1 00:00:05,422 --> 00:00:07,590 MAN: Cat got your tongue? 2 00:00:07,716 --> 00:00:10,593 No. You killed the cat. Cut off his head. 3 00:00:10,719 --> 00:00:12,887 NURSE: Need to take a look at this. 4 00:00:13,013 --> 00:00:15,723 Mom? Mom. 5 00:00:16,058 --> 00:00:17,850 Mom, it's okay. 6 00:00:20,354 --> 00:00:21,729 Just a couple of questions 7 00:00:21,855 --> 00:00:24,732 before I can authorize extending her disability benefits. 8 00:00:24,858 --> 00:00:27,402 I don't like her. She's fat. 9 00:00:29,196 --> 00:00:31,155 I could lose a little weight. 10 00:00:31,281 --> 00:00:33,491 (GROANS) 11 00:00:38,831 --> 00:00:40,123 You all right? 12 00:00:40,791 --> 00:00:44,877 - Actually, before she signs... - I killed the cat. Lots of blood. 13 00:00:46,964 --> 00:00:48,005 It's okay. 14 00:00:48,132 --> 00:00:52,093 I have a couple of questions about some of these dates. 15 00:00:52,219 --> 00:00:54,762 - The first diagnosis... - Schizophrenia. 16 00:00:55,139 --> 00:00:58,307 Dr. Walters, May 11, last year. The letter's in the medical file. 17 00:00:58,434 --> 00:01:01,394 And April 6, that was the last day she worked? 18 00:01:01,520 --> 00:01:04,313 But she received unemployment benefits for that week. 19 00:01:04,440 --> 00:01:07,942 We fixed that. I know we did. We returned the money. 20 00:01:12,614 --> 00:01:16,617 That's the canceled check. Not the real one, you know. It's a copy. 21 00:01:17,035 --> 00:01:20,997 - And you're the dependent? - No. That's my little brother. 22 00:01:21,123 --> 00:01:23,416 I'm 18. Just helping out. 23 00:01:28,922 --> 00:01:32,759 You're all set. Just need a signature. 24 00:01:32,885 --> 00:01:35,428 MAN: Hey. I'm talking to you. 25 00:01:35,554 --> 00:01:38,639 The cat's first. Now it's your turn, Lucy. 26 00:01:38,766 --> 00:01:41,684 Shut up. Shut up, shut up. 27 00:01:42,895 --> 00:01:46,105 It's okay. She just... She just needs a little water, is all. 28 00:01:46,523 --> 00:01:48,399 I'll go get it. 29 00:01:52,738 --> 00:01:56,240 Just hold on, okay? Just... When she comes back, sign it, 30 00:01:56,366 --> 00:01:59,577 and we're gonna be done. We need this, okay? Please. 31 00:02:02,831 --> 00:02:06,209 - Okay. - The voices... 32 00:02:06,502 --> 00:02:08,503 The voices aren't real. 33 00:02:15,010 --> 00:02:15,843 What? 34 00:02:26,438 --> 00:02:28,523 Mom? Mom. 35 00:02:29,233 --> 00:02:31,609 Mom? Mom. Mom. 36 00:03:04,852 --> 00:03:06,602 MAN ON RADIO: 38-year-old Caucasian woman. 37 00:03:06,728 --> 00:03:08,896 Status, post-respiratory arrest in the field. 38 00:03:09,022 --> 00:03:11,107 Intubated, oxygenating poorly. 39 00:03:12,234 --> 00:03:13,943 (SIGHS) 40 00:03:18,490 --> 00:03:19,782 WOMAN ON PA: Dr. Gregory House, 41 00:03:19,908 --> 00:03:24,245 please call Dr. Cuddy at extension 3731. 42 00:03:26,456 --> 00:03:28,207 This is a good hospital? 43 00:03:29,585 --> 00:03:34,255 Depends what you mean by "good". I like these chairs. 44 00:03:36,508 --> 00:03:38,551 - How is she? - Stable. Okay. 45 00:03:38,677 --> 00:03:40,761 Your mom had a small pulmonary embolism, 46 00:03:40,888 --> 00:03:44,015 a blood clot that got stuck in her lungs, blocked the oxygen. 47 00:03:44,141 --> 00:03:47,393 - But the pain started in her leg. - Where the clot started, her calf. 48 00:03:47,519 --> 00:03:50,813 It's called a deep vein thrombosis. Basically, a bigger clot. 49 00:03:50,939 --> 00:03:53,065 It never hurt there before. I would have noticed. 50 00:03:53,191 --> 00:03:54,525 A piece went up the vein, 51 00:03:54,651 --> 00:03:56,694 and blocked the blood flow to her lungs. 52 00:03:56,820 --> 00:03:59,447 - No blood flow, no oxygen. - Okay. 53 00:03:59,573 --> 00:04:01,991 Is your dad here? I have some things I need to talk to him about. 54 00:04:02,117 --> 00:04:04,619 My dad's running a little late. 55 00:04:06,204 --> 00:04:08,414 He's dead. Just talk to me. I take care of her. 56 00:04:08,540 --> 00:04:10,041 All right. 57 00:04:10,167 --> 00:04:13,377 Your mom's blood alcohol was 0.12, 10:30 in the morning. 58 00:04:13,503 --> 00:04:16,380 I gave it to her. Two ounces of vodka. It cools her out. 59 00:04:16,506 --> 00:04:19,425 But that's the first since Monday. That was three days ago. 60 00:04:19,551 --> 00:04:21,761 I've been real careful. 61 00:04:25,682 --> 00:04:27,725 - She hears voices. - She's schizophrenic. 62 00:04:27,851 --> 00:04:30,311 That explains the DVT. The alcohol makes her pass out. 63 00:04:30,437 --> 00:04:31,896 She's immobile for long periods of time. 64 00:04:32,022 --> 00:04:33,773 That doesn't happen. She's not an alcoholic. 65 00:04:33,899 --> 00:04:36,067 She only drinks when you give it to her? 66 00:04:36,193 --> 00:04:38,152 We put her on blood thinners. 67 00:04:38,278 --> 00:04:41,113 It's not the alcohol. It's gotta be something else. 68 00:04:41,239 --> 00:04:44,700 Of course it's the alcohol. 69 00:04:45,744 --> 00:04:47,453 Hello. 70 00:04:48,372 --> 00:04:51,082 This guy's a professional doctor. 71 00:04:51,208 --> 00:04:54,085 Plays golf and everything, I bet. 72 00:04:54,211 --> 00:04:56,879 He's not gonna tell you your mom's an alcoholic without proof. 73 00:04:57,005 --> 00:04:59,215 I'm sure he scoped for varices, checked her esophagus, 74 00:04:59,341 --> 00:05:01,008 ran all kinds of blood tests. 75 00:05:01,134 --> 00:05:04,220 Doctors like this, they don't make assumptions. They do the work. 76 00:05:04,346 --> 00:05:07,306 I'd be happy to refer you the case, Dr. House. You seem so interested. 77 00:05:07,432 --> 00:05:10,393 What case? It's over. You're sending her home. 78 00:05:10,519 --> 00:05:12,269 - How old is she? - You're a doctor? 79 00:05:12,396 --> 00:05:14,146 Own my own stethoscope. 80 00:05:14,272 --> 00:05:17,817 Did I ask you how old she was? I forget. 81 00:05:18,068 --> 00:05:20,987 A 38-year-old woman with no previous symptoms or history 82 00:05:21,113 --> 00:05:23,739 presents with deep vein thrombosis. How did she get it? 83 00:05:23,865 --> 00:05:26,909 Oral contraceptives, smoking, diabetes, obesity. 84 00:05:27,035 --> 00:05:28,160 What's the point here? 85 00:05:28,286 --> 00:05:33,040 A DVT is a DVT. Put her on IV Heparin to prevent future clots. 86 00:05:33,166 --> 00:05:35,626 Fine. You're all sleepy. You need a clue. 87 00:05:36,336 --> 00:05:38,879 She's 38 years old. 88 00:05:39,089 --> 00:05:42,008 She's 20 years too young to get a deep vein thrombosis. 