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1
00:00:46,922 --> 00:00:48,005
Why are you late?
2
00:00:48,132 --> 00:00:50,425
- You're not going to like the answer.
- I already know the answer.
3
00:00:50,551 --> 00:00:51,592
I missed the bus.
4
00:00:51,719 --> 00:00:54,262
I don't doubt it.
No bus stops near Brad's.
5
00:00:54,388 --> 00:00:57,014
You spent the night,
the alarm didn't work, or maybe it did.
6
00:00:57,141 --> 00:00:58,683
I didn't sleep with him.
7
00:00:58,809 --> 00:01:00,727
- Girl, either there's something...
- I missed the bus!
8
00:01:00,853 --> 00:01:02,019
There's something either
very wrong with you
9
00:01:02,146 --> 00:01:04,272
or there's something
very wrong with him.
10
00:01:04,398 --> 00:01:05,606
There's nothing wrong with him.
11
00:01:05,733 --> 00:01:07,442
Please tell me
you know that for a fact.
12
00:01:07,568 --> 00:01:08,818
Melanie, I gotta go.
13
00:01:08,944 --> 00:01:10,069
You're lying, aren't you?
14
00:01:10,195 --> 00:01:13,030
I wouldn't lie to you.
Good morning, guys!
15
00:01:13,157 --> 00:01:15,324
Good morning, Ms. Rebecca!
16
00:01:15,451 --> 00:01:16,784
Everybody's in their seats?
17
00:01:16,910 --> 00:01:18,035
Yes.
18
00:01:19,246 --> 00:01:20,371
Okay.
19
00:01:21,707 --> 00:01:25,168
Sydney, why don't you tell us
what you did this weekend?
20
00:01:25,377 --> 00:01:28,212
Come on, Sydney.
We know you're not shy.
21
00:01:28,338 --> 00:01:30,757
How come we always have to tell you
what we did,
22
00:01:30,883 --> 00:01:32,091
and you never tell us what you did?
23
00:01:34,011 --> 00:01:35,136
Okay.
24
00:01:35,763 --> 00:01:38,556
I had a really great weekend.
25
00:01:38,682 --> 00:01:40,349
But you can't tell Ms. Melanie, okay?
26
00:01:40,476 --> 00:01:42,143
What did you do?
27
00:01:42,644 --> 00:01:44,687
I made a new friend.
28
00:01:44,813 --> 00:01:46,856
It's so much fun to make new friends,
isn't it?
29
00:01:46,982 --> 00:01:48,608
Yeah. Yeah.
30
00:01:48,734 --> 00:01:52,069
Did you tell your mom and dad
about your new friend?
31
00:01:52,821 --> 00:01:54,405
Absolutely.
32
00:01:54,531 --> 00:01:57,700
You should never keep anything
from your parents.
33
00:01:57,826 --> 00:01:58,659
And I told mine...
34
00:02:26,772 --> 00:02:31,275
"C-A-L...
35
00:02:32,194 --> 00:02:34,779
"H-E... The."
36
00:02:34,988 --> 00:02:36,989
We know that word. "The."
37
00:03:02,808 --> 00:03:04,267
Twenty-nine-year-old female.
38
00:03:04,393 --> 00:03:05,768
First seizure one month ago.
39
00:03:05,894 --> 00:03:07,270
Lost the ability to speak.
40
00:03:07,396 --> 00:03:08,729
Babbled like a baby.
41
00:03:08,856 --> 00:03:11,065
Progressive deterioration of
mental status.
42
00:03:11,191 --> 00:03:12,108
You see that?
43
00:03:12,234 --> 00:03:14,694
They all assume that I'm a patient
because of this cane.
44
00:03:14,820 --> 00:03:16,404
So put on a white coat
like the rest of us.
45
00:03:16,530 --> 00:03:18,447
I don't want them to think
I'm a doctor.
46
00:03:18,574 --> 00:03:19,574
You see where the administration
47
00:03:19,700 --> 00:03:20,950
might have a problem
with that attitude?
48
00:03:21,076 --> 00:03:22,869
People don't want a sick doctor.
49
00:03:22,995 --> 00:03:24,036
That's fair enough.
50
00:03:24,162 --> 00:03:25,788
I don't like healthy patients.
51
00:03:25,914 --> 00:03:26,998
The 29-year-old female...
52
00:03:27,124 --> 00:03:30,001
The one who can't talk?
I like that part.
53
00:03:30,127 --> 00:03:31,878
She's my cousin.
54
00:03:32,212 --> 00:03:35,131
And your cousin doesn't like
the diagnosis.
55
00:03:35,674 --> 00:03:37,592
I wouldn't either. Brain tumor.
56
00:03:37,718 --> 00:03:39,343
She's going to die. Boring.
57
00:03:42,222 --> 00:03:43,890
No wonder you're
such a renowned diagnostician.
58
00:03:44,016 --> 00:03:46,225
You don't need to actually know
anything to figure out what's wrong.
59
00:03:46,351 --> 00:03:47,393
You're the oncologist.
60
00:03:47,519 --> 00:03:49,604
I'm just a lowly
infectious disease guy.
61
00:03:49,730 --> 00:03:51,689
Yes. Just a simple country doctor.
62
00:03:51,815 --> 00:03:53,774
Brain tumors at her age
are highly unlikely.
63
00:03:53,901 --> 00:03:54,901
She's 29.
64
00:03:55,027 --> 00:03:56,485
Whatever she's got
is highly unlikely.
65
00:03:56,612 --> 00:03:58,738
The protein markers for the three most
prevalent brain cancers
66
00:03:58,864 --> 00:03:59,864
came up negative.
67
00:03:59,990 --> 00:04:01,198
That's an HMO lab.
68
00:04:01,325 --> 00:04:03,701
Might as well have sent it to a high
school kid with a chemistry set.
69
00:04:03,827 --> 00:04:05,578
No family history.
70
00:04:05,704 --> 00:04:07,705
I thought your uncle died of cancer.
71
00:04:07,831 --> 00:04:09,582
Other side. No environmental factors.
72
00:04:09,708 --> 00:04:10,708
That you know of.
73
00:04:10,834 --> 00:04:12,501
And she's not responding
to radiation treatment.
74
00:04:12,628 --> 00:04:15,212
None of which is
even close to dispositive.
75
00:04:15,339 --> 00:04:17,798
All it does is raise one question.
76
00:04:17,925 --> 00:04:20,468
Your cousin goes to an HMO?
77
00:04:20,594 --> 00:04:21,886
Come on.
78
00:04:22,012 --> 00:04:23,804
Why leave all the fun
for the coroner?
79
00:04:23,931 --> 00:04:27,642
What's the point of putting together a
team if you're not gonna use them?
80
00:04:27,768 --> 00:04:30,853
You've got three overqualified doctors
working for you,
81
00:04:30,979 --> 00:04:32,146
getting bored.
82
00:05:34,710 --> 00:05:36,293
It's a lesion.
83
00:05:37,879 --> 00:05:39,255
And the big green thing
84
00:05:39,381 --> 00:05:41,632
in the middle of the bigger
blue thing on a map
85
00:05:41,758 --> 00:05:43,592
is an island.
86
00:05:43,719 --> 00:05:45,428
I was hoping for something
a bit more creative.
87
00:05:45,554 --> 00:05:49,598
Shouldn't we be speaking to the patient
before we start diagnosing?
88
00:05:49,725 --> 00:05:50,933
- Is she a doctor?
- No, but...
89
00:05:51,059 --> 00:05:52,727
Everybody lies.
90
00:05:52,853 --> 00:05:54,687
Dr. House doesn't like
dealing with patients.
91
00:05:54,813 --> 00:05:56,981
Isn't treating patients
why we became doctors?
92
00:05:57,107 --> 00:05:59,650
No. Treating illnesses is
why we became doctors.
93
00:05:59,776 --> 00:06:02,695
Treating patients is what makes
most doctors miserable.
94
00:06:02,821 --> 00:06:06,240
So you're trying to eliminate the
humanity from the practice of medicine?
95
00:06:06,366 --> 00:06:10,161
If we don't talk to them, they can't
lie to us, and we can't lie to them.
96
00:06:10,287 --> 00:06:12,079
Humanity's overrated.
97
00:06:12,205 --> 00:06:13,706
I don't think it's a tumor.
98
00:06:13,832 --> 00:06:15,458
First-year medical school,
if you hear hoofbeats,
99
00:06:15,584 --> 00:06:16,959
you think horses, not zebras.
100
00:06:17,085 --> 00:06:19,837
Are you in first-year medical school?
101
00:06:20,547 --> 00:06:23,382
No. First of all,
there's nothing on the CAT scan.
