1 00:00:05,437 --> 00:00:07,462 Cat got your tongue? 2 00:00:07,539 --> 00:00:10,474 No. You killed the cat. Cut off his head. 3 00:00:10,542 --> 00:00:12,669 Need to take a look at this. 4 00:00:12,745 --> 00:00:15,646 Mom? Mom. 5 00:00:15,714 --> 00:00:17,739 Mom, it's okay. 6 00:00:19,785 --> 00:00:24,654 Just a couple of questions before I can authorize extending her disability benefits. 7 00:00:24,723 --> 00:00:27,317 I don't like her. She's fat. 8 00:00:28,727 --> 00:00:32,288 I could lose a little weight. 9 00:00:38,404 --> 00:00:40,031 You all right? 10 00:00:40,105 --> 00:00:44,769 - Actually, before she signs-- - I killed the cat. Lots of blood. 11 00:00:46,512 --> 00:00:48,571 It's okay. 12 00:00:48,647 --> 00:00:51,673 I have a couple of questions about some of these dates. 13 00:00:51,750 --> 00:00:54,685 - The first diagnosis-- - Schizophrenia. 14 00:00:54,753 --> 00:00:57,847 Dr. Walters, May 11, last year. The letter's in the medical file. 15 00:00:57,923 --> 00:01:00,858 And April 6-- that was the last day she worked? 16 00:01:00,926 --> 00:01:04,362 But she received unemployment benefits for that week. 17 00:01:04,430 --> 00:01:07,866 We fixed that. I know we did. We returned the money. 18 00:01:11,937 --> 00:01:13,768 That's the canceled check. 19 00:01:13,839 --> 00:01:16,399 Not the real one, you know. It's a copy. 20 00:01:16,475 --> 00:01:18,409 And you're the dependent? 21 00:01:18,477 --> 00:01:23,312 No. That's my little brother. I'm 18. Just helping out. 22 00:01:28,120 --> 00:01:30,054 You're all set. 23 00:01:30,122 --> 00:01:31,987 Just need a signature. 24 00:01:32,057 --> 00:01:34,753 Hey! I'm talking to you! 25 00:01:34,827 --> 00:01:38,263 The cat's first. Now it's your turn, Lucy. 26 00:01:38,330 --> 00:01:40,560 Shut up. Shut up, shut up! 27 00:01:41,667 --> 00:01:46,001 It's okay. She just-- She just needs a little water is all. 28 00:01:46,071 --> 00:01:48,062 I'll go get it. 29 00:01:52,644 --> 00:01:55,169 Just hold on, okay? Just-- 30 00:01:55,247 --> 00:01:59,741 When she comes back, sign it and we're gonna be done. We need this, okay? Please. 31 00:02:01,954 --> 00:02:04,422 Okay. 32 00:02:04,490 --> 00:02:06,515 The voices-- 33 00:02:06,592 --> 00:02:08,583 The voices aren't real. 34 00:02:14,700 --> 00:02:16,691 What? 35 00:02:26,445 --> 00:02:28,436 Mom? Mom. 36 00:02:28,514 --> 00:02:31,540 Mom? Mom! Mom! 37 00:03:04,716 --> 00:03:08,777 Thirty-eight-year-old Caucasian woman. Status: post-respiratory arrest in the field. 38 00:03:08,854 --> 00:03:10,981 Intubated, oxygenating poorly. 39 00:03:18,430 --> 00:03:23,265 Dr. Gregory House, please call Dr. Cuddy at extension 3731. 40 00:03:25,938 --> 00:03:29,396 This is a good hospital? 41 00:03:29,474 --> 00:03:32,932 Depends what you mean by "good". I like these chairs. 42 00:03:36,515 --> 00:03:38,415 How is she? Stable. Okay. 43 00:03:38,483 --> 00:03:40,314 Your Mom had a small pulmonary embolism-- 44 00:03:40,385 --> 00:03:43,286 a blood clot that got stuck in her lungs, blocked the oxygen. 45 00:03:43,355 --> 00:03:47,553 But the pain started in her leg. Where the clot started-- her calf. 46 00:03:47,626 --> 00:03:50,356 It's called a deep vein thrombosis. Basically, a bigger clot. 47 00:03:50,429 --> 00:03:53,364 It never hurt there before. I would have noticed. 48 00:03:53,432 --> 00:03:57,198 A piece of that broke off, went up the vein, through her heart and blocked the blood flow to her lungs. 49 00:03:57,269 --> 00:03:58,998 No blood flow, no oxygen. Okay. 50 00:03:59,071 --> 00:04:03,030 Is your Dad here? I have some things I need to talk to him about. Uh, my Dad's running a little late. 51 00:04:05,911 --> 00:04:08,846 He's dead. Just talk to me. I take care of her. 52 00:04:08,914 --> 00:04:13,078 All right. Your mom's blood alcohol was .12. 10:30 in the morning. 53 00:04:13,151 --> 00:04:16,018 I gave it to her. Two ounces of vodka. It cools her out. 54 00:04:16,088 --> 00:04:19,216 But that's the first since Monday. That was three days ago. 55 00:04:19,291 --> 00:04:21,657 I've been real careful. 56 00:04:25,397 --> 00:04:28,924 She hears voices. She's schizophrenic. That explains the D.V.T. 57 00:04:29,001 --> 00:04:31,697 The alcohol makes her pass out. She's immobile for long periods of time. 58 00:04:31,770 --> 00:04:34,933 That doesn't happen. She's not an alcoholic. She only drinks when you give it to her? 59 00:04:35,007 --> 00:04:38,443 We put her on blood thinners. You can probably take her home tomorrow. 60 00:04:38,510 --> 00:04:41,377 It's not the alcohol. It's gotta be something else. 61 00:04:41,446 --> 00:04:44,574 Ofcourse it's the alcohol. 62 00:04:45,717 --> 00:04:48,117 Hello! 63 00:04:48,186 --> 00:04:50,814 This guy's a professional doctor. 64 00:04:50,889 --> 00:04:53,949 Plays golf and everything, I bet. 65 00:04:54,026 --> 00:04:57,928 He's not gonna tell you your mom's an alcoholic without proof. 66 00:04:57,996 --> 00:05:00,931 I'm sure he scoped for varices, checked her esophagus, ran all kinds of blood tests. 67 00:05:00,999 --> 00:05:03,900 Doctors like this, they don't make assumptions. They do the work. 68 00:05:03,969 --> 00:05:06,631 I'd be happy to refer you the case, Dr. House. You seem so interested. 69 00:05:06,705 --> 00:05:09,765 What case? It's over. You're sending her home. 70 00:05:09,841 --> 00:05:11,775 - How old is she? - You're a doctor? 71 00:05:11,843 --> 00:05:13,276 Own my own stethoscope. 72 00:05:13,345 --> 00:05:16,246 Did I ask you how old she was? I forget. 73 00:05:17,783 --> 00:05:20,718 A 38-year-old woman with no previous symptoms or history... 74 00:05:20,786 --> 00:05:22,549 presents with deep vein thrombosis. 75 00:05:22,621 --> 00:05:24,384 How did she get it? 76 00:05:24,456 --> 00:05:27,289 Oral contraceptives, smoking, diabetes, obesity. What's the point here? 77 00:05:27,359 --> 00:05:31,887 A D.V.T. is a D.V.T. Put her on I.V. Heparin to prevent future clots. 78 00:05:31,963 --> 00:05:35,490 - What's the big mystery? - Fine. You're all sleepy. You need a clue. 79 00:05:35,567 --> 00:05:38,627 She's 38 years old. 80 00:05:38,704 --> 00:05:41,571 She's 20 years too young to get a deep vein thrombosis. 