House, M.D. s03e20 Episode Script

Ladies and gentlemen, step around.
Step around.
Come on.
Gather around.
We'll show you a little way to make a little easy money today.
You understand what I'm saying? These are the blacks.
Don't follow the blacks.
You wanna follow the queen.
Know why? 'Cause she's red and that means she is hot.
You gotta find the queen.
Find the queen.
The first of the day is free to play.
Who wants to play? You look interested, my man.
You wanna step on up? Come on now.
Who wants to play? Oh, what about you, sweetie? You're cute.
Come on up.
All right.
Come on here and play.
Cute girls win money.
You look lucky.
Now, you look lucky.
Now, follow the queen.
Here we go, ladies and gentlemen.
Follow the queen.
Follow the queen.
Ain't no Helen Mirren, but this queen is for you! Which one? Which one? Which one is it? Which one is it? It's right there.
Right there? Beginner's luck.
Beginner's luck.
I'll tell you what.
It takes a woman to know a woman.
It takes a lady to find a queen.
There you go Wanna double up? All right.
All right, we've got a chancer.
We got a chancer.
We got a chancer.
All right.
Here we go.
Here we go.
All you gotta do is find your queen.
You will not win again.
You will not win again.
All right.
Here we go.
Here we go.
Find your queen.
Find your queen.
Where is she? Where is she? Where is she? Can you find her? Right there.
This one? Oh, my She is killing me here.
Taking all my money.
Anybody else wanna get behind the good-luck girl? I can do it.
You can do it? All right.
You're next.
Just give me a chance to recover and get my money back or else I'm gonna be out here sleeping on the street.
Here we go.
All right? Ready? This is the last time.
I'm not messing with you no more.
You're taking all my money, girl.
I'm not messing with you no more.
Here we go.
One more chance.
This is your last chance.
You're gonna follow the queen, baby.
Follow the queen.
Where's she at? Where's she at? Just one time.
I'll show you one time and there she is.
Boom.
Boom.
Boom.
Pick a card.
I can't decide.
What do you mean? Just pick a card.
Just make a decision.
I can't decide.
Come on.
Any card will do.
Left? Right? Center? I don't know.
Do you want the right? I don't know.
I The left? The center? I don't know.
I Move out the way and just let somebody else play then? I can't decide.
I can't.
You wanna flip a coin for it? What's wrong with me? Is she okay? Scariest 30 seconds of my life.
I couldn't do anything.
It's like I couldn't move inside my head.
It's called abulia.
The inability to make a decision or exercise will.
Is it going to happen again? It's part of a TIA.
A transient ischemic attack.
Blood was cut off to a section of your frontal lobe.
Is it like a stroke or something? A little.
What drugs have you taken recently? No drugs.
Toxins are another possibility.
You might have been exposed to something at work, for instance.
No real job right now.
Exposure can build up over time and lie dormant for a while.
What was your last job? Pet store.
Exotic pets? Tropical fish.
And before that? Unemployment.
And before that, I sold subscriptions on the phone.
And before that, unemployment.
Before that, I worked at Jeans Gone Wild.
Before that, unemployment.
Before that, I walked dogs.
And before that Loss of free will.
I like it.
Maybe we can get Thomas Aquinas in for a consult.
What caused the TIA? Arteries are clear.
No sign of a clot.
Could have dissolved.
Most likely came from her heart.
We should do a bubble study.
Clots are unlikely in a It's probably a vasospasm caused by drugs.
I don't think so.
She goes from job to job.
Maybe there's some kind of ADD here.
Help us pinpoint where the neurological She goes from job to job because she's a scam artist.
She works just long enough to qualify for unemployment, then gets fired and gets high.
I still don't think it's drugs.
Did you check for infection? LP showed nothing.
No fever.
White blood count is normal.
Could be toxic exposure.
You're the one always saying it must be drugs.
You figure she's a minority, she must be stoned? You know that's what I She seems like a nice girl.
You haven't met her! She was pregnant at 15, dropped out of high school.
She's a real overachiever.
Come on.
Cut her some slack.
Her baby died of SIDS.
This isn't some romantic story about a nice girl scarred by tragedy.
She's a drug-using scam artist scarred by tragedy.
