1 00:00:15,815 --> 00:00:17,612 Hey! 2 00:00:31,297 --> 00:00:32,992 Dr. Sebastian. 3 00:00:35,935 --> 00:00:37,766 Two pallets of antibiotics for tuberculosis. 4 00:00:37,837 --> 00:00:39,828 We've got six pallets worth of patients. 5 00:00:39,906 --> 00:00:42,966 Stoia Tucker needs a math lesson. I'm headed back tomorrow. 6 00:00:43,043 --> 00:00:45,136 Hey! Hey! 7 00:00:49,616 --> 00:00:52,585 Come on, come on. Come on, kids, let the truck through. 8 00:00:59,559 --> 00:01:02,858 BOGALE: Move those boxes quick, quick. Let's move! Hurry, hurry, hurry! 9 00:01:02,929 --> 00:01:04,954 Let's go! Let's go, man! Hurry! 10 00:01:06,533 --> 00:01:10,526 I've got some very special medicine here. It's from Hershey, Pennsylvania. 11 00:01:11,337 --> 00:01:13,032 One per person. One per person. 12 00:01:13,106 --> 00:01:15,006 Let's calm down, kids. Wait, wait. 13 00:01:21,815 --> 00:01:22,804 (BABY CRYlNG) 14 00:01:22,882 --> 00:01:23,940 (WOMAN COUGHlNG) 15 00:01:24,017 --> 00:01:27,350 Help! Help! Dr. Sebastian! Come quickly! 16 00:01:27,887 --> 00:01:32,381 My son, he fell. He fell on this log. We were just waiting for his friends. 17 00:01:34,461 --> 00:01:36,258 (SPEAKlNG lN NATlVE TONGUE) 18 00:01:39,099 --> 00:01:42,899 I got no breath sounds on the left. Give me that. 19 00:01:51,845 --> 00:01:53,676 Yeah, he's gonna be okay. 20 00:01:55,014 --> 00:01:57,505 SEBASTlAN: The fall didn't cause him to drop a lung. 21 00:01:57,584 --> 00:02:00,644 The lung caused him to fall. TB chewed it up. 22 00:02:01,154 --> 00:02:03,349 He'll be lucky to live another year. 23 00:02:03,923 --> 00:02:07,359 This is Sarni. I picked up the tab for the back brace myself. 24 00:02:07,427 --> 00:02:08,621 The funny thing is, 25 00:02:08,695 --> 00:02:11,186 is that the brace cost more than the medicine 26 00:02:11,264 --> 00:02:13,892 that would have prevented her from needing it. 27 00:02:14,100 --> 00:02:15,795 It's your medicine. 28 00:02:15,869 --> 00:02:18,702 All of the antibiotics that we need are right here 29 00:02:19,005 --> 00:02:21,701 in your warehouses, in your factories. 30 00:02:21,774 --> 00:02:24,902 We provide over 10,000 doses a year. Which is not enough. 31 00:02:24,978 --> 00:02:27,139 You know we'd love to do more, but our hands are tied. 32 00:02:27,213 --> 00:02:28,441 New car, Jerry? 33 00:02:28,515 --> 00:02:31,040 I saw it on the way in, looks beautiful. Don't make this personal. 34 00:02:31,117 --> 00:02:33,813 All the way from Germany, too. I know that's a lot of red tape. 35 00:02:33,887 --> 00:02:36,515 I'm not like you. I'm not ashamed of making a living. 36 00:02:36,589 --> 00:02:38,819 And I know you didn't become a chem major for the money. 37 00:02:38,892 --> 00:02:42,328 Now, you want the same things that I want. You just... 38 00:02:43,696 --> 00:02:45,755 You have to... You just have to push a little... 39 00:02:45,832 --> 00:02:48,130 You have to push a little bit harder... 40 00:02:48,201 --> 00:02:50,465 Harder for it. Sebastian? 41 00:02:54,707 --> 00:02:55,867 (CLATTERlNG) 42 00:02:57,243 --> 00:02:58,540 MAN: Call 91 1. 43 00:02:58,845 --> 00:03:00,642 Okay. Is he okay? 44 00:03:00,713 --> 00:03:02,840 Isn't someone here a doctor? 45 00:03:37,717 --> 00:03:38,945 (DOOR OPENS) 46 00:03:42,322 --> 00:03:45,553 Selling subscriptions? I heard 20 and you get a new bike. 47 00:03:45,625 --> 00:03:49,425 Dr. Sebastian Charles collapsed during a presentation at Stoia Tucker. 48 00:03:49,495 --> 00:03:52,589 Really? Crushed under the weight of his own ego? 49 00:03:52,799 --> 00:03:55,700 Wow! Is there nobody you admire? 50 00:03:56,069 --> 00:03:59,800 Well, there is this gal I met in Nam who could blow out a candle without using... 51 00:03:59,872 --> 00:04:01,601 He thinks it's TB. 52 00:04:02,575 --> 00:04:05,738 Good thing he's not the syphilis expert. He wants a second opinion. 53 00:04:05,812 --> 00:04:07,677 Second to his own. Okay. 54 00:04:08,848 --> 00:04:11,749 It's not TB. What is it? 55 00:04:11,918 --> 00:04:13,283 Oh, you want specifics? 56 00:04:14,354 --> 00:04:17,221 Lemma, big Knicks fan. 57 00:04:19,225 --> 00:04:21,455 You've never had an episode like this before? 58 00:04:21,527 --> 00:04:23,427 No. He died last month. 59 00:04:24,097 --> 00:04:26,531 Stupidly tried to share his meds with his cousin, 60 00:04:26,599 --> 00:04:28,692 and they only had enough for one. 61 00:04:29,369 --> 00:04:31,769 Dr. House, I'm Sebastian Charles. 62 00:04:32,939 --> 00:04:36,375 Patients aren't usually part of the diagnostic process. 63 00:04:37,277 --> 00:04:39,370 Well, I'm a doctor. 64 00:04:39,512 --> 00:04:41,503 Listen, I know you guys don't make a lot of money... 65 00:04:41,581 --> 00:04:45,745 I wrote your people a check last month. Oh, well. Write us another one. 66 00:04:45,818 --> 00:04:48,252 Talk to Chase. He's rich. My dad, not me. 67 00:04:48,321 --> 00:04:50,653 Every minute four people die of TB. 68 00:04:50,723 --> 00:04:53,351 Wow! How can you sleep at night? 69 00:04:53,426 --> 00:04:56,054 There's people dying in Africa of a disease that we cured over... 70 00:04:56,129 --> 00:04:58,461 Yeah, I know. I saw the concert. 71 00:04:58,665 --> 00:05:02,829 Seriously. Let's see, you sleep six hours. That means every night you kill 72 00:05:03,136 --> 00:05:04,603 1,440 people. 73 00:05:04,937 --> 00:05:06,928 I guess you got to get some sleep, but come on. 74 00:05:07,006 --> 00:05:10,407 If you'd stayed up another 10 minutes, you could have saved 40 lives. 75 00:05:10,476 --> 00:05:12,137 Do you send notes to the families in the morning? 76 00:05:12,211 --> 00:05:16,807 That's gonna take at least 10 minutes. So that's another 40 dead, another 40 notes. 77 00:05:17,083 --> 00:05:19,677 Why don't you go wrack yourself with guilt in your own room? 78 00:05:19,752 --> 00:05:23,085 No, thanks. I'll stay. I'd like to hear the differential. 79 00:05:23,156 --> 00:05:27,286 Dr. Cameron, tell the doctor why it's not a good idea for the patient to be here. 80 00:05:27,360 --> 00:05:29,521 He's an immunologist and a TB expert. 81 00:05:29,595 --> 00:05:32,758 That'll be very useful if we need somebody to say the words, 82 00:05:32,832 --> 00:05:34,561 "l think it's TB." 83 00:05:36,302 --> 00:05:37,599 What is that? 84 00:05:37,670 --> 00:05:40,138 Oh, that. I'm sorry, that's my body powder. 85 00:05:40,206 --> 00:05:42,401 It's the only thing I've found that works in the Sahara. 86 00:05:42,475 --> 00:05:45,035 I'm kind of used to it. I don't even notice it. 87 00:05:45,111 --> 00:05:47,545 Who thinks it smells like an elephant-dung smoothie? 88 00:05:47,613 --> 00:05:49,137 It smells okay to me. 89 00:05:49,749 --> 00:05:52,217 That is exactly why the patient shouldn't be in the room. 90 00:05:52,285 --> 00:05:54,480 If you can't tell a man that his cologne makes you want to puke, 91 00:05:54,554 --> 00:05:56,351 how are you gonna tell him that he's an idiot? 