1 00:00:06,095 --> 00:00:08,221 Cat got your tongue? 2 00:00:08,222 --> 00:00:11,223 No. You killed the cat. Cut off his head. 3 00:00:11,224 --> 00:00:13,434 Need to take a look at this. 4 00:00:13,435 --> 00:00:14,875 Mom? Mom. 5 00:00:16,396 --> 00:00:18,796 Mom, it's okay. 6 00:00:20,441 --> 00:00:25,402 Just a couple of questions before I can authorize extending her disability benefits. 7 00:00:25,403 --> 00:00:29,406 I don't like her. She's fat. 8 00:00:29,407 --> 00:00:33,727 I could lose a little weight. 9 00:00:39,082 --> 00:00:40,791 You all right? 10 00:00:40,792 --> 00:00:47,171 - Actually, before she signs- - I killed the cat. Lots of blood. 11 00:00:47,172 --> 00:00:48,852 It's okay. 12 00:00:49,299 --> 00:00:52,426 I have a couple of questions about some of these dates. 13 00:00:52,427 --> 00:00:55,428 - The first diagnosis- - Schizophrenia. 14 00:00:55,429 --> 00:00:58,598 Dr. Walters, May 11, last year. The letter's in the medical file. 15 00:00:58,599 --> 00:01:01,600 And April 6- that was the last day she worked? 16 00:01:01,601 --> 00:01:05,103 But she received unemployment benefits for that week. 17 00:01:05,104 --> 00:01:12,610 We fixed that. I know we did. We returned the money. 18 00:01:12,611 --> 00:01:14,487 That's the canceled check. 19 00:01:14,488 --> 00:01:17,156 Not the real one, you know. It's a copy. 20 00:01:17,157 --> 00:01:19,157 And you're the dependent? 21 00:01:19,158 --> 00:01:27,438 No. That's my little brother. I'm 18. Just helping out. 22 00:01:28,792 --> 00:01:30,792 You're all set. 23 00:01:30,793 --> 00:01:32,711 Just need a signature. 24 00:01:32,712 --> 00:01:35,505 Hey! I'm talking to you! 25 00:01:35,506 --> 00:01:39,008 The cat's first. Now it's your turn, Lucy. 26 00:01:39,009 --> 00:01:42,344 Shut up. Shut up, shut up! 27 00:01:42,345 --> 00:01:46,723 It's okay. She just- She just needs a little water is all. 28 00:01:46,724 --> 00:01:49,244 I'll go get it. 29 00:01:53,313 --> 00:01:55,898 Just hold on, okay? Just- 30 00:01:55,899 --> 00:02:02,612 When she comes back, sign it and we're gonna be done. We need this, okay? Please. 31 00:02:02,613 --> 00:02:03,453 Okay. 32 00:02:05,157 --> 00:02:06,957 The voices- 33 00:02:07,242 --> 00:02:10,722 The voices aren't real. 34 00:02:15,374 --> 00:02:16,214 What? 35 00:02:27,092 --> 00:02:28,532 Mom? Mom. 36 00:02:29,177 --> 00:02:31,337 Mom? Mom! Mom! 37 00:03:05,375 --> 00:03:09,503 Thirty-eight-year-old Caucasian woman. post-respiratory arrest in the field. 38 00:03:09,504 --> 00:03:13,584 Intubated, oxygenating poorly. 39 00:03:19,096 --> 00:03:26,601 Dr. Gregory House, please call Dr. Cuddy at extension 3731. 40 00:03:26,602 --> 00:03:30,104 This is a good hospital? 41 00:03:30,105 --> 00:03:37,152 Depends what you mean by "good". I like these chairs. 42 00:03:37,153 --> 00:03:39,112 How is she? Stable. Okay. 43 00:03:39,113 --> 00:03:41,030 Your Mom had a small pulmonary embolism- 44 00:03:41,031 --> 00:03:43,991 a blood clot that got stuck in her lungs, blocked the oxygen. 45 00:03:43,992 --> 00:03:48,287 But the pain started in her leg. Where the clot started- her calf. 46 00:03:48,288 --> 00:03:51,081 It's called a deep vein thrombosis. Basically, a bigger clot. 47 00:03:51,082 --> 00:03:54,083 It never hurt there before. I would have noticed. 48 00:03:54,084 --> 00:03:57,920 A piece of that broke off, went up the vein, through her heart and blocked the blood flow to her lungs. 49 00:03:57,921 --> 00:03:59,713 No blood flow, no oxygen. Okay. 50 00:03:59,714 --> 00:04:06,552 Is your Dad here? I have some things I need to talk to him about. Uh, my Dad's running a little late. 51 00:04:06,553 --> 00:04:09,555 He's dead. Just talk to me. I take care of her. 52 00:04:09,556 --> 00:04:13,809 All right. Your mom's blood alcohol was. 12. 10:30 in the morning. 53 00:04:13,810 --> 00:04:16,728 I gave it to her. Two ounces of vodka. It cools her out. 54 00:04:16,729 --> 00:04:19,939 But that's the first since Monday. That was three days ago. 55 00:04:19,940 --> 00:04:23,420 I've been real careful. 56 00:04:26,029 --> 00:04:29,656 She hears voices. She's schizophrenic. That explains the D.V.T. 57 00:04:29,657 --> 00:04:32,408 The alcohol makes her pass out. She's immobile for long periods of time. 58 00:04:32,409 --> 00:04:35,661 That doesn't happen. She's not an alcoholic. She only drinks when you give it to her? 59 00:04:35,662 --> 00:04:39,164 We put her on blood thinners. You can probably take her home tomorrow. 60 00:04:39,165 --> 00:04:42,083 It's not the alcohol. It's gotta be something else. 61 00:04:42,084 --> 00:04:46,164 Of course it's the alcohol. 62 00:04:46,338 --> 00:04:47,298 Hello! 63 00:04:48,840 --> 00:04:51,508 This guy's a professional doctor. 64 00:04:51,509 --> 00:04:54,677 Plays golf and everything, I bet. 65 00:04:54,678 --> 00:04:58,639 He's not gonna tell you your mom's an alcoholic without proof. 66 00:04:58,640 --> 00:05:01,642 I'm sure he scoped for varices, checked her esophagus, ran all kinds of blood tests. 67 00:05:01,643 --> 00:05:04,603 Doctors like this, they don't make assumptions. They do the work. 68 00:05:04,604 --> 00:05:07,355 I'd be happy to refer you the case, Dr. House. You seem so interested. 69 00:05:07,356 --> 00:05:10,483 What case? It's over. You're sending her home. 70 00:05:10,484 --> 00:05:12,485 - How old is she? - You're a doctor? 71 00:05:12,486 --> 00:05:13,986 Own my own stethoscope. 72 00:05:13,987 --> 00:05:18,406 Did I ask you how old she was? I forget. 73 00:05:18,407 --> 00:05:21,409 A 38-year-old woman with no previous symptoms or history... 74 00:05:21,410 --> 00:05:23,244 presents with deep vein thrombosis. 75 00:05:23,245 --> 00:05:25,079 How did she get it? 76 00:05:25,080 --> 00:05:27,998 Oral contraceptives, smoking, diabetes, obesity. What's the point here? 77 00:05:27,999 --> 00:05:32,585 A D.V.T. is a D.V.T. Put her on I.V. Heparin to prevent future clots. 78 00:05:32,586 --> 00:05:36,214 - What's the big mystery? - Fine. You're all sleepy. You need a clue. 79 00:05:36,215 --> 00:05:39,215 She's 38 years old. 80 00:05:39,342 --> 00:05:42,260 She's 20 years too young to get a deep vein thrombosis. 