1
00:00:51,680 --> 00:00:52,723
Why are you late?

2
00:00:52,723 --> 00:00:53,891
You're not going to like the answer.

3
00:00:53,891 --> 00:00:55,184
I already know the answer.

4
00:00:55,184 --> 00:00:56,185
I missed the bus.

5
00:00:56,185 --> 00:00:58,771
I don't doubt it, no bus stops near Brad's.

6
00:00:58,771 --> 00:01:01,732
You spent the night, the alarm didn't work. Or maybe it did.

7
00:01:01,732 --> 00:01:03,317
I didn't sleep with him.

8
00:01:03,317 --> 00:01:05,194
- Girl, there's...
- I missed the bus!

9
00:01:05,194 --> 00:01:08,572
There's something either very wrong with you,
or there's something very wrong with him.

10
00:01:08,572 --> 00:01:10,199
There's nothing wrong with him.

11
00:01:10,199 --> 00:01:12,117
Please tell me you know that for a fact.

12
00:01:12,117 --> 00:01:13,369
Melanie, I gotta go.

13
00:01:13,369 --> 00:01:14,703
You're lying aren't you?

14
00:01:14,703 --> 00:01:18,165
I wouldn't lie to you.
Good morning guys!

15
00:01:18,165 --> 00:01:20,209
Good morning Miss Rebecca!

16
00:01:20,209 --> 00:01:21,543
Everybody's in their seats?

17
00:01:21,543 --> 00:01:23,003
Yes!

18
00:01:23,796 --> 00:01:29,718
Ok, Sidney, why don't you tell us
what you did this weekend.

19
00:01:30,052 --> 00:01:33,138
Come on, Sidney, we know you're not shy.

20
00:01:33,138 --> 00:01:37,476
How come we always have to tell you what we did,
and you never tell us what you did?

21
00:01:38,936 --> 00:01:45,484
Ok, I had a really great weekend,
but you can't tell Miss Melanie, ok?

22
00:01:45,484 --> 00:01:46,694
What did you do?

23
00:01:47,486 --> 00:01:48,779
I made a new friend.

24
00:01:49,613 --> 00:01:51,990
It's so much fun to make new friends, isn't it?

25
00:01:51,990 --> 00:01:53,575
Yeah, Yes, ect.

26
00:01:53,575 --> 00:01:56,620
Did you tell you mom and dad about your new friend?

27
00:01:56,620 --> 00:02:02,418
Absolutely! You should never keep anything from your parents.

28
00:02:02,418 --> 00:02:04,586
And I told them

29
00:02:07,965 --> 00:02:09,007
Wh..

30
00:02:31,864 --> 00:02:38,579
C, A, L, H, E

31
00:02:38,620 --> 00:02:39,580
"The."

32
00:02:39,580 --> 00:02:41,957
We know that word, "the."

33
00:02:52,760 --> 00:02:54,511
Call The Nurse

34
00:02:58,432 --> 00:03:05,314
1X01: PILOT
Original Airdate on FOX: November 16, 2004

35
00:03:05,939 --> 00:03:10,402
29 year old female, first seizure one month ago, lost the ability to speak.

36
00:03:10,402 --> 00:03:13,947
Babbled like a baby.
Present deterioration of mental status.

37
00:03:14,448 --> 00:03:17,910
See that? They all assume I'm a patient because of this cane.

38
00:03:17,910 --> 00:03:19,703
So put on a white coat like the rest of us.

39
00:03:19,703 --> 00:03:21,121
I don't want them to think I'm a doctor.

40
00:03:21,705 --> 00:03:24,458
You see where the administration might have a problem with that attitude.

41
00:03:24,458 --> 00:03:25,918
People don't want a sick doctor.

42
00:03:25,918 --> 00:03:30,464
Fair enough. I don't like healthy patients.
The 29 year old female

43
00:03:30,464 --> 00:03:32,216
The one who can't talk, I liked that part.

44
00:03:33,133 --> 00:03:34,218
She's my cousin.

45
00:03:35,594 --> 00:03:38,138
And your cousin doesn't like the diagnosis.

46
00:03:38,597 --> 00:03:42,518
I wouldn't either. Brain tumor,
she's gonna die, boring.

47
00:03:45,145 --> 00:03:49,525
No wonder you're such a renowned diagnostician.
You don't need to actually know anything to figure out what's wrong.

48
00:03:49,525 --> 00:03:52,695
You're the oncologist.
I'm just a lowly infectious disease guy.

49
00:03:52,695 --> 00:03:57,157
Hah, yes, just a simple country doctor.
Brain tumors at her age are highly unlikely.

50
00:03:57,157 --> 00:03:59,952
She's 29. Whatever she's got is highly unlikely.

51
00:03:59,952 --> 00:04:03,080
Protein markers for the three most prevalent brain cancers came up negative.

52
00:04:03,080 --> 00:04:06,959
That's an HMO lab; you might as well have sent it to a high school kid with a chemistry set.

53
00:04:06,959 --> 00:04:08,043
No family history.

54
00:04:08,919 --> 00:04:10,421
I thought your uncle died of cancer.

55
00:04:10,421 --> 00:04:12,965
Other side. No environmental factors.

56
00:04:12,965 --> 00:04:13,841
That you know of.

57
00:04:13,882 --> 00:04:15,801
And she's not responding to radiation treatment.

58
00:04:15,801 --> 00:04:17,761
None of which is even close to dispositive.

59
00:04:18,637 --> 00:04:20,472
All it does is raise one question.

60
00:04:21,181 --> 00:04:23,017
Your cousin goes to an HMO?

61
00:04:23,517 --> 00:04:26,854
Come on! Why leave all the fun for the coroner?

62
00:04:26,854 --> 00:04:29,773
What's the point of putting together a team if you're not going to use them?

63
00:04:30,816 --> 00:04:35,404
You've go three overqualified doctors working for you. Getting bored.

64
00:05:37,883 --> 00:05:38,676
It's a lesion.

65
00:05:41,053 --> 00:05:45,891
And the big green thing in the middle of the bigger blue thing on a map is an island.

66
00:05:46,725 --> 00:05:48,769
I was hoping for something a bit more creative.

67
00:05:48,769 --> 00:05:51,438
Shouldn't we be speaking to the patient before we start diagnosing?

68
00:05:52,898 --> 00:05:53,649
Is she a doctor?

69
00:05:53,649 --> 00:05:54,024
No, but...

70
00:05:54,024 --> 00:05:55,484
Everybody lies.

71
00:05:55,484 --> 00:05:57,986
Dr. House doesn't like dealing with patients.

72
00:05:57,986 --> 00:06:00,072
Isn't treating patients why we became doctors?

73
00:06:00,072 --> 00:06:05,869
No, treating illnesses is why we became doctors,
treating patients is what makes most doctors miserable.

74
00:06:05,869 --> 00:06:08,997
So you're trying to eliminate the humanity from the practice of medicine.

75
00:06:09,456 --> 00:06:11,083
If you don't talk to them they can't lie to us,

76
00:06:11,083 --> 00:06:12,793
and we can't lie to them.

77
00:06:13,377 --> 00:06:14,837
Humanity is overrated.

78
00:06:15,421 --> 00:06:16,630
I don't think it's a tumor.

79
00:06:16,630 --> 00:06:20,175
First year of medical school if you hear hoof beets you think "horses" not "zebras".

80
00:06:20,175 --> 00:06:22,094
Are you in first year of medical school?

81
00:06:23,679 --> 00:06:26,515
No. First of all, there's nothing on the CAT scan.

82
00:06:26,557 --> 00:06:33,230
Second of all, if this is a horse then the kindly family doctor in Trenton makes the obvious diagnosis and it never gets near this office.

83
00:06:33,856 --> 00:06:37,192
Differential diagnosis, people.
If it's not a tumor what are the suspects?

