that without a biopsy. 307 00:17:38,182 --> 00:17:39,182 Yes, we can. 308 00:17:39,308 --> 00:17:40,559 We treat it. 309 00:17:40,685 --> 00:17:41,852 If she gets better, we know we're right. 310 00:17:41,978 --> 00:17:43,937 And if we're wrong? 311 00:17:44,021 --> 00:17:45,522 Then we learn something else. 312 00:17:50,528 --> 00:17:51,570 Why steroids? 313 00:17:51,696 --> 00:17:53,780 Just part of your treatment. 314 00:17:53,906 --> 00:17:55,407 You haven't had many visitors. 315 00:17:55,533 --> 00:17:57,659 - No boyfriend? - Three dates. 316 00:17:57,785 --> 00:18:01,079 I wouldn't have stood by him if he were vomiting all day. 317 00:18:01,205 --> 00:18:04,166 What about work? You must have friends from work. 318 00:18:04,292 --> 00:18:07,377 Pretty much everybody I like is five years old. 319 00:18:08,921 --> 00:18:12,007 The nurse said you're stopping my radiation. 320 00:18:12,717 --> 00:18:14,760 We're just trying some alternative medication. 321 00:18:14,886 --> 00:18:15,969 So where's your family from then? 322 00:18:16,053 --> 00:18:19,014 Steroids aren't an alternative to radiation. 323 00:18:19,265 --> 00:18:21,433 The tests weren't really conclusive. 324 00:18:21,559 --> 00:18:23,769 We're treating you for vasculitis. 325 00:18:23,895 --> 00:18:27,063 It's the inflammation of blood vessels in the brain. 326 00:18:27,190 --> 00:18:29,024 It's not a tumor? 327 00:18:30,026 --> 00:18:32,027 I don't have a tumor? 328 00:18:34,989 --> 00:18:38,366 Hey, you should have told her the truth. It's a long-shot guess. 329 00:18:38,493 --> 00:18:39,993 Thank you. If House is right, no harm. 330 00:18:40,077 --> 00:18:42,871 If he's wrong, I've given a dying woman a couple days' hope. 331 00:18:42,997 --> 00:18:43,830 False hope. 332 00:18:43,956 --> 00:18:48,084 If there was any other type available, I would have given her that. 333 00:18:55,927 --> 00:18:58,512 Why are you smelling Billy's pants? 334 00:18:58,971 --> 00:18:59,805 I'm not. 335 00:18:59,931 --> 00:19:01,097 Looked like you were. 336 00:19:01,224 --> 00:19:02,641 I was smelling the floor. 337 00:19:02,767 --> 00:19:03,892 Oh. 338 00:19:04,560 --> 00:19:05,977 Do you have any pets in this class? 339 00:19:06,103 --> 00:19:10,273 No. But we used to have a gerbil, but Carly L. dropped a book on it. 340 00:19:10,858 --> 00:19:11,858 Careless. 341 00:19:11,984 --> 00:19:13,527 Do you need to smell it? 342 00:19:13,653 --> 00:19:15,654 No. I'm smelling for mold. 343 00:19:16,489 --> 00:19:19,866 - I don't need to smell it. - You could smell our parrot. 344 00:19:19,992 --> 00:19:22,577 You said you didn't have any pets in this class. 345 00:19:22,703 --> 00:19:24,079 A parrot is a bird. 346 00:19:24,205 --> 00:19:25,455 Listen, Jax is not the father... 347 00:19:25,581 --> 00:19:28,583 Parrots are the primary source of psittacosis. 348 00:19:29,001 --> 00:19:29,793 It's not the parrot. 349 00:19:29,919 --> 00:19:32,212 And psittacosis can lead to 350 00:19:32,338 --> 00:19:34,756 nerve problems and neurological complications. 351 00:19:34,882 --> 00:19:36,842 - How many kids were in the class? - 20. 352 00:19:36,968 --> 00:19:38,051 How many are home sick? 353 00:19:38,177 --> 00:19:39,219 None, but... 354 00:19:39,345 --> 00:19:41,137 None. But you figured that five-year-olds 355 00:19:41,264 --> 00:19:44,850 are more serious about bird hygiene than their teacher? 356 00:19:45,184 --> 00:19:46,309 Have you been through her home? 357 00:19:46,435 --> 00:19:47,686 She lives in Trenton. 358 00:19:47,812 --> 00:19:50,730 I can go up to her room tomorrow morning, ask her for the key. 359 00:19:50,857 --> 00:19:52,858 Would the police call for permission 360 00:19:52,984 --> 00:19:54,818 before dropping by to check out a crime scene? 361 00:19:54,944 --> 00:19:55,902 It's not a crime scene. 362 00:19:56,028 --> 00:19:58,864 As far as I know, she's running a meth lab out of her basement. 363 00:19:58,990 --> 00:20:00,156 She's a kindergarten teacher. 364 00:20:00,283 --> 00:20:04,369 And if I were a kindergarten student I would trust her implicitly. 365 00:20:05,580 --> 00:20:08,623 Okay. I'll give you a "for instance." 366 00:20:08,749 --> 00:20:13,336 The lady back there who made your egg salad sandwich, 367 00:20:13,462 --> 00:20:16,089 her eyes look glassy. Did you notice that? 368 00:20:16,215 --> 00:20:19,092 Now, hospital policy is to stay home if you're sick. 369 00:20:19,218 --> 00:20:20,760 But if you're making $8.00 an hour, 370 00:20:20,887 --> 00:20:23,597 then you kind of need the $8.00 an hour, right? 