1 00:01:14,602 --> 00:01:15,936 Damn it, Zach. 2 00:01:16,004 --> 00:01:17,077 This is the last time I'm turning around. 3 00:01:17,205 --> 00:01:18,238 The next time you forget something, 4 00:01:18,306 --> 00:01:19,306 you're gonna be on your own. 5 00:01:19,374 --> 00:01:21,175 I can't play without a stick. 6 00:01:21,242 --> 00:01:22,709 Then I guess you won't play. 7 00:01:22,777 --> 00:01:23,677 I don't care. 8 00:01:23,745 --> 00:01:24,978 I suck anyway. 9 00:01:25,046 --> 00:01:26,713 Don't say that. 10 00:01:26,781 --> 00:01:28,081 I'm the worst guy on the whole team. 11 00:01:28,149 --> 00:01:29,249 No, you're not. 12 00:01:29,317 --> 00:01:30,784 Then who's worse? 13 00:01:30,852 --> 00:01:32,953 Don't worry about anyone else. Just do your best. 14 00:01:33,021 --> 00:01:34,755 See? You can't name anyone. 15 00:01:34,822 --> 00:01:36,390 Zach, stop it. 16 00:01:36,457 --> 00:01:37,658 Then name someone. 17 00:01:39,727 --> 00:01:41,128 You can't, can you? 18 00:01:45,033 --> 00:01:46,033 Donny... 19 00:01:46,100 --> 00:01:47,034 Mark... 20 00:01:47,101 --> 00:01:48,368 Navid. 21 00:01:48,436 --> 00:01:50,604 You really think I'm better than those guys? 22 00:01:50,672 --> 00:01:52,039 Yes. 23 00:01:58,413 --> 00:02:00,681 Hurry up and get your stick. 24 00:02:18,233 --> 00:02:19,866 Zach, get back in the car. 25 00:02:19,934 --> 00:02:22,469 I need an ambulance at 860 Oakwood Avenue! 26 00:02:22,537 --> 00:02:23,704 Why is dad's car on? 27 00:02:23,771 --> 00:02:25,205 Get back in the car, Zach! 28 00:02:34,916 --> 00:02:36,450 Come on. Come on! 29 00:02:36,517 --> 00:02:38,352 Oh, come on. 30 00:02:38,419 --> 00:02:39,486 Don't do this to me, Jeff! 31 00:02:39,554 --> 00:02:41,088 Don't do this! 32 00:02:49,631 --> 00:02:51,031 Oh. 33 00:02:57,672 --> 00:02:58,672 I'm sorry. 34 00:02:58,740 --> 00:03:00,140 I just... 35 00:03:02,143 --> 00:03:04,177 I couldn't take the pain anymore. 36 00:04:15,717 --> 00:04:16,950 Either I need a new watch, 37 00:04:17,018 --> 00:04:19,152 or Mowgli is cutting into your beauty sleep. 38 00:04:19,220 --> 00:04:23,890 I was up all night looking at finance reports, 39 00:04:23,958 --> 00:04:25,025 and Rachel 40 00:04:25,093 --> 00:04:26,360 is doing great. 41 00:04:26,427 --> 00:04:28,462 Thanks for asking. - Proving that you're 42 00:04:28,529 --> 00:04:30,731 a better foster mom than a homeless drug addict. 43 00:04:30,798 --> 00:04:32,032 Departmental budgets are due this week. 44 00:04:32,100 --> 00:04:33,667 I'm gonna need an extension. 45 00:04:33,735 --> 00:04:35,302 Got some time next decade. 46 00:04:35,370 --> 00:04:36,436 Cameron already turned yours in. 47 00:04:38,206 --> 00:04:40,540 That's nice of her. Two questions— 48 00:04:40,608 --> 00:04:41,742 Why did she? 49 00:04:41,809 --> 00:04:43,443 And why are you telling me? 50 00:04:43,511 --> 00:04:45,112 Same answer— now you owe her a favor. 51 00:04:45,179 --> 00:04:48,548 I'm gonna need an extension. - I got some time— 52 00:04:48,616 --> 00:04:51,485 House, I've got a D.Y.F.S. home visit on Friday. 53 00:04:51,552 --> 00:04:52,886 And I've got a w-h-o-r-e visit on— 54 00:04:52,954 --> 00:04:54,254 Mama's busy. 55 00:04:54,322 --> 00:04:57,157 You two are gonna have to go play outside for a while. 56 00:05:02,864 --> 00:05:04,598 32-year-old male with chronic pain all over. 57 00:05:04,665 --> 00:05:07,334 This is the favor? 58 00:05:07,402 --> 00:05:08,702 I was expecting something 59 00:05:08,770 --> 00:05:10,771 involving whipped cream and tongue depressors. 60 00:05:10,838 --> 00:05:13,073 He's seen seven different specialists over three years. 61 00:05:13,141 --> 00:05:15,709 No diagnosis and no relief. 62 00:05:15,777 --> 00:05:17,611 Oh, I am fascinated already. It's like I'm treating myself. 63 00:05:17,678 --> 00:05:19,079 He gets cured, 64 00:05:19,147 --> 00:05:20,414 and I get to learn a valuable lesson 65 00:05:20,481 --> 00:05:22,182 about the milk of human kindness. 66 00:05:22,250 --> 00:05:23,850 If I thought you learned lessons, I never would've quit. 67 00:05:23,918 --> 00:05:25,652 So you're wasting a favor because? 68 00:05:25,720 --> 00:05:26,753 I think you can help this guy. 69 00:05:26,821 --> 00:05:28,755 Drug-seeking patients— 70 00:05:28,823 --> 00:05:30,490 don't attempt suicide 71 00:05:30,558 --> 00:05:32,192 with medicine cabinets full of narcotics. 72 00:05:32,260 --> 00:05:34,761 Sounds like fibromyalgia. 73 00:05:34,829 --> 00:05:36,463 Sounds like you don't work for House. 74 00:05:36,531 --> 00:05:38,098 A diagnosis 75 00:05:38,166 --> 00:05:39,499 that provides neither an explanation nor a cure 76 00:05:39,567 --> 00:05:40,667 is by definition not a diagnosis. 77 00:05:40,735 --> 00:05:42,903 The American College of Rheumatology 78 00:05:42,970 --> 00:05:44,137 would disagree. 79 00:05:44,205 --> 00:05:45,672 There are specific diagnostic criteria. 80 00:05:45,740 --> 00:05:47,240 Which this guy doesn't meet. 81 00:05:47,308 --> 00:05:49,009 Putting pressure on his pain helps, doesn't make it worse. 82 00:05:49,076 --> 00:05:51,044 He's got abdominal pain, severe headaches, 83 00:05:51,112 --> 00:05:52,212 Muscle cramps that come and go. 84 00:05:52,280 --> 00:05:54,014 And he tried to off himself. 85 00:05:54,081 --> 00:05:55,282 He's obviously mentally ill. 86 00:05:55,349 --> 00:05:57,217 Pain's probably psychological. 87 00:05:57,285 --> 00:05:59,519 It is not a sign of mental illness to want to be pain-free. 88 00:05:59,587 --> 00:06:02,155 It is if your solution is sucking on a tailpipe. 89 00:06:02,223 --> 00:06:03,423 Sane people don't attempt suicide. 90 00:06:03,491 --> 00:06:05,459 Not ever? 91 00:06:05,526 --> 00:06:07,694 So if you were being burnt at the stake 92 00:06:07,762 --> 00:06:09,129 and someone handed you a gun... 93 00:06:09,197 --> 00:06:12,933 I'd shoot the guys with the torches. 94 00:06:13,000 --> 00:06:14,468 Not one doctor this guy has seen in the past three years 95 00:06:14,535 --> 00:06:15,702 has been able to find a single thing wrong with him. 96 00:06:15,770 --> 00:06:17,337 What does that tell you? 97 00:06:17,405 --> 00:06:18,705 It means they're idiots. 98 00:06:18,773 --> 00:06:20,006 It means we got to start 99 00:06:20,074 --> 00:06:21,475 from the beginning. 100 00:06:21,542 --> 00:06:23,376 We'll do a pain profile to rule out psychosomatic pain, 101 00:06:23,444 --> 00:06:25,412 search the home. 102 00:06:25,480 --> 00:06:27,447 Go home. Get a refill... 103 00:06:28,783 --> 00:06:29,649 and a doughnut. 104 00:06:31,285 --> 00:06:33,453 I'll help with the home. 105 00:06:46,334 --> 00:06:47,601 "Choose a statement in each group 106 00:06:47,668 --> 00:06:49,870 "that best describes how you've been feeling lately, 107 00:06:49,937 --> 00:06:51,238 including today." 108 00:06:51,305 --> 00:06:53,106 I'm not depressed. 109 00:06:53,174 --> 00:06:55,275 I know what I did was stupid. 110 00:06:55,343 --> 00:06:58,211 "I usually sleep well. 111 00:06:58,279 --> 00:06:59,613 "I have some trouble with sleep. 112 00:06:59,680 --> 00:07:01,982 I have a lot of trouble with sleep." 113 00:07:02,049 --> 00:07:04,217 I have a lot of trouble. 