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House Explained. Season 1, Episode 11.
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00:00:10,714
Detox.
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Dr. Gregory House, a brilliant but abrasive diagnostician addicted to Vicodin,
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leads a three-person team at Princeton-Plainsboro Teaching Hospital:
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neurologist Eric Foreman, immunologist Allison Cameron,
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and intensivist Robert Chase.
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His boss is Dean of Medicine Lisa Cuddy,
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and his only real friend is oncologist James Wilson.
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When a sixteen-year-old boy won't stop bleeding and no one can figure out why,
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House takes the case,
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while simultaneously accepting a bet to go a week without painkillers.
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This episode runs two crises at once.
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Keith Foster, a sixteen-year-old,
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has been bleeding internally for three weeks after a car accident,
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his girlfriend was driving his dad's Porsche when he started coughing blood,
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and every test comes back negative.
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Meanwhile, Cuddy bets House he can't go a week without Vicodin,
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and he takes the deal for a month off clinic duty.
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So from the very first scene,
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every medical decision House makes has this question hanging over it,
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is this his genius talking,
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or is withdrawal messing with his judgment?
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His team can't tell either.
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Keith loses vision in one eye.
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A blood clot.
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In a patient who's bleeding everywhere?
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Opposing processes.
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Chase drains fluid from the eye to give the clot room to dissolve,
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creative fix, it works, Keith can see again.
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But they still don't know what's causing any of this,
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and then Keith's liver starts shutting down.
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Cameron argues it's lupus,
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three diagnostic criteria lined up,
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but House pushes back,
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says it's moving too fast for lupus.
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He suspects hepatitis E instead,
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incredibly rare domestically, but Keith's been traveling internationally.
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Here's where it gets uncomfortable,
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there's no treatment for hep E,
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so House's plan is to give Keith a drug that will make him slightly worse if it IS hep E,
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just enough to confirm the diagnosis.
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He tells Cameron to lie to Mr. Foster,
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Keith's father, about what they're doing.
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Chase backs him, the only one.
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But House is deteriorating.
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He deliberately breaks his own fingers to trigger an endorphin response that overrides the leg pain.
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Then Cameron breaks too.
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She tells Mr. Foster she thinks it's lupus,
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not hepatitis.
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And you understand why Foster resists House's plan,
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this is a widower whose wife died of pancreatic cancer after doctors promised aggressive treatment would extend her life,
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and she was gone in three weeks.
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He does not trust medical gambles.
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But Keith is too sick to transfer,
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the father has no alternative, so he caves.
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And then before treatment can even start,
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Keith hallucinates, screaming about someone named Jules,
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then starts bleeding from the rectum.
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Hypovolemic shock.
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Cameron says psychosis is the fourth criterion.
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It's lupus. Transplant list.
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House is vomiting from withdrawal.
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Foreman walks in and hands him his Vicodin,
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says he's covering his own ass, not helping.
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Does House take them?
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No. But House fixates on one detail.
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Who is Jules?
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The family cat, dead about a month.
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House argues that Keith was reliving a real memory of a real animal,
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not hallucinating something imaginary,
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so that's not psychosis,
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and the fourth criterion for lupus falls apart.
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If the cat died recently with no obvious cause,
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maybe it died of the same thing killing Keith.
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House has Foreman and Chase dig up the cat in frozen ground,
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autopsies it himself, and finds massive naphthalene poisoning,
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a chemical termites produce to protect their nests.
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Meanwhile a donor liver arrives.
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Keith is on the table.
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House bursts into the OR and spits to break the sterile field.
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The naphthalene is fat-soluble,
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stored in Keith's fat cells from a termite nest inside his bedroom walls.
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When he stopped eating hospital food and lost fourteen pounds,
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his body burned fat and the poison flooded his system.
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So getting away from the source of the poison is what poisoned him.
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The father punches House, but the logic holds,
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a new liver would just get poisoned too.
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They feed Keith to stop the fat-burning,
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find a massive termite nest in his bedroom walls,
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and he recovers. Then House sits down with Wilson and admits he's an addict.
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But says it's not a problem,
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the pills let him do his job and take away his pain.
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Wilson has no counter-argument.
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House solved the case in withdrawal,
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broke his own body to cope,
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and still came out right.
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And then we learn the whole bet was Wilson's idea,
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he put Cuddy up to it.
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Last episode Wilson revealed he has a homeless brother he hasn't seen in nine years.
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He can't save his brother,
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so he's trying to save House.
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And it didn't work.
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House admitted addiction and went straight back on the pills.
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Wilson's bet failed. The dosage keeps climbing.
1
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00:05:21,782
House Explained. Season 1, Episode 21.
2
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00:05:23,422
Three Stories.
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House's ex-girlfriend Stacy Warner,
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00:05:29,842
a constitutional lawyer mentioned once earlier this season,
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walks into Princeton-Plainsboro for the first time in five years.
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She needs House to examine her husband Mark.
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House refuses and heads to a diagnostics lecture Cuddy forced him into.
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What starts as a classroom exercise about three patients with leg pain becomes something the students never expected,
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House telling his own origin story,
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the one that explains the limp, the cane,
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and the Vicodin.
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So House is on his way to a lecture Cuddy guilted him into,
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and he runs into someone in the hallway,
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Stacy Warner, his ex-girlfriend.
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We've heard her name exactly once this season,
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back when Wilson mentioned having dinner with her.
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Now she's here in person for the first time in five years,
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asking House to examine her husband Mark.
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And House looks at the file and says no.
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Abdominal pain, fainting, but nothing jumps out.
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Then he tells Stacy he's not sure he wants her husband to live.
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Brutal. So that's where his head is when he walks into the lecture hall,
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maybe a dozen bored students,
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three cases where the only symptom is leg pain.
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First up: a farmer with a puncture wound.
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Everyone assumes snake bite.
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They find a rattlesnake on the property,
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give antivenom, and the farmer nearly dies from an allergic reaction.
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But the snake's venom sac is full,
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it didn't bite anyone.
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So now they're stuck,
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other antivenoms don't work either.
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When House tells the man he's dying,
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the farmer only asks about his dog.
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That's the clue, the dog bit him,
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and the farmer hid it to protect his pet.
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The dog's bacteria caused necrotizing fasciitis,
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flesh-eating infection. Dog gets euthanized,
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farmer loses his leg but survives.
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He protected what hurt him.
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Loses the leg, keeps his life.
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Second case, a teenage volleyball player where Cameron runs an absurdly thorough workup.
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House tells the students this is what happens when you care too much,
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but her overkill finds a thyroid condition,
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then a cancerous tumor in the leg.
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So caring too much actually saved this girl's life,
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tumor removed, no amputation, full recovery.
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By now the lecture hall is filling up,
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students telling other students,
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and House's own team starts drifting in to watch.
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Then the third case.
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House presents it as Carmen Electra with leg pain after miniature golf,
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big laugh. But the patient quickly becomes a middle-aged man in extreme pain,
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and the students write him off as a drug seeker.
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Why does House keep pushing when everyone's dismissed the patient?
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He orders a catheter without anesthetic,
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if the man can handle that, the pain is real.
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The urine comes back tea-colored:
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blood and waste products.
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Cameron, watching from the audience, guesses it,
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muscle death, myoglobin poisoning the kidneys.
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And that's when House's team realizes who the third patient actually is.
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It took doctors three days to diagnose a clotted aneurysm cutting off blood flow to his thigh,
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the patient was House himself, five years ago.
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Cuddy was his attending.
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Stacy was his girlfriend.
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So what were his options?
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Amputate the leg, safe but permanent.
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Or a risky bypass to restore blood flow,
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knowing dead tissue could poison his organs and stop his heart when circulation returns.
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House chose the bypass.
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Stubborn in exactly the way we've watched him be stubborn all season long.
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He'd rather risk dying than lose the leg.
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The bypass works, but the pain is unbearable,
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maxed out on morphine, then cardiac arrest.
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Clinically dead for almost a minute.
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They revive him, Stacy begs him to amputate,
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he refuses again and asks to be put in a medically induced coma instead,
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with Stacy as his medical proxy.
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And she uses it.
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Cuddy had suggested a middle course,
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remove the dead muscle instead of the whole leg.
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House wakes up with a permanent limp, chronic pain,
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and the knowledge that the person he trusted most overrode his explicit wishes.
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That's the origin of everything we've watched all season.
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The cane, the Vicodin,
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the way he keeps everyone at arm's length.
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She saved his life and it destroyed them.
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Does she regret it?
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We don't know yet.
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The lecture runs twenty minutes over,
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standing room only by the end.
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House diagnoses the absent professor too,
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just for fun, lead poisoning from a mug his kids made with lead-based paint.
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And that night, after spending the whole day reliving the worst thing that ever happened to him,
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House picks up the phone and calls Stacy.
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He agrees to examine her husband.
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- House agreed to examine Stacy's husband Mark.
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- The team now knows how House got the limp.
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- Stacy is back.
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Cameron just had her date.
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00:10:21,056 -->
00:10:23,027
House Explained.
2
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00:10:24,999
Season 2, Episode 4.
3
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00:10:26,970
TB or Not TB.
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00:10:34,130
House, the brilliant and abrasive head of diagnostic medicine at Princeton-Plainsboro,
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00:10:36,050
thrives on proving everyone wrong.
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00:10:40,070
This week his patient is Dr. Sebastian Charles,
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00:10:50,310
a celebrated TB specialist and humanitarian who collapses while pressuring a pharmaceutical company to fund tuberculosis treatment in Africa.
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Charles is certain he has TB.
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00:10:56,990
House is certain that's not the whole story.
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00:11:00,050
Cameron is drawn to Charles's idealism,
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while Wilson challenges House to consider that Charles's altruism might be genuine.
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The battle isn't just medical, it's philosophical.
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This week House gets a celebrity patient,
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Dr. Sebastian Charles, a famous TB specialist and humanitarian who collapses while pressuring a pharmaceutical company to donate more antibiotics for Africa.
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He's rushed to Princeton-Plainsboro,
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where he immediately self-diagnoses tuberculosis.
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House, naturally, is not buying it.
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Why not? He's LITERALLY a TB expert.
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Too many symptoms, progressing too fast for TB alone.
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House kicks Charles out of the differential,
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goes after a cardiac explanation,
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and runs a tilt-table test,
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but he cranks the machine WAY past standard limits until he gets an abnormal result.
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Schedules Charles for a pacemaker.
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00:12:02,510
Classic House, pushing the test until it tells him what he wants to hear.
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00:12:05,130
But meanwhile, Charles is charming Cameron,
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offering her a job in Africa, asking her out.
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Then he tries to walk downstairs with her,
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collapses, vomiting, the works,
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and the cardiac diagnosis is dead.
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And Cameron's TB test, run behind House's back,
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00:12:20,270
comes back positive.
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00:12:21,610
So TB is real,
34
00:12:21,990 -->
00:12:24,770
but House STILL insists there's something else underneath.
35
00:12:25,170 -->
00:12:27,190
Right, and then Charles makes the whole case harder,
36
00:12:27,650 -->
00:12:29,350
he refuses ALL treatment.
37
00:12:30,250 -->
00:12:38,470
His logic is that taking TB medication while thousands of his African patients can't afford the same drugs would make him a hypocrite,
38
00:12:38,630 -->
00:12:40,610
he'd rather die making the political point.
39
00:12:41,130 -->
00:12:43,110
And honestly, the logic holds up.
40
00:12:43,450 -->
00:12:46,270
He's spent years campaigning for affordable drug access,
41
00:12:46,590 -->
00:12:52,770
taking the medicine himself while his patients go without would gut his credibility and undermine everything he's built.
42
00:12:53,630 -->
00:12:56,550
It's principled, even if it's self-destructive.
43
00:12:56,550 -->
00:12:58,290
So House can't test, can't treat,
44
00:12:58,650 -->
00:13:01,510
and the patient is becoming a full-blown media spectacle.
45
00:13:02,350 -->
00:13:05,510
House goes to the press using Cuddy's name to trash Charles publicly,
46
00:13:06,030 -->
00:13:08,310
then strips the hospital room of every comfort,
47
00:13:08,850 -->
00:13:09,890
kills the air conditioning,
48
00:13:10,370 -->
00:13:11,950
flushes the cell phone down the toilet.
49
00:13:12,790 -->
00:13:15,530
His position is that if you want to die of a third-world disease,
50
00:13:15,530 -->
00:13:17,630
you should live like the third world.
51
00:13:18,130 -->
00:13:19,050
And Cuddy doesn't help,
52
00:13:19,510 -->
00:13:22,410
she joins the press conference instead of backing House up.
53
00:13:22,750 -->
00:13:26,710
He's fighting his own patient AND his own hospital at the same time.
54
00:13:26,990 -->
00:13:31,910
Then the breakthrough, House is watching the press conference on TV from a coma patient's room,
55
00:13:32,390 -->
00:13:34,230
and he notices Charles is sweating.
56
00:13:35,050 -->
00:13:40,210
TB impairs thermoregulation, so in a hot room a TB patient should flush red,
57
00:13:40,610 -->
00:13:46,490
NOT sweat. The fact that Charles CAN sweat means something else is keeping that system working.
58
00:13:46,870 -->
00:13:47,650
Great catch.
59
00:13:48,170 -->
00:13:50,610
Charles goes into cardiac arrest right then.
60
00:13:51,190 -->
00:13:54,530
House rushes in and announces to the cameras that whatever is happening,
61
00:13:55,190 -->
00:13:56,750
it is NOT tuberculosis.
62
00:13:57,230 -->
00:14:01,370
He weaponizes the on-camera crisis to shatter Charles's martyrdom narrative.
63
00:14:02,170 -->
00:14:03,610
Then he lays out the threat,
64
00:14:04,150 -->
00:14:07,150
if Charles dies and the autopsy reveals a second disease,
65
00:14:07,630 -->
00:14:09,550
his death stops being a political statement,
66
00:14:09,910 -->
00:14:12,110
just a misdiagnosis nobody learned from.
67
00:14:12,110 -->
00:14:14,750
That's what finally breaks Charles's resolve.
68
00:14:15,250 -->
00:14:15,750
Exactly.
69
00:14:16,330 -->
00:14:18,770
But Charles gets in a real shot before he agrees.
70
00:14:19,490 -->
00:14:25,830
He tells House the difference between them is that Charles can accept failure and House can't. That one sticks.
71
00:14:26,450 -->
00:14:27,790
Once they start treating the TB,
72
00:14:28,210 -->
00:14:30,430
some symptoms clear but others persist.
73
00:14:31,290 -->
00:14:34,050
The team isolates low blood sugar in the spinal fluid,
74
00:14:34,410 -->
00:14:37,490
and House diagnoses a nesidioblastoma,
75
00:14:37,490 -->
00:14:42,610
a tiny insulin-producing tumor that also explains the tilt-table results.
76
00:14:43,410 -->
00:14:45,170
The abnormal reading wasn't a heart problem,
77
00:14:45,630 -->
00:14:49,590
it was insulin surges destabilizing blood pressure the whole time.
78
00:14:50,190 -->
00:14:52,770
So the test result was real, just misread.
79
00:14:53,210 -->
00:14:54,770
The tumor was there all along,
80
00:14:55,130 -->
00:14:56,090
hiding behind the TB.
81
00:14:56,930 -->
00:14:59,070
They provoke the tumor into overproducing insulin,
82
00:14:59,570 -->
00:15:01,450
it reveals its location during a seizure,
83
00:15:02,110 -->
00:15:03,610
and surgery removes it.
84
00:15:03,990 -->
00:15:06,310
Both conditions treated, full recovery.
85
00:15:07,030 -->
00:15:11,590
Clean medical resolution, but then Cameron turns Charles down for a date.
86
00:15:12,190 -->
00:15:13,730
He's heading back to Africa healthy,
87
00:15:13,950 -->
00:15:15,770
and suddenly she's not interested.
88
00:15:16,750 -->
00:15:18,050
House reads it as her pattern,
89
00:15:18,350 -->
00:15:20,050
she's drawn to men who are suffering,
90
00:15:20,250 -->
00:15:22,850
and once the damage is gone, so is the attraction.
91
00:15:23,330 -->
00:15:25,110
She married a man with terminal cancer.
92
00:15:25,650 -->
00:15:26,350
Same pattern.
93
00:15:26,910 -->
00:15:31,830
The question the episode leaves open is whether House is reading people accurately or just projecting,
94
00:15:32,530 -->
00:15:35,030
he sees selfishness in Charles's altruism,
95
00:15:35,390 -->
00:15:37,250
a compulsion in Cameron's compassion.
96
00:15:37,790 -->
00:15:43,230
Is he right, or is that just what the world looks like when you can't believe anyone acts from genuine goodness?
97
00:15:44,910 -->
00:15:49,130
Cameron's attraction to damaged men keeps surfacing unchallenged..
98
00:15:49,530 -->
00:15:53,150
House proved Charles wrong medically but not philosophically..
99
00:15:53,150 -->
00:15:57,090
Stacy's absence this episode goes unexplained.
1
00:16:10,458 -->
00:16:13,938
House Explained. Season 2, Episode 17.
2
00:16:14,898 -->
00:16:15,898
All In.
3
00:16:15,898 -->
00:16:23,158
Twelve years ago, a 73-year-old woman named Esther Doyle died under House's care,
4
00:16:23,678 -->
00:16:27,418
never diagnosed. He's kept her file ever since.
5
00:16:28,198 -->
00:16:31,038
Tonight, at a hospital charity poker tournament,
6
00:16:31,558 -->
00:16:36,458
a six-year-old boy named Ian arrives with the exact same opening symptoms.
7
00:16:37,338 -->
00:16:38,998
House folds a winning hand,
8
00:16:39,338 -->
00:16:42,298
steals the case from Cuddy, and bets everything,
9
00:16:43,098 -->
00:16:46,098
including the boy's life, that this time,
10
00:16:46,538 -->
00:16:47,698
he can solve it.
11
00:16:48,338 -->
00:16:51,418
Meanwhile, Wilson slow-plays his way through the tournament.
12
00:16:52,038 -->
00:16:54,358
The hospital is throwing a charity poker tournament,
13
00:16:54,838 -->
00:16:59,158
and House, Wilson, and Cuddy are all at the table when a nurse interrupts,
14
00:16:59,158 -->
00:17:03,758
six-year-old Ian Alston is in the ER with bloody diarrhea and coordination problems.
15
00:17:04,358 -->
00:17:06,758
Cuddy waves it off as gastroenteritis,
16
00:17:06,938 -->
00:17:09,398
orders fluids, and goes back to her cards.
17
00:17:10,078 -->
00:17:11,378
But House can't let it go,
18
00:17:11,718 -->
00:17:14,278
folds a pair of aces to Cuddy's bluff, walks out,
19
00:17:14,518 -->
00:17:16,318
and tests this kid's coordination himself.
20
00:17:17,238 -->
00:17:18,738
Ian can barely grab his cane.
21
00:17:19,498 -->
00:17:23,498
He pulls his entire team out of the party and lies that Cuddy assigned him the case.
22
00:17:24,258 -->
00:17:26,198
He puts Esther Doyle's file on the table,
23
00:17:26,638 -->
00:17:30,058
a 73-year-old woman who died under his care twelve years ago,
24
00:17:30,678 -->
00:17:34,838
never diagnosed. He's got her entire symptom progression memorized,
25
00:17:35,298 -->
00:17:37,998
and he believes Ian has the same disease.
26
00:17:38,898 -->
00:17:45,978
First suspect: Erdheim-Chester, an incredibly rare disorder with maybe two hundred documented cases ever.
27
00:17:46,438 -->
00:17:49,578
And Chase points out this isn't the first time House has chased Esther's ghost,
28
00:17:50,178 -->
00:17:53,238
a trucker came in with similar symptoms before Cameron was even hired,
29
00:17:53,518 -->
00:17:55,618
got a spinal tap, bone marrow extraction,
30
00:17:56,058 -->
00:18:00,338
three colonoscopies, and went home with painkillers and a diagnosis of bad food.
31
00:18:01,098 -->
00:18:05,558
Colonoscopy is clean. Biopsy is negative for Erdheim-Chester.
32
00:18:05,558 -->
00:18:07,478
Team says it's a stomachache.
33
00:18:07,478 -->
00:18:08,938
Then they check his catheter bag.
34
00:18:09,658 -->
00:18:13,538
Brown urine. Kidneys failing, exactly on Esther's timeline.
35
00:18:14,318 -->
00:18:15,218
So now it's real.
36
00:18:15,838 -->
00:18:17,118
They test for lymphoma,
37
00:18:17,478 -->
00:18:19,618
MRI shows a small mass near his pituitary,
38
00:18:19,938 -->
00:18:21,258
but blood work says no.
39
00:18:22,018 -->
00:18:24,758
House can't diagnose it, so he gets ahead of it,
40
00:18:24,958 -->
00:18:27,858
throws every liver-protective drug he can think of at Ian,
41
00:18:27,858 -->
00:18:30,678
because the liver is the next organ Esther lost.
42
00:18:31,218 -->
00:18:32,998
And it works, the liver holds.
43
00:18:33,678 -->
00:18:36,898
But then Ian's platelets drop and he goes into respiratory distress,
44
00:18:37,298 -->
00:18:39,178
skipping two of Esther's symptoms entirely.
45
00:18:40,078 -->
00:18:42,918
Why is it moving so much faster in a six-year-old?
46
00:18:42,918 -->
00:18:46,978
Meanwhile, House has been using Wilson as a pawn to keep Cuddy at the poker table,
47
00:18:47,378 -->
00:18:49,638
calling him with transparent code talk,
48
00:18:49,878 -->
00:18:51,318
reading Cuddy's tells over the phone,
49
00:18:51,498 -->
00:18:54,818
feeding him strategy. But now he needs Wilson for real.
50
00:18:55,298 -->
00:18:57,398
He pulls him for an oncology consult.
51
00:18:58,018 -->
00:18:59,798
Wilson suggests Kawasaki disease,
52
00:19:00,478 -->
00:19:02,938
it fits the kid even if it wouldn't have affected Esther.
53
00:19:03,858 -->
00:19:05,938
But then he gives House the Moby Dick warning.
54
00:19:06,838 -->
00:19:07,878
House brushes it off,
55
00:19:08,098 -->
00:19:12,378
but Wilson's watching a man who has Esther's file memorized down to her hematocrit number,
56
00:19:12,378 -->
00:19:14,198
and it's been twelve years.
57
00:19:14,658 -->
00:19:17,598
They check Ian's coronary arteries, no Kawasaki,
58
00:19:18,058 -->
00:19:20,378
but Chase spots a mass in the right atrium.
59
00:19:21,118 -->
00:19:22,798
House decides to biopsy it himself,
60
00:19:22,798 -->
00:19:24,118
and during the procedure,
61
00:19:24,478 -->
00:19:26,538
the catheter triggers cardiac arrest.
62
00:19:26,918 -->
00:19:27,678
How long?
63
00:19:28,218 -->
00:19:30,498
Eight minutes. Possible brain damage.
64
00:19:31,238 -->
00:19:35,538
And House's first move after they stabilize Ian is to finish the biopsy.
65
00:19:35,718 -->
00:19:41,998
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
00:19:42,438 -->
00:19:44,858
Bans him and the entire team from going near Ian.
67
00:19:45,418 -->
00:19:47,938
But House still has the tissue sample from the biopsy,
68
00:19:47,938 -->
00:19:49,878
and he convinces his team to keep working,
69
00:19:50,458 -->
00:19:54,698
seven possible diseases, enough tissue for maybe three tests.
70
00:19:55,478 -->
00:20:00,078
Histiocytosis negative, tuberous sclerosis negative, one test left,
71
00:20:00,478 -->
00:20:01,778
five possibilities.