84
00:06:37,192 --> 00:06:38,902
Why couldn't she talk?

85
00:06:39,570 --> 00:06:42,573
Aneurysm, stroke, or some other ischemic syndrome.

86
00:06:42,573 --> 00:06:43,907
Get her a contrast MRI.

87
00:06:43,907 --> 00:06:45,367
Creutzfeld-Jakob disease.

88
00:06:45,367 --> 00:06:46,076
Mad cow?

89
00:06:46,076 --> 00:06:47,536
Mad zebra.

90
00:06:47,536 --> 00:06:49,121
Wernickie's encephalopathy?

91
00:06:49,121 --> 00:06:51,206
No, blood thiamine level was normal.

92
00:06:51,206 --> 00:06:53,459
Lab in Trenton could have screwed up the blood test.

93
00:06:54,752 --> 00:06:58,047
I assume it's a corollary if people lie, that people screw up.

94
00:06:59,048 --> 00:07:00,424
Re-draw the blood tests.

95
00:07:00,424 --> 00:07:03,344
And get her scheduled for that contrast MRI ASAP.

96
00:07:03,344 --> 00:07:05,346
Let's find out what kind of zebra we're dealing with here.

97
00:07:28,077 --> 00:07:30,496
I was expecting you in my office 20 minutes ago.

98
00:07:30,496 --> 00:07:34,041
Really? Well, that's odd, because I had no intention of being in your office 20 minutes ago.

99
00:07:34,041 --> 00:07:35,042
You think we have nothing to talk about?

100
00:07:35,042 --> 00:07:37,586
No, just that I can't think of anything that I'd be interested in.

101
00:07:37,586 --> 00:07:38,629
I sign your paychecks.

102
00:07:38,629 --> 00:07:40,089
I have tenure.

103
00:07:42,508 --> 00:07:44,593
Are you going to grab my cane now, stop me from leaving?

104
00:07:44,593 --> 00:07:45,761
That would be juvenile.

105
00:07:51,475 --> 00:07:53,477
I can still fire you if you're not doing your job.

106
00:07:53,477 --> 00:07:54,478
I'm here from 9 to 5.

107
00:07:54,478 --> 00:07:56,605
Your billings are practically nonexistent.

108
00:07:56,605 --> 00:07:57,272
Rough year.

109
00:07:57,272 --> 00:07:59,024
You ignore requests for consults.

110
00:07:59,024 --> 00:08:00,776
I call back. Sometimes I misdial.

111
00:08:00,776 --> 00:08:03,612
You're 6 years behind on your obligation to this clinic.

112
00:08:03,612 --> 00:08:05,531
See, I was right, this doesn't interest me.

113
00:08:05,531 --> 00:08:08,951
6 years, times 3 weeks; you owe me better then 4 months.

114
00:08:08,951 --> 00:08:11,537
It's 5:00. I'm going home.

115
00:08:12,454 --> 00:08:13,580
To what?

116
00:08:15,165 --> 00:08:16,166
Nice.

117
00:08:17,710 --> 00:08:22,131
Look, Dr. House, the only reason that I don't fire you is

118
00:08:22,131 --> 00:08:24,758
because your reputation still worth something to this hospital.

119
00:08:24,758 --> 00:08:27,720
Excellent, we have a point of agreement. You aren't going to fire me.

120
00:08:27,720 --> 00:08:30,431
Your reputation won't last up if you don't do your job.

121
00:08:30,431 --> 00:08:34,351
The clinic is part of your job.
I want you to do your job.

122
00:08:34,393 --> 00:08:38,188
Well, like the philosopher Jagger once said,
"You can't always get what you want."

123
00:08:46,071 --> 00:08:48,282
You aren't my doctor, are you, Dr. House?

124
00:08:48,490 --> 00:08:50,743
Thankfully no. I'm Dr. Chase.

125
00:08:50,743 --> 00:08:53,037
Dr. House is the head of diagnostic medicine.

126
00:08:53,037 --> 00:08:56,915
He's very busy, but he has taken a keen interest in your case.

127
00:09:01,003 --> 00:09:03,047
We inject gadolinium into a vein.

128
00:09:03,047 --> 00:09:08,719
It distributes itself throughout your brain
and acts as a contrast material for the magnetic resonance imagery.

129
00:09:09,678 --> 00:09:12,681
Basically, whatever's in your head, lights up like a Christmas tree.

130
00:09:12,681 --> 00:09:14,350
It might make you feel a little light-headed.

131
00:09:14,350 --> 00:09:18,812
Dr. Cameron. I'm sorry I have to stop you, there's a problem.

132
00:09:21,065 --> 00:09:22,775
You pulled my authorization.

133
00:09:22,775 --> 00:09:24,360
Yes, why are you yelling?

134
00:09:24,360 --> 00:09:27,112
No MRIs, no imaging studies, no labs.

135
00:09:27,112 --> 00:09:29,114
You also can't make long distance phone calls.

136
00:09:29,114 --> 00:09:30,991
If you're gonna fire me at least have the guts to face me.

137
00:09:30,991 --> 00:09:32,868
Or photocopies; you're still yelling.

138
00:09:32,868 --> 00:09:36,163
I'm ANGRY! You're risking a patient's life.

139
00:09:36,163 --> 00:09:37,623
I assume those are two separate points.

140
00:09:37,623 --> 00:09:41,794
You showed me disrespect, you embarrassed me
and as long as I'm still work here you have no

141
00:09:41,794 --> 00:09:46,465
Is your yelling designed to scare me because I'm not sure what I'm supposed to be scared of.

142
00:09:46,465 --> 00:09:50,219
More yelling? That's not scary.

143
00:09:50,219 --> 00:09:53,305
That you're gonna hurt me?
That's scary, but I'm pretty sure I can outrun ya.

144
00:09:55,349 --> 00:09:59,561
Oh, I looked into that philosopher you quoted, Jagger, and you're right,

145
00:09:59,561 --> 00:10:02,398
"You can't always get what you want",
but as it turns out

146
00:10:02,398 --> 00:10:05,567
"if you try sometimes you get what you need."

147
00:10:06,318 --> 00:10:12,449
So, because you want me to treat patients,
you aren't letting me treat patients.

148
00:10:12,449 --> 00:10:13,992
I need you to do your job.

149
00:10:23,335 --> 00:10:26,004
Do the MRI, she folded.

150
00:10:29,800 --> 00:10:33,637
I've gotta do four hours a week in this clinic
until I make up the time I've missed.

151
00:10:35,556 --> 00:10:37,016
2054.

152
00:10:37,641 --> 00:10:39,560
I'll be caught up in 2054.

153
00:10:40,769 --> 00:10:42,479
You better love this cousin a whole lot.

154
00:11:17,389 --> 00:11:22,311
All right Rebecca, we know you may feel a little claustrophobic in there, but we need you to remain still.

155
00:11:24,605 --> 00:11:26,023
Ok, we're gonna begin.

156
00:11:36,617 --> 00:11:37,826
I don't feel so good.

157
00:11:38,452 --> 00:11:40,204
It's all right. Just try to relax.

158
00:11:49,213 --> 00:11:49,671
Rebecca?

159
00:11:52,216 --> 00:11:52,716
Rebecca?

160
00:12:03,519 --> 00:12:07,106
Rebecca! Get her out of there.

161
00:12:07,106 --> 00:12:09,483
Ah she probably fell asleep; she's exhausted.

162
00:12:09,483 --> 00:12:12,236
She was claustrophobic 30 seconds ago, she's not sleeping. We got to get her out of there.

163
00:12:12,236 --> 00:12:12,903
It'll just be another minute.

164
00:12:12,945 --> 00:12:15,489
She's having an allergic reaction to gadolinium;
she'll be dead in two minutes.