371 00:20:23,723 --> 00:20:24,973 And the sign in the bathroom says 372 00:20:25,099 --> 00:20:27,434 that employees must wash after using the facilities, 373 00:20:27,560 --> 00:20:30,312 but I figure that somebody who wipes snot on a sleeve 374 00:20:30,438 --> 00:20:33,523 isn't hyper-concerned about sanitary conditions. 375 00:20:33,816 --> 00:20:36,651 So what do you think, should I trust her? 376 00:20:36,777 --> 00:20:39,988 I want you to check the patient's home for contaminants, garbage, medication. 377 00:20:40,114 --> 00:20:41,990 I can't just break into someone's house. 378 00:20:42,116 --> 00:20:45,160 Isn't that how you got into the Felkers' home? 379 00:20:49,749 --> 00:20:51,833 Yeah, I know. 380 00:20:51,959 --> 00:20:53,126 Court records are sealed. 381 00:20:53,252 --> 00:20:55,837 You were 16. It was a stupid mistake. 382 00:20:56,213 --> 00:20:58,590 But your old gym teacher has a big mouth. 383 00:20:58,716 --> 00:20:59,841 Should write a thank-you note. 384 00:20:59,967 --> 00:21:01,301 I should thank him? 385 00:21:01,427 --> 00:21:02,594 Well... 386 00:21:03,971 --> 00:21:07,140 I needed somebody around here with street smarts. 387 00:21:09,352 --> 00:21:13,188 Okay? Who knows when they're being conned, knows how to con. 388 00:21:13,314 --> 00:21:14,898 I should sue you. 389 00:21:15,441 --> 00:21:17,859 Pretty sure you can't sue somebody for wrongful hiring. 390 00:21:17,985 --> 00:21:20,153 But I'm pretty sure I can sue if you fire me 391 00:21:20,279 --> 00:21:22,864 for not breaking into some lady's house. 392 00:21:35,378 --> 00:21:38,838 Doing research. People are fascinating, aren't they? 393 00:21:38,965 --> 00:21:41,424 Why are you giving Adler steroids? 394 00:21:41,550 --> 00:21:42,842 Because she's my patient. 395 00:21:42,969 --> 00:21:44,803 That's what you do with patients, you give them medicine. 396 00:21:44,929 --> 00:21:46,846 You don't prescribe medicine based on guesses. 397 00:21:46,973 --> 00:21:49,349 At least we don't since Tuskegee and Mengele. 398 00:21:49,475 --> 00:21:52,310 You're comparing me to a Nazi? Nice. 399 00:21:52,436 --> 00:21:54,562 I'm stopping the treatment. 400 00:21:59,318 --> 00:22:00,443 She's my patient. 401 00:22:00,569 --> 00:22:01,945 It's my hospital. 402 00:22:02,530 --> 00:22:05,323 I did not get her sick. She is not an experiment. 403 00:22:05,449 --> 00:22:07,867 I have a legitimate theory about what's wrong with her. 404 00:22:07,994 --> 00:22:09,327 With no proof. 405 00:22:09,453 --> 00:22:10,537 There's never any proof. 406 00:22:10,663 --> 00:22:12,706 Five different doctors come up with five different diagnoses 407 00:22:12,832 --> 00:22:13,873 based on the same evidence. 408 00:22:14,000 --> 00:22:16,167 You don't have any evidence. 409 00:22:18,546 --> 00:22:19,587 And nobody knows anything, huh? 410 00:22:19,714 --> 00:22:21,423 Then how is it you always think you're right? 411 00:22:21,549 --> 00:22:25,093 I don't. I just find it hard to operate on the opposite assumption. 412 00:22:25,219 --> 00:22:27,429 And why are you so afraid of making a mistake? 413 00:22:27,555 --> 00:22:29,347 Because I'm a doctor. 414 00:22:29,473 --> 00:22:31,391 Because when we make mistakes, people die. 415 00:22:31,517 --> 00:22:33,018 Oh, come on. 416 00:22:36,856 --> 00:22:40,316 People used to have more respect for cripples, you know. 417 00:22:41,902 --> 00:22:43,570 They didn't really. 418 00:22:47,533 --> 00:22:48,825 So how you feeling? 419 00:22:48,951 --> 00:22:50,160 Much better, thanks. 420 00:22:50,995 --> 00:22:52,245 Are you Dr. House? 421 00:22:52,371 --> 00:22:53,621 I thought he was a he, but... 422 00:22:53,748 --> 00:22:54,914 No. 423 00:22:56,459 --> 00:22:58,710 Don't eat too much, too fast. 424 00:22:59,795 --> 00:23:01,337 Thank him for me. 425 00:23:01,505 --> 00:23:02,797 Right. 426 00:23:15,394 --> 00:23:17,771 Should I discontinue the treatment, boss? 427 00:23:17,897 --> 00:23:19,314 You got lucky. 428 00:23:23,861 --> 00:23:24,944 Cool, huh? 429 00:23:27,656 --> 00:23:28,740 Okay, once again. 430 00:23:31,952 --> 00:23:33,828 Good. 431 00:23:33,954 --> 00:23:36,331 Am I ever gonna meet Dr. House? 