House 3x14

1. I'm okay, let's just go home.

2. You're getting checked out.

3. I tripped on the ice.

4. Eight other kids tripped.

5. This is embarrassing.

6. You said you were just gonna hang with your friends.

7. I turn around and you're out there on the ice.

8. I'm fine.

9. You don't know that.

10. You fell. Awkwardly.

11. No, I didn't.

12. You don't know how to fall.

13. I'm 16, I've been falling a lot.

14. I think I'm getting the hang of it.

15. And I checked.

16. And now the doctors are gonna check.

17. You don't think that you're over reacting?

18. I don't need youto fix every boo-boo.

19. Then stop getting them.

20. I was just playing around with my friends. I was having fun.

21. You know you can't do that.

22. Oh, I can't have fun?

23. You know what I mean.

24. I'm gonna have a talk with your friends and

25. - No! No. - Tell them that they need to stop—

26. I don't want you freaking them out.

27. Fine. Fine, we'll goto the hospital,

28. but they're gonna tell you that I'm fine.

29. And they're gonna tell you that you don't need to worry about...

30. Mom!

31. Mom? Mom.

32. Hello!

33. Mom, you gotta wake up.

34. No one's coming.

35. Mom!

36. 911, what is your emergency?

37. We got into an accident along the canal road just outside Kingston.

38. My mom's unconscious.

39. Are you okay?

40. I'm fine.

41. Mom. Mom.

42. House.M.D Season 3 Episode 14

43. Where's Foreman?

44. He's down here somewhere.

45. - Somewhere. - Very helpful.

46. Do you have any idea when he's getting out tonight?

47. Sometime.

48. I realize you can't predict, I just thought you might be able to estimate.

49. It's Valentine's day.

50. I've planned a surprise getaway.

51. - Getaway. - Mmm-hmm.

52. Getaway. Get away.

53. Is my mom okay?

54. She's gone to surgery.

55. Foreman.

56. Your girl friend wants to know

57. if you're available for Valentine's. Act surprised.

58. What are you doing down here?

59. There's a snowstorm. E.R.'s short staffed.

60. We're all supposed to be here.

61. You're supposed to be here.

62. And you're an ass. Act surprised.

63. This could sting a little.

64. Ow! Can we hurry this?

65. Make sure that— take your time.

66. What's your name?

67. Hannah Morganthal.

68. You have cipa, Hannah Morganthal.

69. No, I don't.

70. We have to do X-rays to make sure you don't have internal injuries.

71. Blood tests to make sure no infections.

72. EEG for neurological anomalies.

73. And... biopsy a spinal nerve.

74. Whoa whoa whoa. Congenital insensitivity to pain is

75. one of the rarest conditions on the planet.

76. There's only been about... 60 documented cases...

77. Yeah, and I have seven reasons to think she's one of them.

78. She says she's not.

79. That's reason number one.

80. She knew what it was without us telling her.

81. Two, she's still wet from the snow, but she's not shivering.

82. That's odd.

83. Unless she can't sweat or feel hot and cold.

84. The ambulance was warm.

85. I want to see my mother.

86. Three, scarring around the lips and tongue.

87. When she was a baby, she chew on herself without feeling it.

88. I fell through a window when I was a kid.

89. Four, when you cleaned the wound,

90. she flexed into the cleaner instead of away from it.

91. It's hard to fake pain when you've never felt it.

92. Takes an imaginative leap, Ms. Morganthal.

93. That's one of them jew names.

94. Ashkenazis are a higher risk group.

95. One the other hand, she says she doesn't have it.

96. And she'd be dead by now if she'd never been diagnosed.

97. They killed our Lord.

98. You gonna trust them?

99. She wants to see her mom.

100. If she admits having cipa, she knows we're not letting her go anywhere

101. without a battery of tests.

102. You said you had seven reasons.

103. I pulled a number out of the air.

104. What, five isn't enough?

105. Five lame reasons aren't.

106. I'm taking her to see her mom as soon as—

107. I can hit her again if six isn't enough.

108. Do the tests.

109. Need to bail on the E.R.

110. I got a case.

111. Why are you wearing perfume?

112. Is this a real case or one of those imaginary cases

113. that happen when you're bored?

