1

00:00:41,392 --> 00:00:44,331

[Bell Rings]
2
00:00:44,400 --> 00:00:47,339
Why are you late?
You're not going to
like the answer.
3
00:00:47,407 --> 00:00:49,776
I already know the answer.
I missed the bus.
4
00:00:49,846 --> 00:00:52,785
I don't doubt it.
No bus stops near Brad's.
5
00:00:52,853 --> 00:00:55,290
You spent the night,
the alarm didn't workor maybe it did.
6
00:00:55,358 --> 00:00:57,795
I didn't sleep with him.
Girl, either there's something7
00:00:57,865 --> 00:00:59,801
I missed the bus!
8
00:00:59,870 --> 00:01:02,809
There's something
either very wrong with you
or something very wrong with him.
9
00:01:02,877 --> 00:01:05,816
There's nothing wrong with him.
Please tell me
you know that for a fact.
10
00:01:05,884 --> 00:01:07,820
Melanie, I gotta go.
You're lying, aren't you?
11
00:01:07,889 --> 00:01:11,226
I wouldn't lie to you.
Good morning, guys!
12
00:01:11,296 --> 00:01:13,232
[Class]

Good morning, Miss Rebecca!

13
00:01:13,301 --> 00:01:16,068
Everybody's in their seats?
Yes.
14
00:01:17,511 --> 00:01:22,113
Okay. Sydney, why don't you tell us
what you did this weekend?
15
00:01:22,189 --> 00:01:24,125
[Child]
She look16
00:01:24,194 --> 00:01:26,461
Come on, Sydney.
We know you're not shy.
17
00:01:26,532 --> 00:01:30,803
How come we always
have to tell you what we did,
and you never tell us what you did?
18
00:01:30,876 --> 00:01:32,812
[Girls Giggling]
19
00:01:32,881 --> 00:01:34,783
Okay.
20
00:01:34,852 --> 00:01:36,947
I had a really great weekend.
21
00:01:37,024 --> 00:01:40,054
- But you can't tell
Miss Melanie, okay?
- What did you do?
22
00:01:40,132 --> 00:01:42,660
I made a new friend.
23
00:01:42,737 --> 00:01:45,676
It's so much fun
to make new friends, isn't it?
24
00:01:45,744 --> 00:01:47,213
Yeah.
Yeah.

25
00:01:47,281 --> 00:01:49,980
Did you tell your mom and dad
about your new friend?
26
00:01:51,291 --> 00:01:53,227
Absolutely.
27
00:01:53,296 --> 00:01:56,326
You should never keep anything
from your parents.
28
00:01:56,403 --> 00:01:59,535
- And I told mine[Gibberish]
- [Class Laughs]
29
00:01:59,610 --> 00:02:01,204
[Chuckles]
30
00:02:01,281 --> 00:02:03,046
- Wha- [Giggling Continues]
31
00:02:05,792 --> 00:02:08,127
[Gibberish Continues]
32
00:02:09,935 --> 00:02:12,304
Ca- Ba33
00:02:17,453 --> 00:02:20,722
Ha- Ba- Cra34
00:02:25,371 --> 00:02:29,814
C-A- L35
00:02:30,718 --> 00:02:33,246
H- E- "The.!"
36
00:02:33,323 --> 00:02:35,190
We know that word.
"The."
37
00:02:36,865 --> 00:02:38,528
- [Groans]
- [Gasps]
38

00:02:44,016 --> 00:02:45,952

[Groaning]
39
00:03:00,354 --> 00:03:03,293
Twenty-nine-year old female.
First seizure one month ago.
40
00:03:03,361 --> 00:03:06,664
Lost the ability to speak.
Babbled like a baby.
41
00:03:06,736 --> 00:03:09,071
Progressive deterioration
of mental status.
42
00:03:09,141 --> 00:03:12,080
You see that?
They all assume I'm a patient
because of this cane.
43
00:03:12,148 --> 00:03:16,089
So put on a white coat
like the rest of us.
I don't want them to think I'm a doctor.
44
00:03:16,158 --> 00:03:19,097
You see where the administration
might have a problem
with that attitude?
45
00:03:19,165 --> 00:03:21,101
People don't want a sick doctor.
46
00:03:21,170 --> 00:03:24,109
That's fair enough.
I don't like healthy patients.
47
00:03:24,177 --> 00:03:27,776
The 29-year old femaleThe one who can't talk?
I like that part.
48
00:03:27,853 --> 00:03:30,450
She's my cousin.
49
00:03:30,525 --> 00:03:32,962
And your cousin
doesn't like the diagnosis.

50
00:03:33,032 --> 00:03:34,968
I wouldn't either.
51
00:03:35,036 --> 00:03:37,530
Brain tumor.
She's going to die. Boring.
52
00:03:39,948 --> 00:03:41,884
No wonder you're such
a renowned diagnostician.
53
00:03:41,953 --> 00:03:44,550
You don't need to actually know anything
to figure out what's wrong.
54
00:03:44,626 --> 00:03:47,565
You're the oncologist.
I'm just a lowly infectious disease guy.
55
00:03:47,633 --> 00:03:49,569
Yes.
Just a simple country doctor.
56
00:03:49,637 --> 00:03:52,074
Brain tumors at her age
are highly unlikely.
57
00:03:52,143 --> 00:03:54,341
She's 29.
Whatever she's got
is highly unlikely.
58
00:03:54,415 --> 00:03:57,354
The protein markers for the three most
prevalent brain cancers came up negative.
59
00:03:57,422 --> 00:04:02,024
That's an H.M.O. Lab. Might as well have sent it
to a high school kid with a chemistry set.
60
00:04:02,100 --> 00:04:04,036
No family history.
61
00:04:04,105 --> 00:04:06,041
I thought your uncle
died of cancer.
62

00:04:06,110 --> 00:04:08,411

Other side.
No environmental factors.
That you know of.
63
00:04:08,482 --> 00:04:10,851
And she's not responding
to radiation treatment.
64
00:04:10,920 --> 00:04:13,391
None of which is even close
to dispositive.
65
00:04:13,460 --> 00:04:18,267
All it does is raise one question:
Your cousin goes to an H.M.O.?
66
00:04:18,339 --> 00:04:21,540
Come on. Why leave all the fun
for the coroner?
67
00:04:21,613 --> 00:04:24,882
What's the point of putting together a team
if you're not gonna use them?
68
00:04:24,954 --> 00:04:30,729
You've got three overqualified doctors
working for you, getting bored.
69
00:05:32,681 --> 00:05:35,551
[Man]
It's a lesion.
70
00:05:35,621 --> 00:05:39,585
And the big green thing in the middle
of the bigger blue thing on a map...
71
00:05:39,664 --> 00:05:41,691
is an island.
72
00:05:41,769 --> 00:05:43,739
I was hoping for something
a bit more creative.
73
00:05:43,807 --> 00:05:47,475
Shouldn't we be speaking to the patient
before we start diagnosing?
74

00:05:47,549 --> 00:05:49,451

- Is she a doctor?
- No, but75
00:05:49,520 --> 00:05:51,787
- Everybody lies.
- Dr. House doesn't like
dealing with patients.
76
00:05:51,859 --> 00:05:54,798
Isn't treating patients
why we became doctors?
77
00:05:54,866 --> 00:05:57,805
No. Treating illnesses
is why we became doctors.
78
00:05:57,873 --> 00:06:01,142
Treating patients
is what makes most doctors miserable.
79
00:06:01,215 --> 00:06:04,484
So you're trying to eliminate the humanity
from the practice of medicine?
80
00:06:04,556 --> 00:06:08,121
If we don't talk to them,
they can't lie to us,
and we can't lie to them.
81
00:06:08,198 --> 00:06:10,829
Humanity's overrated.
82
00:06:10,904 --> 00:06:14,902
- I don't think it's a tumor.
- First year medical school- if you hear
hoofbeats, you think horses, not zebras.
83
00:06:14,981 --> 00:06:16,814
Are you in
first year medical school?
84
00:06:18,288 --> 00:06:21,921
No. First of all,
there's nothing on the CAT scan.
85
00:06:21,997 --> 00:06:23,933
Second of all, if this is a horse,

