House 4x16

1. Previously on House.

2. I don't know how i got here.

3. I saw a symptom before the crash.

4. Why I was taking the bus?

5. Medical hypnosis can bring the brain

6. To a class two theta state.

7. Taxing an already injured brain.

8. Someone is dying because i can't remember.

9. It was Amber.

10. She was on the bus with me.

11. She's the one who's dying.

12. Her heart won't stop racing.

13. No idea what's causing it.

14. Sure it wasn't the bus that landed on her?

15. It's not trauma.

16. She was stable post-Op.

17. This didn't start until an hour ago.

18. Oh, my god.

19. Delayed reaction to the trauma.

20. She lost both her kidneys in the bus crash.

21. She ripped up her femoral artery.

22. We fixed the artery,

23. Got her on dialysis for the kidneys.

24. Whatever's doing this to her heart,

25. It isn't from the crash.

26. - Check her potassium? - Of course.

27. Why didn't you call me?

28. She's been under the whole time.

29. - She had no i.D. - Pushed adenosine?

30. And verapamil, and floated the swan an hour ago.

31. Coronary angiography?

32. Three critical patients ahead of her.

33. We'll have her in within the hour.

34. We're 15 minutes away

35. From princeton plainsboro by ambulance.

36. You want to move her?

37. Her heart rate is 130.

38. She's hemodynamically stable. We're moving her.

39. You're not her doctor. You can't make that decision.

40. Her husband can.

41. Right?

42. Move her.

43. If the trauma didn't damage her heart-

44. Why was she on the bus?

45. I don't know.

46. If she had any underlying condition,

47. The accident could have exacerbated it.

48. Why were you with her?

49. I don't know!

50. I'm not hiding anything.

51. I just don't remember.

52. What else could damage her heart?

53. Wilson, don't get lost.

54. I'm barely coherent.

55. I need your help right now.

56. V- Fib.

57. Charging.

58. Okay. Okay.

59. - Clear. - Wait, wait, wait.

60. Protective hypothermia.

61. You want to freeze her?

62. Her heart's not beating.

63. Her heart's already damaged.

64. If you restart it, it'll keep racing, shoot off free radicals,

65. And kill her brain.

66. We ice her down, put her on bypass

67. Until you've diagnosed her.

68. This is not a solution.

69. All you're doing is pressing pause.

70. It gives you more time to find a diagnosis.

71. House, this is amber.

72. Please.

73. Cold saline solution.

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77. Cool temperature down to 90.

78. Bypass circulating.

79. She's stable.

80. Why are we doing this?

81. Bought us time to think.

82. The trauma must have stimulated

83. A pre-Existing heart condition.

84. Autoimmune congenital anomaly,

85. Blood clotting disorder, lead poisoning...

86. It could be anything.

87. Great, let's explore that.

88. Quick, get her on panacea.

89. We can narrow it down

90. By looking for arterial blockages.

91. How?

92. On an echo?

93. Can't see wall motion when there's no motion.

94. Ekg, nope.

95. Heart's in the off position.

96. Thallium uptake scan? Useless on a cold heart.

97. Yeah, we get it.

98. Her heart's not beating.

99. It's gonna make it harder to diagnose.

100. On the other hand, she's not gonna die

101. While you're whining about it.

102. What else?

103. There is another way to narrow it down.

104. If you really did see

105. A symptom in amber before the crash,

106. Physostigmine helped your memory last time.

107. Why not cyanide?

108. He's a mess. He needs to sleep.

109. I had a heart attack this morning.

110. I can't do any more drugs

111. Till lunch.

112. Get her an angiogram.

113. It could show damage even in a stopped heart.

114. The rest of you search her apartment.

115. Toxins, heavy metals, drugs,

116. Anything that might make her heart race.

117. I need to know if there's anything medically relevant

118. That you couldn't share publicly.

119. Is this a philanderers anonymous intervention?

120. You were obviously drinking

121. Last night.

122. Maybe you took amber to a bar.

123. I left here on my motorcycle alone.

124. You ended up

125. Drunk on a bus together.

126. Maybe you met amber in the bar.

127. I was not having an affair with her.

128. You can't

129. Really say that if you don't remember.

130. I lost four hours, not four months.

131. Maybe it was the first time.

132. If you drank together, any chance you did any drugs?

133. I'll run a tox screen.

134. You coming?

135. Correspondence, letters to patients,

136. She could have caught something from one of them.

137. Copy it to a thumb drive.

138. Let's get out of here.

139. Travel.

140. Do you know if she's been out of the country recently?

141. It's just video clips.

142. Maybe she narrates where they are.

143. And... action.

144. Looks like she didn't travel very far.

145. You look beautiful.

146. You look nervous.

147. I've never done this before.

148. I have. Trust me.

149. You'll love it.

150. - Hey. - Not even close to relevant.

