1 00:00:14,871 --> 00:00:16,517 Hey! 2 00:00:30,713 --> 00:00:32,806 Dr. Sebastian! 3 00:00:35,214 --> 00:00:37,155 Two pallets of antibiotics for tuberculosis. 4 00:00:37,239 --> 00:00:39,268 We've got six pallets worth of patients! 5 00:00:39,352 --> 00:00:42,355 Stoia Tucker needs a math lesson. I'm headed back tomorrow. 6 00:00:42,857 --> 00:00:44,898 Hey! Hey. 7 00:00:48,753 --> 00:00:52,357 Come on! Come on! Let that truck though! 8 00:00:52,718 --> 00:00:54,042 Let it though! 9 00:00:58,851 --> 00:01:01,044 Move those boxes. Quick, quick! Let's move! 10 00:01:01,129 --> 00:01:04,949 Hurry, hurry, hurry! Let's go, let's go, hurry! 11 00:01:05,941 --> 00:01:09,841 I've got some very special medicine here; this is from Hershey, Pennsylvania. 12 00:01:10,924 --> 00:01:12,956 One per person, one per person. 13 00:01:23,225 --> 00:01:27,003 Help, help! Dr. Sebastian, come quickly! 14 00:01:27,344 --> 00:01:29,829 My son, he fell. He fell on this rock. 15 00:01:29,893 --> 00:01:31,969 We were just waiting for his friends. 16 00:01:38,377 --> 00:01:40,457 I got no breath sounds on the left. 17 00:01:40,990 --> 00:01:42,089 Give me that. 18 00:01:51,265 --> 00:01:53,021 Yeah, he's gonna be okay. 19 00:01:54,371 --> 00:01:58,823 The fall didn't cause him to drop a lung, the lung caused him to fall. 20 00:01:58,907 --> 00:02:02,724 TB chewed it up. He'll be lucky to live another year. 21 00:02:03,294 --> 00:02:04,400 Now, this is Sarni. 22 00:02:04,527 --> 00:02:06,641 I picked up the tab for the back brace myself. 23 00:02:06,725 --> 00:02:13,334 The funny thing is is that the brace cost more than the medicine that would have prevented her from needing it. 24 00:02:13,551 --> 00:02:14,903 It's your medicine. 25 00:02:15,199 --> 00:02:21,005 All of the antibiotics that we need are right here in your warehouses, in your factories. 26 00:02:21,089 --> 00:02:24,234 - We provide over 10,000 doses a year. - Which is not enough. 27 00:02:24,318 --> 00:02:26,494 You know we'd love to do more, but our hands are tied. 28 00:02:26,578 --> 00:02:27,772 New car, Jerry? 29 00:02:27,857 --> 00:02:29,348 I saw it on the way in, looks beautiful. 30 00:02:29,432 --> 00:02:30,315 Don't make this personal. 31 00:02:30,399 --> 00:02:33,202 All the way from Germany, too, I know that's a lot of red tape. 32 00:02:33,286 --> 00:02:35,816 I'm not like you; I'm not ashamed of making a living. 33 00:02:35,900 --> 00:02:38,200 And I know you didn't become a chem. Major for the money. 34 00:02:38,284 --> 00:02:41,072 Now you want the same things that I want, you just... 35 00:02:42,999 --> 00:02:45,092 You have to, you just have to push a little, 36 00:02:45,176 --> 00:02:47,297 you have to push a little bit harder, 37 00:02:47,697 --> 00:02:48,793 harder for them. 38 00:02:48,987 --> 00:02:50,351 Sebastian? 39 00:02:56,645 --> 00:02:58,200 Call 911! 40 00:03:00,035 --> 00:03:02,217 Isn't someone here a doctor? 41 00:03:04,082 --> 00:03:08,695 2x04 - TB or Not TB 42 00:03:30,567 --> 00:03:34,114 Original Airdate (FOX): 1-NOV-2005 43 00:03:40,713 --> 00:03:44,256 Selling subscriptions? I heard 20 and you get a new bike. 44 00:03:44,397 --> 00:03:47,895 Dr. Sebastian Charles collapsed during a presentation at Stoia Tucker. 45 00:03:47,984 --> 00:03:51,152 Really? Crushed under the weight of his own ego? 46 00:03:51,252 --> 00:03:54,288 Wow. Is there nobody you admire? 47 00:03:54,514 --> 00:03:58,314 Well, there was this gal I met in 'Nam who could blow out a candle without using her... 48 00:03:58,398 --> 00:04:00,208 He thinks it's TB. 49 00:04:01,190 --> 00:04:02,926 Good thing he's not the syphilis expert. 50 00:04:02,987 --> 00:04:05,447 - He wants a second opinion. - Second to his own. 51 00:04:05,653 --> 00:04:08,920 Okay. It's not TB. 52 00:04:09,412 --> 00:04:10,372 What is it? 53 00:04:10,478 --> 00:04:12,635 Oh, you want specifics? 54 00:04:12,892 --> 00:04:16,400 Lemma. Big Knicks fan. 55 00:04:17,665 --> 00:04:19,968 You've never had an episode like this before? 56 00:04:20,046 --> 00:04:22,396 No. He died last month. 57 00:04:22,541 --> 00:04:24,992 Stupidly tried to share his meds with his cousin, 58 00:04:25,076 --> 00:04:26,903 and they only had enough for one. 59 00:04:27,932 --> 00:04:30,919 Dr. House, I'm Sebastian Charles. 60 00:04:31,347 --> 00:04:35,528 Patients aren't usually part of the diagnostic process. 61 00:04:35,707 --> 00:04:37,510 Well, I'm a doctor… 62 00:04:38,104 --> 00:04:39,944 Listen, I know you guys don't make a lot of money, but... 63 00:04:40,028 --> 00:04:41,612 I wrote your people a check last month. 64 00:04:41,713 --> 00:04:44,185 Oh, well… write us another one. 65 00:04:44,248 --> 00:04:45,633 Talk to Chase, he's rich. 66 00:04:45,717 --> 00:04:46,670 My dad, not me. 67 00:04:46,754 --> 00:04:49,228 Every minute 4 people die of TB. 68 00:04:49,312 --> 00:04:51,770 Wow, how can you sleep at night? 69 00:04:51,854 --> 00:04:54,534 There's people dying in Africa of a disease that we cured over... 70 00:04:54,618 --> 00:04:57,055 Yeah, I know. I saw the concert. 71 00:04:57,205 --> 00:05:01,391 Seriously, let's say you sleep six hours, that means every night you kill... 72 00:05:01,475 --> 00:05:03,252 1440 people. 73 00:05:03,335 --> 00:05:05,405 I guess you gotta get some sleep, but come on, 74 00:05:05,489 --> 00:05:08,456 if you'd stayed up another 10 minutes you could have saved 40 lives. 75 00:05:08,682 --> 00:05:10,677 Do you send notes to the families in the morning? 76 00:05:10,761 --> 00:05:15,481 That's gonna take at least 10 minutes so that's another 40 dead, another 40 notes…. 77 00:05:15,733 --> 00:05:18,115 Why don't you go wrack yourself with guilt in your own room? 78 00:05:18,199 --> 00:05:21,322 No, thanks, I'll stay. I'd like to hear the differential. 79 00:05:21,802 --> 00:05:25,683 Dr. Cameron, tell the doctor why it's not a good idea for the patient to be here. 80 00:05:25,840 --> 00:05:28,029 He's an immunologist and a TB expert. 81 00:05:28,113 --> 00:05:31,076 That'll be very useful if we need somebody to say the words, 82 00:05:31,257 --> 00:05:33,680 - “I think it's TB.” 83 00:05:33,989 --> 00:05:35,802 What is that? 84 00:05:36,026 --> 00:05:38,524 Oh that. I'm sorry, that's my body powder. 85 00:05:38,608 --> 00:05:40,974 It's the only thing I've found that works in the Sahara. 86 00:05:41,058 --> 00:05:43,487 I, I'm kinda used to it, I don't even notice it. 87 00:05:43,546 --> 00:05:45,971 Who thinks it smells like an elephant dung smoothie? 88 00:05:46,075 --> 00:05:48,191 - It smells okay to me. 89 00:05:48,275 --> 00:05:50,568 That is exactly why the patient shouldn't be in the room. 90 00:05:50,652 --> 00:05:52,900 If you can't tell a man that his cologne makes you want to puke, 91 00:05:52,984 --> 00:05:54,704 how are you going to tell him that he's an idiot? 