165
00:12:19,785 --> 00:12:20,411
Hold her neck.

166
00:12:21,954 --> 00:12:22,663
Oh, she's ashen.

167
00:12:24,206 --> 00:12:25,916
She's not breathing. Epi point five.

168
00:12:26,834 --> 00:12:30,170
Come on, I can't ventilate.

169
00:12:33,841 --> 00:12:35,634
Too much edema, where's the surgical airway kit?

170
00:12:35,634 --> 00:12:36,468
Yep, coming.

171
00:13:14,173 --> 00:13:14,965
Good call.

172
00:13:33,359 --> 00:13:35,611
We'll get that tube out of your throat later today.

173
00:13:35,611 --> 00:13:37,363
Just get some rest for now. Ok?

174
00:13:42,368 --> 00:13:44,661
Told you, can't trust people.

175
00:13:44,661 --> 00:13:48,874
She probably knew she was allergic to gadolinium,
figured it was an easy way to get someone to cut a hole in her throat.

176
00:13:48,874 --> 00:13:52,211
Can't get a picture, gonna have to get a thousand words.

177
00:13:52,211 --> 00:13:55,464
You actually want me to talk to the patient?
Get a history?

178
00:13:56,256 --> 00:14:01,011
We need to know if there's some genetic
or environmental causes triggering an inflammatory response.

179
00:14:01,011 --> 00:14:02,429
I thought everybody lied?

180
00:14:03,764 --> 00:14:06,975
Truth begins in lies. Think about it.

181
00:14:09,061 --> 00:14:10,938
That doesn't mean anything, does it?

182
00:14:15,442 --> 00:14:19,113
12:52 PM Dr. House checks in, please write that down.

183
00:14:19,113 --> 00:14:21,073
Do you have cable TV here somewhere?

184
00:14:21,073 --> 00:14:22,616
General Hospital starts in 8 minutes.

185
00:14:22,616 --> 00:14:24,326
No TV, but we've got patients.

186
00:14:24,326 --> 00:14:26,704
Can't you give out the aspirin yourself? I'll do paperwork.

187
00:14:26,704 --> 00:14:28,580
I made sure your first case was an interesting one.

188
00:14:28,580 --> 00:14:31,583
Cough just won't go away, runny nose looks a funny color.

189
00:14:31,583 --> 00:14:33,794
Patient admitted complaining of back spasms.

190
00:14:33,794 --> 00:14:36,463
I think I read about something like that
in the New England Journal of Medicine.

191
00:14:36,463 --> 00:14:37,214
Patient is orange.

192
00:14:37,214 --> 00:14:38,465
The color?

193
00:14:38,507 --> 00:14:39,508
No, the fruit.

194
00:14:39,508 --> 00:14:40,926
You mean yellow; it's jaundice.

195
00:14:40,926 --> 00:14:42,011
I mean orange.

196
00:14:42,011 --> 00:14:43,137
Well, how orange?

197
00:14:43,137 --> 00:14:44,263
Exam room 1.

198
00:14:48,058 --> 00:14:50,853
I was playing golf and my cleat got stuck.

199
00:14:50,894 --> 00:14:53,022
I mean, it hurt a little but I kept playing.

200
00:14:53,022 --> 00:14:55,107
The next morning I could barely stand up.

201
00:14:55,858 --> 00:14:58,485
Well, you're smiling so I take it that means this isn't serious.

202
00:15:00,821 --> 00:15:03,198
What's that? What are you doing?

203
00:15:03,198 --> 00:15:04,116
Painkillers.

204
00:15:04,116 --> 00:15:06,201
Oh, for you, for your leg.

205
00:15:06,201 --> 00:15:09,913
No, 'cause they're yummy. You want one?
It'll make your back feel better.

206
00:15:12,541 --> 00:15:15,044
Unfortunately, you have a deeper problem.

207
00:15:16,128 --> 00:15:17,755
Your wife is having an affair.

208
00:15:18,547 --> 00:15:18,964
What?

209
00:15:18,964 --> 00:15:21,300
You're orange, you moron!

210
00:15:26,889 --> 00:15:30,893
By the way, do you consume just a ridiculous
amount of carrots and mega-dose vitamins?

211
00:15:30,893 --> 00:15:35,230
The carrots turn you yellow, the niacin turns you red.
Get some finger-paints and do the math.

212
00:15:35,272 --> 00:15:36,440
And get a good lawyer.

213
00:15:41,987 --> 00:15:42,780
Deep breath.

214
00:15:43,781 --> 00:15:44,698
It's cold.

215
00:15:46,825 --> 00:15:47,993
Has he been using his inhaler?

216
00:15:47,993 --> 00:15:51,872
Not in the past few days. He's, um, only ten.

217
00:15:51,872 --> 00:15:55,042
I worry about children taking such strong medicine so frequently.

218
00:15:55,918 --> 00:15:57,336
What happened to your leg?

219
00:15:57,336 --> 00:16:00,339
Your doctor probably was concerned about the strength of the medicine, too.

220
00:16:00,673 --> 00:16:03,634
She probably weighed that danger against the danger of not breathing.

221
00:16:04,134 --> 00:16:07,346
Oxygen is so important during those prepubescent years, don't you think?

222
00:16:08,639 --> 00:16:11,517
Ok, I'm gonna assume that no body's ever told you what asthma is,

223
00:16:11,517 --> 00:16:14,311
or if they have, you had other things on your mind.

224
00:16:14,311 --> 00:16:21,235
A stimulant triggers cells in your child's airways to release substances that inflame the air passages and cause them to contract.

225
00:16:21,235 --> 00:16:24,530
Mucus production increases, cell-lining starts to shed.

226
00:16:24,530 --> 00:16:31,453
But the steroids, the steroids ... stop the inflammation.

227
00:16:32,413 --> 00:16:33,789
The more often this happens...

228
00:16:34,873 --> 00:16:37,292
What? "The more often this happens"... what?

229
00:16:37,292 --> 00:16:39,962
Forget it. If you don't trust steroids,
you shouldn't trust doctors.

230
00:16:42,006 --> 00:16:44,633
My mother passed away three years ago.

231
00:16:44,633 --> 00:16:49,263
She had a heart attack, and my father broke his back doing construction.

232
00:16:52,266 --> 00:16:54,727
It's House, it's urgent. I'm sorry.

233
00:16:58,897 --> 00:17:00,190
You couldn't have knocked?

234
00:17:02,026 --> 00:17:05,446
Steroids. Give her steroids,
high doses of prednisone.

235
00:17:14,246 --> 00:17:16,832
You're looking for support for a diagnosis of cerebral vasculitus.

236
00:17:16,832 --> 00:17:20,127
Inflammation of the blood vessels in the brain is awfully rare. Especially for someone her age.

237
00:17:20,127 --> 00:17:22,338
So is a tumor. Her SED rate was elevated.

238
00:17:22,338 --> 00:17:23,213
Mildly.

239
00:17:23,213 --> 00:17:25,382
That could mean anything, or nothing.

240
00:17:25,382 --> 00:17:30,095
Yeah, I know. I have no reason to think
that it's vasculitus except that it could be.

241
00:17:30,095 --> 00:17:36,852
If the blood vessels were inflamed that's gonna look exactly like what we saw on the MRI from Trenton County, and the pressure's gonna cause neurological symptoms.

242
00:17:36,852 --> 00:17:38,479
You can't diagnose that without a biopsy.

243
00:17:38,520 --> 00:17:40,314
Yes, we can, we treat it.

244
00:17:40,731 --> 00:17:41,982
If she gets better we know that we're right.

245
00:17:41,982 --> 00:17:43,025
And if we're wrong?

246
00:17:44,026 --> 00:17:45,569
We learn something else.

247
00:17:50,616 --> 00:17:51,658
Why steroids?

