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name,line
[The hardcopy shows in red," HUNTINGTON'S:______POS*. Angrily, she crumples up the paper. Turning off the light, she prepares to leave.]"
Patty, Who picked this dump?
Lou, You suggested it.
Patty, I suggested you look into it.
Lou, Sorry. The online reviews ÔøΩ
Patty," Were obviously written by some geek in their own marketing department. Next time, call someone you know. Stop relying on a computer to do your job for you."
Lou, Bright Size Apparel. Eight sexual harassment suits in two years.
Patty, Who asked for the meeting?
Lou, They did.
Patty," Patty Michener, president of Women's Majority. [They're in a boardroom. The men around the table are leafing through copies of a report.] And wow ÔøΩ do you guys need me! Nine men. No one thought it might be a good idea to put a suit on one of the gals from the steno pool to make it look like you give a damn?"
CEO," We've made it a priority to promote more women, but!"
Patty," Well, from now on you have me standing beside you, which is good. [Lou slaps her neck and makes a face when she sees it was an ant crawling on her.] Because your pRoblem is a national pRoblem."
CEO," With all due respect, Miss Michener, I'd hardly call a few isolated incidents a national pRoblem."
Patty, Six out of ten victims nEver Even report harassment.
Flunky, That still only means 20.
Patty, Not enough for you? How Many asses does your corporate policy allow you to grab? Tell you what you're gonna do. You're gonna settle with anyone you haven't settled with. You're gonna fire any Man who's Even been accused.
Lou," Somebody help me! Please help me. I can't get 'em off! Please help me! Help me, please! Somebody help me! Get 'em off."
Patty," You gonna call an ambulance, or are you just gonna sit there and stare?"
Lou," [screaming] Help me, please!"
Cuddy, Wilson's back. You gonna say ÔøΩ
House, He's been gone two months. He can wait till I finish slaying a guy in a skullcap and a pair of tights.
Cuddy, On a video game you stole from the pediatric ward?
House," On advice of counsel, I assert my privilege pursuant to the fifth."
Cuddy, When was the last time you talked to him?
House," Uh, I think it was after... When did his girlfriend die? He wanted time alone. I considered being a horrendous pain in the ass, but I didn't want to tread on your turf."
Foreman, [enters] We got a case.
House, I've gotta remember to close the blinds.
Foreman," Just got a call from Patty Michener from Women's Majority, the women's rights ÔøΩ"
Cuddy, We know who she is.
House," I dated her. Well, not really dated her. More metaphorically raped her by having a penis. [to Foreman] You did too."
Foreman, Her assistant flipped out. Ripped off her clothes in front of a room full of businessmen.
House," Well, either she cracked under the whip, or she started to realize that her evolutionary purpose is to arouse men, not to castrate them. Send her to psyParkatric."
Foreman," Anemia, bradycardia, and abdominal pain aren't psyParkatric symptoms."
House, Then it's the latter. Send her to my apartment. [He reaches for the file.]
Cuddy, I'll give it to Segal.
Foreman," House actually wants a case, and you're saying no?"
Cuddy, House has more important things to do.
House," Sorry, can't help you. You need a specialist to remove those kind of warts. Preferably one with experience spelunking."
House," Hallucinations, possible memory loss. Tests show anemia, slow heart rate, and a stubborn refusal to shave her pits."
Taub, Have you seen Wilson?
House," Nope. But I have seen the Patient's frequent flyer balance. Eastern Europe, Asia, third-world countries. Sometimes more than one a day."
Thirteen, No fEver means it's not a tropical disease.
Kutner," If it's not where she went, maybe it's the work hours. Could be amphetamine abuse. She's pRobably popping them like breath mints."
Foreman, You haven't been by his office?
House, Is Wilson hallucinating ants crawling all over him too? Tox screen's cleaner than the windows she won't do. [His pacing brings him to the windows for the second time. He looks out.]
Taub," Her job keeps her constantly on the road, pRobably living off of airline peanuts and diet soda. SEvere B12 deficiency could cause all her symptoms."
Thirteen," Why is Everyone leaping to conclude a strong career Woman's been made sick by her strong career? It's not B12, it's an insulinoma in her pancreas. It's making her hypoglycemic."
House, [big sigh] Great. Now Everyone knows.
Taub, You knew the Patient had cancer?
House," Is that what she said? I thought she said, ""I am suddenly and irrationally defending the Patient's strong career, Even though in reality she's just a glorified grunt, because I'm trying to convince myself that it's okay not to have a life because I don't have a life, because I was tested for Huntington's, and my life span's been cut in half."" Been waiting two months for her to say that."
Thirteen," Hallucinations, anemia, bradycardia ÔøΩ"
House, Hyper segmented polys says that Taub's right. Pump her full of B12. See how a strong career Woman's been made sick by her strong career.
Kutner, Are you okay?
Foreman, Could be years before you see any symptoms.
Taub, Why wouldn't you tell us?
Thirteen, I don't have Huntington's.
Kutner, Are you lying to us! because it's none of our business?
Thirteen," If it's none of your business, then I shouldn't have to answer these questions. And I wouldn't have to, except House doesn't want to answer questions about Wilson. He's deflecting his own pRoblems onto me."
Kutner, Are you deflecting now?
Thirteen, Time for the B12 cocktail and my life lesson.
Lou," No, Patty'll do the hearing. She just needs to be the leadoff witness so ÔøΩ Okay, I'll lock it down today."
Thirteen, [enters] I need you back in bed.
Lou, My boss has a big Beijing trip. I've been planning it for months. I was just tired and dehydrated and ÔøΩ
Thirteen," Yeah, whenEver I lose some shut-eye, I pound my legs, clawing at imaginary ant colonies. You have a sEvere B12 deficiency. Get back in bed. [Lou gets in bed. Thirteen gives her an injection.] I'm sure your boss can do without you for a few days."
Lou, It's not about her. It's about me. I want to be there. I want to matter.
Thirteen," Yeah, I mean, without you, who knows how much starch they'd put in her shirts? [Lou looks annoyed as Thirteen picks up and drops a laundry ticket from Lou's bed table.] I'm sorry, I'm sure your boss depends on you for ÔøΩ"
Lou, I need to get up.
Thirteen," No, you need to stay in bed."
Lou," Please, where's a bed pan? Oh, my God, I'm sorry. I just! I just had a bowel movement."
Thirteen," It's okay, B12 deficiency can cause sudden ÔøΩ [She lifts the sheet. There's blood Everywhere.] That's not a bowel movement."
House," My Patient is still fighting in the feminist trenches, but the war is over. Yesterday's sluts are today's empowered women. Today's sluts are celebrities. If that isn't progress ÔøΩ"
Wilson, I'm leaving.
House," What, are you gonna take another two months? Boy, you're really milking this bereavement thing, aren't you? [pause] I mean, good for you. You take all the time you need."
Wilson, I'm resigning. Maybe moving out of New Jersey. I don't know yet.
House, Okay. That's an understandable reaction.
Wilson, It's not a reaction. It's a decision. I'm writing Cuddy my resignation right now. I'm just back for the week to wrap up my clinical and administrative duties.
House," You of all people should know, this is bereavement 101. You think that a change of venue ÔøΩ"
Wilson," Well, that spares me decades of psychoanalysis."
House, I'm not saying you're not in pain.
Wilson, You're saying my pain's a clichÔøΩ.
House, I'm saying that pain fades.
Wilson, Did yours?
House, Physical pain is different.
Wilson, I'd rather have my leg chopped off.
House," Well, you don't know that 'cause you haven't felt ÔøΩ"
Wilson, Neither have you.
Thirteen," [enters] Sorry, Patient's got a rectal bleed."
House, Busy.
Thirteen, We need you to ÔøΩ
House," Actually, as you can see, I'm not busy. It's just a euphemism for ""get the hell out of here."" [She leaves. House turns back to Wilson.] This is your grief talking. And, yeah, it is a bit textbook. So before you give away all your possessions to the Salvation Army ÔøΩ"
Wilson, My girlfriend's dead. I'm glad you've read that book before. I haven't. I'm late to meet Dr. Olin to brief him on the cases I'm handing over. Bye.
Thirteen, It doesn't bother you that House wouldn't take just two seconds to talk about the Patient?
Taub, Wilson's dealing with a lot.
Thirteen, And our Patient may be dying.
Taub, She was bleeding out her rear. We're looking up her rear. You think we needed House's expertise to set us on this course?
Thirteen, Her heart rate's slowÔøΩbleed should have made it faster.
Taub," And it can wait till after we know where it came from, and after he's done dealing with personal issues."
Thirteen, Yeah? That the way it works around here? We get cut slack while we deal with personal issues?
Taub, [gives her a long look] You're not the boss. Boss gets to make the rules. Boss gets to ignore! She's bleeding from... nowhere.
Foreman, You did an endoscopy?
Taub, And a colonoscopy.
Foreman, CT scan?
Thirteen," Ordered, but it shouldn't show anything the endoscopy didn't."
Kutner, [approaches] We can't do a CT scan.
Foreman, Why not?
Kutner, We don't need a CT scan. We don't need House.
Taub, Stop grinning and talk.
Kutner, One of the routine pre-procedure tests was positive.
