1 00:00:11,745 --> 00:00:13,940 - I gotta go. - No, no. He'll be here. 2 00:00:14,014 --> 00:00:17,745 - I'm sure he's just running a little late. - He's canceled two exams. He's not gonna-- 3 00:00:17,817 --> 00:00:19,944 He's scared of you. Sure. 4 00:00:20,020 --> 00:00:22,215 The ex-boy toy. Yeah, that makes sense. 5 00:00:22,288 --> 00:00:24,518 - He wasn't scared before. - Right. 6 00:00:24,591 --> 00:00:26,889 You think being afraid of me is a symptom of a serious ailment? 7 00:00:26,960 --> 00:00:29,554 Sudden mood swings, infantile regression, abdominal pain. 8 00:00:29,629 --> 00:00:32,530 He's passed out twice. Yeah, I think it might be a medical problem. 9 00:00:32,599 --> 00:00:35,193 - He's 20 minutes late. I'm out of here. - Please. 10 00:00:36,269 --> 00:00:38,464 He'll be here. Why? 11 00:00:38,538 --> 00:00:40,699 Because he loves you and does everything he's told? 12 00:00:40,774 --> 00:00:44,232 Because I didn't tell him you'd be here. 13 00:00:51,684 --> 00:00:55,381 - He likes to see. - Yes, he does. 14 00:00:56,656 --> 00:00:58,624 Stace? 15 00:00:59,526 --> 00:01:01,790 - What's going on? - Hey. 16 00:01:01,861 --> 00:01:03,954 Hi. I'm Greg House. You must be Matt. 17 00:01:04,030 --> 00:01:06,555 - Mark. - Mark Warner. Don't get up. 18 00:01:07,500 --> 00:01:10,628 Sorry. Parent conferences. Hi. It's okay. 19 00:01:11,571 --> 00:01:14,802 - Wow. Greg House. - Yeah. Wow. 20 00:01:14,874 --> 00:01:17,809 No, I haven't been avoiding you. I just didn't want to waste your time. 21 00:01:17,877 --> 00:01:21,074 The other doctors checked me out. They said it was just stress. 22 00:01:21,147 --> 00:01:24,605 - College season. Kids, parents-- They're all over me. - Makes sense to me. 23 00:01:24,684 --> 00:01:26,982 - Greg. - What do you want me to do? - You said you'd check him out. 24 00:01:27,053 --> 00:01:29,351 He says he's healthy. What's to check out? 25 00:01:29,422 --> 00:01:33,324 Sorry for the mix-up, but I'm glad you two got a chance to catch up. 26 00:01:33,393 --> 00:01:36,260 - Looks like you're having fun. - Oh, he's good. 27 00:01:37,097 --> 00:01:40,931 If you can fake sincerity, you can fake pretty much anything. 28 00:01:41,000 --> 00:01:44,834 - I can't tell you how much I like your fella. - Yeah, me too. 29 00:01:44,904 --> 00:01:46,997 You know, I thought you'd be all sarcastic. 30 00:01:47,073 --> 00:01:51,533 Bitter, you know, because Stacy married me. 31 00:01:51,611 --> 00:01:55,547 We should do things together. Maybe throw a ball around or something. Guy stuff. 32 00:01:55,615 --> 00:01:58,175 - We could go for a run together. - Ah! It's Oscar Wilde. 33 00:01:58,251 --> 00:02:00,651 Wow. This pissing contest is really turning me on. 34 00:02:00,720 --> 00:02:02,847 He needs to go to the hospital. Here's to women. 35 00:02:02,922 --> 00:02:07,291 Can't live with 'em, you can't kill 'em and tell the neighbors they're stripping in Atlantic City. 36 00:02:07,360 --> 00:02:09,624 Damn straight. 37 00:02:14,534 --> 00:02:17,594 - I'm definitely taller. - I have more hair. 38 00:02:17,670 --> 00:02:20,161 And I think that-- Whoa. 39 00:02:20,240 --> 00:02:23,209 Mark? 40 00:02:24,611 --> 00:02:28,012 - Someone call 911 for a wagon to Princeton Plainsboro? - Garçon! 41 00:02:29,782 --> 00:02:33,343 - What happened? - It's okay, ladies and gentlemen. Nothing to worry about. 42 00:02:33,419 --> 00:02:35,717 - Unless you had the veal. - You dosed him. 43 00:02:35,788 --> 00:02:39,485 I told you I'd check him out. I was a little worried they were gonna get here before he passed out. 44 00:02:39,559 --> 00:02:42,357 Would have been tougher to get him to drink. 45 00:02:42,428 --> 00:02:44,726 I'll give you a ride. We can talk. 46 00:03:24,771 --> 00:03:27,467 A tummy ache, cranky-- no apparent source. 47 00:03:28,908 --> 00:03:31,775 Any thoughts? 48 00:03:31,844 --> 00:03:35,302 Foreman, you're gonna contribute, or are you too tired from stealing cars? 49 00:03:39,285 --> 00:03:42,982 - I'm being House. It's funny. - I know. You made milk come out of my nose. 50 00:03:43,056 --> 00:03:47,049 Morning. You guys got the file. What's wrong? 51 00:03:47,126 --> 00:03:50,562 Previous tests revealed nothing that would cause abdominal pain or the mood swings. 52 00:03:50,630 --> 00:03:54,259 Then we're done. What do you think? Ball game? Zoo? 53 00:03:54,334 --> 00:03:56,825 - I don't care. I just want to hang with you guys. - What about drugs? 54 00:03:56,903 --> 00:04:00,430 His tox screen on admission showed a massive amount of chloral hydrate. 55 00:04:00,506 --> 00:04:02,838 Yeah. Sorry. That was me. 56 00:04:02,909 --> 00:04:05,275 I had to dope him up to get him in here. 57 00:04:05,345 --> 00:04:08,143 Guy doesn't think he's sick. Who does? 58 00:04:08,214 --> 00:04:11,513 His wife. The woman you used to live with. 59 00:04:11,584 --> 00:04:14,644 That's her Indian name. On her driver's license it's Stacy. 60 00:04:14,721 --> 00:04:16,655 I assume you have a point. 61 00:04:16,723 --> 00:04:19,692 You believe her over the patient himself. That's why we're taking this case. 62 00:04:19,759 --> 00:04:23,627 The truth? I hear voices all the time telling me to do stuff. 63 00:04:23,696 --> 00:04:26,358 - It's crazy, huh? - What happened to "everybody lies"? 64 00:04:28,067 --> 00:04:30,661 I was lying. 