On the other hand, the tox screen just came back.
She's clean.
You're wasting my time.
He's wasting Second ex-Mrs.
Wilson want money? I am no longer paying alimony.
She wanted her independence, so she got her realtor's license.
Market's doing badly.
She wants money.
Market's doing badly.
She's moving into a condo.
She wants She wants me to take Hector.
Pool boy? Dog.
No longer interested.
We got him on our honeymoon.
So I'm like the other parent.
But I can't take him.
My hotel doesn't allow dogs.
Besides, I'm always here.
I asked Cuddy to a play Thursday.
Oh, you Okay.
She said she was busy.
And you didn't believe her, so you bribed a janitor, broke into her computer, checked her appointments I asked her as a test.
What would you have learned if she'd said yes? A lot about bondage.
She was busy for me but not for you.
She's not interested in play qua play.
She's interested in you.
No.
I'm not getting sucked into the vortex of your insanity again.
Don't pass me notes in class.
Don't tell me to ask her to the prom.
You cannot see her socially.
You're leading her on.
I'll consider that.
After I take her to the Hockney exhibit.
On Thursday.
See, she is busy.
It's not a date.
She enjoyed the play.
I enjoyed her enjoying the play.
The woman works hard.
It's nice to see her relax.
So all this enjoying is an act of charity.
I'm keeping the receipts for tax purposes.
What's life without the ability to make stupid choices? She needs her free will.
Find out why her brain froze before she can't decide to take her next breath.
You find the toxins.
You run your bubble study.
You won't find anything but I'll get the office to myself.
There's a lot of porn piling up on the Internet.
Doesn't download itself.
Eric? Eric! Hello, Mr.
Foreman.
Dr.
Chase.
How are you? Good.
You're lucky you caught us, actually I'll meet you outside.
Hey, Dad.
I've got to go.
Why are you here? Everything okay? Good as ever.
We're staying at a hotel down the street.
You didn't bring Mom with you? It's gonna be her I know.
We talked about it on the phone.
You said you couldn't come home.
You didn't have to come.
You haven't been home in eight years.
She should see you, while she still knows who you are.
Dad.
I've talked to her on the phone.
She only knows who I am sometimes.
Sometimes is important.
So what's up with your dad? Didn't know he was gonna be in town? No.
Building this old, could be toxic exposure anywhere.
Asbestos, mold, the coloring agents in the old wallpaper.
Or it could be drugs.
I thought we ruled out Clean tox screen means drugs didn't cause the TIA.
Drugs can be laced with toxic substances.
Arsenic, rat poison.
The drugs wash out of her system, the toxins stick around.
Exposure could come about any number of ways.
There's no reason to assume it was through drug use.
Absolutely.
Except for the crack pipe.
I'll test her blood for arsenic and rat poison.
Yeah.
Yeah.
You'd like that, wouldn't you? And your dad asked you out for dinner? I'll do the tests.
You're stuck with your family.
You like Hockney? You heard about that.
The pop stuff or the Venezuelan pictures? That's a trick question.
Yes.
But you have no idea how it's a trick.
I like art.
I'm open to new things.
What's the problem? You're going to a gallery to see Venezuelan pictures that don't exist.
But you won't go to a play with me.
Why? House, why is my social life suddenly red hot? One minute I'm mushing along with the huskies as usual and suddenly it's global warming.
You think you saw somebody else pick up a toy from the sandbox and suddenly you want it.
Is that why you said no? Maybe I just want a friend and I thought Wilson was a safe choice.
I'm not safe? Cool.
James Wilson is never the safe choice.
We're going to a gallery.
We're not getting married.
Sure, you say that now.
He always marries them in the end.
Is that Eric? Eric! Oh! Oh, baby.
Baby! I wanted to find that picture I took at your high school graduation.
I had it reframed.
It's in one of these suitcases, but I don't know You can show it to me later.
Your father wants to know if you've been praying.
You don't have to just come out with it like that.
But I only want to know if you're happy.
Sure.
I'm okay.
You like it here? You have friends? Yeah.
Everything is great, Mom.
That's why I brought the picture for you.
I remember when you were little you liked to look in the back of the math book because you knew even though it made no sense then, by the end of the year you'd understand it all.