Taub, Which one?
Kutner," The one that, if it's positive, would explain a hormone imbalance that could screw with heart rate and blood flow."
Thirteen, Guess she does have a life beyond her career.
Lou, I'm pregnant?
Kutner, You want me to call the father and let him know?
Lou, Soon as you do some DNA testing. Let me know.
Thirteen, Must be hard to have a real relationship when you ÔøΩ
Lou, Are you making excuses for me?
Thirteen, I'm just saying it's understandable.
Lou, You only have to understand something if it needs an explanation. I have needs. I met my needs. End of explanation.
Kutner, How recently were you... needy?
Lou," Oh, it's been two or three months, at least. [She looks at him.] What? What is it?"
Kutner, Nothing.
Lou, Tell me.
Kutner, It's actually nothing.
Thirteen, The ultrasound shows no trace of a baby at all.
Thirteen," Positive pregnancy test, no pregnancy."
Taub," B12 deficit rectified, but her heart's slowing Even more."
Kutner, And a bleed should speed her heart rate.
Foreman," House, this is the kind of case you love. [House looks over.] Contradictions piling up left and right."
House," [sighs] Two false positive pregnancy tests, bradycardia, lower GI bleed. Go."
Thirteen, Choriocarcinoma ÔøΩ would've triggered pregnancy hormones.
House, Also would have shown on a sonogram.
Kutner," Immunoglobulin ""A"" deficiency."
House, No urinary bleed. [He looks through the closed blinds on his window and starts walking out of the office.]
Kutner," If she's had beta HCG injections, they can cross-react with..."
House, Keep going.
House," You're being an idiot. You're gonna blow up your career. And six months from now, when you've moved on from Amber to burnt sienna, you're gonna be stuck in a mobile oncology truck in Pewaukee, Wisconsin."
Wilson, I'd need a flow chart to explain all the ways in which that was ridiculously insensitive.
House, You can't hide from misery.
Wilson, This isn't your business.
House, My skull was cracked open trying to save her!
Wilson, Then we all need a little tea and sympathy. I'm through discussing it.
Thirteen," [in doorway with the other fellows] Uh, we have a Patient."
House, Who's obviously not going anywhere with a bloody rectum.
Foreman, Great to have you back.
Wilson," Actually, I'm ÔøΩ"
House," Actually, he's about to thrust a tantō into the belly of his career."
Wilson, I'm leaving the hospital.
Thirteen," I'm sorry, this is obviously a terrible time ÔøΩ"
Taub, Why are you leaving?
Wilson, I just need a change of scenery.
House, Buy a plant.
Thirteen," Rectal bleeding, two positive pregnancy tests."
Foreman, There's nothing we can do?
Wilson, You could ask House to be a grown-up and respect my decision.
House," I respect things that deserve respect. This decision, on the other hand, is a dog wearing a cape!"
Thirteen, Hallucinations. Heart won't respond ÔøΩ
House, The Patient tested positive for pregnancy because the Patient is pregnant.
Lou," Hey, who are you?"
Thirteen, [entering] This is Dr. House. He's too brilliant for introductions. [to House] False positive.
House, You're too busy to be running a Day Care Center in your abdomen.
Thirteen, False positive.
House, Not to mention you should wait till at least 30 to punish that pleasure portal with a sEven-pound tissue expander.
Lou, I'm 37. And I thought I wasn't pregnant.
House," [looks at her] 37? Impressive. Too bad you're not passing on those genes. [to Thirteen] Does that look false to you? You were looking in the wrong room. It's more common when the egg lands in the oven. Sometimes it winds up in the fallopian tubes. In rare cases, it plummets through the plumbing entirely. It's using her intestine as a blood supply. It caused the rectal bleed, and now... Junior Miss Steinem's junior must be pressing on her vagus nerve, slowing her heart to a crawl. Yank the fetus. She survives the surgery, she'll be fine."
Thirteen, What if she wants to keep the baby?
House, She doesn't.
Thirteen," What, we can't take two seconds to discuss this? I mean, fetuses have been transplanted before. Whole uteruses too."
House, Just terminating the fetus when it's glued to her intestines is high-risk surgery. Saving it is a fantasy. That was at least three seconds.
Thirteen, She's a 37-year-old Woman who deserves ÔøΩ
House," People get what they get. It has nothing to do with what they deserve. And this has nothing to do with her genitalia, and Everything to do with your genetics."
Thirteen, You told me to get tested.
House," I didn't know it was gonna color your Every medical opinion, Every personal opinion."
Thirteen, You didn't think a death sentence would ÔøΩ
House," [He turns to her, angry.] People die! You, Amber, Everyone. Don't act like you just figured that out. I gave you a diagnosis. You don't like it, there are exits on Every floor."
Thirteen," I'm sorry to be so definitive about this. I know you're still absorbing the news, but we have no choice."
Lou," Remove the fetus. Absolutely. I have no boyfriend, no husband. I'm on the road with Patty all the time. Where do I sign?"
Cameron, You feel any tenderness back here?
Patient," No, not at all."
House, [approaches] Treating professional sports injuries now?
Patient," No, I'm not ÔøΩ"
House," Familiar with the concept of sarcasm. Don't sweat it, it's new. [to Cameron] Have you spoken to Wilson?"
Cameron, We'll get you an EKG. I'll be right back. [to House] You want me to sleep with him to get him to stay?
House," I put the bisexual Parkck on that. If you'd like to sit in, so to speak..."
Cameron, I spoke to him.
House, What'd you tell him?
Cameron, I didn't tell him anything. I listened.
House, So you could feel good about doing nothing. You gotta tell him ÔøΩ
Cameron, [She rummages through a drawer then heads back to the Patient.] I am not your errand girl. Best thing about leaving you ÔøΩ
Patient, The two of you used to be together?
House, She dumped me when I lost the last 85 pounds. Said there was less of me to love.
Cameron," Grief means different things to different people. Case in point, means very little to you."
House," Grief is Newark. Okay, it's there. You can't avoid it. The idea is to hold your nose, hope the traffic's not too bad, and get on to Manhattan as quickly as possible, not to buy property."
Cameron, You think that's facing up to things?
House, I'm not the one who's quitting.
Cameron, 'Cause you haven't lost anything.
House, But you have. He'll listen to you. What did you do when your husband died?
Cameron, I got a new job and I moved.
House, See how crappy that worked out?
Chase, Separating the placenta from the wall of the large intestine. Sponge. Suction. We've got some bleeding.
Taub, BP's dropping. 90 systolic.
Chase, She's bleeding like hell. Clamp.
Taub, BP's still dropping.
Chase," Amp of calcium chloride, fast!"
Taub, Still dropping.
Chase, Shut up! Squeeze her spleen. We need to force some platelets out so her blood clots.
Thirteen, She's in weak shape. Spleen's friable. It could rupture.
Female Doctor, She's stabilizing. Oozing's drying up.
Chase, I hate visitor's day. Removing the fetus.
Cuddy, Bye.
House, You have to stop Wilson from committing career malpractice.
Cuddy, Talk to him.
House, I already talked to him twice. He threw me out.
Cuddy," Mocking him and insulting him, let's see! Yes, technically those are Categories of conversation."
House, Block his references to other hospitals. Tell him he can't hand off his cases until ÔøΩ
Cuddy, Talk to him. Deal with his grief. Talk to him about what he's going through.
House, That's a brilliant idea. I'll take him out for a beer. That'll make up for the fact that Amber's in a pine box. That there's randomness and chaos in the universe.
Cuddy, Tell him you're sorry.
House, I didn't kill her.
Cuddy, You were drunk and ÔøΩ
House," Yeah, if her daddy hadn't been drunk, she might nEver have been born. So ÔøΩ"
Cuddy, You called her up in the middle of the night. She was on the bus because of you.
House, I didn't ask her to come out. I wasn't driving the bus. I wasn't driving the garbage truck that hit the bus. And I did not prescribe her the flu meds that killed her.
Cuddy," Yes, I know, that's all true. But... You really don't feel any sense of guilt? You want to keep him, he needs to know he's not alone. Just tell him you feel like crap."
House, It'd be meaningless.
Cuddy," Well, then, find some meaning. And do something."
Thirteen, She's got a neurological pRoblem.
Foreman, Surgical complication?
Taub, Don't think so. She keeps on blinking.
Thirteen, Her heart's not recovering either.
Foreman, So the pregnancy was a coincidence.
Thirteen, Pulse is down to 39. She's maxed out on atropine. We're installing a pacing wire to... [Lou passes out] !avoid that. We need some help in here!
Foreman, Page House.
Taub, Already paged him.
Foreman, Page him again.
Wilson, It's for you.
House," If I told you that I was sorry, would it change anything?"
Wilson, I wouldn't beliEve you.
House, If you beliEved me.
Wilson, It's hard to imagine such a world.
House, I'm going home... [He slides the phone closer to Wilson] !until you agree to stay at this hospital.
Wilson, You can't be s! That's blackmail. And to do your job? Why not hold a gun to your own head?
House, Your conscience bleeds more freely than my head. [The phone buzzes again. House picks it up.] Text. Patient's in cardiac arrest. Ouchy. [He puts it back on Wilson's desk.]