86
00:06:24,002 --> 00:06:27,567
then her kindly family doctor in Trenton
makes the obvious diagnosis,
and it never gets near this office.
87
00:06:27,644 --> 00:06:30,241
Differential diagnosis, people.
88
00:06:30,317 --> 00:06:34,224
If it's not a tumor,
what are the suspects?
Why couldn't she talk?
89
00:06:34,293 --> 00:06:37,698
Aneurysm, stroke
or some other ischemic syndrome.
90
00:06:37,768 --> 00:06:40,262
- Get her a contrast M.R.I.
- Creutzfeldt-Jakob disease?
91
00:06:40,340 --> 00:06:42,003
- Mad cow?
- Mad zebra.
92
00:06:42,078 --> 00:06:43,775
Wernicke's encephalopathy.
93
00:06:43,849 --> 00:06:46,719
No. Blood thiamine level was normal.
94
00:06:46,789 --> 00:06:49,090
The lab in Trenton
could have screwed up the blood tests.
95
00:06:49,162 --> 00:06:52,795
I assume it's a corollary if"people lie"
that "people screw up."
96
00:06:52,871 --> 00:06:58,180
Redraw the blood tests and get her
scheduled for that contrast M.R.I. ASAP.
97
00:06:58,250 --> 00:07:00,585
Let's find out what kind of zebra
we're treating here.
98

00:07:12,283 --> 00:07:14,686

[Woman On P.A.]
Radiology, please call the page.
99
00:07:14,755 --> 00:07:16,953
Radiology, please call the page.
100
00:07:22,875 --> 00:07:25,506
I was expecting you in my office
20 minutes ago.
101
00:07:25,581 --> 00:07:28,884
Really? Well, that's odd
because I had no intention of
being in your office 20 minutes ago.
102
00:07:28,956 --> 00:07:32,452
You think we have nothing to talk about?
No. I just can't think of anything
I'd be interested in.
103
00:07:32,531 --> 00:07:34,968
I sign your paychecks.
I have tenure.
104
00:07:37,308 --> 00:07:40,976
Are you gonna grab my cane now,
stop me from leaving?
That would be juvenile.
105
00:07:46,430 --> 00:07:49,426
I can still fire you
if you're not doing your job.
I'm here from 9:00 to 5:00.
106
00:07:49,504 --> 00:07:52,340
Your billings
are practically nonexistent.
Rough year.
107
00:07:52,411 --> 00:07:55,350
You ignore requests for consults.
I call back.
Sometimes I misdial.
108
00:07:55,418 --> 00:07:58,357
You're six years behind
on your obligations to the clinic.
109

00:07:58,425 --> 00:08:01,364

See? I was right.
This doesn't interest me.
110
00:08:01,432 --> 00:08:04,371
Six years times three weeksyou owe me better than four months.
111
00:08:04,439 --> 00:08:06,933
It's 5:00.
I'm going home.
112
00:08:07,012 --> 00:08:08,948
To what?
113
00:08:09,017 --> 00:08:11,010
Nice.
114
00:08:12,693 --> 00:08:16,634
Look, Dr. House, the only reason
why I don't fire you...
115
00:08:16,702 --> 00:08:19,641
is because your reputation
is still worth something
to this hospital.
116
00:08:19,709 --> 00:08:22,944
Excellent. We have a point of agreementyou're not gonna fire me.
117
00:08:23,017 --> 00:08:25,956
Your reputation won't last
if you don't do your job.
118
00:08:26,024 --> 00:08:29,191
The clinic is part of your job.
I want you to do your job.
119
00:08:29,265 --> 00:08:33,536
But, as the philosopherJagger once said,
"You can't always get what you want."
120
00:08:41,327 --> 00:08:43,798
You're not my doctor.
Are you Dr. House?
121
00:08:43,866 --> 00:08:45,995

Thankfully, no.
I'm Dr. Chase.
122
00:08:46,071 --> 00:08:48,007
Dr. House
is the head of diagnostic medicine.
123
00:08:48,076 --> 00:08:52,381
He's very busy, but he has taken
a keen interest in your case.
124
00:08:55,660 --> 00:08:58,359
We inject gadolinium into a vein.
125
00:08:58,434 --> 00:09:04,004
It distributes itself throughout your brain
and acts as a contrast material
for the magnetic resonance imager.
126
00:09:05,183 --> 00:09:08,122
Basically, whatever's in your head
lights up like a Christmas tree.
127
00:09:08,190 --> 00:09:10,991
- It might make you feel
a little light-headed.
- Dr. Cameron.
128
00:09:11,063 --> 00:09:14,662
I'm sorry. I have to stop you.
There is a problem.
129
00:09:15,742 --> 00:09:17,268
You pulled my authorization!
130
00:09:17,345 --> 00:09:19,406
Yes.
Why are you yelling?
131
00:09:19,484 --> 00:09:21,477
No M.R.I.'s, no imaging studies,
no labs.
132
00:09:21,555 --> 00:09:24,585
You also can't make
long distance phone calls.
133
00:09:24,662 --> 00:09:28,261

- If you're going to fire me,

have the guts to face me.
- Or photocopies. You're still yelling.
134
00:09:28,338 --> 00:09:31,208
I'm angry!
You're risking a patient's life.
135
00:09:31,278 --> 00:09:34,114
- I assume those are two separate points.
- You showed me disrespect.
136
00:09:34,185 --> 00:09:36,452
You embarrassed me.
And as long as I work here,
you have no legal137
00:09:36,524 --> 00:09:38,460
Is the yelling
designed to scare me?
138
00:09:38,529 --> 00:09:42,972
Because I'm not sure what it is
I'm supposed to be scared of.
More yelling?
139
00:09:43,039 --> 00:09:44,975
That's not scary.
140
00:09:45,044 --> 00:09:48,347
That you're going to hurt me? That's scary.
But I'm pretty sure I can outrun you.
141
00:09:50,390 --> 00:09:53,363
Oh, I looked into that philosopher
you quoted-Jagger.
142
00:09:53,430 --> 00:09:56,266
And you're right,
you can't always get what you want.
143
00:09:56,337 --> 00:10:00,244
But as it turns out,
"If you try sometimes,
you get what you need."
144
00:10:01,316 --> 00:10:04,289
So, because you want me
to treat patients,

145
00:10:04,356 --> 00:10:07,386
you're not letting me treat patients?
146
00:10:07,463 --> 00:10:09,296
I need you to do your job.
147
00:10:11,138 --> 00:10:13,131
[Sighs]
148
00:10:18,589 --> 00:10:21,425
Do the M.R.I.
She folded.
149
00:10:24,538 --> 00:10:29,538
I've got to do four hours a week
in this clinic until I make up
the time I've missed.
150
00:10:30,552 --> 00:10:34,789
2054.
I'll be caught up in 2054.
151
00:10:35,864 --> 00:10:38,700
You better love this cousin
a whole lot.
152
00:11:12,617 --> 00:11:15,818
All right, Rebecca,
I know you may feel
a little claustrophobic in there,
153
00:11:15,892 --> 00:11:18,125
but we need you to remain still.
154
00:11:19,133 --> 00:11:22,334
[Chase]
Okay, we're going to begin.
155
00:11:22,408 --> 00:11:24,709
[Machinery Clicking]
156
00:11:26,717 --> 00:11:30,088
[Thumping,
Clicking Continues]
157
00:11:31,362 --> 00:11:34,129

I don't feel so good.