102
00:06:23,508 --> 00:06:24,884
Second of all, if this is a horse,
103
00:06:25,010 --> 00:06:27,970
then her kindly family doctor in
Trenton makes the obvious diagnosis,
104
00:06:28,096 --> 00:06:30,639
and it never gets near this office.
105
00:06:30,766 --> 00:06:32,016
Differential diagnosis, people.
106
00:06:32,142 --> 00:06:34,226
If it's not a tumor,
what are the suspects?
107
00:06:34,352 --> 00:06:36,312
Why couldn't she talk?
108
00:06:36,438 --> 00:06:39,315
Aneurysm, stroke
or some other ischemic syndrome.
109
00:06:39,441 --> 00:06:40,608
Get her a contrast MRI.
110
00:06:40,734 --> 00:06:42,068
Creutzfeldt-Jakob disease?
111
00:06:42,194 --> 00:06:43,235
Mad cow?
112
00:06:43,361 --> 00:06:44,320
Mad zebra.
113
00:06:44,446 --> 00:06:45,946
Wernicke's encephalopathy.
114
00:06:46,073 --> 00:06:48,115
No. Blood thiamine level was normal.
115
00:06:48,241 --> 00:06:51,452
The lab in Trenton
could have screwed up the blood tests.
116
00:06:51,578 --> 00:06:55,706
I assume it's a corollary
if people lie that people screw up.
117
00:06:55,832 --> 00:06:57,541
Redraw the blood tests
118
00:06:57,667 --> 00:07:00,002
and get her scheduled
for that contrast MRI. ASAP:
119
00:07:00,128 --> 00:07:02,630
Let's find out what kind of zebra we're
treating here.
120
00:07:14,434 --> 00:07:16,727
Radiology,
please call the page.
121
00:07:16,853 --> 00:07:18,646
Radiology, please call the page.
122
00:07:24,945 --> 00:07:27,321
I was expecting you in my office
20 minutes ago.
123
00:07:27,447 --> 00:07:28,697
Really? Well, that's odd,
124
00:07:28,824 --> 00:07:30,616
because I had no intention of being in
your office 20 minutes ago.
125
00:07:30,742 --> 00:07:32,076
You think we have nothing
to talk about?
126
00:07:32,202 --> 00:07:34,328
No. I just can't think of anything I'd
be interested in.
127
00:07:34,454 --> 00:07:35,454
I sign your paychecks.
128
00:07:35,580 --> 00:07:37,039
I have tenure.
129
00:07:39,334 --> 00:07:41,418
Are you gonna grab my cane now,
stop me from leaving?
130
00:07:41,545 --> 00:07:43,420
That would be juvenile.
131
00:07:48,468 --> 00:07:50,094
I can still fire you
if you're not doing your job.
132
00:07:50,220 --> 00:07:51,303
I'm here from 9:00 to 5:00.
133
00:07:51,429 --> 00:07:53,722
Your billings
are practically nonexistent.
134
00:07:53,849 --> 00:07:55,933
- Rough year.
- You ignore requests for consults.
135
00:07:56,059 --> 00:07:57,184
I call back. Sometimes I misdial.
136
00:07:57,310 --> 00:07:59,728
You're six years behind
on your obligations to the clinic.
137
00:07:59,855 --> 00:08:02,731
See? I was right.
This doesn't interest me.
138
00:08:02,858 --> 00:08:06,193
Six years times three weeks,
you owe me better than four months.
139
00:08:06,319 --> 00:08:08,362
It's 5:00. I'm going home.
140
00:08:09,865 --> 00:08:10,948
To what?
141
00:08:12,075 --> 00:08:13,242
Nice.
142
00:08:14,703 --> 00:08:18,831
Look, Dr. House,
the only reason why I don't fire you
143
00:08:18,957 --> 00:08:21,750
is because your reputation is still
worth something to this hospital.
144
00:08:21,877 --> 00:08:23,502
Excellent.
We have a point of agreement.
145
00:08:23,628 --> 00:08:24,712
You're not gonna fire me.
146
00:08:24,838 --> 00:08:27,464
Your reputation won't last
if you don't do your job.
147
00:08:27,591 --> 00:08:29,842
The clinic is part of your job.
148
00:08:29,968 --> 00:08:31,218
I want you to do your job.
149
00:08:31,344 --> 00:08:33,345
But, as the philosopher Jagger
once said,
150
00:08:33,471 --> 00:08:36,056
"You can't always get what you want."
151
00:08:42,898 --> 00:08:45,774
You're not my doctor.
Are you Dr. House?
152
00:08:45,901 --> 00:08:47,818
Thankfully, no. I'm Dr. Chase.
153
00:08:47,944 --> 00:08:49,945
Dr. House is the head of
Diagnostic Medicine.
154
00:08:50,071 --> 00:08:53,866
He's very busy, but he has taken
a keen interest in your case.
155
00:08:58,079 --> 00:09:00,414
We inject gadolinium
into a vein.
156
00:09:00,540 --> 00:09:02,208
It distributes itself
throughout your brain
157
00:09:02,334 --> 00:09:03,834
and acts as a contrast material
158
00:09:03,960 --> 00:09:06,420
for the magnetic resonance imager.
159
00:09:07,172 --> 00:09:09,715
Basically, whatever's in your head
lights up like a Christmas tree.
160
00:09:09,841 --> 00:09:11,300
It might make you feel
a little light-headed.
161
00:09:11,426 --> 00:09:12,426
Dr. Cameron.
162
00:09:12,552 --> 00:09:15,804
I'm sorry. I have to stop you.
There is a problem.
163
00:09:18,141 --> 00:09:19,892
You pulled my authorization!
164
00:09:20,018 --> 00:09:21,435
Yes. Why are you yelling?
165
00:09:21,561 --> 00:09:23,771
No MRIs, no imaging studies, no labs.
166
00:09:23,897 --> 00:09:25,814
You also can't make
long-distance phone calls.
167
00:09:25,941 --> 00:09:27,775
If you're going to fire me,
have the guts to face me.
168
00:09:27,901 --> 00:09:29,902
Or photocopies. You're still yelling.
169
00:09:30,028 --> 00:09:33,072
I'm angry!
You're risking a patient's life.
170
00:09:33,198 --> 00:09:34,698
I assume those are
two separate points.
171
00:09:34,824 --> 00:09:36,075
You showed me disrespect.
172
00:09:36,201 --> 00:09:38,452
You embarrassed me. And as long as
I work here, you have no legal...
173
00:09:38,578 --> 00:09:40,162
Is the yelling designed to scare me?
174
00:09:40,288 --> 00:09:43,874
Because I'm not sure what it is
I'm supposed to be scared of.
175
00:09:44,000 --> 00:09:45,417
More yelling?
176
00:09:45,543 --> 00:09:47,086
That's not scary.
177
00:09:47,212 --> 00:09:48,671
That you're going to hurt me?
That's scary.
178
00:09:48,797 --> 00:09:52,091
But I'm pretty sure I can outrun you.
179
00:09:52,634 --> 00:09:55,511
Oh, I looked into that philosopher you
quoted. Jagger.
180
00:09:55,637 --> 00:09:58,013
And you're right,
you can't always get what you want.
181
00:09:58,139 --> 00:10:02,268
But as it turns out, "If you try
sometimes, you get what you need."
182
00:10:03,687 --> 00:10:07,147
So, because you want me
to treat patients,
183
00:10:07,274 --> 00:10:09,525
you're not letting me treat patients?
184
00:10:09,651 --> 00:10:11,694
I need you to do your job.
185
00:10:20,578 --> 00:10:22,830
Do the MRI. She folded.
186
00:10:27,043 --> 00:10:28,585
I've got to do four hours a week
in this clinic
187
00:10:28,712 --> 00:10:31,588
until I make up the time I've missed.
188
00:10:32,132 --> 00:10:36,135
2054. I'll be caught up in 2054.
189
00:10:37,262 --> 00:10:39,930
You better love this cousin
a whole lot.
190
00:11:14,549 --> 00:11:17,718
All right, Rebecca, I know you may feel
a little claustrophobic in there,
191
00:11:17,844 --> 00:11:20,054
but we need you to remain still.
192
00:11:21,639 --> 00:11:23,766
Okay, we're going to begin.
193
00:11:33,693 --> 00:11:35,486
I don't feel so good.
194
00:11:35,612 --> 00:11:37,905
It's all right.
Just try to relax.
195
00:11:46,081 --> 00:11:47,331
Rebecca?
196
00:11:49,334 --> 00:11:50,542
Rebecca?
197
00:12:00,261 --> 00:12:01,553
Rebecca?
198
00:12:03,348 --> 00:12:04,348
Get her out of there.
199
00:12:04,474 --> 00:12:05,432
She probably fell asleep.
200
00:12:05,558 --> 00:12:07,476
She's exhausted. She was claustrophobic
30 seconds ago.