114. - Cipa. - Cipa is a diagnosis.

115. Diagnoses happen at the end of cases.

116. She's got no idea what's going on in her body.

117. There's gotta be something wrong.

118. In other words, she could be perfectly healthy,

119. but you're curious about someone

120. who can't feel pain because you always feel pain.

121. So you wanna go exploring.

122. She was in a car accident.

123. She needs X-rays, blood tests, EEG, nerve biopsy.

124. I also note that, although snow was coming down in sheets this morning,

125. you left your hat at home and used ear muffs.

126. Do your tests except for the—

127. so while everyone else was just worrying about getting in,

128. you were concerned with hat-head.

129. Blind dates are never a good idea.

130. Only reason to wear a scarf like that is as a beacon to identify you in a crowd.

131. Do your tests.

132. Except the nerve biopsy.

133. - I need the nerve biopsy. - You'd risk paralyzing her.

134. But it's neurological.

135. You have no evidence of that.

136. She tripped.

137. Do you have any evidence other than the fact that

138. a typically clumsy cipa patient tripped on an icy day?

139. If the EEG reveals a problem, we can talk then.

140. You could have left the scarf at home and

141. just told him you'd be wearing a look of desperation.

142. Spiking on leads C3 and O2.

143. - She could be going into a seizure. - Hello.

144. I think there's a simpler explanation.

145. You're not gonna find anything.

146. I'm fine! I wanna see my mom!

147. So sedate her.

148. She won't consent.

149. She's a teenager.

150. No dad, mom's still in surgery.

151. What do you want us to do, hold her down?

152. Only until you inject her with a sedative.

153. Then you can let her go.

154. - We tried. - Seriously?

155. She's strong and doesn't care.

156. We'd have broken something before

157. we could get her to sit still enough to inject her.

158. So break her arm.

159. She won't mind.

160. You're cranky.

161. I'm in pain.

162. Come on, let's go break her arm.

163. Nurse shortie, your biz-nitch.

164. How long you gonna waste her time?

165. So glad we're walking somewhere.

166. Another 60 feet and this conversation is over.

167. When you guys are out of this program, Cameron will find somebody,

168. Chase will find eight somebodies, and you'll be alone.

169. 30 feet.

170. You'll date and you'll date.

171. But you're the ultimate darwinian.

172. You've got to fight for everything.

173. Anybody else would just slow you down.

174. Yeah.

175. I'm still with her, aren't I?

176. Yeah.

177. I can only imagine it's because she hasn't given you

178. an excuse to break up and you don't have the guts to recognize your own reality.

179. I wanna see my mother!

180. Hi again.

181. Not sure I can say this without being condescending,

182. but then you'd get the false impression that I respect you, so...

183. you're a kid.

184. You're scared, you're stalling.

185. Grow up.

186. I'm not scared.

187. I'm never scared.

188. See? How juvenile was that?

189. You can't feel pain.

190. Nothing left but pleasure.

191. Why don't you tell me how wonderful that is?

192. It sucks.

193. Better than being in pain all the time.

194. Get in the chair.

195. Every morning I have to check my eyes to make sure

196. I didn't scratch a cornea in my sleep.

197. Oh, God, stop.

198. I'm in a pool of tears here.

199. - I can't cry. - Neither can I.

200. Every morning, I check my eyes for jaundice.

201. In case the Vicodin's finally shot my liver.

202. I can't run anywhere without examining all my toes for swelling.

203. I can't run.

204. Boys can't hold me for too long because I can overheat.

205. Girls can't hold me for too long because I only pay for an hour.

206. I need an alarm on my watch to remind me to go to the bathroom.

207. You know how many humiliating experiences before I thought of that?

208. The bathroom's 50 feet from my office.

209. Every drink of water, I weigh the pros and cons.

210. After everything I do, I self-check.

211. Mouth, tongue, gums, for cuts.

212. Count teeth, check temperature.

213. Fingers, toes, and joints for swelling.

214. Skin for bruises.

215. I got shot.

216. I sat on the stove when I was three.

217. Wanna see the coil marks?

218. - Yeah. - You think I'm lying?

