- 10 minutes ago
مسلسل House مترجم - Episode 1
Category
📺
TVTranscript
00:28Satsang with Mooji
00:45Why are you late?
00:47You're not going to like the answer.
00:48I already know the answer.
00:49I missed the bus.
00:50I don't doubt it.
00:51No bus stops near Brad's.
00:53You spent the night.
00:54The alarm didn't work.
00:55Or maybe it did.
00:56I didn't sleep with him.
00:57Girl, I mean, there's something.
00:58I missed the bus.
00:59There's something either very wrong with you
01:01or there's something very wrong with you.
01:03There's nothing wrong with him.
01:04Please tell me you know that for a fact.
01:06Mommy, I got to go.
01:07You're lying, aren't you?
01:09I wouldn't lie to you.
01:10Good morning, guys.
01:14Everybody's in their seats?
01:16Yes.
01:18Okay.
01:20Sydney, why don't you tell us what you did this weekend?
01:24Come on, Sydney.
01:26We know you're not shy.
01:27How come most of us have to tell you what we did and you don't tell us what you did?
01:33Okay.
01:34I had a really great weekend.
01:37But you can't tell Miss Melanie, okay?
01:39What did you do?
01:41I made a new friend.
01:43It's so much fun to make new friends, isn't it?
01:46Yeah.
01:47Yeah.
01:48Yeah.
01:48Did you tell your mom and dad about your new friend?
01:52Absolutely.
01:53You should never keep anything from your parents.
01:56And I told mine, clap up.
02:02Walk.
02:06Clap up.
02:11Clap up.
02:13Clap up.
02:13Clap up.
02:14Clap up.
02:18Clap up.
02:19Clap up.
02:19Clap up.
02:20Clap up.
02:32Clap.
02:34Clap up.
02:36Clap up.
02:38Clap up.
03:0129-year-old female, first seizure one month ago, lost the ability to speak, babbled like
03:07a baby, aggressive deterioration of mental status.
03:10See that?
03:11They all assume that I'm impatient because of this cane.
03:14So put on a white coat like the rest of us.
03:15I don't want him to think I'm a doctor.
03:17You see where the administration might have a problem with that attitude?
03:20People don't want a sick doctor.
03:22That's fair enough.
03:23I don't like healthy patients.
03:25The 29-year-old female...
03:26One who can't talk?
03:27I like that part.
03:29She's my cousin.
03:31And your cousin doesn't like the diagnosis.
03:34I wouldn't either.
03:36Brain tumor.
03:37She's gonna die.
03:37Boring.
03:41I wonder you're such a renowned diagnostician.
03:43You don't need to actually know anything to figure out what's wrong.
03:45You're the oncologist.
03:46I'm just a lowly, infectious disease guy.
03:49Yes, just a simple country doctor.
03:51Brain tumors at her age are highly unlikely.
03:53She's 29.
03:54Whatever she's got is highly unlikely.
03:56The protein markers for the three most prevalent brain cancers came up negative.
03:59It's an HMO lab.
04:00Might as well have sent it to a high school kid with a chemistry set.
04:03No family history?
04:04But your uncle lied to cancer.
04:07Other side.
04:07No environmental factors that you know of.
04:09And she's not responding to radiation treatment.
04:12None of which is even close to dispositive.
04:14All it does is raise one question.
04:17Your cousin goes to an HMO?
04:19Come on.
04:21I'll leave all the fun for the car.
04:23What's the point of putting together a team if you're not gonna use them?
04:26I'm scared of drugs.
04:26You've got three overqualified doctors working for you.
04:30Getting bored.
04:31I'm scared.
05:13To be continued...
05:33It's a lesion.
05:37And the big green thing in the middle of the bigger blue thing on a map is an island.
05:42I was hoping for something a bit more creative.
05:45Shouldn't we be speaking to the patient before we start diagnosing?
05:48Is she a doctor?
05:49No, but everybody lies.
05:52Dr. Haas doesn't like dealing with patients.
05:54Isn't treating patients why we became doctors?
05:56No, treating illnesses is why we became doctors.
05:59Treating patients is what makes most doctors miserable.
06:02So you're trying to eliminate the humanity from the practice of medicine?
06:05If we don't talk to them, they can't lie to us.
06:07And we can't lie to them.
06:09Humanity is overrated.
06:11I don't think it's a tumor.
06:13First year of medical school, if you hear hoofbeats, you think horses, not zebras.
06:16Are you in first year medical school?