72
00:20:02,338 -->
00:20:04,338
House is stuck, wandering the hospital,
73
00:20:04,338 -->
00:20:07,398
until Wilson finds him and mentions the poker tournament.
74
00:20:08,258 -->
00:20:10,918
Wilson won by slow-playing pocket aces the whole game,
75
00:20:11,158 -->
00:20:13,978
never raising, his opponent went all-in with kings,
76
00:20:13,978 -->
00:20:16,018
and Wilson flipped the aces.
77
00:20:16,378 -->
00:20:17,838
They were hiding the whole time.
78
00:20:18,638 -->
00:20:19,878
And House gets it,
79
00:20:19,878 -->
00:20:22,258
Erdheim-Chester was hiding the whole time too!
80
00:20:23,038 -->
00:20:27,738
The first biopsy was negative because they tested the colon before the disease had spread to the GI tract.
81
00:20:28,718 -->
00:20:30,138
The disease was slow-playing them,
82
00:20:30,198 -->
00:20:32,358
just like Wilson's aces.
83
00:20:32,498 -->
00:20:34,798
The team objects, they already tested negative.
84
00:20:35,078 -->
00:20:36,278
This is their last shot.
85
00:20:36,998 -->
00:20:40,058
Chase wants neurofibromatosis because it's the most treatable.
86
00:20:40,478 -->
00:20:41,958
But House insists.
87
00:20:41,958 -->
00:20:46,158
CD 68 positive. Erdheim-Chester disease.
88
00:20:46,818 -->
00:20:49,238
Ian starts treatment, starts breathing on his own.
89
00:20:49,238 -->
00:20:52,838
And House finally knows what killed Esther Doyle twelve years ago.
90
00:20:54,058 -->
00:20:56,678
Last scene, House and Wilson playing poker at home.
91
00:20:57,238 -->
00:20:58,738
Wilson tells House he got lucky;
92
00:20:59,238 -->
00:21:01,218
House says it wasn't luck, it fit.
93
00:21:02,198 -->
00:21:04,978
Wilson says it could just as easily have gone the other way,
94
00:21:04,978 -->
00:21:07,158
and neither of them is entirely wrong.
95
00:21:08,818 -->
00:21:11,058
House solved Esther's case.
96
00:21:11,838 -->
00:21:13,418
The obsession may just shift..
97
00:21:14,238 -->
00:21:18,698
Cuddy banned House. The diagnosis proved him right..
98
00:21:19,798 -->
00:21:23,878
Ian survived. No word on brain damage.
1
00:21:37,386 -->
00:21:40,966
House Explained. Season 2, Episode 21.
2
00:21:41,526 -->
00:21:44,406
Euphoria Part 2.
3
00:21:44,406 -->
00:21:48,026
Part 1 ended with a dead cop and no diagnosis.
4
00:21:48,886 -->
00:21:52,126
Now Eric Foreman, House's neurologist,
5
00:21:52,126 -->
00:21:57,346
quarantined in isolation, is following the same trajectory: euphoria,
6
00:21:57,846 -->
00:22:02,366
blindness, pain, and the clock says thirty-six hours.
7
00:22:03,106 -->
00:22:07,666
The one thing that could give them the answer is a brain autopsy on the cop's body,
8
00:22:08,166 -->
00:22:12,346
but the CDC has it locked down and Cuddy won't budge.
9
00:22:12,346 -->
00:22:14,326
Foreman's estranged father arrives.
10
00:22:14,906 -->
00:22:19,126
The team throws everything they have at a disease they can't even name.
11
00:22:20,606 -->
00:22:22,286
So Part 1 ended with the cop dead,
12
00:22:22,786 -->
00:22:24,366
the Cryptococcus theory wrong,
13
00:22:24,766 -->
00:22:28,206
and Foreman blind in an isolation room with no diagnosis.
14
00:22:29,226 -->
00:22:36,226
Part 2 opens with House desperate enough to tell Foreman to perform a crude brain biopsy on the cop's body himself,
15
00:22:36,966 -->
00:22:39,226
an ice-pick lobotomy through the eye socket.
16
00:22:39,826 -->
00:22:44,526
And Foreman CAN'T do it because he's cortically blind and doesn't know it.
17
00:22:45,086 -->
00:22:47,326
He stabs the mattress thinking it's the body,
18
00:22:47,886 -->
00:22:52,106
the second time this disease has made someone certain they can see when they can't.
19
00:22:52,526 -->
00:22:55,066
Right, same as the cop in Part 1.
20
00:22:55,066 -->
00:22:57,026
Cuddy locks the body under CDC guard,
21
00:22:57,506 -->
00:22:59,406
the agency won't arrive for three days,
22
00:22:59,406 -->
00:23:04,046
so House's only move is to throw every drug at Foreman simultaneously:
23
00:23:04,766 -->
00:23:08,726
antibiotics, antivirals, antifungals, antiparasitics.
24
00:23:09,326 -->
00:23:12,566
And Foreman, blind, identifies each drug by touch.
25
00:23:13,266 -->
00:23:15,226
He knows how desperate this is.
26
00:23:15,706 -->
00:23:18,066
The cocktail actually restores Foreman's vision,
27
00:23:18,526 -->
00:23:21,166
but his pancreas starts failing from the toxic load.
28
00:23:21,966 -->
00:23:23,106
House gives him the choice:
29
00:23:23,466 -->
00:23:25,706
keep your sight and die in four hours,
30
00:23:25,706 -->
00:23:29,786
or go blind again and buy fourteen hours to find the answer.
31
00:23:30,306 -->
00:23:32,266
He chooses blindness over death.
32
00:23:33,006 -->
00:23:34,486
Then House has a REAL breakthrough,
33
00:23:35,186 -->
00:23:38,486
why did this disease move faster in Foreman than in the cop?
34
00:23:39,446 -->
00:23:40,866
The cop had Legionnaires' disease,
35
00:23:40,866 -->
00:23:44,406
and curing it in Part 1 removed the brake,
36
00:23:44,406 -->
00:23:48,786
the immune response to Legionella had been attacking the unknown infection as collateral.
37
00:23:48,786 -->
00:23:52,926
Foreman, perfectly healthy, had nothing slowing it down.
38
00:23:53,526 -->
00:23:56,706
He just tosses a vial of Legionella into the isolation room?
39
00:23:56,706 -->
00:23:58,066
Without consent?
40
00:23:58,606 -->
00:24:02,046
Without warning. It works, Foreman's fever drops,
41
00:24:02,166 -->
00:24:05,186
the pain stabilizes, and they buy enough time to keep looking.
42
00:24:05,746 -->
00:24:07,486
But it's a brake, not a cure.
43
00:24:08,146 -->
00:24:10,726
Meanwhile, Foreman's father Rodney flies in,
44
00:24:10,726 -->
00:24:12,486
and those scenes are painful,
45
00:24:13,226 -->
00:24:17,226
Rodney's deeply religious, tells Foreman he's going to a better place,
46
00:24:17,826 -->
00:24:19,786
and Foreman admits he doesn't believe anymore.
47
00:24:20,626 -->
00:24:22,946
The muscle contractures have spread to his hands.
48
00:24:23,566 -->
00:24:25,926
They can't even agree on whether to tell his mother,
49
00:24:26,306 -->
00:24:31,366
who has dementia, and Rodney ends up in the chapel praying while his son is put under.
50
00:24:32,086 -->
00:24:36,266
Then Foreman does something that hits harder than the needle stick from Part 1.
51
00:24:36,266 -->
00:24:39,206
He apologizes to Cameron, for stealing her article,
52
00:24:39,646 -->
00:24:43,926
for exposing her, and asks her to be his medical proxy instead of his own father.
53
00:24:44,826 -->
00:24:46,606
The traits he criticized in the office,
54
00:24:47,066 -->
00:24:48,926
being too emotional and too cautious,
55
00:24:49,586 -->
00:24:51,026
are exactly what he wants now.
56
00:24:51,586 -->
00:24:54,926
And Cameron accepts the proxy but refuses the forgiveness,
57
00:24:55,786 -->
00:24:57,466
they'll sort it out after he survives.
58
00:24:57,966 -->
00:25:00,766
She's not letting him buy peace with a deathbed apology.
59
00:25:01,466 -->
00:25:03,746
That proxy becomes a weapon almost immediately.
60
00:25:04,486 -->
00:25:07,506
Cameron orders the brain biopsy House has been delaying,
61
00:25:07,686 -->
00:25:08,946
and Wilson calls House out,
62
00:25:09,326 -->
00:25:10,546
if this were any other patient,
63
00:25:10,946 -->
00:25:12,986
he'd have cut the skull open hours ago.
64
00:25:13,566 -->
00:25:16,546
He's paralyzed because he actually cares about Foreman.
65
00:25:16,546 -->
00:25:17,886
That's a devastating read.
66
00:25:18,566 -->
00:25:23,586
The doctor who treats patients as puzzles can't function when the puzzle is someone he knows.
67
00:25:24,326 -->
00:25:27,986
House stalls for one more hour and goes back to the cop's apartment himself,
68
00:25:28,546 -->
00:25:30,546
no suit, nothing to lose.
69
00:25:31,066 -->
00:25:32,806
He finds a blind pigeon on the roof,
70
00:25:33,426 -->
00:25:35,246
then realizes the timing was the key,
71
00:25:35,746 -->
00:25:38,506
he and the rat visited hours after Foreman,
72
00:25:38,506 -->
00:25:39,926
Cameron came hours before.
73
00:25:40,586 -->
00:25:42,466
They all missed the exposure window.
74
00:25:43,006 -->
00:25:48,266
The water. The cop was stealing it from an irrigation system that only pumps at certain hours,
75
00:25:48,466 -->
00:25:50,126
and it's riddled with Naegleria,
76
00:25:50,126 -->
00:25:53,326
a brain-eating amoeba that enters through the nose.
77
00:25:53,886 -->
00:25:55,106
House calls back with the answer,
78
00:25:55,506 -->
00:25:56,926
but Cameron had no choice,
79
00:25:57,446 -->
00:25:59,206
she started the biopsy while he was gone.
80
00:26:00,046 -->
00:26:01,326
The amoeba shows up in the tissue,
81
00:26:01,886 -->
00:26:04,426
the CDC autopsy eventually confirms it too,
82
00:26:04,866 -->
00:26:06,846
and they start antiparasitic treatment.
83
00:26:06,846 -->
00:26:10,866
Foreman wakes from the coma pain-free and mentally sharp,
84
00:26:11,346 -->
00:26:14,186
he recognizes everyone, cracks jokes about House.
85
00:26:15,166 -->
00:26:17,106
And then House tests his motor function.
86
00:26:18,086 -->
00:26:20,766
Wiggle your left toes, Foreman says he just did,
87
00:26:20,766 -->
00:26:23,986
but he didn't. Raise your right arm, same thing.
88
00:26:24,766 -->
00:26:28,186
His brain is telling him he's moving but his body isn't responding,
89
00:26:28,626 -->
00:26:33,426
and the biopsy that saved his life may have caused permanent brain damage.
90
00:26:34,126 -->
00:26:36,086
It's the same lie the disease told the cop,
91
00:26:36,726 -->
00:26:42,286
your brain insisting something is real when it isn't. Except now it's not the disease causing it.
92
00:26:42,546 -->
00:26:44,706
It's the surgery that was supposed to cure him.
93
00:26:46,026 -->
00:26:49,506
Foreman survived. The brain damage may not heal..
94
00:26:50,266 -->
00:26:52,606
He can't feel what he's already lost..
95
00:26:53,786 -->
00:26:56,626
Cameron authorized the cut that broke him.
1
00:27:09,994 -->
00:27:13,754
House Explained. Season 3, Episode 4.
2
00:27:13,754 -->
00:27:15,134
Lines in the Sand.
3
00:27:16,194 -->
00:27:19,274
Why would two parents, both former professionals,
4
00:27:19,794 -->
00:27:22,814
both deeply familiar with their autistic son's behavior,
5
00:27:23,474 -->
00:27:28,294
rush him to the hospital after hearing a scream they've heard a thousand times before?
6
00:27:28,994 -->
00:27:31,694
House and his team, Chase, Cameron, and Foreman,
7
00:27:32,174 -->
00:27:36,694
take on Adam, a ten-year-old who can't speak and can't make eye contact,
8
00:27:36,694 -->
00:27:43,254
while House wages a parallel war against Cuddy over a blood-stained carpet he refuses to let go.
9
00:27:43,934 -->
00:27:46,354
A teenager from last week's clinic is also back,
10
00:27:46,654 -->
00:27:49,014
and she's not taking no for an answer.
11
00:27:49,594 -->
00:27:50,654
The patient is Adam,
12
00:27:51,054 -->
00:27:53,774
a ten-year-old severely autistic boy, can't speak,
13
00:27:53,894 -->
00:27:54,954
can't make eye contact,
14
00:27:55,434 -->
00:27:58,374
communicates only through pictograms and a rigid daily schedule.
15
00:27:58,974 -->
00:28:00,534
He starts screaming during lunch,
16
00:28:00,894 -->
00:28:03,234
clutching his chest, and his parents bring him in,
17
00:28:03,674 -->
00:28:05,694
three other doctors already said it's behavioral.
18
00:28:06,294 -->
00:28:07,774
House disagrees.
19
00:28:07,954 -->
00:28:08,754
Because of the parents.
20
00:28:09,434 -->
00:28:10,514
Dad was on Wall Street,
21
00:28:10,714 -->
00:28:12,454
Mom was a partner at an accounting firm,
22
00:28:12,874 -->
00:28:15,614
they both quit to care for Adam full-time.
23
00:28:15,614 -->
00:28:17,554
They've heard this kid scream for ten years,
24
00:28:17,874 -->
00:28:19,914
and this is the first time they've brought him to a hospital,
25
00:28:20,554 -->
00:28:22,134
that's the data point House trusts.
26
00:28:22,754 -->
00:28:26,334
Meanwhile, Cuddy replaced the blood-stained carpet in House's office,
27
00:28:26,854 -->
00:28:27,694
stained from the shooting,
28
00:28:27,834 -->
00:28:30,614
and he refuses to set foot in there until it's restored.
29
00:28:31,414 -->
00:28:34,114
So he wanders the hospital holding differentials in the clinic,
30
00:28:34,534 -->
00:28:36,074
Wilson's office, conference rooms,
31
00:28:36,434 -->
00:28:39,294
eventually the chapel. Anywhere but his own office.
32
00:28:39,854 -->
00:28:42,054
Cameron catches it. Not a power play,
33
00:28:42,234 -->
00:28:44,154
he genuinely wants the old carpet.
34
00:28:44,674 -->
00:28:45,934
Tests all come back clean.
35
00:28:46,574 -->
00:28:48,414
Then Adam's lungs fill with fluid.
36
00:28:48,854 -->
00:28:51,454
Right, a pleural effusion escalates everything,
37
00:28:52,074 -->
00:28:54,694
an echo reveals a cardiac conduction abnormality.
38
00:28:55,234 -->
00:28:58,794
Then Wilson, tricked by Foreman into doing a lymph node biopsy,
39
00:28:59,034 -->
00:29:00,774
finds liver cells under the kid's arm.
40
00:29:00,774 -->
00:29:03,954
Not cancer, liver cells where they shouldn't exist.
41
00:29:04,434 -->
00:29:06,554
Which is impossible unless the liver is damaged,
42
00:29:06,934 -->
00:29:08,274
but Adam's tests are clean.
43
00:29:09,014 -->
00:29:10,674
So House floats the darkest theory:
44
00:29:11,054 -->
00:29:13,314
the parents are giving their autistic son alcohol,
45
00:29:13,834 -->
00:29:15,794
poisoning him because they can't cope anymore.
46
00:29:16,194 -->
00:29:20,534
The team's horrified, but House argues these parents have every reason to be exhausted,
47
00:29:21,254 -->
00:29:24,134
a child who won't smile at them, won't hug them,
48
00:29:24,434 -->
00:29:25,554
gives them nothing back.
49
00:29:26,134 -->
00:29:28,594
He's wrong, though, liver biopsy clears them.
50
00:29:28,594 -->
00:29:32,114
Then Adam crashes, V-fib, cardiac ICU,
51
00:29:32,614 -->
00:29:34,274
barely stabilized, liver failing.
52
00:29:35,094 -->
00:29:37,374
House circles back to something everyone dismissed in the stool:
53
00:29:37,854 -->
00:29:39,754
calcium carbonate, which is chalk,
54
00:29:40,294 -->
00:29:43,194
meaning Adam has pica, he eats non-food items.
55
00:29:43,734 -->
00:29:45,494
So what else has this boy been eating?
56
00:29:45,814 -->
00:29:47,674
Foreman finds jimsonweed in the backyard.
57
00:29:48,294 -->
00:29:50,474
Explains the effusion, but not the screaming.
58
00:29:50,934 -->
00:29:52,974
House tries the family's pictograms,
59
00:29:53,034 -->
00:29:53,894
show me what you ate.
60
00:29:54,554 -->
00:29:56,234
Adam grabs the picture of the sandbox.
61
00:29:56,744 -->
00:29:58,234
And at that exact moment,
62
00:29:58,674 -->
00:30:01,094
his eyeball rotates backward in its socket.
63
00:30:01,634 -->
00:30:04,294
Foreman argues micro-tumor, started in the lung,
64
00:30:04,554 -->
00:30:06,794
spread to the liver, now behind the eye.
65
00:30:07,574 -->
00:30:09,274
Surgery gets scheduled to remove it.
66
00:30:09,654 -->
00:30:12,734
But what if it's not a tumor and they take this kid's eye for nothing?
67
00:30:13,214 -->
00:30:15,074
Right before they operate, House stops everything,
68
00:30:15,594 -->
00:30:16,954
he's been sitting with Adam's things,
69
00:30:16,954 -->
00:30:23,494
and it clicks. Those wavy lines Adam has been drawing on his chalkboard since the very first scene aren't scribbles,
70
00:30:23,874 -->
00:30:27,134
they're worms, exactly what he sees floating in his vision.
71
00:30:27,914 -->
00:30:29,054
Nobody knew how to read it.
72
00:30:29,394 -->
00:30:31,854
He was telling them what was wrong the entire time.
73
00:30:32,154 -->
00:30:34,854
House checks the eye and finds raccoon roundworms,
74
00:30:34,854 -->
00:30:37,574
Baylisascaris, swimming in the vitreous humor.
75
00:30:38,254 -->
00:30:39,954
A raccoon contaminated the sandbox,
76
00:30:40,554 -->
00:30:41,414
Adam ate the sand,
77
00:30:41,794 -->
00:30:44,214
and the worms migrated from his gut to lungs,
78
00:30:44,574 -->
00:30:48,554
liver, heart, and eye, every symptom, one cause.
79
00:30:48,554 -->
00:30:51,474
Anti-parasitic medication and laser therapy,
80
00:30:51,774 -->
00:30:52,534
and he'll recover.
81
00:30:52,534 -->
00:30:56,334
So a child who can't speak was communicating the answer all along,
82
00:30:56,734 -->
00:30:59,854
in a language nobody recognized until House cracked it.
83
00:31:00,374 -->
00:31:02,694
That's the real solve here, not the medicine.
84
00:31:03,074 -->
00:31:07,154
Afterward, Wilson pitches Cuddy on the idea that House has Asperger syndrome.
85
00:31:08,234 -->
00:31:11,854
He argues House took this case because he sees himself in Adam,
86
00:31:12,394 -->
00:31:16,674
sells it convincingly, then goes straight to House and admits it was a performance.
87
00:31:17,234 -->
00:31:18,914
House doesn't have Asperger's,
88
00:31:18,974 -->
00:31:20,174
he just wishes he did,
89
00:31:20,174 -->
00:31:22,974
because a diagnosis would excuse everything.
90
00:31:23,734 -->
00:31:25,894
Without it, he's choosing to be this way.
91
00:31:26,314 -->
00:31:27,174
As the family's leaving,
92
00:31:27,614 -->
00:31:31,074
House watches from a bench with Wilson and invents a happiness scale,
93
00:31:31,394 -->
00:31:33,974
rates them at six-point-five out of ten.
94
00:31:33,974 -->
00:31:35,594
Says they know what they're going back to.
95
00:31:36,034 -->
00:31:37,774
The rigid schedule, the isolation,
96
00:31:38,274 -->
00:31:39,734
a child who won't look at them.
97
00:31:40,114 -->
00:31:41,954
But Adam stops, turns to House,
98
00:31:42,054 -->
00:31:43,594
and makes direct eye contact,
99
00:31:44,054 -->
00:31:45,834
something he has never done with anyone,
100
00:31:46,414 -->
00:31:47,894
then hands him his PSP,
101
00:31:47,894 -->
00:31:50,214
the game he's been clutching since admission.
102
00:31:51,054 -->
00:31:52,194
His parents are overwhelmed,
103
00:31:52,594 -->
00:31:54,994
that's not just gratitude, that's connection.
104
00:31:55,354 -->
00:31:56,954
Wilson calls it a ten.
105
00:31:56,954 -->
00:31:59,334
House gets his carpet back, blood stain and all.
106
00:32:00,074 -->
00:32:03,234
Cameron tells him the idea that all change is bad isn't true.
107
00:32:03,674 -->
00:32:05,694
But he's already in his restored office,
108
00:32:06,014 -->
00:32:08,114
holding on to exactly what he had before.
109
00:32:09,634 -->
00:32:12,234
Powell's death is still unquestioned.
110
00:32:12,714 -->
00:32:13,994
Cameron carries it alone..
111
00:32:14,874 -->
00:32:16,094
House got his carpet back.
112
00:32:16,524 -->
00:32:18,454
The rest stays broken..
113
00:32:19,514 -->
00:32:20,834
The cane is permanent.
1
00:32:34,362 -->
00:32:38,342
House Explained. Season 3, Episode 7.
2
00:32:38,342 -->
00:32:39,742
Son of Coma Guy.
3
00:32:41,042 -->
00:32:45,222
A father has been lying in a vegetative state for ten years,
4
00:32:45,742 -->
00:32:50,042
ever since a house fire killed his wife and left him brain-damaged.
5
00:32:50,042 -->
00:32:51,902
His son Kyle visits regularly,
6
00:32:52,242 -->
00:32:54,282
but Kyle has problems of his own:
7
00:32:54,822 -->
00:32:57,382
unexplained seizures, motion blindness,
8
00:32:57,982 -->
00:33:00,202
and a backpack full of wine.
9
00:33:00,842 -->
00:33:03,322
When Kyle lands in the hospital and starts dying,
10
00:33:03,322 -->
00:33:08,282
House needs a family medical history that only the comatose father can provide.
11
00:33:09,042 -->
00:33:10,602
So he wakes him up.
12
00:33:11,422 -->
00:33:15,602
Meanwhile, Tritter goes after House's team one by one.
13
00:33:15,742 -->
00:33:17,362
House spots something no one else catches,
14
00:33:17,962 -->
00:33:20,122
Kyle Wozniak can't see things when they move.
15
00:33:20,742 -->
00:33:21,722
He flashes the lights,
16
00:33:21,822 -->
00:33:23,142
throws a bag of chips at the kid,
17
00:33:23,602 -->
00:33:25,542
and triggers a seizure right there in the room.
18
00:33:26,442 -->
00:33:27,902
Kyle's had seizures his whole life,
19
00:33:28,402 -->
00:33:29,882
no doctor's ever found the cause.
20
00:33:30,522 -->
00:33:34,282
And the only family who could provide a medical history is Kyle's father Gabriel,
21
00:33:34,782 -->
00:33:37,422
who's been in a vegetative state for ten years.