219. You think I just wanna check out your tuchus, as your people would say?

220. Get in the chair and run the damn tests.

221. If she moves again, give her nitrous.

222. You weren't shot because of leg pain, you were shot because you're a jerk.

223. Some think the two are connected.

224. He didn't have to do that.

225. Yeah, he did.

226. I'm sick?

227. No, your EEG was normal.

228. X-ray showed no breaks.

229. Blood test showed no infections.

230. Urine indicated no...

231. Hannah?

232. Call a code!

233. Oh, God.

234. Need ice packs and cooling blankets.

235. Got saline in there?

236. She's not flush, she's not sweating.

237. - You must be— - She has a temperature of 105.

238. Wow, she's actually sick.

239. We got her temperature down below boiling.

240. Could be infection.

241. No, LP showed normal proteins and no white blood cells.

242. High bilirubin.

243. Could be a liver problem.

244. Nope, transaminases were normal.

245. Could be drugs.

246. She's smoked pot since she was 11.

247. No again.

248. Tox screen was clean.

249. We're doing this case backwards.

250. We do the tests and then she gets sick?

251. Maybe we did something to her.

252. Maybe she got sick after the tests.

253. We should re-run them.

254. And biopsy a spinal nerve.

255. You wanna risk paralysis because she's got a fever?

256. I want to risk paralysis because I don't know what's causing the fever.

257. - It's a neurological - It's a fever!

258. In a cipa patient.

259. Obviously, things are a little different in her upstairs wiring.

260. And have been since the day she was born.

261. Yeah. It's much more likely that whatever it is was cleverly

262. waited in hiding until you guys were done testing.

263. Were are you going?

264. You're all against this, right?

265. And you're all gonna stand on principle and refuse to do it, right?

266. I'm going to get Cuddy's approval.

267. How long are we gonna keep Hannah in the dark about her mother?

268. As long as possible.

269. Side airbag should be standard.

270. I'm sure she'll agree.

271. She should know her mother's situation.

272. Breaking that news is that surgeon's problem.

273. Any word from House?

274. - No. - Maybe Cuddy will say no.

275. Cuddy never says no.

276. That's not true.

277. Nobody ever says no.

278. We don't say no.

279. You don't say no.

280. He'll come back, he'll browbeat us, he'll give us seven reasons,

281. and eventually we'll fold.

282. We all will, not just me.

283. The only way we can avoid biopsying this kid's spine

284. is to find the answer some other way.

285. All the tests were negative.

286. We need a better history.

287. How much more paper work do you need?

288. We've got pediatric records, a few dozen E.R. records,

289. our own admission questionnaire.

290. What's the first question?

291. Insurance coverage.

292. Okay, second question.

293. Just make your point.

294. Where does it hurt?

295. If we knew where it hurt, we could diagnose her.

296. You do know cipa means she can't feel pain.

297. No, cipa means she's insensitive to pain.

298. She still has scattered nerve fibers that could conduct pain,

299. but the signals don't make it to the brain.

300. What if we give her more pain signals?

301. A lot more pain signals.

302. Maybe some of them will make it through.

303. You wanna torture her?

304. No.

305. Yes. We do this to anybody else, it's torture.

306. Doing it to her is no different than pricking her finger.

307. We keep poking sharp sticks into her,

308. eventually we'll find the part that's already tender.

309. So what does a dean of medicine do?

310. Oh, can we please not talk about that?

311. I will talk about anything else.

312. I'm just trying to get away from work.

313. Metaphorically.

314. Because geographically, the coffee place around the corner

315. from the hospital probably isn't the furthest you could get.

316. Well, the snow.

317. Roads are clearing.

318. But it's a good place to beat a retreat from.

319. You usually expect your dates to go wrong?

320. Experience has taught me to have an escape route.

321. Well, low expectations, that's in my favor.

322. Whatever happens...

323. I need you to understand that there are certain

324. aspects to my life I'm no happy about.