06:19No.
06:20First of all, there's nothing on the CAT scan.
06:23Second of all, if this is a horse, then her kindly family doctor in Trenton makes the obvious diagnosis and
06:27never gets near this office.
06:30Differential diagnosis, people.
06:31If it's not a tumor, what are the suspects?
06:33Why couldn't she talk?
06:35Aneurysm, stroke, or some other ischemic syndrome?
06:38Get her a contrast MRI.
06:40Crossfield-Jakob disease?
06:41Mad cow.
06:42Mad zebra.
06:44Wernicke's encephalopathy.
06:45No.
06:46Blood thymine level was normal.
06:47Lab and Trenton could have screwed up the blood test.
06:50I assume it's the corollary of people lie that people screw up.
06:55Redraw the blood tests and get her scheduled for that contrast MRI ASAP.
06:59Let's find out what kind of zebra we're treating here.
07:14Radiology, please call the page.
07:16Radiology, please call the page.
07:22Respiratory therapy.
07:23I was expecting you in my office 20 minutes ago.
07:26Really?
07:27Well, that's odd, because I had no intention of being in your office 20 minutes ago.
07:30You think we have nothing to talk about?
07:31No, we just can't think of anything I'd be interested in.
07:33I signed your paychecks.
07:34I have tenure.
07:38Are you going to grab my cane now and stop me from leaving?
07:40That would be juvenile.
07:47I can still fire you if you're not doing your job.
07:49I'm here from 9 to 5.
07:50Your billings are practically non-existent.
07:52Rough year.
07:53You ignore requests for consults.
07:55I call back.
07:56Sometimes I miss dial.
07:57You're six years behind on your obligations to this clinic.
07:59See, I was right.
08:00This doesn't interest me.
08:01Six years times three weeks.
08:03You owe me better than four months.
08:05It's 5 o'clock.
08:06I'm going home.
08:08To what?
08:11Nice.
08:13Look, Dr. House, the only reason why I don't fire you is because your reputation is still
08:19worth something to this hospital.
08:21Excellent.
08:21We have a point of agreement.
08:22You're not going to fire me.
08:24Your reputation won't last if you don't do your job.
08:26The clinic is part of your job.
08:28I want you to do your job.
08:30But as the philosopher Jagger once said, you can't always get what you want.
08:42You're not my doctor.
08:43Are you Dr. House?
08:45Thankfully, no.
08:46I'm Dr. Chase.
08:47Dr. House is the head of diagnostic medicine.
08:49He's very busy, but he has taken a keen interest in your case.
08:57We inject gadolinium into a vein.
08:59It distributes itself throughout your brain and acts as a contrast material for the magnetic
09:03resonance imagery.
09:06Basically, whatever's in your head lights up like a Christmas tree.
09:08It might make you feel a little lightheaded.
09:10Dr. Cameron, I'm sorry.
09:12I have to stop you.
09:13There's a problem.
09:17You pulled my authorization.
09:19Yes.
09:19Why are you yelling?
09:20No MRIs, no imaging studies, no labs.
09:23You also can't make long-distance phone calls.
09:25You're going to fire me.
09:25Have the guts to face me.
09:27Or photocopies.
09:28You're still yelling.
09:29I'm angry.
09:30You're risking a patient's life.
09:32I assume those are two separate points.
09:34You showed me disrespect.
09:35You embarrassed me.
09:36And as long as I work here, you have no legal...
09:38Is yelling designed to scare me?
09:39Because I'm not sure what it is I'm supposed to be scared of.
09:43More yelling.
09:44That's not scary.
09:46That you're going to hurt me, that's scary.
09:47But I'm pretty sure I can outrun you.
09:51Oh, I looked into that philosopher you quoted.
09:54Jagger.
09:54And you're right.
09:55You can't always get what you want.
09:57But as it turns out, if you try sometimes, you get what you need.
10:03So, because you want me to treat patients, you're not letting me treat patients.
10:08I need you to do your job.
10:19Do the MRI.
10:20She folded.
10:25I've got to do four hours a week in this clinic until I make out the time I've missed.
10:36You better love this cousin a whole lot.
10:39I've got to do four hours a week in this clinic.
10:40Right.
10:53How am I now?
10:53How are you?
10:54That's how am I?
10:54To me your job.
11:03What do you think?
11:03I want to do?
11:03Oh my God.
11:13All right, Rebecca, I know you may feel a little claustrophobic in there, but we need
11:17you to remain still.