22
00:33:37,862 -->
00:33:39,522
Kyle's backpack is full of wine,
23
00:33:39,802 -->
00:33:43,142
no emergency contact, he tells the doctors he has friends,
24
00:33:43,462 -->
00:33:45,342
just nobody who'd care that he's in the hospital.
25
00:33:46,022 -->
00:33:49,082
Completely alone, and every test comes back empty,
26
00:33:49,562 -->
00:33:52,102
DNA, environmental scan, all of it.
27
00:33:52,562 -->
00:33:55,802
So House decides to wake the father with L-Dopa and amphetamines,
28
00:33:56,302 -->
00:33:58,482
a cocktail that could kill a healthy person.
29
00:33:59,182 -->
00:34:02,322
Cuddy tries to physically stop him and he injects Gabriel anyway.
30
00:34:02,322 -->
00:34:05,502
Which is INSANE. But it works.
31
00:34:06,142 -->
00:34:08,962
Gabriel wakes up sharp, passes every acuity test,
32
00:34:09,022 -->
00:34:09,982
asks for a steak.
33
00:34:10,582 -->
00:34:12,742
But when they tell him his son is seriously ill,
34
00:34:13,042 -->
00:34:15,662
possibly dying, he barely reacts.
35
00:34:16,262 -->
00:34:19,482
That's unsettling, Wilson thinks brain damage from the fire,
36
00:34:19,922 -->
00:34:22,522
House thinks maybe Gabriel just doesn't like his kid.
37
00:34:23,322 -->
00:34:26,422
But Gabriel knows the drugs wear off in about 24 hours,
38
00:34:26,562 -->
00:34:30,702
and he wants to spend that time getting a hoagie from a specific shop in Atlantic City,
39
00:34:30,702 -->
00:34:33,862
not visiting his dying son, getting a sandwich.
40
00:34:34,522 -->
00:34:34,982
Why?
41
00:34:35,582 -->
00:34:38,062
House agrees to drive him in exchange for medical answers.
42
00:34:38,762 -->
00:34:40,122
Wilson insists on coming.
43
00:34:40,862 -->
00:34:42,562
Gabriel sets up a question-trading game,
44
00:34:42,982 -->
00:34:44,142
for every medical question,
45
00:34:44,482 -->
00:34:46,462
he gets to ask House something personal.
46
00:34:46,962 -->
00:34:49,142
And Gabriel ran a luxury boat factory.
47
00:34:49,142 -->
00:34:51,982
Mildew-resistant paint on the hulls,
48
00:34:51,982 -->
00:34:56,322
which means possible mercury exposure for a kid who used to run around the factory floor.
49
00:34:57,142 -->
00:34:58,622
House calls the team to test.
50
00:34:58,694 -->
00:35:00,842
But while House is on this road trip,
51
00:35:01,182 -->
00:35:04,582
Tritter is at the hospital picking off the team one by one.
52
00:35:04,902 -->
00:35:06,982
Cameron says House takes six pills a day.
53
00:35:07,262 -->
00:35:08,942
Chase says six to ten,
54
00:35:08,942 -->
00:35:10,962
and admits he's written prescriptions for House.
55
00:35:11,462 -->
00:35:12,722
That's the dangerous one,
56
00:35:13,122 -->
00:35:16,102
Tritter pushes Chase on whether House asked or demanded.
57
00:35:17,142 -->
00:35:20,302
And with Foreman, Tritter drops House's own catchphrase:
58
00:35:20,442 -->
00:35:21,582
everybody lies.
59
00:35:22,102 -->
00:35:23,402
Mercury comes back negative.
60
00:35:23,942 -->
00:35:25,302
Kyle's heart is failing now.
61
00:35:25,722 -->
00:35:27,042
So they're running out of time.
62
00:35:27,170 -->
00:35:29,862
House goes back through every family death with Gabriel,
63
00:35:30,422 -->
00:35:35,322
grandmother, sister-in-law, father-in-law, and notices they all happened at night:
64
00:35:35,862 -->
00:35:37,682
car crash driving home from a night game,
65
00:35:37,682 -->
00:35:40,142
hit-and-run walking the dog after dark,
66
00:35:40,722 -->
00:35:44,462
and Kyle dropping a heavy popcorn tray that started the fire on Christmas Eve.
67
00:35:44,922 -->
00:35:47,362
So it's not clumsiness, it's MERRF syndrome,
68
00:35:47,842 -->
00:35:52,562
a mitochondrial condition passed through the mother that causes muscle weakness and poor night vision.
69
00:35:53,482 -->
00:35:55,182
Gabriel's wife's family weren't drunks;
70
00:35:55,182 -->
00:35:57,062
they were sick the whole time.
71
00:35:57,482 -->
00:35:58,762
But Kyle needs a new heart,
72
00:35:59,262 -->
00:36:01,662
and alcoholics can't get on the transplant list.
73
00:36:02,282 -->
00:36:04,522
Gabriel immediately says: give him mine.
74
00:36:05,262 -->
00:36:07,342
Wilson argues he might wake up again someday,
75
00:36:07,742 -->
00:36:09,082
but Gabriel doesn't care.
76
00:36:09,762 -->
00:36:11,642
Cuddy refuses, he isn't dying,
77
00:36:11,802 -->
00:36:13,482
so this would be assisted suicide.
78
00:36:13,962 -->
00:36:16,822
Gabriel asks House why he became a doctor if he hates people.
79
00:36:17,302 -->
00:36:18,262
What does House say?
80
00:36:18,782 -->
00:36:23,202
He tells him about a janitor at a hospital in Japan when House was fourteen,
81
00:36:23,202 -->
00:36:25,582
a trained doctor from an outcast group.
82
00:36:26,202 -->
00:36:29,642
Nobody accepted him, but when they needed an answer, they had to listen.
83
00:36:29,642 -->
00:36:31,202
Because he was right.
84
00:36:31,762 -->
00:36:34,742
That's House's entire worldview in one story.
85
00:36:35,302 -->
00:36:37,762
So House sends Wilson to create an alibi in the casino,
86
00:36:38,302 -->
00:36:40,862
sits with Gabriel, and walks him through his options.
87
00:36:41,462 -->
00:36:42,642
There's aspirin by the bed,
88
00:36:43,042 -->
00:36:44,542
which would protect the heart in transit.
89
00:36:45,182 -->
00:36:47,242
The suicide happens off-screen,
90
00:36:47,242 -->
00:36:50,202
House and Wilson are in the hallway and hear a thump through the door.
91
00:36:50,802 -->
00:36:52,742
Cuddy questions the aspirin afterward:
92
00:36:53,062 -->
00:36:55,942
why would a suicidal man take something that preserved his heart?
93
00:36:56,842 -->
00:36:57,962
House just calls it lucky.
94
00:36:58,642 -->
00:37:02,322
Kyle wakes up with a new heart and asks if his father left a message.
95
00:37:03,142 -->
00:37:05,142
House tells him his father said he was right,
96
00:37:05,342 -->
00:37:06,522
that he did the right thing.
97
00:37:07,182 -->
00:37:08,482
But Gabriel never said that,
98
00:37:08,742 -->
00:37:12,062
those are the words House told Gabriel he'd want to hear from his own father.
99
00:37:12,802 -->
00:37:16,682
So Kyle gets absolution for the fire he's blamed himself for his whole life,
100
00:37:16,902 -->
00:37:23,842
but from words that were never his father's. And then Wilson tries an ATM and discovers Tritter has frozen all his bank accounts;
101
00:37:24,482 -->
00:37:25,862
he tells House he's buying dinner.
102
00:37:26,442 -->
00:37:28,762
Tritter will go after anyone standing next to House.
103
00:37:30,402 -->
00:37:32,502
Tritter froze Wilson's accounts.
104
00:37:33,442 -->
00:37:35,122
Chase admitted writing prescriptions..
105
00:37:35,942 -->
00:37:37,362
Cuddy noticed the aspirin.
106
00:37:37,902 -->
00:37:39,022
House called it luck..
107
00:37:40,022 -->
00:37:43,602
Kyle's message from his father was never his father's.
1
00:37:56,970 -->
00:38:00,190
House Explained. Season 3, Episode 10.
2
00:38:00,910 -->
00:38:02,090
Merry Little Christmas.
3
00:38:03,630 -->
00:38:06,650
It's Christmas at Princeton-Plainsboro,
4
00:38:06,650 -->
00:38:09,590
and Wilson has brought House a gift he doesn't want,
5
00:38:10,530 -->
00:38:14,650
a plea deal. Two months in rehab, no jail time,
6
00:38:14,910 -->
00:38:17,630
and this whole Tritter nightmare goes away.
7
00:38:18,530 -->
00:38:22,610
House refuses. So Cuddy and Wilson try a different approach:
8
00:38:23,150 -->
00:38:25,430
they cut off his Vicodin entirely.
9
00:38:26,270 -->
00:38:32,950
Meanwhile, a fifteen-year-old named Abigail arrives with a collapsed lung and a mother who has dwarfism,
10
00:38:33,690 -->
00:38:35,510
everyone assumes the daughter does too.
11
00:38:36,410 -->
00:38:39,630
What follows is House at his most desperate,
12
00:38:40,310 -->
00:38:44,410
diagnosing a dying patient while his own body falls apart.
13
00:38:45,850 -->
00:38:49,570
So the episode opens with Wilson walking into House's office alongside Tritter,
14
00:38:49,970 -->
00:38:51,190
they've worked out a plea deal.
15
00:38:51,590 -->
00:38:54,610
Two months in rehab, guilty plea, no jail time,
16
00:38:54,610 -->
00:38:56,310
House keeps his medical license.
17
00:38:56,950 -->
00:38:59,410
And House throws them both out.
18
00:39:00,070 -->
00:39:01,910
Which is exactly what everyone predicted.
19
00:39:02,610 -->
00:39:04,290
Wilson went to Tritter last episode,
20
00:39:04,530 -->
00:39:06,070
and this is the result of that betrayal,
21
00:39:06,750 -->
00:39:08,690
a deal that could actually save House.
22
00:39:09,590 -->
00:39:11,310
But House won't even consider it,
23
00:39:11,310 -->
00:39:15,310
because admitting he has a problem would mean Wilson was RIGHT to turn him in.
24
00:39:16,010 -->
00:39:18,310
So Cuddy and Wilson decide to force the issue,
25
00:39:18,730 -->
00:39:21,590
they cut off his Vicodin entirely until he takes the deal.
26
00:39:22,310 -->
00:39:25,070
Cuddy suspends his treatment privileges and takes over his case:
27
00:39:25,730 -->
00:39:31,130
Abigail, a fifteen-year-old with a collapsed lung and anemia whose mother has cartilage hair hypoplasia,
28
00:39:31,610 -->
00:39:32,670
a form of dwarfism.
29
00:39:33,430 -->
00:39:35,270
Everyone assumes Abigail has it too.
30
00:39:36,010 -->
00:39:37,610
And House is already ahead of the team,
31
00:39:38,170 -->
00:39:40,350
he spots something off on the gallium scan,
32
00:39:41,030 -->
00:39:42,830
the liver dimmer than everything else.
33
00:39:43,670 -->
00:39:45,730
Nobody else sees a problem, but he's right.
34
00:39:46,350 -->
00:39:47,710
Abigail's liver is failing.
35
00:39:48,550 -->
00:39:50,010
Meanwhile House is deteriorating,
36
00:39:50,370 -->
00:39:53,190
he fakes an injury at an outside clinic trying to score Vicodin,
37
00:39:53,410 -->
00:39:54,530
gets caught and thrown out.
38
00:39:55,110 -->
00:39:55,830
Back at the hospital,
39
00:39:56,070 -->
00:39:57,990
Foreman catches him breaking into Cuddy's desk.
40
00:39:58,510 -->
00:40:01,230
They make a deal: Foreman helps with the break-in,
41
00:40:01,230 -->
00:40:02,410
House helps with the case.
42
00:40:03,110 -->
00:40:05,890
And House predicts the disease will spread to the pancreas next,
43
00:40:06,550 -->
00:40:11,130
he's right again, Abigail collapses into diabetic ketoacidosis.
44
00:40:11,670 -->
00:40:14,190
Cuddy comes to him and offers pills if he takes the deal.
45
00:40:14,990 -->
00:40:16,130
He still refuses.
46
00:40:17,010 -->
00:40:18,710
Cameron visits and finds something worse,
47
00:40:19,310 -->
00:40:20,550
House has been cutting himself,
48
00:40:20,550 -->
00:40:22,250
straight rows on his arm,
49
00:40:22,730 -->
00:40:25,330
because cutting releases endorphins that relieve pain.
50
00:40:25,970 -->
00:40:27,110
But he's still diagnosing,
51
00:40:27,390 -->
00:40:28,470
working through the symptoms:
52
00:40:28,970 -->
00:40:33,050
ear infections triggering an autoimmune cascade in a compromised immune system.
53
00:40:34,010 -->
00:40:35,450
He lands on Still's disease.
54
00:40:35,950 -->
00:40:37,590
Cameron brings it back to Cuddy,
55
00:40:37,890 -->
00:40:41,450
tells her House is in agony but his diagnostic ability is intact.
56
00:40:42,410 -->
00:40:44,670
They treat for Still's, and Abigail improves.
57
00:40:45,410 -->
00:40:47,370
And that's what changes Wilson's mind.
58
00:40:47,910 -->
00:40:51,350
Right, he sees House diagnose correctly through withdrawal,
59
00:40:51,830 -->
00:40:54,370
goes back to Tritter, and refuses to testify,
60
00:40:55,050 -->
00:40:57,610
saying House saves lives no one else can save.
61
00:40:58,410 -->
00:41:00,050
Tritter threatens them both with jail.
62
00:41:00,950 -->
00:41:02,050
Wilson accepts it.
63
00:41:02,430 -->
00:41:03,430
But it doesn't last.
64
00:41:04,090 -->
00:41:06,130
Abigail starts bleeding from her ears and mouth,
65
00:41:06,590 -->
00:41:08,390
approaching multi-system failure.
66
00:41:08,950 -->
00:41:11,810
And the team keeps bouncing between cancer and autoimmune,
67
00:41:12,310 -->
00:41:13,510
how do you break that loop?
68
00:41:14,050 -->
00:41:16,770
Then House has this strange moment in the cafeteria.
69
00:41:17,550 -->
00:41:19,890
A little girl in a wheelchair asks for his french fries,
70
00:41:20,410 -->
00:41:22,530
and they get into an argument about her stuffed animal,
71
00:41:23,170 -->
00:41:24,610
she insists it's a dog,
72
00:41:24,930 -->
00:41:26,250
he says it's clearly a bear.
73
00:41:27,030 -->
00:41:29,390
And when Cuddy arrives to tell him the Still's treatment failed,
74
00:41:30,150 -->
00:41:35,690
the insight hits: just because they called Abigail a dwarf doesn't make her one.
75
00:41:36,290 -->
00:41:39,270
Wait, there's no test for her mother's type of dwarfism?
76
00:41:40,070 -->
00:41:41,090
Everyone just assumed?
77
00:41:41,830 -->
00:41:43,750
Exactly, they X-ray her leg,
78
00:41:44,070 -->
00:41:45,930
and the growth plates are completely normal,
79
00:41:46,430 -->
00:41:48,090
impossible for a skeletal dwarf.
80
00:41:48,910 -->
00:41:52,070
A granuloma has been crushing her pituitary gland for years,
81
00:41:52,530 -->
00:41:56,570
suppressing growth hormone, that's Langerhans cell histiocytosis,
82
00:41:57,210 -->
00:42:00,290
a disease that behaves like both cancer and autoimmune.
83
00:42:00,290 -->
00:42:04,490
They'd dismissed it earlier because there were no neurological symptoms,
84
00:42:04,990 -->
00:42:07,790
except there was one the whole time, her height.
85
00:42:08,410 -->
00:42:10,390
And then Abigail refuses the growth hormone,
86
00:42:10,830 -->
00:42:12,570
she identifies with being small,
87
00:42:12,790 -->
00:42:14,910
afraid she'll fade into the background if she grows.
88
00:42:15,970 -->
00:42:18,330
House tells her mother that being different makes you stronger,
89
00:42:18,710 -->
00:42:21,890
but asks how strong she REALLY wants her daughter to have to be.
90
00:42:22,670 -->
00:42:25,310
He says to convince her, even if she has to lie.
91
00:42:25,710 -->
00:42:28,210
The mother does. Abigail agrees to the treatment.
92
00:42:28,910 -->
00:42:29,890
But on Christmas Eve,
93
00:42:30,330 -->
00:42:32,230
House turns down Wilson's offer of company,
94
00:42:32,590 -->
00:42:34,330
calls his mother and gets voicemail,
95
00:42:34,610 -->
00:42:36,930
and spends the night alone with pills and alcohol.
96
00:42:37,470 -->
00:42:39,310
Wilson finds him passed out on the floor.
97
00:42:39,310 -->
00:42:44,750
With stolen oxycodone, he'd tricked the pharmacist into dispensing a dead patient's prescription.
98
00:42:45,510 -->
00:42:47,110
And he signed the pharmacy log.
99
00:42:47,530 -->
00:42:49,070
And Tritter has been watching that log.
100
00:42:49,510 -->
00:42:51,330
When House finally goes to accept the deal,
101
00:42:51,730 -->
00:42:53,010
Tritter pulls it off the table.
102
00:42:53,710 -->
00:42:55,350
He has independent evidence now,
103
00:42:55,530 -->
00:42:57,470
doesn't need Wilson's testimony at all.
104
00:42:58,010 -->
00:43:00,690
The last thing he says is Merry Christmas.
105
00:43:01,190 -->
00:43:03,730
The same words Tritter used at the beginning of the episode,
106
00:43:03,850 -->
00:43:05,090
when he walked in with the deal.
107
00:43:05,870 -->
00:43:08,050
Except now it means something completely different.
108
00:43:09,530 -->
00:43:11,210
The deal is gone.
109
00:43:12,010 -->
00:43:13,370
Tritter has the pharmacy log..
110
00:43:14,170 -->
00:43:17,610
House goes to trial, no plea, hard evidence..
111
00:43:18,650 -->
00:43:21,350
Wilson's earlier statement is still on record.
1
00:43:34,778 -->
00:43:38,978
House Explained. Season 4, Episode 3.
2
00:43:38,978 -->
00:43:39,878
97 Seconds.
3
00:43:39,878 -->
00:43:44,618
Ten candidates remain in House's fellowship competition,
4
00:43:45,178 -->
00:43:49,318
names replacing numbers, but his selection criteria still unstated.
5
00:43:50,218 -->
00:43:54,938
The patient this week is Stark: wheelchair-bound,
6
00:43:54,938 -->
00:43:57,798
spinal muscular atrophy slowly suffocating him,
7
00:43:58,038 -->
00:44:02,798
and a companion English Shepherd who may know more about the case than anyone realizes.
8
00:44:03,898 -->
00:44:06,758
Meanwhile Foreman is at New York Mercy Hospital,
9
00:44:06,958 -->
00:44:10,898
running his own diagnostic team in a way that looks increasingly familiar,
10
00:44:11,638 -->
00:44:15,698
and heading toward a reckoning that mirrors what's happening at PPTH.
11
00:44:17,238 -->
00:44:20,018
Stark is 37, wheelchair-bound,
12
00:44:20,018 -->
00:44:22,598
spinal muscular atrophy slowly suffocating him.
13
00:44:23,078 -->
00:44:24,278
He collapses in the street;
14
00:44:24,798 -->
00:44:27,238
his English Shepherd Hoover warns a passing car.
15
00:44:27,998 -->
00:44:29,438
House turns it into a competition,
16
00:44:29,438 -->
00:44:31,538
ten candidates split by gender,
17
00:44:32,058 -->
00:44:34,758
first team to crack the case keeps their jobs.
18
00:44:35,738 -->
00:44:37,138
Women go clinical immediately.
19
00:44:37,138 -->
00:44:41,198
Thirteen notices Stark came back from Thailand and was laid in the sand,
20
00:44:41,838 -->
00:44:44,358
skin contact multiplies parasite exposure risk,
21
00:44:44,358 -->
00:44:47,158
and proposes strongyloides, a threadworm.
22
00:44:48,158 -->
00:44:51,598
She gives him ivermectin but doesn't stay to WATCH him swallow it.
23
00:44:52,478 -->
00:44:57,018
The men run every test simultaneously and House benches them for wasting time.
24
00:44:57,698 -->
00:45:01,718
Amber, House calls her Cutthroat Bitch and she accepts it,
25
00:45:01,878 -->
00:45:03,798
had tried to join the men and been voted out.
26
00:45:04,438 -->
00:45:05,618
She doesn't leave the building.
27
00:45:06,598 -->
00:45:09,118
Right, she comes back with xenodiagnosis:
28
00:45:09,538 -->
00:45:11,358
kissing bugs to test the parasite theory,
29
00:45:11,838 -->
00:45:12,998
cleaner than direct testing.
30
00:45:13,618 -->
00:45:17,378
Sharp technique. It triggers respiratory distress before it can finish.
31
00:45:18,418 -->
00:45:20,578
The tilt table shows the syncope resolved,
32
00:45:21,158 -->
00:45:22,638
the women believe their treatment worked,
33
00:45:23,058 -->
00:45:24,498
and House fires the men,
34
00:45:24,818 -->
00:45:27,238
whose tumor theory it disproves.
35
00:45:27,958 -->
00:45:29,778
Amber arrives calling it scleroderma.
36
00:45:29,778 -->
00:45:33,178
He rejects it, esophagus weakening, not hardening,
37
00:45:33,498 -->
00:45:34,678
and fires her too.
38
00:45:35,518 -->
00:45:37,938
But if he's already certain about strongyloides,
39
00:45:37,938 -->
00:45:39,318
why does the case keep moving?
40
00:45:40,218 -->
00:45:43,638
Because Amber recruits Chase to run tests she can't access alone.
41
00:45:44,158 -->
00:45:46,058
He knows exactly how he's being used.
42
00:45:46,658 -->
00:45:47,558
He runs them anyway,
43
00:45:47,898 -->
00:45:50,518
Chase has never been good at saying no to this kind of pressure.
44
00:45:51,578 -->
00:45:53,038
And the result stops everyone:
45
00:45:53,438 -->
00:45:55,538
the patient's blood is VISIBLY green,
46
00:45:56,198 -->
00:45:58,678
CT contrast unfiltered by failing kidneys.
47
00:45:59,518 -->
00:46:01,798
Nobody had kidney failure on the board.
48
00:46:02,698 -->
00:46:03,938
House admits he was wrong.
49
00:46:04,738 -->
00:46:09,258
Every theory resets. Antibiotics fail, lymph node necrosis,
50
00:46:09,498 -->
00:46:11,978
House calls it ocular melanoma.
51
00:46:12,478 -->
00:46:15,478
Stark isn't scared, and the episode doesn't romanticize it,
52
00:46:15,738 -->
00:46:17,558
he's just exhausted by the process.
53
00:46:18,398 -->
00:46:24,678
He'd rather know what comes after than endure more months in a hospital bed chasing a diagnosis that might not save him anyway.
54
00:46:25,698 -->
00:46:30,078
There's a clinic patient running alongside all this who electrocuted himself deliberately.
55
00:46:30,838 -->
00:46:33,258
He'd been dead 97 seconds in a car crash,
56
00:46:33,878 -->
00:46:35,698
felt something he couldn't write off as chemistry,
57
00:46:36,318 -->
00:46:37,518
and wanted to go back.
58
00:46:38,358 -->
00:46:40,618
Then Wilson actually pushes back on House,
59
00:46:41,178 -->
00:46:43,338
not managing him, genuinely challenging.
60
00:46:44,158 -->
00:46:47,518
The argument: House calls near-death experiences brain chemistry,
61
00:46:47,938 -->
00:46:49,278
but he's NEVER been there.