114 00:07:04,285 --> 00:07:05,619 It's up and down. 115 00:07:05,686 --> 00:07:07,120 Between the pain and the meds, 116 00:07:07,188 --> 00:07:09,189 his sleep pattern's pretty erratic. 117 00:07:09,257 --> 00:07:10,624 "He's a calm person. 118 00:07:10,691 --> 00:07:12,292 "He's more nervous than most people. 119 00:07:12,360 --> 00:07:13,827 He's so nervous, he's miserable." 120 00:07:13,895 --> 00:07:15,729 He's definitely calm. 121 00:07:15,796 --> 00:07:18,798 Sometimes calmer the worse the pain gets. 122 00:07:18,866 --> 00:07:22,536 I think talking, interacting with other people 123 00:07:22,603 --> 00:07:23,904 actually makes it worse. 124 00:07:23,971 --> 00:07:25,472 Interesting. 125 00:07:25,540 --> 00:07:27,040 Why? Does that mean something? 126 00:07:27,108 --> 00:07:29,109 No, it's just 127 00:07:29,176 --> 00:07:33,046 we've seen that in other... patients. 128 00:07:33,114 --> 00:07:35,715 "He can do chores around the house. 129 00:07:35,783 --> 00:07:39,085 With help, he can do chores. He can no longer do chores." 130 00:07:39,153 --> 00:07:42,856 He helps all the time. He's really strong. 131 00:07:42,924 --> 00:07:44,591 He used to play hockey. 132 00:07:44,659 --> 00:07:46,493 And he was really good too. 133 00:07:46,561 --> 00:07:49,796 "I believe there's hope. 134 00:07:49,864 --> 00:07:52,832 "Hoping for things to get better is a struggle for me. 135 00:07:52,900 --> 00:07:55,468 Most of the time, I feel completely hopeless." 136 00:07:55,536 --> 00:07:57,737 He still laughs... 137 00:07:57,805 --> 00:07:59,573 all the time. 138 00:07:59,640 --> 00:08:02,676 He was always optimistic. He still is. 139 00:08:02,743 --> 00:08:06,413 It's just... it's harder now. 140 00:08:06,480 --> 00:08:08,381 I guess... 141 00:08:08,449 --> 00:08:11,384 I pray for strength more than hope. 142 00:08:15,823 --> 00:08:18,858 There's nothing in there but a pharmacy's worth of pain meds. 143 00:08:18,926 --> 00:08:21,728 This guy makes House look like a Christian Scientist. 144 00:08:21,796 --> 00:08:23,363 He's also more compliant than House. 145 00:08:23,431 --> 00:08:24,931 Kept all the inserts, 146 00:08:24,999 --> 00:08:27,734 had daily pill dispensers to make sure he didn't mix them up. 147 00:08:27,802 --> 00:08:30,303 I guess if you're gonna go out in a car, 148 00:08:30,371 --> 00:08:31,504 this ain't a bad one to choose. 149 00:08:31,572 --> 00:08:33,139 If I ever did it, 150 00:08:33,207 --> 00:08:35,909 definitely wouldn't be like that. 151 00:08:35,977 --> 00:08:37,811 Don't worry. I'm not making any plans. 152 00:08:37,878 --> 00:08:39,179 I certainly wouldn't know. 153 00:08:39,246 --> 00:08:41,114 Ever since we kissed, you've been avoiding me. 154 00:08:41,182 --> 00:08:42,549 No, I haven't. 155 00:08:42,617 --> 00:08:44,184 Just been busy. 156 00:08:44,251 --> 00:08:45,919 Metal polish 157 00:08:45,987 --> 00:08:47,988 could cause nerve damage if he inhaled enough of it. 158 00:08:48,055 --> 00:08:49,389 Judging by the shine on that car, 159 00:08:49,457 --> 00:08:50,957 he used a fair amount. 160 00:08:51,025 --> 00:08:53,994 Judging by the fact that he owns a body shop and one of these, 161 00:08:54,061 --> 00:08:55,261 I'd say he knew not to inhale. 162 00:08:56,831 --> 00:08:59,332 Busy tonight? We can get some dinner. 163 00:08:59,400 --> 00:09:02,068 I don't think so. 164 00:09:02,136 --> 00:09:05,505 So making out, okay. Meals, too intimate? 165 00:09:05,573 --> 00:09:07,474 I don't want to kiss you again either. 166 00:09:07,541 --> 00:09:09,175 Why? Because we work together? 167 00:09:09,243 --> 00:09:10,210 No. 168 00:09:10,277 --> 00:09:12,979 Because I like you. 169 00:09:13,047 --> 00:09:15,281 That makes a lot of sense. 170 00:09:15,349 --> 00:09:16,449 What doesn't make sense 171 00:09:16,517 --> 00:09:18,385 Is me getting involved with anyone. 172 00:09:18,452 --> 00:09:20,153 I thought you'd gotten past that. 173 00:09:20,221 --> 00:09:22,255 That's why you agreed to the drug trial. 174 00:09:22,323 --> 00:09:24,424 You can't give up on life because— 175 00:09:24,492 --> 00:09:25,592 I'm not giving up on life. 176 00:09:25,660 --> 00:09:27,360 I'm just giving up on you. 177 00:09:27,428 --> 00:09:29,362 I finally feel 178 00:09:29,430 --> 00:09:30,263 like I have a grip on things. 179 00:09:30,331 --> 00:09:31,898 I can handle this. 180 00:09:31,966 --> 00:09:35,935 What I can't handle is dragging anyone else down with me. 181 00:09:40,341 --> 00:09:41,841 Does this look like quail to you? 182 00:09:44,779 --> 00:09:45,779 You think he's had food poisoning 183 00:09:45,846 --> 00:09:47,547 every day for the last three years? 184 00:09:47,615 --> 00:09:49,015 Wild quail can be toxic, 185 00:09:49,083 --> 00:09:50,517 Cause rhabdomyolysis, 186 00:09:50,584 --> 00:09:51,651 Which would explain his pain, 187 00:09:51,719 --> 00:09:53,319 As well as the elevated C.K. levels. 188 00:09:53,387 --> 00:09:55,188 So would the carbon monoxide he sucked out of his car. 189 00:09:55,256 --> 00:09:57,157 It's not a toxic reaction. 190 00:09:57,224 --> 00:09:58,892 It's a psychosomatic reaction. 191 00:09:58,959 --> 00:10:00,694 The pain profile 192 00:10:00,761 --> 00:10:02,495 showed an excessive concern about his physical health, 193 00:10:02,563 --> 00:10:04,364 Difficulty sleeping, getting out of bed. 194 00:10:04,432 --> 00:10:05,865 He's not in pain because he's depressed. 195 00:10:05,933 --> 00:10:06,900 He's depressed 196 00:10:06,967 --> 00:10:08,535 because he's in pain. 197 00:10:08,602 --> 00:10:09,903 Not according to the pain profile you ordered. 198 00:10:09,970 --> 00:10:11,171 It's not a diet issue. 199 00:10:11,238 --> 00:10:12,405 We should start him on antidepressants 200 00:10:12,473 --> 00:10:14,474 for his sake, as well as his family's. 201 00:10:14,542 --> 00:10:15,809 We're not diagnosing his family. 202 00:10:15,876 --> 00:10:17,677 We're not diagnosing you either. 203 00:10:20,381 --> 00:10:21,314 It's rhabdo. 204 00:10:21,382 --> 00:10:22,982 Push I.V. fluids, 205 00:10:23,050 --> 00:10:24,651 check his urine, do a muscle biopsy. 206 00:10:24,719 --> 00:10:26,853 What muscle? He says it hurts all over. 207 00:10:26,921 --> 00:10:28,688 Then she'll biopsy all over. 208 00:10:30,891 --> 00:10:32,692 Where are you going? 209 00:10:32,760 --> 00:10:34,160 If Cuddy can come in late, I can leave early. 210 00:10:34,228 --> 00:10:35,762 If you need anything while I'm gone, 211 00:10:35,830 --> 00:10:37,464 just ask Cameron to do it. 212 00:10:40,434 --> 00:10:41,968 So if he just stops eating quail, 213 00:10:42,036 --> 00:10:43,503 the pain will go away? 214 00:10:43,571 --> 00:10:45,071 If we're right, it's definitely treatable. 215 00:10:47,808 --> 00:10:49,709 My arm! It's starting to— 216 00:10:49,777 --> 00:10:51,878 He needs more medicine. B.P. is down. 217 00:10:51,946 --> 00:10:53,480 We need to get him in trendelenburg position. 218 00:10:53,547 --> 00:10:55,215 Jeff, can you hear me? - He's arresting. 219 00:10:55,282 --> 00:10:57,150 We need a crash cart in here! 220 00:11:27,214 --> 00:11:30,216 He's not answering his cell either. 