201
00:12:07,602 --> 00:12:08,727
She's not sleeping.
We gotta get her out of there.
202
00:12:08,853 --> 00:12:09,853
It'll just be another minute.
203
00:12:09,979 --> 00:12:11,480
If she's having an allergic reaction to
the gadolinium,
204
00:12:11,606 --> 00:12:12,940
she'll be dead in two minutes.
205
00:12:16,736 --> 00:12:18,654
- Hold her neck.
- All right.
206
00:12:18,780 --> 00:12:20,364
Oh, she's ashen.
207
00:12:21,032 --> 00:12:23,075
She's not breathing. Epi.5.
208
00:12:23,201 --> 00:12:25,411
Come on.
209
00:12:26,204 --> 00:12:27,830
I can't ventilate.
210
00:12:30,750 --> 00:12:32,543
Too much edema.
Where's the surgical airway kit?
211
00:12:32,669 --> 00:12:33,961
Yeah. Coming.
212
00:13:11,124 --> 00:13:12,541
Good call.
213
00:13:33,271 --> 00:13:35,647
We'll get that tube out of
your throat later today.
214
00:13:35,773 --> 00:13:38,025
Just get some rest for now, okay?
215
00:13:42,113 --> 00:13:44,448
Told you. You can't trust people.
216
00:13:44,574 --> 00:13:46,158
She probably knew
she was allergic to gadolinium.
217
00:13:46,284 --> 00:13:48,744
Figured it was an easy way to get
someone to cut a hole in her throat.
218
00:13:48,870 --> 00:13:50,370
Can't get a picture.
219
00:13:50,497 --> 00:13:51,830
Gonna have to get a thousand words.
220
00:13:51,956 --> 00:13:55,792
You actually want me to talk to
the patient, get a history?
221
00:13:56,169 --> 00:13:58,462
We need to know if there's some genetic
or environmental cause
222
00:13:58,588 --> 00:14:00,881
that's triggering
an inflammatory response.
223
00:14:01,007 --> 00:14:02,883
I thought everybody lied.
224
00:14:03,676 --> 00:14:06,637
Truth begins in lies. Think about it.
225
00:14:09,098 --> 00:14:11,767
That doesn't mean anything, does it?
226
00:14:15,355 --> 00:14:17,731
12:52 p.m.
Dr. House checks in.
227
00:14:17,857 --> 00:14:18,941
Please write that down.
228
00:14:19,067 --> 00:14:20,734
Do you have cable TV here somewhere?
229
00:14:20,860 --> 00:14:22,027
General Hospital
starts in eight minutes.
230
00:14:22,153 --> 00:14:24,196
No TV, but we've got patients.
231
00:14:24,322 --> 00:14:26,406
Can't you give out the aspirin
yourself? I'll do paperwork.
232
00:14:26,533 --> 00:14:28,700
I made sure your first case
was an interesting one.
233
00:14:28,826 --> 00:14:30,869
Cough just won't go away?
Runny nose looks a funny color?
234
00:14:30,995 --> 00:14:33,163
Patient admitted complaining of
back spasms.
235
00:14:33,289 --> 00:14:34,831
Oh? I think I read about
something like that
236
00:14:34,958 --> 00:14:35,958
in 'The New England
Journal of Medicine'.
237
00:14:36,084 --> 00:14:37,376
Patient is orange.
238
00:14:37,502 --> 00:14:38,502
The color?
239
00:14:38,628 --> 00:14:39,586
No, the fruit.
240
00:14:39,712 --> 00:14:40,879
You mean yellow. It's jaundice.
241
00:14:41,005 --> 00:14:41,964
I mean orange.
242
00:14:42,090 --> 00:14:44,216
- Well, how orange? It's probably...
- Exam Room 1.
243
00:14:44,342 --> 00:14:46,718
Dr. Kahn,
you're needed in Pediatrics.
244
00:14:47,971 --> 00:14:50,764
I was playing golf
and my cleats got stuck.
245
00:14:50,890 --> 00:14:53,016
It hurt a little, but I kept playing.
246
00:14:53,142 --> 00:14:55,602
The next morning,
I could barely stand up.
247
00:14:55,728 --> 00:14:59,773
Well, you're smiling, so I take it that
means this isn't serious.
248
00:15:00,692 --> 00:15:02,818
What's that? What are you doing?
249
00:15:02,944 --> 00:15:03,986
Painkillers.
250
00:15:04,112 --> 00:15:06,154
Oh, for you. For your leg.
251
00:15:06,281 --> 00:15:07,823
No, 'cause they're yummy.
252
00:15:07,949 --> 00:15:10,909
You want one?
Make your back feel better.
253
00:15:12,579 --> 00:15:15,330
Unfortunately,
you have a deeper problem.
254
00:15:15,957 --> 00:15:18,333
Your wife is having an affair.
255
00:15:18,459 --> 00:15:20,877
- What?
- You're orange, you moron.
256
00:15:21,337 --> 00:15:22,588
It's one thing for you not to notice,
257
00:15:22,714 --> 00:15:23,797
but if your wife hasn't picked up
on the fact
258
00:15:23,923 --> 00:15:26,842
that her husband has changed colors,
she's just not paying attention.
259
00:15:26,968 --> 00:15:28,844
By the way, do you consume
just a ridiculous amount
260
00:15:28,970 --> 00:15:30,971
of carrots and megadose vitamins?
261
00:15:31,097 --> 00:15:33,015
Carrots turn you yellow,
the niacin turns you red.
262
00:15:33,141 --> 00:15:34,975
Find some finger paint and do the math.
263
00:15:35,101 --> 00:15:36,935
And get a good lawyer.
264
00:15:41,941 --> 00:15:43,317
Deep breath.
265
00:15:43,443 --> 00:15:44,985
It's cold.
266
00:15:46,529 --> 00:15:48,196
Has he been using his inhaler?
267
00:15:48,323 --> 00:15:51,658
Not in the past few days. He's only 10.
268
00:15:51,784 --> 00:15:55,746
I worry about children taking such
strong medicine so frequently.
269
00:15:55,872 --> 00:15:56,955
What happened to your leg?
270
00:15:57,081 --> 00:15:58,749
Your doctor probably
was concerned
271
00:15:58,875 --> 00:16:00,375
about the strength of
the medicine, too.
272
00:16:00,501 --> 00:16:03,879
She probably weighed that danger
against the danger of not breathing.
273
00:16:04,005 --> 00:16:06,506
Oxygen is so important during
those prepubescent years,
274
00:16:06,633 --> 00:16:08,300
don't you think?
275
00:16:08,551 --> 00:16:10,218
Okay, I'm gonna assume that
nobody has ever told you
276
00:16:10,345 --> 00:16:11,386
what asthma is.
277
00:16:11,512 --> 00:16:14,264
Or if they have,
you had other things on your mind.
278
00:16:14,390 --> 00:16:17,434
A stimulant triggers cells
in your child's airways
279
00:16:17,560 --> 00:16:18,644
to release substances
280
00:16:18,770 --> 00:16:21,313
that inflame the air passages
and cause them to contract.
281
00:16:21,439 --> 00:16:24,775
Mucus production increases,
the cell lining starts to shed.
282
00:16:24,901 --> 00:16:26,610
But the steroids...
283
00:16:27,236 --> 00:16:30,906
The steroids stop the inflammation.
284
00:16:32,200 --> 00:16:34,534
The more often this happens...
285
00:16:34,911 --> 00:16:37,079
What?
The more often this happens, what?
286
00:16:37,205 --> 00:16:40,957
Forget it. If you don't trust
steroids, you shouldn't trust doctors.
287
00:16:41,959 --> 00:16:44,419
My mother passed away
four years ago.
288
00:16:44,545 --> 00:16:45,879
She had a heart attack,
289
00:16:45,963 --> 00:16:49,257
and my father broke his back
doing construction...
290
00:16:51,844 --> 00:16:54,429
It's House. It's urgent. I'm sorry.
291
00:16:58,893 --> 00:17:00,977
You couldn't have knocked?
292
00:17:01,771 --> 00:17:03,814
Steroids. Give her steroids.
293
00:17:03,940 --> 00:17:05,273
High doses of prednisone.
294
00:17:14,075 --> 00:17:16,702
You're looking for support for
a diagnosis of cerebral vasculitis?
295
00:17:16,828 --> 00:17:18,787
Inflammation of blood vessels
in the brain is awfully rare,
296
00:17:18,913 --> 00:17:20,080
especially for someone her age.
297
00:17:20,206 --> 00:17:21,957
So is a tumor.
Her sed rate is elevated.
298
00:17:22,083 --> 00:17:23,041
Mildly.
299
00:17:23,167 --> 00:17:25,252
That could mean anything. Or nothing.
300
00:17:25,378 --> 00:17:28,755
Yeah, I know. I have no reason
to think that it's vasculitis.
