1. I can't do this button.
Copy !req
2. You almost got it.
Copy !req
3. Almost got it.
Copy !req
4. The sound
Copy !req
5. of the people talking...
Copy !req
6. Mmm?
Copy !req
7. - It's A-flat.
- Is it?
Copy !req
8. Well, look how smart
you are, huh?
Copy !req
9. Here we go.
Copy !req
10. Thank you.
I am proud to introduce
Copy !req
11. my son to you,
Patrick Obyedkov.
Copy !req
12. Twenty-five years ago,
Patrick was in the fourth grade,
Copy !req
13. a good student,
played Little League
Copy !req
14. and then there
was the accident.
Copy !req
15. And here we are,
Copy !req
16. raising money for people
with similar neurological disabilities.
Copy !req
17. I hope you enjoy the concert.
Copy !req
18. You all set?
Copy !req
19. All set.
Copy !req
20. He's never missed a note.
Copy !req
21. Something's wrong.
Copy !req
22. Patrick, what is it?
Copy !req
23. My hand, it hurts.
Copy !req
24. Let me see it.
Copy !req
25. Oh, Papa.
Copy !req
26. What's the emergency?
Copy !req
27. Thirty-five-year-old savant.
Copy !req
28. Dystonia in his left hand.
Copy !req
29. He paged us at 5:00 in
the morning for that?
Copy !req
30. I'm going back to bed.
Dystonia's not life threatening.
Copy !req
31. Clonazepam will
take care of it.
Copy !req
32. He's already on clonazepam
for seizures he has
Copy !req
33. from a bus accident
when he was 10.
Copy !req
34. Then we treat
with benztropine.
Copy !req
35. What's up?
Copy !req
36. Thirty-five-year-old savant.
Dystonia.
Copy !req
37. I'm going back to bed.
Copy !req
38. Where you going?
Copy !req
39. Bathroom. It can wait.
Copy !req
40. There is no case, House.
Copy !req
41. Even if dystonia was some
big medical mystery, it's not this time.
Copy !req
42. You're not intrigued as to how a
perfectly healthy 10-year-old boy
Copy !req
43. with no prior
musical training gets into an accident
Copy !req
44. on his way to school
and can suddenly play the piano?
Copy !req
45. Do we have to solve
a 25-year-old case before breakfast?
Copy !req
46. You two shower together?
Copy !req
47. - No.
- No.
Copy !req
48. Double negative.
That's a yes.
Copy !req
49. Savantism is just
one of those things. It's inexplicable.
Copy !req
50. Just because it's inexplicted
doesn't mean it's inexplicable.
Copy !req
51. I want new labs,
CBC with platelets, chem panel,
Copy !req
52. thyroid and
adrenal function tests.
Copy !req
53. For what?
Copy !req
54. I don't know.
Copy !req
55. Raise your left hand.
Copy !req
56. That's your right hand.
Copy !req
57. What are you looking for?
Copy !req
58. Just want to make sure
whatever happened doesn't happen again.
Copy !req
59. - Push up.
- Push up.
Copy !req
60. He repeats what people say.
It's a compensation mechanism.
Copy !req
61. He knows he's supposed
to say something
Copy !req
62. so he repeats
what he's just heard.
Copy !req
63. Well, that's good.
Shows he's engaged.
Copy !req
64. Spine's okay.
Copy !req
65. All right, stick out your tongue
like this. Copy me.
Copy !req
66. You have a big tongue.
Copy !req
67. Hey, I know it's
funny but copy me.
Copy !req
68. There was
construction on Radcliffe.
Copy !req
69. So I had to get
out of the car
Copy !req
70. and walk in high
heels for over a mile.
Copy !req
71. Radcliffe?
What was the cross street?
Copy !req
72. Does it matter?
Copy !req
73. I don't know.
I'm not the one who brought it up.
Copy !req
74. Tie this off. Nice and tight.
Copy !req
75. Does this have anything
to do with my foot?
Copy !req
76. You have a blister.
Copy !req
77. You don't waste
a doctor's time with a blister.
Copy !req
78. You waste a doctor's time
with more important things,
Copy !req
79. like the sewer
that's being vented out of your mouth.
Copy !req
80. My breath?
Copy !req
81. If you could stop doing that,
we'd all be grateful.
Copy !req
82. I can't stop breathing.
Copy !req
83. Nope.
But you can stop puking.
Copy !req
84. - I don't.
- Your lips say, "No."
Copy !req
85. Your gnarly fingers say...
Copy !req
86. He's good to go.
Copy !req
87. It's a shame.
You look cute that thin.
Copy !req
88. Motor cortex looks good.
Everything checks out.
Copy !req
89. What tests did you run?
Copy !req
90. Full battery of
neurological...
Copy !req
91. I need this blood checked for
cholesterol and glucose levels.