92 00:05:56,422 --> 00:05:58,253 He's not an idiot. 93 00:05:58,324 --> 00:06:01,225 Sure, you say that now, while he's in the room. 94 00:06:01,294 --> 00:06:04,559 Look, I don't have time for this. It's TB. Nope. 95 00:06:04,664 --> 00:06:06,598 The symptoms are too varied. 96 00:06:06,733 --> 00:06:10,032 Well, if you haven't seen 10,000 cases, I agree that's what you'd think. 97 00:06:10,103 --> 00:06:11,365 I told you he's an idiot. 98 00:06:11,437 --> 00:06:14,406 You said you wanted a second opinion. No, actually, 99 00:06:14,474 --> 00:06:15,998 my backers wanted a second opinion. 100 00:06:16,075 --> 00:06:20,011 Yeah, doesn't look good if you drop dead while wearing your shoe sponsor's logo. 101 00:06:20,079 --> 00:06:23,139 It's TB and I'm not dying. I'm gonna want you to plant a PPD 102 00:06:23,216 --> 00:06:27,676 and induce a sputum to confirm the TB. Imaging studies will determine the progress, 103 00:06:27,754 --> 00:06:31,246 and I think we should probably take a CT scan of my lungs 104 00:06:31,324 --> 00:06:35,055 just so that nobody second guesses us. Wouldn't want that. 105 00:06:35,428 --> 00:06:36,759 (CELL PHONE RlNGlNG) 106 00:06:37,029 --> 00:06:40,430 Hello? No, I'm feeling much better. 107 00:06:42,468 --> 00:06:45,562 Well, what you can do is, you can get your board to approve 108 00:06:45,638 --> 00:06:48,334 the increased med shipments that... Sorry. 109 00:06:50,209 --> 00:06:53,975 No, don't, don't, don't try. No, don't do your best. 110 00:06:55,615 --> 00:06:57,515 Just get it done, okay? 111 00:06:59,852 --> 00:07:02,753 That's Stoia Tucker, and they're the nice pharmaceutical company. 112 00:07:02,822 --> 00:07:06,383 I'm sorry, but it's against hospital regs. Oh, I need the phone. 113 00:07:06,492 --> 00:07:09,427 (PAGER BEEPlNG) Why don't we focus on getting you better right now? 114 00:07:09,495 --> 00:07:12,726 What'll you do, throw me out? No, just the phone. 115 00:07:12,799 --> 00:07:14,892 Sorry. We've got an emergency. 116 00:07:14,967 --> 00:07:16,161 Got to go. 117 00:07:17,003 --> 00:07:20,700 There's a phone in your room. Yeah, I figured that there would be. 118 00:07:21,240 --> 00:07:24,073 Right. I just thought... 119 00:07:24,710 --> 00:07:28,305 It's not like the hospitals you may be used to in Africa. 120 00:07:28,381 --> 00:07:31,475 I don't know what the facilities were like, so... 121 00:07:31,551 --> 00:07:32,643 Thank you. 122 00:07:34,487 --> 00:07:35,818 You're welcome. 123 00:07:35,888 --> 00:07:37,446 And thanks for that check. 124 00:07:37,523 --> 00:07:39,718 (PAGER BEEPlNG) I should go. 125 00:07:44,530 --> 00:07:48,796 The nameless poor have a face, and it's a pompous white man. 126 00:07:50,403 --> 00:07:53,463 Yeah, what a jerk, saving all those lives like that. 127 00:07:53,539 --> 00:07:55,336 What's the emergency? 128 00:07:55,675 --> 00:07:58,166 I can't remember how to do "walk the dog." 129 00:07:58,377 --> 00:08:00,504 The guy's sick, maybe dying. 130 00:08:00,980 --> 00:08:03,414 And you've forgotten all about doing a differential diagnosis. 131 00:08:03,483 --> 00:08:06,646 You just sent us off to test him for... Well, I had to get him out of there. 132 00:08:06,719 --> 00:08:08,812 Now we can all sit around and call him an idiot. 133 00:08:08,888 --> 00:08:10,753 Who wants to go first? CAMERON: He's right. 134 00:08:10,823 --> 00:08:13,223 Tuberculosis could present hundreds of different ways. 135 00:08:13,292 --> 00:08:15,988 Well, by that logic, everyone in the hospital should be treated. 136 00:08:16,062 --> 00:08:19,156 Not everybody in the hospital has been exposed to it for the last 20 years. 137 00:08:19,232 --> 00:08:20,961 TB takes years to kill you. 138 00:08:21,033 --> 00:08:22,625 Two weeks ago, he was perfectly healthy. 139 00:08:22,702 --> 00:08:24,397 Now he's got a whiteboard full of symptoms. 140 00:08:24,470 --> 00:08:28,964 What about something metabolic? Welcome aboard the Good Ship Ass-Kisser. 141 00:08:29,141 --> 00:08:31,405 Nice day for a sail. Pucker up, me hearties. 142 00:08:31,477 --> 00:08:35,811 It's not metabolic. Kidney, liver and thyroid are all normal. No diabetes. 143 00:08:35,915 --> 00:08:39,248 What about his heart? Obviously big as all outdoors. 144 00:08:39,318 --> 00:08:42,754 Abnormal heart rhythm. Wave forms show PR variability. 145 00:08:44,590 --> 00:08:46,285 It's subtle, but it's there. 146 00:08:46,359 --> 00:08:48,418 You think it's his heart? Sick sinus syndrome? 147 00:08:48,494 --> 00:08:51,361 Loose throttle. Sometimes beats too fast, sometimes too slow. 148 00:08:51,430 --> 00:08:54,297 Causing him to pass out. It would account for the episode. 149 00:08:54,367 --> 00:08:56,699 I'll put him on telemetry, do a stress test and an echocardiogram. 150 00:08:56,769 --> 00:08:59,329 Treat him like every other hospital patient. 151 00:08:59,605 --> 00:09:03,701 I want to see that pious, body-powdered tush hanging out of his gown. 152 00:09:09,382 --> 00:09:11,942 Could you give me a hand with this thing? 153 00:09:14,320 --> 00:09:17,687 I don't recall asking for a stress test or an echocardiogram. 154 00:09:18,024 --> 00:09:20,049 What are you gonna do, walk out? 155 00:09:20,993 --> 00:09:23,985 Corporate sponsors aren't gonna like that. 156 00:09:25,898 --> 00:09:27,525 I need your forearm. 157 00:09:28,501 --> 00:09:30,093 What's House thinking? 158 00:09:31,003 --> 00:09:34,962 Sick sinus syndrome. Well, that's a lot more serious than TB. 159 00:09:35,575 --> 00:09:37,167 Is that a PPD? 160 00:09:37,243 --> 00:09:39,211 If it changes color in the next 48 hours... 161 00:09:39,278 --> 00:09:43,612 Yeah, if House doesn't think it's TB, why would he have you test for that? 162 00:09:43,749 --> 00:09:46,684 Just covering all his bases, I guess. 163 00:09:47,119 --> 00:09:48,313 Uh-huh. 164 00:09:49,755 --> 00:09:52,553 He doesn't seem like a guy who does that. 165 00:09:54,627 --> 00:09:59,087 We have you scheduled for a 10:30 echo. Good for you. 166 00:10:00,199 --> 00:10:01,257 (LAUGHlNG) 167 00:10:04,103 --> 00:10:06,628 Every minute that we refuse to love one another, 168 00:10:06,706 --> 00:10:09,140 another puppy cries another tear. 169 00:10:09,709 --> 00:10:12,610 You're just mad because he's closer to a Nobel Prize than you are. 170 00:10:12,678 --> 00:10:16,978 And yet I've nailed more Swedish babes. Crazy, crazy world. 171 00:10:17,650 --> 00:10:20,210 It's not just a trip to Stockholm, you know. 172 00:10:20,286 --> 00:10:22,083 It comes with a cash prize. 173 00:10:22,488 --> 00:10:23,580 Seriously? 174 00:10:24,123 --> 00:10:27,058 No wonder everybody's going after that peace thing. 175 00:10:27,226 --> 00:10:29,023 He cures thousands of people every year. 176 00:10:29,095 --> 00:10:30,892 You cure what, 30? 