Wilson, You'd jeopardize a Patient because of my ÔøΩ
House, If it keeps you here. Your friendship matters more to me than this Patient.
Wilson, I've gotta do what's right for me. You've gotta do what's right for you.
House, Yeah. But it comes easier for me.
Taub, Where is he? Where is he?
Cuddy, Status.
Foreman," Her heart's stabilized. We have a pacing wire in her, but the bradycardia is not getting any better."
Kutner, House is bluffing.
Taub, I called him three times. He's not picking up. [to Cuddy] What do you want us to do?
Cuddy, The same thing you'd do if he was here.
Taub," If he was here, we'd be asking him what to do."
Cuddy, What are the usual suspects?
Foreman," There aren't any. She had a vitamin deficiency, and we corrected it, an ectopic pregnancy, we removed it."
Kutner," But her heart pRoblem won't go away, and now something's wrong with her brain."
Cuddy, I have complete confidence in you guys. [She leaves.]
Taub, Who wants to go service House so this Patient can live?
Thirteen, We can do this without him. Maybe something happened during the surgery.
Taub," The surgery was on her bowel, not her brain."
Kutner," Anxiety, stroke, Tourette's could all cause eye blinking."
Taub, And cause her heart to beat faster. It's slowing down.
Thirteen," MS. If a lesion took out the sympathetic innervation of her heart, it'd explain the bradycardia and the blinking."
Taub, But not the vitamin deficiency or the ectopic pregnancy. House would want a unifying theory.
Thirteen," House is gone, and so are those symptoms. MS explains Everything that's wrong with her right now."
Foreman, Start her on interferon for MS.
Cuddy, Mind if I come in?
House, Not at all. You mind if I leave?
Cuddy, I told you not to take that case specifically so you could deal with Wilson.
House," And the two ended up dovetailing rather nicely, don't you think?"
Cuddy, Is this how you show your friendship? By bludgeoning him with guilt?
House," Because he's my friend, I know what works on him."
Cuddy," Well, I can't let you walk away from a Patient."
House, Then fire me.
Cuddy," You're willing to risk your career, but you're not willing to say you're sorry."
House, I told him I'm sorry. He didn't beliEve it.
Cuddy," Well, make him beliEve it."
House, I don't beliEve it.
Cuddy," You don't want to beliEve it [angrily] Because if you tell Wilson how you actually feel about him, about what happened to Amber, about your part in what happened, and he walks out the door anyway! If you make yourself vulnerable for once in your nerve-deadening, emotionally obliterating... [House swings the door shut in her face and walks toward his piano where he picks up his drink. Cuddy continues her tirade through the closed door.] You're doing the same thing he is. You're running away. Only he's not killing anyone in the process."
Lou, Where's Dr. House?
Thirteen, He's not feeling well.
Lou, Was MS his idea?
Thirteen, We work as a team. You know how it is. Collaborative. Sometimes it's hard to tell where an idea comes from.
Lou, But you're not! really a team. You work for him.
Thirteen, And you work for Patty. I'm sure a lot of her ideas are actually ÔøΩ
Lou, She would be fine without me. I'd be nothing without her.
Thirteen, Maybe if you just had the chance. I'm! I'm sure you've learned a lot.
Lou, Not Everybody's created equal. Does Dr. House think I have MS?
Thirteen, Yes. [Lou shivers audibly.] Did you just shiver? [She feel's Lou's forehead.] You're running a slight fEver.
Lou, Is that bad?
Thirteen, It means we were wrong about the MS.
House, You had my cable disconnected!
Cuddy," Well, that's quite a leap. Just because I happen to have a 31-person maintenance department, each of whom you've personally abused at some point ÔøΩ"
House," Why? Did you think I'm okay with letting someone die, but I'm gonna fold if I can't watch celebrity bowling?"
Cuddy," That is not an unreasonable theory. Especially with only ten minutes till your favorite soap. Oh, gee, is this the remote from the doctors' lounge?"
Wilson, This is your 911? Good-bye.
Cuddy, Stop! I'm withholding your salary history from Every hospital in the tri-state area.
House," You go, girl."
Cuddy, And I'm perManently setting Every TV in this building to the pottery channel unless you both sit down. [She sits in the chair next to the couch.] Welcome to couples counseling.
Taub, It's not the surgery.
Thirteen, The timing fits.
Taub," The location doesn't, unless her brain's in her bowels."
Thirteen," If bacteria entered her bloodstream, it could have caused an infection in her brain."
Taub," The surgery went fine. You were there, you saw."
Thirteen, Peptostreptococcus could explain the blinking and ÔøΩ
Taub, No. You want to watch a grainy video and have an epiphany.
Foreman, Shut up. You're making me miss House's mocking.
Taub," I know you told us it was none of our business, but if House thinks that your Huntington's is affecting you, maybe it really ÔøΩ"
Thirteen," It's not, because I don't have ÔøΩ"
Taub, You're desperate to do this without him. You're not trying to cure her. You're trying to prove ÔøΩ
Kutner," Stop the tape. Zoom in. On the anastomosis, that little bump."
Taub," It's a hematoma. A harmless pocket of blood, which is why Chase ignored it during the surgery."
Kutner," Could be a ganglioma, which is why Chase shouldn't have ignored it."
Foreman," It's an abnormal growth of nerves, it could be causing all the Patient's symptoms. We have to open her up again. Get a piece of it."
House, So what do you want to tell us?
Cuddy, Nothing. Nothing I say is gonna change anything. You guys need to talk.
House," Actually, you should read the psych literature. Repression's gaining a lot of fans. What you don't face can't crush you."
Cuddy, Talk to each other.
House," [to Wilson, pleasantly] How you doing? Good?"
Wilson," [equally pleasantly] Fine, thanks."
Cuddy," Eh, eh, eh, eh. Sit! [They do.] See, the two of you are friends. Look how you both ÔøΩ"
House, Think you're an idiot. We both also eat with forks. That doesn't really prove ÔøΩ
Cuddy, Talk to him! Tell him how you feel about what he's doing.
House, I told him he's an idiot.
Cuddy, Tell him what you think about him leaving.
House, I think he's an idiot.
Cuddy, You're an idiot. He's in pain. And your response is just to emotionally blackmail him.
House," You told me what your position is on that one. You're against it, right?"
Wilson, She hasn't told you in front of me. She needs to prove she's on my side.
Cuddy, Go to hell.
House, So much for that theory.
Cuddy, I'm sorry you lost Amber. I cannot imagine what it is you're going through. [Wilson's face tightens. He stands and walks to the door.] But it will not get better by you walking away from Everyone that cares about you. Do you think Amber would want you to walk away?
Wilson," Nobody at this hospital Even liked Amber. [He leaves, slamming the door behind him.]"
House, [stands] Same time next week?
Chase, You want me to do a second major surgery on a Patient we almost lost during a first major surgery to see if she needs a third major surgery?
Foreman, We need a piece of the ganglioma.
Chase, Then you're talking about another Patient. Yours doesn't have a ganglioma.
Foreman, And if there is one and you missed it?
Chase, Then you're talking about another surgeon. I didn't miss anything.
Foreman, But we're not talking about another videotape. This one showed a bump we need to biopsy.
Chase," A bump? Oh, yeah. My grandfather died of a bump. She can't survive a second round of general anesthesia, let alone a third."
Thirteen, You'd do this for House.
Chase, Yeah.
Thirteen," Then what do you suggest? Because the Patient's got a high fEver, a low heart rate, and a dim chance of survival if we stand here like idiots."
Chase, Then I suggest you don't stand there like idiots.
Kutner," How do you get coal out of a mountain when it's someone else's mountain? If we don't have House, it doesn't mean we can't think like House."
Thirteen, But it does mean we don't have to talk like him.
Kutner," You don't dig down. You go in from the side. We insert a lighted scope through the rectum, move the intestine till we find the ganglioma, then push it to the surface. Where we see the light, we cut."
Thirteen," We'll make as small an incision as we can. But unfortunately, it'll be very painful. After your surgery experience, we can't give you anesthesia."
Lou, Can I talk to Dr. House?
Thirteen, No. We can do this. We know what we're doing.
Lou," I don't mean to be insulting, but my former boss didn't insist on me coming here because of you or ÔøΩ"
Thirteen, Your former boss?
Lou, I've been replaced.
Thirteen, I'm sorry. You must be ÔøΩ
Lou, I'm fine. She has a big Beijing trip. Ton of work to do. She can't just wait for me to get better.
Thirteen, We've been well-trained. We'll take good care of you. [She starts to leave then turns back.] How can you let her treat you like a footstool?
Lou, The world needs flunkies.
Thirteen, Don't say that. You're better than that.
Lou, I have no pRoblem with it. Why do you?
Thirteen," [angrily] Because... life is short. I mean, yours could've ended in that surgery. You'd have nEver lived for yourself. What kind of feminist!? We can have anything."
Lou," No, we can't. We can aspire to anything. But we don't get it just because we want it. I would rather spend my life close to the birds than waste it wishing I had wings."
Foreman," You're through the sigmoid, into the descending colon."
Kutner, SwitParkng on the light.
Thirteen, Advance toward the anastomosis.
Foreman," There, I see it."
Thirteen, [to Lou] Don't look down.
