House 6x15

1. It's estimated the observable universe

2. is 93 billion light-years across.

3. - It's probably more accure... - I'm gonna be so far away.

4. I don't care. I don't want to break up.

5. I'll come on the weekends.

6. Stanford's on the other side of the country.

7. My dad has, like, ten million frequent flyer miles. He won't care.

8. - Are we all right over here? - Yes, Mr. Damon.

9. I just had something caught in my throat.

10. You're not supposed to have any food or drinks in here.

11. It's just water. I have a cough. I didn't want to disturb anyone.

12. We can only observe 4% of the universe.

13. The rest of it is unaccounted for.

14. I never knew you were such a good liar.

15. More vodka, and you might find out some things you didn't know about me.

16. Really?

17. - Nicholas. - Yes, sir?

18. What conclusions can we draw from the incredible number of stars?

19. That the movie's either gonna be really good or really bad.

20. I was thinking more about the implications

21. for extraterrestrial life.

22. I guess if there's an infinite number of stars,

23. odds are there's at least one galaxy with life other than our own.

24. Or?

25. Or... not?

26. Or our solar system is somehow unique.

27. The question then becomes, "in what way?"

28. The question then becomes, "could you teach us anything more useless?"

29. What are you looking at?

30. My God. Something's wrong. She's not breathing.

31. Call 911.

32. R[H]ésus AB+ Team

33. La Fabrique ::.

34. Arrow - Benj - ShalimarFox

35. Would you mind at least putting a napkin under your jelly toast?

36. Get a table, and I won't eat it on the couch.

37. Yes, you will.

38. But I won't have a good excuse.

39. Why don't you go get a table?

40. Not my condo.

41. You have my permission. Pick out whatever you want.

42. It would be a reflection of me, not you. That wouldn't be right.

43. It would be a reflection of the fact

44. that the guy who's been mooching off of me for as long as I can remember

45. isn't a complete ingrate.

46. You've never furnished a home.

47. I have furnished a bunch of homes.

48. No, you've married a bunch of women who furnished a bunch of homes.

49. You want to eat off something? Fine. Move your piano in here, eat off that.

50. - You're afraid. - Of a dining table?

51. You know, they don't actually come to life

52. when you put a knob off your bedpost on them.

53. You are what you sit in.

54. Your friends, your job, your furnishings... It all defines you.

55. You don't really believe that. You just don't want to do the shopping.

56. Buy some furniture,

57. or admit that you're empty inside.

58. X-rays confirm the fluid that almost suffocated her to death

59. was from pulmonary edema.

60. Means the problem is either in her heart or lungs.

61. Tox screen's clean for everything except the alcohol,

62. and her B.A.C. was barely.05.

63. That means she only had one or two drinks, tops.

64. And there's no sign of trauma.

65. How'd you know?

66. Because if there was, Cuddy wouldn't have needed me to take the case.

67. - How do you... - Foreman's the only one with the balls

68. to take a case without checking with me, and he's still working on breakfast,

69. which means that the...

70. 18...

71. No, 17-year-old honor student...

72. Cuddy has a soft spot

73. for smart girls, and they don't start drinking

74. until second semester, senior year.

75. So either you think that smart women

76. look out for each other, which means you're an idiot,

77. or you think Cuddy's not smart, which means...

78. - I guess it's the same both ways. - Then how did you...

79. Picture fell out of the file. She looks smart.

80. - Where's Taub? - You don't already know?

81. He's at home in a fight with his wife. I'm curious what he wanted me to know.

82. His car has a flat tire. He's waiting for a tow truck.

83. What about rising blood pressure from binge drinking?

84. It could set off a hypertensive crisis, cause heart failure.

85. - Two drinks is hardly a binge. - Certainly not if you're an Aussie.

86. But when an American schoolgirl has two drinks before 10:00 am,

87. it's a pretty sure bet that the plan is to have a lot more.

