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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:05,423 --> 00:00:07,592 Man: Cat got your tongue? 2 00:00:07,717 --> 00:00:10,595 No. You killed the cat. Cut off his head. 3 00:00:10,720 --> 00:00:12,889 Nurse: Need to take a look at this. 4 00:00:13,014 --> 00:00:15,725 Mom? Mom. 5 00:00:16,058 --> 00:00:17,852 Mom, it's okay. 6 00:00:20,354 --> 00:00:21,731 Just a couple of questions 7 00:00:21,856 --> 00:00:24,734 before I can authorize extending her disability benefits. 8 00:00:24,859 --> 00:00:27,403 I don't like her. She's fat. 9 00:00:29,197 --> 00:00:31,157 I could lose a little weight. 10 00:00:38,831 --> 00:00:40,124 You all right? 11 00:00:40,791 --> 00:00:44,879 - Actually, before she signs... - I killed the cat. Lots of blood. 12 00:00:46,964 --> 00:00:48,007 It's okay. 13 00:00:48,132 --> 00:00:52,094 I have a couple of questions about some of these dates. 14 00:00:52,220 --> 00:00:54,764 - The first diagnosis... - Schizophrenia. 15 00:00:55,139 --> 00:00:58,309 Dr. Walters, may 11, last year. The letter's in the medical file. 16 00:00:58,434 --> 00:01:01,395 And April 6, that was the last day she worked? 17 00:01:01,520 --> 00:01:04,315 But she received unemployment benefits for that week. 18 00:01:04,440 --> 00:01:07,944 We fixed that. I know we did. We returned the money. 19 00:01:12,615 --> 00:01:16,619 That's the canceled check. Not the real one, you know. It's a copy. 20 00:01:17,036 --> 00:01:20,998 - And you're the dependent? - No. That's my little brother. 21 00:01:21,123 --> 00:01:23,417 I'm 18. Just helping out. 22 00:01:28,923 --> 00:01:32,760 You're all set. Just need a signature. 23 00:01:32,885 --> 00:01:35,429 Man: Hey. I'm talking to you. 24 00:01:35,554 --> 00:01:38,641 The cat's first. Now it's your turn, Lucy. 25 00:01:38,766 --> 00:01:41,686 Shut up. Shut up, shut up. 26 00:01:42,895 --> 00:01:46,107 It's okay. She just... She just needs a little water, is all. 27 00:01:46,524 --> 00:01:48,401 I'll go get it. 28 00:01:52,738 --> 00:01:56,242 Just hold on, okay? Just... When she comes back, sign it, 29 00:01:56,367 --> 00:01:59,578 and we're gonna be done. We need this, okay? Please. 30 00:02:02,832 --> 00:02:06,210 - Okay. - The voices... 31 00:02:06,502 --> 00:02:08,504 The voices aren't real. 32 00:02:15,011 --> 00:02:16,011 What? 33 00:02:26,439 --> 00:02:28,524 Mom? Mom. 34 00:02:29,233 --> 00:02:31,610 Mom? Mom. Mom. 35 00:03:04,852 --> 00:03:06,604 Man on radio: 38-year-old Caucasian woman. 36 00:03:06,729 --> 00:03:08,898 Status, post-respiratory arrest in the field. 37 00:03:09,023 --> 00:03:11,108 Intubated, oxygenating poorly. 38 00:03:18,491 --> 00:03:19,784 Woman on pa: Dr. Gregory house, 39 00:03:19,909 --> 00:03:24,246 please call Dr. Cuddy at extension 3731. 40 00:03:26,457 --> 00:03:28,209 This is a good hospital? 41 00:03:29,585 --> 00:03:34,256 Depends what you mean by "good". I like these chairs. 42 00:03:36,509 --> 00:03:38,552 - How is she? - Stable. Okay. 43 00:03:38,677 --> 00:03:40,763 Your mom had a small pulmonary embolism, 44 00:03:40,888 --> 00:03:44,016 a blood clot that got stuck in her lungs, blocked the oxygen. 45 00:03:44,141 --> 00:03:47,395 - But the pain started in her leg. - Where the clot started, her calf. 46 00:03:47,520 --> 00:03:50,815 It's called a deep vein thrombosis. Basically, a bigger clot. 47 00:03:50,940 --> 00:03:53,067 It never hurt there before. I would have noticed. 48 00:03:53,192 --> 00:03:54,527 A piece went up the vein, 49 00:03:54,652 --> 00:03:56,695 and blocked the blood flow to her lungs. 50 00:03:56,821 --> 00:03:59,448 - No blood flow, no oxygen. - Okay. 51 00:03:59,573 --> 00:04:02,094 Is your dad here? I have some things I need to talk to him about. 52 00:04:02,118 --> 00:04:04,620 My dad's running a little late. 53 00:04:06,205 --> 00:04:08,416 He's dead. Just talk to me. I take care of her. 54 00:04:08,541 --> 00:04:10,042 All right. 55 00:04:10,167 --> 00:04:13,379 Your mom's blood alcohol was 0.12, 10:30 in the morning. 56 00:04:13,504 --> 00:04:16,382 I gave it to her. Two ounces of vodka. It cools her out. 57 00:04:16,507 --> 00:04:19,427 But that's the first since Monday. That was three days ago. 58 00:04:19,552 --> 00:04:21,762 I've been real careful. 59 00:04:25,683 --> 00:04:27,726 - She hears voices. - She's schizophrenic. 60 00:04:27,852 --> 00:04:30,312 That explains the dvt. The alcohol makes her pass out. 61 00:04:30,438 --> 00:04:31,998 She's immobile for long periods of time. 62 00:04:32,022 --> 00:04:33,774 That doesn't happen. She's not an alcoholic. 63 00:04:33,899 --> 00:04:36,068 She only drinks when you give it to her? 64 00:04:36,193 --> 00:04:38,154 We put her on blood thinners. 65 00:04:38,279 --> 00:04:41,115 It's not the alcohol. It's gotta be something else. 66 00:04:41,240 --> 00:04:44,702 Of course it's the alcohol. 67 00:04:45,744 --> 00:04:47,455 Hello. 68 00:04:48,372 --> 00:04:51,083 This guy's a professional doctor. 69 00:04:51,208 --> 00:04:54,086 Plays golf and everything, I bet. 70 00:04:54,211 --> 00:04:56,881 He's not gonna tell you your mom's an alcoholic without proof. 71 00:04:57,006 --> 00:04:59,216 I'm sure he scoped for varices, checked her esophagus, 72 00:04:59,341 --> 00:05:01,010 ran all kinds of blood tests. 73 00:05:01,135 --> 00:05:04,221 Doctors like this, they don't make assumptions. They do the work. 74 00:05:04,346 --> 00:05:07,308 I'd be happy to refer you the case, Dr. House. You seem so interested. 75 00:05:07,433 --> 00:05:10,394 What case? It's over. You're sending her home. 76 00:05:10,519 --> 00:05:12,271 - How old is she? - You're a doctor? 77 00:05:12,396 --> 00:05:14,148 Own my own stethoscope. 78 00:05:14,273 --> 00:05:17,818 Did I ask you how old she was? I forget. 79 00:05:18,068 --> 00:05:20,988 A 38-year-old woman with no previous symptoms or history 80 00:05:21,113 --> 00:05:23,741 presents with deep vein thrombosis. How did she get it? 81 00:05:23,866 --> 00:05:26,911 Oral contraceptives, smoking, diabetes, obesity. 82 00:05:27,036 --> 00:05:28,162 What's the point here? 83 00:05:28,287 --> 00:05:33,042 A dvt is a dvt. Put her on iv heparin to prevent future clots. 