221 00:11:30,284 --> 00:11:31,518 V.Q. scan 222 00:11:31,585 --> 00:11:33,253 showed a pulmonary embolism. 223 00:11:33,320 --> 00:11:34,821 Means the pain's not psychosomatic. 224 00:11:34,889 --> 00:11:36,389 It also means 225 00:11:36,457 --> 00:11:37,957 it's not rhabdomyolysis. - Up till now, 226 00:11:38,025 --> 00:11:40,059 his heart and lungs were the only places he didn't have pain. 227 00:11:40,127 --> 00:11:42,061 Means it's getting worse. 228 00:11:44,865 --> 00:11:46,166 Got to let the phone ring 229 00:11:46,233 --> 00:11:48,334 more than four times when you're calling a cripple. 230 00:11:48,402 --> 00:11:51,237 Chronic pain and pulmonary embolism, go. 231 00:11:51,305 --> 00:11:52,739 How'd you know he had— - You called after midnight. 232 00:11:52,807 --> 00:11:54,140 It's got to be a heart problem. 233 00:11:54,208 --> 00:11:55,975 But heart only would be consistent 234 00:11:56,043 --> 00:11:57,877 with rhabdo, which means Thirteen and Foreman 235 00:11:57,945 --> 00:11:59,813 would be singing in the rain, 236 00:11:59,880 --> 00:12:01,614 which means it has to be lungs as well. 237 00:12:01,682 --> 00:12:03,183 Hypercoagulable state could cause pain and a P.E. 238 00:12:03,250 --> 00:12:05,385 So you think the blood clot was caused by a clotting problem. 239 00:12:05,452 --> 00:12:06,686 That's helpful. 240 00:12:06,754 --> 00:12:08,321 What if it's a cancer syndrome, like Trousseau's? 241 00:12:08,389 --> 00:12:10,456 Explains blood clots, 242 00:12:10,524 --> 00:12:11,991 multifocal pain, lack of obvious physical signs. 243 00:12:12,059 --> 00:12:14,260 And why he's gone three years without anyone seeing it. 244 00:12:14,328 --> 00:12:16,129 Check his chest, abdomen, 245 00:12:16,197 --> 00:12:18,264 and pelvis for tumors. 246 00:12:18,332 --> 00:12:19,833 Why did he think 247 00:12:19,900 --> 00:12:22,235 only you two would be singing in the rain? 248 00:13:22,494 --> 00:13:24,161 Bone windows are normal. 249 00:13:24,229 --> 00:13:26,964 Checking for cancerous masses in the lungs. 250 00:13:28,733 --> 00:13:31,135 So, uh, who do you know who committed suicide? 251 00:13:31,203 --> 00:13:34,038 Hemingway, Goebbels, 252 00:13:34,105 --> 00:13:36,006 Romeo and Juliet. Your mom? 253 00:13:36,074 --> 00:13:37,274 Dad? 254 00:13:37,342 --> 00:13:39,009 Saying I wouldn't do it under any circumstances 255 00:13:39,077 --> 00:13:41,345 means my whole family was suicidal? 256 00:13:41,413 --> 00:13:43,848 No, but categorically insisting there are no circumstances 257 00:13:43,915 --> 00:13:46,283 means you've got baggage— 258 00:13:46,351 --> 00:13:47,785 personal betrayal, abandonment. 259 00:13:47,853 --> 00:13:50,621 Just because you grew up in a Charles Dickens novel... 260 00:13:50,689 --> 00:13:52,022 Well, it's people like me who don't do it. 261 00:13:52,090 --> 00:13:53,324 When your life sucks from the beginning, 262 00:13:53,391 --> 00:13:54,492 there's nowhere to go but up. 263 00:13:54,559 --> 00:13:56,026 Thorax is clear. 264 00:13:56,094 --> 00:13:58,195 No tumors in the lungs. 265 00:13:58,263 --> 00:14:00,130 The only betrayal comes from father of the year in there. 266 00:14:00,198 --> 00:14:01,932 He has a wife, a kid— 267 00:14:02,000 --> 00:14:04,001 People who count on him to have a pulse. 268 00:14:04,069 --> 00:14:05,769 Okay. 269 00:14:05,837 --> 00:14:07,872 Switching to high-res cuts of the abdomen. 270 00:14:07,939 --> 00:14:11,809 My parents live very happily in Queens. 271 00:14:11,877 --> 00:14:13,077 They never attempted, thought about, 272 00:14:13,144 --> 00:14:14,345 or attempted to think about committ— 273 00:14:14,412 --> 00:14:15,346 What? 274 00:14:15,413 --> 00:14:16,480 There, 275 00:14:16,548 --> 00:14:18,048 along his diaphragm. 276 00:14:21,353 --> 00:14:23,988 That's not cancer. 277 00:14:27,492 --> 00:14:28,626 No hurry. 278 00:14:28,693 --> 00:14:30,294 I already bathed once this week. 279 00:14:30,362 --> 00:14:31,929 I wouldn't want to look elitist. 280 00:14:31,997 --> 00:14:34,465 Can't do anything till I write up an estimate. 281 00:14:37,002 --> 00:14:39,136 Fine. Pad it all you want. 282 00:14:39,204 --> 00:14:40,838 Here's a check for the deductible. 283 00:14:40,906 --> 00:14:42,573 Don't touch the piano and lock up when you leave. 284 00:14:42,641 --> 00:14:46,043 Sorry, deductible doesn't apply here. 285 00:14:46,111 --> 00:14:47,611 I'm no architect, 286 00:14:47,679 --> 00:14:50,681 but I'm pretty sure the master bedroom is part of the home, 287 00:14:50,749 --> 00:14:52,149 which means the home warranty— 288 00:14:52,217 --> 00:14:53,384 doesn't cover negligence. 289 00:14:53,451 --> 00:14:54,885 This pipe 290 00:14:54,953 --> 00:14:56,053 goes through the ceiling, 291 00:14:56,121 --> 00:14:58,622 over that wall, and into your shower. 292 00:14:58,690 --> 00:15:00,357 It didn't burst. It was pulled apart. 293 00:15:00,425 --> 00:15:03,928 Yeah, 'cause I'm clearly a guy who likes to knock out 294 00:15:03,995 --> 00:15:06,363 a few naked pull-ups before I greet the day. 295 00:15:06,431 --> 00:15:07,731 You hang laundry in there? 296 00:15:07,799 --> 00:15:09,466 I'm about to hang a plumber in there. 297 00:15:09,534 --> 00:15:12,102 Look, there's no rust. 298 00:15:12,170 --> 00:15:13,304 There's no corrosion. 299 00:15:13,371 --> 00:15:14,705 I don't know how it happened, 300 00:15:14,773 --> 00:15:16,840 But I know what happened, and it's not covered. 301 00:15:16,908 --> 00:15:18,475 So... 302 00:15:18,543 --> 00:15:21,478 Whenever you're ready to spend the $2,200, 303 00:15:21,546 --> 00:15:22,546 Give somebody else a call. 304 00:15:32,691 --> 00:15:35,326 I promise, I'm only holding your hand 305 00:15:35,393 --> 00:15:36,827 to check for choreiform movement. 306 00:15:36,895 --> 00:15:38,529 I'm getting absolutely no intimacy from it. 307 00:15:38,597 --> 00:15:41,832 I told you, it has nothing to do with you. - I know. 308 00:15:41,900 --> 00:15:43,200 That's the problem. 309 00:15:43,268 --> 00:15:44,768 There's 80 reasons we shouldn't date, 310 00:15:44,836 --> 00:15:46,804 but you can't shut everyone out. 311 00:15:46,871 --> 00:15:48,872 You're gonna need help, support. 312 00:15:48,940 --> 00:15:50,274 Look at our patient. 313 00:15:50,342 --> 00:15:52,343 32 years old, not dead yet, 314 00:15:52,410 --> 00:15:55,813 and already he's traumatized his wife, his son— - And I'll bet 315 00:15:55,880 --> 00:15:57,915 they're cherishing every traumatic minute he has left, 316 00:15:57,983 --> 00:15:59,550 wouldn't trade him for the healthiest guy in the world. 317 00:15:59,618 --> 00:16:01,051 True. 318 00:16:01,119 --> 00:16:03,988 And they're stuck suffering with him, hating every day. 319 00:16:04,055 --> 00:16:05,356 Only their pain 320 00:16:05,423 --> 00:16:07,191 has no prospect of relief. 321 00:16:07,258 --> 00:16:08,425 This a bad time? 322 00:16:08,493 --> 00:16:10,127 No. - Yeah. 323 00:16:10,195 --> 00:16:12,062 No trace of cancer in the patient. 324 00:16:12,130 --> 00:16:13,564 But we did find edema in his intestines, 325 00:16:13,632 --> 00:16:14,865 air in the intestinal blood vessels, 326 00:16:14,933 --> 00:16:16,967 and House won't answer his phone. 