All language subtitles for House s01e22 english

(PEOPLE CHATTERING)

- I gotta go.
- No, no. He'll be here.

I'm sure he's just running
a little late.

He's canceled two exams.
He's not gonna...

He's scared of you.

Sure.

The ex-boy toy.
Yeah, that makes sense.

- He wasn't scared before.
- Right.

You think being afraid of me is
a symptom of a serious ailment?

Sudden mood swings, infantile
regression, abdominal pain.

He's passed out twice. Yeah, I think
it might be a medical problem.

He's 20 minutes late.
I'm out of here.

Please.

He'll be here.

Why?

Because he loves you
and does everything he's told?

Because I didn't tell him
you'd be here.

He likes to see.

Yes, he does.

Stacy?

- What's going on?
- Hey.

Hi, I'm Greg House. You must be Matt.

Mark.

Mark Warner. Don't get up.

Sorry. Parent conferences.

- It's okay.
- Hi.

Wow. Greg House.

Yeah. Wow.

No, I haven't been avoiding you. I
just didn't want to waste your time.

The other doctors checked me out.
They said it was just stress.

College season. Kids, parents...
They're all over me.

Makes sense to me.

- Greg.
- What do you want me to do?

You said you'd check him out.

He says he's healthy.
What's to check out?

Sorry for the mix-up, but I'm glad
you two got a chance to catch up.

Looks like you're having fun.

Oh, he's good.

If you can fake sincerity,
you can fake pretty much anything.

I can't tell you
how much I like your fellow.

Yeah, me, too.

You know, I thought
you'd be all sarcastic.

Bitter, you know,
because Stacy married me.

You know,
we should do things together.

Maybe throw a ball around
or something. Guy stuff.

We could go for a run together.

It's Oscar Wilde.

Wow. This pissing contest is
really turning me on.

He needs to go to the hospital.

Here's to women.

Can't live with them,
you can't kill them

and tell the neighbors
they're stripping in Atlantic City.

Damn straight.

I'm definitely taller.

I have more hair.

And I think that...

(GROANS)

Mark?

Someone call 911 for a wagon
to Princeton-Plainsboro?

GaTQ-on!

WOMAN: What happened?

HOUSE: It's okay,
ladies and gentlemen.

Nothing to worry about.

- Unless you had the veal.
- You dosed him.

I told you I'd check him out.
I was a little worried

they were gonna get here
before he passed out.

Would have been tougher
to get him to drink.

I'll give you a ride. We can talk.

Tummy ache, cranky,
no apparent source.

Any thoughts?

Foreman, you gonna contribute, or are
you too tired from stealing cars?

I'm being House. It's funny.

I know.
You made milk come out of my nose.

Morning. You guys got the file.
What's wrong?

Previous tests revealed nothing
that would cause abdominal pain

or the mood swings.

Then we're done. What do you think?
Ball game? Zoo?

I don't care.
I just want to hang with you guys.

What about drugs?

His tox screen on admission showed
a massive amount of chloral hydrate.

Yeah. Sorry. That was me.

I had to dope him up
to get him in here.

Guy doesn't think he's sick.

Who does?

His wife.

The woman you used to live with.

That's her Indian name.
On her driver's license, it's Stacy.

I assume you have a point.

You believe her
over the patient himself.

That's why we're taking this case.

The truth? I hear voices all the time
telling me to do stuff.

HOUSE: It's crazy, huh?

What happened to "everybody lies"?

I was lying.

Do the things, the, you know,
blah, blah, blah, blah.

All that stuff the other docs did.

If that's negative,
ultrasound his belly.

If that's negative,
CT his abdomen and pelvis,

with and without contrast.

- Did I miss anything?
- Kitchen sink.

Well, we could certainly give that...
Oh, you minx!

What you're thinking is,
you're going to save him,

be a hero and win her back.

It's always impressive,
that level of twisted narcissism.

She's married.
It was the big clue I lost the game.

You can't be within 50 feet of
Stacy Warner.

Thought she wanted me to treat him.

Treat the husband,
stay away from the wife.

But what if they get close to
each other? What do I do then?

Hey. You have to treat this
like a regular case.

Be yourself, cold, uncaring, distant.