11:20Okay, we're going to begin.
11:32I don't feel so good.
11:34It's all right, just try to relax.
11:45Rebecca?
11:48Rebecca?
11:55Rebecca?
11:59Rebecca?
12:02Get her out of there.
12:03She probably fell asleep, she's exhausted.
12:05She was claustrophobic 30 seconds ago, she's not sleeping, we've got to get her out of there.
12:08Just see another move.
12:09She's having an allergic reaction to the gadolin, you should be dead in two minutes.
12:15Hold her neck.
12:17Oh, she's ashen.
12:20She's not breathing, every .5.
12:23Come on.
12:25I can't ventilate.
12:29Too much edema, where's the surgical airway kit?
12:31Yep, coming.
12:32I can't.
12:33I can't.
12:45I can't.
12:49I can't.
12:55I can't.
12:58I can't.
13:00I can't.
13:02I can't.
13:09I can't.
13:10Good call.
13:32We'll get that tube out of your throat later today.
13:34Just get some rest for now, okay?
13:41I told you, I can't trust people.
13:43I just found you she was allergic to gadolinium, figured it was an easy way to get someone to cut
13:47a hole in her throat.
13:48Can't get a picture, I have to get a thousand words.
13:51You actually want me to talk to the patient, get a history?
13:55We need to know if there's some genetic or environmental cause that's triggering an inflammatory response.
14:00I thought everybody lied.
14:02Truth begins in lies.
14:05Think about it.
14:08That doesn't mean anything, does it?
14:1412.52 p.m., Dr. House checks in.
14:17Please write that down.
14:18Do you have a cable TV here somewhere?
14:20General Hospital starts in eight minutes.
14:21No TV, but we've got patients.
14:23Can't you give out the aspirin yourself?
14:25I'll do paperwork.
14:26I made sure your first case was an interesting one.
14:28Cough just won't go away.
14:29Runny nose looks a funny color.
14:30Patient admitted complaining of back spasms.
14:32I think I read about something like that in the New England Journal of Medicine.
14:35The patient is orange.
14:36The color?
14:37No, the fruit.
14:38You mean yellow, it's jaundice.
14:40I mean orange.
14:41How orange?
14:42It's probably...
14:42Exam room one.
14:43Dr. McCullen, you're needed in pediatrics.
14:46I was playing golf and my cleats got stuck.
14:49I mean it hurt a little, but I kept playing.
14:52The next morning I could barely stand up.
14:54We were smiling, so I take it that means this isn't serious.
14:59What's that?
15:01What are you doing?
15:02Painkillers.
15:03Oh, for you, for your leg.
15:05No, because they're yummy.
15:07You want one?
15:07Make your back feel better.
15:11Unfortunately, you have a deeper problem.
15:15Your wife is having an affair.
15:17What?
15:18You're orange, you moron.
15:20It's one thing for you not to notice, but if your wife hasn't picked up on the fact that
15:23her husband has changed colors, she's just not paying attention.
15:26By the way, you consume just a ridiculous amount of carrots and megadose vitamins.
15:30Carrots turn you yellow, the niacin turns you red.
15:32Find some finger paint and do the math.
15:34And get a good lawyer.
15:40Deep breath.
15:42It's cold.
15:45Has he been using his inhaler?
15:47Not in the past few days.
15:49He's only 10.
15:50I worry about children taking such strong medicine so frequently.
15:54What happened to your leg?
15:56Your doctor probably was concerned about the strength of the medicine, too.
15:59She probably weighed that danger against the danger of not breathing.
16:03Oxygen is so important during those prepubescent years, don't you think?
16:07Okay, I'm going to assume that nobody's ever told you what asthma is.
16:10Or if they have, you had other things on your mind.
16:12A stimulant triggers cells in your child's airways to release substances that inflame the air passages and cause them to
16:19contract.
16:20Mucus production increases.
16:22Cell lining starts to shed.
16:23But the steroids...
16:26The steroids...
16:28Stop the inflammation.
16:40My mother passed away four years ago.
16:43She had a heart attack.
16:45And my father broke his back doing construction.
16:50It's the house.
16:51It's her hand.
16:52I'm sorry.
16:57You couldn't have knocked?
17:01Steroids.
17:01Give her steroids.
17:03High doses of prednisone.
17:13You're looking for support for a diagnosis of cerebral vasculitis?
17:16Inflammation of blood vessels in the brain is awfully rare, especially for someone her age.
17:19So is a tumor.