92 00:05:54,788 --> 00:05:56,333 He's not an idiot. 93 00:05:56,669 --> 00:05:59,396 Sure, you say that now, while he's in the room. 94 00:05:59,633 --> 00:06:01,272 Look, I don't have time for this. 95 00:06:01,273 --> 00:06:02,862 - It's TB. - Nope. 96 00:06:02,946 --> 00:06:05,006 The symptoms are too varied. 97 00:06:05,139 --> 00:06:08,411 Well, if you haven't seen 10,000 cases I'd agree that's what you'd think. 98 00:06:08,519 --> 00:06:09,700 Told you he's an idiot. 99 00:06:09,794 --> 00:06:11,287 You said you wanted a second opinion. 100 00:06:11,371 --> 00:06:14,484 No, actually. My backers wanted a second opinion. 101 00:06:14,568 --> 00:06:18,489 Yeah, doesn't look good if you drop dead while wearing your shoes sponsor's logo. 102 00:06:18,573 --> 00:06:23,873 It's TB, and I'm not dying. I'm gonna want you to plan a PPD and induce a sputum to confirm the TB. 103 00:06:24,013 --> 00:06:27,140 Imaging studies'll determine the progress, and 104 00:06:27,220 --> 00:06:31,794 I think we should probably take a CT scan of my lungs just so that nobody second-guesses us? 105 00:06:31,854 --> 00:06:33,420 Wouldn't want that. 106 00:06:35,760 --> 00:06:39,489 Hello? No, I'm feeling much better. 107 00:06:40,924 --> 00:06:45,714 Well, what you can do is you can get your board to approve the increased med shipments that... 108 00:06:47,722 --> 00:06:53,149 Aha. No, no, no, no, don't try. No, no, don't do your best. 109 00:06:54,099 --> 00:06:55,903 Just get it done, okay? 110 00:06:58,134 --> 00:07:01,017 That's Stoia Tucker, and they're the nice pharmaceutical company. 111 00:07:01,101 --> 00:07:03,372 I'm sorry, but it's against hospital regs. 112 00:07:03,456 --> 00:07:05,247 Oh, I need the phone. 113 00:07:05,328 --> 00:07:07,581 Why don't we focus on getting you better right now? 114 00:07:07,646 --> 00:07:09,750 What are you gonna do, throw me out? 115 00:07:09,835 --> 00:07:11,140 No, just the phone. 116 00:07:11,287 --> 00:07:14,489 Sorry, we've got an emergency. 117 00:07:15,458 --> 00:07:16,938 There's a phone in your room. 118 00:07:17,098 --> 00:07:19,265 Yeah, I figured that there would be. 119 00:07:19,729 --> 00:07:22,500 Right, I just thought, 120 00:07:23,025 --> 00:07:26,378 it's not like the hospitals that you might used to in Africa. 121 00:07:27,094 --> 00:07:29,856 I don't know what the facilities were like… 122 00:07:30,034 --> 00:07:31,563 Thank you. 123 00:07:32,968 --> 00:07:33,860 You're welcome. 124 00:07:34,208 --> 00:07:35,845 And thanks for that check. 125 00:07:35,929 --> 00:07:38,390 I should go. 126 00:07:42,828 --> 00:07:47,877 The nameless poor have a face, and it's a pompous white man. 127 00:07:48,666 --> 00:07:51,917 Yeah, what a jerk, saving all those lives like that. 128 00:07:52,001 --> 00:07:53,964 What's the emergency? 129 00:07:54,174 --> 00:07:56,603 I can't remember how to do Walk the Dog. 130 00:07:56,755 --> 00:07:59,109 The guy's sick, he may be dying. 131 00:07:59,193 --> 00:08:01,811 We've forgotten all about doing a differential diagnosis. 132 00:08:01,895 --> 00:08:03,632 You just sent us off to test him for... 133 00:08:03,632 --> 00:08:05,166 I had to get him out of there. 134 00:08:05,250 --> 00:08:07,249 Now we can all sit around and call him an idiot. 135 00:08:07,403 --> 00:08:08,319 Who wants to go first? 136 00:08:08,403 --> 00:08:11,673 He's right! Tuberculosis could present in hundreds of different ways! 137 00:08:11,757 --> 00:08:14,517 Well, by that logic, everyone in the hospital should be treated. 138 00:08:14,601 --> 00:08:17,543 Not everyone in the hospital's been exposed to it for the last 20 years. 139 00:08:17,627 --> 00:08:19,541 TB takes years to kill you. 140 00:08:19,625 --> 00:08:22,740 2 weeks ago he was perfectly healthy, now he's got a white board full of symptoms. 141 00:08:22,824 --> 00:08:24,778 What about something metabolic? 142 00:08:25,034 --> 00:08:27,430 Welcome aboard the Good Ship Asskisser. 143 00:08:27,621 --> 00:08:29,885 Nice day for a sail. Pucker up, me hearties. 144 00:08:29,969 --> 00:08:34,195 It's not metabolic. Kidney, liver and thyroid are all normal. No diabetes. 145 00:08:34,279 --> 00:08:35,550 What about his heart? 146 00:08:35,634 --> 00:08:37,555 Obviously big as all outdoors. 147 00:08:37,639 --> 00:08:42,008 Abnormal heart rhythm. White form showed P-R variability. 148 00:08:42,884 --> 00:08:44,614 It's subtle, but it's there. 149 00:08:44,698 --> 00:08:46,767 You think it's his heart? Sick sinus syndrome? 150 00:08:46,851 --> 00:08:49,709 Loose throttle. Sometimes beats too fast, sometimes too slow. 151 00:08:49,793 --> 00:08:50,994 Causing him to pass out. 152 00:08:51,078 --> 00:08:52,690 It would account for the episode. 153 00:08:52,774 --> 00:08:55,397 I'll put him on telemetry, do a stress test and an echocardiogram. 154 00:08:55,481 --> 00:08:57,735 Treat him like every other hospital patient. 155 00:08:57,891 --> 00:09:02,792 I want to see that pious, body powered toosh hanging out of his gown. 156 00:09:07,743 --> 00:09:09,438 Could you give me a hand with this thing? 157 00:09:12,837 --> 00:09:16,438 I don't recall asking for a stress test or an echocardiogram. 158 00:09:16,522 --> 00:09:18,386 What are you gonna do, walk out? 159 00:09:19,358 --> 00:09:21,739 Corporate sponsors aren't going to like that. 160 00:09:24,245 --> 00:09:25,936 I need your forearm. 161 00:09:26,937 --> 00:09:28,557 What's House thinking? 162 00:09:29,419 --> 00:09:30,845 Sick sinus syndrome. 163 00:09:30,929 --> 00:09:33,730 Well, that's a lot more serious than TB. 164 00:09:33,953 --> 00:09:35,553 Is that a PPD? 165 00:09:35,790 --> 00:09:37,713 If it changes color in the next 48 hours... 166 00:09:37,797 --> 00:09:41,996 Yeah, uh, if House doesn't think it's TB why would he have you test for that? 167 00:09:42,104 --> 00:09:45,350 Just covering all his bases, I guess. 168 00:09:45,450 --> 00:09:51,305 Uh huh. He doesn't seem like a guy who, who does that. 169 00:09:52,999 --> 00:09:56,000 We have you scheduled for a 10:30 echo. 170 00:09:56,563 --> 00:10:00,122 Good for you. 171 00:10:02,580 --> 00:10:05,103 Every minute that we refuse to love one another, 172 00:10:05,187 --> 00:10:08,080 another puppy cries another tear. 173 00:10:08,241 --> 00:10:10,944 You're just mad that he's closer to a Nobel Prize than you are. 174 00:10:11,053 --> 00:10:15,954 And yet I've nailed more Swedish babes. Crazy, crazy world. 175 00:10:16,044 --> 00:10:18,527 It's not just a trip to Stockholm, you know. 176 00:10:18,574 --> 00:10:20,448 It comes with a cash prize. 177 00:10:20,694 --> 00:10:21,963 Seriously? 178 00:10:22,487 --> 00:10:25,638 No wonder everyone's going after that peace thing. 179 00:10:25,730 --> 00:10:29,551 He cures thousands of people every year, you cure, what? 30? 