301
00:17:28,881 --> 00:17:30,340
Except that it could be.
302
00:17:30,466 --> 00:17:31,633
If the blood vessels are inflamed,
303
00:17:31,759 --> 00:17:33,051
that's gonna look exactly
like what we saw
304
00:17:33,177 --> 00:17:34,428
on the MRI from Trenton County,
305
00:17:34,554 --> 00:17:36,638
and the pressure is gonna cause
neurological symptoms.
306
00:17:36,764 --> 00:17:38,056
We can't diagnose that
without a biopsy.
307
00:17:38,182 --> 00:17:39,182
Yes, we can.
308
00:17:39,308 --> 00:17:40,559
We treat it.
309
00:17:40,685 --> 00:17:41,852
If she gets better,
we know we're right.
310
00:17:41,978 --> 00:17:43,937
And if we're wrong?
311
00:17:44,021 --> 00:17:45,522
Then we learn something else.
312
00:17:50,528 --> 00:17:51,570
Why steroids?
313
00:17:51,696 --> 00:17:53,780
Just part of your treatment.
314
00:17:53,906 --> 00:17:55,407
You haven't had many visitors.
315
00:17:55,533 --> 00:17:57,659
- No boyfriend?
- Three dates.
316
00:17:57,785 --> 00:18:01,079
I wouldn't have stood by him
if he were vomiting all day.
317
00:18:01,205 --> 00:18:04,166
What about work?
You must have friends from work.
318
00:18:04,292 --> 00:18:07,377
Pretty much everybody I like
is five years old.
319
00:18:08,921 --> 00:18:12,007
The nurse said
you're stopping my radiation.
320
00:18:12,717 --> 00:18:14,760
We're just trying
some alternative medication.
321
00:18:14,886 --> 00:18:15,969
So where's your family from then?
322
00:18:16,053 --> 00:18:19,014
Steroids aren't
an alternative to radiation.
323
00:18:19,265 --> 00:18:21,433
The tests weren't really conclusive.
324
00:18:21,559 --> 00:18:23,769
We're treating you for vasculitis.
325
00:18:23,895 --> 00:18:27,063
It's the inflammation of
blood vessels in the brain.
326
00:18:27,190 --> 00:18:29,024
It's not a tumor?
327
00:18:30,026 --> 00:18:32,027
I don't have a tumor?
328
00:18:34,989 --> 00:18:38,366
Hey, you should have told her
the truth. It's a long-shot guess.
329
00:18:38,493 --> 00:18:39,993
Thank you. If House is right, no harm.
330
00:18:40,077 --> 00:18:42,871
If he's wrong, I've given a dying woman
a couple days' hope.
331
00:18:42,997 --> 00:18:43,830
False hope.
332
00:18:43,956 --> 00:18:48,084
If there was any other type available,
I would have given her that.
333
00:18:55,927 --> 00:18:58,512
Why are you smelling Billy's pants?
334
00:18:58,971 --> 00:18:59,805
I'm not.
335
00:18:59,931 --> 00:19:01,097
Looked like you were.
336
00:19:01,224 --> 00:19:02,641
I was smelling the floor.
337
00:19:02,767 --> 00:19:03,892
Oh.
338
00:19:04,560 --> 00:19:05,977
Do you have any pets in this class?
339
00:19:06,103 --> 00:19:10,273
No. But we used to have a gerbil,
but Carly L. dropped a book on it.
340
00:19:10,858 --> 00:19:11,858
Careless.
341
00:19:11,984 --> 00:19:13,527
Do you need to smell it?
342
00:19:13,653 --> 00:19:15,654
No. I'm smelling for mold.
343
00:19:16,489 --> 00:19:19,866
- I don't need to smell it.
- You could smell our parrot.
344
00:19:19,992 --> 00:19:22,577
You said you didn't have any pets
in this class.
345
00:19:22,703 --> 00:19:24,079
A parrot is a bird.
346
00:19:24,205 --> 00:19:25,455
Listen, Jax is not the father...
347
00:19:25,581 --> 00:19:28,583
Parrots are
the primary source of psittacosis.
348
00:19:29,001 --> 00:19:29,793
It's not the parrot.
349
00:19:29,919 --> 00:19:32,212
And psittacosis can lead to
350
00:19:32,338 --> 00:19:34,756
nerve problems
and neurological complications.
351
00:19:34,882 --> 00:19:36,842
- How many kids were in the class?
- 20.
352
00:19:36,968 --> 00:19:38,051
How many are home sick?
353
00:19:38,177 --> 00:19:39,219
None, but...
354
00:19:39,345 --> 00:19:41,137
None. But you figured that
five-year-olds
355
00:19:41,264 --> 00:19:44,850
are more serious about bird hygiene
than their teacher?
356
00:19:45,184 --> 00:19:46,309
Have you been through her home?
357
00:19:46,435 --> 00:19:47,686
She lives in Trenton.
358
00:19:47,812 --> 00:19:50,730
I can go up to her room tomorrow
morning, ask her for the key.
359
00:19:50,857 --> 00:19:52,858
Would the police call for permission
360
00:19:52,984 --> 00:19:54,818
before dropping by
to check out a crime scene?
361
00:19:54,944 --> 00:19:55,902
It's not a crime scene.
362
00:19:56,028 --> 00:19:58,864
As far as I know, she's running
a meth lab out of her basement.
363
00:19:58,990 --> 00:20:00,156
She's a kindergarten teacher.
364
00:20:00,283 --> 00:20:04,369
And if I were a kindergarten student
I would trust her implicitly.
365
00:20:05,580 --> 00:20:08,623
Okay. I'll give you a "for instance."
366
00:20:08,749 --> 00:20:13,336
The lady back there who made
your egg salad sandwich,
367
00:20:13,462 --> 00:20:16,089
her eyes look glassy.
Did you notice that?
368
00:20:16,215 --> 00:20:19,092
Now, hospital policy is to stay home
if you're sick.
369
00:20:19,218 --> 00:20:20,760
But if you're making $8.00 an hour,
370
00:20:20,887 --> 00:20:23,597
then you kind of need
the $8.00 an hour, right?
371
00:20:23,723 --> 00:20:24,973
And the sign in the bathroom says
372
00:20:25,099 --> 00:20:27,434
that employees must wash
after using the facilities,
373
00:20:27,560 --> 00:20:30,312
but I figure that somebody
who wipes snot on a sleeve
374
00:20:30,438 --> 00:20:33,523
isn't hyper-concerned
about sanitary conditions.
375
00:20:33,816 --> 00:20:36,651
So what do you think,
should I trust her?
376
00:20:36,777 --> 00:20:39,988
I want you to check the patient's home
for contaminants, garbage, medication.
377
00:20:40,114 --> 00:20:41,990
I can't just break into
someone's house.
378
00:20:42,116 --> 00:20:45,160
Isn't that how you got into
the Felkers' home?
379
00:20:49,749 --> 00:20:51,833
Yeah, I know.
380
00:20:51,959 --> 00:20:53,126
Court records are sealed.
381
00:20:53,252 --> 00:20:55,837
You were 16. It was a stupid mistake.
382
00:20:56,213 --> 00:20:58,590
But your old gym teacher
has a big mouth.
383
00:20:58,716 --> 00:20:59,841
Should write a thank-you note.
384
00:20:59,967 --> 00:21:01,301
I should thank him?
385
00:21:01,427 --> 00:21:02,594
Well...
386
00:21:03,971 --> 00:21:07,140
I needed somebody around here
with street smarts.
387
00:21:09,352 --> 00:21:13,188
Okay? Who knows when they're being
conned, knows how to con.
388
00:21:13,314 --> 00:21:14,898
I should sue you.
389
00:21:15,441 --> 00:21:17,859
Pretty sure you can't sue somebody
for wrongful hiring.
390
00:21:17,985 --> 00:21:20,153
But I'm pretty sure I can sue
if you fire me
391
00:21:20,279 --> 00:21:22,864
for not breaking
into some lady's house.
392
00:21:35,378 --> 00:21:38,838
Doing research.
People are fascinating, aren't they?
393
00:21:38,965 --> 00:21:41,424
Why are you giving Adler steroids?
394
00:21:41,550 --> 00:21:42,842
Because she's my patient.
395
00:21:42,969 --> 00:21:44,803
That's what you do with patients,
you give them medicine.
396
00:21:44,929 --> 00:21:46,846
You don't prescribe medicine
based on guesses.
397
00:21:46,973 --> 00:21:49,349
At least we don't
since Tuskegee and Mengele.
398
00:21:49,475 --> 00:21:52,310
You're comparing me to a Nazi? Nice.
399
00:21:52,436 --> 00:21:54,562
I'm stopping the treatment.