17:20Her set rate is elevated mildly.
17:22That could mean anything or nothing.
17:24Yeah, I know.
17:25I have no reason to think that it's vasculitis, except that it could be.
17:29If the blood vessels are inflamed, that's going to look exactly like what we saw in the MRI from Trenton
17:33County.
17:33The pressure's going to cause neurological symptoms.
17:35You can't diagnose that without a biopsy.
17:37Yes, we can.
17:38We treat it.
17:39If she gets better, we know we're right.
17:41And if we're wrong?
17:43Then we'd learn something else.
17:49What?
17:50Steroids.
17:50It's part of your treatment.
17:52You haven't had many visitors.
17:54No boyfriend.
17:55Three dates.
17:56I wouldn't have stood by him if he were vomiting all day.
18:00Well, what about work?
18:01You must have friends from work.
18:03Pretty much everybody I like is five years old.
18:07The nurse said you're stopping my radiation.
18:11We're just trying some alternative medication.
18:14So where's your family from then?
18:15Steroids aren't an alternative to radiation.
18:18The tests weren't really conclusive.
18:20We're treating you for vasculitis.
18:22It's the inflammation of blood vessels in the brain.
18:26But it's not a tumor.
18:29I don't have a tumor.
18:34Hey, you should have told her the truth.
18:36It's a long shot guess.
18:38If House is right, no harm.
18:39If he's wrong, I've given a dying woman a couple days' help.
18:42False, babe.
18:42If there was any other type available, I would have given her that.
18:55Why are you smiling Billy's pants?
18:57I'm not.
18:59Looked like you were.
19:00I was smelling the floor.
19:02Oh.
19:03Do you have any pets in this class?
19:05No, but we used to have a jerk, but Carly Ella dropped a buck on it.
19:10Careless.
19:11Do you need to smile?
19:12No, I'm smelling for mold.
19:15I don't need to smell that.
19:16You could smell a parrot.
19:19You said you didn't have any pets in this class.
19:21A parrot is a bird.
19:24Parrots are the primary source of psittacosis.
19:27It's not the parrot.
19:29Psittacosis can lead to nerve problems, neurological complications.
19:33How many kids were in the class?
19:35Twenty.
19:36How many are homesick?
19:37None, but...
19:38None.
19:39But you figured that five-year-olds are more serious about bird hygiene than their teacher.
19:44You've been to her home?
19:45Well, she lives in Trenton.
19:46I can go up to her room tomorrow morning and ask her for the key.
19:50Would the police call for permission before dropping by to check out a crime scene?
19:54It's not a crime scene.
19:55As far as I know, she's running a meth lab out of her basement.
19:58She's a kindergarten teacher.
19:59And if I were a kindergarten student, I would trust her implicitly.
20:04Okay.
20:06I'll give you a for instance.
20:07A lady back there who made your egg salad sandwich.
20:12Her eyes look glassy.
20:13Did you notice that?
20:15Now, hospital policy is to stay home if you're sick.
20:18But if you're making eight dollars an hour, then you kind of need the eight dollars an hour, right?
20:22And the sign in the bathroom says that employees must wash after using the facilities.
20:26But I figured that somebody who wipes snot on a sleeve isn't hyper-concerned about sanitary conditions.
20:32So what do you think?
20:33Should I trust her?
20:35I want you to check the patient's home for contaminants, garbage, medication...
20:39I can't just break into someone's house.
20:41Isn't that how you got into the Felker's home?
20:49Yeah, I know.
20:51Court records are sealed.
20:52You were 16.
20:53It was a stupid mistake.
20:55But your old gym teacher has a big mouth.
20:57You should write a thank you note.
20:59I should thank him.
21:00Well, I needed somebody around here with street smarts.
21:08Okay?
21:09Knows when they're being conned, knows how to con.
21:12I should sue you.
21:14I'm pretty sure you can't sue somebody for wrongful hiring.
21:17But I'm pretty sure I can sue if you fire me for not breaking into some lady's house.
21:34Doing research.
21:35People are fascinating, aren't they?
21:37Why are you giving Adler steroids?
21:40Because he's my patient.
21:42That's what you do with patients.
21:43You give them medicine.
21:44You don't prescribe medicine based on guesses.
21:46At least we don't since Tuskegee and Mengele.
21:48You're comparing me to a Nazi?
21:50Nice.
21:51I'm stopping the treatment.
21:58She's my patient.
21:59It's my hospital.
22:01I did not get her sick.
