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1
00:00:45,278 --> 00:00:48,213
Why are you late? You're not
going to like the answer.
2
00:00:48,281 --> 00:00:50,647
I already know the answer.
I missed the bus.
3
00:00:50,717 --> 00:00:53,652
I don't doubt it.
No bus stops near Brad's.
4
00:00:53,720 --> 00:00:56,160
You spent the night, the alarm
didn't work... or maybe it did.
5
00:00:56,222 --> 00:00:58,656
I didn't sleep with him.
Girl, either there's something...
6
00:00:58,725 --> 00:01:00,659
I missed the bus!
7
00:01:00,727 --> 00:01:03,662
There's something either very wrong with
you or something very wrong with him.
8
00:01:03,730 --> 00:01:06,665
There's nothing wrong with him. Please
tell me you know that for a fact.
9
00:01:06,733 --> 00:01:08,667
Melanie, I gotta go.
You're lying, aren't you?
10
00:01:08,735 --> 00:01:12,068
I wouldn't lie to you.
Good morning, guys!
11
00:01:12,138 --> 00:01:14,072
Good morning, Miss Rebecca!
12
00:01:14,140 --> 00:01:16,904
Everybody's in their seats?
Yes.
13
00:01:18,344 --> 00:01:22,940
Okay. Sydney, why don't you tell us
what you did this weekend?
14
00:01:23,016 --> 00:01:24,950
She look...
15
00:01:25,018 --> 00:01:27,282
Come on, Sydney.
We know you're not shy.
16
00:01:27,353 --> 00:01:31,619
How come we always have to tell you what we
did, and you never tell us what you did?
17
00:01:33,693 --> 00:01:35,593
Okay.
18
00:01:35,662 --> 00:01:37,755
I had a really great weekend.
19
00:01:37,831 --> 00:01:40,857
- But you can't tell Miss Melanie, okay?
- What did you do?
20
00:01:40,934 --> 00:01:43,459
I made a new friend.
21
00:01:43,536 --> 00:01:46,471
It's so much fun
to make new friends, isn't it?
22
00:01:46,539 --> 00:01:48,006
Yeah. Yeah.
23
00:01:48,074 --> 00:01:50,770
Did you tell your mom and dad
about your new friend?
24
00:01:52,078 --> 00:01:54,012
Absolutely.
25
00:01:54,080 --> 00:01:57,106
You should never keep anything
from your parents.
26
00:01:57,183 --> 00:02:00,311
And I told mine...
27
00:02:02,055 --> 00:02:03,818
Wha...
28
00:02:10,697 --> 00:02:13,063
Ca... Ba...
29
00:02:18,204 --> 00:02:21,469
Ha... Ba... Cra...
30
00:02:26,112 --> 00:02:30,549
C... A... L...
31
00:02:31,451 --> 00:02:33,976
H... E... "The!"
32
00:02:34,053 --> 00:02:35,918
We know that word. "The."
33
00:03:01,047 --> 00:03:03,982
Twenty-nine-year old female.
First seizure one month ago.
34
00:03:04,050 --> 00:03:07,349
Lost the ability to speak.
Babbled like a baby.
35
00:03:07,420 --> 00:03:09,752
Progressive deterioration
of mental status.
36
00:03:09,822 --> 00:03:12,757
You see that? They all assume I'm
a patient because of this cane.
37
00:03:12,825 --> 00:03:16,761
So put on a white coat like the rest of us.
I don't want them to think I'm a doctor.
38
00:03:16,829 --> 00:03:19,764
You see where the administration might
have a problem with that attitude?
39
00:03:19,832 --> 00:03:21,766
People don't want a sick doctor.
40
00:03:21,834 --> 00:03:24,769
That's fair enough.
I don't like healthy patients.
41
00:03:24,837 --> 00:03:28,432
The 29-year old female... The one
who can't talk? I like that part.
42
00:03:28,508 --> 00:03:31,102
She's my cousin.
43
00:03:31,177 --> 00:03:33,611
And your cousin
doesn't like the diagnosis.
44
00:03:33,680 --> 00:03:35,614
I wouldn't either.
45
00:03:35,682 --> 00:03:38,173
Brain tumor.
She's going to die. Boring.
46
00:03:40,587 --> 00:03:42,521
No wonder you're such
a renowned diagnostician.
47
00:03:42,589 --> 00:03:45,183
You don't need to actually know anything
to figure out what's wrong.
48
00:03:45,258 --> 00:03:48,193
You're the oncologist.
I'm just a lowly infectious disease guy.
49
00:03:48,261 --> 00:03:50,195
Yes.
Just a simple country doctor.
50
00:03:50,263 --> 00:03:52,697
Brain tumors at her age
are highly unlikely.
51
00:03:52,765 --> 00:03:54,960
She's 29. Whatever she's
got is highly unlikely.
52
00:03:55,034 --> 00:03:57,969
The protein markers for the three most
prevalent brain cancers came up negative.
53
00:03:58,037 --> 00:04:00,323
That's an H.M.O. lab.
Might as well have sent
54
00:04:00,336 --> 00:04:02,633
it to a high school kid
with a chemistry set.
55
00:04:02,709 --> 00:04:04,643
No family history.
56
00:04:04,711 --> 00:04:06,645
I thought your uncle
died of cancer.
57
00:04:06,713 --> 00:04:09,011
Other side. No environmental factors.
That you know of.
58
00:04:09,082 --> 00:04:11,448
And she's not responding
to radiation treatment.
59
00:04:11,517 --> 00:04:13,985
None of which is even close
to dispositive.
60
00:04:14,053 --> 00:04:18,854
All it does is raise one question:
Your cousin goes to an H.M.O.?
61
00:04:18,925 --> 00:04:22,122
Come on. Why leave all the fun
for the coroner?
62
00:04:22,195 --> 00:04:25,460
What's the point of putting together a team
if you're not gonna use them?
63
00:04:25,531 --> 00:04:31,299
You've got three overqualified doctors
working for you, getting bored.
64
00:05:33,166 --> 00:05:36,033
It's a lesion.
65
00:05:36,102 --> 00:05:40,061
And the big green thing in the middle
of the bigger blue thing on a map...
66
00:05:40,139 --> 00:05:42,164
is an island.
67
00:05:42,241 --> 00:05:44,209
I was hoping for something
a bit more creative.
68
00:05:44,277 --> 00:05:47,940
Shouldn't we be speaking to the patient
before we start diagnosing?
69
00:05:48,014 --> 00:05:49,914
- Is she a doctor?
- No, but...
70
00:05:49,982 --> 00:05:51,102
Everybody lies.
71
00:05:51,115 --> 00:05:52,246
Dr. House doesn't like
dealing with patients.
72
00:05:52,318 --> 00:05:55,253
Isn't treating patients
why we became doctors?
73
00:05:55,321 --> 00:05:58,256
No. Treating illnesses
is why we became doctors.
74
00:05:58,324 --> 00:06:01,589
Treating patients
is what makes most doctors miserable.
75
00:06:01,661 --> 00:06:04,926
So you're trying to eliminate the humanity
from the practice of medicine?
76
00:06:04,997 --> 00:06:08,558
If we don't talk to them, they can't
lie to us, and we can't lie to them.
77
00:06:08,634 --> 00:06:11,262
Humanity's overrated.
78
00:06:11,337 --> 00:06:13,322
I don't think it's a tumor.
- First year medical school...
79
00:06:13,335 --> 00:06:15,330
if you hear hoof beats, you
think horses, not zebras.
80
00:06:15,408 --> 00:06:17,239
Are you in
first year medical school?
81
00:06:18,711 --> 00:06:22,340
No. First of all,
there's nothing on the CAT scan.
82
00:06:22,415 --> 00:06:24,349
Second of all, if this is a horse,
83
00:06:24,417 --> 00:06:26,186
then her kindly family
doctor in Trenton makes the
84
00:06:26,199 --> 00:06:27,978
obvious diagnosis, and it
never gets near this office.
85
00:06:28,054 --> 00:06:30,648
Differential diagnosis, people.
