1 00:00:30,198 --> 00:00:31,824 Dr. Sebastian. 2 00:00:34,827 --> 00:00:36,704 Two pallets of antibiotics for tuberculosis. 3 00:00:36,829 --> 00:00:38,706 We've got six pallets worth of patients. 4 00:00:38,831 --> 00:00:41,751 Stoia Tucker needs a math lesson. I'm headed back tomorrow. 5 00:00:41,876 --> 00:00:44,003 Hey! Hey! 6 00:00:48,591 --> 00:00:51,552 Come on, come on. Come on, kids, let the truck through. 7 00:00:58,517 --> 00:01:01,687 Bogale: Move those boxes quick, quick. Let's move! Hurry, hurry, hurry! 8 00:01:01,812 --> 00:01:03,814 Let's go! Let's go, man! Hurry! 9 00:01:05,524 --> 00:01:09,528 I've got some very special medicine here. It's from hershey, Pennsylvania. 10 00:01:10,279 --> 00:01:11,864 One per person. One per person. 11 00:01:11,989 --> 00:01:13,866 Let's calm down, kids. Wait, wait. 12 00:01:22,875 --> 00:01:26,712 Help! Help! Dr. Sebastian! Come quickly! 13 00:01:26,837 --> 00:01:31,342 My son, he fell. He fell on this log. We were just waiting for his friends. 14 00:01:37,974 --> 00:01:41,852 I got no breath sounds on the left. Give me that. 15 00:01:50,820 --> 00:01:52,655 Yeah, he's gonna be okay. 16 00:01:53,823 --> 00:01:56,409 Sebastian: The fall didn't cause him to drop a lung. 17 00:01:56,534 --> 00:01:59,954 The lung caused him to fall. Tb chewed it up. 18 00:02:00,079 --> 00:02:02,707 He'll be lucky to live another year. 19 00:02:02,832 --> 00:02:06,294 This is sarni. I picked up the tab for the back brace myself. 20 00:02:06,419 --> 00:02:07,628 The funny thing is, 21 00:02:07,753 --> 00:02:10,089 is that the brace cost more than the medicine 22 00:02:10,214 --> 00:02:12,883 that would have prevented her from needing it. 23 00:02:13,009 --> 00:02:14,719 It's your medicine. 24 00:02:14,844 --> 00:02:17,763 All of the antibiotics that we need are right here 25 00:02:17,888 --> 00:02:20,725 in your warehouses, in your factories. 26 00:02:20,850 --> 00:02:23,728 - We provide over 10,000 doses a year. - Which is not enough. 27 00:02:23,853 --> 00:02:26,022 You know we'd love to do more, but our hands are tied. 28 00:02:26,147 --> 00:02:27,398 New car, Jerry? 29 00:02:27,523 --> 00:02:29,042 I saw it on the way in, looks beautiful. 30 00:02:29,066 --> 00:02:29,900 Don't make this personal. 31 00:02:30,026 --> 00:02:32,737 All the way from Germany, too. I know that's a lot of red tape. 32 00:02:32,862 --> 00:02:35,448 I'm not like you. I'm not ashamed of making a living. 33 00:02:35,573 --> 00:02:37,773 And I know you didn't become a chem major for the money. 34 00:02:37,825 --> 00:02:41,245 Now, you want the same things that I want. You just... 35 00:02:42,705 --> 00:02:44,707 You have to... you just have to push a little... 36 00:02:44,832 --> 00:02:46,959 You have to push a little bit harder... 37 00:02:47,084 --> 00:02:49,420 - Harder for it. - Sebastian? 38 00:02:56,135 --> 00:02:57,720 Man: Call 911. 39 00:02:58,512 --> 00:02:59,597 Is he okay? 40 00:02:59,722 --> 00:03:01,849 Isn't someone here a doctor? 41 00:03:40,638 --> 00:03:43,891 Selling subscriptions? I heard 20 and you get a new bike. 42 00:03:44,016 --> 00:03:47,728 Dr. Sebastian Charles collapsed during a presentation at stoia Tucker. 43 00:03:47,853 --> 00:03:51,107 Really? Crushed under the weight of his own ego? 44 00:03:51,232 --> 00:03:54,193 Wow! Is there nobody you admire? 45 00:03:54,318 --> 00:03:58,114 Well, there is this gal I met in nam who could blow out a candle without using... 46 00:03:58,239 --> 00:04:00,074 He thinks it's tb. 47 00:04:01,033 --> 00:04:02,910 Good thing he's not the syphilis expert. 48 00:04:03,035 --> 00:04:06,122 - He wants a second opinion. - Second to his own. Okay. 49 00:04:07,206 --> 00:04:10,084 - It's not tb. - What is it? 50 00:04:10,209 --> 00:04:11,627 Oh, you want specifics? 51 00:04:12,711 --> 00:04:15,548 Lemma, big Knicks fan. 52 00:04:17,550 --> 00:04:19,802 You've never had an episode like this before? 53 00:04:19,927 --> 00:04:22,263 No. He died last month. 54 00:04:22,388 --> 00:04:24,890 Stupidly tried to share his meds with his cousin, 55 00:04:25,015 --> 00:04:27,601 and they only had enough for one. 56 00:04:27,726 --> 00:04:30,187 Dr. House, I'm Sebastian Charles. 57 00:04:31,230 --> 00:04:34,733 Patients aren't usually part of the diagnostic process. 58 00:04:35,609 --> 00:04:37,778 Well, I'm a doctor. 59 00:04:37,903 --> 00:04:39,943 Listen, I know you guys don't make a lot of money... 60 00:04:39,989 --> 00:04:41,549 I wrote your people a check last month. 61 00:04:41,615 --> 00:04:44,118 Oh, well. Write us another one. 62 00:04:44,243 --> 00:04:46,537 - Talk to chase. He's rich. - My dad, not me. 63 00:04:46,662 --> 00:04:49,039 Every minute four people die of tb. 64 00:04:49,165 --> 00:04:51,667 Wow! How can you sleep at night? 65 00:04:51,792 --> 00:04:54,352 There's people dying in Africa of a disease that we cured over... 66 00:04:54,378 --> 00:04:56,922 Yeah, I know. I saw the concert. 67 00:04:57,047 --> 00:05:01,343 Seriously. Let's see, you sleep six hours. That means every night you kill 68 00:05:01,469 --> 00:05:03,095 1,440 people. 69 00:05:03,220 --> 00:05:05,181 I guess you got to get some sleep, but come on. 70 00:05:05,306 --> 00:05:08,767 If you'd stayed up another 10 minutes, you could have saved 40 lives. 71 00:05:08,893 --> 00:05:10,537 Do you send notes to the families in the morning? 72 00:05:10,561 --> 00:05:12,229 That's gonna take at least 10 minutes. 73 00:05:12,354 --> 00:05:15,274 So that's another 40 dead, another 40 notes. 74 00:05:15,399 --> 00:05:18,110 Why don't you go wrack yourself with guilt in your own room? 75 00:05:18,235 --> 00:05:21,363 No, thanks. I'll stay. I'd like to hear the differential. 76 00:05:21,489 --> 00:05:25,618 Dr. Cameron, tell the doctor why it's not a good idea for the patient to be here. 77 00:05:25,743 --> 00:05:27,912 He's an immunologist and a tb expert. 78 00:05:28,037 --> 00:05:31,123 That'll be very useful if we need somebody to say the words, 79 00:05:31,248 --> 00:05:33,000 "I think it's tb". 80 00:05:34,668 --> 00:05:36,003 What is that? 81 00:05:36,128 --> 00:05:38,422 Oh, that. I'm sorry, that's my body powder. 82 00:05:38,547 --> 00:05:40,747 It's the only thing I've found that works in the Sahara. 83 00:05:40,841 --> 00:05:43,260 I'm kind of used to it. I don't even notice it. 84 00:05:43,385 --> 00:05:45,888 Who thinks it smells like an elephant-dung smoothie? 85 00:05:46,013 --> 00:05:47,431 It smells okay to me. 86 00:05:48,182 --> 00:05:50,476 That is exactly why the patient shouldn't be in the room. 87 00:05:50,601 --> 00:05:52,913 If you can't tell a man that his Cologne makes you want to puke, 88 00:05:52,937 --> 00:05:54,737 how are you gonna tell him that he's an idiot? 89 00:05:54,772 --> 00:05:56,524 He's not an idiot. 