327 00:16:17,035 --> 00:16:18,636 His intestine must be damaged. 328 00:16:18,703 --> 00:16:19,803 The air's leaking into his body. 329 00:16:19,871 --> 00:16:21,171 If there's a blockage 330 00:16:21,239 --> 00:16:22,573 in the superior mesenteric artery, 331 00:16:22,641 --> 00:16:24,141 it could be choking off blood flow to his intestine. 332 00:16:24,209 --> 00:16:26,076 Blockages all over his body would explain his pain, 333 00:16:26,144 --> 00:16:27,645 why the cramps come and go. 334 00:16:27,712 --> 00:16:29,413 Do an angioplasty on the superior mesenteric 335 00:16:29,481 --> 00:16:31,081 and find the other blockages 336 00:16:31,149 --> 00:16:32,883 before he has another cardiac arrest. 337 00:16:32,951 --> 00:16:35,152 I'll help. 338 00:16:47,632 --> 00:16:50,167 Good thing we don't have a suicidal patient 339 00:16:50,235 --> 00:16:52,403 with a horrific, undiagnosed pain disorder. 340 00:16:52,470 --> 00:16:54,438 We did till we diagnosed it. 341 00:16:54,506 --> 00:16:55,506 We found intestinal edema 342 00:16:55,573 --> 00:16:57,808 and air in the blood vessels. 343 00:16:57,876 --> 00:16:59,209 Pain was vascular. 344 00:16:59,277 --> 00:17:01,078 If it was vascular, we would've seen uneven pulses. 345 00:17:01,146 --> 00:17:02,212 His blood pressure was uneven. 346 00:17:02,280 --> 00:17:03,614 Thirteen and Kutner are doing an angio. 347 00:17:03,682 --> 00:17:05,716 He had hemorrhages in his fingers. 348 00:17:05,784 --> 00:17:07,551 There's air in the intestine. 349 00:17:07,619 --> 00:17:09,353 It has to have come from somewhere. 350 00:17:11,556 --> 00:17:13,524 Yes... 351 00:17:13,591 --> 00:17:15,426 It does. 352 00:17:17,062 --> 00:17:18,562 After we thread the catheter 353 00:17:18,630 --> 00:17:19,897 through his groin and into position, 354 00:17:19,964 --> 00:17:21,165 the blood will start flowing freely again. 355 00:17:21,232 --> 00:17:22,666 Will that take away the pain? 356 00:17:22,734 --> 00:17:25,569 It will be completely ineffective, 357 00:17:25,637 --> 00:17:27,771 and the pain will completely go away. 358 00:17:27,839 --> 00:17:29,606 Cancel the angio. 359 00:17:29,674 --> 00:17:31,008 He has air in his blood vessels. 360 00:17:31,076 --> 00:17:32,409 If we don't open the artery to his intestines— 361 00:17:32,477 --> 00:17:34,712 Where can air come from? 362 00:17:34,779 --> 00:17:36,880 Hmm. 363 00:17:36,948 --> 00:17:38,182 Air can either come from a breach in the lumen 364 00:17:38,249 --> 00:17:39,349 in the small intestine, 365 00:17:39,417 --> 00:17:40,718 or in rare instances, 366 00:17:40,785 --> 00:17:44,088 air can come from the air. 367 00:17:45,824 --> 00:17:47,291 Teeth marks. 368 00:17:47,358 --> 00:17:49,259 I'm guessing from when he blew into his I.V. tube. 369 00:17:49,327 --> 00:17:50,994 Air bubble caused the P.E. 370 00:17:51,062 --> 00:17:52,496 and cardiac arrest. 371 00:17:52,564 --> 00:17:54,164 You tried to finish the job that you started 372 00:17:54,232 --> 00:17:55,666 at home. 373 00:17:55,734 --> 00:17:57,034 Jeff... 374 00:17:57,102 --> 00:17:59,002 Why? 375 00:17:59,070 --> 00:18:01,004 You said that you never— - I lied. 376 00:18:04,242 --> 00:18:06,043 I want to die. 377 00:18:10,148 --> 00:18:12,082 Please just let me die. 378 00:18:14,919 --> 00:18:15,753 No. 379 00:18:26,659 --> 00:18:27,793 He's in a hyperbaric chamber. 380 00:18:27,860 --> 00:18:29,127 A dose of high pressure 381 00:18:29,195 --> 00:18:30,729 ought to chase the air out of his blood. 382 00:18:30,797 --> 00:18:31,930 Is anyone keeping an eye on him, 383 00:18:32,999 --> 00:18:34,866 was specifically created 384 00:18:34,934 --> 00:18:36,935 for suicidal patients. 385 00:18:37,003 --> 00:18:38,703 I realize how you might've thought the name 386 00:18:38,771 --> 00:18:39,871 was just a coincidence. 387 00:18:39,939 --> 00:18:41,139 Are there any visuals in this room 388 00:18:41,207 --> 00:18:42,941 that are key to us learning our lesson? 389 00:18:43,009 --> 00:18:44,609 'Cause the telephone— 390 00:18:44,677 --> 00:18:46,578 I'm inconveniencing you 391 00:18:46,646 --> 00:18:48,814 because you inconvenienced me. 392 00:18:48,881 --> 00:18:50,515 When was the last time you showered? 393 00:18:50,583 --> 00:18:52,851 Scent of a man... 394 00:18:52,919 --> 00:18:54,986 I realize you haven't experienced it sober. 395 00:18:55,054 --> 00:18:56,421 If anyone should be able to handle 396 00:18:56,489 --> 00:18:58,890 a depressed pain patient... 397 00:18:58,958 --> 00:19:00,892 He insisted he was no longer— Apparently he lied. 398 00:19:00,960 --> 00:19:03,095 Didn't think I'd have to remind you 399 00:19:03,162 --> 00:19:04,930 of that remote possibility. 400 00:19:04,997 --> 00:19:06,865 I have a D.Y.F.S. inspection in less than 24 hours, 401 00:19:06,933 --> 00:19:09,134 so if you can't control— non-motor seizures. 402 00:19:10,570 --> 00:19:12,404 Sorry, I was thinking about the patient. 403 00:19:12,472 --> 00:19:13,605 What were you saying? 404 00:19:13,673 --> 00:19:15,073 Uh... 405 00:19:15,141 --> 00:19:16,741 Go on. - The pain started 406 00:19:16,809 --> 00:19:18,043 in his abdomen near his intestine. 407 00:19:18,111 --> 00:19:19,444 The first symptom has got to be key. 408 00:19:19,512 --> 00:19:21,580 He's had multiple EEGs, 409 00:19:21,647 --> 00:19:22,814 all of them cleaner and squeakier 410 00:19:22,882 --> 00:19:24,649 than Cuddy's rubber nipples. 411 00:19:24,717 --> 00:19:25,851 What about a glycogen storage disease 412 00:19:25,918 --> 00:19:27,586 like McArdle's? 413 00:19:27,653 --> 00:19:28,587 It explains the pain. 414 00:19:28,654 --> 00:19:29,888 Plus, there's plenty 415 00:19:29,956 --> 00:19:31,123 of muscle cells in the wall of the intestine. 416 00:19:32,525 --> 00:19:35,193 Fourteen is right. 417 00:19:35,261 --> 00:19:37,996 Go run an ischemic forearm test. 418 00:19:38,064 --> 00:19:40,532 Take the garbage out on your way out. 419 00:19:44,237 --> 00:19:45,370 If you want a man to take your crap, 420 00:19:45,438 --> 00:19:46,505 you have to marry him first. 421 00:19:46,572 --> 00:19:47,839 Or employ him. 422 00:19:51,878 --> 00:19:54,679 Good girl. 423 00:19:54,747 --> 00:19:57,349 I don't think I'm ready to run a decathlon yet. 424 00:19:57,416 --> 00:19:58,817 Ah, if we can get you managing 425 00:19:58,885 --> 00:20:01,153 your life a bit better, that'll be plenty. 426 00:20:01,220 --> 00:20:02,854 Dr. Hadley, whenever you're ready. 427 00:20:02,922 --> 00:20:05,290 Janice. 428 00:20:05,358 --> 00:20:07,292 You look better. 429 00:20:07,360 --> 00:20:08,593 Yeah, they said my basal ganglian volume 430 00:20:08,661 --> 00:20:09,895 has improved. 431 00:20:09,962 --> 00:20:12,497 All I know is for the first time in two years, 432 00:20:12,565 --> 00:20:14,299 I can drink a cup of water without spilling it 433 00:20:14,367 --> 00:20:15,967 all over myself. 434 00:20:16,035 --> 00:20:18,670 Thank you for getting me back in the study. 435 00:20:18,738 --> 00:20:21,406 I haven't even seen you in weeks. 436 00:20:21,474 --> 00:20:23,875 I didn't even know our appointments 437 00:20:23,943 --> 00:20:25,277 were back-to-back again. 438 00:20:25,344 --> 00:20:27,379 Well, they weren't. Mine got switched this morning. 