62
00:46:49,878 -->
00:46:52,338
Wilson's point is that certainty requires evidence,
63
00:46:52,618 -->
00:46:53,858
and House doesn't have any.
64
00:46:54,798 -->
00:46:56,898
So House goes to the SAME socket.
65
00:46:57,558 -->
00:46:59,018
Heart stops for nearly a minute.
66
00:46:59,618 -->
00:47:02,218
He paged Amber beforehand, specifically her,
67
00:47:02,498 -->
00:47:04,138
not Wilson, not Cuddy.
68
00:47:05,198 -->
00:47:09,478
Why Amber? He tells her she needed him alive to keep her shot at the job,
69
00:47:09,758 -->
00:47:11,078
so she wouldn't let that happen.
70
00:47:11,798 -->
00:47:13,718
I'm not sure that's the whole explanation.
71
00:47:14,978 -->
00:47:17,138
Wilson asks what House saw when he wakes up.
72
00:47:17,538 -->
00:47:20,958
House deflects. Then Wilson offers more pain medication,
73
00:47:21,498 -->
00:47:24,538
House responds in a register completely unlike his usual one.
74
00:47:24,538 -->
00:47:28,838
Quiet. Sincere. The episode doesn't explain it.
75
00:47:30,018 -->
00:47:31,658
Stark dies during palliative care.
76
00:47:32,218 -->
00:47:34,438
His last request is to have Hoover on the bed,
77
00:47:35,078 -->
00:47:39,198
a vet had told him companion animals sometimes hold on past their natural span,
78
00:47:39,618 -->
00:47:41,538
then let go once their person is gone.
79
00:47:42,558 -->
00:47:44,098
Hoover dies minutes after.
80
00:47:44,458 -->
00:47:47,518
Hard to watch. But the episode isn't done.
81
00:47:48,278 -->
00:47:50,018
House goes straight to Thirteen,
82
00:47:50,018 -->
00:47:52,138
did she watch Stark swallow the ivermectin?
83
00:47:52,898 -->
00:47:57,918
She isn't sure. He finds the pill cup on the floor with dog bite marks in the plastic.
84
00:47:59,098 -->
00:48:01,098
English Shepherds carry the MDR1 gene,
85
00:48:01,658 -->
00:48:05,078
ivermectin is routine for most dogs but fatal to that breed.
86
00:48:05,858 -->
00:48:06,738
Hoover ate the pills.
87
00:48:07,358 -->
00:48:08,738
Stark NEVER received treatment.
88
00:48:09,318 -->
00:48:10,978
When the pathologist opens the lungs,
89
00:48:11,318 -->
00:48:12,918
threadworms are immediately visible.
90
00:48:12,918 -->
00:48:15,898
Thirteen's read was right from day one.
91
00:48:16,298 -->
00:48:18,978
Every theory after, scleroderma, cancer,
92
00:48:19,238 -->
00:48:22,438
kidney failure, was built on ONE unconfirmed step.
93
00:48:22,438 -->
00:48:24,538
House doesn't fire Thirteen,
94
00:48:24,538 -->
00:48:27,698
he tells her making this mistake here means she won't make it again.
95
00:48:28,638 -->
00:48:31,278
He fires the rest of the women despite their correct read.
96
00:48:32,038 -->
00:48:34,438
Foreman spots what his team misses, defies orders,
97
00:48:34,618 -->
00:48:37,138
gives radiation. Correct. Fired.
98
00:48:37,418 -->
00:48:41,718
His superior's point: being right doesn't justify breaking the chain of command.
99
00:48:42,218 -->
00:48:43,858
If the diagnosis had been wrong,
100
00:48:44,118 -->
00:48:48,178
radiation kills faster. Foreman is becoming House,
101
00:48:48,638 -->
00:48:52,718
down to what it costs when an institution runs out of patience.
102
00:48:52,938 -->
00:48:58,258
Foreman is fired. His only post-PPTH position, gone..
103
00:48:59,378 -->
00:49:03,098
Amber saved House. Not formally back in the competition..
104
00:49:03,858 -->
00:49:05,698
Watch what House is selecting for.
105
00:49:06,198 -->
00:49:07,898
It is NOT accuracy.
1
00:49:21,306 -->
00:49:25,386
House Explained. Season 4, Episode 5.
2
00:49:25,386 -->
00:49:26,566
Mirror, Mirror.
3
00:49:27,506 -->
00:49:30,146
A man with no name gets mugged and collapses,
4
00:49:30,806 -->
00:49:34,486
no wallet, no ID, no idea who he is.
5
00:49:35,066 -->
00:49:37,906
He gives the paramedic's name as his own when they ask.
6
00:49:38,486 -->
00:49:41,286
That brings him to Princeton-Plainsboro,
7
00:49:41,286 -->
00:49:43,786
where a second complication has just arrived:
8
00:49:44,566 -->
00:49:47,826
Foreman, whose post-PPTH job collapsed,
9
00:49:48,326 -->
00:49:53,306
has been reinstalled by Cuddy as House's official overseer.
10
00:49:53,506 -->
00:49:55,826
House's fellowship competition is still running.
11
00:49:56,466 -->
00:49:59,226
The medical question is what the patient has.
12
00:49:59,746 -->
00:50:04,226
The institutional question is who's actually in charge.
13
00:50:05,186 -->
00:50:06,986
A man gets mugged on a street corner,
14
00:50:07,326 -->
00:50:08,866
collapses from respiratory failure,
15
00:50:09,266 -->
00:50:11,946
and arrives at Princeton-Plainsboro with no wallet,
16
00:50:12,386 -->
00:50:14,846
no ID, and no idea who he is.
17
00:50:15,446 -->
00:50:17,806
He gives the paramedic's name as his own when they ask.
18
00:50:18,526 -->
00:50:19,546
That's the first symptom.
19
00:50:20,206 -->
00:50:21,466
And the second is Foreman,
20
00:50:22,106 -->
00:50:24,146
back after his New York Mercy job collapsed,
21
00:50:24,446 -->
00:50:27,466
now installed by Cuddy as House's official overseer.
22
00:50:28,066 -->
00:50:31,046
House objects loudly. Foreman walks in anyway.
23
00:50:31,886 -->
00:50:37,346
The team runs tests on the breathing symptoms and the patient starts picking up complaints from the patients around him,
24
00:50:37,926 -->
00:50:39,366
abdominal pain from one neighbor,
25
00:50:39,926 -->
00:50:42,926
numbness from another, the paramedic's name as his own.
26
00:50:43,846 -->
00:50:47,186
Foreman suspects Munchausen's, deliberate fabrication.
27
00:50:48,046 -->
00:50:50,606
Chase is already running a betting pool on who gets fired.
28
00:50:51,126 -->
00:50:53,586
Right, but he's doing MORE than copying symptoms.
29
00:50:54,346 -->
00:50:56,266
He adopts names, speech patterns,
30
00:50:56,766 -->
00:50:58,966
entire personalities from whoever's in the room.
31
00:50:59,766 -->
00:51:03,106
House's diagnosis: Giovannini Mirror Syndrome,
32
00:51:03,826 -->
00:51:09,206
a condition where the patient can't form a stable identity and becomes whoever dominates the space around him.
33
00:51:09,626 -->
00:51:14,226
To test it, House brings him to an OR where Wilson is mid-surgery.
34
00:51:14,226 -->
00:51:16,906
A mirror patient reflects the dominant person.
35
00:51:17,906 -->
00:51:18,786
House assumes that's him.
36
00:51:19,206 -->
00:51:20,586
And the patient mirrors Wilson.
37
00:51:21,226 -->
00:51:22,026
NOT House.
38
00:51:22,806 -->
00:51:24,646
Wilson notes, with some satisfaction,
39
00:51:24,646 -->
00:51:29,246
that mirror patients always reflect whoever is ACTUALLY in charge,
40
00:51:29,586 -->
00:51:31,566
and in that room, Wilson is.
41
00:51:32,226 -->
00:51:35,766
House expected otherwise. He does not receive that as small.
42
00:51:36,566 -->
00:51:38,646
It tells you something real about that dynamic.
43
00:51:39,526 -->
00:51:41,126
House treats Wilson as a sidekick,
44
00:51:41,126 -->
00:51:42,966
someone to manage and consult.
45
00:51:43,846 -->
00:51:46,046
But whatever social dominance actually is,
46
00:51:46,326 -->
00:51:47,586
the patient can read it,
47
00:51:47,746 -->
00:51:49,826
and what he reads puts Wilson on top.
48
00:51:50,526 -->
00:51:52,426
They also find cold agglutinin disease,
49
00:51:52,906 -->
00:51:54,986
blood that thickens dangerously in the cold,
50
00:51:55,406 -->
00:51:56,886
which can't be faked.
51
00:51:57,266 -->
00:52:00,266
Mirror syndrome or not, he is GENUINELY ill.
52
00:52:01,286 -->
00:52:02,386
Hot tub to keep him warm,
53
00:52:02,806 -->
00:52:06,546
and an antibody panel returns three distinct geographic exposures:
54
00:52:06,786 -->
00:52:09,746
Ohio, the Southwest, Central America.
55
00:52:10,206 -->
00:52:11,886
The geography doesn't name him.
56
00:52:12,326 -->
00:52:14,186
But it's starting to sketch a person.
57
00:52:14,786 -->
00:52:17,666
Meanwhile the mirroring is producing something the team wasn't expecting.
58
00:52:18,506 -->
00:52:20,426
When candidates spend time alone with the patient,
59
00:52:20,886 -->
00:52:23,166
what gets reflected back is uncomfortable.
60
00:52:24,326 -->
00:52:27,626
Amber's version: she has to be right because if she isn't right,
61
00:52:28,086 -->
00:52:30,286
she isn't worth anything and nobody likes her.
62
00:52:30,966 -->
00:52:35,006
That's a BRUTAL self-portrait for someone who plays as aggressively as Amber does.
63
00:52:35,986 -->
00:52:37,526
And Taub, mirrored separately,
64
00:52:38,046 -->
00:52:40,686
reveals he's attracted to exactly that about her,
65
00:52:41,146 -->
00:52:42,766
the dominance, the aggression.
66
00:52:43,806 -->
00:52:45,806
Neither of them says a word about it afterward.
67
00:52:46,546 -->
00:52:49,206
Brennan's reflection: he doesn't want to be here,
68
00:52:49,206 -->
00:52:51,206
and tells House he'll quit when the case ends,
69
00:52:51,826 -->
00:52:54,226
he doesn't. Kutner's is stranger:
70
00:52:54,686 -->
00:52:56,486
obsessed with novelty, likes pain.
71
00:52:57,166 -->
00:53:01,986
Then Thirteen. House suspects she took the field assignment to avoid being mirrored,
72
00:53:02,066 -->
00:53:03,246
so he goes in with her,
73
00:53:03,826 -->
00:53:06,626
his read on the patient's first comment gets him out of the room.
74
00:53:07,586 -->
00:53:08,586
Then alone with her,
75
00:53:09,046 -->
00:53:12,326
the patient says he's frightened and it won't be alright.
76
00:53:12,326 -->
00:53:15,766
Is that the patient mirroring something inside Thirteen,
77
00:53:15,766 -->
00:53:17,326
some fear she hasn't named,
78
00:53:17,966 -->
00:53:20,806
or is it the patient speaking for himself for the first time?
79
00:53:21,826 -->
00:53:23,206
House doesn't go back to it.
80
00:53:23,726 -->
00:53:26,686
Which is interesting. House pulls at every thread.
81
00:53:27,446 -->
00:53:28,666
He lets this one sit.
82
00:53:29,446 -->
00:53:31,186
The break comes from Kutner,
83
00:53:31,186 -->
00:53:34,526
the patient said he loved hot tubs in front of someone who HATES them,
84
00:53:34,866 -->
00:53:36,906
which means he was thinking for himself.
85
00:53:37,766 -->
00:53:41,166
House uses this: he pretends to be the patient and gets mirrored back.
86
00:53:41,826 -->
00:53:42,726
A life on the road,
87
00:53:42,726 -->
00:53:45,546
VapoRub to block the smell of dung,
88
00:53:45,946 -->
00:53:47,226
years around pig farms.
89
00:53:47,566 -->
00:53:51,426
Eperythrozoon, a bacterial infection from pig exposure.
90
00:53:52,646 -->
00:53:55,406
The geographic profile fits, the VapoRub fits,
91
00:53:55,686 -->
00:53:56,766
the work history fits.
92
00:53:57,386 -->
00:53:58,226
Treatment works.
93
00:53:59,026 -->
00:54:03,266
Chase collects. House confirms he was secretly cut in with Chase on the pool.
94
00:54:03,266 -->
00:54:05,526
Foreman had proposed the alpha test,
95
00:54:06,066 -->
00:54:07,426
House and Cuddy in front of the patient,
96
00:54:07,766 -->
00:54:08,866
see who gets mirrored,
97
00:54:09,126 -->
00:54:11,806
and Foreman agreed to LEAVE if the patient picks House.
98
00:54:12,726 -->
00:54:15,466
Wilson suspected House invented that job offer entirely.
99
00:54:16,266 -->
00:54:17,526
So who does the patient mirror?
100
00:54:18,086 -->
00:54:23,526
The patient comments on Cuddy's appearance in a way House claims as proof he's being mirrored,
101
00:54:23,766 -->
00:54:25,726
Cuddy says it's something she might have thought herself.
102
00:54:26,546 -->
00:54:29,646
Foreman watches through the glass and manages exactly one word.
103
00:54:30,386 -->
00:54:31,726
House dances in the hallway.
104
00:54:32,346 -->
00:54:34,246
What closes the episode is Foreman,
105
00:54:34,766 -->
00:54:35,946
mirrored during the case,
106
00:54:36,166 -->
00:54:37,906
he heard he actually likes being back,
107
00:54:37,906 -->
00:54:39,226
and won't say so.
108
00:54:39,846 -->
00:54:43,186
The White Stripes track at the end is called We're Going to Be Friends.
109
00:54:43,886 -->
00:54:49,246
House confirming the Chase scheme to Foreman rather than deflecting is as close as either gets to an admission.
110
00:54:50,846 -->
00:54:54,466
Foreman is back. He doesn't know how he got here..
111
00:54:55,146 -->
00:54:59,226
Something scared Thirteen. House decided not to find out..
112
00:55:00,126 -->
00:55:00,906
No one was fired.
113
00:55:00,906 -->
00:55:03,506
The selection criteria remain unknown.
1
00:55:16,954 -->
00:55:20,694
House Explained. Season 4, Episode 15.
2
00:55:21,394 -->
00:55:22,314
House's Head.
3
00:55:23,054 -->
00:55:24,774
Four hours are missing.
4
00:55:25,714 -->
00:55:29,414
House, Princeton-Plainsboro's chief diagnostician,
5
00:55:29,754 -->
00:55:32,254
wakes in a strip club covered in blood,
6
00:55:32,774 -->
00:55:35,574
no memory of anything since leaving the hospital.
7
00:55:36,314 -->
00:55:38,734
Outside, the bus he was on has crashed.
8
00:55:39,274 -->
00:55:41,914
Back at the hospital, his skull is fractured,
9
00:55:42,214 -->
00:55:44,114
his short-term memory compromised,
10
00:55:44,114 -->
00:55:46,594
and his team has no patient,
11
00:55:47,114 -->
00:55:52,254
just his insistence that he witnessed a symptom in a fellow passenger before the crash,
12
00:55:52,834 -->
00:55:55,414
in someone he can no longer identify.
13
00:55:56,254 -->
00:55:58,894
Someone who may already be dying.
14
00:56:00,274 -->
00:56:02,774
House opens the episode in a strip club covered in blood,
15
00:56:03,214 -->
00:56:04,494
no idea how he got there.
16
00:56:05,214 -->
00:56:07,494
He immediately runs a self-diagnostic,
17
00:56:07,494 -->
00:56:10,374
tests his recall, notes his drink hasn't arrived yet,
18
00:56:10,734 -->
00:56:12,454
which means he was drunk on arrival,
19
00:56:12,454 -->
00:56:14,974
and figures out he's concussed.
20
00:56:15,094 -->
00:56:18,234
His brain is triaging before he understands what happened.
21
00:56:18,774 -->
00:56:20,794
Right, and when he steps outside,
22
00:56:21,014 -->
00:56:23,114
the bus he was on has crashed into traffic.
23
00:56:23,754 -->
00:56:26,154
Those four missing hours ended in a disaster.
24
00:56:26,834 -->
00:56:30,234
He gets to Princeton-Plainsboro and tells his team something they can barely act on:
25
00:56:30,754 -->
00:56:32,334
he saw a symptom before the crash,
26
00:56:32,774 -->
00:56:34,954
in a passenger he can no longer identify,
27
00:56:35,334 -->
00:56:36,974
and he can't describe what it was.
28
00:56:37,694 -->
00:56:39,294
He's certain someone is dying.
29
00:56:39,894 -->
00:56:41,694
That's the ENTIRE case file.
30
00:56:41,694 -->
00:56:48,194
And the cruelty of the setup is that the one person who could identify the patient is the one who can't access the information.
31
00:56:49,094 -->
00:56:50,734
Skull fracture to the ear canal,
32
00:56:51,074 -->
00:56:53,714
edema in the temporal lobe that controls short-term memory,
33
00:56:54,434 -->
00:56:57,454
the brain he needs is deteriorating while he uses it.
34
00:56:57,934 -->
00:57:00,134
The crime scene is inside the detective's head.
35
00:57:00,454 -->
00:57:02,554
How do you pull a memory from a damaged brain?
36
00:57:03,214 -->
00:57:07,614
The team searches for a patient they can't describe while House tries every method available.
37
00:57:08,254 -->
00:57:09,614
They start with hypnosis.
38
00:57:09,614 -->
00:57:12,174
Chase puts him under, a rotation in Melbourne,
39
00:57:12,174 -->
00:57:14,554
apparently, and it partially works:
40
00:57:15,194 -->
00:57:16,994
House gets back to the bar, to the bus,
41
00:57:17,414 -->
00:57:23,034
recovering passenger details. But mid-session Amber appears in his subconscious uninvited,
42
00:57:23,034 -->
00:57:24,914
and House tries to shut it down.
43
00:57:25,694 -->
00:57:27,234
He can't lie under hypnosis,
44
00:57:27,874 -->
00:57:29,474
and Wilson is in the room.
45
00:57:29,934 -->
00:57:31,214
Wilson stays and watches,
46
00:57:31,614 -->
00:57:33,454
and afterward confronts House directly:
47
00:57:34,034 -->
00:57:35,834
he thinks House has feelings for Amber.
48
00:57:36,554 -->
00:57:38,754
House deflects with something aggressively crude,
49
00:57:38,754 -->
00:57:40,994
but Wilson isn't reading it as a denial,
50
00:57:41,534 -->
00:57:43,734
he says it plainly, this is BAD.
51
00:57:44,374 -->
00:57:46,614
And the episode moves on without addressing it.
52
00:57:47,854 -->
00:57:50,054
PLANTED. UNRESOLVED. LEFT THERE.
53
00:57:50,374 -->
00:57:52,514
Meanwhile the bus driver is the working patient,
54
00:57:53,094 -->
00:57:55,054
sudden paralysis, liver failure,
55
00:57:55,414 -->
00:57:58,714
respiratory failure, and House is hallucinating through all of it:
56
00:57:59,154 -->
00:58:01,694
Vicodin overdose, Cuddy as a reasoning partner,
57
00:58:02,114 -->
00:58:05,254
and a mystery woman on the bus who keeps calling herself the answer.
58
00:58:05,774 -->
00:58:07,214
What does she need him to see?
59
00:58:07,674 -->
00:58:09,534
She points him to the driver's feet,
60
00:58:10,074 -->
00:58:13,074
shuffling motion that House reads as early Parkinson's,
61
00:58:13,214 -->
00:58:16,614
but when the driver goes into respiratory failure without responding to treatment,
62
00:58:17,194 -->
00:58:18,514
House notices something else:
63
00:58:18,514 -->
00:58:21,914
brand-new dental caps, from recent surgery.
64
00:58:22,574 -->
00:58:24,514
And everything snaps into place.
65
00:58:24,974 -->
00:58:26,474
Dental drill. Air bubble.
66
00:58:26,854 -->
00:58:27,954
That's the whole mechanism.
67
00:58:28,654 -->
00:58:32,654
A dental air drill can push an air bubble into the bloodstream through the gums;
68
00:58:32,914 -->
00:58:34,214
the crash dislodged it,
69
00:58:34,634 -->
00:58:36,994
and it traveled through the spine, then the liver,
70
00:58:37,354 -->
00:58:40,514
then the lungs, each stop a symptom cluster.
71
00:58:41,354 -->
00:58:44,194
House forces a cardiac aspiration over everyone's objections.
72
00:58:44,854 -->
00:58:47,194
Bubble clears, driver recovers,
73
00:58:47,394 -->
00:58:48,554
case apparently closed.
74
00:58:49,134 -->
00:58:52,054
Except that night House dreams, he's on the bus,
75
00:58:52,194 -->
00:58:54,914
tying something around a woman's leg, she's cold,
76
00:58:55,214 -->
00:58:56,334
he's telling her to stay.
77
00:58:56,994 -->
00:58:59,554
When he wakes, the whole investigation inverts:
78
00:58:59,954 -->
00:59:01,954
the crash didn't cause the symptom he saw,
79
00:59:01,954 -->
00:59:05,614
it dislodged the driver's pre-existing bubble incidentally.
80
00:59:06,114 -->
00:59:08,434
The real symptom was in someone else entirely.
81
00:59:09,154 -->
00:59:11,394
Causation backwards the whole time.
82
00:59:12,134 -->
00:59:13,694
The bus driver was a coincidence.
83
00:59:14,914 -->
00:59:16,194
So he rebuilds the bus,
84
00:59:16,434 -->
00:59:18,994
gets the team into seats based on the crash manifest,
85
00:59:19,494 -->
00:59:21,494
each wearing a printed photo of their passenger,
86
00:59:22,234 -->
00:59:25,634
trying to force the hippocampus to fire by recreating the context.
87
00:59:26,694 -->
00:59:28,894
Memory flashes surface, then slip.
88
00:59:29,494 -->
00:59:34,074
He injects physostigmine, an Alzheimer's drug that forces memory retrieval,
89
00:59:34,254 -->
00:59:36,534
after his team warned him it can stop his heart.
90
00:59:37,214 -->
00:59:41,614
He UNDERSTOOD that. He did it on the re-enactment bus anyway.
91
00:59:42,334 -->
00:59:43,354
And his heart stops.
92
00:59:43,954 -->
00:59:45,854
While in cardiac arrest he's back on the bus,
93
00:59:45,854 -->
00:59:49,674
and the mystery woman is asking the same question she's asked all episode,
94
00:59:50,374 -->
00:59:51,834
what is her necklace made of?
95
00:59:52,494 -->
00:59:55,534
He tries different answers as the crash replays around him,
96
00:59:55,694 -->
00:59:59,814
glass and screaming, until he finally looks at the necklace and says the word:
97
00:59:59,814 -->
01:00:04,534
AMBER. She becomes Amber Volakis.
98
01:00:04,534 -->
01:00:08,994
Wilson's girlfriend. Wilson, oncologist, House's closest friend,
99
01:00:09,414 -->
01:00:10,594
is the person this destroys.
100
01:00:11,674 -->
01:00:14,374
Amber was the season's most aggressive fellowship candidate,
101
01:00:14,734 -->
01:00:16,134
eliminated in episode nine,
102
01:00:16,394 -->
01:00:17,914
who stayed on as Wilson's partner;
103
01:00:18,674 -->
01:00:22,414
House's subconscious has been pointing at her since before he woke up in the strip club.
