1 00:00:09,802 --> 00:00:12,136 This is a really nice room. 2 00:00:12,262 --> 00:00:14,263 Yeah, it sounds thick. Too bad he's not coming. 3 00:00:14,390 --> 00:00:16,808 Look, I talked to him myself. He'll be here. 4 00:00:16,934 --> 00:00:17,767 Right. 5 00:00:17,893 --> 00:00:19,977 You're the one who said that the song could use a horn part, 6 00:00:20,229 --> 00:00:23,022 - so I got the best, John Henry. - You think I'm stupid? 7 00:00:23,148 --> 00:00:25,149 Of course I do, but that's not the point. 8 00:00:26,151 --> 00:00:27,110 He'll be here, okay? 9 00:00:35,577 --> 00:00:36,953 Take a left up ahead. 10 00:00:37,079 --> 00:00:40,206 South Street? I canceled this gig. 11 00:00:40,457 --> 00:00:43,084 You said you didn't want to do any sessions for a while. 12 00:00:43,210 --> 00:00:45,878 For a while. I called her. I un-canceled it. 13 00:00:46,630 --> 00:00:49,632 - Are you up to it? - Let's find out. 14 00:00:53,095 --> 00:00:54,095 (SINGING) You lied to me 15 00:00:54,221 --> 00:00:58,015 John Henry's never gonna show up 16 00:00:58,142 --> 00:00:59,183 Will you stop? 17 00:00:59,309 --> 00:01:02,061 - It's been, like, two hours. - And we will keep waiting. 18 00:01:02,187 --> 00:01:04,397 I mean, you've heard this guy play, and you know what he does, 19 00:01:04,523 --> 00:01:06,023 so can you just shut up, Tommy? 20 00:01:08,861 --> 00:01:10,069 Oh, my God. 21 00:01:11,488 --> 00:01:12,864 Am I late? 22 00:01:22,249 --> 00:01:25,251 - You need to hear it again? - Nope. I get it. 23 00:01:25,419 --> 00:01:28,546 Let's try one. See what we get. Let's do it. 24 00:02:02,247 --> 00:02:03,664 John, you okay? 25 00:02:04,750 --> 00:02:07,335 - You okay? - I can't breathe. I can't breathe. 26 00:02:08,962 --> 00:02:12,215 Call an ambulance! Now! 27 00:03:00,180 --> 00:03:01,430 I want in. 28 00:03:03,350 --> 00:03:05,560 John Henry Giles, you a fan of his music? 29 00:03:05,686 --> 00:03:07,228 He's a musician? 30 00:03:08,146 --> 00:03:10,857 That paralysis thing, guy can't walk for two years, 31 00:03:10,983 --> 00:03:13,401 nobody knows why, it seems mildly interesting. 32 00:03:13,527 --> 00:03:14,944 Forget his paralysis. 33 00:03:15,070 --> 00:03:16,654 Tell that to the rest of his bowling team. 34 00:03:17,114 --> 00:03:18,781 As far as this hospital is concerned, 35 00:03:18,907 --> 00:03:21,158 this is a simple case of lobar pneumonia. Boring. 36 00:03:21,285 --> 00:03:24,787 But that not-walking thing. That could turn into something serious. 37 00:03:24,913 --> 00:03:28,124 Marty Hamilton is his primary physician out in California. 38 00:03:28,250 --> 00:03:29,417 He's dealing with the paralysis. 39 00:03:29,543 --> 00:03:32,336 Know all about it. Multiple treatments, multiple surgeries. 40 00:03:32,462 --> 00:03:33,796 He's making real progress. 41 00:03:33,922 --> 00:03:35,089 Fixed everything but the legs. 42 00:03:35,215 --> 00:03:37,425 Dr. Hamilton already called and asked for your team. 43 00:03:37,676 --> 00:03:41,137 And by team, I don't mean you. 44 00:03:41,263 --> 00:03:43,764 Like I always say, there's no "I" in team. 45 00:03:43,891 --> 00:03:45,808 There is a "me" though, if you jumble it up. 46 00:03:47,019 --> 00:03:48,978 Foreman did his residency with Hamilton. 47 00:03:49,104 --> 00:03:52,690 I know. I accidentally glanced at his resume before I hired him. 48 00:03:52,816 --> 00:03:54,275 He wants someone he can trust. 49 00:03:54,401 --> 00:03:56,235 He must've spoken to Foreman's parole officer. 50 00:03:56,361 --> 00:03:58,946 Someone who will stick to the pneumonia. 51 00:03:59,072 --> 00:04:02,158 John Henry's on an experimental protocol for the paralysis. 52 00:04:02,284 --> 00:04:04,410 I respect that. I'm not going to get in his way. 53 00:04:04,536 --> 00:04:08,456 - It's Foreman's case. - It's pneumonia. He can handle it. 54 00:04:08,582 --> 00:04:11,292 The guy's already paralyzed. How badly can he screw it up? 55 00:04:28,018 --> 00:04:30,019 So, what are his sats? 56 00:04:30,145 --> 00:04:31,938 Staying in the 90s on the nasal cannula. 57 00:04:32,064 --> 00:04:32,939 Coughing up much sputum? 58 00:04:33,065 --> 00:04:34,815 Almost none. He seems to be stabilized. 59 00:04:34,983 --> 00:04:36,525 Dr. House, is anything back from micro? 60 00:04:36,652 --> 00:04:39,111 Not yet. You gonna fire me? 61 00:04:39,237 --> 00:04:40,821 You can make up for it by washing my car. 62 00:04:40,948 --> 00:04:42,490 Oh, this is fun. 63 00:04:42,616 --> 00:04:44,825 Okay. Let's keep him on the broad-spectrum antibiotics. 64 00:04:44,952 --> 00:04:47,119 And since he's displaying septic physiology, 65 00:04:47,245 --> 00:04:50,247 draw blood for adrenal and thyroid function. 66 00:04:52,209 --> 00:04:53,834 What about the paralysis? 67 00:04:53,961 --> 00:04:55,086 We're sticking to the pneumonia. 68 00:04:55,212 --> 00:04:58,881 Well, you certainly are, boss, like a wet tongue sticks to dry ice. 69 00:04:59,007 --> 00:05:02,301 The paralysis has already been diagnosed by Dr. Hamilton. It's ALS. 70 00:05:02,427 --> 00:05:05,304 Lou Gehrig's disease. It's a lovely diagnosis. 71 00:05:05,430 --> 00:05:06,681 They make movies about it. 72 00:05:06,807 --> 00:05:09,809 No tests, no treatment, it's a disease of exclusion. 73 00:05:09,935 --> 00:05:11,894 Because Hamilton has excluded everything else. 74 00:05:12,020 --> 00:05:13,187 I haven't. 75 00:05:17,776 --> 00:05:18,693 What else could it be? 76 00:05:19,611 --> 00:05:21,529 Guillain-Barre, which would be reversible. 77 00:05:21,655 --> 00:05:22,655 Excellent. 78 00:05:22,781 --> 00:05:27,034 No. The progression of the paralysis would be symmetric. This wasn't. 79 00:05:27,160 --> 00:05:28,119 Transverse myelitis. 80 00:05:28,245 --> 00:05:29,412 Hamilton tested for it. Negative. 81 00:05:29,538 --> 00:05:31,247 And he was negative for masses and AVM. 82 00:05:31,373 --> 00:05:32,915 Antibodies could be attacking the nerves. 83 00:05:33,041 --> 00:05:34,291 Multifocal motor neuropathy. 84 00:05:34,418 --> 00:05:37,461 Uncommon, but it fits. It's also treatable. 85 00:05:37,587 --> 00:05:39,547 Did Hamilton try putting the guy on IVIg? 86 00:05:39,673 --> 00:05:41,048 No, because the MRI showed no... 87 00:05:41,174 --> 00:05:43,217 Well, let's do an MRI of our own. 88 00:05:46,680 --> 00:05:48,806 Guys, it's my case. 89 00:05:50,559 --> 00:05:52,935 ALS fits. It even predicts the pneumonia. 90 00:05:53,395 --> 00:05:56,605 - The paralysis is progressive. - It's a death sentence. 91 00:05:57,441 --> 00:05:59,275 That doesn't make it wrong. 92 00:06:17,753 --> 00:06:20,838 So you think the breathing stuff is connected to my ALS? 93 00:06:20,964 --> 00:06:22,506 It makes sense. 