1
00:00:05,914 --> 00:00:09,394
House Explained. Season 2, Episode 17.
2
00:00:10,354 --> 00:00:11,354
All In.
3
00:00:11,354 --> 00:00:18,614
Twelve years ago, a 73-year-old woman named Esther Doyle died under House's care,
4
00:00:19,134 --> 00:00:22,874
never diagnosed. He's kept her file ever since.
5
00:00:23,654 --> 00:00:26,494
Tonight, at a hospital charity poker tournament,
6
00:00:27,014 --> 00:00:31,914
a six-year-old boy named Ian arrives with the exact same opening symptoms.
7
00:00:32,794 --> 00:00:34,454
House folds a winning hand,
8
00:00:34,794 --> 00:00:37,754
steals the case from Cuddy, and bets everything,
9
00:00:38,554 --> 00:00:41,554
including the boy's life, that this time,
10
00:00:41,994 --> 00:00:43,154
he can solve it.
11
00:00:43,794 --> 00:00:46,874
Meanwhile, Wilson slow-plays his way through the tournament.
12
00:00:47,494 --> 00:00:49,814
The hospital is throwing a charity poker tournament,
13
00:00:50,294 --> 00:00:54,614
and House, Wilson, and Cuddy are all at the table when a nurse interrupts,
14
00:00:54,614 --> 00:00:59,214
six-year-old Ian Alston is in the ER with bloody diarrhea and coordination problems.
15
00:00:59,814 --> 00:01:02,214
Cuddy waves it off as gastroenteritis,
16
00:01:02,394 --> 00:01:04,854
orders fluids, and goes back to her cards.
17
00:01:05,534 --> 00:01:06,834
But House can't let it go,
18
00:01:07,174 --> 00:01:09,734
folds a pair of aces to Cuddy's bluff, walks out,
19
00:01:09,974 --> 00:01:11,774
and tests this kid's coordination himself.
20
00:01:12,694 --> 00:01:14,194
Ian can barely grab his cane.
21
00:01:14,954 --> 00:01:18,954
He pulls his entire team out of the party and lies that Cuddy assigned him the case.
22
00:01:19,714 --> 00:01:21,654
He puts Esther Doyle's file on the table,
23
00:01:22,094 --> 00:01:25,514
a 73-year-old woman who died under his care twelve years ago,
24
00:01:26,134 --> 00:01:30,294
never diagnosed. He's got her entire symptom progression memorized,
25
00:01:30,754 --> 00:01:33,454
and he believes Ian has the same disease.
26
00:01:34,354 --> 00:01:41,434
First suspect: Erdheim-Chester, an incredibly rare disorder with maybe two hundred documented cases ever.
27
00:01:41,894 --> 00:01:45,034
And Chase points out this isn't the first time House has chased Esther's ghost,
28
00:01:45,634 --> 00:01:48,694
a trucker came in with similar symptoms before Cameron was even hired,
29
00:01:48,974 --> 00:01:51,074
got a spinal tap, bone marrow extraction,
30
00:01:51,514 --> 00:01:55,794
three colonoscopies, and went home with painkillers and a diagnosis of bad food.
31
00:01:56,554 --> 00:02:01,014
Colonoscopy is clean. Biopsy is negative for Erdheim-Chester.
32
00:02:01,014 --> 00:02:02,934
Team says it's a stomachache.
33
00:02:02,934 --> 00:02:04,394
Then they check his catheter bag.
34
00:02:05,114 --> 00:02:08,994
Brown urine. Kidneys failing, exactly on Esther's timeline.
35
00:02:09,774 --> 00:02:10,674
So now it's real.
36
00:02:11,294 --> 00:02:12,574
They test for lymphoma,
37
00:02:12,934 --> 00:02:15,074
MRI shows a small mass near his pituitary,
38
00:02:15,394 --> 00:02:16,714
but blood work says no.
39
00:02:17,474 --> 00:02:20,214
House can't diagnose it, so he gets ahead of it,
40
00:02:20,414 --> 00:02:23,314
throws every liver-protective drug he can think of at Ian,
41
00:02:23,314 --> 00:02:26,134
because the liver is the next organ Esther lost.
42
00:02:26,674 --> 00:02:28,454
And it works, the liver holds.
43
00:02:29,134 --> 00:02:32,354
But then Ian's platelets drop and he goes into respiratory distress,
44
00:02:32,754 --> 00:02:34,634
skipping two of Esther's symptoms entirely.
45
00:02:35,534 --> 00:02:38,374
Why is it moving so much faster in a six-year-old?
46
00:02:38,374 --> 00:02:42,434
Meanwhile, House has been using Wilson as a pawn to keep Cuddy at the poker table,
47
00:02:42,834 --> 00:02:45,094
calling him with transparent code talk,
48
00:02:45,334 --> 00:02:46,774
reading Cuddy's tells over the phone,
49
00:02:46,954 --> 00:02:50,274
feeding him strategy. But now he needs Wilson for real.