22:03She's not an experiment.
22:04I have a legitimate theory about what's wrong with her.
22:07With no proof.
22:08There's never any proof.
22:09Five different doctors come up with five different diagnoses based on the same evidence.
22:13You don't have any evidence.
22:17And nobody knows anything, huh?
22:18Then how is it you always think you're right?
22:20I don't.
22:21I just find it hard to operate on the opposite assumption.
22:24Why are you so afraid of making a mistake?
22:26Because I'm a doctor.
22:28Because when we make mistakes, people die.
22:30Come on.
22:35People used to have more respect for cripples, you know.
22:40They didn't really.
22:46So how are you feeling?
22:47Much better, thanks.
22:50Are you Dr. Hell's?
22:51I thought he was a he, but...
22:53No.
22:55Don't eat too much too fast.
22:58Thank him for me.
23:00Right.
23:14Should I discontinue the treatment, boss?
23:16You got lucky.
23:22Cool, huh?
23:26Okay, once again.
23:30Good.
23:32Good.
23:33I'm never going to meet Dr. Hell's.
23:36Well, you might run into him at the movies or on a bus.
23:40Is he a good man?
23:42He's a good doctor.
23:46Can you be one without the other?
23:49Don't you have to care about people?
23:50Caring is a good motivator.
23:53He's found something else.
23:57Feel this.
23:58Feel this?
23:59Both sides?
23:59Mm-hmm.
24:00Okay, squeeze.
24:01Harder.
24:02All right.
24:04He's your friend, huh?
24:07Yeah.
24:09Does he care about you?
24:11I think so.
24:13You don't know?
24:15As Dr. House likes to say, everybody lies.
24:18It's not what people say.
24:20It's what they do.
24:25Yeah.
24:26He cares about me.
24:30I can't see.
24:35I can't see.
24:47You're a little open here.
25:04Well, your chest will be sore for a while.
25:07We need it to shock you to get your heart going.
25:12Okay.
25:13Can you arrange these to tell a story?
25:31She couldn't put them in order.
25:33Could the damage have been caused by a lack of oxygen during incision?
25:37No, I gave her the same test five minutes later.
25:39She did just fine.
25:41The altered mental status is intermittent, just like the verbal skills.
25:45So what now?
25:45Given the latest symptoms, it's clearly growing deeper into the brainstem.
25:49Soon she won't be able to walk.
25:51She'll go blind permanently, and then the respiratory center will fail.
25:55How long do we have?
25:57If it's a tumor, we're talking a month or two.
25:59If it's infectious, a few weeks.
26:00If it's vascular, that'll probably be fast as a fall.
26:04Maybe a week.
26:05We're going to stop all the treatment.
26:09I still think it's a tumor.
26:10I think we should go back to the radiation.
26:12She didn't respond to the radiation.
26:14Maybe we didn't see the effect until after we started steroids.
26:17No, it's not a tumor.
26:18Steroids did something.
26:20I just don't know what.
26:21So we're just going to do nothing?
26:23We're just going to watch her die?
26:25Yeah.
26:26We're going to watch her die.
26:28Specifically, we're going to watch how fast she's dying.
26:30You just told us.
26:31Each diagnosis has its own time frame.
26:33And when we see how fast it's killing her, we'll know what it is.
26:36And by then, maybe there's nothing we can do about it.
26:39There's got to be something we can do.
26:41Something better than watching her die.
26:44Well, I got nothing.
26:46How about you?
26:53Bastard.
26:54Oh, Cameron, I need you for a couple of hours.
26:56What's up?
26:57When you break into someone's house, it's always better to have a white chick with you.
27:00Adler's house?
27:01Why don't we just ask her for her keys?
27:03For all we know, she'd be running a meth lab out of her basement.
27:06I'm tired a lot.
27:09Any other reason why you think you might have chronic fatigue syndrome?
27:13It's kind of the definition, isn't it?
27:15It's kind of the definition of getting older.
27:16I had a couple headaches last month.
27:18Mild fever.
27:20Sometimes I can't sleep and I have trouble concentrating.
27:23Apparently not while researching this stuff on the internet.
27:26I was thinking it also might be fibromyalgia.
27:32Excellent diagnosis.
27:34Is there anything for that?
27:39Do you know who I think that person might be?
27:42I need 36 Vicodin change for a dollar.
27:44Is there anything for that person?
28:14No.
28:14Figures life's too short and too painful, so he just says what he thinks.
28:20Nothing interesting in the garbage.