94 00:06:24,885 --> 00:06:26,594 So it's just gonna get worse, huh? 95 00:06:26,720 --> 00:06:28,763 - Well, Dr. Hamilton... - Great guy. 96 00:06:28,889 --> 00:06:32,516 Really smart doctor, and his treatment obviously isn't working. 97 00:06:34,603 --> 00:06:35,936 Do you think I'm going to die here, 98 00:06:36,063 --> 00:06:38,522 or you think I get to go back home first? 99 00:06:38,648 --> 00:06:40,274 An MRI would give us a better idea... 100 00:06:40,400 --> 00:06:42,651 An MRI, come on. For pneumonia? 101 00:06:42,778 --> 00:06:44,111 Well, Dr. House thinks we should test for... 102 00:06:44,237 --> 00:06:46,947 House? Yeah, I heard about him. 103 00:06:47,074 --> 00:06:48,032 Obsessive son of a bitch? 104 00:06:48,158 --> 00:06:49,533 (LAUGHS) That's him. 105 00:06:51,828 --> 00:06:54,830 So who do you think is right, Hamilton or House? 106 00:06:54,956 --> 00:06:57,333 Hey, they're both excellent physicians. 107 00:06:57,459 --> 00:06:58,918 Come on. 108 00:06:59,044 --> 00:07:03,380 One of them says ALS. The other one says not ALS. 109 00:07:03,507 --> 00:07:05,508 You got to pick one, son. 110 00:07:06,927 --> 00:07:08,969 Everything points to ALS. 111 00:07:09,930 --> 00:07:11,347 Then no MRI. 112 00:07:15,769 --> 00:07:17,937 And I want one of them papers that say 113 00:07:18,063 --> 00:07:20,106 I don't want nothing done if something go bad. 114 00:07:20,440 --> 00:07:22,108 A DNR? 115 00:07:22,567 --> 00:07:24,026 Mr. Giles, you don't want to rush into... 116 00:07:24,152 --> 00:07:28,114 It's been two years. I ain't rushing. I want to sign one. 117 00:07:30,117 --> 00:07:31,242 Now. 118 00:07:32,786 --> 00:07:35,037 While my arm still works. 119 00:08:00,105 --> 00:08:01,689 He signed a DNR. 120 00:08:05,152 --> 00:08:07,027 He rhymes with dinner? 121 00:08:07,946 --> 00:08:12,366 - He signed a DNR. - Oh. That makes more sense. 122 00:08:13,910 --> 00:08:15,911 You tell him it might not be ALS? 123 00:08:16,037 --> 00:08:17,204 No. 124 00:08:17,914 --> 00:08:20,166 Well, no wonder he signed. Who wouldn't? 125 00:08:20,292 --> 00:08:22,877 I started him on IV steroids and Synthroid. 126 00:08:23,003 --> 00:08:27,756 Great. If it was my case, I'd be adding a little IVIg to the mix. 127 00:08:27,883 --> 00:08:29,341 For his pneumonia? 128 00:08:29,467 --> 00:08:31,260 That's my story, and I'm sticking to it. 129 00:08:32,888 --> 00:08:35,806 He doesn't want anything done, no treatment. 130 00:08:36,016 --> 00:08:39,602 DNR means "do not resuscitate", not "do not treat". 131 00:08:40,854 --> 00:08:44,315 You do nothing, doesn't matter which one of us is right. 132 00:08:46,693 --> 00:08:48,527 And hang on to that DNR. 133 00:08:48,653 --> 00:08:51,071 That signature could be worth a lot of money real soon. 134 00:08:58,538 --> 00:09:01,874 This is Dr. Foreman. What's Mr. Giles's status? 135 00:09:02,000 --> 00:09:04,919 Okay. Increase the steroids to 100 milligrams every 12 hours 136 00:09:05,045 --> 00:09:08,505 and start him on IVIg. 137 00:09:08,632 --> 00:09:11,091 Yeah, yeah, I'm sure. One gram per kilo. 138 00:09:12,969 --> 00:09:15,346 My nature isn't what it used to be. 139 00:09:15,472 --> 00:09:18,098 The little man has lost some bounce in his step. 140 00:09:18,225 --> 00:09:21,602 He needs to crank it up, have himself some fun this weekend. 141 00:09:21,728 --> 00:09:23,312 He wants the blue pills. 142 00:09:24,272 --> 00:09:26,690 You're talking about your penis in the third person. 143 00:09:26,816 --> 00:09:29,902 - Me and him, two people. - Separate vacations? 144 00:09:30,445 --> 00:09:33,822 That'd be a drag for one of you. I don't think you need the pills. 145 00:09:33,949 --> 00:09:35,950 I think you have a conflict in medications. 146 00:09:36,201 --> 00:09:39,370 You need to up your insulin to chocolate-chip ice-cream levels. 147 00:09:39,955 --> 00:09:42,039 - Insulin? - Yeah, you remember. 148 00:09:42,165 --> 00:09:43,832 That's the stuff you take for the diabetes 149 00:09:43,959 --> 00:09:45,960 that you forgot to tell the nurse about. 150 00:09:46,544 --> 00:09:47,461 Your hands. 151 00:09:48,922 --> 00:09:51,632 No hair, which means nerve damage. 152 00:09:51,758 --> 00:09:54,051 And your shoes look about two sizes too small, 153 00:09:54,177 --> 00:09:56,595 which means you've lost sensation in your feet. 154 00:09:56,721 --> 00:09:58,514 And then there's your pants. 155 00:09:58,640 --> 00:10:00,266 My pants tell you I have diabetes? 156 00:10:00,392 --> 00:10:01,684 No. They tell me you're an idiot. 157 00:10:02,394 --> 00:10:05,354 Powdered sugar on the right pant leg. 158 00:10:05,480 --> 00:10:07,314 Based on the two napkins in your pocket, 159 00:10:07,524 --> 00:10:10,109 I'd be willing to bet it's not your first donut of the day. 160 00:10:18,743 --> 00:10:22,204 - You're giving me the pills? - Sure. Why not? 161 00:10:22,372 --> 00:10:26,667 If you've got heart disease from ignoring the diabetes, they'll kill you. 162 00:10:26,793 --> 00:10:29,211 Otherwise, you two have a fun weekend. 163 00:10:38,596 --> 00:10:40,514 - O2 sats are dropping. - Breath sounds? 164 00:10:40,640 --> 00:10:41,598 Junky. 165 00:10:41,725 --> 00:10:44,852 - Mucus plug? - Our mistake. Sludging from the IVIg. 166 00:10:44,978 --> 00:10:45,978 Blood can't get through to his lungs. 167 00:10:46,104 --> 00:10:47,563 Start heparin, 500 ccs IV push. 168 00:10:47,689 --> 00:10:49,148 He won't last long enough for it to work. 169 00:10:49,274 --> 00:10:50,858 We've got to intubate him stat. 170 00:10:51,568 --> 00:10:55,029 - We can't. He's DNR. - What? 171 00:11:03,455 --> 00:11:06,373 - Someone likes music. - Oh, yeah. 172 00:11:13,298 --> 00:11:14,923 His sats are in the 70s. How long's he been like this? 173 00:11:15,050 --> 00:11:16,300 - Ten minutes. - Well, why aren't you... 174 00:11:16,426 --> 00:11:18,218 The IVIg put him in respiratory failure. 175 00:11:18,345 --> 00:11:19,511 You put him on IVIg? 176 00:11:19,637 --> 00:11:22,848 - We did this. - So undo it. Chase? 177 00:11:22,974 --> 00:11:24,099 It's too late. We killed him. 178 00:11:24,225 --> 00:11:26,185 Nobody killed him. He's not dead. 179 00:11:26,311 --> 00:11:28,687 - Chase, intubate him. - He's DNR. 180 00:11:39,991 --> 00:11:41,367 What are you doing? 181 00:11:46,915 --> 00:11:48,540 You can't do this! 182 00:11:50,377 --> 00:11:52,836 - Bag. - You can't do this. 183 00:11:52,962 --> 00:11:54,296 Bag! 184 00:12:02,389 --> 00:12:06,058 He had a bad reaction to some medicine we gave him. 185 00:12:06,267 --> 00:12:10,562 - What did you just do? - He saved his life. 186 00:12:25,954 --> 00:12:28,664 He's stable on the ventilator, oxygenating well. 187 00:12:28,790 --> 00:12:30,541 The IVIg made him worse, 188 00:12:30,667 --> 00:12:34,086 which means multifocal motor neuropathy was a bad diagnosis. 