158
00:11:34,202 --> 00:11:36,799
[Chase] It's all right.
Just try to relax.
[Loud Humming]
159
00:11:38,144 --> 00:11:42,415
[Gasping]
160
00:11:43,991 --> 00:11:46,485
- Rebecca?
- [Gasping Continues]
161
00:11:47,600 --> 00:11:49,593
Rebecca?
162
00:11:58,893 --> 00:12:01,330
Rebecca?
163
00:12:01,399 --> 00:12:03,802
Get her out of there.
Oh, she probably fell asleep.
164
00:12:03,872 --> 00:12:06,207
She's exhausted.
She was claustrophobic
30 seconds ago.
165
00:12:06,277 --> 00:12:09,216
- She's not sleeping.
We gotta get her out of there.
- It'll just be another minute.
166
00:12:09,285 --> 00:12:12,486
If she's having an allergic reaction
to the gadolinium,
she'll be dead in two minutes.
167
00:12:14,430 --> 00:12:17,095
Hold her neck.
All right.
168
00:12:17,170 --> 00:12:19,403
Oh, she's ashen.
169
00:12:19,476 --> 00:12:21,446
She's not breathing.

Epi, .5.
170
00:12:21,513 --> 00:12:23,848
[Oxygen Hissing]
Come on.
171
00:12:23,920 --> 00:12:25,856
I can't ventilate.
172
00:12:29,332 --> 00:12:32,396
- Too much edema.
Where's the surgical airway kit?
- [Chase] Yep. Coming.
173
00:13:08,291 --> 00:13:10,193
Good call.
174
00:13:12,199 --> 00:13:14,328
[Oxygen Pumping]
175
00:13:30,443 --> 00:13:33,780
We'll get that tube out
of your throat later today.
176
00:13:33,851 --> 00:13:36,550
Just get some rest for now, okay?
177
00:13:39,798 --> 00:13:41,961
Told you.
You can't trust people.
178
00:13:42,037 --> 00:13:43,973
She probably knew
she was allergic to gadolinium.
179
00:13:44,042 --> 00:13:47,174
Figured it was an easy way
to get someone to cut a hole in her throat.
180
00:13:47,249 --> 00:13:50,119
Can't get a picture.
Gonna have to get a thousand words.
181
00:13:50,189 --> 00:13:53,720
You actually want me to talk to
the patient, get a history?
182

00:13:53,798 --> 00:13:58,137

We need to know if there's
some genetic or environmental cause
that's triggering an inflammatory response.
183
00:13:58,208 --> 00:14:00,144
I thought everybody lied.
184
00:14:00,213 --> 00:14:03,414
Truth begins in lies.
185
00:14:03,488 --> 00:14:05,481
Think about it.
186
00:14:06,796 --> 00:14:08,994
That doesn't mean anything,
does it?
187
00:14:12,910 --> 00:14:16,350
12:52 p.m. Dr. House checks in.
Please write that down.
188
00:14:16,418 --> 00:14:18,354
Do you have cable TV
here somewhere?
189
00:14:18,423 --> 00:14:20,359
General Hospital
starts in eight minutes.
190
00:14:20,428 --> 00:14:22,364
No TV, but we've got patients.
191
00:14:22,432 --> 00:14:24,869
Can't you give out
the aspirin yourself?
I'll do paperwork.
192
00:14:24,939 --> 00:14:27,878
I made sure your first case
was an interesting one.
Cough just won't go away?
193
00:14:27,946 --> 00:14:30,885
Runny nose looks a funny color?
Patient admitted
complaining of back spasms.
194

00:14:30,953 --> 00:14:35,088

Oh? I think I read about something like that
in the New England Journal of Medicine.
Patient is orange.
195
00:14:35,163 --> 00:14:37,396
The color?
No, the fruit.
196
00:14:37,468 --> 00:14:39,905
You mean yellow.
It's jaundice.
I mean orange.
197
00:14:39,974 --> 00:14:42,172
Well, how orange?
It's probablyExam room one.
198
00:14:42,246 --> 00:14:44,409
[Woman On P.A.]
Dr. Kahn, you're needed in pediatrics.
199
00:14:45,687 --> 00:14:50,494
I was playing golf
and my cleats got stuck.
It hurt a little, but I kept playing.
200
00:14:50,566 --> 00:14:53,698
The next morning,
I could barely stand up.
201
00:14:53,773 --> 00:14:56,974
Well, you're smiling,
so I take it that means this isn't serious.
202
00:14:58,117 --> 00:15:00,212
What's that?
What are you doing?
203
00:15:00,289 --> 00:15:02,191
Painkillers.
204
00:15:02,260 --> 00:15:05,164
Oh, for you.
For your leg.
No, 'cause they're yummy.
205
00:15:05,234 --> 00:15:08,366

You want one?

Make your back feel better.
206
00:15:09,945 --> 00:15:12,849
Unfortunately,
you have a deeper problem.
207
00:15:12,918 --> 00:15:15,219
Your wife is having an affair.
208
00:15:15,291 --> 00:15:18,355
- What?
- You're orange, you moron.
209
00:15:18,432 --> 00:15:20,665
It's one thing for you not to notice,
210
00:15:20,737 --> 00:15:24,906
but if your wife hasn't picked up on the fact
that her husband has changed colors,
she's just not paying attention.
211
00:15:24,981 --> 00:15:28,820
By the way, do you consume
just a ridiculous amount of carrots
and megadose vitamins?
212
00:15:28,889 -->
Carrots turn you
the niacin turns
Find some finger

00:15:32,420
yellow,
you red.
paint and do the math.

213
00:15:32,498 --> 00:15:34,434
And get a good lawyer.
214
00:15:34,503 --> 00:15:36,496
[Door Closes]
215
00:15:39,548 --> 00:15:41,484
Deep breath.
216
00:15:41,552 --> 00:15:44,080
It's cold.
217
00:15:44,159 --> 00:15:46,254
He's been using his inhaler?
218

00:15:46,331 --> 00:15:49,270

Not in the past few days.
He's, um, only 10.
219
00:15:49,338 --> 00:15:52,105
I worry about children taking
such strong medicine so frequently.
220
00:15:52,178 --> 00:15:55,082
What happened to your leg?
221
00:15:55,152 --> 00:15:58,148
Your doctor probably
was concerned about
the strength of the medicine too.
222
00:15:58,225 --> 00:16:01,528
She probably weighed that danger
against the danger of not breathing.
223
00:16:01,600 --> 00:16:06,168
Oxygen is so important
during those prepubescent years.
Don't you think?
224
00:16:06,244 --> 00:16:09,183
Okay, I'm gonna assume nobody
has ever told you what asthma is.
225
00:16:09,251 --> 00:16:11,620
Or if they have,
you had other things on your mind.
226
00:16:11,691 --> 00:16:15,222
A stimulant triggers cells
in your child's airways...
227
00:16:15,299 --> 00:16:18,864
to release substances
that inflame the air passages
and cause them to contract.
228
00:16:18,941 --> 00:16:22,312
Mucus production increases,
the cell lining starts to shed.
229
00:16:22,383 --> 00:16:24,911
- But the steroids- [Wheezing]

230
00:16:24,989 --> 00:16:28,657
The steroids stop the inflammation.
231
00:16:29,933 --> 00:16:32,062
The more often this happens232
00:16:33,108 --> 00:16:34,771
What?
The more often this happens, what?
233
00:16:34,845 --> 00:16:38,843
Forget it. If you don't trust steroids,
you shouldn't trust doctors.
[Door Closes]
234
00:16:38,922 --> 00:16:42,123
My mother passed away
four years ago.
235
00:16:42,196 --> 00:16:47,470
She had a heart attack,
and my father broke his back
doing construction236
00:16:47,542 --> 00:16:49,809
~ [Pager]
237
00:16:49,881 --> 00:16:52,877
It's House. It's urgent.
I'm sorry.
238
00:16:56,296 --> 00:16:59,029
You couldn't have knocked?
239
00:16:59,102 --> 00:17:03,134
Steroids. Give her steroids.
High doses of prednisone.
240
00:17:11,833 --> 00:17:15,273
You're looking for support
for a diagnosis of cerebral vasculitis?
241
00:17:15,341 --> 00:17:18,108
Inflammation of blood vessels
in the brain is awfully rare,
especially for someone her age.

