1. Mark. Mark!Copy !req
2. Mark, would you please ask your father
if he wants a burger?Copy !req
3. I know, you're defending the free world.
Please ask your dad if he wants a burger.Copy !req
4. Dad.Copy !req
5. Dad.Copy !req
6. Mom wants to know if you want a burger.Copy !req
7. Mom, I don't know what he wants.Copy !req
8. You want a burger?Copy !req
9. The guy drove his wheelchair into a pool.
House would love that.Copy !req
10. He'll be bored.
It's a great visual, but it's diagnostically boring.Copy !req
11. What about post-hair-transplant aphasia guy?Copy !req
12. Infection throwing clots.
House'll shoot it down and call you an idiot.Copy !req
13. Oh, well, I wouldn't want that.Copy !req
14. What about yoga girl?Copy !req
15. It has a good hook.Copy !req
16. Should we lead with it?Copy !req
17. His first day back he might want
to flex his sarcasm muscle.Copy !req
18. Maybe we open with one of the weaker pitches.Copy !req
19. You ran here?Copy !req
20. It's just eight miles.Copy !req
21. Why did you...Copy !req
22. why does a dog lick it's workplace-acceptable
euphemism for testicles?Copy !req
23. Because he can.Copy !req
24. What do you got for me, boss?Copy !req
25. I thought you said you needed eight weeks of rehab.
You should've been back here...Copy !req
26. If I'd come back sooner, then I'd only be able to run six miles.
I never would've made it in.Copy !req
27. What do you got for me?Copy !req
28. You're completely pain-free?Copy !req
29. The ketamine treatment can wear off.Copy !req
30. It's been two months. It's not wearing off.Copy !req
31. What do you got for me?Copy !req
32. - It can takeas long as...
- Why are we having this discussion?Copy !req
33. Wanna hear me thank you again?
Thank you, Dr. Cuddy...Copy !req
34. not just for removing the bullet,Copy !req
35. but thank you for putting me in a ketamine-induced
coma and changing my life.Copy !req
36. Happy? I am.Copy !req
37. Middle-aged man had a hair transplant about two months ago...Copy !req
38. Infection throwing clots. You're an idiot.Copy !req
39. Except you're not an idiot.Copy !req
40. And she's holding a file for a 26-year-old female.Copy !req
41. What do you really got for me?Copy !req
42. And she's cute.Copy !req
43. Oh, well played, sir.Copy !req
44. What about Stephen Hawking trying to do the 500 butterfly?Copy !req
45. Forget it. Brain cancer, brain surgery.Copy !req
46. There's nothing left to diagnose.
I would take the other one.Copy !req
47. I'll take 'em both.Copy !req
48. You don't think he had brain cancer?Copy !req
49. Course he had brain cancer.
Even oncologists don't screw up for eight years.Copy !req
50. So if there's no diagnostic issue,
why are you taking the case?Copy !req
51. Treatment can be interesting.Copy !req
52. - Not to you.
- I've changed.Copy !req
53. - No, you haven't.
- No, I haven't.Copy !req
54. So why are you taking the case?Copy !req
55. Guy tried to kill himself.Copy !req
56. The guy had cancer.
He's a lump.Copy !req
57. He hasn't been able to touch his wife,
speak to his kids.Copy !req
58. He's been in that chair for eight years.Copy !req
59. His muscles have atrophied.
Maybe I can help him with the pain.Copy !req
60. Isn't that enough of a reason to want to help?Copy !req
61. Not for you.Copy !req
62. - I've changed.
- No, you haven't.Copy !req
63. Then why am I taking this case?Copy !req
64. Let's start with the cute paraplegic.Copy !req
65. Welcome back.Copy !req
66. You look...Copy !req
67. healthy.Copy !req
68. Quad with no broken neck. Struck me as odd.Copy !req
69. Uh, you could take a whole two minutes
to ease into being back.Copy !req
70. Wouldn't taken a whole month to ease back.Copy !req
71. But eight weeks is the maximum rehab time for a gunshot
wound to the stomach and neck.Copy !req
72. So go.Copy !req
73. We heard they never found the guy.
There's no new leads?Copy !req
74. What, you think he might've shot this patient, too?
That would explain her symptoms.Copy !req
75. Could be M.S.Copy !req
76. See? It's not so difficult.Copy !req
77. It's not M.S.Copy !req
78. She had no symptoms before she climbed onto her head.Copy !req
79. Unless she's been upside-down for the last ten years, M.S. ain't it.Copy !req
80. Could be transverse myelitis, swelling in the disks choking off nerve function.Copy !req
81. MRI was negative for that.Copy !req
82. Your leg looks fine.
Totally pain-free?Copy !req
83. When did this turn into
"what did you do over your summer vacation?"Copy !req
84. It's a little weird to discuss the case while
you're staring at your blood on the floor.Copy !req
85. I asked Cuddy to replace the carpet.Copy !req
86. I like the carpet.Copy !req
87. What did you do over the summer?Copy !req
88. - I..