89 00:05:42,134 --> 00:05:43,884 I treated a 12-year-old girl once, 90 00:05:44,011 --> 00:05:45,636 a soccer player. She got kicked in the leg. 91 00:05:45,762 --> 00:05:47,722 HOUSE: There was no trauma. None of the risk factors. 92 00:05:47,848 --> 00:05:50,516 - You took a history? - I have some notes. 93 00:05:50,642 --> 00:05:52,518 They're not mine, but reliable, I think, 94 00:05:52,644 --> 00:05:54,437 for the purposes of this discussion. 95 00:05:54,563 --> 00:05:57,773 As for the immobility, well, she's real active right now, of course. 96 00:05:57,899 --> 00:05:59,942 - Paranoia keeps her limber. - Paranoia? 97 00:06:00,068 --> 00:06:02,028 Oh, yeah. She's schizophrenic. 98 00:06:02,154 --> 00:06:04,947 And her kid wrote this, so it might be a little biased. 99 00:06:05,073 --> 00:06:08,451 You know, having to take care of his nutso mom and all. 100 00:06:08,577 --> 00:06:10,828 You think there's a connection? 101 00:06:10,954 --> 00:06:13,664 Do we include schizophrenia in the differential for DVT? 102 00:06:13,790 --> 00:06:15,541 - Well... - The answer is no. 103 00:06:15,959 --> 00:06:19,587 Abnormal dopaminergic pathways in the brain do not cause blood clots. 104 00:06:19,713 --> 00:06:22,173 Schizophrenia is not the cause of DVT. 105 00:06:22,299 --> 00:06:24,967 On the other hand, we don't really know anything about schizophrenia, 106 00:06:25,093 --> 00:06:27,470 - so maybe it is connected. - Schizophrenia explains one mystery, 107 00:06:27,596 --> 00:06:29,847 why you're so fascinated by a woman with a bump in her leg. 108 00:06:29,973 --> 00:06:31,807 It's like Picasso deciding to whitewash a fence. 109 00:06:31,933 --> 00:06:34,143 Thanks. I'm more of a LeRoy Neiman man. 110 00:06:34,269 --> 00:06:37,354 And it is only about the DVT. She's 38 years old. She shouldn't... 111 00:06:37,481 --> 00:06:39,273 Solve this one, and you're on your way to Stockholm. 112 00:06:39,399 --> 00:06:43,402 We don't even know how to treat it. Come on. Fumigation of the vagina? 113 00:06:43,528 --> 00:06:44,945 I don't think everyone heard you. 114 00:06:45,072 --> 00:06:48,157 Two thousand years ago, that's how Galen treated schizophrenics. 115 00:06:48,283 --> 00:06:50,785 - The Marcus Welby of ancient Greece. - Oh. clearly you're not interested. 116 00:06:50,911 --> 00:06:54,455 I'm interested in how voices in the head could be caused 117 00:06:54,581 --> 00:06:56,749 - by mal-position of the uterus. - There's a better place for it? 118 00:06:56,875 --> 00:06:59,794 What do we got? We've got lobotomies, rubber rooms, electric shocks. 119 00:06:59,920 --> 00:07:02,588 - My, that Galen was so primitive. - Where are you going? 120 00:07:02,714 --> 00:07:04,131 Going to see the patient. 121 00:07:04,257 --> 00:07:07,051 That all-important human connection. Thought I'd give it a whirl. 122 00:07:07,177 --> 00:07:08,928 You won't talk to patients because they lie, 123 00:07:09,054 --> 00:07:10,971 but give you a patient with no concept of reality... 124 00:07:11,098 --> 00:07:14,517 If it wasn't for Socrates, that raving, untreated schizophrenic, 125 00:07:14,643 --> 00:07:16,977 we wouldn't have the Socratic method, the best way of teaching everything, 126 00:07:17,104 --> 00:07:19,271 apart from juggling chain saws. 127 00:07:19,397 --> 00:07:21,398 Without Isaac Nexton, we'd be floating on the ceiling. 128 00:07:21,525 --> 00:07:22,775 Dodging chain saws, no doubt. 129 00:07:22,901 --> 00:07:26,278 And that guitar player in that English band. He was great. 130 00:07:26,404 --> 00:07:29,281 You think I'm interested because of the schizophrenia. 131 00:07:29,407 --> 00:07:31,033 Yeah, I'm pretty sure. 132 00:07:31,159 --> 00:07:33,410 Galen was pretty sure about the fumigation thing. 133 00:07:36,748 --> 00:07:38,499 Pink Floyd. 134 00:07:42,379 --> 00:07:47,049 - Mom, this is Doctor... - Gregory House. Nice to meet you. 135 00:07:47,175 --> 00:07:51,011 Would it be all right if we spoke alone for a while? 136 00:07:51,138 --> 00:07:52,638 Well, you're gonna need me to... 137 00:07:52,764 --> 00:07:55,057 I've got your case notes, Doctor. 138 00:07:55,934 --> 00:07:57,685 There's a cafeteria downstairs. 139 00:07:57,811 --> 00:07:59,937 Get yourself whatever you want, as long as there's enough 140 00:08:00,063 --> 00:08:03,440 left over for a Reuben sandwich, dry, no fries, hold the pickles. 141 00:08:03,567 --> 00:08:06,110 Should run you about 5.80 with tax. 142 00:08:10,615 --> 00:08:12,950 I'll page you when we're done. 143 00:08:16,163 --> 00:08:19,915 No... pickles. 144 00:08:26,006 --> 00:08:27,756 Nice kid. 145 00:08:29,426 --> 00:08:31,927 How much do you really drink? 146 00:08:38,560 --> 00:08:41,270 He's really talking to a patient? 147 00:08:41,938 --> 00:08:43,898 I don't know who I am anymore. 148 00:08:44,024 --> 00:08:46,901 It's a blood clot. What's so fascinating about that? 149 00:08:47,027 --> 00:08:50,779 He likes crazy people. He likes the way they think. 150 00:08:50,906 --> 00:08:54,742 They think badly. That's the definition of crazy. 151 00:08:54,868 --> 00:08:59,038 - Why would he like... - They're not boring. He likes that. 152 00:09:03,210 --> 00:09:07,254 - And the meds? - Baseball. I like baseball. 153 00:09:09,132 --> 00:09:11,717 - Very nice. - Very sad. 154 00:09:13,053 --> 00:09:15,971 My boy and me, we went to see a game. 155 00:09:16,765 --> 00:09:20,142 Not "Mets". Meds. Medicine. 156 00:09:24,147 --> 00:09:26,815 You take what he tells you to take. 157 00:09:31,238 --> 00:09:33,280 No one believes me. 158 00:09:35,033 --> 00:09:36,242 I do. 159 00:09:43,917 --> 00:09:46,377 I thought he liked rationality. 160 00:09:46,503 --> 00:09:49,505 - He likes puzzles. - Patients are puzzles? 161 00:09:49,631 --> 00:09:52,341 - You don't think so? - I think they're people. 162 00:09:52,467 --> 00:09:57,763 Yeah. Well, he hates them, and he's fascinated by them. 163 00:10:00,183 --> 00:10:02,768 Tell me you can't relate to that sentiment. 164 00:10:03,687 --> 00:10:06,063 (LAUGHING) 165 00:10:07,691 --> 00:10:11,068 - You told Luke it never hurt before. - Just rough. 166 00:10:11,194 --> 00:10:13,028 They didn't hurt. 167 00:10:14,239 --> 00:10:15,698 Didn't? 168 00:10:17,325 --> 00:10:19,493 Don't lie to him, Limpy. 169 00:10:19,619 --> 00:10:23,998 Lively Lucy never lies to Lucas. Look what I do to him. 170 00:10:26,126 --> 00:10:29,753 WOMAN ON PA: Radiation therapist to Oncology. 