242
00:17:18,181 --> 00:17:21,085
- So is a tumor.
Her sed rate is elevated.
- Mildly.
243
00:17:21,154 --> 00:17:23,557
That could mean anything.
Or nothing.
244
00:17:23,628 --> 00:17:26,567
Yeah, I know.
I have no reason
to think that it's vasculitis.
245
00:17:26,635 --> 00:17:28,571
Except that it could be.
246
00:17:28,640 --> 00:17:32,080
If the blood vessels are inflamed,
that's gonna look exactly like what we saw
on the M.R.I. From Trenton County,
247
00:17:32,147 --> 00:17:34,482
and the pressure
is gonna cause neurological symptoms.
248
00:17:34,554 --> 00:17:37,424
- We can't diagnose that without a biopsy.
- Yes, we can.
249
00:17:37,494 --> 00:17:39,761
We treat her.
If she gets better,
we know we're right.
250
00:17:39,832 --> 00:17:43,203
- And if we're wrong?
- Then we learn something else.
251
00:17:48,018 --> 00:17:49,715
Why steroids?
252
00:17:49,789 --> 00:17:51,725
Just part of your treatment.
253
00:17:51,794 --> 00:17:53,593
You haven't had many visitors.

254
00:17:53,665 --> 00:17:55,760
No boyfriend?
Three dates.
255
00:17:55,837 --> 00:17:59,140
I wouldn't have stood by him
if he were vomiting all day.
256
00:17:59,211 --> 00:18:01,546
What about work?
You must have friends from work.
257
00:18:01,618 --> 00:18:05,423
Pretty much everybody I like
is five years old.
258
00:18:06,730 --> 00:18:09,167
The nurse said
you're stopping my radiation.
259
00:18:10,538 --> 00:18:13,670
We're just trying
some alternative medication.
260
00:18:13,746 --> 00:18:17,117
So where's your family from then?
Steroids aren't
an alternative to radiation.
261
00:18:17,187 --> 00:18:19,385
The tests
weren't really conclusive.
262
00:18:19,459 --> 00:18:21,395
We're treating you for vasculitis.
263
00:18:21,464 --> 00:18:24,460
It's the inflammation
of blood vessels in the brain.
264
00:18:24,538 --> 00:18:27,477
L-It's not a tumor?
265
00:18:27,545 --> 00:18:29,538
I don't have a tumor?
266
00:18:32,824 --> 00:18:36,320

You should have told her the truthIt's a long shot guess.
267
00:18:36,399 --> 00:18:38,836
Thank you.
If House is right, no harm.
268
00:18:38,906 --> 00:18:41,275
If he's wrong,
I've given a dying woman
a couple days' hope.
269
00:18:41,344 --> 00:18:45,012
False hope.
If there was any other type available,
I would have given her that.
270
00:18:50,466 --> 00:18:52,994
[Sniffing]
271
00:18:53,072 --> 00:18:56,877
Why are you smelling Billy's pants?
272
00:18:56,948 --> 00:18:59,215
I'm not.
Looked like you were.
273
00:18:59,286 --> 00:19:01,449
- I was smelling the floor.
- Oh.
274
00:19:01,525 --> 00:19:04,361
Do you have any pets in this class?
275
00:19:04,432 --> 00:19:07,735
No. But we used to have a gerbil,
but Carly L. Dropped a book on it.
276
00:19:07,807 --> 00:19:09,743
Careless.
277
00:19:09,812 --> 00:19:13,776
- Do you need to smell it?
- No. I'm smelling for mold.
278
00:19:13,854 --> 00:19:15,790
I don't need to smell it.

279
00:19:15,859 --> 00:19:20,096
- You could smell our parrot.
- You said you didn't have any pets in this class.
280
00:19:20,170 --> 00:19:22,163
A parrot is a bird.
281
00:19:22,241 --> 00:19:23,938
Listen,
Jackson's not the father282
00:19:24,012 --> 00:19:26,175
[Foreman]
Parrots are the primary source
of psittacosis.
283
00:19:26,250 --> 00:19:27,947
It's not the parrot.
284
00:19:28,022 --> 00:19:32,931
And psittacosis can lead to nerve problems
and neurological complications.
285
00:19:32,999 --> 00:19:35,266
How many kids were in the class?
Twenty.
286
00:19:35,339 --> 00:19:37,776
How many are home sick?
None, but287
00:19:37,845 --> 00:19:43,484
None. But you figured
that five-year-olds are more serious
about bird hygiene than their teacher?
288
00:19:43,558 --> 00:19:45,619
Have you been through her home?
She lives in Trenton.
289
00:19:45,697 --> 00:19:48,898
I can go up to her room
tomorrow morning,
ask her for the key.
290
00:19:48,971 --> 00:19:53,037
Would the police call for permission
before dropping by

to check out a crime scene?

291
00:19:53,114 --> 00:19:56,850
It's not a crime scene.
As far as I know, she's running
a meth lab out of her basement.
292
00:19:56,923 --> 00:20:01,024
She's a kindergarten teacher.
And if I were a kindergarten student
I would trust her implicitly.
293
00:20:02,403 --> 00:20:06,367
[Sighs]
Okay. I'll give you a "for instance."
294
00:20:06,445 --> 00:20:08,347
The lady back there...
295
00:20:08,417 --> 00:20:10,854
who made your egg salad sandwich296
00:20:10,923 --> 00:20:13,759
Her eyes look glassy.
Did you notice that?
297
00:20:13,829 --> 00:20:17,269
Now, hospital policy
is to stay home if you're sick.
298
00:20:17,338 --> 00:20:21,040
But if you're making $8.00 an hour,
then you kind of need
the $8.00 an hour, right?
299
00:20:21,113 --> 00:20:25,556
And the sign in the bathroom
says that employees must wash
after using the facilities,
300
00:20:25,624 --> 00:20:31,228
but I figure that somebody
who wipes snot on a sleeve isn't
hyperconcerned about sanitary conditions.
301
00:20:31,304 --> 00:20:33,798
So what do you thinkshould I trust her?

302
00:20:34,879 --> 00:20:38,512
I want you to check the patient's home
for contaminants, garbage, medication.
303
00:20:38,588 --> 00:20:42,324
I can't just break into someone's house.
Isn't that how you got into
the Felkers' home?
304
00:20:46,941 --> 00:20:49,937
Yeah, I know.
305
00:20:50,016 --> 00:20:54,048
Court records are sealed.
You were 16. It was a stupid mistake.
306
00:20:54,125 --> 00:20:57,861
But your old gym teacher
has a big mouth.
Should write a thank-you note.
307
00:20:57,933 --> 00:21:00,336
- I should thank him?
- Well308
00:21:00,407 --> 00:21:02,536
[Crunching]
309
00:21:02,612 --> 00:21:05,413
I needed somebody around here
with street smarts.
310
00:21:07,423 --> 00:21:11,159
Okay? Who knows
when they're being conned,
knows how to con.
311
00:21:11,232 --> 00:21:12,826
I should sue you.
312
00:21:12,903 --> 00:21:16,104
Pretty sure you can't sue somebody
for wrongful hiring.
313
00:21:16,177 --> 00:21:20,882
But I'm pretty sure I can sue if you fire me
for not breaking into some lady's house.