400
00:21:59,318 --> 00:22:00,443
She's my patient.
401
00:22:00,569 --> 00:22:01,945
It's my hospital.
402
00:22:02,530 --> 00:22:05,323
I did not get her sick.
She is not an experiment.
403
00:22:05,449 --> 00:22:07,867
I have a legitimate theory about
what's wrong with her.
404
00:22:07,994 --> 00:22:09,327
With no proof.
405
00:22:09,453 --> 00:22:10,537
There's never any proof.
406
00:22:10,663 --> 00:22:12,706
Five different doctors come up
with five different diagnoses
407
00:22:12,832 --> 00:22:13,873
based on the same evidence.
408
00:22:14,000 --> 00:22:16,167
You don't have any evidence.
409
00:22:18,546 --> 00:22:19,587
And nobody knows anything, huh?
410
00:22:19,714 --> 00:22:21,423
Then how is it you always think
you're right?
411
00:22:21,549 --> 00:22:25,093
I don't. I just find it hard to operate
on the opposite assumption.
412
00:22:25,219 --> 00:22:27,429
And why are you so afraid of
making a mistake?
413
00:22:27,555 --> 00:22:29,347
Because I'm a doctor.
414
00:22:29,473 --> 00:22:31,391
Because when we make mistakes,
people die.
415
00:22:31,517 --> 00:22:33,018
Oh, come on.
416
00:22:36,856 --> 00:22:40,316
People used to have more respect
for cripples, you know.
417
00:22:41,902 --> 00:22:43,570
They didn't really.
418
00:22:47,533 --> 00:22:48,825
So how you feeling?
419
00:22:48,951 --> 00:22:50,160
Much better, thanks.
420
00:22:50,995 --> 00:22:52,245
Are you Dr. House?
421
00:22:52,371 --> 00:22:53,621
I thought he was a he, but...
422
00:22:53,748 --> 00:22:54,914
No.
423
00:22:56,459 --> 00:22:58,710
Don't eat too much, too fast.
424
00:22:59,795 --> 00:23:01,337
Thank him for me.
425
00:23:01,505 --> 00:23:02,797
Right.
426
00:23:15,394 --> 00:23:17,771
Should I discontinue the treatment,
boss?
427
00:23:17,897 --> 00:23:19,314
You got lucky.
428
00:23:23,861 --> 00:23:24,944
Cool, huh?
429
00:23:27,656 --> 00:23:28,740
Okay, once again.
430
00:23:31,952 --> 00:23:33,828
Good.
431
00:23:33,954 --> 00:23:36,331
Am I ever gonna meet Dr. House?
432
00:23:37,583 --> 00:23:41,086
Well, you might run into him
at the movies or on the bus.
433
00:23:41,462 --> 00:23:43,046
Is he a good man?
434
00:23:43,798 --> 00:23:46,132
He's a good doctor.
435
00:23:47,426 --> 00:23:49,761
Can you be one without the other?
436
00:23:49,887 --> 00:23:51,721
Don't you have to care about people?
437
00:23:51,847 --> 00:23:53,807
Caring is a good motivator.
438
00:23:54,934 --> 00:23:56,976
He's found something else.
439
00:23:58,938 --> 00:24:00,855
Feel this, both sides?
440
00:24:00,981 --> 00:24:04,400
Okay, squeeze. Harder. All right.
441
00:24:05,903 --> 00:24:07,779
He's your friend, huh?
442
00:24:08,906 --> 00:24:09,989
Yeah.
443
00:24:10,491 --> 00:24:12,408
Does he care about you?
444
00:24:13,077 --> 00:24:14,119
I think so.
445
00:24:14,245 --> 00:24:15,286
You don't know?
446
00:24:16,372 --> 00:24:19,290
As Dr. House likes to say,
"Everybody lies."
447
00:24:19,917 --> 00:24:23,336
It's not what people say.
It's what they do.
448
00:24:26,340 --> 00:24:28,633
Yeah. He cares about me.
449
00:24:32,721 --> 00:24:34,097
I can't see.
450
00:24:37,476 --> 00:24:40,061
I can't see.
451
00:24:48,737 --> 00:24:50,572
A little help in here!
452
00:25:05,296 --> 00:25:07,922
Your chest will be sore for a while.
453
00:25:08,299 --> 00:25:11,384
We needed to shock you
to get your heart going.
454
00:25:13,304 --> 00:25:18,183
Okay, can you arrange these
to tell a story?
455
00:25:32,865 --> 00:25:34,657
She couldn't put them
in order.
456
00:25:34,783 --> 00:25:37,869
Could the damage have been caused
by a lack of oxygen during her seizure?
457
00:25:37,995 --> 00:25:41,998
No. I gave her the same test five
minutes later. She did just fine.
458
00:25:42,124 --> 00:25:43,791
The altered mental status is
intermittent,
459
00:25:43,918 --> 00:25:45,585
just like the verbal skills.
460
00:25:45,711 --> 00:25:46,669
So what now?
461
00:25:46,795 --> 00:25:50,423
Given the latest symptoms, it's clearly
growing deeper into the brain stem.
462
00:25:50,549 --> 00:25:52,425
Soon, she won't be able to walk.
463
00:25:52,551 --> 00:25:54,093
She'll go blind permanently,
464
00:25:54,220 --> 00:25:56,679
and then the respiratory center
will fail.
465
00:25:56,805 --> 00:25:57,847
How long do we have?
466
00:25:57,973 --> 00:25:59,766
If it's a tumor,
we're talking a month or two.
467
00:25:59,892 --> 00:26:01,392
If it's infectious, a few weeks.
468
00:26:01,518 --> 00:26:04,812
If it's vascular,
that'll probably be fastest of all.
469
00:26:04,939 --> 00:26:06,147
Maybe a week.
470
00:26:06,273 --> 00:26:08,608
We're gonna stop all treatment.
471
00:26:10,069 --> 00:26:11,611
I still think it's a tumor.
472
00:26:11,737 --> 00:26:13,029
I think we should go back
to the radiation.
473
00:26:13,155 --> 00:26:14,781
She didn't respond to
the radiation.
474
00:26:14,907 --> 00:26:17,742
Well, maybe we didn't see the effect
until after we started steroids.
475
00:26:17,868 --> 00:26:19,327
No, it's not a tumor.
476
00:26:19,453 --> 00:26:21,329
Those steroids did something.
477
00:26:21,455 --> 00:26:22,455
I just don't know what.
478
00:26:22,581 --> 00:26:25,833
So we're just gonna do nothing?
We're just gonna watch her die?
479
00:26:25,960 --> 00:26:28,169
Yeah, we're gonna watch her die.
480
00:26:28,837 --> 00:26:30,880
Specifically, we're gonna watch
how fast she's dying.
481
00:26:31,006 --> 00:26:33,758
You just told us, each diagnosis
has its own time frame.
482
00:26:33,884 --> 00:26:37,762
When we see how fast it's killing her,
we'll know what it is.
483
00:26:37,888 --> 00:26:40,431
And by then, maybe there's nothing
we can do about it.
484
00:26:40,557 --> 00:26:45,061
There's got to be something we can do.
Something better than watching her die.
485
00:26:45,187 --> 00:26:48,564
Well, I got nothing. How about you?
486
00:26:53,737 --> 00:26:54,821
Bastard.
487
00:26:55,322 --> 00:26:57,031
Oh, Cameron.
I need you for a couple of hours.
488
00:26:57,157 --> 00:26:58,157
What's up?
489
00:26:58,284 --> 00:26:59,534
When you break into someone's house,
490
00:26:59,660 --> 00:27:01,411
it's always better to have
a white chick with you.
491
00:27:01,537 --> 00:27:04,038
Adler's house?
Why don't we just ask her for her keys?
492
00:27:04,164 --> 00:27:06,916
For all we know, she could be running
a meth lab out of her basement.
493
00:27:07,459 --> 00:27:08,960
I'm tired a lot.
494
00:27:10,421 --> 00:27:14,507
Any other reason why you think you
might have chronic fatigue syndrome?
495
00:27:14,633 --> 00:27:15,842
It's kind of the definition, isn't it?
496
00:27:15,968 --> 00:27:17,552
It's kind of the definition
of getting older.
497
00:27:17,678 --> 00:27:20,847
I had a couple headaches last month,
a mild fever.
498
00:27:20,973 --> 00:27:24,225
Sometimes I can't sleep,
and I have trouble concentrating.
499
00:27:24,351 --> 00:27:27,729
Apparently not while researching
this stuff on the Internet.
500
00:27:27,855 --> 00:27:30,857
I was thinking
it also might be fibromyalgia.
501
00:27:33,360 --> 00:27:34,777
Excellent diagnosis.
502
00:27:34,903 --> 00:27:36,821
Is there anything for that?
503
00:27:40,784 --> 00:27:43,411
You know, I think there just might be.