432 00:23:37,583 --> 00:23:41,086 Well, you might run into him at the movies or on the bus. 433 00:23:41,462 --> 00:23:43,046 Is he a good man? 434 00:23:43,798 --> 00:23:46,132 He's a good doctor. 435 00:23:47,426 --> 00:23:49,761 Can you be one without the other? 436 00:23:49,887 --> 00:23:51,721 Don't you have to care about people? 437 00:23:51,847 --> 00:23:53,807 Caring is a good motivator. 438 00:23:54,934 --> 00:23:56,976 He's found something else. 439 00:23:58,938 --> 00:24:00,855 Feel this, both sides? 440 00:24:00,981 --> 00:24:04,400 Okay, squeeze. Harder. All right. 441 00:24:05,903 --> 00:24:07,779 He's your friend, huh? 442 00:24:08,906 --> 00:24:09,989 Yeah. 443 00:24:10,491 --> 00:24:12,408 Does he care about you? 444 00:24:13,077 --> 00:24:14,119 I think so. 445 00:24:14,245 --> 00:24:15,286 You don't know? 446 00:24:16,372 --> 00:24:19,290 As Dr. House likes to say, "Everybody lies." 447 00:24:19,917 --> 00:24:23,336 It's not what people say. It's what they do. 448 00:24:26,340 --> 00:24:28,633 Yeah. He cares about me. 449 00:24:32,721 --> 00:24:34,097 I can't see. 450 00:24:37,476 --> 00:24:40,061 I can't see. 451 00:24:48,737 --> 00:24:50,572 A little help in here! 452 00:25:05,296 --> 00:25:07,922 Your chest will be sore for a while. 453 00:25:08,299 --> 00:25:11,384 We needed to shock you to get your heart going. 454 00:25:13,304 --> 00:25:18,183 Okay, can you arrange these to tell a story? 455 00:25:32,865 --> 00:25:34,657 She couldn't put them in order. 456 00:25:34,783 --> 00:25:37,869 Could the damage have been caused by a lack of oxygen during her seizure? 457 00:25:37,995 --> 00:25:41,998 No. I gave her the same test five minutes later. She did just fine. 458 00:25:42,124 --> 00:25:43,791 The altered mental status is intermittent, 459 00:25:43,918 --> 00:25:45,585 just like the verbal skills. 460 00:25:45,711 --> 00:25:46,669 So what now? 461 00:25:46,795 --> 00:25:50,423 Given the latest symptoms, it's clearly growing deeper into the brain stem. 462 00:25:50,549 --> 00:25:52,425 Soon, she won't be able to walk. 463 00:25:52,551 --> 00:25:54,093 She'll go blind permanently, 464 00:25:54,220 --> 00:25:56,679 and then the respiratory center will fail. 465 00:25:56,805 --> 00:25:57,847 How long do we have? 466 00:25:57,973 --> 00:25:59,766 If it's a tumor, we're talking a month or two. 467 00:25:59,892 --> 00:26:01,392 If it's infectious, a few weeks. 468 00:26:01,518 --> 00:26:04,812 If it's vascular, that'll probably be fastest of all. 469 00:26:04,939 --> 00:26:06,147 Maybe a week. 470 00:26:06,273 --> 00:26:08,608 We're gonna stop all treatment. 471 00:26:10,069 --> 00:26:11,611 I still think it's a tumor. 472 00:26:11,737 --> 00:26:13,029 I think we should go back to the radiation. 473 00:26:13,155 --> 00:26:14,781 She didn't respond to the radiation. 474 00:26:14,907 --> 00:26:17,742 Well, maybe we didn't see the effect until after we started steroids. 475 00:26:17,868 --> 00:26:19,327 No, it's not a tumor. 476 00:26:19,453 --> 00:26:21,329 Those steroids did something. 477 00:26:21,455 --> 00:26:22,455 I just don't know what. 478 00:26:22,581 --> 00:26:25,833 So we're just gonna do nothing? We're just gonna watch her die? 479 00:26:25,960 --> 00:26:28,169 Yeah, we're gonna watch her die. 480 00:26:28,837 --> 00:26:30,880 Specifically, we're gonna watch how fast she's dying. 481 00:26:31,006 --> 00:26:33,758 You just told us, each diagnosis has its own time frame. 482 00:26:33,884 --> 00:26:37,762 When we see how fast it's killing her, we'll know what it is. 483 00:26:37,888 --> 00:26:40,431 And by then, maybe there's nothing we can do about it. 484 00:26:40,557 --> 00:26:45,061 There's got to be something we can do. Something better than watching her die. 485 00:26:45,187 --> 00:26:48,564 Well, I got nothing. How about you? 486 00:26:53,737 --> 00:26:54,821 Bastard. 487 00:26:55,322 --> 00:26:57,031 Oh, Cameron. I need you for a couple of hours. 488 00:26:57,157 --> 00:26:58,157 What's up? 489 00:26:58,284 --> 00:26:59,534 When you break into someone's house, 490 00:26:59,660 --> 00:27:01,411 it's always better to have a white chick with you. 491 00:27:01,537 --> 00:27:04,038 Adler's house? Why don't we just ask her for her keys? 492 00:27:04,164 --> 00:27:06,916 For all we know, she could be running a meth lab out of her basement. 493 00:27:07,459 --> 00:27:08,960 I'm tired a lot. 494 00:27:10,421 --> 00:27:14,507 Any other reason why you think you might have chronic fatigue syndrome? 