180 00:10:29,635 --> 00:10:33,445 McDonald's makes a better hamburger than your mother because they make more? 181 00:10:33,512 --> 00:10:39,637 Oh, I see! So you hate him because the lives he saves aren't as good as the lives you save. 182 00:10:39,721 --> 00:10:43,532 Yup, that's the reason. Nobel invented dynamite. 183 00:10:43,597 --> 00:10:46,062 I won't accept his blood money. 184 00:10:47,781 --> 00:10:50,474 The top of my head's killing me. 185 00:10:51,511 --> 00:10:56,295 Hmmm. We spent a week doing 'top of head' in Anatomy. 186 00:10:56,379 --> 00:10:58,302 I know just where it is. 187 00:10:59,589 --> 00:11:02,852 Ow! That is not the top of my head! 188 00:11:02,936 --> 00:11:07,208 Eh, close enough for clinic. Your sinuses are clogged. 189 00:11:07,292 --> 00:11:10,908 Judging by the scratches on your hands, I'm guessing a new cat. 190 00:11:11,184 --> 00:11:13,717 It was my mother's. She's dead. 191 00:11:13,801 --> 00:11:15,774 You keep a dead cat? 192 00:11:15,835 --> 00:11:18,522 No. My mother's dead. 193 00:11:18,606 --> 00:11:22,446 Oh. Poor cat. You're allergic. 194 00:11:22,530 --> 00:11:25,378 We can control it with antihistamine, one pill a day. 195 00:11:25,462 --> 00:11:26,649 Pills? 196 00:11:27,353 --> 00:11:29,126 You don't like to swallow. 197 00:11:29,192 --> 00:11:32,963 Not surprised. Forget the pills. I'll give you a nasal spray. 198 00:11:33,031 --> 00:11:37,332 Steroids? Is there something else you can give me? 199 00:11:38,966 --> 00:11:42,337 Well, if you lived by the river, I've got a bag. 200 00:11:43,203 --> 00:11:45,651 Hey, stress test was normal. 201 00:11:45,735 --> 00:11:48,124 But his EKG was not normal. 202 00:11:48,275 --> 00:11:49,730 Echo's normal. 203 00:11:49,805 --> 00:11:53,114 Two for you, one for me. We need a tie-breaker. 204 00:11:53,198 --> 00:11:55,426 Echo and stress test are more reliable. 205 00:11:55,510 --> 00:11:56,928 Tilt-table test. 206 00:11:57,012 --> 00:11:58,326 Never works. 207 00:11:58,888 --> 00:12:01,193 Bet you a week's clinic duty it does. 208 00:12:01,301 --> 00:12:04,137 Hah hah, you're on. 209 00:12:07,313 --> 00:12:09,107 You like this guy? 210 00:12:09,584 --> 00:12:13,081 You always tell us our opinion of the patient is irrelevant. 211 00:12:13,165 --> 00:12:14,895 Medically, it's irrelevant. 212 00:12:15,006 --> 00:12:16,589 That says something about you. 213 00:12:16,673 --> 00:12:20,801 You figure that anybody that gives a crap about people in Africa must be full of it? 214 00:12:20,885 --> 00:12:27,082 Yes. There's an evolutionary imperative why we give a crap about our family and friends. 215 00:12:27,166 --> 00:12:30,791 And there's an evolutionary imperative why we don't give a crap about anybody else. 216 00:12:30,893 --> 00:12:33,702 If we loved all people indiscriminately, we couldn't function. 217 00:12:33,786 --> 00:12:37,817 Hmmm. So, the great humanitarian's as selfish as the rest of us. 218 00:12:37,901 --> 00:12:39,784 Just not as honest about it. 219 00:12:40,278 --> 00:12:43,673 You also always tell us motives are irrelevant. 220 00:12:43,819 --> 00:12:48,003 Dr. Charles, your heart's handling the changes in orientation just fine. 221 00:12:48,110 --> 00:12:49,612 No pauses on your EKG. 222 00:12:49,613 --> 00:12:54,463 And House drives up for the lay-up and oh, rejected! 223 00:12:54,813 --> 00:12:56,351 What does this knobby thing do? 224 00:12:56,540 --> 00:12:59,232 I'm within protocol range, you're not going to get a different result. 225 00:12:59,316 --> 00:13:03,533 The way I figure it is, if this could show you problems at 6, 226 00:13:03,634 --> 00:13:06,254 imagine what could happen if you crank it to 10. 227 00:13:06,355 --> 00:13:07,770 House, is that you? 228 00:13:07,854 --> 00:13:08,782 Does it go to 11? 229 00:13:08,866 --> 00:13:12,321 Would you stop? You lost. I'm scheduled for clinic duty Thursday and Friday. 230 00:13:12,405 --> 00:13:14,250 All right, I'm beginning to feel nauseous. 231 00:13:14,334 --> 00:13:16,703 Would you turn the damn thing off before you break it? 232 00:13:17,101 --> 00:13:21,478 Okay, I'm getting dizzy, I can't see, I'm gonna pass out. 233 00:13:22,567 --> 00:13:23,496 I win. 234 00:13:23,646 --> 00:13:25,565 At those speeds astronauts throw up. 235 00:13:25,649 --> 00:13:27,808 I'm not talking about the nausea. 236 00:13:27,884 --> 00:13:29,077 The test revealed a problem. 237 00:13:29,161 --> 00:13:32,139 Yeah? House is insane? What he just did... 238 00:13:32,223 --> 00:13:34,075 Abusive and unprofessional. 239 00:13:34,258 --> 00:13:36,726 If he hadn't done it, we wouldn't have seen the problem. 240 00:13:37,618 --> 00:13:39,801 You've got an abnormal P-R interval. 241 00:13:40,127 --> 00:13:41,327 It could be dangerous, 242 00:13:41,592 --> 00:13:45,078 possibly fatal, particularly if you're in Africa away from advanced medicine. 243 00:13:45,162 --> 00:13:47,247 I'm gonna need a pacemaker? 244 00:13:47,571 --> 00:13:50,338 You're scheduled for surgery this afternoon. 245 00:13:56,528 --> 00:13:58,911 You'll be able to maintain your pacemaker from anywhere, 246 00:13:58,995 --> 00:14:01,258 you just need to get yourself to a phone line every few months. 247 00:14:01,461 --> 00:14:04,228 Better yet, you could join me at one of my clinics. 248 00:14:04,397 --> 00:14:05,570 I'm kind of spoiled. 249 00:14:05,654 --> 00:14:08,333 Well, we'll get you a hut with a view. You like sand? 250 00:14:08,417 --> 00:14:09,770 I meant medically. 251 00:14:10,145 --> 00:14:12,987 - No PET scans, no MRIs… - This is ridiculous. 252 00:14:13,028 --> 00:14:16,101 - Dr. Charles, wait... - I know, I know, hospital regulations. Darling... 253 00:14:16,185 --> 00:14:18,029 have a seat. Come on. 254 00:14:18,113 --> 00:14:21,730 You're smart, you'll adapt… we going up or down? 255 00:14:22,056 --> 00:14:23,669 - Basement. - All right. 256 00:14:24,046 --> 00:14:28,694 You might even find that without the technological crutches you become a better diagnostician. 257 00:14:28,778 --> 00:14:30,382 My heart can handle this, right? 258 00:14:30,687 --> 00:14:33,035 So far just carnival rides have set you off. 259 00:14:34,559 --> 00:14:37,702 When you meet these people it changes you. 260 00:14:38,268 --> 00:14:40,600 We should talk about it over dinner. 261 00:14:41,976 --> 00:14:44,512 Are you asking me to Africa or on a date? 262 00:14:44,596 --> 00:14:46,340 Oh, I can ask you halfway around the world, 263 00:14:46,424 --> 00:14:49,041 I can't ask you to a restaurant a block away? 264 00:14:49,106 --> 00:14:51,765 Well, one's a job, and the other's… 265 00:14:51,949 --> 00:14:54,109 Yeah, hospital regs, you can't date patients, right, 266 00:14:54,193 --> 00:14:57,776 I wouldn't want to risk your precious objectivity. 267 00:14:58,266 --> 00:15:00,998 You haven't answered either question, by the way. 268 00:15:01,964 --> 00:15:04,355 You don't think objectivity's important? 