- Redo the tests.Copy !req
89. Let's see if the source of the problem is in the limbsor the spine.
Do an EMG.Copy !req
90. Got a whole other quad to cover.Copy !req
91. This guy's still got fluid in his lungs.Copy !req
92. You don't think that's from the pool he drank?Copy !req
93. Get him an O2 mask.
His leg muscles have atrophied.Copy !req
94. Tendons have shortened from disuse,
causing intense pain.Copy !req
95. Tendon surgery will make him more comfortable.Copy !req
96. Comfortable?Copy !req
97. Scoot.Copy !req
98. Thanks for being here.Copy !req
99. Not a problem.Copy !req
100. My dad wouldn't kill himself.Copy !req
101. You haven't spoken to him in over six years.Copy !req
102. I know my dad.Copy !req
103. Mark, the doctor's just trying to...Copy !req
104. He wouldn't kill himself.Copy !req
105. Fine. I'm wrong.Copy !req
106. You obviously have a better understanding of this man
who drools in front of your TV set 24 hours a day.Copy !req
107. Dr. House.Copy !req
108. He must have been confused.Copy !req
109. All right? It must have been an accident.Copy !req
110. Hope it was a suicide attempt.Copy !req
111. If he was trying to kill himself,
then he knows how miserable his life is.Copy !req
112. It means there's still something there to kill.Copy !req
113. It means your dad's still there.Copy !req
114. Sorry. Need you.Copy !req
115. Thank you.Copy !req
116. We were doing the EMG,
but we never got past the insertion of the conduction pin.Copy !req
117. Did she just say "thank you"?Copy !req
118. I loaned her some money.
What went wrong?Copy !req
119. Nothing went wrong.Copy !req
120. If nothing went wrong,
then something went right.Copy !req
121. You're not gonna tell me
why she thanked you?Copy !req
122. You're not gonna tell me
what went right?Copy !req
123. You did something
for which she is grateful, and you're...Copy !req
124. embarrassed?Copy !req
125. For you.Copy !req
126. She saw you coming up, thought you were
a 14-year-old boy. I set her straight.Copy !req
127. I am not telling you
what went wrong. Or right.Copy !req
128. Until you tell me
why she said thank you.Copy !req
129. Oh, you've got me.Copy !req
130. You know I need to know.
I am so gonna fold.Copy !req
131. Except you're forgetting
there's one thing I can do now.Copy !req
132. It's either that
or a reflex response or...Copy !req
133. What happened?Copy !req
134. Okay.Copy !req
135. This is Dr. House.Copy !req
136. - House, this is Caren.
- Pleasure's all mine. What happened?Copy !req
137. When we inserted
the conduction pin, she flinched.Copy !req
138. She flinched! Did you hear?Copy !req
139. Does that mean I'm getting better?Copy !req
140. How big is a flinch?Copy !req
141. Bigger than a twitch?
Smaller than a spasm?Copy !req
142. You smoke?Copy !req
143. Socially.
Not a lot.Copy !req
144. You do yoga
and you smoke?Copy !req
145. I know.
It's hypocritical.Copy !req
146. Not at all.
The world sees your legs.Copy !req
147. No one's checking out your lungs.Copy !req
148. - How would smoking...