189 00:12:34,212 --> 00:12:35,671 Okay, what's really wrong with him? 190 00:12:35,797 --> 00:12:36,964 What's wrong with you? 191 00:12:37,090 --> 00:12:38,173 Everyone knows what's wrong with me. 192 00:12:38,299 --> 00:12:39,967 What's wrong with him is much more interesting. 193 00:12:40,093 --> 00:12:42,219 You tubed him, and he didn't want to be tubed. 194 00:12:42,345 --> 00:12:44,346 He has a legal paper saying just that. 195 00:12:44,472 --> 00:12:47,641 To intubate or not to intubate, that is the big ethical question. 196 00:12:47,767 --> 00:12:49,143 Actually, I was hoping we could avoid it, 197 00:12:49,269 --> 00:12:50,352 maybe just practice some medicine. 198 00:12:50,478 --> 00:12:53,272 There is no question. It's the patient's decision. 199 00:12:53,398 --> 00:12:55,315 If the patient is competent to make it. 200 00:12:55,442 --> 00:12:57,818 If his thyroid numbers aren't making him sad. 201 00:12:57,944 --> 00:12:59,069 Oh, my God. You don't believe that. 202 00:12:59,195 --> 00:13:00,571 His thyroid levels were a little... 203 00:13:00,697 --> 00:13:03,157 It's nothing. Do not defend him! 204 00:13:03,283 --> 00:13:05,117 Why did he sign that DNR? 205 00:13:05,243 --> 00:13:06,076 I didn't talk him into... 206 00:13:06,202 --> 00:13:08,078 No. He signed the DNR 'cause he didn't 207 00:13:08,204 --> 00:13:10,080 want a slow, painful death from ALS. 208 00:13:10,206 --> 00:13:11,999 What was happening to him had nothing to do with his ALS. 209 00:13:12,125 --> 00:13:15,627 Right, exactly! It's the IVIg. You screwed up! 210 00:13:15,753 --> 00:13:18,046 You're not going to let him die because you screwed up. 211 00:13:19,215 --> 00:13:22,593 Technically, your case, you screwed up. 212 00:13:22,719 --> 00:13:25,596 Is that what this is about, looking bad in front of your old boss? 213 00:13:25,722 --> 00:13:27,139 You assaulted that man. 214 00:13:27,265 --> 00:13:29,183 - Fine, I'll never do it again. - Yes, you will. 215 00:13:29,309 --> 00:13:31,602 All the more reason this debate is pointless. 216 00:13:37,108 --> 00:13:40,194 His lungs are worse. Any theories? 217 00:13:41,279 --> 00:13:44,490 Oh, I'm sure he just went to the little boys' room. Come on, people. 218 00:13:45,533 --> 00:13:46,492 Vasculitis? 219 00:13:46,618 --> 00:13:48,118 Wouldn't likely hit both lungs. 220 00:13:48,244 --> 00:13:50,787 It could be Wegener's granulomatosis. 221 00:13:50,914 --> 00:13:52,080 Dr. House? 222 00:13:54,709 --> 00:13:57,127 Cuddy sent me a stripper again? 223 00:13:57,253 --> 00:13:59,046 Love that woman, so thoughtful. 224 00:14:00,173 --> 00:14:02,049 Sorry. 225 00:14:02,342 --> 00:14:03,884 There are case reports of Wegener's 226 00:14:04,010 --> 00:14:05,177 hitting both the lungs and the spine. 227 00:14:05,303 --> 00:14:08,597 Well, it's not great, but it's better than ALS. At least it's treatable. 228 00:14:08,723 --> 00:14:09,890 It's a restraining order. 229 00:14:10,016 --> 00:14:12,142 You're not to come within 50 feet of John Henry Giles, 230 00:14:12,268 --> 00:14:16,104 and they've asked the D.A. to file criminal charges for battery. 231 00:14:17,899 --> 00:14:22,152 - Cameron, test the blood for c-ANCA. - These are criminal charges. 232 00:14:22,278 --> 00:14:24,321 They're not going to let you take blood to make more tests. 233 00:14:24,447 --> 00:14:25,948 He has blood left in the lab. 234 00:14:26,074 --> 00:14:27,282 Just add on the c-ANCA. 235 00:14:27,408 --> 00:14:30,202 Foreman got you doing bronchoscopic suctioning for the pneumonia? 236 00:14:30,328 --> 00:14:31,161 Every four hours. 237 00:14:31,287 --> 00:14:33,622 Well, while you're down in his lungs, grab a biopsy. 238 00:14:33,748 --> 00:14:35,958 We'll need it to confirm Wegener's. 239 00:14:36,084 --> 00:14:37,834 And move the patient to the second-floor ICU. 240 00:14:37,961 --> 00:14:40,087 - Why? - It's right above the clinic. 241 00:14:40,213 --> 00:14:42,256 I'm pretty sure it's 50 feet in any direction. 242 00:14:43,383 --> 00:14:46,260 It's nice having a court order saying you don't have to work clinic duty. 243 00:15:03,361 --> 00:15:04,987 Dr. Cuddy! 244 00:15:05,446 --> 00:15:06,738 Excuse me. 245 00:15:08,074 --> 00:15:10,325 - You paged me. - Why the yelling? 246 00:15:10,618 --> 00:15:14,246 His bed is behind that wall, the plaintiff's. 247 00:15:14,372 --> 00:15:16,999 I can't, you know, come any closer. 248 00:15:18,209 --> 00:15:20,127 It's right over the clinic. Very cute. 249 00:15:20,253 --> 00:15:23,338 Can we get the lecture over with 'cause I've got to... 250 00:15:24,299 --> 00:15:26,842 Actually, I've got nothing to do. Take your time. 251 00:15:27,343 --> 00:15:28,510 You need a lawyer? 252 00:15:29,554 --> 00:15:31,972 You don't have a problem with what I did? 253 00:15:32,098 --> 00:15:34,516 When I hired you, I knew you were insane. 254 00:15:34,642 --> 00:15:38,020 I will continue to try and stop you from doing insane things, 255 00:15:38,146 --> 00:15:42,149 but once they're done, trying to convince an insane person 256 00:15:42,275 --> 00:15:45,152 not to do insane things is, in itself, insane, 257 00:15:45,278 --> 00:15:49,531 so when I hired you, I also set aside $50,000 a year for legal expenses. 258 00:15:50,742 --> 00:15:53,285 So far, you've come in under-budget. 259 00:15:53,411 --> 00:15:57,122 Great. Any chance you could help me run some tests? 260 00:15:58,166 --> 00:16:02,669 Dr. Foreman called Dr. Hamilton. He's flying in from LA. 261 00:16:02,795 --> 00:16:04,504 You can talk to him. 262 00:16:04,631 --> 00:16:10,260 Dr. Hamilton is flying in as a friend of John Henry's to pull the plug. 263 00:16:14,891 --> 00:16:17,559 Yeah. I need a lawyer. 264 00:16:22,899 --> 00:16:25,108 Your Honor, on behalf of Gregory House, 265 00:16:25,234 --> 00:16:27,611 we have convened an emergency session of this court 266 00:16:27,737 --> 00:16:32,032 to bring a motion requesting that John Henry Giles remain on life support. 267 00:16:32,158 --> 00:16:38,580 Mr. House faces criminal charges for battery against John Henry Giles. 268 00:16:39,791 --> 00:16:41,667 You beat up a guy in a wheelchair? 269 00:16:41,793 --> 00:16:45,087 Dr. House is alleged to have forced a tube 270 00:16:45,213 --> 00:16:48,048 down Mr. Giles's throat against his will. 271 00:16:48,299 --> 00:16:50,884 A medical tube, saving his life. 272 00:16:51,010 --> 00:16:54,221 Dr. House, please let your attorney speak for you. 273 00:16:56,641 --> 00:16:58,892 I'm sorry, Your Honor, I was way out of line. 274 00:17:01,229 --> 00:17:05,190 So, your client forced the patient into this position, 275 00:17:05,566 --> 00:17:10,529 and now he wants a court order to force the patient to stay that way. 276 00:17:10,655 --> 00:17:14,324 Without the tube, there's a high likelihood that Mr. Giles will die. 277 00:17:14,450 --> 00:17:17,744 Well, I assume the patient knows that. He had a DNR. 278 00:17:17,870 --> 00:17:20,914 That's why your client is facing criminal charges, right? 