248
00:17:51,658 --> 00:17:53,452
It's part of your treatment.

249
00:17:54,036 --> 00:17:56,538
You haven't had many visitors. No boyfriend?

250
00:17:56,538 --> 00:18:00,751
Three dates. I wouldn't have stood by him if you were vomiting all day.

251
00:18:01,377 --> 00:18:03,712
Well, what abut work?
You must have friends from work.

252
00:18:04,129 --> 00:18:07,549
Pretty much everybody I like is 5 years old.

253
00:18:09,051 --> 00:18:11,303
A nurse said you're stopping my radiation.

254
00:18:12,805 --> 00:18:16,433
We're just trying some alternative medications.
So, where's your family from then?

255
00:18:16,433 --> 00:18:18,894
Steroids aren't an alternative to radiation.

256
00:18:19,395 --> 00:18:21,522
The tests weren't really conclusive.

257
00:18:21,522 --> 00:18:23,107
We're treating you for vasculitus.

258
00:18:23,857 --> 00:18:26,151
It's the inflammation of blood vessels in the brain.

259
00:18:27,528 --> 00:18:31,407
It's not a tumor? I don't have a tumor?

260
00:18:36,286 --> 00:18:38,414
You should have told her the truth.
It's a long shot guess.

261
00:18:38,414 --> 00:18:39,164
Thank you.

262
00:18:39,164 --> 00:18:42,543
If House is right, no harm, if he's wrong we've given a dieing woman a couple days hope.

263
00:18:42,835 --> 00:18:44,003
False hope.

264
00:18:44,003 --> 00:18:46,422
If there was any other type available
I would have given her that.

265
00:18:56,056 --> 00:18:57,933
Why are you smelling Billy's pants?

266
00:18:58,976 --> 00:18:59,601
I'm not.

267
00:19:00,227 --> 00:19:01,186
Looked like you were.

268
00:19:01,186 --> 00:19:02,438
I was smelling the floor.

269
00:19:02,771 --> 00:19:03,397
Oh.

270
00:19:04,398 --> 00:19:05,983
Do you have any pets in this class?

271
00:19:05,983 --> 00:19:09,862
No, but we used to have a gerbil,
but Carly L. dropped a book on it.

272
00:19:11,321 --> 00:19:11,780
Careless.

273
00:19:11,780 --> 00:19:13,407
Do you need to smell it?

274
00:19:13,407 --> 00:19:15,868
No, I'm smelling for mold.

275
00:19:16,493 --> 00:19:17,494
I don't need to smell it.

276
00:19:17,494 --> 00:19:18,829
You can smell our parrot.

277
00:19:20,039 --> 00:19:22,166
You said you didn't have any pets in this class.

278
00:19:22,750 --> 00:19:24,001
A parrot is a bird.

279
00:19:25,627 --> 00:19:27,796
Parrots are the primary source of psitticosis.

280
00:19:29,006 --> 00:19:30,090
It's not the parrot.

281
00:19:30,090 --> 00:19:34,803
Psitticosis can lead to nerve problems
and neurological complications.

282
00:19:34,803 --> 00:19:36,388
How many kids were there in the class?

283
00:19:36,388 --> 00:19:36,847
20.

284
00:19:36,847 --> 00:19:38,140
How many are home sick?

285
00:19:38,849 --> 00:19:39,558
None, but...

286
00:19:39,558 --> 00:19:44,021
None, but you think that 5 year olds are more serious about bird hygiene than their teacher.

287
00:19:45,397 --> 00:19:46,398
You've been through her home?

288
00:19:46,398 --> 00:19:50,069
She lives in Trenton. I can go up to her room tomorrow morning and ask her for the key.

289
00:19:50,986 --> 00:19:54,782
Would the police call for permission before dropping by to check out a crime scene?

290
00:19:54,782 --> 00:19:56,033
It's not a crime scene.

291
00:19:56,033 --> 00:19:58,994
Far as I know she's running a Meth Lab out of her basement.

292
00:19:58,994 --> 00:20:00,371
She's a kindergarten teacher!

293
00:20:00,371 --> 00:20:03,290
And if I was a Kindergarten student I would trust her implicitly.

294
00:20:05,626 --> 00:20:08,712
Ok, I'll give you a for instance.

295
00:20:08,754 --> 00:20:13,133
The lady back there, who made your egg-salad sandwich.

296
00:20:13,634 --> 00:20:15,803
Her eyes look glassy, did you notice that?

297
00:20:16,095 --> 00:20:19,098
Now hospital policy is to stay home if you're sick,

298
00:20:19,098 --> 00:20:23,185
but if you're making $8.00 an hour, then ya kinda need the $8.00 an hour right?

299
00:20:23,852 --> 00:20:27,606
The sign in the bathroom says that employees must wash after using the facilities,

300
00:20:27,606 --> 00:20:33,237
but I figure that somebody who wipes snot on a sleeve isn't hyper concerned about sanitary conditions.

301
00:20:33,946 --> 00:20:35,406
So what do ya think? Should I trust her?

302
00:20:36,907 --> 00:20:40,369
I want you to check the patient's home for contaminants, garbage, medication...

303
00:20:40,369 --> 00:20:42,287
Whoa, oh, I can't just break into someone's house.

304
00:20:42,287 --> 00:20:44,164
Isn't that how you got into the Felker's home?

305
00:20:49,586 --> 00:20:55,426
Yeah, I know, court records are sealed,
you were 16, it was a stupid mistake,

306
00:20:56,260 --> 00:20:58,220
but your old gym teacher has a big mouth.

307
00:20:58,846 --> 00:20:59,930
You should write a thank you note.

308
00:21:00,389 --> 00:21:01,473
I should thank him?

309
00:21:01,473 --> 00:21:07,312
Well, I needed somebody around here with street smarts.

310
00:21:09,314 --> 00:21:13,360
Ok? Knows when you're being conned, knows how to con.

311
00:21:13,360 --> 00:21:14,653
I should sue you!

312
00:21:15,279 --> 00:21:17,865
I'm pretty sure you can't sue somebody for wrongful hiring.

313
00:21:17,865 --> 00:21:22,286
But I'm pretty sure I can sue if you fire me for not breaking into some lady's house.

314
00:21:35,549 --> 00:21:38,260
I'm doing research. People are fascinating aren't they?

315
00:21:38,927 --> 00:21:40,512
Why are you giving Adler steroids?

316
00:21:41,555 --> 00:21:44,683
Well, she's my patient that's what you do with patients. You give them medicine.

317
00:21:44,683 --> 00:21:47,144
You don't prescribe medicine based on guesses.

318
00:21:47,144 --> 00:21:49,646
At least we don't since Tuskeegee and Mengele.

319
00:21:49,646 --> 00:21:52,608
You're comparing me to a Nazi? Nice.

320
00:21:52,649 --> 00:21:54,026
I'm stopping the treatment.

321
00:21:59,531 --> 00:22:00,741
She's my patient.

322
00:22:00,741 --> 00:22:01,784
It's my hospital.

323
00:22:02,493 --> 00:22:07,998
I did not get her sick, she is not an experiment,
I have a legitimate theory about what's wrong with her.

324
00:22:07,998 --> 00:22:09,166
With no proof.

325
00:22:09,166 --> 00:22:14,296
There's never any proof. 5 different doctors come up with 5 different diagnoses based on the same evidence.

326
00:22:14,296 --> 00:22:15,631
You don't have any evidence.

327
00:22:18,634 --> 00:22:21,428
And nobody knows anything huh? Then how is it that you always assume you're right?

328
00:22:21,428 --> 00:22:25,391
I don't, I just find it hard to operate on the opposite assumption.

329
00:22:25,391 --> 00:22:27,351
And why are you so afraid of making a mistake?