81 00:05:41,640 --> 00:05:45,235 I treated a 12-year-old girl once, a soccer player. She got kicked in the leg. 82 00:05:45,310 --> 00:05:48,336 There was no trauma. None of the risk factors. You took a history? 83 00:05:48,413 --> 00:05:54,215 I have some notes. They're not mine, but reliable, I think, for the purposes of this discussion. 84 00:05:54,286 --> 00:05:59,019 As for the immobility, well, she's real active right now, ofcourse. Paranoia keeps her limber. 85 00:05:59,091 --> 00:06:01,958 - Paranoia? - Oh, yeah. She's schizophrenic. 86 00:06:02,027 --> 00:06:05,463 And her kid wrote this, so it might be a little biased. 87 00:06:05,530 --> 00:06:08,590 You know, having to take care of his nutso mom and all. 88 00:06:08,667 --> 00:06:10,999 You think there's a connection? 89 00:06:11,069 --> 00:06:14,505 - Do we include schizophrenia in the differential for D. V.T.? - Well-- 90 00:06:14,573 --> 00:06:16,598 The answer is no. 91 00:06:16,675 --> 00:06:19,542 Abnormal dopaminergic pathways in the brain do not cause blood clots. 92 00:06:19,611 --> 00:06:21,340 Schizophrenia is not the cause of D.V.T. 93 00:06:21,413 --> 00:06:25,349 On the other hand, we don't really know anything about schizophrenia, so maybe it is connected. 94 00:06:25,417 --> 00:06:27,351 Well, schizophrenia explains one mystery-- 95 00:06:27,419 --> 00:06:30,354 why you're so fascinated by a woman with a bump in her leg. 96 00:06:30,422 --> 00:06:33,858 It's like Picasso deciding to whitewash a fence. Thanks. I'm more of a Leroy Neiman man. 97 00:06:33,925 --> 00:06:36,860 And it is only about the D.V.T. She's 38 years old. She shouldn't-- 98 00:06:36,928 --> 00:06:40,420 Right, solve this one, and you're on your way to Stockholm. We don't even know how to treat it. 99 00:06:40,499 --> 00:06:42,433 Come on. Fumigation of the vagina? 100 00:06:42,501 --> 00:06:45,436 A little louder. I don't think everyone heard you. 101 00:06:45,504 --> 00:06:49,497 Two thousand years ago, that's how Galen treated schizophrenics. The Marcus Welby of ancient Greece. 102 00:06:49,574 --> 00:06:51,769 Oh, clearly you're not interested. Oh, I'm interested. 103 00:06:51,843 --> 00:06:56,712 I'm interested in how voices in the head could be caused by malposition of the uterus. There's a better place for it? 104 00:06:56,782 --> 00:06:59,717 Now, what do we got? We've got lobotomies, rubber rooms, electric shocks. 105 00:06:59,785 --> 00:07:02,345 My, Galen was so primitive. Where are you going? 106 00:07:02,421 --> 00:07:06,755 Going to see the patient. That all-important human connection. Thought I'd give it a whirl. 107 00:07:06,825 --> 00:07:09,259 You won't talk to patients because they lie, 108 00:07:09,327 --> 00:07:11,761 but give you a patient with no concept of reality-- 109 00:07:11,830 --> 00:07:15,459 If it wasn't for Socrates, that raving, untreated schizophrenic, we wouldn't have the Socratic method-- 110 00:07:15,534 --> 00:07:18,970 the best way of teaching everything, apart from juggling chain saws. 111 00:07:19,037 --> 00:07:22,473 Without Isaac Newton, we'd be floating on the ceiling. Dodging chain saws, no doubt. 112 00:07:22,541 --> 00:07:26,272 And that guitar player in that English band. He was great. 113 00:07:26,344 --> 00:07:29,404 You think I'm interested because of the schizophrenia. 114 00:07:29,481 --> 00:07:30,914 Yeah, I'm pretty sure. 115 00:07:30,982 --> 00:07:34,941 Galen was pretty sure about the fumigation thing. 116 00:07:36,388 --> 00:07:38,379 Pink Floyd. 117 00:07:41,193 --> 00:07:45,061 - Mom, this is Dr. Gr-- - Gregory House. 118 00:07:45,130 --> 00:07:47,064 Nice to meet you. 119 00:07:47,132 --> 00:07:50,067 Would it be all right if we spoke alone for a while? 120 00:07:50,135 --> 00:07:52,535 Well, you're gonna need me to-- 121 00:07:52,604 --> 00:07:54,936 I've got your case notes, Doctor. 122 00:07:55,006 --> 00:07:56,940 There's a cafeteria downstairs. 123 00:07:57,008 --> 00:07:58,942 Get yourself whatever you want, 124 00:07:59,010 --> 00:08:02,411 as long as there's enough left over for a Reuben sandwich, dry, no fries, hold the pickles. 125 00:08:02,481 --> 00:08:04,915 Should run you about 5.80 with tax. 126 00:08:10,589 --> 00:08:12,580 I'll page you when we're done. 127 00:08:15,727 --> 00:08:18,423 No... 128 00:08:18,497 --> 00:08:20,727 pickles. 129 00:08:25,871 --> 00:08:27,862 Nice kid. 130 00:08:29,374 --> 00:08:31,808 How much do you really drink? 131 00:08:38,483 --> 00:08:41,350 He's really talking to a patient? 132 00:08:41,419 --> 00:08:44,354 I don't know who I am anymore. 133 00:08:44,422 --> 00:08:47,357 It's a blood clot. What's so fascinating about that? 134 00:08:47,425 --> 00:08:51,191 He likes crazy people. He likes the way they think. 135 00:08:51,263 --> 00:08:54,198 They think badly. That's the definition of crazy. 136 00:08:54,266 --> 00:08:57,030 Why would he like-- They're not boring. 137 00:08:57,102 --> 00:08:59,093 He likes that. 138 00:09:02,674 --> 00:09:04,608 And the meds? 139 00:09:04,676 --> 00:09:07,008 Baseball. I like baseball. 140 00:09:09,014 --> 00:09:11,175 Very nice. Very sad. 141 00:09:13,018 --> 00:09:16,681 My boy and me, we went to see a game. 142 00:09:16,755 --> 00:09:20,191 Not "Mets". Meds. Medicine. 143 00:09:23,962 --> 00:09:26,954 You take what he tells you to take. 144 00:09:30,468 --> 00:09:32,459 No one believes me. 145 00:09:34,139 --> 00:09:36,130 I do. 146 00:09:43,148 --> 00:09:46,208 I thought he liked rationality. 147 00:09:46,284 --> 00:09:48,218 He likes puzzles. 148 00:09:48,286 --> 00:09:50,413 Patients are puzzles? You don't think so? 149 00:09:50,488 --> 00:09:53,013 I think they're people. Yeah. 150 00:09:53,091 --> 00:09:57,653 Well, he hates them, and he's fascinated by them. 151 00:09:59,130 --> 00:10:02,327 Tell me you can't relate to that sentiment. 152 00:10:07,606 --> 00:10:10,973 You told Luke it never hurt before. Just rough. 153 00:10:11,042 --> 00:10:13,510 They didn't hurt. 154 00:10:13,578 --> 00:10:15,569 Didn't? 155 00:10:17,048 --> 00:10:19,380 Don't lie to him, Limpy. 156 00:10:19,451 --> 00:10:21,385 Lively Lucy never lies to Lucas. 157 00:10:21,453 --> 00:10:23,444 Look what I do to him. 158 00:10:26,124 --> 00:10:29,059 Radiation therapist to Oncology. 