151. As long as we don't know what's wrong,

152. We don't know what's relevant.

153. Yeah, maybe they're having sex on a pile of asbestos.

154. Go watch it.

155. If we were in a stranger's house,

156. You'd be watching the video.

157. You altered your behavior because you're friends with her.

158. Are you okay?

159. We shouldn't be treating her at all.

160. I'm gonna search her bathroom.

161. Are you okay?

162. Can't really say yes when it's a hallucination asking.

163. Don't worry, you're just dreaming.

164. What symptom did i see in you?

165. A myoclonic jerk-

166. Boring.

167. An incredibly rare neurological symptom is boring?

168. Am i in someone else's subconscious?

169. What did we do last night?

170. Was i meeting you for a drink?

171. Is that all it was?

172. A man thinks a woman is beautiful,

173. Admires her intelligence,

174. Admires the way she has to get whatever she wants,

175. The things he likes about himself.

176. Maybe she always had

177. A little thing for him.

178. His mind.

179. His blue eyes.

180. But someone gets between them.

181. So.

182. They decide to meet one night

183. At an out-Of-The-Way little bar.

184. Does that sound familiar?

185. Do i feel familiar?

186. What do you feel?

187. Electricity.

188. Electricity.

189. I know i saw the symptom.

190. I know the memory's locked in my brain.

191. Now i know how to get it.

192. No.

193. You don't even know what i'm talking about.

194. You need to rest.

195. I have yet to hear

196. About any study linking electricity

197. And rest.

198. Deep brain stimulation.

199. It's been proven.

200. Electrical impulses applied

201. Directly to the hypothalamus

202. Could evoke detailed memories.

203. My mistake, drilling a hole

204. And shooting lightning bolts

205. Into an already-Cracked skull

206. Is very restful, it's not fatal at all.

207. She's right.

208. You need to sleep.

209. Brain activity spiked.

210. Amber.

211. Amber. It's me.

212. Random spikes are common.

213. Shut up.

214. It's gonna be okay.

215. I'm here with you.

216. The team has found something.

217. Can you ask her if we can be excused?

218. What?

219. Coronary angio was negative.

220. So was the tox screen.

221. That's what you found? Negative tests?

222. I could have told you

223. She doesn't do drugs.

224. We found these in her apartment.

225. Sorry.

226. Prescription diet pills.

227. Ssris, amphetamines.

228. Diet pills cause structural damage

229. To the mitral valve, could explain the tachycardia.

230. She'd have to be an addict to take enough

231. For it to damage her heart.

232. I'd know.

233. Did you know that she was hiding them in her vitamins?

234. We have to warm her back up.

235. Get her heart beating so we can do a ct to confirm.

236. No, we've been over this.

237. Starting her heart could cause brain damage,

238. Could burn out the heart muscle.

239. Test her heart without starting it.

240. Crack her chest open,

241. Reach a finger inside the pulmonary vein,

242. Run it across the valve.

243. That's the safer course?

244. It is if we're wrong.

245. When did we start assuming we're wrong?

246. If this were any other patient-

247. If the valve is calcified,

248. That's our answer.

249. That's our cure. Go.

250. Thirteen.

251. Who found the diet pills?

252. Kutner.

253. You didn't even go in the bathroom, did you?

254. You're suddenly mute

255. In the differentials.

256. A blow-Up doll would be more useful.

257. And yes, that's the first time

258. I've ever implied something negative about a blow-Up doll.

259. It's amber.

260. - I don't- - Normally, i'd be fascinated.