65 00:04:30,737 --> 00:04:33,262 Do the things-- the blah, blah, blah, blah. All that stuff the other docs did. 66 00:04:33,339 --> 00:04:35,500 If that's negative, ultrasound his belly. 67 00:04:35,575 --> 00:04:39,807 If that's negative, C.T. his abdomen and pelvis with and without contrast. 68 00:04:39,879 --> 00:04:41,938 - Did I miss anything? - Kitchen sink. 69 00:04:42,015 --> 00:04:45,610 Well, we could certainly give that-- Oh, you minx! 70 00:04:46,919 --> 00:04:51,856 What you're thinking is, you're going to save him, be a hero and win her back. 71 00:04:51,924 --> 00:04:54,392 It's always impressive, that level of twisted narcissism. 72 00:04:54,460 --> 00:04:57,657 She's married. Big clue I lost the game. 73 00:04:57,730 --> 00:05:01,291 You can't be within 50 feet of Stacy Warner. 74 00:05:01,367 --> 00:05:03,301 Thought she wanted me to treat him. 75 00:05:03,369 --> 00:05:05,360 Treat the husband, stay away from the wife. 76 00:05:05,438 --> 00:05:08,134 But what if they get close to each other? What do I do then? 77 00:05:08,207 --> 00:05:11,142 Hey. You have to treat this like a regular case. 78 00:05:11,210 --> 00:05:14,976 Be yourself-- cold, uncaring, distant. 79 00:05:15,048 --> 00:05:18,176 Please, don't put me on a pedestal. 80 00:05:19,218 --> 00:05:25,020 We C.T.'d your abdomen. Nothing that would explain the stomach pain. 81 00:05:25,091 --> 00:05:27,355 - What's the next move? - Leaving. 82 00:05:27,427 --> 00:05:29,418 How many more tests do I need? 83 00:05:29,495 --> 00:05:32,328 How many more doctors need to clear me before we can get back to our life? 84 00:05:32,398 --> 00:05:34,889 - Just one. - House. 85 00:05:34,967 --> 00:05:38,334 It must be awkward being treated by a man who used to be involved with your wife. 86 00:05:42,241 --> 00:05:45,267 It's awkward being in a hospital when there's nothing wrong with me. 87 00:05:47,947 --> 00:05:51,041 M.R.A.'s were clean, which means he's probably fine. 88 00:05:51,117 --> 00:05:53,415 He doesn't seem paranoid. He shows no signs of-- 89 00:05:53,486 --> 00:05:56,011 No. It means we have no idea what's wrong with him. 90 00:05:56,089 --> 00:05:58,785 Ben Goldstein says his schedule's locked. He can't do it before tomorrow. 91 00:05:58,858 --> 00:06:01,258 No. Today. Call him, tell him I'll make it work. 92 00:06:01,327 --> 00:06:03,420 You're cutting him open? 93 00:06:03,496 --> 00:06:06,693 Oh, hold it. There's no need for exploratory surgery. 94 00:06:06,766 --> 00:06:08,631 Dr. Cameron has a diagnosis. 95 00:06:08,701 --> 00:06:11,898 No, I just think it's premature and maybe irresponsible... 96 00:06:11,971 --> 00:06:14,235 to do exploratory surgery before we know he's actually sick. 97 00:06:14,307 --> 00:06:17,242 No, it's "premature" to put him on a list for hospice care. 98 00:06:17,310 --> 00:06:21,076 And it's "maybe irresponsible" to imply my actions are not rationally supported. 99 00:06:21,147 --> 00:06:23,411 All we have is his wife-- Who says his stomach hurts. 100 00:06:23,483 --> 00:06:26,714 Works for me. The patient doesn't even think he's sick. Why would he consent to-- 101 00:06:26,786 --> 00:06:29,584 His wife's a lawyer. She's very convincing. 102 00:06:29,655 --> 00:06:32,647 Call Goldstein. Surgery is on. 103 00:06:45,571 --> 00:06:48,062 Retract. 104 00:06:49,609 --> 00:06:51,543 Insert. 105 00:06:52,779 --> 00:06:55,680 Leslie versus Leslie seems to be right on point, 106 00:06:55,748 --> 00:06:58,649 but I'm sure they're going to try to distinguish it by-- 107 00:06:58,718 --> 00:07:02,950 Sorry. They'll try to distinguish it relying on the minority opinion. 108 00:07:05,558 --> 00:07:07,492 Double milk, no sugar. 109 00:07:07,560 --> 00:07:09,460 I like sugar now. 110 00:07:23,843 --> 00:07:26,778 Some people would be annoyed by that. 111 00:07:29,682 --> 00:07:33,413 You know why people sit in waiting rooms? This is gonna be good. 112 00:07:33,486 --> 00:07:38,321 People think the closer they're sitting to the operating room, the more they care. 113 00:07:38,391 --> 00:07:41,952 That's why I'm here. I'm not moving until everybody sees me. 114 00:07:46,599 --> 00:07:49,227 Are you doing anybody besides Mark? 115 00:07:50,269 --> 00:07:54,535 It's a medical question. Because if I am, his paranoia isn't paranoia. 116 00:07:54,607 --> 00:07:57,804 It's a justified response and therefore not a legitimate symptom. 117 00:07:57,877 --> 00:07:59,970 Knew you'd understand. 118 00:08:00,046 --> 00:08:03,675 On the other hand, if it was really just a medical question, you would have sent one of your people. 119 00:08:03,749 --> 00:08:05,808 Why just push my buttons when you can push theirs too? 120 00:08:05,885 --> 00:08:10,322 Hey, Dr. Mandingo, go ask the wife if she's been messin' around. 121 00:08:10,389 --> 00:08:14,951 But you're asking because if I am... unfaithful, 122 00:08:15,027 --> 00:08:17,018 I might sleep with you. 123 00:08:18,931 --> 00:08:23,994 The answer's no. I don't sleep around. Make sure you note that in his file. 124 00:08:24,070 --> 00:08:26,004 Mrs. Warner. 125 00:08:26,072 --> 00:08:29,564 The surgery went well. He's in Recovery. You can see him now. 126 00:08:35,414 --> 00:08:38,110 Goldstein found nothing but a distended bladder. 