84 00:05:33,167 --> 00:05:35,628 Fine. You're all sleepy. You need a clue. 85 00:05:36,337 --> 00:05:38,881 She's 38 years old. 86 00:05:39,089 --> 00:05:42,009 She's 20 years too young to get a deep vein thrombosis. 87 00:05:42,134 --> 00:05:43,886 I treated a 12-year-old girl once, 88 00:05:44,011 --> 00:05:45,691 a soccer player. She got kicked in the leg. 89 00:05:45,763 --> 00:05:47,824 House: There was no trauma. None of the risk factors. 90 00:05:47,848 --> 00:05:50,518 - You took a history? - I have some notes. 91 00:05:50,643 --> 00:05:52,520 They're not mine, but reliable, I think, 92 00:05:52,645 --> 00:05:54,438 for the purposes of this discussion. 93 00:05:54,563 --> 00:05:57,775 As for the immobility, well, she's real active right now, of course. 94 00:05:57,900 --> 00:05:59,944 - Paranoia keeps her limber. - Paranoia? 95 00:06:00,069 --> 00:06:02,029 Oh, yeah. She's schizophrenic. 96 00:06:02,154 --> 00:06:04,949 And her kid wrote this, so it might be a little biased. 97 00:06:05,074 --> 00:06:08,452 You know, having to take care of his nutso mom and all. 98 00:06:08,577 --> 00:06:10,829 You think there's a connection? 99 00:06:10,955 --> 00:06:13,666 Do we include schizophrenia in the differential for dvt? 100 00:06:13,791 --> 00:06:15,543 - Well... - The answer is no. 101 00:06:15,960 --> 00:06:19,588 Abnormal dopaminergic pathways in the brain do not cause blood clots. 102 00:06:19,713 --> 00:06:22,174 Schizophrenia is not the cause of dvt. 103 00:06:22,299 --> 00:06:25,019 On the other hand, we don't really know anything about schizophrenia, 104 00:06:25,094 --> 00:06:27,572 - so maybe it is connected. - Schizophrenia explains one mystery, 105 00:06:27,596 --> 00:06:29,916 why you're so fascinated by a woman with a bump in her leg. 106 00:06:29,974 --> 00:06:31,854 It's like Picasso deciding to whitewash a fence. 107 00:06:31,934 --> 00:06:34,144 Thanks. I'm more of a Leroy neiman man. 108 00:06:34,270 --> 00:06:37,356 And it is only about the dvt. She's 38 years old. She shouldn't... 109 00:06:37,481 --> 00:06:39,376 Solve this one, and you're on your way to Stockholm. 110 00:06:39,400 --> 00:06:43,404 We don't even know how to treat it. Come on. Fumigation of the vagina? 111 00:06:43,529 --> 00:06:44,947 I don't think everyone heard you. 112 00:06:45,072 --> 00:06:48,158 Two thousand years ago, that's how galen treated schizophrenics. 113 00:06:48,284 --> 00:06:50,887 - The Marcus welby of ancient Greece. - Oh. Clearly you're not interested. 114 00:06:50,911 --> 00:06:54,456 I'm interested in how voices in the head could be caused 115 00:06:54,582 --> 00:06:56,851 - by mal-position of the uterus. - There's a better place for it? 116 00:06:56,875 --> 00:06:59,795 What do we got? We've got lobotomies, rubber rooms, electric shocks. 117 00:06:59,920 --> 00:07:02,590 - My, that galen was so primitive. - Where are you going? 118 00:07:02,715 --> 00:07:04,133 Going to see the patient. 119 00:07:04,258 --> 00:07:07,052 That all-important human connection. Thought I'd give it a whirl. 120 00:07:07,177 --> 00:07:08,929 You won't talk to patients because they lie, 121 00:07:09,054 --> 00:07:11,074 but give you a patient with no concept of reality... 122 00:07:11,098 --> 00:07:14,518 If it wasn't for socrates, that raving, untreated schizophrenic, 123 00:07:14,643 --> 00:07:17,080 we wouldn't have the socratic method, the best way of teaching everything, 124 00:07:17,104 --> 00:07:19,273 apart from juggling chain saws. 125 00:07:19,398 --> 00:07:21,501 Without Isaac Newton, we'd be floating on the ceiling. 126 00:07:21,525 --> 00:07:22,776 Dodging chain saws, no doubt. 127 00:07:22,901 --> 00:07:26,280 And that guitar player in that English band. He was great. 128 00:07:26,405 --> 00:07:29,283 You think I'm interested because of the schizophrenia. 129 00:07:29,408 --> 00:07:31,035 Yeah, I'm pretty sure. 130 00:07:31,160 --> 00:07:33,412 Galen was pretty sure about the fumigation thing. 131 00:07:36,749 --> 00:07:38,500 Pink Floyd. 132 00:07:42,379 --> 00:07:47,051 - Mom, this is doctor... - Gregory house. Nice to meet you. 133 00:07:47,176 --> 00:07:51,013 Would it be all right if we spoke alone for a while? 134 00:07:51,138 --> 00:07:52,640 Well, you're gonna need me to... 135 00:07:52,765 --> 00:07:55,059 I've got your case notes, doctor. 136 00:07:55,934 --> 00:07:57,686 There's a cafeteria downstairs. 137 00:07:57,811 --> 00:08:00,040 Get yourself whatever you want, as long as there's enough 138 00:08:00,064 --> 00:08:03,442 left over for a Reuben sandwich, dry, no fries, hold the pickles. 139 00:08:03,567 --> 00:08:06,111 Should run you about 5.80 with tax. 140 00:08:10,616 --> 00:08:12,951 I'll page you when we're done. 141 00:08:16,163 --> 00:08:19,917 No... pickles. 142 00:08:26,006 --> 00:08:27,758 Nice kid. 143 00:08:29,426 --> 00:08:31,929 How much do you really drink? 144 00:08:38,560 --> 00:08:41,271 He's really talking to a patient? 145 00:08:41,939 --> 00:08:43,899 I don't know who I am anymore. 146 00:08:44,024 --> 00:08:46,902 It's a blood clot. What's so fascinating about that? 147 00:08:47,027 --> 00:08:50,781 He likes crazy people. He likes the way they think. 148 00:08:50,906 --> 00:08:54,743 They think badly. That's the definition of crazy. 149 00:08:54,868 --> 00:08:59,039 - Why would he like... - They're not boring. He likes that. 150 00:09:03,210 --> 00:09:07,256 - And the meds? - Baseball. I like baseball. 151 00:09:09,133 --> 00:09:11,719 - Very nice. - Very sad. 152 00:09:13,053 --> 00:09:15,973 My boy and me, we went to see a game. 153 00:09:16,765 --> 00:09:20,144 Not "mets". Meds. Medicine. 154 00:09:24,148 --> 00:09:26,817 You take what he tells you to take. 155 00:09:31,238 --> 00:09:33,282 No one believes me. 156 00:09:35,033 --> 00:09:36,243 I do. 157 00:09:43,917 --> 00:09:46,378 I thought he liked rationality. 158 00:09:46,503 --> 00:09:49,506 - He likes puzzles. - Patients are puzzles? 159 00:09:49,631 --> 00:09:52,342 - You don't think so? - I think they're people. 160 00:09:52,468 --> 00:09:57,765 Yeah. Well, he hates them, and he's fascinated by them. 161 00:10:00,184 --> 00:10:02,770 Tell me you can't relate to that sentiment. 162 00:10:07,691 --> 00:10:11,069 - You told Luke it never hurt before. - Just rough. 163 00:10:11,195 --> 00:10:13,030 They didn't hurt. 164 00:10:14,239 --> 00:10:15,699 Didn't? 165 00:10:17,326 --> 00:10:19,495 Don't lie to him, limpy. 