That's why you brought the picture? You wanted to look ahead, to see how far you'd go.
Now you're a grown man, I thought you might like to look back to see how far you've come.
It all makes sense now.
Doesn't it? That isn't mine.
It was in your closet.
It belongs to this guy who used to live with me.
You might want to let him know he's got arsenic poisoning.
We should get a sample of his hair so we can see the extent of it.
But I don't do I don't do drugs.
Get a crash cart in here! Respiratory arrest! Are you sure it isn't from the arsenic? Dr.
Foreman said I was poisoned.
Your hair showed only a trace amount.
Not enough to damage your lungs like this.
We need you to stay still now.
Six-millimeter cuts starting at the apices.
Also, I just wanted to let you know should you change your mind, I'll be available.
Aren't you getting tired of hearing me say it? I have no intention of going out with you, of having sex with you, of doing anything with you.
Except work.
We don't have to make a big deal about it.
I just thought I'd let you know.
I decided Tuesdays would be a good day to do that.
You did not suddenly fall in love with me.
You were looking for something and I happened to be standing Cameron, it's fine.
No need to go on about it.
Advancing through the lung bases.
We need to put this behind us.
Understood.
But you keep bringing it up.
You're the one who's still talking.
Look, I'm not demanding anything from you.
I'm not following you home.
I've got no expectations.
A gentle, polite reminder once a week is hardly stalking.
There's a mass.
Just outside the lingula.
Biopsy shows there are white blood cells in the walls of the blood vessels.
They're not supposed to get past the bouncers.
Got to be autoimmune, something lymphocytic.
White blood cells are attacking her own body.
Only question is, what kind of autoimmune? Doesn't matter what kind.
It always matters what kind.
Treatment's always steroids.
Treatment is always boring.
Diagnosis Okay.
It's affecting the larger blood vessels.
Gotta be giant cell arteritis.
I'll start her on steroids.
It's affecting the smaller blood vessels.
Gotta be lupus vasculitis.
I'll start her on steroids.
It's affecting Yeah.
Got it.
Start her on steroids.
Good idea.
Told you.
That was boring.
I gotta go out.
Why? Wilson's got a date.
It's got It's got an open floor plan.
You know, I can't believe you called me.
Hey.
I need a condo.
Didn't you and Wilson have your first date around here? Wow! You remember where our first date was? I didn't think you were paying attention.
Really? He's my best friend.
Our first date was in Boston.
Oh.
Not quite as close to here as I remember.
But we're not here to talk about him.
Absolutely not.
Wait till you see the kitchen.
All-granite countertops.
Since I wasn't paying attention back then, what was it like dating him? So this is Hockney? No.
I don't know what happened.
I'm sure you don't.
I never knew your tastes were so eclectic.
Oh, the Hockney exhibit finished on April 20th.
I thought it was May 20th.
Okay.
My bad.
This is not somewhere I'd bring someone on a date.
Not that this is a date.
Obviously.
I was just thinking He's doing landscapes on multiple canvases now.
And they're kind of peaceful and you're always so busy Wow.
I don't think I've ever seen you embarrassed before.
Oh, it was never a date.
I was coming off a bad relationship and he said we could go out as friends.
You know, just go see plays, go to a museum.
I didn't think you liked Trenton.
Love it.
So he'd say it's not a date but then he'd jump you.
Oh, no.
He meant it.
James Wilson, carefully calibrating his level of protectiveness for your individual needs.
Did you just compare Wilson to a tampon? No.
It was very endearing.
He really just wanted to be a friend.
So I jumped him.
The bedroom's through here.
That's such a bad idea.
There's no way that won't cause damage to the large intestine.
Are you keeping us here to torture me? Is that a bicycle pump? That's what I'm saying.
It's like walking into a sticky trap.
And once you're the focus of all that attention, it's addictive.
This unit's kitchen's got a chef's oven.
I cook a lot.
Go on.
But it's the emotional stuff that really sucks you in.
He's just so knight-in-shining-armor, you know? Always there to support you, until one day he's not.
But by then you're hooked.
Hey, do you think that you could talk to him about taking the dog? He's the only one that Hector really gets along with.
Hey, we're here to talk real estate, not Wilson.