504
00:27:43,537 --> 00:27:46,331
I need 36 Vicodin
and change for a dollar.
505
00:28:10,189 --> 00:28:11,773
Exam Room 2.
506
00:28:13,692 --> 00:28:15,568
House doesn't believe in pretense.
507
00:28:15,694 --> 00:28:17,653
Figures life's too short
and too painful.
508
00:28:17,780 --> 00:28:19,989
So he just says what he thinks.
509
00:28:20,866 --> 00:28:22,909
Nothing interesting in the garbage.
510
00:28:23,035 --> 00:28:25,828
"I say what I think" is just
nother way of saying "I'm an asshole".
511
00:28:28,332 --> 00:28:31,584
Well, if you wanted to be judged
for your medical prowess only,
512
00:28:31,710 --> 00:28:33,836
maybe you shouldn't have broken into
someone's home.
513
00:28:33,962 --> 00:28:35,338
I was 16.
514
00:28:37,466 --> 00:28:40,301
Don't know about ticks,
but her dog's definitely got fleas.
515
00:28:42,930 --> 00:28:45,807
I managed to make it to 17
without a criminal record.
516
00:28:49,770 --> 00:28:53,856
Yeah? Well, you obviously
didn't grow up in my neighborhood.
517
00:28:54,775 --> 00:28:58,778
That's right. You stole a loaf of bread
to feed your starving family, right?
518
00:28:58,904 --> 00:29:00,446
You always eat during break-ins?
519
00:29:00,572 --> 00:29:04,492
Am I supposed to respect their food
more than I respect their DVD players?
520
00:29:04,618 --> 00:29:06,244
- You want some?
- No.
521
00:29:06,370 --> 00:29:07,745
You gonna go hungry until she dies?
522
00:29:07,871 --> 00:29:09,580
- No.
- You know what?
523
00:29:09,706 --> 00:29:12,625
After centuries of slavery,
decades of civil rights marches,
524
00:29:12,751 --> 00:29:15,378
and, more significantly,
living like a monk,
525
00:29:15,504 --> 00:29:19,590
never getting less than a 4.0 GPA,
you don't think it's kind of disgusting
526
00:29:19,716 --> 00:29:23,761
I get one of the top jobs in the
country because I'm a delinquent?
527
00:29:24,096 --> 00:29:26,848
We'll eat,
then we'll tear up the carpet.
528
00:29:28,892 --> 00:29:31,727
- You went to Hopkins, right?
- Yeah.
529
00:29:31,854 --> 00:29:34,021
So you went to a better school
than I did.
530
00:29:34,148 --> 00:29:36,149
You got better grades than I did.
531
00:29:37,359 --> 00:29:38,818
So how did you get the job?
532
00:29:38,944 --> 00:29:40,862
You stab a guy in a bar fight?
533
00:29:49,788 --> 00:29:51,122
Nothing.
534
00:29:51,248 --> 00:29:52,665
It's not a tumor.
535
00:29:52,791 --> 00:29:54,292
She's getting worse too fast.
536
00:29:54,418 --> 00:29:55,710
She can't stand up.
537
00:29:55,836 --> 00:29:57,378
No toxins? No medications?
538
00:29:57,504 --> 00:29:59,422
Nothing that would explain
these symptoms.
539
00:29:59,548 --> 00:30:01,132
Family history of
neurological problems?
540
00:30:01,258 --> 00:30:03,676
Not that I could tell
from her underwear drawer.
541
00:30:03,802 --> 00:30:06,053
You said "nothing that would explain
these symptoms."
542
00:30:06,180 --> 00:30:09,765
What did you find
that doesn't explain these symptoms?
543
00:30:10,684 --> 00:30:14,937
Dr. Wilson convinced you to treat
this patient under false pretenses.
544
00:30:15,189 --> 00:30:17,064
Adler's not his cousin.
545
00:30:17,232 --> 00:30:19,775
That's ridiculous. You can ask her
yourself. Can we get back...
546
00:30:19,902 --> 00:30:22,069
- She's not Jewish.
- Rachel Adler's not Jewish?
547
00:30:22,196 --> 00:30:23,613
I had ham at her apartment.
548
00:30:25,657 --> 00:30:27,658
Dr. Foreman, a lot of Jews
have non-Jewish relatives,
549
00:30:27,784 --> 00:30:29,911
and most of us don't keep kosher.
550
00:30:30,037 --> 00:30:31,496
I can see getting through high school
551
00:30:31,622 --> 00:30:33,706
without learning a thing about Jews,
but medical school?
552
00:30:33,832 --> 00:30:37,168
Okay, maybe she's Jewish,
but she's definitely not your cousin.
553
00:30:37,294 --> 00:30:39,879
Really? This guy is...
554
00:30:40,005 --> 00:30:41,464
You don't even know
her name.
555
00:30:41,590 --> 00:30:44,425
You called her Rachel.
Her name is Rebecca.
556
00:30:44,551 --> 00:30:46,802
Yes. Yes, her name is Rebecca.
557
00:30:48,263 --> 00:30:49,805
I call her Rachel.
558
00:30:49,932 --> 00:30:51,766
You idiot!
559
00:30:51,892 --> 00:30:53,726
Listen, he's...
560
00:30:53,852 --> 00:30:55,853
Not you. Him.
561
00:30:55,979 --> 00:30:57,271
You said you didn't find anything.
562
00:30:57,397 --> 00:30:58,564
Everything I found was in my...
563
00:30:58,690 --> 00:30:59,815
You found ham.
564
00:31:00,817 --> 00:31:01,984
So?
565
00:31:02,110 --> 00:31:03,903
Where there's ham, there's pork.
566
00:31:04,029 --> 00:31:06,322
Where there's pork,
there's neurocysticercosis.
567
00:31:06,448 --> 00:31:07,573
Tapeworm?
568
00:31:07,699 --> 00:31:08,824
You think she's got a worm
in her brain?
569
00:31:08,951 --> 00:31:09,909
It fits.
570
00:31:10,035 --> 00:31:12,203
Could have been living there for years.
Never occurred to me that...
571
00:31:12,329 --> 00:31:13,538
Millions of people eat ham every day.
572
00:31:13,664 --> 00:31:15,831
It's quite a leap to think
that's she's got a tapeworm.
573
00:31:15,958 --> 00:31:18,167
Okay, Mr. Neurologist,
574
00:31:18,293 --> 00:31:21,587
what happens when you give steroids
to a person who has a tapeworm?
575
00:31:21,713 --> 00:31:24,924
They get a little better,
and then they get worse.
576
00:31:27,678 --> 00:31:29,845
Just like Rebecca Adler did.
577
00:31:39,982 --> 00:31:43,276
In a typical case,
if you don't cook pork well enough,
578
00:31:43,402 --> 00:31:46,195
you digest live tapeworm larvae.
579
00:31:47,197 --> 00:31:48,864
They've got these little hooks,
580
00:31:48,991 --> 00:31:52,034
they grab onto your bowel, they live,
they grow up, they reproduce.
581
00:31:52,160 --> 00:31:53,578
Reproduce?
582
00:31:53,704 --> 00:31:55,913
There's only one lesion,
and it's nowhere near her bowel.
583
00:31:56,039 --> 00:31:58,749
That's because
this is not a typical case.
584
00:31:58,875 --> 00:32:02,753
Tapeworm can produce
20,000 to 30,000 eggs a day.
585
00:32:02,879 --> 00:32:03,713
Guess where they go?
586
00:32:03,839 --> 00:32:04,922
Out.
587
00:32:05,465 --> 00:32:06,799
Not all of them.
588
00:32:06,925 --> 00:32:07,967
Unlike the larvae,
589
00:32:08,093 --> 00:32:10,803
the egg can pass right through the
walls of the intestines
590
00:32:10,929 --> 00:32:12,179
into the bloodstream.
591
00:32:12,306 --> 00:32:13,764
And where does the bloodstream go?
592
00:32:13,890 --> 00:32:15,349
Everywhere.
593
00:32:15,809 --> 00:32:19,604
As long as it's healthy, the immune
system doesn't even know it's there.
594
00:32:19,730 --> 00:32:20,771
The worm builds a wall,
595
00:32:20,897 --> 00:32:23,274
uses secretions to shut down
the body's immune response
596
00:32:23,400 --> 00:32:25,026
and control fluid flow.
597
00:32:25,152 --> 00:32:26,819
It's really very beautiful.
598
00:32:26,945 --> 00:32:29,822
As long as it's healthy.
So what do we do?
599
00:32:29,948 --> 00:32:32,366
Call a vet, nurse the little guy back
to health?
600
00:32:32,492 --> 00:32:34,910
It's too late for that. It's dying.