159 00:10:29,127 --> 00:10:31,425 Learn anything from the "human connection"? 160 00:10:31,496 --> 00:10:33,430 Yeah. The Mets suck. 161 00:10:33,498 --> 00:10:38,834 Also, for the last two months, she hasn't shaved her legs. Because of the tremors, she cuts herself. 162 00:10:38,903 --> 00:10:41,565 - The tremors aren't new. She must always cut herself. - Exactly. 163 00:10:41,640 --> 00:10:43,574 Something changed in the last two months. 164 00:10:43,642 --> 00:10:48,272 I'm thinking the amount of blood when she cut herself. So let's start with some blood work. 165 00:10:48,346 --> 00:10:52,043 Collect and send for clotting studies, P.T., P.T.T., factor five, protein "C" and "S". 166 00:10:52,117 --> 00:10:54,244 The whole shebang. Good luck. 167 00:10:55,520 --> 00:10:57,818 No pickles, and it's cold now. 168 00:10:57,889 --> 00:11:00,449 - If it's a Reuben, that's the way he likes it. - Everyone, this is Luke. 169 00:11:00,525 --> 00:11:03,460 - Allison Cameron. It's nice to finally meet you. - Yeah. Save it. We're busy. 170 00:11:03,528 --> 00:11:07,294 Luke, give us another half hour with your mom. We need to do some tests. 171 00:11:11,136 --> 00:11:13,070 Nice kid. 172 00:11:13,138 --> 00:11:16,073 Take her off the psych meds. That way we'll know what's what on the physical side. 173 00:11:16,141 --> 00:11:19,599 And who knows, we might get more out of her. 174 00:11:22,647 --> 00:11:24,638 Don't worry. No pickles. 175 00:11:26,017 --> 00:11:28,008 Happy birthday. 176 00:11:29,854 --> 00:11:32,482 Okay. Whose? 177 00:11:32,557 --> 00:11:36,823 I was going through your mail, and it was on a form. Happy birthday. 178 00:11:39,364 --> 00:11:41,298 Oh. 179 00:11:51,910 --> 00:11:53,844 No! No blood! Not mine! 180 00:11:53,912 --> 00:11:55,846 For the test. Dr. House told us-- 181 00:11:55,914 --> 00:12:00,214 You're gonna steal it! Sell it! No! No blood! 182 00:12:00,285 --> 00:12:03,721 No! No blood! No! No blood! 183 00:12:03,788 --> 00:12:05,722 Haldol, five milligrams, stat. 184 00:12:05,790 --> 00:12:09,123 No! No! No! 185 00:12:09,194 --> 00:12:12,721 No! No! 186 00:12:12,797 --> 00:12:15,630 No! No! Oh, no! 187 00:12:15,700 --> 00:12:18,362 N-No! 188 00:12:22,507 --> 00:12:24,441 No. 189 00:12:32,250 --> 00:12:35,742 Well, good news. The lab says it's not strep, so we're done. 190 00:12:35,820 --> 00:12:38,755 Wait a second. No, really not strep. 191 00:12:38,823 --> 00:12:42,224 The boys in the lab, sure, they're hard drinkers, but they're pros, you know. 192 00:12:42,293 --> 00:12:44,853 Plus, your kid actually has none of the symptoms for strep. 193 00:12:44,929 --> 00:12:47,864 It was quicker running the test than arguing with you. My point is, go! 194 00:12:47,932 --> 00:12:50,867 I just wanted to ask your opinion, Doctor. 195 00:12:50,935 --> 00:12:53,870 She's having a birthday party next week, and she's upset that I'm getting a sugarless cake. 196 00:12:53,938 --> 00:12:56,873 The other kids hate it. This is why you're here. 197 00:12:56,941 --> 00:12:59,876 Sugar is the leading cause of obesity in America. 198 00:12:59,944 --> 00:13:02,879 You want a doctor to scare her about the dangers of sugar. 199 00:13:02,947 --> 00:13:05,882 She needs to get her weight under control. 200 00:13:05,950 --> 00:13:11,388 Well, you know, I feel sorry for those other kids, Wendy, who don't have a mom like yours-- 201 00:13:11,456 --> 00:13:15,893 a mom who knows that sugar causes heart disease, appendicitis and athlete's foot. 202 00:13:15,960 --> 00:13:18,895 That's not fair. Oh, yes, it is. No, I get it. 203 00:13:18,963 --> 00:13:22,399 You want her to slim down a little so she can wear pretty clothes like yours. 204 00:13:22,467 --> 00:13:24,401 Love the bracelets. 205 00:13:24,469 --> 00:13:27,404 Hey, what about matching outfits? You could be twins. 206 00:13:27,472 --> 00:13:29,872 She can't be your daughter. 207 00:13:29,941 --> 00:13:32,466 It's impossible! You look way too young. 208 00:13:32,544 --> 00:13:34,478 Happy birthday. 209 00:13:34,546 --> 00:13:36,480 Get the kid a damned ice cream cake. 210 00:13:36,548 --> 00:13:39,676 Dr. Wyland to Obstetrics. Dr. Wyland, Obstetrics. 211 00:13:39,751 --> 00:13:42,914 - You drugged her. - Actually, I didn't. 212 00:13:42,987 --> 00:13:45,547 I've taken her off all medication. Your guy Foreman gave her Haldol. 213 00:13:45,623 --> 00:13:49,286 We needed blood for tests. I assumed that was the only way to get it. 214 00:13:49,360 --> 00:13:53,421 He knocked her out. Look, I have a cane, and I know how to use it. 215 00:13:53,498 --> 00:13:55,489 I hired you. You work for me. 216 00:13:55,567 --> 00:13:57,194 Okay. 217 00:13:57,268 --> 00:13:59,293 Can I go now, boss? 218 00:14:02,473 --> 00:14:04,407 The Haldol changes her. 219 00:14:04,475 --> 00:14:08,809 She says it makes her soul numb. Don't give it to her. 220 00:14:13,351 --> 00:14:15,285 "If there be rags enough, 221 00:14:15,353 --> 00:14:19,187 he will know her name and be well pleased remembering it". 222 00:14:21,993 --> 00:14:24,427 You okay? 223 00:14:24,495 --> 00:14:26,486 Old days. 224 00:14:29,634 --> 00:14:31,568 "For in the old days, 225 00:14:31,636 --> 00:14:34,571 "though she had young men's praise and old men's blame, 226 00:14:34,639 --> 00:14:37,608 among the poor, both old and young gave her praise". 227 00:14:40,945 --> 00:14:43,106 Oh! 228 00:14:46,951 --> 00:14:49,442 Help! Somebody help! 229 00:14:54,425 --> 00:14:59,795 So, when I said no psych meds, I'm just curious-- which word didn't you understand? 230 00:14:59,864 --> 00:15:02,799 The Haldol had nothing to do with the bleed. 231 00:15:02,867 --> 00:15:05,734 You know that. I used it purely as a chemical restraint. 232 00:15:05,803 --> 00:15:07,964 Oh, great. Well, that's good to hear. 233 00:15:08,039 --> 00:15:12,669 So she won't experience any of those pesky little side effects you get when your motives aren't pure. 234 00:15:12,744 --> 00:15:14,974 Oh-- Those side effects are so rare! 235 00:15:15,046 --> 00:15:18,812 What, passing out, increased confusion, depression? That's not gonna happen. 236 00:15:18,883 --> 00:15:22,944 That's not gonna screw up our diagnosis, 'cause you just used it to restrain her. I'm so relieved. 