314
00:21:33,518 --> 00:21:35,955
Doing research.
People are fascinating, aren't they?
315
00:21:36,023 --> 00:21:38,256
Why are you giving Adler steroids?
316
00:21:39,800 --> 00:21:43,468
Because she's my patient.
That's what you do with patientsyou give them medicine.
317
00:21:43,542 --> 00:21:45,478
You don't prescribe medicine
based on guesses.
318
00:21:45,546 --> 00:21:47,641
At least we don't
since Tuskegee and Mengele.
319
00:21:47,718 --> 00:21:50,657
You're comparing me to a Nazi?
Nice.
320
00:21:50,725 --> 00:21:52,923
I'm stopping the treatment.
321
00:21:57,575 --> 00:22:00,514
She's my patient.
It's my hospital.
322
00:22:00,582 --> 00:22:02,518
I did not get her sick.
323
00:22:02,587 --> 00:22:06,027
She is not an experiment.
I have a legitimate theory
about what's wrong with her.
324
00:22:06,094 --> 00:22:08,030
With no proof.
325
00:22:08,099 --> 00:22:09,032
There's never any proof.
326
00:22:09,102 --> 00:22:12,667
Five different doctors

come up with five different diagnoses

based on the same evidence.
327
00:22:12,744 --> 00:22:16,047
You don't have any evidence.
328
00:22:16,118 --> 00:22:19,421
And nobody knows anything, huh?
Then how is it
you always think you're right?
329
00:22:19,493 --> 00:22:23,400
I don't. I just find it hard to operate
on the opposite assumption.
330
00:22:23,469 --> 00:22:26,408
And why are you so afraid
of making a mistake?
331
00:22:26,476 --> 00:22:29,938
Because I'm a doctor.
Because when we make mistakes,
people die.
332
00:22:30,018 --> 00:22:32,011
Oh, come on.
333
00:22:34,028 --> 00:22:37,024
People used to have more
respect for cripples, you know.
334
00:22:40,042 --> 00:22:42,035
They didn't really.
335
00:22:45,722 --> 00:22:49,127
So how you feeling?
Much better, thanks.
336
00:22:49,196 --> 00:22:51,827
Are you Dr. House?
I thought he was a he, but337
00:22:51,903 --> 00:22:54,431
No.
338
00:22:54,510 --> 00:22:57,540
Don't eat too much, too fast.

339
00:22:57,617 --> 00:22:59,610
Thank him for me.
340
00:22:59,689 --> 00:23:02,217
Right.
341
00:23:13,454 --> 00:23:15,891
Should I discontinue
the treatment, boss?
342
00:23:15,960 --> 00:23:17,953
You got lucky.
343
00:23:21,339 --> 00:23:23,332
Cool, huh?
344
00:23:25,616 --> 00:23:27,552
Okay, once again.
345
00:23:27,621 --> 00:23:30,218
[Inhales, Exhales]
346
00:23:30,293 --> 00:23:32,229
Good.
347
00:23:32,298 --> 00:23:34,735
Am I ever gonna meet Dr. House?
348
00:23:34,805 --> 00:23:39,510
[Chuckles]
Well, you might run into him
at the movies or on the bus.
349
00:23:39,582 --> 00:23:41,609
Is he a good man?
350
00:23:41,687 --> 00:23:45,355
He's a good doctor.
351
00:23:45,430 --> 00:23:47,765
Can you be one without the other?
352
00:23:47,835 --> 00:23:51,640
Don't you have to
care about people?
Caring is a good motivator.

353
00:23:52,880 --> 00:23:54,816
He's found something else.
354
00:23:57,024 --> 00:23:59,587
Feel this, both sides?
Mm-hmm. Mm-hmm.
355
00:23:59,663 --> 00:24:03,661
Okay, squeeze.
Harder. All right.
356
00:24:03,739 --> 00:24:05,641
He's your friend, huh?
357
00:24:05,711 --> 00:24:07,840
Yeah.
358
00:24:07,916 --> 00:24:10,353
Does he care about you?
359
00:24:11,425 --> 00:24:13,658
I think so.
You don't know?
360
00:24:14,732 --> 00:24:16,965
As Dr. House likes to say,
"Everybody lies."
361
00:24:18,241 --> 00:24:20,838
It's not what people say.
It's what they do.
362
00:24:24,355 --> 00:24:27,351
Yeah.
He cares about me.
363
00:24:31,070 --> 00:24:33,063
I can't see.
364
00:24:35,782 --> 00:24:39,222
I can't... see.
365
00:24:41,729 --> 00:24:45,500
[Monitor Beeping Rapidly]
366

00:24:47,108 --> 00:24:49,010

A little help in here!
367
00:24:53,122 --> 00:24:56,618
[Sustained Tone]
368
00:25:02,578 --> 00:25:04,879
Your chest will be sore for a while.
369
00:25:04,951 --> 00:25:07,924
We needed to shock you
to get your heart going.
370
00:25:10,430 --> 00:25:15,739
Okay, can you arrange these
to tell a story?
371
00:25:29,375 --> 00:25:31,311
[Foreman]
She couldn't put them in order.
372
00:25:31,380 --> 00:25:35,481
Could the damage have been caused
by a lack of oxygen during her seizure?
373
00:25:35,556 --> 00:25:39,395
No. I gave her the same test
five minutes later.
She did just fine.
374
00:25:39,466 --> 00:25:42,997
The altered mental status is intermittent,
just like the verbal skills.
375
00:25:43,075 --> 00:25:45,011
So what now?
376
00:25:45,079 --> 00:25:48,143
Given the latest symptoms,
it's clearly growing deeper into the brain stem.
377
00:25:48,220 --> 00:25:50,589
Soon, she won't be able to walk.
378
00:25:50,659 --> 00:25:54,099
She'll go blind permanently,
and then the respiratory center will fail.

379
00:25:54,167 --> 00:25:56,103
How long do we have?
380
00:25:56,172 --> 00:25:59,008
If it's a tumor,
we're talking a month or two.
If it's infectious, a few weeks.
381
00:25:59,079 --> 00:26:03,647
If it's vascular,
that'll probably be fastest of all.
Maybe a week.
382
00:26:03,723 --> 00:26:05,852
We're gonna stop all treatment.
383
00:26:07,900 --> 00:26:10,531
I still think it's a tumor.
I think we should go back
to the radiation.
384
00:26:10,606 --> 00:26:12,542
[Chase]
She didn't respond
to the radiation.
385
00:26:12,611 --> 00:26:16,814
Well, maybe we didn't see the effect
until after we started steroids.
No, it's not a tumor.
386
00:26:16,888 --> 00:26:19,861
Those steroids did something.
I just don't know what.
387
00:26:19,928 --> 00:26:23,163
So we're just gonna do nothing?
We're just gonna watch her die?
388
00:26:23,236 --> 00:26:27,770
Yeah, we're gonna watch her die.
Specifically, we're gonna watch
how fast she's dying.
389
00:26:27,847 --> 00:26:31,446
You just told useach diagnosis has its own time frame.
390

00:26:31,522 --> 00:26:34,723

When we see how fast it's killing her,
we'll know what it is.
391
00:26:34,796 --> 00:26:37,735
And by then, maybe there's
nothing we can do about it.
392
00:26:37,803 --> 00:26:39,864
There's got to be
something we can do.
393
00:26:39,942 --> 00:26:41,809
Something better
than watching her die.
394
00:26:41,880 --> 00:26:44,374
Well, I got nothing.
395
00:26:44,452 --> 00:26:46,445
How about you?
396
00:26:50,901 --> 00:26:52,837
Bastard.
397
00:26:52,906 --> 00:26:55,845
Oh, Cameron.
I need you for a couple of hours.
What's up?
398
00:26:55,913 --> 00:26:59,854
When you break into someone's house,
it's better to have a white chick with you.
Adler's house?
399
00:26:59,923 --> 00:27:04,491
Why don't we just ask her for her keys?
For all we know, she'll be running
a meth lab out of her basement.
400
00:27:04,567 --> 00:27:06,560
I'm tired a lot.
401
00:27:07,874 --> 00:27:11,439
Any other reason why you think
you might have chronic fatigue syndrome?
402
00:27:11,516 --> 00:27:13,543

It's kind of the definition, isn't it?