Please, don't put me on a pedestal.

We CT'd your abdomen. Nothing that
would explain the stomach pain.

- What's the next move?
- Leaving.

Now, how many more tests do I need?

How many more doctors
need to clear me

before we can get back to our life?

- Just one.
- House.

It must be awkward
being treated by a man

who used to be involved
with your wife.

It's awkward being in a hospital when
there's nothing wrong with me.

CAMERON: MRA's were clean,
which means he's probably fine.

He doesn't seem paranoid.
He shows no signs...

No. It means we have no idea
what's wrong with him.

Ben Goldstein says
his schedule's locked.

He can't do it before tomorrow.

No. Today. Call him,
tell him I'll make it work.

You're cutting him open?

Oh, hold it.

There's no need for exploratory
surgery. Dr. Cameron has a diagnosis.

No, I just think it's premature
and maybe irresponsible

to do exploratory surgery
before we know he's actually sick.

No, it's premature to put him
on a list for hospice care.

And it's maybe irresponsible to imply

my actions are not
rationally supported.

All we have is his wife...

Who says his stomach hurts.

Works for me. The patient
doesn't even think he's sick.

- Why would he consent...
- His wife's a lawyer.

She's very convincing.

Call Goldstein. The surgery is on.

(MONITOR BEEPING)

SURGEON: Retract.

Insert.

Leslie vs Leslie seems to be
right on point,

but I'm sure they're going to try
to distinguish it by...

Sorry. They'll try to distinguish it
relying on the minority opinion.

Double milk, no sugar.

I like sugar now.

Some people would be annoyed by that.

You know why people sit
in waiting rooms?

This is gonna be good.

People think the closer they're
sitting to the operating room,

the more they care.

That's why I'm here. I'm not moving
until everybody sees me.

Are you doing anybody besides Mark?

It's a medical question.

Because if I am,
his paranoia isn't paranoia.

It's a justified response,
therefore not a legitimate symptom.

Knew you'd understand.

On the other hand, if it was really
just a medical question,

you would have sent
one of your people.

Why just push my buttons
when you can push theirs, too?

Hey, Dr. Mandingo, go ask the wife
if she's been messing around.

But you're asking
because if I am unfaithful,

I might sleep with you.

The answer's no.
I don't sleep around.

Make sure you note that in his file.

Mrs. Warner.

The surgery went well. He's in
Recovery. You can see him now.

Goldstein found nothing
but a distended bladder.

Neurogenic bladder
isn't causing the pain.

It also doesn't cause
personality changes.

On the other hand, it would account
for Cameron's diagnosis.

The patient's completely healthy.

Get me the video of the surgery.

(TAPE WHIRRING)

(DIALING CELL PHONE)

Dr. Mandingo, you're needed
at the plantation house.

Well, don't everybody talk at once.

There's nothing there.

Stop looking at the suspiciously
empty bottle and look at the screen.

Here's why I get the big bucks.

This is nothing.

An enhanced version of nothing.

This... is the problem.

Unbelievable.

Tremors in the muscle fiber.

That's not peristalsis.

That's abdominal epilepsy.

Means there's some sort of
neurological problem.

A time bomb in his brain.

I forget. Who said it was nothing?

(MONITOR BEEPING)

FOREMAN: I saw a very small, diffuse
abnormality in the brain waves.

Probably white matter.

Means his axonal nerves are dying.

Explains the neurogenic bladder.

Enough nerves die, he dies.

Global axonal nerve death.

Likely causes are encephalitis
or Alzheimer's.

Early onset Alzheimer's. The worst.

He won't die right away.
He'll just want to.

I'll check the blood for
Alzheimer's protein markers.

Last I heard, Alzheimer's
had a genetic component.

Did the patient have parents?

Parents died in a car crash.
No history of dementia.

Send CSF for CBC and viral serologies
to rule out encephalitis,

and get tau proteins
to check for Alzheimer's.

And this still feels a little light.

I took a complete medical history.

Check out their house.
Take Sparky with you.

They live in Short Hills.
Two hours away.

You can expense the tolls.

You're not interested
in a medical history.

You're a Peeping Tom
trying to spy on your ex.

Her secret diary.
That's the main thing.