88. Probably wasn't the first time.

89. We'll get a C-13-pyruvate MRI to check for cardiac lactic-acid levels.

90. Someone call Taub.

91. Tell him to cut the ball and chain on his own time.

92. We're arguing about couples yoga?

93. We're arguing because we don't ever do anything together anymore.

94. We don't ever do anything together?

95. I love you, but I swear, if you start talking to me

96. like I'm on the witness stand again, I break your neck.

97. - We do stuff together all the time. - Really? Like what?

98. Besides sleeping, watching TV, going out to dinner,

99. what do we do together,

100. just the two of us?

101. We...

102. You don't like going out to dinner?

103. All right, I'll do the yoga.

104. - Forget it. - Now you don't want me to do it?

105. Go to work.

106. I'm not leaving until we work this out.

107. I'm fine.

108. Please,

109. just go.

110. Where's Abby Nash?

111. I'm Nick, her boyfriend. This is my dad.

112. - You can wait in... - Where is she?

113. Is she okay?

114. - She's having some tests run. - Is she okay?

115. We think her drinking may have damaged her heart.

116. Her heart?

117. - She doesn't drink, not that much. - Just when she's at school?

118. Nick, what's he talking about?

119. It was a field trip. One of the kids had a fake I.D.

120. - But, Dad, you know Abby. Tell him. - I know her when you're with me...

121. If you're right, the tests will come back negative.

122. Can you give her a message?

123. I brought her homework...

124. and I love her.

125. Sorry I'm late.

126. Nick loves you.

127. House doesn't believe you got a flat tire.

128. - What does he think I was doing? - Fighting with the wife.

129. Why would I lie about that?

130. She wants me to do yoga.

131. We need thinner cuts.

132. When you and Cameron had disagreements...

133. I'm probably not the best guy

134. - to go to for marital advice. - Sorry.

135. - Punch in to the mitral valve. - All right, I get the message.

136. No, I'm serious.

137. What is that?

138. Could be a fungus.

139. E.R. drew blood cultures... all negative, no parasites, no fungus.

140. It could be fastidious enteric bacteria.

141. You think she's been eating your wife's cooking?

142. I'm on your side, man.

143. I am not fighting with my wife. I had a flat tire. It's in my trunk.

144. - You can go look at it if you want. - Don't need to.

145. Face tells me you're bluffing.

146. - Not yours... Chase's. - If she was infected

147. through the intestinal tract, she'd have symptoms.

148. There are other ways to get bacteria into the bloodstream.

149. She's not an intravenous drug user, she has no tattoos,

150. and no scars that would indicate she's not a cutter.

151. Transesophageal echo could give us a better idea of what we're looking at.

152. If that valve is about to dehisce, echo could trigger a heart attack.

153. So come up with a better idea or have a crash cart ready.

154. Why are you lying to House?

155. - Chase told me. What's the big deal? - We can talk about this another time...

156. Or never.

157. I really don't think she's gonna tell anyone.

158. If I admit we're fighting, he's gonna want to know what about.

159. So tell him, or tell him it's none of his business.

160. - This is easier. - Really? Because it seems much harder.

161. What do I know? I'm not a guy.

162. If only I could be as open about my emotional life as you are.

163. - It's not about the yoga. - Really? I thought it was,

164. since we spent an hour talking about it, but what do I know? I'm not a girl.

165. My guess is she thinks you don't want to spend time with her

166. because you're spending it with someone else.

167. If she thinks I'm cheating, she would ask.

168. Because you'd tell the truth?

169. - I'm not seeing anyone else. - Doesn't matter. You have a history.

170. - And that's not her fault. - So what am I supposed to do?

171. - I can't prove a negative. - That is a problem.

172. There's the heart.

173. Valves look fine... No vegetations, no myxomatous changes.

174. Can you give her a little more sedative?

175. - She's dissecting. - She's rupturing. Get the scope out.

176. This doesn't make sense. B.P. is normal, her heart rate was controlled.

177. We'll figure it out later. We've only got about 30 seconds to get her open.

178. No leakage from cannulation site.

179. Nice.

180. - Let's see if she'll start up. - Cardiac paddle.

181. Charging.

182. And go.

183. - Come on. - Again.