- It wouldn't.Copy !req
149. I just needed a lighter.Copy !req
150. House!Copy !req
151. Oh, my god!Copy !req
152. The case was looking
so promising.Copy !req
153. Hey, I'm not faking.Copy !req
154. You moved.
Therefore, you can move.Copy !req
155. Get this lunatic
out of here before she bores again.Copy !req
156. I'm not faking!Copy !req
157. I heard you were watching surgery
with a patient's family.Copy !req
158. Talking to a patient's family.Copy !req
159. It's because of your hallucination, isn't it?
After you were shot.Copy !req
160. You chose life. You decided
you wanted meaning.Copy !req
161. So you took a case
with no mystery.Copy !req
162. Something any doctor could do.Copy !req
163. A case with no upside except the satisfaction
of helping another human being.Copy !req
164. She thanked me.Copy !req
165. And... you felt nothing.Copy !req
166. I wasn't even sure what I was supposed to feel.Copy !req
167. It's like your leg. It's atrophied.Copy !req
168. Keep working it. The feeling will come.Copy !req
169. Sorry.Copy !req
170. Need you. Again.Copy !req
171. I told you
to get rid of her.Copy !req
172. It's a good thing we didn't.
Tightness in her chest.Copy !req
173. She can't breathe.
It could bea pleural effusion.Copy !req
174. Right.Copy !req
175. Either that or she's holding her
breath like a four-year-old.Copy !req
176. Relax.Copy !req
177. I'm not gonna burn you again.Copy !req
178. I'm going to stab you!Copy !req
179. Look, either you're faking or
you've got a pleural effusion.Copy !req
180. That's a buildup of fluid around
the lungs, which is very serious,Copy !req
181. and I'd have no choice but to stab you in the back
with this needle and suck all the fluid out of you.Copy !req
182. - So.
- We should give her a local.Copy !req
183. That would defeat the point of me being nasty.Copy !req
184. Ready?Copy !req
185. - Down.
- She can't breathe if she's down.Copy !req
186. - Down.
- She can't...Copy !req
187. Down, down, down! Come on!Copy !req
188. That's not a pleural effusion.Copy !req
189. The problem's in her heart.Copy !req
190. Can't fake that.Copy !req
191. I've had to relieve the pressure three times
in the last two hours.Copy !req
192. So either we figure out what's causing blood
to build up around her heart,Copy !req
193. or I follow her around with a
needle for the rest of her life.Copy !req
194. Echo was clean. No structural abnormalities.Copy !req
195. Could be aninfectious process, TB.Copy !req
196. Or vasculitis would also
plain the effusion.Copy !req
197. But not the paralysis.Copy !req
198. Let's assume
that she wasn't faking it.Copy !req
199. She moved.
Therefore, she could move.Copy !req
200. She wasn't paralyzed.Copy !req
201. Doesn't mean she was faking.
Could have been a delusion.Copy !req
202. Either she was fakingCopy !req
203. and coincidentally got a real cardiac problem at the exact
same time, or it's a delusion.Copy !req
204. And the fake paralysisis a real neurological symptom.Copy !req
205. You thinking vascular tumor
in her spine?Copy !req
206. Her platelets are normal.Copy !req
207. And she's been scanned
up and down. It was all clean.Copy !req
208. So open her up and find it.Copy !req
209. So what do you want us to do?Copy !req
210. Start at her neck and just keep cutting
down her spine until we stumble on something?Copy !req
211. That should work.Copy !req
212. His heart rate's
a little high.Copy !req
213. Should I be worried?Copy !req
214. Probably just mean she's still in
discomfort from the surgery.Copy !req
215. I'm gonna up his morphine
a little.Copy !req
216. You've been so nice to us.Copy !req
217. That's the job.Copy !req
218. No, I mean,
all the other doctors,Copy !req
219. all they did was obsess on the cancer,
the treatment, the damage.Copy !req
220. Just trying to fix him.Copy !req
221. You're the first doctor that's ever given a damn
about the quality of his life.Copy !req
222. His heart rate's
come down.Copy !req
223. Morphine worked.
I was right.Copy !req
224. What a touching moment.Copy !req
225. That's why
we become doctors.Copy !req
226. One of those rare moments
when our hearts are warmed...Copy !req
227. would you like
to get a drink?Copy !req
228. Are you serious, or are you just trying
to change the subject?Copy !req
229. No, I'm serious.Copy !req
230. I drink.
You drink.Copy !req
231. We could do it
at the same time.Copy !req
232. At the same table.Copy !req
233. Do you eat?Copy !req
234. We could do that, too.Copy !req
235. I mean, if the answer is no, that's cool, but...Copy !req
236. no, it's just...Copy !req
237. you're just coming
off the surgery, and you're not yourself yet.Copy !req
238. And I work for you,
and even though last year's...Copy !req
239. You're smiling. I'm saying no,
and you're smiling.Copy !req
240. Oh, don't take it
personally.Copy !req
241. It's just 'cause
you're full of crap.Copy !req
242. You have no interest
in going out with me.Copy !req
243. Maybe you did...Copy !req
244. when I couldn't walk.Copy !req
245. When I was a sick puppy that you could nurture
back to health.Copy !req
246. Now that I'm healthy,
there's nothing in it for you.Copy !req
247. You are not healthy.Copy !req
248. Cuddy wants to see you.Copy !req
249. You've been back at work 24 hours, and you're
already playing hide-and-seek in a woman's spine.Copy !req
250. Who won the pool?Copy !req
251. There's no tumor.Copy !req
252. Her platelets are normal.Copy !req
253. - The scans didn't...