495 00:27:14,633 --> 00:27:15,842 It's kind of the definition, isn't it? 496 00:27:15,968 --> 00:27:17,552 It's kind of the definition of getting older. 497 00:27:17,678 --> 00:27:20,847 I had a couple headaches last month, a mild fever. 498 00:27:20,973 --> 00:27:24,225 Sometimes I can't sleep, and I have trouble concentrating. 499 00:27:24,351 --> 00:27:27,729 Apparently not while researching this stuff on the Internet. 500 00:27:27,855 --> 00:27:30,857 I was thinking it also might be fibromyalgia. 501 00:27:33,360 --> 00:27:34,777 Excellent diagnosis. 502 00:27:34,903 --> 00:27:36,821 Is there anything for that? 503 00:27:40,784 --> 00:27:43,411 You know, I think there just might be. 504 00:27:43,537 --> 00:27:46,331 I need 36 Vicodin and change for a dollar. 505 00:28:10,189 --> 00:28:11,773 Exam Room 2. 506 00:28:13,692 --> 00:28:15,568 House doesn't believe in pretense. 507 00:28:15,694 --> 00:28:17,653 Figures life's too short and too painful. 508 00:28:17,780 --> 00:28:19,989 So he just says what he thinks. 509 00:28:20,866 --> 00:28:22,909 Nothing interesting in the garbage. 510 00:28:23,035 --> 00:28:25,828 "I say what I think" is just another way of saying "I'm an asshole". 511 00:28:28,332 --> 00:28:31,584 Well, if you wanted to be judged for your medical prowess only, 512 00:28:31,710 --> 00:28:33,836 maybe you shouldn't have broken into someone's home. 513 00:28:33,962 --> 00:28:35,338 I was 16. 514 00:28:37,466 --> 00:28:40,301 Don't know about ticks, but her dog's definitely got fleas. 515 00:28:42,930 --> 00:28:45,807 I managed to make it to 17 without a criminal record. 516 00:28:49,770 --> 00:28:53,856 Yeah? Well, you obviously didn't grow up in my neighborhood. 517 00:28:54,775 --> 00:28:58,778 That's right. You stole a loaf of bread to feed your starving family, right? 518 00:28:58,904 --> 00:29:00,446 You always eat during break-ins? 519 00:29:00,572 --> 00:29:04,492 Am I supposed to respect their food more than I respect their DVD players? 520 00:29:04,618 --> 00:29:06,244 - You want some? - No. 521 00:29:06,370 --> 00:29:07,745 You gonna go hungry until she dies? 522 00:29:07,871 --> 00:29:09,580 - No. - You know what? 523 00:29:09,706 --> 00:29:12,625 After centuries of slavery, decades of civil rights marches, 524 00:29:12,751 --> 00:29:15,378 and, more significantly, living like a monk, 525 00:29:15,504 --> 00:29:19,590 never getting less than a 4.0 GPA, you don't think it's kind of disgusting 526 00:29:19,716 --> 00:29:23,761 I get one of the top jobs in the country because I'm a delinquent? 527 00:29:24,096 --> 00:29:26,848 We'll eat, then we'll tear up the carpet. 528 00:29:28,892 --> 00:29:31,727 - You went to Hopkins, right? - Yeah. 529 00:29:31,854 --> 00:29:34,021 So you went to a better school than I did. 530 00:29:34,148 --> 00:29:36,149 You got better grades than I did. 531 00:29:37,359 --> 00:29:38,818 So how did you get the job? 532 00:29:38,944 --> 00:29:40,862 You stab a guy in a bar fight? 533 00:29:49,788 --> 00:29:51,122 Nothing. 534 00:29:51,248 --> 00:29:52,665 It's not a tumor. 535 00:29:52,791 --> 00:29:54,292 She's getting worse too fast. 536 00:29:54,418 --> 00:29:55,710 She can't stand up. 537 00:29:55,836 --> 00:29:57,378 No toxins? No medications? 538 00:29:57,504 --> 00:29:59,422 Nothing that would explain these symptoms. 539 00:29:59,548 --> 00:30:01,132 Family history of neurological problems? 540 00:30:01,258 --> 00:30:03,676 Not that I could tell from her underwear drawer. 541 00:30:03,802 --> 00:30:06,053 You said "nothing that would explain these symptoms." 542 00:30:06,180 --> 00:30:09,765 What did you find that doesn't explain these symptoms? 543 00:30:10,684 --> 00:30:14,937 Dr. Wilson convinced you to treat this patient under false pretenses. 544 00:30:15,189 --> 00:30:17,064 Adler's not his cousin. 545 00:30:17,232 --> 00:30:19,775 That's ridiculous. You can ask her yourself. Can we get back... 546 00:30:19,902 --> 00:30:22,069 - She's not Jewish. - Rachel Adler's not Jewish? 547 00:30:22,196 --> 00:30:23,613 I had ham at her apartment. 548 00:30:25,657 --> 00:30:27,658 Dr. Foreman, a lot of Jews have non-Jewish relatives, 549 00:30:27,784 --> 00:30:29,911 and most of us don't keep kosher. 550 00:30:30,037 --> 00:30:31,496 I can see getting through high school 551 00:30:31,622 --> 00:30:33,706 without learning a thing about Jews, but medical school? 