90 00:05:56,649 --> 00:05:59,568 Sure, you say that now, while he's in the room. 91 00:05:59,693 --> 00:06:02,071 Look, I don't have time for this. It's tb. 92 00:06:02,196 --> 00:06:05,115 Nope. The symptoms are too varied. 93 00:06:05,241 --> 00:06:08,327 Well, if you haven't seen 10,000 cases, I agree that's what you'd think. 94 00:06:08,452 --> 00:06:09,745 I told you he's an idiot. 95 00:06:09,870 --> 00:06:12,790 - You said you wanted a second opinion. - No, actually, 96 00:06:12,915 --> 00:06:14,291 my backers wanted a second opinion. 97 00:06:14,416 --> 00:06:18,295 Yeah, doesn't look good if you drop dead while wearing your shoe sponsor's logo. 98 00:06:18,420 --> 00:06:21,465 It's tb and I'm not dying. I'm gonna want you to plant a ppd 99 00:06:21,590 --> 00:06:26,095 and induce a sputum to confirm the tb. Imaging studies will determine the progress, 100 00:06:26,220 --> 00:06:29,557 and I think we should probably take a ct scan of my lungs 101 00:06:29,682 --> 00:06:33,686 - just so that nobody second guesses us. - Wouldn't want that. 102 00:06:35,312 --> 00:06:38,816 Hello? No, I'm feeling much better. 103 00:06:40,859 --> 00:06:43,946 Well, what you can do is, you can get your board to approve 104 00:06:44,071 --> 00:06:46,699 the increased med shipments that... sorry. 105 00:06:48,534 --> 00:06:52,246 No, don't, don't, don't try. No, don't do your best. 106 00:06:54,039 --> 00:06:55,916 Just get it done, okay? 107 00:06:58,252 --> 00:07:01,130 That's stoia Tucker, and they're the nice pharmaceutical company. 108 00:07:01,255 --> 00:07:03,299 I'm sorry, but it's against hospital regs. 109 00:07:03,424 --> 00:07:04,842 Oh, I need the phone. 110 00:07:04,967 --> 00:07:07,845 Why don't we focus on getting you better right now? 111 00:07:07,970 --> 00:07:11,140 - What'll you do, throw me out? - No, just the phone. 112 00:07:11,265 --> 00:07:13,142 Sorry. We've got an emergency. 113 00:07:13,267 --> 00:07:14,518 Got to go. 114 00:07:15,311 --> 00:07:19,481 - There's a phone in your room. - Yeah, I figured that there would be. 115 00:07:19,607 --> 00:07:22,401 Right. I just thought... 116 00:07:23,193 --> 00:07:26,655 It's not like the hospitals you may be used to in Africa. 117 00:07:26,780 --> 00:07:29,867 I don't know what the facilities were like, so... 118 00:07:29,992 --> 00:07:31,118 Thank you. 119 00:07:32,911 --> 00:07:34,121 You're welcome. 120 00:07:34,246 --> 00:07:35,831 And thanks for that check. 121 00:07:35,956 --> 00:07:38,208 I should go. 122 00:07:42,963 --> 00:07:47,259 The nameless poor have a face, and it's a pompous white man. 123 00:07:48,802 --> 00:07:51,847 Yeah, what a jerk, saving all those lives like that. 124 00:07:51,972 --> 00:07:54,016 What's the emergency? 125 00:07:54,141 --> 00:07:56,644 I can't remember how to do "walk the dog". 126 00:07:56,769 --> 00:07:59,104 The guy's sick, maybe dying. 127 00:07:59,229 --> 00:08:01,815 And you've forgotten all about doing a differential diagnosis. 128 00:08:01,940 --> 00:08:05,110 - You just sent us off to test him... - Well, I had to get him out of there. 129 00:08:05,235 --> 00:08:07,115 Now we can all sit around and call him an idiot. 130 00:08:07,237 --> 00:08:09,114 - Who wants to go first? - Cameron: He's right. 131 00:08:09,239 --> 00:08:11,575 Tuberculosis could present hundreds of different ways. 132 00:08:11,700 --> 00:08:14,286 Well, by that logic, everyone in the hospital should be treated. 133 00:08:14,411 --> 00:08:17,498 Not everybody in the hospital has been exposed to it for the last 20 years. 134 00:08:17,623 --> 00:08:19,249 Tb takes years to kill you. 135 00:08:19,375 --> 00:08:21,085 Two weeks ago, he was perfectly healthy. 136 00:08:21,210 --> 00:08:22,890 Now he's got a whiteboard full of symptoms. 137 00:08:22,920 --> 00:08:24,963 What about something metabolic? 138 00:08:25,089 --> 00:08:27,383 Welcome aboard the good ship ass-kisser. 139 00:08:27,508 --> 00:08:29,802 Nice day for a sail. Pucker up, me hearties. 140 00:08:29,927 --> 00:08:34,139 It's not metabolic. Kidney, liver and thyroid are all normal. No diabetes. 141 00:08:34,264 --> 00:08:37,601 - What about his heart? - Obviously big as all outdoors. 142 00:08:37,726 --> 00:08:41,271 Abnormal heart rhythm. Wave forms show PR variability. 143 00:08:43,065 --> 00:08:44,608 It's subtle, but it's there. 144 00:08:44,733 --> 00:08:46,777 You think it's his heart? Sick sinus syndrome? 145 00:08:46,902 --> 00:08:49,697 Loose throttle. Sometimes beats too fast, sometimes too slow. 146 00:08:49,822 --> 00:08:52,616 - Causing him to pass out. - It would account for the episode. 147 00:08:52,741 --> 00:08:55,220 I'll put him on telemetry, do a stress test and an echocardiogram. 148 00:08:55,244 --> 00:08:57,913 Treat him like every other hospital patient. 149 00:08:58,038 --> 00:09:02,251 I want to see that pious, body-powdered tush hanging out of his gown. 150 00:09:07,840 --> 00:09:10,300 Could you give me a hand with this thing? 151 00:09:12,761 --> 00:09:16,265 I don't recall asking for a stress test or an echocardiogram. 152 00:09:16,390 --> 00:09:18,434 What are you gonna do, walk out? 153 00:09:19,351 --> 00:09:22,354 Corporate sponsors aren't gonna like that. 154 00:09:24,273 --> 00:09:26,024 I need your forearm. 155 00:09:26,984 --> 00:09:28,485 What's house thinking? 156 00:09:29,361 --> 00:09:30,821 Sick sinus syndrome. 157 00:09:30,946 --> 00:09:33,282 Well, that's a lot more serious than tb. 158 00:09:34,032 --> 00:09:35,492 Is that a ppd? 159 00:09:35,617 --> 00:09:37,536 If it changes color in the next 48 hours... 160 00:09:37,661 --> 00:09:42,124 Yeah, if house doesn't think it's tb, why would he have you test for that? 161 00:09:42,249 --> 00:09:45,335 Just covering all his bases, I guess. 162 00:09:45,461 --> 00:09:46,712 Uh-huh. 163 00:09:48,255 --> 00:09:51,008 He doesn't seem like a guy who does that. 164 00:09:53,093 --> 00:09:56,430 We have you scheduled for a 10:30 echo. 165 00:09:56,555 --> 00:09:57,555 Good for you. 166 00:10:02,436 --> 00:10:05,063 Every minute that we refuse to love one another, 167 00:10:05,189 --> 00:10:07,483 another puppy cries another tear. 168 00:10:08,192 --> 00:10:11,028 You're just mad because he's closer to a nobel prize than you are. 169 00:10:11,153 --> 00:10:15,282 And yet I've nailed more Swedish babes. Crazy, crazy world. 170 00:10:16,116 --> 00:10:18,494 It's not just a trip to Stockholm, you know. 171 00:10:18,619 --> 00:10:20,746 It comes with a cash prize. 172 00:10:20,871 --> 00:10:22,289 Seriously? 173 00:10:22,414 --> 00:10:25,417 No wonder everybody's going after that peace thing. 174 00:10:25,542 --> 00:10:27,252 He cures thousands of people every year. 175 00:10:27,377 --> 00:10:29,129 You cure what, 30? 