166 00:10:19,620 --> 00:10:23,999 Lively Lucy never lies to Lucas. Look what I do to him. 167 00:10:26,126 --> 00:10:29,755 Woman on pa: Radiation therapist to oncology. 168 00:10:29,880 --> 00:10:31,965 Learn anything from the "human connection"? 169 00:10:32,090 --> 00:10:34,051 Yeah. The mets suck. 170 00:10:34,176 --> 00:10:37,221 Also, for the last two months, she hasn't shaved her legs. 171 00:10:37,346 --> 00:10:39,181 Because of the tremors, she cuts herself. 172 00:10:39,306 --> 00:10:41,475 The tremors aren't new. She must always cut herself. 173 00:10:41,600 --> 00:10:43,769 Exactly. Something changed in the last two months. 174 00:10:43,894 --> 00:10:45,914 I'm thinking the amount of blood when she cut herself. 175 00:10:45,938 --> 00:10:47,898 So let's start with some blood work. 176 00:10:48,023 --> 00:10:52,236 Collect and send for clotting studies, pt, ptt, factor five, protein c and s. 177 00:10:52,361 --> 00:10:55,239 - The whole shebang. - Good luck. 178 00:10:55,614 --> 00:10:57,366 No pickles, and it's cold now. 179 00:10:57,491 --> 00:11:00,494 - That's the way he likes a Reuben. - Everyone, this is Luke. 180 00:11:00,619 --> 00:11:02,496 Allison Cameron. It's nice to finally meet you. 181 00:11:02,621 --> 00:11:03,621 Save it. We're busy. 182 00:11:03,705 --> 00:11:07,417 Luke, give us another half hour with your mom. We need to do some tests. 183 00:11:11,380 --> 00:11:13,173 Nice kid. 184 00:11:13,298 --> 00:11:14,418 Take her off the psych meds. 185 00:11:14,508 --> 00:11:16,402 That way we'll know what's what on the physical side. 186 00:11:16,426 --> 00:11:19,721 And who knows, we might get more out of her. 187 00:11:23,684 --> 00:11:26,019 Don't worry. No pickles. 188 00:11:27,229 --> 00:11:29,398 Happy birthday. 189 00:11:30,065 --> 00:11:32,484 Okay. Whose? 190 00:11:32,609 --> 00:11:36,947 I was going through your mail, and it was on a form. Happy birthday. 191 00:11:52,045 --> 00:11:55,716 - No. No blood. Not mine. - For the test. Dr. House told us... 192 00:11:55,841 --> 00:12:00,220 You're gonna steal it. Sell it. No. No blood. 193 00:12:00,345 --> 00:12:04,391 No. No blood. No. No blood. 194 00:12:04,516 --> 00:12:08,645 - Haldol, five milligrams, stat. - No. No. No. 195 00:12:09,354 --> 00:12:11,815 No. No. 196 00:12:12,649 --> 00:12:15,611 No. No. Oh, no. 197 00:12:17,404 --> 00:12:20,240 No. No. 198 00:12:32,169 --> 00:12:33,462 House: Well, good news. 199 00:12:33,587 --> 00:12:36,632 The lab says it's not strep, so we're done. 200 00:12:36,757 --> 00:12:39,301 - Wait a second. - No, really, not strep. 201 00:12:39,426 --> 00:12:40,594 The boys in the lab, sure, 202 00:12:40,719 --> 00:12:42,655 they're hard drinkers, but they're pros, you know. 203 00:12:42,679 --> 00:12:44,616 Plus, your kid has none of the symptoms for strep. 204 00:12:44,640 --> 00:12:47,976 It was quicker running the test than arguing with you. My point is, go. 205 00:12:48,101 --> 00:12:50,354 I just wanted to ask your opinion, doctor. 206 00:12:50,479 --> 00:12:51,998 She's having a birthday party next week, 207 00:12:52,022 --> 00:12:53,982 and she's upset that I'm getting a sugarless cake. 208 00:12:54,066 --> 00:12:56,777 - The other kids hate it. - This is why you're here. 209 00:12:56,902 --> 00:12:59,237 Sugar is the leading cause of obesity in america. 210 00:12:59,363 --> 00:13:02,741 You want a doctor to scare her about the dangers of sugar. 211 00:13:02,866 --> 00:13:05,744 She needs to get her weight under control. 212 00:13:05,869 --> 00:13:07,996 Well, you know... 213 00:13:08,121 --> 00:13:10,499 I feel sorry for those other kids, Wendy, 214 00:13:10,624 --> 00:13:13,794 who don't have a mom who knows that sugar causes 215 00:13:13,919 --> 00:13:16,254 heart disease, appendicitis and athlete's foot. 216 00:13:16,380 --> 00:13:18,799 - That's not fair. - Oh, yes, it is. No, I get it. 217 00:13:18,924 --> 00:13:22,511 You want her to slim down so she can wear pretty clothes like yours. 218 00:13:22,636 --> 00:13:24,221 Love the bracelets. 219 00:13:24,346 --> 00:13:28,266 Hey, what about matching outfits? You could be twins. 220 00:13:28,392 --> 00:13:32,729 She can't be your daughter. It's impossible. You look way too young. 221 00:13:32,854 --> 00:13:36,608 Happy birthday. Get the kid a damned ice cream cake. 222 00:13:39,486 --> 00:13:41,279 You drugged her. 223 00:13:41,405 --> 00:13:44,074 Actually, I didn't. I've taken her off all medication. 224 00:13:44,199 --> 00:13:48,078 - Your guy foreman gave her haldol. - We needed blood for tests. 225 00:13:48,203 --> 00:13:49,803 I assume that was the only way to get it. 226 00:13:49,913 --> 00:13:50,998 He knocked her out. 227 00:13:51,123 --> 00:13:53,542 Look, I have a cane, and I know how to use it. 228 00:13:53,667 --> 00:13:55,627 I hired you. You work for me. 229 00:13:56,294 --> 00:13:59,214 Okay. Can I go now, boss? 230 00:14:02,551 --> 00:14:07,806 The haldol changes her. She says it makes her soul numb. 231 00:14:07,931 --> 00:14:10,058 Don't give it to her. 232 00:14:13,770 --> 00:14:15,397 "If there be rags enough, 233 00:14:15,522 --> 00:14:19,151 he will know her name and be well pleased remembering it." 234 00:14:22,154 --> 00:14:23,780 You okay? 235 00:14:25,198 --> 00:14:27,075 Old days. 236 00:14:29,745 --> 00:14:31,038 "For in the old days, 237 00:14:31,163 --> 00:14:34,583 though she had young men's praise and old men's blame, 238 00:14:34,708 --> 00:14:37,669 among the poor, both old and young gave her praise." 239 00:14:47,179 --> 00:14:49,556 Help. Somebody help. 240 00:14:55,020 --> 00:14:58,315 So, when I said no psych meds, 241 00:14:58,440 --> 00:15:00,567 I'm just curious, which word didn't you understand? 242 00:15:00,692 --> 00:15:04,488 The haldol had nothing to do with the bleed. You know that. 243 00:15:04,613 --> 00:15:06,406 I used it purely as a chemical restraint. 244 00:15:06,531 --> 00:15:10,118 Oh, great. Well, that's good to hear. So she won't experience any of those 245 00:15:10,243 --> 00:15:13,830 pesky little side effects you get when your motives aren't pure. 246 00:15:13,955 --> 00:15:15,582 Those side effects are so rare. 247 00:15:15,707 --> 00:15:17,959 What, passing out? Increased confusion? 