439 00:20:30,383 --> 00:20:31,616 We're gonna take your blood repeatedly. 440 00:20:31,684 --> 00:20:33,952 If the increased strain makes your arm hurt more, 441 00:20:34,020 --> 00:20:35,153 you have a muscle abnormality. 442 00:20:35,221 --> 00:20:36,855 If you're right 443 00:20:36,923 --> 00:20:38,790 about this McArdle's Disease, 444 00:20:38,858 --> 00:20:40,258 can you take away the pain? 445 00:20:40,326 --> 00:20:42,160 With gene-replacement therapy, with lifestyle changes, 446 00:20:42,228 --> 00:20:43,895 we can reduce it. 447 00:20:43,963 --> 00:20:45,297 Keep squeezing the ball. 448 00:20:47,166 --> 00:20:48,466 How long does he have to— 449 00:20:48,534 --> 00:20:49,868 Maybe you and Zach should get something to eat. 450 00:20:49,936 --> 00:20:51,503 Honey, don't worry about us. - I'm not. 451 00:20:51,571 --> 00:20:53,438 Please get out of here. 452 00:20:53,506 --> 00:20:55,540 These tests are all I can handle. 453 00:21:02,215 --> 00:21:04,082 They're trying to help you. - They can't. 454 00:21:04,150 --> 00:21:06,785 Then how about helping them, you know, by not being— 455 00:21:06,852 --> 00:21:08,019 An ass? 456 00:21:08,087 --> 00:21:10,589 You have no idea what I'm going through. 457 00:21:10,656 --> 00:21:12,390 I know it's better than what you tried to go through. 458 00:21:14,894 --> 00:21:17,295 Sure, no baggage at all. 459 00:21:17,363 --> 00:21:19,731 Where's the pain worst right now? - Left arm. 460 00:21:19,799 --> 00:21:20,966 Does it hurt more? - Couldn't. 461 00:21:21,033 --> 00:21:22,434 And lactate level is steady. 462 00:21:22,501 --> 00:21:23,468 It's not any kind of glycogen. 463 00:21:23,536 --> 00:21:24,703 Aah! 464 00:21:24,770 --> 00:21:27,172 Oh, God! Pain jumped to my leg! 465 00:21:27,240 --> 00:21:29,407 That's never happened before 466 00:21:29,475 --> 00:21:31,042 chest, your abdomen— you feel anything there? 467 00:21:31,110 --> 00:21:32,611 No! My leg! 468 00:21:32,678 --> 00:21:35,747 It feels like it's being sawed off. 469 00:21:39,819 --> 00:21:41,920 Nice. - What? 470 00:21:41,988 --> 00:21:43,455 Switching Janice's appointment time 471 00:21:43,522 --> 00:21:45,190 so I could see the skies brighten 472 00:21:45,258 --> 00:21:47,425 like a Lifetime TV movie. - I don't know what you're— 473 00:21:47,493 --> 00:21:49,728 sticking your most improved study participant in my face. 474 00:21:49,795 --> 00:21:50,929 Is that your way of getting into my pants? 475 00:21:50,997 --> 00:21:53,665 I don't make the schedule, 476 00:21:53,733 --> 00:21:57,335 and if I did, I wouldn't use it as a social lubricant. 477 00:21:57,403 --> 00:22:00,438 And this is the first I've heard of Janice improving at all. 478 00:22:00,506 --> 00:22:03,441 So, hey, thanks for the good news. 479 00:22:10,283 --> 00:22:11,716 Pain started in his abdomen. 480 00:22:11,784 --> 00:22:13,752 Now it's hopped from his left thumb to his left leg, 481 00:22:13,819 --> 00:22:15,387 skipping the trunk entirely. 482 00:22:15,454 --> 00:22:16,921 I need the name of a good lawyer. 483 00:22:16,989 --> 00:22:18,323 We're getting sued? - Probably. 484 00:22:18,391 --> 00:22:19,791 That's Cuddy's problem. 485 00:22:19,859 --> 00:22:21,192 Hopping pain, means it's something 486 00:22:21,260 --> 00:22:22,327 in his brain, not his body. 487 00:22:22,395 --> 00:22:23,895 Except the pain's in two places 488 00:22:23,963 --> 00:22:26,398 that connect to two separate regions of the brain, 489 00:22:26,465 --> 00:22:28,133 which means you're not using yours. 490 00:22:28,200 --> 00:22:31,603 Come on, you're from one of the 12 tribes. 491 00:22:31,671 --> 00:22:33,138 You know must know a ton of shysters. 492 00:22:33,205 --> 00:22:34,339 What type of lawyer do you need? 493 00:22:34,407 --> 00:22:35,774 I'll bring it up 494 00:22:35,841 --> 00:22:37,175 at the next world domination subcommittee meeting. 495 00:22:37,243 --> 00:22:38,343 Didn't say I needed a lawyer. 496 00:22:38,411 --> 00:22:40,211 I said I needed the name of a lawyer. 497 00:22:40,279 --> 00:22:43,381 Pain hopped to another limb on the same side. 498 00:22:43,449 --> 00:22:44,649 It's got to be central— - Could still be peripheral. 499 00:22:44,717 --> 00:22:45,984 If multiple areas 500 00:22:46,052 --> 00:22:47,485 of disc disease— 501 00:22:47,553 --> 00:22:49,688 were consistent with a completely spotless MRI. 502 00:22:49,755 --> 00:22:51,389 Who represented the hospital 503 00:22:51,457 --> 00:22:52,891 when you set that patient on fire? 504 00:22:52,958 --> 00:22:54,526 Chris Carrick. 505 00:22:54,593 --> 00:22:57,329 Chris? That doesn't sound like a very good lawyer. 506 00:22:57,396 --> 00:23:00,432 If we can't even resolve body versus brain, 507 00:23:00,499 --> 00:23:01,933 we're never gonna diagnose the guy. 508 00:23:02,001 --> 00:23:03,835 What was the name of the firm? - Caddell and Carrick. 509 00:23:03,903 --> 00:23:05,337 It's not like we can chop off his head 510 00:23:05,404 --> 00:23:08,506 to see if the pain goes away. 511 00:23:10,543 --> 00:23:11,543 Why not? 512 00:23:22,822 --> 00:23:24,289 Need to cut off a guy's head. 513 00:23:24,357 --> 00:23:26,991 Got to figure out 514 00:23:27,059 --> 00:23:29,194 his pain's coming from his brain or his body. 515 00:23:29,261 --> 00:23:32,030 A stiff shot of lidocaine below the brain stem 516 00:23:32,098 --> 00:23:34,566 should numb him all the way down to his tippy toes. 517 00:23:34,633 --> 00:23:37,035 And hearing me say "no" over the phone wasn't good enough? 518 00:23:37,103 --> 00:23:39,537 I'm inconveniencing you because you inconvenienced me. 519 00:23:39,605 --> 00:23:41,072 You know that foster-care official 520 00:23:41,140 --> 00:23:42,440 is coming in the morning. 521 00:23:42,508 --> 00:23:43,842 If they weren't, there'd be no inconvenience. 522 00:23:43,909 --> 00:23:47,011 Do not try and force me to choose between my child— 523 00:23:47,079 --> 00:23:48,613 I'm forcing you to do your job! 524 00:23:50,483 --> 00:23:52,550 If you can't also— 525 00:23:52,618 --> 00:23:54,719 Fine, you want to separate a patient's central nervous system 526 00:23:54,787 --> 00:23:56,221 from the rest of his body. 527 00:23:56,288 --> 00:23:58,022 If the pain stays, it's in his brain. 528 00:23:58,090 --> 00:23:59,257 If it vanishes— 529 00:23:59,325 --> 00:24:01,025 And what about options three, four, and five? 530 00:24:01,093 --> 00:24:02,827 His respiratory system freezes, or he dies of infection, 531 00:24:02,895 --> 00:24:04,295 or he leaks CNS fluid 532 00:24:04,363 --> 00:24:06,498 like a fire hydrant, which would make him wish he were dead? 533 00:24:06,565 --> 00:24:08,733 You need to scratch option five. He's already there. 534 00:24:08,801 --> 00:24:11,336 You preach objectivity, 535 00:24:11,404 --> 00:24:13,304 but as soon as a patient comes in in pain, 536 00:24:13,372 --> 00:24:14,406 all you want to do is look under the hood. 537 00:24:14,473 --> 00:24:15,473 You don't care 538 00:24:15,541 --> 00:24:16,408 if there's a one-in-three chance 539 00:24:16,475 --> 00:24:17,442 you'll kill him. 540 00:24:17,510 --> 00:24:18,877 If I don't diagnose him, 541 00:24:18,944 --> 00:24:20,245 there's a one-in-one chance he'll kill himself. 