261. Today, don't care.

262. Get over whatever it is and do your job.

263. Wait.

264. Look at her eye.

265. She's jaundiced.

266. Her liver's shutting down.

267. Diet pills don't kill the liver.

268. Put her back in ICU.

269. Liver failure means whatever this thing is

270. It's spreading, despite the fact that she's frozen.

271. Hepatic and heart failure

272. Could mean antitrypsinase deficiency.

273. We can stick a needle in her liver.

274. If we see fibrosis, she's right.

275. Does amber drink sherry?

276. And the cardio fits just as well.

277. But there's no way we can tell,

278. Since we can't take her temperature.

279. I had a dream.

280. She was pouring me a glass.

281. And since i'm a scotch,

282. Beer, gin, and rum man...

283. If we warm her back up, we should be able to tell

284. If she's got an infection.

285. Yes, we can get a diagnosis

286. By letting the disease run rampant until it kills her.

287. If it's spreading,

288. We need to slow this even more.

289. We've gotta cool her down further.

290. I know you love her

291. And you're scared she's gonna die.

292. But just making her colder

293. And colder isn't a cure.

294. It's not dealing with the reality.

295. Sherry means something.

296. Amber doesn't even drink sherry.

297. House.

298. Can we get back-

299. If she did drink sherry, it would mean nothing.

300. Since she doesn't,

301. My subconscious is obviously trying to make some other point.

302. There's a sharrie's bar

303. On third right off the bus route.

304. Wilson's right.

305. We need to make her colder.

306. Putting more ice on her is just delaying the diagnosis.

307. Not on, in.

308. Fill her lungs with slurry.

309. Where are you going?

310. I'm taking wilson out for a drink.

311. Is this the place?

312. Maybe.

313. Hey.

314. I assume you are here...

315. For these.

316. Did you see me here with a tall blonde woman?

317. Yeah, i think she joined you after scotch number seven.

318. Did she seem sick?

319. She sneezed.

320. I gave her a napkin.

321. Did you see the color of the sputum?

322. I assume sputum means snot.

323. Look, i see a lot of drunk chicks in here.

324. I didn't have time to stop and analyze

325. The color of your girlfriend's boogers.

326. She's not my girlfriend, genius.

327. She was hot,

328. You seemed into her,

329. And she bought you drinks.

330. Last night, she was your girlfriend.

331. Blood in the sputum could mean parasites.

332. Any recent travel?

333. You seemed into her?

334. If he had a brain,

335. He wouldn't be tending bar.

336. Sneezing's a new symptom.

337. Let's assume the runny nose means an infection.

338. What did house have to say?

339. He told me i was raised by wolves

340. And that's why i use the same hand for my fork and knife.

341. Ooh.

342. Not that one. The slurry tube.

343. Oh.

344. I know this is different.

345. But it's not.

346. Everyone dies.

347. She's not dead.

348. You're reacting this way because she might be-Soon.

349. Yeah, i am.

350. Why aren't you?

351. I'm an indian guy named kutner.

352. Ever wonder what happened to my parents?

353. I'm sorry, i didn't-

354. I was six years old.

355. I used to like helping out in my parents' store after school.

356. Guy walks in to rob the place.

357. Ends up shooting them both.

358. Wasn't fair.

359. Took years, but i had to accept

360. That's just the way it was.

361. So you gonna help me fill her lungs up or not?

362. Tell me that the liver biopsy showed infiltrates,

363. Minor inflammation.

364. Yeah. How-?

365. Snot on a napkin.

366. Add the heart, infiltrates...

367. Hep b.

368. Start her on iv interferon.

369. I'll go tell wilson.

370. Good idea.

371. And i'll go nap

372. Because i was concussed last night and had a heart attack

373. This morning.