171 00:10:29,879 --> 00:10:31,964 Learn anything from the "human connection"? 172 00:10:32,090 --> 00:10:34,049 Yeah. The Mets suck. 173 00:10:34,175 --> 00:10:37,219 Also, for the last two months, she hasn't shaved her legs. 174 00:10:37,345 --> 00:10:39,179 Because of the tremors, she cuts herself. 175 00:10:39,306 --> 00:10:41,473 The tremors aren't new. She must always cut herself. 176 00:10:41,599 --> 00:10:43,767 Exactly. Something changed in the last two months. 177 00:10:43,893 --> 00:10:45,811 I'm thinking the amount of blood when she cut herself. 178 00:10:45,937 --> 00:10:47,896 So let's start with some blood work. 179 00:10:48,023 --> 00:10:52,234 Collect and send for clotting studies, PT, PTT, factor five, protein C and S. 180 00:10:52,360 --> 00:10:55,237 - The whole shebang. - Good luck. 181 00:10:55,613 --> 00:10:57,364 No pickles, and it's cold now. 182 00:10:57,490 --> 00:11:00,492 - That's the way he likes a Reuben. - Everyone, this is Luke. 183 00:11:00,618 --> 00:11:02,494 Allison Cameron. It's nice to finally meet you. 184 00:11:02,620 --> 00:11:03,579 Save it. We're busy. 185 00:11:03,705 --> 00:11:07,416 Luke, give us another half hour with your mom. We need to do some tests. 186 00:11:11,379 --> 00:11:13,172 Nice kid. 187 00:11:13,298 --> 00:11:14,381 Take her off the psych meds. 188 00:11:14,507 --> 00:11:16,300 That way we'll know what's what on the physical side. 189 00:11:16,426 --> 00:11:19,720 And who knows, we might get more out of her. 190 00:11:23,683 --> 00:11:26,018 Don't worry. No pickles. 191 00:11:27,228 --> 00:11:29,396 Happy birthday. 192 00:11:30,065 --> 00:11:32,483 Okay. Whose? 193 00:11:32,609 --> 00:11:36,945 I was going through your mail, and it was on a form. Happy birthday. 194 00:11:39,407 --> 00:11:41,116 Oh. 195 00:11:52,045 --> 00:11:55,714 - No. No blood. Not mine. - For the test. Dr. House told us... 196 00:11:55,840 --> 00:12:00,219 You're gonna steal it. Sell it. No. No blood. 197 00:12:00,345 --> 00:12:04,390 No. No blood. No. No blood. 198 00:12:04,516 --> 00:12:08,644 - Haldol, five milligrams, stat. - No. No. No. 199 00:12:09,354 --> 00:12:11,814 No. No. 200 00:12:12,649 --> 00:12:15,609 No. No. Oh, no. 201 00:12:15,735 --> 00:12:17,277 (GROANING) 202 00:12:17,404 --> 00:12:20,239 No. No. 203 00:12:32,168 --> 00:12:33,460 HOUSE: Well, good news. 204 00:12:33,586 --> 00:12:36,630 The lab says it's not strep, so we're done. 205 00:12:36,756 --> 00:12:39,299 - Wait a second. - No, really, not strep. 206 00:12:39,426 --> 00:12:40,592 The boys in the lab, sure, 207 00:12:40,718 --> 00:12:42,553 they're hard drinkers, but they're pros, you know. 208 00:12:42,679 --> 00:12:44,513 Plus, your kid has none of the symptoms for strep. 209 00:12:44,639 --> 00:12:47,975 It was quicker running the test than arguing with you. My point is, go. 210 00:12:48,101 --> 00:12:50,352 I just wanted to ask your opinion, Doctor. 211 00:12:50,478 --> 00:12:51,895 She's having a birthday party next week, 212 00:12:52,021 --> 00:12:53,939 and she's upset that I'm getting a sugarless cake. 213 00:12:54,065 --> 00:12:56,775 - The other kids hate it. - This is why you're here. 214 00:12:56,901 --> 00:12:59,236 Sugar is the leading cause of obesity in America. 215 00:12:59,362 --> 00:13:02,739 You want a doctor to scare her about the dangers of sugar. 216 00:13:02,866 --> 00:13:05,742 She needs to get her weight under control. 217 00:13:05,869 --> 00:13:07,995 Well, you know... 218 00:13:08,121 --> 00:13:10,497 I feel sorry for those other kids, Wendy, 219 00:13:10,623 --> 00:13:13,792 who don't have a mom who knows that sugar causes 220 00:13:13,918 --> 00:13:16,253 heart disease, appendicitis and athlete's foot. 221 00:13:16,379 --> 00:13:18,797 - That's not fair. - Oh, yes, it is. No, I get it. 222 00:13:18,923 --> 00:13:22,509 You want her to slim down so she can wear pretty clothes like yours. 223 00:13:22,635 --> 00:13:24,219 Love the bracelets. 224 00:13:24,345 --> 00:13:28,265 Hey, what about matching outfits? You could be twins. 225 00:13:28,391 --> 00:13:32,728 She can't be your daughter. It's impossible. You look way too young. 226 00:13:32,854 --> 00:13:36,607 Happy birthday. Get the kid a damned ice cream cake. 227 00:13:39,486 --> 00:13:41,278 You drugged her. 228 00:13:41,404 --> 00:13:44,072 Actually, I didn't. I've taken her off all medication. 229 00:13:44,199 --> 00:13:48,076 - Your guy Foreman gave her Haldol. - We needed blood for tests. 230 00:13:48,203 --> 00:13:49,786 I assume that was the only way to get it. 231 00:13:49,913 --> 00:13:50,996 He knocked her out. 232 00:13:51,122 --> 00:13:53,540 Look, I have a cane, and I know how to use it. 233 00:13:53,666 --> 00:13:55,626 I hired you. You work for me. 234 00:13:56,294 --> 00:13:59,213 Okay. Can I go now, boss? 235 00:14:02,550 --> 00:14:07,804 The Haldol changes her. She says it makes her soul numb. 236 00:14:07,931 --> 00:14:10,057 Don't give it to her. 237 00:14:13,770 --> 00:14:15,395 "If there be rags enough, 238 00:14:15,522 --> 00:14:19,149 he will know her name and be well pleased remembering it." 239 00:14:19,275 --> 00:14:21,860 (COUGHING) 240 00:14:22,153 --> 00:14:23,779 You okay? 241 00:14:25,198 --> 00:14:27,074 Old days. 242 00:14:29,744 --> 00:14:31,036 "For in the old days, 243 00:14:31,162 --> 00:14:34,581 though she had young men's praise and old men's blame, 244 00:14:34,707 --> 00:14:37,668 among the poor, both old and young gave her praise." 245 00:14:38,044 --> 00:14:39,461 (COUGHING) 246 00:14:47,178 --> 00:14:49,555 Help. Somebody help. 247 00:14:55,019 --> 00:14:58,313 So, when I said no psych meds, 248 00:14:58,439 --> 00:15:00,566 I'm just curious, which word didn't you understand? 249 00:15:00,692 --> 00:15:04,486 The Haldol had nothing to do with the bleed. You know that. 250 00:15:04,612 --> 00:15:06,405 I used it purely as a chemical restraint. 251 00:15:06,531 --> 00:15:10,117 Oh, great. Well, that's good to hear. So she won't experience any of those 252 00:15:10,243 --> 00:15:13,829 pesky little side effects you get when your motives aren't pure. 253 00:15:13,955 --> 00:15:15,581 Those side effects are so rare. 254 00:15:15,707 --> 00:15:17,958 What, passing out? Increased confusion? 