- What's the worst that can happen?Copy !req
254. I paralyze her.Copy !req
255. She wouldn't even notice.Copy !req
256. Her lawyers might.Copy !req
257. You're not doing the surgery.
And lower the morphine on your other patient.Copy !req
258. Fine, I'll lower it.
If you'll let me do the surgery.Copy !req
259. What?Copy !req
260. You want to trade?Copy !req
261. We're not swappin'a couple of goats
for your help puttin' up a barn.Copy !req
262. You want something.
I want something.Copy !req
263. We compromise. It's the grownup way
to resolve our differences.Copy !req
264. There already
is a mechanism for that.Copy !req
265. It's called the employer-employee relationship.Copy !req
266. I get what I want, and you don't.Copy !req
267. You tried to swap?Copy !req
268. Ran a few more tests.Copy !req
269. Came back negative.
Surgery's on.Copy !req
270. You really don't give a crap, do you?Copy !req
271. Does that make me evil?Copy !req
272. Yeah.Copy !req
273. The girl's life is at stake.
All we're talking about with the guy is...Copy !req
274. all we're talking about is the reason
you took the case. To help someone.Copy !req
275. - Too bad for them.
- Too bad for you.Copy !req
276. The reason we crave meaning is because
it makes us happy.Copy !req
277. The first level
of happiness is...Copy !req
278. I'm not going away.Copy !req
279. The fifth level of happiness involves creation.Copy !req
280. Changing lives.Copy !req
281. The sixth level is heroin.
The seventh level is you going away.Copy !req
282. You're saving lives.
Which is tantamount to creating lives.Copy !req
283. But all you're taking away
from this is the game.Copy !req
284. You don't have to listen to them thanking you.Copy !req
285. You don't have to change the cases you take or even how you handle them.Copy !req
286. You just have to know that you made a difference.Copy !req
287. House, you're not...Copy !req
288. I'm not an idiot.Copy !req
289. House, leave her alone.Copy !req
290. close her up.Copy !req
291. Wanna know why?Copy !req
292. The room's no longer sterile.Copy !req
293. True, but that's not the
most interesting reason.Copy !req
294. That is not a sexy big toe.Copy !req
295. You would never
put that in your mouth.Copy !req
296. - What the hell has that got to do with...