50
00:02:50,754 --> 00:02:52,854
He pulls him for an oncology consult.
51
00:02:53,474 --> 00:02:55,254
Wilson suggests Kawasaki disease,
52
00:02:55,934 --> 00:02:58,394
it fits the kid even if it wouldn't have affected Esther.
53
00:02:59,314 --> 00:03:01,394
But then he gives House the Moby Dick warning.
54
00:03:02,294 --> 00:03:03,334
House brushes it off,
55
00:03:03,554 --> 00:03:07,834
but Wilson's watching a man who has Esther's file memorized down to her hematocrit number,
56
00:03:07,834 --> 00:03:09,654
and it's been twelve years.
57
00:03:10,114 --> 00:03:13,054
They check Ian's coronary arteries, no Kawasaki,
58
00:03:13,514 --> 00:03:15,834
but Chase spots a mass in the right atrium.
59
00:03:16,574 --> 00:03:18,254
House decides to biopsy it himself,
60
00:03:18,254 --> 00:03:19,574
and during the procedure,
61
00:03:19,934 --> 00:03:21,994
the catheter triggers cardiac arrest.
62
00:03:22,374 --> 00:03:23,134
How long?
63
00:03:23,674 --> 00:03:25,954
Eight minutes. Possible brain damage.
64
00:03:26,694 --> 00:03:30,994
And House's first move after they stabilize Ian is to finish the biopsy.
65
00:03:31,174 --> 00:03:37,454
Cuddy arrives furious, tells House he may have killed a six-year-old because he's obsessed with a woman who's been dead for twelve years.
66
00:03:37,894 --> 00:03:40,314
Bans him and the entire team from going near Ian.
67
00:03:40,874 --> 00:03:43,394
But House still has the tissue sample from the biopsy,
68
00:03:43,394 --> 00:03:45,334
and he convinces his team to keep working,
69
00:03:45,914 --> 00:03:50,154
seven possible diseases, enough tissue for maybe three tests.
70
00:03:50,934 --> 00:03:55,534
Histiocytosis negative, tuberous sclerosis negative, one test left,
71
00:03:55,934 --> 00:03:57,234
five possibilities.
72
00:03:57,794 --> 00:03:59,794
House is stuck, wandering the hospital,
73
00:03:59,794 --> 00:04:02,854
until Wilson finds him and mentions the poker tournament.
74
00:04:03,714 --> 00:04:06,374
Wilson won by slow-playing pocket aces the whole game,
75
00:04:06,614 --> 00:04:09,434
never raising, his opponent went all-in with kings,
76
00:04:09,434 --> 00:04:11,474
and Wilson flipped the aces.
77
00:04:11,834 --> 00:04:13,294
They were hiding the whole time.
78
00:04:14,094 --> 00:04:15,334
And House gets it,
79
00:04:15,334 --> 00:04:17,714
Erdheim-Chester was hiding the whole time too!
80
00:04:18,494 --> 00:04:23,194
The first biopsy was negative because they tested the colon before the disease had spread to the GI tract.
81
00:04:24,174 --> 00:04:25,594
The disease was slow-playing them,
82
00:04:25,654 --> 00:04:27,814
just like Wilson's aces.
83
00:04:27,954 --> 00:04:30,254
The team objects, they already tested negative.
84
00:04:30,534 --> 00:04:31,734
This is their last shot.
85
00:04:32,454 --> 00:04:35,514
Chase wants neurofibromatosis because it's the most treatable.
86
00:04:35,934 --> 00:04:37,414
But House insists.
87
00:04:37,414 --> 00:04:41,614
CD 68 positive. Erdheim-Chester disease.
88
00:04:42,274 --> 00:04:44,694
Ian starts treatment, starts breathing on his own.
89
00:04:44,694 --> 00:04:48,294
And House finally knows what killed Esther Doyle twelve years ago.
90
00:04:49,514 --> 00:04:52,134
Last scene, House and Wilson playing poker at home.
91
00:04:52,694 --> 00:04:54,194
Wilson tells House he got lucky;
92
00:04:54,694 --> 00:04:56,674
House says it wasn't luck, it fit.
93
00:04:57,654 --> 00:05:00,434
Wilson says it could just as easily have gone the other way,
94
00:05:00,434 --> 00:05:02,614
and neither of them is entirely wrong.
95
00:05:04,274 --> 00:05:06,514
House solved Esther's case.
96
00:05:07,294 --> 00:05:08,874
The obsession may just shift..
97
00:05:09,694 --> 00:05:14,154
Cuddy banned House. The diagnosis proved him right..
98
00:05:15,254 --> 00:05:19,334
Ian survived. No word on brain damage.