177 00:10:30,963 --> 00:10:34,990 McDonald's makes a better hamburger than your mother because they make more? 178 00:10:35,067 --> 00:10:36,659 Oh, I see. 179 00:10:36,736 --> 00:10:41,196 So you hate him because the lives he saves aren't as good as the lives you save? 180 00:10:41,273 --> 00:10:43,241 Yeah, that's the reason. 181 00:10:43,309 --> 00:10:46,676 Nobel invented dynamite. I won't accept his blood money. 182 00:10:47,513 --> 00:10:49,003 (WOMAN ON PA) 183 00:10:49,281 --> 00:10:51,681 The top of my head's killing me. 184 00:10:54,487 --> 00:10:57,547 We spent a week doing "top of head" in anatomy. 185 00:10:57,923 --> 00:10:59,618 I know just where it is. 186 00:11:01,193 --> 00:11:02,251 (GROANS) 187 00:11:02,528 --> 00:11:06,259 That is not the top of my head. Close enough for clinic. 188 00:11:06,766 --> 00:11:08,495 Your sinuses are clogged. 189 00:11:09,001 --> 00:11:12,459 Judging by the scratches on your hands, I'm guessing a new cat. 190 00:11:12,705 --> 00:11:15,196 It was my mother's. She's dead. 191 00:11:15,274 --> 00:11:17,139 You keep a dead cat? 192 00:11:17,376 --> 00:11:20,174 No. My mother's dead. 193 00:11:21,947 --> 00:11:23,915 Poor cat. You're allergic. 194 00:11:23,983 --> 00:11:25,814 We can control it with antihistamine. 195 00:11:25,885 --> 00:11:27,853 One pill a day. Pills? 196 00:11:28,854 --> 00:11:31,789 You don't like to swallow. Not surprised. 197 00:11:31,857 --> 00:11:34,655 Forget the pills. We'll give you a nasal spray. 198 00:11:34,727 --> 00:11:35,989 Steroids? 199 00:11:36,395 --> 00:11:39,125 Is there something else you can give me? 200 00:11:40,533 --> 00:11:43,331 Well, if you live by the river, I've got a bag. 201 00:11:44,670 --> 00:11:46,831 Hey. Stress test was normal. 202 00:11:47,506 --> 00:11:50,873 But his EKG was not normal. Echo's normal. 203 00:11:51,310 --> 00:11:54,507 Two for you, one for me. We need a tiebreaker. 204 00:11:54,580 --> 00:11:58,175 Echo and stress tests are more reliable. Tilt table tests. 205 00:11:58,517 --> 00:11:59,882 That never works. 206 00:12:00,386 --> 00:12:02,479 I'll bet you a week's clinic duty it does. 207 00:12:02,955 --> 00:12:04,149 (LAUGHS) 208 00:12:04,223 --> 00:12:05,315 You're on. 209 00:12:08,694 --> 00:12:10,355 You like this guy? 210 00:12:11,130 --> 00:12:14,463 FOREMAN: You always tell us our opinion of the patient's irrelevant. 211 00:12:14,600 --> 00:12:18,127 Medically, it's irrelevant. It says something about you. 212 00:12:18,337 --> 00:12:22,330 You figure anybody who gives a crap about people in Africa must be full of it? 213 00:12:22,408 --> 00:12:23,397 Yes. 214 00:12:24,243 --> 00:12:28,703 There's an evolutionary imperative why we give a crap about our family and friends. 215 00:12:28,914 --> 00:12:32,475 And there's an evolutionary imperative why we don't give a crap about anybody else. 216 00:12:32,551 --> 00:12:35,952 If we loved all people indiscriminately, we couldn't function. 217 00:12:36,021 --> 00:12:39,388 So the great humanitarian's as selfish as the rest of us? 218 00:12:39,558 --> 00:12:41,389 Just not as honest about it. 219 00:12:41,827 --> 00:12:45,263 Well, you also always tell us motives are irrelevant. 220 00:12:45,664 --> 00:12:49,691 Dr. Charles, your heart's handljng the changes jn orjentatjon just fjne. 221 00:12:49,769 --> 00:12:50,997 No pauses on your EKG. 222 00:12:51,070 --> 00:12:55,200 And House drives in for the lay-up and no, rejected! 223 00:12:56,142 --> 00:12:59,236 What does this knobby thing do? I'm within protocol range. 224 00:12:59,311 --> 00:13:00,903 You're not gonna get a different result. 225 00:13:00,980 --> 00:13:04,882 The way I figure it is, this could show you problems at six, 226 00:13:05,284 --> 00:13:07,582 imagine what it'll tell you if you crank it to 10. 227 00:13:07,653 --> 00:13:10,315 House, is that you? Does it go to 1 1? 228 00:13:10,389 --> 00:13:13,790 Would you stop? You lost. I'm scheduled for clinic duty Thursday and Friday. 229 00:13:13,859 --> 00:13:15,588 All right, I'm beginning to feel nauseous. 230 00:13:15,661 --> 00:13:18,095 Would you turn the damn thing off before you break it? 231 00:13:18,164 --> 00:13:20,132 SEBASTlAN: Okay, I'm getting dizzy. 232 00:13:20,199 --> 00:13:22,690 I can't see and I'm gonna pass out. 233 00:13:24,170 --> 00:13:26,968 I win. At those speeds, astronauts throw up. 234 00:13:27,439 --> 00:13:29,464 I'm not talking about the nausea. 235 00:13:29,542 --> 00:13:32,602 The test revealed the problem. Yeah? House is insane? 236 00:13:32,812 --> 00:13:35,474 What he just did... Abusive and unprofessional. 237 00:13:35,548 --> 00:13:38,813 If he hadn't done it, we wouldn't have seen the problem. 238 00:13:39,118 --> 00:13:41,678 You've got an abnormal PR interval. 239 00:13:41,821 --> 00:13:45,188 It could be dangerous, possibly fatal, particularly if you're in Africa 240 00:13:45,257 --> 00:13:46,724 away from advanced medicine. 241 00:13:46,792 --> 00:13:49,022 I'm gonna need a pacemaker? 242 00:13:49,261 --> 00:13:51,661 You're scheduled for surgery this afternoon. 243 00:13:58,037 --> 00:14:00,528 We'll be able to maintain your pacemaker from anywhere. 244 00:14:00,606 --> 00:14:02,836 You just need to get yourself to a phone line every few months. 245 00:14:02,908 --> 00:14:05,934 Better yet, you could join me at one of my clinics. 246 00:14:06,078 --> 00:14:08,774 I'm kind of spoiled. Well, we'll get you a hut with a view. 247 00:14:08,848 --> 00:14:11,282 Do you like sand? I meant medically. 248 00:14:11,617 --> 00:14:14,484 No PET scans, no MRls... This is ridiculous. 249 00:14:14,587 --> 00:14:16,919 Dr. Charles... I know. I know. Hospital regulations. 250 00:14:16,989 --> 00:14:19,355 Darling, have a seat. Come on. 251 00:14:19,425 --> 00:14:21,723 You're smart. You'll adapt. 252 00:14:22,161 --> 00:14:24,425 We're going up or down? Basement. 253 00:14:24,496 --> 00:14:25,690 All right. 254 00:14:25,764 --> 00:14:28,733 You might even find that without the technological crutches, 255 00:14:28,801 --> 00:14:30,359 you become a better diagnostician. 256 00:14:30,436 --> 00:14:31,994 My heart can handle this, right? 257 00:14:32,071 --> 00:14:35,131 So far, just carnival rides have set you off. 258 00:14:36,108 --> 00:14:38,941 When you meet these people, it changes you. 259 00:14:39,745 --> 00:14:41,940 We should talk about it over dinner. 260 00:14:43,515 --> 00:14:46,143 Are you asking me to Africa or on a date? 261 00:14:46,285 --> 00:14:50,745 I can ask you halfway around the world, I can't ask you to a restaurant a block away? 262 00:14:50,823 --> 00:14:54,623 Well, one's a job, and the other's... Yeah, hospital regs. 263 00:14:54,693 --> 00:14:59,630 You can't date patients, right? I wouldn't wanna risk your precious objectivity. 