- Told you it was interesting.Copy !req
297. It gets even better.Copy !req
298. Scurvy?Copy !req
299. Yeah. Drink.Copy !req
300. Like what sailors get
when they don't eat right?Copy !req
301. Aye-aye.Copy !req
302. Your arms and leg tissues
are choked with blood.Copy !req
303. Makes it hard to move.
Also damages your hair and toe nails.Copy !req
304. But I'm on this great diet.
Lots of protein, lots of...Copy !req
305. No vitamin C.Copy !req
306. Now drink.Copy !req
307. Well, thank you.Copy !req
308. And thank Dr. House.Copy !req
309. Send him a note.Copy !req
310. The nurse changed his morphine.
I thought you were worried about the...Copy !req
311. It's just post-op discomfort.
He's ready to go home.Copy !req
312. So he won't have
any pain?Copy !req
313. Eventually.Copy !req
314. Thank you.Copy !req
315. Everything else
will be the same.Copy !req
316. Well, you took away his pain,
and that... that changes a lot.Copy !req
317. Why don't you put him
in some sort of facility?Copy !req
318. Someplace without a pool.Copy !req
319. Yeah, I could dump him there.Copy !req
320. Except...Copy !req
321. he's my husband.Copy !req
322. He's my son's father.Copy !req
323. Right.Copy !req
324. Kids need a dad.Copy !req
325. Someone to play catch with,
talk about girls.Copy !req
326. Mark's learned that you don't
have to abandon someone...Copy !req
327. get a dog.Copy !req
328. I'm taking care of him for the same reason
you helped us.Copy !req
329. Some guy shot you,
and you hallucinated?Copy !req
330. I have a responsibility.Copy !req
331. So he's just an anchor weighing
you and your family down.Copy !req
332. Sapping your energy, wasting your life.
That's the meaning you take from this.Copy !req
333. I want to take care of him.Copy !req
334. You enjoy this.Copy !req
335. I can't abandon him.Copy !req
336. So you don't want
to take care of him.Copy !req
337. Taking care of him doesn't fulfill you,
make you happy.Copy !req
338. But not taking care of him
would make you miserable.Copy !req
339. Okay.Copy !req
340. Here we go.Copy !req
341. I don't need your help.
I've done this a million times.Copy !req
342. Lay him back down.Copy !req
343. Do that again.Copy !req
344. Make that sound.Copy !req
345. What was that?Copy !req
346. That...Copy !req
347. was talking.Copy !req
348. you guys
are lousy doctors.Copy !req
349. You're in such a rush to make the patient feel better,
ou forgot to check what was wrong.Copy !req
350. Yoga girl walked out of here
two hours ago. You fixed her.Copy !req
351. Not her. The other guy.Copy !req
352. He had brain cancer.
They removed it eight years ago.Copy !req
353. His condition's been the same
ever since.Copy !req
354. Until last night.
He spoke.Copy !req
355. What'd he say?Copy !req
356. He... grunted?Copy !req
357. You want us to dissect eight years of medical history
with grunting in the differential?Copy !req
358. Sounds good.
Call me when you're done.Copy !req
359. You're fabricating a mystery
because you're bored.Copy !req
360. I am not bored.Copy !req
361. Damn it.Copy !req
362. You didn't tell the wife
it was only a grunt?Copy !req
363. Of course not.Copy !req
364. Because then she never
would have consented to a bunch of dangerous tests.Copy !req
365. I don't remember you
being this bitchy.Copy !req
366. The vicodin dulled it.
In the sober light of day, I'm a buzz-kill.Copy !req
367. You're giving false hope to
a family that's been wrecked.Copy !req
368. Don't torture them.Copy !req
369. Let it go. Tell the wife
it was only a grunt. Tell her to go home.Copy !req
370. I can't let her down
like that.Copy !req
371. Pumped her up
with too much false hope.Copy !req
372. Oh, I stuck that primo!Copy !req
373. How rad am I?Copy !req
374. 2002, patient had dry eyes.Copy !req
375. Dry eyes plus a grunt.Copy !req
376. It all makes sense.Copy !req
377. Could be
a neurological issue.Copy !req
378. I get high fever, I put drops in my eyes.
I don't go to a neurologist.Copy !req
379. Dry eyes could indicate
an autonomic dysfunction.Copy !req
380. Goes on the board.Copy !req
381. What about coughing?Copy !req
382. Or boogers?
Should we include boogers?Copy !req
383. I'm happy we're doing this.Copy !req
384. I'd much rather do this than lengthen
some guy's tendon.Copy !req
385. Patient's headaches
increased.Copy !req
386. Doc scanned his head,
found a tumor.Copy !req
387. You like wasting your time?Copy !req
388. - I'm learning.
- To do what?Copy !req
389. Reconsider solved cases because you
don't want to deal with the real world?Copy !req
390. He's pushing
where there's nothing.Copy !req
391. Cameron, you are
an excellent doctor.Copy !req
392. You'll get lots of tearful thank-yous
from grateful patients.Copy !req
393. Yeah, am I such a bitch
for wanting that?Copy !req
394. Well, it's not a bad thing.
But it's not why I'm here.Copy !req
395. I took this fellowship
to learn from House.Copy !req
396. He's teaching you
to be a masochist.Copy !req
397. Dry eyes goes on the board.Copy !req
398. In eight years, the patient experienced 214 symptoms,
many of them repeating.Copy !req
399. Any patterns?Copy !req
400. Fever plus frequent urination
could mean prostatitis.Copy !req
401. Or a urinary tract infection.Copy !req
402. - White count was normal.