552 00:30:33,832 --> 00:30:37,168 Okay, maybe she's Jewish, but she's definitely not your cousin. 553 00:30:37,294 --> 00:30:39,879 Really? This guy is... 554 00:30:40,005 --> 00:30:41,464 You don't even know her name. 555 00:30:41,590 --> 00:30:44,425 You called her Rachel. Her name is Rebecca. 556 00:30:44,551 --> 00:30:46,802 Yes. Yes, her name is Rebecca. 557 00:30:48,263 --> 00:30:49,805 I call her Rachel. 558 00:30:49,932 --> 00:30:51,766 You idiot! 559 00:30:51,892 --> 00:30:53,726 Listen, he's... 560 00:30:53,852 --> 00:30:55,853 Not you. Him. 561 00:30:55,979 --> 00:30:57,271 You said you didn't find anything. 562 00:30:57,397 --> 00:30:58,564 Everything I found was in my... 563 00:30:58,690 --> 00:30:59,815 You found ham. 564 00:31:00,817 --> 00:31:01,984 So? 565 00:31:02,110 --> 00:31:03,903 Where there's ham, there's pork. 566 00:31:04,029 --> 00:31:06,322 Where there's pork, there's neurocysticercosis. 567 00:31:06,448 --> 00:31:07,573 Tapeworm? 568 00:31:07,699 --> 00:31:08,824 You think she's got a worm in her brain? 569 00:31:08,951 --> 00:31:09,909 It fits. 570 00:31:10,035 --> 00:31:12,203 Could have been living there for years. Never occurred to me that... 571 00:31:12,329 --> 00:31:13,538 Millions of people eat ham every day. 572 00:31:13,664 --> 00:31:15,831 It's quite a leap to think that's she's got a tapeworm. 573 00:31:15,958 --> 00:31:18,167 Okay, Mr. Neurologist, 574 00:31:18,293 --> 00:31:21,587 what happens when you give steroids to a person who has a tapeworm? 575 00:31:21,713 --> 00:31:24,924 They get a little better, and then they get worse. 576 00:31:27,678 --> 00:31:29,845 Just like Rebecca Adler did. 577 00:31:39,982 --> 00:31:43,276 In a typical case, if you don't cook pork well enough, 578 00:31:43,402 --> 00:31:46,195 you digest live tapeworm larvae. 579 00:31:47,197 --> 00:31:48,864 They've got these little hooks, 580 00:31:48,991 --> 00:31:52,034 they grab onto your bowel, they live, they grow up, they reproduce. 581 00:31:52,160 --> 00:31:53,578 Reproduce? 582 00:31:53,704 --> 00:31:55,913 There's only one lesion, and it's nowhere near her bowel. 583 00:31:56,039 --> 00:31:58,749 That's because this is not a typical case. 584 00:31:58,875 --> 00:32:02,753 Tapeworm can produce 20,000 to 30,000 eggs a day. 585 00:32:02,879 --> 00:32:03,713 Guess where they go? 586 00:32:03,839 --> 00:32:04,922 Out. 587 00:32:05,465 --> 00:32:06,799 Not all of them. 588 00:32:06,925 --> 00:32:07,967 Unlike the larvae 589 00:32:08,093 --> 00:32:10,803 the egg can pass right through the walls of the intestines 590 00:32:10,929 --> 00:32:12,179 into the bloodstream. 591 00:32:12,306 --> 00:32:13,764 And where does the bloodstream go? 592 00:32:13,890 --> 00:32:15,349 Everywhere. 593 00:32:15,809 --> 00:32:19,604 As long as it's healthy, the immune system doesn't even know it's there. 594 00:32:19,730 --> 00:32:20,771 The worm builds a wall, 595 00:32:20,897 --> 00:32:23,274 uses secretions to shut down the body's immune response 596 00:32:23,400 --> 00:32:25,026 and control fluid flow. 597 00:32:25,152 --> 00:32:26,819 It's really very beautiful. 598 00:32:26,945 --> 00:32:29,822 As long as it's healthy. So what do we do? 599 00:32:29,948 --> 00:32:32,366 Call a vet, nurse the little guy back to health? 600 00:32:32,492 --> 00:32:34,910 It's too late for that. It's dying. 601 00:32:35,454 --> 00:32:37,872 And as it dies, this parasite loses the ability 602 00:32:37,998 --> 00:32:40,041 to control the host's defenses. 603 00:32:40,167 --> 00:32:42,710 The immune system wakes up, attacks the worm 604 00:32:42,836 --> 00:32:44,045 and everything starts to swell. 605 00:32:44,171 --> 00:32:47,089 And that is very bad for the brain. 606 00:32:47,215 --> 00:32:49,967 It could still be a hundred other things. 607 00:32:50,302 --> 00:32:52,178 The eosinophil count was normal. 608 00:32:52,304 --> 00:32:54,263 It's only abnormal in 30% of cases. 609 00:32:54,389 --> 00:32:55,389 Proving nothing. 610 00:32:55,515 --> 00:32:57,516 No, no, no, no. It... 611 00:32:57,643 --> 00:32:59,393 Don't you see? It fits. It's perfect. 612 00:32:59,519 --> 00:33:00,519 It explains everything. 613 00:33:00,646 --> 00:33:01,687 But it proves nothing. 614 00:33:01,813 --> 00:33:03,022 I can prove it by treating it. 615 00:33:03,148 --> 00:33:04,774 No, you can't. 616 00:33:06,943 --> 00:33:08,986 I was just with her. She doesn't want any more treatments. 