325. I need the nerve biopsy.

326. And you had to come here personally to tell me that.

327. And how did you even know I was here?

328. I had to bring the file.

329. This was the most non committal location in walking distance.

330. You left your car keys on your desk.

331. Greg House!

332. You two must have met on line.

333. Either that or you've got a friend who secretly hates you.

334. Uh, Don Herrick.

335. Why would he volunteer that information?

336. Why would I hide it?

337. You didn't tell him that anything he said would be held against you.

338. So what line of work are you in?

339. Oh, auto maintenance.

340. Changing oil and filters.

341. Great, my place over charges.

342. Can't trust anything you guys say.

343. Where're you located?

344. In 14 states.

345. I own eastern lube.

346. Most cipa complications are infection, and she's got a fever.

347. LP? Urine?

348. Clean, normal.

349. Same with the white blood cell count.

350. Cancer?

351. Nothing on the scan.

352. I think it's her nerves messing with the temperature control.

353. Amyloid, sarcoid.

354. There's a lot of candidates.

355. I want a biopsy.

356. Fine.

357. If that's what you need, go get it.

358. He seems a lot nicer than that one from wicca-need-a-daddy-figure.com.

359. One of these is warm, the other is very hot.

360. Start here, move to the hot one.

361. Just a few seconds. Then back.

362. We're gonna monitor activity in your brain while you do it.

363. If you feel any response to the heat, it could indicate a vascular problem.

364. How's my mom doing?

365. She's okay.

366. Do you feel anything?

367. No. What does that mean?

368. She's still in surgery.

369. They tell me it's going okay.

370. You can take your hand out.

371. And you didn't ask anything else?

372. Take your hand out of the water.

373. What's going on with my mother?

374. Hannah.

375. You just got second degree burns.

376. I'll be fine.

377. What's going on with my mother?

378. Is she gonna die?

379. They said she's okay.

380. Surgery this long is typical when there are internal injuries.

381. Naloxone and kinase proteins in.

382. And that's gonna make me feel pain?

383. I didn't feel anything when you guys screwed this thing into my head.

384. It'll replace missing chemicals in your nerves.

385. Heightened sensitivity.

386. We'll be drilling directly into your skull.

387. A response could indicate sarcoma.

388. What does it feel like?

389. It... hurts.

390. Um... sorry.

391. Bone pain is the worst there is.

392. So you need to let know as soon as you feel anything.

393. She's ready.

394. So what... I just sit here while you guys drill a hole in me?

395. You wanna talk?

396. Just you and your mom, huh?

397. You two must be pretty close.

398. We were.

399. Until I got arrested.

400. The third time.

401. - Drugs? - Fights.

402. You got an advantage.

403. Not really.

404. Never know when to stop.

405. You piss a lot of people off or are you just trying to piss off your mom?

406. Those are pretty much the only two choices you have.

407. Hannah? You want us to stop?

408. Stop the drill. Stop the drill.

409. It's okay.

410. What'd you feel?

411. Where did you feel it?

412. Hannah, I need to know how it hurt.

413. Hannah!

414. I am so tired of this.

415. Did you know that the new nurse from cardiology is sleeping with

416. that weird lawyer from the board?

417. The guy with 11 fingers?

418. He has 11 fingers?

419. How do you not notice that?

420. The nurse used to be a man.

421. She's not anymore?

422. But we can't talk about that.

423. I thought we were.

424. We were supposed to talk about that.

425. I came here to talk about that.

426. But on the way up, I ran into Cameron.

427. You've got a cipa patient.

428. Mmm. Tranny nurse is more interesting.

429. Oh, it's way more interesting.

430. But instead, I've gotta be your damn conscience.

431. I'm tired of being your conscience.

432. I don't enjoy being your conscience.

433. - No one enjoys... - You're studying her.

434. She's actually sick.

435. Which you found out after you took her on.

436. I was curious.

437. Since I'm not a cat, that's not dangerous.

438. I don't think that metaphor was designed to actually warn cats.

439. You don't care about her illness, you care about cipa.

440. Which means your focus is gonna be on getting your answers, not hers.

441. Thank you.

442. Forewarned is forearmed.

443. What do you think you're gonna figure out?

444. You think her lack of pain is somehow the answer to your pain.

445. I think if you'd stop talking to Cameron, then right now,

446. we could be ranking nurses in order of do-ability.