176 00:10:29,254 --> 00:10:33,217 McDonald's makes a better hamburger than your mother because they make more? 177 00:10:33,342 --> 00:10:35,052 Oh, I see. 178 00:10:35,177 --> 00:10:39,473 So you hate him because the lives he saves aren't as good as the lives you save? 179 00:10:39,598 --> 00:10:41,517 Yeah, that's the reason. 180 00:10:41,642 --> 00:10:45,103 Nobel invented dynamite. I won't accept his blood money. 181 00:10:47,606 --> 00:10:50,108 The top of my head's killing me. 182 00:10:52,861 --> 00:10:56,156 We spent a week doing "top of head" in anatomy. 183 00:10:56,281 --> 00:10:58,033 I know just where it is. 184 00:11:00,994 --> 00:11:04,623 - That is not the top of my head. - Close enough for clinic. 185 00:11:05,249 --> 00:11:07,167 Your sinuses are clogged. 186 00:11:07,292 --> 00:11:11,046 Judging by the scratches on your hands, I'm guessing a new cat. 187 00:11:11,171 --> 00:11:13,507 It was my mother's. She's dead. 188 00:11:13,632 --> 00:11:15,634 You keep a dead cat? 189 00:11:15,759 --> 00:11:18,512 No. My mother's dead. 190 00:11:20,264 --> 00:11:22,140 Poor cat. You're allergic. 191 00:11:22,266 --> 00:11:24,142 We can control it with antihistamine. 192 00:11:24,268 --> 00:11:26,270 - One pill a day. - Pills? 193 00:11:27,271 --> 00:11:30,148 You don't like to swallow. Not surprised. 194 00:11:30,274 --> 00:11:33,068 Forget the pills. We'll give you a nasal spray. 195 00:11:33,193 --> 00:11:34,653 Steroids? 196 00:11:34,778 --> 00:11:37,447 Is there something else you can give me? 197 00:11:38,949 --> 00:11:41,702 Well, if you live by the river, I've got a bag. 198 00:11:43,161 --> 00:11:45,289 Hey. Stress test was normal. 199 00:11:45,914 --> 00:11:49,543 - But his EKG was not normal. - Echo's normal. 200 00:11:49,668 --> 00:11:52,838 Two for you, one for me. We need a tiebreaker. 201 00:11:52,963 --> 00:11:55,257 Echo and stress tests are more reliable. 202 00:11:55,382 --> 00:11:56,758 Tilt table tests. 203 00:11:56,884 --> 00:11:58,594 That never works. 204 00:11:58,719 --> 00:12:01,138 I'll bet you a week's clinic duty it does. 205 00:12:02,598 --> 00:12:03,724 You're on. 206 00:12:07,185 --> 00:12:08,770 You like this guy? 207 00:12:09,479 --> 00:12:12,941 Foreman: You always tell us our opinion of the patient's irrelevant. 208 00:12:13,066 --> 00:12:16,612 Medically, it's irrelevant. It says something about you. 209 00:12:16,737 --> 00:12:20,699 You figure anybody who gives a crap about people in Africa must be full of it? 210 00:12:20,824 --> 00:12:21,825 Yes. 211 00:12:22,618 --> 00:12:27,164 There's an evolutionary imperative why we give a crap about our family and friends. 212 00:12:27,289 --> 00:12:30,876 And there's an evolutionary imperative why we don't give a crap about anybody else. 213 00:12:31,001 --> 00:12:34,212 If we loved all people indiscriminately, we couldn't function. 214 00:12:34,338 --> 00:12:37,841 So the great humanitarian's as selfish as the rest of us? 215 00:12:37,966 --> 00:12:40,135 Just not as honest about it. 216 00:12:40,260 --> 00:12:43,972 Well, you also always tell us motives are irrelevant. 217 00:12:44,097 --> 00:12:48,101 Dr. Charles, your heart's handling the changes in orientation just fine. 218 00:12:48,226 --> 00:12:49,227 No pauses on your EKG. 219 00:12:49,353 --> 00:12:53,523 And house drives in for the lay-up and no, rejected! 220 00:12:54,441 --> 00:12:57,527 - What does this knobby thing do? - I'm within protocol range. 221 00:12:57,653 --> 00:12:59,213 You're not gonna get a different result. 222 00:12:59,279 --> 00:13:03,575 The way I figure it is, this could show you problems at six, 223 00:13:03,700 --> 00:13:06,036 imagine what it'll tell you if you crank it to 10. 224 00:13:06,161 --> 00:13:08,705 - House, is that you? - Does it go to 11? 225 00:13:08,830 --> 00:13:12,167 Would you stop? You lost. I'm scheduled for clinic duty Thursday and Friday. 226 00:13:12,292 --> 00:13:14,044 All right, I'm beginning to feel nauseous. 227 00:13:14,169 --> 00:13:16,421 Would you turn the damn thing off before you break it? 228 00:13:16,546 --> 00:13:18,465 Sebastian: Okay, I'm getting dizzy. 229 00:13:18,590 --> 00:13:21,218 I can't see and I'm gonna pass out. 230 00:13:22,552 --> 00:13:25,722 - I win. - At those speeds, astronauts throw up. 231 00:13:25,847 --> 00:13:27,849 I'm not talking about the nausea. 232 00:13:27,975 --> 00:13:31,144 - The test revealed the problem. - Yeah? House is insane? 233 00:13:31,269 --> 00:13:33,855 - What he just did... - Abusive and unprofessional. 234 00:13:33,981 --> 00:13:37,317 If he hadn't done it, we wouldn't have seen the problem. 235 00:13:37,442 --> 00:13:40,153 You've got an abnormal PR interval. 236 00:13:40,278 --> 00:13:43,490 It could be dangerous, possibly fatal, particularly if you're in Africa 237 00:13:43,615 --> 00:13:45,158 away from advanced medicine. 238 00:13:45,283 --> 00:13:47,494 I'm gonna need a pacemaker? 239 00:13:47,619 --> 00:13:50,122 You're scheduled for surgery this afternoon. 240 00:13:56,336 --> 00:13:58,922 We'll be able to maintain your pacemaker from anywhere. 241 00:13:59,047 --> 00:14:01,275 You just need to get yourself to a phone line every few months. 242 00:14:01,299 --> 00:14:04,344 Better yet, you could join me at one of my clinics. 243 00:14:04,469 --> 00:14:07,180 - I'm kind of spoiled. - Well, we'll get you a hut with a view. 244 00:14:07,305 --> 00:14:09,975 - Do you like sand? - I meant medically. 245 00:14:10,100 --> 00:14:12,936 - No pet scans, no mris... - This is ridiculous. 246 00:14:13,061 --> 00:14:15,261 - Dr. Charles... - I know. I know. Hospital regulations. 247 00:14:15,313 --> 00:14:17,733 Darling, have a seat. Come on. 248 00:14:17,858 --> 00:14:20,402 You're smart. You'll adapt. 249 00:14:20,527 --> 00:14:22,821 - We're going up or down? - Basement. 250 00:14:22,946 --> 00:14:24,156 All right. 251 00:14:24,281 --> 00:14:27,159 You might even find that without the technological crutches, 252 00:14:27,284 --> 00:14:28,744 you become a better diagnostician. 253 00:14:28,869 --> 00:14:30,287 My heart can handle this, right? 254 00:14:30,412 --> 00:14:33,498 So far, just carnival rides have set you off. 255 00:14:34,458 --> 00:14:37,294 When you meet these people, it changes you. 256 00:14:38,253 --> 00:14:40,297 We should talk about it over dinner. 257 00:14:41,965 --> 00:14:44,551 Are you asking me to Africa or on a date? 258 00:14:44,676 --> 00:14:49,181 I can ask you halfway around the world, I can't ask you to a restaurant a block away? 259 00:14:49,306 --> 00:14:53,060 - Well, one's a job, and the other's... - Yeah, hospital regs. 260 00:14:53,185 --> 00:14:58,148 You can't date patients, right? I wouldn't wanna risk your precious objectivity. 261 00:14:58,273 --> 00:15:01,568 You haven't answered either question, by the way. 262 00:15:01,693 --> 00:15:04,279 You don't think objectivity's important? 