237 00:15:23,021 --> 00:15:24,955 She spit in my face. 238 00:15:25,023 --> 00:15:27,958 That must have been so frightening for you. 239 00:15:28,026 --> 00:15:30,961 What was I supposed to do, tie her down? Yeah. Anything but give her drugs. 240 00:15:31,029 --> 00:15:32,963 That's basically my point. 241 00:15:33,031 --> 00:15:37,593 The clotting studies. Pretty fast. Did you promise to date the entire lab? 242 00:15:37,669 --> 00:15:40,035 No, I save that for emergencies. 243 00:15:40,104 --> 00:15:43,471 I told them she bled out two units and if it happened again, she'd die. 244 00:15:43,541 --> 00:15:46,476 If it had happened at home, she would have died. 245 00:15:46,544 --> 00:15:49,308 The E.R. doc, he was gonna send her home. 246 00:15:49,380 --> 00:15:52,781 - I used my best judgment. - It turns out your best judgment is not good enough. 247 00:15:52,850 --> 00:15:56,308 - Here's an idea-- next time, use mine. - I think they're choosing a movie. 248 00:15:56,387 --> 00:15:59,151 Why did the patient bleed out? 249 00:15:59,223 --> 00:16:01,817 The clotting studies so far are normal. 250 00:16:01,893 --> 00:16:04,828 Well, cover your ears if you don't want me to spoil the ending. 251 00:16:04,896 --> 00:16:08,559 Everything was normal, except for a prolonged P.T. time. 252 00:16:08,633 --> 00:16:13,127 - Which means what? - Usually it means whoever drew the blood didn't do it right. 253 00:16:13,204 --> 00:16:15,536 Oh, that's right, 'cause you drew the blood. 254 00:16:15,606 --> 00:16:20,066 - But you were precise because you knew the tube was purely for the P.T. study. - That's right. 255 00:16:20,144 --> 00:16:23,580 And I'm right with you. I trust this result, for two reasons-- 256 00:16:23,648 --> 00:16:26,208 "A", because you are a good doctor, 257 00:16:26,284 --> 00:16:29,014 and "B", because five milligrams of I.V. Haldol... 258 00:16:29,087 --> 00:16:32,022 makes for a spectacularly cooperative patient. 259 00:16:33,424 --> 00:16:36,689 The prolonged P.T. time makes me think she's got a vitamin "K" deficiency. 260 00:16:36,761 --> 00:16:39,662 Vitamin "K" would explain the bleed, but not the clot. 261 00:16:39,731 --> 00:16:43,098 Without vitamin "K", protein "C" doesn't work. Without protein "C", she clots. 262 00:16:43,167 --> 00:16:46,102 Clotting and thinning all at the same time. 263 00:16:46,170 --> 00:16:49,537 What about another drug interacting with Heparin, an antibiotic like ampicillin? 264 00:16:49,607 --> 00:16:52,542 That would cause the bleed. Clever, but she's not on ampicillin. 265 00:16:52,610 --> 00:16:56,046 Two months ago, she complained of a sore throat, and he got her ampicillin. 266 00:16:56,114 --> 00:16:58,412 - Which she refused to take. - He just said she didn't take it. 267 00:16:58,483 --> 00:17:01,680 What is it, everybody lies except for schizophrenics and their children? 268 00:17:01,753 --> 00:17:05,712 It's more likely than malnourishment. Why not scurvy or the plague? 269 00:17:05,790 --> 00:17:08,350 Gee, I wish my idea was as cool and with-it as yours. 270 00:17:08,426 --> 00:17:11,623 What is yours, by the way? Do you have one? Alcohol. 271 00:17:11,696 --> 00:17:15,496 Simple. It causes immobility, which explains the D.V.T. 272 00:17:15,566 --> 00:17:20,765 It also causes cirrhosis, which explains the bleed and the prolonged P.T. time. 273 00:17:20,838 --> 00:17:23,739 - Let's ultrasound the liver. - Three theories. 274 00:17:23,808 --> 00:17:27,073 Check out her place for ampicillin and diet. 275 00:17:27,145 --> 00:17:29,079 Then ultrasound her liver. 276 00:17:29,147 --> 00:17:32,310 Let's find out who's right before she bleeds to death. 277 00:17:46,497 --> 00:17:48,488 101. 278 00:17:55,773 --> 00:18:00,142 So House says the kid is sensitive, thinks he takes good care of her. 279 00:18:00,211 --> 00:18:03,408 But if we don't find anything, why let him know we did it in the first place? 280 00:18:03,481 --> 00:18:05,415 What's the point? 281 00:18:05,483 --> 00:18:10,216 Why not just make old Foreman lift the key from the kid's backpack? 282 00:18:24,969 --> 00:18:27,631 Looks like Luke sleeps in the living room. 283 00:18:34,946 --> 00:18:37,471 Nothing in there. 284 00:18:37,548 --> 00:18:39,482 He lays out her clothes? 285 00:18:39,550 --> 00:18:43,680 Enough organization, enough lists, you think you can control the uncontrollable. 286 00:18:43,754 --> 00:18:47,815 Fix her meds, fix her clothes, maybe you can even fix her. 287 00:18:49,127 --> 00:18:51,561 Pick that up on your psych rotation? 288 00:19:01,205 --> 00:19:04,606 Trifluoperazine, Thorazine, Clozarile. 289 00:19:04,675 --> 00:19:06,973 Whew. They tried everything. 290 00:19:07,044 --> 00:19:11,310 The ampicillin-- never touched it. 291 00:19:11,382 --> 00:19:15,546 There goes Cameron's theory. Oh, God, I hope it's not a vitamin "K" deficiency. 292 00:19:22,793 --> 00:19:25,421 Damn. 293 00:19:25,496 --> 00:19:27,430 Breakfast, lunch and dinner. 294 00:19:27,498 --> 00:19:29,432 House was right. 295 00:19:32,503 --> 00:19:34,937 That's the only thing she'll eat. Yeah. 296 00:19:35,006 --> 00:19:37,941 The problem is, you can't actually live on this stuff. 297 00:19:38,009 --> 00:19:41,945 I checked it out. I looked on the box. All the nutritional values are solid. 298 00:19:42,013 --> 00:19:43,947 There's plenty of protein and calories. 299 00:19:44,015 --> 00:19:48,042 Yeah, vitamin "A" and "C", but no "K". That's why your mom got sick. 300 00:19:50,588 --> 00:19:53,751 So what's the plan then? Load her up with vitamin "K". 301 00:19:53,824 --> 00:19:58,158 That's it? If it all checks out, you can take her home in a couple of days. 302 00:20:01,966 --> 00:20:04,457 Oh, God, you're upset about something. 303 00:20:05,736 --> 00:20:09,467 You're gonna open up to me now, aren't you? It's all my fault. 304 00:20:10,608 --> 00:20:12,542 Here we go. 305 00:20:12,610 --> 00:20:16,603 Okay, I'm gonna say this once: You have done a very good job taking care of your mother. 306 00:20:16,681 --> 00:20:20,879 If this was all she'd eat, then what else could you do? Gosh, just being a kid is a full-time job. 307 00:20:20,952 --> 00:20:24,945 Shut up! I'm 18. I should be able to take care of my mom. 308 00:20:26,324 --> 00:20:29,555 I almost killed her. Good example. 