81 00:05:42,261 --> 00:05:45,930 I treated a 12-year-old girl once, a soccer player. She got kicked in the leg. 82 00:05:45,931 --> 00:05:49,058 There was no trauma. None of the risk factors. You took a history? 83 00:05:49,059 --> 00:05:54,896 I have some notes. They're not mine, but reliable, I think, for the purposes of this discussion. 84 00:05:54,897 --> 00:05:59,734 As for the immobility, well, she's real active right now, of course. Paranoia keeps her limber. 85 00:05:59,735 --> 00:06:02,653 - Paranoia? - Oh, yeah. She's schizophrenic. 86 00:06:02,654 --> 00:06:06,156 And her kid wrote this, so it might be a little biased. 87 00:06:06,157 --> 00:06:09,284 You know, having to take care of his nutso mom and all. 88 00:06:09,285 --> 00:06:11,703 You think there's a connection? 89 00:06:11,704 --> 00:06:15,206 - Do we include schizophrenia in the differential for D. V.T.? - Well- 90 00:06:15,207 --> 00:06:17,291 The answer is no. 91 00:06:17,292 --> 00:06:20,252 Abnormal dopaminergic pathways in the brain do not cause blood clots. 92 00:06:20,253 --> 00:06:22,045 Schizophrenia is not the cause of D.V.T. 93 00:06:22,046 --> 00:06:26,048 On the other hand, we don't really know anything about schizophrenia, so maybe it is connected. 94 00:06:26,049 --> 00:06:28,050 Well, schizophrenia explains one mystery- 95 00:06:28,051 --> 00:06:31,053 why you're so fascinated by a woman with a bump in her leg. 96 00:06:31,054 --> 00:06:34,556 It's like Picasso deciding to whitewash a fence. Thanks. I'm more of a Leroy Neiman man. 97 00:06:34,557 --> 00:06:37,558 And it is only about the D.V.T. She's 38 years old. She shouldn't- 98 00:06:37,559 --> 00:06:41,103 Right, solve this one, and you're on your way to Stockholm. We don't even know how to treat it. 99 00:06:41,104 --> 00:06:43,105 Come on. Fumigation of the vagina? 100 00:06:43,106 --> 00:06:46,107 A little louder. I don't think everyone heard you. 101 00:06:46,108 --> 00:06:50,194 Two thousand years ago, that's how Galen treated schizophrenics. The Marcus Welby of ancient Greece. 102 00:06:50,195 --> 00:06:52,446 Oh, clearly you're not interested. Oh, I'm interested. 103 00:06:52,447 --> 00:06:57,409 I'm interested in how voices in the head could be caused by malposition of the uterus. There's a better place for it? 104 00:06:57,410 --> 00:07:00,411 Now, what do we got? We've got lobotomies, rubber rooms, electric shocks. 105 00:07:00,412 --> 00:07:03,039 My, Galen was so primitive. Where are you going? 106 00:07:03,040 --> 00:07:07,459 Going to see the patient. That all-important human connection. Thought I'd give it a whirl. 107 00:07:07,460 --> 00:07:09,961 You won't talk to patients because they lie, 108 00:07:09,962 --> 00:07:12,464 but give you a patient with no concept of reality- 109 00:07:12,465 --> 00:07:16,133 If it wasn't for Socrates, that raving, untreated schizophrenic, we wouldn't have the Socratic method- 110 00:07:16,134 --> 00:07:19,636 the best way of teaching everything, apart from juggling chain saws. 111 00:07:19,637 --> 00:07:23,140 Without Isaac Newton, we'd be floating on the ceiling. Dodging chain saws, no doubt. 112 00:07:23,141 --> 00:07:26,976 And that guitar player in that English band. He was great. 113 00:07:26,977 --> 00:07:30,104 You think I'm interested because of the schizophrenia. 114 00:07:30,105 --> 00:07:31,605 Yeah, I'm pretty sure. 115 00:07:31,606 --> 00:07:36,985 Galen was pretty sure about the fumigation thing. 116 00:07:36,986 --> 00:07:38,666 Pink Floyd. 117 00:07:41,823 --> 00:07:45,742 - Mom, this is Dr. Gr- - Gregory House. 118 00:07:45,743 --> 00:07:47,744 Nice to meet you. 119 00:07:47,745 --> 00:07:50,747 Would it be all right if we spoke alone for a while? 120 00:07:50,748 --> 00:07:53,207 Well, you're gonna need me to- 121 00:07:53,208 --> 00:07:55,626 I've got your case notes, Doctor. 122 00:07:55,627 --> 00:07:57,628 There's a cafeteria downstairs. 123 00:07:57,629 --> 00:07:59,629 Get yourself whatever you want, 124 00:07:59,630 --> 00:08:03,091 as long as there's enough left over for a Reuben sandwich, dry, no fries, hold the pickles. 125 00:08:03,092 --> 00:08:08,492 Should run you about 5.80 with tax. 126 00:08:11,182 --> 00:08:15,862 I'll page you when we're done. 127 00:08:16,353 --> 00:08:17,193 No... 128 00:08:19,106 --> 00:08:20,306 pickles. 129 00:08:26,487 --> 00:08:27,927 Nice kid. 130 00:08:29,990 --> 00:08:34,310 How much do you really drink? 131 00:08:39,081 --> 00:08:42,041 He's really talking to a patient? 132 00:08:42,042 --> 00:08:45,044 I don't know who I am anymore. 133 00:08:45,045 --> 00:08:48,046 It's a blood clot. What's so fascinating about that? 134 00:08:48,047 --> 00:08:51,883 He likes crazy people. He likes the way they think. 135 00:08:51,884 --> 00:08:54,886 They think badly. That's the definition of crazy. 136 00:08:54,887 --> 00:08:57,722 Why would he like- They're not boring. 137 00:08:57,723 --> 00:08:59,883 He likes that. 138 00:09:03,269 --> 00:09:05,270 And the meds? 139 00:09:05,271 --> 00:09:09,111 Baseball. I like baseball. 140 00:09:09,608 --> 00:09:12,728 Very nice. Very sad. 141 00:09:13,611 --> 00:09:17,364 My boy and me, we went to see a game. 142 00:09:17,365 --> 00:09:21,325 Not "Mets". Meds. Medicine. 143 00:09:24,579 --> 00:09:29,979 You take what he tells you to take. 144 00:09:31,085 --> 00:09:33,965 No one believes me. 145 00:09:34,755 --> 00:09:35,715 I do. 146 00:09:43,762 --> 00:09:46,889 I thought he liked rationality. 147 00:09:46,890 --> 00:09:48,891 He likes puzzles. 148 00:09:48,892 --> 00:09:51,101 Patients are puzzles? You don't think so? 149 00:09:51,102 --> 00:09:53,687 I think they're people. Yeah. 150 00:09:53,688 --> 00:09:59,734 Well, he hates them, and he's fascinated by them. 151 00:09:59,735 --> 00:10:06,215 Tell me you can't relate to that sentiment. 152 00:10:08,200 --> 00:10:11,619 You told Luke it never hurt before. Just rough. 153 00:10:11,620 --> 00:10:14,163 They didn't hurt. 154 00:10:14,164 --> 00:10:15,364 Didn't? 155 00:10:17,625 --> 00:10:20,043 Don't lie to him, Limpy. 156 00:10:20,044 --> 00:10:22,045 Lively Lucy never lies to Lucas. 157 00:10:22,046 --> 00:10:25,526 Look what I do to him. 158 00:10:26,716 --> 00:10:29,718 Radiation therapist to Oncology. 159 00:10:29,719 --> 00:10:32,095 Learn anything from the "human connection"? 