Copy !req
92. Patient had a foot problem.
Copy !req
93. Different patient.
Copy !req
94. There was no
one else in there.
Copy !req
95. You're using
the wrong equipment.
Copy !req
96. Dr. Foreman,
I thought we were being discharged.
Copy !req
97. I'm Dr. House,
Copy !req
98. and on the off chance
that Dr. Foreman didn't mention it,
Copy !req
99. I have something
of a gift, too.
Copy !req
100. Come on.
Copy !req
101. - Your turn.
- My turn.
Copy !req
102. Does this have anything to do
with his hand?
Copy !req
103. It might.
Copy !req
104. Okay, Patrick.
Close your eyes.
Copy !req
105. What's this?
Copy !req
106. - D, G-flat, A-flat, B.
- Yeah. All right, all right.
Copy !req
107. He's good. Can we let him go?
Copy !req
108. He's great. He's staying.
Copy !req
109. Call radiology.
Copy !req
110. We need
a functional MRI on his brain.
Copy !req
111. FMRI's not gonna show trauma.
Copy !req
112. We're not looking for trauma.
Copy !req
113. I want to see the music.
Copy !req
114. See the music.
Copy !req
115. Well, that's dull.
Copy !req
116. You think the FMRI's
gonna show a big arrow
Copy !req
117. pointing to a flashing sign
saying "savantism"?
Copy !req
118. It would be hugely helpful.
Copy !req
119. Somehow he got rewired
as a music specialist.
Copy !req
120. I want to know
how that happens.
Copy !req
121. He has access to parts of
the brain that you don't.
Copy !req
122. His brain's doing nothing.
Copy !req
123. He looks like
any jerk listening.
Copy !req
124. He's not a savant at listening,
he's a savant at playing.
Copy !req
125. Well, listening and playing are
two different neurological processes.
Copy !req
126. Turn off the music.
Copy !req
127. Patrick, I want you to pretend
that your leg's a piano.
Copy !req
128. My leg's not a piano.
Copy !req
129. I know.
That's why I said "pretend."
Copy !req
130. Kid's a moron.
Copy !req
131. Keep your head still.
Use your fingers.
Copy !req
132. Wow.
Copy !req
133. Cool, huh?
Copy !req
134. His heart rate rose.
Copy !req
135. Emotional response?
Copy !req
136. Then why's there no activity
in the limbic system?
Copy !req
137. Unless there's
a problem with his heart.
Copy !req
138. Do an echo to confirm.
Copy !req
139. And scrub up.
He's gonna need surgery.
Copy !req
140. It wasn't dystonia.
Copy !req
141. He's got a heart
condition that caused
Copy !req
142. the arteries in
his arm to constrict.
Copy !req
143. Do you have any idea
why House would want to go to Boston?
Copy !req
144. The chowder?
Copy !req
145. Plane tickets this Friday.
Copy !req
146. I opened his mail.
Copy !req
147. I heard there's an opening at
Harvard for Division Chief,
Copy !req
148. Infectious Disease.
Copy !req
149. Ambition is not one of his
more prominent traits.
Copy !req
150. Although...
Copy !req
151. What?
Copy !req
152. He was testing
blood in the clinic.
Copy !req
153. I don't think it
was a patient's blood.
Copy !req
154. Why? It was green?
Copy !req
155. No, he was checking
for routine stuff.
Copy !req
156. Makes sense if he's looking for
basic medical clearance for employment.
Copy !req
157. I'm going home.
Copy !req
158. No, you're not.
Copy !req
159. He could show up any minute.
Copy !req
160. Not with a savant
to obsess about.
Copy !req
161. I'll take in here.
Bedroom's down the hall.
Copy !req
162. You've been here?
Copy !req
163. Where else would
the bedroom be?
Copy !req
164. Come with?
Copy !req
165. You're scared of
him catching us breaking into his home
Copy !req
166. but you're not scared of him catching us
doing it in his bed?
Copy !req
167. If I'm gonna get
fired anyway...
Copy !req
168. Almost at the heart.
Ablating and done.
Copy !req
169. Heart rate's 160.
It's accelerating.
Copy !req
170. He's at 210!
Copy !req
171. He's in
supraventricular tachycardia.
Copy !req
172. Paddles!
Copy !req
173. Charging.
Copy !req
174. Clear!
Copy !req
175. We're wasting our time.
Copy !req
176. His high-school yearbook.
Copy !req
177. Unless you think
he's going to Boston
Copy !req
178. to attend
a high-school reunion,
Copy !req
179. put it back and let's get out of here
before he comes home.
Copy !req
180. He's not smiling.
Copy !req
181. I wonder if he has teeth.
Copy !req
182. What's the area
code for Boston?
Copy !req
183. 617, why?
Copy !req
184. Massachusetts General. May I help you?
Copy !req
185. Did you think you could steal
Dr. House without a fight?