255 00:15:18,084 --> 00:15:21,211 Depression? That's not gonna happen. That's not gonna screw up our diagnosis, 256 00:15:21,337 --> 00:15:23,714 'cause you just used it to restrain her. I'm so relieved. 257 00:15:23,840 --> 00:15:25,591 She spit in my face. 258 00:15:25,717 --> 00:15:27,593 HOUSE: That must have been so frightening for you. 259 00:15:27,719 --> 00:15:29,511 FOREMAN: What was I supposed to do, tie her down? 260 00:15:29,637 --> 00:15:33,932 HOUSE: Anything but give her drugs. That's basically my point. 261 00:15:34,058 --> 00:15:38,687 The clotting studies. Pretty fast. Did you promise to date the entire lab? 262 00:15:38,813 --> 00:15:42,649 No, I save that for emergencies. I told them she bled out two units 263 00:15:42,775 --> 00:15:44,067 and if it happened again, she'd die. 264 00:15:44,193 --> 00:15:47,070 If it had happened at home, she would have died. 265 00:15:47,196 --> 00:15:49,906 The ER doc, he was gonna send her home. 266 00:15:50,950 --> 00:15:53,118 It turns out your best judgment is not good enough. 267 00:15:53,244 --> 00:15:54,828 Here's an idea. Next time, use mine. 268 00:15:54,954 --> 00:15:56,913 I think they're choosing a movie. 269 00:15:57,790 --> 00:16:02,711 - Why did the patient bleed out? - The clotting studies are normal. 270 00:16:02,837 --> 00:16:06,048 Well, cover your ears if you don't want me to spoil the ending. 271 00:16:06,174 --> 00:16:10,761 Everything was normal, except for a prolonged PT time. Which means what? 272 00:16:10,887 --> 00:16:14,014 Usually it means whoever drew the blood didn't do it right. 273 00:16:14,140 --> 00:16:16,141 Oh, that's right, 'cause you drew the blood. 274 00:16:16,267 --> 00:16:20,145 But you were precise because you knew the tube was purely for the PT study. 275 00:16:20,271 --> 00:16:21,897 - That's right. - And I'm right with you. 276 00:16:22,023 --> 00:16:24,232 I trust this result, for two reasons. 277 00:16:24,359 --> 00:16:26,818 A, because you are a good doctor, 278 00:16:26,944 --> 00:16:29,363 and B, because five milligrams of IV Haldol 279 00:16:29,489 --> 00:16:32,616 makes for a spectacularly cooperative patient. 280 00:16:34,118 --> 00:16:37,287 The prolonged PT time makes me think she's got a vitamin K deficiency. 281 00:16:37,413 --> 00:16:39,414 CAMERON: Vitamin K would explain the bleed, but not the clot. 282 00:16:39,540 --> 00:16:41,375 Without vitamin K, protein C doesn't work. 283 00:16:41,501 --> 00:16:43,752 Without protein C, she clots. 284 00:16:43,878 --> 00:16:46,296 Clotting and thinning all at the same time. 285 00:16:46,422 --> 00:16:48,632 What about another drug interacting with Heparin, 286 00:16:48,758 --> 00:16:53,136 - an antibiotic like ampicillin? - Clever, but she's not on ampicillin. 287 00:16:53,262 --> 00:16:55,514 Two months ago, she complained of a sore throat, 288 00:16:55,640 --> 00:16:57,891 - and he got her ampicillin. - Which she refused to take. 289 00:16:58,017 --> 00:17:00,477 CAMERON: He just said she didn't take it. Everybody lies 290 00:17:00,603 --> 00:17:02,145 except for schizophrenics and their children? 291 00:17:02,271 --> 00:17:05,816 It's more likely than malnourishment. Why not scurvy or the plague? 292 00:17:05,942 --> 00:17:09,319 Gee, I wish my idea was as cool and with-it as yours. 293 00:17:09,445 --> 00:17:11,279 What is yours, by the way? Do you have one? 294 00:17:11,406 --> 00:17:16,159 Alcohol. Simple. It causes immobility, which explains the DVT. 295 00:17:16,285 --> 00:17:17,577 It also causes cirrhosis, 296 00:17:17,704 --> 00:17:21,081 which explains the bleed and the prolonged PT time. 297 00:17:21,207 --> 00:17:24,334 - Let's ultrasound the liver. - HOUSE: Three theories. 298 00:17:25,128 --> 00:17:27,754 Check out her place for ampicillin and diet. 299 00:17:27,880 --> 00:17:29,756 Then ultrasound her liver. 300 00:17:29,882 --> 00:17:32,968 Let's find out who's right before she bleeds to death. 301 00:17:56,325 --> 00:17:58,285 So House says the kid is sensitive, 302 00:17:58,411 --> 00:18:00,370 thinks he takes good care of her. 303 00:18:00,496 --> 00:18:02,247 But if we don't find anything, 304 00:18:02,373 --> 00:18:05,584 why let him know we did it in the first place? What's the point? 305 00:18:05,710 --> 00:18:11,673 Why not just make old Foreman lift the key from the kid's backpack? 306 00:18:25,688 --> 00:18:28,190 Looks like Luke sleeps in the living room. 307 00:18:35,656 --> 00:18:37,741 Nothing in there. 308 00:18:38,242 --> 00:18:41,787 - He lays out her clothes? - Enough organization, enough lists, 309 00:18:41,913 --> 00:18:44,206 you think you can control the uncontrollable. 310 00:18:44,332 --> 00:18:49,211 Fix her meds, fix her clothes, maybe you can even fix her. 311 00:18:49,545 --> 00:18:52,005 Pick that up on your psych rotation? 312 00:19:01,766 --> 00:19:05,685 Trifluoperazine, Thorazine, Clozaril. 313 00:19:05,812 --> 00:19:07,562 They tried everything. 314 00:19:08,105 --> 00:19:13,318 The ampicillin, never touched it. There goes Cameron's theory. 315 00:19:13,444 --> 00:19:16,154 Oh, God, I hope it's not a vitamin K deficiency. 316 00:19:23,371 --> 00:19:24,454 (GRUNTS) 317 00:19:24,580 --> 00:19:26,081 Damn. 318 00:19:26,207 --> 00:19:30,043 FOREMAN: Breakfast, lunch and dinner. House was right. 319 00:19:30,169 --> 00:19:32,128 (MICROWAVE BEEPING) 320 00:19:33,631 --> 00:19:36,049 - That's the only thing she'll eat. - Yeah. 321 00:19:36,175 --> 00:19:38,802 The problem is, you can't actually live on this stuff. 322 00:19:38,928 --> 00:19:40,387 I checked it out. I looked on the box. 323 00:19:40,513 --> 00:19:42,681 All the nutritional values are solid. 324 00:19:42,807 --> 00:19:44,599 There's plenty of protein and calories. 325 00:19:44,725 --> 00:19:48,645 Vitamin A and C, but no K. That's why your mom got sick. 326 00:19:51,065 --> 00:19:54,359 - So what's the plan, then? - Load her up with vitamin K. 327 00:19:54,485 --> 00:19:55,694 That's it? 328 00:19:55,820 --> 00:20:00,490 If it all checks out, you can take her home in a couple of days. 329 00:20:00,950 --> 00:20:02,075 (LAUGHING) 330 00:20:02,201 --> 00:20:04,911 Oh, God, you're upset about something. 331 00:20:06,289 --> 00:20:08,039 You're gonna open up to me now, aren't you? 332 00:20:08,165 --> 00:20:10,083 It's all my fault. 333 00:20:11,127 --> 00:20:12,752 Here we go. 334 00:20:13,254 --> 00:20:14,629 Okay, I'm gonna say this once. 335 00:20:14,755 --> 00:20:17,591 You have done a very good job taking care of your mother. 