184. Go.

185. Pushing five CCs adrenaline.

186. Zap her again.

187. It's not working. Clear.

188. Clear.

189. Normal sinus rhythm.

190. Thank God.

191. TEE and intra-operative visualization

192. showed no vegetation on the valves.

193. No structural abnormalities.

194. The dissection means alcohol didn't cause

195. the hypertensive crisis.

196. By "we", you mean "you".

197. You didn't have any better ideas.

198. It's not my fault. I was busy trying to judge Taub.

199. Since we already ruled out trauma, the dissection is probably genetic.

200. - She's not marfanoid. - What about an allergy?

201. A severe enough one could set off a systemic immune reaction,

202. cause fluids in the lungs

203. and inflammation weakening the aorta.

204. If it was an allergy, she'd be getting better, not worse.

205. Unless it was inside her.

206. Meaning?

207. You want my sperm?

208. We think a severe allergic reaction could be causing systemic breakdown.

209. To my son's sperm?

210. His semen is more likely the problem.

211. Which I realize is not what you were reacting to.

212. When's the last time you had unprotected sex?

213. Never, I use a condom.

214. You always use a condom? For everything?

215. - For most everything. - When?

216. The night before she collapsed.

217. I'm placing a drop of Nick's semen protein onto the skin.

218. Then I'll abrade it with a needle, check for a rash in an hour or so.

219. Mom, come on... We've been dating for three years.

220. I'm not mad, sweetheart.

221. I'm just confused.

222. A systemic reaction can be triggered by the protein in semen.

223. In most cases, the reaction is fairly minor.

224. But in rare cases,

225. repeat exposure can trigger a hypersensitivity response.

226. Repeat exposure?

227. I know, I know, three years.

228. Is it supposed to hurt?

229. - The reaction should take longer... - No, it's not that.

230. - What's wrong? - My stomach.

231. Blood in the urine.

232. No allergic reaction. But, her kidneys are failing.

233. Could be some kind of neuropathy. Syphilitic lightning pains?

234. It's not syphilis.

235. VDRL and enzyme immunoassays were negative.

236. Blood clot?

237. While she's on anticoagulants from the surgery?

238. Interstitial nephritis?

239. Wouldn't cause the edema or dissection.

240. But cancer could.

241. Would you care to be more specific?

242. If I could, I would have.

243. We could do a full-body scan.

244. We hate full-body scans.

245. And by "we" you mean "you".

246. We also hate when a patient dies

247. before we figure out what's wrong with them.

248. Do the scan.

249. How can you convince someone you're not cheating?

250. Don't cheat.

251. - After a while, they'll catch on. - What if I don't want to wait?

252. Take them with you for 24 hours.

253. So your wife's a little insecure. Is that so bad?

254. You know she still cares.

255. I know she cares.

256. What I want is for her to be happy.

257. What?

258. You don't think I want my wife to be happy?

259. Sure...

260. As long as it makes you happy.

261. What do you think?

262. I think you work quickly.

263. Piece of cake.

264. Give them money, they give you furniture.

265. Not bad, huh?

266. It's not bad at all.

267. It's taking a really long time.

268. Just hang in there and try not to talk unless you have to.

269. It can affect the images.

270. What was that?

271. Are you still there?

272. There's something wrong with the machine.

273. It's not the machine, it's an earthquake.

274. We'll get you out.

275. Get me out now.

276. Oh, my God!

277. I can't hold on!

278. - It's a black hole. - She's hallucinating.

279. I certainly hope so.

280. Hallucination means brain problem.

281. Brain problems don't split your aorta.

282. A vascular problem could explain both.

283. Inflammation in the blood-vessel walls

284. leads to dissection in the aorta

285. and could cause an aneurysm in the brain that could cause the visions.

286. It's a bit convoluted,

287. but brain and heart function are susceptible.

288. If there was any sign of inflammation,

289. that would make sense.

290. It's not funny.

291. - I got enough problems already. - Trust me, this is gonna help.

292. An aneurysm explains the hallucinations.

293. It's the one thing we haven't excluded from the differential.

294. Your texting doesn't prove you're faithful.

295. Just proves you know she thinks you're unfaithful.

296. Can't force trust.

297. What did she hallucinate?

298. The content of the hallucination isn't relevant.

299. - Not usually. - Not ever.