542 00:24:24,984 --> 00:24:26,518 I got to go. 543 00:24:28,354 --> 00:24:31,856 Do whatever it is you think is right. 544 00:24:50,603 --> 00:24:53,605 Tammy, you said you were gonna be a little late. 545 00:24:53,673 --> 00:24:55,407 D.Y.F.S. is gonna be here in an hour, 546 00:24:55,475 --> 00:24:57,042 and this place is a disaster. 547 00:25:01,047 --> 00:25:03,915 Never mind. 548 00:25:06,853 --> 00:25:09,688 This should numb everything from your shoulders down. 549 00:25:09,755 --> 00:25:11,923 Any pain that's peripheral should be gone. 550 00:25:14,494 --> 00:25:15,794 What are you doing here? 551 00:25:15,862 --> 00:25:17,195 Just stretching my leg. 552 00:25:17,263 --> 00:25:19,164 Carry on. 553 00:25:21,033 --> 00:25:23,735 Bad pain day today? 554 00:25:23,803 --> 00:25:25,971 About to get better. 555 00:25:26,038 --> 00:25:27,939 Don't worry. He's making yours a double. 556 00:25:29,609 --> 00:25:32,444 I remember when the drugs still made things tolerable. 557 00:25:34,146 --> 00:25:36,047 I still thought I had good days left. 558 00:25:36,115 --> 00:25:38,383 Turns out you have to live to find out. 559 00:25:38,451 --> 00:25:40,952 You don't have a family, do you? 560 00:25:41,020 --> 00:25:43,555 Left them all back on Krypton. 561 00:25:43,623 --> 00:25:45,156 You're alone. 562 00:25:45,224 --> 00:25:47,592 That's why you can handle your pain. 563 00:25:47,660 --> 00:25:49,961 No need to put up a front, 564 00:25:50,029 --> 00:25:51,596 to be what anyone else wants you to be. 565 00:25:51,664 --> 00:25:53,632 You're having 566 00:25:53,699 --> 00:25:54,966 more bad days lately, aren't you? 567 00:25:57,136 --> 00:25:58,570 Yes. 568 00:25:58,638 --> 00:26:01,339 Take a look at your future. 569 00:26:01,407 --> 00:26:02,841 Let's hope the drugs work this time. 570 00:26:06,145 --> 00:26:08,213 Ugh. 571 00:26:15,388 --> 00:26:16,588 I really wasn't expecting you 572 00:26:16,656 --> 00:26:18,189 till later. 573 00:26:18,257 --> 00:26:21,126 Had a cancellation, so I thought I'd knock you off the docket. 574 00:26:21,193 --> 00:26:22,794 Well, I'm sorry this place is such a mess. 575 00:26:22,862 --> 00:26:24,529 It's been a bit of a difficult work week. 576 00:26:24,597 --> 00:26:25,897 Any guns in the house? 577 00:26:25,965 --> 00:26:27,666 Uh, no. 578 00:26:27,733 --> 00:26:30,635 Pets? 579 00:26:30,703 --> 00:26:31,937 Besides the ants? 580 00:26:32,004 --> 00:26:33,238 No. 581 00:26:39,412 --> 00:26:40,912 Nice bag. 582 00:26:40,980 --> 00:26:42,480 Pricey way to ditch the diapers. 583 00:26:42,548 --> 00:26:43,748 That's not what I usually— 584 00:26:43,816 --> 00:26:45,584 Um, I sort of panicked. 585 00:26:45,651 --> 00:26:49,054 Mr. Carlton, if you'd just give me a minute to explain. 586 00:26:49,121 --> 00:26:50,922 Everything looks fine. - Really? 587 00:26:50,990 --> 00:26:53,858 Dr. Cuddy, you've got sufficient income, 588 00:26:53,926 --> 00:26:56,561 a high degree of personal and professional stability, 589 00:26:56,629 --> 00:26:58,997 and you care enough to be embarrassed 590 00:26:59,065 --> 00:27:00,565 by what a mess this place is. 591 00:27:00,633 --> 00:27:02,334 Believe me, that puts you head and shoulders 592 00:27:02,401 --> 00:27:03,435 above most of the foster moms 593 00:27:03,502 --> 00:27:04,736 I visit. 594 00:27:04,804 --> 00:27:06,338 See you next year, 595 00:27:06,405 --> 00:27:08,473 if you haven't adopted her by then. 596 00:27:14,380 --> 00:27:16,581 My legs... 597 00:27:16,649 --> 00:27:17,916 They're different. 598 00:27:17,984 --> 00:27:19,684 Better. - No pain at all? 599 00:27:19,752 --> 00:27:22,253 No, but less. Four out of ten, maybe five. 600 00:27:23,689 --> 00:27:26,658 Can't be. 601 00:27:26,726 --> 00:27:29,094 If whatever is causing the pain is in your brain, 602 00:27:29,161 --> 00:27:31,129 it's still a ten. 603 00:27:31,197 --> 00:27:32,397 Periphery is zero. 604 00:27:32,465 --> 00:27:34,499 It is. 605 00:27:34,567 --> 00:27:35,867 Some of the pain is gone, 606 00:27:35,935 --> 00:27:38,003 but not all of it. 607 00:27:38,070 --> 00:27:39,304 What does this mean? 608 00:27:42,775 --> 00:27:45,610 Maybe Taub was right. 609 00:27:45,678 --> 00:27:49,047 It's psychosomatic after all. 610 00:27:49,115 --> 00:27:50,849 Which one of you is House? 611 00:27:50,916 --> 00:27:54,219 The big black guy. 612 00:27:56,922 --> 00:27:58,757 Chris Carrick. 613 00:27:58,824 --> 00:28:00,325 Next time you use my name in a threatening e-mail, 614 00:28:00,393 --> 00:28:01,559 it won't be just a bill. 615 00:28:01,627 --> 00:28:03,294 It'll be a lawsuit. 616 00:28:09,535 --> 00:28:10,802 Can you blame me? 617 00:28:10,870 --> 00:28:12,637 The last time that happened, the guy shot me. 618 00:28:14,273 --> 00:28:15,440 What if the spinal block 619 00:28:15,508 --> 00:28:16,908 triggered some sort of placebo effect? 620 00:28:16,976 --> 00:28:19,678 Guy's taken the finest opiates Blue Cross can buy. 621 00:28:19,745 --> 00:28:21,579 How come they didn't trigger a placebo effect? 622 00:28:31,390 --> 00:28:32,957 What happened? 623 00:28:33,025 --> 00:28:34,959 He just started screaming, do something! 624 00:28:38,197 --> 00:28:41,099 Please, God, do not let it be what his father has. 625 00:28:44,637 --> 00:28:47,272 I think he's faking. 626 00:28:47,339 --> 00:28:50,075 How dare you? What makes you think— 627 00:28:50,142 --> 00:28:51,376 House, the kid's in excruciating— 628 00:28:51,444 --> 00:28:52,510 Where is he going? 629 00:28:54,914 --> 00:28:56,581 Where is it? 630 00:28:56,649 --> 00:28:58,450 Where's what? 631 00:29:02,488 --> 00:29:04,756 His idiot son distracted the orderlies 632 00:29:04,824 --> 00:29:06,391 so that daddy death wish here could down a bottle 633 00:29:06,459 --> 00:29:07,726 of isopropyl. 634 00:29:07,793 --> 00:29:09,027 Get him on dialysis, 635 00:29:09,095 --> 00:29:10,361 or in half an hour, he'll be a corpse. 636 00:29:14,300 --> 00:29:15,400 You're hurting me. 637 00:29:15,468 --> 00:29:16,568 Remember the feeling. 638 00:29:16,635 --> 00:29:17,836 Maybe next time you want to help pops, 639 00:29:17,903 --> 00:29:19,003 you'll do a better acting job. 640 00:29:19,071 --> 00:29:20,271 You can't help him. 641 00:29:20,339 --> 00:29:23,775 Zach, why did you do this? 642 00:29:23,843 --> 00:29:26,945 Because he's not dad anymore. 643 00:29:27,012 --> 00:29:30,248 He just wants it to be over with. 644 00:29:30,316 --> 00:29:31,950 Please. 645 00:29:32,017 --> 00:29:34,919 Please, just— just let him die. 646 00:29:55,666 --> 00:29:57,567 Fabry disease might be able to cause central 647 00:29:57,635 --> 00:29:58,735 and peripheral pain. 648 00:29:58,803 --> 00:30:00,503 No angiokeratomata. 649 00:30:00,571 --> 00:30:01,971 Lightning pain from syphilis. 650 00:30:02,039 --> 00:30:03,973 All the syph tests were negative. 651 00:30:06,377 --> 00:30:07,777 Why aren't you guys still talking? 652 00:30:07,845 --> 00:30:08,978 Because we ran out of ideas. 653 00:30:09,046 --> 00:30:10,880 Nothing explains this. 654 00:30:10,948 --> 00:30:13,082 Something has to. 655 00:30:15,219 --> 00:30:18,254 Unless... 