So you're saying if you'd actually had sex before you connected emotionally, you'd have gotten over him.
Oh, yeah.
Seems weird, right? 'Cause sex with James is fantastic.
Nobody works harder to give a woman what she wants.
It's got six burners.
The chef's oven.
Right.
How you feeling? That wasn't my crack pipe.
You told me.
Are you tired? I just took a hit off it a couple of times.
What's wrong with having a little fun? Your personal life is none of my business.
You don't like me though, do you? That's your imagination.
I've seen every kind of drug abuse.
No offense, but you don't even stand out of the pack.
I'm betting you got money in the same place you got attitude.
You know, people who quit drinking and people who lose weight.
They think they're better than the people that couldn't and because you got out of the projects, you think that anybody who didn't is weak and stupid.
I'm not judging you.
Now take a breath.
The only difference between me and you is that I made some bad decisions and you made some good ones.
You make bad decisions every day of your life.
Stop doing drugs.
Stop having fun.
Go back to school and get your GED.
Yeah, where's the money coming from? The system's not set up for people like me.
What are you staring at? Your eyes.
There's yellow in the sclera.
Her liver's failing.
Without a transplant, she'll be dead in the next 48 hours.
We should increase her immunosuppressants and target more specifically.
Add methotrexate.
Yeah, let's do more of what's not working.
This isn't an autoimmune disease.
Her white blood cells are attacking her body.
That's autoimmune.
First brain, then lungs, now liver.
All getting worse and all in two days.
It's moving too fast.
It's gotta be cancer.
Lymphomatoid granulomatosis.
It's rare even by our standards but it fits her symptoms.
Explains why the steroids aren't working, poor fingernail growth.
A lot of people have bad fingernails.
A lot of people don't have three organ systems shutting down.
Her blood vessels are taking this thing everywhere.
She needs total body radiation.
We can't do anything until we can confirm Running those immunochemistries could take a week.
She'll be dead by the time That doesn't make radiation any safer.
Okay.
Suppose Chase and Cameron are right.
Suppose it's an autoimmune disease.
What's the biggest danger of total body radiation? It suppresses the immune system, which is what we're trying to do with the steroids anyway.
I don't usually put out on my first date but I gotta say that is a rad move.
Get her consent.
Start the radiation.
The patient's not too thrilled with me.
I'll get her consent.
Foreman's got personality issues, so you're gonna step in? Patient doesn't like Foreman.
I'm interested.
Fatigue, hair loss, possibility of damage to the lungs, infertility.
All possible side effects of radiation.
Why don't you like Dr.
Foreman? He thinks he's better than he is.
How good is he? I don't know.
Can we get back to what's wrong with me? There's a small possibility of leukemia at some time in the future.
Hardly worth mentioning.
You can't say he thinks he's better than he is if you don't know how good he is.
No one's as good as he thinks he is.
I am.
You might also get cataracts.
Sign here.
I don't know.
You're telling me how dangerous this is.
We're saving your life.
We're that good.
Sign there.
I can't decide.
Would you rather a pencil or a pen? Who's the better James Bond, Sean Connery or Daniel Craig? You see? That's not even a decision.
It's happening again.
I can't.
I can't.
Up her blood thinners and get her down to Radiology.
The attack will be over in 20 minutes.
Then she'll wanna sign this.
Bonnie called last night to talk about the dog.
Your name came up.
Good Lord! How do you still have teeth? She's the worst realtor in New Jersey.
What is this? Escalation? I go out with Cuddy, you hook up with my ex? I don't even know what that's designed to do.
You're an addict.
I'm saving you from yourself.
By condo shopping? Thank you.
If I can figure out where you keep going wrong, then I can nip this Cuddy thing in the bud before she becomes the fourth ex-Mrs.
Wilson.
Yes.
I was worried there was no way to stop that train.
You have to have sex with Cuddy.
Wait.
To stop the train? Bonnie said I'm bad in bed? Huh? Yeah.
She also said that if she'd slept with you before she liked you then it would've made it easier to handle when you turned into the sorry bastard who left her alone.
I told her you were wasting her time, by the way.
You think that's gonna stop her? The woman's the worst realtor in New Jersey.
How do you feel? Weak.
Sleeping a lot.
That's normal after radiation.