300. We know nothing, brain knows all.

301. You get an ulcer, you don't know it,

302. but the brain increases mucin secretions.

303. It knows what the problem is, where the problem is.

304. It's a big logical jump from a body's immune response

305. to the brain giving subconscious diagnostic clues.

306. What about dreaming about waterfalls, if you need to go to the bathroom?

307. That's the same as the brain shouting, "You have cancer".

308. Her subconscious is trying to tell her something.

309. We need to eavesdrop.

310. She was screaming she was being sucked into a black hole,

311. so we should look for a tumor in her anus?

312. We need the whole story.

313. The cognitive pattern recognition program

314. might tell us what's going on in her head.

315. Or we could act on something

316. based on science, not sci-fi.

317. Get an MRA with contrast to see if she has an aneurysm,

318. unless you think Cuddy's gonna go for the mind reading.

319. Fine, do the MRA.

320. When it comes back negative, we can move on to the...

321. Crazy but possible ideas.

322. What did you do with the furniture?

323. I returned it.

324. You told me to buy it.

325. But you didn't buy it. You rented it.

326. You made one phone call

327. "Economy furniture supply".

328. "We get it done so you don't have to."

329. So what? We had a table, chairs...

330. But no clue what any of it meant.

331. Fine, I'll hire a decorator.

332. Perfect.

333. - Another woman to tell you who you are. - I'll hire a male decorator.

334. Step inside one furniture store and find one thing you like.

335. I like not doing this.

336. One.

337. Where's my mom?

338. She went down to get some breakfast.

339. How are you feeling?

340. Well, besides the fact that I can barely breathe

341. and I ache all over,

342. not good.

343. Anything I can do?

344. Just don't go.

345. I'm not going anywhere.

346. Been a while since we've gone more than a day without doing that.

347. Not going anywhere.

348. What'd you say?

349. I've been thinking.

350. Been a long time since we went more than a day without doing that.

351. We have a secret.

352. You don't need to answer right now.

353. Abby, I want to marry you.

354. Tell him.

355. It's okay.

356. Something's wrong.

357. - What are you feeling? - I don't know.

358. Your secret is killing you.

359. I see...

360. Maybe it's all the medication.

361. I'm just...

362. Can you hear me?

363. You deserve to die.

364. Four milligrams of lorazepam.

365. She seized for over a minute.

366. Inner-ictal EEG showed no synchronous discharges.

367. And the MRA?

368. No aneurysms or arterial or venous malformations in the brain.

369. As predicted.

370. What did we say we'd move on to?

371. Out-of-body experiences can be induced

372. by sensory overload in the temporoparietal junction.

373. Which was clean on MRI, MRA, and whole-body scan.

374. Which just leaves us with the question

375. of what happened during the out-of-body experience.

376. If I say her BP shot up over 200 and she bit her tongue,

377. would that be a satisfactory answer?

378. Sure. If you then went on to answer the following...

379. Did she float above her body? Did she see Jesus?

380. Did she bathe in the Ganges?

381. No, no, and no. Can we get back to the medical science?

382. She claims she emerged from her body

383. as a younger version of herself and started talking.

384. She couldn't remember what was discussed.

385. I'm sure it wasn't a differential.

386. Cognitive pattern recognition

387. is 50 years from being a diagnostic tool.

388. Even if we can get the equipment, it takes hours for the initial mapping.

389. She could stroke out.

390. Coincidentally, she could also have a stroke if we do nothing.

391. I'm not telling a mother who's scared out of her mind

392. our best shot is a magic trick.

393. It's not magical, it's experimental.

394. Just like washing your hands after pooping once was.

395. Technically, it's not our best shot, it's our only shot.

396. Perfect.

397. Foreman, get her consent.

398. The rest of you go down to the cog sci lab.

399. Equipment should already be there.

400. I'll catch up.

401. Thanks for the invite.

402. Not sure I'm up for the hospital food.

403. Good, 'cause I wasn't planning on lunch.

404. While you watch video clips,

405. a computer maps how your brain processes the images.

