House, M.D. s05e01 Episode Script
HOU-501 - Dying Changes Everything
Who picked this dump? You suggested it.
I suggested you look into it.
Sorry, the online reviews Were obviously written by some geek in their own marketing department.
Next time, call someone you know.
Stop relying on a computer to do your job for you.
Brightsize Apparel eight sexual harassment suits in two years.
Who asked for the meeting? They did.
Patty Michener, President of Women's Majority.
And, wow, do you guys need me.
Nine men? No one thought it might be a good idea to put a suit on one of the gals from the steno pool to make it look like you give a damn? We've made it a priority to promote more women, but Well, from now on, you have me standing beside you.
Which is good, because your problem is a national problem.
With all due respect, Miss Michener I'd hardly call a few isolated incidents a national problem.
Six out of 10 victims never even report harassment this is bigger than just eight women.
That still only means 20.
Not enough for you? How many asses does your corporate policy allow you to grab? Tell you what you're going to do you're gonna settle with anyone you haven't settled with you're going to fire any man who's even been accused.
Somebody, help me! Please, help me! I can't get them off! Please help me! Help me, please! Somebody help me! Get them off! You gonna call an ambulance or you just gonna sit there and stare? Help me, please! Wilson's back.
You gonna Been gone two months he can wait till I finish slaying a guy in a skullcap and a pair of tights.
On a video game you stole from the pediatric ward? On advice of counsel, I assert my privilege pursuant to the Fifth.
When was the last time you talked to him? Uh, I think it was after When did his girlfriend die? He wanted time alone.
I considered being a horrendous pain in the ass but I didn't want to tread on your turf.
We got a case.
I got to remember to close the blinds.
Just got a call from Patty Michener from Women's Majority, the women's rights We know who she is.
I dated her.
Well, not really dated her more metaphorically raped her by having a penis.
You did, too.
Her assistant flipped out ripped off her clothes in front of a roomful of businessmen.
Either she cracked under the whip or she started to realize that her evolutionary purpose is to arouse men, not to castrate them.
Send her to psychiatric Anemia, bradycardia and abdominal pain aren't psychiatric symptoms.
Then it's the latter, send her to my apartment.
I'll give it to Segal.
House actually wants a case, and you're saying no? House has more important things to do.
Sorry, can't help you.
You need a specialist to remove those kinds of warts.
Preferably one with experience spelunking.
Hallucinations, possible memory loss tests show anemia, slow heart rate and a stubborn refusal to shave her pits.
Have you seen Wilson? No, but I have seen the patient's frequent flyer balance.
Eastern Europe, Asia, third-world countries, sometimes more than one a day.
No fever means it's not a tropical disease.
If it's not where she went, maybe it's the work hours.
Could be amphetamine abuse.
She's probably popping them like breath mints.
You haven't been by his office? Is Wilson hallucinating ants crawling all over him, too? Tox screen's cleaner than the windows she won't do.
Her job keeps her constantly on the road probably living off of airline peanuts and diet soda.
Severe B12 deficiency could cause all her symptoms.
Why is everyone leaping to conclude a strong career woman's been made sick by her strong career? It's not B12.
It's an insulinoma in her pancreas it's making her hypoglycemic.
Great, now everyone knows.
You knew the patient had cancer? Is that what she said? I thought she said "I'm suddenly and irrationally defending the patient's strong career "even though in reality she's just a glorified grunt "because I'm trying to convince myself that it's okay not to have a life "'cause I don't have a life, because I was tested for Huntington's "and my lifespan's been cut in half.
" Been waiting two months for her to say that.
Hallucinations, anemia, bradycardia Hyper segmented polys says that Taub's right.
Pump her full of B12 see how a strong career woman's been made sick by her strong career.
Are you okay? It could be years before you see any symptoms.
Why wouldn't you tell us? I don't have Huntington's.
Are you lying to us? Because it's none of our business.
If it's none of your business, I shouldn't have to answer questions.
And I wouldn't have to, except House doesn't want to answer questions about Wilson.
He's deflecting his own problems onto me.
Are you deflecting now? Time for the B12 cocktail and my life lesson.
No, Patty'll do the hearing, she just needs to be the lead-off witness so she Okay.
I'll lock it down today.
Need you back in bed.
My boss has a big Beijing trip, I've been planning it for months.
I was just tired and dehydrated Yeah, whenever I lose some shut-eye I pound my legs clawing at imaginary ant colonies.
You have a severe B12 deficiency.
Get back in bed.
I'm sure your boss can do without you for a few days.
It's not about her, it's about me.
I want to be there, I want to matter.
Yeah, I mean, without you, who knows how much starch they'd put in her shirts? I'm sorry, I'm sure your boss depends on you for I need to get up.
No, you need to stay in bed.
Please, where's the bed pan? Oh, my God, I'm sorry, I just I just had a bowel movement.
It's okay, B12 deficiency can cause sudden That's not a bowel movement.
My patient is still fighting in the feminist trenches, but the war is over.
Yesterday's sluts are today's empowered women today's sluts are celebrities.
If that isn't progress I'm leaving.
What, you're gonna take another two months? Boy, you're really milking this bereavement thing, aren't you? I mean, good for you.
Take all the time you need.
I'm resigning.
Maybe moving out of New Jersey, I don't know yet.
Okay, that's an understandable reaction.
It's not a reaction, it's a decision.
I'm writing Cuddy my resignation right now.
I'm just back for the week to wrap up my clinical and administrative duties.
You of all people should know, this is bereavement 101.
You think that a change in venue Well, that spares me decades of psychoanalysis.
I'm not saying you're not in pain.
You're saying my pain's a cliché.
I'm saying that pain fades.
Did yours? Physical pain is different.
I'd rather have my leg chopped off.
You don't know that 'cause you haven't felt Neither have you.
Sorry, patient's got a rectal bleed.