264 00:14:59,932 --> 00:15:03,095 You haven't answered either question, by the way. 265 00:15:03,269 --> 00:15:05,965 You don't think objectivity's important? 266 00:15:06,038 --> 00:15:08,199 I think doctors like House cling to objectivity 267 00:15:08,274 --> 00:15:11,471 Iike a three-year-old to a blanket. Don't get too worked up. 268 00:15:11,543 --> 00:15:15,377 Stay calm. Stay cool and maintain the correct perspective. 269 00:15:15,581 --> 00:15:19,540 The only flaw in their argument is that when you have millions of people dying, 270 00:15:19,618 --> 00:15:23,213 the correct perspective is to be yelling at the top of your lungs. 271 00:15:26,525 --> 00:15:29,790 Sorry. My head is killing me. Here, sit on the step. 272 00:15:35,100 --> 00:15:37,591 So, are you gonna go out with me or not? 273 00:15:38,270 --> 00:15:39,703 Your heart rate's normal. 274 00:15:39,772 --> 00:15:43,469 Yeah, of course it is. It's one flight of stairs. I'm gonna be fine. 275 00:15:45,611 --> 00:15:47,636 Hand's a little... 276 00:15:49,214 --> 00:15:50,476 (VOMlTlNG) 277 00:15:54,253 --> 00:15:57,188 Call a code, second floor stairwell! 278 00:16:04,163 --> 00:16:07,929 You were wrong. Hey, I have feelings. 279 00:16:08,033 --> 00:16:10,627 I'm trying my best. Isn't that enough for you? 280 00:16:10,703 --> 00:16:14,161 The abnormal EKG was real. It's not sick sinus syndrome. 281 00:16:14,239 --> 00:16:17,333 Thank God we found out before we put the pacemaker in. 282 00:16:17,443 --> 00:16:20,879 And thank God you dragged him into a stairwell to get his heart racing. 283 00:16:20,946 --> 00:16:23,244 We were taking the stairs. They keep them in the stairwell. 284 00:16:23,315 --> 00:16:25,283 The guy's a selfish jerk. Why would you... 285 00:16:25,351 --> 00:16:26,648 Why would you say he's selfish? 286 00:16:26,719 --> 00:16:30,086 Because he's been talking to Foreman. No, I haven't. I'm just giving my opinion. 287 00:16:30,155 --> 00:16:32,385 (PHONE RlNGlNG) This kind of altruism doesn't just naturally... 288 00:16:32,458 --> 00:16:33,447 Excellent briefing. 289 00:16:33,525 --> 00:16:35,516 Hey, the guy's still sick. Can we talk about that? 290 00:16:35,594 --> 00:16:38,620 Now, headaches point to a neurological problem. Acoustic neuroma. 291 00:16:38,697 --> 00:16:41,495 A brain tumor causes dizziness, loss of consciousness, 292 00:16:41,567 --> 00:16:43,558 messes with breathing patterns, heart rhythms... 293 00:16:43,635 --> 00:16:44,932 Get an MRl. 294 00:16:45,004 --> 00:16:46,198 HOUSE: Hello? 295 00:16:47,272 --> 00:16:50,799 Oh, I'm sorry. I'll be right down. No problem. 296 00:16:50,876 --> 00:16:53,037 I'll do an extra hour to make up. 297 00:16:54,146 --> 00:16:56,444 I'm late for my clinic duty. 298 00:16:56,515 --> 00:16:59,143 Here, go be me for a couple of hours. 299 00:17:03,322 --> 00:17:06,814 Explosive diarrhea, fever, it's probably the flu. 300 00:17:06,925 --> 00:17:10,861 Wow. You're good. You a Harvard boy? 301 00:17:11,363 --> 00:17:14,457 You're not Hill, Oliver. No. 302 00:17:14,666 --> 00:17:16,566 Carter, Cecelia. 303 00:17:16,802 --> 00:17:19,999 They put you in the wrong room, Cecelia. Mrs. Carter. 304 00:17:20,339 --> 00:17:21,328 Sorry. 305 00:17:22,341 --> 00:17:23,672 I'll just be a few more minutes. 306 00:17:23,742 --> 00:17:25,903 Don't take these in order, everything falls apart. 307 00:17:25,978 --> 00:17:27,240 I have cancer. 308 00:17:28,847 --> 00:17:30,109 I felt a lump. 309 00:17:30,716 --> 00:17:33,708 I'll go get a nurse. Yeah, see you in an hour or two. 310 00:17:36,155 --> 00:17:37,452 Lie flat. 311 00:17:41,827 --> 00:17:45,092 Lift your left arm up and under your head. 312 00:17:50,269 --> 00:17:51,964 Right there? Yeah. 313 00:17:52,071 --> 00:17:53,971 I felt it this morning. 314 00:17:54,206 --> 00:17:56,902 Oh, my cousin had the same thing. 315 00:17:57,943 --> 00:17:58,967 It's nothing. 316 00:17:59,044 --> 00:18:00,841 We should check it again on your next cycle, 317 00:18:00,913 --> 00:18:03,438 but you really don't have anything to worry about. 318 00:18:03,515 --> 00:18:05,039 That's what they told Donna. 319 00:18:05,117 --> 00:18:08,143 She was dead in six months. Listen, the edges are smooth. 320 00:18:08,220 --> 00:18:10,620 It has mobility. It has all the earmarks of a benign... 321 00:18:10,689 --> 00:18:12,680 Why should I believe you? 322 00:18:12,958 --> 00:18:15,426 Because you're trying to rush me out of here? 323 00:18:15,494 --> 00:18:18,429 The risks of a false positive on a biopsy outweigh... 324 00:18:18,497 --> 00:18:21,864 Either you do the biopsy, or I talk to your superior. 325 00:18:22,134 --> 00:18:25,331 Which is it, Dr. House? 326 00:18:28,307 --> 00:18:30,867 I'll arrange the biopsy. Thanks. 327 00:18:40,219 --> 00:18:43,916 CAMERON: He asked me out. I'm shocked. 328 00:18:45,858 --> 00:18:48,383 I'm shocked when patients don't ask you out. 329 00:18:51,196 --> 00:18:53,687 He also asked me to come to Africa. 330 00:18:54,733 --> 00:18:56,598 Boy, he moves fast. 331 00:18:56,768 --> 00:18:59,293 I think the two questions had two different objectives. 332 00:18:59,371 --> 00:19:03,467 Do you like him? Good-looking single guy, genius doctor, 333 00:19:03,909 --> 00:19:06,935 cares about the world. I take it you said no. 334 00:19:07,012 --> 00:19:10,038 You think I'm that hung up on rules? He's not House. 335 00:19:10,649 --> 00:19:12,241 There's nothing there. 336 00:19:19,458 --> 00:19:21,323 Yeah, there is. 337 00:19:23,028 --> 00:19:25,019 Did I ask you to plant a PPD? 338 00:19:25,097 --> 00:19:27,190 It was positive. He's got TB! 339 00:19:27,266 --> 00:19:31,293 Well, of course he's got TB. The guy's been in the jungle for 20 years. 340 00:19:32,971 --> 00:19:36,304 If he tested positive for pinkeye, would you think that was his big problem? 341 00:19:36,375 --> 00:19:38,900 I did a test. It was positive. Why is that a problem? 342 00:19:38,977 --> 00:19:41,468 Because now he's got the big red target on his arm, 343 00:19:41,547 --> 00:19:44,311 the stubborn jerk thinks he's right. He won't let us do any more tests. 344 00:19:44,383 --> 00:19:46,749 Well, maybe he's not the only stubborn jerk. 345 00:19:46,818 --> 00:19:50,219 I did an LP, too. Low glucose, and he has an increased sed rate. 346 00:19:50,289 --> 00:19:53,417 Everything screams tuberculosis! Not everything! 347 00:19:53,525 --> 00:19:57,757 If any of the symptoms are caused by the TB, it would throw off our diagnosis. 348 00:20:02,267 --> 00:20:05,725 You're right. We gotta treat the TB. 349 00:20:07,172 --> 00:20:09,834 Who knows? Maybe he'll just get better. 350 00:20:09,975 --> 00:20:11,909 You'd like that, wouldn't you? 351 00:20:20,452 --> 00:20:23,615 So, it's TB, but not TB? 352 00:20:23,956 --> 00:20:27,892 I'm complicated. The guy does know tuberculosis. 