279 00:17:21,040 --> 00:17:23,709 Exactly. And Mr. Giles's death 280 00:17:23,835 --> 00:17:26,670 will violate my client's Sixth Amendment right. 281 00:17:26,963 --> 00:17:31,591 His right to face his accuser. That's clever, huh? 282 00:17:31,718 --> 00:17:35,220 Your Honor, in Commonwealth of Pennsylvania v. Hoselton, 283 00:17:35,346 --> 00:17:37,514 the Third District ruled that a defendant 284 00:17:37,640 --> 00:17:39,725 may not use that status to rule against a felony charge. 285 00:17:40,935 --> 00:17:43,061 Why are you doing this? It's not gonna keep you out of jail. 286 00:17:43,187 --> 00:17:44,146 No. 287 00:17:44,272 --> 00:17:46,148 Even if you win, the restraining order 288 00:17:46,274 --> 00:17:49,317 and battery charge stay in place, so what have you gained? 289 00:17:49,444 --> 00:17:50,360 Time. 290 00:17:51,571 --> 00:17:53,238 To diagnose him? You can't get near him. 291 00:17:53,364 --> 00:17:54,489 I don't want to be near him. 292 00:17:55,450 --> 00:17:58,034 Well, some doctors have the messiah complex. 293 00:17:58,161 --> 00:17:59,619 They need to save the world. 294 00:17:59,746 --> 00:18:01,830 You've got the Rubik's complex. 295 00:18:01,956 --> 00:18:03,123 You need to solve the puzzle. 296 00:18:03,249 --> 00:18:07,127 Are you done, or do you have more references to 1980s fads? 297 00:18:07,253 --> 00:18:08,253 I'm trying to listen to this. 298 00:18:09,672 --> 00:18:11,715 That DNR may not be valid. 299 00:18:11,841 --> 00:18:13,717 The patient was suffering from depression, 300 00:18:13,843 --> 00:18:15,635 brought on by a thyroid imbalance. 301 00:18:15,762 --> 00:18:22,309 The DNR order was witnessed by Dr. House's own staff, Dr. Foreman. 302 00:18:22,435 --> 00:18:24,227 My staff are idiots. 303 00:18:24,353 --> 00:18:25,937 I'm sure you know what it's like, Your Honor. 304 00:18:26,063 --> 00:18:27,522 Sit down. 305 00:18:31,360 --> 00:18:34,905 The validity of the DNR is a question of fact. 306 00:18:35,031 --> 00:18:36,823 Dr. House should have the opportunity 307 00:18:36,949 --> 00:18:38,909 to make his argument at a full trial. 308 00:18:39,035 --> 00:18:40,911 And this poor guy has got to stay 309 00:18:41,037 --> 00:18:43,747 on life support until we can schedule a trial. 310 00:18:43,873 --> 00:18:44,873 Your Honor. 311 00:18:44,999 --> 00:18:45,957 Dr. House, 312 00:18:46,083 --> 00:18:50,212 I will hold you in contempt if you don't sit down. 313 00:18:50,338 --> 00:18:51,505 I have a medical issue. 314 00:18:51,631 --> 00:18:52,923 If it pertains to this case, your attorney... 315 00:18:53,049 --> 00:18:54,508 It doesn't. 316 00:18:56,052 --> 00:18:58,845 Do you have any history of heart disease in your family? 317 00:18:58,971 --> 00:18:59,971 Your Honor! 318 00:19:00,097 --> 00:19:01,056 Your fingers. 319 00:19:01,182 --> 00:19:04,935 They show signs of clubbing, which indicates a heart problem. 320 00:19:05,061 --> 00:19:06,895 Remember Bart Giamatti? 321 00:19:07,021 --> 00:19:08,897 Same thing, just dropped dead one day. 322 00:19:09,023 --> 00:19:10,690 Please see your doctor. 323 00:19:10,817 --> 00:19:12,859 He's admitted this isn't relevant. 324 00:19:12,985 --> 00:19:15,570 Can we get back to the motion? 325 00:19:15,696 --> 00:19:17,531 Of course. I'm sorry. 326 00:19:17,657 --> 00:19:19,449 Your Honor, 327 00:19:19,575 --> 00:19:23,203 a person's right to control the treatment of their own body 328 00:19:23,329 --> 00:19:26,081 is fundamental to understanding this case. 329 00:19:26,207 --> 00:19:30,043 A long line of cases, both federal and state, stand to... 330 00:19:30,711 --> 00:19:33,880 Congratulations. Impressive legal argument. 331 00:19:34,006 --> 00:19:35,257 I watched Matlock last night. 332 00:19:35,383 --> 00:19:36,591 Say no more. 333 00:19:36,717 --> 00:19:38,552 I didn't notice any clubbing on the judge's fingers. 334 00:19:38,678 --> 00:19:40,095 Neither did I. 335 00:19:40,221 --> 00:19:42,097 So the family history thing... 336 00:19:42,223 --> 00:19:44,808 Every family has some history of heart disease. 337 00:19:44,934 --> 00:19:46,601 And mental illness. 338 00:19:50,064 --> 00:19:52,274 Biopsy only shows inflammation. 339 00:19:53,067 --> 00:19:54,651 Start him on Cytoxan. 340 00:19:54,777 --> 00:19:56,987 You're diagnosing Wegener's based on a little inflammation? 341 00:19:57,363 --> 00:20:00,115 Well, unfortunately, I think we've exhausted all the tests we can do 342 00:20:00,241 --> 00:20:03,118 in our capacity as the doctors that he doesn't want doing tests on him. 343 00:20:03,244 --> 00:20:04,077 But you don't... 344 00:20:04,203 --> 00:20:05,120 We'll know I'm right if he starts walking. 345 00:20:05,246 --> 00:20:07,622 We can't do any more tests, but you want me to treat him? 346 00:20:07,748 --> 00:20:09,165 Medicine's in the pharmacy. 347 00:20:09,292 --> 00:20:11,042 Patient's immobilized in the ICU. 348 00:20:11,168 --> 00:20:13,795 Sounds like a simple geography problem. 349 00:20:14,881 --> 00:20:16,047 Are you asking us to jeopardize 350 00:20:16,173 --> 00:20:18,091 our medical licenses for this treatment? 351 00:20:44,201 --> 00:20:45,911 Can I help you? 352 00:20:47,121 --> 00:20:48,538 I'm Dr. House. 353 00:20:48,664 --> 00:20:51,124 Greg, right? I'm Marty Hamilton, John Henry's doctor. 354 00:20:54,170 --> 00:20:55,795 We should talk. 355 00:20:59,467 --> 00:21:01,885 Appreciate any list of medications, anything like that. 356 00:21:02,011 --> 00:21:04,012 I've started him on Cytoxan. 357 00:21:05,097 --> 00:21:07,015 For Wegener's, right? 358 00:21:07,141 --> 00:21:08,350 Look, Greg. 359 00:21:09,185 --> 00:21:11,311 I checked you out, you know? 360 00:21:11,437 --> 00:21:13,021 I know you're a good doctor, 361 00:21:13,147 --> 00:21:15,273 and you have to appreciate that I'm a good doctor, too. 362 00:21:15,399 --> 00:21:16,524 Why? 363 00:21:16,651 --> 00:21:18,818 Wegener's is one of the first things I looked for. 364 00:21:18,945 --> 00:21:21,279 The biopsy and the blood test were negative, just like yours. 365 00:21:21,405 --> 00:21:23,823 There's an error rate, Marty. 366 00:21:23,950 --> 00:21:26,201 And there's a time to let go. 367 00:21:26,661 --> 00:21:28,203 Look, I'm gonna take him off the ventilator, 368 00:21:28,329 --> 00:21:30,038 and John Henry's going to die. 369 00:21:30,164 --> 00:21:31,414 He's accepted that. 370 00:21:31,540 --> 00:21:32,666 Dr. Hamilton. 