127 00:08:40,086 --> 00:08:42,179 Neurogenic bladder isn't causing the pain. 128 00:08:42,255 --> 00:08:45,088 It also doesn't cause personality changes. 129 00:08:45,157 --> 00:08:49,025 On the other hand, it would completely account for Cameron's diagnosis. 130 00:08:49,095 --> 00:08:51,859 The patient's completely healthy. 131 00:08:54,033 --> 00:08:56,365 Get me the video of the surgery. 132 00:10:07,306 --> 00:10:11,037 Dr. Mandingo, you're needed at the plantation house. 133 00:10:15,414 --> 00:10:18,941 Well, don't everybody talk at once. 134 00:10:19,018 --> 00:10:21,486 There's nothing there. 135 00:10:25,191 --> 00:10:28,991 Stop looking at the suspiciously empty bottle and look at the screen. 136 00:10:29,061 --> 00:10:31,529 Here's why I get the big bucks. 137 00:10:31,597 --> 00:10:33,656 This is nothing. 138 00:10:33,733 --> 00:10:36,361 An enhanced version of nothing. 139 00:10:36,435 --> 00:10:40,667 This... is the problem. 140 00:10:45,311 --> 00:10:47,871 - Unbelievable. - Tremors in the muscle fiber. 141 00:10:47,947 --> 00:10:49,881 That's not peristalsis. 142 00:10:51,050 --> 00:10:54,213 - That's abdominal epilepsy. - Means there's some sort of neurological problem. 143 00:10:55,921 --> 00:10:58,913 A time bomb in his brain. 144 00:11:00,092 --> 00:11:02,083 I forget. Who said it was nothing? 145 00:11:08,701 --> 00:11:13,229 I saw a very small, diffuse abnormality in the brain waves. Probably white matter. 146 00:11:13,305 --> 00:11:15,296 Means his axonal nerves are dying. 147 00:11:15,374 --> 00:11:19,435 Explains the neurogenic bladder. Enough nerves die, he dies. 148 00:11:19,512 --> 00:11:21,639 Global axonal nerve death. 149 00:11:21,714 --> 00:11:23,773 Likely causes are encephalitis or Alzheimer's. 150 00:11:23,849 --> 00:11:26,113 Early onset Alzheimer's. The worst. 151 00:11:26,185 --> 00:11:28,415 He won't die right away. He'll just want to. 152 00:11:28,487 --> 00:11:31,513 I'll check the blood for Alzheimer's protein markers. 153 00:11:31,590 --> 00:11:35,492 Last I heard, Alzheimer's had a genetic component. Did the patient have parents? 154 00:11:35,561 --> 00:11:38,121 Parents died in a car crash. No history of dementia. 155 00:11:38,197 --> 00:11:42,065 Send C.S.F. for C.B.C. and viral serologies to rule out encephalitis... 156 00:11:42,134 --> 00:11:44,466 and get tau proteins to check for Alzheimer's. 157 00:11:44,537 --> 00:11:47,062 And this still feels a little light. 158 00:11:47,139 --> 00:11:51,633 I took a complete medical history. Check out their house. Take Sparky with you. 159 00:11:51,711 --> 00:11:55,112 - They live in Short Hills. Two hours away. - You can expense the tolls. 160 00:11:55,181 --> 00:11:57,411 You're not interested in a medical history. 161 00:11:57,483 --> 00:11:59,974 You're a Peeping Tom trying to spy on your ex. 162 00:12:00,052 --> 00:12:01,986 Her secret diary-- That's the main thing. 163 00:12:02,054 --> 00:12:05,490 But as long as you're there, take a peek in the medicine cabinet. 164 00:12:05,558 --> 00:12:10,154 Check for toxins, heavy metals-- anything that might explain this other than encephalitis or Alzheimer's. 165 00:12:12,665 --> 00:12:15,395 And get receipts for the tolls. 166 00:12:27,446 --> 00:12:30,279 Making lunch? I assume that's for Mark. 167 00:12:31,350 --> 00:12:33,944 We know about his parents. What about further back? 168 00:12:34,019 --> 00:12:37,386 Grandparents, uncles, aunts. How was their health? Greg hates fishing. 169 00:12:37,456 --> 00:12:40,357 He's got a theory. 170 00:12:40,426 --> 00:12:42,690 Most likely candidate right now is Alzheimer's. 171 00:12:50,102 --> 00:12:53,594 No. There's been no memory loss. 172 00:12:53,672 --> 00:12:56,470 I mean, he forgets where he left his keys, but who doesn't? 173 00:12:56,542 --> 00:12:58,601 Any family history? 174 00:12:58,677 --> 00:13:00,941 Of... whacked-outness? 175 00:13:01,013 --> 00:13:04,972 His sister voted for Nader, twice. That's about it. 176 00:13:07,520 --> 00:13:12,457 You were with House when it happened-- to his leg? 177 00:13:12,525 --> 00:13:14,459 Oh. 178 00:13:15,995 --> 00:13:18,156 You're interested in him. 179 00:13:18,230 --> 00:13:20,255 We went on one date. 180 00:13:20,332 --> 00:13:22,391 It didn't go very well. 181 00:13:22,468 --> 00:13:26,564 Our first date didn't either. I was never gonna see him again. A week later, I moved in. 182 00:13:26,639 --> 00:13:30,166 Five years. What would you like to know? 183 00:13:32,411 --> 00:13:34,936 What was he like before his leg? 184 00:13:36,081 --> 00:13:38,015 Pretty much the same. 185 00:13:47,893 --> 00:13:50,987 He's clear. No Alzheimer's. 186 00:13:51,063 --> 00:13:53,554 Yeah, that's what I figured. 187 00:14:02,675 --> 00:14:07,442 Serious mountain bike. Hasn't been used in a while though. 188 00:14:07,513 --> 00:14:10,004 He switched to yoga. Brand-new yoga mat and tape. 189 00:14:10,082 --> 00:14:12,107 Man's getting older. Or it might indicate back pain. 190 00:14:12,184 --> 00:14:15,517 Wife would have mentioned it. Yoga's good for picking up the ladies too. 191 00:14:15,588 --> 00:14:18,079 Not when you do it in your own home. 192 00:14:18,157 --> 00:14:21,888 Change could be just a change, not a symptom. 193 00:14:23,128 --> 00:14:25,790 Chase. 194 00:14:26,932 --> 00:14:30,561 "Dear 'House' boys, a snack for your highly illegal search. 