Foreman, Scalpel.
Cameron, So your last day is Friday.
Wilson, I'm gonna miss you.
Cameron, You shouldn't go.
Wilson," Did House ask you to talk to me, or are you trying to save the Patient? Because there'll always be another ÔøΩ"
Cameron, House asked me.
Wilson, And you're doing it.
Cameron, I told him to go to hell.
Wilson, Thanks. [He starts to leave.]
Cameron, But I think he's right. [He turns back.] You think you're making a rational choice. You think the worst is over. And then... Six months later you look back and you realize you didn't know what you were doing.
Wilson, Are you saying the pain doesn't go away?
Cameron," It gets easier. Not in two months. Not in two years. But no, it nEver really goes away."
Wilson, Being here! this building! I was just in the lounge. I kept staring at Amber's locker.
Cameron, I saw a guy wearing a scarf this morning. The color reminded me of his eyes. We lived 500 miles from here.
Wilson, I have to do something.
Cameron," Then do it. But don't think it's the right choice, because... There isn't one."
Taub, It's not a ganglioma. The pRoblem wasn't the surgery.
Thirteen, Abnormally deposited proteins. It's Amyloidosis. That would explain the blinking and the low heart rate.
Taub, Only way to treat Amyloidosis is to treat whatEver's causing it.
Foreman, It's not as if a lot of things cause Amyloid. Rheumatoid arthritis.
Kutner, Familial Mediterranean fEver.
Thirteen, Lymphoma.
Kutner," Well, we can't all be right."
Taub," But you can all be wrong. The Patient's joints don't hurt, abdominal pain went away when the fetus did, and no palpable lymph nodes."
Foreman, Got anything constructive to say? [He's pRobably upset that Taub has taken over his usual role in DDXs of criticizing Everyone else's ideas.]
Taub," Sorry. Sorry. [faux cheerful] Um, she has lots and lots of palpable lymph nodes, joint and abdominal pain. She'll be better by dinnertime. [serious again] If we don't find the cause of the Amyloidosis, we nEver get her off that wire, she nEver walks out of this hospital. [sighs] But hey, who needs House, hmm? So glad we lost those training wheels."
Wilson, You want me to make the call?
Foreman, There seems to be some disagreement.
Wilson, And this isn't just a pretext to pressure me into staying?
Foreman, Does it look like a pretext?
Wilson," No. She really is dying, isn't she? Inflammation, enlarged nuclei, some mitotic activity. It could be lymphoma."
Foreman, There are no palpable lymph nodes.
Wilson," It makes it less likely, but it doesn't rule it out. I'm an oncologist. I see cancer. Show it to an immunologist, they'll see autoimmune."
Foreman, I already showed it to an immunologist. We'll start her on chemo. [pause] You should leave. House doesn't want to lose his sidekick. Cuddy doesn't want to lose her check on House. No one's talking about what you want.
Wilson, It's not that I want to.
Foreman," Want to, need to. If there's any chance that being away from here will make your life Even a little bit easier, do it. That's what Everyone else here would do."
Thirteen, Don't expect anything to change too fast.
Lou, Lymphoma was your idea?
Thirteen, Why?
Lou, I feel better.
Thirteen, Sometimes just knowing you're being treated helps.
Lou, You've given me18 different treatments. This is the first one that made me feel better. I don't think it's psychological. Thank you.
Thirteen, I'm sorry. I shouldn't have gotten angry at you. Your choices are your choices.
Lou, You're not like me. Maybe you have wings.
Thirteen," I have Huntington's Chorea. Dozen years or so, my nervous system, my cognitive skills, Even my emotional balance... they'll all start to fray. I won't be able to fly. I won't be able to walk. I won't be able to breathe."
Lou, And you want to make sure your life matters.
Thirteen, [nods] I don't want to just... be tightening bolts and following instructions. I want something... to be different because of me.
Lou," I am. Not just 'cause you saved my life. I'm applying for a job at a foundation, running the finance division. And I don't know if I'm gonna get it, but if I don't... There are other foundations."
House, It's almost 4:00. Soap time. [He reaches over the desk and grabs something.] Nurses' remote. Works in the doctors' lounge.
Cuddy, Why do you think Wilson's leaving?
House," How Many times do I have to use the word ""idiot""?"
Cuddy," And that's a good enough answer for you? WhenEver anyone does anything out of the norm, you have to tell them what screwed-up process is really at work in their head. That is why I locked the two of you in a room. So you would say something stupid and insensitive, and maybe with a little bit of truth. But you didn't. So I can only assume that you don't want to know the reason. You're afraid to know. [pause] You're not listening to me, are you?"
House, Try it sometime. You'll see why.
House, You look 37.
Lou, I am 37.
House, You looked 27 last week. Unless I blacked out for ten years. Your skin ÔøΩ
Taub, She's got lymphoma. The chemo's pRobably ÔøΩ
House, Stop the chemo.
Thirteen, She's getting better. Bradycardia's improving. We didn't need ÔøΩ
House, She have bruising? [He takes a syringe from a drawer.]
Thirteen, She was pounding her legs during the hallucinations.
House, It's not lymphoma.
Lou," Hey, don't ÔøΩ no, no, no."
House," My bad. Thought no meant yes. Those aren't bruises. They're mycobacterial lesions. She has diffuse lepromatous leprosy. Must have caught it on one of her overseas estrogen tours. Chemo wipes out some of the bacteria, she feels a little better. Wipes out most of her immune system, she gets a whole lot worse."
Lou, Leprosy? Like where my limbs fall off?
House," Actually, this is the flattering one. It's also known as ""pretty leprosy."" It doesn't disfigure, it makes your skin look younger, smoother. Don't let the girls hear. They'll all want to lick your face. Unless you're that kind of feminist. [to Taub and Thirteen] Blast her with antibiotics and prednisone. She'll be fine. [He looks at his watch.] Damn, it's after 4:00. I'm late. [He leaves.]"
Thirteen, Damn.
Lou, What?
Taub, She's happy you're gonna be fine. But she'd be happier if you were gonna be fine five minutes ago.
Thirteen, Tests confirmed Dr. House's diagnosis.
Lou, Thank God.
Thirteen," When you got pregnant, the physical stress triggered nodosum leprosum. A common complication of leprosy. Inflamed the nerves to your heart. Made it hard to absorb vitamins, scarred your fallopian tubes. It explains Everything."
Lou," Better prescribe me some skin cream too, huh?"
Thirteen, You might want it for those job interviews.
Lou," I'm going back on the road with Patty. My replacement flamed out. She says I can Manage some projects on my own, carve out more of a role."
Thirteen, Do you really think she can change?
Lou," I don't know. The truth is, I'm not sure I ÔøΩ"
Thirteen, You can change.
Lou," No. I'm not sure I want her to change. She's reasonable. She's just another employer, then I'm just... another employee. In a weird way, I matter."
House, I like you better now that you're dying.
Thirteen, I was wrong.
House, You took a shot.
Thirteen, She's going back to work for that idiot. It's pathetic.
House, You thought something would change?
Thirteen," She almost died because of that job. Yeah, I! I thought ÔøΩ"
House, Almost dying changes nothing. Dying changes Everything.
House," I'm sorry. I know I didn't try to kill her. I know I didn't want her hurt. I know it was a freak accident. But I feel like crap, and she's dead because of me."
Wilson, I don't blame you. I wanted to. I tried to. I must have reviewed Amber's case file 100 times to find a way. But it wasn't your fault.
House," Then we're okay? I mean, I know you're not, but... Maybe I can help."
Wilson," We're not okay. Amber was nEver the reason I was leaving. I didn't want to tell you because! because I was trying, like I always do, to protect you. Which is the pRoblem. You spread misery because you can't feel anything else. You Manipulate people because you can't handle any kind of real relationship. And I've enabled it. For years. The games, the binges, the middle-of-the-night phone calls. [He stops and rubs his eyes.] I should have been the one on the bus, not ÔøΩYou should have been alone on the bus. If I've learned anything from Amber, it's that I have to take care of myself. We're not friends anymore, House. I'm not sure we Ever were."
Man," Bring it up about six more feet. Okay, you can go ahead and start dropping it."
Man, Whoa. Whoa!
Thirteen, Class is over.
Apple, What's going on? Who are you?
Thirteen, I'm a doctor. Did you have a corneal transplant five years ago?
Apple, Yes.
Thirteen, Every other Patient who had a transplanted organ from that donor is either dead or dying. You got a purse?
Apple, [gets her purse] I feel fine.
Thirteen," I don't mean to scare you, but so did the others."
Foreman," One living, one almost dead. Four fully dead. Nothing in common except their donor. Carl got a new heart and lung ÔøΩ liver kills him. Tibalt got a new liver, lung killed him. Holly got a new kidney, her heart blows up. And Frank, the old guy gasping for breath upstairs, he got an intestinal graft, his pancreas is failing. All within eight months of each other. And in each case, serious complications came on suddenly and without warning."
Kutner," Which means arrhythmia, massive pulmonary embolus, or cerebral bleed."
House, What did Wilson do for me?
Taub," [ignoring him] If the donor had an infection that somehow slipped by a screening, it could lay dorMant ÔøΩ"
Kutner, Five organ systems hit. Would need five infections for it to somehow slip by screening.