374. I'll tell wilson; you go sleep.

375. Hepatitis b is a lame diagnosis.

376. Oh, god,

377. I get less rest when i'm asleep.

378. I rise from the dead, and that's the reaction i get?

379. I'm sorry.

380. If i had known, i would have started a breakaway jewish sect.

381. Hep b fits.

382. Why are you doing that?

383. Because hep b doesn't fit.

384. Turn her over.

385. We're about to start a second course of interferon.

386. Which she might not need once you turn her over.

387. Small of her back.

388. She's bruised.

389. Why is that significant?

390. Look closer.

391. A rash.

392. How did you know what was on the small of her back?

393. Either i'm still asleep,

394. Or i'm starting to remember.

395. Looks like an influenza rash.

396. The flu wouldn't be killing her organs one by one.

397. Dermatomyositis.

398. Wouldn't speed up her heart.

399. Maybe it's an allergic reaction to the interferon.

400. Yes, the symptom that i saw on the bus

401. Was a rare interferon allergy that flares up

402. Two days before you take it.

403. How did you see the rash down there?

404. I don't know.

405. Maybe She Leaned Over.

406. Maybe It's Not A Rash At All.

407. It Could Be An Abscess.

408. Thirteen, Stick A Needle In There.

409. If There's Pus, Foreman's Right.

410. Ultrasound Is Safer.

411. I'm Not Asking You To Stick A Needle All The Way Through.

412. Taub, You Do It.

413. No, Wait, I Can Do It.

414. No, Apparently, You Can't.

415. It's Not Fluctuant.

416. Clear.

417. It's Not Pus.

418. Means It's Vesicular.

419. Rocky Mountain Spotted Fever.

420. We Had Dinner With A Friend Last Week.

421. We Walked Their Dogs.

422. I Guess She Could Have Gotten A Tick.

423. It's Treatable. Doxycycline.

424. Allow Eight Hours For The Antibiotics To Take Effect,

425. Then We Warm Her Up, Shock Her Heart.

426. Wait A Minute, Wait A Minute.

427. If We're Wrong, Restarting Her Heart Could Kill Her.

428. Run Blood Cultures First.

429. The Fastest Way To Test Is To Treat.

430. If We're Wrong, It Still Should Give Us Time

431. To Try Something Else.

432. We Are Not Starting Her Heart

433. Until We're 100% Certain.

434. We're Never 100% Certain.

435. Run The Blood Cultures.

436. After We Get Confirmation, Then We'll Restart Her Heart.

437. He's Wrong.

438. And You Know He's Wrong.

439. You Can't Change Your Mind Just Because A Family Member

440. Starts Crying.

441. They're Always Scared.

442. I Said, Run The Blood Cultures.

443. Sorry.

444. Wide Stance.

445. You're Right.

446. I'm Screwing Up.

447. Why Are You Screwing Up?

448. I Didn't Even Like Her.

449. Did You Hate Her?

450. Not Enough To Want Her Dead.

451. So It's Not Guilt.

452. That Just Leaves Fear.

453. A Young Woman Dying.

454. A Young Doctor Dying, In Fact.

455. Does That Sound Familiar?

456. Yeah, I'm At Risk For Huntington's.

457. I've Dealt With It.

458. By Not Getting Tested?

459. Dealing With It By Not Dealing With It.

460. It's Clearly Working Beautifully.

461. You Are The Champion Of Not Dealing

462. With Your Problems.

463. My Grandson Gave Me A Mug That Says That.

464. Okay.

465. Enough Hand-holding.

466. Deal With It. Get Back In There.

467. Or Pack Up Your Stuff.

468. You're Screwing Up This Case Worse Than I Am.

469. House Is Gonna Kill The Patient.

470. What Are You- What Are You Doing?

471. She's Up To 80 Degrees.

472. We're Gonna Restart Her Heart.

473. No, You're Not.

474. There's Still Time To Undo This,

475. Cool Her Back Down.

476. You Weren't Taking The Safe Approach.

477. We've Got To Know If The Antibiotics Are Working.

478. Her Eeg's Slowed.

479. Amber.

480. Amber.

481. Well Done.

482. We Still Don't Know What It Is, But You Just Let It Spread To Her Brain.

483. This Is Exactly What I Said Would Happen.