195 00:14:30,636 --> 00:14:33,196 Hope you like oatmeal raisin. Love, Stacy". 196 00:14:33,272 --> 00:14:37,038 Whoa. In a desk drawer, hidden in the back under some papers. 197 00:14:37,109 --> 00:14:39,043 Secret stash. 198 00:14:39,111 --> 00:14:43,514 Amphetamines. Regular use could lead to neurotoxicity. 199 00:14:43,582 --> 00:14:47,245 Explains the axonal nerve damage and the personality issues. 200 00:14:47,319 --> 00:14:50,049 On the other hand, "Prescribed to W. Brown". 201 00:14:50,122 --> 00:14:52,147 Fake name. Fake prescription. 202 00:14:52,224 --> 00:14:55,284 Could be, but the prescribing doc, his name's real. 203 00:14:55,361 --> 00:14:59,491 This guy's just had his license pulled for writing illegal prescriptions to high school kids. 204 00:14:59,565 --> 00:15:01,556 Mark's a high school guidance counselor. 205 00:15:01,634 --> 00:15:04,467 And Mr. Brown's birth date makes him 17 years old. 206 00:15:04,536 --> 00:15:08,700 Do you think maybe these were confiscated by a high school guidance counselor? 207 00:15:09,708 --> 00:15:13,144 Anything else? Um, yeah, he switched from mountain biking to yoga. 208 00:15:13,212 --> 00:15:15,146 - Could indicate-- - He's getting older. 209 00:15:15,214 --> 00:15:19,241 - What did the C.S.F. say about encephalitis? - Said no. Champagne tap. 210 00:15:19,318 --> 00:15:22,754 No red cells, no white cells. Serology's negative. Which means we're back to Alzheimer's. 211 00:15:22,821 --> 00:15:25,585 I told her he didn't have it. The marker tests were negative. 212 00:15:25,658 --> 00:15:28,286 Well, then you should have told her that. He could still have it. 213 00:15:28,360 --> 00:15:31,852 PET scan will reveal any changing metabolic activity in the cerebral cortex. 214 00:15:31,931 --> 00:15:34,764 Run him through and check his memory. 215 00:15:37,670 --> 00:15:40,867 We're going to inject a chemical marker called F.D.D.N.P. 216 00:15:40,940 --> 00:15:43,636 - Then I'm gonna ask you a series of questions. - Test my memory. 217 00:15:43,709 --> 00:15:46,701 Yeah, but first we're gonna map out some specific brain functions. 218 00:15:46,779 --> 00:15:49,805 You know, check out the engine before we take the car for a drive. 219 00:15:56,355 --> 00:15:58,550 Checking up on me? 220 00:15:58,624 --> 00:16:01,491 - I like all the pretty lights. - Yeah. 221 00:16:14,773 --> 00:16:17,241 Okay. Here we go. 222 00:16:17,309 --> 00:16:19,834 Your full name? Mark Warner. 223 00:16:21,113 --> 00:16:23,741 - Is your mother living? - No. 224 00:16:23,816 --> 00:16:26,182 Limbic system's intact. 225 00:16:26,251 --> 00:16:29,379 Okay, say you find a stamped envelope on the street. What do you do? 226 00:16:29,455 --> 00:16:32,913 - Find a mailbox and mail it. - Geez. What a guy. 227 00:16:34,193 --> 00:16:36,525 His frontal lobe is working way better than mine. 228 00:16:37,596 --> 00:16:39,587 Do you remember when you got married? 229 00:16:39,665 --> 00:16:41,963 Three years ago this July. Who is that? 230 00:16:42,034 --> 00:16:44,867 What? Could be a problem with his long-term memory. 231 00:16:44,937 --> 00:16:47,269 - Big church wedding? - Is that House? 232 00:16:47,339 --> 00:16:51,070 He remembers voices. This serves no diagnostic purpose. 233 00:16:51,143 --> 00:16:53,634 I thought you skimped on the limbic system there. 234 00:16:53,712 --> 00:16:56,078 Emotional reactions. I just want to be thorough. 235 00:16:56,148 --> 00:17:00,244 Did the atheistic bride wear a pretty white dress? 236 00:17:00,319 --> 00:17:03,186 Was she thinking of you? Is that what you medically need to know? 237 00:17:03,255 --> 00:17:05,849 What jewelry did your bride wear? 238 00:17:05,924 --> 00:17:09,553 She never wears any jewelry, except the cross her mother gave to her. 239 00:17:09,628 --> 00:17:12,392 No underwear either, at least not that day. 240 00:17:12,464 --> 00:17:15,524 I remember 'cause she ripped her pretty white dress off in the car. 241 00:17:15,601 --> 00:17:17,796 That the sort of answer you're looking for, Doctor? 242 00:17:17,870 --> 00:17:20,771 I think I upset him. You gotta stop this now. 243 00:17:20,839 --> 00:17:26,277 I remember the honeymoon was in Paris. I remember 'cause we didn't leave the room for two weeks. 244 00:17:26,345 --> 00:17:29,280 - You want the details on that? - A little defensive. 245 00:17:29,348 --> 00:17:32,943 It's not paranoia if someone's out to get you. 246 00:17:47,533 --> 00:17:50,229 Here we go. 247 00:17:51,770 --> 00:17:54,500 He's sick, paranoid, and you keep hammering him about me? 248 00:17:54,573 --> 00:17:58,475 The questions were designed to define the operational parameters of his limbic system. 249 00:17:58,544 --> 00:18:02,412 Elevate the words all you want. You were just screwing with him. Low, even by your standards. 250 00:18:02,481 --> 00:18:04,676 Medical screwing. It's what I do. 251 00:18:04,750 --> 00:18:08,345 Then you run away like a 12-year-old. Go hide on the roof like you always do. 252 00:18:08,420 --> 00:18:10,650 I haven't been up here in five years. 253 00:18:25,304 --> 00:18:27,864 I don't know what's wrong with him. 254 00:18:29,741 --> 00:18:33,905 It's not Alzheimer's. It's not encephalitis. 255 00:18:33,979 --> 00:18:36,447 It's not environmental. It's not immunological. 