336 00:20:17,717 --> 00:20:19,926 If this was all she'd eat, then what else could you do? 337 00:20:20,052 --> 00:20:22,012 Gosh, just being a kid is a full-time job. 338 00:20:22,138 --> 00:20:26,182 Shut up. I'm 18. I should be able to take care of my mom. 339 00:20:26,767 --> 00:20:30,145 - I almost killed her. - Good example. 340 00:20:30,271 --> 00:20:31,563 Just the time it takes 341 00:20:31,689 --> 00:20:35,150 to express those ridiculous, self-centered teenage ideas. 342 00:20:35,276 --> 00:20:37,444 I don't envy your schedule. 343 00:20:39,780 --> 00:20:41,781 No pickles. 344 00:20:41,908 --> 00:20:46,286 - My mom doesn't like them either. - Smart woman. 345 00:20:47,455 --> 00:20:50,415 Before she got sick, I didn't like how bossy she was. 346 00:20:51,292 --> 00:20:55,045 Always telling me what to do, the right way to do it. 347 00:20:57,465 --> 00:20:59,549 Never thought I'd miss that. 348 00:20:59,675 --> 00:21:01,343 (GROANING) 349 00:21:03,846 --> 00:21:05,305 You should get that looked at. 350 00:21:05,431 --> 00:21:08,141 I still don't buy a vitamin K deficiency. 351 00:21:08,267 --> 00:21:11,645 House was right. That usually makes you happy. Less work for us. 352 00:21:11,771 --> 00:21:13,855 The kid feeds his mom a steady diet of booze, 353 00:21:13,981 --> 00:21:16,900 - and the problem is too many burgers? - The kid's in a tough situation. 354 00:21:17,026 --> 00:21:18,443 You do what you gotta do to survive. 355 00:21:18,569 --> 00:21:22,113 Feeding alcohol to an alcoholic is not a survival technique. 356 00:21:22,239 --> 00:21:25,617 - Where I come from, if it works... - Yeah, right. I'm rich. 357 00:21:25,743 --> 00:21:30,038 I couldn't possibly understand what this kid is going through. 358 00:21:30,164 --> 00:21:31,706 Just because you're drinking pricier stuff 359 00:21:31,832 --> 00:21:34,292 doesn't mean you don't have a problem. 360 00:21:34,418 --> 00:21:37,003 You've seen someone stagger down that road? 361 00:21:37,129 --> 00:21:39,673 No way vitamin K is the whole story. 362 00:21:46,180 --> 00:21:49,265 It's not broken. See this, right here? 363 00:21:49,392 --> 00:21:53,311 It's the epiphyseal plate, otherwise known as the growth plate. 364 00:21:53,437 --> 00:21:56,690 - What's wrong with it? - Amazing thing, this bone. 365 00:21:56,816 --> 00:22:00,443 If you know how to read it, it can tell you how old someone really is. 366 00:22:00,569 --> 00:22:03,238 - Exactly how old. - Great. 367 00:22:03,990 --> 00:22:08,159 Not even 15. Almost, though. 368 00:22:08,285 --> 00:22:10,954 Two weeks away. Maybe a month. 369 00:22:12,415 --> 00:22:15,750 Last week. I was 15 last week. 370 00:22:15,876 --> 00:22:18,545 Happy birthday to both of us. 371 00:22:18,921 --> 00:22:21,881 If you're gonna lie, though, go big. Go 21. 372 00:22:22,008 --> 00:22:25,760 That way you won't need your crazy mom to help you buy vodka. 373 00:22:25,886 --> 00:22:28,263 Great. Thanks for the tip. 374 00:22:29,724 --> 00:22:31,766 Now, when I bring my mom home, 375 00:22:31,892 --> 00:22:34,519 is there anything I need to know about taking care of her? 376 00:22:34,645 --> 00:22:37,272 I suppose your biggest worry isn't the booze. 377 00:22:37,398 --> 00:22:40,191 You're 15, basically no mom. 378 00:22:40,317 --> 00:22:42,318 If Child Welfare let kids get away with that, 379 00:22:42,445 --> 00:22:44,154 they wouldn't need those nice foster homes, 380 00:22:44,280 --> 00:22:48,241 - and that would make them sad. - They'd put her someplace, too. 381 00:22:48,367 --> 00:22:51,703 - My life is working. - Not the word I'd use. 382 00:22:52,705 --> 00:22:56,541 Most 15-year-old kids are doing what they're supposed to be doing. 383 00:22:56,667 --> 00:23:00,962 - They're huffing glue, catching crabs. - If you turn me in, I'll sue you. 384 00:23:01,088 --> 00:23:03,089 That's privileged information. 385 00:23:03,215 --> 00:23:06,301 Oh, relax. It's not even your X-ray. 386 00:23:10,806 --> 00:23:14,392 - She's awfully calm. - House wrote new orders. 387 00:23:18,105 --> 00:23:21,441 There's a little bit of scarring. Not much. Not enough to... 388 00:23:21,567 --> 00:23:25,028 It's cirrhosis. But she doesn't drink. 389 00:23:25,154 --> 00:23:27,781 Congratulations. You win. 390 00:23:30,117 --> 00:23:31,910 Actually... 391 00:23:33,287 --> 00:23:37,749 - no one wins. - Tumor. Cystic? 392 00:23:38,250 --> 00:23:40,752 CAMERON: Solid mass. 393 00:23:41,087 --> 00:23:42,587 Cancer. 394 00:23:44,423 --> 00:23:48,676 The vitamin K caused the DVT and aggravated the liver, 395 00:23:48,803 --> 00:23:51,221 but the tumor's the real reason for the bleed. 396 00:23:51,347 --> 00:23:53,598 The tumor's the problem. 397 00:23:53,724 --> 00:23:55,975 Mrs. Palmeiro, I'm Dr. Wilson. 398 00:23:56,102 --> 00:24:00,063 I'm afraid I have some bad news from your ultrasound. 399 00:24:00,189 --> 00:24:01,356 You have cancer. 400 00:24:36,016 --> 00:24:38,476 It's big. 5.8 centimeters. 401 00:24:38,602 --> 00:24:41,437 We do nothing, she dies from liver failure within 60 days. 402 00:24:41,564 --> 00:24:43,148 - She needs a transplant. - That's gonna happen. 403 00:24:43,274 --> 00:24:44,566 She's 38 years old. She's a mother. 404 00:24:44,692 --> 00:24:48,069 She's a schizophrenic mother with no money, on the public dole, in fact, 405 00:24:48,195 --> 00:24:50,613 who knocks back vodka every time a breeze blows her way. 406 00:24:50,739 --> 00:24:53,867 Mickey Mantle had a whole bar named after him. He got a transplant. 407 00:24:53,993 --> 00:24:57,871 Yeah, well, Lucy can't switch-hit. Plan B, surgery to resect the tumor. 408 00:24:57,997 --> 00:24:59,789 Joe Bergin does the gamma knife thing. 409 00:24:59,915 --> 00:25:02,250 Laser cauterizes while it cuts, saves more liver. 410 00:25:02,376 --> 00:25:04,669 The tumor's way too big. He won't even consider it. 411 00:25:04,795 --> 00:25:06,296 Not a big risk-taker, Bergin. 412 00:25:06,422 --> 00:25:08,256 Won't even drink milk on its expiration date. 413 00:25:08,382 --> 00:25:13,303 He has no discretion. 5.8 centimeters is past the surgical guidelines. 414 00:25:15,222 --> 00:25:17,390 Would he do it at 4.6? 415 00:25:18,017 --> 00:25:20,435 Why don't we just say it's zero? Then we don't need him at all. 416 00:25:20,561 --> 00:25:22,687 Tumors grow, they don't shrink. 