269 00:15:04,461 --> 00:15:08,412 I think doctors like House cling to objectivity like a three-year-old to a blanket; 270 00:15:08,496 --> 00:15:13,989 don't get too worked up, stay calm, stay cool and maintain that correct perspective. 271 00:15:14,371 --> 00:15:17,912 The only flaw in their argument is when you have millions of people dying 272 00:15:18,011 --> 00:15:21,740 the correct perspective is to be yelling at the top of your lungs. 273 00:15:25,146 --> 00:15:28,262 - Sorry, my head is killing me. - Here, sit on the step. 274 00:15:33,556 --> 00:15:36,080 So, you gonna go out with me or not? 275 00:15:37,125 --> 00:15:38,028 Your heart rate's normal. 276 00:15:38,112 --> 00:15:40,340 Yeah, of course it is, it's one flight of stairs. 277 00:15:40,424 --> 00:15:42,053 I'm gonna be fine. 278 00:15:44,538 --> 00:15:46,384 My hand's a little... 279 00:15:52,993 --> 00:15:55,848 Call a code! Second floor stairwell! 280 00:16:00,942 --> 00:16:02,400 You were wrong. 281 00:16:02,619 --> 00:16:07,194 Hey, I have feelings. I'm trying my best. Isn't that enough for you? 282 00:16:07,270 --> 00:16:10,764 - The abnormal EKG was real... - It's not sick sinus syndrome. 283 00:16:10,848 --> 00:16:13,838 Well, thank God we found out before we put the pacemaker in. 284 00:16:14,058 --> 00:16:17,441 And thank God you dragged him into a stairwell to get his heart racing. 285 00:16:17,525 --> 00:16:19,786 We were taking the stairs, they keep them in the stairwell. 286 00:16:19,870 --> 00:16:21,852 The guy's a selfish jerk, why would you... 287 00:16:21,936 --> 00:16:23,006 Why would you say he's selfish? 288 00:16:23,090 --> 00:16:24,595 Because he's been talking to Foreman. 289 00:16:24,679 --> 00:16:26,784 No I haven't, I'm just giving my opinion. 290 00:16:26,868 --> 00:16:29,179 This kind of altruism doesn't just naturally... 291 00:16:29,263 --> 00:16:30,029 Excellent briefing. 292 00:16:30,113 --> 00:16:31,961 Hey, the guy's still sick. Can we talk about that? 293 00:16:32,045 --> 00:16:35,234 The headaches point to a neurological problem. Acoustic neuroma. 294 00:16:35,318 --> 00:16:37,907 Brian tumor causes dizziness, loss of consciousness, 295 00:16:38,044 --> 00:16:40,119 messes with breathing patterns, heart rhythms... 296 00:16:40,203 --> 00:16:41,630 Get an MRI. 297 00:16:41,739 --> 00:16:46,257 Hello? Oh, I'm sorry, I'll be right down. 298 00:16:46,606 --> 00:16:49,855 No problem, I'll do an extra hour to make up. 299 00:16:51,156 --> 00:16:55,609 I'm late for my clinic duty. Here, go be me for a couple hours. 300 00:16:59,981 --> 00:17:03,215 Explosive diarrhea, fever… it's probably the flu. 301 00:17:03,703 --> 00:17:07,697 Wow, you're good. You a Harvard boy? 302 00:17:07,921 --> 00:17:10,000 You're not Hale, Oliver? 303 00:17:10,105 --> 00:17:13,492 No. Carter, Cecelia. 304 00:17:13,576 --> 00:17:15,094 They put you in the wrong room, Cecelia. 305 00:17:15,178 --> 00:17:16,654 Mrs. Carter. 306 00:17:16,908 --> 00:17:22,428 Sorry. I'll just be a few minutes, don't take these in order and everything falls apart. 307 00:17:22,512 --> 00:17:24,321 I have cancer. 308 00:17:25,481 --> 00:17:26,983 I felt a lump. 309 00:17:27,382 --> 00:17:30,438 - I'll go get a nurse. - Yeah, see you in an hour or two. 310 00:17:32,920 --> 00:17:34,425 Lie flat. 311 00:17:38,464 --> 00:17:41,564 Lift your left arm up and under your head? 312 00:17:47,058 --> 00:17:47,617 Right there? 313 00:17:47,701 --> 00:17:50,862 Yeah, I felt it this morning. 314 00:17:51,002 --> 00:17:53,577 Oh, my cousin had the same thing. 315 00:17:54,723 --> 00:17:57,487 It's nothing. We should check it again on your next cycle, but 316 00:17:57,571 --> 00:17:59,987 you really don't have anything to worry about. 317 00:18:00,285 --> 00:18:03,242 That's what they told Donna. She was dead in six months. 318 00:18:03,326 --> 00:18:07,307 Listen, the edges are smooth, it has mobility, it has all the earmarks of a benign... 319 00:18:07,391 --> 00:18:09,202 Why should I believe you? 320 00:18:09,854 --> 00:18:11,921 Because you're trying to rush me out of here? 321 00:18:12,151 --> 00:18:15,019 The risks of a false positive on a biopsy outweigh... 322 00:18:15,103 --> 00:18:18,828 Either you do the biopsy or I talk to your superior. 323 00:18:18,912 --> 00:18:22,530 Which is it... Dr. House? 324 00:18:25,024 --> 00:18:26,505 I'll arrange the biopsy. 325 00:18:26,589 --> 00:18:27,756 Thanks. 326 00:18:36,951 --> 00:18:38,604 He asked me out. 327 00:18:39,067 --> 00:18:40,719 I'm shocked. 328 00:18:42,373 --> 00:18:45,820 I'm shocked when patients don't ask you out. 329 00:18:47,857 --> 00:18:50,340 He also asked me to come to Africa. 330 00:18:51,453 --> 00:18:53,404 Boy, he moves fast. 331 00:18:53,488 --> 00:18:55,941 I think the two questions had two different objectives. 332 00:18:56,025 --> 00:18:57,336 Well, do you like him? 333 00:18:57,442 --> 00:19:01,974 Good looking single guy, genius doctor, cares about the world… 334 00:19:02,087 --> 00:19:03,588 I take it you said no. 335 00:19:03,672 --> 00:19:05,204 You think I'm that hung up on rules and... 336 00:19:05,288 --> 00:19:09,556 He's not House. There's nothing there. 337 00:19:16,212 --> 00:19:18,559 Yeah, there is. 338 00:19:19,664 --> 00:19:23,777 - Did I ask you to plant a PPD? - It was positive, he's got TB! 339 00:19:23,861 --> 00:19:28,167 Well, of course he's got TB! The guy's been in the jungle for 20 years! 340 00:19:29,739 --> 00:19:32,820 If he tested positive for pink-eye would you think that was his big problem? 341 00:19:32,904 --> 00:19:35,397 I did a test, it was positive, why is that a problem? 342 00:19:35,481 --> 00:19:39,571 Because now he's got the big red target on his arm, the stubborn jerk thinks he's right! 343 00:19:39,664 --> 00:19:40,893 He won't let us do any more tests. 344 00:19:40,977 --> 00:19:43,176 Well, maybe he's not the only stubborn jerk. 345 00:19:43,480 --> 00:19:46,701 I did an LP2: low glucose and he has an increased sed rate. 346 00:19:46,785 --> 00:19:49,706 - Everything screams tuberculosis! - Not everything! 347 00:19:49,790 --> 00:19:54,848 If any of the symptoms are caused by the TB it would throw off our diagnosis. 348 00:19:59,446 --> 00:20:03,061 You're right. Gotta treat the TB. 349 00:20:03,956 --> 00:20:06,530 Who knows, maybe he'll just get better. 350 00:20:06,710 --> 00:20:08,621 You'd like that, wouldn't you? 351 00:20:17,083 --> 00:20:20,539 So it's TB, but not TB? 352 00:20:20,623 --> 00:20:22,202 I'm complicated. 353 00:20:22,582 --> 00:20:25,499 The guy does know tuberculosis. If he says it can manifest itself... 354 00:20:25,583 --> 00:20:28,169 He's not even a real doctor, he's a human telethon. 