256 00:18:36,515 --> 00:18:39,177 Every test is negative every time. 257 00:18:39,251 --> 00:18:41,981 He's perfectly healthy, 258 00:18:42,054 --> 00:18:44,852 but his brain is dying. 259 00:18:51,497 --> 00:18:54,398 It never occurred to me... 260 00:18:54,466 --> 00:18:57,629 that you couldn't figure out what's wrong. 261 00:19:14,620 --> 00:19:16,611 I haven't given up. 262 00:19:24,163 --> 00:19:26,757 So what do we do? 263 00:19:32,104 --> 00:19:34,038 We wait. 264 00:19:37,276 --> 00:19:39,744 For what? 265 00:19:39,811 --> 00:19:41,802 Something to change. 266 00:19:43,882 --> 00:19:47,545 It's one of the great tragedies of life. Something always-- 267 00:19:49,087 --> 00:19:51,078 Something always changes. 268 00:20:01,433 --> 00:20:03,367 Nurse? 269 00:20:04,369 --> 00:20:06,360 Nurse! 270 00:20:12,945 --> 00:20:15,243 What happened? What's wrong? 271 00:20:15,314 --> 00:20:19,774 My toes-- They were numb, tingling, then nothing. 272 00:20:19,851 --> 00:20:21,614 No pain. Nothing. 273 00:20:21,687 --> 00:20:23,746 It's okay. They're going to take care of you. 274 00:20:23,822 --> 00:20:25,983 I'm scared, Stacy. Hold my hand. 275 00:20:29,928 --> 00:20:31,862 What? 276 00:20:40,739 --> 00:20:42,969 What's happening? 277 00:20:43,041 --> 00:20:46,943 Time marches on. He's paralyzed. 278 00:20:57,990 --> 00:21:01,289 His symptoms mimic a peripheral nervous system under attack. 279 00:21:01,360 --> 00:21:05,660 But he's experiencing significant paresthesias, and he can't move his hands or toes. 280 00:21:05,731 --> 00:21:07,665 It's peripheral. 281 00:21:07,733 --> 00:21:10,327 Guillain-Barré syndrome attacks there, not the brain. 282 00:21:10,402 --> 00:21:13,132 No. No. I already did an indirect Coombs' test. 283 00:21:13,205 --> 00:21:15,196 No agglutination, no antibodies. 284 00:21:15,274 --> 00:21:17,139 Initiative. Like that. 285 00:21:17,209 --> 00:21:19,268 Start him on I.V. immuno-- 286 00:21:19,344 --> 00:21:22,745 No antibodies means he doesn't have Guillain-Barré, period. 287 00:21:22,814 --> 00:21:25,112 Period? More like dot, dot, dot. 288 00:21:25,183 --> 00:21:27,674 What if he has the virus but isn't producing those antibodies? 289 00:21:27,753 --> 00:21:32,122 Come on. The chances of that-- Didn't ask about the Vegas line. I said "what if". 290 00:21:32,190 --> 00:21:35,591 It would mean he's sick, and his body's not doing anything about it. 291 00:21:35,661 --> 00:21:38,596 So we either fight it for him or it's fatal. 292 00:21:38,664 --> 00:21:40,655 Fatal sounds very bad to me. 293 00:21:40,732 --> 00:21:44,224 Well, without the antibodies, we can't even test for it. Don't know if we're right. 294 00:21:46,204 --> 00:21:49,662 Treatment isn't all that dangerous. Plasmapheresis and I.V.I.G. 295 00:21:49,741 --> 00:21:55,543 If it works, we're right. If he dies... it was something else. 296 00:22:00,652 --> 00:22:02,643 So the paralysis might not be permanent. 297 00:22:02,721 --> 00:22:05,849 That's our hope, but the brain's tricky. You never know. 298 00:22:09,728 --> 00:22:11,593 What was that? What? 299 00:22:11,663 --> 00:22:15,599 - With the head. The look. - He just wants to talk to me. 300 00:22:15,667 --> 00:22:19,728 - Well, if it was medical, he should be talking to me. - I'll be just outside the door. 301 00:22:19,805 --> 00:22:22,035 Leave! Go talk to him. 302 00:22:22,107 --> 00:22:26,441 - You're going to leave me anyway. - No. That's not gonna happen. 303 00:22:26,511 --> 00:22:30,447 You left him, and he had a limp. If I can't walk or hold you? 304 00:22:30,515 --> 00:22:33,541 Honey, I'm not going anywhere. I'm not going to talk to him. 305 00:22:33,618 --> 00:22:37,418 - If I can't feed myself? - Mark, what you're feeling-- It's not real. It's the virus. 306 00:22:38,790 --> 00:22:41,953 - Mark? What is it? - Mark? 307 00:22:42,027 --> 00:22:46,259 His throat's closing up. He can't breathe. Code blue! Hurry! 308 00:22:46,331 --> 00:22:49,129 He's having a reaction to the I.V.I.G. I need epi, stat. 309 00:22:51,303 --> 00:22:54,101 - I can't get the scope in his throat. - Stop that. 310 00:22:54,172 --> 00:22:56,732 - He's having an allergic reaction. He's crashing. - No, he's not. Look at his vitals. 311 00:22:56,808 --> 00:22:59,834 O2 sats are within range. 312 00:22:59,911 --> 00:23:02,471 I'm betting the only abnormal sign is sweaty palms. 313 00:23:04,649 --> 00:23:06,981 Push two milligrams Ativan. 314 00:23:20,132 --> 00:23:22,930 No allergic reaction. Just a panic attack. 315 00:23:23,001 --> 00:23:26,937 Something obviously freaked him out. 316 00:23:28,907 --> 00:23:30,841 Can we talk now? 317 00:23:33,645 --> 00:23:35,579 You couldn't just come into the room? 318 00:23:35,647 --> 00:23:39,413 He's had five visitors drive down. I didn't recognize any of them. 319 00:23:39,484 --> 00:23:42,647 Six more have sent him flowers, candy and a teddy bear, 320 00:23:42,721 --> 00:23:45,155 which I'm sure he finds very comforting. 321 00:23:45,223 --> 00:23:47,691 But I didn't recognize any of the names on the cards. 322 00:23:47,759 --> 00:23:50,125 Shockingly, Mark has friends, and I have some new ones. 323 00:23:50,195 --> 00:23:53,289 No, it's not shocking that you have new friends, 324 00:23:53,365 --> 00:23:56,266 but it is shocking that you apparently dumped all your old ones. 325 00:23:56,334 --> 00:24:01,135 - I haven't. - No, I didn't think so. 326 00:24:01,206 --> 00:24:04,505 I just think you didn't tell any of them that you were down here. 327 00:24:04,576 --> 00:24:06,806 Now, why would that be? 328 00:24:08,747 --> 00:24:11,580 What are you up to? It's gonna take a little while. 