403
00:27:13,621 --> 00:27:15,648
It's kind of the definition
of getting older.
404
00:27:15,726 --> 00:27:21,330
I had a couple headaches last month,
a mild fever. Sometimes I can't sleep,
and I have trouble concentrating.
405
00:27:21,407 --> 00:27:24,505
Apparently not while
researching this stuff on the Internet.
406
00:27:24,580 --> 00:27:28,385
I was thinking
it also might be fibromyalgia.
407
00:27:30,662 --> 00:27:32,598
Excellent diagnosis.
408
00:27:32,666 --> 00:27:34,568
Is there anything for that?
409
00:27:34,638 --> 00:27:40,607
[Sighs]
You know, I think there just might be.
410
00:27:40,685 --> 00:27:44,592
I need 36 Vicodin
and change for a dollar.
411
00:28:07,249 --> 00:28:09,014
Exam room two.
412
00:28:11,859 --> 00:28:13,795
House doesn't believe in pretense.
413
00:28:13,864 --> 00:28:17,167
Figures life's too short and too painful.
So he just says what he thinks.
414
00:28:18,475 --> 00:28:20,708
Nothing interesting in the garbage.
415
00:28:20,780 --> 00:28:23,547

"I say what I think" is just

another way of saying "I'm an assho"416
00:28:25,959 --> 00:28:28,898
Well, if you wanted to be judged
for your medical prowess only,
417
00:28:28,966 --> 00:28:31,403
maybe you shouldn't have
broken into someone's home.
418
00:28:31,473 --> 00:28:33,466
I was 16.
419
00:28:35,013 --> 00:28:38,009
Don't know about ticks,
but her dog's definitely got fleas.
420
00:28:40,660 --> 00:28:43,758
I managed to make it to 17
without a criminal record.
421
00:28:46,842 --> 00:28:48,778
Yeah?
422
00:28:48,846 --> 00:28:52,787
Well, you obviously didn't grow up
in my neighborhood.
423
00:28:52,856 --> 00:28:56,296
That's right. You stole a loaf of bread
to feed your starving family. Right?
424
00:28:56,365 --> 00:28:58,301
You always eat during break-ins?
425
00:28:58,369 --> 00:29:01,809
Am I supposed to respect their food
more than I respect their DVD players?
426
00:29:01,877 --> 00:29:03,311
You want some?
No.
427
00:29:03,381 --> 00:29:05,750
You gonna go hungry until she dies?
428

00:29:05,819 --> 00:29:07,117

No.
You know what?
429
00:29:07,190 --> 00:29:10,425
After centuries of slavery,
decades of civil rights marches...
430
00:29:10,498 --> 00:29:15,407
and, more significantly,
living like a monk,
never getting less than a 4.0 G.P.A.,
431
00:29:15,476 --> 00:29:20,078
you don't think it's kind of disgusting
I get one of the top jobs in the country
because I'm a delinquent?
432
00:29:21,390 --> 00:29:23,918
We'll eat,
then we'll tear up the carpet.
433
00:29:26,235 --> 00:29:28,171
You went to Hopkins, right?
434
00:29:28,240 --> 00:29:30,142
Yep.
435
00:29:30,211 --> 00:29:33,480
So you went to a better school than I did.
You got better grades than I did.
436
00:29:33,552 --> 00:29:36,491
[Laughs]
So how did you get the job?
437
00:29:36,559 --> 00:29:38,962
You stab a guy in a bar fight?
438
00:29:46,616 --> 00:29:48,552
[Foreman]
Nothing.
439
00:29:48,621 --> 00:29:51,992
It's not a tumor.
She's getting worse too fast.
440
00:29:52,063 --> 00:29:55,525

- She can't stand up.

- No toxins? No medications?
441
00:29:55,604 --> 00:29:57,267
Nothing that would explain
these symptoms.
442
00:29:57,342 --> 00:29:59,335
Family history
of neurological problems?
443
00:29:59,414 --> 00:30:01,749
Not that I could tell
from her underwear drawer.
444
00:30:01,819 --> 00:30:04,256
You said "nothing that would
explain these symptoms."
445
00:30:04,325 --> 00:30:06,956
What did you find that
doesn't explain these symptoms?
446
00:30:08,301 --> 00:30:12,299
Dr. Wilson convinced you
to treat this patient
under false pretenses.
447
00:30:12,377 --> 00:30:14,472
Adler's not his cousin.
448
00:30:15,652 --> 00:30:17,588
That's ridiculous. Ask her yourself.
Can we get ba449
00:30:17,657 --> 00:30:20,151
- She's notJewish.
- Rachel Adler's notJewish?
450
00:30:20,229 --> 00:30:23,725
- I had ham at her apartment.
- [Laughs]
451
00:30:23,804 --> 00:30:28,007
Dr. Foreman, a lot ofJews
have non-Jewish relatives,
and most of us don't keep kosher.
452

00:30:28,081 --> 00:30:31,646

I can see getting through high school
without learning a thing aboutJews,
but medical school?
453
00:30:31,723 --> 00:30:35,163
Okay, maybe she's Jewish,
but she's definitely not your cousin.
454
00:30:35,232 --> 00:30:37,601
Really? This guy is[Stammers]
455
00:30:37,670 --> 00:30:41,338
You don't even know her name.
You called her Rachel.
Her name is Rebecca.
456
00:30:42,481 --> 00:30:44,644
Yes. Yes, her name is Rebecca.
457
00:30:46,391 --> 00:30:48,692
L-I call her Rachel.
458
00:30:48,763 --> 00:30:51,132
You idiot!
[Stammering]
Listen, he's459
00:30:51,202 --> 00:30:53,195
Not you. Him.
460
00:30:53,274 --> 00:30:57,045
- You said you didn't find anything.
- Everything I found was in my461
00:30:57,116 --> 00:30:59,519
- You found ham.
- So?
462
00:30:59,589 --> 00:31:01,924
Where there's ham, there's pork.
463
00:31:01,994 --> 00:31:04,830
Where there's pork,
there's neurocysticercosis.
464
00:31:04,901 --> 00:31:07,429

Tapeworm? You think

she's got a worm in her brain?
465
00:31:07,508 --> 00:31:10,036
It fits.
Could have been living there for years.
Never occurred to me that466
00:31:10,113 --> 00:31:13,849
Millions of people eat ham every day.
It's quite a leap to think
that's she's got a tapeworm.
467
00:31:13,922 --> 00:31:19,025
Okay, Mr. Neurologist,
what happens when you give steroids
to a person who has a tapeworm?
468
00:31:19,101 --> 00:31:22,769
They- They get a little better,
and-and then they get worse.
469
00:31:25,316 --> 00:31:28,414
Just like Rebecca Adler did.
470
00:31:38,113 --> 00:31:41,644
In a typical case,
if you don't cook pork well enough,
471
00:31:41,721 --> 00:31:45,217
you digest live tapeworm larvae.
472
00:31:45,297 --> 00:31:47,530
They've got these little hooks,
473
00:31:47,602 --> 00:31:49,937
they grab onto your bowel,
they live, they grow up, they reproduce.
474
00:31:50,008 --> 00:31:54,382
Reproduce? There's only one lesion,
and it's nowhere near her bowel.
475
00:31:54,452 --> 00:31:56,821
That's because
this is not a typical case.
476
00:31:56,891 --> 00:32:00,855

Tapeworm can produce

20,000 to 30,000 eggs a day.
477
00:32:00,934 --> 00:32:02,870
Guess where they go?
[Foreman]
Out.
478
00:32:02,938 --> 00:32:04,874
Not all of them.
479
00:32:04,943 --> 00:32:10,411
Unlike the larvae, the egg can pass
right through the walls of the intestines
into the bloodstream.
480
00:32:10,490 --> 00:32:12,757
And where does the bloodstream go?
[Cameron]
Everywhere.
481
00:32:12,829 --> 00:32:17,032
As long as it's healthy, the immune system
doesn't even know it's there.
482
00:32:17,106 --> 00:32:22,244
The worm builds a wall, uses secretions
to shut down the body's immune response
and control fluid flow.
483
00:32:22,318 --> 00:32:25,119
It's really very beautiful.
484
00:32:25,191 --> 00:32:27,754
As long as it's healthy.
So what do we do?
485
00:32:27,830 --> 00:32:30,769
Call a vet,
nurse the little guy back to health?
486
00:32:30,837 --> 00:32:33,776
It's too late for that.
It's dying.
487
00:32:33,845 --> 00:32:38,254
And as it dies, this parasite loses
the ability to control the host's defenses.