160 00:10:32,096 --> 00:10:34,097 Yeah. The Mets suck. 161 00:10:34,098 --> 00:10:39,476 Also, for the last two months, she hasn't shaved her legs. Because of the tremors, she cuts herself. 162 00:10:39,477 --> 00:10:42,229 - The tremors aren't new. She must always cut herself. - Exactly. 163 00:10:42,230 --> 00:10:44,231 Something changed in the last two months. 164 00:10:44,232 --> 00:10:48,943 I'm thinking the amount of blood when she cut herself. So let's start with some blood work. 165 00:10:48,944 --> 00:10:52,696 Collect and send for clotting studies, P.T., P.T.T., factor five, protein "C" and "S". 166 00:10:52,697 --> 00:10:56,116 The whole shebang. Good luck. 167 00:10:56,117 --> 00:10:58,493 No pickles, and it's cold now. 168 00:10:58,494 --> 00:11:01,120 - If it's a Reuben, that's the way he likes it. - Everyone, this is Luke. 169 00:11:01,121 --> 00:11:04,123 - Allison Cameron. It's nice to finally meet you. - Yeah. Save it. We're busy. 170 00:11:04,124 --> 00:11:11,713 Luke, give us another half hour with your mom. We need to do some tests. 171 00:11:11,714 --> 00:11:13,154 Nice kid. 172 00:11:13,715 --> 00:11:16,717 Take her off the psych meds. That way we'll know what's what on the physical side. 173 00:11:16,718 --> 00:11:23,223 And who knows, we might get more out of her. 174 00:11:23,224 --> 00:11:26,601 Don't worry. No pickles. 175 00:11:26,602 --> 00:11:28,762 Happy birthday. 176 00:11:30,438 --> 00:11:32,238 Okay. Whose? 177 00:11:33,149 --> 00:11:39,945 I was going through your mail, and it was on a form. Happy birthday. 178 00:11:39,946 --> 00:11:40,546 Oh. 179 00:11:52,499 --> 00:11:54,500 No! No blood! Not mine! 180 00:11:54,501 --> 00:11:56,501 For the test. Dr. House told us- 181 00:11:56,502 --> 00:12:00,880 You're gonna steal it! Sell it! No! No blood! 182 00:12:00,881 --> 00:12:04,383 No! No blood! No! No blood! 183 00:12:04,384 --> 00:12:06,385 Haldol, five milligrams, stat. 184 00:12:06,386 --> 00:12:08,186 No! No! No! 185 00:12:09,764 --> 00:12:10,964 No! No! 186 00:12:13,392 --> 00:12:15,792 No! No! Oh, no! 187 00:12:16,270 --> 00:12:17,230 N-No! 188 00:12:23,067 --> 00:12:23,667 No. 189 00:12:32,826 --> 00:12:36,411 Well, good news. The lab says it's not strep, so we're done. 190 00:12:36,412 --> 00:12:39,414 Wait a second. No, really not strep. 191 00:12:39,415 --> 00:12:42,875 The boys in the lab, sure, they're hard drinkers, but they're pros, you know. 192 00:12:42,876 --> 00:12:45,502 Plus, your kid actually has none of the symptoms for strep. 193 00:12:45,503 --> 00:12:48,505 It was quicker running the test than arguing with you. My point is, go! 194 00:12:48,506 --> 00:12:51,508 I just wanted to ask your opinion, Doctor. 195 00:12:51,509 --> 00:12:54,510 She's having a birthday party next week, and she's upset that I'm getting a sugarless cake. 196 00:12:54,511 --> 00:12:57,513 The other kids hate it. This is why you're here. 197 00:12:57,514 --> 00:13:00,515 Sugar is the leading cause of obesity in America. 198 00:13:00,516 --> 00:13:03,518 You want a doctor to scare her about the dangers of sugar. 199 00:13:03,519 --> 00:13:06,521 She needs to get her weight under control. 200 00:13:06,522 --> 00:13:12,025 Well, you know, I feel sorry for those other kids, Wendy, who don't have a mom like yours- 201 00:13:12,026 --> 00:13:16,529 a mom who knows that sugar causes heart disease, appendicitis and athlete's foot. 202 00:13:16,530 --> 00:13:19,532 That's not fair. Oh, yes, it is. No, I get it. 203 00:13:19,533 --> 00:13:23,035 You want her to slim down a little so she can wear pretty clothes like yours. 204 00:13:23,036 --> 00:13:25,037 Love the bracelets. 205 00:13:25,038 --> 00:13:28,039 Hey, what about matching outfits? You could be twins. 206 00:13:28,040 --> 00:13:30,500 She can't be your daughter. 207 00:13:30,501 --> 00:13:33,127 It's impossible! You look way too young. 208 00:13:33,128 --> 00:13:35,129 Happy birthday. 209 00:13:35,130 --> 00:13:37,130 Get the kid a damned ice cream cake. 210 00:13:37,131 --> 00:13:40,300 Dr. Wyland to Obstetrics. Dr. Wyland, Obstetrics. 211 00:13:40,301 --> 00:13:43,553 - You drugged her. - Actually, I didn't. 212 00:13:43,554 --> 00:13:46,180 I've taken her off all medication. Your guy Foreman gave her Haldol. 213 00:13:46,181 --> 00:13:49,933 We needed blood for tests. I assumed that was the only way to get it. 214 00:13:49,934 --> 00:13:54,062 He knocked her out. Look, I have a cane, and I know how to use it. 215 00:13:54,063 --> 00:13:56,147 I hired you. You work for me. 216 00:13:56,148 --> 00:13:56,988 Okay. 217 00:13:57,816 --> 00:14:00,816 Can I go now, boss? 218 00:14:03,029 --> 00:14:05,030 The Haldol changes her. 219 00:14:05,031 --> 00:14:13,311 She says it makes her soul numb. Don't give it to her. 220 00:14:13,913 --> 00:14:15,914 "If there be rags enough, 221 00:14:15,915 --> 00:14:22,545 he will know her name and be well pleased remembering it". 222 00:14:22,546 --> 00:14:23,986 You okay? 223 00:14:25,048 --> 00:14:26,488 Old days. 224 00:14:30,177 --> 00:14:32,178 "For in the old days, 225 00:14:32,179 --> 00:14:35,181 "though she had young men's praise and old men's blame, 226 00:14:35,182 --> 00:14:41,520 among the poor, both old and young gave her praise". 227 00:14:41,521 --> 00:14:42,121 Oh! 228 00:14:47,526 --> 00:14:50,406 Help! Somebody help! 229 00:14:54,991 --> 00:15:00,411 So, when I said no psych meds, I'm just curious- which word didn't you understand? 230 00:15:00,412 --> 00:15:03,414 The Haldol had nothing to do with the bleed. 231 00:15:03,415 --> 00:15:06,374 You know that. I used it purely as a chemical restraint. 232 00:15:06,375 --> 00:15:08,585 Oh, great. Well, that's good to hear. 233 00:15:08,586 --> 00:15:13,297 So she won't experience any of those pesky little side effects you get when your motives aren't pure. 234 00:15:13,298 --> 00:15:15,591 Oh- Those side effects are so rare! 235 00:15:15,592 --> 00:15:19,427 What, passing out, increased confusion, depression? That's not gonna happen. 236 00:15:19,428 --> 00:15:23,556 That's not gonna screw up our diagnosis, 'cause you just used it to restrain her. I'm so relieved. 