- No infection.Copy !req
403. If you add pain into the mix, fever,Copy !req
404. frequent urination could indicate a kidney problem.Copy !req
405. I like it.Copy !req
406. No. Creatinine and BUN
were both normal.Copy !req
407. Not the kidney part.
The pain part.Copy !req
408. Abdominal pain plus all that stuff
could equal pancreatic cysts.Copy !req
409. Perfect. You've managed to pick
the one symptom he never had.Copy !req
410. Abdominal pain.Copy !req
411. It's the first symptom
on the board. Grunt.Copy !req
412. Grunting isn't pathognomonic
for abdominal pain.Copy !req
413. No.Copy !req
414. The traditional diagnostic marker
is compression of the diaphragmCopy !req
415. and vibration of the larynx,
leading to the audible sound.Copy !req
416. "I have a pain
in my abdomen."Copy !req
417. Richard's symptoms are culled from
eight years of medical history.Copy !req
418. They're not patterned.
These are random, individual events over time.Copy !req
419. Illnesses have
incubation periods.Copy !req
420. Do an upper endoscopic ultrasound.Copy !req
421. His throat will collapse.Copy !req
422. Muscle degenerationin his neck
won't tolerate the scope.Copy !req
423. It's an automatic trach.Copy !req
424. You're talking about him
like he's an invalid.Copy !req
425. We're insensitive.Copy !req
426. Does he drool?
Can he hold his neck straight?Copy !req
427. Does he choke
on his food?Copy !req
428. His neck's fine.
His throat's not gonna collapse.Copy !req
429. Cameron, get consent
from the wife.Copy !req
430. Open.Copy !req
431. I need you to swallow.Copy !req
432. Sorry about that.Copy !req
433. Here we go.Copy !req
434. Passing through the lower esophageal
sphincter, into the antrum of the stomach.Copy !req
435. There's the tail of the pancreas.Copy !req
436. Looks clean.Copy !req
437. Moving medially, the body
and the head of the pancreas look clean...Copy !req
438. Get it out. Get it out.Copy !req
439. It's stuck.
I can't move it.Copy !req
440. His throat's collapsed.Copy !req
441. Vitals are all over the place.
We're losing him.Copy !req
442. I'm cutting.Copy !req
443. We trached him, endoscopically removed the
probe, and he's breathing again.Copy !req
444. So, all in all, great idea.Copy !req
445. Did you get a look at the pancreas
before the world ended?Copy !req
446. It was clean.Copy !req
447. Which means, barring anything else,
meaning you, he can go home tomorrow.Copy !req
448. This man nearly died.
How can you discharge him?Copy !req
449. His throat collapsed because
of what we predicted.Copy !req
450. you stick something down someone's
throat, they gag. Spasm.Copy !req
451. Which he did.
It took us a half an hour to get that thing out.Copy !req
452. Except our patient's throat
was sedated.Copy !req
453. Which means the brain should have sent
a signal in not to do anything.Copy !req
454. This could be cancer.Copy !req
455. Or some bizarre neurodegeneration.
Even a new type of vascular...Copy !req
456. Stop it.Copy !req
457. You're enjoying this.Copy !req
458. I find it interesting.Copy !req
459. It's interesting only if you're right.
If you're wrong, we're torturing this guy to amuse you.Copy !req
460. Half hour to remove the probe?Copy !req
461. House.Copy !req
462. It's not a spasm.Copy !req
463. His throat didn't collapse.
It locked down.Copy !req
464. Brain is supposed to tell every muscle in
the body to relax and contract at the same time.Copy !req
465. This muscle was only contracting, which means
a signal from the brain was not getting through.Copy !req
466. There are no lesions on his brain.
Nothing to interrupt any orders.Copy !req
467. All it takes is one wire down.Copy !req
468. You have no evidence
of any wires down.Copy !req
469. A few microtumors on the meninges,
suddenly you're choking to death.Copy !req
470. You wanna look at the lining of his brain?Copy !req
471. the amount of contrast material
you'd need to pump up there just to see...Copy !req
472. he'll bleed into his brain.Copy !req
473. - No, he won't.