House," Oh, sure, he made me laugh on a rainy day, made me see the colors I nEver knew ÔøΩ"
Thirteen, None of the donated organs were hit. It means whatEver they got came from the donor's blood.
Kutner, That wouldn't help us narrow down what ÔøΩ
Thirteen, It narrows down who. Corneal transplants are bloodless. It means Apple's gonna be fine.
Foreman, You secure enough in that theory to send her home?
Thirteen, I guess we could wait till we figure out what's wrong with Frank.
House," On the other hand, Gilbert Gottfried makes me laugh. And how Many colors are there really? Once you got red, blue, and green ÔøΩ"
Kutner," He paid for your lunch, liked Monster Trucks, and was your conscience. Autoimmune disease."
Taub, ANA at autopsy of all four victims were normal.
Foreman, Wouldn't cover vasculitis. Henoch-Schonlein purpura ÔøΩ
Taub," Antiphospholipid antibodies, normal."
Thirteen, Then that leaves cancer.
Foreman, Cancers have names. They have a progression. They affect specific organs. Bone cancer can't turn into liver cancer. Forget cancer.
House, [getting up to leave] It's cancer.
Foreman, It's not cancer.
House," You're right, of course. What was I thinking?"
Foreman, No single type of cancer blew up three organs in the chest while also herniating in the fighter's brain stem.
House, The fighter's irrelevant.
Taub, You don't like coincidences.
House," It would be a coincidence if six transplant recipients had nothing else wrong with them ÔøΩ like being an idiot, which leads to getting your head knocked off. The others had cancer."
Foreman," Four autopsies and about 1,000 lab tests say it's not cancer."
House," Redo the thousand tests and the four autopsies. Taub and Kutner, check out the donor. Find out which cancer ÔøΩ"
Kutner, He didn't die of cancer. His head got chopped off in an industrial accident.
House," Find out which cancer would have killed him. Check the home and office for carcinogens, toxins ÔøΩ"
Taub, He's been dead for four years. I assume his home's been rented to someone else by now.
House, Find out which cancer killed them. [Foreman stands with his arms folded while the others leave.] Did I forget you? You can check out the Patient's eye.
House, Put this on Dr. O'Shea. [He reaches over Dr. O'Shea.] And some Parkps.
Shea," Forget your wallet, House?"
House, No.
Shea, [handing money to cashier] I'll take care of it.
House," [quietly, as he follows O'Shea toward the tables] Check."
Shea, Are you following me? [He sits at a table.]
House, Word is you're into monster trucks.
Shea, My kids like it.
House, But not you?
Shea," Predator's okay, but I think the California crusher is overrated. [House sits] Are you checking me out?"
House, You're astute. [He takes some pills.] No.
Shea, How Many pills did you just take?
House," Vicodin, opioids, some B12. Need a little kick in the afternoon. You got a pRoblem with that? [O'Shea ignores him and picks up some food from his tray.] I think I'm falling in love."
Foreman, [approaches] Her right eye's failing.
House," No, it's not. Everyone else's transplanted organs were fine. It means her eye is fine."
Foreman, We need to remove the eye.
House, It's her only working eye.
Foreman," We could remove the other one, but since it's not killing her, I thought this way was less insane."
House, [to O'Shea] Do you have some ethical pRoblem with what I'm doing that you could express in a unique way which might actually make me think that I'm wrong Even though I'll nEver admit it?
Shea, Yes.
House, You are funny. [to Foreman] The pRoblem's not in her eye. It's in her head. [to O'Shea] You wanna come over and watch Prescription Passion at my place tonight?
Shea," You know I'm not gay, right?"
House," Neither am I. If you don't want to have sex, that's cool with me."
Shea, I'm not coming over to your home.
House, I'll grow on you.
Apple, L... P... E... Do I have to be in the same room as him?
House," WhatEver he's got, you've got. Fifth line."
Apple, Are you sure?
House, Pretty sure. Fifth line.
Apple, Am I gonna die?
House, Can we talk about something besides you for a moment? Like maybe the fifth line?
Apple, F... E... O... S... P. [The line is actually PECFD]
House, Damn.
Foreman, I'm sorry. We need to remove your eye.
Apple, My eye?
House," A moment ago, you thought you were dying. Blind's actually good news. Unfortunately, he's wrong."
Foreman, You just did the test.
House, She didn't squint. Which means the eye thinks it's fine.
Foreman, It was wrong.
House," I know. The eye doesn't think. The brain thinks, which means if the thinking's wrong, the brain's wrong. Which means it's spread to the brain, which means it's too late for us to remove the eye. Which means we're gonna have to remove your whole head. Don't worry. [He holds up a huge meat cleaver.] It doesn't hurt."
House," Hallucination. That's a brain thing, right?"
Foreman, 500 different things can cause hallucination. Doesn't mean it's neurological.
House, It does if one of the other organ recipients also had a brain issue. Did he just drop his hands? [They're watParkng film of the kick boxing fight.]
Thirteen," No, none of them had brain issues."
House," If his pupils dilated, if his pupils were fixed, if there was a twitch..."
Foreman," He got hit in the head, he died, no mystery. That was your point."
House," Yesterday. You live, you learn. Who shot this?"
Taub, Guy who runs the gym has a camera. Uploads the nasty stuff online.
House," Can't see the dead guy's face. I can't see his face. Can't see the twitch, can't see the pupils ÔøΩ"
Thirteen," We know the tennis player had a heart pRoblem. We can maybe tie that to the tuba player's lungs, and then somehow tie both those things, to the construction worker's liver, and then possibly meander over to Frank's pancreatic failure, but nothing causes simultaneous brain and heart pRoblems."
Taub, Cancer made no sense. The head and heart make less than no sense.
Lucas, [The coffee maParkne repairMan joins in.] That makes no sense.
Taub, I know. I was making a point.
Lucas," Oh, good. I thought you were an idiot."
Taub, Why are you talking?
Lucas," Oh, the guy doing Manual labor can't have an opinion? I might be a genius who just happens to have a passion for fixing coffee maParknes. No, I'm obviously not, but that's rude to make assumptions about people."
Kutner, [entering] Donor's history came up clean.
Lucas, Ha. Ha.
Kutner, Did he just laugh?
Lucas," No, no, I sneezed."
Taub, He's a genius coffee repairMan.
Kutner, Coffee repairMan wears argyle socks? [Taub looks]
Lucas, I thought I already talked about not judging.
House, What kind of idiot wears argyle socks with construction boots?
Lucas," Uh, I'm not an idiot. I'm just! I'm not good at disguises."
Foreman, Who is he?
House, He's apparently a very bad private investigator.
Taub," Uh, why is he pretending to fix the coffee maParkne?"
House," Because I wanted to find out what you guys found out before I find out what he found out. So I can find out if I need a private investigator. So, nu?"
Kutner," The donor has no history of unusual infections, no international travel in the 12 months ÔøΩ"
Lucas," Ha, ha, ha, ha, ha. No, seriously, that's how I sneeze. [They all look at him.] He was in Madrid and the Bahamas."
Kutner, Credit card receipts showed no ÔøΩ
Lucas, Girlfriend paid.
Kutner, There is no girlfriend.
Lucas, She was his high school sweetheart.
Kutner, High school sweetheart is married to his best friend.
Lucas, I know. Shhh. She had a kid four years ago. Timing fits. She's still pretty hot though.
Foreman, You found out anything medical?
Lucas," The kid has a tummy ache. Also, the dead guy was exposed to mercury, mold, and hydrous perchloric acid because their sex pad was next to a garage that was demolished after those toxins were found. Oh, yeah, that will be $2,300. [He pulls a sheet off a mini notepad and hands it to House.]"
House, I'll get you a check.
Lucas," No, I don't take checks."
House, You think I'm gonna stop payment?
Lucas, Aren't you?
House," Of course I am, $2,300 is insane."
Lucas," No, actually, that price includes footage of the boxing match from four different angles. 30% of the crowd paid by credit card. I got their names. Four of them had digital cameras, which I composited like NASA did for the pics of Mars. You know, the rovers and all that."
House, Pupils were dilated.
Foreman," But he didn't drop his hands, which means he maintained muscle tensity ÔøΩ"
House, Say it.
Foreman, You were right.
House," God, that was petty of me."
Foreman," He maintained muscle tensity, but was momentarily distracted when he got hit. That's a temporal lobe seizure."
Kutner, Does that PI guy mean we don't have to break into people's homes anymore?
House, It's the whole reason you went to medical school. I'm not gonna take that away from you.
Taub, He's better than we are.
House, And costs more. Gonna biopsy the brain.
Foreman, No.
House, Say it.
Foreman," You were right, but no."
House," Temporal lobe controls speech, hearing, memory. She loses those things, she's gonna be a terrific date, but beyond that ÔøΩ"
Taub," We cut out a piece of it, good chance she's a vegetable. Nothing to hear, nothing to say, nothing to look back on."
House, You're right. She has so much to live for. [They're standing outside the Patient room. They look at Apple.] Do we have another Patient who's almost finished with all their living? [House moves a couple of steps down so they're looking at Frank.]