28:22I say what I think is just another way of saying I'm an ass.
28:27Well, if you wanted to be judged for your medical prowess only,
28:31maybe you shouldn't have broken into someone's home.
28:33I was 16.
28:36Don't know about ticks, but the dogs definitely got fleas.
28:42I managed to make it to 17 without a criminal record.
28:48Yeah?
28:49Yeah?
28:50Well, you obviously didn't grow up in my neighborhood.
28:53That's right.
28:54You stole all of her bread to feed your starving family, right?
28:57You always eat during break-ins?
28:59Am I supposed to respect their food more than I respect their DVD players?
29:03You want some?
29:04No.
29:05You gonna go hungry until she dies?
29:07No.
29:07You know what?
29:08After centuries of slavery, decades of civil rights marches,
29:12and more significantly, living like a monk,
29:14never getting less than a 4.0 GPA,
29:16you don't think it's kind of disgusting
29:18I get one of the top jobs in the country because I'm a delinquent?
29:23We'll eat, then we'll tear up the carpet.
29:27You went to Hopkins, right?
29:29Yep.
29:31So you went to a better school than I did.
29:33You got better grades than I did.
29:36So how'd you get the job?
29:38You stab a guy in a bar fight?
29:48Nothing.
29:50It's not a tumor.
29:51She's getting worse too fast.
29:53She can't stand up.
29:54No toxins?
29:55No medications?
29:56Nothing that would explain these symptoms.
29:58Family history of neurological problems?
30:00Not that I can tell from her underwear drawer.
30:03You said nothing that would explain these symptoms.
30:05What did you find that doesn't explain these symptoms?
30:09Dr. Wilson convinced you to treat this patient under false pretenses.
30:14Adler's not his cousin.
30:16That's ridiculous.
30:17You can ask her yourself.
30:18Can we get back?
30:19She's not Jewish.
30:20Rachel Adler's not Jewish.
30:21I had ham at our apartment.
30:24Dr. Foreman, a lot of Jews have non-Jewish relatives,
30:27and most of us don't keep kosher.
30:29I can see getting through high school
30:31without learning a thing about Jews, but medical school?
30:33Okay.
30:33Maybe she's Jewish, but she's definitely not your cousin.
30:36Really?
30:37This guy's...
30:38You don't even know her name.
30:40You called her Rachel.
30:41Her name is Rebecca.
30:43Yes.
30:44Yes.
30:45Her name is Rebecca.
30:47I call her Rachel.
30:49You idiot!
30:51Listen.
30:52He's not you.
30:54Him.
30:55He said you didn't find anything.
30:56Everything I found was in my...
30:58You found ham.
31:00So?
31:01Where there's ham, there's pork.
31:03Where there's pork, there's neurosis to sarkosis.
31:05Tapeworm?
31:06You think she's got a worm in her brain?
31:08It fits.
31:09Could have been living there for years.
31:10Never occurred to me because...
31:11Millions of people eat ham every day.
31:12It's quite a leap to think that she's got a tapeworm.
31:14Okay, Mr. Neurologist.
31:17What happens when you give steroids to a person who has a tapeworm?
31:20They get a little better and then they get worse.
31:26Just like Rebecca Adler did.
31:39In a typical case, you don't cook pork well enough, you digest live tapeworm larvae.
31:46They've got these little hooks, they grab onto your bowel, they live, they grow up, they reproduce.
31:51Reproduce?
31:52There's only one lesion and it's nowhere near her bowel.
31:55That's because this is not a typical case.
31:57A tapeworm can produce 20,000 to 30,000 eggs a day.
32:01Guess where they go?
32:03Out.
32:04Not all of them.
32:05Unlike the larvae, the egg can pass right through the walls of the intestines into the bloodstream.
32:11And where does the bloodstream go?
32:13Everywhere.
32:14As long as it's healthy, the immune system doesn't even know it's there.
32:18A worm builds a wall, uses secretions to shut down the body's immune response and control fluid flow.
32:24It's really very beautiful.
32:26As long as it's healthy.
32:27So what do we do?
32:29Call a vet?
32:30Nurse the little guy back to health?
32:31It's too late for that.
32:32It's dying.
32:34And as it dies, this parasite loses the ability to control the host's defenses.
32:39The immune system wakes up, attacks the worm, and everything starts to swell.
32:43And that is very bad for the brain.
32:46There could still be a hundred other things.
32:49The eosinophil count was normal.