656 00:30:18,322 --> 00:30:19,856 Nothing does. 657 00:30:19,924 --> 00:30:22,392 So now you think— 658 00:30:22,460 --> 00:30:23,927 Mine's a more interesting version of nothing. 659 00:30:23,994 --> 00:30:25,261 It used to be something. 660 00:30:25,329 --> 00:30:27,030 We can't find anything 661 00:30:27,097 --> 00:30:28,665 because whatever injury caused the original pain 662 00:30:28,732 --> 00:30:31,134 healed a long time ago. 663 00:30:31,202 --> 00:30:34,537 The only thing left is the drugs. 664 00:30:34,605 --> 00:30:38,074 Opioid induced pain. 665 00:30:38,142 --> 00:30:39,476 Pain and the drugs that treat pain 666 00:30:39,543 --> 00:30:40,810 work by changing brain chemistry, 667 00:30:40,878 --> 00:30:42,946 sometimes to the point where pain receptors 668 00:30:43,013 --> 00:30:46,249 read painkillers as killer pain. 669 00:30:46,317 --> 00:30:48,751 Take him off the drugs. 670 00:30:48,819 --> 00:30:50,854 We can't cure him, so we're gonna torture him? 671 00:30:50,921 --> 00:30:52,589 Torture is the cure. 672 00:30:52,656 --> 00:30:54,190 Eventually his body will recalibrate itself. 673 00:30:54,258 --> 00:30:56,593 Assuming you're right. - Yes. 674 00:30:56,660 --> 00:30:58,561 I find it confusing to assume otherwise. 675 00:30:58,629 --> 00:30:59,996 How would you like to stop taking vicodin? 676 00:31:01,298 --> 00:31:03,199 Good thing I'm not the patient. 677 00:31:07,972 --> 00:31:10,707 It's open. 678 00:31:14,912 --> 00:31:17,046 Thank you. 679 00:31:17,114 --> 00:31:19,682 Is it too big? She'll grow into it. 680 00:31:19,750 --> 00:31:21,217 You can put it there. 681 00:31:22,853 --> 00:31:26,756 I take it the home inspection was pushed back. 682 00:31:26,824 --> 00:31:28,091 I passed. 683 00:31:31,128 --> 00:31:32,662 You do realize that's a good thing? 684 00:31:32,730 --> 00:31:34,931 This place was a disaster. 685 00:31:34,999 --> 00:31:38,301 I had to stash a dirty diaper in my briefcase. 686 00:31:38,369 --> 00:31:40,169 So you buy another briefcase. 687 00:31:40,237 --> 00:31:41,771 I let House supervise himself. 688 00:31:41,839 --> 00:31:43,806 That's like handing a 12-year-old 689 00:31:43,874 --> 00:31:46,109 the keys to the liquor cabinet and the car. 690 00:31:46,176 --> 00:31:48,144 You passed the inspection. The patient lived. 691 00:31:48,212 --> 00:31:50,547 The car is still in the driveway. 692 00:31:50,614 --> 00:31:51,781 And the next time my Nanny gets sick 693 00:31:51,849 --> 00:31:53,449 when House wants to saw someone in half? 694 00:31:53,517 --> 00:31:56,519 Did I mention you passed the inspection? 695 00:31:58,322 --> 00:32:00,189 I passed by their meager standard. 696 00:32:00,257 --> 00:32:02,158 I failed by mine. 697 00:32:02,226 --> 00:32:04,460 Why do women always do that? 698 00:32:06,297 --> 00:32:07,597 Fail? 699 00:32:07,665 --> 00:32:09,832 Create ridiculous standards that no human could meet, 700 00:32:09,900 --> 00:32:11,734 with your careers, with your kids. 701 00:32:11,802 --> 00:32:13,369 You got to be more like us men. 702 00:32:13,437 --> 00:32:15,038 Be lazy? Blame others? 703 00:32:15,105 --> 00:32:16,806 Get help! 704 00:32:16,874 --> 00:32:18,942 Most men in your position 705 00:32:19,009 --> 00:32:20,977 have a deputy and two assistants at work, 706 00:32:21,045 --> 00:32:22,679 and a wife and two nannies at home. 707 00:32:22,746 --> 00:32:24,414 You're not superwoman. 708 00:32:24,481 --> 00:32:26,282 Don't be a martyr. 709 00:32:29,987 --> 00:32:32,722 We'll be injecting you with naloxone, 710 00:32:32,790 --> 00:32:34,190 which will knock the opioids 711 00:32:34,258 --> 00:32:35,725 out of your pain receptors. 712 00:32:35,793 --> 00:32:37,327 If we're right, your system will recalibrate within a few hours, 713 00:32:37,394 --> 00:32:38,595 and most of the pain will be gone. 714 00:32:38,662 --> 00:32:40,296 Hours? I need those drugs. 715 00:32:40,364 --> 00:32:41,731 Not if they're causing your pain. 716 00:32:41,799 --> 00:32:43,232 Then knock me out, sedate me while you— 717 00:32:43,300 --> 00:32:44,634 That'll take drugs too. 718 00:32:44,702 --> 00:32:46,102 We need to clear everything out of your system. 719 00:32:46,170 --> 00:32:47,770 Please, I'll try anything else. 720 00:32:47,838 --> 00:32:48,838 That's what we're trying to stop. 721 00:32:55,479 --> 00:32:56,946 So it's not your parents. 722 00:32:57,014 --> 00:32:59,782 Then it's your wife, someone you were close— - A colleague. 723 00:32:59,850 --> 00:33:01,951 We were residents together. 724 00:33:02,019 --> 00:33:03,720 I should've done more to stop it. 725 00:33:03,787 --> 00:33:05,788 He had the mother of all God complexes. 726 00:33:05,856 --> 00:33:08,725 So busy treating everyone's problems, 727 00:33:08,792 --> 00:33:10,193 he was blind to his own. 728 00:33:10,260 --> 00:33:12,161 Helped himself to a vial of insulin. 729 00:33:12,229 --> 00:33:14,464 It's a miracle he survived. 730 00:33:14,531 --> 00:33:16,933 His friends and family almost didn't. 731 00:33:17,001 --> 00:33:19,569 He was a selfish ass. 732 00:33:25,109 --> 00:33:26,576 It'll be over soon. 733 00:33:32,549 --> 00:33:34,217 This is lunacy. 734 00:33:34,284 --> 00:33:37,053 You're torturing this guy on a hunch. 735 00:33:37,121 --> 00:33:39,422 It's the only hunch we've got. 736 00:33:39,490 --> 00:33:41,624 If I really wanted to torture him, 737 00:33:41,692 --> 00:33:43,626 I'd manipulate a clinical trial 738 00:33:43,694 --> 00:33:45,328 in the hopes that he'd sleep with you. 739 00:33:45,396 --> 00:33:47,830 Are you suggesting I got Thirteen in that trial 740 00:33:47,898 --> 00:33:49,098 because of some personal— 741 00:33:49,166 --> 00:33:50,733 I think you got her in 742 00:33:50,801 --> 00:33:52,635 because of your usual Messiah complex. 743 00:33:52,703 --> 00:33:54,337 I think you messed with the appointment schedule 744 00:33:54,405 --> 00:33:55,438 because of your 745 00:33:55,506 --> 00:33:58,775 "I like to have sex" complex. 746 00:33:58,842 --> 00:34:00,810 I checked the logs. 747 00:34:00,878 --> 00:34:03,513 You moved your most promising patient right before her. 748 00:34:03,580 --> 00:34:06,549 False hope being quite the aphrodisiac. 749 00:34:06,617 --> 00:34:09,285 How's it false if the trials are showing results? 750 00:34:09,353 --> 00:34:12,522 Well, if it were that promising, 751 00:34:12,589 --> 00:34:15,324 but, hey... 752 00:34:15,392 --> 00:34:17,427 hope springs eternal. 753 00:34:24,268 --> 00:34:26,836 This was a cooking accident? 754 00:34:26,904 --> 00:34:28,371 First time making cherries jubilee. 755 00:34:28,439 --> 00:34:30,473 Awfully big fire. 756 00:34:30,541 --> 00:34:31,908 If you ask me, 757 00:34:31,975 --> 00:34:34,243 some of the portions in that recipe were off. 758 00:34:34,311 --> 00:34:35,978 Sure hope it happens to be covered 759 00:34:36,046 --> 00:34:37,680 under, say, 760 00:34:37,748 --> 00:34:41,117 section three, subsection 2.2, paragraph one, 761 00:34:41,185 --> 00:34:42,652 accidental fire damage, 762 00:34:42,720 --> 00:34:45,621 in which case you'd have to replace 763 00:34:45,689 --> 00:34:47,423 the entire waterline to fix the sagging pipe. 764 00:34:47,491 --> 00:34:50,159 I guess so. 765 00:34:50,227 --> 00:34:51,794 Hate to have 766 00:34:51,862 --> 00:34:53,629 your next-door neighbors end up with no hot water. 