329 00:24:12,584 --> 00:24:15,849 Why would you not tell your oldest friends... 330 00:24:15,921 --> 00:24:20,381 that you were taking Mark to Princeton Plainsboro Teaching Hospital to try to save his life? 331 00:24:20,459 --> 00:24:22,791 I've been busy. I haven't kept track of who knows what. 332 00:24:22,861 --> 00:24:26,957 See, my old friends are telling me to be careful. They seem to think-- 333 00:24:27,032 --> 00:24:29,193 He. And he sent me the bear. 334 00:24:29,267 --> 00:24:31,758 Figures. 335 00:24:31,837 --> 00:24:36,069 He seems to think that I'm not over you... 336 00:24:37,275 --> 00:24:41,041 and that it might be dangerous for me to spend time with you. 337 00:24:41,112 --> 00:24:45,549 I'm thinking your friends might have similar concerns, 338 00:24:45,617 --> 00:24:47,710 and so you didn't tell them you'd be here with me. 339 00:24:47,786 --> 00:24:50,277 What's your point? That I'm still in love with you? 340 00:24:50,355 --> 00:24:53,347 I should abandon my dying husband, and we should head for Rio. 341 00:24:55,794 --> 00:24:57,819 No. 342 00:24:57,896 --> 00:25:02,026 Greg, I appreciate what you're doing for us, but I think maybe Wilson's right. 343 00:25:02,100 --> 00:25:05,831 Maybe you should just stay away from me. 344 00:25:45,610 --> 00:25:47,771 What's up? 345 00:25:47,846 --> 00:25:51,111 Love the bear. It's adorable. 346 00:25:51,182 --> 00:25:54,583 My wife's gonna kill me. We're having company. She cooked. 347 00:25:54,653 --> 00:25:56,985 I got Mark's latest blood work. 348 00:25:57,055 --> 00:25:59,922 He's not responding to treatment. 349 00:26:01,560 --> 00:26:03,494 I'm sorry. 350 00:26:03,562 --> 00:26:06,122 I was happy. 351 00:26:10,235 --> 00:26:12,897 He's my patient. 352 00:26:12,971 --> 00:26:16,134 I'm sure he's a good guy. He's probably a great guy. 353 00:26:16,207 --> 00:26:18,607 He's apparently a much better guy than I am. 354 00:26:20,211 --> 00:26:23,078 And some part of me wants him to die. 355 00:26:28,486 --> 00:26:32,980 I'm just not sure if it's because... I want to be with her, 356 00:26:33,058 --> 00:26:36,721 or it's because I want her to suffer. 357 00:26:49,240 --> 00:26:52,937 Hey. Is it okay if I talk to Stacy for a minute? 358 00:26:54,679 --> 00:26:57,170 I'll be just outside, honey. 359 00:27:04,956 --> 00:27:07,151 You two are good together. 360 00:27:07,225 --> 00:27:09,523 You know nothing about Mark. 361 00:27:09,594 --> 00:27:11,653 He took you to Paris. 362 00:27:11,730 --> 00:27:13,721 That's good enough for me. 363 00:27:16,735 --> 00:27:18,794 We never went to Paris. 364 00:27:20,572 --> 00:27:23,803 Your honeymoon. It's been your dream city. 365 00:27:23,875 --> 00:27:27,811 You wanted to go since you were 16. He actually took you. No, I had to work. 366 00:27:27,879 --> 00:27:32,748 We spent the night in New York. Then we went back to Short Hills. What is it? 367 00:27:32,817 --> 00:27:36,913 When did Mark switch from mountain biking to yoga? 368 00:27:36,988 --> 00:27:39,149 About a month ago. 369 00:27:39,224 --> 00:27:41,715 The same time he started getting sick. What does that mean? 370 00:27:41,793 --> 00:27:44,284 We have two more symptoms. 371 00:27:46,498 --> 00:27:50,832 The patient was asked a series of questions to determine the functionality of his brain. 372 00:27:50,902 --> 00:27:54,599 - You grilled him about Stacy. - Whatever. 373 00:27:54,673 --> 00:27:58,370 Yeah, the point is, he told us everything we need to know to diagnose him. 374 00:27:58,443 --> 00:28:01,503 That is, if we use your fancy PET scan as a lie detector. 375 00:28:01,579 --> 00:28:03,570 See, it's a very creative process, lying. 376 00:28:03,648 --> 00:28:08,017 Now, telling the truth is a much simpler process. See here. 377 00:28:08,086 --> 00:28:12,887 Question nine. This is where Mark gives a long, rambling answer about taking Stacy to Paris. 378 00:28:12,957 --> 00:28:17,189 - What does the PET scan say? - Minimal involvement. Just the frontal and temporal lobes. 379 00:28:17,262 --> 00:28:20,425 He said he went to Paris, and the PET confirms it. So, what? 380 00:28:20,498 --> 00:28:23,296 They didn't go. 381 00:28:23,368 --> 00:28:26,303 They didn't go to Paris, and yet Mark's brain apparently thinks... 382 00:28:26,371 --> 00:28:30,102 that he really did spend 40 francs on a tour of the bastille. 383 00:28:30,175 --> 00:28:34,271 So we have an intermittent syndrome that presents with abdominal pain, 384 00:28:34,345 --> 00:28:37,143 polyneuropathy, paranoia... 385 00:28:37,215 --> 00:28:40,616 and delusions. 386 00:28:40,685 --> 00:28:44,212 Now, here's the thing about Acute Intermittent Porphyria. 387 00:28:44,289 --> 00:28:47,747 It'll jump you in a dark alley, beat the crap out of you, leave you bleeding. 388 00:28:47,826 --> 00:28:50,522 But it wears gloves, so no fingerprints. 389 00:28:50,595 --> 00:28:54,292 Doesn't show up in blood tests, urine tests, nothing... 390 00:28:54,365 --> 00:28:57,596 unless you catch it red-handed in the middle of an attack. 