330
00:22:27,685 --> 00:22:29,019
Because I'm a doctor.

331
00:22:29,728 --> 00:22:31,647
Because when we make mistakes people die.

332
00:22:31,647 --> 00:22:32,648
Come on.

333
00:22:36,902 --> 00:22:39,154
People used to have more respect for cripples you know!

334
00:22:41,615 --> 00:22:42,825
They didn't really.

335
00:22:47,663 --> 00:22:48,789
So, how ya feeling?

336
00:22:48,789 --> 00:22:50,499
Much better, thanks.

337
00:22:51,166 --> 00:22:52,334
Are you Dr. House?

338
00:22:52,334 --> 00:22:53,836
I thought he was a he, but...?

339
00:22:53,836 --> 00:22:54,294
No.

340
00:22:56,672 --> 00:22:57,673
Don't eat too much too fast.

341
00:22:59,842 --> 00:23:01,093
Thank him for me.

342
00:23:01,635 --> 00:23:02,344
Right.

343
00:23:15,607 --> 00:23:17,526
Should I discontinue the treatment, boss?

344
00:23:17,985 --> 00:23:18,652
You got lucky.

345
00:23:23,657 --> 00:23:24,825
Cool, huh?

346
00:23:27,786 --> 00:23:29,079
Ok, once again.

347
00:23:31,999 --> 00:23:32,791
Good.

348
00:23:34,209 --> 00:23:36,003
Am I ever gonna meet Dr. House?

349
00:23:37,629 --> 00:23:40,758
Well, you might run into him at the movies or on the bus.

350
00:23:41,675 --> 00:23:42,634
Is he a good man?

351
00:23:43,594 --> 00:23:46,180
He's a good doctor.

352
00:23:47,514 --> 00:23:49,141
Can you be one without the other?

353
00:23:49,850 --> 00:23:51,268
Don't you have to care about people?

354
00:23:51,685 --> 00:23:53,395
Caring's a good motivator.

355
00:23:55,022 --> 00:23:56,106
He's found something else.

356
00:23:59,193 --> 00:23:59,777
- Feel this?
- umhmm

357
00:23:59,943 --> 00:24:00,903
- How about this?
- umhmm

358
00:24:01,028 --> 00:24:02,029
Ok squeeze.

359
00:24:02,654 --> 00:24:03,030
Harder.

360
00:24:03,864 --> 00:24:04,406
All right.

361
00:24:05,908 --> 00:24:07,159
He's your friend, huh?

362
00:24:09,119 --> 00:24:09,620
Yeah

363
00:24:10,662 --> 00:24:11,747
Does he care about you?

364
00:24:13,207 --> 00:24:13,916
I think so.

365
00:24:13,916 --> 00:24:14,917
You don't know?

366
00:24:16,418 --> 00:24:19,088
As Dr. House likes to say, "Everybody lies."

367
00:24:19,963 --> 00:24:22,758
It's not what people say, it's what they do.

368
00:24:26,512 --> 00:24:28,806
Yes, he cares about me.

369
00:24:32,685 --> 00:24:40,818
I can't see. I can't see.

370
00:24:49,034 --> 00:24:50,327
A little help in here!

371
00:25:03,424 --> 00:25:05,009
Your chest will be sore for a while.

372
00:25:06,176 --> 00:25:08,470
We needed to shock you to get your heart going.

373
00:25:11,348 --> 00:25:16,270
Ok. Can you arrange these to tell a story?

374
00:25:30,951 --> 00:25:32,161
She couldn't put them in order.

375
00:25:32,828 --> 00:25:36,081
Could the damage have been caused by a lack of oxygen during her seizure?

376
00:25:36,081 --> 00:25:39,376
No, I gave her the same test 5 minutes later and she did just fine.

377
00:25:40,044 --> 00:25:43,297
The altered mental status is intermittent, just like the verbal skills.

378
00:25:44,006 --> 00:25:44,882
So, what now?

379
00:25:44,882 --> 00:25:48,052
Given the latest symptoms it's clearly growing deeper into the brain stem.

380
00:25:48,719 --> 00:25:52,222
Soon she won't be able to walk, she'll go blind permanently,

381
00:25:52,222 --> 00:25:54,099
and then the respiratory center will fail.

382
00:25:54,767 --> 00:25:55,934
How long do we have?

383
00:25:55,976 --> 00:25:57,853
If it's a tumor we're talking a month, maybe two,

384
00:25:57,853 --> 00:25:59,438
if it's infectious a few weeks,

385
00:25:59,438 --> 00:26:02,858
if it's vascular that'll probably be fastest of all,

386
00:26:02,858 --> 00:26:04,068
maybe a week.

387
00:26:04,485 --> 00:26:05,611
We're gonna stop all treatment.

388
00:26:08,030 --> 00:26:11,367
I still think it's a tumor.
I think we should go back to the radiation.

389
00:26:11,367 --> 00:26:13,035
She didn't respond to the radiation.

390
00:26:13,035 --> 00:26:15,913
Well, maybe we didn't see the effects
until we started steroids.

391
00:26:15,913 --> 00:26:19,166
No, it's not a tumor.
The steroids did something,

392
00:26:19,166 --> 00:26:20,668
I just don't know what.

393
00:26:20,668 --> 00:26:23,796
So we're just gonna do nothing?
We're just gonna watch her die?

394
00:26:23,796 --> 00:26:26,465
Yeah, we're gonna watch her die.

395
00:26:26,465 --> 00:26:29,218
Specifically we're gonna watch how fast she's dieing.

396
00:26:29,218 --> 00:26:34,431
You just told us, each diagnosis has its own timeframe.
When we see how fast it's killing her we'll know what it is.

397
00:26:35,766 --> 00:26:38,352
And by then maybe there's nothing we can do about it.

398
00:26:38,352 --> 00:26:42,356
There's go to be something we can do,
something better then watching her die.

399
00:26:43,023 --> 00:26:46,944
Well, I got nothing. How about you?

400
00:26:51,865 --> 00:26:55,536
Bastard. Oh, Cameron,
I need you for a couple of hours.

401
00:26:55,536 --> 00:26:56,203
What's up?

402
00:26:56,203 --> 00:26:59,581
When you break into someone's house;
it's always better to have a white chick with you.

403
00:26:59,581 --> 00:27:02,167
Adler's house?
Why don't we just ask her for a key?

404
00:27:02,167 --> 00:27:04,878
For all we know she could be running a meth lab out of her basement.

405
00:27:05,254 --> 00:27:06,588
I'm tired a lot.

406
00:27:08,549 --> 00:27:11,719
Any other reason you think you may have Chronic Fatigue Syndrome?

407
00:27:12,469 --> 00:27:14,304
It's kinda the definition isn't it?

408
00:27:14,304 --> 00:27:15,764
It's kinda the definition of getting older.

409
00:27:15,764 --> 00:27:17,349
I had a couple headaches last month,

410
00:27:17,891 --> 00:27:21,520
mild fever, sometimes I can't sleep,
and I have trouble concentrating.

411
00:27:22,354 --> 00:27:24,982
Apparently not while researching this stuff on the internet.

412
00:27:25,899 --> 00:27:28,902
I was thinking it also might be fibromyalgia.

413
00:27:31,280 --> 00:27:32,906
Excellent diagnosis!

414
00:27:32,906 --> 00:27:35,284
Is there anything for that?

415
00:27:38,954 --> 00:27:40,831
Ya know, I think there might just be.

416
00:27:41,582 --> 00:27:44,084
I need 36 Vicodin, and change for a dollar.

417
00:28:08,067 --> 00:28:09,401
Exam room 2.

418
00:28:11,612 --> 00:28:13,322
House doesn't believe in pretense.

419
00:28:13,322 --> 00:28:15,699
Figures life's too short and too painful.

