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00:00Viewer discretion is advised.
00:05We just arrived.
00:08Yeah.
00:08The kid's okay on your end?
00:11Good.
00:12Yeah, yeah, he's very excited.
00:15Hey, listen, I gotta go, okay?
00:17I'll call you tomorrow.
00:18Excuse me.
00:24Get away.
00:25Get away.
00:27Sorry about that.
00:28Sorry.
00:30What's wrong with him?
00:33Excuse us.
00:35I ought to go back and kick the hell out of that guy.
00:37She was old enough.
00:38She didn't have to scream like that.
00:39It's okay, Dad.
00:40It didn't bother me.
00:42For the first time, none of these people bothered me.
00:44I just think 36 more hours.
00:4636 more hours?
00:47How'd you figure that, Kenny?
00:48Tomorrow at this time, I'm scheduled for surgery.
00:51It's a 10-hour procedure.
00:52It's all too many for prep.
00:5436, it's all just another face in the crowd.
01:21So take your time.
01:30Kenny has a frontonasal encephalos seal.
01:33It's a midline deformity.
01:35He's here to undergo a facial bipartition.
01:38And what does that mean?
01:39Well, we have five surgeons, four nurses.
01:42It's going to require six units of blood.
01:44Will it fix him?
01:45It'll repair a lot of the damage done by...
01:47We need a sound bite.
01:48Would you say he'll be ready for the junior prom?
01:51Yeah, yeah.
01:52That's probably true.
01:53No, I mean, I need you to say it.
01:55Dr. Chase, we got an issue.
01:58Heart rate skyrocket is over at 180.
02:01He's in V-fit.
02:02Paddles.
02:03Charged to 300.
02:04Turn that camera off.
02:05Is this reaction to anesthesia?
02:06Haven't given it yet.
02:09Clear.
02:11Frank, it's 360.
02:13I said turn that damn camera off.
02:15Clear.
02:48A teenage boy with a cranial facial deformity was about to undergo a reconstructive procedure when he had an unexplained
02:56cardiac arrest.
02:58Good.
03:00Good?
03:02I mean, go on.
03:06We have the patient on a pacing wire.
03:09It's the only thing keeping his heart going.
03:12Yeah, we know.
03:13We're doctors.
03:14Right.
03:15It was meant to be just for them.
03:16Just be yourself.
03:19Until we are able to figure out exactly what is causing the heart block.
03:23The reconstructive surgery is on hold, obviously.
03:27That's yourself?
03:30Fascinating case.
03:32I will see you again after I have saved his life.
03:35Have a warm bath waiting.
03:41Are you following me?
03:43Darnell will be trailing you throughout the case.
03:46Pretend we're not here.
03:48If I do that, why don't I bump it to you?
03:49We'll stay anyway.
03:52It's a joke.
03:54See, I became a doctorate because of the movie Patch Adams.
03:58Uh, listen, you want to get ahead of me and maybe back up?
04:01I don't know, low down?
04:03Does he look more powerful?
04:04That's perfect.
04:05Yeah.
04:06Also, my eyes look better in rooms with summer colors.
04:08You know what?
04:09It's black and white.
04:13You think I like the cameras?
04:15You think I want the whole world watching you check out my ass and question my wardrobe?
04:21Would it be better if I checked out your wardrobe and questioned your ass?
04:24A little part of me...
04:26There is no little part of you.
04:27I thought that maybe you would see what great PR this could be for the hospital
04:32and not make me force you to act like a human being.
04:36You using force on me is intriguing.
04:40On the other hand, cameras make people act, sometimes like human beings,
04:44sometimes just weird, sometimes they wear open-tip bras.
04:48It's Colton here.
04:50The less obvious point is that I need my team to be unafraid of the metaphorical fart.
04:55That production company is covering all the medical costs for this kid.
04:58So either you let them continue filming, or the kid goes home with the same face.
05:10Sorry about that.
05:12I'm private.
05:14She waxes her mustache once a month, and sometimes gets some pretty gnarly ingrown hairs.
05:30So did he hire you flat out, or are you competing for one of the spots?
05:34I'm not sure what you mean by that.
05:36She's not competing.
05:37She was handpicked by House.
05:39She's safe, like Foreman.
05:40So that takes three spots down to one.
05:48Where's Foreman?
05:50He's in the bathroom.
05:51Good.
05:51Come on.
05:51Let's go for a walk.
05:54Walks look good on camera.
05:56Think of the illusion of the story moving forward.
06:07New patient.
06:0816-year-old boy with second-degree infranodal heart block post-arrest.
06:13Any reports of lightheadedness or syncope?
06:15Certainly not lightheadedness.