But as long as you're there,
take a peek in the medicine cabinet.

Check for toxins, heavy metals,
anything that might explain this

other than encephalitis
or Alzheimer's.

And get receipts for the tolls.

Making lunch?
I assume that's for Mark.

We know about his parents.
What about further back?

Grandparents, uncles, aunts.
How was their health?

Greg hates fishing.
He's got a theory.

Most likely candidate right now is
Alzheimer's.

No. There's been no memory loss.

I mean, he forgets where he left
his keys, but who doesn't?

Any family history?

Of? Whacked-outness?

His sister voted for Nader, twice.
That's about it.

You were with House
when it happened to his leg?

You're interested in him.

We went on one date.

It didn't go very well.

Our first date didn't either.

I was never gonna see him again.
A week later, I moved in.

Five years.
What would you like to know?

What was he like before his leg?

Pretty much the same.

(PRINTER BEEPING)

He's clear. No Alzheimer's.

Yeah, that's what I figured.

Serious mountain bike.
Hasn't been used in a while, though.

He switched to yoga.
Brand-new yoga mat and tape.

Man's getting older.

Or it might indicate back pain.

Wife would have mentioned it.

Yoga's good for picking up
the ladies, too.

Not when you do it in your own home.

Change could be just a change,
not a symptom.

Chase.

"Dear House boys, a snack
for your highly illegal search.

"Hope you like oatmeal raisin.
Love, Stacy."

In a desk drawer, hidden in the back
under some papers.

Secret stash.

Amphetamines.

Regular use could lead to
neurotoxicity.

Explains the axonal nerve damage
and the personality issues.

On the other hand,
"Prescribed to W. Brown."

CAMERON: Fake name.
Fake prescription.

Could be, but the prescribing doc,
his name's real.

This guy's just had
his license pulled

for writing illegal prescriptions to
high school kids.

Mark's a high school
guidance counselor.

And Mr. Brown's birth date
makes him 17 years old.

Maybe these were confiscated
by a high school guidance counselor?

HOUSE: Anything else?

Yeah, he switched from
mountain biking to yoga.

- Could indicate...
- He's getting older.

What did the CSF say
about encephalitis?

Said no. Champagne tap.

No red cells, no white cells.
Serology's negative.

Which means we're back to
Alzheimer's.

I told her he didn't have it.
The marker tests were negative.

Well, then you should have told her
that. He could still have it.

PET scan will reveal any change
in metabolic activity

in the cerebral cortex.
Run him through and check his memory.

We're going to inject a chemical
marker called FDDNP,

and then I'm gonna ask you
a series of questions.

- Test my memory.
- Yeah,

but first we're gonna map out
some specific brain functions.

You know, check out the engine
before we take the car for a drive.

Checking up on me?

- I like all the pretty lights.
- Yeah.

Okay-

(THROUGH MICROPHONE) Here we go.

Your full name?

Mark Warner.

Is your mother living?

No.

Limbic system's intact.

Okay, say you find a stamped envelope
on the street. What do you do?

Find a mailbox and mail it.

Jeez. What a guy.

His frontal lobe is working way
better than mine.

Do you remember when you got married?

MARK: Three years ago this July.
Who is that?

What? Could be a problem
with his long-term memory.

- Big church wedding?
- Is that House?

- He remembers voices.
- This serves no diagnostic purpose.

I thought you skimped on
the limbic system there.

Emotional reactions.
I just want to be thorough.

Did the atheistic bride wear
a pretty white dress?

Was she thinking of you? Is that what
you medically need to know?

What jewelry did your bride wear?

She never wears any jewelry, except
that cross her mother gave to her.

No underwear either,
at least not that day.

I remember 'cause she ripped her
pretty white dress off in the car.

That the sort of answer
you're looking for, Doctor?

- I think I upset him.
- You gotta stop this now.

I remember
the honeymoon was in Paris.

I remember 'cause we didn't leave
the room for two weeks.

You want the details on that?

A little defensive.

It's not paranoia
if someone's out to get you.

(DOOR OPENS)

Here we go.

He's sick, paranoid, and you keep
hammering him about me.

The questions were designed to define

the operational parameters of
his limbic system.

Elevate the words all you want.