248 00:15:18,085 --> 00:15:21,213 Depression? That's not gonna happen. That's not gonna screw up our diagnosis, 249 00:15:21,338 --> 00:15:23,715 'cause you just used it to restrain her. I'm so relieved. 250 00:15:23,840 --> 00:15:25,592 She spit in my face. 251 00:15:25,717 --> 00:15:27,677 House: That must have been so frightening for you. 252 00:15:27,719 --> 00:15:29,614 Foreman: What was I supposed to do, tie her down? 253 00:15:29,638 --> 00:15:33,934 House: Anything but give her drugs. That's basically my point. 254 00:15:34,059 --> 00:15:38,688 The clotting studies. Pretty fast. Did you promise to date the entire lab? 255 00:15:38,814 --> 00:15:42,651 No, I save that for emergencies. I told them she bled out two units 256 00:15:42,776 --> 00:15:44,170 and if it happened again, she'd die. 257 00:15:44,194 --> 00:15:47,072 If it had happened at home, she would have died. 258 00:15:47,197 --> 00:15:49,908 The er doc, he was gonna send her home. 259 00:15:50,951 --> 00:15:53,120 It turns out your best judgment is not good enough. 260 00:15:53,245 --> 00:15:54,830 Here's an idea. Next time, use mine. 261 00:15:54,955 --> 00:15:56,915 I think they're choosing a movie. 262 00:15:57,791 --> 00:16:02,712 - Why did the patient bleed out? - The clotting studies are normal. 263 00:16:02,838 --> 00:16:06,049 Well, cover your ears if you don't want me to spoil the ending. 264 00:16:06,174 --> 00:16:10,762 Everything was normal, except for a prolonged pt time. Which means what? 265 00:16:10,887 --> 00:16:14,015 Usually it means whoever drew the blood didn't do it right. 266 00:16:14,141 --> 00:16:16,143 Oh, that's right, 'cause you drew the blood. 267 00:16:16,268 --> 00:16:20,147 But you were precise because you knew the tube was purely for the pt study. 268 00:16:20,272 --> 00:16:21,898 - That's right. - And I'm right with you. 269 00:16:22,023 --> 00:16:24,234 I trust this result, for two reasons. 270 00:16:24,359 --> 00:16:26,820 A, because you are a good doctor, 271 00:16:26,945 --> 00:16:29,364 and b, because five milligrams of iv haldol 272 00:16:29,489 --> 00:16:32,617 makes for a spectacularly cooperative patient. 273 00:16:34,119 --> 00:16:37,289 The prolonged pt time makes me think she's got a vitamin k deficiency. 274 00:16:37,414 --> 00:16:39,517 Cameron: Vitamin k would explain the bleed, but not the clot. 275 00:16:39,541 --> 00:16:41,376 Without vitamin k, protein c doesn't work. 276 00:16:41,501 --> 00:16:43,753 Without protein c, she clots. 277 00:16:43,879 --> 00:16:46,298 Clotting and thinning all at the same time. 278 00:16:46,423 --> 00:16:48,633 What about another drug interacting with heparin, 279 00:16:48,758 --> 00:16:53,138 - an antibiotic like ampicillin? - Clever, but she's not on ampicillin. 280 00:16:53,263 --> 00:16:55,515 Two months ago, she complained of a sore throat, 281 00:16:55,640 --> 00:16:57,893 - and he got her ampicillin. - Which she refused to take. 282 00:16:58,018 --> 00:17:00,478 Cameron: He just said she didn't take it. Everybody lies 283 00:17:00,604 --> 00:17:02,248 except for schizophrenics and their children? 284 00:17:02,272 --> 00:17:05,817 It's more likely than malnourishment. Why not scurvy or the plague? 285 00:17:05,942 --> 00:17:09,321 Gee, I wish my idea was as cool and with-it as yours. 286 00:17:09,446 --> 00:17:11,281 What is yours, by the way? Do you have one? 287 00:17:11,406 --> 00:17:16,161 Alcohol. Simple. It causes immobility, which explains the dvt. 288 00:17:16,286 --> 00:17:17,579 It also causes cirrhosis, 289 00:17:17,704 --> 00:17:21,082 which explains the bleed and the prolonged pt time. 290 00:17:21,208 --> 00:17:24,336 - Let's ultrasound the liver. - House: Three theories. 291 00:17:25,128 --> 00:17:27,756 Check out her place for ampicillin and diet. 292 00:17:27,881 --> 00:17:29,758 Then ultrasound her liver. 293 00:17:29,883 --> 00:17:32,969 Let's find out who's right before she bleeds to death. 294 00:17:56,326 --> 00:17:58,286 So house says the kid is sensitive, 295 00:17:58,411 --> 00:18:00,372 thinks he takes good care of her. 296 00:18:00,497 --> 00:18:02,249 But if we don't find anything, 297 00:18:02,374 --> 00:18:05,585 why let him know we did it in the first place? What's the point? 298 00:18:05,710 --> 00:18:11,675 Why not just make old foreman lift the key from the kid's backpack? 299 00:18:25,689 --> 00:18:28,191 Looks like Luke sleeps in the living room. 300 00:18:35,657 --> 00:18:37,742 Nothing in there. 301 00:18:38,243 --> 00:18:41,788 - He lays out her clothes? - Enough organization, enough lists, 302 00:18:41,913 --> 00:18:44,207 you think you can control the uncontrollable. 303 00:18:44,332 --> 00:18:49,212 Fix her meds, fix her clothes, maybe you can even fix her. 304 00:18:49,546 --> 00:18:52,007 Pick that up on your psych rotation? 305 00:19:01,766 --> 00:19:05,687 Trifluoperazine, thorazine, clozaril. 306 00:19:05,812 --> 00:19:07,564 They tried everything. 307 00:19:08,106 --> 00:19:13,320 The ampicillin, never touched it. There goes Cameron's theory. 308 00:19:13,445 --> 00:19:16,156 Oh, god, I hope it's not a vitamin k deficiency. 309 00:19:24,581 --> 00:19:26,082 Damn. 310 00:19:26,207 --> 00:19:30,045 Foreman: Breakfast, lunch and dinner. House was right. 311 00:19:33,631 --> 00:19:36,051 - That's the only thing she'll eat. - Yeah. 312 00:19:36,176 --> 00:19:38,803 The problem is, you can't actually live on this stuff. 313 00:19:38,928 --> 00:19:40,408 I checked it out. I looked on the box. 314 00:19:40,513 --> 00:19:42,682 All the nutritional values are solid. 315 00:19:42,807 --> 00:19:44,601 There's plenty of protein and calories. 316 00:19:44,726 --> 00:19:48,646 Vitamin a and c, but no k. That's why your mom got sick. 317 00:19:51,066 --> 00:19:54,361 - So what's the plan, then? - Load her up with vitamin k. 318 00:19:54,486 --> 00:19:55,695 That's it? 319 00:19:55,820 --> 00:20:00,492 If it all checks out, you can take her home in a couple of days. 320 00:20:02,202 --> 00:20:04,913 Oh, god, you're upset about something. 321 00:20:06,289 --> 00:20:08,041 You're gonna open up to me now, aren't you? 322 00:20:08,166 --> 00:20:10,085 It's all my fault. 323 00:20:11,127 --> 00:20:12,754 Here we go. 324 00:20:13,254 --> 00:20:14,631 Okay, I'm gonna say this once. 325 00:20:14,756 --> 00:20:17,592 You have done a very good job taking care of your mother. 