237 00:15:23,557 --> 00:15:25,558 She spit in my face. 238 00:15:25,559 --> 00:15:28,560 That must have been so frightening for you. 239 00:15:28,561 --> 00:15:31,563 What was I supposed to do, tie her down? Yeah. Anything but give her drugs. 240 00:15:31,564 --> 00:15:33,565 That's basically my point. 241 00:15:33,566 --> 00:15:38,235 The clotting studies. Pretty fast. Did you promise to date the entire lab? 242 00:15:38,236 --> 00:15:40,654 No, I save that for emergencies. 243 00:15:40,655 --> 00:15:44,074 I told them she bled out two units and if it happened again, she'd die. 244 00:15:44,075 --> 00:15:47,076 If it had happened at home, she would have died. 245 00:15:47,077 --> 00:15:49,912 The E.R. doc, he was gonna send her home. 246 00:15:49,913 --> 00:15:53,415 - I used my best judgment. - It turns out your best judgment is not good enough. 247 00:15:53,416 --> 00:15:56,918 - Here's an idea- next time, use mine. - I think they're choosing a movie. 248 00:15:56,919 --> 00:15:59,754 Why did the patient bleed out? 249 00:15:59,755 --> 00:16:02,423 The clotting studies so far are normal. 250 00:16:02,424 --> 00:16:05,426 Well, cover your ears if you don't want me to spoil the ending. 251 00:16:05,427 --> 00:16:09,179 Everything was normal, except for a prolonged P.T. time. 252 00:16:09,180 --> 00:16:13,766 - Which means what? - Usually it means whoever drew the blood didn't do it right. 253 00:16:13,767 --> 00:16:16,143 Oh, that's right, 'cause you drew the blood. 254 00:16:16,144 --> 00:16:20,689 - But you were precise because you knew the tube was purely for the P.T. study. - That's right. 255 00:16:20,690 --> 00:16:24,192 And I'm right with you. I trust this result, for two reasons- 256 00:16:24,193 --> 00:16:26,819 "A", because you are a good doctor, 257 00:16:26,820 --> 00:16:29,613 and "B", because five milligrams of I.V. Haldol... 258 00:16:29,614 --> 00:16:33,950 makes for a spectacularly cooperative patient. 259 00:16:33,951 --> 00:16:37,287 The prolonged P.T. time makes me think she's got a vitamin "K" deficiency. 260 00:16:37,288 --> 00:16:40,289 Vitamin "K" would explain the bleed, but not the clot. 261 00:16:40,290 --> 00:16:43,709 Without vitamin "K", protein "C" doesn't work. Without protein "C", she clots. 262 00:16:43,710 --> 00:16:46,711 Clotting and thinning all at the same time. 263 00:16:46,712 --> 00:16:50,131 What about another drug interacting with Heparin, an antibiotic like ampicillin? 264 00:16:50,132 --> 00:16:53,134 That would cause the bleed. Clever, but she's not on ampicillin. 265 00:16:53,135 --> 00:16:56,637 Two months ago, she complained of a sore throat, and he got her ampicillin. 266 00:16:56,638 --> 00:16:59,014 - Which she refused to take. - He just said she didn't take it. 267 00:16:59,015 --> 00:17:02,308 What is it, everybody lies except for schizophrenics and their children? 268 00:17:02,309 --> 00:17:06,312 It's more likely than malnourishment. Why not scurvy or the plague? 269 00:17:06,313 --> 00:17:08,981 Gee, I wish my idea was as cool and with-it as yours. 270 00:17:08,982 --> 00:17:12,234 What is yours, by the way? Do you have one? Alcohol. 271 00:17:12,235 --> 00:17:16,112 Simple. It causes immobility, which explains the D.V.T. 272 00:17:16,113 --> 00:17:21,366 It also causes cirrhosis, which explains the bleed and the prolonged P.T. time. 273 00:17:21,367 --> 00:17:24,327 - Let's ultrasound the liver. - Three theories. 274 00:17:24,328 --> 00:17:27,664 Check out her place for ampicillin and diet. 275 00:17:27,665 --> 00:17:29,665 Then ultrasound her liver. 276 00:17:29,666 --> 00:17:37,826 Let's find out who's right before she bleeds to death. 277 00:17:47,015 --> 00:17:47,735 101. 278 00:17:56,314 --> 00:18:00,734 So House says the kid is sensitive, thinks he takes good care of her. 279 00:18:00,735 --> 00:18:04,028 But if we don't find anything, why let him know we did it in the first place? 280 00:18:04,029 --> 00:18:06,030 What's the point? 281 00:18:06,031 --> 00:18:15,991 Why not just make old Foreman lift the key from the kid's backpack? 282 00:18:25,506 --> 00:18:31,746 Looks like Luke sleeps in the living room. 283 00:18:35,473 --> 00:18:37,993 Nothing in there. 284 00:18:38,059 --> 00:18:40,060 He lays out her clothes? 285 00:18:40,061 --> 00:18:44,272 Enough organization, enough lists, you think you can control the uncontrollable. 286 00:18:44,273 --> 00:18:49,651 Fix her meds, fix her clothes, maybe you can even fix her. 287 00:18:49,652 --> 00:18:55,052 Pick that up on your psych rotation? 288 00:19:01,746 --> 00:19:05,206 Trifluoperazine, Thorazine, Clozarile. 289 00:19:05,207 --> 00:19:07,584 Whew. They tried everything. 290 00:19:07,585 --> 00:19:11,921 The ampicillin- never touched it. 291 00:19:11,922 --> 00:19:21,922 There goes Cameron's theory. Oh, God, I hope it's not a vitamin "K" deficiency. 292 00:19:23,306 --> 00:19:24,146 Damn. 293 00:19:26,017 --> 00:19:28,018 Breakfast, lunch and dinner. 294 00:19:28,019 --> 00:19:30,419 House was right. 295 00:19:33,023 --> 00:19:35,524 That's the only thing she'll eat. Yeah. 296 00:19:35,525 --> 00:19:38,527 The problem is, you can't actually live on this stuff. 297 00:19:38,528 --> 00:19:42,530 I checked it out. I looked on the box. All the nutritional values are solid. 298 00:19:42,531 --> 00:19:44,532 There's plenty of protein and calories. 299 00:19:44,533 --> 00:19:51,121 Yeah, vitamin "A" and "C", but no "K". That's why your mom got sick. 300 00:19:51,122 --> 00:19:54,332 So what's the plan then? Load her up with vitamin "K". 301 00:19:54,333 --> 00:20:02,464 That's it? If it all checks out, you can take her home in a couple of days. 302 00:20:02,465 --> 00:20:06,259 Oh, God, you're upset about something. 303 00:20:06,260 --> 00:20:11,139 You're gonna open up to me now, aren't you? It's all my fault. 304 00:20:11,140 --> 00:20:12,940 Here we go. 305 00:20:13,141 --> 00:20:17,186 Okay, I'm gonna say this once: You have done a very good job taking care of your mother. 306 00:20:17,187 --> 00:20:21,481 If this was all she'd eat, then what else could you do? Gosh, just being a kid is a full-time job. 307 00:20:21,482 --> 00:20:26,819 Shut up! I'm 18. I should be able to take care of my mom. 308 00:20:26,820 --> 00:20:30,155 I almost killed her. Good example. 