767 00:34:55,332 --> 00:34:57,600 Lucky the fire escaped your pipes entirely. 768 00:35:19,590 --> 00:35:23,326 It's not working. 769 00:35:23,393 --> 00:35:24,560 I know. 770 00:35:24,628 --> 00:35:26,963 I started him back on the pain meds... 771 00:35:29,933 --> 00:35:31,400 Which means you can leave. 772 00:35:31,468 --> 00:35:32,702 My son was right. 773 00:35:32,770 --> 00:35:37,039 I tried for so long to protect him from... 774 00:35:37,107 --> 00:35:40,243 But I'm the one who's been selfish. 775 00:35:40,310 --> 00:35:41,911 This is no way for him to live. 776 00:35:41,979 --> 00:35:43,546 Until we get an answer, it's the only way. 777 00:35:43,614 --> 00:35:45,214 There is no answer. 778 00:35:45,282 --> 00:35:47,450 There's always an answer. - Then what is it? 779 00:35:47,518 --> 00:35:49,952 He's been here four days. 780 00:35:50,020 --> 00:35:52,221 Three suicide attempts. 781 00:35:52,289 --> 00:35:53,656 You don't have an answer. 782 00:35:57,227 --> 00:35:59,829 When I saw you... 783 00:35:59,897 --> 00:36:01,264 When I saw the cane, 784 00:36:01,331 --> 00:36:04,133 I thought, "thank God. The doctor will understand." 785 00:36:04,201 --> 00:36:07,537 Because I sure as hell don't. 786 00:36:07,604 --> 00:36:10,072 My husband thinks it's over. 787 00:36:12,242 --> 00:36:14,277 So look me in the eye, 788 00:36:14,344 --> 00:36:17,079 tell me you'd want to live like that. 789 00:36:21,418 --> 00:36:23,920 Then stabilize him. 790 00:36:23,987 --> 00:36:27,423 Get him in decent enough shape for the drive home. 791 00:36:32,763 --> 00:36:36,699 So he can finally... 792 00:36:41,371 --> 00:36:43,272 Okay. 793 00:36:48,461 --> 00:36:49,862 There's got to be something we can do. 794 00:36:49,929 --> 00:36:52,664 We can't just let the patient leave. 795 00:36:52,732 --> 00:36:54,299 We didn't. House did. 796 00:36:54,367 --> 00:36:55,868 Because he realized there's nothing he could do. 797 00:36:55,935 --> 00:36:57,236 There's always something we can do, 798 00:36:57,303 --> 00:36:59,238 something else we can try. 799 00:37:06,880 --> 00:37:08,714 You're insane. You know that, right? 800 00:37:08,781 --> 00:37:10,883 Because I have principles? 801 00:37:10,950 --> 00:37:12,651 Because you paid more to bribe me 802 00:37:12,719 --> 00:37:14,052 to lie on your claim 803 00:37:14,120 --> 00:37:16,154 than the entire cost of the repair. 804 00:37:16,222 --> 00:37:18,123 I don't care if I pay, 805 00:37:18,191 --> 00:37:20,025 as long as the people who pocketed my premiums 806 00:37:20,093 --> 00:37:21,793 for the last nine years also pay. 807 00:37:21,861 --> 00:37:24,463 I didn't break the pipe. 808 00:37:24,531 --> 00:37:28,000 Whatever. 809 00:37:28,067 --> 00:37:30,636 If you want to stick it to the man, that's fine by me. 810 00:37:32,839 --> 00:37:33,872 You happy? 811 00:37:33,940 --> 00:37:36,208 Nope, but I'm right. 812 00:37:56,129 --> 00:37:58,230 Lock up on your way out. 813 00:37:58,298 --> 00:38:00,299 And don't touch the piano. 814 00:38:03,903 --> 00:38:05,437 Testicles. 815 00:38:05,505 --> 00:38:06,738 What do they make you think of? 816 00:38:06,806 --> 00:38:08,407 STDs, 817 00:38:08,474 --> 00:38:09,641 Testosterone issues, 818 00:38:09,709 --> 00:38:10,809 that summer on Fire Island. 819 00:38:10,877 --> 00:38:12,411 Oh, so close. 820 00:38:12,478 --> 00:38:15,614 The correct answer is epilepsy. 821 00:38:15,682 --> 00:38:17,583 Epilepsy doesn't cause chronic pain. 822 00:38:17,650 --> 00:38:19,885 It does if it spreads to the sensory region of the brain, 823 00:38:19,953 --> 00:38:21,687 then rewires the pain neurons. 824 00:38:21,754 --> 00:38:23,188 Would've shown up on an EEG. 825 00:38:23,256 --> 00:38:25,891 Not if the seizures are in a place you can't see on an EEG, 826 00:38:25,959 --> 00:38:27,559 A place too deep in the brain, 827 00:38:27,627 --> 00:38:32,130 Like the area that controls the muscles supporting the... 828 00:38:32,198 --> 00:38:34,833 testicles. 829 00:38:39,939 --> 00:38:42,274 Feels like you got kicked in the nads, 830 00:38:42,342 --> 00:38:44,109 doesn't it? 831 00:38:44,177 --> 00:38:45,811 The abdominal pain, 832 00:38:45,878 --> 00:38:48,213 how it all started. 833 00:38:48,281 --> 00:38:50,849 It wasn't the stomach. It was lower, right? 834 00:38:50,917 --> 00:38:52,918 It's everywhere. 835 00:38:52,986 --> 00:38:55,087 But when it first started. 836 00:38:55,154 --> 00:38:57,189 It started in the stomach—cramps. 837 00:38:57,256 --> 00:38:58,423 Like bad gas, 838 00:38:58,491 --> 00:39:02,694 or a permeating pain... 839 00:39:02,762 --> 00:39:05,998 like your kidneys are being pulled out through your scrotum. 840 00:39:08,835 --> 00:39:09,868 Why? 841 00:39:09,936 --> 00:39:14,039 Because epilepsy is treatable. 842 00:40:22,942 --> 00:40:25,343 Looks like we shot the guys with the torches. 843 00:40:25,411 --> 00:40:27,179 Yeah. 844 00:40:27,246 --> 00:40:29,414 Pays to hang around. 845 00:40:31,851 --> 00:40:33,452 That selfish ass with the God complex 846 00:40:33,519 --> 00:40:36,321 who almost made the stupidest decision of his life— 847 00:40:36,389 --> 00:40:39,191 Wasn't your colleague, was it? 848 00:40:39,258 --> 00:40:40,125 It was you. 849 00:40:42,428 --> 00:40:43,295 No. 850 00:40:48,267 --> 00:40:49,367 See you tomorrow. 851 00:41:03,616 --> 00:41:06,184 You're here early. 852 00:41:06,252 --> 00:41:07,786 I'm feeling better. 853 00:41:11,991 --> 00:41:13,825 What's wrong? - I.V.'s leaking a little. 854 00:41:13,893 --> 00:41:17,195 It's no big deal. I'll be right back. 855 00:41:17,263 --> 00:41:18,396 Foreman. 856 00:41:20,566 --> 00:41:23,902 You busy tonight? 857 00:41:23,970 --> 00:41:26,638 No. 858 00:41:35,181 --> 00:41:37,048 Rita, the spike on Dr. Hadley's I.V. bag 859 00:41:37,116 --> 00:41:38,383 wasn't pushed in all the way. 860 00:41:38,451 --> 00:41:39,785 I don't want any dosing errors. 861 00:41:39,852 --> 00:41:40,786 Sorry. 862 00:41:40,853 --> 00:41:42,521 It won't happen again. 863 00:41:42,588 --> 00:41:43,889 It stinks, doesn't it? 864 00:41:43,956 --> 00:41:45,857 What? - The medication. 865 00:41:45,925 --> 00:41:46,992 When we switch out the bags, you can smell it. 866 00:41:47,059 --> 00:41:47,959 It's disgusting. 867 00:41:48,027 --> 00:41:50,262 I didn't smell anything. 868 00:41:50,329 --> 00:41:51,830 Oh, she must be on the placebo, then. 869 00:42:12,685 --> 00:42:14,452 You offered to do House's budget 870 00:42:14,520 --> 00:42:16,154 Because you wanted him to owe you, 871 00:42:16,222 --> 00:42:17,689 Wanted him to take that case. 872 00:42:17,757 --> 00:42:19,558 Why? - I thought it would help House— 873 00:42:19,625 --> 00:42:21,359 seeing someone worse off than him, 874 00:42:21,427 --> 00:42:24,462 possibly curing a guy who has even less to look forward to. 875 00:42:29,735 --> 00:42:30,936 Can I ask you something? 876 00:42:35,141 --> 00:42:36,975 How would you like my job? 877 00:43:08,107 --> 00:43:10,775 Subtitles by LeapinLar