Copy !req
186. Steal him for what?
Copy !req
187. Quit jerking me around.
I know he's coming out there.
Copy !req
188. We're not
looking to hire him.
Copy !req
189. He's called you six times
in the last month.
Copy !req
190. We're not
looking to hire him.
Copy !req
191. You think if you keep repeating it,
I'll start believing you?
Copy !req
192. Dr. Cuddy, there's
nothing else I can say.
Copy !req
193. I'm sorry.
Copy !req
194. If he's not coming there
for a job interview,
Copy !req
195. he's either coming
to your hospital
Copy !req
196. for a social visit or
because he's a patient.
Copy !req
197. Is it a social visit,
Dr. Medak?
Copy !req
198. I can't stand House.
Copy !req
199. Neither can Dr. Coopersmith.
Copy !req
200. What's up?
Copy !req
201. Do you know a
Dr. Coopersmith in Boston?
Copy !req
202. Yeah. He's an oncologist.
Copy !req
203. What's up?
Copy !req
204. - What's his subspecialty?
- Brain cancer.
Copy !req
205. What's going on?
Copy !req
206. He doesn't look sick.
Copy !req
207. He should have symptoms.
Copy !req
208. Blurred vision, headaches,
confusion, clumsiness.
Copy !req
209. Depends how far
along the cancer is.
Copy !req
210. What kind, how aggressive.
Copy !req
211. He didn't tell you?
Copy !req
212. House is House.
Copy !req
213. He's no different
than anyone else with cancer.
Copy !req
214. Once you tell,
then every conversation is about that.
Copy !req
215. Cardiac arrest
means we were wrong.
Copy !req
216. There was a heart problem.
Copy !req
217. But no vasoconstriction.
Copy !req
218. The heart problem
couldn't have caused the hand problem.
Copy !req
219. Unless the bleed
happened suddenly.
Copy !req
220. Less blood to the brain
explains the dystonia.
Copy !req
221. Less blood to the heart
explains the heart attack.
Copy !req
222. Scope him above and below.
Copy !req
223. If that doesn't work,
gut him.
Copy !req
224. Can't you sedate him?
Copy !req
225. There's a risk his
throat could collapse.
Copy !req
226. You look mad, Papa.
Copy !req
227. No.
Copy !req
228. No, I'm not mad.
I promise you.
Copy !req
229. It's just that the doctor
has to do something to you and it's...
Copy !req
230. And it's gonna hurt.
Copy !req
231. Hurt me? Why hurt me?
Copy !req
232. Make you better.
Copy !req
233. What's wrong with me?
Copy !req
234. Well, they don't know.
Copy !req
235. Patrick, don't you worry.
Copy !req
236. Everything is gonna be great.
Copy !req
237. All right.
Here we go, Patrick.
Copy !req
238. You wanna hurt me.
Copy !req
239. Hey, open. Like this.
Copy !req
240. You just look at me
and everything is gonna be okay.
Copy !req
241. Look at me now.
Copy !req
242. Patrick.
Copy !req
243. There you are.
It's okay. It's okay, really.
Copy !req
244. Dr. Wilson. Wilson!
Copy !req
245. I just spoke to Cuddy.
Copy !req
246. She can't confirm
whether House
Copy !req
247. is applying for
a job in Boston.
Copy !req
248. Yeah. I'm late for a...
Copy !req
249. If I have to look for work,
I have a right to know.
Copy !req
250. Pretty.
Copy !req
251. I wrote this when I was
in junior high school.
Copy !req
252. Could never figure
out what came next.
Copy !req
253. Then dimwit
came up with this.
Copy !req
254. It's good.
Copy !req
255. It's perfect.
Copy !req
256. I could set up a tower on the roof
during a lightning storm.
Copy !req
257. Help you switch
brains with your patient.
Copy !req
258. Then you would be
the brilliant pianist
Copy !req
259. and he would be the doctor
hiding brain cancer from his friend.
Copy !req
260. It's nothing.
Copy !req
261. You need to talk about it.
Copy !req
262. At least let me look
at your medical file.
Copy !req
263. You're making a big
deal out of nothing.
Copy !req
264. - Who else knows?
- No one, and cancer isn't nothing.
Copy !req
265. Sorry. Didn't mean to
offend your specialty.
Copy !req
266. Why didn't you come to me?
Copy !req
267. Stein's good.
Copy !req
268. Stein's in Africa for
the next six months.
Copy !req
269. He's given me
at least six months.
Copy !req
270. I go to Boston.
I get the treatment.
Copy !req
271. Everything will be fine.
Copy !req
272. No need to talk about it.
Copy !req
273. You were right.
Copy !req
274. Surgeon found
a bleed behind the kidney
Copy !req
275. in the retroperitoneal cavity,
but no reason for it.