309 00:20:30,156 --> 00:20:35,159 Just the time it takes to express those ridiculous, self-centered teenage ideas. 310 00:20:35,160 --> 00:20:39,240 I don't envy your schedule. 311 00:20:39,539 --> 00:20:41,219 No pickles. 312 00:20:42,000 --> 00:20:44,167 My mom doesn't like 'em either. 313 00:20:44,168 --> 00:20:45,968 Smart woman. 314 00:20:47,379 --> 00:20:50,381 Before she got sick, I didn't like how bossy she was. 315 00:20:50,382 --> 00:20:54,843 Always telling me what to do, the right way to do it. 316 00:20:54,844 --> 00:20:58,513 Never thought I'd miss that. 317 00:20:58,514 --> 00:20:59,234 Oww. 318 00:21:03,852 --> 00:21:05,936 You should get that looked at. 319 00:21:05,937 --> 00:21:08,939 I still don't buy a vitamin "K" deficiency. House was right. 320 00:21:08,940 --> 00:21:11,941 That usually makes you happy. Less work for us. 321 00:21:11,942 --> 00:21:15,528 The kid feeds his mom a steady diet of booze, and the problem is too many burgers? 322 00:21:15,529 --> 00:21:18,530 The kid's in a tough situation. You do what you gotta do to survive. 323 00:21:18,531 --> 00:21:22,033 Feeding alcohol to an alcoholic is not a survival technique. 324 00:21:22,034 --> 00:21:24,452 Where I come from, if it works- Yeah, right. 325 00:21:24,453 --> 00:21:29,665 I'm rich. I couldn't possibly understand what this kid is going through. 326 00:21:29,666 --> 00:21:34,169 Just because you're drinking pricier stuff doesn't mean you don't have a problem. 327 00:21:34,170 --> 00:21:37,172 You've seen someone stagger down that road? 328 00:21:37,173 --> 00:21:42,933 No way vitamin "K" is the whole story. 329 00:21:44,721 --> 00:21:47,241 It's not broken. 330 00:21:47,723 --> 00:21:49,724 See this, right here? 331 00:21:49,725 --> 00:21:54,061 It's the epiphyseal plate, otherwise known as the "growth plate". What's wrong with it? 332 00:21:54,062 --> 00:21:56,814 Amazing thing, this bone. 333 00:21:56,815 --> 00:21:59,900 If you know how to read it, it can tell you how old someone really is. 334 00:21:59,901 --> 00:22:03,236 - Exactly how old. - Great. 335 00:22:03,237 --> 00:22:05,877 Mmm, not even 15. 336 00:22:06,114 --> 00:22:08,115 Almost though. 337 00:22:08,116 --> 00:22:12,410 Two weeks away. Maybe a month. 338 00:22:12,411 --> 00:22:15,747 Last week. I was 15 last week. 339 00:22:15,748 --> 00:22:18,582 Happy birthday to both of us. 340 00:22:18,583 --> 00:22:21,502 If you're gonna lie though, go big. Go 21. 341 00:22:21,503 --> 00:22:24,504 That way you won't need your crazy mom to help you buy vodka. 342 00:22:24,505 --> 00:22:29,065 Uh, great. Thanks for the tip. 343 00:22:29,593 --> 00:22:34,388 Now, when I bring my mom home, is there anything I need to know about taking care of her? 344 00:22:34,389 --> 00:22:37,390 I suppose your biggest worry isn't the booze. 345 00:22:37,391 --> 00:22:40,393 You're 15, basically no mom. 346 00:22:40,394 --> 00:22:43,104 If Child Welfare let kids get away with that, they wouldn't need those nice foster homes, 347 00:22:43,105 --> 00:22:45,105 and that would make them sad. 348 00:22:45,106 --> 00:22:47,065 They'd put her someplace too. 349 00:22:47,066 --> 00:22:49,946 My life is working. 350 00:22:50,111 --> 00:22:52,654 Not the word I'd use. 351 00:22:52,655 --> 00:22:56,282 Most 15-year-old kids are doing what they're supposed to be doing. 352 00:22:56,283 --> 00:22:58,284 You know, they're huffing glue, catching crabs. 353 00:22:58,285 --> 00:23:00,994 If you turn me in, I'll sue you. 354 00:23:00,995 --> 00:23:03,288 That's privileged information. 355 00:23:03,289 --> 00:23:08,929 Oh, relax. It's not even your X-ray. 356 00:23:10,045 --> 00:23:12,045 She's awfully calm. 357 00:23:12,046 --> 00:23:15,406 House wrote new orders. 358 00:23:18,135 --> 00:23:20,970 There's a little bit of scarring. Not much. 359 00:23:20,971 --> 00:23:22,972 Not enough to- It's cirrhosis. 360 00:23:22,973 --> 00:23:25,140 Oh, but she doesn't drink. 361 00:23:25,141 --> 00:23:28,741 Congratulations. You win. 362 00:23:29,812 --> 00:23:31,132 Actually, 363 00:23:33,065 --> 00:23:34,985 no one wins. 364 00:23:35,066 --> 00:23:37,106 Tumor. Cystic? 365 00:23:38,069 --> 00:23:39,749 Solid mass. 366 00:23:40,488 --> 00:23:41,568 Cancer. 367 00:23:43,991 --> 00:23:48,494 The vitamin "K" caused the D.V.T. and aggravated the liver, 368 00:23:48,495 --> 00:23:51,496 but the tumor's the real reason for the bleed. 369 00:23:51,497 --> 00:23:53,707 The tumor's the problem. 370 00:23:53,708 --> 00:23:56,250 Mrs. Palmero, I'm Dr. Wilson. 371 00:23:56,251 --> 00:23:59,962 I'm afraid I have some bad news from your ultrasound. 372 00:23:59,963 --> 00:24:02,363 You have cancer. 373 00:24:35,410 --> 00:24:37,870 It's big. 5.8 centimeters. 374 00:24:37,871 --> 00:24:40,706 We do nothing, she dies from liver failure within 60 days. 375 00:24:40,707 --> 00:24:43,208 - She needs a transplant. - That's gonna happen. 376 00:24:43,209 --> 00:24:47,628 - She's 38 years old. She's a mother. - She's a schizophrenic mother with no money, on the public dole, in fact, 377 00:24:47,629 --> 00:24:50,130 who knocks back vodka every time a breeze blows her way. 378 00:24:50,131 --> 00:24:53,467 Mickey Mantle had a whole bar named after him. He got a transplant. 379 00:24:53,468 --> 00:24:55,468 Yeah, well, Lucy can't switch-hit. 380 00:24:55,469 --> 00:24:57,887 Plan "B"- surgery to resect the tumor. 381 00:24:57,888 --> 00:25:01,766 Joe Bergin does the gamma knife thing. Laser cauterizes while it cuts, saves more liver. 382 00:25:01,767 --> 00:25:04,560 The tumor's way too big. He won't even consider it. 383 00:25:04,561 --> 00:25:07,979 Not a big risk-taker, Bergin. Won't even drink milk on its expiration date. 384 00:25:07,980 --> 00:25:14,318 He has no discretion. 5.8 centimeters is past the surgical guidelines. 385 00:25:14,319 --> 00:25:16,737 Would he do it at 4.6? 386 00:25:16,738 --> 00:25:21,825 Why don't we just say it's zero? Then we don't need him at all. Tumors grow, they don't shrink. 387 00:25:21,826 --> 00:25:23,986 This one does. 388 00:25:25,245 --> 00:25:28,247 Ninety-five percent ethanol. 389 00:25:28,248 --> 00:25:31,583 The ethanol dehydrates the tumor cells. 