32:51It's only abnormal in 30% of cases.
32:53Proving nothing.
32:54Oh, no, no, no.
32:56You see, it fits.
32:58It's perfect.
32:59It explains everything.
32:59But it proves nothing.
33:01I can prove it by treating.
33:02No, you can't.
33:05I was just with her.
33:06She doesn't want any more treatments.
33:08She doesn't want any more experiments.
33:09She wants to go home and die.
33:34Would you excuse us, please?
33:42I'm Dr. Howes.
33:45It's good to meet you.
33:51You're being an idiot.
33:57You have a tapeworm in your brain.
34:01It's not pleasant, but if we don't do anything, you'll be dead by the weekend.
34:05Have you actually seen the worm?
34:07When you're all better, I'll show you my diplomas.
34:10You were sure I had vasculitis, too.
34:14Now I can't walk, and I'm wearing a diaper.
34:17What's this treatment going to do for me?
34:19I'm not talking about a treatment.
34:20I'm talking about a cure.
34:22But because I might be wrong, you want to die.
34:27What made you a cripple?
34:32I had an infarction.
34:34A heart attack?
34:37It's what happens when the blood flow is obstructed.
34:39If it's in the heart, it's a heart attack.
34:41If it's in the lungs, it's a pulmonary embolism.
34:43If it's in the brain, it's a stroke.
34:45I had it in my thigh muscles.
34:46Wasn't there something they could do?
34:48There was plenty they could do.
34:49If they made the right diagnosis.
34:52If the only symptom was pain,
34:55not many people get to experience muscle death.
34:59Did you think you were dying?
35:00I hoped I was dying.
35:05So you hide in your office,
35:06refuse to see patients,
35:08because you don't like the way people look at you.
35:11You feel cheated by life,
35:12so now you're going to get even with the world.
35:15But you want me to fight this.
35:18Why?
35:20What makes you think I'm so much better than you?
35:24When you're scared, you'll turn into me.
35:27I just want to die with a little dignity.
35:29There's no such thing.
35:32Our bodies break down.
35:33Sometimes when we're 90,
35:34sometimes before we're even born.
35:36But it always happens,
35:37and there's never any dignity in it.
35:39I don't care if you can walk, see,
35:41wipe your own ass.
35:42It's always ugly.
35:43Always.
35:47We're going to live with dignity.
35:49We can't die with it.
36:09No treatment.
36:12Maybe we can get a court order.
36:14Override her wishes.
36:15Claim she doesn't have the capacity
36:16to make this decision.
36:17But she does.
36:19But we could claim that the illness
36:20made her mentally incompetent, right?
36:22Pretty common result.
36:24That didn't happen here.
36:25He's not going to do it.
36:27She's not just a file to him anymore.
36:29He respects her.
36:31So because you respect her,
36:32you're going to let her die?
36:35I solved the case.
36:37My work is done.
36:41Patients always want proof.
36:43We're not making cars here.
36:45We don't give guarantees.
36:49I think we can prove it's a worm.
36:53It's non-invasive.
36:54It's safe.
36:55I'm not completely sure, but I thought I'd...
36:58Yeah, yeah, yeah.
36:58What's the damn idea?
36:59Have you ever seen a worm under an X-ray?
37:01A regular old, no contrast,
37:02hundred-year-old technology X-ray.
37:04They light up like shotgun pellets.
37:06Just like on a contrast MRI.
37:08Which is the same thing as a CT scan,
37:10which we did, which proved nothing.
37:12Worm's cyst is the same density
37:13as the cerebrospinal fluid.
37:14We're not going to see anything in her head.
37:17But Chase is right.
37:19He's right.
37:19We should X-ray her,
37:20but we don't X-ray her brain.
37:21We X-ray her leg.
37:24Worms love thigh muscle.
37:25She's got one in her head.
37:26I guarantee you,
37:27there's one in her leg.
37:42Hold still, Rebecca.
37:52This here is a worm larva.
37:57So if it's in my leg,
37:58it's in my brain?
38:00Are you looking for a guarantee?
38:02It's there.
38:03Probably been there six to ten years.
38:05Do I have more?
38:07Probably.
38:11It's good news.
38:12What do we do now?
38:13Now we get you better.
38:18Albendazole.
38:22Two pills?
38:23Yeah.
38:24Every day.
38:24For at least a month.
38:25With a meal.
38:26Two pills?
38:27Yeah.
38:28Possible side effects include
38:30abdominal pain,
38:31nausea, headaches,
38:32dizziness,
38:33fever,
38:34and hair loss.