326 00:20:17,717 --> 00:20:19,928 If this was all she'd eat, then what else could you do? 327 00:20:20,053 --> 00:20:22,013 Gosh, just being a kid is a full-time job. 328 00:20:22,138 --> 00:20:26,184 Shut up. I'm 18. I should be able to take care of my mom. 329 00:20:26,768 --> 00:20:30,146 - I almost killed her. - Good example. 330 00:20:30,271 --> 00:20:31,564 Just the time it takes 331 00:20:31,689 --> 00:20:35,151 to express those ridiculous, self-centered teenage ideas. 332 00:20:35,276 --> 00:20:37,445 I don't envy your schedule. 333 00:20:39,781 --> 00:20:41,783 No pickles. 334 00:20:41,908 --> 00:20:46,287 - My mom doesn't like them either. - Smart woman. 335 00:20:47,455 --> 00:20:50,417 Before she got sick, I didn't like how bossy she was. 336 00:20:51,292 --> 00:20:55,046 Always telling me what to do, the right way to do it. 337 00:20:57,465 --> 00:20:59,551 Never thought I'd miss that. 338 00:21:03,847 --> 00:21:05,306 You should get that looked at. 339 00:21:05,432 --> 00:21:08,143 I still don't buy a vitamin k deficiency. 340 00:21:08,268 --> 00:21:11,646 House was right. That usually makes you happy. Less work for us. 341 00:21:11,771 --> 00:21:13,857 The kid feeds his mom a steady diet of booze, 342 00:21:13,982 --> 00:21:16,901 - and the problem is too many burgers? - The kid's in a tough situation. 343 00:21:17,026 --> 00:21:18,466 You do what you gotta do to survive. 344 00:21:18,570 --> 00:21:22,115 Feeding alcohol to an alcoholic is not a survival technique. 345 00:21:22,240 --> 00:21:25,618 - Where I come from, if it works... - Yeah, right. I'm rich. 346 00:21:25,743 --> 00:21:30,039 I couldn't possibly understand what this kid is going through. 347 00:21:30,165 --> 00:21:31,805 Just because you're drinking pricier stuff 348 00:21:31,833 --> 00:21:34,294 doesn't mean you don't have a problem. 349 00:21:34,419 --> 00:21:37,005 You've seen someone stagger down that road? 350 00:21:37,130 --> 00:21:39,674 No way vitamin k is the whole story. 351 00:21:46,181 --> 00:21:49,267 It's not broken. See this, right here? 352 00:21:49,392 --> 00:21:53,313 It's the epiphyseal plate, othewvise known as the growth plate. 353 00:21:53,438 --> 00:21:56,691 - What's wrong with it? - Amazing thing, this bone. 354 00:21:56,816 --> 00:22:00,445 If you know how to read it, it can tell you how old someone really is. 355 00:22:00,570 --> 00:22:03,239 - Exactly how old. - Great. 356 00:22:03,990 --> 00:22:08,161 Not even 15. Almost, though. 357 00:22:08,286 --> 00:22:10,955 Two weeks away. Maybe a month. 358 00:22:12,415 --> 00:22:15,752 Last week. I was 15 last week. 359 00:22:15,877 --> 00:22:18,546 Happy birthday to both of us. 360 00:22:18,922 --> 00:22:21,883 If you're gonna lie, though, go big. Go 21. 361 00:22:22,008 --> 00:22:25,762 That way you won't need your crazy mom to help you buy vodka. 362 00:22:25,887 --> 00:22:28,264 Great. Thanks for the tip. 363 00:22:29,724 --> 00:22:31,768 Now, when I bring my mom home, 364 00:22:31,893 --> 00:22:34,521 is there anything I need to know about taking care of her? 365 00:22:34,646 --> 00:22:37,273 I suppose your biggest worry isn't the booze. 366 00:22:37,398 --> 00:22:40,193 You're 15, basically no mom. 367 00:22:40,318 --> 00:22:42,320 If child welfare let kids get away with that, 368 00:22:42,445 --> 00:22:44,155 they wouldn't need those nice foster homes, 369 00:22:44,280 --> 00:22:48,243 - and that would make them sad. - They'd put her some place, too. 370 00:22:48,368 --> 00:22:51,704 - My life is working. - Not the word I'd use. 371 00:22:52,705 --> 00:22:56,543 Most 15-year-old kids are doing what they're supposed to be doing. 372 00:22:56,668 --> 00:23:00,964 - They're huffing glue, catching crabs. - If you turn me in, I'll sue you. 373 00:23:01,089 --> 00:23:03,091 That's privileged information. 374 00:23:03,216 --> 00:23:06,302 Oh, relax. It's not even your X-ray. 375 00:23:10,807 --> 00:23:14,394 - She's awfully calm. - House wrote new orders. 376 00:23:18,106 --> 00:23:21,442 There's a little bit of scarring. Not much. Not enough to... 377 00:23:21,568 --> 00:23:25,029 It's cirrhosis. But she doesn't drink. 378 00:23:25,154 --> 00:23:27,782 Congratulations. You win. 379 00:23:30,118 --> 00:23:31,911 Actually... 380 00:23:33,288 --> 00:23:37,750 - No one wins. - Tumor. Cystic? 381 00:23:38,251 --> 00:23:40,753 Cameron: Solid mass. 382 00:23:41,087 --> 00:23:42,589 Cancer. 383 00:23:44,424 --> 00:23:48,678 The vitamin k caused the dvt and aggravated the liver, 384 00:23:48,803 --> 00:23:51,222 but the tumor's the real reason for the bleed. 385 00:23:51,347 --> 00:23:53,600 The tumor's the problem. 386 00:23:53,725 --> 00:23:55,977 Mrs. Palmeiro, I'm Dr. Wilson. 387 00:23:56,102 --> 00:24:00,064 I'm afraid I have some bad news from your ultrasound. 388 00:24:00,189 --> 00:24:01,357 You have cancer. 389 00:24:36,017 --> 00:24:38,478 It's big. 5.8 centimeters. 390 00:24:38,603 --> 00:24:41,439 We do nothing, she dies from liver failure within 60 days. 391 00:24:41,564 --> 00:24:43,250 - She needs a transplant. - That's gonna happen. 392 00:24:43,274 --> 00:24:44,668 She's 38 years old. She's a mother. 393 00:24:44,692 --> 00:24:48,071 She's a schizophrenic mother with no money, on the public dole, in fact, 394 00:24:48,196 --> 00:24:50,615 who knocks back vodka every time a breeze blows her way. 395 00:24:50,740 --> 00:24:53,868 Mickey mantle had a whole bar named after him. He got a transplant. 396 00:24:53,993 --> 00:24:57,872 Yeah, well, Lucy can't switch-hit. Plan b, surgery to resect the tumor. 397 00:24:57,997 --> 00:24:59,791 Joe bergin does the gamma knife thing. 398 00:24:59,916 --> 00:25:02,251 Laser cauterizes while it cuts, saves more liver. 399 00:25:02,377 --> 00:25:04,671 The tumor's way too big. He won't even consider it. 400 00:25:04,796 --> 00:25:06,297 Not a big risk-taker, bergin. 401 00:25:06,422 --> 00:25:08,257 Won't even drink milk on its expiration date. 402 00:25:08,383 --> 00:25:13,304 He has no discretion. 5.8 centimeters is past the surgical guidelines. 403 00:25:15,223 --> 00:25:17,392 Would he do it at 4.6? 404 00:25:18,017 --> 00:25:20,497 Why don't we just say it's zero? Then we don't need him at all. 405 00:25:20,561 --> 00:25:22,689 Tumors grow, they don't shrink. 406 00:25:22,814 --> 00:25:24,565 This one does. 407 00:25:25,858 --> 00:25:28,611 Ninety-five percent ethanol. 