371 00:21:33,626 --> 00:21:34,876 - Hey. - Hey. 372 00:21:35,002 --> 00:21:37,045 - Hey, how you doing? - How you doing? 373 00:21:37,171 --> 00:21:38,672 Listen, Dr. Hamilton, I'm sorry. 374 00:21:38,798 --> 00:21:40,006 I should have never put your patient on IVIg. 375 00:21:40,132 --> 00:21:41,383 It's not your fault, Eric. 376 00:21:41,509 --> 00:21:44,177 No, it's mine, Eric. 377 00:21:44,303 --> 00:21:45,804 That's not what I said. 378 00:21:45,930 --> 00:21:47,263 Everybody asks about you out in LA. 379 00:21:47,390 --> 00:21:48,890 How's the old place doing? 380 00:21:49,016 --> 00:21:52,727 Oh, this is wonderful, but before you guys break out the oil, 381 00:21:52,853 --> 00:21:54,145 I should point out that you can't 382 00:21:54,271 --> 00:21:56,106 pull the plug. I have a court order. 383 00:21:57,358 --> 00:21:58,692 You used to, but... 384 00:21:58,818 --> 00:22:01,403 I have the right to face my accuser. Judge said so. 385 00:22:01,529 --> 00:22:03,238 Not if no one's accusing you. 386 00:22:03,364 --> 00:22:05,240 All the charges have been dropped. 387 00:22:12,540 --> 00:22:14,457 He doesn't have to die. 388 00:22:17,753 --> 00:22:19,170 It's not Wegener's. 389 00:22:34,228 --> 00:22:37,897 If it's Wegener's, his lungs won't be able to handle it. 390 00:22:38,024 --> 00:22:40,525 Soon as they pull that plug, he'll die. 391 00:22:40,651 --> 00:22:43,528 That's why they call it "pulling the plug". 392 00:23:04,258 --> 00:23:06,217 I'm gonna miss you. 393 00:23:43,839 --> 00:23:46,883 - He's still breathing. - His O2 sats are holding. 394 00:23:52,223 --> 00:23:55,183 - He's holding his own. - He's still breathing. 395 00:23:56,477 --> 00:23:57,894 It's not Wegener's. 396 00:24:05,903 --> 00:24:07,195 Wrong again. 397 00:24:12,660 --> 00:24:15,453 He's stable, but one of his arms is now paralyzed. 398 00:24:15,579 --> 00:24:18,665 The real question is, why is he still alive? 399 00:24:18,791 --> 00:24:20,959 Do you think he's just being stubborn? 400 00:24:21,085 --> 00:24:23,795 He's alive because you were wrong. It's not Wegener's. 401 00:24:23,921 --> 00:24:25,922 Yeah. Seem to be doing that a lot lately. 402 00:24:26,048 --> 00:24:28,007 People keep living because of my mistakes. 403 00:24:28,134 --> 00:24:29,592 Progression of the paralysis pretty much 404 00:24:29,718 --> 00:24:31,344 confirmed Hamilton was right. It's ALS. 405 00:24:31,470 --> 00:24:33,680 Assuming this is a progression of his paralysis. 406 00:24:33,806 --> 00:24:35,056 He can't move his arm. 407 00:24:35,182 --> 00:24:38,143 Yes, his arm is paralyzed. Yes, his legs are paralyzed. 408 00:24:38,269 --> 00:24:41,855 Why is everyone so gung ho to connect those two conditions? 409 00:24:41,981 --> 00:24:44,649 You can think I'm wrong, but that's no reason to stop thinking. 410 00:24:44,775 --> 00:24:46,901 How about this one? He's not our patient. 411 00:24:47,027 --> 00:24:48,570 Nope. Not good enough. 412 00:24:48,696 --> 00:24:50,989 He could've suffered a stroke when he was intubated. 413 00:24:51,574 --> 00:24:53,616 Well, blood clots are common in paralyzed patients. 414 00:24:53,742 --> 00:24:54,951 The inactivity causes... 415 00:24:55,077 --> 00:24:56,202 Not interested in why. 416 00:24:56,328 --> 00:24:58,997 Let's get an MR angiogram, check for an embolic stroke. 417 00:24:59,123 --> 00:25:00,081 He doesn't want you treating him. 418 00:25:00,207 --> 00:25:01,332 They dropped the court order. 419 00:25:01,458 --> 00:25:03,585 Yeah, and that girl dropped the charges against Kobe, 420 00:25:03,711 --> 00:25:06,045 doesn't mean he should call her and see if she's free to get a sundae. 421 00:25:06,172 --> 00:25:09,257 Good point. But I can go within 50 feet of him now. 422 00:25:16,098 --> 00:25:17,974 If you need, have them page me, anytime. 423 00:25:18,100 --> 00:25:19,142 Okay. 424 00:25:36,243 --> 00:25:37,994 Get out of here. 425 00:25:38,120 --> 00:25:42,790 Sure. That makes sense. You hate me for saving your life. 426 00:25:43,125 --> 00:25:44,500 Well, in fairness to your side, 427 00:25:44,627 --> 00:25:45,919 you were also dying because of me, so... 428 00:25:46,045 --> 00:25:47,629 You knew I didn't want to be saved. 429 00:25:47,755 --> 00:25:49,047 That's what's interesting. 430 00:25:49,173 --> 00:25:52,675 Your thyroid was low, but not enough to cause depression. 431 00:25:53,093 --> 00:25:55,178 So you came here to tell me that even if I can't walk, 432 00:25:55,304 --> 00:25:57,889 I can still hear the birds sing, 433 00:25:58,015 --> 00:26:00,808 enjoy a rainbow, the feeling of sunshine on my face. 434 00:26:02,269 --> 00:26:04,062 Those things are fun. 435 00:26:05,314 --> 00:26:07,148 Okay. Life sucks. 436 00:26:08,067 --> 00:26:10,360 Your life sucks more than most. 437 00:26:10,486 --> 00:26:14,113 It's not as bad as some, which is depressing all by itself, 438 00:26:15,324 --> 00:26:16,950 but do me a favor. 439 00:26:18,077 --> 00:26:21,037 Just let me find out what's wrong with you. 440 00:26:21,413 --> 00:26:24,123 Then if you still want to kill yourself, 441 00:26:26,877 --> 00:26:30,004 I'll give you a hand. That sound fair? 442 00:26:30,130 --> 00:26:31,089 Yeah. Sure. 443 00:26:32,132 --> 00:26:35,093 I'll stick around to indulge your obsession. 444 00:26:35,844 --> 00:26:38,221 It's over. I lost my air. 445 00:26:39,390 --> 00:26:41,099 The session the other night with those kids, 446 00:26:41,225 --> 00:26:43,559 that was a test to see if I could still play. 447 00:26:44,103 --> 00:26:45,228 I can't. 448 00:26:45,646 --> 00:26:48,189 And that's all you are, a musician? 449 00:26:49,108 --> 00:26:54,904 - I got one thing, same as you. - Really? 450 00:26:55,030 --> 00:26:57,907 Well, apparently, you know me better than I know you. 451 00:26:58,033 --> 00:27:02,078 I know that limp. I know the empty ring finger. 452 00:27:02,621 --> 00:27:06,207 And that obsessive nature of yours, that's a big secret. 453 00:27:07,001 --> 00:27:09,168 You don't risk jail and your career 454 00:27:09,295 --> 00:27:11,129 to save somebody who doesn't want to be saved 455 00:27:11,255 --> 00:27:14,924 unless you got something, anything, one thing. 456 00:27:15,843 --> 00:27:20,805 The reason normal people got wives and kids and hobbies, whatever, 457 00:27:21,515 --> 00:27:24,058 that's because they ain't got that one thing that, 458 00:27:24,184 --> 00:27:27,145 that hits them that hard and that true. 459 00:27:27,271 --> 00:27:29,897 I got music. You got this. 460 00:27:30,024 --> 00:27:31,733 The thing you think about all the time, 461 00:27:31,859 --> 00:27:33,901 thing that keeps you south of normal. 