447. Need you.

448. What did the nerve biopsy show?

449. Never did it.

450. Then do it.

451. - Can't. - Why?

452. She's gonna jump off the lobby balcony.

453. You think I can catch her?

454. Get away from me!

455. I'm not gonna hurt you.

456. Yes, you are.

457. You're just jealous that I can do anything.

458. Hannah, you're having a paranoid delusion.

459. I don't believe you.

460. Think she would

461. - this is real. - You want me to be in pain.

462. You even said so.

463. If we wanted to hurt you, we'd let you jump.

464. Just let me see my mother.

465. Fine, we'll take you to her O.R. observation room.

466. I don't believe you!

467. Your mother is fine.

468. I just spoke to her surgeon.

469. I don't believe you!

470. Hannah, what do you want from us?

471. What do you want us to do?

472. I can't feel my legs.

473. If you're trying to pull the same stunt twice in ten minutes...

474. I'm not pretending.

475. They don't hurt, they're just not there.

476. Anything?

477. We're not looking for pain.

478. - Anything at all, pressure? - Nothing.

479. You have six broken bones,

480. a fever, a concussion, erratic heart rhythms,

481. and a complete lack of sensation below the waist.

482. I feel fine.

483. Is my mother out of surgery yet?

484. Not yet.

485. This is excellent.

486. The paranoia seems to have dissipated.

487. But her vitals keep getting worse.

488. She could be dead in hours.

489. But... if you're gonna die a miserable, lingering death,

490. pain-free is the way to do it.

491. You sure the fall didn't cause the paralysis?

492. The paralysis caused the fall.

493. Spine's clean.

494. No veritable fractures or spinal cord compression.

495. Even better.

496. The nuttiness and paralysis

497. mean there's definitely a neurological component.

498. Could be a nerve disease.

499. Which is why we need to look at the nerve that you didn't biopsy.

500. There are other tests...

501. HIV? Syphilis?

502. - She's negative. - Vascular? - No. ANA was negative.

503. - Cerebral clot? - No, MRI was...

504. Thyroid storm.

505. Makes sense, given her glucose reaction was slow

506. and potassium's down.

507. Yeah.

508. I'll check with an endocrinologist.

509. Bennett's on call.

510. Perfect.

511. No.

512. Need a consult.

513. I already okayed your nerve biopsy.

514. Need an endocrinologist.

515. Bennett's on call.

516. Won't pick up.

517. His cell phone must be broken.

518. Mine's working.

519. Had to give you the file.

520. I assume you're thinking thyroid storm.

521. Have you done a hormone panel?

522. Normal. TSH was on the low side.

523. Is that a cheery fire I hear crackling nearby?

524. No.

525. What about CPK enzymes?

526. Elevated. 275.

527. People light fires for themselves.

528. But then they don't deny it.

529. He's here.

530. CPK isn't high enough.

531. Potassium's what you'd expect because of the bronchodilators.

532. Oh, my God!

533. You're not wearing a bra.

534. It's not thyroid storm.

535. You just met him.

536. I like him.

537. And I like sex.

538. Do I need to stitch a letter on my tops?

539. No.

540. But it might be worth taking out an ad in the local papers.

541. Do you like me, House?

542. I was on the phone with Bennett 15 minutes ago.

543. His cell phone's working.

544. You're M.O. is to avoid me at all costs.

545. And suddenly, you need my input on every move you make.

546. I can only assume it's because I'm on a date.

547. When we met, I noticed—

548. You noticed he was a Shriner because the way he parted his hair.

549. You noticed he was a mama's boy

550. because of the way he blinked his left eye.

551. I'm not interested. I'm not impressed.

552. There are only two reasons

553. anyone would want to screw with me tonight.

554. Either they're an altruistic,

555. decent person who is worried about my well being...

556. Or they want me FOR THEMSELVES.

557. You left out the third option.

558. Evil bastard who just wants to mess with other people's happiness.

559. Good night, House.

560. We won't be bothered again.

561. It's late.

562. - I should go. - Why?

563. I part my hair on hae left and I'm a Shriner.

564. You heard the conversation.

565. I'm not interested in him.

566. I don't blame you.

567. I only said those things so that he wouldn't come back.

568. I don't really care about my job.

569. I do it well, I provide a service.

570. But my goal was always to make enough money

571. to do the things I really like.