Thirteen, So it's okay to stab his brain because he's old?
House," No, it's okay to stab his brain because he's dead if you don't. Get the widow to say yes."
s Wife, No.
Taub," The lung inflammation is a complication of the pancreatic failure, which is rEversible. This is actually his best chance. If we can find out what's wrong..."
s Wife, How can a test that will pRobably kill him ÔøΩ
Taub, I didn't say ÔøΩ
s Wife, You said it was extremely risky. What does extremely mean?
Apple, [who has been listening] Please.
s Wife, I'm sorry. I can't.
Apple, I have a husband. I have a two-year-old daughter. Her name is Julia. You'd be saving her mother.
s Wife, I think you're lying. You haven't had one visitor. Not one phone call since you've been here [to Taub] Does she have a Parkld?
Taub, No. But her life is still worth ÔøΩ
s Wife, More than my husband's?
Apple, I lied to save my life. Wouldn't you?
s Wife, Not at another huMan being's expense.
Apple," No, you'd just Rob me of my only chance so your husband can struggle to breathe for a few more days."
s Wife, Just shut up. [The beepers on Frank's monitors start going off.] I don't want to hear from you.
Taub, Ladies.
Apple, You want to hate me so you won't feel guilty.
Taub, Shut up!
s Wife, Frank?
Taub, Give me a scalpel.
s Wife, Frank.
Taub, He's coding. [The nurse hands him the defibrillator paddles.] Clear. [zap] Clear. [zap] Clear. [zap]
s Wife, Frank!
Taub, Clear. [zap] Clear. [zap] Clear.
House, Did you get the consent?
Taub, No.
House, Tell Foreman to get it. Old people are scared of black people.
Taub, It won't matter. Patient's dead.
House, Save the brain. Don't need consent for an autopsy.
House," Well, at best, we're gonna bat one for six on this one."
Taub, Thin slices through the parietal and temporal lobes were clean. Occipital and frontotemporal regions were also ÔøΩ
House, Brain's clean. Moving on.
Thirteen," To where? We've gone from making no sense, to making less sense, and then taken a step backwards."
Taub, Each of these people were killed by one thing that attacked one organ. But nEver the same organ.
Kutner, Could the donor have had two things wrong?
Taub, Or six things wrong?
House," Metabolic diseases specialize. Everything else specializes, but cancer plays the field."
Foreman, You're back to cancer?
House, Metastasis is just a fancy word for screws around.
Taub, Any type of cancer?
House, I don't know.
Foreman, There would be evidence of cancer.
House, There is. We just haven't found it yet.
Foreman, You need it to be cancer so you have an excuse to talk to Wilson.
House," Give me something else that explains this constellation of Patients, then you can call me an ass."
Foreman, I didn't call you an ass.
Kutner," Perforated intestine. If this thing started as normal bacteria living in the intestines but got into a blood vessel through a vascular anomaly in the bowel wall, then they would affect Every organ through the blood stream. It screws up Everything. For Everyone."
House," Okay. It's a long shot. It is possible that I'm an ass. Ironically, we need to do a colonoscopy to confirm."
Taub," We checked Apple inside and out when she came in, she's clean."
Kutner, The anomaly would have to be intermittent or they all would have died within a day.
House," She starts getting abdominal pain, shove a tube up her rear before it can get away. And test anyone else with stomach pain."
Thirteen, Everyone else is dead.
House, Not Everyone. The one thing the donor gave to each of these people is his DNA. Anyone else have his DNA?
Taub, You want to do a colonoscopy on a healthy four-year-old?
House," She has a tummy ache. If Kutner's right, it's not a tummy ache, it's a fatal brain or heart or lung or liver or pancreas ache."
Thirteen, I'm not gonna scare the hell out of the poor kid's mom because of a long shot corollary to a long shot theory.
House, Fine. Tell her the truth. Then ask if daddy knows who the real daddy is.
Mom, Does she have to be awake?
Thirteen, We need her to tell us when it hurts. She'll get over it. Your husband might not have...
House, What if a kid wants ice cream?
Lucas, The sign outside says 'closed'. Dr. O'Shea's not right for you.
House, What'd you find out?
Lucas, Why are you investigating him?
House, 'Cause I need to know if he lends money interest-free. What did you find out?
s Voice, I want some ice cream.
Lucas, [shouting back] Not until you learn to read. [to House] You're supposed to trust friends.
House, I don't know the guy. I got no logical reason ÔøΩ
Lucas, To be his friend? Have you nEver seen an after-school special? That is part of the pleasure of friendship: trusting without absolute evidence and then being rewarded for that trust.
House, You're taking pictures of a guy who's having an affair with his own sister. And you're lecturing me about the rewards of trust.
Lucas," There are two types of people that hire me. No, actually, there are three types of people that hire me, but the third type's irrelevant to the point I want to make."
House, Do you have a special rate plan for being a pain in the ass?
Lucas, One type wants to find out that they're right. One type wants to find out that they're wrong.
House, Which type am I?
Lucas, You're the third type.
House, You lead with the irrelevant types?
Lucas, You're the type that doesn't care if you're right or wrong because they've hired me to investigate the wrong person.
House, That's an actual type?
Lucas, You want me to check out Wilson. You want to find out if he's ÔøΩ
House, How do you know about Wilson?
Lucas, What do I do for a living?
House, You checking me out? Have I been paying for that?
Lucas," So far, you haven't paid for anything. You want to find out he's pining. You want to find out if there's something about him that will tell you he's gonna come back or something you can use to make him come back."
House," [House thinks, then looks away as he asks] Is there?"
Lucas," No, no, there's nothing. Sorry. [long pause] That will be $900."
House, I gotta go. I'll get you a check.
Kutner, Colonoscopy was clean.
House, Then that just leaves cancer.
Foreman, The fact that the kid's colonoscopy was negative doesn't prove anything.
House," Yes, the fact that it didn't prove anything didn't prove anything. Excellent point."
Foreman," We don't know if the kid inherited anything. Even if she did, Kutner's theory is that the thing's intermittent."
Kutner, The opening would have to be open shortly before death.
House," Unfortunately, we can't know when shortly before death is until shortly after death. And that seems like an obstacle."
Kutner, What if there was a way around that?
House, Then we're kind of all sweating over nothing.
Kutner," Not around death, around death as an obstacle. We need to see his colon at work."
ForMan," You do know what death means, right?"
Kutner," Without a living system, there's not enough pressure to get fluid all the way up. Life we can't create, yet, but pressure's easy. We use the same high-pressure water jet we use to test cardiac workload. I mean, he's not gonna be awake to tell us where it hurts ÔøΩ"
Foreman, It's not gonna ÔøΩ
House, Do it.
Kutner, It's kinda stuck.
Foreman," It's more than stuck. The bowel's been dead for six hours. No matter what you shoot up there, it's closed. [Kutner plays with the maParkne, trying higher pressure.] This is nuts."
Kutner, It's adjustable. [He reinserts the tube.] It's working.
Foreman, Yeah. Wow. But not much. Increase the pressure.
Kutner, The endoscope's bowing. Push on the stomach?
Kutner, Those are normal bodily fluids.
Foreman," Yeah, normal bodily sewage."
Kutner, Put the pressure back on. [Foreman does.] That's the end. No leaks.
Foreman, [looking at screen] Wait. What's that?
Kutner, That's just dark 'cause I'm at the end.
Foreman, What if you're not at the end? What if it's a core lesion?
Kutner, Maybe a little more pressure? [He starts fidgeting with the maParkne again.]
Foreman, Not too much. If it's the end and we ÔøΩ [Frank explodes all over Foreman.]
Thirteen, It's finally accelerating. Apple's heart rate has become irregular. Breathing is labored. Colonoscopy's still showing no leaks.
Taub, What if it is autoimmune?
House, What if we don't have conversations we've already had? Four out of the five didn't linger. They got sick and died. We don't have time to dismiss things we've already dismissed.
Kutner, Nothing fits.
House," See, that's an example of a conversation we've already had. She's sick. Something fits."
Foreman, MS?
House," [exasperated] No! Okay, from now on, no one says anything unless no one's said it before."
Foreman, Where are you going?
House, You guys start immuno-gels on her CSF to look for hidden protein markers. Then start sequencing her genes. I'm gonna start treatment. [He gets his jacket from the coat rack and opens the door.]
Foreman, Treatment for what?
House, Cancer.
Thirteen, It's not cancer. Chemo's toxic.
House, It's something. Which means we should treat her for something.
House, She's fine. Where's her chart?
Nurse, You rang emergency to get her chart?
House," I know. That was bad of me. But I'm pretty sure the chart's supposed to be attached to the bed so that gimp doctors don't have to look all over the place while Patients die. [She picks up the chart from the table past the curtains and gives it to him.] Thank you so much. And some peppermint tea when you get a chance. [She gives him a ""look""ÔøΩ and leaves.]"
Apple, You found cancer?
House, No.
Apple, Then you have tests indicating ÔøΩ
House, Nope.
Apple, Then why should I sign it?
House," That's a good question. It deserves a compliCated answer. Placebo effect. People have confidence in doctors. They have confidence in diagnoses, confidence in medicine. Sometimes they get a little better just because they think they will. And that can make us think that the wrong answer is the right answer. Which is very bad."