Deep breath.
A little queasy, too.
When I feel sick to my stomach I always want vanilla ice cream.
It's soothing.
It's best to stick with liquids for now.
I'm getting a murmur.
Oh, my arm! It's hurting me! Take it off! Take it off! Oh, my God! Pain is the issue.
Just the pressure of the BP cuff was enough to start her screaming.
That's not cancer.
It sounds like Sounds like she's septic.
A lot of things can cause pain.
How much pain? Too much.
It's not cancer.
It's not autoimmune.
It's an infection and we fried her immune system.
But she had no fever.
Her LP was clear.
Do an echo.
Confirm it's in the heart.
And then I'll tell our patient that we just killed her.
I'll tell her.
Hi.
You haven't been returning my phone calls.
I'm busy.
Well, but if you have half an hour a little later this afternoon, I just found this unit ten minutes from here.
It hasn't been on the market yet.
I'm off the market for condos.
James was right? I never had the teeniest chance of selling you anything? Of course he was right.
Wilson doesn't stop giving good advice just 'cause you're divorced.
He's compulsive about remaining on good terms with his exes.
Do you wanna know why I named that dog Hector? No.
Let's keep it a mystery.
Because even when he was a puppy, he was the worst-tempered dog we'd ever seen.
He was supposed to be house-trained.
He'd pee on the carpet every morning.
When we had people over, he had to nip at their ankles.
"Hector does go rug" is an anagram for "Doctor Greg House".
That's how early in the marriage I resented you.
Wow.
Did I ever waste money on that place setting.
James at least had the decency to feel guilty when he hurt me.
Whereas I didn't hurt you.
I didn't even marry you, cleverly hoping to avoid moments like this one.
You always needed him and he was always there for you.
If you keep yelling, I'll think you'll owe me sex.
You knew he had a wife waiting at home.
You didn't care.
Now, I'm not saying you broke up the marriage, but you didn't help.
First, "Hector does go rug" is a lame anagram.
You want a better one for Gregory House? "Huge ego.
Sorry.
" Second, find a new career.
You're never gonna sell anybody if you let them control the agenda.
And third, I don't owe you anything.
I'm not Wilson.
I'm not gonna buy a condo just to make you feel better.
You okay? Yeah.
Tell me how to do this.
House says people thank you after.
It's not typical.
I already killed this woman.
All I can do now is not make any more mistakes.
First of all, stop thinking you can minimize the hurt.
A lot of people are afraid of the word "dying.
" If you pussyfoot around it, she's not going to read your mind.
Okay.
No, it's not.
When you look in her face, you're gonna feel the instinct to temporize.
Crush it.
Yeah.
Then wait.
Give her time to process the news.
Let her know you'll be with her through all of it.
Wait till she's done thinking, till she meets your eyes again.
Then if you feel it's appropriate, you can touch her.
Maybe put your hand on her arm like this.
Let her know she's still connected to another human being.
You've got this down to a science.
You're freaking out.
I told you Give her what she needs.
What she doesn't need is a doctor who's not there with her because he made the wrong call.
You are freaking out.
You should be freaking out.
I won't let her see it.
Let her see it.
Hey.
How come no mask? We think You have an infection.
Didn't the radiation work? It did what it was supposed to do.
You're dying.
What do you mean? Like things are bad and that someday I'm gonna How much time? How much time? We can't know exactly.
A year? Less than a year? Less than 24 hours.
I don't understand.
Why are you saying this to me? You're trying to scare me? Why would you do that? I'm sorry.
It's true.
How bad is this cancer? Yesterday you thought I had a chance.
You don't have cancer.
You came in with an infection.
We didn't catch it.
What kind of infection? Doesn't matter.
Radiation was the worst thing we could have done.
We destroyed the part of your body that was fighting it off.
It's spread to your heart.
Then give me drugs.
They have drugs for infections.
Antibiotics work with the immune system, but your immune system is nonexistent because of the radiation.
If it's my heart, you can get me a new heart.
People have heart transplants all the time! It wouldn't help.
The infection's everywhere.
There's nothing anybody can do.
I'm so sorry.
We'll call your grandparents.
Get the hell away from me! Get out! Get out! I think it's broken.