86
00:06:30,723 --> 00:06:34,625
If it's not a tumor, what are the suspects?
Why couldn't she talk?
87
00:06:34,694 --> 00:06:38,095
Aneurysm, stroke
or some other ischemic syndrome.
88
00:06:38,164 --> 00:06:40,655
- Get her a contrast M.R.I.
- Creutzfeldt-Jakob disease?
89
00:06:40,733 --> 00:06:42,394
- Mad cow?
- Mad zebra.
90
00:06:42,468 --> 00:06:44,163
Wernicke's encephalopathy.
91
00:06:44,237 --> 00:06:47,104
No. Blood thiamine level was normal.
92
00:06:47,173 --> 00:06:49,471
The lab in Trenton
could have screwed up the blood tests.
93
00:06:49,542 --> 00:06:53,171
I assume it's a corollary if "people lie"
that "people screw up".
94
00:06:53,246 --> 00:06:58,548
Redraw the blood tests and get her
scheduled for that contrast M.R.I. ASAP.
95
00:06:58,618 --> 00:07:00,950
Let's find out what kind of zebra
we're treating here.
96
00:07:12,632 --> 00:07:15,032
Radiology, please call the page.
97
00:07:15,101 --> 00:07:17,296
Radiology, please call the page.
98
00:07:23,209 --> 00:07:25,837
I was expecting you in my office
20 minutes ago.
99
00:07:25,912 --> 00:07:27,550
Really? Well, that's
odd because I had no
100
00:07:27,563 --> 00:07:29,211
intention of being in your
office 20 minutes ago.
101
00:07:29,282 --> 00:07:31,016
You think we have nothing
to talk about? No. I
102
00:07:31,029 --> 00:07:32,774
just can't think of anything
I'd be interested in.
103
00:07:32,852 --> 00:07:35,286
I sign your paychecks.
I have tenure.
104
00:07:37,623 --> 00:07:39,443
Are you gonna grab my cane
now, stop me from leaving?
105
00:07:39,456 --> 00:07:41,286
That would be juvenile.
106
00:07:46,732 --> 00:07:48,240
I can still fire you if
you're not doing your job.
107
00:07:48,253 --> 00:07:49,772
I'm here from 9:00 to 5:00.
108
00:07:49,802 --> 00:07:52,635
Your billings are practically nonexistent.
Rough year.
109
00:07:52,705 --> 00:07:54,161
You ignore requests for consults.
I call back.
110
00:07:54,174 --> 00:07:55,640
Sometimes I misdial.
111
00:07:55,708 --> 00:07:58,643
You're six years behind
on your obligations to the clinic.
112
00:07:58,711 --> 00:08:01,646
See? I was right.
This doesn't interest me.
113
00:08:01,714 --> 00:08:04,649
Six years times three weeks...
you owe me better than four months.
114
00:08:04,717 --> 00:08:07,208
It's 5:00. I'm going home.
115
00:08:07,286 --> 00:08:09,220
To what?
116
00:08:09,288 --> 00:08:11,279
Nice.
117
00:08:12,959 --> 00:08:16,895
Look, Dr. House, the only reason
why I don't fire you...
118
00:08:16,963 --> 00:08:19,898
is because your reputation is still
worth something to this hospital.
119
00:08:19,966 --> 00:08:23,197
Excellent. We have a point of agreement...
you're not gonna fire me.
120
00:08:23,269 --> 00:08:26,204
Your reputation won't last
if you don't do your job.
121
00:08:26,272 --> 00:08:29,435
The clinic is part of your job.
I want you to do your job.
122
00:08:29,509 --> 00:08:33,775
But, as the philosopher Jagger once said,
"You can't always get what you want".
123
00:08:41,554 --> 00:08:44,022
You're not my doctor.
Are you Dr. House?
124
00:08:44,090 --> 00:08:46,217
Thankfully, no. I'm Dr. Chase.
125
00:08:46,292 --> 00:08:48,226
Dr. House
is the head of diagnostic medicine.
126
00:08:48,294 --> 00:08:52,594
He's very busy, but he has taken
a keen interest in your case.
127
00:08:55,868 --> 00:08:58,564
We inject gadolinium into a vein.
128
00:08:58,638 --> 00:09:01,408
It distributes itself throughout
your brain and acts as
129
00:09:01,421 --> 00:09:04,201
a contrast material for the
magnetic resonance imager.
130
00:09:05,378 --> 00:09:08,313
Basically, whatever's in your head
lights up like a Christmas tree.
131
00:09:08,381 --> 00:09:09,768
It might make you feel
a little light-headed.
132
00:09:09,781 --> 00:09:11,179
Dr. Cameron.
133
00:09:11,250 --> 00:09:14,845
I'm sorry. I have to stop you.
There is a problem.
134
00:09:15,922 --> 00:09:17,446
You pulled my authorization!
135
00:09:17,523 --> 00:09:19,582
Yes. Why are you yelling?
136
00:09:19,659 --> 00:09:21,650
No M.R.I.'s, no imaging studies,
no labs.
137
00:09:21,727 --> 00:09:24,753
You also can't make
long distance phone calls.
138
00:09:24,830 --> 00:09:26,616
If you're going to fire me,
have the guts to face me.
139
00:09:26,629 --> 00:09:28,425
Or photocopies.
You're still yelling.
140
00:09:28,501 --> 00:09:31,368
I'm angry!
You're risking a patient's life.
141
00:09:31,437 --> 00:09:34,270
- I assume those are two separate points.
- You showed me disrespect.
142
00:09:34,340 --> 00:09:36,604
You embarrassed me. And as long as
I work here, you have no legal...
143
00:09:36,676 --> 00:09:38,610
Is the yelling
designed to scare me?
144
00:09:38,678 --> 00:09:43,115
Because I'm not sure what it is I'm
supposed to be scared of. More yelling?
145
00:09:43,182 --> 00:09:45,116
That's not scary.
146
00:09:45,184 --> 00:09:48,483
That you're going to hurt me? That's scary.
But I'm pretty sure I can outrun you.
147
00:09:50,523 --> 00:09:53,492
Oh, I looked into that philosopher
you quoted... Jagger.
148
00:09:53,559 --> 00:09:56,392
And you're right,
you can't always get what you want.
149
00:09:56,462 --> 00:10:00,364
But as it turns out, "If you try
sometimes, you get what you need".
150
00:10:01,434 --> 00:10:04,403
So, because you want me
to treat patients,
151
00:10:04,470 --> 00:10:07,496
you're not letting me treat patients?
152
00:10:07,573 --> 00:10:09,404
I need you to do your job.
153
00:10:18,684 --> 00:10:21,517
Do the M.R.I. She folded.
154
00:10:24,624 --> 00:10:27,109
I've got to do four
hours a week in this
155
00:10:27,122 --> 00:10:29,618
clinic until I make up
the time I've missed.
156
00:10:30,630 --> 00:10:34,862
2054.
I'll be caught up in 2054.
157
00:10:35,935 --> 00:10:38,768
You better love this cousin
a whole lot.
158
00:11:12,638 --> 00:11:15,835
All right, Rebecca, I know you may
feel a little claustrophobic in there,
159
00:11:15,908 --> 00:11:18,138
but we need you to remain still.
160
00:11:19,145 --> 00:11:22,342
Okay, we're going to begin.
161
00:11:31,357 --> 00:11:34,121
I don't feel so good.
162
00:11:34,193 --> 00:11:36,787
It's all right.
Just try to relax.
163
00:11:43,969 --> 00:11:46,460
Rebecca?
164
00:11:47,573 --> 00:11:49,564
Rebecca?
165
00:11:58,851 --> 00:12:01,285
Rebecca?
166
00:12:01,353 --> 00:12:03,753
Get her out of there.
Oh, she probably fell asleep.
167
00:12:03,823 --> 00:12:06,155
She's exhausted. She was
claustrophobic 30 seconds ago.
168
00:12:06,225 --> 00:12:07,681
She's not sleeping. We
gotta get her out of there.
169
00:12:07,694 --> 00:12:09,160
It'll just be another minute.