Copy !req
276. No cancer,
no ruptured arteries.
Copy !req
277. So bleeding explains
the symptoms
Copy !req
278. but we've got no explanation
for the bleeding.
Copy !req
279. And while they
were closing him up,
Copy !req
280. Patrick had
a grand mal seizure,
Copy !req
281. which makes no sense,
Copy !req
282. since he's on
an anticonvulsant medication.
Copy !req
283. You told him.
Copy !req
284. No, I didn't.
Copy !req
285. I only told Cameron.
Copy !req
286. Hey!
Copy !req
287. Okay, you guys have cleverly deduced
that I have cancer.
Copy !req
288. You have no right to know.
Copy !req
289. You have no business knowing.
Copy !req
290. We'd like to run
some blood tests.
Copy !req
291. As soon as you
work up our patient, who is not me.
Copy !req
292. We just want to make sure
you weren't misdiagnosed.
Copy !req
293. I wasn't. Let's move on.
Copy !req
294. We're just asking
for a couple of vials.
Copy !req
295. - No!
- Why not?
Copy !req
296. Okay, we are going to proceed
as if I am perfectly healthy.
Copy !req
297. How can we do that
if we know you're not?
Copy !req
298. You don't know anything!
Copy !req
299. Except, hopefully,
Copy !req
300. how a patient on
anticonvulsant medication has a seizure.
Copy !req
301. Anti-seizure meds
don't prevent seizures.
Copy !req
302. They just make
them manageable.
Copy !req
303. According to
the surgeon's report,
Copy !req
304. this one wasn't even
close to manageable.
Copy !req
305. Means the question isn't,
"Why is he having seizures?"
Copy !req
306. It's, "Why are his
seizures getting worse?"
Copy !req
307. What's changed?
Copy !req
308. His brain. It's gotten worse.
Copy !req
309. So we make it even worser.
Copy !req
310. We take him off
anticonvulsant medication.
Copy !req
311. He'll seize even more.
Copy !req
312. Multiple seizures can
seriously damage a brain.
Copy !req
313. Dude can't button a shirt.
Copy !req
314. How much more damage
are we really talking about?
Copy !req
315. Stronger seizures will light up
different parts of the brain,
Copy !req
316. which will indicate
which parts are damaged.
Copy !req
317. Once he gets worse,
do a PET scan.
Copy !req
318. PET scan done?
Copy !req
319. No.
Copy !req
320. Did you come for my feelings?
Copy !req
321. 'Cause I left them
in my other pants.
Copy !req
322. This is a letter
of recommendation.
Copy !req
323. I'm applying
for a job at Penn.
Copy !req
324. Thank you for
writing your own.
Copy !req
325. I'm sure my thoughts
are beautifully phrased.
Copy !req
326. Thank you for signing it,
saves me having to fake your signature.
Copy !req
327. Stay away from Weiss.
Copy !req
328. He cries with his patients,
holds their hands as they die.
Copy !req
329. He won't like you.
Copy !req
330. Your newfound nonchalance
in the face of cancer.
Copy !req
331. I thought you'd
find it appealing.
Copy !req
332. 20 seconds. Pretty good.
Copy !req
333. For what?
Copy !req
334. The time it took you to go
from hard-ass to human being.
Copy !req
335. You really want to leave?
Copy !req
336. If you're not here,
there's not much point in staying.
Copy !req
337. I'm not dead yet.
Copy !req
338. What are you doing?
Copy !req
339. I know this must be
a turn-on for you.
Copy !req
340. A little whorish
to kiss and stab.
Copy !req
341. You kissed back.
Copy !req
342. I didn't want you to die
without knowing the feeling.
Copy !req
343. Actually, no woman should die
without knowing the feeling.
Copy !req
344. All we need is a few
drops of your blood.
Copy !req
345. Foreman and Chase's lips
are not gonna get so close,
Copy !req
346. now that I know your plan.
Copy !req
347. There's a nurse downstairs
about to risk his job
Copy !req
348. to steal the blood
you drew from yourself yesterday.
Copy !req
349. I'm patient number 020406,
Copy !req
350. in the record room,
under the name Luke N. Laura.
Copy !req
351. There's a whole vial of blood
in there along with CT scans,
Copy !req
352. MRIs, CSF.
Everything you need.
Copy !req
353. If you need a sperm sample,
come back without the needle.
Copy !req
354. Six centimeter mass
in his dorsal midbrain,
Copy !req
355. extending into
the temporal lobe.
Copy !req
356. That's inoperable.
Copy !req
357. What kind of
time does he have?
Copy !req
358. He's got a year.
Copy !req
359. Nurse! Nurse!
Copy !req
360. Here's the consent from Boston
for the cancer drug trial.
Copy !req
361. Any description
of the process or previous trials?
Copy !req
362. - Yep.