488
00:32:38,322 --> 00:32:42,320
The immune system wakes up,
attacks the worm,
and everything starts to swell.
489
00:32:42,398 --> 00:32:45,428
And that is very bad for the brain.
490
00:32:45,505 --> 00:32:48,136
It could still be
a hundred other things.
491
00:32:48,212 --> 00:32:50,410
The eosinophil count was normal.
492
00:32:50,484 --> 00:32:53,320
- It's only abnormal in 30% of cases.
- Proving nothing.
493
00:32:53,391 --> 00:32:58,529
No, no, no, no. ItDon't you see? It fits. It's perfect.
It explains everything.
494
00:32:58,603 --> 00:33:01,439
- But it proves nothing.
- I can prove it by treating it.
495
00:33:01,510 --> 00:33:03,480
No, you can't.
496
00:33:03,548 --> 00:33:07,147
I was just with her.
She doesn't want any more treatments.
497
00:33:07,224 --> 00:33:10,720
She doesn't want any more experiments.
She wants to go home and die.
498
00:33:21,357 --> 00:33:24,296
[Rain Falling]
499
00:33:24,364 --> 00:33:26,858
[Thunder Rumbling]
500
00:33:33,151 --> 00:33:35,314
Would you excuse us, please?

501
00:33:40,870 --> 00:33:42,567
I'm Dr. House.
502
00:33:42,640 --> 00:33:45,203
It's good to meet you.
503
00:33:49,223 --> 00:33:51,592
You're being an idiot.
[Clears Throat]
504
00:33:56,273 --> 00:33:58,767
You have a tapeworm
in your brain.
505
00:34:00,015 --> 00:34:03,717
It's not pleasant,
but if we don't do anything,
you'll be dead by the weekend.
506
00:34:03,790 --> 00:34:06,091
Have you actually seen the worm?
507
00:34:06,163 --> 00:34:09,136
When you're all better,
I'll show you my diplomas.
508
00:34:09,204 --> 00:34:11,971
You were sure
I had vasculitis too.
509
00:34:12,044 --> 00:34:14,983
Now I can't walk
and I'm wearing a diaper.
510
00:34:15,051 --> 00:34:17,078
What's this treatment
gonna do for me?
511
00:34:17,156 --> 00:34:20,561
I'm not talking about a treatment.
I'm talking about a cure.
512
00:34:20,630 --> 00:34:23,626
But because I might be wrong,
you want to die.
513

00:34:25,074 --> 00:34:27,067

What made you a cripple?
514
00:34:30,988 --> 00:34:32,981
I had an infarction.
515
00:34:33,060 --> 00:34:35,497
A heart attack?
516
00:34:35,566 --> 00:34:38,003
It's what happens
when blood flow is obstructed.
517
00:34:38,072 --> 00:34:41,102
If it's in the heart, it's a heart attack.
If it's in the lungs, it's a pulmonary embolism.
518
00:34:41,179 --> 00:34:44,118
If it's in the brain, it's a stroke.
I had it in my thigh muscles.
519
00:34:44,186 --> 00:34:46,783
Wasn't there something
they could do?
520
00:34:46,859 --> 00:34:50,026
There was plenty they could do,
if they'd made the right diagnosis.
521
00:34:50,101 --> 00:34:53,005
But the only symptom was pain.
522
00:34:54,210 --> 00:34:57,206
Not many people get to
experience muscle death.
523
00:34:57,283 --> 00:34:58,980
Did you think you were dying?
524
00:34:59,055 --> 00:35:01,652
I hoped I was dying.
525
00:35:02,797 --> 00:35:05,736
So you hide in your office,
refuse to see patients...
526
00:35:05,804 --> 00:35:09,437

because you don't like

the way people look at you.
527
00:35:09,513 --> 00:35:13,716
You feel cheated by life, so now
you're gonna get even with the world.
528
00:35:13,790 --> 00:35:16,729
But you want me to fight this.
529
00:35:16,797 --> 00:35:18,733
Why?
530
00:35:18,802 --> 00:35:21,775
What makes you think
I'm so much better than you?
531
00:35:21,842 --> 00:35:24,940
What, you're scared
you'll turn into me?
532
00:35:25,016 --> 00:35:28,285
I just want to die
with a little dignity.
533
00:35:28,357 --> 00:35:30,658
There's no such thing.
534
00:35:30,729 --> 00:35:33,998
Our bodies break down.
Sometimes when we're 90.
Sometimes before we're even born.
535
00:35:34,071 --> 00:35:37,010
But it always happens,
and there's never any dignity in it.
536
00:35:37,078 --> 00:35:41,987
I don't care if you can walk,
see, wipe your own ass.
It's always ugly. Always.
537
00:35:46,032 --> 00:35:49,028
We can live with dignity.
We can't die with it.
538
00:36:06,881 --> 00:36:08,874
No treatment.

539
00:36:09,888 --> 00:36:13,225
Maybe we can get a court order,
uh, override her wishes,
540
00:36:13,297 --> 00:36:16,236
claim she doesn't have the capacity
to make this decision.
541
00:36:16,304 --> 00:36:18,240
But she does.
542
00:36:18,309 --> 00:36:21,248
But we could claim that the illness
made her mentally incompetent, right?
543
00:36:21,316 --> 00:36:23,753
A pretty common result.
That didn't happen here.
544
00:36:23,821 --> 00:36:27,592
He's not gonna do it.
She's notjust a file to him anymore.
545
00:36:27,664 --> 00:36:29,600
He respects her.
546
00:36:29,668 --> 00:36:32,367
So because you respect her,
you're going to let her die?
547
00:36:34,313 --> 00:36:37,149
I solved the case.
My work is done.
548
00:36:39,425 --> 00:36:41,292
Patients always want proof.
549
00:36:41,363 --> 00:36:43,561
We're not making cars here.
550
00:36:43,636 --> 00:36:46,005
We don't give guarantees.
551
00:36:47,678 --> 00:36:49,671
I think we can prove it's a worm.

552
00:36:51,253 --> 00:36:53,724
It's noninvasive. It's safe.
553
00:36:53,792 --> 00:36:56,959
I'm not completely sure, butYeah, yeah, yeah.
What's the damn idea?
554
00:36:57,034 --> 00:36:59,471
Have you ever seen a worm
under an X-ray?
555
00:36:59,539 --> 00:37:02,478
A regular, old, no-contrast,
hundred-year-old-technology X-ray?
556
00:37:02,546 --> 00:37:06,681
They light up like shotgun pellets,
just like on a contrast M.R.I.
557
00:37:06,756 --> 00:37:10,059
Which is the same thing as a CT scan,
which we did, which proved nothing.
558
00:37:10,131 --> 00:37:13,070
The worm's cyst is the same density
as the cerebrospinal fluid.
559
00:37:13,138 --> 00:37:15,701
We're not gonna see anything
in her head.
560
00:37:15,777 --> 00:37:19,239
But Chase is right. He's right.
We should X-ray her.
561
00:37:19,319 --> 00:37:22,258
But we don't X-ray her brain.
We X-ray her leg.
562
00:37:22,326 --> 00:37:26,996
Worms love thigh muscle.
If she's got one in her head,
I guarantee you there's one in her leg.
563
00:37:40,469 --> 00:37:42,371
Hold still, Rebecca.

564
00:37:51,028 --> 00:37:53,397
This here...
565
00:37:53,467 --> 00:37:55,403
is a worm larva.
566
00:37:55,472 --> 00:37:58,069
So, if it's in my leg,
it's in my brain?
567
00:37:58,144 --> 00:38:01,413
Are you looking for a guarantee?
568
00:38:01,486 --> 00:38:04,014
It's there.
Probably been there six to 10 years.
569
00:38:04,091 --> 00:38:07,360
- Do I have more?
- Probably.
570
00:38:08,837 --> 00:38:10,864
It's good news.
571
00:38:10,942 --> 00:38:13,938
- What do we do now?
- Now we get you better.
572
00:38:16,354 --> 00:38:18,347
Albendazole.
573
00:38:20,129 --> 00:38:24,468
- Two pills?
- Yeah. Every day,
for at least a month, with a meal.
574
00:38:24,540 --> 00:38:27,103
- Two pills?
- Yeah.
575
00:38:27,180 --> 00:38:32,489
Possible side effects
include abdominal pain, nausea,
headaches, dizziness, fever...
576
00:38:32,559 --> 00:38:34,495
and hair loss.

