النص 🔗
1
00:00:05,914 --> 00:00:09,314
House Explained. Season 1, Episode 11.
2
00:00:09,994 --> 00:00:10,714
Detox.
3
00:00:11,414 --> 00:00:16,714
Dr. Gregory House, a brilliant but abrasive diagnostician addicted to Vicodin,
4
00:00:17,014 --> 00:00:20,994
leads a three-person team at Princeton-Plainsboro Teaching Hospital:
5
00:00:21,374 --> 00:00:24,814
neurologist Eric Foreman, immunologist Allison Cameron,
6
00:00:25,434 --> 00:00:27,394
and intensivist Robert Chase.
7
00:00:28,194 --> 00:00:30,634
His boss is Dean of Medicine Lisa Cuddy,
8
00:00:30,974 --> 00:00:34,094
and his only real friend is oncologist James Wilson.
9
00:00:34,774 --> 00:00:39,474
When a sixteen-year-old boy won't stop bleeding and no one can figure out why,
10
00:00:40,054 --> 00:00:41,074
House takes the case,
11
00:00:41,714 --> 00:00:46,014
while simultaneously accepting a bet to go a week without painkillers.
12
00:00:47,014 --> 00:00:49,134
This episode runs two crises at once.
13
00:00:49,854 --> 00:00:51,794
Keith Foster, a sixteen-year-old,
14
00:00:51,794 --> 00:00:54,974
has been bleeding internally for three weeks after a car accident,
15
00:00:55,454 --> 00:00:58,534
his girlfriend was driving his dad's Porsche when he started coughing blood,
16
00:00:59,194 --> 00:01:00,934
and every test comes back negative.
17
00:01:01,714 --> 00:01:04,414
Meanwhile, Cuddy bets House he can't go a week without Vicodin,
18
00:01:04,774 --> 00:01:07,114
and he takes the deal for a month off clinic duty.
19
00:01:08,054 --> 00:01:09,454
So from the very first scene,
20
00:01:09,714 --> 00:01:13,174
every medical decision House makes has this question hanging over it,
21
00:01:13,794 --> 00:01:15,134
is this his genius talking,
22
00:01:15,514 --> 00:01:17,434
or is withdrawal messing with his judgment?
23
00:01:18,334 --> 00:01:19,954
His team can't tell either.
24
00:01:20,314 --> 00:01:21,934
Keith loses vision in one eye.
25
00:01:22,294 --> 00:01:22,994
A blood clot.
26
00:01:23,434 --> 00:01:25,194
In a patient who's bleeding everywhere?
27
00:01:26,054 --> 00:01:27,134
Opposing processes.
28
00:01:27,974 --> 00:01:30,674
Chase drains fluid from the eye to give the clot room to dissolve,
29
00:01:31,434 --> 00:01:33,974
creative fix, it works, Keith can see again.
30
00:01:34,634 --> 00:01:36,654
But they still don't know what's causing any of this,
31
00:01:37,254 --> 00:01:40,294
and then Keith's liver starts shutting down.
32
00:01:40,654 --> 00:01:41,874
Cameron argues it's lupus,
33
00:01:42,254 --> 00:01:44,694
three diagnostic criteria lined up,
34
00:01:45,174 --> 00:01:46,394
but House pushes back,
35
00:01:46,674 --> 00:01:48,774
says it's moving too fast for lupus.
36
00:01:49,494 --> 00:01:51,514
He suspects hepatitis E instead,
37
00:01:52,074 --> 00:01:55,554
incredibly rare domestically, but Keith's been traveling internationally.
38
00:01:56,254 --> 00:01:57,274
Here's where it gets uncomfortable,
39
00:01:57,714 --> 00:01:59,194
there's no treatment for hep E,
40
00:01:59,574 --> 00:02:04,494
so House's plan is to give Keith a drug that will make him slightly worse if it IS hep E,
41
00:02:04,914 --> 00:02:06,794
just enough to confirm the diagnosis.
42
00:02:07,694 --> 00:02:09,514
He tells Cameron to lie to Mr. Foster,
43
00:02:09,714 --> 00:02:11,594
Keith's father, about what they're doing.
44
00:02:12,154 --> 00:02:14,194
Chase backs him, the only one.
45
00:02:14,974 --> 00:02:16,374
But House is deteriorating.
46
00:02:16,774 --> 00:02:21,714
He deliberately breaks his own fingers to trigger an endorphin response that overrides the leg pain.
47
00:02:22,294 --> 00:02:23,634
Then Cameron breaks too.
48
00:02:24,214 --> 00:02:26,514
She tells Mr. Foster she thinks it's lupus,
49
00:02:26,674 --> 00:02:27,674
not hepatitis.
50
00:02:28,134 --> 00:02:30,914
And you understand why Foster resists House's plan,
51
00:02:31,464 --> 00:02:37,874
this is a widower whose wife died of pancreatic cancer after doctors promised aggressive treatment would extend her life,
52
00:02:38,194 --> 00:02:40,094
and she was gone in three weeks.