170
00:12:09,228 --> 00:12:12,628
If she's having an allergic reaction to the
gadolinium, she'll be dead in two minutes.
171
00:12:14,366 --> 00:12:17,028
Hold her neck. All right.
172
00:12:17,103 --> 00:12:19,333
Oh, she's ashen.
173
00:12:19,405 --> 00:12:21,373
She's not breathing. Epi, .5.
174
00:12:21,440 --> 00:12:23,772
Come on.
175
00:12:23,843 --> 00:12:25,777
I can't ventilate.
176
00:12:29,248 --> 00:12:30,766
Too much edema. Where's
the surgical airway kit?
177
00:12:30,779 --> 00:12:32,308
Yep. Coming.
178
00:13:08,154 --> 00:13:10,054
Good call.
179
00:13:30,276 --> 00:13:33,609
We'll get that tube out
of your throat later today.
180
00:13:33,679 --> 00:13:36,375
Just get some rest for now, okay?
181
00:13:39,618 --> 00:13:41,779
Told you.
You can't trust people.
182
00:13:41,854 --> 00:13:43,788
She probably knew
she was allergic to gadolinium.
183
00:13:43,856 --> 00:13:46,984
Figured it was an easy way
to get someone to cut a hole in her throat.
184
00:13:47,059 --> 00:13:49,926
Can't get a picture.
Gonna have to get a thousand words.
185
00:13:49,995 --> 00:13:53,522
You actually want me to talk to
the patient, get a history?
186
00:13:53,599 --> 00:13:55,754
We need to know if there's
some genetic or environmental
187
00:13:55,767 --> 00:13:57,933
cause that's triggering
an inflammatory response.
188
00:13:58,003 --> 00:13:59,937
I thought everybody lied.
189
00:14:00,005 --> 00:14:03,202
Truth begins in lies.
190
00:14:03,275 --> 00:14:05,266
Think about it.
191
00:14:06,579 --> 00:14:08,774
That doesn't mean anything,
does it?
192
00:14:12,685 --> 00:14:16,121
12:52 p.m. Dr. House checks in.
Please write that down.
193
00:14:16,188 --> 00:14:18,122
Do you have cable TV
here somewhere?
194
00:14:18,190 --> 00:14:20,124
General Hospital
starts in eight minutes.
195
00:14:20,192 --> 00:14:22,126
No TV, but we've got patients.
196
00:14:22,194 --> 00:14:24,628
Can't you give out the aspirin yourself?
I'll do paperwork.
197
00:14:24,697 --> 00:14:26,185
I made sure your first case
was an interesting one.
198
00:14:26,198 --> 00:14:27,697
Cough just won't go away?
199
00:14:27,700 --> 00:14:30,700
Runny nose looks a funny color? Patient
admitted complaining of back spasms.
200
00:14:30,703 --> 00:14:32,756
Oh? I think I read about
something like that in the
201
00:14:32,769 --> 00:14:34,833
New England Journal of Medicine.
Patient is orange.
202
00:14:34,907 --> 00:14:37,137
The color? No, the fruit.
203
00:14:37,209 --> 00:14:39,643
You mean yellow. It's jaundice.
I mean orange.
204
00:14:39,712 --> 00:14:41,907
Well, how orange? It's
probably... Exam room one.
205
00:14:41,981 --> 00:14:44,142
Dr. Kahn, you're needed in pediatrics.
206
00:14:45,417 --> 00:14:50,218
I was playing golf and my cleats got stuck.
It hurt a little, but I kept playing.
207
00:14:50,289 --> 00:14:53,417
The next morning,
I could barely stand up.
208
00:14:53,492 --> 00:14:56,689
Well, you're smiling,
so I take it that means this isn't serious.
209
00:14:57,830 --> 00:14:59,923
What's that?
What are you doing?
210
00:14:59,999 --> 00:15:01,899
Painkillers.
211
00:15:01,967 --> 00:15:04,868
Oh, for you. For your leg.
No, 'cause they're yummy.
212
00:15:04,937 --> 00:15:08,065
You want one?
Make your back feel better.
213
00:15:09,642 --> 00:15:12,543
Unfortunately,
you have a deeper problem.
214
00:15:12,611 --> 00:15:14,909
Your wife is having an affair.
215
00:15:14,980 --> 00:15:18,040
- What?
- You're orange, you moron.
216
00:15:18,117 --> 00:15:20,347
It's one thing for you not to notice,
217
00:15:20,419 --> 00:15:22,489
but if your wife hasn't picked
up on the fact that her
218
00:15:22,502 --> 00:15:24,583
husband has changed colors, she's
just not paying attention.
219
00:15:24,657 --> 00:15:26,562
By the way, do you consume
just a ridiculous
220
00:15:26,575 --> 00:15:28,491
amount of carrots and
megadose vitamins?
221
00:15:28,560 --> 00:15:30,328
Carrots turn you yellow,
the niacin turns you red.
222
00:15:30,341 --> 00:15:32,120
Find some finger paint
and do the math.
223
00:15:32,164 --> 00:15:34,098
And get a good lawyer.
224
00:15:39,204 --> 00:15:41,138
Deep breath.
225
00:15:41,206 --> 00:15:43,731
It's cold.
226
00:15:43,809 --> 00:15:45,902
He's been using his inhaler?
227
00:15:45,978 --> 00:15:48,913
Not in the past few days.
He's, um, only 10.
228
00:15:48,981 --> 00:15:51,745
I worry about children taking
such strong medicine so frequently.
229
00:15:51,817 --> 00:15:54,718
What happened to your leg?
230
00:15:54,787 --> 00:15:57,779
Your doctor probably was concerned about
the strength of the medicine too.
231
00:15:57,856 --> 00:16:01,155
She probably weighed that danger
against the danger of not breathing.
232
00:16:01,226 --> 00:16:05,788
Oxygen is so important during those
prepubescent years. Don't you think?
233
00:16:05,864 --> 00:16:08,799
Okay, I'm gonna assume nobody
has ever told you what asthma is.
234
00:16:08,867 --> 00:16:11,233
Or if they have,
you had other things on your mind.
235
00:16:11,303 --> 00:16:14,830
A stimulant triggers cells
in your child's airways...
236
00:16:14,907 --> 00:16:18,468
to release substances that inflame the
air passages and cause them to contract.
237
00:16:18,544 --> 00:16:21,911
Mucus production increases,
the cell lining starts to shed.
238
00:16:21,981 --> 00:16:24,506
But the steroids...
239
00:16:24,583 --> 00:16:28,246
the steroids stop the inflammation.
240
00:16:29,521 --> 00:16:31,648
The more often this happens...
241
00:16:32,691 --> 00:16:34,352
What?
The more often this happens, what?
242
00:16:34,426 --> 00:16:38,419
Forget it. If you don't trust steroids,
you shouldn't trust doctors.
243
00:16:38,497 --> 00:16:41,694
My mother passed away
four years ago.
244
00:16:41,767 --> 00:16:47,034
She had a heart attack, and my father
broke his back doing construction...
245
00:16:49,441 --> 00:16:52,433
It's House. It's urgent.
I'm sorry.
246
00:16:55,848 --> 00:16:58,578
You couldn't have knocked?
247
00:16:58,650 --> 00:17:02,677
Steroids. Give her steroids.
High doses of prednisone.
248
00:17:11,363 --> 00:17:14,799
You're looking for support
for a diagnosis of cerebral vasculitis?
249
00:17:14,867 --> 00:17:16,237
Inflammation of blood
vessels in the brain is
250
00:17:16,250 --> 00:17:17,631
awfully rare, especially
for someone her age.
251
00:17:17,703 --> 00:17:20,604
- So is a tumor. Her sed rate is elevated.
- Mildly.
252
00:17:20,672 --> 00:17:23,072
That could mean anything.
Or nothing.
253
00:17:23,142 --> 00:17:26,077
Yeah, I know. I have no reason
to think that it's vasculitis.
254
00:17:26,145 --> 00:17:28,079
Except that it could be.