You were just screwing with him.
Low, even by your standards.

Medical screwing. It's what I do.

And then you run away
like a 12-year-old.

Go hide on the roof
like you always do.

I haven't been up here in five years.

(SIGHS)

I don't know what's wrong with him.

It's not Alzheimer's.
It's not encephalitis.

It's not environmental.
It's not immunological.

Every test is negative, every time.

He's perfectly healthy,

but his brain is dying.

It never occurred to me

that you couldn't figure out
what's wrong.

I haven't given up.

So what do we do?

We wait.

For what?

Something to change.

It's one of the great tragedies of
life. Something always...

Something always changes.

(BEEPING)

(BEEPING)

Nurse?

Nurse!

What happened? What's wrong?

My toes. They were numb,
tingling, then nothing.

No pain. Nothing.

It's okay.
They're going to take care of you.

I'm scared, Stacy. Hold my hand.

What?

What's happening?

Time marches on. He's paralyzed.

His symptoms mimic a peripheral
nervous system under attack.

But he's experiencing
significant paresthesias,

and he can't move his hands or toes.

It's peripheral.

Guillain-Barré syndrome
attacks there, not the brain.

No. No, I already did
an indirect Coombs' test.

No agglutination, no antibodies.

Initiative. Like that.

Start him on IV immunos...

No antibodies means he doesn't have
Guillain-Barré, period.

Period? More like dot, dot, dot.

What if he has the virus but
isn't producing those antibodies?

Come on. The chances of that are...

Didn't ask about the Vegas line.
I said, "What if?"

It would mean he's sick, and his
body's not doing anything about it.

So we either fight it for him
or it's fatal.

Fatal sounds very bad to me.

Well, without the antibodies,
we can't even test for it.

Don't know if we're right.

Treatment isn't all that dangerous,
plasmapheresis and Mg.

If it works, we're right.
If he dies...

It was something else.

So the paralysis
might not be permanent?

That's our hope, but the brain's
tricky. You never know.

What was that? What?

With the head. The look.

He just wants to talk to me.

Well, if it was medical,
he should be talking to me.

I'll be just outside the door.

Leave! Go talk to him!

You're going to leave me anyway.

No. That's not gonna happen.

You left him, and he had a limp.
If I can't walk, or hold you...

Honey, I'm not going anywhere.
I'm not going to talk to him.

If I can't feed myself...

Mark, what you're feeling,
it's not real.

It's the virus.

(GASPING)

Mark? What is it?

Mark?

His throat's closing up.
He can't breathe. Code blue! Hurry!

He's having a reaction to the Mg.
I need epi, stat.

I can't get the scope in his throat.

Stop that.

He's having an allergic reaction.
He's crashing.

No, he's not. Look at his vitals.

O2 sats are within range.

I'm betting the only abnormal sign is
sweaty palms.

(MARK GAGGING)

Push two milligrams Ativan.

(PANTING)

No allergic reaction.
Just a panic attack.

Something obviously freaked him out.

(SIGHS) Can we talk now?

STACY: You couldn't just come
into the room?

He's had five visitors drive down.
I didn't recognize any of them.

Six more have sent him flowers,
candy and a teddy bear,

which I'm sure
he finds very comforting.

But I didn't recognize
any of the names on the cards.

Shockingly, Mark has friends,
and I have some new ones.

No, it's not shocking
that you have new friends,

but it is shocking that you
apparently dumped all your old ones.

I haven't.

No, I didn't think so.

I just think you didn't tell any of
them that you were down here.

Now, why would that be?

What are you up to?
It's gonna take a little while...

Why would you not tell
your oldest friends

that you were taking Mark to

Princeton-Plainsboro Teaching
Hospital to try to save his life?

I've been busy. I haven't kept track
of who knows what.

See, my old friends are telling me to
be careful. They seem to think...

He. And he sent me the bear.

Figures.

He seems to think
that I'm not over you,

and that it might be dangerous for me
to spend time with you.

I'm thinking your friends
might have similar concerns,

and so you didn't tell them
you'd be here with me.

What's your point?
That I'm still in love with you?

I should abandon my dying husband,
and we should head for Rio?

No.