617 00:33:09,112 --> 00:33:13,324 She doesn't want any more experiments. She wants to go home and die. 618 00:33:35,847 --> 00:33:37,848 Would you excuse us, please? 619 00:33:43,689 --> 00:33:45,064 I'm Dr. House. 620 00:33:46,149 --> 00:33:47,983 It's good to meet you. 621 00:33:51,905 --> 00:33:53,030 You're being an idiot. 622 00:33:58,870 --> 00:34:01,330 You have a tapeworm in your brain. 623 00:34:02,833 --> 00:34:04,792 It's not pleasant, but if we don't do anything, 624 00:34:04,918 --> 00:34:06,085 you'll be dead by the weekend. 625 00:34:06,211 --> 00:34:08,629 Have you actually seen the worm? 626 00:34:08,922 --> 00:34:11,674 When you're all better, I'll show you my diplomas. 627 00:34:11,800 --> 00:34:14,510 You were sure I had vasculitis, too. 628 00:34:15,053 --> 00:34:17,888 Now I can't walk and I'm wearing a diaper. 629 00:34:18,014 --> 00:34:19,765 What's this treatment gonna do for me? 630 00:34:19,891 --> 00:34:23,144 I'm not talking about a treatment. I'm talking about a cure. 631 00:34:23,270 --> 00:34:26,272 But because I might be wrong, you want to die. 632 00:34:28,400 --> 00:34:30,359 What made you a cripple? 633 00:34:33,905 --> 00:34:35,322 I had an infarction. 634 00:34:35,449 --> 00:34:36,615 A heart attack? 635 00:34:37,784 --> 00:34:39,744 It's what happens when blood flow is obstructed. 636 00:34:39,870 --> 00:34:41,996 If it's in the heart, it's a heart attack. 637 00:34:42,122 --> 00:34:44,415 If it's in the lungs, it's a pulmonary embolism. 638 00:34:44,541 --> 00:34:45,666 If it's in the brain, it's a stroke. 639 00:34:45,792 --> 00:34:47,418 I had it in my thigh muscles. 640 00:34:47,544 --> 00:34:48,711 Wasn't there something they could do? 641 00:34:48,837 --> 00:34:50,671 There was plenty they could do, 642 00:34:50,797 --> 00:34:53,007 if they'd made the right diagnosis. 643 00:34:53,133 --> 00:34:55,426 But the only symptom was pain. 644 00:34:56,887 --> 00:34:59,764 Not many people get to experience muscle death. 645 00:35:00,098 --> 00:35:01,807 Did you think you were dying? 646 00:35:01,933 --> 00:35:03,851 I hoped I was dying. 647 00:35:05,854 --> 00:35:08,773 So you hide in your office, refuse to see patients, 648 00:35:08,899 --> 00:35:11,942 because you don't like the way people look at you. 649 00:35:12,194 --> 00:35:13,402 You feel cheated by life, 650 00:35:13,528 --> 00:35:16,489 so now you're gonna get even with the world. 651 00:35:16,823 --> 00:35:18,908 But you want me to fight this. 652 00:35:19,659 --> 00:35:20,743 Why? 653 00:35:21,870 --> 00:35:25,080 What makes you think I'm so much better than you? 654 00:35:25,290 --> 00:35:27,750 What? You're scared you'll turn into me? 655 00:35:27,876 --> 00:35:30,252 I just want to die with a little dignity. 656 00:35:30,378 --> 00:35:32,213 There's no such thing. 657 00:35:33,048 --> 00:35:34,298 Our bodies break down. 658 00:35:34,424 --> 00:35:35,424 Sometimes when we're 90. 659 00:35:35,550 --> 00:35:36,634 Sometimes before we're even born. 660 00:35:36,760 --> 00:35:39,887 But it always happens, and there's never any dignity in it. 661 00:35:40,013 --> 00:35:42,681 I don't care if you can walk, see, wipe your own ass. 662 00:35:42,808 --> 00:35:44,767 It's always ugly. Always. 663 00:35:48,814 --> 00:35:51,899 We can live with dignity. We can't die with it. 664 00:36:10,502 --> 00:36:11,877 No treatment. 665 00:36:12,879 --> 00:36:15,923 Maybe we can get a court order, override her wishes, 666 00:36:16,049 --> 00:36:18,717 claim she doesn't have the capacity to make this decision. 667 00:36:18,844 --> 00:36:19,885 But she does. 668 00:36:20,011 --> 00:36:21,720 But we could claim that the illness 669 00:36:21,847 --> 00:36:23,597 made her mentally incompetent, right? 670 00:36:23,723 --> 00:36:25,057 A pretty common result. 671 00:36:25,183 --> 00:36:26,642 That didn't happen here. 672 00:36:26,768 --> 00:36:28,102 He's not gonna do it. 673 00:36:28,228 --> 00:36:30,354 She's not just a file to him anymore. 674 00:36:30,522 --> 00:36:32,064 He respects her. 675 00:36:32,315 --> 00:36:35,776 So because you respect her, you're going to let her die? 676 00:36:36,903 --> 00:36:39,780 I solved the case. My work is done. 677 00:36:42,242 --> 00:36:44,368 Patients always want proof. 678 00:36:44,786 --> 00:36:45,995 We're not making cars here. 679 00:36:46,121 --> 00:36:48,122 We don't give guarantees. 