601
00:32:35,454 --> 00:32:37,872
And as it dies,
this parasite loses the ability
602
00:32:37,998 --> 00:32:40,041
to control the host's defenses.
603
00:32:40,167 --> 00:32:42,710
The immune system wakes up,
attacks the worm
604
00:32:42,836 --> 00:32:44,045
and everything starts to swell.
605
00:32:44,171 --> 00:32:47,089
And that is very bad for the brain.
606
00:32:47,215 --> 00:32:49,967
It could still be
a hundred other things.
607
00:32:50,302 --> 00:32:52,178
The eosinophil count was normal.
608
00:32:52,304 --> 00:32:54,263
It's only abnormal in 30% of cases.
609
00:32:54,389 --> 00:32:55,389
Proving nothing.
610
00:32:55,515 --> 00:32:57,516
No, no, no, no. It...
611
00:32:57,643 --> 00:32:59,393
Don't you see? It fits. It's perfect.
612
00:32:59,519 --> 00:33:00,519
It explains everything.
613
00:33:00,646 --> 00:33:01,687
But it proves nothing.
614
00:33:01,813 --> 00:33:03,022
I can prove it by treating it.
615
00:33:03,148 --> 00:33:04,774
No, you can't.
616
00:33:06,943 --> 00:33:08,986
I was just with her.
She doesn't want any more treatments.
617
00:33:09,112 --> 00:33:13,324
She doesn't want any more experiments.
She wants to go home and die.
618
00:33:35,847 --> 00:33:37,848
Would you excuse us, please?
619
00:33:43,689 --> 00:33:45,064
I'm Dr. House.
620
00:33:46,149 --> 00:33:47,983
It's good to meet you.
621
00:33:51,905 --> 00:33:53,030
You're being an idiot.
622
00:33:58,870 --> 00:34:01,330
You have a tapeworm in your brain.
623
00:34:02,833 --> 00:34:04,792
It's not pleasant,
but if we don't do anything,
624
00:34:04,918 --> 00:34:06,085
you'll be dead by the weekend.
625
00:34:06,211 --> 00:34:08,629
Have you actually seen the worm?
626
00:34:08,922 --> 00:34:11,674
When you're all better,
I'll show you my diplomas.
627
00:34:11,800 --> 00:34:14,510
You were sure I had vasculitis, too.
628
00:34:15,053 --> 00:34:17,888
Now I can't walk
and I'm wearing a diaper.
629
00:34:18,014 --> 00:34:19,765
What's this treatment gonna do for me?
630
00:34:19,891 --> 00:34:23,144
I'm not talking about a treatment.
I'm talking about a cure.
631
00:34:23,270 --> 00:34:26,272
But because I might be wrong,
you want to die.
632
00:34:28,400 --> 00:34:30,359
What made you a cripple?
633
00:34:33,905 --> 00:34:35,322
I had an infarction.
634
00:34:35,449 --> 00:34:36,615
A heart attack?
635
00:34:37,784 --> 00:34:39,744
It's what happens
when blood flow is obstructed.
636
00:34:39,870 --> 00:34:41,996
If it's in the heart,
it's a heart attack.
637
00:34:42,122 --> 00:34:44,415
If it's in the lungs,
it's a pulmonary embolism.
638
00:34:44,541 --> 00:34:45,666
If it's in the brain, it's a stroke.
639
00:34:45,792 --> 00:34:47,418
I had it in my thigh muscles.
640
00:34:47,544 --> 00:34:48,711
Wasn't there something they could do?
641
00:34:48,837 --> 00:34:50,671
There was plenty they could do,
642
00:34:50,797 --> 00:34:53,007
if they'd made the right diagnosis.
643
00:34:53,133 --> 00:34:55,426
But the only symptom was pain.
644
00:34:56,887 --> 00:34:59,764
Not many people get to experience
muscle death.
645
00:35:00,098 --> 00:35:01,807
Did you think you were dying?
646
00:35:01,933 --> 00:35:03,851
I hoped I was dying.
647
00:35:05,854 --> 00:35:08,773
So you hide in your office,
refuse to see patients,
648
00:35:08,899 --> 00:35:11,942
because you don't like the way
people look at you.
649
00:35:12,194 --> 00:35:13,402
You feel cheated by life,
650
00:35:13,528 --> 00:35:16,489
so now you're gonna get even
with the world.
651
00:35:16,823 --> 00:35:18,908
But you want me to fight this.
652
00:35:19,659 --> 00:35:20,743
Why?
653
00:35:21,870 --> 00:35:25,080
What makes you think
I'm so much better than you?
654
00:35:25,290 --> 00:35:27,750
What?
You're scared you'll turn into me?
655
00:35:27,876 --> 00:35:30,252
I just want to die
with a little dignity.
656
00:35:30,378 --> 00:35:32,213
There's no such thing.
657
00:35:33,048 --> 00:35:34,298
Our bodies break down.
658
00:35:34,424 --> 00:35:35,424
Sometimes when we're 90.
659
00:35:35,550 --> 00:35:36,634
Sometimes before we're even born.
660
00:35:36,760 --> 00:35:39,887
But it always happens,
and there's never any dignity in it.
661
00:35:40,013 --> 00:35:42,681
I don't care if you can walk,
see, wipe your own ass.
662
00:35:42,808 --> 00:35:44,767
It's always ugly. Always.
663
00:35:48,814 --> 00:35:51,899
We can live with dignity.
We can't die with it.
664
00:36:10,502 --> 00:36:11,877
No treatment.
665
00:36:12,879 --> 00:36:15,923
Maybe we can get a court order,
override her wishes,
666
00:36:16,049 --> 00:36:18,717
claim she doesn't have the capacity
to make this decision.
667
00:36:18,844 --> 00:36:19,885
But she does.
668
00:36:20,011 --> 00:36:21,720
But we could claim
that the illness
669
00:36:21,847 --> 00:36:23,597
made her mentally incompetent, right?
670
00:36:23,723 --> 00:36:25,057
A pretty common result.
671
00:36:25,183 --> 00:36:26,642
That didn't happen here.
672
00:36:26,768 --> 00:36:28,102
He's not gonna do it.
673
00:36:28,228 --> 00:36:30,354
She's not just a file to him anymore.
674
00:36:30,522 --> 00:36:32,064
He respects her.
675
00:36:32,315 --> 00:36:35,776
So because you respect her,
you're going to let her die?
676
00:36:36,903 --> 00:36:39,780
I solved the case. My work is done.
677
00:36:42,242 --> 00:36:44,368
Patients always want proof.
678
00:36:44,786 --> 00:36:45,995
We're not making cars here.
679
00:36:46,121 --> 00:36:48,122
We don't give guarantees.
680
00:36:50,917 --> 00:36:53,168
I think we can prove it's a worm.
681
00:36:53,795 --> 00:36:56,046
It's noninvasive. It's safe.
682
00:36:56,172 --> 00:36:57,798
I'm not completely sure, but...
683
00:36:57,924 --> 00:36:59,800
Yeah, yeah, yeah. What's the damn idea?
684
00:36:59,926 --> 00:37:02,094
Have you ever seen a worm
under an X-ray?
685
00:37:02,220 --> 00:37:05,222
A regular, old, no-contrast,
hundred-year-old-technology X-ray?
686
00:37:05,348 --> 00:37:09,018
They light up like shotgun pellets,
just like on a contrast MRI.
687
00:37:09,144 --> 00:37:10,853
Which is the same thing as a CT scan,
688
00:37:10,979 --> 00:37:12,438
which we did, which proved nothing.
689
00:37:12,564 --> 00:37:15,274
The worm's cyst is the same density
as the cerebrospinal fluid.
690
00:37:15,400 --> 00:37:18,235
We're not gonna see anything
in her head.
691
00:37:18,361 --> 00:37:19,778
But Chase is right.
692
00:37:19,905 --> 00:37:21,030
He's right. We should X-ray her.
693
00:37:21,156 --> 00:37:22,323
But we don't X-ray her brain.
694
00:37:22,449 --> 00:37:24,199
We X-ray her leg.
695
00:37:24,784 --> 00:37:26,243
Worms love thigh muscle.
696
00:37:26,369 --> 00:37:29,246
If she's got one in her head,
I guarantee you there's one in her leg.
697
00:37:43,428 --> 00:37:45,179
Hold still, Rebecca.
698
00:37:53,313 --> 00:37:54,688
This here
699
00:37:56,399 --> 00:37:57,942
is a worm larva.
700
00:37:58,318 --> 00:38:00,611
So, if it's in my leg,
it's in my brain?
701
00:38:00,737 --> 00:38:03,238
Are you looking for a guarantee?
702
00:38:03,490 --> 00:38:06,492
It's there.
Probably been there 6 to 10 years.
703
00:38:06,910 --> 00:38:08,202
Do I have more?