- Any chance it'll work?
Copy !req
363. No. It's not even
designed to work.
Copy !req
364. Why would he...
Copy !req
365. It's designed to treat depression
in terminal cancer patients.
Copy !req
366. He doesn't seem depressed.
Copy !req
367. Okay,
let's assume that I am dying,
Copy !req
368. which I specifically
told you not to assume.
Copy !req
369. Can we at least assume
that I'm not dying tomorrow?
Copy !req
370. Whereas this kid...
Copy !req
371. PET revealed several more hot spots
but they're non-specific.
Copy !req
372. How can you focus on him?
Copy !req
373. It's the only way I can cope.
Copy !req
374. PET also showed a left brain
that's working hard.
Copy !req
375. Harder than the right?
Copy !req
376. Wouldn't be worth
mentioning otherwise.
Copy !req
377. Bleeding in the brain,
blood would irritate the lining,
Copy !req
378. might cause
the seizures to get worse.
Copy !req
379. Yes, he needs an angiogram to look at
the vasculature inside his brain.
Copy !req
380. We'll get right on it
as soon as we're finished here.
Copy !req
381. Don't get up. I got it.
You're busy. Continue.
Copy !req
382. You know what my team
is doing right now?
Copy !req
383. No.
Copy !req
384. They're trying to figure out
what's wrong with me.
Copy !req
385. What's wrong with you?
Copy !req
386. Thanks for asking.
Copy !req
387. They've found out
that I'm dying.
Copy !req
388. That's sad.
Copy !req
389. Everyone's dying.
Copy !req
390. That's sad.
Copy !req
391. If a meteor lands
on my head tomorrow, it's all academic.
Copy !req
392. I told them to leave me alone.
But did they?
Copy !req
393. Did they?
Copy !req
394. That one was rhetorical.
Copy !req
395. Oh.
Copy !req
396. No, they did not.
Copy !req
397. Who the hell were you
before you hit your head?
Copy !req
398. Hell is a bad word.
Copy !req
399. So is "ass" and "bitch."
Copy !req
400. I could probably
rattle off 50 much more
Copy !req
401. complicated and
disgusting ones,
Copy !req
402. but then your dad
would get pissed at me.
Copy !req
403. You like your life?
Copy !req
404. What life?
Copy !req
405. Your life.
Copy !req
406. Playing the piano, going on tour,
scoring girls left and right.
Copy !req
407. I don't like girls.
Copy !req
408. Boys. Whatever gets you off.
Copy !req
409. I like the piano.
Copy !req
410. What's wrong?
Copy !req
411. Dr. Peter Hayes. This is Eric Foreman,
at Princeton-Plainsboro.
Copy !req
412. You're doing a signal transduction
inhibitor clinical trial.
Copy !req
413. What kind of
results have you been...
Copy !req
414. Transduction inhibitors
are a decade away.
Copy !req
415. Bye, Pete.
Copy !req
416. They've got another
trial going at Duke.
Copy !req
417. 15 percent extend their lives
beyond five years.
Copy !req
418. - If you're positive for protein PHF...
- Stop trying to save me.
Copy !req
419. I'm fine.
Copy !req
420. MRA confirmed small
collections of blood
Copy !req
421. throughout the white matter
of Patrick's right hemisphere.
Copy !req
422. Mind if we chat about that
for a few moments?
Copy !req
423. Either trauma, an aneurysm,
cancer or autoimmune disease.
Copy !req
424. We need a biopsy to
figure out which it is.
Copy !req
425. His EEG was non-specific.
Copy !req
426. Where you going to biopsy?
Copy !req
427. Everywhere.
Copy !req
428. Sure, just put on a blindfold
and play "Pin the Tail on the Brain."
Copy !req
429. He's bleeding into his brain.
He's dying.
Copy !req
430. You can't just randomly
stab the temporal lobe
Copy !req
431. and hope you hit
the right spot.
Copy !req
432. I'm only gonna take
little tiny pieces.
Copy !req
433. Till what?
Copy !req
434. Till I find the problem.
Copy !req
435. Or you kill him.
Copy !req
436. No, I'll keep going,
even if I kill him.
Copy !req
437. Then he's screwed.
Thanks for the chat.
Copy !req
438. What if we do the EEG
from inside his brain?
Copy !req
439. I'm actually
a little insulted.
Copy !req
440. You were supposed to
spend the last hour worrying about me.
Copy !req
441. It's risky and invasive.
Copy !req
442. But that's why God invented
the long consent form.
Copy !req
443. Can you get to why
this is a brilliant idea?
Copy !req
444. External EEG
could get confused
Copy !req
445. if there are multiple
structural abnormalities.
Copy !req
446. If we perform
the EEG inside the skull,
Copy !req
447. it could show us
where to biopsy.