255
00:17:28,147 --> 00:17:29,853
If the blood vessels are inflamed,
that's gonna look exactly
256
00:17:29,866 --> 00:17:31,583
like what we saw on the M.R.I.
from Trenton County,
257
00:17:31,650 --> 00:17:33,982
and the pressure
is gonna cause neurological symptoms.
258
00:17:34,053 --> 00:17:36,920
- We can't diagnose that without a biopsy.
- Yes, we can.
259
00:17:36,989 --> 00:17:39,253
We treat her. If she gets
better, we know we're right.
260
00:17:39,324 --> 00:17:42,691
- And if we're wrong?
- Then we learn something else.
261
00:17:47,499 --> 00:17:49,194
Why steroids?
262
00:17:49,268 --> 00:17:51,202
Just part of your treatment.
263
00:17:51,270 --> 00:17:53,067
You haven't had many visitors.
264
00:17:53,138 --> 00:17:55,231
No boyfriend? Three dates.
265
00:17:55,307 --> 00:17:58,606
I wouldn't have stood by him
if he were vomiting all day.
266
00:17:58,677 --> 00:18:01,009
What about work?
You must have friends from work.
267
00:18:01,080 --> 00:18:04,880
Pretty much everybody I like
is five years old.
268
00:18:06,185 --> 00:18:08,619
The nurse said
you're stopping my radiation.
269
00:18:09,988 --> 00:18:13,116
We're just trying
some alternative medication.
270
00:18:13,192 --> 00:18:16,559
So where's your family from then? Steroids
aren't an alternative to radiation.
271
00:18:16,628 --> 00:18:18,823
The tests
weren't really conclusive.
272
00:18:18,897 --> 00:18:20,831
We're treating you for vasculitis.
273
00:18:20,899 --> 00:18:23,891
It's the inflammation
of blood vessels in the brain.
274
00:18:23,969 --> 00:18:26,904
I-It's not a tumor?
275
00:18:26,972 --> 00:18:28,963
I don't have a tumor?
276
00:18:32,244 --> 00:18:35,736
You should have told her the truth...
It's a long shot guess.
277
00:18:35,814 --> 00:18:38,248
Thank you.
If House is right, no harm.
278
00:18:38,317 --> 00:18:40,683
If he's wrong, I've given a dying
woman a couple days' hope.
279
00:18:40,752 --> 00:18:44,415
False hope. If there was any other type
available, I would have given her that.
280
00:18:52,464 --> 00:18:56,264
Why are you smelling Billy's pants?
281
00:18:56,335 --> 00:18:58,599
I'm not. Looked like you were.
282
00:18:58,670 --> 00:19:00,831
- I was smelling the floor.
- Oh.
283
00:19:00,906 --> 00:19:03,739
Do you have any pets in this class?
284
00:19:03,809 --> 00:19:07,108
No. But we used to have a gerbil,
but Carly L. Dropped a book on it.
285
00:19:07,179 --> 00:19:09,113
Careless.
286
00:19:09,181 --> 00:19:13,140
- Do you need to smell it?
- No. I'm smelling for mold.
287
00:19:13,218 --> 00:19:15,152
I don't need to smell it.
288
00:19:15,220 --> 00:19:17,324
You could smell our parrot.
289
00:19:17,337 --> 00:19:19,452
You said you didn't have
any pets in this class.
290
00:19:19,525 --> 00:19:21,516
A parrot is a bird.
291
00:19:21,593 --> 00:19:23,288
Listen,
Jackson's not the father...
292
00:19:23,362 --> 00:19:25,523
Parrots are the primary source
of psittacosis.
293
00:19:25,597 --> 00:19:27,292
It's not the parrot.
294
00:19:27,366 --> 00:19:32,269
And psittacosis can lead to nerve problems
and neurological complications.
295
00:19:32,337 --> 00:19:34,601
How many kids were in the class?
Twenty.
296
00:19:34,673 --> 00:19:37,107
How many are home sick?
None, but...
297
00:19:37,176 --> 00:19:39,980
None. But you figured that
five-year-olds are more
298
00:19:39,993 --> 00:19:42,808
serious about bird hygiene
than their teacher?
299
00:19:42,881 --> 00:19:44,961
Have you been through her home?
She lives in Trenton.
300
00:19:45,017 --> 00:19:48,214
I can go up to her room tomorrow
morning, ask her for the key.
301
00:19:48,287 --> 00:19:52,348
Would the police call for permission before
dropping by to check out a crime scene?
302
00:19:52,424 --> 00:19:54,278
It's not a crime scene.
As far as I know,
303
00:19:54,291 --> 00:19:56,155
she's running a meth lab
out of her basement.
304
00:19:56,228 --> 00:19:58,264
She's a kindergarten teacher.
And if I were a
305
00:19:58,277 --> 00:20:00,324
kindergarten student I would
trust her implicitly.
306
00:20:01,700 --> 00:20:05,659
Okay. I'll give you a "for instance".
307
00:20:05,737 --> 00:20:07,637
The lady back there...
308
00:20:07,706 --> 00:20:10,140
who made your egg salad sandwich...
309
00:20:10,209 --> 00:20:13,042
Her eyes look glassy.
Did you notice that?
310
00:20:13,111 --> 00:20:16,547
Now, hospital policy
is to stay home if you're sick.
311
00:20:16,615 --> 00:20:20,312
But if you're making $8.00 an hour, then
you kind of need the $8.00 an hour, right?
312
00:20:20,385 --> 00:20:22,592
And the sign in the bathroom
says that employees
313
00:20:22,605 --> 00:20:24,822
must wash after using
the facilities,
314
00:20:24,890 --> 00:20:27,677
but I figure that somebody
who wipes snot on a sleeve
315
00:20:27,690 --> 00:20:30,487
isn't hyperconcerned about
sanitary conditions.
316
00:20:30,562 --> 00:20:33,053
So what do you think...
should I trust her?
317
00:20:34,132 --> 00:20:37,761
I want you to check the patient's home
for contaminants, garbage, medication.
318
00:20:37,836 --> 00:20:39,690
I can't just break into
someone's house. Isn't
319
00:20:39,703 --> 00:20:41,567
that how you got into
the Felkers' home?
320
00:20:46,178 --> 00:20:49,170
Yeah, I know.
321
00:20:49,248 --> 00:20:53,275
Court records are sealed.
You were 16. It was a stupid mistake.
322
00:20:53,352 --> 00:20:57,083
But your old gym teacher has a big mouth.
Should write a thank-you note.
323
00:20:57,155 --> 00:20:59,555
- I should thank him?
- Well...
324
00:21:01,827 --> 00:21:04,625
I needed somebody around here
with street smarts.
325
00:21:06,632 --> 00:21:10,363
Okay? Who knows when they're
being conned, knows how to con.
326
00:21:10,435 --> 00:21:12,027
I should sue you.
327
00:21:12,104 --> 00:21:15,301
Pretty sure you can't sue somebody
for wrongful hiring.
328
00:21:15,374 --> 00:21:20,073
But I'm pretty sure I can sue if you fire
me for not breaking into some lady's house.
329
00:21:32,691 --> 00:21:35,125
Doing research.
People are fascinating, aren't they?
330
00:21:35,193 --> 00:21:37,423
Why are you giving Adler steroids?
331
00:21:38,964 --> 00:21:42,627
Because she's my patient. That's what you
do with patients... you give them medicine.
332
00:21:42,701 --> 00:21:44,635
You don't prescribe medicine
based on guesses.
333
00:21:44,703 --> 00:21:46,796
At least we don't
since Tuskegee and Mengele.
334
00:21:46,872 --> 00:21:49,807
You're comparing me to a Nazi?
Nice.
335
00:21:49,875 --> 00:21:52,070
I'm stopping the treatment.
336
00:21:56,715 --> 00:21:59,650
She's my patient.
It's my hospital.
337
00:21:59,718 --> 00:22:01,652
I did not get her sick.
338
00:22:01,720 --> 00:22:03,426
She is not an experiment.
I have a legitimate
339
00:22:03,439 --> 00:22:05,156
theory about what's
wrong with her.
340
00:22:05,223 --> 00:22:07,157
With no proof.
341
00:22:07,225 --> 00:22:08,185
There's never any proof.