- Because that wouldn't be interesting.Copy !req
474. You can get permission this time.Copy !req
475. The brain is enclosed in a sack
called the meninges.Copy !req
476. Does this mean the cancer's back?Copy !req
477. No, no, no, no.Copy !req
478. House.Copy !req
479. If we found cancer,Copy !req
480. It wouldn't be the original cancer.
It'd be new.Copy !req
481. So what? More surgery?
More radiation?Copy !req
482. Might not be
the worst thing.Copy !req
483. If this isn't just ancient history,
maybe it's something we can correct.Copy !req
484. Might even get some brain function back.Copy !req
485. He could get better?Copy !req
486. No.Copy !req
487. But understanding what you're
saying would be nice.Copy !req
488. Maybe you can figure out
ways to communicate.Copy !req
489. Thank god he spoke
to you.Copy !req
490. Mrs. McNeil.Copy !req
491. The test to do this is very risky.Copy !req
492. He could die.Copy !req
493. He's already dead.Copy !req
494. Chase, go slowCopy !req
495. Already injected into spinal canalCopy !req
496. Next stop is brainCopy !req
497. Contrast material entering into
the fourth ventricle.Copy !req
498. No parietal bleeds.Copy !req
499. Blood pressure's high.
But it's holding.Copy !req
500. Meninges are intact.
No bleeding.Copy !req
501. Oh, god.Copy !req
502. Foreman, get in here.Copy !req
503. You are lucky he didn't dieCopy !req
504. I'm lucky? He is the one who didn't dieCopy !req
505. We told you he had haemorrhageCopy !req
506. You told me he bleed into his brain
not out of his earCopy !req
507. Gotta drop thisCopy !req
508. I'm missing somethingCopy !req
509. We did a dangerous test
and something bad happenedCopy !req
510. That's all this isCopy !req
511. Give me tour of the brain, ForemanCopy !req
512. Walk me through the scans
1998Copy !req
513. What happened?Copy !req
514. 5 centimiter, grade 4,
actual cytoma between...Copy !req
515. NothingCopy !req
516. Next,
spec on the superior temporal regionCopy !req
517. It's regrowth, it's benignCopy !req
518. Scar tissue from biopsyCopy !req
519. House, every spec is not suspect
It's use of surgeon digging around his headCopy !req
520. Let him goCopy !req
521. We do every blood test he's ever hadCopy !req
522. Re-scan his headCopy !req
523. NoCopy !req
524. He's in sick in suffering for 8 years
and I'm not gonna helping make it worseCopy !req
525. I'm not gonna help you make interestingCopy !req
526. That's okay.
Foreman's better at that stuff than you are.Copy !req
527. We need 5-millimeter cuts through
the occipital and hypothalamic regions.Copy !req
528. No.Copy !req
529. How many millimeters?Copy !req
530. I can help him.Copy !req
531. This is it?
That's your argument?Copy !req
532. Seems like a good one.Copy !req
533. If I thought for a second you wanted
to help him, you'd have carte blanche.Copy !req
534. You're doing this
because it's fun.Copy !req
535. Does nobody in this hospital have
anything better to talk about than my motives?Copy !req
536. My motives have nothing to do
with the case.Copy !req
537. Your motives have everything to
do with your judgment.Copy !req
538. For the first time in years,
I've got no opiates in my body.Copy !req
539. Now you question my judgment.Copy !req
540. 24 times a year you come storming into my office,
spouting that you can help someone.Copy !req
541. Only you never say
those words.Copy !req
542. You say something like,Copy !req
543. "his pancreas is gonna explode because
his brain is on fire."Copy !req
544. You come here with medicine,
not with platitudes.Copy !req
545. I didn't want to bore you
with the details.Copy !req
546. There are no details.Copy !req
547. You have a hunch.Copy !req
548. House, you don't use hunches.Copy !req
549. You always have reasons.Copy !req
550. This hospital doesn't exist for your whims.
I'm sorry.Copy !req
551. As of 7:00 A.M. tomorrow morning,
I'm sending your patient home.Copy !req
552. The answer is no.Copy !req
553. Cuddy called 30 seconds after you left
and said you'd try an end around.Copy !req
554. My leg hurt.Copy !req
555. How bad?Copy !req
556. Enough that I'm
telling you.Copy !req
557. Did it go away?Copy !req
558. Ached for a while.Copy !req
559. First time I've felt anything there
since the surgery.Copy !req
560. But it went away.Copy !req
561. It was muscular.
There was some cramping.Copy !req
562. What are you smiling about?Copy !req
563. You're 40-something years old. You've been
running god knows how many miles a day.Copy !req
564. Fallen 100 times off that skateboard,
and you're shocked to have some soreness?Copy !req
565. Just give mea prescription.Copy !req
566. For vicodin?Copy !req