00:00:05,914 --> 00:00:09,394
House Explained. Season 2, Episode 17.
2
00:00:10,354 --> 00:00:11,354
All In.
3
00:00:11,354 --> 00:00:18,614
Twelve years ago, a 73-year-old woman named Esther Doyle died under House's care,
4
00:00:19,134 --> 00:00:22,874
never diagnosed. He's kept her file ever since.
5
00:00:23,654 --> 00:00:26,494
Tonight, at a hospital charity poker tournament,
6
00:00:27,014 --> 00:00:31,914
a six-year-old boy named Ian arrives with the exact same opening symptoms.
7
00:00:32,794 --> 00:00:34,454
House folds a winning hand,
8
00:00:34,794 --> 00:00:37,754
steals the case from Cuddy, and bets everything,
9
00:00:38,554 --> 00:00:41,554
including the boy's life, that this time,
10
00:00:41,994 --> 00:00:43,154
he can solve it.
11
00:00:43,794 --> 00:00:46,874
Meanwhile, Wilson slow-plays his way through the tournament.
12
00:00:47,494 --> 00:00:49,814
The hospital is throwing a charity poker tournament,
13
00:00:50,294 --> 00:00:54,614
and House, Wilson, and Cuddy are all at the table when a nurse interrupts,
14
00:00:54,614 --> 00:00:59,214
six-year-old Ian Alston is in the ER with bloody diarrhea and coordination problems.
15
00:00:59,814 --> 00:01:02,214
Cuddy waves it off as gastroenteritis,
16
00:01:02,394 --> 00:01:04,854
orders fluids, and goes back to her cards.
17
00:01:05,534 --> 00:01:06,834
But House can't let it go,
18
00:01:07,174 --> 00:01:09,734
folds a pair of aces to Cuddy's bluff, walks out,
19
00:01:09,974 --> 00:01:11,774
and tests this kid's coordination himself.
20
00:01:12,694 --> 00:01:14,194
Ian can barely grab his cane.
21
00:01:14,954 --> 00:01:18,954
He pulls his entire team out of the party and lies that Cuddy assigned him the case.
22
00:01:19,714 --> 00:01:21,654
He puts Esther Doyle's file on the table,
23
00:01:22,094 --> 00:01:25,514
a 73-year-old woman who died under his care twelve years ago,
24
00:01:26,134 --> 00:01:30,294
never diagnosed. He's got her entire symptom progression memorized,
25
00:01:30,754 --> 00:01:33,454
and he believes Ian has the same disease.
26
00:01:34,354 --> 00:01:41,434
First suspect: Erdheim-Chester, an incredibly rare disorder with maybe two hundred documented cases ever.
27
00:01:41,894 --> 00:01:45,034
And Chase points out this isn't the first time House has chased Esther's ghost,
28
00:01:45,634 --> 00:01:48,694
a trucker came in with similar symptoms before Cameron was even hired,
29
00:01:48,974 --> 00:01:51,074
got a spinal tap, bone marrow extraction,
30
00:01:51,514 --> 00:01:55,794
three colonoscopies, and went home with painkillers and a diagnosis of bad food.
31
00:01:56,554 --> 00:02:01,014
Colonoscopy is clean. Biopsy is negative for Erdheim-Chester.
32
00:02:01,014 --> 00:02:02,934
Team says it's a stomachache.
33
00:02:02,934 --> 00:02:04,394
Then they check his catheter bag.
34
00:02:05,114 --> 00:02:08,994
Brown urine. Kidneys failing, exactly on Esther's timeline.
35
00:02:09,774 --> 00:02:10,674
So now it's real.
36
00:02:11,294 --> 00:02:12,574
They test for lymphoma,
37
00:02:12,934 --> 00:02:15,074
MRI shows a small mass near his pituitary,
38
00:02:15,394 --> 00:02:16,714
but blood work says no.
39
00:02:17,474 --> 00:02:20,214
House can't diagnose it, so he gets ahead of it,
40
00:02:20,414 --> 00:02:23,314
throws every liver-protective drug he can think of at Ian,
41
00:02:23,314 --> 00:02:26,134
because the liver is the next organ Esther lost.
42
00:02:26,674 --> 00:02:28,454
And it works, the liver holds.
43
00:02:29,134 --> 00:02:32,354
But then Ian's platelets drop and he goes into respiratory distress,
44
00:02:32,754 --> 00:02:34,634
skipping two of Esther's symptoms entirely.
45
00:02:35,534 --> 00:02:38,374
Why is it moving so much faster in a six-year-old?
46
00:02:38,374 --> 00:02:42,434
Meanwhile, House has been using Wilson as a pawn to keep Cuddy at the poker table,
47
00:02:42,834 --> 00:02:45,094
calling him with transparent code talk,
48
00:02:45,334 --> 00:02:46,774
reading Cuddy's tells over the phone,
49
00:02:46,954 --> 00:02:50,274
feeding him strategy. But now he needs Wilson for real.