406. How long will it take?

407. Six hours. But that's really just the prep.

408. Once the computer maps how she processes the information,

409. we'll put her under sedation,

410. use the same equipment to monitor her unconscious thoughts.

411. Hopefully, it'll spit out a basic video of what's going on in her head.

412. What will that tell you?

413. Hopefully, it'll give us a clue

414. as to where your brain thinks the problem is.

415. - A lot of "hopefullys". - Could it hurt her?

416. We're at a diagnostic dead end. We gotta try something.

417. This is much better than lunch.

418. I agree.

419. What made you think of this?

420. I missed you.

421. No, I mean this...

422. car, in the parking lot.

423. I don't like feeling maybe this isn't the first time you've done this.

424. It's the first.

425. I love you. You know that, right?

426. I want you to be able to trust me.

427. And I want to, but...

428. Inspiration point doesn't open till after dark.

429. Got a real cool magic show about to start.

430. Also, I'm gonna need to check your spare.

431. Abby, can you think of something specific?

432. Like what?

433. Doesn't matter. Just make it a single image.

434. - What are you thinking? - About Nick playing baseball.

435. Holy crap.

436. That's amazing.

437. Now all we have to do is read her subconscious

438. and hope that it's completely rational and went to med school.

439. Does anything get you excited?

440. Can I help you with something?

441. I was wondering if you could tell me a little bit about this dining table.

442. It's made of wood, and you eat off it.

443. - So you're paid by commission? - It's furniture.

444. Find something you like. Let me know. I'll ring it up.

445. Thank you so much.

446. Okay, that's... that's not the one.

447. That is a remarkable collection, if I can show it to you.

448. I'm Gabriella.

449. I'm really just looking for a nice dining-room table.

450. I see. You're daring.

451. Yes, I do that sometimes, but...

452. Right now why am I daring?

453. You're not constrained by rules.

454. What attracts you in the patio section?

455. Wait, this is a patio tab... For outside?

456. Well, it's taken us just over an hour

457. to prove that she has a very boring subconscious.

458. Anyone ever tell you you can be a real buzzkill?

459. Stars?

460. Maybe that's a stripe?

461. It's the sky.

462. She's thinking about the moon and the stars and the sky.

463. She's going to Stanford to study physics.

464. It's not a big revelation that she'd think about the sky.

465. Or... star could be a white blood cell.

466. Leukemia?

467. Who's that?

468. Her dad? He died when she was eight.

469. What did daddy die of?

470. Private-plane crash, no connection.

471. Stars, moon, sky,

472. white blood cells, heart valves,

473. black holes, or anus

474. or a million other circular passageways into the body

475. and her dad.

476. What do you think it means?

477. She likes school, and she has daddy issues...

478. Neither of which helps us.

479. So now what do we do? Start over?

480. We obviously missed something.

481. - What about the liver? - What about her left toe?

482. Sorry, I thought we were randomly picking out body parts

483. that had nothing to do with her symptoms.

484. Liver's responsible for proteins,

485. immunological effects, production of red blood cells.

486. Might be able to explain the lungs, the hallucinations.

487. Not the aortic dissection.

488. Kidneys are also failing.

489. We add in polycystic disease, could explain the dissection.

490. So that's one imperfect theory, plus a rare complication

491. of a second theory, which gives us a complete explanation.

492. Don't polish the notion.

493. Pineal gland is calcified.

494. It'supposed to be calcified. Happens after puberty.

495. What if it's obscuring a tumor?

496. It's the only place we couldn't look inside.

497. Get a better look at her pineal gland with three Tesla fast spin echo MRI.

498. You're pacing my office 'cause you're buying furniture?

499. I'm pacing your office

500. `cause I'm physically incapable of buying furniture.

501. For Amber's old place?

502. - It needs some new... - I know you bought the place I wanted.

503. You're a jerk. Let's move on. Hire a decorator.

504. I'm supposed to find me.

505. Backpack through Europe.

506. It's hard to believe,

507. but you know what says even more about who you are than your furniture?