06:16Why did you hire her?
06:18Not in front of the company.
06:19Uh, are we going to be on TV?
06:20I'm making a music video.
06:22Come on, a little faster.
06:23More energy.
06:23Why are you glad Foreman's not here?
06:25Because he would object to what I'm about to do.
06:29Oh.
06:37Hey, buddy.
06:39You stand there.
06:40We'll be out here making sure he doesn't move again.
06:43God, finally hear myself thank you.
06:45Our patient has...
06:46Why did you hire her?
06:49Because she has way more diagnostic experience
06:52than the other swimsuit models I was considering.
06:55Our patient has a frontonasal encephalocele
06:57with a midline cleft.
07:01You don't stare directly at it.
07:04So what caused Big Head's heart to stop?
07:07Simple.
07:07His big head.
07:09Increased intracranial pressure would cause heart block.
07:11Wrong.
07:1216 years, they've been testing that insane noggin to death.
07:15What about a congenital heart defect?
07:17He has a midline anomaly on his head.
07:19Makes sense he'd have a midline anomaly in his heart, too.
07:22The 16 years of testing didn't show?
07:24Why did you bring her in so late?
07:26It's not fair.
07:27The rest of us...
07:28Hey, hey, hey.
07:28You wanted fair.
07:29Pick the wrong job.
07:30The wrong profession.
07:31The wrong species.
07:33Forget the deformity.
07:34Treat the patient like he's any other really, really ugly kid.
07:37Infection?
07:37Could be endocarditis.
07:39Well, since he doesn't have a prosthetic heart valve,
07:41I assume you're thinking he's an IV drug user?
07:43How should assume he's normal?
07:45Dealers don't ask for ID and don't care what you look like.
07:47Nice.
07:48You're right about the habit.
07:49You're wrong about the substance.
07:50Lackened skin under the nose equals frostbite from huffing Freon.
07:54Freon's toxic.
07:55Damages the heart.
07:56Discoloration could be acanthosis nigricans.
07:58It's a common side effect of these deformities.
08:00There's also discoloration on the cheeks and forehead.
08:03Do a nuclear study.
08:04If I'm right, you'll see scarring of the heart.
08:13I'm not part of some game, am I?
08:15I gave up a career because I thought this was a firm offer.
08:19Yes, this is a real offer.
08:27I think she might be an idiot.
08:30Who?
08:30I mean, she can't be an idiot.
08:32She's in the CIA, for God's sake.
08:34The Bay of Pigs was a daring triumph.
08:37She had good ideas in Langley.
08:39All your ideas?
08:40She was able to identify that they were good ideas.
08:43I'm a stab in the dark here.
08:44Is she pretty?
08:44She's new.
08:45She's nervous.
08:46She's a C-cup.
08:47She said one dumb thing in a differential.
08:49They all say dumb things in differentials.
08:50A D-cup?
08:51If she's no good, just fire her.
08:53I can't.
08:55I just hired her.
08:57She left a career.
09:00You know, that's actual guilt.
09:04I've got to see this woman.
09:07My son is not huffing Freon.
09:10Mr. Arnold, Dr. House is like a savant when it comes to diagnostics.
09:15What's his genius theory?
09:17Because Kenny's not normal?
09:19He's doing drugs to deal with his pain?
09:21Maybe the way to look at this is that you are normal.
09:26And what's that supposed to mean?
09:28You're like any other parent who thinks his kid can't be doing drugs.
09:38Doing this because my dad thinks I'm on drugs?
09:40I was doing drugs behind my parents back at your age and I had a lot less reason to be.
09:45Not that your life must be miserable.
09:48Not that I am suggesting that you should be doing drugs.
09:52How's school going?
09:53I'm home school.
09:54Really?
09:56You're lucky.
09:57Going to school was boring.
09:58My dad took me out and it wasn't because it was boring.
10:01I had a rough time in school too.
10:03Maybe not like you, but, you know, I don't mean to compare our situations.
10:08Actually, I guess I am comparing our situations, but only to show you how yours is worse.
10:14You can edit that out, right, so I don't look like an idiot.
10:17Relax.
10:17Everyone acts like an idiot around me.
10:20Makes you think it's not an act.
10:22Can I have something for my headache?
10:24Yeah, is that new?
10:2516 years old.
10:26It's the same birthday I do.
10:30I'm going to start the test now.
10:33Study showed no signs of scarring in Kenny's heart.
10:35It wasn't drugs.
10:36Well, then give me something better.
10:37What's causing heart block?
10:38It could be toxoplasmosis.
10:40We should do an LP to test for infection.
10:41It was toxoplasmosis we would have seen in large lymphs.
10:44And because you're not pretty enough to be an idiot, you must know that already.
10:47Which means you just said it because you want to do an LP to look for intracranial pressure.
10:50Because it is intracranial pressure.
10:52Wait, I'm not done.
10:53You thought I wouldn't catch on.
10:54Which means either you think I'm an idiot, which is flattering.
10:57I'm doing my hair differently.
10:58The kid's got headaches.
10:59He's been popping a ciumedophin like peanuts.
11:00How could you possibly think that I was done?
11:02I prefaced that with an either.
11:03It needs an or.
11:05Or you are an idiot.
11:07Which is possible.
11:07I'm not great at judging men's looks.
11:10The O.R.
11:11And the M.R.I. room.
11:15Yes.
11:17Dr. House frequently conducts differential diagnoses in a variety of places.
11:22He feels that a change in venue often leads to a change in thinking processes.
11:31I have to go take care of something else.
11:34Just let me do a CT scan.
11:36See if I'm right.
11:37The sooner we fix the problem, the sooner we can get to his recovery.
11:39Constructive surgery.
11:40Who cares if you're dead?
11:41That's how you look.
11:42Well since you've given me nothing better, we're back to drugs.
11:45So one thing we know it's not.
11:47Decreased uptake on the membranous septum.
11:49Could be an artifact.
11:50We can redo it.
11:51But nothing's nothing.
11:52Do an EP study.
11:55EP study means we have to stop this kid's heart.
11:59I'll set it up.
12:01House.
12:03Do you have a minute to be disemboweled?
12:09I'm going to thread this catheter through different areas in your heart.
12:12And once I've found the right pathway, I'll apply some electrical energy.
12:16It'll stop my heart?
12:18It sounds worse than it is.
12:19It'll be fine.
12:20Is it going to hurt?
12:21There'll be some discomfort.
12:25If you've done drugs, I understand.
12:29Being different's really hard.
12:37Kenny, it's more important for you to get better than to worry about getting in trouble.
12:44If I did drugs, that could explain my heart problem?
12:46It could.
12:47And then you can do the surgery to fix my face?
12:49That's why we're here.
12:55You know how famous people, everywhere they go, people are watching them, staring?
13:02They never have a chance to just be.
13:06You know?
13:06And a lot of them turn to drugs.
13:09People stare at them because they're beautiful, but me, they're just staring.
13:14You okay?
13:16I need to know what kind of drugs, Kenny, and how much.
13:20Um, coke.
13:22Mostly a lot of coke.
13:23And then, uh, when I run out, I usually go to LSD.
13:27Or, uh, or acid.
13:30Those are the same thing.
13:32They are?
13:34You don't do drugs, do you?
13:36I drink from my dad's liquor cabinet.
13:37We're not going to do this test.
13:38No.
13:40I need you to turn on your side.
13:42We need to intubate.
13:43I need some help in here.
13:46We need you to do this.
13:48We need you to do this.
13:48We need you to do this.
13:49Too bad you guys are going for a theatrical release.
13:52Vomiting blood, but it made a great act out.
13:55Likely causes.
13:56Mallory Weiss tear.
13:57No pallor, no melana.
13:58Why are you wearing a tie?
14:00I always wear ties.
14:02I'm a doctor.
14:03Please don't look at the camera.
14:05Sorry.
14:07Nasal papilloma.
14:08Hemorrhage could have overwhelmed the heart.
14:09Nice lipstick.
14:12Bad idea.
14:13Hemorrhage came after the block.
14:15Hell, just let them do their job.
14:17Is anybody here more interested in the medicine,
14:20a little less interested in the paparazzi?
14:22Upper GI bleed.
14:23Could be something he ate or drank.
14:24Maybe a peptic ulcer.
14:27Good.
14:29Except no abdominal pain.
14:31Patient hasn't lost his appetite,
14:32and the last I checked,
14:33the gastrointestinal tract isn't connected to the heart.
14:36Yeah.
14:37But other than that, real good.
14:39Nasopharyngeal angiofibrosis.
14:41I just said it wasn't a nasal tumor.
14:43Stomach cancer.
14:44Tumor causes bleeding.
14:45Body's reaction to the tumor causes perineoplastic syndrome,
14:48which leads to heart block.
14:49Finally.
14:50Someone who is not just a pretty face.
14:52You and Talb, run the scope, find the tumor.
14:54Uh, it could be dangerous.
14:56If the bleeding was caused by liver failure
14:57as a result of the intracranial pressure...
14:59Liver is the one organ you can't ascribe
15:01to intracranial pressure.
15:06True.
15:12Intracranial pressure can cause liver problems.
15:15It causes an increase in the cavernous sinus pressure,
15:17which causes pressure in the superior vena cava,
15:19which shuts down the liver.
15:20Are you just thinking of that?
15:22No.
15:23Then why don't you say anything about it?
15:24If it changes mine, I have a chance.
15:26House would have undercut me,
15:28forced me to do a procedure I just argued against,
15:30and then I'd look like a hypocrite
15:31in front of the thousands of people
15:33and potential future employers watching this film.
15:35If you're right,
15:36and we stick a scope back down a kid with liver failure,
15:39he could bleed again.
15:41I know.
15:45He just vomited blood.
15:48Isn't that dangerous?
16:03Well, it's great how he rebounded from that setback.
16:07What setback?
16:09He didn't tell you about the...
16:12Well, it's his right.
16:13The records were sealed.
16:16Personally, I think he was just tapping his foot
16:17and reaching for the toilet paper.
16:19Obviously, it was a witch hunt.
16:22You think they singled him out because...
16:24No, literally a witch hunt.
16:26Dr. House is a practicing Wiccan.
16:28It's a beautiful religion.
16:29It's very caring.
16:31Hey, hey, hey, hey.
16:33You have an all-access pass to the case,
16:35not my fave fives.
16:37Now go.
16:37Come on, come on, let's go.
16:43I think I'm going blind.
16:46Hairy palms, too?
16:48She said something idiotic again,
16:49and I didn't even notice it.
16:51It's a foreman to point out that it was idiotic.
16:53She's making me an idiot.
16:55It's cute.
16:56You have a crush.
16:56Well, I think it's something systemic.
16:58Thirteen's pretty.
16:59You're obviously okay with her.
17:01She killed a patient.
17:03The bitch is pretty.
17:04The bitch is a bitch.
17:05Ask her out.
17:06The bitch?
17:07She's a bitch.
17:07No, the one that's making you an idiot.
17:09It's a story of life.
17:10Boy meets girl.
17:11Boy gets stupid.
17:11Boy and girl live stupidly ever after.
17:15Pretty girl kill again?
17:16Nope.
17:17Elephant boy just vomiting up blood again.
17:25No tumors in the patient's stomach, so...
17:27The scope caused varicillus bleeding
17:28through 20 minutes of banding to stop it.
17:30Todd was right about the liver failure.
17:32Yeah.
17:33His craniofacial deformity is causing intracranial pressure,
17:35which is causing...
17:36Where are the nosebleeds?
17:38Where's the labored breathing?
17:39You're right about me being wrong.
17:41You're wrong about you being right.
17:42I need new ideas.
17:44Anybody.
17:57Does it bother you that this kid's gonna die
17:59because you won't put down that camera at all, you know?
18:02You people should be extra motivated.
18:03I'm sure they all want to look good in the film.
18:05No?
18:05Because now they're too worried about looking bad.
18:07Dr. House.
18:08Heart block plus liver failure could mean autoimmune.
18:11Maybe scleroderma.
18:15Forming?
18:16Does that make sense?
18:17Not without tight skin on the hands,
18:19muscle weakness, and a 30-year-old patient.
18:22Liver failure plus heart block
18:23could be a mitochondrial disorder.
18:28Hey.
18:29See what she just said.
18:31Liver failure plus heart block
18:32could be a mitochondrial disorder.
18:36Go look for signs of retinal degeneration.
18:38No.
18:38It's ICP.
18:39You're only gonna see swelling.
18:40Take him with you
18:41so he can see the degeneration, too.
18:46So, before you worked here in the ER,
18:47you worked for House, right?
18:49Three and a half years.
18:50Why did you leave?
18:51Hey, I don't want to be on TV.
18:53I'm not signing a release.
18:54We'll blur you out.
18:55Take off your pants.
18:57You gonna be able to use any of this
18:59if I start swearing?
19:00Did House treat you as badly
19:01as he treats his current fellows?
19:03Loaded question.
19:05Fork!
19:06That's not even a word.
19:09Fork!
19:10Very clever.
19:11I learned how to be a doctor from House,
19:14or at least a doctor
19:15who learned how to be a doctor from House,
19:17if that makes any sense.
19:18And you left his team
19:19because you couldn't stand him anymore?
19:21No, no.
19:22I love Dr. House.
19:24Well, that's something we haven't heard.
19:26I mean,
19:28what did you ask me again?
19:30Why you left.
19:32I...
19:33I loved
19:34being around him
19:37professionally.
19:38You know,
19:39it was always
19:39stimulating.
19:41Not
19:41in
19:42an erotic
19:43sense of the word.
19:45Fork.
19:45They forked.
19:46And then they spooned.
19:49Lean forward
19:50and place your chin
19:51on the rest.
19:56I can't reach it.
19:59Scooch in a little.
20:02I'll take care of it.
20:03Just like last time.
20:07Maybe we should try this
20:07the old-fashioned way, hmm?
20:11Okay.
20:12Look up to the ceiling
20:13and try not to blink, okay?
20:20Okay, good.
20:20Now straight ahead.
20:26There it is.
20:28Swelling.
20:29No degeneration.
20:32It's not mitochondria.
20:33Swelling proves there's increased pressure in his brain.
20:35Absolutely.
20:36So now we can schedule the reconstruction.
20:38Absolutely not.
20:40Your test proved you're wrong.
20:41We found exactly what I predicted.
20:43We'd find.
20:43Swelling means there's increased pressure.
20:45You get a gold star at David
20:47for proving,
20:47yes,
20:48this kid has a big head,
20:49and big heads cause pressure.
20:50It doesn't explain the liver.
20:51Too much acetaminophen does.
20:53JRA explains all of it,
20:55including the liver.
20:56One theory is better than two.
20:57Treat with steroids.
20:58If you're wrong,
20:59steroids are gonna mess with his immune system,
21:01put off his surgery for months.
21:04You really want to lose this argument
21:05in front of the camera?
21:11I'll speak to the father.
21:15Dr. House believes that Kenny has JRA,
21:17juvenile rheumatoid arthritis,
21:19and we need to start administering steroids.
21:22Will the steroids fix it?
21:29I don't think he has JRA.
21:31I think Dr. House is wrong,
21:33and that the steroid treatment could be dangerous.
21:37I think I can get House thrown off the case
21:40and get Kenny the facial surgery he needs.
21:46The father refused steroids
21:48until we're sure about the diagnosis.
21:50I am sure.
21:51It's a JRA.
21:52And why would he even doubt that
21:54unless a former fellow of mine
21:57was chirping in his ear?
21:58The decision was his.
21:59I merely voiced my concern.
22:00Why did you take this job?
22:01He's got a bulging cyst.
22:02Perfectly good plastic surgery practice.
22:04Lots of money.
22:05Fluids aren't draining properly.
22:06Temptation to come screw with me?
22:08Just too much for you?
22:09There's got to be a better reason.
22:10He needs surgery to drain.
22:12Oh, and I think I mentioned this earlier.
22:13You're fired.
22:19What you did was over the line.
22:21Get out.
22:25But don't go anywhere.
22:27You're not fired.
22:28Yet.
22:32No one is firing anyone in the middle of this case.
22:35Not while those cameras are here
22:36and not while Taub is the only person
22:38that this father trusts.
22:41Where are you going?
22:41To do what I always do in these situations.
22:44Treat my patient behind his back.
22:45That's one option.
22:47Or you can do a CT scan of the kid's head.
22:50If there's no midline shift,
22:51we know Taub's wrong
22:52and you get your consent
22:53to give the kid steroids.
22:56Just a warning.
22:57We have to start getting consent
22:58every time we do a procedure.
23:00Soon they'll be asking for informed consent.
23:09I didn't think you had the guts
23:10to stage a coup.
23:11Coup failed.
23:13I'm scheduled for execution to dawn.
23:15No, you're not.
23:15No reprieve from the governor.
23:17You're a test result away
23:18from becoming House's frontrunner.
23:20He doesn't care about what you said
23:21and what you did five minutes ago.
23:23He just wants the next good idea.
23:24Show me 20% magnification of the forebrain.
23:28I look at our patient.
23:29As soon as I saw his face,
23:32I saw a regular kid.
23:34One thing about being a plastic surgeon,
23:36you don't see what is,
23:38you see what could be.
23:39Talk like that around the house.
23:41Doesn't matter how many good ideas
23:42you come up with.
23:46So,
23:48tell me what you don't like about yourself.
23:51Gosh, uh,
23:53there's so many things.
23:54Uh, is Dr. Taub available?
23:57He was very highly recommended.
23:59Well, he's no longer practicing with us,
24:01but I've taken over all his files,
24:02so if you tell me what needs were...
24:03Do you know why he left?
24:05He had personal issues to deal with,
24:07so if we could just...
24:08Oh, my goodness.
24:08Is he okay?
24:09Oh, yeah, he's fine.
24:10He's fine.
24:11Because my friend had his ears done by Dr. Taub.
24:14Should he worry that they may pop back?
24:17No, it wasn't a professional issue.
24:19I'm sorry I really can't go into more detail.
24:21Shall we discuss your needs?
24:23You know that toe next to the big toe?
24:26Mine's bigger than my big toe.
24:28Does anyone want you to shorten it
24:29or make my big toe bigger
24:30like a toge-mentation?
24:34Did he lie, cheat, or steal?
24:36You're not here for a consultation, are you?
24:39Well, it gave me away.
24:41Was it my obviously perfect feat?
24:50I don't know what to do, but I don't know what to do.
24:53CT shows...
24:54Let's go.
24:59What are you two doing here?
25:01Skipping three scenes.
25:02CT's back.
25:03He's gonna say that there's evidence of an anomaly.
25:05I'm gonna say he's wrong.
25:06He's gonna go back to the father,
25:07and we'll all end up here.
25:09The defect is pushing on the right frontal lobe.
25:11This bend is a sign of herniation.
25:13Or it's a sign of increased pressure from J.R.A.
25:18Dr. Taub would rather distract you from the truth
25:20with sparkly things like four-carat diamonds.
25:24House.
25:25Your partner said that you left for personal reasons,
25:27but your wife said you lost a patient.
25:29You sound forget you spoke to my wife?
25:31See, that confused me.
25:32Why would you give her a diamond
25:33if you screwed somebody else over?
25:35If you screwed her over, I mean, I could...
25:37Get that camera out of here!
25:44You say anything to her?
25:46Just to ask questions.
25:47Get them out of here, too.
25:48We're doctors!
25:53I screwed around with a nurse.
25:55It became a deal.
25:58My partners found out, and I resigned.
26:01There.
26:02Happy.
26:02If you could be a bit more descriptive,
26:05I'd be happier.
26:06Some people pop pain pills.
26:09I cheat.
26:11We all have our vices.
26:18Taub.
26:20I don't see it.
26:21Stay away from the family.
26:23House, start steroids,
26:25and stay away from his family.
26:26Come on.
26:36Wow.
26:37You are ugly.
26:40Wow.
26:41You're an ass.
26:43I have a deformity.
26:44I don't.
26:45That's why you're ugly.
26:46But you're a lucky boy.
26:47Anywhere else in the animal kingdom,
26:49your parents would have eaten you at birth.
26:51Your son needs steroids.
26:53Dr. Cuddy agrees.
26:55Does Dr. Taub?
26:57He's not a real doctor.
26:59He's a plastic surgeon.
27:01All he cares is that your son looks good in his coffin.
27:04So I'm supposed to believe you?
27:06A doctor who cares?
27:07You shouldn't care if I care.
27:09I don't trust you.
27:11Because I don't think the surgery's important.
27:15You're putting your trust in someone
27:17who does think the surgery's important.
27:18You're willing to take chances,
27:20to risk his life for something he doesn't need.
27:22I do need it.
27:27I can't have real relationships.
27:29I can't even have a real conversation.
27:32Not even with my dad.
27:38Dad.
27:41I know you love me.
27:43But you don't treat me normal.
27:46You're always protective.
27:49The world can always go to hell.
27:52But you never yell at me.
27:55Even when I screw up.
28:00I want to be normal.
28:05Take your steroids.
28:07You get to live.
28:09And you can do your surgery.
28:12And it'll only change your face.
28:16It won't change who your face made you.
28:25We're gonna get caught.
28:26I'm not on film.
28:27All their camera equipment's in here.
28:30Where did you get those keys?
28:32Lou the janitor.
28:35What?
28:37What's his name?
28:40His name's Lou.
28:43Oh, I'm an apology.
28:47Just watch 20 minutes of this stuff.
28:49Tell me if I'm out of my mind.
28:50And finally, we have video evidence.
28:53Dr. House.
28:55Heart block plus liver failure could mean autoimmune.
28:57Maybe scleroderma.
28:59Formin.
29:00Does that make sense?
29:01Without tight skin on the hands, muscle weakness, and a 30-year-old patient.
29:06Can I see that again?
29:08What did you miss?
29:09She screwed up.
29:10I didn't know.
29:11Just the part where she leans forward.
29:12I think you can see through her dress.
29:19Upper GI bleed.
29:20Could be from something he ate or drank.
29:22Maybe a peptic ulcer.
29:23Good.
29:25You thought that was a good idea?
29:27What am I gonna do?
29:29Just enjoy.
29:31I'm gonna keep her around because she makes me an idiot?
29:34Well, you're protected.
29:35Foreman seems immune.
29:37You think he's gay?
29:38Did he become an idiot around Chase?
29:41You just said it's not a nasal tube.
29:43Wait a minute.
29:43Rewind that.
29:44Was that 13?
29:48Wow.
29:50I can't believe I'm that guy.
29:52Every guy is that guy.
29:54I'm not every guy.
29:55What is this?
29:56Semantics here?
29:56Okay.
29:57All guys are that guy.
29:59I'm not all guys.
30:03Cameron was smart.
30:04You know, I'm beginning to doubt that.
30:11I wanted to clarify something I said earlier.
30:15I love Dr. House.
30:17And then I qualified it.
30:19Which, after thinking about it,
30:21I didn't really need to do.
30:23I did love being around him.
30:27I guess I just wanted to qualify what I qualified before.
30:37I'm looking defensive, aren't I?
30:38No, no.
30:39I think that's great.
30:40Clears everything up.
30:47It's no big deal, really.
30:52There's a mass lesion in the left anterior temporal lobe surrounded by edema.
30:57Did you just insult me and take Latin?
31:00Dr. House, please.
31:02Can we just take a look at this?
31:06The defect is causing this nodular shadow here.
31:09You see?
31:11You're right.
31:13I didn't see that before.
31:16Come on.
31:17Let's go.
31:20Hey.
31:22I know you think you're feeling better.
31:24Like I'm feeling better.
31:26But this trusted family doctor thinks that he's found a mass lesion.
31:30So if you could lie back down and struggle to breathe.
31:33Okay.
31:35You were right.
31:38I'm thrilled I'm wrong.
31:41This is great, Kenny.
31:42You're going to get your surgery now.
31:44Fuck.
31:46First person I'm coming back to see is you.
31:49Because compared to me, you're going to look like butt.
31:51Hey.
31:53What, no comeback?
31:56Look at that.
31:58What?
31:59His little finger is twitching.
32:04No, it's not.
32:06Just give it a second.
32:07There.
32:09And?
32:10He's not better.
32:13What's wrong?
32:15My diagnosis.
32:18I don't know what he has.
32:21Cancel the surgery.
32:28New symptom.
32:30Involuntary muscle movement.
32:32A twitching finger is a symptom?
32:34The body doing something it's not supposed to do is the definition of a symptom.
32:37The kid's about to have a life-changing operation.
32:39He's nervous.
32:40Or he's not.
32:41Or you were right.
32:42The kid got better when we put him on steroids.
32:44This is JRA and it's under control now.
32:46Or the steroids have just tempered his condition.
32:49He had a haircut and still got bad hair.
32:51What about Lyme disease?
32:52It explains everything.
32:54The heart issues, internal bleeding, even why he'd get better on steroids.
32:57On the other hand, if he has Lyme disease, there would be other subtle clues like a huge target-shaped
33:03rash.
33:03But thanks for playing.
33:04Why can't you just accept the fact that you cured this kid?
33:06You want to stop his surgery!
33:09You're not normal.
33:11So you don't want anybody else to be normal?
33:13You don't think normal's healthy?
33:22Could be rheumatic fever also explains why the steroids helped.
33:25It's a similar inflammatory disease.
33:27Rheumatic fever doesn't explain liver failure.
33:29Talb thinks that acetaminophen does.
33:31Fine.
33:31Let's test your theory.
33:33Remove his pacing wire.
33:34If he's better, his heart will be just fine on its own.
33:36And then he can have his operation.
33:40If I'm right, his heart will stop.
33:45Kuttner, if the paddle's on standby.
33:48Another chance to blow someone up.
33:51There'll be some minor discomfort, and you'll feel a slow, steady pulling sensation.
33:56Are you sure his heart is ready for this?
33:58Absolutely.
33:59He's convinced he's sure.
34:02Whereas, I care about your son.
34:05And have therefore brought a professional defibrilist.
34:12We're not going to need those.
34:16Dad, I feel fine.
34:18My finger hasn't moved in a while.
34:24Okay.
34:26I'll take him off.
34:28Here we go.
34:30Here we go.
34:51Heart rate's 85 beats per minute.
34:53BP 110 over 70.
34:54Is he okay?
34:56I feel the same.
35:00He's fine.
35:01You're fine.
35:03Thank God.
35:06You need to thank God.
35:08God's the guy who gave it to him.
35:27You and me.
35:31You and me can get what we need.
35:40You and me can get what we need.
36:09Can you tell us about the procedure?
36:11We have to use both an extra and intracranial approach to get enough exposure to reduce the
36:17encephalocele cyst and do the bony reconstruction.
36:22And how are you participating in the procedure?
36:24She's not.
36:27They don't want me here because they think the kid's cured.
36:30I don't.
36:30And what do you think the problem is?
36:33Wish I knew.
36:34I just know that if Dr. House is right, something's going to go wrong.
36:37Dr. House doesn't think he's right.
36:40Well, then I'll just waste a few hours watching a surgery.
36:43The danger is we have to reconstruct all the way down to the cranial base.
36:47And there are some big vessels down there.
36:50So what we'll do is we'll work our way down to here.
36:52When were these pictures taken?
36:55Well, about three weeks ago.
36:57Why?
36:57What do you see?
36:58Well, the acanthosis nigricans was already there.
37:00It's been there a lot longer than that.
37:03Probably his whole life.
37:04What about around his hairline?
37:07What?
37:07There's no discoloration.
37:09There is now.
37:19I have a new theory.
37:21Their bad ideas don't indicate a lack of intelligence.
37:25They indicate an open mind.
37:27The willingness not to be trapped by conventional...
37:31You've got a problem.
37:33Tell me something I don't know.
37:34You hire beautiful girls, enslave them, force them to be around you because you don't know how to have an
37:38actual relationship.
37:39If they're qualified, keep them.
37:41If not, fire them and ask them out.
37:43You do realize that tell me something I don't know is just an expression?
37:47Thirteen.
37:48You think that just because she's as beautiful, ergo, you think that because she hasn't had a decent idea...
37:52No, my point is she's about to enter your office, so you should shut up.
37:58You were right about the diagnosis.
38:00Yes, it was J.R.A. I'm very proud.
38:02No, I mean, you were right about being wrong.
38:04He's got Lyme disease. It explains everything.
38:07Could you just hold up some fingers so I can see if I'm literally blind?
38:12We ruled out Lyme disease hours ago.
38:14All the symptoms fit.
38:15I am so ashamed.
38:16Is she really that good looking?
38:18Apparently.
38:19How many lives have been lost because of pretty girls?
38:21The target rash is hiding.
38:23No one ever looked at him closely enough.
38:24I don't know.
39:05She's getting uglier by the second.
39:09We can try and pretend we're above it.
39:11We can try and intellectualize it away.
39:13But ultimately, shiny, pretty, perky things are good.
39:18And ugly, misshapen teenage boys are repulsive.
39:24The question was, do you resent Dr. Cuddy's interference in your practice?
39:30Oh.
39:32Well, I guess my answer wasn't very helpful, was it?
39:44Mini-stud.
39:45Stand up.
39:53I spoke to your other partner.
39:55After Cuddy told you?
39:56No, I stayed away.
39:57Did it all over the phone.
39:58I asked for a reference.
39:59Said you were applying for a plastic surgery job.
40:01Oh, God.
40:02Yeah.
40:04He went nuts.
40:05Apparently, you signed a non-compete.
40:08Now, why would you agree to that?
40:09I don't want to practice plastic surgery.
40:11You signed a contract because someone's making you.
40:14Someone's getting something from you.
40:16What did they give you in return?
40:20They agreed to keep their mouths shut.
40:22So you gave up your chosen career just so they'd be quiet.
40:29I love my wife.
40:36You risked this job with nothing to fall back on.
40:42I thought you were wrong.
40:49Sit back down.
40:52You're keeping him because he's a philanderer?
40:54Where do I sign up?
40:55Ask the Mormon.
40:56I'm keeping him because he's interesting.
41:00Dr. Terzi, would you please stand up?
41:10Nice.
41:12I have treated you unfairly.
41:15Pre-judged you.
41:18For me to be a better person, I have to rectify that situation.
41:23You're fired.
41:30You want to grab some dinner?
41:33Maybe a movie?
41:36Seriously.
41:51Just days ago, with Kenny's condition worsening, it was Dr. Gregory House reassuring Kenny and his father.
41:58I care about your son.
42:00I care about your son.
42:00The charming house, who happens to be a film buff with a soft spot in his heart for children, told
42:05us how he got his start.
42:06See, I became a doctorate because of the movie Patch Adams.
42:09Determined to save the boy's life, as well as keeping...
42:12Horror.
42:14Well, it's nice of them to send us an early copy.
42:16Not so much sent as stolen.
42:18In the end, it was Dr. Gregory House who served as not only a doctor, but a rock for Kenny
42:25and his father.
42:25You're putting your trust in someone who does think the surgery is important.
42:29House.
42:29One of those rare doctors who wears his heart on his sleeve.
42:34God!
42:35I was saying that was a stupid thing to do.
42:37It's difficult not to be moved.
42:39Oh, stop it.
42:40Suddenly I don't feel I can trust Michael Moore movies.
42:44Where are you going?
42:45Kittens to get out of trees.
42:47Deaf kids to read to.
42:49I owe it to the world to make sure this evil never sees the light of day.
42:58Is there anything else?
43:03Thank you, Dr. House.
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