104
01:00:22,974 -->
01:00:24,294
Wilson and Cuddy revive him,
105
01:00:24,594 -->
01:00:26,234
and his first word is her name,
106
01:00:26,794 -->
01:00:29,474
Wilson assumes drug hallucination until House asks:
107
01:00:30,154 -->
01:00:32,494
does Amber have a birthmark on her right shoulder blade?
108
01:00:33,514 -->
01:00:34,654
Wilson checks his phone,
109
01:00:35,034 -->
01:00:36,654
and his expression gives the answer.
110
01:00:37,294 -->
01:00:38,534
Jane Doe number two.
111
01:00:38,954 -->
01:00:41,094
Princeton General. Late twenties.
112
01:00:41,094 -->
01:00:41,714
Kidney damage.
113
01:00:42,114 -->
01:00:43,354
She was on the bus with House,
114
01:00:43,614 -->
01:00:44,774
she's the one who's dying,
115
01:00:45,474 -->
01:00:51,174
and the episode ends there with no diagnosis and no explanation for why she was on that bus at all.
116
01:00:52,134 -->
01:00:53,294
Why was Amber there,
117
01:00:53,294 -->
01:00:55,474
and what did House see before the crash?
118
01:00:56,354 -->
01:00:58,854
Both go directly into the finale's second half.
119
01:01:00,234 -->
01:01:02,554
- Amber is at Princeton General.
120
01:01:03,894 -->
01:01:09,214
Unidentified and dying. - House doesn't know what he saw in her.
121
01:01:09,214 -->
01:01:12,554
- Nobody knows why she was on that bus.
1
01:01:25,962 -->
01:01:30,122
House Explained. Season 4, Episode 16.
2
01:01:31,002 -->
01:01:32,062
Wilson's Heart.
3
01:01:33,002 -->
01:01:34,902
Last episode ended with a name.
4
01:01:35,662 -->
01:01:39,282
House, Princeton-Plainsboro's chief diagnostician,
5
01:01:39,282 -->
01:01:42,562
came out of cardiac arrest, said one word,
6
01:01:43,102 -->
01:01:45,222
and Wilson's expression did the rest:
7
01:01:45,902 -->
01:01:51,202
Amber Volakis, his girlfriend and House's most ruthless former candidate,
8
01:01:51,722 -->
01:01:52,602
had been on the bus.
9
01:01:53,592 -->
01:01:57,582
This finale opens inside the ambulance, mid-crisis:
10
01:01:57,582 -->
01:01:59,902
Amber's heart is racing with no explanation,
11
01:02:00,482 -->
01:02:06,622
and the only person who might hold the answers just survived his own cardiac arrest this morning.
12
01:02:07,382 -->
01:02:11,082
The episode opens with Amber being transferred by ambulance to PPTH,
13
01:02:11,662 -->
01:02:14,122
and mid-transfer her heart tips into v-fib.
14
01:02:14,922 -->
01:02:18,362
Wilson stops the resuscitation and demands protective hypothermia:
15
01:02:18,962 -->
01:02:20,082
deliberately stop the heart,
16
01:02:20,082 -->
01:02:23,682
put her on cardiac bypass, freeze her.
17
01:02:23,682 -->
01:02:24,862
Buy time to diagnose.
18
01:02:25,902 -->
01:02:28,842
And that buys time by making diagnosis nearly impossible.
19
01:02:29,562 -->
01:02:31,902
A stopped heart can't be echoed, EKG'd,
20
01:02:31,962 -->
01:02:35,622
or stress-tested. Wilson's essentially gambling that House,
21
01:02:35,822 -->
01:02:39,042
who had his own cardiac arrest this morning on top of a skull fracture,
22
01:02:39,542 -->
01:02:41,782
can solve it before the clock runs out.
23
01:02:42,162 -->
01:02:44,722
House can barely function but starts pulling every thread.
24
01:02:45,322 -->
01:02:49,262
The team searches Amber's apartment while the angiogram and tox screen come back negative.
25
01:02:49,882 -->
01:02:52,722
Then Kutner finds prescription pills, diet pills,
26
01:02:52,902 -->
01:02:55,682
SSRIs, hidden in her vitamin bottles.
27
01:02:56,422 -->
01:02:59,082
Hidden from Wilson. Then jaundice,
28
01:02:59,382 -->
01:03:01,502
liver failure on top of cardiac failure.
29
01:03:02,302 -->
01:03:04,982
And Thirteen goes nearly silent in the differentials.
30
01:03:05,682 -->
01:03:08,302
A young doctor dying is triggering something she can't contain.
31
01:03:08,942 -->
01:03:11,422
House corners her, she's at risk for Huntington's,
32
01:03:11,422 -->
01:03:13,622
never been tested, and gives her a deadline:
33
01:03:14,142 -->
01:03:15,802
deal with it or clear out.
34
01:03:16,642 -->
01:03:18,462
The episode ends with a positive result.
35
01:03:19,022 -->
01:03:21,962
Just the fact. Delivered in the margins.
36
01:03:22,662 -->
01:03:24,422
House originally wants to restart her heart,
37
01:03:24,742 -->
01:03:26,062
the standard medical move.
38
01:03:26,862 -->
01:03:29,122
Wilson pushes back: too uncertain, too risky,
39
01:03:29,562 -->
01:03:30,622
wait for blood cultures.
40
01:03:31,342 -->
01:03:32,262
House backs down.
41
01:03:33,042 -->
01:03:35,482
Then someone on the team warms Amber up anyway,
42
01:03:35,802 -->
01:03:37,342
going behind both their backs.
43
01:03:38,282 -->
01:03:39,762
The disease reaches her brain.
44
01:03:40,362 -->
01:03:41,702
And the argument is sharp.
45
01:03:42,342 -->
01:03:46,822
Wilson is furious, the defense was that House originally wanted exactly this;
46
01:03:46,822 -->
01:03:49,122
Wilson guilted him out of it.
47
01:03:49,522 -->
01:03:50,582
Wilson can't hold still,
48
01:03:51,002 -->
01:03:53,122
even when holding still is the safer call.
49
01:03:54,122 -->
01:03:56,422
Amber diagnosed that pattern in him last episode,
50
01:03:56,822 -->
01:03:59,762
the accommodation, the self-erasure.
51
01:03:59,762 -->
01:04:02,022
Here it causes direct harm out of love.
52
01:04:02,922 -->
01:04:05,022
House knows exactly where to look for the next clue.
53
01:04:05,622 -->
01:04:07,782
His subconscious gives him sherry in a dream,
54
01:04:08,142 -->
01:04:10,642
which gets read as Sharrie's Bar on Third.
55
01:04:11,422 -->
01:04:12,462
He and Wilson go there.
56
01:04:13,162 -->
01:04:14,322
What did the bartender say?
57
01:04:15,002 -->
01:04:17,522
Amber was there, she sneezed, new symptom.
58
01:04:18,262 -->
01:04:19,442
And then, without being asked,
59
01:04:19,782 -->
01:04:21,922
the bartender tells House he seemed into her.
60
01:04:22,382 -->
01:04:24,002
That she was buying him drinks.
61
01:04:24,922 -->
01:04:26,622
Wilson is hearing this in real time,
62
01:04:26,962 -->
01:04:29,162
still not knowing what happened between them that night.
63
01:04:30,142 -->
01:04:33,262
Is that part of why he's the one pushing for deep brain stimulation?
64
01:04:34,142 -->
01:04:35,642
Drill into the hypothalamus,
65
01:04:35,922 -->
01:04:37,522
force the full memory out,
66
01:04:37,522 -->
01:04:39,742
on a skull that is already cracked.
67
01:04:40,622 -->
01:04:42,302
Wilson needs the answer for two reasons:
68
01:04:42,302 -->
01:04:43,922
to save Amber medically,
69
01:04:43,922 -->
01:04:47,222
and to understand what his best friend was doing with his girlfriend.
70
01:04:47,922 -->
01:04:49,722
The show doesn't separate those motivations.
71
01:04:50,582 -->
01:04:51,902
And the memory comes back.
72
01:04:52,462 -->
01:04:53,922
House called Wilson for a ride;
73
01:04:54,322 -->
01:04:56,482
Wilson was on call and sent Amber instead.
74
01:04:57,122 -->
01:04:59,502
Amber followed House onto the bus to return his cane,
75
01:04:59,862 -->
01:05:02,262
and on the way, took amantadine for the flu.
76
01:05:03,022 -->
01:05:04,722
Then the crash destroyed her kidneys.
77
01:05:05,602 -->
01:05:09,202
Without kidney function, amantadine accumulates and poisons everything,
78
01:05:09,642 -->
01:05:14,982
heart, liver, brain. Dialysis can't clear it because it binds to proteins,
79
01:05:14,982 -->
01:05:17,502
and her organs are too damaged for transplant.
80
01:05:18,442 -->
01:05:19,722
Nothing can be done.
81
01:05:20,242 -->
01:05:22,242
House seizes while still connected to the equipment.
82
01:05:22,902 -->
01:05:24,562
The seizure widens the fracture,
83
01:05:25,002 -->
01:05:27,302
causes a brain bleed, puts him in a coma.
84
01:05:28,142 -->
01:05:30,702
Wilson gets the news in two steps: House was right,
85
01:05:30,702 -->
01:05:31,982
and it's too late.
86
01:05:32,742 -->
01:05:36,122
The goodbye scene is quiet in a way this show almost never manages.
87
01:05:37,042 -->
01:05:40,562
Wilson wakes Amber; she works it out herself almost immediately.
88
01:05:41,262 -->
01:05:43,382
The team comes in one by one,
89
01:05:43,382 -->
01:05:45,942
and then Wilson shuts off the bypass himself.
90
01:05:46,562 -->
01:05:48,742
In the coma, House has a vision of Amber,
91
01:05:49,382 -->
01:05:50,702
she argues him out of dying.
92
01:05:51,682 -->
01:05:52,962
He's in self-pity mode,
93
01:05:53,342 -->
01:05:54,962
says the wrong person survived;
94
01:05:55,622 -->
01:05:56,802
she doesn't let him have it.
95
01:05:57,042 -->
01:05:58,122
She sends him back.
96
01:05:58,602 -->
01:06:00,842
She's calmer in the vision than she ever was alive.
97
01:06:01,462 -->
01:06:05,162
She delivers one last act of love for Wilson by returning his best friend.
98
01:06:06,062 -->
01:06:10,742
The Rolling Stones track that plays when House wakes names the thesis for anyone still wondering.
99
01:06:11,342 -->
01:06:13,622
House wakes to Cuddy, and Wilson visits,
100
01:06:14,142 -->
01:06:15,802
but they just stare at each other.
101
01:06:16,342 -->
01:06:20,382
Then Wilson goes home and finds the note Amber left saying she'd gone to pick up House.
102
01:06:21,362 -->
01:06:22,442
That's the last image.
103
01:06:23,382 -->
01:06:25,342
We don't know yet whether Wilson blames House.
104
01:06:26,242 -->
01:06:27,302
Four years of friendship,
105
01:06:27,302 -->
01:06:29,062
and right now it's just silence.
106
01:06:30,802 -->
01:06:33,642
Wilson knows now why Amber got on that bus..
107
01:06:34,642 -->
01:06:37,222
House is in a coma and can't answer for it..
108
01:06:37,222 -->
01:06:40,562
The silence between them is the whole question.
1
01:06:53,930 -->
01:06:57,750
House Explained. Season 5, Episode 9.
2
01:06:57,750 -->
01:06:58,690
Last Resort.
3
01:06:59,630 -->
01:07:08,410
A man with a gun and a two-year medical mystery walks into the hospital and barricades a group of clinic patients in the dean's office.
4
01:07:09,690 -->
01:07:12,270
House, PPTH's chief diagnostician,
5
01:07:12,770 -->
01:07:16,190
is trapped inside. So is Thirteen,
6
01:07:16,190 -->
01:07:22,770
a fellow on his team who carries a terminal genetic disease and becomes the episode's unwilling guinea pig.
7
01:07:23,390 -->
01:07:27,570
The demand: a real diagnosis, now.
8
01:07:28,530 -->
01:07:31,330
House works the case by phone with SWAT outside,
9
01:07:31,730 -->
01:07:34,210
each drug going into Thirteen first.
10
01:07:34,870 -->
01:07:36,870
The premise has a dark internal logic.
11
01:07:37,750 -->
01:07:39,470
Jason has been sick for two years,
12
01:07:39,810 -->
01:07:43,670
seen sixteen doctors, gotten nothing but normal results and mounting debt.
13
01:07:44,230 -->
01:07:47,350
So he walks into the hospital's administrative offices with a gun,
14
01:07:47,770 -->
01:07:49,630
takes whoever is in the clinic waiting area,
15
01:07:50,130 -->
01:07:51,910
and barricades them in Cuddy's office,
16
01:07:51,910 -->
01:07:56,430
demanding the best doctor in the building come solve what no one else could.
17
01:07:56,430 -->
01:08:03,250
Kutner finds six or seven thousand dollars in unpaid medical bills at the apartment and just says it plainly:
18
01:08:03,270 -->
01:08:06,190
if enough people are sick and in debt with nowhere to go,
19
01:08:06,650 -->
01:08:09,730
statistically at least one is going to do something inexcusable.
20
01:08:10,930 -->
01:08:12,290
The show doesn't excuse it,
21
01:08:12,370 -->
01:08:15,390
but it doesn't look away from the structural fact underneath it either.
22
01:08:16,070 -->
01:08:19,110
House reads Jason immediately and tries the obvious move,
23
01:08:19,110 -->
01:08:22,910
slipping him a sedative disguised as a diagnostic drug.
24
01:08:24,010 -->
01:08:26,290
Jason figures it out and shoots a clinic patient in the leg.
25
01:08:26,950 -->
01:08:29,050
Any easy exit closes right there.
26
01:08:29,530 -->
01:08:31,530
And after that House works the case.
27
01:08:31,970 -->
01:08:34,870
He calls his full team by phone, Foreman, Cameron,
28
01:08:35,110 -->
01:08:38,230
Taub, Kutner, writes a differential on Cuddy's walls.
29
01:08:39,090 -->
01:08:42,690
Jason's condition: every drug goes into someone else first.
30
01:08:42,690 -->
01:08:45,410
And Thirteen volunteers every time,
31
01:08:45,990 -->
01:08:48,510
framing it as rational: shortened lifespan,
32
01:08:48,630 -->
01:08:50,090
she's the obvious choice.
33
01:08:50,470 -->
01:08:53,890
Right, House tells her to her face she's waving a white flag,
34
01:08:54,270 -->
01:08:57,670
using her diagnosis as permission to stop caring whether she lives.
35
01:08:58,290 -->
01:08:59,590
Which is a brutal read.
36
01:09:00,390 -->
01:09:02,090
But she keeps walking to the needle.
37
01:09:02,690 -->
01:09:04,310
There's a moment that tests it:
38
01:09:04,310 -->
01:09:05,830
Thirteen steps out for a drug,
39
01:09:06,230 -->
01:09:08,550
Jason threatens to shoot the boy who gave him the lighter,
40
01:09:09,090 -->
01:09:11,050
and the nurse offers to take the bullet instead.
41
01:09:11,990 -->
01:09:13,850
House bets she'll back down when it gets real,
42
01:09:14,110 -->
01:09:17,790
and she does. But is Thirteen's behavior self-preservation,
43
01:09:17,790 -->
01:09:19,730
or something else entirely?
44
01:09:20,350 -->
01:09:22,690
Right, is she genuinely indifferent to dying,
45
01:09:23,210 -->
01:09:27,150
or is volunteering herself a way to feel in control of something she can't control?
46
01:09:28,250 -->
01:09:30,550
That's what the episode is actually building toward.
47
01:09:31,210 -->
01:09:32,970
The team suspects a Pancoast tumor,
48
01:09:33,510 -->
01:09:34,710
one side of his face sweating,
49
01:09:35,250 -->
01:09:38,630
salivary glands stopped, and the group moves to radiology,
50
01:09:38,910 -->
01:09:40,950
where Jason enters the scanner still armed.
51
01:09:41,670 -->
01:09:44,770
The gun creates a starburst artifact that wipes out the image.
52
01:09:45,450 -->
01:09:47,090
After the scan, House offers a deal:
53
01:09:47,590 -->
01:09:49,850
surrender the gun and see what it found.
54
01:09:50,330 -->
01:09:52,170
Right, and the scan shows nothing.
55
01:09:52,890 -->
01:09:55,890
No tumor. House admits he doesn't know.
56
01:09:56,150 -->
01:09:58,130
But why give it back, that's the hinge.
57
01:09:58,130 -->
01:10:00,090
Thirteen turns on him:
58
01:10:00,330 -->
01:10:04,590
he's so afraid of being wrong he'd rather keep a gunman armed than admit defeat.
59
01:10:05,410 -->
01:10:07,210
House fires back that she's the coward,
60
01:10:07,730 -->
01:10:12,150
using her diagnosis to manufacture the illusion of control over her own death,
61
01:10:12,710 -->
01:10:14,470
neither lets the other off the hook.
62
01:10:15,290 -->
01:10:17,530
Exactly, the show doesn't settle it.
63
01:10:18,230 -->
01:10:20,870
What breaks the deadlock is Thirteen's kidneys.
64
01:10:21,290 -->
01:10:23,570
They start failing after the Cushing's syndrome drug,
65
01:10:24,110 -->
01:10:25,610
Jason's don't, same regimen.
66
01:10:26,210 -->
01:10:32,450
House works backward: his stomach antacid has been incidentally protecting his kidneys for years by blocking calcium,
67
01:10:33,010 -->
01:10:36,390
and that protection points to a disease that should have wrecked them long ago.
68
01:10:37,110 -->
01:10:39,970
Cameron lands on melioidosis, bacterial,
69
01:10:39,970 -->
01:10:42,470
slow-building, tropical in origin,
70
01:10:43,170 -->
01:10:46,030
and Jason says he's never been to the tropics,
71
01:10:46,250 -->
01:10:48,670
then admits he's never been south of Florida.
72
01:10:49,590 -->
01:10:52,570
House calls him an idiot; Florida qualifies.
73
01:10:52,890 -->
01:10:54,990
Two years of missed diagnosis,
74
01:10:55,530 -->
01:10:59,070
partly explained by a geography gap in the patient's own history.
75
01:10:59,690 -->
01:11:01,330
The treatment drug is sent in,
76
01:11:01,770 -->
01:11:03,390
SWAT runs out of patience,
77
01:11:03,390 -->
01:11:05,350
and Jason trades House for the drug,
78
01:11:05,850 -->
01:11:09,270
keeping Thirteen. Then demands she inject herself.
79
01:11:09,790 -->
01:11:11,170
But her kidneys are failing,
80
01:11:11,550 -->
01:11:13,270
and the drug would kill her.
81
01:11:13,630 -->
01:11:14,610
She picks up the needle.
82
01:11:15,430 -->
01:11:16,370
And can't.
83
01:11:16,630 -->
01:11:18,690
She breaks down and tells him she doesn't want to die,
84
01:11:19,190 -->
01:11:21,890
the only uncontrolled moment she's had all episode.
85
01:11:22,790 -->
01:11:25,930
Jason grabs the syringe and injects himself as the wall comes down;
86
01:11:26,590 -->
01:11:29,270
outside, House signals him to exhale cleanly,
87
01:11:29,590 -->
01:11:31,270
and the diagnosis is confirmed.
88
01:11:31,970 -->
01:11:38,110
Right, and the first thing Thirteen does when she recovers is ask Foreman about the Huntington's trial she turned down at the episode's opening.
89
01:11:38,810 -->
01:11:40,470
Something cracked in that room.
90
01:11:40,910 -->
01:11:44,190
Whether it holds outside extreme circumstances is a different question.
91
01:11:44,730 -->
01:11:47,150
The closing scene is Cuddy in her destroyed office,
92
01:11:47,670 -->
01:11:49,850
writing on the walls, blood on the floor.
93
01:11:50,790 -->
01:11:52,930
House walks in, announces the diagnosis,
94
01:11:53,430 -->
01:11:55,370
and they argue about who bears responsibility.
95
01:11:56,370 -->
01:11:58,850
It drifts into their non-relationship,
96
01:11:58,850 -->
01:12:00,570
deflects before it goes anywhere real,
97
01:12:00,970 -->
01:12:02,070
and House walks out.
98
01:12:02,610 -->
01:12:06,010
Then Cuddy opens a desk drawer House was alone with at the episode's start,
99
01:12:06,610 -->
01:12:09,530
it's installed upside down and everything falls out on the floor.
100
01:12:10,550 -->
01:12:11,670
Whether he did that deliberately,
101
01:12:11,990 -->
01:12:12,790
we don't know yet.
102
01:12:14,170 -->
01:12:18,190
Thirteen asked to join the trial she refused this morning..
103
01:12:19,290 -->
01:12:20,770
Foreman knows her actual timeline.
104
01:12:21,570 -->
01:12:25,670
The trial doesn't.. Cuddy's drawer was upside down.
105
01:12:26,270 -->
01:12:27,490
House had been alone with it.
1
01:12:40,858 -->
01:12:44,198
House Explained. Season 5, Episode 19.
2
01:12:44,758 -->
01:12:45,658
Locked In.
3
01:12:46,498 -->
01:12:49,038
For once, House arrives as a patient.
4
01:12:49,918 -->
01:12:52,298
He's injured in a motorcycle accident in Middletown,
5
01:12:52,358 -->
01:12:58,938
New York, lying in an ER when he notices the man in the next bed being evaluated for organ donation.
6
01:12:59,618 -->
01:13:03,498
A cyclist, bicycle accident, flat EEG.
7
01:13:03,718 -->
01:13:06,018
But his eyes are moving.
8
01:13:06,918 -->
01:13:11,838
That observation is the only thing standing between Lee and a harvested heart.
9
01:13:12,778 -->
01:13:15,138
And while the case unfolds back at PPTH,
10
01:13:15,778 -->
01:13:21,058
Wilson spends the episode quietly trying to answer one question House won't address:
11
01:13:21,978 -->
01:13:24,458
why was he in New York at all?
12
01:13:25,158 -->
01:13:26,758
House is a patient this episode,
13
01:13:27,258 -->
01:13:29,198
motorcycle accident, a New York ER,
14
01:13:29,738 -->
01:13:33,858
lying in bed when he notices the man next to him being prepped for organ donation.
15
01:13:34,518 -->
01:13:37,538
Cyclist, bicycle accident, flat EEG.
16
01:13:38,038 -->
01:13:41,818
But the patient's eyes are following the attending doctor across the room.
17
01:13:42,538 -->
01:13:45,018
House blink-tests him. He's still in there.
18
01:13:45,978 -->
01:13:49,198
That's the episode's premise and its horror in the same moment.
19
01:13:49,898 -->
01:13:51,318
Lee is completely conscious,
20
01:13:51,678 -->
01:13:53,178
he can feel every procedure,
21
01:13:53,658 -->
01:13:55,418
hear every word about harvesting his heart,
22
01:13:55,858 -->
01:13:57,998
and no one has thought to ask if he's present.
23
01:13:58,858 -->
01:14:01,378
The episode runs partly from inside his perspective,
24
01:14:01,758 -->
01:14:06,038
which makes the near-miss genuinely unsettling in a way the show doesn't usually go for.
25
01:14:06,818 -->
01:14:10,198
The biopsy inadvertently destroys Lee's ability to blink.
26
01:14:10,978 -->
01:14:12,438
His only communication is gone.
27
01:14:13,198 -->
01:14:16,698
Right. And now they're treating a patient they cannot ask anything.
28
01:14:16,698 -->
01:14:19,778
Taub proposes a brain-computer interface,
29
01:14:20,378 -->
01:14:23,658
a device that reads intention signals from concentrated thought.