50
00:02:50,754 --> 00:02:52,854
He pulls him for an oncology consult.
51
00:02:53,474 --> 00:02:55,254
Wilson suggests Kawasaki disease,
52
00:02:55,934 --> 00:02:58,394
it fits the kid even if it wouldn't have affected Esther.
53
00:02:59,314 --> 00:03:01,394
But then he gives House the Moby Dick warning.
54
00:03:02,294 --> 00:03:03,334
House brushes it off,
55
00:03:03,554 --> 00:03:07,834
but Wilson's watching a man who has Esther's file memorized down to her hematocrit number,
56
00:03:07,834 --> 00:03:09,654
and it's been twelve years.
57
00:03:10,114 --> 00:03:13,054
They check Ian's coronary arteries, no Kawasaki,
58
00:03:13,514 --> 00:03:15,834
but Chase spots a mass in the right atrium.
59
00:03:16,574 --> 00:03:18,254
House decides to biopsy it himself,
60
00:03:18,254 --> 00:03:19,574
and during the procedure,
61
00:03:19,934 --> 00:03:21,994
the catheter triggers cardiac arrest.
62
00:03:22,374 --> 00:03:23,134
How long?
63
00:03:23,674 --> 00:03:25,954
Eight minutes. Possible brain damage.
64
00:03:26,694 --> 00:03:30,994
And House's first move after they stabilize Ian is to finish the biopsy.
65
00:03:31,174 --> 00:03:37,454
Cuddy arrives furious, tells House he may have killed a six-year-old because he's obsessed with a woman who's been dead for twelve years.
66
00:03:37,894 --> 00:03:40,314
Bans him and the entire team from going near Ian.
67
00:03:40,874 --> 00:03:43,394
But House still has the tissue sample from the biopsy,
68
00:03:43,394 --> 00:03:45,334
and he convinces his team to keep working,
69
00:03:45,914 --> 00:03:50,154
seven possible diseases, enough tissue for maybe three tests.
70
00:03:50,934 --> 00:03:55,534
Histiocytosis negative, tuberous sclerosis negative, one test left,
71
00:03:55,934 --> 00:03:57,234
five possibilities.
72
00:03:57,794 --> 00:03:59,794
House is stuck, wandering the hospital,
73
00:03:59,794 --> 00:04:02,854
until Wilson finds him and mentions the poker tournament.
74
00:04:03,714 --> 00:04:06,374
Wilson won by slow-playing pocket aces the whole game,
75
00:04:06,614 --> 00:04:09,434
never raising, his opponent went all-in with kings,
76
00:04:09,434 --> 00:04:11,474
and Wilson flipped the aces.
77
00:04:11,834 --> 00:04:13,294
They were hiding the whole time.
78
00:04:14,094 --> 00:04:15,334
And House gets it,
79
00:04:15,334 --> 00:04:17,714
Erdheim-Chester was hiding the whole time too!
80
00:04:18,494 --> 00:04:23,194
The first biopsy was negative because they tested the colon before the disease had spread to the GI tract.
81
00:04:24,174 --> 00:04:25,594
The disease was slow-playing them,
82
00:04:25,654 --> 00:04:27,814
just like Wilson's aces.
83
00:04:27,954 --> 00:04:30,254
The team objects, they already tested negative.
84
00:04:30,534 --> 00:04:31,734
This is their last shot.
85
00:04:32,454 --> 00:04:35,514
Chase wants neurofibromatosis because it's the most treatable.
86
00:04:35,934 --> 00:04:37,414
But House insists.
87
00:04:37,414 --> 00:04:41,614
CD 68 positive. Erdheim-Chester disease.
88
00:04:42,274 --> 00:04:44,694
Ian starts treatment, starts breathing on his own.
89
00:04:44,694 --> 00:04:48,294
And House finally knows what killed Esther Doyle twelve years ago.
90
00:04:49,514 --> 00:04:52,134
Last scene, House and Wilson playing poker at home.
91
00:04:52,694 --> 00:04:54,194
Wilson tells House he got lucky;
92
00:04:54,694 --> 00:04:56,674
House says it wasn't luck, it fit.
93
00:04:57,654 --> 00:05:00,434
Wilson says it could just as easily have gone the other way,
94
00:05:00,434 --> 00:05:02,614
and neither of them is entirely wrong.
95
00:05:04,274 --> 00:05:06,514
House solved Esther's case.
96
00:05:07,294 --> 00:05:08,874
The obsession may just shift..
97
00:05:09,694 --> 00:05:14,154
Cuddy banned House. The diagnosis proved him right..
98
00:05:15,254 --> 00:05:19,334
Ian survived. No word on brain damage.