390 00:25:31,584 --> 00:25:35,184 Literally sucks them dry. 391 00:25:35,462 --> 00:25:37,463 It shrinks the tumor temporarily. 392 00:25:37,464 --> 00:25:39,744 How temporarily? 393 00:25:40,800 --> 00:25:44,040 Well, if we're lucky, 394 00:25:46,180 --> 00:25:51,580 just long enough to fool the surgeon. 395 00:25:56,272 --> 00:25:59,524 Dr. Shopius, report to Psych Exam. 396 00:25:59,525 --> 00:26:02,818 Dr. Shopius, Psych Exam. 397 00:26:02,819 --> 00:26:04,820 Good morning, Dr. House. 398 00:26:04,821 --> 00:26:06,822 Good morning, Dr. Cuddy. 399 00:26:06,823 --> 00:26:08,824 Love that outfit. 400 00:26:08,825 --> 00:26:11,534 It says, "I'm professional, but I'm still a woman". 401 00:26:11,535 --> 00:26:14,037 Actually, it sort of yells the second part. 402 00:26:14,038 --> 00:26:17,039 Yeah, and your big cane is real subtle too. 403 00:26:17,040 --> 00:26:21,251 Gotta go. Those running noses aren't just gonna start walking on their own. 404 00:26:21,252 --> 00:26:23,837 The clinic can wait. 405 00:26:23,838 --> 00:26:26,464 How long? Maybe we could catch a movie. 406 00:26:26,465 --> 00:26:31,010 You should know by now my doctors have no secrets from me. 407 00:26:31,011 --> 00:26:33,011 I don't believe it. 408 00:26:33,012 --> 00:26:35,597 Who came running to Mommy? 409 00:26:35,598 --> 00:26:40,268 It doesn't matter who. The point is, I know exactly what you did. 410 00:26:40,269 --> 00:26:42,853 You have no idea what I'm talking about. 411 00:26:42,854 --> 00:26:46,857 Somebody knows about a bad thing you did. That's a big field. 412 00:26:46,858 --> 00:26:51,152 But somebody you think might've told me. That narrows it down quite a bit. 413 00:26:51,153 --> 00:26:54,155 Someone who views me as a maternal authority figure. 414 00:26:54,156 --> 00:26:57,574 Ayoung person perhaps? How am I doing? Think I'm gonna get there? 415 00:26:57,575 --> 00:27:00,577 Presumably hospital business. How many patients- It's Cameron. 416 00:27:00,578 --> 00:27:02,579 She found out about my birthday. 417 00:27:02,580 --> 00:27:07,583 I thought she told you and I'd have to stand here and smile while you gave me a sweatshirt or a fruit basket. 418 00:27:07,584 --> 00:27:10,043 You know, made me feel that deep sense of belonging. 419 00:27:10,044 --> 00:27:14,672 Actually, I was just gonna remind you, you owe me six clinic hours this week. 420 00:27:14,673 --> 00:27:15,513 Oops. 421 00:27:23,598 --> 00:27:25,599 Hi, this is Dr. Cuddy. 422 00:27:25,600 --> 00:27:33,397 I need all the charts on Dr. House's current patients. 423 00:27:33,398 --> 00:27:36,400 I've tried everything. Mm-hmm. 424 00:27:36,401 --> 00:27:40,695 "Pulling the tongue, ice packs on the throat, hitting yourself, 425 00:27:40,696 --> 00:27:43,216 the groin pinch". 426 00:27:44,074 --> 00:27:47,701 Well, you've certainly covered all the normal medical bases. 427 00:27:47,702 --> 00:27:50,704 Uh, how are you hitting yourself though? 428 00:27:50,705 --> 00:27:53,414 Is it with an open hand or a fist? Open hand. 429 00:27:53,415 --> 00:27:56,417 Uh-huh. Well, that's- that's how they teach it at Harvard Med. 430 00:27:56,418 --> 00:27:58,818 How hard though? 431 00:28:00,755 --> 00:28:03,381 I'm sorry. I missed that. Could you do that again? 432 00:28:03,382 --> 00:28:04,102 Uh- 433 00:28:05,050 --> 00:28:07,051 That's- That's very good. 434 00:28:07,052 --> 00:28:09,053 It's hiccups. 435 00:28:09,054 --> 00:28:11,555 I need to speak with you now. Mm-hmm. 436 00:28:11,556 --> 00:28:13,557 I need to go pee-pee. 437 00:28:13,558 --> 00:28:20,398 Dial it up a notch and repeat. I'll be back. 438 00:28:26,069 --> 00:28:29,070 Ooh. Girl in the boy's bathroom. 439 00:28:29,071 --> 00:28:31,072 Very dramatic. 440 00:28:31,073 --> 00:28:35,743 It must be very important, what she has to say to me. 441 00:28:35,744 --> 00:28:38,745 Yesterday your patient's tumor was 5.8 centimeters. 442 00:28:38,746 --> 00:28:41,373 Today it's 4.6. How does that happen? 443 00:28:41,374 --> 00:28:44,876 Well, at a guess, I'd say, "That Dr. House must be really, really good. 444 00:28:44,877 --> 00:28:46,877 Why am I wasting him on hiccups?" 445 00:28:46,878 --> 00:28:50,478 I wash before and after. 446 00:28:51,466 --> 00:28:54,843 You also requisitioned 20 c. c. 's of ethanol. 447 00:28:54,844 --> 00:28:57,845 What patient was that for? Or are you planning a party? 448 00:28:57,846 --> 00:29:00,126 Do me a favor. 449 00:29:02,058 --> 00:29:05,936 I was gonna say leave, but that works. 450 00:29:05,937 --> 00:29:08,938 - You shrunk the tumor. - Only way to get the guy to do the surgery. 451 00:29:08,939 --> 00:29:12,419 Fraud was the only way? 452 00:29:12,609 --> 00:29:15,611 There is a reason that we have these guidelines. 453 00:29:15,612 --> 00:29:18,613 I know. To save lives. Specifically, doctors' lives. 454 00:29:18,614 --> 00:29:21,616 And not just their lives, but their lifestyles. 455 00:29:21,617 --> 00:29:25,119 Wouldn't want to operate on anyone really sick. They might die and spoil our stats. 456 00:29:25,120 --> 00:29:27,788 Bergin has a right to know what he is operating on. True. 457 00:29:27,789 --> 00:29:37,789 I got all focused on her right to live and forgot. You do what you think is right. 458 00:29:41,009 --> 00:29:43,009 You really didn't know? 459 00:29:43,010 --> 00:29:45,170 No, I didn't. 460 00:29:45,721 --> 00:29:47,722 And, frankly, I'm angry. 461 00:29:47,723 --> 00:29:49,723 Which I'm guessing is the correct response. 462 00:29:49,724 --> 00:29:53,143 - Of course, I'll know better once you tell me what you're talking about. - Your birthday. 463 00:29:53,144 --> 00:29:53,744 Oh. 464 00:29:55,146 --> 00:29:58,147 Anger was a bad guess. 465 00:29:58,148 --> 00:30:03,319 Well, normally, I'd put on a festive hat and celebrate the fact that the Earth has circled the sun one more time. 466 00:30:03,320 --> 00:30:06,321 I really didn't think it was gonna make it this year, 467 00:30:06,322 --> 00:30:09,824 but darn it if it wasn't the little planet that could all over again. 468 00:30:09,825 --> 00:30:13,244 It's a birthday. It's an excuse to be happy. 469 00:30:13,245 --> 00:30:16,605 You think that's lame? 470 00:30:16,831 --> 00:30:21,835 Why are you here? Did you buy me a pony? 471 00:30:21,836 --> 00:30:25,880 I'm just waiting for the surgery. 