567. House, people get aching joints, cramps...
They put on an ice pack. They take some ibuprofen.Copy !req
568. I know what the pangs of middle age feel like.Copy !req
569. No, you don't.Copy !req
570. Because you've been stuffing vicodin every
five minutes since you turned middle-age.Copy !req
571. The surgery didn't work.Copy !req
572. Don't play me.Copy !req
573. Oh, you think
this is a scam?Copy !req
574. I think you want me to feel sorry for you and either
do the end around on Cuddy or give you the drugs.Copy !req
575. Either way, you get the high you
think you need.Copy !req
576. House, your surgery worked.
You're fine.Copy !req
577. It's just gonna take time for
it to feel good.Copy !req
578. The circumventricular system senses cytokines
released in the early stages of the immune response.Copy !req
579. But CVOS releases prostaglandins that
reset the hypothalamic set point upward,Copy !req
580. Unless it's countered by anti-pyretic therapy.Copy !req
581. So yeah, his brain is on fire.Copy !req
582. The suicide attempt was not a suicide attempt.Copy !req
583. He drove that wheelchair into the pool
because he couldn't regulate his body temperature.Copy !req
584. He had hypothalamic dysregulation.Copy !req
585. And you discovered this...Copy !req
586. When you stepped into the...Copy !req
587. University pool?Copy !req
588. Fountain.Copy !req
589. - I can cure him.
- Cure him.Copy !req
590. Even if the fountain proved anything, fixing
hypothalamic dysregulation isn't gonna regenerate brain.Copy !req
591. No, but if the scar tissue
on his hypothalamusCopy !req
592. is resting against the pituitary,
the adrenals would shut down.Copy !req
593. Addison's disease.Copy !req
594. You didn't see any scar tissue on his MRI.
His CT scans...Copy !req
595. - His brain is functional.
- His temperature's normal.Copy !req
596. There is nothing wrong with his
hypothalamus or his pituitary.Copy !req
597. I can make him walk.
I can make him talk.Copy !req
598. This is a wild guess that came
to you because you were sweating.Copy !req
599. Inject him with cortisol.Copy !req
600. The guy'll have sex with his wife again.
He'll hug his kid again.Copy !req
601. Hopefully that's
the combination he was using.Copy !req
602. Be a shame
if I cured a pedophile.Copy !req
603. You're smiling.
That's a bad sign.Copy !req
604. You're high.Copy !req
605. I told you I haven't had anything
in three months.Copy !req
606. This is as high
as you get.Copy !req
607. A theory that ties your case up
in a neat little bow.Copy !req
608. But you don't have a lick of
substantiating proof.Copy !req
609. Your decision doesn't make any sense.Copy !req
610. There is no risk to a cortisol injection.
If I'm wrong, big deal.Copy !req
611. He goes home a vegetable, like he already is.
But if I'm right...Copy !req
612. This is not about down sides or
risk management.Copy !req
613. It is a big deal for you to
understand the word no.Copy !req
614. I'm sorry, House.Copy !req
615. He's on his way out of here.Copy !req
616. Figured you'd be on your scooter racing down the
halls to stab the patient in the neck with cortisol.Copy !req
617. She was right to say no.Copy !req
618. I had no objective reason to
think that I was right.Copy !req
619. Just needed the puzzle.Copy !req
620. Hold on a sec.Copy !req
621. Is everything all right?Copy !req
622. Yeah, it's just something
I forgot.Copy !req
623. What's that?Copy !req
624. This is cortisol.Copy !req
625. And it's to fight infection.Copy !req
626. Wanna hold onto that?Copy !req
627. Put a bandage on it.Copy !req
628. Let's see.
Is he okay?Copy !req
629. Yes.Copy !req
630. Can we go now?Copy !req
631. You can go.Copy !req
632. Excuse me.Copy !req
633. Richard.
Richard.Copy !req
634. Dad, you okay?Copy !req
635. Richard?Copy !req
636. Richard!
Richard!Copy !req
637. Richard!Copy !req
638. Richard.Copy !req
639. You're standing.Copy !req
640. Thank you.Copy !req
641. He got up.Copy !req
642. - I have to go tell House.
- No.Copy !req
643. Cuddy.Copy !req
644. You can't tell him.Copy !req
645. I have to tell him.
He was right.Copy !req
646. Why did you do it?Copy !req
647. Why did you think
he might be right?Copy !req
648. Because he's House.Copy !req
649. Medically.
What made you think he was right?Copy !req
650. - Nothing.
- He got lucky.Copy !req
651. That's all that happened.Copy !req
652. Telling him no
was a good thing.Copy !req
653. Because next time, he won't get lucky.
He'll kill someone.Copy !req
654. Just because he was right doesn't
mean he wasn't wrong.Copy !req
655. I see him every day.Copy !req
656. I can't just...Copy !req
657. Everybody lies.Copy !req