Nothing like a melodramatic gesture to solve everything.
We were wrong, too.
Steroids wouldn't have helped her.
I didn't not help her.
I actually pulled the trigger.
There's nothing left for you to do.
One of us could go home with You're trying to make me feel better? Yeah.
I killed a woman.
Don't you think it's appropriate I feel like crap for at least a little while? It won't help her.
Where is he? He went to the ICU.
What are you doing? Prepping for an aspiration.
We still don't know what infection It's not gonna help her.
It's not gonna hurt her.
Well, it is gonna hurt her but it's not gonna No.
This'll just take a few minutes.
I'll grab a piece of an abscess, some pus You really don't care.
You really don't care why she's gonna be dead.
She's gonna be dead because What? What did we screw up? What did we miss? I need to know.
You'll have to wait.
We're moving her back to her room.
Patients who've had total body radiation have to stay in ICU.
ICU isn't going to help her.
Let's give her some privacy.
What do you want? Want to see if I'm dying on schedule? Or do you want me to tell you it's all right, I'm okay with it? I'd like your forgiveness.
I don't expect it.
Good.
'Cause this isn't like you ran your cart into mine at the supermarket.
No.
Your grandparents haven't arrived yet.
If they don't make it on time, is there anything you'd like me to tell them? I never really knew them.
You got any friends you want me to call? It's the middle of the night.
They're not the kind of friends you ask to help you move, never mind watch you die.
I never did much.
No kid to leave behind.
When I go, the world's not gonna be any different.
Kind of a relief for you, huh? You were right about me.
Yeah? Which time? I had a problem with you.
But you were wrong, too.
I've made some bad decisions.
Stole cars.
Robbed houses.
Killed a woman.
But then I got another chance.
Left home, went to college, entered a whole other world.
And there's some part of me I can't get rid of, always thinks, if I'm not the smartest, if I'm not the first, everywhere I go they'll figure out I'm not supposed to be here.
They'll send me back.
You know that's not gonna happen.
You're out.
I'll never be out of there.
When I came home that last Christmas I was in college, it was like the rooms felt so small.
It was suffocating.
But when I was standing on the stoop saying goodbye, my mom put her arms around me.
That was That was the last time I ever felt at home.
I only put distance between you and me because I know there isn't any.
You were right about me, too.
That stuff about the system being against people like me I know it's crap.
I mean, it's true but it's also crap.
I just wasn't ready to try again.
But I always thought I was young.
I had time.
Aren't you ever gonna leave? No.
Yeah? Time of death, 3:35.
Do whatever you want.
You wanna go and get drunk? No, thanks.
I've got paperwork.
Listen, I don't I don't know what I believe but sometimes I need to think there's something out there paying attention.
So when I can't talk to anybody, I talk to God and pretend somebody's listening.
We were all wrong.
You know? Even House was wrong.
I know.
I got your consent.
Her bra hook.
What? She scratched herself with her bra hook.
That's how the infection got in.
Staph aureus.
She died from a simple staph infection? That and some bad decisions.
I'll be outside.
Go home.
Have a few drinks.
Go to sleep.
Get up tomorrow.
And do it all over.
Only better.
If you need absolution, go to a priest or give alms to the poor.
Whatever ritual comforts you.
I killed her.
Yeah.
Me, too.
This wasn't, "Oh, I should've thought of that idea sooner.
" This wasn't messing up a dosage! We see a disease rushing down on someone like a train, we can't always get them out of the way! But this wasn't that.
No.
And you'll do it again.
For a lot of doctors, this would be a once-in-a-lifetime mistake.
But we're not a lot of doctors.
And we'll save more patients than the guy down the street but a few of the ones that he'd save by doing what everyone else does, we will lose.
So you're giving me numbers.
Because they don't lie.
I can't forgive you, Foreman.
Because there's nothing to forgive.
What did you tell him? That guilt is irrelevant.
You wanna get something to eat? Can't.
Got a dog waiting at home.
What's wrong? I did something bad, Mom.
I hurt somebody.
It wasn't your fault.
It was.
Then I forgive you.
I forgive you.
I can see from your face you'd never hurt anybody on purpose.
Do you know who I am, Mom? It's Eric.
Of course.
My little boy's name is Eric.