353 00:20:27,960 --> 00:20:30,326 If he says it can manifest... The guy's not even a real doctor. 354 00:20:30,395 --> 00:20:33,330 He's a human telethon. Is that your problem with him? 355 00:20:33,398 --> 00:20:35,798 You see hypocrites every day. Why is this guy so special? 356 00:20:35,867 --> 00:20:38,495 You think I have a hypocritical attitude to hypocrisy? 357 00:20:38,570 --> 00:20:42,233 The problem is, there are 26 letters in the alphabet and he only uses two of them. 358 00:20:42,307 --> 00:20:44,434 He treats thousands of patients with one diagnosis. 359 00:20:44,509 --> 00:20:46,500 He knows the answer going in. It's cheating. 360 00:20:46,578 --> 00:20:50,446 So it's all because he's one of them useless specialists? 361 00:20:51,550 --> 00:20:55,350 Oh, did I hurt the big-time oncologist's itty-bitty feelings? 362 00:20:55,420 --> 00:20:58,184 HOUSE: You're a big help to patients who actually have cancer. 363 00:20:58,257 --> 00:21:01,522 Other times you're just annoying. You've outdone yourself. 364 00:21:01,727 --> 00:21:04,855 I'll say. My salad's covering a free T-bone steak. 365 00:21:05,063 --> 00:21:07,190 Cecelia Carter, remember her? 366 00:21:07,266 --> 00:21:09,791 Last week they said it was mystery stew. They owe me. 367 00:21:09,868 --> 00:21:13,326 She was just in my office crying because of the way you treated her. 368 00:21:13,405 --> 00:21:14,895 That doesn't sound like you. 369 00:21:14,973 --> 00:21:16,634 Then it probably wasn't. 370 00:21:16,708 --> 00:21:19,541 I get that you like to shock people, 371 00:21:19,745 --> 00:21:22,942 stun them out of complacency, out of stupidity. 372 00:21:23,248 --> 00:21:25,239 But this woman thought she had cancer. 373 00:21:25,317 --> 00:21:28,616 She had a lump in her breast. What were you trying to accomplish? 374 00:21:28,687 --> 00:21:32,054 Let me ask you something. If this were another doctor, 375 00:21:32,324 --> 00:21:35,953 if the patient were complaining about, let's say, I don't know, Foreman, 376 00:21:36,028 --> 00:21:39,794 you'd just dismiss this as the paranoid bitching of another paranoid bitch. 377 00:21:39,865 --> 00:21:42,197 And file it under "P" for... Paranoid? 378 00:21:42,401 --> 00:21:43,629 Am not. 379 00:21:45,404 --> 00:21:46,803 You're right. Good. 380 00:21:46,872 --> 00:21:50,069 Apologize to her before the end of business today. 381 00:21:52,210 --> 00:21:55,043 What did you do to Ceci? I have no idea. 382 00:21:55,580 --> 00:21:58,174 Just the salad today. Big breakfast. 383 00:21:58,283 --> 00:21:59,409 Hey. 384 00:22:03,155 --> 00:22:04,622 Levofloxacin? 385 00:22:05,657 --> 00:22:07,818 You have a resistant strain of TB. 386 00:22:08,694 --> 00:22:12,528 Wow, you just walk right in with these. That's what we doctors do. 387 00:22:12,597 --> 00:22:16,055 We write down the name of some medicine, and someone gives it to us. 388 00:22:16,134 --> 00:22:20,594 You know, there's parts of the world where you get knifed walking around with this. 389 00:22:21,139 --> 00:22:23,699 I mean, the regular stuff is bad enough, 390 00:22:24,042 --> 00:22:26,510 but the treatment for the resistant strain? 391 00:22:26,645 --> 00:22:27,737 (WHlSTLES) 392 00:22:29,581 --> 00:22:31,913 They get $6 a tablet for that. 393 00:22:32,217 --> 00:22:34,447 And I take it for two years. 394 00:22:35,087 --> 00:22:38,079 Streptomycin. Now, that's two grand. 395 00:22:40,492 --> 00:22:42,426 Ten grand, cure one person. 396 00:22:49,468 --> 00:22:52,835 I had a patient in Djani once. 397 00:22:53,939 --> 00:22:58,603 It was a mother, had three little boys. 398 00:22:58,977 --> 00:23:00,911 She had resistant TB. 399 00:23:02,481 --> 00:23:04,711 She couldn't afford these. 400 00:23:04,916 --> 00:23:06,907 She couldn't afford bread. 401 00:23:08,286 --> 00:23:10,846 We gave her the regular stuff, but 402 00:23:13,158 --> 00:23:16,184 no surprise, she died. Sorry. 403 00:23:26,671 --> 00:23:28,468 I'm not taking these pills. 404 00:23:30,108 --> 00:23:33,407 Because she couldn't get them, you're not gonna take them? 405 00:23:33,645 --> 00:23:35,112 That's insane. Why? 406 00:23:35,180 --> 00:23:37,876 'Cause I'm better than her? Because letting her die was wrong, 407 00:23:37,949 --> 00:23:40,440 but letting you die is just as wrong. 408 00:23:41,486 --> 00:23:42,885 Maybe I won't die. 409 00:23:43,688 --> 00:23:46,987 Maybe somebody will pay a little more attention to my story. 410 00:23:52,998 --> 00:23:54,795 He figures the pharmaceutical companies 411 00:23:54,866 --> 00:23:56,561 (PHONE RlNGlNG) need something big to force them into action. 412 00:23:56,635 --> 00:23:59,968 This'll get a lot more media play than 1,000 African villagers dying. 413 00:24:00,038 --> 00:24:01,528 So, he won't take the pills. 414 00:24:01,606 --> 00:24:04,404 Newsweek's calling you. And he won't agree to any more tests. 415 00:24:04,476 --> 00:24:05,568 He has his diagnosis. 416 00:24:05,644 --> 00:24:07,043 See what happens when you don't listen to me? 417 00:24:07,112 --> 00:24:08,977 Maybe millions of lives get saved. 418 00:24:09,047 --> 00:24:11,038 Yeah. That's my point. 419 00:24:11,116 --> 00:24:13,380 Increased heart rate, night sweats, 420 00:24:13,452 --> 00:24:17,388 Ioss of consciousness. Besides rough sex, what do they all have in common? 421 00:24:17,456 --> 00:24:19,014 T... It's not TB! 422 00:24:19,157 --> 00:24:20,624 His autonomic nervous system? 423 00:24:20,692 --> 00:24:24,150 We know that it's not a brain tumor. So what else could be eating his nerves? 424 00:24:24,229 --> 00:24:26,390 Fabry's. Autonomic dysregulation syndrome. 425 00:24:26,465 --> 00:24:30,196 Shy-Drager syndrome. It doesn't matter. He won't let us test him. 426 00:24:31,303 --> 00:24:33,066 (PHONE RlNGlNG) 427 00:24:35,307 --> 00:24:38,902 In my opinion, Dr. Sebastian Charles is an idiot. 428 00:24:39,311 --> 00:24:43,270 Yeah, you can quote me. C-U-D-D-Y. 429 00:24:45,851 --> 00:24:49,082 Sebastian is refusing life-saving treatment. 430 00:24:49,154 --> 00:24:53,022 He's refusing TB treatment. You don't think he has TB. 431 00:24:53,091 --> 00:24:56,117 Ergo, you should care less. He won't let me test him. 432 00:24:56,194 --> 00:24:59,220 And what do you want me to do about it? Hold him down. 433 00:24:59,297 --> 00:25:02,095 Have you apologized to Cecelia Carter yet? 434 00:25:02,667 --> 00:25:04,794 Trust me, she doesn't wanna hear from me. 435 00:25:04,870 --> 00:25:06,269 Look, the guy is killing himself! 436 00:25:06,338 --> 00:25:08,772 Am I the only one who realizes this is a bad thing? 437 00:25:08,840 --> 00:25:13,106 If he was a Christian Scientist refusing meds, we'd have 18 attorneys... 438 00:25:15,380 --> 00:25:17,245 You're putting on makeup. 