462 00:27:34,153 --> 00:27:37,947 Yeah. Makes us great. Makes us the best. 463 00:27:38,073 --> 00:27:40,616 All we miss out on is everything else. 464 00:27:41,702 --> 00:27:45,455 Little woman waiting at home after work with the drink and the kiss. 465 00:27:45,581 --> 00:27:50,460 - That ain't gonna happen for us. - That's why God made microwaves. 466 00:27:51,253 --> 00:27:52,962 Yeah. 467 00:27:53,088 --> 00:27:57,967 But when it's over, it's over. 468 00:28:02,973 --> 00:28:03,890 Yeah. 469 00:28:21,700 --> 00:28:22,909 What are you doing? 470 00:28:24,953 --> 00:28:26,204 It's not over for me. 471 00:28:26,330 --> 00:28:30,208 Either you're gonna call the cops again, or we're doing this. 472 00:28:30,334 --> 00:28:33,836 You want to die, you can do it just as easily inside an MRI machine. 473 00:28:38,717 --> 00:28:39,842 That's another nice place. 474 00:28:39,968 --> 00:28:41,010 Exactly. 475 00:28:42,346 --> 00:28:45,932 So when I go back to LA, I'm doing the Dana lectures again this year. 476 00:28:46,058 --> 00:28:48,184 - Wow. - Thank you. 477 00:28:48,310 --> 00:28:49,394 Thanks. That's quite an honor. 478 00:28:49,520 --> 00:28:52,522 - It's all political. - Don't be modest. You've earned it. 479 00:28:53,023 --> 00:28:55,108 I got lucky on a couple studies I was doing. 480 00:28:55,234 --> 00:28:56,859 It all sells tickets. 481 00:28:56,985 --> 00:28:58,361 You remember last year's lectures, don't you? 482 00:28:58,487 --> 00:29:00,363 I remember the cigar bar afterwards. 483 00:29:00,489 --> 00:29:02,740 The only reason to attend the thing, cigars and pool. 484 00:29:06,453 --> 00:29:08,246 You enjoy working with Dr. House? 485 00:29:10,541 --> 00:29:11,958 Not the word I'd use. 486 00:29:12,835 --> 00:29:16,087 We work too hard not to enjoy ourselves, right? 487 00:29:17,631 --> 00:29:19,966 - You seeing anybody? - Kind of, sort of. 488 00:29:20,092 --> 00:29:23,511 - Serious? - I don't know. It could be. 489 00:29:23,637 --> 00:29:25,763 You think she'd enjoy LA? 490 00:29:43,824 --> 00:29:46,033 Hamilton offered me a job. 491 00:29:46,160 --> 00:29:48,286 - You gonna take it? - I haven't decided. 492 00:29:48,412 --> 00:29:49,954 You already have the most prestigious fellowship. 493 00:29:50,080 --> 00:29:51,706 It's a partnership. 494 00:29:51,832 --> 00:29:55,835 Three times the money, car allowance, moving expense, pension plan, 495 00:29:55,961 --> 00:29:58,629 the chance to work for a guy who gives a crap what other people think. 496 00:29:58,755 --> 00:30:00,923 So why didn't you just tell him yes? 497 00:30:01,049 --> 00:30:03,926 - I made a commitment here. - Right. 498 00:30:04,052 --> 00:30:06,053 House would let you out of it in a heartbeat. 499 00:30:06,180 --> 00:30:07,889 Or he wouldn't, just to jerk me around. 500 00:30:08,849 --> 00:30:10,516 Would you guys have taken the job? 501 00:30:10,642 --> 00:30:11,601 Don't need the money. 502 00:30:11,727 --> 00:30:14,187 I'm not like you. I don't hate House. 503 00:30:14,313 --> 00:30:17,148 You guys really don't have a problem with him, with what he did? 504 00:30:17,274 --> 00:30:19,066 He knows we disagree with his choice. 505 00:30:19,193 --> 00:30:21,444 Choice? Chase, it's not apples and oranges. 506 00:30:21,570 --> 00:30:22,737 It's right and wrong. 507 00:30:22,863 --> 00:30:24,322 And he does it like he doesn't care. 508 00:30:24,448 --> 00:30:26,073 He assaults the guy and moves on 509 00:30:26,200 --> 00:30:27,325 to the next differential diagnosis like it's... 510 00:30:27,451 --> 00:30:28,784 What do you want from him? 511 00:30:28,911 --> 00:30:30,286 More hand-wringing, more torment? 512 00:30:30,412 --> 00:30:31,954 You want him to cry himself to sleep at night? 513 00:30:32,080 --> 00:30:35,374 Yeah! Yeah, I want some clue that he knows it's a big deal. 514 00:30:35,501 --> 00:30:37,627 That it scares him, that it matters. 515 00:30:37,753 --> 00:30:38,711 Whoa! 516 00:30:39,087 --> 00:30:40,213 What was that? 517 00:30:42,049 --> 00:30:43,466 It was a stroke. 518 00:30:44,843 --> 00:30:47,220 - Well done, Cameron. - House called it. 519 00:30:47,346 --> 00:30:49,180 The arm and legs are unrelated. 520 00:30:49,848 --> 00:30:52,058 You make enough calls, one of them is bound to be right. 521 00:30:52,184 --> 00:30:55,228 Yeah. He's just a lucky, lucky guy. 522 00:30:55,354 --> 00:31:00,191 Listen, listen. I just think it wouldn't hurt him to learn a little humility. 523 00:31:00,776 --> 00:31:02,610 So what's the verdict? 524 00:31:03,445 --> 00:31:06,572 Embolus. The arm problem was caused by a clot. 525 00:31:06,698 --> 00:31:09,242 There's a good chance we can still bust the clot with tPA. 526 00:31:09,952 --> 00:31:12,620 Do it. See what happens to his arm. 527 00:31:22,464 --> 00:31:25,049 We found a blood clot in your brain. 528 00:31:25,175 --> 00:31:28,261 We'd like to start you on heparin. It's a blood thinner. 529 00:31:28,387 --> 00:31:29,637 What are the side effects? 530 00:31:30,389 --> 00:31:33,140 Well, your lungs are kind of chewed up from the pneumonia. 531 00:31:33,267 --> 00:31:34,767 Good chance there'll be an effusion. 532 00:31:35,060 --> 00:31:37,645 - Bleeding? - Into his lungs. 533 00:31:37,771 --> 00:31:40,273 It's our best chance to give you back the use of your arm. 534 00:31:40,399 --> 00:31:42,066 I don't need my arm without my air. 535 00:31:42,234 --> 00:31:44,026 The damage would likely be minimal. 536 00:31:44,152 --> 00:31:45,528 No. 537 00:31:47,864 --> 00:31:49,282 It's his call. 538 00:31:51,493 --> 00:31:53,786 Or we could do an embolectomy. 539 00:31:53,912 --> 00:31:55,997 Basically, we go in and pull the clot out. 540 00:31:56,623 --> 00:32:00,167 He's saying no to drugs, and you're recommending brain surgery? 541 00:32:00,294 --> 00:32:02,253 Bypasses the risk to the lungs. 542 00:32:02,379 --> 00:32:03,462 It'll either help your arm, or... 543 00:32:03,589 --> 00:32:05,047 It'll kill me. 544 00:32:05,173 --> 00:32:07,842 From your point of view, it's a win-win. 545 00:32:09,553 --> 00:32:10,720 Okay. 546 00:32:11,346 --> 00:32:13,264 We'll set up the procedure for today. 547 00:32:25,068 --> 00:32:27,528 We're in your carotid artery. 548 00:32:27,654 --> 00:32:31,407 This is gonna take us all the way up into your brain. 549 00:32:31,533 --> 00:32:33,159 You all right? 550 00:32:33,827 --> 00:32:34,952 Yes. 551 00:32:42,127 --> 00:32:44,253 The sludge is blocking the blood flow to 552 00:32:44,379 --> 00:32:46,756 the part of the brain that controls your arm. 553 00:32:55,849 --> 00:32:58,601 All done. You still okay? 554 00:33:00,729 --> 00:33:01,896 I think so. 555 00:33:03,023 --> 00:33:04,732 I don't know. I guess... 556 00:33:04,858 --> 00:33:06,442 It's just with Dr. Hamilton here, 557 00:33:06,568 --> 00:33:08,653 I noticed a difference in styles. 