342
00:22:08,226 --> 00:22:09,995
Five different doctors
come up with five
343
00:22:10,008 --> 00:22:11,787
different diagnoses based
on the same evidence.
344
00:22:11,863 --> 00:22:15,162
You don't have any evidence.
345
00:22:15,233 --> 00:22:18,532
And nobody knows anything, huh? Then how
is it you always think you're right?
346
00:22:18,603 --> 00:22:22,505
I don't. I just find it hard to operate
on the opposite assumption.
347
00:22:22,574 --> 00:22:25,509
And why are you so afraid
of making a mistake?
348
00:22:25,577 --> 00:22:29,035
Because I'm a doctor. Because when
we make mistakes, people die.
349
00:22:29,114 --> 00:22:31,105
Oh, come on.
350
00:22:33,118 --> 00:22:36,110
People used to have more
respect for cripples, you know.
351
00:22:39,124 --> 00:22:41,115
They didn't really.
352
00:22:44,796 --> 00:22:48,197
So how you feeling?
Much better, thanks.
353
00:22:48,266 --> 00:22:50,894
Are you Dr. House?
I thought he was a he, but...
354
00:22:50,969 --> 00:22:53,494
No.
355
00:22:53,572 --> 00:22:56,598
Don't eat too much, too fast.
356
00:22:56,675 --> 00:22:58,666
Thank him for me.
357
00:22:58,744 --> 00:23:01,269
Right.
358
00:23:12,491 --> 00:23:14,925
Should I discontinue
the treatment, boss?
359
00:23:14,993 --> 00:23:16,984
You got lucky.
360
00:23:20,365 --> 00:23:22,356
Cool, huh?
361
00:23:24,636 --> 00:23:26,570
Okay, once again.
362
00:23:29,307 --> 00:23:31,241
Good.
363
00:23:31,309 --> 00:23:33,743
Am I ever gonna meet Dr. House?
364
00:23:33,812 --> 00:23:38,511
Well, you might run into him
at the movies or on the bus.
365
00:23:38,583 --> 00:23:40,608
Is he a good man?
366
00:23:40,685 --> 00:23:44,348
He's a good doctor.
367
00:23:44,423 --> 00:23:46,755
Can you be one without the other?
368
00:23:46,825 --> 00:23:50,625
Don't you have to care about people?
Caring is a good motivator.
369
00:23:51,863 --> 00:23:53,797
He's found something else.
370
00:23:56,001 --> 00:23:58,561
Feel this, both sides?
Mm-hmm. Mm-hmm.
371
00:23:58,637 --> 00:24:02,630
Okay, squeeze.
Harder. All right.
372
00:24:02,707 --> 00:24:04,607
He's your friend, huh?
373
00:24:04,676 --> 00:24:06,803
Yeah.
374
00:24:06,878 --> 00:24:09,312
Does he care about you?
375
00:24:10,382 --> 00:24:12,612
I think so. You don't know?
376
00:24:13,685 --> 00:24:15,915
As Dr. House likes to say,
"Everybody lies".
377
00:24:17,189 --> 00:24:19,783
It's not what people say.
It's what they do.
378
00:24:23,295 --> 00:24:26,287
Yeah. He cares about me.
379
00:24:30,001 --> 00:24:31,992
I can't see.
380
00:24:34,706 --> 00:24:38,142
I can't... see.
381
00:24:46,017 --> 00:24:47,917
A little help in here!
382
00:25:01,466 --> 00:25:03,764
Your chest will be sore for a while.
383
00:25:03,835 --> 00:25:06,804
We needed to shock you
to get your heart going.
384
00:25:09,307 --> 00:25:14,609
Okay, can you arrange these
to tell a story?
385
00:25:28,226 --> 00:25:30,160
She couldn't put them in order.
386
00:25:30,228 --> 00:25:34,324
Could the damage have been caused
by a lack of oxygen during her seizure?
387
00:25:34,399 --> 00:25:36,304
No. I gave her the same
test five minutes later.
388
00:25:36,317 --> 00:25:38,233
She did just fine.
389
00:25:38,303 --> 00:25:41,830
The altered mental status is intermittent,
just like the verbal skills.
390
00:25:41,907 --> 00:25:43,841
So what now?
391
00:25:43,909 --> 00:25:46,969
Given the latest symptoms, it's clearly
growing deeper into the brain stem.
392
00:25:47,045 --> 00:25:49,411
Soon, she won't be able to walk.
393
00:25:49,481 --> 00:25:52,917
She'll go blind permanently,
and then the respiratory center will fail.
394
00:25:52,984 --> 00:25:54,918
How long do we have?
395
00:25:54,986 --> 00:25:56,391
If it's a tumor, we're
talking a month or two.
396
00:25:56,404 --> 00:25:57,819
If it's infectious, a few weeks.
397
00:25:57,889 --> 00:26:02,451
If it's vascular, that'll probably
be fastest of all. Maybe a week.
398
00:26:02,527 --> 00:26:04,654
We're gonna stop all treatment.
399
00:26:06,698 --> 00:26:09,326
I still think it's a tumor. I think
we should go back to the radiation.
400
00:26:09,401 --> 00:26:11,335
She didn't respond
to the radiation.
401
00:26:11,403 --> 00:26:13,490
Well, maybe we didn't see
the effect until after
402
00:26:13,503 --> 00:26:15,601
we started steroids.
No, it's not a tumor.
403
00:26:15,674 --> 00:26:18,643
Those steroids did something.
I just don't know what.
404
00:26:18,710 --> 00:26:21,941
So we're just gonna do nothing?
We're just gonna watch her die?
405
00:26:22,013 --> 00:26:24,265
Yeah, we're gonna watch her die.
Specifically,
406
00:26:24,278 --> 00:26:26,541
we're gonna watch how
fast she's dying.
407
00:26:26,618 --> 00:26:30,213
You just told us...
each diagnosis has its own time frame.
408
00:26:30,288 --> 00:26:33,485
When we see how fast it's killing her,
we'll know what it is.
409
00:26:33,558 --> 00:26:36,493
And by then, maybe there's
nothing we can do about it.
410
00:26:36,561 --> 00:26:38,620
There's got to be
something we can do.
411
00:26:38,697 --> 00:26:40,562
Something better
than watching her die.
412
00:26:40,632 --> 00:26:43,123
Well, I got nothing.
413
00:26:43,201 --> 00:26:45,192
How about you?
414
00:26:49,641 --> 00:26:51,575
Bastard.
415
00:26:51,643 --> 00:26:54,578
Oh, Cameron. I need you for a
couple of hours. What's up?
416
00:26:54,646 --> 00:26:56,602
When you break into someone's
house, it's better
417
00:26:56,615 --> 00:26:58,582
to have a white chick with you.
Adler's house?
418
00:26:58,650 --> 00:27:00,919
Why don't we just ask her for her keys?
For all we know,
419
00:27:00,932 --> 00:27:03,212
she'll be running a meth
lab out of her basement.
420
00:27:03,288 --> 00:27:05,279
I'm tired a lot.
421
00:27:06,591 --> 00:27:10,152
Any other reason why you think
you might have chronic fatigue syndrome?
422
00:27:10,228 --> 00:27:12,253
It's kind of the definition, isn't it?
423
00:27:12,330 --> 00:27:14,355
It's kind of the definition
of getting older.
424
00:27:14,432 --> 00:27:17,219
I had a couple headaches
last month, a mild fever.
425
00:27:17,232 --> 00:27:20,029
Sometimes I can't sleep, and I
have trouble concentrating.
426
00:27:20,105 --> 00:27:23,199
Apparently not while
researching this stuff on the Internet.
427
00:27:23,274 --> 00:27:27,074
I was thinking
it also might be fibromyalgia.
428
00:27:29,347 --> 00:27:31,281
Excellent diagnosis.
429
00:27:31,349 --> 00:27:33,249
Is there anything for that?
430
00:27:33,318 --> 00:27:39,279
You know, I think there just might be.
431
00:27:39,357 --> 00:27:43,259
I need 36 Vicodin
and change for a dollar.