30
01:14:24,318 -->
01:14:26,078
They tell Lee to think the cursor upward.
31
01:14:26,658 -->
01:14:30,498
After a long, silent wait at his bedside, it moves.
32
01:14:31,458 -->
01:14:34,698
Medical history, one yes-or-no answer at a time,
33
01:14:34,698 -->
01:14:35,978
can now begin.
34
01:14:36,878 -->
01:14:38,318
That's where Lee's hidden life surfaces.
35
01:14:39,178 -->
01:14:41,338
His wife says he was in St. Louis on business,
36
01:14:41,878 -->
01:14:46,678
Lee signals no, but can't explain why through a cursor that only answers yes or no.
37
01:14:47,538 -->
01:14:49,458
His wife concludes affair;
38
01:14:49,458 -->
01:14:51,738
he knows she's wrong but cannot correct her,
39
01:14:51,878 -->
01:14:54,518
and that gap is the episode's cruelest detail.
40
01:14:55,498 -->
01:14:59,398
The real story comes out through environmental investigation rather than through Lee:
41
01:15:00,038 -->
01:15:02,178
his roofing business had been failing for months,
42
01:15:02,658 -->
01:15:04,018
he'd been hiding it from his wife,
43
01:15:04,018 -->
01:15:07,898
and was secretly moonlighting as a janitor at a factory to cover the gap.
44
01:15:08,938 -->
01:15:11,258
The factory scan comes back with cadmium dust.
45
01:15:12,038 -->
01:15:13,958
Heavy metal poisoning appears to be the answer.
46
01:15:14,938 -->
01:15:16,298
He was protecting her by lying,
47
01:15:16,678 -->
01:15:18,258
and it reads exactly as betrayal.
48
01:15:19,138 -->
01:15:21,938
There's no way to carry the distinction through yes-or-no blinks.
49
01:15:22,478 -->
01:15:24,338
The BCI is blunt by design.
50
01:15:25,338 -->
01:15:29,718
Cadmium therapy starts, but Thirteen finds corneal damage, keratitis,
51
01:15:30,198 -->
01:15:33,618
that doesn't fit. Cameron, treating House's own injuries nearby,
52
01:15:33,618 -->
01:15:35,698
suggests a lumbar puncture.
53
01:15:36,338 -->
01:15:38,098
The procedure triggers cardiac arrest.
54
01:15:38,698 -->
01:15:41,238
They revive Lee; working through the BCI,
55
01:15:41,438 -->
01:15:42,858
he communicates a new symptom:
56
01:15:43,378 -->
01:15:45,038
an itch in his right foot.
57
01:15:45,938 -->
01:15:46,718
Liver failure.
58
01:15:47,298 -->
01:15:50,438
Exactly, and notice the pattern running through this episode:
59
01:15:51,058 -->
01:15:53,478
every diagnostic move creates a new crisis.
60
01:15:54,358 -->
01:15:56,438
The biopsy cost Lee his only signal.
61
01:15:56,998 -->
01:15:58,478
The cadmium theory was wrong.
62
01:15:58,978 -->
01:16:00,838
The lumbar puncture nearly killed him.
63
01:16:01,518 -->
01:16:06,438
The team's competence is genuine and it keeps making things worse before anything gets better.
64
01:16:07,298 -->
01:16:10,058
Foreman calls it: sclerosing cholangitis.
65
01:16:10,558 -->
01:16:11,638
Liver biopsy ordered.
66
01:16:12,258 -->
01:16:13,678
And while they're prepping for it,
67
01:16:13,678 -->
01:16:16,078
Kutner notices a rash on Thirteen's wrist.
68
01:16:16,838 -->
01:16:19,838
Patient urine had splashed on Thirteen's wrist during a procedure.
69
01:16:19,838 -->
01:16:22,038
Kutner traces it back:
70
01:16:22,558 -->
01:16:23,838
rats in the friend's basement,
71
01:16:24,518 -->
01:16:26,318
leptospirosis entering through a paper cut,
72
01:16:26,758 -->
01:16:31,358
destroying Lee's liver, and the liver's toxins triggered locked-in syndrome.
73
01:16:32,178 -->
01:16:33,778
The rats at that house test positive.
74
01:16:34,618 -->
01:16:36,058
The cause was there all along.
75
01:16:36,558 -->
01:16:38,798
They needed an accident to find it.
76
01:16:39,278 -->
01:16:41,638
Treatment starts; Lee begins to recover.
77
01:16:42,358 -->
01:16:47,078
When House arrives to collect a recorder he'd planted under Lee's pillow to eavesdrop on his team remotely,
78
01:16:47,858 -->
01:16:51,558
Taub immediately tries to claim the leptospirosis diagnosis.
79
01:16:52,398 -->
01:16:55,338
House catches it, the observation was Kutner's,
80
01:16:55,338 -->
01:16:56,358
and doesn't press.
81
01:16:57,018 -->
01:16:59,318
House reads desperate versus dishonest.
82
01:16:59,718 -->
01:17:00,838
He lets it go.
83
01:17:01,158 -->
01:17:02,838
Running parallel the entire episode:
84
01:17:03,538 -->
01:17:05,998
Wilson is trying to figure out why House was in New York.
85
01:17:07,058 -->
01:17:08,698
The cover stories keep escalating,
86
01:17:09,178 -->
01:17:11,898
visiting Wilson's ex-wife who lives near Middletown,
87
01:17:12,378 -->
01:17:13,978
checking on Foreman's brother in prison,
88
01:17:14,718 -->
01:17:16,178
scoping out Wilson's new girlfriend.
89
01:17:16,898 -->
01:17:19,718
Each one more obviously wrong than the last.
90
01:17:20,518 -->
01:17:22,258
The stories are too badly constructed.
91
01:17:22,698 -->
01:17:24,698
What is he actually trying to protect here?
92
01:17:25,218 -->
01:17:26,778
Wilson steals House's phone.
93
01:17:27,318 -->
01:17:29,278
Calls the number House kept refusing to answer.
94
01:17:29,878 -->
01:17:31,698
A psychiatrist picks up.
95
01:17:31,858 -->
01:17:33,878
He went voluntarily. In secret.
96
01:17:34,358 -->
01:17:36,718
Drove to another state, told no one.
97
01:17:37,678 -->
01:17:40,158
Whatever he was carrying this season, Amber,
98
01:17:40,398 -->
01:17:42,278
the methadone experiment, the leg,
99
01:17:42,858 -->
01:17:46,258
was heavy enough that he made that drive alone and said it to a stranger.
100
01:17:47,478 -->
01:17:48,518
We don't know what he said.
101
01:17:48,878 -->
01:17:50,738
We don't know how many sessions there were.
102
01:17:51,238 -->
01:17:52,978
House says he is not going back.
103
01:17:53,658 -->
01:17:55,218
Wilson says he will end up alone.
104
01:17:56,038 -->
01:17:57,398
No argument from either of them.
105
01:17:58,318 -->
01:17:59,878
Lee, now able to move a finger,
106
01:18:00,338 -->
01:18:02,198
tells House that God sent him.
107
01:18:02,858 -->
01:18:05,198
House dismisses it, retrieves his recorder,
108
01:18:05,698 -->
01:18:06,338
and leaves.
109
01:18:07,118 -->
01:18:10,118
The episode closes on House's vision blurring as he looks at Wilson,
110
01:18:10,798 -->
01:18:14,018
the same visual the show used throughout for Lee's locked-in perspective.
111
01:18:15,038 -->
01:18:17,758
It's unclear whether that's a literal symptom or a metaphor.
112
01:18:18,718 -->
01:18:20,958
One man has been locked in and is getting out.
113
01:18:21,498 -->
01:18:23,078
Is House heading the other direction?
114
01:18:23,758 -->
01:18:25,018
The episode won't say.
115
01:18:26,538 -->
01:18:28,438
House was seeing a psychiatrist.
116
01:18:29,658 -->
01:18:32,018
Wilson knows. House says he's done.
117
01:18:32,858 -->
01:18:34,838
Wilson says he'll end up alone.
118
01:18:35,838 -->
01:18:39,218
The final image: House's vision blurs like Lee's.
1
01:18:52,586 -->
01:18:56,186
House Explained. Season 5, Episode 23.
2
01:18:57,106 -->
01:18:58,346
Under My Skin.
3
01:18:59,466 -->
01:19:02,506
Something survived House's first real night of sleep.
4
01:19:03,666 -->
01:19:06,546
Amber Volakis, Wilson's dead girlfriend,
5
01:19:07,066 -->
01:19:09,486
whose death House set in motion in Season 4,
6
01:19:10,086 -->
01:19:11,486
is still there when he wakes.
7
01:19:12,366 -->
01:19:14,666
The insomnia alibi is gone.
8
01:19:15,766 -->
01:19:17,326
The patient this week is Penelope,
9
01:19:17,786 -->
01:19:22,726
a twenty-one-year-old professional ballerina who collapses on stage when she can't breathe.
10
01:19:23,786 -->
01:19:25,846
House runs the case while concealing from Wilson,
11
01:19:26,326 -->
01:19:33,166
from Cuddy, and from himself that the reason he can no longer trust his own judgment is the Vicodin.
12
01:19:33,766 -->
01:19:36,346
House is hallucinating Amber Volakis,
13
01:19:36,346 -->
01:19:38,546
Wilson's dead girlfriend, whose death he set in motion,
14
01:19:38,966 -->
01:19:40,806
and has been since Kutner's suicide.
15
01:19:41,546 -->
01:19:42,626
Sleep didn't fix it.
16
01:19:43,186 -->
01:19:45,786
Foreman arrives with a case: Penelope, twenty-one,
17
01:19:45,786 -->
01:19:48,206
a professional ballerina with the New York Ballet,
18
01:19:48,486 -->
01:19:51,666
collapsed on stage when her lungs gave out mid-rehearsal.
19
01:19:51,666 -->
01:19:53,646
Right, and she's not a passive hallucination,
20
01:19:54,026 -->
01:19:55,626
she's actively in the differential,
21
01:19:56,106 -->
01:19:57,546
surfacing things House has suppressed.
22
01:19:58,166 -->
01:20:00,326
He's not fighting her, he's using her.
23
01:20:01,106 -->
01:20:04,286
Does that make him a better diagnostician or a more dangerous one?
24
01:20:04,866 -->
01:20:07,766
Worse, because he can't check his own reasoning against itself.
25
01:20:08,526 -->
01:20:11,806
He goes to Wilson, interrupts him mid-consultation,
26
01:20:11,806 -->
01:20:14,706
and admits he's hallucinating, but lies about who.
27
01:20:15,386 -->
01:20:17,106
He tells Wilson it's Kutner.
28
01:20:17,106 -->
01:20:20,506
He doesn't want Wilson to know his dead girlfriend is in House's head.
29
01:20:20,926 -->
01:20:24,726
It's protective. But Wilson can't help if he doesn't know who he's treating.
30
01:20:25,246 -->
01:20:26,786
The antibiotics House prescribed,
31
01:20:27,246 -->
01:20:28,886
before confirming there was an infection,
32
01:20:29,466 -->
01:20:33,466
trigger a one-in-a-million reaction called toxic epidermal necrolysis.
33
01:20:34,386 -->
01:20:37,106
Penelope's skin starts separating in sheets during a procedure.
34
01:20:37,866 -->
01:20:40,326
His first call on this case made her significantly worse,
35
01:20:40,666 -->
01:20:41,646
and he knows it.
36
01:20:41,946 -->
01:20:44,326
So he uses his guilt as a diagnostic test.
37
01:20:44,946 -->
01:20:48,106
He apologizes to Penelope, formally, to her face,
38
01:20:48,626 -->
01:20:50,266
reports back that he felt nothing,
39
01:20:50,666 -->
01:20:53,546
and reads that as limbic brain damage consistent with MS.
40
01:20:54,486 -->
01:20:56,626
Wilson suggests a lumbar puncture.
41
01:20:56,786 -->
01:20:58,566
House resists the obvious answer.
42
01:20:58,806 -->
01:21:00,366
He's been on pills for years;
43
01:21:00,766 -->
01:21:02,606
the hallucinations only started days ago,
44
01:21:02,846 -->
01:21:06,026
something changed. He needs that something to be structural,
45
01:21:06,406 -->
01:21:07,126
not chemical.
46
01:21:07,686 -->
01:21:10,526
Because structural means fixable without giving up the pills.
47
01:21:11,286 -->
01:21:14,466
Vicodin addiction means detox, pain, career over,
48
01:21:15,006 -->
01:21:16,026
and in House's logic,
49
01:21:16,386 -->
01:21:19,386
no career means he's no longer the thing he actually is.
50
01:21:19,866 -->
01:21:21,166
After the liver biopsy clears,
51
01:21:21,626 -->
01:21:22,906
House throws Wilson out,
52
01:21:23,146 -->
01:21:25,066
and the hallucination delivers the verdict:
53
01:21:25,666 -->
01:21:28,386
only Vicodin or severe mental illness remain,
54
01:21:28,926 -->
01:21:30,246
career over either way.
55
01:21:30,986 -->
01:21:33,886
He proposes stopping Penelope's heart for a still MRI,
56
01:21:34,546 -->
01:21:37,046
admits to Wilson the hallucination is Amber,
57
01:21:37,466 -->
01:21:40,966
and injects himself with insulin while the team executes the arrest.
58
01:21:41,806 -->
01:21:43,606
Wilson confirms: no MS,
59
01:21:43,866 -->
01:21:45,846
but Vicodin levels dangerously elevated.
60
01:21:46,406 -->
01:21:47,946
Wilson gets there in time.
61
01:21:48,666 -->
01:21:51,646
Glucose. House wakes up, Amber is gone.
62
01:21:52,186 -->
01:21:54,046
The MRI caught a shadow near the aorta.
63
01:21:54,746 -->
01:21:56,806
House watches Jeremy, Penelope's boyfriend,
64
01:21:56,926 -->
01:22:01,066
a fellow dancer, at her bedside and reads devotion as guilt.
65
01:22:01,826 -->
01:22:04,326
He suspects gonorrhea disseminated to her heart,
66
01:22:04,706 -->
01:22:07,686
walled off in an abscess a standard blood test would never catch.
67
01:22:08,506 -->
01:22:12,606
He's at a bar celebrating when Foreman calls to confirm Jeremy tested positive.
68
01:22:13,146 -->
01:22:18,326
And that's elegant, the abscess sealed from the bloodstream explains why the infection was invisible.
69
01:22:19,286 -->
01:22:21,206
But Jeremy denies cheating and leaves.
70
01:22:21,926 -->
01:22:26,126
House realizes he projected his own need to see guilt onto someone who didn't have it.
71
01:22:26,746 -->
01:22:27,806
The deduction was right;
72
01:22:28,206 -->
01:22:30,126
the reasoning behind it was compromised.
73
01:22:30,686 -->
01:22:31,866
He was lucky, not right.
74
01:22:32,426 -->
01:22:35,266
And the moment he admits that, Amber comes back.
75
01:22:35,706 -->
01:22:38,726
Right, so Wilson proposes a facility outside Philadelphia,
76
01:22:39,246 -->
01:22:40,486
someone he knows from undergrad.
77
01:22:41,226 -->
01:22:45,066
They pack. Foreman calls: Penelope has gone septic,
78
01:22:45,206 -->
01:22:46,826
surgery is now dangerous.
79
01:22:47,506 -->
01:22:48,926
Wilson tells House she's fine.
80
01:22:49,306 -->
01:22:50,406
She isn't.
81
01:22:50,466 -->
01:22:51,926
House doesn't go back to the hospital,
82
01:22:52,466 -->
01:22:54,946
he goes to Cuddy's office and says he wants to quit.
83
01:22:55,686 -->
01:22:57,266
She asks what he really wants;
84
01:22:57,826 -->
01:22:59,486
he deflects with a dig at her daughter,
85
01:22:59,806 -->
01:23:00,786
she turns to leave.
86
01:23:01,346 -->
01:23:02,446
Then he says it directly:
87
01:23:02,966 -->
01:23:04,686
he's hallucinating from the Vicodin,
88
01:23:05,106 -->
01:23:08,046
and he won't go to a facility because he'll cheat.
89
01:23:08,686 -->
01:23:10,726
And he asks Cuddy to run the detox personally,
90
01:23:10,726 -->
01:23:12,706
not a program, her.
91
01:23:13,526 -->
01:23:17,586
She knows him and won't give him what he wants when what he wants is the wrong thing.
92
01:23:18,146 -->
01:23:20,406
She calls a babysitter for Rachel and agrees.
93
01:23:21,506 -->
01:23:23,086
Meanwhile Chase removes the abscess,
94
01:23:23,506 -->
01:23:28,166
but the dopamine used to stabilize Penelope's blood pressure clamps her peripheral circulation.
95
01:23:29,206 -->
01:23:31,686
She wakes up facing amputation of both hands and feet,
96
01:23:32,186 -->
01:23:34,706
refuses consent. She's a dancer.
97
01:23:35,526 -->
01:23:38,406
Taub tries vasodilators. Nobody expects it to work.
98
01:23:38,946 -->
01:23:39,706
It works.
99
01:23:39,706 -->
01:23:41,446
The withdrawal is brutal,
100
01:23:41,966 -->
01:23:44,226
Amber keeps telling House to send Cuddy home and take the pill.
101
01:23:45,126 -->
01:23:46,686
He spots a Vicodin on the floor;
102
01:23:47,166 -->
01:23:49,026
Cuddy flushes it before he reaches it.
103
01:23:49,746 -->
01:23:52,826
At his worst he starts telling Cuddy where the hidden stashes are,
104
01:23:52,986 -->
01:23:54,646
even as Amber tells him not to.
105
01:23:54,986 -->
01:23:58,386
Cuddy says opioid dependency amplifies pain beyond what's real,
106
01:23:58,786 -->
01:24:00,286
he might be okay without the pills.
107
01:24:00,906 -->
01:24:04,686
He pushes back. She says she hasn't lied to him in twenty years.
108
01:24:05,266 -->
01:24:07,366
And he immediately reads that as an invitation:
109
01:24:07,866 -->
01:24:08,686
what was the lie?
110
01:24:09,066 -->
01:24:11,486
She was never enrolled in his endocrinology class.
111
01:24:12,046 -->
01:24:14,346
She was auditing it, there to be near him,
112
01:24:14,346 -->
01:24:18,026
since medical school. She's been carrying that for two decades.
113
01:24:18,986 -->
01:24:21,786
House looks around and tells her Amber is gone.
114
01:24:22,386 -->
01:24:26,466
The hallucination doesn't leave when the insulin works or when he confesses the addiction,
115
01:24:26,926 -->
01:24:29,686
it leaves when Cuddy matches his honesty with her own.
116
01:24:30,406 -->
01:24:32,546
He tells her he always wants to kiss her.
117
01:24:32,746 -->
01:24:35,646
They do, and the season finale is next.
118
01:24:37,246 -->
01:24:41,606
Amber is gone. House just kissed Cuddy.
119
01:24:42,026 -->
01:24:43,546
Whether he can work without the pills:
120
01:24:44,566 -->
01:24:49,106
genuinely open. The season finale is one episode away.
1
01:25:02,474 -->
01:25:06,674
House Explained. Season 6, Episode 1.
2
01:25:06,674 -->
01:25:07,054
Broken.
3
01:25:08,154 -->
01:25:11,314
The premiere opens somewhere the show has never gone before:
4
01:25:12,014 -->
01:25:17,554
a psychiatric hospital. No whiteboard, no differential, no team.
5
01:25:18,514 -->
01:25:21,194
Dr. Darryl Nolan is House's psychiatrist,
6
01:25:21,194 -->
01:25:25,614
and the sole gatekeeper between House and his medical license.
7
01:25:26,874 -->
01:25:29,834
Juan "Alvie" Alvarez is House's bipolar roommate,
8
01:25:29,834 -->
01:25:32,734
all mania and unfiltered honesty.
9
01:25:33,774 -->
01:25:40,814
Lydia visits her unresponsive sister-in-law Annie five times a week and becomes House's unexpected emotional anchor.
10
01:25:41,914 -->
01:25:45,734
And Steve Alcartine, who insists on being called Freedom Master,
11
01:25:46,174 -->
01:25:48,554
is completely convinced he can fly.
12
01:25:49,574 -->
01:25:52,094
This is unlike any House episode before it.
13
01:25:52,554 -->
01:25:54,714
We're in a psychiatric hospital, Mayfield,
14
01:25:55,074 -->
01:25:57,794
and the show strips everything away: no team,
15
01:25:58,134 -->
01:25:59,874
no whiteboard, no case.
16
01:26:00,614 -->
01:26:04,414
Just House in a ward he cannot diagnose his way out of.
17
01:26:05,314 -->
01:26:07,334
And the reason he's there is the starting gun.
18
01:26:08,054 -->
01:26:10,414
He hallucinated an entire night with Cuddy,
19
01:26:10,894 -->
01:26:13,574
arrived at work carrying what he thought was evidence of it,
20
01:26:13,794 -->
01:26:14,974
and it was a Vicodin bottle.
21
01:26:15,894 -->
01:26:19,614
His own diagnostic confidence in himself had broken down completely.
22
01:26:20,494 -->
01:26:22,794
Which is what makes Nolan's trap so clean,
23
01:26:22,794 -->
01:26:27,114
House is a voluntary patient who can legally walk any time.
24
01:26:27,114 -->
01:26:30,654
But Nolan controls the medical board recommendation that reinstates his license.
25
01:26:31,354 -->
01:26:34,594
He can leave; he just can't practice medicine if he does.
26
01:26:35,574 -->
01:26:37,234
The one thing that holds him.
27
01:26:37,494 -->
01:26:39,014
Not guilt, not love.
28
01:26:39,494 -->
01:26:40,354
His CAREER.
29
01:26:41,234 -->
01:26:42,374
So he runs the playbook.
30
01:26:42,954 -->
01:26:44,654
Humiliates patients in group therapy,
31
01:26:45,174 -->
01:26:47,934
engineers a rebellion over table tennis paddles,
32
01:26:48,114 -->
01:26:49,994
has Alvie break into Nolan's office,
33
01:26:49,994 -->
01:26:52,754
rigs a urine test through a bribed patient,
34
01:26:53,194 -->
01:26:54,994
calls Wilson for blackmail material.
35
01:26:55,674 -->
01:26:58,614
Wilson refuses, Nolan had pre-warned him.
36
01:26:59,294 -->
01:27:01,074
Wilson's refusal carries real weight,
37
01:27:01,614 -->
01:27:04,534
Nolan called him first and told him exactly what House would try,
38
01:27:04,894 -->
01:27:06,054
and Wilson said no.
39
01:27:06,894 -->
01:27:12,994
Whether that's a permanent shift in their dynamic or Wilson following someone else's lead this once is genuinely unclear,
40
01:27:13,414 -->
01:27:15,354
and I'm not sure the show knows yet either.
41
01:27:16,394 -->
01:27:18,074
And then Nolan ends it completely.
42
01:27:18,564 -->
01:27:21,314
House had been pocketing his meds and cheating urine tests.
43
01:27:21,974 -->
01:27:25,554
But Nolan had already switched some pills to placebos because he suspected it,
44
01:27:25,814 -->
01:27:27,274
and the test didn't expose House,
45
01:27:27,774 -->
01:27:29,714
it confirmed what Nolan already knew.
46
01:27:30,494 -->
01:27:33,194
House walked into a trap set before the scheme started.
47
01:27:34,294 -->
01:27:35,774
Meanwhile two attachments form.
48
01:27:36,394 -->
01:27:38,674
Lydia visits her unresponsive sister-in-law Annie,
49
01:27:39,154 -->
01:27:41,914
a former concert cellist, silent for a decade,
50
01:27:42,474 -->
01:27:46,314
every week, and becomes House's only genuine conversation partner.