263 00:15:04,404 --> 00:15:06,573 I think doctors like house cling to objectivity 264 00:15:06,698 --> 00:15:09,910 like a three-year-old to a blanket. Don't get too worked up. 265 00:15:10,035 --> 00:15:13,955 Stay calm. Stay cool and maintain the correct perspective. 266 00:15:14,081 --> 00:15:18,001 The only flaw in their argument is that when you have millions of people dying, 267 00:15:18,126 --> 00:15:21,630 the correct perspective is to be yelling at the top of your lungs. 268 00:15:25,008 --> 00:15:28,303 - Sorry. My head is killing me. - Here, sit on the step. 269 00:15:33,475 --> 00:15:36,561 So, are you gonna go out with me or not? 270 00:15:36,686 --> 00:15:38,188 Your heart rate's normal. 271 00:15:38,313 --> 00:15:41,900 Yeah, of course it is. It's one flight of stairs. I'm gonna be fine. 272 00:15:44,069 --> 00:15:46,113 Hand's a little... 273 00:15:52,619 --> 00:15:55,539 Call a code, second floor staiwvell! 274 00:16:02,462 --> 00:16:05,882 - You were wrong. - Hey, I have feelings. 275 00:16:06,007 --> 00:16:08,718 I'm trying my best. Isn't that enough for you? 276 00:16:08,844 --> 00:16:12,139 - The abnormal EKG was real. - It's not sick sinus syndrome. 277 00:16:12,264 --> 00:16:15,392 Thank god we found out before we put the pacemaker in. 278 00:16:15,517 --> 00:16:18,770 And thank god you dragged him into a staiwvell to get his heart racing. 279 00:16:18,895 --> 00:16:21,231 We were taking the stairs. They keep them in the stairwell. 280 00:16:21,356 --> 00:16:23,275 The guy's a selfish jerk. Why would you... 281 00:16:23,400 --> 00:16:24,734 Why would you say he's selfish? 282 00:16:24,860 --> 00:16:26,170 Because he's been talking to foreman. 283 00:16:26,194 --> 00:16:27,988 No, I haven't. I'm just giving my opinion. 284 00:16:28,113 --> 00:16:30,466 This kind of altruism doesn't just naturally... 285 00:16:30,490 --> 00:16:31,490 Excellent briefing. 286 00:16:31,575 --> 00:16:33,535 Hey, the guy's still sick. Can we talk about that? 287 00:16:33,660 --> 00:16:36,663 Now, headaches point to a neurological problem. Acoustic neuroma. 288 00:16:36,788 --> 00:16:39,499 A brain tumor causes dizziness, loss of consciousness, 289 00:16:39,624 --> 00:16:41,585 messes with breathing patterns, heart rhythms... 290 00:16:41,710 --> 00:16:42,794 Get an mri. 291 00:16:42,919 --> 00:16:44,171 House: Hello? 292 00:16:45,255 --> 00:16:48,758 Oh, I'm sorry. I'll be right down. No problem. 293 00:16:48,884 --> 00:16:50,969 I'll do an extra hour to make up. 294 00:16:52,095 --> 00:16:54,431 I'm late for my clinic duty. 295 00:16:54,556 --> 00:16:57,100 Here, go be me for a couple of hours. 296 00:17:01,396 --> 00:17:04,774 Explosive diarrhea, fever, it's probably the flu. 297 00:17:04,900 --> 00:17:09,321 Wow. You're good. You a Harvard boy? 298 00:17:09,446 --> 00:17:12,699 - You're not hill, Oliver. - No. 299 00:17:12,824 --> 00:17:14,743 Carter, Cecelia. 300 00:17:14,868 --> 00:17:16,578 They put you in the wrong room, Cecelia. 301 00:17:16,703 --> 00:17:19,372 - Mrs. Carter. - Sorry. 302 00:17:20,373 --> 00:17:21,750 I'll just be a few more minutes. 303 00:17:21,875 --> 00:17:23,835 Don't take these in order, everything falls apart. 304 00:17:23,919 --> 00:17:25,253 I have cancer. 305 00:17:26,880 --> 00:17:28,089 I felt a lump. 306 00:17:28,840 --> 00:17:31,843 - I'll go get a nurse. - Yeah, see you in an hour or two. 307 00:17:34,137 --> 00:17:35,513 Lie flat. 308 00:17:39,893 --> 00:17:43,063 Lift your left arm up and under your head. 309 00:17:48,276 --> 00:17:49,903 - Right there? - Yeah. 310 00:17:50,028 --> 00:17:52,072 I felt it this morning. 311 00:17:52,197 --> 00:17:54,908 Oh, my cousin had the same thing. 312 00:17:55,909 --> 00:17:56,909 It's nothing. 313 00:17:56,993 --> 00:17:58,787 We should check it again on your next cycle, 314 00:17:58,912 --> 00:18:01,498 but you really don't have anything to worry about. 315 00:18:01,623 --> 00:18:02,999 That's what they told Donna. 316 00:18:03,124 --> 00:18:06,127 - She was dead in six months. - Listen, the edges are smooth. 317 00:18:06,253 --> 00:18:08,713 It has mobility. It has all the earmarks of a benign... 318 00:18:08,838 --> 00:18:10,799 Why should I believe you? 319 00:18:10,924 --> 00:18:13,468 Because you're trying to rush me out of here? 320 00:18:13,593 --> 00:18:16,471 The risks of a false positive on a biopsy outweigh... 321 00:18:16,596 --> 00:18:20,016 Either you do the biopsy, or I talk to your superior. 322 00:18:20,141 --> 00:18:23,395 Which is it, Dr. House? 323 00:18:26,356 --> 00:18:28,900 - I'll arrange the biopsy. - Thanks. 324 00:18:38,243 --> 00:18:41,913 - Cameron: He asked me out. - I'm shocked. 325 00:18:43,915 --> 00:18:46,459 I'm shocked when patients don't ask you out. 326 00:18:49,170 --> 00:18:51,798 He also asked me to come to Africa. 327 00:18:52,841 --> 00:18:54,759 Boy, he moves fast. 328 00:18:54,884 --> 00:18:57,262 I think the two questions had two different objectives. 329 00:18:57,387 --> 00:18:58,471 Do you like him? 330 00:18:58,596 --> 00:19:01,766 Good-looking single guy, genius doctor, 331 00:19:01,891 --> 00:19:04,894 - cares about the world. - I take it you said no. 332 00:19:05,020 --> 00:19:08,064 - You think I'm that hung up on rules? - He's not house. 333 00:19:08,815 --> 00:19:10,317 There's nothing there. 334 00:19:17,574 --> 00:19:19,409 Yeah, there is. 335 00:19:21,036 --> 00:19:22,996 Did I ask you to plant a ppd? 336 00:19:23,121 --> 00:19:25,206 It was positive. He's got tb! 337 00:19:25,332 --> 00:19:29,377 Well, of course he's got tb. The guy's been in the jungle for 20 years. 338 00:19:30,962 --> 00:19:34,299 If he tested positive for pinkeye, would you think that was his big problem? 339 00:19:34,424 --> 00:19:36,801 I did a test. It was positive. Why is that a problem? 340 00:19:36,926 --> 00:19:39,512 Because now he's got the big red target on his arm, 341 00:19:39,637 --> 00:19:42,408 the stubborn jerk thinks he's right. He won't let us do any more tests. 342 00:19:42,432 --> 00:19:44,768 Well, maybe he's not the only stubborn jerk. 343 00:19:44,893 --> 00:19:48,188 I did an lp, too. Low glucose, and he has an increased sed rate. 344 00:19:48,313 --> 00:19:51,483 - Everything screams tuberculosis! - Not everything! 345 00:19:51,608 --> 00:19:55,904 If any of the symptoms are caused by the tb, it would throw off our diagnosis. 346 00:20:00,283 --> 00:20:03,870 You're right. We gotta treat the tb. 347 00:20:05,163 --> 00:20:07,791 Who knows? Maybe he'll just get better. 348 00:20:07,916 --> 00:20:09,918 You'd like that, wouldn't you? 349 00:20:18,510 --> 00:20:21,763 So, it's tb, but not tb? 350 00:20:21,888 --> 00:20:25,767 - I'm complicated. - The guy does know tuberculosis. 351 00:20:25,892 --> 00:20:28,371 - If he says it can manifest... - The guy's not even a real doctor. 