432
00:28:05,884 --> 00:28:07,647
Exam room two.
433
00:28:10,488 --> 00:28:12,422
House doesn't believe in pretense.
434
00:28:12,490 --> 00:28:15,789
Figures life's too short and too painful.
So he just says what he thinks.
435
00:28:17,095 --> 00:28:19,325
Nothing interesting in the garbage.
436
00:28:19,397 --> 00:28:22,161
"I say what I think" is just
another way of saying "I'm an assho"...
437
00:28:24,569 --> 00:28:27,504
Well, if you wanted to be judged
for your medical prowess only,
438
00:28:27,572 --> 00:28:30,006
maybe you shouldn't have
broken into someone's home.
439
00:28:30,075 --> 00:28:32,066
I was 16.
440
00:28:33,611 --> 00:28:36,603
Don't know about ticks,
but her dog's definitely got fleas.
441
00:28:39,250 --> 00:28:42,344
I managed to make it to 17
without a criminal record.
442
00:28:45,423 --> 00:28:47,357
Yeah?
443
00:28:47,425 --> 00:28:51,361
Well, you obviously didn't grow up
in my neighborhood.
444
00:28:51,429 --> 00:28:54,865
That's right. You stole a loaf of bread
to feed your starving family. Right?
445
00:28:54,933 --> 00:28:56,867
You always eat during break-ins?
446
00:28:56,935 --> 00:29:00,371
Am I supposed to respect their food
more than I respect their DVD players?
447
00:29:00,438 --> 00:29:01,871
You want some? No.
448
00:29:01,940 --> 00:29:04,306
You gonna go hungry until she dies?
449
00:29:04,375 --> 00:29:05,672
No. You know what?
450
00:29:05,744 --> 00:29:08,975
After centuries of slavery,
decades of civil rights marches...
451
00:29:09,047 --> 00:29:11,487
and, more significantly,
living like a monk,
452
00:29:11,500 --> 00:29:13,950
never getting less
than a 4.0 G.P.A.,
453
00:29:14,018 --> 00:29:16,304
you don't think it's kind
of disgusting I get one of
454
00:29:16,317 --> 00:29:18,614
the top jobs in the country
because I'm a delinquent?
455
00:29:19,924 --> 00:29:22,449
We'll eat,
then we'll tear up the carpet.
456
00:29:24,763 --> 00:29:26,697
You went to Hopkins, right?
457
00:29:26,765 --> 00:29:28,665
Yep.
458
00:29:28,733 --> 00:29:31,998
So you went to a better school than I did.
You got better grades than I did.
459
00:29:32,070 --> 00:29:35,005
So how did you get the job?
460
00:29:35,073 --> 00:29:37,473
You stab a guy in a bar fight?
461
00:29:45,116 --> 00:29:47,050
Nothing.
462
00:29:47,118 --> 00:29:50,485
It's not a tumor.
She's getting worse too fast.
463
00:29:50,555 --> 00:29:54,013
- She can't stand up.
- No toxins? No medications?
464
00:29:54,092 --> 00:29:55,753
Nothing that would explain
these symptoms.
465
00:29:55,827 --> 00:29:57,818
Family history
of neurological problems?
466
00:29:57,896 --> 00:30:00,228
Not that I could tell
from her underwear drawer.
467
00:30:00,298 --> 00:30:02,732
You said "nothing that would
explain these symptoms".
468
00:30:02,801 --> 00:30:05,429
What did you find that
doesn't explain these symptoms?
469
00:30:06,771 --> 00:30:10,764
Dr. Wilson convinced you to treat
this patient under false pretenses.
470
00:30:10,842 --> 00:30:12,935
Adler's not his cousin.
471
00:30:14,112 --> 00:30:16,046
That's ridiculous. Ask her yourself.
Can we get ba...
472
00:30:16,114 --> 00:30:18,605
- She's not jewish.
- Rachel Adler's not jewish?
473
00:30:18,683 --> 00:30:22,175
I had ham at her apartment.
474
00:30:22,253 --> 00:30:24,340
Dr. Foreman, a lot of
Jews have non-Jewish
475
00:30:24,353 --> 00:30:26,451
relatives, and most of
us don't keep kosher.
476
00:30:26,524 --> 00:30:28,293
I can see getting through
high school without
477
00:30:28,306 --> 00:30:30,085
learning a thing about
jews, but medical school?
478
00:30:30,161 --> 00:30:33,597
Okay, maybe she's Jewish,
but she's definitely not your cousin.
479
00:30:33,665 --> 00:30:36,031
Really? This guy is...
480
00:30:36,100 --> 00:30:39,763
You don't even know her name. You
called her Rachel. Her name is Rebecca.
481
00:30:40,905 --> 00:30:43,066
Yes. Yes, her name is Rebecca.
482
00:30:44,809 --> 00:30:47,107
I-I call her Rachel.
483
00:30:47,178 --> 00:30:49,544
You idiot! Listen, he's...
484
00:30:49,614 --> 00:30:51,605
Not you. Him.
485
00:30:51,683 --> 00:30:55,449
- You said you didn't find anything.
- Everything I found was in my...
486
00:30:55,520 --> 00:30:57,920
- You found ham.
- So?
487
00:30:57,989 --> 00:31:00,321
Where there's ham, there's pork.
488
00:31:00,391 --> 00:31:03,224
Where there's pork,
there's neurocysticercosis.
489
00:31:03,294 --> 00:31:05,819
Tapeworm? You think
she's got a worm in her brain?
490
00:31:05,897 --> 00:31:07,148
It fits. Could have been
living there for years.
491
00:31:07,161 --> 00:31:08,422
Never occurred to me that...
492
00:31:08,499 --> 00:31:10,353
Millions of people eat ham every day.
It's quite
493
00:31:10,366 --> 00:31:12,230
a leap to think that's
she's got a tapeworm.
494
00:31:12,303 --> 00:31:14,840
Okay, Mr. Neurologist,
what happens when you
495
00:31:14,853 --> 00:31:17,400
give steroids to a person
who has a tapeworm?
496
00:31:17,475 --> 00:31:21,138
They... They get a little better,
and... and then they get worse.
497
00:31:23,681 --> 00:31:26,775
Just like Rebecca Adler did.
498
00:31:36,461 --> 00:31:39,988
In a typical case,
if you don't cook pork well enough,
499
00:31:40,064 --> 00:31:43,556
you digest live tapeworm larvae.
500
00:31:43,635 --> 00:31:45,865
They've got these little hooks,
501
00:31:45,937 --> 00:31:48,269
they grab onto your bowel,
they live, they grow up, they reproduce.
502
00:31:48,339 --> 00:31:52,708
Reproduce? There's only one lesion,
and it's nowhere near her bowel.
503
00:31:52,777 --> 00:31:55,143
That's because
this is not a typical case.
504
00:31:55,213 --> 00:31:59,172
Tapeworm can produce
20,000 to 30,000 eggs a day.
505
00:31:59,250 --> 00:32:01,184
Guess where they go? Out.
506
00:32:01,252 --> 00:32:03,186
Not all of them.
507
00:32:03,254 --> 00:32:05,973
Unlike the larvae, the egg
can pass right through
508
00:32:05,986 --> 00:32:08,715
the walls of the intestines
into the bloodstream.
509
00:32:08,793 --> 00:32:11,057
And where does the bloodstream go?
Everywhere.
510
00:32:11,129 --> 00:32:15,327
As long as it's healthy, the immune system
doesn't even know it's there.
511
00:32:15,400 --> 00:32:17,954
The worm builds a wall, uses
secretions to shut down
512
00:32:17,967 --> 00:32:20,531
the body's immune response
and control fluid flow.
513
00:32:20,605 --> 00:32:23,403
It's really very beautiful.
514
00:32:23,474 --> 00:32:26,034
As long as it's healthy.
So what do we do?
515
00:32:26,110 --> 00:32:29,045
Call a vet,
nurse the little guy back to health?
516
00:32:29,113 --> 00:32:32,048
It's too late for that.
It's dying.
517
00:32:32,116 --> 00:32:36,519
And as it dies, this parasite loses
the ability to control the host's defenses.