309 00:20:29,627 --> 00:20:34,564 Just the time it takes to express those ridiculous, self-centered teenage ideas. 310 00:20:34,632 --> 00:20:36,691 I don't envy your schedule. 311 00:20:39,036 --> 00:20:41,402 No pickles. 312 00:20:41,472 --> 00:20:43,599 My mom doesn't like 'em either. 313 00:20:43,674 --> 00:20:45,665 Smart woman. 314 00:20:46,877 --> 00:20:49,812 Before she got sick, I didn't like how bossy she was. 315 00:20:49,880 --> 00:20:53,475 Always telling me what to do, the right way to do it. 316 00:20:54,318 --> 00:20:57,947 Never thought I'd miss that. 317 00:20:58,022 --> 00:21:01,651 Oww. 318 00:21:03,327 --> 00:21:05,352 You should get that looked at. 319 00:21:05,429 --> 00:21:08,364 I still don't buy a vitamin "K" deficiency. House was right. 320 00:21:08,432 --> 00:21:11,367 That usually makes you happy. Less work for us. 321 00:21:11,435 --> 00:21:14,962 The kid feeds his mom a steady diet of booze, and the problem is too many burgers? 322 00:21:15,039 --> 00:21:17,974 The kid's in a tough situation. You do what you gotta do to survive. 323 00:21:18,042 --> 00:21:21,478 Feeding alcohol to an alcoholic is not a survival technique. 324 00:21:21,545 --> 00:21:23,877 Where I come from, if it works-- Yeah, right. 325 00:21:23,948 --> 00:21:27,941 I'm rich. I couldn't possibly understand what this kid is going through. 326 00:21:29,153 --> 00:21:33,590 Just because you're drinking pricier stuff doesn't mean you don't have a problem. 327 00:21:33,658 --> 00:21:36,593 You've seen someone stagger down that road? 328 00:21:36,661 --> 00:21:39,596 No way vitamin "K" is the whole story. 329 00:21:44,201 --> 00:21:47,136 It's not broken. 330 00:21:47,204 --> 00:21:49,138 See this, right here? 331 00:21:49,206 --> 00:21:53,506 It's the epiphyseal plate, otherwise known as the "growth plate". What's wrong with it? 332 00:21:53,577 --> 00:21:56,239 Amazing thing, this bone. 333 00:21:56,314 --> 00:21:59,340 If you know how to read it, it can tell you how old someone really is. 334 00:21:59,417 --> 00:22:02,648 - Exactly how old. - Great. 335 00:22:02,720 --> 00:22:05,553 Mmm, not even 15. 336 00:22:05,623 --> 00:22:07,557 Almost though. 337 00:22:07,625 --> 00:22:10,389 Two weeks away. Maybe a month. 338 00:22:11,929 --> 00:22:15,160 Last week. I was 15 last week. 339 00:22:15,232 --> 00:22:18,030 Happy birthday to both of us. 340 00:22:18,102 --> 00:22:20,935 If you're gonna lie though, go big. Go 21. 341 00:22:21,005 --> 00:22:23,940 That way you won't need your crazy mom to help you buy vodka. 342 00:22:24,008 --> 00:22:27,500 Uh, great. Thanks for the tip. 343 00:22:29,113 --> 00:22:33,812 Now, when I bring my mom home, is there anything I need to know about taking care of her? 344 00:22:33,884 --> 00:22:36,819 I suppose your biggest worry isn't the booze. 345 00:22:36,887 --> 00:22:39,822 You're 15, basically no mom. 346 00:22:39,890 --> 00:22:42,518 If Child Welfare let kids get away with that, they wouldn't need those nice foster homes, 347 00:22:42,593 --> 00:22:44,527 and that would make them sad. 348 00:22:44,595 --> 00:22:46,495 They'd put her someplace too. 349 00:22:46,564 --> 00:22:48,555 My life is working. 350 00:22:49,633 --> 00:22:52,101 Not the word I'd use. 351 00:22:52,169 --> 00:22:55,730 Most 15-year-old kids are doing what they're supposed to be doing. 352 00:22:55,806 --> 00:22:57,740 You know, they're huffing glue, catching crabs. 353 00:22:57,808 --> 00:23:00,436 If you turn me in, I'll sue you. 354 00:23:00,511 --> 00:23:02,706 That's privileged information. 355 00:23:02,780 --> 00:23:05,305 Oh, relax. It's not even your X-ray. 356 00:23:09,553 --> 00:23:11,487 She's awfully calm. 357 00:23:11,555 --> 00:23:13,546 House wrote new orders. 358 00:23:17,661 --> 00:23:20,425 There's a little bit of scarring. Not much. 359 00:23:20,498 --> 00:23:22,432 Not enough to-- It's cirrhosis. 360 00:23:22,500 --> 00:23:24,593 Oh, but she doesn't drink. 361 00:23:24,668 --> 00:23:26,659 Congratulations. You win. 362 00:23:29,306 --> 00:23:31,297 Actually, 363 00:23:32,576 --> 00:23:34,510 no one wins. 364 00:23:34,578 --> 00:23:37,513 Tumor. Cystic? 365 00:23:37,581 --> 00:23:39,947 Solid mass. 366 00:23:40,017 --> 00:23:42,076 Cancer. 367 00:23:43,487 --> 00:23:47,924 The vitamin "K" caused the D.V.T. and aggravated the liver, 368 00:23:47,992 --> 00:23:50,927 but the tumor's the real reason for the bleed. 369 00:23:50,995 --> 00:23:53,156 The tumor's the problem. 370 00:23:53,230 --> 00:23:55,698 Mrs. Palmero, I'm Dr. Wilson. 371 00:23:55,766 --> 00:23:59,395 I'm afraid I have some bad news from your ultrasound. 372 00:23:59,470 --> 00:24:01,404 You have cancer. 373 00:24:34,939 --> 00:24:37,339 It's big. 5.8 centimeters. 374 00:24:37,408 --> 00:24:40,138 We do nothing, she dies from liver failure within 60 days. 375 00:24:40,211 --> 00:24:42,645 - She needs a transplant. - That's gonna happen. 376 00:24:42,713 --> 00:24:47,082 - She's 38 years old. She's a mother. - She's a schizophrenic mother with no money, on the public dole, in fact, 377 00:24:47,151 --> 00:24:49,585 who knocks back vodka every time a breeze blows her way. 378 00:24:49,653 --> 00:24:52,918 Mickey Mantle had a whole bar named after him. He got a transplant. 379 00:24:52,990 --> 00:24:54,924 Yeah, well, Lucy can't switch-hit. 380 00:24:54,992 --> 00:24:57,358 Plan "B"-- surgery to resect the tumor. 381 00:24:57,428 --> 00:25:01,228 Joe Bergin does the gamma knife thing. Laser cauterizes while it cuts, saves more liver. 382 00:25:01,298 --> 00:25:03,994 The tumor's way too big. He won't even consider it. 383 00:25:04,068 --> 00:25:07,435 Not a big risk-taker, Bergin. Won't even drink milk on its expiration date. 384 00:25:07,505 --> 00:25:10,269 He has no discretion. 5.8 centimeters is past the surgical guidelines. 385 00:25:13,844 --> 00:25:16,176 Would he do it at 4.6? 386 00:25:16,247 --> 00:25:21,275 Why don't we just say it's zero? Then we don't need him at all. Tumors grow, they don't shrink. 387 00:25:21,352 --> 00:25:23,343 This one does. 388 00:25:24,788 --> 00:25:27,723 Ninety-five percent ethanol. 389 00:25:27,791 --> 00:25:31,056 The ethanol dehydrates the tumor cells. 