352 00:20:28,395 --> 00:20:31,272 - He's a human telethon. - Is that your problem with him? 353 00:20:31,398 --> 00:20:33,775 You see hypocrites every day. Why is this guy so special? 354 00:20:33,900 --> 00:20:36,486 You think I have a hypocritical attitude to hypocrisy? 355 00:20:36,611 --> 00:20:40,156 The problem is, there are 26 letters in the alphabet and he only uses two of them. 356 00:20:40,281 --> 00:20:42,409 He treats thousands of patients with one diagnosis. 357 00:20:42,534 --> 00:20:44,494 He knows the answer going in. It's cheating. 358 00:20:44,619 --> 00:20:48,456 So it's all because he's one of them useless specialists? 359 00:20:49,582 --> 00:20:53,294 Oh, did I hurt the big-time oncologist's itty-bitty feelings? 360 00:20:53,420 --> 00:20:56,089 House: You're a big help to patients who actually have cancer. 361 00:20:56,214 --> 00:20:59,759 - Other times you're just annoying. - You've outdone yourself. 362 00:20:59,884 --> 00:21:02,929 I'll say. My salad's covering a free t-bone steak. 363 00:21:03,054 --> 00:21:05,181 Cecelia Carter, remember her? 364 00:21:05,306 --> 00:21:07,767 Last week they said it was mystery stew. They owe me. 365 00:21:07,892 --> 00:21:11,312 She was just in my office crying because of the way you treated her. 366 00:21:11,438 --> 00:21:12,772 That doesn't sound like you. 367 00:21:12,897 --> 00:21:14,691 Then it probably wasn't. 368 00:21:14,816 --> 00:21:17,735 I get that you like to shock people, 369 00:21:17,861 --> 00:21:21,114 stun them out of complacency, out of stupidity. 370 00:21:21,239 --> 00:21:23,199 But this woman thought she had cancer. 371 00:21:23,324 --> 00:21:26,661 She had a lump in her breast. What were you trying to accomplish? 372 00:21:26,786 --> 00:21:30,206 Let me ask you something. If this were another doctor, 373 00:21:30,331 --> 00:21:33,835 if the patient were complaining about, let's say, I don't know, foreman, 374 00:21:33,960 --> 00:21:37,797 you'd just dismiss this as the paranoid bitching of another paranoid bitch. 375 00:21:37,922 --> 00:21:40,300 - And file it under "p" for... - Paranoid? 376 00:21:40,425 --> 00:21:41,718 Am not. 377 00:21:43,428 --> 00:21:44,804 - You're right. - Good. 378 00:21:44,929 --> 00:21:48,016 Apologize to her before the end of business today. 379 00:21:50,185 --> 00:21:52,937 - What did you do to Ceci? - I have no idea. 380 00:21:53,605 --> 00:21:56,107 Just the salad today. Big breakfast. 381 00:21:56,232 --> 00:21:57,400 Hey. 382 00:22:01,154 --> 00:22:02,739 Levofloxacin? 383 00:22:03,781 --> 00:22:05,909 You have a resistant strain of tb. 384 00:22:06,826 --> 00:22:08,703 Wow, you just walk right in with these. 385 00:22:08,828 --> 00:22:10,580 That's what we doctors do. 386 00:22:10,705 --> 00:22:14,000 We write down the name of some medicine, and someone gives it to us. 387 00:22:14,125 --> 00:22:19,005 You know, there's parts of the world where you get knifed walking around with this. 388 00:22:19,130 --> 00:22:21,883 I mean, the regular stuff is bad enough, 389 00:22:22,008 --> 00:22:24,636 but the treatment for the resistant strain? 390 00:22:27,680 --> 00:22:30,099 They get $6 a tablet for that. 391 00:22:30,225 --> 00:22:32,936 And I take it for two years. 392 00:22:33,061 --> 00:22:36,064 Streptomycin. Now, that's two grand. 393 00:22:38,566 --> 00:22:40,443 Ten grand, cure one person. 394 00:22:47,492 --> 00:22:50,912 I had a patient in djani once. 395 00:22:51,913 --> 00:22:56,793 It was a mother, had three little boys. 396 00:22:56,918 --> 00:22:58,920 She had resistant tb. 397 00:23:00,588 --> 00:23:02,799 She couldn't afford these. 398 00:23:02,924 --> 00:23:04,926 She couldn't afford bread. 399 00:23:06,344 --> 00:23:08,930 We gave her the regular stuff, but 400 00:23:11,182 --> 00:23:14,227 - no surprise, she died. - Sorry. 401 00:23:24,821 --> 00:23:26,531 I'm not taking these pills. 402 00:23:28,074 --> 00:23:31,619 Because she couldn't get them, you're not gonna take them? 403 00:23:31,744 --> 00:23:33,037 - That's insane. - Why? 404 00:23:33,162 --> 00:23:35,790 - 'Cause I'm better than her? - Because letting her die was wrong, 405 00:23:35,915 --> 00:23:38,501 but letting you die is just as wrong. 406 00:23:39,544 --> 00:23:40,920 Maybe I won't die. 407 00:23:41,796 --> 00:23:44,924 Maybe somebody will pay a little more attention to my story. 408 00:23:50,930 --> 00:23:52,807 He figures the pharmaceutical companies 409 00:23:52,932 --> 00:23:54,702 Need something big to force them into action. 410 00:23:54,726 --> 00:23:57,854 This'll get a lot more media play than 1,000 African villagers dying. 411 00:23:57,979 --> 00:23:59,647 So, he won't take the pills. 412 00:23:59,772 --> 00:24:02,483 - Newsweek's calling you. - And he won't agree to any more tests. 413 00:24:02,609 --> 00:24:03,693 He has his diagnosis. 414 00:24:03,818 --> 00:24:05,129 See what happens when you don't listen to me? 415 00:24:05,153 --> 00:24:06,946 Maybe millions of lives get saved. 416 00:24:07,071 --> 00:24:09,032 Yeah. That's my point. 417 00:24:09,532 --> 00:24:11,826 Increased heart rate, night sweats, 418 00:24:11,951 --> 00:24:15,788 loss of consciousness. Besides rough sex, what do they all have in common? 419 00:24:15,913 --> 00:24:17,415 - It's not tb! 420 00:24:17,540 --> 00:24:19,083 His autonomic nervous system? 421 00:24:19,208 --> 00:24:22,503 - We know that it's not a brain tumor. - What else could be eating his nerves? 422 00:24:22,629 --> 00:24:24,797 Fabry's. Autonomic dysregulation syndrome. 423 00:24:24,922 --> 00:24:28,593 Shy-drager syndrome. It doesn't matter. He won't let us test him. 424 00:24:33,723 --> 00:24:37,602 In my opinion, Dr. Sebastian Charles is an idiot. 425 00:24:37,727 --> 00:24:41,689 Yeah, you can quote me. C-u-d-d-y. 426 00:24:44,317 --> 00:24:47,403 Sebastian is refusing life-saving treatment. 427 00:24:47,528 --> 00:24:51,324 He's refusing tb treatment. You don't think he has tb. 428 00:24:51,449 --> 00:24:54,452 - Ergo, you should care less. - He won't let me test him. 429 00:24:54,577 --> 00:24:56,055 And what do you want me to do about it? 430 00:24:56,079 --> 00:24:57,580 Hold him down. 431 00:24:57,705 --> 00:25:00,500 Have you apologized to Cecelia Carter yet? 432 00:25:01,209 --> 00:25:03,169 Trust me, she doesn't wanna hear from me. 433 00:25:03,294 --> 00:25:04,671 Look, the guy is killing himself! 434 00:25:04,796 --> 00:25:07,173 Am I the only one who realizes this is a bad thing? 435 00:25:07,298 --> 00:25:11,511 If he was a Christian scientist refusing meds, we'd have 18 attorneys... 436 00:25:13,846 --> 00:25:15,682 You're putting on makeup. 437 00:25:16,307 --> 00:25:18,559 That's not a good sign for my side, is it? 438 00:25:18,685 --> 00:25:22,146 Sebastian has called a press conference for 3:00. 