408 00:25:28,986 --> 00:25:32,073 The ethanol dehydrates the tumor cells. 409 00:25:32,198 --> 00:25:34,909 Literally sucks them dry. 410 00:25:36,202 --> 00:25:40,456 - It shrinks the tumor temporarily. - How temporarily? 411 00:25:41,374 --> 00:25:44,127 Well, if we're lucky... 412 00:25:46,754 --> 00:25:49,966 Just long enough to fool the surgeon. 413 00:25:57,557 --> 00:26:02,854 Woman on pa: Dr. Shopius, report to psych exam. 414 00:26:03,396 --> 00:26:07,275 - Good morning, Dr. House. - Good morning, Dr. Cuddy. 415 00:26:07,525 --> 00:26:08,985 Love that outfit. 416 00:26:09,110 --> 00:26:12,155 It says, "I'm professional, but I'm still a woman". 417 00:26:12,280 --> 00:26:14,407 Actually, it sort of yells the second part. 418 00:26:14,532 --> 00:26:17,577 Yeah, and your big cane is real subtle, too. 419 00:26:17,702 --> 00:26:21,998 Gotta go. Those running noses aren't just gonna start walking on their own. 420 00:26:22,123 --> 00:26:23,583 The clinic can wait. 421 00:26:24,584 --> 00:26:27,170 How long? Maybe we could catch a movie. 422 00:26:27,295 --> 00:26:30,339 You should know by now my doctors have no secrets from me. 423 00:26:31,924 --> 00:26:35,970 I don't believe it. Who came running to mommy? 424 00:26:36,471 --> 00:26:40,558 It doesn't matter who. The point is, I know exactly what you did. 425 00:26:41,017 --> 00:26:43,102 You have no idea what I'm talking about. 426 00:26:43,227 --> 00:26:46,397 Somebody knows about a bad thing you did. 427 00:26:46,522 --> 00:26:47,815 That's a big field. 428 00:26:47,940 --> 00:26:52,278 But somebody you think might've told me. That narrows it down quite a bit. 429 00:26:52,403 --> 00:26:54,864 Someone who views me as a maternal authority figure. 430 00:26:54,989 --> 00:26:58,367 A young person, perhaps? How am I doing? Think I'm gonna get there? 431 00:26:58,493 --> 00:27:00,453 Presumably hospital business. How many patients... 432 00:27:00,495 --> 00:27:03,164 It's Cameron. She found out about my birthday. 433 00:27:03,289 --> 00:27:05,476 I thought she told you and I'd have to stand here and smile 434 00:27:05,500 --> 00:27:08,377 while you gave me a sweatshirt or a fruit basket. 435 00:27:08,503 --> 00:27:11,464 You know, made me feel that deep sense of belonging. 436 00:27:11,839 --> 00:27:15,384 Actually, I was just gonna remind you, you owe me six clinic hours this week. 437 00:27:16,052 --> 00:27:17,887 Oops. 438 00:27:24,644 --> 00:27:26,395 Hi, this is Dr. Cuddy. 439 00:27:26,521 --> 00:27:30,024 I need all the charts on Dr. House's current patients. 440 00:27:34,111 --> 00:27:36,781 - I've tried everything. - Mmmhmm. 441 00:27:36,906 --> 00:27:41,452 "Pulling the tongue, ice packs on the throat, hitting yourself, 442 00:27:41,577 --> 00:27:43,871 the groin pinch." 443 00:27:44,705 --> 00:27:48,709 Well, you've certainly covered all the normal medical bases. 444 00:27:48,835 --> 00:27:51,462 How are you hitting yourself, though? Is it... 445 00:27:51,587 --> 00:27:54,131 - Is it an open hand or a fist? - Open hand. 446 00:27:54,257 --> 00:27:59,512 Well, that's how they teach it at Harvard med. How hard, though? 447 00:28:02,014 --> 00:28:04,809 I'm sorry. I missed that. Could you do that again? 448 00:28:06,352 --> 00:28:09,272 That's... that's very good. It's hiccups. 449 00:28:09,397 --> 00:28:11,274 I need to speak with you now. 450 00:28:11,983 --> 00:28:13,734 I need to go pee-pee. 451 00:28:13,860 --> 00:28:17,113 Dial it up a notch and repeat. I'll be back. 452 00:28:28,499 --> 00:28:31,752 Girl in the boy's bathroom. Very dramatic. 453 00:28:31,878 --> 00:28:35,464 It must be very important, what she has to say to me. 454 00:28:36,549 --> 00:28:39,594 Yesterday your patient's tumor was 5.8 centimeters. 455 00:28:39,719 --> 00:28:41,804 Today it's 4.6. How does that happen? 456 00:28:41,929 --> 00:28:45,766 Well, at a guess, I'd say, "that Dr. House must be really, really good. 457 00:28:45,892 --> 00:28:49,687 Why am iwasting him on hiccups?" I wash before and after. 458 00:28:52,356 --> 00:28:55,776 You also requisitioned 20 cc's of ethanol. 459 00:28:55,902 --> 00:28:58,571 What patient was that for? Or are you planning a party? 460 00:28:58,696 --> 00:29:00,531 Do me a favor. 461 00:29:03,326 --> 00:29:06,078 I was gonna say leave, but that works. 462 00:29:06,913 --> 00:29:08,122 You shrunk the tumor. 463 00:29:08,247 --> 00:29:09,887 Only way to get the guy to do the surgery. 464 00:29:09,957 --> 00:29:12,543 Fraud was the only way? 465 00:29:13,377 --> 00:29:15,922 There is a reason that we have these guidelines. 466 00:29:16,047 --> 00:29:19,008 I know. To save lives. Specifically, doctors' lives. 467 00:29:19,133 --> 00:29:21,928 And not just their lives, but their lifestyles. 468 00:29:22,053 --> 00:29:23,930 Wouldn't want to operate on anyone really sick. 469 00:29:24,055 --> 00:29:25,514 They might die and spoil our stats. 470 00:29:25,640 --> 00:29:28,184 Bergin has a right to know what he is operating on. 471 00:29:28,309 --> 00:29:30,645 True. I got all focused on her right to live and forgot. 472 00:29:30,770 --> 00:29:33,272 You do what you think is right. 473 00:29:42,657 --> 00:29:46,160 - You really didn't know? - No, I didn't. 474 00:29:46,285 --> 00:29:48,746 And, frankly, I'm angry. 475 00:29:49,622 --> 00:29:52,833 The correct response, I guess. What are you talking about? 476 00:29:52,959 --> 00:29:55,461 - Your birthday. - Oh. 477 00:29:56,170 --> 00:29:57,922 Anger was a bad guess. 478 00:29:58,965 --> 00:30:00,925 Well, normally, I'd put on a festive hat 479 00:30:01,050 --> 00:30:04,470 and celebrate the fact that the earth has circled the sun one more time. 480 00:30:04,595 --> 00:30:06,657 I really didn't think it was gonna make it this year, 481 00:30:06,681 --> 00:30:10,559 but darn it if it wasn't the little planet that could all over again. 482 00:30:10,685 --> 00:30:14,563 It's a birthday. It's an excuse to be happy. 483 00:30:14,689 --> 00:30:17,024 You think that's lame? 484 00:30:18,109 --> 00:30:21,112 Why are you here? Did you buy me a pony? 485 00:30:22,655 --> 00:30:25,616 I'm just waiting for the surgery. 