680 00:36:50,917 --> 00:36:53,168 I think we can prove it's a worm. 681 00:36:53,795 --> 00:36:56,046 It's noninvasive. It's safe. 682 00:36:56,172 --> 00:36:57,798 I'm not completely sure, but... 683 00:36:57,924 --> 00:36:59,800 Yeah, yeah, yeah. What's the damn idea? 684 00:36:59,926 --> 00:37:02,094 Have you ever seen a worm under an X-ray? 685 00:37:02,220 --> 00:37:05,222 A regular, old, no-contrast, hundred-year-old-technology X-ray? 686 00:37:05,348 --> 00:37:09,018 They light up like shotgun pellets, just like on a contrast MRI. 687 00:37:09,144 --> 00:37:10,853 Which is the same thing as a CT scan, 688 00:37:10,979 --> 00:37:12,438 which we did, which proved nothing. 689 00:37:12,564 --> 00:37:15,274 The worm's cyst is the same density as the cerebrospinal fluid. 690 00:37:15,400 --> 00:37:18,235 We're not gonna see anything in her head. 691 00:37:18,361 --> 00:37:19,778 But Chase is right. 692 00:37:19,905 --> 00:37:21,030 He's right. We should X-ray her. 693 00:37:21,156 --> 00:37:22,323 But we don't X-ray her brain. 694 00:37:22,449 --> 00:37:24,199 We X-ray her leg. 695 00:37:24,784 --> 00:37:26,243 Worms love thigh muscle. 696 00:37:26,369 --> 00:37:29,246 If she's got one in her head, I guarantee you there's one in her leg. 697 00:37:43,428 --> 00:37:45,179 Hold still, Rebecca. 698 00:37:53,313 --> 00:37:54,688 This here 699 00:37:56,399 --> 00:37:57,942 is a worm larva. 700 00:37:58,318 --> 00:38:00,611 So, if it's in my leg, it's in my brain? 701 00:38:00,737 --> 00:38:03,238 Are you looking for a guarantee? 702 00:38:03,490 --> 00:38:06,492 It's there. Probably been there 6 to 10 years. 703 00:38:06,910 --> 00:38:08,202 Do I have more? 704 00:38:08,328 --> 00:38:09,578 Probably. 705 00:38:11,873 --> 00:38:13,165 It's good news. 706 00:38:13,291 --> 00:38:14,708 What do we do now? 707 00:38:14,834 --> 00:38:16,085 Now we get you better. 708 00:38:18,797 --> 00:38:20,255 Albendazole. 709 00:38:23,259 --> 00:38:24,677 - Two pills? - Yeah. 710 00:38:24,803 --> 00:38:27,471 Every day, for at least a month, with a meal. 711 00:38:27,597 --> 00:38:29,181 - Two pills? - Yeah. 712 00:38:29,724 --> 00:38:32,017 Possible side effects include abdominal pain, 713 00:38:32,143 --> 00:38:36,146 nausea, headaches, dizziness, fever and hair loss. 714 00:38:36,481 --> 00:38:38,023 We'll probably make you keep taking the pills 715 00:38:38,149 --> 00:38:41,318 even if you get every one of those. 716 00:38:58,795 --> 00:39:00,504 Why did you hire me? 717 00:39:02,173 --> 00:39:03,173 Does it matter? 718 00:39:03,299 --> 00:39:05,259 Kind of hard to work for a guy who doesn't respect you. 719 00:39:05,385 --> 00:39:06,760 - Why? - Is that rhetorical? 720 00:39:06,886 --> 00:39:10,764 No. It just seems that way 'cause you can't think of an answer. 721 00:39:11,182 --> 00:39:13,642 Does it make a difference what I think? 722 00:39:13,768 --> 00:39:17,521 I'm a jerk. The only thing that matters is what you think. 723 00:39:17,647 --> 00:39:18,689 Can you do the job? 724 00:39:18,815 --> 00:39:20,983 You hired a black guy because he had a juvenile record. 725 00:39:21,109 --> 00:39:23,861 No. It wasn't a racial thing. 726 00:39:24,446 --> 00:39:25,696 I didn't see a black guy. 727 00:39:25,822 --> 00:39:29,783 I just saw a doctor with a juvenile record. 728 00:39:30,869 --> 00:39:33,746 I hired Chase 'cause his dad made a phone call. 729 00:39:33,872 --> 00:39:37,291 I hired you because you are extremely pretty. 730 00:39:38,877 --> 00:39:40,419 You hired me to get into my pants? 731 00:39:40,545 --> 00:39:42,713 I can't believe that that would shock you. 732 00:39:42,839 --> 00:39:44,798 It's also not what I said. 733 00:39:44,924 --> 00:39:47,676 No, I hired you because you look good. 734 00:39:47,802 --> 00:39:49,678 It's like having a nice piece of art in the lobby. 735 00:39:49,804 --> 00:39:50,971 I was in the top of my class. 736 00:39:51,097 --> 00:39:52,181 But not the top. 737 00:39:52,307 --> 00:39:54,183 I did an internship at the Mayo Clinic. 738 00:39:54,309 --> 00:39:55,642 Yeah. You were a very good applicant. 739 00:39:55,769 --> 00:39:56,727 But not the best. 740 00:39:56,853 --> 00:39:58,812 Would that upset you? Really? 741 00:39:58,938 --> 00:40:01,273 To think that you were hired because of some genetic gift of beauty 742 00:40:01,399 --> 00:40:03,108 instead of some genetic gift of intelligence? 