391 00:28:57,669 --> 00:29:00,832 But there are other symptoms of A.I.P. 392 00:29:00,905 --> 00:29:03,339 - Such as? - Light sensitivity. 393 00:29:03,408 --> 00:29:06,400 Yeah. One of the true tragedies of this condition... 394 00:29:06,478 --> 00:29:09,641 is it makes you want to stick your cool new mountain bike in the garage... 395 00:29:09,714 --> 00:29:12,114 and take up an indoor sport like, say, yoga. 396 00:29:12,183 --> 00:29:15,118 Start the treatment. Hematin and glucose. 397 00:29:15,186 --> 00:29:18,417 If you give him Hematin now and you're wrong, he dies today. 398 00:29:18,490 --> 00:29:22,085 There's only one way to confirm A.I.P.-- urine sample made during the attack. 399 00:29:22,160 --> 00:29:24,788 And there's no way to predict when he'll have another attack. 400 00:29:24,863 --> 00:29:27,354 Sure there is. 401 00:29:27,432 --> 00:29:30,868 Acute Intermittent Porphyria has very specific triggers. 402 00:29:30,935 --> 00:29:35,031 Barbiturates, alcohol, high levels of protein will set off an attack. 403 00:29:35,106 --> 00:29:38,701 Which trigger do you think set off Mark's? Not the faintest idea. 404 00:29:38,777 --> 00:29:42,008 That's why I'm gonna give him the combo plate. All of it. 405 00:29:42,080 --> 00:29:45,880 So if he has this, and you trigger an attack, the attack makes him worse, right? 406 00:29:45,950 --> 00:29:49,351 Yeah. But then we'll know what it is and we can treat it. 407 00:29:51,823 --> 00:29:57,557 But if I don't have this thing and you give me that shot, what happens? 408 00:29:59,097 --> 00:30:03,193 No idea. If we don't know what's messing up your brain, we don't know how you'll react. 409 00:30:07,906 --> 00:30:11,000 Okay, I-- I need a minute with my husband. 410 00:30:44,509 --> 00:30:47,376 He doesn't want the trigger. 411 00:30:47,445 --> 00:30:51,040 He wants to wait, see if we can come up with another explanation. 412 00:30:52,183 --> 00:30:54,845 If it is A.I.P., how much time does he have? 413 00:30:54,919 --> 00:30:58,753 No idea. Next attack could be fatal. 414 00:30:58,823 --> 00:31:01,451 Could be six months from now. Could be five minutes from now. 415 00:31:02,994 --> 00:31:05,292 I want you to test him. Fine. 416 00:31:05,363 --> 00:31:07,854 I'll send for an H.M.B.-synthase mutation. 417 00:31:07,932 --> 00:31:10,730 Genetic test. Lab will get back to us in a month. 418 00:31:10,802 --> 00:31:13,362 Give him the cocktail, set off an attack. 419 00:31:13,438 --> 00:31:15,963 No. Why not? 420 00:31:16,040 --> 00:31:18,133 Because he doesn't want me to. 421 00:31:18,209 --> 00:31:20,700 I'm not gonna sue you. I'm not gonna report you. 422 00:31:20,778 --> 00:31:22,712 He might. He's paralyzed. 423 00:31:22,780 --> 00:31:25,544 Either you cure him, or he won't be writing any letters. 424 00:31:25,617 --> 00:31:27,778 I'm not gonna do it. Why not? 425 00:31:27,852 --> 00:31:30,218 You keep asking me that question. My answer doesn't change. 426 00:31:30,288 --> 00:31:33,257 I gave him the parameters. It's his call. 427 00:31:36,194 --> 00:31:39,254 You want him to die. I diagnosed him. I did my job. 428 00:31:39,330 --> 00:31:44,131 You want somebody to tie him down and force him into treatment, you're way better at that than I am. 429 00:31:44,202 --> 00:31:48,468 Is that what this is? Payback for your leg? How many times have we been over this? I saved your life. 430 00:31:48,539 --> 00:31:52,771 Yeah, maybe. You're gonna kill my husband to teach me a lesson? 431 00:31:52,844 --> 00:31:55,438 No. He's gonna die 'cause he's too stubborn to make the right choice. 432 00:31:55,513 --> 00:31:57,674 Now we're in your territory. 433 00:31:59,417 --> 00:32:02,545 I'm respecting your husband's decision. I don't see why you've got a problem with that. 434 00:32:02,620 --> 00:32:04,588 Because it's crap. 435 00:32:04,656 --> 00:32:07,591 Because you browbeat patients, intimidate them, lie to them. 436 00:32:07,659 --> 00:32:10,651 If you think you're right, you don't give a damn what they think. 437 00:32:10,728 --> 00:32:13,959 I did what you do all the time. The only difference is, I did it to you. 438 00:32:19,671 --> 00:32:21,866 He'll never forgive you. 439 00:32:23,174 --> 00:32:25,836 Yeah. He will. 440 00:32:39,290 --> 00:32:41,781 Still no change. He's not getting worse? 441 00:32:41,859 --> 00:32:45,386 - No. No change at all. - And that's consistent with A.I.P., right? 442 00:32:45,463 --> 00:32:48,796 Until he has another attack, his condition's stable. Yeah. 443 00:32:48,866 --> 00:32:53,496 - Mark, you've got to. - I don't want to take that test, not until they're sure. 444 00:32:53,571 --> 00:32:56,062 - You don't know Greg. - Not like you do. 445 00:32:57,375 --> 00:32:59,240 I only met him when he drugged me. 446 00:32:59,310 --> 00:33:01,904 Boy, are my ears burning. 447 00:33:01,980 --> 00:33:05,006 - What's that? - Cocktail hour. 448 00:33:05,083 --> 00:33:08,018 Just 'cause you can't hoist a few doesn't mean you should be left out. 449 00:33:08,086 --> 00:33:11,852 - Get away from me. - Mark, if this is what he thinks is wrong with you-- 450 00:33:11,923 --> 00:33:14,187 You trust his judgment more than mine? His medical judgment. 451 00:33:14,258 --> 00:33:16,317 And you'd bet my life on that? I would. 452 00:33:16,394 --> 00:33:18,089 I don't. 453 00:33:18,162 --> 00:33:20,824 Smart. 454 00:33:20,898 --> 00:33:23,389 It's too bad you're paralyzed. 