439 00:25:17,849 --> 00:25:20,181 That's not a good sign for my side, is it? 440 00:25:20,252 --> 00:25:23,551 Sebastian has called a press conference for 3:00. 441 00:25:23,722 --> 00:25:27,283 He's asked me to be there to confirm the diagnosis and the prognosis. 442 00:25:27,359 --> 00:25:29,987 You are as big a media whore as he is. 443 00:25:30,061 --> 00:25:33,929 Of course I am. It couldn't possibly be that I think he's right, 444 00:25:34,032 --> 00:25:36,296 and that I'd like to be a small part of what he's doing. 445 00:25:36,368 --> 00:25:40,168 Oh, whores can like the sex. Doesn't mean they're not whores. 446 00:25:40,438 --> 00:25:44,602 And with that eye shadow, I am totally screwed, aren't l? 447 00:25:44,776 --> 00:25:46,038 Totally. 448 00:25:49,915 --> 00:25:52,440 CAMERON: How you feeling? A little weak. 449 00:25:52,517 --> 00:25:54,314 You're having a good day. 450 00:25:55,520 --> 00:25:58,580 The symptoms will quickly focus more and more on your lungs. 451 00:25:58,657 --> 00:26:00,921 You'll find it difficult to talk and eventually breathe at all. 452 00:26:00,992 --> 00:26:02,857 I think I know what I'll have to look forward to. 453 00:26:02,928 --> 00:26:03,917 I know. 454 00:26:04,563 --> 00:26:07,430 I just came to ask if you'd be willing to accept any treatment. 455 00:26:07,499 --> 00:26:12,232 No, if you're trying to scare me into... No. Palliative treatment. 456 00:26:13,004 --> 00:26:14,198 Narcotics. 457 00:26:14,272 --> 00:26:17,241 Fentanyl patch, morphine drip, whatever it takes. 458 00:26:17,375 --> 00:26:20,367 We can make your last days fairly comfortable. 459 00:26:21,379 --> 00:26:25,008 And if you have another good day, maybe dinner. 460 00:26:28,486 --> 00:26:29,851 Thank you. 461 00:26:40,031 --> 00:26:43,899 You want Third World treatment? You got it. 462 00:26:44,369 --> 00:26:47,429 Boy, is it hot here in Djani. What are you doing? 463 00:26:47,505 --> 00:26:48,870 What am I doing? 464 00:26:48,940 --> 00:26:51,465 Putting everything on the floor of the hut. 465 00:26:52,344 --> 00:26:54,505 What's the magic box with the moving pictures? 466 00:26:54,579 --> 00:26:56,740 You think he's a hypocrite? Hypocrite? No. 467 00:26:56,815 --> 00:27:00,046 Everybody in Africa's got cell phones and running water. 468 00:27:03,054 --> 00:27:05,488 This thing just will not flush. 469 00:27:05,557 --> 00:27:08,754 Do you really think that if you come in here and make it a little hot, 470 00:27:08,827 --> 00:27:10,021 make it smell a little, 471 00:27:10,095 --> 00:27:13,758 that I'm just gonna fold and abandon everything that matters to me? 472 00:27:15,200 --> 00:27:17,361 Lousy sanitation over there, too. 473 00:27:17,869 --> 00:27:20,736 You are not the same as them. Your life is not the same. 474 00:27:20,805 --> 00:27:23,535 And you're cheapening everything they're going through by pretending you are. 475 00:27:23,608 --> 00:27:25,075 I am the same. I'm not special. 476 00:27:25,143 --> 00:27:28,544 You can't demand to be treated like any Third World sick person 477 00:27:28,613 --> 00:27:31,707 and call a press conference! They treat me special! 478 00:27:32,050 --> 00:27:33,950 That doesn't mean I am. 479 00:27:34,886 --> 00:27:38,549 And what kind of selfish jerk wouldn't take advantage of that fact? 480 00:27:53,638 --> 00:27:55,435 It's all preventable. 481 00:27:55,707 --> 00:27:59,108 Stoia Tucker makes medications right here in New Jersey. 482 00:27:59,177 --> 00:28:02,874 They have warehouses full of the stuff. There's more than enough to go around. 483 00:28:02,947 --> 00:28:06,041 So if I can get them, why can't Lemma? 484 00:28:06,818 --> 00:28:10,276 Why can't Quesmo? And why can't Sarni? 485 00:28:13,491 --> 00:28:17,518 Another person just died. Where is your outrage? 486 00:28:17,829 --> 00:28:20,559 SEBASTlAN: No, I have no jntentjon of martyrjng myself. 487 00:28:20,632 --> 00:28:21,724 I'm just puttjng myself... 488 00:28:21,800 --> 00:28:24,598 Sure, they're dying, but it's got a great beat. 489 00:28:25,303 --> 00:28:27,965 Must be hot as hell under those lights. Yep. 490 00:28:28,039 --> 00:28:29,870 Hey, why the page? 491 00:28:29,974 --> 00:28:32,909 He okay? He's in a coma. 492 00:28:33,578 --> 00:28:36,911 I need you to apologize to Ceci, Cecily. 493 00:28:36,981 --> 00:28:40,815 Mrs. Carter? For what? For whatever I did. 494 00:28:40,952 --> 00:28:43,944 You didn't do anything. That has been my position all along. 495 00:28:44,022 --> 00:28:47,048 CUDDY: Hjs chest x-rays are negatjve, so he's not contagjous at thjs pojnt. 496 00:28:47,125 --> 00:28:48,649 Hjs condjtjon js currently stable. 497 00:28:48,727 --> 00:28:52,561 Do you ever notice how all the self-sacrificing women in history, 498 00:28:52,764 --> 00:28:55,289 Joan of Arc, Mother Teresa, 499 00:28:56,167 --> 00:28:58,931 can't think of any others, they all die alone. 500 00:28:59,037 --> 00:29:03,064 The men, on the other hand, get so much fuzz it's crazy. 501 00:29:03,141 --> 00:29:04,631 It's an unfair world. 502 00:29:04,709 --> 00:29:09,373 House, she was scared and unreasonable. Insulting a woman with breast cancer, 503 00:29:09,547 --> 00:29:14,382 that's a move best left to the pros. Frankly, you don't have the chops. 504 00:29:14,486 --> 00:29:19,048 I didn't insult her! I did the unnecessary biopsy like she wanted. 505 00:29:19,124 --> 00:29:21,058 It was negative like I knew it would be. 506 00:29:21,126 --> 00:29:23,117 What'd you do, call them perky? 507 00:29:23,261 --> 00:29:26,753 You are years away from mad skills like that. 508 00:29:26,831 --> 00:29:28,765 I need you to apologize. 509 00:29:29,734 --> 00:29:32,635 Cuddy's only doing this because she thinks it's you. 510 00:29:32,737 --> 00:29:34,534 Welcome to the world. 511 00:29:34,806 --> 00:29:37,240 Everyone's different, everyone gets treated different. 512 00:29:37,308 --> 00:29:40,277 And you try fighting that, you wind up dying of TB. 513 00:29:42,380 --> 00:29:43,540 What are you doing? 514 00:29:43,615 --> 00:29:46,311 Testing the patient's autonomic nervous system. 515 00:29:47,418 --> 00:29:51,184 Of course. His internal heating and ventilation should be off. 516 00:29:51,256 --> 00:29:52,689 He shouldn't be able to sweat. 517 00:29:52,757 --> 00:29:54,952 That's why he's got that awful body powder. 518 00:29:55,026 --> 00:29:58,325 Take it away, crank up the heat, stick him under the lights, 519 00:29:58,863 --> 00:30:02,162 he can't cool himself. He should be turning bright red. 520 00:30:02,233 --> 00:30:03,700 The picture's fine. 521 00:30:06,404 --> 00:30:07,462 SEBASTlAN: Yeah. 522 00:30:12,577 --> 00:30:14,169 I'm askjng Stoja Tucker 523 00:30:14,245 --> 00:30:16,873 to save these lives, millions of lives, 524 00:30:16,948 --> 00:30:18,813 including my own. 525 00:30:19,217 --> 00:30:21,981 Dr. House, I would appreciate it if you left us... 526 00:30:22,053 --> 00:30:25,284 Get that out of my face. CUDDY: What are you tryjng to prove, House? 