439 00:25:22,271 --> 00:25:25,692 He's asked me to be there to confirm the diagnosis and the prognosis. 440 00:25:25,817 --> 00:25:28,319 You are as big a media whore as he is. 441 00:25:28,444 --> 00:25:32,281 Of course I am. It couldn't possibly be that I think he's right, 442 00:25:32,407 --> 00:25:34,701 and that I'd like to be a small part of what he's doing. 443 00:25:34,826 --> 00:25:38,788 Oh, whores can like the sex. Doesn't mean they're not whores. 444 00:25:38,913 --> 00:25:43,209 And with that eye shadow, I am totally screwed, aren't I? 445 00:25:43,334 --> 00:25:44,419 Totally. 446 00:25:48,589 --> 00:25:51,134 Cameron: How you feeling? A little weak. 447 00:25:51,259 --> 00:25:53,010 You're having a good day. 448 00:25:54,262 --> 00:25:57,306 The symptoms will quickly focus more and more on your lungs. 449 00:25:57,432 --> 00:25:59,576 You'll find it difficult to talk and eventually breathe at all. 450 00:25:59,600 --> 00:26:01,520 I think I know what I'll have to look forward to. 451 00:26:01,602 --> 00:26:02,603 I know. 452 00:26:03,187 --> 00:26:05,982 I just came to ask if you'd be willing to accept any treatment. 453 00:26:06,107 --> 00:26:07,817 No, if you're trying to scare me into... 454 00:26:07,942 --> 00:26:10,778 No. Palliative treatment. 455 00:26:11,487 --> 00:26:12,697 Narcotics. 456 00:26:12,822 --> 00:26:15,825 Fentanyl patch, morphine drip, whatever it takes. 457 00:26:15,950 --> 00:26:18,953 We can make your last days fairly comfortable. 458 00:26:19,954 --> 00:26:23,499 And if you have another good day, maybe dinner. 459 00:26:27,086 --> 00:26:28,421 Thank you. 460 00:26:38,473 --> 00:26:42,769 You want third world treatment? You got it. 461 00:26:42,894 --> 00:26:45,772 - Boy, is it hot here in djani. - What are you doing? 462 00:26:45,897 --> 00:26:47,106 What am I doing? 463 00:26:47,231 --> 00:26:49,859 Putting everything on the floor of the hut. 464 00:26:50,902 --> 00:26:53,070 What's the magic box with the moving pictures? 465 00:26:53,196 --> 00:26:55,323 - You think he's a hypocrite? - Hypocrite? No. 466 00:26:55,448 --> 00:26:58,534 Everybody in Africa's got cell phones and running water. 467 00:27:01,621 --> 00:27:04,123 This thing just will not flush. 468 00:27:04,248 --> 00:27:07,335 Do you really think that if you come in here and make it a little hot, 469 00:27:07,460 --> 00:27:08,544 make it smell a little, 470 00:27:08,669 --> 00:27:12,465 that I'm just gonna fold and abandon everything that matters to me? 471 00:27:13,674 --> 00:27:16,219 Lousy sanitation over there, too. 472 00:27:16,344 --> 00:27:19,180 You are not the same as them. Your life is not the same. 473 00:27:19,305 --> 00:27:22,117 And you're cheapening everything they're going through by pretending you are. 474 00:27:22,141 --> 00:27:23,434 I am the same. I'm not special. 475 00:27:23,559 --> 00:27:27,021 You can't demand to be treated like any third world sick person 476 00:27:27,146 --> 00:27:30,316 - and call a press conference! - They treat me special! 477 00:27:30,441 --> 00:27:32,318 That doesn't mean I am. 478 00:27:33,319 --> 00:27:37,073 And what kind of selfish jerk wouldn't take advantage of that fact? 479 00:27:52,171 --> 00:27:54,131 It's all preventable. 480 00:27:54,257 --> 00:27:57,468 Stoia Tucker makes medications right here in New Jersey. 481 00:27:57,593 --> 00:28:01,264 They have warehouses full of the stuff. There's more than enough to go around. 482 00:28:01,389 --> 00:28:04,475 So if I can get them, why can't lemma? 483 00:28:05,309 --> 00:28:08,771 Why can't quesmo? And why can't sarni? 484 00:28:12,024 --> 00:28:16,195 Another person just died. Where is your outrage? 485 00:28:16,320 --> 00:28:19,073 Sebastian: No, I have no intention of martyring myself. 486 00:28:19,198 --> 00:28:20,238 I'm just putting myself... 487 00:28:20,324 --> 00:28:23,160 Sure, they're dying, but it's got a great beat. 488 00:28:23,786 --> 00:28:25,580 Must be hot as hell under those lights. 489 00:28:25,705 --> 00:28:28,249 - Yep. - Hey, why the page? 490 00:28:28,374 --> 00:28:31,335 - He okay? - He's in a coma. 491 00:28:32,128 --> 00:28:35,256 I need you to apologize to Ceci, cecily. 492 00:28:35,381 --> 00:28:39,218 - Mrs. Carter? For what? - For whatever I did. 493 00:28:39,343 --> 00:28:42,305 - You didn't do anything. - That has been my position all along. 494 00:28:42,430 --> 00:28:45,433 Cuddy: His chest x-rays are negative, so he's not contagious at this point. 495 00:28:45,558 --> 00:28:47,184 His condition is currently stable. 496 00:28:47,310 --> 00:28:51,188 Do you ever notice how all the self-sacrificing women in history, 497 00:28:51,314 --> 00:28:53,733 Joan of arc, Mother Teresa, 498 00:28:54,567 --> 00:28:57,278 can't think of any others, they all die alone. 499 00:28:57,403 --> 00:29:01,490 The men, on the other hand, get so much fuzz it's crazy. 500 00:29:01,616 --> 00:29:03,200 It's an unfair world. 501 00:29:03,326 --> 00:29:05,661 House, she was scared and unreasonable. 502 00:29:05,786 --> 00:29:07,997 Insulting a woman with breast cancer, 503 00:29:08,122 --> 00:29:12,919 that's a move best left to the pros. Frankly, you don't have the chops. 504 00:29:13,044 --> 00:29:17,465 I didn't insult her! I did the unnecessary biopsy like she wanted. 505 00:29:17,590 --> 00:29:19,467 It was negative like I knew it would be. 506 00:29:19,592 --> 00:29:21,636 What'd you do, call them perky? 507 00:29:21,761 --> 00:29:25,222 You are years away from mad skills like that. 508 00:29:25,348 --> 00:29:27,350 I need you to apologize. 509 00:29:28,267 --> 00:29:31,145 Cuddy's only doing this because she thinks it's you. 510 00:29:31,270 --> 00:29:33,147 Welcome to the world. 511 00:29:33,272 --> 00:29:35,608 Everyone's different, everyone gets treated different. 512 00:29:35,733 --> 00:29:38,653 And you try fighting that, you wind up dying of tb. 513 00:29:40,780 --> 00:29:41,948 What are you doing? 514 00:29:42,073 --> 00:29:44,700 Testing the patient's autonomic nervous system. 515 00:29:45,826 --> 00:29:46,827 Of course. 516 00:29:46,953 --> 00:29:49,497 His internal heating and ventilation should be off. 517 00:29:49,622 --> 00:29:51,123 He shouldn't be able to sweat. 518 00:29:51,248 --> 00:29:53,209 That's why he's got that awful body powder. 519 00:29:53,334 --> 00:29:57,129 Take it away, crank up the heat, stick him under the lights, 520 00:29:57,254 --> 00:30:00,466 he can't cool himself. He should be turning bright red. 521 00:30:00,591 --> 00:30:02,176 The picture's fine. 522 00:30:04,804 --> 00:30:05,888 Sebastian: Yeah. 523 00:30:11,018 --> 00:30:12,478 I'm asking stoia Tucker 524 00:30:12,603 --> 00:30:15,147 to save these lives, millions of lives, 525 00:30:15,272 --> 00:30:17,441 including my own. 526 00:30:17,566 --> 00:30:20,236 Dr. House, I would appreciate it if you left us... 527 00:30:20,361 --> 00:30:21,779 Get that out of my face. 528 00:30:21,904 --> 00:30:23,584 Cuddy: What are you trying to prove, house? 