Greg, I appreciate
what you're doing for us,

but I think maybe Wilson's right.

Maybe you should just stay away
from me.

(PHONE RINGING)

(MUSIC PLAYING)

(PEOPLE CHATTERING)

What's up?

Love the bear. It's adorable.

My wife's gonna kill me.
We're having company. She cooked.

I got Mark's latest blood work.

He's not responding to treatment.

I'm sorry.

I was happy-

He's my patient.

I'm sure he's a good guy.
He's probably a great guy.

He's apparently a much better guy
than I am.

And some part of me wants him to die.

I'm just not sure if it's because
I want to be with her,

or it's because I want her to suffer.

Hey. Is it okay if I talk to Stacy
for a minute?

I'll be just outside, honey.

You two are good together.

You know nothing about Mark.

He took you to Paris.

That's good enough for me.

We never went to Paris.

Your honeymoon.
It's been your dream city.

You wanted to go since you were 16.
He actually took you.

No, I had to work.

We spent the night in New York,
then we went back to Short Hills.

What is it?

When did Mark switch from
mountain biking to yoga?

About a month ago.

The same time he started getting
sick. What does that mean?

We have two more symptoms.

The patient was asked a series of
questions

to determine the functionality of
his brain.

You grilled him about Stacy.

Whatever.

Yeah, the point is,
he told us everything

we need to know to diagnose him.

That is, if we use your fancy
PET scan as a lie detector.

See, it's a very creative process,
lying.

Now, telling the truth is
a much simpler process. See here.

Question nine.

This is where Mark gives a long,
rambling answer

about taking Stacy to Paris.

What does the PET scan say?

Minimal involvement.
Just the frontal and temporal lobes.

He said he went to Paris,
and the PET confirms it. So, what?

They didn't go.

They didn't go to Paris, and yet
Mark's brain apparently thinks

that he really did spend 40 francs
on a tour of the Bastille.

So we have an intermittent syndrome
that presents with abdominal pain,

polyneuropathy, paranoia,

and delusions.

Now, here's the thing about
Acute Intermittent Porphyria.

It'll jump you in a dark alley,
beat the crap out of you,

leave you bleeding.

But it wears gloves,
so no fingerprints.

Doesn't show up in blood tests,
urine tests, nothing.

Unless you catch it red-handed
in the middle of an attack.

But there are other symptoms oi NP.

- Such as?
- Light sensitivity.

Yeah. One of the true tragedies of
this condition

is that it makes you want to stick
your cool, new mountain bike

in the garage and take up
an indoor sport like, say, yoga.

Start the treatment.
Hematin and glucose.

If you give him Hematin now
and you're wrong, he dies today.

There's only one way to confirm AIP,
urine sample made during the attack.

And there's no way to predict
when he'll have another attack.

Sure there is.

Acute Intermittent Porphyria
has very specific triggers.

Barbiturates, alcohol, high levels of
protein will set off an attack.

Which trigger do you think
set off Mark's?

Not the faintest idea.

That's why I'm gonna give him
the combo plate. All of it.

So if he has this,
and you trigger an attack,

the attack makes him worse, right?

Yeah. But then we'll know what it is,
and we can treat it.

But if I don't have this thing and
you give me that shot, what happens?

No idea.

If we don't know
what's messing up your brain,

we don't know how you'll react.

Okay, I need a minute
with my husband.

(INAUDIBLE)

He doesn't want the trigger.

He wants to wait, see if we can
come up with another explanation.

If it is AIP,
how much time does he have?

No idea. Next attack could be fatal.

Could be six months from now.
Could be five minutes from now.

- I want you to test him.
- Fine.

I'll send for
an HMB synthase mutation.

Genetic test. The lab will get back
to us in a month.

Give him the cocktail,
set off an attack.

- No.
- Why not?

Because he doesn't want me to.

I'm not gonna sue you.
I'm not gonna report you.

- He might.
- He's paralyzed.

Either you cure him,
or he won't be writing any letters.

- I'm not gonna do it.
- Why not?

You keep asking me that question.
My answer doesn't change.

I gave him the parameters.
It's his call.

You want him to die.

I diagnosed him. I did my job.

You want somebody to tie him down
and force him into treatment,

well, you're way better at that
than I am.