Apple, So you do have proof that it's cancer but you can't tell me because it might affect the way I react to the medicine?
House," If that were true, and it would certainly make sense, do you think I could tell you that it's true? [enormous wink. She signs.]"
Apple, I was practically blind before the transplant ÔøΩ 20/200 vision.
House, Didn't you cover all this personal stuff with Dr. Foreman?
Apple, You don't care who I used to be?
House, You're a post-corneal transplant math teacher. I deduced that you were a blind math teacher.
Apple, I was an arParktect.
House, [interested] You gave up arParktecture after you could see?
Apple, The world was ugly. You think the world would be any different if your leg was fine?
House, No.
Apple," Think you'd be any different if your leg was fine? I mean, the doctors told me that my life was gonna be so much better once I could see. I would date, I would dance, but, uh, the guys I hated dancing with before I hate dancing with after. My parents were still dead. I was still alone."
House, You're fun.
Apple, You don't seem all that different.
House, I haven't given up. [He leaves.]
Lucas," Wilson's got a new job, hasn't started yet, but ÔøΩ"
House, So who are we following?
Lucas, See that lady up there?
House, You point at the target?
Lucas," No, I'm following the one halfway in between that point and that point."
House, [House focuses on the target with his cane.] Pretty. Who hired you?
Lucas, No one. I just like her.
House, You're stalking her?
Lucas," No, no, I followed her out of that bookstore back there."
House," You are stalking her, just not for very long. So what else can you tell me that I might care about?"
Lucas, He attends this grief counseling thing twice a week where they go around the room and cry about who's dead. Cameron's been to his House sEveral times. They just talk about death and losing loved ones.
House," What!? [He turns to join Lucas.] If she turns her head, she's gonna see that we're walking the wrong direction."
Lucas," No, no, no, she won't. I'm very nondescript."
House," Well, I'm not."
Lucas," Well, then you stay four feet behind me."
House, How do you know what they're talking about?
Lucas, I'm in the same grief counseling group. I recently lost my mother.
House, You'd get laid more often if you told them you lost a kid.
Lucas, I didn't lose a kid.
House, You're a PI who can't lie?
Lucas," I can lie. I'm just not all that good at it. Well, Dr. Cuddy's been over to Wilson's twice and phoned a bunch of times. Foreman called him. And the rest of the time Wilson's been reading meditation books and magazines about restoring barns."
Target, [turns and walks back to them] Are you following me?
House and Lucas, No.
Target, Are you lying?
House, [simultaneously] No.
Lucas, [simulataneously] Yes.
House, Lesson one: Commit.
Target, It's making me uncomfortable.
Lucas, Sorry. [She starts walking away.] You're very pretty.
Target, [over her shoulder as she continues walking] More uncomfortable.
House, She's not your type. Your type is much stupider than her. What did Wilson say about me?
Lucas," Oh, you've nEver come up."
House, In the grief counseling or in the other ÔøΩ
Lucas," Anywhere, I got three bugs in his home and one in his car. If I didn't know you, I wouldn't Even know you existed. [House looks stunned.] Which is good news. Only two things you ignore ÔøΩ things that aren't important and things you wish weren't important. And wishing nEver works."
Foreman, She's better.
House, I could tell at once.
Foreman," Vomiting's a side effect of the chemo. Her heart rate's stabilized, breathing's good. Amylase and triglycerides are both coming down."
Apple, I guess it's working.
Foreman, Can't beliEve it. It's cancer.
House, It's not cancer.
House, Labs show that our Patient is healthier. She's gonna get sicker. Then she's gonna die. I brought Thai food.
Foreman, What did you see in her?
House, Nothing. It's not cancer. All the tests say it's not cancer. They've always said it's not cancer.
Foreman, Treatment proves it's cancer.
House," Eh, treatment proves it could be cancer. It's not cancer."
Taub, This was your diagnosis.
House, I nEver thought it was cancer.
Foreman, You treated for cancer.
House," I thought that what she had acted like cancer. If it acts like cancer, maybe it'll respond like cancer."
Thirteen, It did. 'Cause it's cancer.
House," We have to find something that walks like cancer, talks like cancer, tastes like cancer, [pops some food in his mouth] but isn't cancer."
Kutner," No, we don't. Better is better. Who cares why?"
House, I do. And so does Tetrault.
Thirteen, Who?
House, The dead tuba player.
Thirteen, Tibalt.
House," The point is, he died last, but he died. Which means she's gonna die too."
Foreman, Tibalt wasn't receiving cancer medication.
House, There's a cancer drug that's used off-label for arthritis.
Kutner, There's no record of arthritis.
House, Did you interview all the tuba students?
Thirteen," If he had joint pain in his hands, he couldn't have played."
House, Then it wasn't in his hands.
Taub, Then why do we care about his students?
House, One of them is Canadian. Brought him methotrexate so he could hide his arthritis. Already couldn't afford his insurance. And that little piece of business cost me $700. I'm gonna pass it on to the Patient with a steep mark-up.
Foreman, This makes no sense.
House," I know. She's dead unless we can find what's cancer... but not cancer. [They all think, silently.] Something's missing."
House," I need an epiphany. [Wilson stares at him, tight-lipped.] What are you billing out at, $300 an hour? Here's four."
Wilson, There are other oncologists.
House," Better oncologists. But I need you. [He balls up the money and throws it past Wilson into the apartment.] Let me describe the symptoms, pRoblems, issues, and you say whatEver you feel like saying, until something triggers an idea in my head."
Wilson, That's not the way it works.
House," You have a way of thinking about things. It's sloppy, it's undisciplined, it's not very linear. It complements mine. It drives me down avenues that I wouldn't otherwise ÔøΩ"
Wilson," House, please go away."
House," Cancer, but not cancer. Responds to cancer treatment, but there's no ÔøΩ [Wilson tries to close the door but House blocks it.] How are you?"
Wilson, Don't do this. Please. Please. Don't do this. I'm trying to move on.
House," By hanging out with Cameron, talking to Cuddy, Foreman, but not me. I! [short, mirthless laugh] I paid a private investigator to spy on you."
Wilson, [sighs] You didn't.
House," You want to move on from me, you got to deal with me, talk to me."
Wilson, You had no right ÔøΩ
House," We're not friends anymore. There's no trust to be breached. I can have you followed, I can call you names, tell your secrets. [They look at each other.] Foreman did a CT. Temporal and frontoparietal regions are normal. Occipital lobe, normal."
Wilson," I have the right to walk away from you, House. There's a world beyond you. You need to realize that, and Even if you don't, I'm moving on. The next time you knock, I'm not answering."
House, Nothing yet. Keep talking.
Lucas, I'm sorry.
House, You charge me for listening in on my own conversations?
Lucas," Yeah, why wouldn't I?"
House, How Many friends do you have?
Lucas,17
House, Seriously? You have a list?
Lucas," No, I knew this conversation was really about you, so I just gave you an answer so you could get back to your train of thought."
House, Well done. I have one. Had one.
Lucas," You know, friends are important. You're gonna missÔøΩ"
House, Shut up. Friends allow you to not sit in a room by yourself. Are you charging me for this?
Lucas, Are we friends?
House, No.
Lucas, Then yes.
House, Do you wanna be my friend?
Lucas, No. You scare me a little.
House," He thinks if he's not a friend, he can't talk to me. We can talk, we can be two huMan beings talking ÔøΩ"
Lucas, I'm with him. Sorry. Didn't mean to interrupt.
House," Yes, you did. I was in the middle of a sentence."
Lucas," Yes, I did. You're repeating yourself."
House, I'm grateful. Make your point.
Lucas," It's like that ""cancer, but not cancer"" thing you were talking about before. Friends are friends, customers are customers, and Everything else is Everything else. If it's not, nothing's nothing."
House, And anything can be anything. [looks at his watch] 10:10. Stop the clock. [He starts walking away.]
Lucas, What?
House, The world is not as ugly as she thinks it is.
House," Cancer, but not cancer. Doesn't make any sense unless... [He pulls an x-ray from a folder.] Brain, but not brain. Occipital lobe's normal. But her eyes suck. That lobe should be compensating. Since it's not, that tells me that something's in there that shouldn't be in there. Brain, but not brain."
Cuddy, Why are you in my office?
House," To find the anomaly, I need to chop off the top of her head. Pretty sure I need your approval for that."
Cuddy, I'm gonna trust your first instinct.
House, I'm not usually confused when you say things like that.
Cuddy," I'm ordering her cancer treatment to be continued. [Holds up a bill.] Why does it cost $2,300 to fix a coffee maParkne?"
House," Cancer stem cells are real. They explain Everything. They're like embryonic stem cells. They become whatEver they want. Donor had them, the recipients got them. They floated around, they landed on an organ, got bathed in cytomes and partially differentiated. And the key word there is partially. In the tuba player, they became lung, but not lung. In the tennis player, they became heart, but not heart. Stop me if you've figured out the pattern. They looked as if they belonged, but they weren't doing their jobs. And when they were really needed, boom. Chemo worked because cells are basically tumors. Chemo shrunk them. [He looks at her.] You're still gonna say no, aren't you?"
Cuddy, You've no proof.