572. Music, travel...

573. I like those things too.

574. You like them, but they're not really important to you.

575. I don't know whether it's House,

576. your job, or if you just thrive on conflict, but...

577. you should hear yourself when you're talking to him.

578. Nothing else in the world is going on.

579. You're focused, confident, compelling.

580. Don't take this the wrong way,

581. but I'd like to go out with that woman.

582. I can get her on the phone.

583. Where did you go?

584. She's getting worse.

585. It's not thyroid storm.

586. Get me spinal nerve.

587. There are still other tests.

588. She just said the girl was getting worse.

589. You wanna wait.

590. We'll be risking infection, maybe make the paralysis worse.

591. It is worse.

592. We're making it worse than worse. Do the biopsy.

593. We could paralyze her and get no useful information.

594. Do the biopsy.

595. If you're thinking peripheral neuropathy,

596. we should a take a nerve a little further away from the spine.

597. A little further from the truth.

598. We're talking paralysis.

599. Good chance the spine is relevant.

600. And if this thing is progressive,

601. it'll kill her in hours.

602. Give me back my papers.

603. Is he asking for a spinal nerve?

604. How did you know?

605. Give us a minute.

606. Did you know they recently found a protein that speeds up nerve growth?

607. Fascinating stuff.

608. If you put that protein with the insulation from a spinal nerve,

609. you could grow your own little garden.

610. - If that spinal nerve... - Yeah, yeah, yeah.

611. If it happened to come from a person with CIPA,

612. I could grow pain-free nerves and graft them into my own leg.

613. What an evil plan.

614. You'd have to be on immunosuppressors for life.

615. Risking infection, shorter life span...

616. Shorter. But normal.

617. Usually jealousy expresses itself

618. by trying to destroy what someone has.

619. You're more ambitious.

620. You actually wanna change medical fact to get this thing...

621. Medical fact changes all the time.

622. You're risking your patient's life.

623. That's how medical fact changes.

624. A doctor risks—

625. To serve their patient's health.

626. Not their own.

627. This is medically justified.

628. Are you sure?

629. Are you sure...

630. that you're the right one to be making this call?

631. Biopsy whatever nerve you figure you can safely get at.

632. God, Wilson's annoying.

633. Past 3:00 AM on Valentine's Day night.

634. I assume you had a date with Wendy.

635. She'll survive. She knows the deal.

636. You're lucky.

637. I know.

638. Someday, when there's time,

639. I would like to actually have a social life.

640. Someday?

641. Come on. If there's one thing a good-looking woman

642. can have when she wants, it's a social life.

643. You mean a sex life.

644. There's nothing wrong with a little companionship

645. 'til the real thing comes along.

646. I had the real thing.

647. Forgive me if I don't want to settle.

648. Right.

649. What does that mean?

650. Nothing.

651. You think I didn't have the real thing?

652. I have no idea what you had.

653. And yet you're judging it.

654. It's late, I'm cranky. Sorry.

655. You think I didn't have the real thing.

656. How could you even know?

657. You married a dying man.

658. You thought... six months, a year, it'll be tough.

659. But then I'll recover and I'll have the rest of my life.

660. It's like willy-nilly getting the flu

661. or joining the Peace Corps.

662. Short term.

663. Wow, you nailed it.

664. It's basically like a wasted weekend.

665. The sacrifices you made were huge.

666. But they were at the height of your love for him.

667. A commitment is only commitment

668. because it has no expiration date.

669. You stand next to someone

670. and watch them floss for 30 years,

671. like my parents have,

672. then ask for sacrifices.

673. That's how you know the real thing.

674. Cameron...

675. I wasn't criticizing you.

676. People who avoid commitment are people who know what a big thing it is.

677. This isn't right.

678. CIPA can't cause this much degeneration.

679. A few nerve fibers we teased out of the center

680. have some insulation left.

681. But the insulation around the bundles has been stripped bare.

682. Means the damage must be coming from the outside in.

683. Which means it's secondary demyelination.

684. Which means the source is somewhere else.

685. Which tells us it's not a nerve disease,

686. it's something systemic that's affecting the nerves.