Copy !req
448. Brilliant. Go. Do.
Copy !req
449. I'd also like to
talk to you about...
Copy !req
450. This is going to be personal,
isn't it?
Copy !req
451. Yeah.
Copy !req
452. We'll use a small drill
to get inside his skull.
Copy !req
453. There's bleeding inside?
Copy !req
454. Yes. Once we have 12 holes,
Copy !req
455. we'll surgically
implant the electrodes
Copy !req
456. under the meninges,
against the brain.
Copy !req
457. And it's either cancer
or autoimmune disease?
Copy !req
458. Sorry, but yeah.
Copy !req
459. Which one is better?
Copy !req
460. Neither.
Copy !req
461. Hey.
Copy !req
462. Where do we cut?
Copy !req
463. We don't.
Copy !req
464. I need to say something.
Copy !req
465. Something personal?
Copy !req
466. Yeah.
Copy !req
467. And I can't leave
Copy !req
468. because you've got
something interesting in that file.
Copy !req
469. Sorry.
Copy !req
470. You're an arrogant ass who makes it
impossible for anyone to like him
Copy !req
471. by punishing people
who don't deserve...
Copy !req
472. Can you get to the "but" part
of this speech?
Copy !req
473. But I like you.
Copy !req
474. No, you don't.
Copy !req
475. You're just reacting to
the perception of my death
Copy !req
476. and the need to put things in order.
Fear of guilt...
Copy !req
477. Just shut up.
Copy !req
478. See? I annoy you.
Copy !req
479. Now, you gonna give me the results
or are you gonna...
Copy !req
480. Intracranial EEG showed
no electrical abnormalities.
Copy !req
481. - Which means it's autoimmune.
- No.
Copy !req
482. It also showed his entire right
hemisphere is brain-dead.
Copy !req
483. So while you guys were worrying about
me, half this kid's brain died.
Copy !req
484. The only solace you should take from
this is the fact that it didn't.
Copy !req
485. Garden variety EEG sucks
compared to the in-brain variety,
Copy !req
486. but it's not going
to miss brain death.
Copy !req
487. - He's gotten worse.
- Not that much worse.
Copy !req
488. Respiration is depressed.
Copy !req
489. Seizures are increasing,
one every five minutes.
Copy !req
490. Not that much worse.
Copy !req
491. He can still talk
and he's left-handed,
Copy !req
492. which means speech
is in the right side.
Copy !req
493. You don't know how Patrick's brain
reorganized itself 25 years ago.
Copy !req
494. What if the right side
is just a little dead?
Copy !req
495. Maybe he still has
random neurons firing.
Copy !req
496. You're just looking for a puzzle to
distract you from your own situation.
Copy !req
497. You're right, he's dead.
Let's go home.
Copy !req
498. What did you find out?
Copy !req
499. Is he gonna be okay?
Copy !req
500. - I'm sorry.
- Yes!
Copy !req
501. What's this?
Copy !req
502. A piano.
Copy !req
503. What's this?
Copy !req
504. He's obviously lost use...
Copy !req
505. Shut up.
Copy !req
506. Music is a global process.
Copy !req
507. You can't play
the piano with half a brain.
Copy !req
508. What's it mean?
Copy !req
509. Means the right side of
his brain has always sucked.
Copy !req
510. Means it's not relevant
to what's going on now.
Copy !req
511. - Wow. Then it's autoimmune.
- Yeah.
Copy !req
512. Question is what
do we do about it?
Copy !req
513. Most likely ones we can fix.
Copy !req
514. Polyarteritis nodosa,
Takayasu or Sarcoid.
Copy !req
515. I'll start treatment.
Copy !req
516. Not what I was talking about.
Copy !req
517. But, yeah, you do that.
Copy !req
518. Your turn?
Copy !req
519. Do you have to do that?
Copy !req
520. You mean cheapen everyone's attempt
at a human moment
Copy !req
521. by identifying the real calculations
that go into it?
Copy !req
522. - Yeah.
- Yeah, I do.
Copy !req
523. I'm sorry you're dying,
I'm gonna hug you.
Copy !req
524. Anything to say?
Copy !req
525. If you're considering
grabbing my ass,
Copy !req
526. don't start anything
you can't finish.
Copy !req
527. Well, as long as we're just standing
here, you mind if we work?
Copy !req
528. How's the kid's
treatment going?
Copy !req
529. Are you crying?
Copy !req
530. No.
Copy !req
531. Respiration rate's up.
Copy !req
532. Seizures are calming down.
It's all good.
Copy !req
533. Not for what
I'm gonna do next.
Copy !req
534. There is no next.
He's gonna be fine.
Copy !req
535. Only if he wants to remain
a four-year-old who wets his bed.
Copy !req
536. There's nothing else for him.
Copy !req
537. There's better.
Thanks for the hug.