455 00:33:31,943 --> 00:33:34,605 Bing! Paging Dr. Foreman. 456 00:33:35,480 --> 00:33:39,382 Leave the room. It's not your problem. You need the consent from him. 457 00:33:39,450 --> 00:33:42,783 But, Doc, he ain't right in the head. Then you need a court order. 458 00:33:42,854 --> 00:33:46,790 Okay. Then get one. We'll wait here. I won't do nothin'. 459 00:33:50,595 --> 00:33:53,587 Oh! Love the Musketeer thing. 460 00:33:53,664 --> 00:33:56,633 - I got goose bumps. - Give me the syringe. 461 00:33:56,701 --> 00:34:01,536 Please. If you're right, this may be his only shot. 462 00:34:01,606 --> 00:34:05,269 So what's your plan? You take the big dark one, I've got the little girl, 463 00:34:05,343 --> 00:34:08,141 and the Aussie will run like a scared wombat if things turn rough. 464 00:34:15,787 --> 00:34:18,255 I can't do it. 465 00:34:27,899 --> 00:34:30,459 You son of a bitch! 466 00:34:30,535 --> 00:34:32,730 See what I did there? 467 00:34:38,476 --> 00:34:40,910 - When does it happen? - If he had A.I.P., should've already happened. 468 00:34:40,978 --> 00:34:43,344 - Everyone's different. - This is not good. 469 00:34:43,414 --> 00:34:46,577 He could have an embolism, tachycardia, stroke. 470 00:34:46,651 --> 00:34:48,642 What's happening? Two milligrams of Ativan. 471 00:34:48,719 --> 00:34:51,085 Is that an attack? 472 00:34:52,090 --> 00:34:55,457 - Here. - No. You'll pollute the sample. 473 00:34:55,526 --> 00:34:59,121 - Chase, get urine from the catheter. - It's not an attack! He's stroking. 474 00:34:59,197 --> 00:35:01,097 He needs Ativan! 475 00:35:01,165 --> 00:35:04,862 This is not a stroke. The delta-wave burst is just a vasospasm. 476 00:35:04,936 --> 00:35:08,804 - Catheter's out. There's no way to collect the sample. - Heart rate's in the 40s. Bradycardia. 477 00:35:08,873 --> 00:35:11,364 - We're losing him. - Hold him down. - Give him something! 478 00:35:11,442 --> 00:35:14,002 No painkillers. You were wrong. 479 00:35:23,521 --> 00:35:26,820 Straight from the bladder. That's as fresh as it gets. 480 00:35:26,891 --> 00:35:29,724 Would you give him the Ativan already? 481 00:35:29,794 --> 00:35:33,321 He doesn't need to be awake for this. 482 00:35:55,319 --> 00:35:58,186 It's still yellow. 483 00:35:58,256 --> 00:36:00,417 Move. 484 00:36:00,491 --> 00:36:04,587 - What? - You think another light's gonna make the difference? 485 00:36:04,662 --> 00:36:08,325 Organic chem-- more light, more oxidation. 486 00:36:08,399 --> 00:36:10,390 Does that ring any bells? 487 00:36:19,677 --> 00:36:24,137 Start the patient on 150 milligrams glucose, 75 milligrams Hematin. 488 00:36:51,842 --> 00:36:54,834 Hey. Hey. 489 00:36:54,912 --> 00:36:57,938 You wanna thumb wrestle? 490 00:36:58,015 --> 00:37:00,006 Come on. Oh! 491 00:37:03,888 --> 00:37:06,220 He's still a maniac. I know. 492 00:37:30,381 --> 00:37:32,178 Dr. House? 493 00:37:32,250 --> 00:37:34,241 How's he doing? 494 00:37:37,088 --> 00:37:39,022 Never better. 495 00:37:43,928 --> 00:37:45,919 I thought... 496 00:37:45,997 --> 00:37:49,763 you were too screwed up to love anyone. 497 00:37:49,834 --> 00:37:51,825 I was wrong. 498 00:37:53,537 --> 00:37:56,768 You just couldn't love me. 499 00:37:59,443 --> 00:38:01,434 That's good. 500 00:38:03,281 --> 00:38:05,272 I'm happy for you. 501 00:38:50,094 --> 00:38:52,654 You fixed him. 502 00:38:54,565 --> 00:38:56,760 De nada. 503 00:38:56,834 --> 00:38:58,768 Thank you. 504 00:39:00,471 --> 00:39:02,496 You were right. 505 00:39:02,573 --> 00:39:04,404 He's gonna be fine. 506 00:39:04,475 --> 00:39:06,466 No. About me. 507 00:39:08,346 --> 00:39:10,280 I'm not over you. 508 00:39:13,684 --> 00:39:17,211 You were-- You were the one. 509 00:39:17,288 --> 00:39:19,222 You always will be. 510 00:39:23,260 --> 00:39:25,251 But I can't be with you. 511 00:39:34,438 --> 00:39:36,429 So I'm the guy, 512 00:39:37,508 --> 00:39:39,499 but you want the other guy, 513 00:39:39,577 --> 00:39:42,705 who, by definition, can never be the guy. 514 00:39:45,516 --> 00:39:47,916 What's so great about you is you always think you're right. 515 00:39:47,985 --> 00:39:52,081 And what's so frustrating about you is you are right so much of the time. 516 00:39:55,126 --> 00:39:57,060 You are brilliant, 517 00:39:57,128 --> 00:40:00,461 funny, surprising, sexy. 518 00:40:05,803 --> 00:40:10,502 But with you, I was lonely. And with Mark, there's room for me. 519 00:40:14,578 --> 00:40:16,944 Okay. 520 00:41:02,259 --> 00:41:04,853 I want to run something by you. 521 00:41:04,929 --> 00:41:07,796 I will not have sex with you! Not again. 522 00:41:07,865 --> 00:41:10,390 It was miserable that first time. 523 00:41:10,468 --> 00:41:12,561 All that desperate administrative need. 524 00:41:12,636 --> 00:41:17,039 Stacy's husband is going to need close monitoring at the hospital, 525 00:41:17,107 --> 00:41:19,598 and since we can definitely use her back here, 526 00:41:19,677 --> 00:41:22,840 I've offered her a job-- general counsel. 527 00:41:23,981 --> 00:41:25,915 Did she say yes? 528 00:41:25,983 --> 00:41:30,010 She said only if it was okay with you. 529 00:41:32,122 --> 00:41:34,056 Yes or no? 530 00:41:41,031 --> 00:41:43,192 Fine. Good. 531 00:44:04,441 --> 00:44:05,703 Ripped by phaelox for divxstation.com