558 00:33:09,488 --> 00:33:11,697 His style involves humility? 559 00:33:13,158 --> 00:33:15,242 Another difference in our styles, 560 00:33:15,369 --> 00:33:18,454 I don't care much for apologies. You can go. 561 00:33:18,580 --> 00:33:20,873 I didn't know you were standing there when I said that, okay? 562 00:33:20,999 --> 00:33:22,291 It was completely rude. 563 00:33:22,417 --> 00:33:24,043 Do you mean genuine humility, 564 00:33:24,169 --> 00:33:26,754 you know, all the self-doubt and the self-questioning, 565 00:33:26,880 --> 00:33:30,633 or Hamilton's polite, patronizing, aw-shucks humility? 566 00:33:30,759 --> 00:33:31,801 You're both excellent doctors. 567 00:33:31,927 --> 00:33:32,885 Thank you. 568 00:33:33,011 --> 00:33:34,845 And humility is an important quality, 569 00:33:35,764 --> 00:33:37,139 especially if you're wrong a lot. 570 00:33:37,265 --> 00:33:39,934 You've been wrong every step of the way. 571 00:33:44,439 --> 00:33:49,443 'Course, when you're right, self-doubt doesn't help anybody, does it? 572 00:33:55,867 --> 00:33:57,493 We got to go. 573 00:34:05,085 --> 00:34:06,377 Congratulations, Greg. 574 00:34:07,963 --> 00:34:10,673 Congratulations. Why, Marty? 575 00:34:10,799 --> 00:34:13,050 John woke up. He can use his arm. 576 00:34:13,969 --> 00:34:15,219 Thank you. 577 00:34:15,345 --> 00:34:17,138 Now, look, I know we've had our differences, 578 00:34:17,264 --> 00:34:19,014 but I think when a person does something well, 579 00:34:19,141 --> 00:34:21,183 it ought to be recognized. 580 00:34:21,309 --> 00:34:23,018 The phone works. 581 00:34:23,145 --> 00:34:24,145 Next time you want to make me feel 582 00:34:24,271 --> 00:34:25,938 all warm and fuzzy, leave a message. 583 00:34:26,773 --> 00:34:29,108 Don't get me wrong. I'm overcome with joy. 584 00:34:29,484 --> 00:34:30,985 - Doc. - Yeah. 585 00:34:31,111 --> 00:34:34,071 - What? - You just touched my leg. 586 00:34:34,906 --> 00:34:37,616 What, are you gonna charge me with assault again? 587 00:34:37,743 --> 00:34:38,784 No. 588 00:34:39,995 --> 00:34:41,454 I felt it. 589 00:34:51,548 --> 00:34:53,966 He now has feeling all the way up to the calf. 590 00:34:54,092 --> 00:34:56,927 This is the way medicine evolved. 591 00:34:57,053 --> 00:34:58,721 Patients sometimes get better. 592 00:34:58,847 --> 00:35:02,224 You have no idea why, but unless you give a reason, they won't pay you. 593 00:35:02,350 --> 00:35:04,268 Anybody notice if there's a full moon? 594 00:35:04,394 --> 00:35:06,395 You're saying he just spontaneously got better? 595 00:35:06,521 --> 00:35:08,981 No, I'm saying let's rule out the lunar god and go from there. 596 00:35:09,107 --> 00:35:11,108 Something he's on is working. 597 00:35:11,234 --> 00:35:14,278 The enzyme replacement protocol is working, reversing the ALS. 598 00:35:14,404 --> 00:35:16,739 The timing doesn't seem suspicious to you? 599 00:35:16,865 --> 00:35:18,699 Do you think Dr. House will see it that way, 600 00:35:18,825 --> 00:35:20,618 figure it's his medication doing the job? 601 00:35:20,744 --> 00:35:22,161 I'm sure he will. 602 00:35:22,287 --> 00:35:23,412 It's one of ours. 603 00:35:23,538 --> 00:35:25,539 How do we figure out which drug is doing the trick? 604 00:35:25,665 --> 00:35:27,792 Easy. We just stop all of them. 605 00:35:27,918 --> 00:35:29,001 One of those drugs is helping him. 606 00:35:29,127 --> 00:35:32,004 And the rest, steroids, antibiotics, 607 00:35:32,130 --> 00:35:33,672 anti-inflammatories, they're toxic. 608 00:35:33,799 --> 00:35:34,757 If we leave him on all of them... 609 00:35:34,883 --> 00:35:35,841 He'll walk again. 610 00:35:35,967 --> 00:35:36,967 Yeah, to his own funeral. 611 00:35:37,093 --> 00:35:38,594 But if we stop everything, he'll get worse. 612 00:35:38,720 --> 00:35:41,138 True. Then we'll add our medications back one at a time. 613 00:35:41,264 --> 00:35:42,973 When he gets better, then we'll have our answer. 614 00:35:43,099 --> 00:35:46,852 - And if he doesn't get better? - Then we're in trouble. 615 00:35:46,978 --> 00:35:51,816 Not as much as he is, but I suppose that was your point. 616 00:35:54,069 --> 00:35:56,028 I assume you want me to convince Hamilton 617 00:35:56,154 --> 00:35:57,196 to stop his treatments, too. 618 00:35:57,322 --> 00:35:58,531 Don't care. 619 00:35:58,657 --> 00:36:01,325 You know at least five of the medications are part of his protocol. 620 00:36:01,451 --> 00:36:04,119 If his stuff was helping, the guy would be playing tennis months ago. 621 00:36:04,454 --> 00:36:06,705 It's our round of treatment that's helping. 622 00:36:06,832 --> 00:36:09,124 Right. So that's what you'll stop. 623 00:36:10,001 --> 00:36:12,378 It shouldn't be more than 15 to 20 minutes. 624 00:36:12,504 --> 00:36:13,796 So your philosophy is, 625 00:36:13,922 --> 00:36:16,090 if they don't want treatment, they get it shoved down their throat, 626 00:36:16,216 --> 00:36:19,218 but if it might cure their paralysis, whoa, better slow down. 627 00:36:19,344 --> 00:36:20,469 Yeah. 628 00:36:20,595 --> 00:36:23,848 My old philosophy used to be live and let live, 629 00:36:23,974 --> 00:36:25,933 but I'm taking this needlepoint class, 630 00:36:26,059 --> 00:36:28,143 and they gave us these really big pillows. 631 00:36:28,270 --> 00:36:30,020 What's your philosophy on employee relations? 632 00:36:30,146 --> 00:36:32,064 That's a very tiny pillow. 633 00:36:32,190 --> 00:36:33,941 Great. It sounds like you know what you're doing. 634 00:36:35,569 --> 00:36:37,736 Greg, can I have a word? 635 00:36:37,863 --> 00:36:40,698 Can it wait for the commercial, Marty? 636 00:36:40,824 --> 00:36:42,867 Say hi to my friend Jimmy. 637 00:36:44,035 --> 00:36:45,160 Pleasure. 638 00:36:46,204 --> 00:36:48,122 Your diagnostic trial. 639 00:36:48,248 --> 00:36:50,499 Seriously, commercial's in about five minutes. 640 00:36:50,625 --> 00:36:51,709 That's a dangerous game. 641 00:36:51,835 --> 00:36:53,377 Only if we're watching in the bathtub. 642 00:36:54,129 --> 00:36:57,214 I need to know exactly what medications you were giving John Henry. 643 00:36:57,340 --> 00:36:58,465 Forget it. 644 00:36:58,592 --> 00:37:00,843 And if Foreman tells you what John Henry used to be on... 645 00:37:00,969 --> 00:37:03,721 - You're gonna fire him? - Nope. 646 00:37:03,847 --> 00:37:06,181 I'll make him live out every day of his two-year contract. 647 00:37:06,308 --> 00:37:07,933 - Foreman asked to leave? - Not yet. 648 00:37:08,059 --> 00:37:11,687 - But how do you know I made him... - You're a polite twit, not an idiot. 649 00:37:12,606 --> 00:37:16,317 I need to know what medications you've taken him off of. 650 00:37:18,737 --> 00:37:21,155 Wait a second. You're not an idiot. 