355 00:20:28,309 --> 00:20:29,887 Is that your problem with him? 356 00:20:29,971 --> 00:20:32,346 You see hypocrites every day, why is this guy so special? 357 00:20:32,430 --> 00:20:35,130 You think I have a hypocritical attitude to hypocrisy? 358 00:20:35,463 --> 00:20:38,623 The problem is there are 26 letters in the alphabet and he only uses two of them. 359 00:20:38,707 --> 00:20:40,885 He treats thousands of patients with one diagnosis. 360 00:20:40,969 --> 00:20:43,044 He knows the answer going in. It's cheating. 361 00:20:43,128 --> 00:20:47,004 So it's all because he's one of them useless specialists? 362 00:20:47,088 --> 00:20:51,959 Oh, did I hurt the big time oncologist's itty bitty feelings? 363 00:20:52,060 --> 00:20:54,765 You're a big help to patients who actually have cancer. 364 00:20:54,869 --> 00:20:56,448 Other times you're just annoying. 365 00:20:56,532 --> 00:20:58,219 You've outdone yourself. 366 00:20:58,303 --> 00:21:01,490 I'll say. My salad's covering a free t-bone steak. 367 00:21:01,574 --> 00:21:03,673 Cecelia Carter, remember her? 368 00:21:03,757 --> 00:21:06,290 Last week they said it was “Mystery Stew”, they owe me. 369 00:21:06,374 --> 00:21:09,859 She was just in my office crying because of the way you treated her. 370 00:21:09,945 --> 00:21:11,466 That doesn't sound like you! 371 00:21:11,550 --> 00:21:13,209 Then it probably wasn't. 372 00:21:13,732 --> 00:21:16,325 I get that you like to shock people. 373 00:21:16,409 --> 00:21:19,639 Stun them out of complacency, out of stupidity. 374 00:21:19,888 --> 00:21:23,729 But this woman thought she had cancer, she had a lump in her breast! 375 00:21:23,813 --> 00:21:25,163 What were you trying to accomplish? 376 00:21:25,247 --> 00:21:28,787 Let me ask you something: if this were another doctor, 377 00:21:28,897 --> 00:21:30,973 if this patient were complaining about, let's say, 378 00:21:31,156 --> 00:21:32,501 I don't know, Foreman, 379 00:21:32,630 --> 00:21:37,811 you'd just dismiss this as the paranoid bitching of another paranoid bitch and file it under 'P' for... 380 00:21:37,882 --> 00:21:38,895 Paranoid? 381 00:21:39,077 --> 00:21:40,583 Am not. 382 00:21:42,161 --> 00:21:43,429 - You're right. - Good. 383 00:21:43,513 --> 00:21:46,772 Apologize to her before the end of business today. 384 00:21:48,999 --> 00:21:51,809 - What did you do to Ceci? - I have no idea. 385 00:21:52,415 --> 00:21:54,832 Just a salad today, big breakfast. 386 00:21:54,958 --> 00:21:56,151 Hey. 387 00:21:59,894 --> 00:22:01,703 Levofloxacin? 388 00:22:02,418 --> 00:22:04,489 You have a resistant strain of TB. 389 00:22:05,416 --> 00:22:07,337 Wow, you just walk right in with these. 390 00:22:07,421 --> 00:22:08,996 That's what we doctors do. 391 00:22:09,106 --> 00:22:12,283 We write down the name of some medicine and someone gives it to us. 392 00:22:12,904 --> 00:22:16,574 You know, there's parts of the world where you get knifed walking around with this. 393 00:22:17,612 --> 00:22:20,443 I mean, regular stuff's bad enough, but 394 00:22:20,834 --> 00:22:24,186 treatment for the resistant strain? 395 00:22:26,209 --> 00:22:28,678 I could get $6 a tablet for that one. 396 00:22:28,900 --> 00:22:30,938 And I'd take it for two years. 397 00:22:31,681 --> 00:22:34,890 Streptomycin, now that's two grand… 398 00:22:37,223 --> 00:22:39,812 ten grand, cure one person. 399 00:22:46,150 --> 00:22:50,146 I had a patient in Jani once. 400 00:22:50,298 --> 00:22:55,547 It was a mother, had... had three little boys. 401 00:22:55,658 --> 00:22:57,792 She had resistant TB, 402 00:22:59,630 --> 00:23:03,792 she couldn't afford these. She couldn't afford bread. 403 00:23:04,958 --> 00:23:07,740 We gave her the regular stuff, but... 404 00:23:09,904 --> 00:23:11,634 no surprise she died. 405 00:23:11,795 --> 00:23:13,484 I'm sorry. 406 00:23:23,364 --> 00:23:25,707 I'm not taking these pills. 407 00:23:26,814 --> 00:23:29,948 Because she couldn't get them you're not going to take them? 408 00:23:30,197 --> 00:23:31,009 That's insane! 409 00:23:31,093 --> 00:23:32,623 Why, because I'm better than her? 410 00:23:32,707 --> 00:23:37,525 Because letting her die was wrong but letting you die is just as wrong. 411 00:23:37,645 --> 00:23:40,201 Well, maybe I won't die. 412 00:23:40,652 --> 00:23:44,037 Maybe somebody'll pay a little more attention to my story. 413 00:23:48,357 --> 00:23:51,678 He figures the pharmaceuticals need something big to force them into action. 414 00:23:51,762 --> 00:23:55,302 This'll get a lot more media play than a thousand African villagers dying. 415 00:23:55,368 --> 00:23:56,790 So he won't take the pills. 416 00:23:56,874 --> 00:23:57,897 Newsweek's calling you! 417 00:23:57,981 --> 00:23:59,593 And he won't agree to any more tests. 418 00:23:59,677 --> 00:24:00,834 He has his diagnosis. 419 00:24:00,918 --> 00:24:02,376 See what happens when you don't listen to me? 420 00:24:02,460 --> 00:24:06,266 - Maybe millions of lives get saved... - Yeah, that's my point. 421 00:24:06,581 --> 00:24:11,055 Increased heart rate, night sweats, loss of consciousness, besides rough sex, 422 00:24:11,139 --> 00:24:12,618 what do they all have in common? 423 00:24:12,766 --> 00:24:14,319 - T... - It's not TB! 424 00:24:14,416 --> 00:24:17,393 - His autonomic nervous system? - We know that it's not a brain tumor. 425 00:24:17,477 --> 00:24:19,247 So what else could be eating his nerves? 426 00:24:19,331 --> 00:24:23,724 Fabry's, autonomic disregulation syndrome, shy-drager syndrome, it doesn't matter. 427 00:24:23,808 --> 00:24:25,412 He won't let us test him. 428 00:24:30,282 --> 00:24:34,469 In my opinion, Dr. Sebastian Charles is an idiot. 429 00:24:34,735 --> 00:24:36,362 Yeah, you can quote me. 430 00:24:36,546 --> 00:24:39,230 C-u-d-d-y. 431 00:24:41,387 --> 00:24:44,316 Sebastian is refusing life-saving treatment. 432 00:24:44,400 --> 00:24:49,945 He's refusing TB treatment. You don't think he has TB, ergo you should care less. 433 00:24:50,029 --> 00:24:51,337 He won't let me test him. 434 00:24:51,421 --> 00:24:52,841 And what do you want me to do about it? 435 00:24:52,925 --> 00:24:54,277 Hold him down. 436 00:24:54,538 --> 00:24:57,267 Have you apologized to Cecelia Carter yet? 437 00:24:57,950 --> 00:24:59,833 Trust me, she doesn't want to hear it from me. 438 00:24:59,982 --> 00:25:01,441 Look, the guy is killing himself, 439 00:25:01,525 --> 00:25:04,025 am I the only one who realizes this is a bad thing? 440 00:25:04,109 --> 00:25:08,514 If he was a Christian Scientist refusing meds we'd have 18 attorneys... 441 00:25:10,701 --> 00:25:12,505 You're putting on make-up. 442 00:25:13,203 --> 00:25:15,502 That's not a good sign for my side, is it? 443 00:25:15,567 --> 00:25:18,948 Sebastian has called a press conference for 3. 444 00:25:19,032 --> 00:25:22,351 He's asked me to be there to confirm the diagnosis on the prognosis. 