I'm busy.
We need you to Actually, as you can see, I'm not busy.
It was just a euphemism for "get the hell out of here.
" This is your grief talking, and, yeah, it is a bit textbook.
So before you give away all your possessions to the Salvation Army My girlfriend's dead.
I'm glad you've read that book before, I haven't.
I'm late to meet Dr.
Olan to brief him on the cases I'm handing over.
Bye.
It doesn't bother you that House wouldn't take just two seconds to talk about the patient? Wilson's dealing with a lot.
And our patient may be dying.
She was bleeding out her rear, we're looking up her rear.
You think we needed House's expertise to set us on this course? Her heart rate's slow, bleed should have made it faster.
And it can wait till after we know where it came from.
And after he's done dealing with personal issues.
Yeah? That the way it works around here? We get cut slack while we deal with personal issues? You're not the boss.
Boss gets to make the rules, boss gets to ignore She's bleeding from nowhere.
You did an endoscopy? And a colonoscopy.
CT scan? Ordered.
But it shouldn't show anything the endoscopy didn't.
We can't do a CT scan.
Why not? We don't need a CT scan, we don't need House.
Stop grinning and talk.
One of the routine pre-procedure tests was positive.
Which one? The one that if it's positive would explain a hormone imbalance that could screw with heart rate and blood flow.
Guess she does have a life beyond her career.
I'm pregnant? You want to call the father? Let him know? Soon as you do some DNA testing, let me know.
Must be hard to have a real relationship when you're Are you making excuses for me? I'm just saying it's understandable.
You only have to understand something if it needs an explanation.
I have needs, I met my needs, end of explanation.
How recently were you needy? It's been two or three months at least.
What? What is it? Nothing.
Tell me.
It's actually, nothing.
The ultrasound shows no trace of a baby at all.
Positive pregnancy test, no pregnancy.
B12 deficit rectified, but her heart's slowing even more.
And a bleed should speed her heart rate.
House, this is the kind of case you love contradictions piling up left and right.
Two false positive pregnancy tests bradycardia, lower GI bleed.
Go.
Choriocarcinoma, would've triggered pregnancy hormones.
Also would've shown on the sonogram.
Lmmunoglobulin A deficiency.
No urinary bleed.
If she's had beta-HCG injections, they can cross-react with Keep going.
You're being an idiot.
You're gonna blow up your career, then six months from now when you've moved on from Amber to burnt sienna you're gonna be stuck on a mobile oncology truck in Pewaukee, Wisconsin.
I'd need a flow chart to explain all the ways in which that was ridiculously insensitive.
You can't hide from misery.
This isn't your business.
My skull was cracked open trying to save her.
Then we all need a little tea and sympathy.
I'm through discussing it.
We have a patient.
Who's obviously not going anywhere with a bloody rectum.
Great to have you back.
Actually, I'm Actually, he's about to thrust a tanto into the belly of his career.
I'm leaving the hospital.
I'm sorry.
This is obviously a terrible time, but Why are you leaving? I just need a change of scenery.
Buy a plant.
Rectal bleeding, two positive pregnancy tests.
There's nothing we can do You could ask House to be a grownup and respect my decision.
I respect things that deserve respect.
This decision, on the other hand, is a dog wearing a cape.
Hallucinations, heart rate won't respond The patient tested positive for pregnancy because the patient is pregnant.
Hey, who are you? This is Dr.
House.
He's too brilliant for introductions.
False positive.
You're too busy to be running a day care center in your abdomen.
False positive.
Not to mention, you should wait till at least 30 to punish that pleasure portal with a seven-pound tissue expander.
I'm 37.
And I thought I wasn't pregnant.
Thirty-seven? Lmpressive.
Too bad you're not passing on those genes.
Does that look false to you? You were looking in the wrong room.
It's more common when the egg lands in the oven sometimes it winds up in the fallopian tubes in rare cases, it plummets through the plumbing entirely.
It's using her intestine as a blood supply.
Caused the rectal bleed, and now Junior Miss Steinem's junior must be pressing on her vagus nerve, slowing her heart to a crawl.
Yank the fetus.
If she survives the surgery, she'll be fine.
What if she wants to keep the baby? She doesn't.
We can't take two seconds to discuss this? I mean, fetuses have been transplanted before whole uteruses, too.
Just terminating the fetus when it's glued to her intestines is high-risk surgery, saving it is a fantasy.
That was at least three seconds.
She's a 37-year old woman who deserves People get what they get it has nothing to do with what they deserve.
And this has nothing to do with her genitalia and everything to do with your genetics.
You told me to get tested.
I didn't know it was gonna color your every medical opinion, every personal opinion.
You didn't think a death sentence would People die.
You, Amber, everyone.
Don't act like you just figured that out.
I gave you a diagnosis, you don't like it, there are exits on every floor.
I'm sorry to be so definitive about this.
I know you're still absorbing the news, but we have no choice but to Remove the fetus, absolutely.
I have no boyfriend, no husband I'm on the road with Patty all the time.
Where do I sign? Oh! Feel any tenderness back here? No, not at all.
So you're treating professional sports injuries now? No, I'm not Familiar with the concept of sarcasm.
Don't sweat it, it's new.
Have you spoken to Wilson? We'll get you an EKG.
I'll be right back.
You want me to sleep with him to get him to stay? I put the bisexual chick on that, but if you'd like to sit in so to speak.
I spoke to him.
What did you tell him? I didn't tell him anything.
I listened.
So you could feel good about doing nothing.
Tell him I am not your errand girl the best thing about leaving you.
The two of you used to be together? She dumped me when I lost the last 85 pounds.
Said there was less of me to love.
Grief means different things to different people case in point, means very little to you.
Grief is Newark.
Okay, it's there, you can't avoid it, but the idea is to hold your nose hope the traffic's not too bad and get on to Manhattan as quickly as possible, not to buy property.