Copy !req
538. It's the middle of the night.
Copy !req
539. You knew I'd be asleep.
Copy !req
540. Phone would have woken you up
just as much.
Copy !req
541. And I can't see
what you're wearing on the phone.
Copy !req
542. My patient with the 55 IQ
has Takayasu syndrome.
Copy !req
543. Very uncommon.
Copy !req
544. Happens mostly
in Asian women.
Copy !req
545. Takayasu is manageable with steroids,
which you already know.
Copy !req
546. So I assume you're here
for something else.
Copy !req
547. My patient also has
a significant seizure problem.
Copy !req
548. Also manageable with
anticonvulsant medication.
Copy !req
549. Yes, and if he kept taking his
anticonvulsant medication,
Copy !req
550. he could go back on tour
and play the piano.
Copy !req
551. But a hemispherectomy
Copy !req
552. would completely stop
the right-brain seizure activity
Copy !req
553. and he would no
longer need to take
Copy !req
554. his anticonvulsant medication.
Copy !req
555. You want to remove
half his brain?
Copy !req
556. The right half.
Copy !req
557. It would be irresponsible
to remove the left.
Copy !req
558. You don't remove half a brain
and gain function!
Copy !req
559. Not my brain.
But his? Who knows? What?
Copy !req
560. Let's say that I'm the left side
of Patrick's brain.
Copy !req
561. I'm quick-witted, I'm charming,
I'm great looking.
Copy !req
562. You're the right
side of his brain.
Copy !req
563. You're useless, old, damaged.
Copy !req
564. We go to a bar for a drink.
Copy !req
565. Now, I have the mad skills
to be scoring all the hot babes,
Copy !req
566. but instead I'm spending my time wiping
drool off your chin
Copy !req
567. and making sure
you don't eat the tablecloth.
Copy !req
568. What's the father want to do?
Copy !req
569. I don't know.
Copy !req
570. So go wake him up.
Copy !req
571. House, I'm so sorry.
Copy !req
572. Forgot I was dying, huh?
Copy !req
573. I'm here if you need me.
Copy !req
574. I need you.
Copy !req
575. One small feel for man,
one giant ass for mankind.
Copy !req
576. Thanks.
Copy !req
577. Good luck in Boston.
Copy !req
578. Call
the Make-A-Wish Foundation.
Copy !req
579. Dr. Foreman was just here.
Copy !req
580. The seizures have
almost completely gone away.
Copy !req
581. Says we might be
able to go home in the next day or two.
Copy !req
582. Thank you so much.
Copy !req
583. I think we should remove
the right side of your son's brain.
Copy !req
584. I thought you fixed him.
Copy !req
585. Does he look fixed?
Copy !req
586. The right side of his brain is
keeping him walking straight.
Copy !req
587. Other than that, it's been dead weight
ever since the accident.
Copy !req
588. If we remove it, the seizures
would stop completely.
Copy !req
589. The seizures are
hardly noticeable.
Copy !req
590. They don't bother Patrick.
Copy !req
591. But without the seizures,
Copy !req
592. the left side would have a chance
to actually function.
Copy !req
593. It could learn
to do new things.
Copy !req
594. Only bummer, he'd never play
the piano again.
Copy !req
595. Oh, no.
The piano is everything.
Copy !req
596. I'm not saying
he's never gonna work for NASA,
Copy !req
597. but flipping burgers
isn't out of the question.
Copy !req
598. Well, I don't mind taking care of him
so he can play the piano.
Copy !req
599. No, you're actually lucky.
Copy !req
600. You don't have to
watch your kid grow up.
Copy !req
601. You don't have to let go.
Copy !req
602. You trying to
make this about me?
Copy !req
603. I love my son,
just the way he is!
Copy !req
604. He's a monkey
grinder at the circus.
Copy !req
605. He's worked hard to get where he...
Copy !req
606. So does the monkey.
Copy !req
607. The piano is
a neurological accident.
Copy !req
608. He has a gift.
Copy !req
609. I'm offering him a life.
Copy !req
610. It's up to you.
Copy !req
611. I've isolated
the cancer proteins in House's CSF.
Copy !req
612. About time.
We can't let him go to Boston
Copy !req
613. if he qualifies
for the Duke trial.
Copy !req
614. You want to do it?
Copy !req
615. Damn. He's negative
for protein PHF.
Copy !req
616. He doesn't qualify.
Copy !req
617. What's that?
That shouldn't be there.
Copy !req
618. Patrick?
Copy !req
619. Hello, Papa.
Copy !req
620. Patrick,
I have a question for you.
Copy !req
621. Yes?
Copy !req
622. Are you happy?
Copy !req
623. House! Open up!
Copy !req
624. Open up! It's important!
Copy !req
625. I've got a flight
in three hours.
Copy !req
626. You don't have cancer.
Copy !req
627. There was an abnormal presence
of IgG and IgM, indicating...