445 00:25:22,454 --> 00:25:25,106 You are as big a media whore as he is. 446 00:25:25,190 --> 00:25:29,179 Of course I am. It couldn't possibly be that I think he's right 447 00:25:29,263 --> 00:25:31,600 and I'd like to be a small part of what he's doing. 448 00:25:31,684 --> 00:25:35,489 Oh, whores can like the sex. Doesn't mean they're not whores. 449 00:25:35,759 --> 00:25:37,419 And with that eyeshadow… 450 00:25:38,100 --> 00:25:39,920 I am totally screwed, aren't I? 451 00:25:40,021 --> 00:25:41,294 Totally. 452 00:25:45,482 --> 00:25:46,640 How're you feeling? 453 00:25:46,906 --> 00:25:47,832 A little weak. 454 00:25:47,916 --> 00:25:49,487 You're having a good day. 455 00:25:50,888 --> 00:25:53,844 The symptoms will quickly focus more and more on your lungs, 456 00:25:53,928 --> 00:25:56,144 you'll find it difficult to talk and eventually breathe at all. 457 00:25:56,228 --> 00:25:58,154 I think I know what I have to look forward to. 458 00:25:58,238 --> 00:25:59,245 I know. 459 00:25:59,849 --> 00:26:02,679 I just came to ask if you'd be willing to accept any treatment. 460 00:26:02,731 --> 00:26:04,661 Naw, if you're trying to scare me into any... 461 00:26:04,729 --> 00:26:08,216 No. Palliative treatment. 462 00:26:08,646 --> 00:26:12,217 Narcotics, Fentanyl patch, morphine drip, whatever it takes. 463 00:26:12,640 --> 00:26:15,964 We can make your last days fairly comfortable. 464 00:26:16,734 --> 00:26:20,674 And if you have another good day, maybe dinner. 465 00:26:20,854 --> 00:26:21,856 Hmm. 466 00:26:23,991 --> 00:26:25,031 Thank you. 467 00:26:35,434 --> 00:26:37,594 You want third-world treatment? 468 00:26:37,784 --> 00:26:39,224 You got it. 469 00:26:39,707 --> 00:26:41,561 Boy, is it hot here in Jani! 470 00:26:41,669 --> 00:26:44,205 - What are you doing? - What am I doing? 471 00:26:44,271 --> 00:26:46,865 Putting everything on the floor of the hut. 472 00:26:46,949 --> 00:26:49,766 Uh oh, wicked magic box with the moving pictures! 473 00:26:49,826 --> 00:26:50,741 You think he's a hypocrite? 474 00:26:50,825 --> 00:26:55,823 Hypocrite? No, everyone in Africa's got cell phones or running water. 475 00:26:57,534 --> 00:27:00,686 Hah, this thing just will not flush. 476 00:27:00,770 --> 00:27:03,972 Do you really think that if you come in here and make it a little hot, 477 00:27:04,056 --> 00:27:09,211 make it smell a little, that I'm just going to fold and abandon everything that matters to me? 478 00:27:10,476 --> 00:27:13,240 Lousy sanitation over there, too. 479 00:27:13,310 --> 00:27:16,002 You are not the same as them, your life is not the same. 480 00:27:16,086 --> 00:27:18,706 And you are cheapening everything they're going through by pretending you are. 481 00:27:18,790 --> 00:27:20,269 I am the same, I'm not special. 482 00:27:20,353 --> 00:27:25,425 You can't demand to be treated like any third-world sick person and call a press conference! 483 00:27:25,495 --> 00:27:29,560 They treat me special! That doesn't mean I am! 484 00:27:30,216 --> 00:27:34,331 Now what kind of selfish jerk wouldn't take advantage of that fact? 485 00:27:49,131 --> 00:27:50,821 It's all preventable. 486 00:27:50,906 --> 00:27:53,443 Stoia Tucker makes medications right here, 487 00:27:53,632 --> 00:27:56,067 in New Jersey. They have warehouses full of the stuff; 488 00:27:56,151 --> 00:27:57,926 there's more than enough to go around. 489 00:27:58,163 --> 00:28:01,909 So if I can get them, why can't Lemma? 490 00:28:02,162 --> 00:28:03,888 Why can't Quesmo? 491 00:28:04,357 --> 00:28:06,246 And why can't Sarni? 492 00:28:08,763 --> 00:28:10,536 Another person just died. 493 00:28:10,674 --> 00:28:12,681 Where is your outrage? 494 00:28:13,302 --> 00:28:16,173 No, I have no intention of martyring myself, I'm just putting myself... 495 00:28:16,280 --> 00:28:20,072 Sure, they're dying, but it's got a great beat. 496 00:28:20,441 --> 00:28:22,475 Must be hot as hell under those lights. 497 00:28:22,653 --> 00:28:23,339 Yup. 498 00:28:23,423 --> 00:28:26,634 Hey, why the page? He okay? 499 00:28:26,866 --> 00:28:28,469 He's in a coma. 500 00:28:28,965 --> 00:28:32,151 I need you to apologize to Ceci, Cecily... 501 00:28:32,235 --> 00:28:34,389 Mrs. Carter? For what? 502 00:28:34,473 --> 00:28:37,500 - For whatever I did. - You didn't do anything. 503 00:28:37,555 --> 00:28:39,559 That has been my position all along. 504 00:28:39,643 --> 00:28:43,807 X-rays are negative, so he's not contagious at this point, his condition's currently stable... 505 00:28:43,913 --> 00:28:47,967 D'you notice how all the self-sacrificing women in history... 506 00:28:48,029 --> 00:28:52,737 Joan of Arc, Mother Theresa, can't think of any others... 507 00:28:52,821 --> 00:28:58,429 they all die alone. The men on the other hand get so much fuzz it's crazy. 508 00:28:58,513 --> 00:29:00,036 It's an unfair world. 509 00:29:00,120 --> 00:29:02,547 House, she was scared and unreasonable. 510 00:29:02,631 --> 00:29:07,210 Insulting a woman with breast cancer... that's a move best left to the pros. 511 00:29:07,310 --> 00:29:09,591 Frankly, you don't have the chops. 512 00:29:09,678 --> 00:29:11,148 I didn't insult her! 513 00:29:11,233 --> 00:29:14,301 I did the unnecessary biopsy, like she wanted. 514 00:29:14,385 --> 00:29:16,219 It was negative, like I knew it would be. 515 00:29:16,303 --> 00:29:18,358 What did you do, call 'em perky? 516 00:29:18,495 --> 00:29:22,044 You are years away from mad skills like that. 517 00:29:22,151 --> 00:29:24,102 I need you to apologize. 518 00:29:25,056 --> 00:29:27,836 You know, Cuddy's only doing this because she thinks it's you. 519 00:29:28,103 --> 00:29:29,883 Welcome to the world. 520 00:29:30,035 --> 00:29:32,305 Everyone's different, everyone gets treated different. 521 00:29:32,389 --> 00:29:35,458 You try fighting that, you end up dying of TB. 522 00:29:37,859 --> 00:29:38,781 What are you doing? 523 00:29:38,888 --> 00:29:41,969 Testing the patient's autonomic nervous system. 524 00:29:42,732 --> 00:29:43,624 Of course. 525 00:29:43,787 --> 00:29:46,516 His internal heating and ventilation should be off, 526 00:29:46,600 --> 00:29:47,981 shouldn't be able to sweat. 527 00:29:48,047 --> 00:29:50,141 That's why he's got that awful body powder. 528 00:29:50,239 --> 00:29:53,353 Take it away, crank up the heat, stick him under the lights, 529 00:29:53,980 --> 00:29:57,429 can't cool himself. He should be turning bright red. 530 00:29:57,517 --> 00:29:58,856 The picture's fine. 531 00:30:08,197 --> 00:30:12,309 I'm asking Stoia Tucker to save these lives, millions of lives. 532 00:30:12,505 --> 00:30:14,197 Including my own. 533 00:30:14,858 --> 00:30:17,415 Dr. House, I would appreciate it if you left us alone. 