472 00:30:25,881 --> 00:30:29,481 Yeah, well, go scrub in. 473 00:30:39,393 --> 00:30:44,913 All right, we're done. Close her up. 474 00:30:47,399 --> 00:30:53,237 The tumor didn't just walk itself into a bar and order up a double shot of ethanol. 475 00:30:53,238 --> 00:30:55,739 Someone shrunk it down. 476 00:30:55,740 --> 00:30:59,242 I'm sorry. It was very, very wrong. 477 00:30:59,243 --> 00:31:01,911 House is lucky I didn't just close her up. 478 00:31:01,912 --> 00:31:04,914 He tries it again, that's what happens. 479 00:31:04,915 --> 00:31:07,555 I'll pass it on. 480 00:31:09,877 --> 00:31:11,878 It looks like the surgeon got it all, 481 00:31:11,879 --> 00:31:14,630 but she's gonna have to have some chemotherapy. 482 00:31:14,631 --> 00:31:17,133 What kind is it? 483 00:31:17,134 --> 00:31:19,894 Luke, stop writing. 484 00:31:27,142 --> 00:31:30,144 If you stop for a second, it's not all gonna fall apart. 485 00:31:30,145 --> 00:31:32,646 Give yourself a break once in a while. 486 00:31:32,647 --> 00:31:35,649 The fact is, your Mom's gonna have an extra drink every now and then. 487 00:31:35,650 --> 00:31:37,734 No. No. She won't. She doesn't. 488 00:31:37,735 --> 00:31:38,575 Fine. 489 00:31:39,737 --> 00:31:43,781 There are some things you just can't fix. That's all I'm saying. 490 00:31:43,782 --> 00:31:49,536 That's how you'd handle it, something like this? You'd just give up? 491 00:31:49,537 --> 00:31:50,137 No. 492 00:31:51,538 --> 00:31:55,378 I'd do it just like you. 493 00:31:56,835 --> 00:32:00,170 It's an infusion. She's gonna have a drain in her abdomen. 494 00:32:00,171 --> 00:32:03,590 You're going to have to check for possible infection. 495 00:32:03,591 --> 00:32:05,591 Lucas Palmero? 496 00:32:05,592 --> 00:32:09,178 Trina Wyatt, Child Services, State of New Jersey. 497 00:32:09,179 --> 00:32:11,179 Can I help you? This is a private room. 498 00:32:11,180 --> 00:32:14,182 He's only 15 years old, a minor. 499 00:32:14,183 --> 00:32:16,184 He's in a tough living situation. 500 00:32:16,185 --> 00:32:18,186 We're just here to help. 501 00:32:18,187 --> 00:32:21,063 I don't need your help. Fifteen? 502 00:32:21,064 --> 00:32:25,775 Lucas, you're gonna have to come with us right now. 503 00:32:25,776 --> 00:32:27,527 Where are you taking him? 504 00:32:27,528 --> 00:32:30,988 Until the determination is made, he'll be housed at Children's Services. 505 00:32:30,989 --> 00:32:34,616 I don't want to be "housed". I live with my mom. 506 00:32:34,617 --> 00:32:37,202 Not for the next few days. 507 00:32:37,203 --> 00:32:41,456 Come on. Let's not make this difficult, huh? 508 00:32:41,457 --> 00:32:42,177 Mom? 509 00:32:44,418 --> 00:32:45,138 Mom? 510 00:32:47,545 --> 00:32:49,345 I love you. 511 00:32:52,008 --> 00:32:55,801 When the Mets lost, you remember? 512 00:32:55,802 --> 00:32:56,642 Yeah. 513 00:32:59,139 --> 00:33:00,819 I remember. 514 00:33:01,224 --> 00:33:03,024 I love you. 515 00:33:23,034 --> 00:33:26,536 Cuddy didn't say anything about pushing Bergin to finish the surgery? Not a word. 516 00:33:26,537 --> 00:33:29,539 Some kind of mind game. She's waiting for me to crack. 517 00:33:29,540 --> 00:33:32,834 Well, either that or she's just being nice. Yeah, right. 518 00:33:32,835 --> 00:33:40,257 You said you wouldn't call. You're a real bastard, you know. 519 00:33:40,258 --> 00:33:43,858 Yeah, I get that a lot. 520 00:33:48,014 --> 00:33:52,094 I don't think Mom's crazy. 521 00:33:55,354 --> 00:34:00,232 "For in the old days, though she had young men's praise and old men's blame, 522 00:34:00,233 --> 00:34:07,913 among the poor, both old and young gave her praise". 523 00:34:11,201 --> 00:34:13,869 You called Social Services. 524 00:34:13,870 --> 00:34:15,670 It was you. 525 00:34:15,872 --> 00:34:17,672 N- No. No. 526 00:34:18,499 --> 00:34:22,460 It's okay, it's okay. I get it. 527 00:34:22,461 --> 00:34:25,463 He'll have an easier time dealing with the system. 528 00:34:25,464 --> 00:34:29,966 Sure, he won't be with his real mother, but his real mother's sick. 529 00:34:29,967 --> 00:34:33,886 Someone needs to take care of him. 530 00:34:33,887 --> 00:34:35,888 I'm not gonna live here. 531 00:34:35,889 --> 00:34:41,310 What would his future have been, taking you to chemo and back on the bus? 532 00:34:41,311 --> 00:34:44,354 And even if the cancer's in complete remission, 533 00:34:44,355 --> 00:34:47,357 he'll still have a mother who hears voices. 534 00:34:47,358 --> 00:34:49,398 Talk no more. 535 00:34:50,902 --> 00:34:52,903 Talk no more. 536 00:34:52,904 --> 00:34:56,990 "Look what I do to him, Limpy". 537 00:34:56,991 --> 00:34:59,151 You said that. 538 00:34:59,576 --> 00:35:03,656 I checked the phone records. 539 00:35:03,747 --> 00:35:06,373 Only one call from this room. 540 00:35:06,374 --> 00:35:09,376 Smart, because they charge you two bucks a call. 541 00:35:09,377 --> 00:35:14,255 It was to Social Services, the State of New Jersey. 542 00:35:14,256 --> 00:35:20,594 You're his mother. You couldn't do it to him anymore. 543 00:35:20,595 --> 00:35:22,635 Good for you. 544 00:35:23,597 --> 00:35:25,765 Schizophrenics can make rational decisions. 545 00:35:25,766 --> 00:35:30,436 On the small stuff, yeah- when to sleep, what to drink, you know. 546 00:35:30,437 --> 00:35:33,188 "No lemonade, but I'll take some hemlock if you've got it". 547 00:35:33,189 --> 00:35:35,190 Huh. Your man Socrates. 548 00:35:35,191 --> 00:35:40,402 But giving up your son because it's better for him, it's so sane, it's so rational. 549 00:35:40,403 --> 00:35:43,405 Self-sacrifice is not a symptom of schizophrenia. 550 00:35:43,406 --> 00:35:45,407 It excludes the diagnosis. 551 00:35:45,408 --> 00:35:48,409 She's not schizophrenic? Look, she's 36 years old when she first presents. 552 00:35:48,410 --> 00:35:50,912 It's a little late, but within the parameters. 553 00:35:50,913 --> 00:35:54,623 The internist sends her to a shrink. One shrink sends her to the next. 554 00:35:54,624 --> 00:35:57,959 She tells them all she's not crazy. The drugs don't work. And why would they if she's not a head case? 555 00:35:57,960 --> 00:36:03,089 She got clearer when I took her off the psych meds. 556 00:36:03,090 --> 00:36:06,592 You think I'm crazy. Well, yeah, but that's not the problem. 