House, I have the brain scan.
Cuddy, The normal brain scan.
House, This is why I need to take off her head.
Cuddy, To treat or to prove you're right?
House," To treat. Chemo's not killing anything. It's just hiding the real pRoblem. She's gonna crash. If we wait until she does crash, it might be too late."
Cuddy," So the next step is what? I say no, and then you do something to make her crash so that I'll think you've proven your theory?"
House, I would nEver do that.
Cuddy," No, you won't."
Male Nurse, She's crashing!
House," [on intercom from observation area] You might want to check her IV. From here, it looks like saline instead of chemo."
Chase," Yeah, they look identical."
House, Still. You should pRobably check.
Chase, You switched her meds?
House, How could I? I had no access.
Chase, [to the neurosurgeon] Close her back up.
House, Do the surgery.
Chase, There's no reason to ÔøΩ
House, No reason not to. The stupidly dangerous part is already over with.
Surgeon, We're ready with the neural net.
Lucas, Is that someone's brain?
House, Except for the part that isn't brain.
Lucas," Hey, that's the Patient I ÔøΩ You said she'd be fine."
House, I'm a better liar than you are.
Lucas," I swapped her meds. I mean, she's got a brain pRoblem. I coulda killed her."
House," Yup. The neural net will show us how fast her neurons are firing. If there's something in the way, say... Brain that's not brain, the normal neural impulses will be sucked into a vortex because they're unable to do their job. The computer will then process it and give us a picture of where to cut."
Lucas, Cool.
House, Excuse me?
Lucas," Sorry, I thought that's what you wanted to hear. You think all this is amazingly cool. And you have no one else, so you're paying a guy to listen. Sorry ÔøΩjust trying to save you some cash."
House, I'm on the clock.
Lucas," Yeah, why wouldn't you be? You think this is interesting to me?"
Chase, House?
House, [looks at monitors next to him.] I see it. Can you get it?
Surgeon, I think so.
House, Turns out you didn't kill her.
Lucas," Cool. You owe me $5,000."
Apple," Why are you just standing there, Dr. House?"
House, How'd you know who it is?
Apple, I can smell you.
House," Yeah, like you're a field of roses. [He pushes the emergency buzzer for the nurses. The same two enter.] Peppermint tea."
Nurse, You Ever hear of the boy who cried wolf?
House," NEver really bought that. I don't care how often a kid cries, he's being eaten by a wolf, mom's gonna come running. [The nurses leave. To Apple.] The world is ugly. People kill. They go hungry. [He buzzes again. Just one nurse comes in.] Just proving a point. [She leaves.] People are asses."
Apple, Why are you telling me this stuff?
House," Because the world is not as ugly as you think it is. Your transplanted cornea's fine, your eye is fine, but your brain wasn't working right. I'm gonna take the gauze off your eyes now. It's gonna be bright."
Apple, I know.
House," The brain cells that weren't brain cells were in the way of processing visual information correctly. After the transplant, you could see, but not see."
Apple, I could see. I could read.
House," Yeah, but it was dull, or foggy, or gray. I don't know. What I do know is that you were not seeing what Everyone else was seeing."
Apple, And now? Things are gonna be... beautiful?
House, Things'll be what they are. [He removes the last of the bandages.] How do I look?
Apple, You look sad.
House, Hey. Is there any way I could put you on retainer?
Susan, I still can't beliEve you talked me into this.
Anthony," [chuckling] Come on, Honey. You're gonna throw him off."
Brandon, It's okay. I'm almost done. A little more light on your hips.
Susan," [grimacing] Oh, God. Why couldn't you have come up with this before I had two kids?"
Anthony, [chuckling] You look amazing.
Brandon," Okay, I think! yeah, I'm done. Wanna come take a look?"
Susan, I can't. You first. [They both giggle.]
Anthony," No, we'll look together."
Susan, I don't understand. I! I thought ÔøΩ
Anthony, What the hell is that?
Susan, Honey. It's okay.
Anthony," This is not what we discussed, or what I paid for."
Brandon, I don't understand. I think this is one of the best I've Ever done.
Anthony, I want my money back.
Brandon," I'm sorry, but this is not some department store photo studio."
Anthony, [pointing] And this is not my wife.
Brandon," Yes, it is. You asked me to paint her exactly as she looks. That's exactly what I did."
Susan," Honey! Oh, stop it!"
Heather, [running down from the loft] What's going on? Brandon!
Anthony, That check! better be in my mailbox by Friday. Or I'll be back. [to Susan] Come on!
Heather, [to Brandon] What happened?
Brandon, [sitting up and wiping blood from his nose] I don't know. They saw the painting and they just freaked out.
Heather," [picking up the canvas] Brandon, what is this?"
Brandon," What do you mean? It's her portrait. [She looks at him, puzzled.] What's wrong with it?"
House, Why's this in here?
Lucas," First column, last entry."
House, [looks at it and smiles] Today is going to be a good day.
Cuddy, This him?
House, [simultaneously] No.
Lucas, Yes.
House, She means are you the private investigator whose bills I've tried to slip through as medical expenses?
Lucas," Oh. [standing] Hi. I'm Lucas Douglas, PI."
Cuddy," This hospital's not putting a private investigator on retainer. Nor is it gonna pay any more phony repairs on vending maParknes, cryostats, or elevators."
House, Information saves lives. Saving lives saves money.
Cuddy," No, saving lives costs money, which is why I'm trying to make sure there's still some left! You want your own personal PI, you're gonna have to pay for him yourself. [to Lucas] Sorry."
Lucas," No, I understand. Hey, I! I like the shoes, by the way."
Cuddy, [leaving] Uh! thank you.
House, You don't like her shoes. You like her legs.
Lucas, It sounds less creepy if you say shoes.
House," Less creepy, more gay."
Lucas, That's my firm's motto. What is a cryostat?
House, No idea. WhoEver fixed ours is about to get stiffed. [He balls up one of the sheets of paper and tosses it in the trash can. Two points.]
Thirteen, There's no distorted perspective in any of his other recent works.
Taub," Not much talent, either."
Foreman, So the symptoms just came on. Acute onset visual agnosia points to a stroke or brain tumor.
Taub, MRI rEvealed no stroke or brain tumor.
Foreman, We should do another with contrast.
Thirteen," If he's like the other struggling artists I've known, he's also into drugs. We should! [to House] What are you looking at?"
House," Apparently, a moron. One, ER routinely tests for drugs. If it was positive, we wouldn't be looking at this file. Two, who pays 12% interest on a car loan?"
Thirteen, How did you ÔøΩ? Did you run a credit check on me?
House," No. That would be illegal. Interestingly enough, paying someone to run it for me, though! [The entire team looks annoyed.] What? It's part of my job."
Thirteen, Your job is to diagnose Patients.
House," Which I do with the team. How am I supposed to know how best to utilize that team if I don't know Everything about them? Say that Van Gogh turns out to have neurosyphilis, and our last vial of penicillin is in a storeroom at the end of a 20-mile hallway with a two-foot high ceiling."
Taub, You've discovered that one of us has been hiding the ability to stretch or shrink themselves?
House," No. I would nEver out someone's super powers. [He wheels his chair to his desk and gives Thirteen a pile of papers that was there.] This, on the other hand!"
Thirteen, [to Kutner] You crawled 20 miles?
Kutner, My name's in the Guinness book.
Taub, I'll bet that really impresses the babes.
Kutner, I didn't do it to get the babes.
Taub, No. That would cheapen the purity of your aParkEvement.
Foreman," Sorry to interrupt, but we have a Patient with a pRobable brain tumor."
Taub," Who needs an MRI with contrast, we've established that. What do you got on Taub?"
House, I got nothing on Taub.
Thirteen," Could also be environmental. We should check his studio for toxins, mold, fungus."
House," Taub's wife, on the other hand!"
Foreman, House. That's enough.
House, Dad's right. This is no time for gossip. A Patient desperately needs our help. Check his head and his House.
Kutner, Can't Lucas ÔøΩ
House, [grabbing report out of Thirteen's hand] Nope. He's very busy.
Foreman," If there is a tumor, this test will show us ÔøΩ"
Brandon, Is that stuff dangerous?
Thirteen, This is just the contrast material. There is a small risk of an anaphylactic reaction.
Brandon, I could stop breathing?
Foreman, Don't worry. We're prepared to deal with whatEver happens.
Brandon," You know, I did some drawings this morning, and they seemed fine. So maybe it was just a reaction to something I ate."
Foreman, How Many people you know have reactions like that to something they ate for breakfast?
Brandon, But if I'm getting better!
Foreman," You'll continue to get better. If you're not, we need to know why not so we can start treatment immediately."
Heather," Baby, let them do the test."
Kutner, Can lead poisoning cause visual agnosia?
Taub," Not without lead showing up in the blood work. [enters from another room] Nothing in the medicine cabinet except some harmless toiletries. No signs of mold or fungus anywhere, either."
Kutner, You think House really got something on your wife?
Taub, No. Not that I'd care if he did.
Kutner," Wait, your wife's doing the doorMan in your bed, and they're sweating all over the sheets that you paid for and ÔøΩ"
Taub, My wife's not doing the doorMan.
Kutner, How do you know?