651 00:37:24,784 --> 00:37:28,954 You need to know what medications I've stopped because... 652 00:37:31,958 --> 00:37:33,667 He's getting worse. 653 00:37:38,757 --> 00:37:41,550 Right now you still work for me. Come on. 654 00:37:43,637 --> 00:37:45,512 No feeling, no wiggling. 655 00:37:45,639 --> 00:37:47,723 Bad news is John Henry's back where he started. 656 00:37:47,849 --> 00:37:49,600 Good news is Hamilton looks bad. 657 00:37:49,726 --> 00:37:50,768 Yeah, it's not whether you win or lose. 658 00:37:50,936 --> 00:37:52,269 It's whether the other guy loses. 659 00:37:52,395 --> 00:37:53,771 What was the first thing we put him on? 660 00:37:53,897 --> 00:37:54,939 Steroids, for the pneumonia. 661 00:37:55,065 --> 00:37:57,858 Well, put him back on them. Give him 24 hours. See what happens. 662 00:37:57,984 --> 00:37:59,401 His lungs aren't great. 663 00:37:59,527 --> 00:38:00,986 They might cause another respiratory collapse. 664 00:38:01,112 --> 00:38:01,946 I sure hope not. 665 00:38:02,072 --> 00:38:04,198 I didn't much like that lawyer. And get an MRI. 666 00:38:04,324 --> 00:38:05,407 He already got one and an MRA. 667 00:38:05,533 --> 00:38:07,993 Well, obviously something is different now. Do it again. 668 00:38:08,119 --> 00:38:09,161 Chase, take care of the scan. 669 00:38:09,287 --> 00:38:11,121 Cameron, put him on the steroids. 670 00:38:14,167 --> 00:38:16,460 We should probably talk, huh? 671 00:38:21,841 --> 00:38:22,925 Thin cuts. 672 00:38:23,051 --> 00:38:24,009 What levels? 673 00:38:24,552 --> 00:38:27,846 T-9 through the cauda equina, same as the last time. 674 00:38:28,932 --> 00:38:31,850 You really think House would let Foreman out of his contract? 675 00:38:31,977 --> 00:38:35,104 He has to. If he doesn't, he's telling Foreman he needs him. 676 00:38:35,230 --> 00:38:37,189 House can't handle that. 677 00:38:42,779 --> 00:38:43,904 Oh, my God. 678 00:38:49,703 --> 00:38:51,328 I checked him out. 679 00:38:52,831 --> 00:38:54,581 He's a great doctor. 680 00:38:55,834 --> 00:38:57,334 You think he's better than I am? 681 00:38:58,420 --> 00:39:02,506 - This about your ego? - Answer the question. 682 00:39:03,925 --> 00:39:06,427 It's not gonna change how I think about myself. 683 00:39:06,553 --> 00:39:08,262 Might affect my opinion of you, 684 00:39:08,388 --> 00:39:11,140 but that shouldn't affect your opinion of yourself. 685 00:39:12,017 --> 00:39:13,392 Now I'm getting confused. 686 00:39:13,601 --> 00:39:15,310 If you think he's a better doctor than I am, 687 00:39:15,437 --> 00:39:16,895 then you should take the job. 688 00:39:17,022 --> 00:39:18,731 Otherwise, you should get him to buy you 689 00:39:18,857 --> 00:39:20,858 two or three more nostalgic lunches 690 00:39:20,984 --> 00:39:22,568 and then politely decline. 691 00:39:22,694 --> 00:39:25,988 It's that simple? I should just ignore the mockery and abuse? 692 00:39:26,114 --> 00:39:29,074 - Oh, how do I abuse you? - How do you not? 693 00:39:29,200 --> 00:39:30,034 If I make a mistake... 694 00:39:30,160 --> 00:39:31,827 I hold you accountable. So what? 695 00:39:31,953 --> 00:39:34,872 Dr. Hamilton forgives. He's capable of moving on. 696 00:39:34,998 --> 00:39:36,498 That is not what he does. 697 00:39:36,624 --> 00:39:38,083 I screwed up his case. He told me... 698 00:39:38,209 --> 00:39:39,752 He never said you were forgiven. 699 00:39:39,878 --> 00:39:41,712 I was there. He said it wasn't your fault. 700 00:39:41,838 --> 00:39:43,839 - So? - So, it was. 701 00:39:44,799 --> 00:39:46,842 You took a chance. You did something great. 702 00:39:46,968 --> 00:39:49,094 You were wrong, but it was still great. 703 00:39:49,220 --> 00:39:50,262 You should feel great that it was great. 704 00:39:50,388 --> 00:39:52,806 You should feel like crap that it was wrong. 705 00:39:52,932 --> 00:39:54,308 That's the difference between him and me. 706 00:39:54,684 --> 00:39:56,935 He thinks you do your job, and what will be, will be. 707 00:39:57,062 --> 00:40:00,147 I think that what I do and what you do matters. 708 00:40:01,483 --> 00:40:04,193 He sleeps better at night. He shouldn't. 709 00:40:07,280 --> 00:40:11,283 - Arteriovenous malformation. - Intradural. Compressing his spine. 710 00:40:12,994 --> 00:40:14,912 Causing his paralysis. 711 00:40:15,997 --> 00:40:17,915 How could Hamilton have missed an AVM? 712 00:40:18,041 --> 00:40:21,585 Well, we missed it, too, 'cause it wasn't there before. 713 00:40:22,420 --> 00:40:24,171 Are you saying it just grew overnight? 714 00:40:24,297 --> 00:40:25,923 No. 715 00:40:26,049 --> 00:40:29,843 It was on the spine. It wasn't on the MRI. 716 00:40:30,386 --> 00:40:32,137 Same anatomic location. 717 00:40:33,014 --> 00:40:34,014 It's not there. 718 00:40:34,808 --> 00:40:37,142 - Well, what is there? - Nothing. 719 00:40:37,811 --> 00:40:40,562 Or something that looks like nothing. 720 00:40:42,315 --> 00:40:45,609 - Background noise, static? - Scar tissue? Inflammation? 721 00:40:45,735 --> 00:40:49,363 If it's inflammation, the steroids would've shrunk it down. 722 00:40:49,823 --> 00:40:52,032 Revealing the AVM, 723 00:40:52,158 --> 00:40:54,368 which has always been there, hiding behind its own swelling. 724 00:40:54,494 --> 00:40:56,203 We remove that, he'll walk again. 725 00:41:45,795 --> 00:41:47,004 Dr. House. 726 00:41:49,465 --> 00:41:52,176 Cora's meeting me outside with the limo. 727 00:41:52,594 --> 00:41:54,386 I'm being discharged. 728 00:41:55,263 --> 00:41:58,223 50 bucks says I can beat you to the curb. 729 00:41:59,475 --> 00:42:01,560 Thanks for sticking with the case. 730 00:42:01,686 --> 00:42:03,729 I can't do anything else. 731 00:42:05,732 --> 00:42:08,025 You're much more easily amused when you can walk. 732 00:42:08,151 --> 00:42:09,401 How bizarre. 733 00:42:10,195 --> 00:42:12,404 I'm guessing that you weren't exactly Mr. Sunshine 734 00:42:12,530 --> 00:42:15,157 even before your leg got messed up. 735 00:42:19,370 --> 00:42:20,454 I want you to have this. 736 00:42:31,174 --> 00:42:32,216 Wow. 737 00:42:32,342 --> 00:42:33,383 You can sell it if you want to. 738 00:42:33,509 --> 00:42:35,469 Just promise me you won't play it. 739 00:42:40,725 --> 00:42:43,018 How many of those pills you taking? 740 00:42:44,771 --> 00:42:46,063 I'm in pain. 741 00:42:48,191 --> 00:42:49,316 Yes. 742 00:42:51,694 --> 00:42:52,653 Aren't we all? 743 00:42:55,281 --> 00:42:56,823 So, where do you buy these things? 744 00:42:56,950 --> 00:42:58,200 Do they have cane stores? 745 00:42:58,326 --> 00:43:02,287 Oh, don't worry about it. You'll be jogging before you need a second one. 746 00:43:02,413 --> 00:43:04,289 See you tomorrow, Eric.