577
00:38:34,564 --> 00:38:37,434
We'll probably make you keep taking the pills
even if you get every one of those.
578
00:38:56,816 --> 00:38:59,049
Why did you hire me?
579
00:39:00,058 --> 00:39:02,825
- Does it matter?
- Kinda hard to work for a guy
who doesn't respect you.
580
00:39:02,898 --> 00:39:04,925
- Why?
- Is that rhetorical?
581
00:39:05,003 --> 00:39:07,600
No. It just seems that way
'cause you can't think of an answer.
582
00:39:09,346 --> 00:39:11,613
Does it make a difference
what I think?
583
00:39:11,685 --> 00:39:16,685
I'm a jerk. The only thing that matters
is what you think. Can you do the job?
584
00:39:16,764 --> 00:39:20,067
You hired a black guy
because he had a juvenile record.
No.
585
00:39:20,138 --> 00:39:22,074
It wasn't a racial thing.
586
00:39:22,143 --> 00:39:24,079
I didn't see a black guy.
587
00:39:24,148 --> 00:39:26,311
I just saw a doctor...
588
00:39:26,387 --> 00:39:28,323
with a juvenile record.
589
00:39:28,391 --> 00:39:31,330

I hired Chase
'cause his dad made a phone call.
590
00:39:31,399 --> 00:39:33,528
I hired you...
591
00:39:33,604 --> 00:39:35,733
because you are extremely pretty.
592
00:39:35,809 --> 00:39:40,752
You hired me
to get into my pants?
I can't believe that that would shock you.
593
00:39:40,820 --> 00:39:42,756
It's also not what I said.
594
00:39:42,825 --> 00:39:45,023
No, I hired you
because you look good.
595
00:39:45,097 --> 00:39:47,591
It's like having a nice piece of art
in the lobby.
596
00:39:47,670 --> 00:39:50,107
- I was in the top of my class.
- But not the top.
597
00:39:50,176 --> 00:39:53,672
I did an internship
at the Mayo Clinic.
Yeah. You were a very good applicant.
598
00:39:53,751 --> 00:39:56,690
But not the best.
Would that upset you?
Really?
599
00:39:56,758 --> 00:40:01,132
To think that you were hired
because of some genetic gift of beauty
instead of some genetic gift of intelligence?
600
00:40:01,202 --> 00:40:03,639
I worked very hard
to get where I am.
601

00:40:03,708 --> 00:40:05,644

But you didn't have to.
602
00:40:05,712 --> 00:40:09,915
People choose the paths
that gain them the greatest rewards
for the least amount of effort.
603
00:40:09,989 --> 00:40:13,794
That's a law of nature,
and you defied it.
That's why I hired you.
604
00:40:13,866 --> 00:40:16,805
You could have married rich.
You could have been a model.
605
00:40:16,873 --> 00:40:20,404
You could havejust shown up
and people would have given you stuff.
Lots of stuff.
606
00:40:20,481 --> 00:40:23,852
But you didn't.
You worked your stunning little ass off.
607
00:40:23,922 --> 00:40:26,359
Am I supposed to be flattered?
608
00:40:26,428 --> 00:40:28,865
Gorgeous women
do not go to medical school...
609
00:40:28,934 --> 00:40:31,930
unless they're as damaged
as they are beautiful.
610
00:40:32,008 --> 00:40:33,944
Were you abused
by a family member?
611
00:40:34,013 --> 00:40:35,812
- No.
- Sexually assaulted?
612
00:40:35,884 --> 00:40:38,013
No!
613

00:40:38,089 --> 00:40:39,956

But you are damaged, aren't you?
614
00:40:41,430 --> 00:40:43,731
~ [Pager]
615
00:40:43,802 --> 00:40:47,573
[Exhales]
I have to go.
616
00:40:51,721 --> 00:40:53,418
I followed her.
617
00:40:53,492 --> 00:40:57,901
- Oh.
- I couldn't stop thinking
about what that doctor said.
618
00:40:57,970 --> 00:41:00,567
- I told you not to listen to him.
He's an idiot.
- I was orange!
619
00:41:01,812 --> 00:41:05,217
- I don't want to know what you found out.
- You don't care?
620
00:41:05,287 --> 00:41:07,223
I'm your doctor.
621
00:41:07,292 --> 00:41:10,231
You've been good to me
and good to this hospital.
Of course I care.
622
00:41:10,299 --> 00:41:13,761
But I don't see how this conversation
can end well for me.
623
00:41:13,840 --> 00:41:17,109
Either your wife is having an affair,
or she's not having an affair,
624
00:41:17,181 --> 00:41:20,120
and you have come here
because you rightly think I should fire him.
625
00:41:20,188 --> 00:41:24,254

But I can't.
Even if it costs me your money.
626
00:41:24,332 --> 00:41:27,669
The son of a bitch
is the best doctor we have.
627
00:41:33,253 --> 00:41:35,189
Feeling any better?
628
00:41:35,258 --> 00:41:37,194
I can't complain.
629
00:41:37,262 --> 00:41:39,597
As you know,
the hospital has certain rules.
630
00:41:39,668 --> 00:41:43,541
And as you also know,
we tend to ignore them.
631
00:41:43,610 --> 00:41:46,047
But I think this one's gonna be
a little obvious unless we get your help.
632
00:41:46,117 --> 00:41:49,488
If anyone asks,
you have 11 daughters and five sons.
633
00:41:49,558 --> 00:41:53,294
- Hi! Look who's here!
- [Children Chattering]
634
00:41:53,367 --> 00:41:57,206
It's so good to see you guys.
I missed you.
635
00:41:57,978 --> 00:41:59,880
Is this for me?
636
00:41:59,949 --> 00:42:02,010
It's beautiful.
637
00:42:04,427 --> 00:42:07,160
Oh, I love you guys.
638
00:42:07,233 --> 00:42:10,206

I wanted to thank Dr. House,

but he never visited again.
639
00:42:10,274 --> 00:42:12,609
He cured you.
You didn't cure him.
640
00:42:13,748 --> 00:42:18,782
Okay, I want a hug and a kiss
from every single one of you!
Get up here right now!
641
00:42:20,832 --> 00:42:23,771
- [Woman] There.
- [Man] Hold on.
642
00:42:23,839 --> 00:42:26,072
[Woman]
She's converted.
643
00:42:26,144 --> 00:42:28,080
[Sniffs]
644
00:42:28,149 --> 00:42:30,780
You said she was your cousin.
645
00:42:30,856 --> 00:42:32,792
Why would you lie?
646
00:42:32,860 --> 00:42:35,661
It got you to take the case.
647
00:42:36,670 --> 00:42:40,509
You lied to a friend to save a stranger.
You don't think
that's kind of screwed up?
648
00:42:40,579 --> 00:42:42,344
You've never lied to me?
649
00:42:42,416 --> 00:42:44,944
I never lie.
650
00:42:45,022 --> 00:42:47,585
Oh. Right.
651
00:42:48,898 --> 00:42:51,597

- [Man] Why do we do this?

- [Woman] Because we're doctors.
652
00:42:51,671 --> 00:42:54,006
If we make mistakes, people die.
653
00:42:56,048 --> 00:42:58,679
- [Knock On Door]
- Dr. House?
654
00:42:58,755 --> 00:43:00,782
You have a patient.
655
00:43:05,304 --> 00:43:08,641
- [Sighs]
- He says he needs a refill.
656
00:43:11,786 --> 00:43:13,813
Got change for a dollar?
657
00:43:57,927 --> 00:43:59,190
That's some bad hat, Harry.
9999
00:00:0,500 --> 00:00:2,00
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