You think that's facing up to things? I'm not the one who's quitting.
'Cause you haven't lost anything.
But you have.
He'll listen to you.
What did you do when your husband died? I got a new job, and I moved.
See how crappy that worked out.
Separating the placenta from the wall of the large intestine.
Sponge.
Suction, we got some bleeding.
BP's dropping, And bleeding like hell, clamp.
BP's still dropping.
Amp of calcium chloride, fast.
Still dropping.
Shut up.
Squeeze her spleen we need to force some platelets out so her blood clots.
She's in weak shape spleen's friable, it could rupture.
She's stabilizing, oozing's drying up.
And I hate Visitor's Day.
Removing the fetus.
Bye.
You have to stop Wilson from committing career malpractice.
Talk to him.
Already talked to him twice, he threw me out.
Mocking him and insulting him, let's see, yes technically, those are categories of conversation.
Block his references to other hospitals, tell him he can't hand off his cases until Talk to him.
Deal with his grief, talk to him about what he's going through.
That's a brilliant idea.
I'll take him out for a beer that'll make up for the fact that Amber's in a pine box that there's randomness and chaos in the universe.
Tell him you're sorry.
I didn't kill her.
You were drunk and Yeah, if her daddy hadn't been drunk, she might never have been born.
So You called her up in the middle of the night she was on the bus because of you.
I didn't ask her to come out, I wasn't driving the bus I wasn't driving the garbage truck that hit the bus and I did not prescribe her the flu meds that killed her.
Yes, I know, that's all true, but You really don't feel any sense of guilt? You want to keep him, he needs to know he's not alone.
Just tell him you feel like crap.
It'd be meaningless.
Well, then find some meaning.
And do something.
She's got a neurological problem.
Surgical complication? Don't think so, she keeps on blinking.
Her heart's not recovering either.
So the pregnancy was a coincidence? Pulse's down to 39, she's maxed out on atropine.
We're installing a pacing wire to Avoid that.
We need some help in here! Page House.
Already paged him.
Page him again.
It's for you.
If I told you that I was sorry, would it change anything? I wouldn't believe you.
If you believed me.
It's hard to imagine such a world.
I'm going home until you agree to stay at this hospital.
You can't be That's blackmail.
And to do your job? Why not hold a gun to your own head? Your conscience bleeds more freely than my head.
Text.
Patient's in cardiac arrest.
Ouchy.
You'd jeopardize a patient because of my If it keeps you here.
Your friendship matters more to me than this patient.
I've gotta do what's right for me.
You gotta do what's right for you.
Yeah.
But it comes easier for me.
Where is he? Where is he? Status? Her heart's stabilized we have a pacing wire in her, but the bradycardia's not getting any better.
House was bluffing.
I called him three times, he's not picking up.
What do you want us to do? Same thing you'd do if he was here.
If he was here, we'd be asking him what to do.
What are the usual suspects? There aren't any.
She had a vitamin deficiency and we corrected it an ectopic pregnancy, we removed it.
But her heart problem won't go away and now something's wrong with her brain.
I have complete confidence in you guys.
Who wants to go service House so this patient can live? We can do this without him.
Maybe something happened during the surgery caused her to Surgery was on her bowel, not her brain.
Anxiety, stroke, Tourette's, could all cause eye-blinking.
And cause her heart to beat faster, it's slowing down.
MS.
If a lesion took out the sympathetic innervation of her heart it'd explain the bradycardia and the blinking.
But not the vitamin deficiency or the ectopic pregnancy.
House would want a unifying theory.
House is gone.
And so are those symptoms.
MS explains everything that's wrong with her right now.
Start her on interferon for MS.
Mind if I come in? Not at all.
You mind if I leave? I told you not to take that case specifically so you could deal with Wilson.
And the two ended up dovetailing rather nicely, don't you think? This is how you show your friendship? By bludgeoning him with guilt? Because he's my friend, I know what works on him.
Well, I can't let you walk away from a patient.
Then fire me.
You're willing to risk your career but you're not willing to say sorry? I told him I'm sorry, he didn't believe it.
Well, make him believe it.
I don't believe it.
You don't want to believe it.
Because if you tell Wilson how you actually feel about him about what happened to Amber about your part in what happened, and he walks out the door anyway if you make yourself vulnerable for once in your nerve-deadening, emotionally-obliterating You're doing the same thing he is, you're running away.
Only he's not killing anyone in the process.
Where's Dr.
House? He's not feeling well.
Was MS his idea? We work as a team.
You know how it is collaborative, sometimes it's hard to tell where an idea comes from.
But you're not really a team.
You work for him.
And you work for Patty.
I'm sure a lot of her ideas are actually She would be fine without me.
I'd be nothing without her.
Maybe if you just had the chance.
I'm sure you've learned a lot.
Not everybody's created equal.
Does Dr.
House think I have MS? Yes.
Did you just shiver? You're running a slight fever.
Is that bad? It means we were wrong about the MS.
You had my cable disconnected.
Well, that's quite a leap.
Just because I happen to have a each of whom you've personally abused at some point Why? 'Cause you think I'm okay with letting someone die but I'm gonna fold if I can't watch celebrity bowling? That is not an unreasonable theory especially with only 10 minutes till your favorite soap.
Gee, is this the remote from the doctors' lounge? This is your 911? Goodbye.
Stop.
I'm withholding your salary history from every hospital in the Tri-State Area.
You go, girl.
And I'm permanently setting every TV in this building to the Pottery Channel unless you both sit down.
Welcome to couples counseling.
It's not the surgery.
Timing fits.
The location doesn't, unless her brain's in her bowels.
If bacteria entered her bloodstream it could have caused an infection in her brain.
The surgery went fine.
You were there, you saw Peptostreptococcus could explain the blinking and No.
You want to watch a grainy video and have an epiphany.
Shut up, you're making me miss House's mocking.