527 00:30:25,356 --> 00:30:27,984 SEBASTlAN: Dr. House, I would apprecjate jt jf you left the room whjle... 528 00:30:28,059 --> 00:30:29,390 He's sweating like a pig. 529 00:30:29,460 --> 00:30:31,928 It's 1 00 degrees in here, House, because you turned up the thermostat. 530 00:30:31,996 --> 00:30:34,760 Did they hear me? The media, did they listen? 531 00:30:34,833 --> 00:30:37,427 He's disoriented. They have to hear me. 532 00:30:37,502 --> 00:30:40,528 His arteries are clamping down. I want everybody out of here now! 533 00:30:40,605 --> 00:30:42,368 Get the crash cart. He's having a cardiac arrest. 534 00:30:42,440 --> 00:30:43,998 CUDDY: Get it set up. CAMERON: All right. 535 00:30:44,175 --> 00:30:45,335 Get them out! 536 00:30:46,277 --> 00:30:48,745 Everyone. I want everyone out of here now! 537 00:30:48,847 --> 00:30:50,610 (BEEPlNG) 538 00:30:53,084 --> 00:30:54,176 Clear. 539 00:30:58,523 --> 00:31:00,457 Come on, Sebastian. 540 00:31:00,525 --> 00:31:01,514 Clear. 541 00:31:02,594 --> 00:31:04,221 I've got sinus rhythm. 542 00:31:09,567 --> 00:31:11,091 (CAMERAS CLlCKlNG) 543 00:31:14,706 --> 00:31:19,040 That js not TB. Compelling television. 544 00:31:22,747 --> 00:31:26,979 Do whatever tests you want. I want to treat you for TB. 545 00:31:28,052 --> 00:31:31,954 Dr. Cameron found low sugar in your cerebrospinal fluid. 546 00:31:32,090 --> 00:31:35,856 It's a classic finding of TB. Oh, now you think TB's the problem? 547 00:31:36,394 --> 00:31:37,725 No. 548 00:31:37,795 --> 00:31:40,457 If TB caused cardiac arrest on a hot day, 549 00:31:40,531 --> 00:31:43,466 your work in Africa would be even more futile than it already is. 550 00:31:43,534 --> 00:31:45,331 Can you get to your point, please? 551 00:31:45,403 --> 00:31:49,032 That whiteboard in my office, we're up to about a dozen symptoms now. 552 00:31:49,107 --> 00:31:51,803 Cardiac arrest, clearly not TB. 553 00:31:52,043 --> 00:31:54,204 CSF sugar clearly is TB. 554 00:31:54,379 --> 00:31:56,506 The rest of them could go either way. 555 00:31:56,581 --> 00:31:59,812 Unless we know which ones are which, I can't diagnose you. 556 00:32:03,788 --> 00:32:07,485 I'll take any other tests or treatments you might want to prescribe. 557 00:32:10,895 --> 00:32:13,420 So you're not special, but TB is. 558 00:32:13,498 --> 00:32:16,592 People die of TB because we let them. It's our choice. 559 00:32:16,734 --> 00:32:20,067 People die of malaria because we let them. They die of dysentery. They... 560 00:32:20,138 --> 00:32:23,699 No, TB's my disease. You own a disease? 561 00:32:24,442 --> 00:32:27,343 Well, I'm sorry I missed the lPO on dengue fever. 562 00:32:27,645 --> 00:32:31,775 Look, I know I have a way about me, and I know I piss a lot of people off. 563 00:32:31,883 --> 00:32:34,010 And a whole lot more I just annoy. 564 00:32:34,185 --> 00:32:36,210 But you're the first person that I've ever met 565 00:32:36,287 --> 00:32:38,915 who I think is actually annoyed by what I do. 566 00:32:39,157 --> 00:32:42,991 Do you think I'm not saving any lives, or is that a bad thing? 567 00:32:43,061 --> 00:32:45,586 Right now, I'm just trying to save your life. 568 00:32:45,663 --> 00:32:48,029 Or do you just have a problem with hope? 569 00:32:50,468 --> 00:32:54,427 You know, the difference between our jobs is not numbers or styles. 570 00:32:54,572 --> 00:32:58,338 It's that I know I'm gonna fail. Even if I save a million people, 571 00:32:58,409 --> 00:33:02,505 there's gonna be another million. You couldn't handle that. 572 00:33:03,581 --> 00:33:05,708 I think you resent anyone who can. 573 00:33:06,250 --> 00:33:09,151 Can't we just agree that you're incredibly annoying? 574 00:33:09,520 --> 00:33:11,852 Take the pills, or I'll let you die, 575 00:33:11,923 --> 00:33:14,414 do an autopsy, call my own press conference 576 00:33:14,592 --> 00:33:17,561 and make sure the world knows that you didn't die of TB. 577 00:33:17,628 --> 00:33:21,189 Corporate sponsors will be disappointed, but they'll find another disease. 578 00:33:21,265 --> 00:33:22,892 Why would you do that? 579 00:33:23,167 --> 00:33:25,533 Because I'm just a mean son of a bitch. 580 00:34:34,839 --> 00:34:39,776 So, we still have to explain PR variability, syncope, headaches 581 00:34:40,178 --> 00:34:41,475 and 582 00:34:42,713 --> 00:34:43,737 Iow sugar? 583 00:34:43,815 --> 00:34:46,545 That was classic TB. Apparently not. 584 00:34:46,784 --> 00:34:49,116 You rerun the test? Yeah. 585 00:34:49,921 --> 00:34:52,981 This is good. Good? This is bizarre. 586 00:34:53,057 --> 00:34:54,422 "Bizarre" is good. 587 00:34:55,093 --> 00:34:58,324 "Common" has hundreds of explanations. "Bizarre" has hardly any. 588 00:34:58,396 --> 00:35:01,092 What else could cause low CSF sugar? 589 00:35:01,399 --> 00:35:02,957 I get to ask the questions. 590 00:35:03,034 --> 00:35:06,868 I've found you look a lot smarter asking questions than dumbly not answering them. 591 00:35:06,938 --> 00:35:09,668 High insulin levels in his blood. They'd have to be very high. 592 00:35:09,740 --> 00:35:12,402 Okay, very high insulin levels in his blood. 593 00:35:12,477 --> 00:35:14,308 How could he get high insulin levels? 594 00:35:14,378 --> 00:35:17,176 We've checked daily blood sugars, all normal. 595 00:35:17,248 --> 00:35:20,012 See how smart she looks? 'Cause she asked the question. 596 00:35:20,084 --> 00:35:23,076 And it's not glucagonoma because he has no rash. 597 00:35:23,187 --> 00:35:26,247 It's not self-induced because he's not an idiot. 598 00:35:26,390 --> 00:35:30,588 And it's not a tumor because the CT and the MRl were both negative. 599 00:35:30,661 --> 00:35:32,424 Which just leaves tumor. 600 00:35:37,001 --> 00:35:39,595 Why do you do this? Why do you ignore what I say like I'm not even... 601 00:35:39,670 --> 00:35:42,104 Small tumor. Really, really tiny. 602 00:35:42,173 --> 00:35:43,640 So small we can't see it. 603 00:35:43,708 --> 00:35:45,471 Nesidioblastoma. 604 00:35:45,543 --> 00:35:48,740 An abnormal growth of the insulin-secreting cells in his pancreas? 605 00:35:48,813 --> 00:35:51,976 That only intermittently secrets insulin... HOUSE: In response to stress, 606 00:35:52,049 --> 00:35:56,782 Iike if, I don't know, if someone accidentally puts the mechanical bull on 1 1. 607 00:35:56,954 --> 00:35:59,252 Easily removed by surgery. 608 00:35:59,323 --> 00:36:02,622 Except if it's so small we can't see it, 609 00:36:02,693 --> 00:36:04,251 how are we even gonna prove it's there? 610 00:36:04,328 --> 00:36:05,920 She asked, looking clever. 611 00:36:05,997 --> 00:36:09,933 Just start hacking away at his pancreas until he gets better? 