529 00:30:23,698 --> 00:30:26,301 Sebastian: Dr. House, I would appreciate it if you left the room while... 530 00:30:26,325 --> 00:30:27,702 He's sweating like a pig. 531 00:30:27,827 --> 00:30:30,222 It's 100 degrees in here, house, because you turned up the thermostat. 532 00:30:30,246 --> 00:30:33,124 Did they hear me? The media, did they listen? 533 00:30:33,249 --> 00:30:35,751 - He's disoriented. - They have to hear me. 534 00:30:35,876 --> 00:30:38,879 - His arteries are clamping down. - I want everybody out of here now! 535 00:30:39,005 --> 00:30:40,774 Get the crash cart. He's having a cardiac arrest. 536 00:30:40,798 --> 00:30:42,398 Cuddy: Get it set up. Cameron: All right. 537 00:30:42,466 --> 00:30:43,676 Get them out! 538 00:30:44,593 --> 00:30:47,138 Everyone. I want everyone out of here now! 539 00:30:51,350 --> 00:30:52,476 Clear. 540 00:30:56,897 --> 00:30:58,774 Come on, Sebastian. 541 00:30:58,899 --> 00:30:59,984 Clear. 542 00:31:01,068 --> 00:31:02,611 I've got sinus rhythm. 543 00:31:13,164 --> 00:31:17,334 - That is not tb. - Compelling television. 544 00:31:20,546 --> 00:31:24,592 - Do whatever tests you want. - I want to treat you for tb. 545 00:31:25,676 --> 00:31:29,597 Dr. Cameron found low sugar in your cerebrospinal fluid. 546 00:31:29,722 --> 00:31:33,976 - It's a classic finding of tb. - Oh, now you think tb's the problem? 547 00:31:35,603 --> 00:31:38,147 If tb caused cardiac arrest on a hot day, 548 00:31:38,272 --> 00:31:41,150 your work in Africa would be even more futile than it already is. 549 00:31:41,275 --> 00:31:42,985 Can you get to your point, please? 550 00:31:43,110 --> 00:31:46,614 That whiteboard in my office, we're up to about a dozen symptoms now. 551 00:31:46,739 --> 00:31:49,533 Cardiac arrest, clearly not tb. 552 00:31:49,658 --> 00:31:51,952 Csf sugar clearly is tb. 553 00:31:52,411 --> 00:31:54,205 The rest of them could go either way. 554 00:31:54,330 --> 00:31:57,583 Unless we know which ones are which, I can't diagnose you. 555 00:32:01,587 --> 00:32:05,257 I'll take any other tests or treatments you might want to prescribe. 556 00:32:08,803 --> 00:32:11,347 So you're not special, but tb is. 557 00:32:11,472 --> 00:32:14,642 People die of tb because we let them. It's our choice. 558 00:32:14,767 --> 00:32:17,895 People die of malaria because we let them. They die of dysentery. They... 559 00:32:18,020 --> 00:32:21,732 - No, tb's my disease. - You own a disease? 560 00:32:22,399 --> 00:32:25,528 Well, I'm sorry I missed the ipo on dengue fever. 561 00:32:25,653 --> 00:32:29,698 Look, I know I have a way about me, and I know I piss a lot of people off. 562 00:32:29,824 --> 00:32:31,951 And a whole lot more I just annoy. 563 00:32:32,076 --> 00:32:34,078 But you're the first person that I've ever met 564 00:32:34,203 --> 00:32:36,914 who I think is actually annoyed by what I do. 565 00:32:37,039 --> 00:32:40,793 Do you think I'm not saving any lives, or is that a bad thing? 566 00:32:40,918 --> 00:32:43,504 Right now, I'm just trying to save your life. 567 00:32:43,629 --> 00:32:45,840 Or do you just have a problem with hope? 568 00:32:48,384 --> 00:32:52,388 You know, the difference between our jobs is not numbers or styles. 569 00:32:52,513 --> 00:32:56,183 It's that I know I'm gonna fail. Even if I save a million people, 570 00:32:56,308 --> 00:33:00,521 there's gonna be another million. You couldn't handle that. 571 00:33:01,605 --> 00:33:04,066 I think you resent anyone who can. 572 00:33:04,191 --> 00:33:07,403 Can't we just agree that you're incredibly annoying? 573 00:33:07,528 --> 00:33:09,697 Take the pills, or I'll let you die, 574 00:33:09,822 --> 00:33:12,491 do an autopsy, call my own press conference 575 00:33:12,616 --> 00:33:15,536 and make sure the world knows that you didn't die of tb. 576 00:33:15,661 --> 00:33:19,081 Corporate sponsors will be disappointed, but they'll find another disease. 577 00:33:19,206 --> 00:33:20,958 Why would you do that? 578 00:33:21,083 --> 00:33:23,544 Because I'm just a mean son of a bitch. 579 00:34:32,821 --> 00:34:37,952 So, we still have to explain PR variability, syncope, headaches 580 00:34:38,077 --> 00:34:39,453 and 581 00:34:40,746 --> 00:34:41,746 low sugar? 582 00:34:41,830 --> 00:34:44,708 - That was classic tb. - Apparently not. 583 00:34:44,833 --> 00:34:47,002 - You rerun the test? - Yeah. 584 00:34:47,836 --> 00:34:50,798 - This is good. - Good? This is bizarre. 585 00:34:50,923 --> 00:34:52,841 "Bizarre" is good. 586 00:34:52,967 --> 00:34:56,220 "Common" has hundreds of explanations. "Bizarre" has hardly any. 587 00:34:56,345 --> 00:34:59,306 What else could cause low csf sugar? 588 00:34:59,431 --> 00:35:00,849 I get to ask the questions. 589 00:35:00,975 --> 00:35:04,687 I've found you look a lot smarter asking questions than dumbly not answering them. 590 00:35:04,812 --> 00:35:07,690 - High Insulin levels in his blood. - They'd have to be very high. 591 00:35:07,815 --> 00:35:10,359 Okay, very high Insulin levels in his blood. 592 00:35:10,484 --> 00:35:12,236 How could he get high Insulin levels? 593 00:35:12,361 --> 00:35:15,072 We've checked daily blood sugars, all normal. 594 00:35:15,197 --> 00:35:17,866 See how smart she looks? 'Cause she asked the question. 595 00:35:17,992 --> 00:35:20,995 And it's not glucagonoma because he has no rash. 596 00:35:21,120 --> 00:35:24,248 It's not self-induced because he's not an idiot. 597 00:35:24,373 --> 00:35:28,585 And it's not a tumor because the ct and the mri were both negative. 598 00:35:28,711 --> 00:35:30,421 Which just leaves tumor. 599 00:35:34,883 --> 00:35:37,603 Why do you do this? Why do you ignore what I say like I'm not even... 600 00:35:37,720 --> 00:35:39,972 Small tumor. Really, really tiny. 601 00:35:40,097 --> 00:35:41,640 So small we can't see it. 602 00:35:41,765 --> 00:35:43,434 Nesidioblastoma. 603 00:35:43,559 --> 00:35:46,729 An abnormal growth of the Insulin-secreting cells in his pancreas? 604 00:35:46,854 --> 00:35:48,415 That only intermittently secrets Insulin... 605 00:35:48,439 --> 00:35:49,773 House: In response to stress, 606 00:35:49,898 --> 00:35:54,695 like if, I don't know, if someone accidentally puts the mechanical bull on 11. 607 00:35:54,820 --> 00:35:57,114 Easily removed by surgery. 608 00:35:57,239 --> 00:36:00,659 Except if it's so small we can't see it, 609 00:36:00,784 --> 00:36:02,304 how are we even gonna prove it's there? 610 00:36:02,328 --> 00:36:03,787 She asked, looking clever. 611 00:36:03,912 --> 00:36:07,791 Just start hacking away at his pancreas until he gets better? 