486 00:30:26,784 --> 00:30:29,495 Yeah, well, go scrub in. 487 00:30:40,339 --> 00:30:43,092 All right, we're done. Close her up. 488 00:30:48,180 --> 00:30:52,143 The tumor didn't just walk itself into a bar 489 00:30:52,268 --> 00:30:56,772 and order up a double shot of ethanol. Someone shrunk it down. 490 00:30:56,897 --> 00:30:59,525 I'm sorry. It was very, very wrong. 491 00:31:00,151 --> 00:31:03,112 House is lucky I didn't just close her up. 492 00:31:03,237 --> 00:31:05,823 He tries it again, that's what happens. 493 00:31:05,948 --> 00:31:07,700 I'll pass it on. 494 00:31:11,037 --> 00:31:12,639 Chase: It looks like the surgeon got it all, 495 00:31:12,663 --> 00:31:15,249 but she's gonna have to have some chemotherapy. 496 00:31:15,374 --> 00:31:16,959 Luke: What kind is it? 497 00:31:18,961 --> 00:31:20,796 Luke, stop writing. 498 00:31:28,262 --> 00:31:31,140 If you stop for a second, it's not all gonna fall apart. 499 00:31:31,265 --> 00:31:32,785 Give yourself a break once in a while. 500 00:31:32,850 --> 00:31:35,603 The fact is, your mom's gonna have an extra drink every now and then. 501 00:31:35,728 --> 00:31:40,024 - No. No. She won't. She doesn't. - Fine. 502 00:31:40,983 --> 00:31:44,528 There are some things you just can't fix. 503 00:31:44,695 --> 00:31:50,034 That's how you'd handle it, something like this? You'd just give up? 504 00:31:52,787 --> 00:31:55,206 I'd do it just like you. 505 00:31:57,500 --> 00:31:59,085 It's an infusion. 506 00:31:59,210 --> 00:32:01,295 She's gonna have a drain in her abdomen. 507 00:32:01,420 --> 00:32:04,298 You're going to have to check for possible infection. 508 00:32:04,423 --> 00:32:06,175 Trina: Lucas palmeiro? 509 00:32:06,300 --> 00:32:09,637 Trina Wyatt, child services, state of New Jersey. 510 00:32:09,762 --> 00:32:11,847 Can I help you? This is a private room. 511 00:32:11,972 --> 00:32:14,683 He's only 15 years old, a minor. 512 00:32:14,809 --> 00:32:18,395 He's in a tough living situation. We're just here to help. 513 00:32:18,521 --> 00:32:21,482 - I don't need your help. - 15? 514 00:32:21,607 --> 00:32:26,153 Lucas, you're gonna have to come with us right now. 515 00:32:26,278 --> 00:32:29,698 - Where are you taking him? - Until the determination is made, 516 00:32:29,824 --> 00:32:31,700 he'll be housed at children's services. 517 00:32:31,826 --> 00:32:34,662 - I don't want to be housed. - I live with my mom. 518 00:32:34,787 --> 00:32:36,956 Trina: Not for the next few days. 519 00:32:37,998 --> 00:32:41,210 Come on. Let's not make this difficult. 520 00:32:42,628 --> 00:32:43,754 Luke: Mom? 521 00:32:45,131 --> 00:32:46,632 Mom? 522 00:32:48,509 --> 00:32:50,344 I love you. 523 00:32:52,721 --> 00:32:56,851 When the mets lost, you remember? 524 00:32:57,768 --> 00:32:59,645 Yeah. 525 00:32:59,895 --> 00:33:01,981 I remember. 526 00:33:02,648 --> 00:33:04,441 I love you. 527 00:33:23,419 --> 00:33:26,231 Wilson: Cuddy didn't say anything about pushing bergin to finish the surgery? 528 00:33:26,255 --> 00:33:30,134 Not a word. Some kind of mind game. She's waiting for me to crack. 529 00:33:30,259 --> 00:33:32,303 Well, either that or she's just being nice. 530 00:33:32,428 --> 00:33:35,181 - Yeah, right. - You said you wouldn't call. 531 00:33:35,306 --> 00:33:38,350 You're a real bastard, you know. 532 00:33:41,228 --> 00:33:44,648 Yeah, I get that a lot. 533 00:33:48,903 --> 00:33:51,280 I don't think mom's crazy. 534 00:33:56,076 --> 00:34:00,748 "For in the old days, though she had young men's praise and old men's blame, 535 00:34:00,873 --> 00:34:06,128 among the poor, both old and young gave her praise." 536 00:34:12,176 --> 00:34:16,347 You called social services. It was you. 537 00:34:16,472 --> 00:34:19,141 No. No. No. 538 00:34:19,266 --> 00:34:22,228 It's okay, it's okay. I get it. 539 00:34:23,854 --> 00:34:26,565 He'll have an easier time dealing with the system. 540 00:34:26,690 --> 00:34:30,653 Sure, he won't be with his real mother, but his real mother's sick. 541 00:34:30,778 --> 00:34:33,280 Someone needs to take care of him. 542 00:34:34,531 --> 00:34:36,951 I'm not gonna live here. 543 00:34:37,076 --> 00:34:42,039 What would his future have been, taking you to chemo and back on the bus? 544 00:34:42,164 --> 00:34:45,542 And even if the cancer's in complete remission, 545 00:34:45,668 --> 00:34:48,754 he'll still have a mother who hears voices. 546 00:34:48,879 --> 00:34:51,340 Talk no more. 547 00:34:51,757 --> 00:34:53,634 Talk no more. 548 00:34:54,343 --> 00:34:57,721 "Look what I do to him, limpy." 549 00:34:58,097 --> 00:34:59,974 You said that. 550 00:35:01,350 --> 00:35:03,435 I checked the phone records. 551 00:35:04,520 --> 00:35:07,106 Only one call from this room. 552 00:35:07,231 --> 00:35:10,109 Smart, because they charge you two bucks a call. 553 00:35:10,234 --> 00:35:14,280 It was to social services, the state of New Jersey. 554 00:35:14,905 --> 00:35:18,534 You're his mother. You couldn't do it to him anymore. 555 00:35:21,495 --> 00:35:22,913 Good for you. 556 00:35:24,790 --> 00:35:27,042 Wilson: Schizophrenics can make rational decisions. 557 00:35:27,167 --> 00:35:28,752 On the small stuff, yeah. 558 00:35:28,877 --> 00:35:31,422 When to sleep, what to drink, you know. 559 00:35:31,547 --> 00:35:34,425 "No lemonade, but I'll take some hemlock if you've got it." 560 00:35:34,550 --> 00:35:35,426 Your man socrates. 561 00:35:35,551 --> 00:35:38,387 But giving up your son because it's better for him, 562 00:35:38,512 --> 00:35:41,640 it's so sane, it's so rational. 563 00:35:41,765 --> 00:35:44,268 Self-sacrifice is not a symptom of schizophrenia. 564 00:35:44,393 --> 00:35:47,354 - It excludes the diagnosis. - She's not schizophrenic? 565 00:35:47,479 --> 00:35:49,690 Look, she's 36 years old when she first presents. 566 00:35:49,815 --> 00:35:51,615 It's a little late, but within the parameters. 567 00:35:51,650 --> 00:35:54,987 The internist sends her to a shrink. One shrink sends her to the next. 568 00:35:55,112 --> 00:35:57,340 She tells them all she's not crazy. The drugs don't work. 569 00:35:57,364 --> 00:35:59,158 And why would they if she's not a head case? 570 00:35:59,283 --> 00:36:02,619 She got clearer when I took her off the psych meds. 571 00:36:03,954 --> 00:36:05,164 You think I'm crazy. 572 00:36:05,289 --> 00:36:08,876 Well, yeah, but that's not the problem. Didn't we just leave your office? 