743 00:40:03,234 --> 00:40:05,444 I worked very hard to get where I am. 744 00:40:05,570 --> 00:40:07,488 But you didn't have to. 745 00:40:08,031 --> 00:40:10,866 People choose the paths that gain them the greatest rewards 746 00:40:10,992 --> 00:40:14,620 for the least amount of effort. That's a law of nature, and you defied it. 747 00:40:14,746 --> 00:40:15,996 That's why I hired you. 748 00:40:16,122 --> 00:40:18,457 You could have married rich. You could have been a model. 749 00:40:18,583 --> 00:40:20,751 You could have just shown up and people would have given you stuff. 750 00:40:20,877 --> 00:40:22,711 Lots of stuff. 751 00:40:22,837 --> 00:40:24,463 But you didn't. 752 00:40:24,589 --> 00:40:26,173 You worked your stunning little ass off. 753 00:40:26,299 --> 00:40:27,633 Am I supposed to be flattered? 754 00:40:27,759 --> 00:40:30,594 Gorgeous women do not go to medical school, 755 00:40:30,720 --> 00:40:34,056 unless they're as damaged as they are beautiful. 756 00:40:34,766 --> 00:40:36,308 Were you abused by a family member? 757 00:40:36,434 --> 00:40:38,268 - No. - Sexually assaulted? 758 00:40:38,394 --> 00:40:39,394 No! 759 00:40:40,230 --> 00:40:42,648 But you are damaged, aren't you? 760 00:40:49,197 --> 00:40:50,739 I have to go. 761 00:40:54,327 --> 00:40:55,744 I followed her. 762 00:40:56,204 --> 00:40:57,246 Oh. 763 00:40:57,872 --> 00:40:59,540 I couldn't stop thinking about what that doctor said. 764 00:40:59,666 --> 00:41:01,333 I told you not to listen to him. He's an idiot. 765 00:41:01,459 --> 00:41:02,918 I was orange! 766 00:41:03,711 --> 00:41:05,796 I don't want to know what you found out. 767 00:41:05,922 --> 00:41:06,922 You don't care? 768 00:41:07,048 --> 00:41:08,757 I'm your doctor. 769 00:41:09,259 --> 00:41:12,553 You've been good to me and good to this hospital. Of course I care. 770 00:41:12,679 --> 00:41:15,681 But I don't see how this conversation can end well for me. 771 00:41:15,807 --> 00:41:17,641 Either your wife is having an affair, 772 00:41:17,767 --> 00:41:19,184 or she's not having an affair, 773 00:41:19,310 --> 00:41:22,104 and you have come here because you rightly think I should fire him. 774 00:41:22,230 --> 00:41:25,149 But I can't. Even if it costs me your money. 775 00:41:26,401 --> 00:41:29,403 The son of a bitch is the best doctor we have. 776 00:41:36,035 --> 00:41:37,077 Feeling any better? 777 00:41:37,203 --> 00:41:39,037 I can't complain. 778 00:41:39,164 --> 00:41:41,123 As you know, the hospital has certain rules. 779 00:41:41,249 --> 00:41:44,751 And as you also know, we tend to ignore them. 780 00:41:44,878 --> 00:41:46,670 But I think this one's gonna be a little obvious 781 00:41:46,796 --> 00:41:48,672 unless we get your help. 782 00:41:48,798 --> 00:41:51,633 If anyone asks, you have 11 daughters and 5 sons. 783 00:41:51,759 --> 00:41:54,928 Hi! Look who's here! 784 00:41:55,763 --> 00:41:58,640 It's so good to see you guys. I missed you. 785 00:41:59,726 --> 00:42:01,518 This is for me? 786 00:42:01,644 --> 00:42:03,228 It's beautiful. 787 00:42:06,816 --> 00:42:08,525 Oh, I love you guys. 788 00:42:09,277 --> 00:42:12,112 I wanted to thank Dr. House, but he never visited again. 789 00:42:12,238 --> 00:42:14,740 He cured you. You didn't cure him. 790 00:42:16,284 --> 00:42:18,911 Okay, I want a hug and a kiss from every single one of you! 791 00:42:19,037 --> 00:42:20,662 Get up here right now! 792 00:42:22,790 --> 00:42:24,750 There. 793 00:42:24,876 --> 00:42:25,959 Hold on. 794 00:42:26,628 --> 00:42:28,337 She's converted. 795 00:42:30,632 --> 00:42:32,883 You said she was your cousin. 796 00:42:33,259 --> 00:42:34,843 Why would you lie? 797 00:42:35,428 --> 00:42:37,638 It got you to take the case. 798 00:42:38,431 --> 00:42:40,724 You lied to a friend to save a stranger. 799 00:42:40,850 --> 00:42:42,935 You don't think that's kind of screwed up? 800 00:42:43,061 --> 00:42:44,978 You've never lied to me? 801 00:42:45,104 --> 00:42:46,897 I never lie. 802 00:42:47,774 --> 00:42:49,233 Oh, right. 803 00:42:50,568 --> 00:42:51,568 Why do we do this? 804 00:42:51,694 --> 00:42:52,819 Because we're doctors. 805 00:42:52,946 --> 00:42:55,364 If we make mistakes, people die. 806 00:42:59,911 --> 00:43:02,287 Dr. House? You have a patient. 807 00:43:09,254 --> 00:43:11,296 He says he needs a refill. 808 00:43:13,883 --> 00:43:15,634 Got change for a dollar?