420
00:28:15,699 --> 00:28:17,368
So he just says what he thinks.

421
00:28:19,119 --> 00:28:20,788
Nothing interesting in the garbage.

422
00:28:20,788 --> 00:28:24,375
"I say what I think" is just another way of saying "I'm an ass."

423
00:28:26,418 --> 00:28:31,924
Well, if you wanted to be judged on your medical prowess only, maybe you shouldn't have broken into someone's home.

424
00:28:31,924 --> 00:28:33,092
I was 16!

425
00:28:35,511 --> 00:28:38,180
Don't know about ticks, but her dog's definitely got fleas.

426
00:28:41,141 --> 00:28:43,811
I managed to make it to 17
without a criminal record.

427
00:28:47,606 --> 00:28:52,027
Yeah? Well you obviously didn't grow up in my neighborhood.

428
00:28:52,569 --> 00:28:55,698
That's right. You stole a loaf of bread to feed your starving family right?

429
00:28:57,074 --> 00:28:58,534
You always eat during break-ins?

430
00:28:58,534 --> 00:29:01,829
Am I supposed to respect their food more than I respect their DVD players?

431
00:29:02,663 --> 00:29:03,247
You want some?

432
00:29:03,247 --> 00:29:03,831
No.

433
00:29:04,456 --> 00:29:06,000
You gonna go hungry until she dies?

434
00:29:06,000 --> 00:29:06,375
No.

435
00:29:06,375 --> 00:29:09,253
You know what, after centuries of slavary,

436
00:29:09,253 --> 00:29:13,340
decades of civil rights marches, and more significantly living like a monk,

437
00:29:13,340 --> 00:29:15,676
never getting less then a 4.0 GPA,

438
00:29:15,676 --> 00:29:20,305
you don't think it's kind of disgusting I get one of the top jobs in the country because I'm a delinquent?

439
00:29:22,307 --> 00:29:24,351
We'll eat, then we'll tear up the carpet.

440
00:29:27,062 --> 00:29:28,022
You went to Hopkins right?

441
00:29:28,897 --> 00:29:29,231
Yep.

442
00:29:30,107 --> 00:29:34,028
So, you went to a better school then I did,
got better grades then I did.

443
00:29:35,029 --> 00:29:36,697
So how'd you get the job?

444
00:29:36,697 --> 00:29:38,490
Did you stab a guy in a bar fight?

445
00:29:48,042 --> 00:29:48,667
Nothing.

446
00:29:48,667 --> 00:29:50,419
It's not a tumor;

447
00:29:50,419 --> 00:29:52,338
she's getting worse too fast.

448
00:29:52,338 --> 00:29:53,630
She can't stand up.

449
00:29:53,630 --> 00:29:55,424
No toxins, no medication?

450
00:29:55,424 --> 00:29:57,593
Nothing that would explain these symptoms.

451
00:29:57,593 --> 00:29:59,303
Family history of neurological problems?

452
00:29:59,303 --> 00:30:01,388
Not that I could tell from her underwear drawer.

453
00:30:01,388 --> 00:30:04,141
You said nothing that would explain these symptoms.

454
00:30:04,141 --> 00:30:06,518
What did you find that doesn't explain these symptoms?

455
00:30:08,729 --> 00:30:12,524
Dr. Wilson convinced you to treat this patient under false pretenses.

456
00:30:13,317 --> 00:30:14,526
Adler's not his cousin.

457
00:30:15,110 --> 00:30:17,988
That's ridiculous. You can ask her yourself.
Can we get back to...

458
00:30:17,988 --> 00:30:19,156
She's not Jewish!

459
00:30:19,156 --> 00:30:20,324
Rachel Adler's not Jewish?

460
00:30:20,324 --> 00:30:21,784
I had ham at her apartment!

461
00:30:23,660 --> 00:30:27,581
Dr. Foreman, a lot of Jews have non-Jewish relatives, and most of us don't keep kosher.

462
00:30:28,248 --> 00:30:31,919
I can see getting through high school without learning a thing about Jews, but medical school...

463
00:30:31,919 --> 00:30:35,422
Ok, maybe she's Jewish,
but she's definitely not your cousin.

464
00:30:35,422 --> 00:30:38,133
Really? This guy's ... he

465
00:30:38,133 --> 00:30:39,426
You don't even know her name!

466
00:30:39,760 --> 00:30:41,679
You called her Rachel; her name is Rebecca!

467
00:30:42,680 --> 00:30:44,890
Yes, yes, her name is Rebecca.

468
00:30:46,350 --> 00:30:47,726
I call her Rachel.

469
00:30:47,726 --> 00:30:49,728
You idiot!

470
00:30:50,104 --> 00:30:51,522
Hey... listen...

471
00:30:52,106 --> 00:30:55,526
Not you, him! You said you didn't find anything.

472
00:30:55,567 --> 00:30:56,860
Everything I found was in

473
00:30:56,860 --> 00:30:58,153
You found ham.

474
00:30:58,987 --> 00:30:59,571
So?

475
00:30:59,571 --> 00:31:04,159
Where there's ham there's pork,
where there's pork there's neurocysticercosis.

476
00:31:04,159 --> 00:31:05,494
Tapeworm?

477
00:31:05,536 --> 00:31:07,121
You think she's got a worm in her brain?

478
00:31:07,121 --> 00:31:10,290
It fits. Could have been living there for years, it never occurred to me

479
00:31:10,290 --> 00:31:13,836
Millions of people eat ham every day.
It's quite a leap to think that she's got a tapeworm.

480
00:31:13,836 --> 00:31:16,088
OK, Mr. Neurologist.

481
00:31:16,088 --> 00:31:19,383
What happens when you give steroids
to a person who has a tapeworm?

482
00:31:19,508 --> 00:31:23,095
They, they get a little better
and then they get worse.

483
00:31:25,556 --> 00:31:27,516
Just like Rebecca Adler did.

484
00:31:38,152 --> 00:31:44,158
In a typical case if you don't cook pork well enough you ingest live tapeworm larvae.

485
00:31:45,451 --> 00:31:50,331
They got these little hooks they grab onto your bowel, they live, they grow up, they reproduce.

486
00:31:50,331 --> 00:31:51,165
Reproduce?

487
00:31:51,874 --> 00:31:54,168
There's only got one lesion,
and it's nowhere near her bowel.

488
00:31:54,168 --> 00:31:56,420
That's because this is not a typical case.

489
00:31:57,046 --> 00:32:00,549
Tapeworm can produce 20 to 30,000 eggs a day.

490
00:32:00,549 --> 00:32:01,967
Guess where they go.

491
00:32:01,967 --> 00:32:02,718
Out.

492
00:32:03,218 --> 00:32:05,929
Not all of them. Unlike the larvae,

493
00:32:05,929 --> 00:32:08,891
the egg can pass right through the walls of the intestines

494
00:32:08,891 --> 00:32:10,059
and into the blood stream.

495
00:32:10,476 --> 00:32:11,810
And where does the blood stream go?

496
00:32:11,810 --> 00:32:12,770
Everywhere.

497
00:32:13,604 --> 00:32:17,441
As long as it's healthy the immune system doesn't even know it's there.

498
00:32:17,441 --> 00:32:22,863
The worm builds a wall, uses secretions to shut down the body's immune response and control fluid flow.

499
00:32:22,863 --> 00:32:25,157
It's really kinda beautiful.

500
00:32:25,157 --> 00:32:27,993
As long as it's healthy, so what do we do?

501
00:32:27,993 --> 00:32:30,412
Call a vet and nurse the little guy back to health?

502
00:32:30,412 --> 00:32:31,622
It's too late for that.

503
00:32:31,622 --> 00:32:38,337
It's dying, and as it dies this parasite loses the ability to control of the host's defenses.