687. Which means that we need to—

688. Where are you going?

689. Kid's mom is finally out of surgery.

690. I'll be right back.

691. So what?

692. Hannah should see her.

693. Yes, immediately after we're done chatting about saving her life.

694. Most likely causes are metabolic.

695. They found brain swelling.

696. They're prepping her mother for another surgery.

697. Again, so what?

698. Get a nurse to take the kid.

699. There are more than 60 different metabolic conditions

700. that could account for what she's got.

701. There's only three of you guys.

702. She's scared.

703. She should be.

704. She'll die if we don't diagnose her.

705. So diagnose her.

706. Mom.

707. How bad is it?

708. Are you OK?

709. I'm okay, Mom.

710. I'll get better. I always get better.

711. Are you checking yourself? Your temperature?

712. Mom, could you just let it go?

713. You shouldn't be worrying.

714. Oh, baby, I'm sorry.

715. I should have seen that car coming.

716. No.

717. I did this to myself. I screwed up.

718. You were right. You were right and I was wrong.

719. No. No.

720. I... I shouldn't have gone out on the ice.

721. I shouldn't have fallen down.

722. And I shouldn't have made you rush me

723. to an ER for the tenth time this year.

724. Mom?

725. Mom? You okay?

726. We gonna have to take her back to surgery.

727. Hannah, your BP is way up.

728. We need to get you some rest.

729. My hand's wet.

730. You're crying.

731. I can't cry.

732. My head is killing me.

733. So what does the pain tell us?

734. No tingling, no itching, so we can rule out—

735. It tells us nothing.

736. It wasn't physical pain, it was emotional.

737. Exactly.

738. What were they doing when she got the headache?

739. Saying good-bye.

740. You said they were arguing.

741. They weren't really arguing.

742. She was just frustrated.

743. What were they arguing about?

744. Whose fault it was.

745. Peripheral neuropathy, fever,

746. and intermittent paranoia.

747. Lots of metabolic conditions can explain those things.

748. But what if we add guilt?

749. Guilt as a symptom?

750. Alzheimer's can cause euphoria, pain causes depression,

751. and B12 deficiency causes guilt.

752. Along with all that other stuff.

753. If she felt guilty,

754. she wouldn't be making her mother's life miserable.

755. She wouldn't be getting in fights,

756. getting arrested...

757. Maybe she's fighting because she feels guilty.

758. She's showing her mom she can take stupid risks and still be safe.

759. Means mom can let go.

760. Which is rational.

761. If guilt is a symptom, it's caused by the illness,

762. not by a thought process.

763. And it would have to be new.

764. Couple years ago, she was a model student.

765. This is pointless. If the headache was caused by guilt,

766. she has a B-12 deficiency.

767. If it's just because she was sad,

768. it's meaningless. How the hell do we test for that?

769. We don't. We give her a shot of B12.

770. When she gets better, I was right.

771. We already did.

772. ER gave her B12 when she was admitted.

773. Part of a multi-vitamin supplement.

774. Apparently, she's just sad.

775. Why are you still here?

776. Trying to get a couple patients into a drug trial.

777. Paperwork's due tomorrow.

778. Why are you here?

779. Still haven't figured out why...

780. No, I meant here. In my office.

781. Just dumped a cool B12 theory.

782. Moved on to leukemia.

783. Very pedestrian.

784. I'm not happy.

785. Her white blood cell count was low.

786. But the one she's got...

787. A whole lot of eosinophils.

788. The immunoglobin E level's borderline.

789. If you wanna be 100% sure,

790. check the bone marrow.

791. Team's doing a biopsy right now.

792. So it turns out...

793. the weird lawyer...

794. knew that she used to be a man.

795. And he's cool with that?

796. Turns out that his previous girlfriend also used to be a man.

797. - Ho-ho! - Yeah.

798. Is it possible for you to just watch me eat?

799. Or do you get some primeval thrill

800. out of beating the other hunters to the food?