534 00:30:17,543 --> 00:30:18,657 Get that out of my face. 535 00:30:18,741 --> 00:30:20,447 What are you trying to prove, House? 536 00:30:20,595 --> 00:30:23,203 Dr. House, I would appreciate it if you left the room. 537 00:30:23,287 --> 00:30:24,674 He's sweating like a pig. 538 00:30:24,758 --> 00:30:27,416 It's a hundred degrees in here, House, because you turned up the thermostat. 539 00:30:27,525 --> 00:30:30,247 Did they hear me? The media, did they listen? 540 00:30:30,331 --> 00:30:31,258 He's disoriented. 541 00:30:31,361 --> 00:30:32,616 They, they have to hear me. 542 00:30:32,681 --> 00:30:33,939 His arteries are clamping down. 543 00:30:34,023 --> 00:30:35,782 I want everybody out of here, now! 544 00:30:35,850 --> 00:30:38,099 Get the crash cart, he's having a cardiac arrest! 545 00:30:39,654 --> 00:30:41,006 Get them out! 546 00:30:41,458 --> 00:30:43,965 Everyone, I want everyone out of here now! 547 00:30:48,708 --> 00:30:49,627 Clear. 548 00:30:53,900 --> 00:30:57,261 Come on, Sebastian. Clear! 549 00:30:58,121 --> 00:30:59,818 I've got sinus rhythm. 550 00:31:10,063 --> 00:31:12,769 That is not TV! 551 00:31:13,031 --> 00:31:15,074 Compelling television. 552 00:31:16,131 --> 00:31:17,955 Do whatever tests you want. 553 00:31:18,591 --> 00:31:21,125 I want to treat you for TB. 554 00:31:21,474 --> 00:31:25,229 Dr. Cameron found low sugar in your cerebrospinal fluid. 555 00:31:25,331 --> 00:31:27,120 It's a classic finding of TB. 556 00:31:27,204 --> 00:31:29,568 And now you think TB's the problem? 557 00:31:29,858 --> 00:31:33,779 Nah. TB caused cardiac arrest on a hot day, 558 00:31:33,863 --> 00:31:36,812 your work in Africa would be even more futile than it already is. 559 00:31:36,896 --> 00:31:38,546 Can you get to your point, please? 560 00:31:38,773 --> 00:31:40,435 That white board in my office, 561 00:31:40,520 --> 00:31:42,291 we're up to about a dozen symptoms now. 562 00:31:42,353 --> 00:31:47,773 Cardiac arrest, clearly not TB. CSF sugar clearly is TB. 563 00:31:47,918 --> 00:31:49,908 The rest of them could go either way. 564 00:31:49,992 --> 00:31:53,045 Unless we know which ones are which I can't diagnose you. 565 00:31:57,263 --> 00:32:01,406 I'll take any other tests or treatments you might want to prescribe. 566 00:32:04,135 --> 00:32:06,787 So you're not special, but TB is. 567 00:32:06,871 --> 00:32:09,972 People die of TB because we let them, it's our choice. 568 00:32:10,082 --> 00:32:13,354 People die of malaria because we let them, they die of dysentery... 569 00:32:13,438 --> 00:32:15,426 Nah, TB's my disease. 570 00:32:15,616 --> 00:32:17,344 You own a disease? 571 00:32:17,603 --> 00:32:20,907 Well, I'm sorry I missed the IPO on dengue fever. 572 00:32:21,024 --> 00:32:23,069 Look, I know I have a way about me. 573 00:32:23,215 --> 00:32:27,480 I know I piss a lot of people off, and a whole lot more I just annoy. 574 00:32:27,665 --> 00:32:32,369 But you're the first person that I've ever met who I think is actually annoyed by what I do. 575 00:32:32,453 --> 00:32:36,381 Do you think I'm not saving any lives, or is that a bad thing? 576 00:32:36,465 --> 00:32:39,134 Right now, I'm just trying to save your life. 577 00:32:39,267 --> 00:32:41,340 Or do you just have a problem with hope? 578 00:32:43,943 --> 00:32:47,793 You know, the difference between our jobs is not numbers or styles. 579 00:32:47,899 --> 00:32:49,908 It's that I know I'm gonna fail. 580 00:32:50,055 --> 00:32:53,676 Even if I save a million people there's gonna be another million. 581 00:32:54,479 --> 00:32:56,745 You couldn't handle that. 582 00:32:56,995 --> 00:32:59,461 I think you resent anyone who can. 583 00:32:59,709 --> 00:33:02,639 Can't we just agree that you're incredibly annoying? 584 00:33:02,889 --> 00:33:07,813 Take the pills or I let you die, do an autopsy, call my own press conference, 585 00:33:07,855 --> 00:33:11,004 and make sure the world knows that you didn't die of TB. 586 00:33:11,088 --> 00:33:14,741 Corporate sponsors will be disappointed, but they'll find another disease. 587 00:33:14,825 --> 00:33:16,482 Why would you do that? 588 00:33:16,597 --> 00:33:19,330 Because I'm just a mean son of a bitch. 589 00:34:28,159 --> 00:34:33,370 So we still have to explain P-R variability, syncope, headaches, 590 00:34:33,595 --> 00:34:36,943 and... low sugar? 591 00:34:37,305 --> 00:34:40,110 - That was classic TB. - Apparently not. 592 00:34:40,242 --> 00:34:42,973 You've rerun the test? Yeah. 593 00:34:43,476 --> 00:34:44,597 This is good! 594 00:34:44,698 --> 00:34:46,415 Good? This is bizarre. 595 00:34:46,521 --> 00:34:48,053 Bizarre is good! 596 00:34:48,495 --> 00:34:51,568 Common has hundreds of explanations. Bizarre has hardly any. 597 00:34:51,652 --> 00:34:53,881 What else could cause low CSF sugar? 598 00:34:53,965 --> 00:34:56,664 Uh-uh. I get to ask the questions. 599 00:34:56,770 --> 00:35:00,198 I've found you look a lot smarter asking the questions than dumbly not answering. 600 00:35:00,282 --> 00:35:03,005 - High insulin levels in his blood. - They'd have to be very high. 601 00:35:03,071 --> 00:35:05,688 Okay, very high insulin levels in his blood. 602 00:35:05,772 --> 00:35:07,609 How could he get high insulin levels? 603 00:35:07,693 --> 00:35:10,411 We've checked daily blood sugars, all normal! 604 00:35:10,514 --> 00:35:13,319 See how smart she looks? Cause she asked the question. 605 00:35:13,403 --> 00:35:16,479 And it's not glucagonoma because he has no rash. 606 00:35:16,563 --> 00:35:19,710 It's not self-induced because he's not an idiot, 607 00:35:19,856 --> 00:35:23,903 and it's not a tumor because the CT and the MRI were both negative. 608 00:35:23,987 --> 00:35:26,477 Which just leaves tumor. 609 00:35:30,574 --> 00:35:31,304 Why do you do this? 610 00:35:31,388 --> 00:35:33,001 Why do you ignore what I say like I'm not even... 611 00:35:33,085 --> 00:35:35,491 Small tumor. Really, really tiny. 612 00:35:35,575 --> 00:35:38,824 So small we can't see it. Nesidioblastoma. 613 00:35:38,890 --> 00:35:42,081 An abnormal growth of the insulin-secreting glands of his pancreas? 614 00:35:42,165 --> 00:35:44,123 It only intermittently secretes insulin. 615 00:35:44,207 --> 00:35:47,052 It responds to stress. Like if, oh, I don't know, 616 00:35:47,136 --> 00:35:50,544 if someone accidentally puts the mechanical bull on 11. 617 00:35:50,628 --> 00:35:52,535 Easily removed by surgery. 618 00:35:52,957 --> 00:35:56,018 Except, if it's so small we can't see it, 619 00:35:56,102 --> 00:35:57,529 how're we even going to prove it's there? 620 00:35:57,732 --> 00:35:59,438 “She asked, looking clever.” 621 00:35:59,590 --> 00:36:03,185 We just start hacking away at his pancreas until he gets better? 