504
00:32:38,337 --> 00:32:40,631
The immune system wakes up and attacks the worm

505
00:32:41,131 --> 00:32:45,052
and everything starts to swell,
and that is very bad for the brain.

506
00:32:45,052 --> 00:32:47,096
It could still be a hundred other things.

507
00:32:48,263 --> 00:32:50,516
The eosinophil count was normal.

508
00:32:50,516 --> 00:32:52,726
It's only abnormal in 30% of cases.

509
00:32:52,726 --> 00:32:53,769
Proving nothing.

510
00:32:53,769 --> 00:32:58,732
No, no, no, no, you see, it fits,
it's perfect! It explains everything.

511
00:32:58,732 --> 00:32:59,900
But it proves nothing.

512
00:32:59,900 --> 00:33:01,318
I can prove it by treating it.

513
00:33:01,318 --> 00:33:02,361
No, you can't.

514
00:33:04,863 --> 00:33:07,241
I was just with her, she doesn't want any more treatments,

515
00:33:07,241 --> 00:33:08,784
she doesn't want any more experiments,

516
00:33:08,784 --> 00:33:10,703
she wants to go home and die.

517
00:33:32,683 --> 00:33:34,059
Will you excuse us, please?

518
00:33:40,524 --> 00:33:41,692
I'm Dr. House.

519
00:33:42,985 --> 00:33:44,319
It's good to meet you.

520
00:33:48,615 --> 00:33:51,035
You're being an idiot. Ahem.

521
00:33:55,789 --> 00:33:58,042
You have a tapeworm in your brain,

522
00:33:59,418 --> 00:34:02,713
it's not pleasant, but if we don't do anything you'll be dead by the weekend.

523
00:34:02,713 --> 00:34:04,840
Have you actually seen the worm?

524
00:34:05,507 --> 00:34:07,843
When you're all better
I'll show you my diplomas.

525
00:34:08,510 --> 00:34:11,347
You were sure I had vasculitus too.

526
00:34:12,014 --> 00:34:14,516
Now I can't walk and I'm wearing a diaper.

527
00:34:14,558 --> 00:34:16,560
What's this treatment gonna do for me?

528
00:34:16,560 --> 00:34:19,229
I'm not talking about a treatment;
I'm talking about a cure.

529
00:34:20,105 --> 00:34:23,317
But because I might be wrong, you want to die.

530
00:34:25,110 --> 00:34:26,612
What made you a cripple?

531
00:34:30,866 --> 00:34:32,076
I had an infarction.

532
00:34:32,534 --> 00:34:33,369
A heart attack?

533
00:34:34,870 --> 00:34:36,830
It's what happens when the blood flow is obstructed.

534
00:34:36,830 --> 00:34:41,043
If it's in the heart it's a heart attack.
If it's in the lungs it's a pulmonary embolism.

535
00:34:41,085 --> 00:34:44,004
If it's in the brain it's a stroke.
I had it in my thigh muscles.

536
00:34:44,546 --> 00:34:45,964
Wasn't there something they could do?

537
00:34:45,964 --> 00:34:49,259
There was plenty they could do,
if they made the right diagnosis,

538
00:34:50,094 --> 00:34:51,762
but the only symptom was pain.

539
00:34:53,847 --> 00:34:56,225
Not may people get to experience muscle death.

540
00:34:57,184 --> 00:34:58,310
Did you think you were dying?

541
00:34:58,936 --> 00:35:00,104
I hoped I was dying.

542
00:35:02,773 --> 00:35:08,487
So you hide in your office, refuse to see patients
because you don't like the way people look at you.

543
00:35:09,071 --> 00:35:12,366
You feel cheated by life so now
you're gonna get even with the world.

544
00:35:13,450 --> 00:35:15,577
You want me to fight this.

545
00:35:16,495 --> 00:35:17,162
Why?

546
00:35:18,580 --> 00:35:21,750
What makes you think I'm so much better then you?

547
00:35:22,376 --> 00:35:24,503
When you're scared, you'll turn into me.

548
00:35:24,503 --> 00:35:27,089
I just want to die with a little dignity.

549
00:35:27,089 --> 00:35:29,091
There's no such thing!

550
00:35:29,717 --> 00:35:33,762
Our bodies break down, sometimes when we're 90, sometimes before we're even born,

551
00:35:33,762 --> 00:35:36,640
but it always happens and
there's never any dignity in it.

552
00:35:36,932 --> 00:35:41,437
I don't care if you can walk, see,
wipe your own ass. It's always ugly, always.

553
00:35:45,566 --> 00:35:47,860
You can live with dignity,
we can't die with it.

554
00:36:07,212 --> 00:36:08,589
No treatment.

555
00:36:09,757 --> 00:36:11,425
Maybe we can get a court order,

556
00:36:11,800 --> 00:36:15,512
override her wishes.
Claim she doesn't have the capacity
to make this decision.

557
00:36:15,512 --> 00:36:16,347
But she does.

558
00:36:16,930 --> 00:36:20,059
But we could claim that the illness made her
mentally incompetent. Right?

559
00:36:20,434 --> 00:36:21,852
Pretty common result.

560
00:36:21,852 --> 00:36:23,270
That didn't happen here.

561
00:36:23,270 --> 00:36:24,521
He's not gonna do it.

562
00:36:24,521 --> 00:36:27,066
She's not just a file to him anymore.

563
00:36:27,358 --> 00:36:28,484
He respects her.

564
00:36:29,318 --> 00:36:31,570
So because you respect her, you're going to let her die?

565
00:36:33,530 --> 00:36:36,867
I solved the case, my work is done.

566
00:36:37,951 --> 00:36:41,747
Patients always want proof,

567
00:36:41,747 --> 00:36:44,792
we're not making cars here,
we don't give guarantees.

568
00:36:47,586 --> 00:36:49,254
I think we can prove it's a worm.

569
00:36:50,714 --> 00:36:52,675
It's noninvasive, it's safe.

570
00:36:52,925 --> 00:36:54,968
I'm not completely sure but...

571
00:36:54,968 --> 00:36:56,887
Yeah, yeah, yeah what's the damn idea?

572
00:36:56,887 --> 00:36:58,847
Have you ever seen a worm under an x-ray,

573
00:36:58,847 --> 00:37:02,226
a regular old no contrast 100-year-old technology x-ray?

574
00:37:02,226 --> 00:37:06,146
They light up like shotgun pellets.
Just like on a contrast MRI.

575
00:37:06,146 --> 00:37:09,483
Which is the same thing as a CT scan,
which we did, which proved nothing.

576
00:37:09,483 --> 00:37:13,904
Worm cysts is the same density as the cerebrospinal fluid, we're not going to see anything in her head,

577
00:37:15,197 --> 00:37:20,494
but Chase is right, he's right, we should x-ray her, but we don't x-ray her brain, we x-ray her leg,

578
00:37:20,494 --> 00:37:23,122
worms love thigh muscle.

579
00:37:23,122 --> 00:37:26,250
If she's got one in her head I guarantee you there's one in her leg.

580
00:37:40,180 --> 00:37:41,724
Hold still, Rebecca.

581
00:37:50,107 --> 00:37:54,486
This here is a worm larva.

582
00:37:55,320 --> 00:37:57,281
So, if it's in my leg, it's in my brain?

583
00:37:57,281 --> 00:37:59,450
Are you looking for a guarantee?

584
00:38:00,367 --> 00:38:02,828
It's there, probably been there 6 to 10 years.

585
00:38:03,537 --> 00:38:04,496
Could I have more?

586
00:38:05,164 --> 00:38:09,793
Probably. It's good news.

587
00:38:09,918 --> 00:38:11,086
What do we do now?

588
00:38:11,754 --> 00:38:13,005
Now we get you better.

589
00:38:15,591 --> 00:38:16,884
Albendazole.