508. The fact that you are letting House tell you how to buy furniture.

509. Call Beatrice.

510. MRI revealed no remarkable features on her pineal gland.

511. But there were slightly elevated levels of lactate dehydrogenase isoenzymes.

512. Which we would expect to see if there was an allergic reaction.

513. There's definitely no allergy.

514. Parasite? There's this middle eastern...

515. How exactly do you want to be shot down?

516. On the basis of the fact

517. that she's never been within 6,000 miles of the middle east,

518. or on the basis of the fact that all our scans

519. and urine samples came back clean?

520. And yet she's still failing,

521. system after system.

522. So either we find the answer at autopsy

523. or...

524. What?

525. I got nothin'.

526. I was gonna head out.

527. If there's any change, I assume you'll page me?

528. Are you having an affair?

529. Does it bother you that your wife

530. doesn't have the guts to actually ask that question, and I do?

531. On both ends, yes.

532. Difference is, I'm not afraid of the answer.

533. And I might believe you.

534. - I'm not having an affair. - But you want to.

535. No, I don't. I'm through living like that.

536. Why?

537. You finally got to the point

538. where half your age plus seven just isn't young enough?

539. Talk to you later, House.

540. Or is it because you now really are old enough to be their...

541. The dad.

542. Does he travel for work?

543. What do you mean, "does he"? He died almost ten years ago.

544. Not hers, her boyfriend's.

545. He's the one in her visions.

546. I'm your son's girlfriend's doctor.

547. It's a mouthful, but probably not as tricky as your title.

548. - Is Abby gonna be all right? - Do you travel a lot?

549. I have a food-import business. Why?

550. Where'd you go?

551. All over, France, Italy, the Mediterranean. Why?

552. I think you exposed her to a parasite.

553. - I thought the scans didn't show any. - Because she doesn't have any.

554. - But you just said. - It's cool.

555. My theory is that her body was able to kill off the parasite,

556. but what it couldn't do was get rid of the shell,

557. which doesn't show up on the scans.

558. That little piece of microscopic garbage

559. set off an allergic reaction

560. called cerebellar schistosomiasis

561. delayed hypersensitivity allergy,

562. or cusdehaaa.

563. Risky, unpleasant treatment, but completely curable.

564. That's fantastic.

565. You'd think so, wouldn't you? Only thing is,

566. did you ever have sex with your son's girlfriend?

567. - Where the hell do you get off ask... - Shut up.

568. See, I can't treat this unless I can confirm it,

569. the only way she could've been exposed to this parasite is sexually,

570. which means she's gonna die soon unless you admit that you slept with her.

571. Dad?

572. - What's going on? - Gee, this is bad,

573. because you now have to choose between her living

574. and the truth becoming public.

575. And frankly, given what the truth is,

576. it's a tough call.

577. You'd broken up.

578. She was crying.

579. Your girlfriend is not allergic to your semen.

580. She's allergic to the Egyptian parasite

581. swimming around in your dad's semen.

582. - You slept with Abby? - I was drunk.

583. We both...

584. No need to explain. Technically, she was legal.

585. Wait, wait, wait.

586. All things considered, it's actually great news.

587. So what do you think?

588. You wussed out, and you used a decorator.

589. Why can't that be me?

590. - The wuss who loves decorators? - 'Cause it's not.

591. Okay. It's not.

592. But don't return it. I can't keep doing this.

593. You have to.

594. You can't keep letting other people define you.

595. Not another elephant.

596. Decorator didn't pick this.

597. You're gonna have to buy your own cape.

598. I like what this says about you, Wilson.

599. I don't remember him at the wedding. Do you?

600. I don't remember most of the people who were at our wedding.

601. Which is why...

602. I thought I'd ask the love of my life to marry me.

603. We're already married.

604. I want to be better at it.

605. It's beautiful.

606. What'd you tell him?

607. That it doesn't mean she doesn't love him.

608. And he bought it?

609. It's true.

610. Your wife say yes?

611. - How did you know... - Monkey see, monkey do.

612. At least he has the young and stupid excuse.

613. She said yes.

614. Good for you.