801. See ya later.

802. You still haven't figured out that I don't need sedation?

803. It's so you don't move during the procedure.

804. Is that nitrous?

805. You trying to kill her?

806. You gave her nitrous during the EEG.

807. That's what made this thing rear its ugly head.

808. What thing?

809. B12 deficiency.

810. Are you having deja vu? We've had this conversation.

811. She was given B12. She didn't get better.

812. Because someone else ate it.

813. Get an abdominal MRI.

814. What?

815. What are you doing?

816. Don't touch me!

817. See, there she goes.

818. Another paranoid delusion.

819. Come on. At the rate she's going downhill,

820. forget the MRI, we need an O.R.

821. Leave me alone!

822. Occupied!

823. Her hernia can wait.

824. Help! They're trying to kill me!

825. Okay, you can either believe that we really are trying to kill her...

826. Or you can assume that she's suffering from a medical condition.

827. Seeing as this is a hospital and we're all dressed like doctors,

828. and there are easier ways to kill somebody...

829. Bev, help them.

830. Gonna need iodine, scalpels number 10 and 15,

831. forceps, and a largish salad bowl.

832. Okay, hold her down.

833. Come on, weenies, she's in a cast.

834. Swab.

835. 15.

836. You're not gonna anesthetize her?

837. Relax, it's just a magic trick.

838. She's faking it.

839. We're not falling for it this time.

840. Okay, keep that retracted.

841. Forceps.

842. Lake fishing can be fun.

843. It can bring the generations together.

844. But if you don't cook that trout or perch well,

845. you'll be giving room and board to this fella.

846. And by free board, I mean all the B12 you can take in.

847. I could have tapeworm in me?

848. Not likely.

849. You'd be in a lot of pain.

850. It's gotta be 25 feet long.

851. Dammit.

852. World record's over 60.

853. Hannah. Wake up.

854. Somebody here to see you.

855. She's got limited motion on her left side.

856. You might have to take care of her for a while.

857. Whoa whoa whoa whoa.

858. You don't feel it,

859. but you're about to rip your stitches out.

860. Take care of yourself.

861. Then you can take care of her.

862. You haven't gone home.

863. Sorry I screwed up Valentine's Day.

864. I'm dating a doctor.

865. I'd be an idiot to expect anything else.

866. I did get you a gift.

867. MGH.

868. Best teaching hospital in Boston.

869. You wanna be a nurse practitioner,

870. that's as good as it gets.

871. I made a few calls.

872. You're in if you want it.

873. This is why you've been helping me get

874. my surgical hours for accreditation?

875. - I thought you wanted— - Stupid.

876. You've got ten feet of personal space around you.

877. I step forward, you step back.

878. I've shared a lot of things with you.

879. Which is why you're breaking up with me.

880. You can't stand to be close.

881. Wendy.

882. You think I'll stay with you because you're angry with me?

883. I'm upset.

884. Because I care.

885. Only you'd expect an argument to be rational.

886. You and that ass boss of yours.

887. You could ask her for the spinal nerve.

888. She's got no reason to give it.

889. She owes you.

890. The hospital will send her a bill.

891. I'm just saying.

892. If you wanna do it, do it while her B12 is still low.

893. Guilt can be your friend.

894. Breakfast?

895. Yeah.

896. Happy Valentine's Day.

897. A holiday that only applies to people who are already paired up.

898. For everyone else, it's Wednesday.

899. Thank you for that dash of cold water.

900. Don't get me wrong,

901. I still think true love's out there,

902. it's just very far away.

903. Possibly in another galaxy.

904. We may need to develop faster than light travel

905. before we can make contact.

906. So I'm thinking we should have sex.

907. That makes sense.

908. Despite the wisdom of pop songs,

909. there's no point in putting our lives on hold 'til love comes along.

910. We're both healthy and busy people.

911. We work together, so it's convenient.

912. Like microwave pizza?

913. And of all the people I work with,

914. you're the one I'm least likely to fall in love with.

915. Like microwave pizza.

916. The point here is to make things simpler,

917. not more complicated.

918. Someday, there'll be time to get serious about someone.

919. Meanwhile, we already had sex once and didn't get weird about it.

920. I get it. I get it.

921. So what if I'm offended by your judgment?

922. Then you're not the man I'm looking for.

923. House.M.D Season 3 Episode 14