612 00:36:07,916 --> 00:36:10,116 How do you prove something exists when you can't see it? 613 00:36:10,210 --> 00:36:12,963 Does god exist? Does the wind blow? 614 00:36:13,088 --> 00:36:16,133 - We know because the leaves move. - Look for effects. 615 00:36:16,842 --> 00:36:18,844 You should look the other way. 616 00:36:18,969 --> 00:36:21,072 - There's cuddy with your patient. - Cuddy: Dr. House! 617 00:36:21,096 --> 00:36:23,057 Dr. House has an emergency. 618 00:36:23,849 --> 00:36:27,061 - We can't avoid her forever. - Eventually she'll die. 619 00:36:27,186 --> 00:36:28,937 You sure she doesn't have breast cancer? 620 00:36:29,855 --> 00:36:31,690 House: We think you have a tumor. 621 00:36:31,815 --> 00:36:35,444 Easily removed surgically. We're gonna poke it with a stick. 622 00:36:35,569 --> 00:36:38,781 - And if there's no tumor? - Nothing happens. 623 00:36:39,990 --> 00:36:42,910 House: Splenic artery, it's a hard left off the celiac. 624 00:36:44,578 --> 00:36:45,954 If there is a tumor? 625 00:36:46,580 --> 00:36:49,124 What usually happens when you poke something with a stick? 626 00:36:49,249 --> 00:36:50,626 Pokes back. 627 00:36:50,751 --> 00:36:52,836 He's stuck in the superior mesenteric. 628 00:36:53,796 --> 00:36:56,799 I knew we should have stopped for directions. Men! 629 00:36:57,800 --> 00:36:58,842 I'm there. 630 00:36:59,802 --> 00:37:02,388 We're gonna inject calcium into your pancreas. 631 00:37:03,097 --> 00:37:05,057 The beta cells will release Insulin. 632 00:37:05,182 --> 00:37:07,726 If there are too many beta cells because of a tumor, 633 00:37:07,851 --> 00:37:10,854 your blood sugar will drop precipitously. 634 00:37:10,979 --> 00:37:13,148 How do we know it won't go too low? 635 00:37:13,273 --> 00:37:15,734 Fingers and toes crossed. 636 00:37:17,319 --> 00:37:18,654 House: Go ahead. 637 00:37:32,084 --> 00:37:34,795 Glucose is holding steady at 75. 638 00:37:35,712 --> 00:37:40,634 - No leaves rustling. Blow harder. - I already gave him one amp. 639 00:37:40,759 --> 00:37:44,263 Well, I guess now would be the time to give him more than one amp. 640 00:37:56,233 --> 00:37:59,653 Cameron: Fifty. It's starting to drop. 641 00:38:02,698 --> 00:38:06,368 - Forty-five. - I think my arm's shaking. 642 00:38:06,535 --> 00:38:08,735 I'm gonna start him on a glucose drip. He's gonna seize. 643 00:38:08,787 --> 00:38:09,913 Not yet. 644 00:38:11,665 --> 00:38:14,877 Foreman: It's continuing to drop. House: Not fast enough. 645 00:38:22,676 --> 00:38:25,179 - Cameron: He's seizing. - We've got to reverse this. 646 00:38:26,972 --> 00:38:31,435 He's at 40, 38, 35. 647 00:38:39,359 --> 00:38:42,696 Push an amp of d50. You want to kill the guy? 648 00:38:52,164 --> 00:38:53,957 Cameron: We're back to 40. 649 00:38:55,292 --> 00:38:58,670 Congratulations. You have a tumor. 650 00:39:03,425 --> 00:39:05,302 Are you gonna go out with him? 651 00:39:06,386 --> 00:39:10,140 - Is that any of your business? - Nope. 652 00:39:11,725 --> 00:39:12,809 I don't think so. 653 00:39:12,935 --> 00:39:16,104 Two days ago, you were holding his hand. What's changed? 654 00:39:17,731 --> 00:39:20,609 He practically lives in Africa. There's no future. 655 00:39:21,401 --> 00:39:24,655 On the other hand, maybe there's too much of a future now. 656 00:39:24,780 --> 00:39:28,659 You weren't attracted to him because he was prepared to die for a cause. 657 00:39:28,784 --> 00:39:31,745 You were attracted to him because he was actually doing it. 658 00:39:31,870 --> 00:39:34,915 - Right. It's that simple. - That was simple? 659 00:39:35,040 --> 00:39:37,876 I put a label on him and go from there. 660 00:39:38,001 --> 00:39:39,628 Everybody does it. 661 00:39:39,753 --> 00:39:41,838 We are who people think we are. 662 00:39:41,964 --> 00:39:44,216 People think he's a great doctor, so they give him stuff. 663 00:39:44,341 --> 00:39:47,219 - He is a great doctor. - The reality is irrelevant. 664 00:39:52,641 --> 00:39:54,017 I'll prove it. 665 00:39:54,685 --> 00:39:58,647 People who know me see me as an ass, treat me as an ass. 666 00:39:58,772 --> 00:40:02,359 People who don't know me see a cripple, treat me like a cripple. 667 00:40:03,777 --> 00:40:07,155 What sort of selfish jerk wouldn't take advantage of that fact? 668 00:40:17,958 --> 00:40:21,420 Oh, my goodness. Are you okay? 669 00:40:23,171 --> 00:40:26,633 Yeah. I am so sorry. 670 00:40:26,758 --> 00:40:28,635 It was completely my fault. 671 00:40:28,760 --> 00:40:30,554 It's nothing. I'm fine. 672 00:40:30,679 --> 00:40:33,515 Well, I'm very relieved. I feel terrible. 673 00:40:33,640 --> 00:40:37,060 - Please don't worry about it. I'm fine. - You sure? 674 00:40:37,185 --> 00:40:38,395 Okay. 675 00:40:49,781 --> 00:40:51,658 How's everything? 676 00:40:51,783 --> 00:40:54,411 I'm gonna go. My foot's killing me. 677 00:40:54,536 --> 00:40:58,040 - What did you do to... - It was nothing. It was all my fault. 678 00:41:01,627 --> 00:41:03,795 Yeah, listen. Bogale, relax, okay? 679 00:41:03,920 --> 00:41:06,465 I'm gonna be back on Tuesday. 680 00:41:06,590 --> 00:41:09,801 Tell sarni I'm gonna bring her a new brace. All right. 681 00:41:10,802 --> 00:41:13,930 - Just in case. - You get them? 682 00:41:14,056 --> 00:41:16,642 Six-months' supply. Should fix you right up. 683 00:41:16,767 --> 00:41:18,527 I'll see you when you come back for a refill? 684 00:41:18,560 --> 00:41:20,145 Yeah, I'll see you in two months. 685 00:41:20,270 --> 00:41:22,397 You gonna give them away? 686 00:41:22,522 --> 00:41:25,817 Well, you know how these things happen. You leave a bag on the airplane, 687 00:41:25,942 --> 00:41:28,320 you drop some pills down the drain. 688 00:41:29,279 --> 00:41:32,949 I have an idea. You could bring me the refill in Africa. 689 00:41:33,784 --> 00:41:35,160 I don't think so. 690 00:41:35,786 --> 00:41:39,206 You actually like working for house? You find this satisfying? 691 00:42:11,780 --> 00:42:12,780 Woman: There he is. 692 00:42:12,864 --> 00:42:14,759 - It's good to see you. Dr. Sebastian. - Thank you. 693 00:42:14,783 --> 00:42:18,036 Thank you. I appreciate that. I appreciate the support. 694 00:42:18,161 --> 00:42:20,831 It's not about the kids dying every eight seconds. 695 00:42:20,956 --> 00:42:25,711 It's about the media stroking, adulation, the pats on the head. 696 00:42:26,795 --> 00:42:29,005 That's your problem with him, isn't it? 697 00:42:29,131 --> 00:42:31,925 Look at him. Loves it, eats it up. 698 00:42:32,050 --> 00:42:35,804 Yeah, the man actually enjoys what he does. 699 00:42:41,810 --> 00:42:44,104 Listen, I saved his life. 700 00:42:44,229 --> 00:42:47,774 That means I get credit for every life he saves from here on out. 701 00:42:48,442 --> 00:42:50,444 I'll make sure Stockholm knows.