390 00:25:31,128 --> 00:25:33,119 Literally sucks them dry. 391 00:25:34,999 --> 00:25:36,933 It shrinks the tumor temporarily. 392 00:25:37,001 --> 00:25:38,992 How temporarily? 393 00:25:40,337 --> 00:25:42,828 Well, if we're lucky, 394 00:25:45,709 --> 00:25:48,701 just long enough to fool the surgeon. 395 00:25:55,819 --> 00:25:58,982 Dr. Shopius, report to Psych Exam. 396 00:25:59,056 --> 00:26:02,287 Dr. Shopius, Psych Exam. 397 00:26:02,359 --> 00:26:04,293 Good morning, Dr. House. 398 00:26:04,361 --> 00:26:06,295 Good morning, Dr. Cuddy. 399 00:26:06,363 --> 00:26:08,297 Love that outfit. 400 00:26:08,365 --> 00:26:10,993 It says, "I'm professional, but I'm still a woman". 401 00:26:11,068 --> 00:26:13,502 Actually, it sort of yells the second part. 402 00:26:13,571 --> 00:26:16,506 Yeah, and your big cane is real subtle too. 403 00:26:16,574 --> 00:26:20,704 Gotta go. Those running noses aren't just gonna start walking on their own. 404 00:26:20,778 --> 00:26:23,303 The clinic can wait. 405 00:26:23,380 --> 00:26:25,940 How long? Maybe we could catch a movie. 406 00:26:26,016 --> 00:26:29,110 You should know by now my doctors have no secrets from me. 407 00:26:30,554 --> 00:26:32,488 I don't believe it. 408 00:26:32,556 --> 00:26:35,047 Who came running to Mommy? 409 00:26:35,125 --> 00:26:38,117 It doesn't matter who. The point is, I know exactly what you did. 410 00:26:39,797 --> 00:26:42,322 You have no idea what I'm talking about. 411 00:26:42,399 --> 00:26:46,335 Somebody knows about a bad thing you did. That's a big field. 412 00:26:46,403 --> 00:26:50,635 But somebody you think might've told me. That narrows it down quite a bit. 413 00:26:50,708 --> 00:26:53,643 Someone who views me as a maternal authority figure. 414 00:26:53,711 --> 00:26:57,044 Ayoung person perhaps? How am I doing? Think I'm gonna get there? 415 00:26:57,114 --> 00:27:00,049 Presumably hospital business. How many patients-- It's Cameron. 416 00:27:00,117 --> 00:27:02,051 She found out about my birthday. 417 00:27:02,119 --> 00:27:07,056 I thought she told you and I'd have to stand here and smile while you gave me a sweatshirt or a fruit basket. 418 00:27:07,124 --> 00:27:09,524 You know, made me feel that deep sense of belonging. 419 00:27:09,593 --> 00:27:14,155 Actually, I was just gonna remind you, you owe me six clinic hours this week. 420 00:27:14,231 --> 00:27:16,222 Oops. 421 00:27:23,140 --> 00:27:25,074 Hi, this is Dr. Cuddy. 422 00:27:25,142 --> 00:27:29,135 I need all the charts on Dr. House's current patients. 423 00:27:32,950 --> 00:27:35,885 I've tried everything. Mm-hmm. 424 00:27:35,953 --> 00:27:40,185 "Pulling the tongue, ice packs on the throat, hitting yourself, 425 00:27:40,257 --> 00:27:42,487 the groin pinch". 426 00:27:43,627 --> 00:27:47,154 Well, you've certainly covered all the normal medical bases. 427 00:27:47,231 --> 00:27:50,166 Uh, how are you hitting yourself though? 428 00:27:50,234 --> 00:27:52,896 Is it with an open hand or a fist? Open hand. 429 00:27:52,970 --> 00:27:55,905 Uh-huh. Well, that's-- that's how they teach it at Harvard Med. 430 00:27:55,973 --> 00:27:57,964 How hard though? 431 00:28:00,310 --> 00:28:02,835 I'm sorry. I missed that. Could you do that again? 432 00:28:02,913 --> 00:28:04,505 Uh-- 433 00:28:04,581 --> 00:28:06,515 That's-- That's very good. 434 00:28:06,583 --> 00:28:08,517 It's hiccups. 435 00:28:08,585 --> 00:28:11,019 I need to speak with you now. Mm-hmm. 436 00:28:11,088 --> 00:28:13,022 I need to go pee-pee. 437 00:28:13,090 --> 00:28:15,888 Dial it up a notch and repeat. I'll be back. 438 00:28:25,636 --> 00:28:28,571 Ooh. Girl in the boy's bathroom. 439 00:28:28,639 --> 00:28:30,573 Very dramatic. 440 00:28:30,641 --> 00:28:33,633 It must be very important, what she has to say to me. 441 00:28:35,312 --> 00:28:38,247 Yesterday your patient's tumor was 5.8 centimeters. 442 00:28:38,315 --> 00:28:40,840 Today it's 4.6. How does that happen? 443 00:28:40,918 --> 00:28:44,354 Well, at a guess, I'd say, "That Dr. House must be really, really good. 444 00:28:44,421 --> 00:28:46,355 Why am I wasting him on hiccups?" 445 00:28:46,423 --> 00:28:48,414 I wash before and after. 446 00:28:51,028 --> 00:28:54,327 You also requisitioned 20 c.c.'s of ethanol. 447 00:28:54,398 --> 00:28:57,333 What patient was that for? Or are you planning a party? 448 00:28:57,401 --> 00:28:59,392 Do me a favor. 449 00:29:01,605 --> 00:29:04,267 I was gonna say leave, but that works. 450 00:29:05,476 --> 00:29:08,411 - You shrunk the tumor. - Only way to get the guy to do the surgery. 451 00:29:08,479 --> 00:29:12,108 Fraud was the only way? 452 00:29:12,182 --> 00:29:15,117 There is a reason that we have these guidelines. 453 00:29:15,185 --> 00:29:18,120 I know. To save lives. Specifically, doctors' lives. 454 00:29:18,188 --> 00:29:21,123 And not just their lives, but their lifestyles. 455 00:29:21,191 --> 00:29:24,627 Wouldn't want to operate on anyone really sick. They might die and spoil our stats. 456 00:29:24,695 --> 00:29:27,289 Bergin has a right to know what he is operating on. True. 457 00:29:27,364 --> 00:29:30,492 I got all focused on her right to live and forgot. You do what you think is right. 458 00:29:40,577 --> 00:29:42,511 You really didn't know? 459 00:29:42,579 --> 00:29:45,207 No, I didn't. 460 00:29:45,282 --> 00:29:47,216 And, frankly, I'm angry. 461 00:29:47,284 --> 00:29:49,218 Which I'm guessing is the correct response. 462 00:29:49,286 --> 00:29:52,653 - Ofcourse, I'll know better once you tell me what you're talking about. - Your birthday. 463 00:29:52,723 --> 00:29:54,657 Oh. 464 00:29:54,725 --> 00:29:57,660 Anger was a bad guess. 465 00:29:57,728 --> 00:30:02,825 Well, normally, I'd put on a festive hat and celebrate the fact that the Earth has circled the sun one more time. 466 00:30:02,900 --> 00:30:05,835 I really didn't think it was gonna make it this year, 467 00:30:05,903 --> 00:30:09,304 but darn it if it wasn't the little planet that could all over again. 468 00:30:09,373 --> 00:30:12,740 It's a birthday. It's an excuse to be happy. 469 00:30:12,810 --> 00:30:14,801 You think that's lame? 470 00:30:16,380 --> 00:30:19,372 Why are you here? Did you buy me a pony? 471 00:30:21,418 --> 00:30:23,409 I'm just waiting for the surgery. 