38:35We'll probably make you keep taking the pills,
38:37even if you get every one of those.
38:45Dr. Bulls,
38:46Dr. Bulls,
38:57why did you hire me?
39:01Does it matter?
39:02Kind of hard to work for a guy who doesn't respect you.
39:04Why?
39:05Is that rhetorical?
39:06No.
39:06It just seems that way because you can't think of an answer.
39:10Does it make a difference, what I think?
39:12I'm a jerk.
39:14The only thing that matters is what you think.
39:16Can you do the job?
39:17You hired a black guy because he had a juvenile record.
39:20No.
39:21It wasn't a racial thing.
39:23I didn't see a black guy.
39:25I just saw a doctor
39:27with a juvenile record.
39:29I hired Chase because his dad made a phone call.
39:32And I hired you
39:34because you are extremely pretty.
39:37You hired me to get into my pants?
39:39I can't believe that that would shock you.
39:42It's also not what I said.
39:44No, I hired you because you look good.
39:46It's like having a nice piece of art in the lobby.
39:49I was in the top of my class.
39:50But not the top.
39:51I did an internship at the Mayo Clinic.
39:53You were a very good applicant.
39:54But not the best.
39:56Wouldn't that upset you?
39:57Really?
39:58To think that you were hired
39:59because of some genetic gift of beauty
40:00instead of some genetic gift of intelligence?
40:02I worked very hard to get where I am.
40:04But you didn't have to.
40:07People choose the paths
40:09that gain them the greatest rewards
40:10for the least amount of effort.
40:11That's a law of nature.
40:12And you defied it.
40:13That's why I hired you.
40:15You could have married rich.
40:16You could have been a model.
40:17You could have just shown up
40:19and people would have given you stuff.
40:20Lots of stuff.
40:21But you didn't.
40:22You worked your stunning little ass off.
40:25Am I supposed to be flattered?
40:27Gorgeous women do not go to medical school
40:30unless they're as damaged as they are beautiful.
40:33Were you abused by a family member?
40:35No.
40:36Sexually assaulted?
40:37No.
40:39But you are damaged, aren't you?
40:48I had to go.
40:53I followed her.
40:56I couldn't stop thinking about what that doctor said.
40:59I told you not to listen to him.
41:00He's an idiot.
41:00I was orange.
41:02I don't want to know what you found out.
41:05You don't care?
41:06I'm your doctor.
41:08You've been good to me
41:09and good to this hospital.
41:10Of course I care.
41:11But I don't see how this conversation
41:13can end well for me.
41:15Either your wife is having an affair
41:16or she's not having an affair
41:18and you have come here
41:19because you rightly think I should fire him.
41:21But I can't.
41:22Even if it costs me your money.
41:25The son of a bitch
41:26is the best doctor we have.
41:35Feeling any better?
41:36I can't complain.
41:38As you know,
41:39the hospital has certain rules
41:40and as you also know,
41:42we tend to ignore them.
41:44But I think this one's going to be
41:45a little obvious
41:46unless we get you help.
41:47If anyone asks,
41:48you have 11 daughters
41:50and five sons.
41:52Look who's here!
41:54It's so good to see you!
41:56Hey guys, I miss you!
41:58Is this for me?
42:01It's beautiful!
42:06I love you guys.
42:08I wanted to thank Dr. House
42:09but he never visited again.
42:11He cured you.
42:12You didn't cure him.
42:15Okay, I want a hug and a kiss
42:17from every single one of you!
42:18Get up here right now!
42:22There.
42:24Hold on.
42:25She's converted.
42:29You said she was your cousin.
42:32Why would you lie?
42:34We got you to take the case.
42:37You lied to a friend
42:38to save a stranger.
42:40I think that's kind of screwed up.
42:42You've never lied to me?
42:44I never lie.
42:46All right.
42:49Why do we do this?
42:51Because we're doctors.
42:52If we make mistakes,
42:53people die.
42:57Thank you, doctor.
42:59Dr. House,
43:00you have a patient?
43:08He says he needs a refill.
43:12Got change for a dollar?
43:14No, you can't always get what you want.
43:19You can't always get what you want.
43:24Lord, you want toief me.
43:41I love
43:42All right.
43:45It's still great.
43:46know? Yeah.
43:48I love me.
43:51You know
43:52what I love you.
43:54externally. You've been listening in
43:59That's some bad hat, Harry.
Comments