612 00:36:10,001 --> 00:36:12,162 How do you prove something exists when you can't see it? 613 00:36:12,236 --> 00:36:15,034 Does God exist? Does the wind blow? 614 00:36:15,139 --> 00:36:18,165 We know because the leaves move. Look for effects. 615 00:36:18,743 --> 00:36:20,938 You should look the other way. 616 00:36:21,045 --> 00:36:23,070 There's Cuddy with your patient. CUDDY: Dr. House! 617 00:36:23,147 --> 00:36:25,115 Dr. House has an emergency. 618 00:36:25,850 --> 00:36:28,978 We can't avoid her forever. Eventually she'll die. 619 00:36:29,220 --> 00:36:31,017 You sure she doesn't have breast cancer? 620 00:36:31,856 --> 00:36:33,585 HOUSE: We think you have a tumor. 621 00:36:33,724 --> 00:36:37,387 Easily removed surgically. We're gonna poke it with a stick. 622 00:36:37,562 --> 00:36:40,725 And if there's no tumor? Nothing happens. 623 00:36:42,099 --> 00:36:45,034 HOUSE: Splenic artery, it's a hard left off the celiac. 624 00:36:46,571 --> 00:36:48,061 If there is a tumor? 625 00:36:48,573 --> 00:36:51,235 What usually happens when you poke something with a stick? 626 00:36:51,309 --> 00:36:52,435 Pokes back. 627 00:36:52,710 --> 00:36:54,803 He's stuck in the superior mesenteric. 628 00:36:55,746 --> 00:36:58,738 I knew we should have stopped for directions. Men! 629 00:36:59,750 --> 00:37:00,842 I'm there. 630 00:37:01,686 --> 00:37:04,348 We're gonna inject calcium into your pancreas. 631 00:37:05,122 --> 00:37:07,113 The beta cells will release insulin. 632 00:37:07,191 --> 00:37:09,682 If there are too many beta cells because of a tumor, 633 00:37:09,760 --> 00:37:12,388 your blood sugar will drop precipitously. 634 00:37:13,030 --> 00:37:15,191 How do we know it won't go too low? 635 00:37:15,266 --> 00:37:17,632 Fingers and toes crossed. 636 00:37:19,303 --> 00:37:20,565 HOUSE: Go ahead. 637 00:37:34,118 --> 00:37:36,678 Glucose is holding steady at 75. 638 00:37:37,622 --> 00:37:42,559 No leaves rustling. Blow harder. I already gave him one amp. 639 00:37:42,660 --> 00:37:46,255 Well, I guess now would be the time to give him more than one amp. 640 00:37:58,242 --> 00:38:01,507 CAMERON: Fifty. It's starting to drop. 641 00:38:04,048 --> 00:38:07,575 Forty-five. I think my arm's shaking. 642 00:38:08,619 --> 00:38:10,951 I'm gonna start him on a glucose drip. He's gonna seize. 643 00:38:11,022 --> 00:38:12,114 Not yet. 644 00:38:13,858 --> 00:38:17,089 FOREMAN: It's continuing to drop. HOUSE: Not fast enough. 645 00:38:24,835 --> 00:38:27,326 CAMERON: He's seizing. We've got to reverse this. 646 00:38:29,173 --> 00:38:33,576 He's at 40, 38, 35. 647 00:38:33,644 --> 00:38:35,339 (ACCELERATED BEEPlNG) 648 00:38:41,485 --> 00:38:44,750 Push an amp of D50. You want to kill the guy? 649 00:38:53,864 --> 00:38:55,627 CAMERON: We're back to 40. 650 00:38:57,101 --> 00:39:00,400 Congratulations. You have a tumor. 651 00:39:05,142 --> 00:39:07,042 Are you gonna go out with him? 652 00:39:08,112 --> 00:39:11,707 Is that any of your business? Nope. 653 00:39:13,684 --> 00:39:14,981 I don't think so. 654 00:39:15,052 --> 00:39:18,180 Two days ago, you were holding his hand. What's changed? 655 00:39:19,690 --> 00:39:22,591 He practically lives in Africa. There's no future. 656 00:39:23,427 --> 00:39:26,658 On the other hand, maybe there's too much of a future now. 657 00:39:26,831 --> 00:39:30,699 You weren't attracted to him because he was prepared to die for a cause. 658 00:39:30,768 --> 00:39:33,931 You were attracted to him because he was actually doing it. 659 00:39:34,004 --> 00:39:37,064 Right. It's that simple. That was simple? 660 00:39:37,141 --> 00:39:41,271 I put a label on him and go from there. Everybody does it. 661 00:39:41,879 --> 00:39:43,938 We are who people think we are. 662 00:39:44,115 --> 00:39:46,345 People think he's a great doctor, so they give him stuff. 663 00:39:46,417 --> 00:39:49,318 He is a great doctor. The reality is irrelevant. 664 00:39:54,658 --> 00:39:56,148 I'll prove it. 665 00:39:56,694 --> 00:40:00,687 People who know me see me as an ass, treat me as an ass. 666 00:40:00,798 --> 00:40:04,427 People who don't know me see a cripple, treat me like a cripple. 667 00:40:05,803 --> 00:40:09,261 What sort of selfish jerk wouldn't take advantage of that fact? 668 00:40:16,981 --> 00:40:18,073 (GROANS) 669 00:40:20,117 --> 00:40:23,484 Oh, my goodness. Are you okay? 670 00:40:25,289 --> 00:40:28,850 Yeah. I am so sorry. 671 00:40:28,926 --> 00:40:30,826 It was completely my fault. 672 00:40:30,895 --> 00:40:32,624 It's nothing. I'm fine. 673 00:40:32,730 --> 00:40:35,631 Well, I'm very relieved. I feel terrible. 674 00:40:35,699 --> 00:40:39,260 Please don't worry about it. I'm fine. You sure? 675 00:40:39,336 --> 00:40:40,496 Okay. 676 00:40:51,982 --> 00:40:53,643 How's everything? 677 00:40:54,018 --> 00:40:56,543 I'm gonna go. My foot's killing me. 678 00:40:56,620 --> 00:41:00,215 What did you do to... It was nothing. It was all my fault. 679 00:41:03,627 --> 00:41:05,993 Yeah, listen. Bogale, relax, okay? 680 00:41:06,063 --> 00:41:08,463 I'm gonna be back on Tuesday. 681 00:41:08,599 --> 00:41:11,966 Tell Sarni I'm gonna bring her a new brace. All right. 682 00:41:12,870 --> 00:41:16,101 Just in case. You get them? 683 00:41:16,207 --> 00:41:18,675 Six-months' supply. Should fix you right up. 684 00:41:18,909 --> 00:41:20,536 I'll see you when you come back for a refill? 685 00:41:20,611 --> 00:41:22,306 Yeah, I'll see you in two months. 686 00:41:22,379 --> 00:41:24,108 You gonna give them away? 687 00:41:24,582 --> 00:41:28,040 Well, you know how these things happen. You leave a bag on the airplane, 688 00:41:28,118 --> 00:41:30,416 you drop some pills down the drain. 689 00:41:31,388 --> 00:41:35,119 I have an idea. You could bring me the refill in Africa. 690 00:41:35,926 --> 00:41:37,291 I don't think so. 691 00:41:37,928 --> 00:41:41,329 You actually like working for House? You find this satisfying? 692 00:42:13,764 --> 00:42:14,958 WOMAN: There he is. 693 00:42:15,032 --> 00:42:16,727 It's good to see you. Dr. Sebastian. Thank you. 694 00:42:16,800 --> 00:42:19,633 Thank you. I appreciate that. I appreciate the support. 695 00:42:20,271 --> 00:42:23,035 It's not about the kids dying every eight seconds. 696 00:42:23,107 --> 00:42:27,703 It's about the media stroking, adulation, the pats on the head. 697 00:42:28,779 --> 00:42:31,145 That's your problem with him, isn't it? 698 00:42:31,248 --> 00:42:34,115 Look at him. Loves it, eats it up. 699 00:42:34,184 --> 00:42:37,950 Yeah, the man actually enjoys what he does. 700 00:42:43,961 --> 00:42:45,952 Listen, I saved his life. 701 00:42:46,330 --> 00:42:49,857 That means I get credit for every life he saves from here on out. 702 00:42:50,534 --> 00:42:52,525 I'll make sure Stockholm knows.