472 00:30:25,455 --> 00:30:28,117 Yeah, well, go scrub in. 473 00:30:38,969 --> 00:30:42,063 All right, we're done. Close her up. 474 00:30:46,977 --> 00:30:52,745 The tumor didn't just walk itself into a bar and order up a double shot of ethanol. 475 00:30:52,816 --> 00:30:55,250 Someone shrunk it down. 476 00:30:55,319 --> 00:30:58,755 I'm sorry. It was very, very wrong. 477 00:30:58,822 --> 00:31:01,416 House is lucky I didn't just close her up. 478 00:31:01,491 --> 00:31:04,426 He tries it again, that's what happens. 479 00:31:04,494 --> 00:31:06,485 I'll pass it on. 480 00:31:09,433 --> 00:31:11,367 It looks like the surgeon got it all, 481 00:31:11,435 --> 00:31:14,131 but she's gonna have to have some chemotherapy. 482 00:31:14,204 --> 00:31:16,638 What kind is it? 483 00:31:16,707 --> 00:31:19,505 Luke, stop writing. 484 00:31:26,717 --> 00:31:29,652 If you stop for a second, it's not all gonna fall apart. 485 00:31:29,720 --> 00:31:32,154 Give yourself a break once in a while. 486 00:31:32,222 --> 00:31:35,157 The fact is, your Mom's gonna have an extra drink every now and then. 487 00:31:35,225 --> 00:31:37,250 No. No. She won't. She doesn't. 488 00:31:37,327 --> 00:31:39,261 Fine. 489 00:31:39,329 --> 00:31:43,288 There are some things you just can't fix. That's all I'm saying. 490 00:31:43,367 --> 00:31:47,736 That's how you'd handle it, something like this? You'd just give up? 491 00:31:49,106 --> 00:31:51,040 No. 492 00:31:51,108 --> 00:31:53,303 I'd do it just like you. 493 00:31:56,413 --> 00:31:59,678 It's an infusion. She's gonna have a drain in her abdomen. 494 00:31:59,750 --> 00:32:03,117 You're going to have to check for possible infection. 495 00:32:03,186 --> 00:32:05,120 Lucas Palmero? 496 00:32:05,188 --> 00:32:08,680 Trina Wyatt, Child Services, State of New Jersey. 497 00:32:08,759 --> 00:32:10,693 Can I help you? This is a private room. 498 00:32:10,761 --> 00:32:13,696 He's only 15 years old, a minor. 499 00:32:13,764 --> 00:32:15,698 He's in a tough living situation. 500 00:32:15,766 --> 00:32:17,700 We're just here to help. 501 00:32:17,768 --> 00:32:20,566 I don't need your help. Fifteen? 502 00:32:20,637 --> 00:32:25,301 Lucas, you're gonna have to come with us right now. 503 00:32:25,375 --> 00:32:27,036 Where are you taking him? 504 00:32:27,110 --> 00:32:30,511 Until the determination is made, he'll be housed at Children's Services. 505 00:32:30,580 --> 00:32:34,141 I don't want to be "housed". I live with my mom. 506 00:32:34,217 --> 00:32:36,708 Not for the next few days. 507 00:32:36,787 --> 00:32:40,052 Come on. Let's not make this difficult, huh? 508 00:32:41,058 --> 00:32:43,925 Mom? 509 00:32:43,994 --> 00:32:45,985 Mom? 510 00:32:47,130 --> 00:32:49,121 I love you. 511 00:32:51,601 --> 00:32:55,332 When the Mets lost, you remember? 512 00:32:55,405 --> 00:32:57,396 Yeah. 513 00:32:58,709 --> 00:33:00,734 I remember. 514 00:33:00,811 --> 00:33:03,371 I love you. 515 00:33:22,632 --> 00:33:26,068 Cuddy didn't say anything about pushing Bergin to finish the surgery? Not a word. 516 00:33:26,136 --> 00:33:29,071 Some kind of mind game. She's waiting for me to crack. 517 00:33:29,139 --> 00:33:32,370 Well, either that or she's just being nice. Yeah, right. 518 00:33:32,442 --> 00:33:35,775 You said you wouldn't call. You're a real bastard, you know. 519 00:33:39,850 --> 00:33:43,411 Yeah, I get that a lot. 520 00:33:47,624 --> 00:33:50,115 I don't think Mom's crazy. 521 00:33:54,931 --> 00:33:59,766 "For in the old days, though she had young men's praise and old men's blame, 522 00:33:59,836 --> 00:34:04,170 among the poor, both old and young gave her praise". 523 00:34:10,814 --> 00:34:13,408 You called Social Services. 524 00:34:13,483 --> 00:34:15,417 It was you. 525 00:34:15,485 --> 00:34:18,010 N-- No. No. 526 00:34:18,088 --> 00:34:20,648 It's okay, it's okay. I get it. 527 00:34:22,059 --> 00:34:24,994 He'll have an easier time dealing with the system. 528 00:34:25,062 --> 00:34:29,499 Sure, he won't be with his real mother, but his real mother's sick. 529 00:34:29,566 --> 00:34:32,057 Someone needs to take care of him. 530 00:34:33,470 --> 00:34:35,404 I'm not gonna live here. 531 00:34:35,472 --> 00:34:40,842 What would his future have been, taking you to chemo and back on the bus? 532 00:34:40,911 --> 00:34:43,880 And even if the cancer's in complete remission, 533 00:34:43,947 --> 00:34:46,882 he'll still have a mother who hears voices. 534 00:34:46,950 --> 00:34:50,408 Talk no more. 535 00:34:50,487 --> 00:34:52,421 Talk no more. 536 00:34:52,489 --> 00:34:56,516 "Look what I do to him, Limpy". 537 00:34:56,593 --> 00:34:59,118 You said that. 538 00:34:59,196 --> 00:35:01,460 I checked the phone records. 539 00:35:03,333 --> 00:35:05,893 Only one call from this room. 540 00:35:05,969 --> 00:35:08,904 Smart, because they charge you two bucks a call. 541 00:35:08,972 --> 00:35:11,770 It was to Social Services, the State of New Jersey. 542 00:35:13,844 --> 00:35:16,972 You're his mother. You couldn't do it to him anymore. 543 00:35:20,217 --> 00:35:22,208 Good for you. 544 00:35:23,220 --> 00:35:25,313 Schizophrenics can make rational decisions. 545 00:35:25,388 --> 00:35:29,950 On the small stuff, yeah-- when to sleep, what to drink, you know. 546 00:35:30,026 --> 00:35:32,722 "No lemonade, but I'll take some hemlock if you've got it". 547 00:35:32,796 --> 00:35:34,730 Huh. Your man Socrates. 548 00:35:34,798 --> 00:35:39,929 But giving up your son because it's better for him, it's so sane, it's so rational. 549 00:35:40,003 --> 00:35:42,938 Self-sacrifice is not a symptom of schizophrenia. 550 00:35:43,006 --> 00:35:44,940 It excludes the diagnosis. 551 00:35:45,008 --> 00:35:47,943 She's not schizophrenic? Look, she's 36 years old when she first presents. 552 00:35:48,011 --> 00:35:50,445 It's a little late, but within the parameters. 553 00:35:50,514 --> 00:35:54,143 The internist sends her to a shrink. One shrink sends her to the next. 554 00:35:54,217 --> 00:35:57,516 She tells them all she's not crazy. The drugs don't work. And why would they if she's not a head case? 555 00:35:57,587 --> 00:36:00,351 She got clearer when I took her off the psych meds. 556 00:36:02,692 --> 00:36:06,128 You think I'm crazy. Well, yeah, but that's not the problem. 