557 00:36:06,593 --> 00:36:14,153 Didn't we just leave your office? I like to walk. 558 00:37:09,981 --> 00:37:12,983 Is that Dr. Jeffrey Walters? Hi. 559 00:37:12,984 --> 00:37:16,861 My name is Greg House. I'm a doctor- 560 00:37:16,862 --> 00:37:20,531 Oh, is that the time? I'm- Yeah. I'm sorry. My watch must have stopped. 561 00:37:20,532 --> 00:37:25,202 Uh, listen, you treated a patient about 18 months ago, a woman named Lucille Palmero. 562 00:37:25,203 --> 00:37:29,497 I wondered if you recalled running any tests... 563 00:37:29,498 --> 00:37:30,698 at all. 564 00:37:31,875 --> 00:37:35,711 Oh, how terribly foolish of me, Doctor. Is it that late? 565 00:37:35,712 --> 00:37:45,712 Yes, I'm calling from London, you see? Must have got my times mixed up- 566 00:37:46,930 --> 00:37:49,389 I have a headache. It's my only symptom. 567 00:37:49,390 --> 00:37:52,892 I go to see three doctors. The neurologist tells me it's an aneurysm. 568 00:37:52,893 --> 00:37:55,144 The immunologist says I've got hay fever. 569 00:37:55,145 --> 00:37:57,146 The intensivist can't be bothered. 570 00:37:57,147 --> 00:38:00,649 Sends me to a shrink, who tells me that I'm punishing myself 'cause I want to sleep with my mommy. 571 00:38:00,650 --> 00:38:05,236 - Maybe you're just not getting enough sleep? - Pick your specialist, you pick your disease. 572 00:38:05,237 --> 00:38:08,739 If it's not schizophrenia, what else presents with psych symptoms? 573 00:38:08,740 --> 00:38:11,408 - Porphyria. - The Madness of King George. 574 00:38:11,409 --> 00:38:14,745 What about that copper thing? What's it called? It's genetic. 575 00:38:14,746 --> 00:38:16,663 The body accumulates too much copper. 576 00:38:16,664 --> 00:38:19,207 Oh, um, uh, Wilson's Disease? 577 00:38:19,208 --> 00:38:21,209 Yeah. Very rare. 578 00:38:21,210 --> 00:38:23,210 Nice. I like it. 579 00:38:23,211 --> 00:38:26,421 - If any of us did this, you'd fire us. - Well, that's funny. 580 00:38:26,422 --> 00:38:29,507 I thought I encouraged you to question. You're not questioning. 581 00:38:29,508 --> 00:38:32,010 You're hoping. You want it to be Wilson's. 582 00:38:32,011 --> 00:38:34,345 Boom. Give her a couple of drugs, she's okay. 583 00:38:34,346 --> 00:38:36,430 July 17. An appointment with a Dr. Karn. 584 00:38:36,431 --> 00:38:40,100 She didn't keep it. She never kept another appointment with a shrink he made after that. 585 00:38:40,101 --> 00:38:43,353 Karn is not a shrink. I looked him up. He's an ophthalmologist. 586 00:38:43,354 --> 00:38:45,855 Now why would she want her eyes checked? 587 00:38:45,856 --> 00:38:48,274 Wilson's presents with cataracts, I think. Yes, it does. 588 00:38:48,275 --> 00:38:53,612 It also causes slight cirrhosis, which Dr. Chase so eagerly attributed to alcohol. 589 00:38:53,613 --> 00:38:56,114 So what are we still doing here? 590 00:38:56,115 --> 00:38:56,955 Lucy! 591 00:38:57,783 --> 00:39:00,451 I don't think you're crazy. 592 00:39:00,452 --> 00:39:02,492 Neither do I. 593 00:39:03,288 --> 00:39:06,706 But I'm crazy. Come on. Lean over here. 594 00:39:06,707 --> 00:39:08,027 Come on. 595 00:39:10,127 --> 00:39:11,807 That's it. 596 00:39:12,129 --> 00:39:16,298 Put your hands on the bar here and your chin in here. 597 00:39:16,299 --> 00:39:17,859 Thank you. 598 00:39:18,301 --> 00:39:20,718 You're gonna see a bright light, okay? 599 00:39:20,719 --> 00:39:23,721 Your body might be accumulating too much copper. 600 00:39:23,722 --> 00:39:28,308 If it is, this should help us see something called Keyser-Fleischer rings- 601 00:39:28,309 --> 00:39:30,310 copper-colored circles around your corneas. 602 00:39:30,311 --> 00:39:31,031 Wow. 603 00:39:33,731 --> 00:39:37,483 I guess we should start treating her for Wilson's. 604 00:39:37,484 --> 00:39:40,604 That's what I'd do. 605 00:39:50,328 --> 00:39:54,665 "I will talk no more of books or the long war, 606 00:39:54,666 --> 00:40:00,378 "but walk by the dry thorn until I have found some beggar sheltering from the wind... 607 00:40:00,379 --> 00:40:04,757 "and there manage the talk until her name come round. 608 00:40:04,758 --> 00:40:11,513 If there be rags enough, he will know her name and be well pleased remembering it. " 609 00:40:11,514 --> 00:40:16,809 "For in the old days, though she had young men's praise and old men's blame, 610 00:40:16,810 --> 00:40:24,490 among the poor, both old and young gave her praise". 611 00:40:29,988 --> 00:40:33,698 Hi, Mrs. Palmero. Ready to go home? 612 00:40:33,699 --> 00:40:34,779 Almost. 613 00:40:35,701 --> 00:40:36,421 Mom? 614 00:40:47,670 --> 00:40:49,545 How are you? 615 00:40:49,546 --> 00:40:51,106 I'm good. 616 00:40:55,385 --> 00:40:55,985 Oh! 617 00:40:57,387 --> 00:40:58,107 Oh- 618 00:40:59,972 --> 00:41:04,412 Oh, you really need a haircut. 619 00:41:28,455 --> 00:41:30,015 Dr. House. 620 00:41:31,541 --> 00:41:33,584 Luke, we're making Dr. House wait. 621 00:41:33,585 --> 00:41:36,211 That's okay. We're just here for the music. 622 00:41:36,212 --> 00:41:38,372 Luke, come on. 623 00:41:49,432 --> 00:41:53,851 I'm being discharged. I heard a rumor. 624 00:41:53,852 --> 00:41:57,396 Thank God I had cancer, huh? 625 00:41:57,397 --> 00:42:03,276 - It's terrible having everybody think you're nuts. - Really? 626 00:42:03,277 --> 00:42:09,615 - I called to thank you. Did you get my message? - Yes. 627 00:42:09,616 --> 00:42:11,896 You're welcome. 628 00:42:13,953 --> 00:42:18,081 I'm never thanking you. You turned me in. 629 00:42:18,082 --> 00:42:22,251 I told you we were doing okay. It was none of your business. 630 00:42:22,252 --> 00:42:24,711 Look, I don't care how you were living. 631 00:42:24,712 --> 00:42:29,132 I just wanted you out of my life. 632 00:42:29,133 --> 00:42:36,333 That's why I had Dr. Cuddy call Social Services. 633 00:42:48,817 --> 00:42:50,257 You okay? 634 00:42:50,818 --> 00:42:52,819 You were right. 635 00:42:52,820 --> 00:42:57,156 It wasn't the D.V.T. It was the schizophrenia. I know. 636 00:42:57,157 --> 00:43:00,993 She's not nearly as interesting anymore. 637 00:43:00,994 --> 00:43:06,154 Isn't it your birthday around now?