518
00:32:36,587 --> 00:32:40,580
The immune system wakes up, attacks the
worm, and everything starts to swell.
519
00:32:40,658 --> 00:32:43,684
And that is very bad for the brain.
520
00:32:43,761 --> 00:32:46,389
It could still be
a hundred other things.
521
00:32:46,464 --> 00:32:48,659
The eosinophil count was normal.
522
00:32:48,733 --> 00:32:51,566
- It's only abnormal in 30% of cases.
- Proving nothing.
523
00:32:51,636 --> 00:32:54,190
No, no, no, no. It... Don't you see?
It fits.
524
00:32:54,203 --> 00:32:56,767
It's perfect. It
explains everything.
525
00:32:56,841 --> 00:32:59,674
- But it proves nothing.
- I can prove it by treating it.
526
00:32:59,744 --> 00:33:01,712
No, you can't.
527
00:33:01,779 --> 00:33:05,374
I was just with her.
She doesn't want any more treatments.
528
00:33:05,450 --> 00:33:08,942
She doesn't want any more experiments.
She wants to go home and die.
529
00:33:31,342 --> 00:33:33,503
Would you excuse us, please?
530
00:33:39,050 --> 00:33:40,745
I'm Dr. House.
531
00:33:40,818 --> 00:33:43,378
It's good to meet you.
532
00:33:47,392 --> 00:33:49,758
You're being an idiot.
533
00:33:54,432 --> 00:33:56,923
You have a tapeworm
in your brain.
534
00:33:58,169 --> 00:34:01,866
It's not pleasant, but if we don't do
anything, you'll be dead by the weekend.
535
00:34:01,939 --> 00:34:04,237
Have you actually seen the worm?
536
00:34:04,308 --> 00:34:07,277
When you're all better,
I'll show you my diplomas.
537
00:34:07,345 --> 00:34:10,109
You were sure
I had vasculitis too.
538
00:34:10,181 --> 00:34:13,116
Now I can't walk
and I'm wearing a diaper.
539
00:34:13,184 --> 00:34:15,209
What's this treatment
gonna do for me?
540
00:34:15,286 --> 00:34:18,687
I'm not talking about a treatment.
I'm talking about a cure.
541
00:34:18,756 --> 00:34:21,748
But because I might be wrong,
you want to die.
542
00:34:23,194 --> 00:34:25,185
What made you a cripple?
543
00:34:29,100 --> 00:34:31,091
I had an infarction.
544
00:34:31,169 --> 00:34:33,603
A heart attack?
545
00:34:33,671 --> 00:34:36,105
It's what happens
when blood flow is obstructed.
546
00:34:36,174 --> 00:34:37,675
If it's in the heart,
it's a heart attack. If
547
00:34:37,688 --> 00:34:39,200
it's in the lungs, it's
a pulmonary embolism.
548
00:34:39,277 --> 00:34:42,212
If it's in the brain, it's a stroke.
I had it in my thigh muscles.
549
00:34:42,280 --> 00:34:44,874
Wasn't there something
they could do?
550
00:34:44,949 --> 00:34:48,112
There was plenty they could do,
if they'd made the right diagnosis.
551
00:34:48,186 --> 00:34:51,087
But the only symptom was pain.
552
00:34:52,290 --> 00:34:55,282
Not many people get to
experience muscle death.
553
00:34:55,359 --> 00:34:57,054
Did you think you were dying?
554
00:34:57,128 --> 00:34:59,722
I hoped I was dying.
555
00:35:00,865 --> 00:35:03,800
So you hide in your office,
refuse to see patients...
556
00:35:03,868 --> 00:35:07,497
because you don't like
the way people look at you.
557
00:35:07,572 --> 00:35:11,770
You feel cheated by life, so now
you're gonna get even with the world.
558
00:35:11,843 --> 00:35:14,778
But you want me to fight this.
559
00:35:14,846 --> 00:35:16,780
Why?
560
00:35:16,848 --> 00:35:19,817
What makes you think
I'm so much better than you?
561
00:35:19,884 --> 00:35:22,978
What, you're scared
you'll turn into me?
562
00:35:23,054 --> 00:35:26,319
I just want to die
with a little dignity.
563
00:35:26,390 --> 00:35:28,688
There's no such thing.
564
00:35:28,759 --> 00:35:30,380
Our bodies break down.
Sometimes when we're 90.
565
00:35:30,393 --> 00:35:32,024
Sometimes before
we're even born.
566
00:35:32,096 --> 00:35:35,031
But it always happens,
and there's never any dignity in it.
567
00:35:35,099 --> 00:35:37,539
I don't care if you can walk,
see, wipe your own ass.
568
00:35:37,552 --> 00:35:40,002
It's always ugly. Always.
569
00:35:44,041 --> 00:35:47,033
We can live with dignity.
We can't die with it.
570
00:36:04,862 --> 00:36:06,853
No treatment.
571
00:36:07,865 --> 00:36:11,198
Maybe we can get a court order,
uh, override her wishes,
572
00:36:11,269 --> 00:36:14,204
claim she doesn't have the capacity
to make this decision.
573
00:36:14,272 --> 00:36:16,206
But she does.
574
00:36:16,274 --> 00:36:19,209
But we could claim that the illness
made her mentally incompetent, right?
575
00:36:19,277 --> 00:36:21,711
A pretty common result.
That didn't happen here.
576
00:36:21,779 --> 00:36:25,545
He's not gonna do it.
She's not just a file to him anymore.
577
00:36:25,616 --> 00:36:27,550
He respects her.
578
00:36:27,618 --> 00:36:30,314
So because you respect her,
you're going to let her die?
579
00:36:32,256 --> 00:36:35,089
I solved the case.
My work is done.
580
00:36:37,361 --> 00:36:39,226
Patients always want proof.
581
00:36:39,297 --> 00:36:41,492
We're not making cars here.
582
00:36:41,566 --> 00:36:43,932
We don't give guarantees.
583
00:36:45,603 --> 00:36:47,594
I think we can prove it's a worm.
584
00:36:49,173 --> 00:36:51,641
It's noninvasive. It's safe.
585
00:36:51,709 --> 00:36:53,279
I'm not completely sure, but...
Yeah, yeah, yeah.
586
00:36:53,292 --> 00:36:54,872
What's the damn idea?
587
00:36:54,946 --> 00:36:57,380
Have you ever seen a worm
under an X-ray?
588
00:36:57,448 --> 00:37:00,383
A regular, old, no-contrast,
hundred-year-old-technology X-ray?
589
00:37:00,451 --> 00:37:04,581
They light up like shotgun pellets,
just like on a contrast M.R.I.
590
00:37:04,655 --> 00:37:07,954
Which is the same thing as a CT scan,
which we did, which proved nothing.
591
00:37:08,025 --> 00:37:10,960
The worm's cyst is the same density
as the cerebrospinal fluid.
592
00:37:11,028 --> 00:37:13,588
We're not gonna see anything
in her head.
593
00:37:13,664 --> 00:37:17,122
But Chase is right. He's right.
We should X-ray her.
594
00:37:17,201 --> 00:37:20,136
But we don't X-ray her brain.
We X-ray her leg.
595
00:37:20,204 --> 00:37:22,524
Worms love thigh muscle.
If she's got one in her
596
00:37:22,537 --> 00:37:24,868
head, I guarantee you
there's one in her leg.
597
00:37:38,322 --> 00:37:40,222
Hold still, Rebecca.
598
00:37:48,866 --> 00:37:51,232
This here...
599
00:37:51,302 --> 00:37:53,236
is a worm larva.
600
00:37:53,304 --> 00:37:55,898
So, if it's in my leg,
it's in my brain?
601
00:37:55,973 --> 00:37:59,238
Are you looking for a guarantee?
602
00:37:59,310 --> 00:38:01,835
It's there.
Probably been there six to 10 years.
603
00:38:01,912 --> 00:38:05,177
- Do I have more?
- Probably.
604
00:38:06,651 --> 00:38:08,676
It's good news.
605
00:38:08,753 --> 00:38:11,745
- What do we do now?