51
01:27:46,794 -->
01:27:52,514
Then there's Steve, a patient absolutely certain he is a superhero called Freedom Master.
52
01:27:53,414 -->
01:27:54,574
Why Steve specifically?
53
01:27:55,434 -->
01:28:00,154
Helplessness, probably, the ward drugs Steve into catatonia to manage the delusion,
54
01:28:00,354 -->
01:28:02,154
which House finds worse than the condition.
55
01:28:02,894 -->
01:28:06,834
So he borrows Lydia's car and takes Steve to a carnival wind-tunnel ride,
56
01:28:07,374 -->
01:28:08,934
letting him feel actual flight.
57
01:28:09,914 -->
01:28:10,954
Joyful for a moment,
58
01:28:11,314 -->
01:28:14,714
Steve then stands on the edge of the parking structure and jumps.
59
01:28:15,676 -->
01:28:17,454
That's the episode's real hinge,
60
01:28:18,054 -->
01:28:19,574
Steve survives badly injured,
61
01:28:19,774 -->
01:28:21,394
and for the first time in the episode,
62
01:28:21,854 -->
01:28:24,914
House's instinct to fix something made it actively worse.
63
01:28:26,094 -->
01:28:30,034
Nolan threatens transfer. House calls him back and admits he needs help,
64
01:28:30,454 -->
01:28:32,474
not as a move but just as a fact.
65
01:28:33,154 -->
01:28:35,654
Just that. NOTHING behind it.
66
01:28:36,134 -->
01:28:38,374
And the show doesn't rush to resolve whether it's real.
67
01:28:39,014 -->
01:28:41,594
House takes his medication, starts cooperating.
68
01:28:42,234 -->
01:28:46,054
But House performing recovery looks identical to House actually recovering,
69
01:28:46,694 -->
01:28:49,994
the episode holds that ambiguity rather than closing it.
70
01:28:50,374 -->
01:28:54,814
What breaks it open is Nolan taking House to his dying father's bedside on a day pass,
71
01:28:55,134 -->
01:28:56,634
framed as a consultation,
72
01:28:57,454 -->
01:29:02,334
House reads within seconds the prognosis is terminal and that Nolan already knew.
73
01:29:03,154 -->
01:29:05,034
What Nolan needs isn't a diagnosis;
74
01:29:05,394 -->
01:29:08,734
he needs company. House takes off his jacket and stays.
75
01:29:09,414 -->
01:29:12,854
That scene does something the rest of the episode can't prove alone.
76
01:29:13,734 -->
01:29:15,534
House chooses presence over analysis,
77
01:29:16,174 -->
01:29:18,634
sits with someone else's grief without diagnosing it,
78
01:29:18,754 -->
01:29:22,394
no agenda. He stays because Nolan needs him to.
79
01:29:22,954 -->
01:29:25,514
He JUST stays. That's the whole thing.
80
01:29:26,214 -->
01:29:26,614
And Annie?
81
01:29:27,214 -->
01:29:30,034
The talent show is where everything converges,
82
01:29:30,354 -->
01:29:32,874
House apologizes to Steve and wheels him to Annie.
83
01:29:33,814 -->
01:29:36,254
Steve gives her the music box he'd been fixated on,
84
01:29:36,254 -->
01:29:40,054
and she opens it and speaks for the first time in a decade.
85
01:29:41,254 -->
01:29:44,454
Lydia arrives to find her sister-in-law playing Bach on the cello.
86
01:29:44,554 -->
01:29:47,494
And then Lydia has to leave, and it comes fast.
87
01:29:48,194 -->
01:29:49,574
Her family is moving to Arizona,
88
01:29:50,234 -->
01:29:52,434
Annie's recovery finally made the move possible.
89
01:29:53,294 -->
01:29:55,294
House gets an overnight pass and goes to her house,
90
01:29:55,994 -->
01:29:57,634
her young son answers the door.
91
01:29:58,494 -->
01:30:00,294
She says she can't break up her family.
92
01:30:00,734 -->
01:30:02,194
That son answering the door.
93
01:30:02,674 -->
01:30:04,854
The show is very deliberate about that image.
94
01:30:05,354 -->
01:30:08,874
House finds Nolan in the parking lot and says he feels lost,
95
01:30:09,794 -->
01:30:11,854
Nolan signs the letter not for compliance,
96
01:30:12,514 -->
01:30:16,234
but because House came to him with pain instead of reaching for drugs.
97
01:30:17,234 -->
01:30:18,214
There's a send-off party.
98
01:30:18,674 -->
01:30:20,874
House shoves his face in the cake and gets on a bus.
99
01:30:21,234 -->
01:30:23,214
As the bus pulls away, Alvie,
100
01:30:23,214 -->
01:30:26,034
who spent the whole episode insisting House was faking,
101
01:30:26,414 -->
01:30:28,814
walks back inside and asks for his own medication.
102
01:30:29,674 -->
01:30:32,974
House's reluctant, visible change became something the ward absorbed.
103
01:30:33,594 -->
01:30:37,614
The smiley shirt on the bus is Alvie's.
104
01:30:37,614 -->
01:30:40,774
License reinstated. Cuddy fired him.
105
01:30:41,234 -->
01:30:47,994
She wasn't here. Whether Princeton undoes what Mayfield started is the only real question.
106
01:30:47,994 -->
01:30:52,114
Alvie asked for his medication for the first time.
1
01:31:05,482 -->
01:31:08,682
House Explained. Season 6, Episode 9.
2
01:31:09,302 -->
01:31:09,762
Wilson.
3
01:31:11,002 -->
01:31:14,442
James Sidas was once the youngest person to graduate MIT,
4
01:31:15,222 -->
01:31:19,982
IQ of 178, three books published before eighteen.
5
01:31:19,982 -->
01:31:23,582
He's now a courier who says thinking too hard made him miserable,
6
01:31:24,082 -->
01:31:27,302
and he arrives at Princeton-Plainsboro with ataxia,
7
01:31:27,302 -->
01:31:28,662
anemia, and a cough.
8
01:31:29,722 -->
01:31:32,242
The reasons behind his choices don't add up yet.
9
01:31:32,862 -->
01:31:37,042
It's Thanksgiving week. Cameron left for Chicago last episode.
10
01:31:37,762 -->
01:31:40,042
House has a scheme to crash Cuddy's dinner.
11
01:31:40,882 -->
01:31:42,702
Cuddy already knows about it.
12
01:31:43,162 -->
01:31:46,182
James Sidas was once the youngest MIT graduate ever,
13
01:31:46,642 -->
01:31:50,522
IQ 178, three books before eighteen.
14
01:31:50,522 -->
01:31:52,242
He says thinking too hard made him miserable;
15
01:31:52,702 -->
01:31:53,842
he walked away from physics.
16
01:31:54,522 -->
01:31:57,742
Now he's a courier, arrives with ataxia, anemia,
17
01:31:58,142 -->
01:32:01,002
a cough, and the team suspects TTP;
18
01:32:01,522 -->
01:32:03,982
House orders a splenectomy.
19
01:32:04,362 -->
01:32:06,062
Why does someone walk away from that?
20
01:32:06,962 -->
01:32:08,722
The splenectomy fails immediately,
21
01:32:08,722 -->
01:32:11,782
Sidas strokes mid-procedure, kidneys start failing.
22
01:32:12,722 -->
01:32:15,262
The team works through vasculitis, liver failure,
23
01:32:15,622 -->
01:32:17,462
alcoholism, and none of it holds.
24
01:32:18,202 -->
01:32:19,922
House is barely in the room,
25
01:32:20,422 -->
01:32:21,902
scheming to crash Cuddy's Thanksgiving,
26
01:32:22,582 -->
01:32:24,982
and she actually invites him herself,
27
01:32:25,322 -->
01:32:26,922
hands him her sister's address.
28
01:32:27,742 -->
01:32:28,982
Wilson thinks it's a trap;
29
01:32:29,472 -->
01:32:33,262
House drives three hours to an empty house with a house sitter waiting.
30
01:32:34,002 -->
01:32:34,982
She got there first.
31
01:32:35,762 -->
01:32:38,082
So House ends up at Lucas's apartment instead.
32
01:32:38,662 -->
01:32:40,582
He breaks in, drinks Lucas's tequila,
33
01:32:41,162 -->
01:32:46,682
and when Lucas comes home tells him he loves Cuddy and is too pathetic to deserve her.
34
01:32:47,242 -->
01:32:49,502
He barely remembers any of it the next morning.
35
01:32:50,362 -->
01:32:52,282
Right, and that's what makes it uncomfortable,
36
01:32:52,842 -->
01:32:54,422
Lucas doesn't dismiss it.
37
01:32:54,882 -->
01:33:00,042
He ends the relationship not because he was outmaneuvered but because he believed what House told him.
38
01:33:00,662 -->
01:33:02,082
The scheme worked through honesty,
39
01:33:02,322 -->
01:33:03,742
which House never intended.
40
01:33:04,382 -->
01:33:05,922
Cuddy comes to House the next morning,
41
01:33:06,462 -->
01:33:08,382
Lucas ended things because of what you said.
42
01:33:09,142 -->
01:33:10,322
House admits he was drunk;
43
01:33:10,942 -->
01:33:14,262
she tells him there was never anything between them and walks out.
44
01:33:14,982 -->
01:33:17,262
It sounds like a closing statement.
45
01:33:18,142 -->
01:33:20,462
But is that line accurate or is it protective?
46
01:33:21,342 -->
01:33:23,142
She gave him the wrong address on purpose,
47
01:33:23,602 -->
01:33:26,322
she anticipated the scheme before he executed it.
48
01:33:26,882 -->
01:33:31,342
Then Wilson makes a throwaway remark about Lucas being too stupid to know he'd been played,
49
01:33:31,342 -->
01:33:33,502
and House stops cold.
50
01:33:33,942 -->
01:33:36,662
Goes back to the case, why is Sidas stupid?
51
01:33:37,322 -->
01:33:40,002
Because he made himself that way: dextromethorphan,
52
01:33:40,082 -->
01:33:41,342
the compound in cough syrup,
53
01:33:41,822 -->
01:33:43,662
taken chronically to suppress his IQ,
54
01:33:44,402 -->
01:33:47,462
mixed with just enough alcohol to prevent permanent brain damage.
55
01:33:48,202 -->
01:33:50,002
House orders a bowel lavage.
56
01:33:50,002 -->
01:33:53,882
Sidas confirms it, not being as smart made him less miserable.
57
01:33:54,502 -->
01:33:56,522
He clears the drug, recovers,
58
01:33:56,882 -->
01:33:58,122
starts doing physics drawings,
59
01:33:58,682 -->
01:34:02,322
then tells Foreman privately the gap with his wife is now unbearable,
60
01:34:02,822 -->
01:34:06,422
but he owes her everything and wouldn't be happier without her.
61
01:34:06,602 -->
01:34:08,182
Then his legs stop working.
62
01:34:08,942 -->
01:34:12,662
B12 deficiency, bone marrow, lupus, nothing fits.
63
01:34:13,442 -->
01:34:14,642
House threatens to call Cameron,
64
01:34:14,642 -->
01:34:19,342
and Chase walks across the room and punches him in front of the entire team.
65
01:34:20,022 -->
01:34:22,922
House covers. Tells Cuddy he tripped over an ottoman.
66
01:34:23,602 -->
01:34:27,602
Chase apologizes privately, says it had nothing to do with what House said.
67
01:34:28,422 -->
01:34:31,242
It was about everyone continuously checking in since Cameron left;
68
01:34:31,782 -->
01:34:33,482
the punch was the only way to make it stop.
69
01:34:34,122 -->
01:34:35,742
House covers and asks nothing.
70
01:34:36,522 -->
01:34:40,122
Which is the same silence protecting Chase since Dibala.
71
01:34:40,122 -->
01:34:41,822
Cameron has the confession in Chicago,
72
01:34:42,422 -->
01:34:43,722
Foreman doesn't know she knows,
73
01:34:44,202 -->
01:34:46,482
and Chase is telling himself it's under control.
74
01:34:47,262 -->
01:34:50,062
He used those exact words about Dibala.
75
01:34:50,062 -->
01:34:51,602
House goes to Sidas privately.
76
01:34:51,602 -->
01:34:54,722
Sidas admits a suicide attempt twelve years ago,
77
01:34:55,122 -->
01:34:58,102
jumped, broke three ribs, went on narcotics,
78
01:34:58,602 -->
01:35:00,162
felt normal for the first time,
79
01:35:00,482 -->
01:35:01,802
met Dara at the hospital.
80
01:35:02,722 -->
01:35:04,142
House asks about those ribs.
81
01:35:04,842 -->
01:35:07,442
Right, that fall shattered the primary spleen,
82
01:35:07,742 -->
01:35:11,362
which then scattered into over a dozen accessory fragments throughout his torso.
83
01:35:12,442 -->
01:35:14,242
Chase removed only the primary one.
84
01:35:15,182 -->
01:35:18,022
Right disease, wrong anatomy all along.
85
01:35:18,722 -->
01:35:21,222
All still there, still driving TTP.
86
01:35:22,202 -->
01:35:24,282
A ferrous oxide MRI lights them up;
87
01:35:24,542 -->
01:35:25,882
surgery removes them all.
88
01:35:26,222 -->
01:35:29,522
Sidas recovers and chooses to go back, DXM,
89
01:35:29,822 -->
01:35:31,642
the courier job, Dara.
90
01:35:32,282 -->
01:35:36,922
House signs off. The line he gives Sidas on the way out is about how surprising it is,
91
01:35:37,222 -->
01:35:38,302
what you can live without.
92
01:35:39,062 -->
01:35:40,922
That line is meant for Sidas,
93
01:35:40,922 -->
01:35:42,382
it's also clearly for House.
94
01:35:43,222 -->
01:35:46,062
He figured out Cuddy staged the whole thing to neutralize him,
95
01:35:46,262 -->
01:35:47,902
tells Wilson he's okay with it.
96
01:35:48,182 -->
01:35:50,162
It's unclear whether he means it.
97
01:35:50,582 -->
01:35:52,142
And Cameron is in Chicago.
98
01:35:52,782 -->
01:35:55,242
She has everything, Chase's confession,
99
01:35:55,302 -->
01:35:59,282
and the question of whether Dibala even ordered the genocide he was killed for.
100
01:35:59,822 -->
01:36:01,982
Whether she reports it, confronts Chase,
101
01:36:02,062 -->
01:36:04,202
or stays quiet, we don't know yet.
102
01:36:04,722 -->
01:36:06,942
That's the live wire going into next week.
103
01:36:08,402 -->
01:36:11,122
Cameron is in Chicago with Chase's confession.
104
01:36:12,102 -->
01:36:14,582
Chase says it's under control.
105
01:36:15,062 -->
01:36:19,602
No one's watching. House figured out the staged breakup.
106
01:36:20,362 -->
01:36:20,982
Says he's okay.
1
01:36:34,970 -->
01:36:38,710
House Explained. Season 6, Episode 13.
2
01:36:38,710 -->
01:36:41,450
5 to 9.
3
01:36:41,450 -->
01:36:46,690
The person running Princeton-Plainsboro Teaching Hospital day to day is Cuddy,
4
01:36:46,970 -->
01:36:49,570
Dr. Lisa Cuddy, Dean of Medicine,
5
01:36:50,310 -->
01:36:52,170
single mother to infant Rachel.
6
01:36:52,670 -->
01:37:00,310
This episode follows her exclusively for one working day as she wages a high-stakes standoff with AtlanticNet,
7
01:37:00,550 -->
01:37:05,170
the insurance company covering 80 percent of PPTH's patients.
8
01:37:06,050 -->
01:37:07,870
House keeps reappearing throughout the day,
9
01:37:08,150 -->
01:37:09,750
causing a problem each time.
10
01:37:10,370 -->
01:37:13,250
Wilson shows up at lunch with nothing useful to offer.
11
01:37:13,930 -->
01:37:16,490
This is entirely Cuddy's episode.
12
01:37:16,490 -->
01:37:17,370
---
13
01:37:17,370 -->
01:37:19,990
This episode follows Cuddy for one working day,
14
01:37:19,990 -->
01:37:22,310
5 a.m. to past 9 p.m.,
15
01:37:22,310 -->
01:37:25,350
with NO diagnostic mystery anywhere in it.
16
01:37:25,730 -->
01:37:28,830
No whiteboard, no differential, no team.
17
01:37:29,350 -->
01:37:31,610
The entire engine is institutional:
18
01:37:32,090 -->
01:37:36,610
whether Cuddy can hold a losing hand against a much bigger insurance company on principle.
19
01:37:37,490 -->
01:37:40,210
Right, and it starts in chaos before she's even out the door.
20
01:37:40,870 -->
01:37:43,690
Rachel wakes up sick, Lucas arrives and delays her,
21
01:37:43,970 -->
01:37:46,110
and House has already sent a fake emergency page,
22
01:37:46,510 -->
01:37:51,850
turns out he was on a stakeout with Lucas the night before and they made a bet about whether she'd stop to answer it.
23
01:37:52,570 -->
01:37:53,790
She arrives at
8:10.
24
01:37:54,150 -->
01:37:58,290
She meets AtlanticNet rep Eli Morgan and issues a same-day ultimatum,
25
01:37:58,290 -->
01:38:04,570
accept a 12 percent reimbursement increase by 3 p.m. or PPTH ends the contract,
26
01:38:05,070 -->
01:38:07,370
affecting 80 percent of their patient base.
27
01:38:08,070 -->
01:38:09,790
Board member Simpson calls her crazy.
28
01:38:10,210 -->
01:38:11,550
Chairman Wells makes it explicit:
29
01:38:12,090 -->
01:38:14,830
if the deal collapses, so does her position.
30
01:38:15,430 -->
01:38:16,510
Eli just walks out.
31
01:38:16,750 -->
01:38:17,830
He thinks she's bluffing.
32
01:38:18,150 -->
01:38:19,910
Which isn't an unreasonable read,
33
01:38:19,910 -->
01:38:24,190
Princeton-Plainsboro is the smallest hospital in AtlanticNet's entire network.
34
01:38:24,770 -->
01:38:25,850
The rep says it plainly:
35
01:38:25,850 -->
01:38:28,610
you can be expensive or small, not both.
36
01:38:29,350 -->
01:38:32,970
Cuddy's leverage is PPTH's reputation and patient loyalty,
37
01:38:33,470 -->
01:38:36,230
real, but harder to put a number on than size.
38
01:38:36,790 -->
01:38:38,230
Alongside the insurance countdown:
39
01:38:38,690 -->
01:38:41,670
a doubled ephedrine order turns into years of systematic theft.
40
01:38:42,370 -->
01:38:45,950
Head pharmacist Gail has been diverting the drug to a meth supply operation,
41
01:38:46,450 -->
01:38:48,990
she controlled both ordering and invoice verification,
42
01:38:49,250 -->
01:38:50,250
so it stayed invisible.
43
01:38:50,990 -->
01:38:52,850
When the DEA is called and she's fired,
44
01:38:53,010 -->
01:38:58,250
she doesn't crack, she threatens to fabricate a Cuddy-House affair and claim they ran it together.
45
01:38:58,530 -->
01:39:02,410
A false story. But impossible to disprove quickly.
46
01:39:02,890 -->
01:39:04,510
House finds Cuddy sitting in her car,
47
01:39:04,850 -->
01:39:09,170
she's gone out there after Gail's affair threat landed and the Board pressure got to be too much;
48
01:39:09,610 -->
01:39:11,530
she'd already told a nurse she was resigning.
49
01:39:12,230 -->
01:39:17,170
And he confesses: he identified Gail as a sociopath months ago from watching her open mail,
50
01:39:17,690 -->
01:39:20,710
NEVER told Cuddy, and was saving it as potential leverage.
51
01:39:21,510 -->
01:39:22,650
Why does he tell her now?
52
01:39:22,717 -->
01:39:24,290
The episode doesn't settle it,
53
01:39:24,590 -->
01:39:27,210
but he also tells her the Board won't actually fire her,
54
01:39:27,650 -->
01:39:30,370
the hospital needs her and everyone in that building knows it.
55
01:39:30,930 -->
01:39:32,750
Which is strangely direct coming from House,
56
01:39:32,850 -->
01:39:36,210
almost reassuring. She doesn't fully trust it,
57
01:39:36,210 -->
01:39:38,010
but she doesn't dismiss it either,
58
01:39:38,350 -->
01:39:39,350
and that's something.
59
01:39:39,830 -->
01:39:40,810
It might be loyalty.
60
01:39:41,370 -->
01:39:42,710
It might be another calculation.
61
01:39:43,130 -->
01:39:45,370
What she acts on is something Lucas gave her earlier,
62
01:39:45,790 -->
01:39:48,430
a recording device disguised as a decorative flower,
63
01:39:48,430 -->
01:39:50,690
because he's a PI.
64
01:39:50,690 -->
01:39:52,930
She goes back to Gail, draws her out,
65
01:39:53,090 -->
01:39:54,790
and gets the full confession on tape:
66
01:39:55,230 -->
01:39:57,570
how long the theft ran, what the threat was,
67
01:39:57,770 -->
01:40:00,810
everything. That recording goes to the DEA.
68
01:40:01,230 -->
01:40:05,130
And Gail tells her in that conversation that she hasn't found the full extent of the theft,
69
01:40:05,670 -->
01:40:08,170
it's been running since six months after Gail was hired.
70
01:40:08,770 -->
01:40:12,950
The DEA investigation is just beginning and we don't know how far down it goes.
71
01:40:13,390 -->
01:40:16,650
Then she walks toward the Board intending to hand in her notice.
72
01:40:16,650 -->
01:40:19,890
She'd already decided the principle was worth the cost,
73
01:40:20,390 -->
01:40:21,770
if the deal cost her the job,
74
01:40:22,090 -->
01:40:24,110
that was the price of not backing down.
75
01:40:24,950 -->
01:40:25,950
She misses an elevator,
76
01:40:26,370 -->
01:40:28,890
and when the doors open Eli Morgan is standing there:
77
01:40:28,890 -->
01:40:32,850
AtlanticNet has accepted her terms, ENTIRELY,
78
01:40:32,850 -->
01:40:34,190
no renegotiation.
79
01:40:34,690 -->
01:40:36,530
She was prepared to ACTUALLY lose.
80
01:40:37,070 -->
01:40:38,170
That's what earns it.
81
01:40:38,850 -->
01:40:41,410
Exactly, the Board gives her a standing ovation.
82
01:40:42,090 -->
01:40:44,630
Staff applaud in the halls, and then one more beat:
83
01:40:45,650 -->
01:40:48,410
Acevedo's installment check from the malpractice suit arrives.
84
01:40:49,430 -->
01:40:52,410
She tears it up without a word and goes home to Rachel.
85
01:40:53,350 -->
01:40:54,970
That's the moment the episode sits with.
86
01:40:55,310 -->
01:41:00,350
She fought all day for the hospital's finances and at the end just rips up money she was legitimately owed.
87
01:41:01,130 -->
01:41:03,210
The show doesn't explain it, it just happens,
88
01:41:03,330 -->
01:41:04,850
and you're left deciding what it means.
89
01:41:05,530 -->
01:41:06,770
She finally reaches the nanny.
90
01:41:07,350 -->
01:41:10,230
Rachel is fine, small rash, nothing serious.
91
01:41:10,830 -->
01:41:12,050
One thing that isn't resolved:
92
01:41:12,050 -->
01:41:15,230
AtlanticNet caved ENTIRELY, no delay,
93
01:41:15,490 -->
01:41:16,930
after eight months of resistance.