590
00:38:20,095 --> 00:38:20,971
Two pills?

591
00:38:20,971 --> 00:38:23,682
Yeah, every day for at least a month with a meal.

592
00:38:23,682 --> 00:38:25,184
Two pills?

593
00:38:25,184 --> 00:38:33,025
Yeah, possible side effects include abdominal pain, nausea, headache, dizziness, fever, and hair loss.

594
00:38:33,025 --> 00:38:36,612
We'll probably make you keep taking the pills
even if you get every one of those.

595
00:38:55,464 --> 00:38:56,715
Why did you hire me?

596
00:38:59,176 --> 00:39:00,010
Does it matter?

597
00:39:00,010 --> 00:39:02,179
Kinda hard to work for a guy who doesn't respect you.

598
00:39:02,179 --> 00:39:02,763
Why?

599
00:39:02,763 --> 00:39:03,764
Is that rhetorical?

600
00:39:03,764 --> 00:39:06,934
No, it just seems that way
because you can't think of an answer.

601
00:39:07,976 --> 00:39:11,689
Does it make a difference
why I think I'm a jerk?

602
00:39:11,772 --> 00:39:13,607
The only thing that matters is what you think.

603
00:39:14,566 --> 00:39:15,442
Can you do the job?

604
00:39:15,442 --> 00:39:18,070
You hired a black guy
because he had a juvenile record.

605
00:39:18,070 --> 00:39:22,783
No, it wasn't a racial thing,
I didn't see a black guy.

606
00:39:22,783 --> 00:39:26,870
I just saw a doctor with a juvenile record.

607
00:39:27,371 --> 00:39:29,790
I hired Chase 'cause his dad made a phone call.

608
00:39:30,582 --> 00:39:34,712
I hired you because you are extremely pretty.

609
00:39:35,587 --> 00:39:37,423
You hired me to get into my pants?

610
00:39:37,423 --> 00:39:39,967
I can't believe that that would shock you.

611
00:39:39,967 --> 00:39:44,263
It's also not what I said. No,
I hired you because you look good;

612
00:39:44,263 --> 00:39:46,598
it's like having a nice piece of art in the lobby.

613
00:39:46,598 --> 00:39:48,017
I was in the top of my class.

614
00:39:48,017 --> 00:39:49,059
But not THE top.

615
00:39:49,059 --> 00:39:51,103
I did an internship at the Mayo Clinic.

616
00:39:51,103 --> 00:39:52,521
Yes, you were a very good applicant.

617
00:39:52,521 --> 00:39:53,480
But not the best?

618
00:39:53,480 --> 00:39:55,983
Would that upset you, really,

619
00:39:55,983 --> 00:40:00,195
to think that you were hired because of
some genetic gift of beauty not some genetic gift of intelligence?

620
00:40:00,195 --> 00:40:01,947
I worked very hard to get where I am.

621
00:40:02,364 --> 00:40:03,866
But you didn't have to.

622
00:40:04,992 --> 00:40:10,164
People choose the paths that grant them the greatest rewards for the least amount of effort. That's the law of nature,

623
00:40:10,164 --> 00:40:12,750
and you defied it. That's why I hired you.

624
00:40:12,750 --> 00:40:18,047
You could have married rich, could have been a model, you could have just show up and people would have given you stuff.

625
00:40:18,047 --> 00:40:23,093
Lots of stuff, but you didn't, you worked your stunning little ass off.

626
00:40:23,135 --> 00:40:24,845
Am I supposed to be flattered?

627
00:40:24,845 --> 00:40:27,139
Gorgeous women do not go to medical school.

628
00:40:27,639 --> 00:40:31,060
Unless they're as damaged as they are beautiful.

629
00:40:31,477 --> 00:40:33,354
Were you abused by a family member?

630
00:40:33,354 --> 00:40:33,896
No!

631
00:40:33,896 --> 00:40:34,938
Sexually assaulted?

632
00:40:35,272 --> 00:40:35,856
No.

633
00:40:37,149 --> 00:40:38,776
But you are damaged, aren't you?

634
00:40:46,200 --> 00:40:46,992
I have to go.

635
00:40:51,205 --> 00:40:52,331
I followed her.

636
00:40:54,792 --> 00:40:56,543
I couldn't stop thinking about what that doctor said.

637
00:40:56,543 --> 00:40:58,420
I told you not to listen to him, he's an idiot.

638
00:40:58,420 --> 00:40:59,546
I was ORANGE.

639
00:41:00,547 --> 00:41:02,383
I don't want to know what you found out.

640
00:41:03,133 --> 00:41:03,967
You don't care?

641
00:41:03,967 --> 00:41:05,219
I'm your doctor,

642
00:41:06,011 --> 00:41:09,390
you've been good to me and good to this hospital, of course I care,

643
00:41:09,390 --> 00:41:12,309
but I don't see how this conversation can end well for me.

644
00:41:12,309 --> 00:41:16,188
Either your wife is having an affair,
or she's not having an affair

645
00:41:16,188 --> 00:41:18,774
and you have come here because
you rightly think I should fire him,

646
00:41:18,774 --> 00:41:22,361
but I can't even if it cost me your money,

647
00:41:23,195 --> 00:41:25,239
the son of a bitch is the best doctor we have.

648
00:41:33,122 --> 00:41:34,039
Feeling any better?

649
00:41:34,039 --> 00:41:35,290
I can't complain.

650
00:41:36,250 --> 00:41:41,338
As you know the hospital has certain rules,
and as you also know we tend to ignore them,

651
00:41:41,338 --> 00:41:45,175
but I think this one's gonna be a little obvious
unless we get your help.

652
00:41:45,175 --> 00:41:48,679
If anyone asks, you have 11 daughters and 5 sons.

653
00:41:48,679 --> 00:41:49,888
Hi, you guys!

654
00:41:49,888 --> 00:41:50,305
Hi!

655
00:41:50,305 --> 00:41:51,849
Look who's here!

656
00:41:52,474 --> 00:41:55,894
It's so good to see you guys! I missed you!

657
00:41:56,603 --> 00:42:00,357
Is this for me? It's beautiful!

658
00:42:03,777 --> 00:42:05,988
Oh, I love you guys.

659
00:42:05,988 --> 00:42:09,033
I wanted to thank Dr. House,
but he never visited again.

660
00:42:09,033 --> 00:42:11,493
He cured you, you didn't cure him.

661
00:42:12,745 --> 00:42:17,416
Ok, I want a hug and a kiss
from every single one of you.
Get up here right now!

662
00:42:19,877 --> 00:42:21,003
There.

663
00:42:21,754 --> 00:42:22,671
Hold on.

664
00:42:23,422 --> 00:42:24,757
She's converted.

665
00:42:27,634 --> 00:42:29,219
You said she was your cousin.

666
00:42:30,179 --> 00:42:31,347
Why would you lie?

667
00:42:32,181 --> 00:42:33,891
It got you to take the case.

668
00:42:35,517 --> 00:42:39,438
You lied to a friend to save a stranger,
you don't think that's screwed up?

669
00:42:40,105 --> 00:42:41,315
You've never lied to me?

670
00:42:42,107 --> 00:42:43,942
I NEVER lie.

671
00:42:44,610 --> 00:42:45,861
Oh, really.

672
00:42:47,404 --> 00:42:48,530
Why do we do this?

673
00:42:48,530 --> 00:42:51,909
Because we're doctors,
when we make mistakes people die.

674
00:42:56,914 --> 00:42:59,291
Dr. House? You have a patient.

675
00:43:06,131 --> 00:43:07,549
He says he needs a refill.

676
00:43:10,469 --> 00:43:11,887
Got change for a dollar?

677
00:43:11,887 --> 00:43:21,887
"No, you can't always get what you want."
"You can't always get what you want."