417 00:25:22,813 --> 00:25:24,564 This one does. 418 00:25:25,858 --> 00:25:28,610 Ninety-five percent ethanol. 419 00:25:28,986 --> 00:25:32,071 The ethanol dehydrates the tumor cells. 420 00:25:32,198 --> 00:25:34,908 Literally sucks them dry. 421 00:25:36,202 --> 00:25:40,455 - It shrinks the tumor temporarily. - How temporarily? 422 00:25:41,373 --> 00:25:44,125 Well, if we're lucky... 423 00:25:46,754 --> 00:25:49,964 just long enough to fool the surgeon. 424 00:25:57,556 --> 00:26:02,852 WOMAN ON PA: Dr. Shopius, report to Psych Exam. 425 00:26:03,395 --> 00:26:07,273 - Good morning, Dr. House. - Good morning, Dr. Cuddy. 426 00:26:07,524 --> 00:26:08,983 Love that outfit. 427 00:26:09,109 --> 00:26:12,153 It says, "I'm professional, but I'm still a woman". 428 00:26:12,279 --> 00:26:14,405 Actually, it sort of yells the second part. 429 00:26:14,531 --> 00:26:17,575 Yeah, and your big cane is real subtle, too. 430 00:26:17,701 --> 00:26:21,996 Gotta go. Those running noses aren't just gonna start walking on their own. 431 00:26:22,122 --> 00:26:23,581 The clinic can wait. 432 00:26:24,583 --> 00:26:27,168 How long? Maybe we could catch a movie. 433 00:26:27,294 --> 00:26:30,338 You should know by now my doctors have no secrets from me. 434 00:26:31,924 --> 00:26:35,969 I don't believe it. Who came running to mommy? 435 00:26:36,470 --> 00:26:40,556 It doesn't matter who. The point is, I know exactly what you did. 436 00:26:41,016 --> 00:26:43,101 You have no idea what I'm talking about. 437 00:26:43,227 --> 00:26:46,396 Somebody knows about a bad thing you did. 438 00:26:46,522 --> 00:26:47,814 That's a big field. 439 00:26:47,940 --> 00:26:52,277 But somebody you think might've told me. That narrows it down quite a bit. 440 00:26:52,403 --> 00:26:54,862 Someone who views me as a maternal authority figure. 441 00:26:54,989 --> 00:26:58,366 A young person, perhaps? How am I doing? Think I'm gonna get there? 442 00:26:58,492 --> 00:27:00,368 Presumably hospital business. How many patients... 443 00:27:00,494 --> 00:27:03,162 It's Cameron. She found out about my birthday. 444 00:27:03,289 --> 00:27:05,373 I thought she told you and I'd have to stand here and smile 445 00:27:05,499 --> 00:27:08,376 while you gave me a sweatshirt or a fruit basket. 446 00:27:08,502 --> 00:27:11,462 You know, made me feel that deep sense of belonging. 447 00:27:11,839 --> 00:27:15,383 Actually, I was just gonna remind you, you owe me six clinic hours this week. 448 00:27:16,051 --> 00:27:17,885 Oops. 449 00:27:24,643 --> 00:27:26,394 Hi, this is Dr. Cuddy. 450 00:27:26,520 --> 00:27:30,023 I need all the charts on Dr. House's current patients. 451 00:27:32,234 --> 00:27:33,985 (HICCUPPING) 452 00:27:34,111 --> 00:27:36,779 - I've tried everything. - Mmm-hmm. 453 00:27:36,905 --> 00:27:41,451 "Pulling the tongue, ice packs on the throat, hitting yourself, 454 00:27:41,577 --> 00:27:43,870 the groin pinch." 455 00:27:44,705 --> 00:27:48,708 Well, you've certainly covered all the normal medical bases. 456 00:27:48,834 --> 00:27:51,461 How are you hitting yourself, though? Is it... 457 00:27:51,587 --> 00:27:54,130 - Is it an open hand or a fist? - Open hand. 458 00:27:54,256 --> 00:27:59,510 Well, that's how they teach it at Harvard Med. How hard, though? 459 00:28:02,014 --> 00:28:04,807 I'm sorry. I missed that. Could you do that again? 460 00:28:06,352 --> 00:28:09,270 That's... That's very good. It's hiccups. 461 00:28:09,396 --> 00:28:11,272 I need to speak with you now. 462 00:28:11,982 --> 00:28:13,733 I need to go pee-pee. 463 00:28:13,859 --> 00:28:17,111 Dial it up a notch and repeat. I'll be back. 464 00:28:28,499 --> 00:28:31,751 Girl in the boy's bathroom. Very dramatic. 465 00:28:31,877 --> 00:28:35,463 It must be very important, what she has to say to me. 466 00:28:36,548 --> 00:28:39,592 Yesterday your patient's tumor was 5.8 centimeters. 467 00:28:39,718 --> 00:28:41,803 Today it's 4.6. How does that happen? 468 00:28:41,929 --> 00:28:45,765 Well, at a guess, I'd say, "That Dr. House must be really, really good. 469 00:28:45,891 --> 00:28:49,685 Why am I wasting him on hiccups?" I wash before and after. 470 00:28:52,356 --> 00:28:55,775 You also requisitioned 20 cc's of ethanol. 471 00:28:55,901 --> 00:28:58,569 What patient was that for? Or are you planning a party? 472 00:28:58,695 --> 00:29:00,530 Do me a favor. 473 00:29:03,325 --> 00:29:06,077 I was gonna say leave, but that works. 474 00:29:06,912 --> 00:29:08,121 You shrunk the tumor. 475 00:29:08,247 --> 00:29:09,831 Only way to get the guy to do the surgery. 476 00:29:09,957 --> 00:29:12,542 Fraud was the only way? 477 00:29:13,377 --> 00:29:15,920 There is a reason that we have these guidelines. 478 00:29:16,046 --> 00:29:19,006 I know. To save lives. Specifically, doctors' lives. 479 00:29:19,133 --> 00:29:21,926 And not just their lives, but their lifestyles. 480 00:29:22,052 --> 00:29:23,928 Wouldn't want to operate on anyone really sick. 481 00:29:24,054 --> 00:29:25,513 They might die and spoil our stats. 482 00:29:25,639 --> 00:29:28,182 Bergin has a right to know what he is operating on. 483 00:29:28,308 --> 00:29:30,643 True. I got all focused on her right to live and forgot. 484 00:29:30,769 --> 00:29:33,271 You do what you think is right. 485 00:29:42,656 --> 00:29:46,159 - You really didn't know? - No, I didn't. 486 00:29:46,285 --> 00:29:48,744 And, frankly, I'm angry. 487 00:29:49,621 --> 00:29:52,832 The correct response, I guess. What are you talking about? 488 00:29:52,958 --> 00:29:55,460 - Your birthday. - Oh. 489 00:29:56,170 --> 00:29:57,920 Anger was a bad guess. 490 00:29:58,964 --> 00:30:00,923 Well, normally, I'd put on a festive hat 491 00:30:01,049 --> 00:30:04,469 and celebrate the fact that the Earth has circled the sun one more time. 492 00:30:04,595 --> 00:30:06,554 I really didn't think it was gonna make it this year, 493 00:30:06,680 --> 00:30:10,558 but darn it if it wasn't the little planet that could all over again. 494 00:30:10,684 --> 00:30:14,562 It's a birthday. It's an excuse to be happy. 495 00:30:14,688 --> 00:30:17,023 You think that's lame? 496 00:30:18,108 --> 00:30:21,110 Why are you here? Did you buy me a pony? 497 00:30:22,654 --> 00:30:25,615 I'm just waiting for the surgery. 