- Now we get you better.
606
00:38:14,158 --> 00:38:16,149
Albendazole.
607
00:38:17,928 --> 00:38:20,083
Two pills?
608
00:38:20,096 --> 00:38:22,262
Yeah. Every day, for at
least a month, with a meal.
609
00:38:22,333 --> 00:38:24,893
- Two pills?
- Yeah.
610
00:38:24,969 --> 00:38:27,608
Possible side effects
include abdominal pain,
611
00:38:27,621 --> 00:38:30,271
nausea, headaches,
dizziness, fever...
612
00:38:30,341 --> 00:38:32,275
and hair loss.
613
00:38:32,343 --> 00:38:35,544
We'll probably make you keep taking the
pills even if you get every one of those.
614
00:38:54,565 --> 00:38:56,795
Why did you hire me?
615
00:38:57,802 --> 00:38:59,172
Does it matter?
616
00:38:59,185 --> 00:39:00,566
Kinda hard to work for a
guy who doesn't respect you.
617
00:39:00,638 --> 00:39:02,663
- Why?
- Is that rhetorical?
618
00:39:02,740 --> 00:39:05,334
No. It just seems that way
'cause you can't think of an answer.
619
00:39:07,078 --> 00:39:09,342
Does it make a difference
what I think?
620
00:39:09,413 --> 00:39:14,407
I'm a jerk. The only thing that matters
is what you think. Can you do the job?
621
00:39:14,485 --> 00:39:17,784
You hired a black guy because
he had a juvenile record. No.
622
00:39:17,855 --> 00:39:19,789
It wasn't a racial thing.
623
00:39:19,857 --> 00:39:21,791
I didn't see a black guy.
624
00:39:21,859 --> 00:39:24,020
I just saw a doctor...
625
00:39:24,095 --> 00:39:26,029
with a juvenile record.
626
00:39:26,097 --> 00:39:29,032
I hired Chase
'cause his dad made a phone call.
627
00:39:29,100 --> 00:39:31,227
I hired you...
628
00:39:31,302 --> 00:39:33,429
because you are extremely pretty.
629
00:39:33,504 --> 00:39:38,441
You hired me to get into my pants? I
can't believe that that would shock you.
630
00:39:38,509 --> 00:39:40,443
It's also not what I said.
631
00:39:40,511 --> 00:39:42,706
No, I hired you
because you look good.
632
00:39:42,780 --> 00:39:45,271
It's like having a nice piece of art
in the lobby.
633
00:39:45,349 --> 00:39:47,783
- I was in the top of my class.
- But not the top.
634
00:39:47,852 --> 00:39:51,344
I did an internship at the Mayo Clinic.
Yeah. You were a very good applicant.
635
00:39:51,422 --> 00:39:54,357
But not the best. Would
that upset you? Really?
636
00:39:54,425 --> 00:39:56,598
To think that you were hired
because of some genetic gift
637
00:39:56,611 --> 00:39:58,794
of beauty instead of some
genetic gift of intelligence?
638
00:39:58,863 --> 00:40:01,297
I worked very hard
to get where I am.
639
00:40:01,365 --> 00:40:03,299
But you didn't have to.
640
00:40:03,367 --> 00:40:05,454
People choose the paths
that gain them the
641
00:40:05,467 --> 00:40:07,565
greatest rewards for the
least amount of effort.
642
00:40:07,638 --> 00:40:11,438
That's a law of nature, and you defied it.
That's why I hired you.
643
00:40:11,509 --> 00:40:14,444
You could have married rich.
You could have been a model.
644
00:40:14,512 --> 00:40:18,039
You could have just shown up and people
would have given you stuff. Lots of stuff.
645
00:40:18,115 --> 00:40:21,482
But you didn't.
You worked your stunning little ass off.
646
00:40:21,552 --> 00:40:23,986
Am I supposed to be flattered?
647
00:40:24,054 --> 00:40:26,488
Gorgeous women
do not go to medical school...
648
00:40:26,557 --> 00:40:29,549
unless they're as damaged
as they are beautiful.
649
00:40:29,627 --> 00:40:31,561
Were you abused
by a family member?
650
00:40:31,629 --> 00:40:33,426
- No.
- Sexually assaulted?
651
00:40:33,497 --> 00:40:35,624
No!
652
00:40:35,699 --> 00:40:37,564
But you are damaged, aren't you?
653
00:40:41,405 --> 00:40:45,171
I have to go.
654
00:40:49,313 --> 00:40:51,008
I followed her.
655
00:40:51,081 --> 00:40:53,271
Oh.
656
00:40:53,284 --> 00:40:55,484
I couldn't stop thinking
about what that doctor said.
657
00:40:55,553 --> 00:40:56,838
I told you not to listen to him.
He's an idiot.
658
00:40:56,851 --> 00:40:58,147
I was orange!
659
00:40:59,390 --> 00:41:02,791
- I don't want to know what you found out.
- You don't care?
660
00:41:02,860 --> 00:41:04,794
I'm your doctor.
661
00:41:04,862 --> 00:41:07,797
You've been good to me and good to
this hospital. Of course I care.
662
00:41:07,865 --> 00:41:11,323
But I don't see how this conversation
can end well for me.
663
00:41:11,402 --> 00:41:14,667
Either your wife is having an affair,
or she's not having an affair,
664
00:41:14,738 --> 00:41:17,673
and you have come here because you
rightly think I should fire him.
665
00:41:17,741 --> 00:41:21,802
But I can't.
Even if it costs me your money.
666
00:41:21,879 --> 00:41:25,212
The son of a bitch
is the best doctor we have.
667
00:41:30,788 --> 00:41:32,722
Feeling any better?
668
00:41:32,790 --> 00:41:34,724
I can't complain.
669
00:41:34,792 --> 00:41:37,124
As you know,
the hospital has certain rules.
670
00:41:37,194 --> 00:41:41,062
And as you also know,
we tend to ignore them.
671
00:41:41,131 --> 00:41:43,565
But I think this one's gonna be
a little obvious unless we get your help.
672
00:41:43,634 --> 00:41:47,001
If anyone asks,
you have 11 daughters and five sons.
673
00:41:47,071 --> 00:41:50,802
Hi! Look who's here!
674
00:41:50,875 --> 00:41:54,709
It's so good to see you guys.
I missed you.
675
00:41:55,479 --> 00:41:57,379
Is this for me?
676
00:41:57,448 --> 00:41:59,507
It's beautiful.
677
00:42:01,919 --> 00:42:04,649
Oh, I love you guys.
678
00:42:04,722 --> 00:42:07,691
I wanted to thank Dr. House,
but he never visited again.
679
00:42:07,758 --> 00:42:10,090
He cured you.
You didn't cure him.
680
00:42:11,228 --> 00:42:16,256
Okay, I want a hug and a kiss from every
single one of you! Get up here right now!
681
00:42:18,302 --> 00:42:21,237
- There.
- Hold on.
682
00:42:21,305 --> 00:42:23,535
She's converted.
683
00:42:25,609 --> 00:42:28,237
You said she was your cousin.
684
00:42:28,312 --> 00:42:30,246
Why would you lie?
685
00:42:30,314 --> 00:42:33,112
It got you to take the case.
686
00:42:34,118 --> 00:42:37,952
You lied to a friend to save a stranger.
You don't think that's kind of screwed up?
687
00:42:38,022 --> 00:42:39,785
You've never lied to me?
688
00:42:39,857 --> 00:42:42,382
I never lie.
689
00:42:42,459 --> 00:42:45,019
Oh. Right.
690
00:42:46,330 --> 00:42:49,026
- Why do we do this?
- Because we're doctors.
691
00:42:49,099 --> 00:42:51,431
If we make mistakes, people die.
692
00:42:53,470 --> 00:42:56,098
Dr. House?
693
00:42:56,173 --> 00:42:58,198
You have a patient.
694
00:43:02,713 --> 00:43:06,046
He says he needs a refill.
695
00:43:09,186 --> 00:43:11,211
Got change for a dollar?
696
00:43:55,265 --> 00:43:56,745
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