557 00:36:06,196 --> 00:36:09,290 Didn't we just leave your office? I like to walk. 558 00:37:09,593 --> 00:37:12,528 Is that Dr. Jeffrey Walters? Hi. 559 00:37:12,596 --> 00:37:15,463 My name is Greg House. I'm a doctor-- 560 00:37:16,466 --> 00:37:20,095 Oh, is that the time? I'm-- Yeah. I'm sorry. My watch must have stopped. 561 00:37:20,170 --> 00:37:24,732 Uh, listen, you treated a patient about 18 months ago, a woman named Lucille Palmero. 562 00:37:24,808 --> 00:37:27,800 I wondered if you recalled running any tests... 563 00:37:29,112 --> 00:37:30,739 at all. 564 00:37:31,481 --> 00:37:35,247 Oh, how terribly foolish of me, Doctor. Is it that late? 565 00:37:35,318 --> 00:37:38,981 Yes, I'm calling from London, you see? Must have got my times mixed up-- 566 00:37:46,563 --> 00:37:48,963 I have a headache. It's my only symptom. 567 00:37:49,032 --> 00:37:52,433 I go to see three doctors. The neurologist tells me it's an aneurysm. 568 00:37:52,502 --> 00:37:54,697 The immunologist says I've got hay fever. 569 00:37:54,771 --> 00:37:56,705 The intensivist can't be bothered. 570 00:37:56,773 --> 00:38:00,209 Sends me to a shrink, who tells me that I'm punishing myself 'cause I want to sleep with my mommy. 571 00:38:00,277 --> 00:38:04,771 - Maybe you're just not getting enough sleep? - Pick your specialist, you pick your disease. 572 00:38:04,848 --> 00:38:08,284 If it's not schizophrenia, what else presents with psych symptoms? 573 00:38:08,351 --> 00:38:10,945 - Porphyria. - The Madness of King George. 574 00:38:11,021 --> 00:38:14,286 What about that copper thing? What's it called? It's genetic. 575 00:38:14,357 --> 00:38:16,222 The body accumulates too much copper. 576 00:38:16,293 --> 00:38:18,761 Oh, um, uh, Wilson's Disease? 577 00:38:18,828 --> 00:38:20,762 Yeah. Very rare. 578 00:38:20,830 --> 00:38:22,764 Nice. I like it. 579 00:38:22,832 --> 00:38:25,960 - If any of us did this, you'd fire us. - Well, that's funny. 580 00:38:26,036 --> 00:38:29,062 I thought I encouraged you to question. You're not questioning. 581 00:38:29,139 --> 00:38:31,573 You're hoping. You want it to be Wilson's. 582 00:38:31,641 --> 00:38:33,905 Boom. Give her a couple of drugs, she's okay. 583 00:38:33,977 --> 00:38:36,002 July 17. An appointment with a Dr. Karn. 584 00:38:36,079 --> 00:38:39,640 She didn't keep it. She never kept another appointment with a shrink he made after that. 585 00:38:39,716 --> 00:38:42,913 Karn is not a shrink. I looked him up. He's an ophthalmologist. 586 00:38:42,986 --> 00:38:45,420 Now why would she want her eyes checked? 587 00:38:45,488 --> 00:38:47,820 Wilson's presents with cataracts, I think. Yes, it does. 588 00:38:47,891 --> 00:38:53,158 It also causes slight cirrhosis, which Dr. Chase so eagerly attributed to alcohol. 589 00:38:53,229 --> 00:38:55,663 So what are we still doing here? 590 00:38:55,732 --> 00:38:57,359 Lucy! 591 00:38:57,434 --> 00:38:59,994 I don't think you're crazy. 592 00:39:00,070 --> 00:39:02,868 Neither do I. 593 00:39:02,939 --> 00:39:06,272 But I'm crazy. Come on. Lean over here. 594 00:39:06,343 --> 00:39:08,334 Come on. 595 00:39:09,746 --> 00:39:11,680 That's it. 596 00:39:11,748 --> 00:39:15,844 Put your hands on the bar here and your chin in here. 597 00:39:15,919 --> 00:39:17,853 Thank you. 598 00:39:17,921 --> 00:39:20,287 You're gonna see a bright light, okay? 599 00:39:20,357 --> 00:39:23,292 Your body might be accumulating too much copper. 600 00:39:23,360 --> 00:39:26,727 If it is, this should help us see something called Keyser-Fleischer rings-- 601 00:39:27,931 --> 00:39:29,865 copper-colored circles around your corneas. 602 00:39:29,933 --> 00:39:31,798 Wow. 603 00:39:33,370 --> 00:39:37,067 I guess we should start treating her for Wilson's. 604 00:39:37,140 --> 00:39:39,233 That's what I'd do. 605 00:39:49,986 --> 00:39:54,252 "I will talk no more of books or the long war, 606 00:39:54,324 --> 00:39:59,956 "but walk by the dry thorn until I have found some beggar sheltering from the wind... 607 00:40:00,029 --> 00:40:04,329 "and there manage the talk until her name come round. 608 00:40:04,401 --> 00:40:09,805 If there be rags enough, he will know her name and be well pleased remembering it." 609 00:40:11,141 --> 00:40:16,374 "For in the old days, though she had young men's praise and old men's blame, 610 00:40:16,446 --> 00:40:20,815 among the poor, both old and young gave her praise". 611 00:40:29,626 --> 00:40:32,186 Hi, Mrs. Palmero. Ready to go home? 612 00:40:33,363 --> 00:40:35,297 Almost. 613 00:40:35,365 --> 00:40:37,595 Mom? 614 00:40:47,310 --> 00:40:49,107 How are you? 615 00:40:49,179 --> 00:40:51,943 I'm good. 616 00:40:55,018 --> 00:40:56,952 Oh! 617 00:40:57,020 --> 00:40:59,545 Oh-- 618 00:40:59,622 --> 00:41:02,557 Oh, you really need a haircut. 619 00:41:28,117 --> 00:41:30,108 Dr. House. 620 00:41:31,187 --> 00:41:33,178 Luke, we're making Dr. House wait. 621 00:41:33,256 --> 00:41:35,781 That's okay. We're just here for the music. 622 00:41:35,859 --> 00:41:38,191 Luke, come on. 623 00:41:49,072 --> 00:41:52,064 I'm being discharged. I heard a rumor. 624 00:41:53,510 --> 00:41:55,842 Thank God I had cancer, huh? 625 00:41:57,046 --> 00:42:01,540 - It's terrible having everybody think you're nuts. - Really? 626 00:42:02,952 --> 00:42:06,581 - I called to thank you. Did you get my message? - Yes. 627 00:42:09,259 --> 00:42:11,227 You're welcome. 628 00:42:13,630 --> 00:42:16,622 I'm never thanking you. You turned me in. 629 00:42:17,734 --> 00:42:21,830 I told you we were doing okay. It was none of your business. 630 00:42:21,905 --> 00:42:24,305 Look, I don't care how you were living. 631 00:42:24,374 --> 00:42:27,036 I just wanted you out of my life. 632 00:42:28,811 --> 00:42:31,541 That's why I had Dr. Cuddy call Social Services. 633 00:42:48,464 --> 00:42:50,398 You okay? 634 00:42:50,466 --> 00:42:52,400 You were right. 635 00:42:52,468 --> 00:42:56,734 It wasn't the D.V.T. It was the schizophrenia. I know. 636 00:42:56,806 --> 00:42:59,138 She's not nearly as interesting anymore. 637 00:43:00,643 --> 00:43:03,635 Isn't it your birthday around now?