Copy !req
628. I don't have neurosyphilis.
My MRI showed nothing...
Copy !req
629. It's a gumma in your brain.
It's very rare not to be in the liver,
Copy !req
630. and I'm really glad
we never slept together but...
Copy !req
631. We would have used a condom.
Copy !req
632. And I don't have syphilis.
My VDRL was negative...
Copy !req
633. We did an FTA
antibody test.
Copy !req
634. The VDRL was
a false negative.
Copy !req
635. You're not going to die.
Copy !req
636. All you need is
IV antibiotics.
Copy !req
637. Did you send these
results to Mass General?
Copy !req
638. Of course.
Copy !req
639. You idiots.
Copy !req
640. We just told you
you're not gonna die!
Copy !req
641. You should be
making out with Cameron.
Copy !req
642. You knew it wasn't cancer?
Copy !req
643. I was sure it was cancer.
Copy !req
644. Then why aren't
you celebrating?
Copy !req
645. Because it
wasn't my damn file.
Copy !req
646. You faked cancer?
Copy !req
647. The real patient is in
the Witherspoon wing.
Copy !req
648. Feel free to tell his wife
that he's not gonna die,
Copy !req
649. but he is cheating on her.
Copy !req
650. Why would you want us
to think that you...
Copy !req
651. I didn't!
Copy !req
652. I wanted the guys in Boston
to think that I had cancer.
Copy !req
653. I wanted the guys who were
gonna implant a cool drug
Copy !req
654. right into the pleasure center
of my brain to think that I had cancer!
Copy !req
655. You faked cancer to get high?
Copy !req
656. I'm going to bed.
Copy !req
657. You're right.
I don't like you.
Copy !req
658. Sure. Now that I'm not dying.
Copy !req
659. Heard Patrick's
hemispherectomy went well.
Copy !req
660. He survived the surgery.
Copy !req
661. He's unconscious but...
Copy !req
662. How depressed are you?
Copy !req
663. I'm not depressed.
Copy !req
664. You faked cancer.
Copy !req
665. It was
an outpatient procedure. I was curious.
Copy !req
666. Are you curious about heroin?
Copy !req
667. Not since last year's
Christmas party.
Copy !req
668. I know this goes
against your nature,
Copy !req
669. but can we not
make too much of this?
Copy !req
670. You made people think
that you were going to die!
Copy !req
671. I didn't make them.
Copy !req
672. I tried to hide it,
Copy !req
673. but you idiots needed to
get into my business.
Copy !req
674. I'm sure I'll regret asking,
but why are you laughing?
Copy !req
675. It's ironic.
Copy !req
676. Well, I'm sure I'll
regret asking, but why...
Copy !req
677. Depression in
cancer patients...
Copy !req
678. It's not as
common as you think.
Copy !req
679. It's not the dying
that gets to people.
Copy !req
680. It's the dying alone. The patients
with family, with friends,
Copy !req
681. they tend to do okay.
Copy !req
682. You don't have cancer.
Copy !req
683. You do have
people who give a damn.
Copy !req
684. So what do you do?
Copy !req
685. You fake the cancer,
then push the people who care away.
Copy !req
686. Because they're boring.
Copy !req
687. Go home to your hotel room
and laugh at that irony.
Copy !req
688. Start small, House.
Take a chance.
Copy !req
689. Maybe something that doesn't involve
sticking stuff in your brain.
Copy !req
690. Pizza with a friend.
Copy !req
691. A movie. Something.
Copy !req
692. Follow my finger.
Do you know your name?
Copy !req
693. His speech center
was on the right side.
Copy !req
694. It'll be a while
before he's talking.
Copy !req
695. He hasn't really done anything
except to stare off into the distance.
Copy !req
696. It'll take some time to...
Copy !req
697. You buttoned your shirt.
Copy !req
698. He looks happy.
d to do okay.
Copy !req
699. You don't have cancer.
Copy !req
700. You do have
people who give a damn.
Copy !req
701. So what do you do?
Copy !req
702. You fake the cancer,
then push the people who care away.
Copy !req
703. Because they're boring.
Copy !req
704. Go home to your hotel room
and laugh at that irony.
Copy !req
705. Start small, House.
Take a chance.
Copy !req
706. Maybe something that doesn't involve
sticking stuff in your brain.
Copy !req
707. Pizza with a friend.
Copy !req
708. A movie. Something.
Copy !req
709. Follow my finger.
Do you know your name?
Copy !req
710. His speech center
was on the right side.
Copy !req
711. It'll be a while
before he's talking.
Copy !req
712. He hasn't really done anything
except to stare off into the distance.
Copy !req
713. It'll take some time to...
Copy !req
714. You buttoned your shirt.
Copy !req
715. He looks happy.
Copy !req