53
00:02:40,774 --> 00:02:43,254
He does not trust medical gambles.
54
00:02:43,414 --> 00:02:45,014
But Keith is too sick to transfer,
55
00:02:45,594 --> 00:02:47,614
the father has no alternative, so he caves.
56
00:02:48,454 --> 00:02:50,194
And then before treatment can even start,
57
00:02:50,694 --> 00:02:53,814
Keith hallucinates, screaming about someone named Jules,
58
00:02:54,254 --> 00:02:56,294
then starts bleeding from the rectum.
59
00:02:56,894 --> 00:02:57,894
Hypovolemic shock.
60
00:02:57,894 --> 00:03:00,954
Cameron says psychosis is the fourth criterion.
61
00:03:01,514 --> 00:03:03,614
It's lupus. Transplant list.
62
00:03:04,214 --> 00:03:05,814
House is vomiting from withdrawal.
63
00:03:06,654 --> 00:03:08,634
Foreman walks in and hands him his Vicodin,
64
00:03:08,894 --> 00:03:11,194
says he's covering his own ass, not helping.
65
00:03:11,774 --> 00:03:12,754
Does House take them?
66
00:03:13,214 --> 00:03:15,954
No. But House fixates on one detail.
67
00:03:16,554 --> 00:03:17,894
Who is Jules?
68
00:03:18,454 --> 00:03:20,674
The family cat, dead about a month.
69
00:03:21,394 --> 00:03:25,194
House argues that Keith was reliving a real memory of a real animal,
70
00:03:25,614 --> 00:03:27,554
not hallucinating something imaginary,
71
00:03:28,094 --> 00:03:29,474
so that's not psychosis,
72
00:03:29,754 --> 00:03:32,534
and the fourth criterion for lupus falls apart.
73
00:03:32,634 --> 00:03:34,894
If the cat died recently with no obvious cause,
74
00:03:35,394 --> 00:03:37,294
maybe it died of the same thing killing Keith.
75
00:03:38,114 --> 00:03:40,934
House has Foreman and Chase dig up the cat in frozen ground,
76
00:03:41,634 --> 00:03:45,274
autopsies it himself, and finds massive naphthalene poisoning,
77
00:03:45,914 --> 00:03:48,494
a chemical termites produce to protect their nests.
78
00:03:48,814 --> 00:03:50,694
Meanwhile a donor liver arrives.
79
00:03:51,234 --> 00:03:52,294
Keith is on the table.
80
00:03:52,294 --> 00:03:55,794
House bursts into the OR and spits to break the sterile field.
81
00:03:56,514 --> 00:03:58,654
The naphthalene is fat-soluble,
82
00:03:58,654 --> 00:04:02,014
stored in Keith's fat cells from a termite nest inside his bedroom walls.
83
00:04:02,734 --> 00:04:05,394
When he stopped eating hospital food and lost fourteen pounds,
84
00:04:05,814 --> 00:04:09,134
his body burned fat and the poison flooded his system.
85
00:04:09,854 --> 00:04:12,934
So getting away from the source of the poison is what poisoned him.
86
00:04:13,534 --> 00:04:16,274
The father punches House, but the logic holds,
87
00:04:16,834 --> 00:04:18,954
a new liver would just get poisoned too.
88
00:04:19,454 --> 00:04:21,554
They feed Keith to stop the fat-burning,
89
00:04:21,554 --> 00:04:24,394
find a massive termite nest in his bedroom walls,
90
00:04:24,854 --> 00:04:28,994
and he recovers. Then House sits down with Wilson and admits he's an addict.
91
00:04:29,714 --> 00:04:31,134
But says it's not a problem,
92
00:04:31,434 --> 00:04:33,954
the pills let him do his job and take away his pain.
93
00:04:34,774 --> 00:04:37,114
Wilson has no counter-argument.
94
00:04:37,114 --> 00:04:38,534
House solved the case in withdrawal,
95
00:04:38,754 --> 00:04:40,114
broke his own body to cope,
96
00:04:40,454 --> 00:04:41,614
and still came out right.
97
00:04:42,294 --> 00:04:44,914
And then we learn the whole bet was Wilson's idea,
98
00:04:45,474 --> 00:04:47,014
he put Cuddy up to it.
99
00:04:47,214 --> 00:04:51,394
Last episode Wilson revealed he has a homeless brother he hasn't seen in nine years.
100
00:04:52,074 --> 00:04:53,194
He can't save his brother,
101
00:04:53,314 --> 00:04:54,634
so he's trying to save House.
102
00:04:55,114 --> 00:04:56,014
And it didn't work.
103
00:04:57,574 --> 00:05:01,114
House admitted addiction and went straight back on the pills.
104
00:05:02,294 --> 00:05:05,014
Wilson's bet failed. The dosage keeps climbing.