498 00:30:26,783 --> 00:30:29,494 Yeah, well, go scrub in. 499 00:30:40,339 --> 00:30:43,090 All right, we're done. Close her up. 500 00:30:48,180 --> 00:30:52,141 The tumor didn't just walk itself into a bar 501 00:30:52,267 --> 00:30:56,771 and order up a double shot of ethanol. Someone shrunk it down. 502 00:30:56,897 --> 00:30:59,524 I'm sorry. It was very, very wrong. 503 00:31:00,150 --> 00:31:03,110 House is lucky I didn't just close her up. 504 00:31:03,237 --> 00:31:05,821 He tries it again, that's what happens. 505 00:31:05,948 --> 00:31:07,698 I'll pass it on. 506 00:31:11,036 --> 00:31:12,537 CHASE: It looks like the surgeon got it all, 507 00:31:12,663 --> 00:31:15,248 but she's gonna have to have some chemotherapy. 508 00:31:15,374 --> 00:31:16,958 LUKE: What kind is it? 509 00:31:18,961 --> 00:31:20,795 Luke, stop writing. 510 00:31:28,262 --> 00:31:31,138 If you stop for a second, it's not all gonna fall apart. 511 00:31:31,265 --> 00:31:32,723 Give yourself a break once in a while. 512 00:31:32,849 --> 00:31:35,601 The fact is, your mom's gonna have an extra drink every now and then. 513 00:31:35,727 --> 00:31:40,022 - No. No. She won't. She doesn't. - Fine. 514 00:31:40,983 --> 00:31:44,527 There are some things you just can't fix. 515 00:31:44,695 --> 00:31:50,032 That's how you'd handle it, something like this? You'd just give up? 516 00:31:50,158 --> 00:31:52,118 No. 517 00:31:52,786 --> 00:31:55,204 I'd do it just like you. 518 00:31:57,499 --> 00:31:59,083 It's an infusion. 519 00:31:59,209 --> 00:32:01,294 She's gonna have a drain in her abdomen. 520 00:32:01,420 --> 00:32:04,297 You're going to have to check for possible infection. 521 00:32:04,423 --> 00:32:06,173 TRINA: Lucas Palmeiro? 522 00:32:06,300 --> 00:32:09,635 Trina Wyatt, Child Services, State of New Jersey. 523 00:32:09,761 --> 00:32:11,846 Can I help you? This is a private room. 524 00:32:11,972 --> 00:32:14,682 He's only 15 years old, a minor. 525 00:32:14,808 --> 00:32:18,394 He's in a tough living situation. We're just here to help. 526 00:32:18,520 --> 00:32:21,480 - I don't need your help. - 15? 527 00:32:21,607 --> 00:32:26,152 Lucas, you're gonna have to come with us right now. 528 00:32:26,278 --> 00:32:29,697 - Where are you taking him? - Until the determination is made, 529 00:32:29,823 --> 00:32:31,699 he'll be housed at Children's Services. 530 00:32:31,825 --> 00:32:34,660 - I don't want to be housed. - I live with my mom. 531 00:32:34,786 --> 00:32:36,954 TRINA: Not for the next few days. 532 00:32:37,998 --> 00:32:41,208 Come on. Let's not make this difficult. 533 00:32:42,628 --> 00:32:43,753 LUKE: Mom? 534 00:32:45,130 --> 00:32:46,631 Mom? 535 00:32:48,508 --> 00:32:50,343 I love you. 536 00:32:52,721 --> 00:32:56,849 When the Mets lost, you remember? 537 00:32:57,768 --> 00:32:59,644 Yeah. 538 00:32:59,895 --> 00:33:01,979 I remember. 539 00:33:02,648 --> 00:33:04,440 I love you. 540 00:33:23,418 --> 00:33:26,128 WILSON: Cuddy didn't say anything about pushing Bergin to finish the surgery? 541 00:33:26,254 --> 00:33:30,132 Not a word. Some kind of mind game. She's waiting for me to crack. 542 00:33:30,258 --> 00:33:32,301 Well, either that or she's just being nice. 543 00:33:32,427 --> 00:33:35,179 - Yeah, right. - You said you wouldn't call. 544 00:33:35,305 --> 00:33:38,349 You're a real bastard, you know. 545 00:33:41,228 --> 00:33:44,647 Yeah, I get that a lot. 546 00:33:48,902 --> 00:33:51,278 I don't think mom's crazy. 547 00:33:56,076 --> 00:34:00,746 "For in the old days, though she had young men's praise and old men's blame, 548 00:34:00,872 --> 00:34:06,127 among the poor, both old and young gave her praise." 549 00:34:12,175 --> 00:34:16,345 You called Social Services. It was you. 550 00:34:16,471 --> 00:34:19,140 No. No. No. 551 00:34:19,266 --> 00:34:22,226 It's okay, it's okay. I get it. 552 00:34:23,854 --> 00:34:26,564 He'll have an easier time dealing with the system. 553 00:34:26,690 --> 00:34:30,651 Sure, he won't be with his real mother, but his real mother's sick. 554 00:34:30,777 --> 00:34:33,279 Someone needs to take care of him. 555 00:34:34,531 --> 00:34:36,949 I'm not gonna live here. 556 00:34:37,075 --> 00:34:42,037 What would his future have been, taking you to chemo and back on the bus? 557 00:34:42,164 --> 00:34:45,541 And even if the cancer's in complete remission, 558 00:34:45,667 --> 00:34:48,753 he'll still have a mother who hears voices. 559 00:34:48,879 --> 00:34:53,632 Talk no more. 560 00:34:54,342 --> 00:34:57,720 "Look what I do to him, Limpy." 561 00:34:58,096 --> 00:34:59,972 You said that. 562 00:35:01,349 --> 00:35:03,434 I checked the phone records. 563 00:35:04,519 --> 00:35:07,104 Only one call from this room. 564 00:35:07,230 --> 00:35:10,107 Smart, because they charge you two bucks a call. 565 00:35:10,233 --> 00:35:14,278 It was to Social Services, the State of New Jersey. 566 00:35:14,905 --> 00:35:18,532 You're his mother. You couldn't do it to him anymore. 567 00:35:21,495 --> 00:35:22,912 Good for you. 568 00:35:24,790 --> 00:35:27,041 WILSON: Schizophrenics can make rational decisions. 569 00:35:27,167 --> 00:35:28,751 On the small stuff, yeah. 570 00:35:28,877 --> 00:35:31,420 When to sleep, what to drink, you know. 571 00:35:31,546 --> 00:35:34,423 "No lemonade, but I'll take some hemlock if you've got it." 572 00:35:34,549 --> 00:35:35,424 Your man Socrates. 573 00:35:35,550 --> 00:35:38,385 But giving up your son because it's better for him, 574 00:35:38,512 --> 00:35:41,639 it's so sane, it's so rational. 575 00:35:41,765 --> 00:35:44,266 Self-sacrifice is not a symptom of schizophrenia. 576 00:35:44,392 --> 00:35:47,353 - It excludes the diagnosis. - She's not schizophrenic? 577 00:35:47,479 --> 00:35:49,688 Look, she's 36 years old when she first presents. 578 00:35:49,815 --> 00:35:51,524 It's a little late, but within the parameters. 579 00:35:51,650 --> 00:35:54,985 The internist sends her to a shrink. One shrink sends her to the next. 580 00:35:55,111 --> 00:35:57,238 She tells them all she's not crazy. The drugs don't work. 581 00:35:57,364 --> 00:35:59,156 And why would they if she's not a head case? 582 00:35:59,282 --> 00:36:02,618 She got clearer when I took her off the psych meds. 583 00:36:03,954 --> 00:36:05,162 You think I'm crazy. 584 00:36:05,288 --> 00:36:08,874 Well, yeah, but that's not the problem. Didn't we just leave your office? 