94
01:41:17,670 -->
01:41:19,550
The PR campaign is plausible leverage,
95
01:41:19,750 -->
01:41:23,830
but the capitulation is faster and cleaner than the negotiation history would suggest.
96
01:41:24,650 -->
01:41:26,010
Why did they fold so completely,
97
01:41:26,350 -->
01:41:27,830
the episode doesn't tell you.
98
01:41:28,290 -->
01:41:30,110
The Gail investigation is just starting.
99
01:41:30,630 -->
01:41:33,170
She told Cuddy the full extent of the theft hasn't been found,
100
01:41:33,750 -->
01:41:36,110
the operation ran for years before anyone noticed.
101
01:41:36,910 -->
01:41:38,250
The DEA is involved now,
102
01:41:38,310 -->
01:41:39,770
and something will surface from that,
103
01:41:40,110 -->
01:41:41,050
it won't be small.
104
01:41:41,450 -->
01:41:44,890
And Lucas is still sitting on things Cuddy doesn't fully know he knows,
105
01:41:45,370 -->
01:41:46,730
about House, about her,
106
01:41:47,170 -->
01:41:48,590
about how the pieces fit together.
107
01:41:49,290 -->
01:41:50,370
It's quiet right now.
108
01:41:50,670 -->
01:41:52,850
The question is how long that lasts.
109
01:41:52,850 -->
01:41:53,850
---
110
01:41:54,410 -->
01:41:58,130
Gail warned the theft runs deeper than anyone's found.
111
01:41:58,970 -->
01:42:01,770
Lucas is still holding what he knows about House.
112
01:42:02,910 -->
01:42:05,570
Cameron hasn't moved from Chicago since episode nine.
1
01:42:13,024 -->
01:42:14,995
House Explained.
2
01:42:14,995 -->
01:42:16,967
Season 7, Episode 13.
3
01:42:16,967 -->
01:42:18,938
Two Stories.
4
01:42:18,938 -->
01:42:21,378
House, PPTH's genius diagnostician,
5
01:42:21,638 -->
01:42:30,918
chronic avoider, ends up on an elementary school detention bench,
6
01:42:31,518 -->
01:42:34,478
sitting beside two kids caught kissing behind the building.
7
01:42:34,478 -->
01:42:36,718
All three wait for the principal.
8
01:42:36,718 -->
01:42:39,818
The episode runs three timelines: the bench,
9
01:42:39,818 -->
01:42:42,878
Career Day two hours earlier,
10
01:42:42,878 -->
01:42:45,238
and the House/Cuddy relationship,
11
01:42:45,238 -->
01:42:47,478
she's the hospital's dean of medicine,
12
01:42:47,478 -->
01:42:51,798
and his partner, cracking three days before that.
13
01:42:51,798 -->
01:42:56,698
House narrates the past to the kids as deflection.
14
01:42:56,698 -->
01:43:01,198
Two twelve-year-olds end up more useful to him than anyone.
15
01:43:01,198 -->
01:43:01,438
---
16
01:43:05,378 -->
01:43:07,358
The episode opens on a detention bench,
17
01:43:07,718 -->
01:43:08,958
House beside two kids,
18
01:43:09,298 -->
01:43:10,798
none of them saying why they're there.
19
01:43:11,598 -->
01:43:14,178
Three timelines run simultaneously: the bench,
20
01:43:14,618 -->
01:43:16,038
Career Day two hours earlier,
21
01:43:16,038 -->
01:43:18,958
the Cuddy relationship breaking three days before that.
22
01:43:19,718 -->
01:43:22,138
House narrates pieces of each as deflection.
23
01:43:23,038 -->
01:43:25,118
Why is House on a school detention bench?
24
01:43:26,138 -->
01:43:30,558
Sanford Wells, a PPTH board member who also sits on this school's board,
25
01:43:31,158 -->
01:43:33,318
agreed to get Rachel admitted on one condition:
26
01:43:33,998 -->
01:43:37,118
Career Day. Cuddy doesn't know and couldn't have asked,
27
01:43:37,478 -->
01:43:39,018
she'd consider it unethical.
28
01:43:39,498 -->
01:43:42,878
House goes in as "Dr. Hourani," borrowed from a real colleague,
29
01:43:42,878 -->
01:43:44,618
plans to be out in twenty minutes,
30
01:43:44,618 -->
01:43:46,298
and gets trapped immediately.
31
01:43:47,078 -->
01:43:50,498
A student keeps catching his stories as film rip-offs.
32
01:43:50,498 -->
01:43:55,998
He admits the embellishments and ends up describing the Cuddy situation out loud to a classroom of children.
33
01:43:56,838 -->
01:43:58,798
Already lying before he opens his mouth.
34
01:43:59,178 -->
01:44:00,018
That's the episode.
35
01:44:00,478 -->
01:44:01,518
The teacher gives up.
36
01:44:01,858 -->
01:44:02,858
Career Day falls apart,
37
01:44:03,298 -->
01:44:05,758
then he rear-ends another speaker's car in the parking lot,
38
01:44:06,098 -->
01:44:07,938
gives the Hourani name to the other driver,
39
01:44:07,938 -->
01:44:10,998
and ends up on the principal's bench beside those two kids.
40
01:44:11,698 -->
01:44:15,898
The classroom kids are already running the same play the detention kids will run,
41
01:44:16,418 -->
01:44:19,078
pressing on Cuddy, refusing every redirect.
42
01:44:20,278 -->
01:44:22,318
The Career Day stories are all deflection.
43
01:44:22,898 -->
01:44:24,958
The subject keeps bleeding through.
44
01:44:25,718 -->
01:44:27,238
Meanwhile there's an actual patient,
45
01:44:27,238 -->
01:44:29,458
and House is barely there.
46
01:44:29,958 -->
01:44:31,838
Willis Chung, a college student,
47
01:44:32,258 -->
01:44:33,938
coughed up actual lung tissue.
48
01:44:34,638 -->
01:44:37,818
Roommates brought him in after the campus clinic called it bronchitis.
49
01:44:38,598 -->
01:44:42,118
Foreman runs the case, infection, sarcoidosis,
50
01:44:42,418 -->
01:44:45,558
chemical solvents, nothing resolves.
51
01:44:45,938 -->
01:44:49,958
A patient coughed up a lung and House is cracking a password.
52
01:44:50,818 -->
01:44:53,658
Cuddy slams the receiver down on his hand and tells him she's done.
53
01:44:54,378 -->
01:44:56,138
But the real accusation comes later,
54
01:44:56,138 -->
01:44:58,598
when he tries to return and she won't let him in:
55
01:44:58,938 -->
01:45:01,238
he's always right, always has to be right,
56
01:45:01,458 -->
01:45:03,438
and has never once actually listened.
57
01:45:04,238 -->
01:45:06,298
The toothbrush, the toilet seat, the mess,
58
01:45:06,818 -->
01:45:07,798
evidence of the pattern.
59
01:45:08,338 -->
01:45:11,878
He diagnosed the relationship instead of living it.
60
01:45:12,338 -->
01:45:14,238
The laptop theft is proof of that.
61
01:45:14,838 -->
01:45:17,758
He manufactures a gas leak, evacuates the clinic,
62
01:45:18,218 -->
01:45:19,438
slips into her office.
63
01:45:20,118 -->
01:45:21,478
Still can't crack the password.
64
01:45:22,418 -->
01:45:25,378
University dorm next, under the Hourani name,
65
01:45:25,858 -->
01:45:27,638
Wilson supplying guesses remotely.
66
01:45:28,538 -->
01:45:30,838
He eventually gets in, reads the journal,
67
01:45:31,318 -->
01:45:34,998
and puts the laptop in the trash expecting the janitor to return it.
68
01:45:35,478 -->
01:45:37,758
The kids' story: caught behind the building,
69
01:45:38,178 -->
01:45:40,038
but the girl insists they never kissed.
70
01:45:40,918 -->
01:45:42,858
Days before, the boy won a jump rope match,
71
01:45:43,198 -->
01:45:44,098
prize was a kiss,
72
01:45:44,498 -->
01:45:47,038
and she publicly told him she would never kiss him.
73
01:45:47,518 -->
01:45:49,398
He assumed she'd thrown the match deliberately.
74
01:45:50,178 -->
01:45:52,278
She says she genuinely expected to win.
75
01:45:52,958 -->
01:45:55,638
His read: she's manufacturing cover,
76
01:45:56,198 -->
01:45:58,178
seeming reluctant while getting what she wants.
77
01:45:59,038 -->
01:46:02,178
Her read: she meant it and expected to win.
78
01:46:02,818 -->
01:46:06,278
Is she playing games or did he misread the evidence?
79
01:46:07,478 -->
01:46:09,018
House argues both sides.
80
01:46:09,598 -->
01:46:11,938
The girl's black eye was a floor hockey accident,
81
01:46:12,318 -->
01:46:13,778
the puck, unrelated.
82
01:46:14,598 -->
01:46:16,278
What she keeps pressing on is Cuddy.
83
01:46:17,018 -->
01:46:19,438
Every time House lists a symptom, the toothbrush,
84
01:46:19,638 -->
01:46:20,798
the toilet seat, the mess,
85
01:46:21,278 -->
01:46:23,418
she asks why that made Cuddy so angry.
86
01:46:24,198 -->
01:46:25,258
He runs through the list.
87
01:46:25,598 -->
01:46:27,158
He cannot actually answer.
88
01:46:27,858 -->
01:46:32,118
Exactly, he's running differential diagnoses on an emotional problem.
89
01:46:32,718 -->
01:46:34,438
The girl cuts straight through it:
90
01:46:34,798 -->
01:46:37,118
he only listens to tell Cuddy she's wrong.
91
01:46:37,778 -->
01:46:39,018
He doesn't hear her.
92
01:46:39,758 -->
01:46:42,798
Two kids in detention figure this out from his own narration,
93
01:46:43,538 -->
01:46:44,798
faster than he ever could.
94
01:46:45,378 -->
01:46:47,658
Then Principal Fields will not be charmed.
95
01:46:47,898 -->
01:46:50,518
Insane or stupid, those are his options.
96
01:46:50,858 -->
01:46:51,838
He tries for a third.
97
01:46:52,118 -->
01:46:53,178
She won't give him one.
98
01:46:53,778 -->
01:46:55,298
She knows about Cuddy through Wells,
99
01:46:56,058 -->
01:46:57,398
won't commit on Rachel's admission,
100
01:46:57,938 -->
01:46:59,058
tells him to grow up.
101
01:46:59,578 -->
01:47:01,918
There is no argument available in this room.
102
01:47:02,578 -->
01:47:04,898
Harder room than any medical board he has faced.
103
01:47:05,758 -->
01:47:08,578
He spots The Princess and the Pea on her shelf and makes the jump:
104
01:47:09,298 -->
01:47:10,378
Willis inhaled a pea,
105
01:47:10,678 -->
01:47:13,238
too large to wash out in a bronchial lavage,
106
01:47:13,538 -->
01:47:17,458
invisible on scans, unresponsive to every treatment the team tried.
107
01:47:18,198 -->
01:47:20,418
He calls Foreman and schedules surgery.
108
01:47:21,118 -->
01:47:22,138
The apology is short.
109
01:47:22,658 -->
01:47:24,098
He admits he was being himself.
110
01:47:24,898 -->
01:47:26,058
He explains the laptop:
111
01:47:26,578 -->
01:47:28,378
put it in the trash trusting the janitor,
112
01:47:28,518 -->
01:47:29,518
she got it back.
113
01:47:29,978 -->
01:47:31,278
Career Day was for her and Rachel.
114
01:47:31,998 -->
01:47:34,878
Whether Cuddy reads that as genuine or as a smarter strategy,
115
01:47:35,378 -->
01:47:36,538
the scene leaves open.
116
01:47:37,178 -->
01:47:39,398
He arrives at Cuddy's for dinner with his own toothbrush.
117
01:47:40,118 -->
01:47:43,298
Small but real. Rachel's admission is unresolved,
118
01:47:43,558 -->
01:47:44,978
no commitment from the principal.
119
01:47:44,978 -->
01:47:47,058
Hourani found his office searched.
120
01:47:47,938 -->
01:47:48,858
And underneath it all:
121
01:47:49,258 -->
01:47:51,198
the apology House gave Cuddy this season,
122
01:47:51,738 -->
01:47:55,098
accepted as genuine, told to Wilson the same night as a lie,
123
01:47:55,098 -->
01:47:58,638
hasn't moved. She thinks the honesty problem is closed.
124
01:47:59,358 -->
01:48:01,618
It isn't. ---
125
01:48:01,618 -->
01:48:04,358
Rachel's admission: still no guarantee..
126
01:48:05,558 -->
01:48:08,338
House left a false name at the accident scene..
127
01:48:09,338 -->
01:48:11,558
The false apology is still holding.
128
01:48:12,818 -->
01:48:14,338
Cuddy doesn't know.
1
01:48:27,706 -->
01:48:31,446
House Explained. Season 8, Episode 11.
2
01:48:32,046 -->
01:48:33,146
Nobody's Fault.
3
01:48:33,806 -->
01:48:39,066
A disciplinary hearing convenes the morning after blood was spattered across a hospital room.
4
01:48:39,646 -->
01:48:42,186
Whether someone nearly died isn't the question,
5
01:48:42,926 -->
01:48:47,866
Chase did. The question is whether House's methods caused it.
6
01:48:48,346 -->
01:48:54,366
Dr. Walter Cofield, Chief of Neurology at Mercy Hospital and Foreman's former mentor at Hopkins,
7
01:48:55,026 -->
01:48:59,926
runs the proceedings. One ruling determines whether House goes back to prison.
8
01:49:00,586 -->
01:49:02,926
He arrives, takes out his Vicodin,
9
01:49:03,546 -->
01:49:05,326
and asks who Cofield is.
10
01:49:05,926 -->
01:49:07,946
House's parole is what's actually on the line,
11
01:49:08,386 -->
01:49:10,266
if he gets suspended, he goes back to prison.
12
01:49:10,886 -->
01:49:12,706
Dr. Walter Cofield has that power.
13
01:49:13,406 -->
01:49:15,346
The whole case is reconstructed through testimony,
14
01:49:15,826 -->
01:49:16,766
this is a Rashomon,
15
01:49:16,866 -->
01:49:18,466
each witness telling it a little differently,
16
01:49:18,866 -->
01:49:20,806
each one with a stake in how it reads.
17
01:49:21,526 -->
01:49:24,546
Cofield isn't neutral and House figures that out fast.
18
01:49:24,546 -->
01:49:27,006
He trained Foreman at Johns Hopkins;
19
01:49:27,466 -->
01:49:29,206
Foreman chose him to run this hearing.
20
01:49:29,986 -->
01:49:32,706
The conflict is real, if House is suspended,
21
01:49:33,246 -->
01:49:35,506
Foreman almost certainly loses his job as Dean,
22
01:49:35,926 -->
01:49:38,406
and Cofield accepted the assignment knowing that.
23
01:49:38,966 -->
01:49:41,806
The case: Bill Koppelman, a chemistry teacher,
24
01:49:42,206 -->
01:49:44,966
collapses jogging, paralyzed in all four limbs,
25
01:49:45,286 -->
01:49:47,886
no stroke, no structural lesion.
26
01:49:48,106 -->
01:49:49,646
Three diagnoses from the team;
27
01:49:50,186 -->
01:49:52,226
House sides with Chase's read on the potassium,
28
01:49:52,226 -->
01:49:55,126
starts steroids, and Koppelman wakes up.
29
01:49:55,966 -->
01:49:58,206
Then students show up and mention an explosion.
30
01:49:58,766 -->
01:50:00,806
Right, nobody thought to ask,
31
01:50:00,926 -->
01:50:04,786
because the patient was unconscious and his wife wasn't there for the classroom incident.
32
01:50:05,626 -->
01:50:08,066
A student aide had added extra acid to the demo;
33
01:50:08,466 -->
01:50:09,766
the whole thing is on YouTube.
34
01:50:10,606 -->
01:50:11,726
Acid burns the lungs,
35
01:50:11,966 -->
01:50:14,546
the head impact causes delayed brainstem swelling,
36
01:50:15,066 -->
01:50:16,906
the picture completely changes.
37
01:50:17,646 -->
01:50:19,406
House had just found Chase's stink bomb,
38
01:50:19,406 -->
01:50:22,206
put on a gas mask, and turned it on the team,
39
01:50:22,706 -->
01:50:26,346
locked them in until they solved how to treat acid burns inside a lung.
40
01:50:27,266 -->
01:50:29,226
Taub suggests aerosolized heparin,
41
01:50:29,226 -->
01:50:30,546
tested only in sheep.
42
01:50:31,306 -->
01:50:33,346
Park objects and escalates to Foreman,
43
01:50:33,466 -->
01:50:34,266
who backs House.
44
01:50:35,026 -->
01:50:36,906
Cofield's counter to Foreman is sharper:
45
01:50:37,266 -->
01:50:38,666
by always enabling House,
46
01:50:39,066 -->
01:50:41,666
you signal to the whole team that he cannot be stopped.
47
01:50:42,586 -->
01:50:44,606
Foreman agrees that's probably what's happening,
48
01:50:45,086 -->
01:50:47,146
and agrees that if House goes back to prison,
49
01:50:47,576 -->
01:50:49,246
he likely loses his job.
50
01:50:49,786 -->
01:50:51,646
He doesn't pretend those are unrelated.
51
01:50:52,466 -->
01:50:55,046
The heparin works; the patient's nearly discharged,
52
01:50:55,066 -->
01:50:58,866
but a bath reveals a rash and the team splits three ways again,
53
01:50:58,866 -->
01:51:02,226
steroid-induced psychosis, invasive strep,
54
01:51:02,486 -->
01:51:05,606
or Wegener's. House orders a diagnostic trial:
55
01:51:05,606 -->
01:51:08,666
high-dose steroids, see which reaction appears.
56
01:51:09,606 -->
01:51:12,446
Chase sides with Adams and decides he's not waiting.
57
01:51:13,166 -->
01:51:15,406
Two of those three outcomes make the patient worse.
58
01:51:15,406 -->
01:51:16,806
That's the design.
59
01:51:17,446 -->
01:51:20,566
He takes a scalpel into the patient's room against explicit orders,
60
01:51:21,266 -->
01:51:23,706
the patient grabs it mid-psychotic episode.
61
01:51:24,586 -->
01:51:30,246
Adams spends several minutes with her finger plugging Chase's lacerated heart in the corridor while they get a gurney.
62
01:51:30,686 -->
01:51:33,906
Chase survives surgery but wakes unable to feel his legs.
63
01:51:34,746 -->
01:51:37,406
Adams testifies she blames herself, her theory,
64
01:51:37,646 -->
01:51:39,606
her needle that triggered his paranoia.
65
01:51:40,206 -->
01:51:41,526
But Taub's read is colder:
66
01:51:42,006 -->
01:51:45,446
they all knew a psychotic break was one of three possible outcomes,
67
01:51:45,906 -->
01:51:48,406
and Chase was the one who brought a scalpel within reach.
68
01:51:49,146 -->
01:51:51,786
Are those two framings both right at once?
69
01:51:52,686 -->
01:51:55,146
House rejects nerve damage, runs differentials,
70
01:51:55,546 -->
01:51:58,206
and lands on a blood clot blocking the radicular artery,
71
01:51:58,726 -->
01:52:00,186
cutting off blood flow to the spine.
72
01:52:00,726 -->
01:52:03,906
He orders an embolectomy; while Taub operates,
73
01:52:04,326 -->
01:52:07,526
House comes into the OR asking about the other patient's EKG.
74
01:52:08,186 -->
01:52:10,906
Is that indifference, or something else?
75
01:52:11,466 -->
01:52:13,066
Chase reads it as something else.
76
01:52:13,066 -->
01:52:15,966
He tells Cofield that House already had the answer,
77
01:52:16,386 -->
01:52:17,646
the other patient was cover,
78
01:52:18,086 -->
01:52:21,366
because being seen as caring is something House refuses to pay.
79
01:52:22,306 -->
01:52:23,466
Cofield doesn't believe it,
80
01:52:23,606 -->
01:52:26,426
but the clot is removed and feeling comes back.
81
01:52:27,026 -->
01:52:27,826
Feeling returns.
82
01:52:28,566 -->
01:52:30,986
Chase tells Cofield the accident wasn't anyone's fault,
83
01:52:31,306 -->
01:52:32,986
he was angry, not distracted.
84
01:52:33,586 -->
01:52:36,346
If he walks again, it's because House is a genius.
85
01:52:36,966 -->
01:52:40,686
Cofield pushes back: House's culture normalizes defiance,
86
01:52:40,686 -->
01:52:42,906
the prank war compromised his judgment,
87
01:52:43,486 -->
01:52:46,366
or medicine is a game and Chase wanted to win.
88
01:52:46,866 -->
01:52:48,106
Near the end of the final interview,
89
01:52:48,306 -->
01:52:50,766
House opens his Vicodin bottle and it explodes,
90
01:52:51,306 -->
01:52:53,426
Chase's prank. Two explosions.
91
01:52:54,366 -->
01:52:56,126
He runs out, catches the patient's wife,
92
01:52:56,546 -->
01:52:58,146
and delivers the real diagnosis:
93
01:52:58,666 -->
01:53:00,586
a pre-existing lymph node tumor,
94
01:53:01,106 -->
01:53:02,606
ruptured by the classroom blast,
95
01:53:03,086 -->
01:53:05,206
flooding Koppelman's body with cellular debris.
96
01:53:06,106 -->
01:53:07,706
Tumor lysis syndrome.
97
01:53:08,346 -->
01:53:11,926
And the psychosis? The team's own steroids caused that.
98
01:53:12,386 -->
01:53:14,186
The wife walks into the hearing room the next morning,
99
01:53:14,586 -->
01:53:18,066
tumor confirmed, full recovery, and Cofield rules:
100
01:53:18,746 -->
01:53:22,026
nobody's fault. House finds a parole form in the folder,
101
01:53:22,486 -->
01:53:24,246
the verdict drafted before she arrived;
102
01:53:24,746 -->
01:53:27,006
her timing changed it, not the evidence.
103
01:53:27,746 -->
01:53:29,126
He calls Cofield a coward.
104
01:53:29,626 -->
01:53:31,166
He's right that the argument matters.
105
01:53:31,686 -->
01:53:34,886
A good outcome doesn't retroactively justify a reckless process,
106
01:53:35,326 -->
01:53:36,806
which is strange to hear from House,
107
01:53:36,806 -->
01:53:38,826
who usually runs the opposite direction.
108
01:53:39,526 -->
01:53:43,186
He's holding Cofield to a standard he doesn't consistently apply to himself.
109
01:53:43,806 -->
01:53:45,486
House goes to Chase in physical therapy.
110
01:53:45,946 -->
01:53:47,046
The ruling was wrong.
111
01:53:47,166 -->
01:53:47,926
He's sorry.
112
01:53:48,566 -->
01:53:51,486
No witnesses, no benefit, nothing asked for.
113
01:53:52,126 -->
01:53:54,466
Chase says he's busy and turns back to his exercises.
114
01:53:55,266 -->
01:53:56,746
We don't know if it changes anything,
115
01:53:57,166 -->
01:53:58,506
House won't alter his methods,
116
01:53:58,686 -->
01:54:00,106
and Chase gives him nothing back.
117
01:54:00,646 -->
01:54:03,146
But it's the most unguarded moment he's had all season.
118
01:54:04,666 -->
01:54:11,366
Chase walks again. The apology lasted seconds and landed nowhere..
119
01:54:12,286 -->
01:54:16,806
Cofield ruled. House's methods are on record and unchanged..
120
01:54:17,786 -->
01:54:19,426
The next case begins.