Is that what this is?
Payback for your leg?

How many times have we been
over this? I saved your life.

Yeah, maybe.

You're gonna kill my husband
to teach me a lesson?

No. He's gonna die 'cause he's too
stubborn to make the right choice.

Now we're in your territory.

I'm respecting
your husband's decision.

I don't see
why you've got a problem with that.

Because it's crap.

Because you browbeat patients,
intimidate them, lie to them.

If you think you're right, you don't
give a damn what they think.

I did what you do all the time. The
only difference is, I did it to you.

He'll never forgive you.

Yeah. He will.

Still no change.

He's not getting worse?

No. No change at all.

STACY: And that's consistent
with AIP, right?

Until he has another attack,
his condition's stable.

Yeah.

STACY: Mark, you've got to.

I don't want to take that test,

not until they're sure.

- You don't know Greg.
- Not like you do.

I only met him when he drugged me.

Boy, are my ears burning.

What's that?

Cocktail hour.

Just 'cause you can't hoist a few
doesn't mean you should be left out.

Get away from me.

Mark, if this is what he thinks
is wrong with you...

You trust his judgment
more than mine?

His medical judgment.

- And you'd bet my life on that?
- I would.

I don't.

Smart.

It's too bad you're paralyzed.

(IMITATING ANNOUNCER)
Bing! Paging Dr. Foreman.

Leave the room.
It's not your problem.

You need the consent from him.

But, Doc, he ain't right in the head.

Then you need a court order.

Okay. Then get one. We'll wait here.
I won't do nothing.

Oh... Love the Musketeer thing.

I got goose bumps.

Give me the syringe.

Please. If you're right,
this may be his only shot.

So what's your plan?

You take the big, dark one,
I've got the little girl,

and the Aussie will run like a scared
wombat if things turn rough.

I can't do it.

(GRUNTS)

You son of a bitch!

See what I did there?

When does it happen?

If he had AIP,
should've already happened.

Everyone's different.

FOREMAN: This is not good.

He could have an embolism,
tachycardia, stroke.

STACY: What's happening?

Two milligrams of Ativan.

Is that an attack?

Here.

No. You'll pollute the sample.

Chase, get urine from the catheter.

It's not an attack! He's stroking.

CHASE: He needs Ativan!

This is not a stroke. The delta-wave
burst is just a vasospasm.

CHASE: Catheter's out.
There's no way to collect the sample.

Heart rate's in the 40s. Bradycardia.

We're losing him. Hold him down.

- Give him something!
- No painkillers.

You were wrong.

(MARK SCREAMING)

Straight from the bladder.
That's as fresh as it gets.

Would you give him
the Ativan already?

He doesn't need to be awake for this.

It's still yellow.

Move.

What?

You think another light's gonna make
the difference?

Organic chem, more light,
more oxidation.

Does that ring any bells?

(SIGHS)

Start the patient on 150 milligrams
glucose, 75 milligrams Hematin.

(THUNDER RUMBLING)

- Hey-
- Hey-

You wanna thumb wrestle?

Come on.

- He's still a maniac.
- I know.

Dr. House? How's he doing?

Never better.

I thought

you were too screwed up
to love anyone.

I was wrong.

You just couldn't love me.

It's good.

I'm happy for you.

(SONG PLAYING ON STEREO)

You fixed him.

De nada.

Thank you.

You were right.

- He's gonna be fine.
- No. About me.

I'm not over you.

You were... You were the one.
You always will be.

But I can't be with you.

So I'm the guy,

but you want the other guy,

who, by definition,
can never be the guy.

What's so great about you is
you always think you're right.

And what's so frustrating about you
is you are right so much of the time.

You are brilliant,

funny, surprising, sexy.

But with you, I was lonely.
And with Mark, there's room for me.

I see.

I want to run something by you.

(LOUDLY) I will not have sex
with you! Not again.

It was miserable that first time.

All that desperate
administrative need.

Stacy's husband is going to need
close monitoring at the hospital,

and since we can definitely use her
back here,

I've offered her a job,
general counsel.

Did she say yes?

She said only
if it was okay with you.

Yes or no?

Fine. Good.

(POP MUSIC PLAYING)