573 00:36:09,001 --> 00:36:10,794 I like to walk. 574 00:37:10,687 --> 00:37:13,649 Is that Dr. Jeffrey Walters? Hi. 575 00:37:13,774 --> 00:37:16,485 My name is Greg house. I'm a doctor... 576 00:37:17,444 --> 00:37:21,198 Oh, is that the time? Yeah. I'm sorry. My watch must have stopped. 577 00:37:21,323 --> 00:37:24,451 Listen, you treated a patient about 18 months ago, 578 00:37:24,576 --> 00:37:25,994 a woman named Lucille palmeiro. 579 00:37:26,120 --> 00:37:29,248 I wondered if you recalled running any tests... 580 00:37:30,124 --> 00:37:31,959 At all. 581 00:37:32,668 --> 00:37:35,129 Oh. How terribly foolish of me, doctor. 582 00:37:35,254 --> 00:37:36,338 Is it that late? 583 00:37:36,463 --> 00:37:41,427 Yes, I'm calling from London, you see? Must have got my times mixed up... 584 00:37:47,891 --> 00:37:51,228 I have a headache. It's my only symptom. I go to see three doctors. 585 00:37:51,353 --> 00:37:53,647 The neurologist tells me it's an aneurysm. 586 00:37:53,772 --> 00:37:55,899 The immunologist says I've got hay fever. 587 00:37:56,024 --> 00:37:57,985 The intensivist can't be bothered. 588 00:37:58,110 --> 00:38:00,737 Sends me to a shrink, who tells me that I'm punishing myself 589 00:38:00,863 --> 00:38:02,343 'cause I want to sleep with my mommy. 590 00:38:02,448 --> 00:38:04,092 Maybe you're just not getting enough sleep? 591 00:38:04,116 --> 00:38:06,285 Pick your specialist, you pick your disease. 592 00:38:06,410 --> 00:38:09,663 If it's not schizophrenia, what else presents with psych symptoms? 593 00:38:09,788 --> 00:38:11,428 - Porphyria. - The madness of king George. 594 00:38:11,498 --> 00:38:15,502 Cameron: What about that copper thing? What's it called? It's genetic. 595 00:38:15,627 --> 00:38:18,881 - The body accumulates too much copper. - Oh... 596 00:38:19,006 --> 00:38:20,716 - Wilson's disease? - Cameron: Yeah. 597 00:38:20,841 --> 00:38:23,969 Very rare. Nice. I like it. 598 00:38:24,094 --> 00:38:27,097 - If any of us did this, you'd fire us. - Well, that's funny. 599 00:38:27,222 --> 00:38:28,932 I thought I encouraged you to question. 600 00:38:29,057 --> 00:38:32,728 You're not questioning. You're hoping. You want it to be Wilson's. 601 00:38:32,853 --> 00:38:34,688 Boom. Give her a couple of drugs, she's okay. 602 00:38:34,813 --> 00:38:37,274 July 17. An appointment with a Dr. Karn. 603 00:38:37,399 --> 00:38:39,502 She didn't keep it. She never kept another appointment 604 00:38:39,526 --> 00:38:42,279 - with a shrink he made after that. - Karn is not a shrink. 605 00:38:42,404 --> 00:38:44,490 I looked him up. He's an ophthalmologist. 606 00:38:44,615 --> 00:38:46,200 Now why would she want her eyes checked? 607 00:38:46,325 --> 00:38:49,036 - Wilson's presents with cataracts. - House: Yes, it does. 608 00:38:49,161 --> 00:38:54,374 It also causes slight cirrhosis, which Dr. Chase attributed to alcohol. 609 00:38:55,000 --> 00:38:56,877 So what are we still doing here? 610 00:38:57,002 --> 00:38:58,587 House: Lucy. 611 00:38:59,880 --> 00:39:03,759 - I don't think you're crazy. - Neither do I. 612 00:39:03,884 --> 00:39:07,471 - But I'm crazy. - Come on. Let me give you a hand. 613 00:39:08,180 --> 00:39:09,723 Come on. 614 00:39:10,849 --> 00:39:12,392 That's it. 615 00:39:12,809 --> 00:39:17,856 Put your hands on the bar here and your chin in here. 616 00:39:17,981 --> 00:39:19,066 Thank you. 617 00:39:19,191 --> 00:39:20,901 You're gonna see a bright light, okay? 618 00:39:21,026 --> 00:39:23,820 Your body might be accumulating too much copper. 619 00:39:23,946 --> 00:39:27,950 If it is, this should help us see something called keyser-fleischer rings. 620 00:39:29,243 --> 00:39:32,037 Copper-colored circles around your corneas. 621 00:39:32,162 --> 00:39:33,622 Wow. 622 00:39:34,540 --> 00:39:38,043 I guess we should start treating her for Wilson's. 623 00:39:38,168 --> 00:39:40,462 That's what I'd do. 624 00:39:51,306 --> 00:39:55,185 Lucy: "I will talk no more of books for the long war, 625 00:39:55,310 --> 00:39:58,105 but walk by the dry Thorn until I have found 626 00:39:58,230 --> 00:40:00,816 some beggar sheltering from the wind, 627 00:40:00,941 --> 00:40:05,070 and there manage the talk until her name come round. 628 00:40:05,445 --> 00:40:08,323 If there be rags enough, he will know her name 629 00:40:08,448 --> 00:40:11,159 and be well pleased remembering it. 630 00:40:12,119 --> 00:40:16,748 For in the old days, though she had young men's praise and old men's blame, 631 00:40:17,207 --> 00:40:21,837 among the poor, both old and young gave her praise." 632 00:40:31,263 --> 00:40:33,765 Hi, Mrs. Palmeiro. Ready to go home? 633 00:40:34,391 --> 00:40:36,101 Almost. 634 00:40:36,602 --> 00:40:38,395 Mom? 635 00:40:49,573 --> 00:40:52,701 - How are you? - I'm good. 636 00:41:01,001 --> 00:41:03,754 Oh, you really need a haircut. 637 00:41:29,905 --> 00:41:31,323 Lucy: Dr. House. 638 00:41:32,282 --> 00:41:34,826 Luke, we're making Dr. House wait. 639 00:41:34,951 --> 00:41:37,496 That's okay. We're just here for the music. 640 00:41:37,621 --> 00:41:39,790 Luke, come on. 641 00:41:49,883 --> 00:41:53,178 - I'm being discharged. - I heard a rumor. 642 00:41:54,388 --> 00:41:56,807 Thank god I had cancer, huh? 643 00:41:58,433 --> 00:42:01,687 It's terrible having everybody think you're nuts. 644 00:42:01,812 --> 00:42:03,313 Really? 645 00:42:04,564 --> 00:42:06,608 I called to thank you. Did you get my message? 646 00:42:06,733 --> 00:42:08,485 Yes. 647 00:42:10,278 --> 00:42:12,447 You're welcome. 648 00:42:14,866 --> 00:42:18,912 I'm never thanking you. You turned me in. 649 00:42:19,037 --> 00:42:22,874 I told you we were doing okay. It was none of your business. 650 00:42:22,999 --> 00:42:25,752 Look, I don't care how you were living. 651 00:42:25,877 --> 00:42:28,255 I just wanted you out of my life. 652 00:42:30,340 --> 00:42:33,635 That's why I had Dr. Cuddy call social services. 653 00:42:49,776 --> 00:42:51,653 You okay? 654 00:42:51,820 --> 00:42:56,366 You were right. It wasn't the dvt. It was the schizophrenia. 655 00:42:56,491 --> 00:43:00,787 I know. She's not nearly as interesting anymore. 656 00:43:01,788 --> 00:43:05,792 Wilson: Isn't it your birthday around now? 51479

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