484. It's In Her Brain Now.

485. Brain Involvement Gives Us A New Symptom.

486. That Wouldn't Be There If You Hadn't-

487. It's Where The Disease Was Going.

488. We Needed To Know That.

489. Th Was Not Your Decision To Make.

490. You Went Behind My Back.

491. You Went Behind House's Back.

492. Inside Voices.

493. House Wanted To Warm Her Up.

494. You Just Guilted Him Into Changing His Mind.

495. Heart, Liver, Rash, And Now Her Brain.

496. Autoimmune Fits Best.

497. Crash Trauma Could Have Set It Off.

498. Start Her On Prednisone,

499. Then We'll Warm Her Up Again.

500. House, If This Is Some Other Infection,

501. The Steroids Will Trash

502. Her Immune System.

503. He's The Attending.

504. You're The Family.

505. Go Spend More Time With The Patient.

506. You Can't Do This.

507. That's Not A Good Argument.

508. It's Not An Argument At All.

509. I'm Sorry.

510. Cuddy's Right.

511. I Was Afraid

512. To Do Anything.

513. I Thought If Everything Just Stopped,

514. It Would Be Okay.

515. And It's Gonna Be.

516. Taub's Starting The Treatment.

517. We're Doing Everything- Not Everything.

518. Before You Warm Her Up...

519. You Said You Wanted To Try Deep Brain Stimulation.

520. But There's No Reason.

521. We Know The Symptom, We Know What I Saw.

522. What If It's Not The Rash?

523. What If You Noticed The Rash In The Ambulance

524. Or When We Were Putting Her On Bypass?

525. What If There Is Still Something Else

526. Stuck Inside Your Head?

527. You Think I Should Risk My Life

528. To Save Amber's.

529. Inserting The Ipg Probe Into Your Ventral Hypothalamus.

530. Give Me Three Volts.

531. I Can't Hear Him.

532. Can't Hear Who?

533. Everything's In Black And White.

534. Who Was Talking?

535. Is Amber There?

536. You're Supposed To Be Jolting My Hypothalamus,

537. Not Petting It.

538. We Don't Want To Overload It.

539. As Long As I'm Risking My Life,

540. I Might As Well Be Watching A Talkie.

541. Increasing From Three To Five Volts.

542. Sending Impulse.

543. You're Not Getting Them Back.

544. Hey, You Take My Keys,

545. You Gotta Give Me A Phone Call.

546. Who Are You Calling?

547. Dial-a-wilson.

548. I Was On Call.

549. Amber Was Home.

550. I Told Her To Find You.

551. Have You Pick Me Up.

552. I Said To Find Wilson.

553. He's Working.

554. And I'm Willing To Suffer This Indignity On His Behalf.

555. Did She Seem Sick?

556. Not Yet.

557. Come On. Time To Go. Whoa, Whoa, Whoa.

558. Need Another Round.

559. And A Drink

560. For What Passes For A Lady

561. Around Here.

562. What's Your Poison?

563. Nothing. We're Leaving.

564. We're Leaving, Leaving, Leaving, Leaving, Leaving-

565. Cosmos.

566. I Remember Wilson Buying

567. Cranberry Juice.

568. I'll Have Another.

569. And She'll Have A Cosmopolitan.

570. The Obstinate Drunk Thing Is Not Flattering.

571. Come On. You Called For A Ride.

572. Drink Your Drink,

573. Or I'll Drink 'em Both.

574. One.

575. And You Leave Voluntarily.

576. Let's Go.

577. Hey.

578. We Need Another Cosmo Here.

579. She Sneezed.

580. What Color Is It?

581. Thanks.

582. Looks Like Snot.

583. It Seems Like A Cold.

584. Nothing Else?

585. No.

586. Where Are You Going?

587. You Think I Paid?

588. House, What Are You Doing?

589. You Can Barely Walk.

590. Go Home. I'll Take The Bus.

591. Hey, Someone's Gotta Pay For This.

592. Hi.

593. You Forgot Something.

594. You Don't Give Up, Do You?

595. Yeah, I'm An Idiot That Way.

596. You Doing This For Me Or For Wilson?

597. For Wilson.

598. Well, Then It's Even More Impressive.

599. Ugh, Damn, Do You Have A Kleenex?

600. I Got A Sleeve.

601. I Got Two, Actually.

602. I Need More Than That.

603. I'm Getting That Nasty Flu.

604. Is That It? The Flu?

605. Is There Any Rare Complication?

606. No.