I know you told us it was none of our business but if House thinks that your Huntington's is affecting you, maybe it really It's not, because I don't have You're desperate to do this without him.
You're not trying to cure her, you're trying to prove Stop the tape.
Zoom in.
On the anastomosis, that little bump.
It's a hematoma, a harmless pocket of blood which is why Chase ignored it during the surgery.
Could be a ganglioma, which is why Chase shouldn't have ignored it.
If it's an abnormal growth of nerves it could be causing all the patient's symptoms.
We have to open her up again, get a piece of it.
So what do you want to tell us? Nothing.
Nothing I say is gonna change anything.
You guys need to talk.
Actually, you should read the latest psych literature repression's gaining a lot of fans.
What you don't face can't crush you.
Talk to each other.
How you doing? Good? Fine.
Thanks.
Sit.
See, the two of you are friends, look how you both Think you're an idiot.
We both also eat with forks, that doesn't really prove Talk to him.
Tell him how you feel about what he's doing.
I told him he's an idiot.
Tell him what you think about him leaving.
I think he's an idiot.
- You're an idiot.
He's in pain, and your response is just to emotionally blackmail him.
You told me what your position is on that one.
You're against it, right? She hasn't told you in front of me.
She needs to prove she's on my side.
Go to hell.
So much for that theory.
I'm sorry you lost Amber.
I cannot imagine what it is you're going through but it will not get better by you walking away from everyone that cares about you.
Do you think Amber would want you to walk away? Nobody at this hospital even liked Amber.
Same time next week? You want me to do a second major surgery on a patient we almost lost during a first major surgery to see if she needs a third major surgery? We need a piece of the ganglioma.
Then you're talking about another patient yours doesn't have a ganglioma.
And if there is one and you missed it? Then you're talking about another surgeon, I didn't miss anything.
But we're not talking about another videotape this one showed a bump, we need to biopsy it.
A bump? Oh, yeah, my grandfather died of a bump.
She can't survive a second round of general anesthesia, let alone a third.
You'd do this for House.
Yeah.
Then what do you suggest? Because the patient's got a high fever, a low heart rate and a dim chance of survival if we stand here like idiots.
Then I suggest you don't stand there like idiots.
How do you get coal out of a mountain when it's someone else's mountain? If we don't have House, doesn't mean we can't think like House.
But it does mean we don't have to talk like him.
You don't dig down.
You go in from the side.
We insert a lighted scope through the rectum move the intestine till we find the ganglioma then push it to the surface.
Where we see the light, we cut.
We'll make as small an incision as we can but unfortunately it'll be very painful.
After your surgery experience, we can't give you anesthesia Can I talk to Dr.
House? No.
We can do this, we know what we're doing.
I don't mean to be insulting but my former boss didn't insist on me coming here because of you or Your former boss? I've been replaced.
I'm sorry.
I mean, you must be I'm fine.
She has a big Beijing trip ton of work to do, she can't just wait for me to get better.
We've been well trained, we'll take good care of you.
How can you let her treat you like a footstool? The world needs flunkies.
Don't say that, you're better than that.
I have no problem with it.
Why do you? Because life is short.
I mean, yours could've ended in that surgery.
You'd have never lived for yourself.
What kind of feminist We can have anything.
No, we can't.
We can aspire to anything.
But we don't get it just because we want it.
I would rather spend my life close to the birds than waste it wishing I had wings.
You're through the sigmoid, into the descending colon.
Switching on the light.
Advance toward the anastomosis.
That's it.
Push the wall of the intestine toward the skin.
There, I see it.
Don't look down.
Scalpel.
So your last day is Friday? I'm gonna miss you.
You shouldn't go.
Did House ask you to talk to me? Or are you trying to save the patient because there'll always be another House asked me.
And you're doing it? I told him to go to hell.
Thanks.
But I think he's right.
You think you're making a rational choice.
You think the worst is over and then six months later, you look back and you realize you didn't know what you were doing.
Are you saying the pain doesn't go away? It gets easier.
Not in two months.
Not in two years.
But, no, it never really goes away.
Being here, in this building I was just in the lounge, I kept staring at Amber's locker.
I saw a guy wearing a scarf this morning.
The color reminded me of his eyes.
We lived 500 miles from here.
I have to do something.
Then do it.
But don't think it's the right choice, because there isn't one.
It's not a ganglioma, the problem wasn't the surgery.
Abnormally deposited proteins.
It's amyloidosis.
It would explain the blinking and the low heart rate.
The only way to treat amyloidosis is to treat whatever's causing it.
It's not as if a lot of things cause amyloid, rheumatoid arthritis.
Familial Mediterranean fever.
Lymphoma.
Well, we can't all be right.
But you can all be wrong.
Patient's joints don't hurt abdominal pain went away when the fetus did and no palpable lymph nodes.
Got anything constructive to say? Sorry.
Sorry.
She has lots and lots of palpable lymph nodes joint and abdominal pain, she'll be better by dinner time.
If we don't find the cause of the amyloidosis we never get her off that wire, she never walks out of this hospital.
But, hey, who needs House? So glad we lost those training wheels.
You want me to make the call? There seems to be some disagreement.
And this isn't just a pretext to pressure me into staying? Does it look like a pretext? No.
She really is dying, isn't she? Inflammation, enlarged nuclei, some mitotic activity.
It could be lymphoma.
There are no palpable lymph nodes.
Makes it less likely, but doesn't rule it out.
I'm an oncologist, I see cancer.
Show it to an immunologist, they'll see autoimmune.
I already showed it to an immunologist.
We'll start her on chemo.
You should leave.
House doesn't want to lose his sidekick.
Cuddy doesn't want to lose her check on House.
No one's talking about what you want.
It's not that I want to.
Want to, need to.
If there's any chance that being away from here will make your life even a little bit easier, do it.
That's what everyone else here would do.
Don't expect anything to change too fast.
Lymphoma was your idea? Why? I feel better.
Sometimes just knowing you're being treated helps.
You've given me 18 different treatments, this is the first one that made me feel better.
I don't think it's psychological.
Thank you.
I'm sorry.
I shouldn't have gotten angry at you.
Your choices are your choices.
You're not like me.
Maybe you have wings.
I have Huntington's Chorea.
Dozen years or so, my nervous system, my cognitive skills even my emotional balance, they'll all start to fray.
I won't be able to fly, I won't be able to walk I won't be able to breathe.
And you want to make sure your life matters? I don't want to just be tightening bolts and following instructions.
I want something to be different because of me.
I am.
Not just 'cause you saved my life.
I'm applying for a job at a foundation.
Running the finance division.
I mean, I don't know if I'm gonna get it but if I don't, there are other foundations.
It's almost 4:00.
Soap time.
Nurses' remote, works in the doctors' lounge.
Why do you think Wilson's leaving? How many times do I have to use the word "idiot"? And that's a good enough answer for you? Whenever anyone does anything out of the norm you have to tell them what screwed-up process is really at work in their head.
That's why I locked the two of you in a room so you would say something stupid and insensitive and maybe with a little bit of truth.
But you didn't.
So I can only assume that you don't want to know the reason.
You're afraid to know.
You're not listening to me, are you? Try it sometime, you'll see why.
You look 37.
I am 37.
You looked 27 last week.
Unless I blacked out for She has got lymphoma, chemo's probably Stop the chemo.
She's getting better.
Bradycardia's improving, we didn't She have bruising? She was pounding her legs during the hallucinations.
It's not lymphoma.
Hey, don't No, no, no.
My bad.
Thought "no" meant "yes".
Those aren't bruises, they're mycobacterial lesions.
She has diffuse lepromatous leprosy must've caught it on one of her overseas estrogen tours.
Chemo wipes out some of the bacteria, she feels a little better wipes out most of her immune system, she gets a whole lot worse.
Leprosy? Like where my limbs fall off? Actually, this is the flattering one.
It's also known as "pretty leprosy".
Doesn't disfigure, makes your skin look younger, smoother.
Don't let the girls hear, they'll all want to lick your face.
Unless you're that kind of feminist.
Blast her with antibiotics and prednisone, she'll be fine.
Damn, it's after 4:00.
I'm late.
Damn.
What? She's happy you're gonna be fine but she'd be happier if you were gonna be fine five minutes ago.
Test confirmed Dr.
House's diagnosis.
Thank God.
When you got pregnant the physical stress triggered e - Nodosum leprosum a common complication of leprosy.
Inflamed the nerves to your heart, made it hard to absorb vitamins scarred your fallopian tubes.
It explains everything.
Better prescribe me some skin cream, too, huh? You might want it for those job interviews.
I'm going back on the road with Patty.
My replacement flamed out.
She says I can manage some projects on my own, carve out more of a role.
Do you really think she can change? I don't know.
The truth is I'm not sure I You can change.
No.
I'm not sure I want her to change.
If she's reasonable, if she's just another employer then I'm just another employee.
In a weird way, I matter.
I like you better now that you're dying.
I was wrong.
You took a shot.
She's going back to work for that idiot.
It's pathetic.
You thought something would change? She almost died because of that job.
Yeah, I thought Almost dying changes nothing.
Dying changes everything.
I'm sorry.
I know I didn't try to kill her I know I didn't want her hurt, I know it was a freak accident but I feel like crap, and she's dead because of me.
I don't blame you.
I wanted to.
I tried to.
I must've reviewed Amber's case file a hundred times to find a way But it wasn't your fault.
Then we're okay? I mean, I know you're not, but maybe I can help.
We're not okay.
Amber was never the reason I was leaving.
I didn't want to tell you because Because I was trying, like I always do, to protect you which is the problem.
You spread misery because you can't feel anything else.
You manipulate people because you can't handle any kind of real relationship.
And I've enabled it for years, the games, the binges the middle-of-the-night phone calls.
I should have been the one on the bus, not You should have been alone on the bus.
If I've learned anything from Amber, it's that I have to take care of myself.
We're not friends anymore, House.
I'm not sure we ever were.
I suggested you look into it.
Sorry, the online reviews Were obviously written by some geek in their own marketing department.
Next time, call someone you know.
Stop relying on a computer to do your job for you.
Brightsize Apparel eight sexual harassment suits in two years.
Who asked for the meeting? They did.
Patty Michener, President of Women's Majority.
And, wow, do you guys need me.
Nine men? No one thought it might be a good idea to put a suit on one of the gals from the steno pool to make it look like you give a damn? We've made it a priority to promote more women, but Well, from now on, you have me standing beside you.
Which is good, because your problem is a national problem.
With all due respect, Miss Michener I'd hardly call a few isolated incidents a national problem.
Six out of 10 victims never even report harassment this is bigger than just eight women.
That still only means 20.
Not enough for you? How many asses does your corporate policy allow you to grab? Tell you what you're going to do you're gonna settle with anyone you haven't settled with you're going to fire any man who's even been accused.
Somebody, help me! Please, help me! I can't get them off! Please help me! Help me, please! Somebody help me! Get them off! You gonna call an ambulance or you just gonna sit there and stare? Help me, please! Wilson's back.
You gonna Been gone two months he can wait till I finish slaying a guy in a skullcap and a pair of tights.
On a video game you stole from the pediatric ward? On advice of counsel, I assert my privilege pursuant to the Fifth.
When was the last time you talked to him? Uh, I think it was after When did his girlfriend die? He wanted time alone.
I considered being a horrendous pain in the ass but I didn't want to tread on your turf.
We got a case.
I got to remember to close the blinds.
Just got a call from Patty Michener from Women's Majority, the women's rights We know who she is.
I dated her.
Well, not really dated her more metaphorically raped her by having a penis.
You did, too.
Her assistant flipped out ripped off her clothes in front of a roomful of businessmen.
Either she cracked under the whip or she started to realize that her evolutionary purpose is to arouse men, not to castrate them.
Send her to psychiatric Anemia, bradycardia and abdominal pain aren't psychiatric symptoms.
Then it's the latter, send her to my apartment.
I'll give it to Segal.
House actually wants a case, and you're saying no? House has more important things to do.
Sorry, can't help you.
You need a specialist to remove those kinds of warts.
Preferably one with experience spelunking.
Hallucinations, possible memory loss tests show anemia, slow heart rate and a stubborn refusal to shave her pits.
Have you seen Wilson? No, but I have seen the patient's frequent flyer balance.
Eastern Europe, Asia, third-world countries, sometimes more than one a day.
No fever means it's not a tropical disease.
If it's not where she went, maybe it's the work hours.
Could be amphetamine abuse.
She's probably popping them like breath mints.
You haven't been by his office? Is Wilson hallucinating ants crawling all over him, too? Tox screen's cleaner than the windows she won't do.
Her job keeps her constantly on the road probably living off of airline peanuts and diet soda.
Severe B12 deficiency could cause all her symptoms.
Why is everyone leaping to conclude a strong career woman's been made sick by her strong career? It's not B12.
It's an insulinoma in her pancreas it's making her hypoglycemic.
Great, now everyone knows.
You knew the patient had cancer? Is that what she said? I thought she said "I'm suddenly and irrationally defending the patient's strong career "even though in reality she's just a glorified grunt "because I'm trying to convince myself that it's okay not to have a life "'cause I don't have a life, because I was tested for Huntington's "and my lifespan's been cut in half.
" Been waiting two months for her to say that.
Hallucinations, anemia, bradycardia Hyper segmented polys says that Taub's right.
Pump her full of B12 see how a strong career woman's been made sick by her strong career.
Are you okay? It could be years before you see any symptoms.
Why wouldn't you tell us? I don't have Huntington's.
Are you lying to us? Because it's none of our business.
If it's none of your business, I shouldn't have to answer questions.
And I wouldn't have to, except House doesn't want to answer questions about Wilson.
He's deflecting his own problems onto me.
Are you deflecting now? Time for the B12 cocktail and my life lesson.
No, Patty'll do the hearing, she just needs to be the lead-off witness so she Okay.
I'll lock it down today.
Need you back in bed.
My boss has a big Beijing trip, I've been planning it for months.
I was just tired and dehydrated Yeah, whenever I lose some shut-eye I pound my legs clawing at imaginary ant colonies.
You have a severe B12 deficiency.
Get back in bed.
I'm sure your boss can do without you for a few days.
It's not about her, it's about me.
I want to be there, I want to matter.
Yeah, I mean, without you, who knows how much starch they'd put in her shirts? I'm sorry, I'm sure your boss depends on you for I need to get up.
No, you need to stay in bed.
Please, where's the bed pan? Oh, my God, I'm sorry, I just I just had a bowel movement.
It's okay, B12 deficiency can cause sudden That's not a bowel movement.
My patient is still fighting in the feminist trenches, but the war is over.
Yesterday's sluts are today's empowered women today's sluts are celebrities.
If that isn't progress I'm leaving.
What, you're gonna take another two months? Boy, you're really milking this bereavement thing, aren't you? I mean, good for you.
Take all the time you need.
I'm resigning.
Maybe moving out of New Jersey, I don't know yet.
Okay, that's an understandable reaction.
It's not a reaction, it's a decision.
I'm writing Cuddy my resignation right now.
I'm just back for the week to wrap up my clinical and administrative duties.
You of all people should know, this is bereavement 101.
You think that a change in venue Well, that spares me decades of psychoanalysis.
I'm not saying you're not in pain.
You're saying my pain's a cliché.
I'm saying that pain fades.
Did yours? Physical pain is different.
I'd rather have my leg chopped off.
You don't know that 'cause you haven't felt Neither have you.
Sorry, patient's got a rectal bleed.
I'm busy.
We need you to Actually, as you can see, I'm not busy.
It was just a euphemism for "get the hell out of here.
" This is your grief talking, and, yeah, it is a bit textbook.
So before you give away all your possessions to the Salvation Army My girlfriend's dead.
I'm glad you've read that book before, I haven't.
I'm late to meet Dr.
Olan to brief him on the cases I'm handing over.
Bye.
It doesn't bother you that House wouldn't take just two seconds to talk about the patient? Wilson's dealing with a lot.
And our patient may be dying.
She was bleeding out her rear, we're looking up her rear.
You think we needed House's expertise to set us on this course? Her heart rate's slow, bleed should have made it faster.
And it can wait till after we know where it came from.
And after he's done dealing with personal issues.
Yeah? That the way it works around here? We get cut slack while we deal with personal issues? You're not the boss.
Boss gets to make the rules, boss gets to ignore She's bleeding from nowhere.
You did an endoscopy? And a colonoscopy.
CT scan? Ordered.
But it shouldn't show anything the endoscopy didn't.
We can't do a CT scan.
Why not? We don't need a CT scan, we don't need House.
Stop grinning and talk.
One of the routine pre-procedure tests was positive.
Which one? The one that if it's positive would explain a hormone imbalance that could screw with heart rate and blood flow.
Guess she does have a life beyond her career.
I'm pregnant? You want to call the father? Let him know? Soon as you do some DNA testing, let me know.
Must be hard to have a real relationship when you're Are you making excuses for me? I'm just saying it's understandable.
You only have to understand something if it needs an explanation.
I have needs, I met my needs, end of explanation.
How recently were you needy? It's been two or three months at least.
What? What is it? Nothing.
Tell me.
It's actually, nothing.
The ultrasound shows no trace of a baby at all.
Positive pregnancy test, no pregnancy.
B12 deficit rectified, but her heart's slowing even more.
And a bleed should speed her heart rate.
House, this is the kind of case you love contradictions piling up left and right.
Two false positive pregnancy tests bradycardia, lower GI bleed.
Go.
Choriocarcinoma, would've triggered pregnancy hormones.
Also would've shown on the sonogram.
Lmmunoglobulin A deficiency.
No urinary bleed.
If she's had beta-HCG injections, they can cross-react with Keep going.
You're being an idiot.
You're gonna blow up your career, then six months from now when you've moved on from Amber to burnt sienna you're gonna be stuck on a mobile oncology truck in Pewaukee, Wisconsin.
I'd need a flow chart to explain all the ways in which that was ridiculously insensitive.
You can't hide from misery.
This isn't your business.
My skull was cracked open trying to save her.
Then we all need a little tea and sympathy.
I'm through discussing it.
We have a patient.
Who's obviously not going anywhere with a bloody rectum.
Great to have you back.
Actually, I'm Actually, he's about to thrust a tanto into the belly of his career.
I'm leaving the hospital.
I'm sorry.
This is obviously a terrible time, but Why are you leaving? I just need a change of scenery.
Buy a plant.
Rectal bleeding, two positive pregnancy tests.
There's nothing we can do You could ask House to be a grownup and respect my decision.
I respect things that deserve respect.
This decision, on the other hand, is a dog wearing a cape.
Hallucinations, heart rate won't respond The patient tested positive for pregnancy because the patient is pregnant.
Hey, who are you? This is Dr.
House.
He's too brilliant for introductions.
False positive.
You're too busy to be running a day care center in your abdomen.
False positive.
Not to mention, you should wait till at least 30 to punish that pleasure portal with a seven-pound tissue expander.
I'm 37.
And I thought I wasn't pregnant.
Thirty-seven? Lmpressive.
Too bad you're not passing on those genes.
Does that look false to you? You were looking in the wrong room.
It's more common when the egg lands in the oven sometimes it winds up in the fallopian tubes in rare cases, it plummets through the plumbing entirely.
It's using her intestine as a blood supply.
Caused the rectal bleed, and now Junior Miss Steinem's junior must be pressing on her vagus nerve, slowing her heart to a crawl.
Yank the fetus.
If she survives the surgery, she'll be fine.
What if she wants to keep the baby? She doesn't.
We can't take two seconds to discuss this? I mean, fetuses have been transplanted before whole uteruses, too.
Just terminating the fetus when it's glued to her intestines is high-risk surgery, saving it is a fantasy.
That was at least three seconds.
She's a 37-year old woman who deserves People get what they get it has nothing to do with what they deserve.
And this has nothing to do with her genitalia and everything to do with your genetics.
You told me to get tested.
I didn't know it was gonna color your every medical opinion, every personal opinion.
You didn't think a death sentence would People die.
You, Amber, everyone.
Don't act like you just figured that out.
I gave you a diagnosis, you don't like it, there are exits on every floor.
I'm sorry to be so definitive about this.
I know you're still absorbing the news, but we have no choice but to Remove the fetus, absolutely.
I have no boyfriend, no husband I'm on the road with Patty all the time.
Where do I sign? Oh! Feel any tenderness back here? No, not at all.
So you're treating professional sports injuries now? No, I'm not Familiar with the concept of sarcasm.
Don't sweat it, it's new.
Have you spoken to Wilson? We'll get you an EKG.
I'll be right back.
You want me to sleep with him to get him to stay? I put the bisexual chick on that, but if you'd like to sit in so to speak.
I spoke to him.
What did you tell him? I didn't tell him anything.
I listened.
So you could feel good about doing nothing.
Tell him I am not your errand girl the best thing about leaving you.
The two of you used to be together? She dumped me when I lost the last 85 pounds.
Said there was less of me to love.
Grief means different things to different people case in point, means very little to you.
Grief is Newark.
Okay, it's there, you can't avoid it, but the idea is to hold your nose hope the traffic's not too bad and get on to Manhattan as quickly as possible, not to buy property.
You think that's facing up to things? I'm not the one who's quitting.
'Cause you haven't lost anything.
But you have.
He'll listen to you.
What did you do when your husband died? I got a new job, and I moved.
See how crappy that worked out.
Separating the placenta from the wall of the large intestine.
Sponge.
Suction, we got some bleeding.
BP's dropping, And bleeding like hell, clamp.
BP's still dropping.
Amp of calcium chloride, fast.
Still dropping.
Shut up.
Squeeze her spleen we need to force some platelets out so her blood clots.
She's in weak shape spleen's friable, it could rupture.
She's stabilizing, oozing's drying up.
And I hate Visitor's Day.
Removing the fetus.
Bye.
You have to stop Wilson from committing career malpractice.
Talk to him.
Already talked to him twice, he threw me out.
Mocking him and insulting him, let's see, yes technically, those are categories of conversation.
Block his references to other hospitals, tell him he can't hand off his cases until Talk to him.
Deal with his grief, talk to him about what he's going through.
That's a brilliant idea.
I'll take him out for a beer that'll make up for the fact that Amber's in a pine box that there's randomness and chaos in the universe.
Tell him you're sorry.
I didn't kill her.
You were drunk and Yeah, if her daddy hadn't been drunk, she might never have been born.
So You called her up in the middle of the night she was on the bus because of you.
I didn't ask her to come out, I wasn't driving the bus I wasn't driving the garbage truck that hit the bus and I did not prescribe her the flu meds that killed her.
Yes, I know, that's all true, but You really don't feel any sense of guilt? You want to keep him, he needs to know he's not alone.
Just tell him you feel like crap.
It'd be meaningless.
Well, then find some meaning.
And do something.
She's got a neurological problem.
Surgical complication? Don't think so, she keeps on blinking.
Her heart's not recovering either.
So the pregnancy was a coincidence? Pulse's down to 39, she's maxed out on atropine.
We're installing a pacing wire to Avoid that.
We need some help in here! Page House.
Already paged him.
Page him again.
It's for you.
If I told you that I was sorry, would it change anything? I wouldn't believe you.
If you believed me.
It's hard to imagine such a world.
I'm going home until you agree to stay at this hospital.
You can't be That's blackmail.
And to do your job? Why not hold a gun to your own head? Your conscience bleeds more freely than my head.
Text.
Patient's in cardiac arrest.
Ouchy.
You'd jeopardize a patient because of my If it keeps you here.
Your friendship matters more to me than this patient.
I've gotta do what's right for me.
You gotta do what's right for you.
Yeah.
But it comes easier for me.
Where is he? Where is he? Status? Her heart's stabilized we have a pacing wire in her, but the bradycardia's not getting any better.
House was bluffing.
I called him three times, he's not picking up.
What do you want us to do? Same thing you'd do if he was here.
If he was here, we'd be asking him what to do.
What are the usual suspects? There aren't any.
She had a vitamin deficiency and we corrected it an ectopic pregnancy, we removed it.
But her heart problem won't go away and now something's wrong with her brain.
I have complete confidence in you guys.
Who wants to go service House so this patient can live? We can do this without him.
Maybe something happened during the surgery caused her to Surgery was on her bowel, not her brain.
Anxiety, stroke, Tourette's, could all cause eye-blinking.
And cause her heart to beat faster, it's slowing down.
MS.
If a lesion took out the sympathetic innervation of her heart it'd explain the bradycardia and the blinking.
But not the vitamin deficiency or the ectopic pregnancy.
House would want a unifying theory.
House is gone.
And so are those symptoms.
MS explains everything that's wrong with her right now.
Start her on interferon for MS.
Mind if I come in? Not at all.
You mind if I leave? I told you not to take that case specifically so you could deal with Wilson.
And the two ended up dovetailing rather nicely, don't you think? This is how you show your friendship? By bludgeoning him with guilt? Because he's my friend, I know what works on him.
Well, I can't let you walk away from a patient.
Then fire me.
You're willing to risk your career but you're not willing to say sorry? I told him I'm sorry, he didn't believe it.
Well, make him believe it.
I don't believe it.
You don't want to believe it.
Because if you tell Wilson how you actually feel about him about what happened to Amber about your part in what happened, and he walks out the door anyway if you make yourself vulnerable for once in your nerve-deadening, emotionally-obliterating You're doing the same thing he is, you're running away.
Only he's not killing anyone in the process.
Where's Dr.
House? He's not feeling well.
Was MS his idea? We work as a team.
You know how it is collaborative, sometimes it's hard to tell where an idea comes from.
But you're not really a team.
You work for him.
And you work for Patty.
I'm sure a lot of her ideas are actually She would be fine without me.
I'd be nothing without her.
Maybe if you just had the chance.
I'm sure you've learned a lot.
Not everybody's created equal.
Does Dr.
House think I have MS? Yes.
Did you just shiver? You're running a slight fever.
Is that bad? It means we were wrong about the MS.
You had my cable disconnected.
Well, that's quite a leap.
Just because I happen to have a each of whom you've personally abused at some point Why? 'Cause you think I'm okay with letting someone die but I'm gonna fold if I can't watch celebrity bowling? That is not an unreasonable theory especially with only 10 minutes till your favorite soap.
Gee, is this the remote from the doctors' lounge? This is your 911? Goodbye.
Stop.
I'm withholding your salary history from every hospital in the Tri-State Area.
You go, girl.
And I'm permanently setting every TV in this building to the Pottery Channel unless you both sit down.
Welcome to couples counseling.
It's not the surgery.
Timing fits.
The location doesn't, unless her brain's in her bowels.
If bacteria entered her bloodstream it could have caused an infection in her brain.
The surgery went fine.
You were there, you saw Peptostreptococcus could explain the blinking and No.
You want to watch a grainy video and have an epiphany.
Shut up, you're making me miss House's mocking.
I know you told us it was none of our business but if House thinks that your Huntington's is affecting you, maybe it really It's not, because I don't have You're desperate to do this without him.
You're not trying to cure her, you're trying to prove Stop the tape.
Zoom in.
On the anastomosis, that little bump.
It's a hematoma, a harmless pocket of blood which is why Chase ignored it during the surgery.
Could be a ganglioma, which is why Chase shouldn't have ignored it.
If it's an abnormal growth of nerves it could be causing all the patient's symptoms.
We have to open her up again, get a piece of it.
So what do you want to tell us? Nothing.
Nothing I say is gonna change anything.
You guys need to talk.
Actually, you should read the latest psych literature repression's gaining a lot of fans.
What you don't face can't crush you.
Talk to each other.
How you doing? Good? Fine.
Thanks.
Sit.
See, the two of you are friends, look how you both Think you're an idiot.
We both also eat with forks, that doesn't really prove Talk to him.
Tell him how you feel about what he's doing.
I told him he's an idiot.
Tell him what you think about him leaving.
I think he's an idiot.
- You're an idiot.
He's in pain, and your response is just to emotionally blackmail him.
You told me what your position is on that one.
You're against it, right? She hasn't told you in front of me.
She needs to prove she's on my side.
Go to hell.
So much for that theory.
I'm sorry you lost Amber.
I cannot imagine what it is you're going through but it will not get better by you walking away from everyone that cares about you.
Do you think Amber would want you to walk away? Nobody at this hospital even liked Amber.
Same time next week? You want me to do a second major surgery on a patient we almost lost during a first major surgery to see if she needs a third major surgery? We need a piece of the ganglioma.
Then you're talking about another patient yours doesn't have a ganglioma.
And if there is one and you missed it? