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00:05This is a really nice room.
00:08Yeah, it sounds thick. Too bad he's not coming.
00:10Look, I talked to him myself. He'll be here.
00:13Right.
00:13You're the one who said that the song could use a horn part, so I got the best. John Henry.
00:18You think I'm stupid?
00:19Of course I do. But that's not the point.
00:21He'll be here, okay?
00:31Take a left over head.
00:33South Street, I canceled this gig. You said you didn't want to do any sessions for a while.
00:39For a while? I called her, I uncanceled it.
00:42Are you up to it?
00:44Let's find out.
00:48You lied to me. John Henry's never gonna show up.
00:53Will you stop?
00:55It's been like two hours.
00:56And we will keep waiting.
00:57I mean, you've heard this guy play, and you know what he does.
01:00So can you just shut up, Tommy?
01:04Oh, my God.
01:07Am I late?
01:18You need to hear it again?
01:20Nope, I get it.
01:21Let's try one. See what we get.
01:23Let's do it.
01:30Let's do it.
01:32Let's do it.
01:33I can't breathe.
02:02I can't breathe.
02:04Call an ambulance!
02:06Now!
02:32I can't breathe.
02:34I can't breathe.
02:50I can't breathe.
03:01That paralysis thing.
03:03Guy can't walk for two years.
03:05Nobody knows why.
03:06It seems mildly interesting.
03:07Forget his paralysis.
03:09Tell that to the rest of his bowling team.
03:11As far as this hospital is concerned,
03:13this is a simple case of low bar pneumonia.
03:14Boring.
03:15But that not walking thing,
03:16that could turn into something serious.
03:18Marty Hamilton is his primary physician out in California.
03:22He's dealing with the paralysis.
03:23I know all about it.
03:24Multiple treatments, multiple surgeries.
03:26Making real progress.
03:27Fixed everything but the legs.
03:29Dr. Hamilton already called and asked for your team.
03:31And by team, I don't mean you.
03:34Well, like I always say, there's no I in team.
03:37There's a me, though, if you jumble it up.
03:41Foreman did his residency with Hamilton.
03:43I know.
03:43I accidentally glanced at his resume before I hired him.
03:46He wants someone he can trust.
03:48Must have spoken to Foreman's parole officer.
03:50Someone who will stick to the pneumonia.
03:53John Henry's on an experimental protocol for the paralysis.
03:56I respect that.
03:57I'm not gonna get in his way.
03:58It's Foreman's case.
04:00It's pneumonia.
04:01He can handle it.
04:02Guy's already paralyzed.
04:03How badly can he screw it up?
04:22So, what are his sats?
04:24Staying in the 90s on the nasal cannula.
04:26Coughing up much sputum?
04:27Almost none.
04:27He seems to be stabilized.
04:29Dr. House, is there anything back for micro?
04:30Not yet.
04:32You gonna fire me?
04:33You can make up for it by washing my car.
04:35Oh, this is fun.
04:36Okay, let's keep him on the broad spectrum antibiotics.
04:39And since he's displaying septic physiology, draw blood for adrenal and thyroid function.
04:46What about the paralysis?
04:47We're sticking to the pneumonia.
04:49Well, you certainly are, boss.
04:50Like a wet tongue sticks to dry ice.
04:53The paralysis has already been diagnosed by Dr. Hamilton.
04:55It's ALS.
04:56Lou Gehrig's disease.
04:58It's a lovely diagnosis.
04:59They make movies about it.
05:00No tests, no treatment.
05:02It's a disease of exclusion.
05:03Because Hamilton has excluded everything else.
05:06I haven't.
05:11What else could it be?
05:13Guillain-Barre, which would be reversible.
05:15Excellent.
05:16No.
05:17The progression of the paralysis would be symmetric.
05:20This was it.
05:21Transverse myelitis.
05:22Hamilton tested for it.
05:23Negative.
05:23And he was negative for masses and ABM and...
05:25Any bodies could be attacking the nerves.
05:27Multifocal motor neuropathy.
05:28Uncommon that it fits.
05:30It's also treatable.
05:31Did Hamilton try putting the guy on IVIG?
05:33No, because the MRI showed him.
05:35Let's do an MRI of our own.
05:41Guys, it's my case.
05:44ALS fits.
05:45It even predicts the pneumonia.
05:47The paralysis is progressive.
05:49It's a death sentence.
05:51That doesn't make it wrong.
06:11So you think the breathing stuff is connected to my ALS?
06:15It makes sense.
06:18So it's just gonna get worse, huh?
06:20Well, Dr. Hamilton...
06:22Great guy.
06:23Really smart doctor.
06:24And his treatment obviously isn't working.
06:28Do you think I'm gonna die here?
06:29You think I get to go back home first?
06:32An MRI would give us a better idea.
06:34An MRI, come on.
06:36For pneumonia?
06:36Well, Dr. House thinks we should test for others.
06:38Of course.
06:39Yeah, I heard about him.
06:41Obsessive sumbitch?
06:42That's him.
06:45So who do you think is right?
06:47Hamilton or House?
06:48Hey, they're both excellent physicians.
06:51Come on.
06:53One of them says ALS.
06:55The other one says not ALS.
06:57You gotta pick one, son.
07:00Everything points to ALS.
07:03The no MRI.
07:09And I want one of them papers to say, uh,
07:12I don't want nothing done if something go bad.
07:14A DNR?
07:16Mr. Giles, you don't want it rushing to...
07:18It's been two years.
07:19I ain't rushing.
07:20I wanna sign one.
07:24Now.
07:26Well, my arm still works.
07:53He signed a DNR.
07:59He rhymes with dinner?
08:01He signed a DNR.
08:03Oh.
08:04That makes more sense.
08:07You'd tell him it might not be ALS?
08:09No.
08:11Well, no wonder he signed.
08:13Who wouldn't?
08:14I started him on IV steroids and Synthroid.
08:16Great.
08:18If it was my case, I'd be adding a little IVIG to the mix.
08:22For his pneumonia?
08:23That's my story, and I'm sticking to it.
08:26He doesn't want anything done.
08:28No treatment.
08:30DNR means do not resuscitate, not do not treat.
08:34You do nothing.
08:35Doesn't matter which one of us is right.
08:40Hang on to that DNR.
08:42That signature could be worth a lot of money real soon.
08:52This is Dr. Foreman.
08:53What's Mr. Giles' status?
08:55Okay.
08:56Increase the steroids to 100 milligrams every 12 hours.
08:58And, uh...
09:00Start him on IVIG.
09:02Yeah, yeah, I'm sure.
09:03One gram per kilo.
09:05Dr. Mitchell to MIT.
09:06My nature isn't what it used to be.
09:08The little man has lost some bounce in his step.
09:11He needs to crank it up.
09:12Have himself some fun this weekend.
09:15He wants the blue pills.
09:17You're talking about your penis in the third person.
09:20Me and him.
09:21Two people.
09:22Separate vacations?
09:24That'd be a drag for one of you.
09:25I don't think you need the pills.
09:27I think you have a conflict in medications.
09:29You need to up your insulin to chocolate chip ice cream levels.
09:33Insulin?
09:34Yeah.
09:35You remember.
09:35That's the stuff you take for the diabetes that you forgot to tell the nurse about.
09:39Your hands.
09:42No hair.
09:43Which means nerve damage.
09:44And your shoes look about two sizes too small.
09:47Which means you've lost sensation in your feet.
09:50And then there's your pants.
09:52My pants tell you I have diabetes?
09:53No.
09:54They tell me you're an idiot.
09:56Powdered sugar on the right pant leg.
09:58Based on the two napkins in your pocket,
10:01you'll be willing to bet it's not your first donut of the day.
10:12You give me the pills?
10:13Sure.
10:14Why not?
10:15If you've got heart disease from ignoring the diabetes, they'll kill you.
10:20Otherwise, you two have a fun weekend.
10:23To go.
10:32Two sets are dropping.
10:33Blood sounds?
10:34Junky.
10:34Mucus plug?
10:35No.
10:35It's our mistake.
10:36Sludging for me, I.V.I.G.
10:38Blood can't get through to its lungs.
10:39Start Heparin.
10:40500 cc's IV.
10:41It won't last long enough for it to work.
10:42We've got to intubate your staph.
10:44We can't.
10:46He's DNR.
10:47What?
10:56Someone likes music.
10:58Oh, yeah.
11:06The sets are in the 70s.
11:07How long has it been like this?
11:08Ten minutes.
11:09Why aren't you doing something?
11:09The IVIG put him in respiratory failure.
11:11You put him on the IVIG?
11:12We did this.
11:13So undo it, Chase.
11:15It's too late.
11:16We killed him.
11:17Nobody killed him.
11:18He's not dead.
11:19Chase intubated.
11:20He's staying on.
11:32What are you doing?
11:39You can't do this.
11:54He had a bad reaction to some medicine we gave him.
11:59What did you just do?
12:02He saved his life.
12:14He's stable on the ventilator, oxygenating well.
12:17The IVIG made it worse, which means multifocal motor neuropathy was a bad diagnosis.
12:23Okay, what's really wrong with him?
12:24Okay, what's really wrong with him?
12:25What's wrong with you?
12:26Everyone knows what's wrong with me.
12:27What's wrong with him is much more interesting.
12:29You tubed him, and he didn't want to be tubed.
12:31He has a legal paper saying just that.
12:33To intubate or not to intubate, that is the big ethical question.
12:36Actually, I was hoping we could avoid it.
12:38Maybe just practice some medicine.
12:39There's no question.
12:40It's the patient's decision.
12:42If the patient is competent to make it, if his thyroid numbers aren't making him sad.
12:46Oh, my God, you don't believe that.
12:48His thyroid levels were a little...
12:49It's nothing.
12:50Do not defend him.
12:52Why did he sign that DNR?
12:53I didn't talk him into...
12:55He signed the DNR because he didn't want a slow, painful death from ALS.
12:59What was happening to him had nothing to do with his ALS.
13:01Right, exactly.
13:01It's the IVIG.
13:02You screwed up.
13:04You're not going to let him die because you screwed up.
13:08Technically, your case.
13:10You screwed up.
13:11Is that what this is about?
13:12Looking bad in front of your old boss?
13:14You assaulted that man.
13:16Fine.
13:16I'll never do it again.
13:17Yes, you will.
13:18All the more reason this debate is pointless.
13:25His lungs are worse.
13:27Any theories?
13:29Oh, I'm sure he just went to the little boy's room.
13:32Come on, people.
13:34Um, vasculitis?
13:35Wouldn't likely hit both lungs.
13:36It could be Wegner's granulomatosis.
13:39Doctor House?
13:43Cuddy sent me a stripper again?
13:45Love that woman.
13:47So thoughtful.
13:48Sorry.
13:50There are case reports of Wegner's hitting both the lungs and the spine?
13:54Well, it's not great, but it's better than ALS.
13:56At least it's treatable.
13:57It's a restraining order.
13:58You're not to come within 50 feet of John Henry Giles,
14:01and they've asked the DA to file criminal charges for battery.
14:06Cameron, test the blood for C-Anca.
14:09These are criminal charges.
14:11They're not going to let you take blood to make more tests.
14:13He has blood left in the lab.
14:14Just add on to C-Anca.
14:16Foreman's still got you doing bronchoscopic suctioning for the pneumonia.
14:18Every four hours?
14:19While you're down in his lungs, grab a biopsy.
14:22We'll need it to confirm Wegner's.
14:24And move the patient to the second floor ICU.
14:26Why?
14:27It's right above the clinic.
14:28I'm pretty sure it's 50 feet in any direction.
14:31It's nice having a court order saying you don't have to work clinic duty.
14:50Dr. Cuddy!
14:53Excuse me.
14:55You paged me.
14:57Why the yelling?
14:59His bed is behind that wall.
15:01The plaintiffs.
15:02So I can't, you know, come any closer.
15:06It's right over the clinic.
15:07Very cute.
15:08Can we get the lecture over with?
15:09Because I've got a...
15:12Actually, I've got nothing to do.
15:13Take your time.
15:15You need a lawyer?
15:17You don't have a problem with what I did?
15:20When I hired you, I knew you were insane.
15:23I will continue to try and stop you from doing insane things.
15:26But once they're done,
15:28trying to convince an insane person not to do insane things is in itself insane.
15:33So when I hired you, I also set aside $50,000 a year for legal expenses.
15:38So far, you've come in under budget.
15:41Great.
15:43Any chance you could help me run some tests?
15:46Dr. Foreman called Dr. Hamilton.
15:48He's flying in from L.A.
15:50You can talk to him.
15:52Dr. Hamilton is flying in as a friend of John Henry's.
15:57To pull the plug.
16:03Yeah.
16:04I need a lawyer.
16:10Your Honor, on behalf of Gregory House,
16:13we have convened an emergency session of this court
16:15to bring a motion requesting that John Henry Giles remain on life support.
16:20Mr. House faces criminal charges for battery against...
16:25John Henry Giles.
16:27You beat up a guy in a wheelchair?
16:29Dr. House is alleged to have forced a tube down Mr. Giles' throat against his will.
16:36A medical tube, saving his life.
16:39Dr. House, please let your attorney speak for you.
16:44I'm sorry, Your Honor.
16:45I was way out of line.
16:48So, uh, your client forced the patient into this position,
16:53and now he wants a court order to force the patient to stay that way.
16:58Without the tube, there's a high likelihood that Mr. Giles will die.
17:02Well, I assume the patient knows that.
17:04He had a DNR.
17:05That's why your client is facing criminal charges, right?
17:08Exactly.
17:09And Mr. Giles' death will violate my client's Sixth Amendment right.
17:14His right to face his accuser.
17:17That's clever, huh?
17:19Your Honor, in Commonwealth of Pennsylvania v. Hoselton,
17:23the 3rd District ruled that a defendant may not use that status
17:26to rule against the felony charge.
17:28Why are you doing this?
17:29It's not going to keep you out of jail.
17:31No.
17:31Even if you win, the restraining order and the battery charge stay in place,
17:36what have you gained?
17:37Time.
17:38To diagnose him?
17:40You can't get near him.
17:41I don't want to be near him.
17:43Some doctors have the Messiah complex.
17:45They need to save the world.
17:47You've got the Rubik's complex.
17:49You need to solve the puzzle.
17:50Are you done?
17:52Or do you have more references to 1980s vats?
17:54I'm trying to listen to this.
17:57That DNR may not be valid.
17:59The patient was suffering from depression brought on by a thyroid imbalance.
18:03The DNR order was witnessed by Dr. House's own staff.
18:07Uh, uh, uh, uh, Dr. Foreman.
18:10My staff are idiots.
18:11I'm sure you know what it's like, Your Honor.
18:13Sit down.
18:19The validity of the DNR is a question of fact.
18:22Dr. House should have the opportunity to make his argument at a full trial.
18:26And this poor guy has got to stay on life support until we can schedule a trial.
18:31Your Honor.
18:32Dr. House, I will hold you in contempt if you don't sit down.
18:37I have a medical issue.
18:39If it pertains to this case, your attorney should be...
18:41It doesn't.
18:43Do you have any history of heart disease in your family?
18:46Your Honor.
18:47Your fingers.
18:48They show signs of clubbing, which indicates a heart problem.
18:52Remember Bart Giamatti?
18:54Same thing.
18:55Just drop dead one day.
18:56Please see your doctor.
18:58He's admitted this isn't relevant.
19:00Can we get back to the motion?
19:02Of course.
19:03I'm sorry.
19:05Your Honor.
19:06A person's right to control the treatment of their own body is fundamental to understanding this case.
19:13A long line of cases don't affect the state.
19:16Stand to me.
19:18Congratulations.
19:19Impressive legal argument.
19:21I watched Matlock last night.
19:23No more.
19:24I didn't notice any clubbing on the judge's fingers.
19:26Neither did I.
19:27So the family history thing...
19:29Every family has some history of heart disease.
19:32And mental illness.
19:37Biopsy only shows inflammation.
19:40Start him on Cytoxan.
19:42You're diagnosing Wegner's based on a little inflammation?
19:44Well, unfortunately, I think we've exhausted all the tests we can do in our capacity as the doctor's that he
19:49doesn't want doing tests on him.
19:50But you don't...
19:51Well, no, I'm right if he starts walking.
19:52Can't do any more tests, but you want me to treat him?
19:55Medicine's in the pharmacy.
19:56Patients immobilized in the ICU.
19:58Sounds like a simple geography problem.
20:01Are you asking us to jeopardize our medical licenses for this treatment?
20:31Can I help you?
20:33Uh, I'm Dr. House.
20:35Greg, right?
20:36I'm Marty Hamilton, John Henry's doctor.
20:41We should talk.
20:46Appreciate any list of, uh, medications?
20:48I mean, I've started him on Cytoxan.
20:51We're Wegner's, right?
20:54Look, Greg, I checked you out.
20:57You know, I know you're a good doctor.
20:59You also appreciate that I'm a good doctor, too.
21:02Why?
21:03Wegner's was one of the first things I looked for.
21:05The biopsy and the blood tests were negative, just like yours.
21:08There's an error rate, Marty.
21:10And there's a time to let go.
21:13Look, I'm gonna take him off the ventilator, and John Henry's going to die.
21:17He's accepted that.
21:18Dr. Hamilton.
21:20Hey.
21:21How you doing?
21:22How you doing?
21:23Listen, Dr. Hamilton, I'm sorry.
21:25I should have never put your patient on ID.
21:27It's not your fault, Eric.
21:28No, it's mine.
21:30Eric.
21:31That's not what I said.
21:32Everybody asks about you out in L.A.
21:34How's the old place doing?
21:35A little fast.
21:35Oh, this is wonderful.
21:37But before you guys break out the oil, I should point out that you can't pull the plug.
21:41I have a court order.
21:44You used to.
21:45But I had the right to face my accuser.
21:47Judge said so.
21:48Not if no one's accusing you.
21:50All the charges have been dropped.
21:59He doesn't have to die.
22:04It's not Wegner's.
22:21If it's Wegner's, his lungs won't be able to handle it.
22:24As soon as they pull that plug, he'll die.
22:27That's why they call it pulling the plug.
22:51I'm gonna miss you.
23:21I'm gonna miss you.
23:25I'm gonna miss you.
23:30He's still breathing.
23:32So two sets are holding.
23:38He's holding his own.
23:40He's still breathing.
23:43It's not Whiteners.
23:52Wrong again.
23:57He's stable, but one of his arms is now paralyzed.
24:00The real question is, why is he still alive?
24:03Do you think he's just being stubborn?
24:05He's alive because you were wrong.
24:07It's not Whiteners.
24:08Yeah, seem to be doing that a lot lately.
24:11People keep living because of my mistakes.
24:13Progression of the paralysis pretty much confirms Hamilton is right.
24:15It's ALS.
24:16Assuming this is a progression of his paralysis.
24:18He can't move his arm.
24:20Yes, his arm is paralyzed.
24:22Yes, his legs are paralyzed.
24:23Why is everyone so gung-ho to connect those two conditions?
24:27You could think I'm wrong, but that's no reason to stop thinking.
24:29How about this one?
24:30He's not our patient.
24:32Nope.
24:32Not good enough.
24:33He could have suffered a stroke when he was intubated.
24:36Blood clots are common in paralyzed patients.
24:38The inactivity causes...
24:40Not interested in why.
24:41Let's get an MRNG gram check for an embolic stroke.
24:44He doesn't want you treating him.
24:45They dropped the court order.
24:46Yeah, and that girl dropped the charges against Kobe.
24:48It doesn't mean you should call her and see if she's free to get a Sunday.
24:50It's a good point, but I can go within 50 feet of it now.
25:00I don't think you haven't paged me any time.
25:20Get out of here.
25:23Sure.
25:23That makes sense.
25:25You hate me for saving your life.
25:27Well, in fairness to your side, you were also dying because of me, so...
25:31You know I didn't want to be saved.
25:32That's what's interesting.
25:34Your thyroid was low, but not enough to cause depression.
25:37So you came here to tell me that even if I can't walk, I can still hear the birds sing,
25:42enjoy a rainbow, the feeling of sunshine on my face.
25:47Those things are fun.
25:50Okay, life sucks.
25:52Your life sucks more than most.
25:55It's not as bad as some, which is depressing all by itself.
26:00But do me a favor.
26:02Just let me find out what's wrong with you.
26:06And if you still want to kill yourself,
26:11I'll give you a hand.
26:13Does that sound fair?
26:14Yeah, sure.
26:17I'll stick around to indulge your obsession.
26:20It's over.
26:21I lost my air.
26:24The session the other night with those kids,
26:26that was a test to see if I could still play.
26:28I can't.
26:30And that's all you are?
26:32Musician?
26:33I got one thing.
26:35Same as you.
26:37Really?
26:39Well, apparently you know me better than I know you.
26:42I know that limb.
26:44I know the empty ring finger.
26:47And that obsessive nature of yours, that's a big secret.
26:51You don't risk jail in your career to save somebody who doesn't want to be saved unless you got something,
26:57anything, one thing.
27:00The reason normal people got wives and kids and hobbies, whatever, that's because they ain't got that one thing that
27:08hits them that hard and that true.
27:11I got music, you got this, the thing you think about all the time, the thing that keeps you south
27:17of normal, yeah, makes us great, makes us the best.
27:22All we miss out on is everything else.
27:26Little woman waiting at home after work with the drink and the kiss.
27:30That ain't gonna happen for us.
27:33That's why God made microwaves.
27:35Yeah.
27:38Yeah.
27:38When it's over, it's over.
27:46Yeah.
28:06What are you doing?
28:09It's not over for me.
28:11Either you're gonna call the cops again or we're doing this.
28:15If you want to die, you can do it just as easily inside an MRI machine.
28:23That's a lot.
28:24That's nice.
28:25Exactly.
28:27So I go back to L.A.
28:29I'm doing the Dana lectures again this year.
28:31Wow.
28:33It's quite an honor.
28:34It's all political.
28:36Don't be modest, you've earned it.
28:37I got lucky in a couple studies I was doing.
28:40It all sells tickets.
28:42You remember last year's lectures, don't you?
28:43I remember the cigar bar afterwards.
28:45The only reason to attend the thing, cigars and pool.
28:51Do you enjoy working with Dr. House?
28:55Not the word I'd use.
28:57We work too hard not to enjoy ourselves, right?
29:02You seeing anybody?
29:03Kind of, sort of.
29:05Serious?
29:06I don't know.
29:07Could be.
29:08You think she'd enjoy L.A.?
29:28Hamilton offered me a job.
29:31You gonna take it?
29:32I haven't decided.
29:33You already have the most prestigious fellowship.
29:35It's a partnership.
29:36Three times the money, car allowance, moving expense, pension plan, a chance to work for a guy who gives a
29:42crap what other people think.
29:43So why didn't you just tell him yes?
29:46I made a commitment here.
29:48Right.
29:49House would let you out of it in a heartbeat.
29:51Or he wouldn't, just to jerk me around.
29:53Would you guys have taken the job?
29:55Don't need the money.
29:56I'm not like you.
29:57I don't hate House.
29:59You guys really don't have a problem with him, with what he did?
30:02He knows we disagree with his choice.
30:04Choice?
30:05Chase, it's not apples and oranges.
30:06It's right and wrong.
30:07And he does it like he doesn't care.
30:09He assaults the guy and moves on to the next differential diagnosis like it's not.
30:13What do you want from him?
30:13More hand-wringing?
30:14More torment?
30:15You want him to cry himself to sleep at night?
30:17Yeah.
30:17Yeah, I want some clue that he knows it's a big deal.
30:20That it scares him.
30:21That it matters.
30:22Whoa.
30:24Who's that?
30:27It was a stroke.
30:29Hold on, Cameron.
30:31House called it.
30:32The arm and legs are unrelated.
30:34You make enough calls, one of them is bound to be right.
30:37Yeah.
30:38He's just a lucky, lucky guy.
30:40Listen, listen.
30:41I just think it wouldn't hurt him to learn a little humility.
30:45So what's the verdict?
30:49Emblis, the arm problem was caused by a clot.
30:51There's a good chance we can still bust the clot with TPA.
30:54Do it.
30:55See what happens to his arm.
31:07We found a blood clot in your brain.
31:09We'd like to start you on heparin.
31:11It's a blood thinner.
31:13What are the side effects?
31:15Well, your lungs are kind of chewed up from the pneumonia.
31:18Good chance it'll be an infusion.
31:20Bleeding?
31:21Into his lungs.
31:22It's our best chance to give you back the use of your arm.
31:25I don't need my arm without my air.
31:27The damage would likely be minimal.
31:29No.
31:32It's his goal.
31:36Or we could do an embolectomy.
31:38Basically, we'd go in and pull the clot out.
31:41He's saying no to drugs and you're recommending brain surgery?
31:45Bypasses the risk to the lungs.
31:47It'll either help your arm or...
31:48Or it'll kill me.
31:49From your point of view, it's a win-win.
31:54Okay.
31:56We'll set up the procedure for today.
32:09We're in your carotid artery.
32:12This is going to take us all the way up into your brain.
32:16You all right?
32:18Yes.
32:27The sludge is blocking the blood flow to the part of the brain that controls your arm.
32:40Well done.
32:42You still okay?
32:45I think so.
32:47I don't know.
32:48I guess it's just with Dr. Hamilton here, I notice a difference in styles.
32:54His style involves humility.
32:58Another difference in our styles.
33:00I don't care much for apologies.
33:02You can go.
33:03I didn't know you were standing there when I said that.
33:05Okay?
33:06It was completely rude.
33:07Do you mean genuine humility?
33:09You know, with all the self-doubt and the self-questioning.
33:12Or Hamilton's polite, patronizing, aw-shucks humility.
33:15You're both excellent doctors.
33:17And humility is an important quality.
33:20Especially if you're wrong a lot.
33:22You've been wrong every step of the way.
33:29Of course.
33:30You're right.
33:32Self-doubt doesn't help anybody, does it?
33:40We gotta go.
33:50Congratulations, Greg.
33:53Congratulations.
33:54Why, Marty?
33:55John woke up.
33:56He can use his arm.
34:00Now, look, I know we've had our differences.
34:01But I think when a person does something well, it ought to be recognized.
34:06The phone works.
34:07Next time you want to make me feel all warm and fuzzy, leave a message.
34:11Don't get me wrong.
34:12I'm overcome with joy.
34:14Doug?
34:15Yeah?
34:15What?
34:17You just touched my leg.
34:19What, are you gonna charge me with the salt again?
34:22No.
34:24I felt it.
34:31He now has feeling all the way up to the calf.
34:34This is the way medicine evolved.
34:37Patients sometimes get better.
34:39You have no idea why, but unless you give a reason, they won't pay you.
34:42Anybody notice if there's a full moon?
34:44You're saying he just spontaneously got better?
34:46No, I'm saying let's rule out the lunar god and go from there.
34:49Something his own is working.
34:51The enzyme replacement protocol is working.
34:53Reversing the ALS.
34:54The timing doesn't seem suspicious to you.
34:57Do you think Dr. House will see it that way?
34:58Figure it's his medication doing the job?
35:01I'm sure he will.
35:02It's one of ours.
35:03How do we figure out which drug is doing the trick?
35:06Easy.
35:06We just stop all of them.
35:08One of those drugs is helping him.
35:09And the rest?
35:11Steroids, antibiotics, anti-inflammatories.
35:13They're toxic.
35:14We're putting them on all of them.
35:15He'll walk again.
35:16Yeah, to his own funeral.
35:17But if we stop everything, he'll get worse.
35:19True.
35:19Then we'll add our medications back one at a time.
35:21When it gets better, then we'll have our answer.
35:23And if he doesn't get better?
35:25Then we're in trouble.
35:27Not as much as he is.
35:29I suppose that was your point.
35:34I assume you want me to convince Hamilton to stop his treatments too.
35:38Don't care.
35:39You know at least five of the medications are part of his protocol.
35:41If his stuff was helping, the guy would be playing tennis months ago.
35:44It's our round of treatment that's helping.
35:47Right.
35:47So that's what she'll stop.
35:52So your philosophy is, if they don't want treatment, they get it shoved down their throat.
35:56But if it might cure their paralysis, we'll better slow down.
35:59Yeah.
36:00Yes, Dr. Ila.
36:01My old philosophy used to be live and let live.
36:04But I'm taking this needlepoint class, and they gave us these really big pillows.
36:08What's your philosophy on employee relations?
36:10That's a very tiny pillow.
36:12Great.
36:12Sounds like you know what you're doing.
36:15Greg, can I board?
36:18Can't wait for the commercial, Marty.
36:21Say hi to my friend Kimmy.
36:24Pleasure.
36:27Your diagnostic trial.
36:28Seriously.
36:29Commercial's in about five minutes.
36:31That's a dangerous game.
36:32Only if we're watching in the bathtub.
36:34I need to know exactly what medications you were giving, John Henry.
36:37Forget it.
36:38An informant tells you what John Henry used to be on.
36:41You're going to fire him?
36:43No.
36:44I'll make him live out every day of his two-year contract.
36:46Foreman asked to leave?
36:47Not yet.
36:48But how do you know I made him...
36:49You're a polite twit.
36:51But you're not an idiot.
36:52I need to know what medications you've taken him off of.
36:59Wait a second.
37:00You're not an idiot.
37:05You need to know what medications I've stopped.
37:09Because...
37:12He's getting worse.
37:19Right now you still work for me.
37:20Come on.
37:24No feeling, no wiggling.
37:26Bad news is John Henry's back where he started.
37:28Good news is Hamilton looks bad.
37:30Yeah, it's not whether you win or lose.
37:31It's whether the other guy loses.
37:33What's the first thing we put him on?
37:34Steroids for the pneumonia.
37:35I'm going to put him back on them.
37:36Give him 24 hours to see what happens.
37:38His lungs aren't great.
37:39It might cause another respiratory collapse.
37:41Sure, I hope not.
37:42Do much like that lawyer and get an MRI.
37:44You already got one.
37:45And an MRI.
37:46Well, obviously something is different now.
37:47Do it again.
37:48Let's Chase take care of the scan.
37:49Cameron put him on the steroids.
37:54We should probably talk, huh?
38:02The thing cuts.
38:03What levels?
38:05T9 through the quarter of Quina, same as last time.
38:09You really think House would let Foreman out of his contract?
38:12He has to.
38:13If he doesn't, he's telling Foreman he needs him.
38:15House can't handle that.
38:23Oh, my God.
38:30I checked him out.
38:33He's a great doctor.
38:36You think he's better than I am?
38:38What's about your ego?
38:41Answer the question.
38:44It's not going to change how I think about myself.
38:46It might affect my opinion of you,
38:48but that shouldn't affect your opinion of yourself.
38:52I'm getting confused.
38:54If you think he's a better doctor than I am,
38:55then you should take the job.
38:57Otherwise, you should get him to buy you two or three more
39:00nostalgic lunches and then politely decline.
39:03It's that simple?
39:04I should just ignore the mockery and abuse?
39:06Oh, how do I abuse you?
39:08How do you not?
39:09If I make a mistake, I hold you accountable.
39:11So what?
39:12Dr. Hamilton forgives.
39:14He's capable of moving on.
39:15That is not what he does.
39:17I screwed up his case.
39:18He told me.
39:18He never said you were forgiven.
39:20I was there.
39:20He said it wasn't your fault.
39:22So?
39:22So it was.
39:25You took a chance.
39:26You did something great.
39:27You were wrong.
39:28But it was still great.
39:29You should feel great that it was great.
39:30You should feel like crap that it was wrong.
39:33That's the difference between him and me.
39:35He thinks you do your job,
39:36and what will be will be.
39:37I think that what I do and what you do matters.
39:41He sleeps better at night.
39:43He shouldn't.
39:47Arteria venous malformation.
39:49Intradural compressing his spine.
39:53Pausing his paralysis.
39:55How could Hamilton have missed an AVM?
39:58Well, we missed it, too.
40:00Because it wasn't there before.
40:02You're saying it just grew overnight?
40:04No.
40:06It was on the spine.
40:08It wasn't on the MRI.
40:10Same anatomic location.
40:12It's not there.
40:14And what is there?
40:16Nothing.
40:17Or something that looks like nothing.
40:22Background noise.
40:23Static.
40:24Scar tissue?
40:25Inflammation?
40:25If it's inflammation,
40:27the steroids would have shrunk it down.
40:30Revealing the AVM.
40:32Which has always been there.
40:33Hiding behind its own swelling.
40:35We remove that.
40:35He'll walk again.
40:36There.
41:05Lift lysed.iverr.
41:26Dr. House.
41:29The corps is beating me outside with a limo.
41:32I'm being discharged.
41:35Fifty bucks says I can beat you to the curb.
41:39Thanks for sticking with the case.
41:41I can't do anything else.
41:45You're much more easily amused when you can walk.
41:48How bizarre.
41:50I'm guessing that you weren't exactly Mr. Sunshine even before your leg got messed up.
41:59I want you to have this.
42:01I see trees of green.
42:06Red roses too.
42:09I see them blue.
42:11Wow.
42:12You can sell it if you want to.
42:13Just promise me you won't play.
42:15And I think to myself.
42:20How many of those pills you're taking?
42:24I'm in pain.
42:28Yeah.
42:31Aren't we all?
42:35So what do you buy these things?
42:37Do they have cane stores?
42:38Don't worry about it.
42:39You'll be jogging before you need a second one.
42:42See you tomorrow, Eric.
42:44Ooh, yeah.
42:46See you tomorrow, Eric.
42:48A Harry Morgan.
42:48You're welcome.
42:48Ah.
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