607. It Would Explain The Rash, But Nothing Else.

608. Unless...

609. What?

610. Don't Do It.

611. It Wasn't The Flu.

612. It's What She Did For It.

613. She Has Amantadine Poisoning.

614. The Crash Destroyed Her Kidneys.

615. Her Body Couldn't Filter The Drugs.

616. She Ods On Amantadine, Explains The Heart, The Liver...

617. We Just Need To Start Her On Dialysis

618. And Flush The Drugs Out.

619. What?

620. What's Wrong?

621. Amantadine Binds With Proteins.

622. Dialysis Can't Clear It

623. Out Of The Blood.

624. There's Nothing We Can Do.

625. I'm So Sorry.

626. Amber.

627. Amber.

628. Seizing. Wilson, I Need Help Here.

629. House Suffered A Complex Partial Seizure.

630. The Violent Shaking Widened His Skull Fracture,

631. Causing A Brain Bleed.

632. We Won't Know If There's Any Cognitive Impairment

633. Until He's Out Of The Coma.

634. He Was Right About The Amantadine.

635. Amber's Body Couldn't Filter It Out.

636. That's What Caused Her Heart To Beat Too Fast For Too Long.

637. It Caused Irreparable Structural Damage.

638. Didn't Matter If They Shocked Her Or Froze Her.

639. Her Heart Was Dead Once It Stopped In That Ambulance.

640. What About A New Heart?

641. Transplant?

642. All Of Her Organs Are Damaged.

643. She Can't Qualify.

644. There's Nothing We Can Do.

645. Nothing We Could Have Done.

646. We Should Call Time Of Death.

647. Well, Technically, She's Still Alive.

648. Could Probably Survive A Few More Hours On Bypass.

649. We Could Wean Her Off Anesthesia, Wake Her Up,

650. Give You A Chance To-

651. It Would Be Cruel. Don't-

652. Wake Amber Up.

653. See Her Again.

654. Tell Her What She Means To You.

655. Wake Her Up To Tell Her That She's-that She's-

656. You Are Waking Her Up

657. So That You Can Both Say Good-bye To Each Other.

658. She Would Want It.

659. Hey.

660. You're In The Hospital.

661. I'm On Bypass.

662. Yeah.

663. Do You Remember What Happened?

664. Got On The Bus.

665. I Shouldn't Have Gotten On The Bus. No.

666. No, It's Not Your Fault.

667. It's Not Your Fault.

668. How Bad?

669. You Had Tachycardia.

670. It's Complicated By Complete Renal Failure.

671. The Tachycardia Degenerated Into V-fib,

672. Followed By Hepatic Failure.

673. The Flu Pills?

674. Yeah.

675. I'm Dead.

676. I Love You.

677. I Love You Too.

678. We Should Say Good-bye.

679. She Didn't Even Like Us.

680. We Liked Her.

681. Did We?

682. We Do Now.

683. What Do We Say?

684. We Don't Need To Say Anything.

685. I'm Tired.

686. I Think It's Time To Go To Sleep.

687. Just A Little Longer.

688. We're Always Gonna Want Just A Little Longer.

689. I Don't Think I Can Do It.

690. It's Okay.

691. It's Not Okay.

692. Why Is It Okay With You?

693. Why Aren't You Angry?

694. That's... Not...

695. The Last Feeling

696. I Want To Experience.

697. You're Dead.

698. Everybody Dies.

699. Am I Dead?

700. Not Yet.

701. I Should Be.

702. Why?

703. Because Life Shouldn't Be Random.

704. Because Lonely, Misanthropic Drug Addicts

705. Should Die In Bus Crashes,

706. And Young Do-gooders In Love

707. Who Get Dragged Out Of Their Apartment

708. In The Middle Of The Night Should Walk Away Clean.

709. Self-pity Isn't Like You.

710. No, Well, I'm Branching Out

711. From Self-loathing And Self-destruction.

712. Wilson Is Gonna Hate Me.

713. You Kind Of Deserve It.

714. He's My Best Friend.

715. I Know.

716. What Now?

717. I Could Stay Here With You.

718. Get Off The Bus.

719. I Can't.

720. Why Not?

721. Because.

722. Because It Doesn't Hurt Here.

723. I Let It...

724. I Don't Want To Be In Pain.

725. I Don't Want To Be Miserable.

726. And I Don't Want Him To Hate Me.

727. Well, You Can't Always Get What You Want.

728. Hey, I'm Here.

729. Blink If You Can Hear Me.

730. No, Shh, Don't Try To Talk.

731. Just Rest.