622 00:36:03,269 --> 00:36:05,792 How do you prove something exists when you can't see it? 623 00:36:05,892 --> 00:36:08,388 Does God exist? Does the wind blow? 624 00:36:08,472 --> 00:36:09,902 We know because the leaves move. 625 00:36:09,902 --> 00:36:12,086 Look for effects. 626 00:36:12,170 --> 00:36:15,506 Uh, we should look the other way. It's Cuddy with your patient. 627 00:36:15,507 --> 00:36:16,500 Dr. House! 628 00:36:16,579 --> 00:36:18,684 Dr. House has an emergency. 629 00:36:19,457 --> 00:36:22,668 - We can't avoid her forever. - Eventually she'll die. 630 00:36:22,752 --> 00:36:24,930 You sure she doesn't have breast cancer? 631 00:36:25,246 --> 00:36:28,933 We think you have a tumor, easily removed surgically. 632 00:36:29,037 --> 00:36:30,857 We're going to poke it with a stick. 633 00:36:30,941 --> 00:36:32,776 And if there's no tumor? 634 00:36:32,959 --> 00:36:34,429 Nothing happens. 635 00:36:35,491 --> 00:36:38,967 Splenic artery, it's a hard left off the celiac. 636 00:36:40,015 --> 00:36:41,788 If there is a tumor? 637 00:36:41,872 --> 00:36:45,895 What usually happens when you poke something with a stick? It pokes back. 638 00:36:45,979 --> 00:36:48,475 He's stuck in the superior mesenteric. 639 00:36:49,083 --> 00:36:52,312 I knew we should have stopped for directions. Men. 640 00:36:53,117 --> 00:36:54,445 I'm there. 641 00:36:55,253 --> 00:36:58,383 We're going to inject calcium into your pancreas. 642 00:36:58,600 --> 00:37:00,407 The beta cells will release insulin. 643 00:37:00,491 --> 00:37:03,210 If there are too many beta cells because of a tumor, 644 00:37:03,305 --> 00:37:06,080 your blood sugar will drop precipitously. 645 00:37:06,571 --> 00:37:08,537 How do we know it won't go too low? 646 00:37:08,621 --> 00:37:11,349 Fingers and toes crossed. 647 00:37:12,734 --> 00:37:13,948 Go ahead. 648 00:37:27,558 --> 00:37:30,014 Glucose is holding steady at 75. 649 00:37:31,067 --> 00:37:34,490 No leaves rustling. Blow harder. 650 00:37:34,574 --> 00:37:36,031 I already gave him 1 amp. 651 00:37:36,115 --> 00:37:39,282 Well, I guess now would be the time to give him more than 1 amp. 652 00:37:51,648 --> 00:37:55,722 50. It's starting to drop. 653 00:37:57,999 --> 00:37:58,921 45. 654 00:37:59,268 --> 00:38:01,108 I think my arm's shaking. 655 00:38:01,954 --> 00:38:04,289 I'm gonna start him on a glucose drip. He's gonna seize 656 00:38:04,373 --> 00:38:05,486 Not yet. 657 00:38:07,276 --> 00:38:08,749 He's continuing to drop. 658 00:38:08,894 --> 00:38:11,011 Not fast enough. 659 00:38:17,156 --> 00:38:19,291 He's seizing. 660 00:38:19,353 --> 00:38:21,035 We've got to reverse this. 661 00:38:22,497 --> 00:38:27,556 He's at 40, 38, 35... 662 00:38:35,036 --> 00:38:37,972 Push an amp of D-50, you want to kill the guy? 663 00:38:47,734 --> 00:38:49,583 We're back to 40. 664 00:38:50,587 --> 00:38:53,679 Congratulations, you have a tumor. 665 00:38:58,771 --> 00:39:00,468 Are you gonna go out with him? 666 00:39:01,536 --> 00:39:03,998 Is that any of your business? 667 00:39:04,272 --> 00:39:05,381 Nope. 668 00:39:07,092 --> 00:39:08,232 I don't think so. 669 00:39:08,466 --> 00:39:11,862 Two days ago you were holding his hand. What's changed? 670 00:39:13,043 --> 00:39:16,197 He practically lives in Africa, there's no future. 671 00:39:16,887 --> 00:39:20,032 On the other hand, maybe there's too much of a future now. 672 00:39:20,181 --> 00:39:24,101 You weren't attracted to him because he was prepared to die for a cause, 673 00:39:24,185 --> 00:39:27,263 you were attracted to him because he was actually doing it. 674 00:39:27,406 --> 00:39:29,522 Right. It's that simple. 675 00:39:29,602 --> 00:39:30,453 That was simple? 676 00:39:30,567 --> 00:39:33,128 I put a label on them and go from there. 677 00:39:33,624 --> 00:39:35,142 Everybody does it. 678 00:39:35,311 --> 00:39:37,361 We are who people think we are. 679 00:39:37,707 --> 00:39:39,703 People think he's a great doctor so they give him stuff. 680 00:39:39,787 --> 00:39:40,671 He is a great doctor. 681 00:39:40,755 --> 00:39:42,754 The reality is irrelevant. 682 00:39:48,070 --> 00:39:49,912 I'll prove it. 683 00:39:50,179 --> 00:39:54,137 People who know me see me as an ass, treat me as an ass. 684 00:39:54,221 --> 00:39:58,340 People who don't know me see a cripple, treat me as a cripple. 685 00:39:58,881 --> 00:40:02,793 What kind of selfish jerk wouldn't take advantage of that fact? 686 00:40:10,281 --> 00:40:11,735 Ow! 687 00:40:13,746 --> 00:40:17,350 Oh, my goodness, are you okay? 688 00:40:18,737 --> 00:40:19,610 Yeah. 689 00:40:19,694 --> 00:40:24,240 I am so sorry. It was completely my fault. 690 00:40:24,324 --> 00:40:26,058 It's nothing, I'm fine. 691 00:40:26,207 --> 00:40:28,961 Well, I'm very relieved, I feel terrible. 692 00:40:29,045 --> 00:40:31,377 Don't worry about it, I'm fine. 693 00:40:31,438 --> 00:40:33,679 - You sure? - Mmm. - Okay. 694 00:40:45,777 --> 00:40:47,076 How's everything? 695 00:40:47,429 --> 00:40:49,870 I'm gonna go. My foot's killing me. 696 00:40:49,954 --> 00:40:54,249 - Oh, what did you do? - It was nothing, it was all my fault. 697 00:40:57,056 --> 00:41:01,956 Yeah, listen Fugawi, relax. I'm gonna be back on Tuesday. 698 00:41:02,147 --> 00:41:05,996 Tell Sarni I'm gonna bring her a new brace. All right. 699 00:41:06,501 --> 00:41:07,809 Just in case. 700 00:41:08,550 --> 00:41:09,393 You get 'em? 701 00:41:09,498 --> 00:41:12,272 Six month supply. Should fix you right up. 702 00:41:12,356 --> 00:41:13,925 I see you when you come back for a refill? 703 00:41:14,009 --> 00:41:15,708 Yeah, I'll see you in two months. 704 00:41:15,875 --> 00:41:17,502 You're gonna give them away? 705 00:41:18,034 --> 00:41:21,577 Well, you know how these things happen, you leave a bag in the airplane, 706 00:41:21,658 --> 00:41:23,823 drop some pills down the drain... 707 00:41:24,855 --> 00:41:28,869 I have an idea. You could bring me the refill in Africa. 708 00:41:29,575 --> 00:41:30,921 I don't think so. 709 00:41:31,367 --> 00:41:34,898 You actually like working for House, you find this satisfying? 710 00:42:09,350 --> 00:42:13,233 Thank you, thank you, I appreciate that. I appreciate the support. 711 00:42:13,665 --> 00:42:16,376 It's not about the kids dying every 8 seconds, 712 00:42:16,481 --> 00:42:18,733 it's about the media stroking. 713 00:42:18,817 --> 00:42:21,605 Adulation and pats on the head. 714 00:42:22,273 --> 00:42:24,581 That's your problem with him, isn't it? 715 00:42:24,690 --> 00:42:27,537 Look at him, he loves it. Eats it up. 716 00:42:27,621 --> 00:42:31,889 Yeah, the man actually enjoys what he does. 717 00:42:37,484 --> 00:42:39,655 Listen, I saved his life. 718 00:42:39,823 --> 00:42:43,679 That means I get credit for every life he saves from here on out. 719 00:42:44,003 --> 00:42:46,083 I'll make sure Stockholm knows. 720 00:42:54,762 --> 00:42:56,183 Synchro : Vaccine