704
00:38:08,328 --> 00:38:09,578
Probably.
705
00:38:11,873 --> 00:38:13,165
It's good news.
706
00:38:13,291 --> 00:38:14,708
What do we do now?
707
00:38:14,834 --> 00:38:16,085
Now we get you better.
708
00:38:18,797 --> 00:38:20,255
Albendazole.
709
00:38:23,259 --> 00:38:24,677
- Two pills?
- Yeah.
710
00:38:24,803 --> 00:38:27,471
Every day, for at least a month,
with a meal.
711
00:38:27,597 --> 00:38:29,181
- Two pills?
- Yeah.
712
00:38:29,724 --> 00:38:32,017
Possible side effects
include abdominal pain,
713
00:38:32,143 --> 00:38:36,146
nausea, headaches, dizziness,
fever and hair loss.
714
00:38:36,481 --> 00:38:38,023
We'll probably make you
keep taking the pills
715
00:38:38,149 --> 00:38:41,318
even if you get every one of those.
716
00:38:58,795 --> 00:39:00,504
Why did you hire me?
717
00:39:02,173 --> 00:39:03,173
Does it matter?
718
00:39:03,299 --> 00:39:05,259
Kind of hard to work for a guy
who doesn't respect you.
719
00:39:05,385 --> 00:39:06,760
- Why?
- Is that rhetorical?
720
00:39:06,886 --> 00:39:10,764
No. It just seems that way 'cause
you can't think of an answer.
721
00:39:11,182 --> 00:39:13,642
Does it make a difference what I think?
722
00:39:13,768 --> 00:39:17,521
I'm a jerk. The only thing that matters
is what you think.
723
00:39:17,647 --> 00:39:18,689
Can you do the job?
724
00:39:18,815 --> 00:39:20,983
You hired a black guy
because he had a juvenile record.
725
00:39:21,109 --> 00:39:23,861
No. It wasn't a racial thing.
726
00:39:24,446 --> 00:39:25,696
I didn't see a black guy.
727
00:39:25,822 --> 00:39:29,783
I just saw a doctor
with a juvenile record.
728
00:39:30,869 --> 00:39:33,746
I hired Chase 'cause
his dad made a phone call.
729
00:39:33,872 --> 00:39:37,291
I hired you because
you are extremely pretty.
730
00:39:38,877 --> 00:39:40,419
You hired me to get into my pants?
731
00:39:40,545 --> 00:39:42,713
I can't believe that
that would shock you.
732
00:39:42,839 --> 00:39:44,798
It's also not what I said.
733
00:39:44,924 --> 00:39:47,676
No, I hired you because you look good.
734
00:39:47,802 --> 00:39:49,678
It's like having a nice piece of art
in the lobby.
735
00:39:49,804 --> 00:39:50,971
I was in the top of my class.
736
00:39:51,097 --> 00:39:52,181
But not the top.
737
00:39:52,307 --> 00:39:54,183
I did an internship at the Mayo Clinic.
738
00:39:54,309 --> 00:39:55,642
Yeah. You were a very good applicant.
739
00:39:55,769 --> 00:39:56,727
But not the best.
740
00:39:56,853 --> 00:39:58,812
Would that upset you? Really?
741
00:39:58,938 --> 00:40:01,273
To think that you were hired because of
some genetic gift of beauty
742
00:40:01,399 --> 00:40:03,108
instead of some genetic gift of
intelligence?
743
00:40:03,234 --> 00:40:05,444
I worked very hard to get where I am.
744
00:40:05,570 --> 00:40:07,488
But you didn't have to.
745
00:40:08,031 --> 00:40:10,866
People choose the paths
that gain them the greatest rewards
746
00:40:10,992 --> 00:40:14,620
for the least amount of effort. That's
a law of nature, and you defied it.
747
00:40:14,746 --> 00:40:15,996
That's why I hired you.
748
00:40:16,122 --> 00:40:18,457
You could have married rich.
You could have been a model.
749
00:40:18,583 --> 00:40:20,751
You could have just shown up
and people would have given you stuff.
750
00:40:20,877 --> 00:40:22,711
Lots of stuff.
751
00:40:22,837 --> 00:40:24,463
But you didn't.
752
00:40:24,589 --> 00:40:26,173
You worked
your stunning little ass off.
753
00:40:26,299 --> 00:40:27,633
Am I supposed to be flattered?
754
00:40:27,759 --> 00:40:30,594
Gorgeous women do not go
to medical school,
755
00:40:30,720 --> 00:40:34,056
unless they're as damaged as
they are beautiful.
756
00:40:34,766 --> 00:40:36,308
Were you abused by a family member?
757
00:40:36,434 --> 00:40:38,268
- No.
- Sexually assaulted?
758
00:40:38,394 --> 00:40:39,394
No!
759
00:40:40,230 --> 00:40:42,648
But you are damaged, aren't you?
760
00:40:49,197 --> 00:40:50,739
I have to go.
761
00:40:54,327 --> 00:40:55,744
I followed her.
762
00:40:56,204 --> 00:40:57,246
Oh.
763
00:40:57,872 --> 00:40:59,540
I couldn't stop thinking about what
that doctor said.
764
00:40:59,666 --> 00:41:01,333
I told you not to listen to him.
He's an idiot.
765
00:41:01,459 --> 00:41:02,918
I was orange!
766
00:41:03,711 --> 00:41:05,796
I don't want to know
what you found out.
767
00:41:05,922 --> 00:41:06,922
You don't care?
768
00:41:07,048 --> 00:41:08,757
I'm your doctor.
769
00:41:09,259 --> 00:41:12,553
You've been good to me and good
to this hospital. Of course I care.
770
00:41:12,679 --> 00:41:15,681
But I don't see how this conversation
can end well for me.
771
00:41:15,807 --> 00:41:17,641
Either your wife is having an affair,
772
00:41:17,767 --> 00:41:19,184
or she's not having an affair,
773
00:41:19,310 --> 00:41:22,104
and you have come here because
you rightly think I should fire him.
774
00:41:22,230 --> 00:41:25,149
But I can't.
Even if it costs me your money.
775
00:41:26,401 --> 00:41:29,403
The son of a bitch is
the best doctor we have.
776
00:41:36,035 --> 00:41:37,077
Feeling any better?
777
00:41:37,203 --> 00:41:39,037
I can't complain.
778
00:41:39,164 --> 00:41:41,123
As you know,
the hospital has certain rules.
779
00:41:41,249 --> 00:41:44,751
And as you also know,
we tend to ignore them.
780
00:41:44,878 --> 00:41:46,670
But I think this one's gonna be
a little obvious
781
00:41:46,796 --> 00:41:48,672
unless we get your help.
782
00:41:48,798 --> 00:41:51,633
If anyone asks,
you have 11 daughters and 5 sons.
783
00:41:51,759 --> 00:41:54,928
Hi! Look who's here!
784
00:41:55,763 --> 00:41:58,640
It's so good to see you guys.
I missed you.
785
00:41:59,726 --> 00:42:01,518
This is for me?
786
00:42:01,644 --> 00:42:03,228
It's beautiful.
787
00:42:06,816 --> 00:42:08,525
Oh, I love you guys.
788
00:42:09,277 --> 00:42:12,112
I wanted to thank Dr. House,
but he never visited again.
789
00:42:12,238 --> 00:42:14,740
He cured you. You didn't cure him.
790
00:42:16,284 --> 00:42:18,911
Okay, I want a hug and a kiss from
every single one of you!
791
00:42:19,037 --> 00:42:20,662
Get up here right now!
792
00:42:22,790 --> 00:42:24,750
There.
793
00:42:24,876 --> 00:42:25,959
Hold on.
794
00:42:26,628 --> 00:42:28,337
She's converted.
795
00:42:30,632 --> 00:42:32,883
You said she was your cousin.
796
00:42:33,259 --> 00:42:34,843
Why would you lie?
797
00:42:35,428 --> 00:42:37,638
It got you to take the case.
798
00:42:38,431 --> 00:42:40,724
You lied to a friend
to save a stranger.
799
00:42:40,850 --> 00:42:42,935
You don't think
that's kind of screwed up?
800
00:42:43,061 --> 00:42:44,978
You've never lied to me?
801
00:42:45,104 --> 00:42:46,897
I never lie.
802
00:42:47,774 --> 00:42:49,233
Oh, right.
803
00:42:50,568 --> 00:42:51,568
Why do we do this?
804
00:42:51,694 --> 00:42:52,819
Because we're doctors.
805
00:42:52,946 --> 00:42:55,364
If we make mistakes, people die.
806
00:42:59,911 --> 00:43:02,287
Dr. House? You have a patient.
807
00:43:09,254 --> 00:43:11,296
He says he needs a refill.
808
00:43:13,883 --> 00:43:15,634
Got change for a dollar?57755
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