585 00:36:09,000 --> 00:36:10,793 I like to walk. 586 00:36:17,342 --> 00:36:21,971 (HOUSE PLAYING PIANO) 587 00:36:34,734 --> 00:36:42,741 (PLAYING HAPPY BIRTHDAY) 588 00:37:10,687 --> 00:37:13,647 Is that Dr. Jeffrey Walters? Hi. 589 00:37:13,773 --> 00:37:16,483 My name is Greg House. I'm a doctor... 590 00:37:17,444 --> 00:37:21,196 Oh, is that the time? Yeah. I'm sorry. My watch must have stopped. 591 00:37:21,323 --> 00:37:24,450 Listen, you treated a patient about 18 months ago, 592 00:37:24,576 --> 00:37:25,993 a woman named Lucille Palmeiro. 593 00:37:26,119 --> 00:37:29,246 I wondered if you recalled running any tests... 594 00:37:30,123 --> 00:37:31,957 at all. 595 00:37:32,667 --> 00:37:35,127 (IN BRITISH ACCENT) Oh. How terribly foolish of me, Doctor. 596 00:37:35,253 --> 00:37:36,337 Is it that late? 597 00:37:36,463 --> 00:37:41,425 Yes, I'm calling from London, you see? Must have got my times mixed up... 598 00:37:47,891 --> 00:37:51,226 I have a headache. It's my only symptom. I go to see three doctors. 599 00:37:51,353 --> 00:37:53,646 The neurologist tells me it's an aneurysm. 600 00:37:53,772 --> 00:37:55,898 The immunologist says I've got hay fever. 601 00:37:56,024 --> 00:37:57,983 The intensivist can't be bothered. 602 00:37:58,109 --> 00:38:00,736 Sends me to a shrink, who tells me that I'm punishing myself 603 00:38:00,862 --> 00:38:02,321 'cause I want to sleep with my mommy. 604 00:38:02,447 --> 00:38:03,989 Maybe you're just not getting enough sleep? 605 00:38:04,115 --> 00:38:06,283 Pick your specialist, you pick your disease. 606 00:38:06,409 --> 00:38:09,662 If it's not schizophrenia, what else presents with psych symptoms? 607 00:38:09,788 --> 00:38:11,372 - Porphyria. - The Madness of King George. 608 00:38:11,498 --> 00:38:15,501 CAMERON: What about that copper thing? What's it called? It's genetic. 609 00:38:15,627 --> 00:38:18,879 - The body accumulates too much copper. - Oh... 610 00:38:19,005 --> 00:38:20,714 - Wilson's Disease? - CAMERON: Yeah. 611 00:38:20,840 --> 00:38:23,968 Very rare. Nice. I like it. 612 00:38:24,094 --> 00:38:27,096 - If any of us did this, you'd fire us. - Well, that's funny. 613 00:38:27,222 --> 00:38:28,931 I thought I encouraged you to question. 614 00:38:29,057 --> 00:38:32,726 You're not questioning. You're hoping. You want it to be Wilson's. 615 00:38:32,852 --> 00:38:34,687 Boom. Give her a couple of drugs, she's okay. 616 00:38:34,813 --> 00:38:37,272 July 17. An appointment with a Dr. Karn. 617 00:38:37,399 --> 00:38:39,400 She didn't keep it. She never kept another appointment 618 00:38:39,526 --> 00:38:42,277 - with a shrink he made after that. - Karn is not a shrink. 619 00:38:42,404 --> 00:38:44,488 I looked him up. He's an ophthalmologist. 620 00:38:44,614 --> 00:38:46,198 Now why would she want her eyes checked? 621 00:38:46,324 --> 00:38:49,034 - Wilson's presents with cataracts. - HOUSE: Yes, it does. 622 00:38:49,160 --> 00:38:54,373 It also causes slight cirrhosis, which Dr. Chase attributed to alcohol. 623 00:38:55,000 --> 00:38:56,875 So what are we still doing here? 624 00:38:57,002 --> 00:38:58,585 HOUSE: Lucy. 625 00:38:59,879 --> 00:39:03,757 - I don't think you're crazy. - Neither do I. 626 00:39:03,883 --> 00:39:07,469 - But I'm crazy. - Come on. Let me give you a hand. 627 00:39:08,179 --> 00:39:09,722 Come on. 628 00:39:10,849 --> 00:39:12,391 That's it. 629 00:39:12,809 --> 00:39:17,855 Put your hands on the bar here and your chin in here. 630 00:39:17,981 --> 00:39:19,064 Thank you. 631 00:39:19,190 --> 00:39:20,899 You're gonna see a bright light, okay? 632 00:39:21,026 --> 00:39:23,819 Your body might be accumulating too much copper. 633 00:39:23,945 --> 00:39:27,948 If it is, this should help us see something called Keyeser-Fleischer rings. 634 00:39:29,242 --> 00:39:32,036 Copper-colored circles around your corneas. 635 00:39:32,162 --> 00:39:33,620 Wow. 636 00:39:34,539 --> 00:39:38,042 I guess we should start treating her for Wilson's. 637 00:39:38,168 --> 00:39:40,461 That's what I'd do. 638 00:39:51,306 --> 00:39:55,184 LUCY: "I will talk no more of books for the long war, 639 00:39:55,310 --> 00:39:58,103 but walk by the dry thorn until I have found 640 00:39:58,229 --> 00:40:00,814 some beggar sheltering from the wind, 641 00:40:00,940 --> 00:40:05,069 and there manage the talk until her name come round. 642 00:40:05,445 --> 00:40:08,322 If there be rags enough, he will know her name 643 00:40:08,448 --> 00:40:11,158 and be well pleased remembering it. 644 00:40:12,118 --> 00:40:16,747 For in the old days, though she had young men's praise and old men's blame, 645 00:40:17,207 --> 00:40:21,835 among the poor, both old and young gave her praise." 646 00:40:26,841 --> 00:40:28,550 (SIGHS) 647 00:40:31,262 --> 00:40:33,764 Hi, Mrs. Palmeiro. Ready to go home? 648 00:40:34,390 --> 00:40:36,100 Almost. 649 00:40:36,601 --> 00:40:38,393 Mom? 650 00:40:49,572 --> 00:40:52,699 - How are you? - I'm good. 651 00:41:01,000 --> 00:41:03,752 Oh, you really need a haircut. 652 00:41:29,904 --> 00:41:31,321 LUCY: Dr. House. 653 00:41:32,282 --> 00:41:34,825 Luke, we're making Dr. House wait. 654 00:41:34,951 --> 00:41:37,494 That's okay. We're just here for the music. 655 00:41:37,620 --> 00:41:39,788 Luke, come on. 656 00:41:49,883 --> 00:41:53,177 - I'm being discharged. - I heard a rumor. 657 00:41:54,387 --> 00:41:56,805 Thank God I had cancer, huh? 658 00:41:58,433 --> 00:42:01,685 It's terrible having everybody think you're nuts. 659 00:42:01,811 --> 00:42:03,312 Really? 660 00:42:04,564 --> 00:42:06,607 I called to thank you. Did you get my message? 661 00:42:06,733 --> 00:42:08,483 Yes. 662 00:42:10,278 --> 00:42:12,446 You're welcome. 663 00:42:14,866 --> 00:42:18,911 I'm never thanking you. You turned me in. 664 00:42:19,037 --> 00:42:22,873 I told you we were doing okay. It was none of your business. 665 00:42:22,999 --> 00:42:25,751 Look, I don't care how you were living. 666 00:42:25,877 --> 00:42:28,253 I just wanted you out of my life. 667 00:42:30,340 --> 00:42:33,634 That's why I had Dr. Cuddy call Social Services. 668 00:42:36,596 --> 00:42:38,680 (ELEVATOR BELL DINGING) 669 00:42:49,776 --> 00:42:51,652 You okay? 670 00:42:51,819 --> 00:42:56,365 You were right. It wasn't the DVT. It was the schizophrenia. 671 00:42:56,491 --> 00:43:00,786 I know. She's not nearly as interesting anymore. 672 00:43:01,788 --> 00:43:05,791 WILSON: Isn't it your birthday around now?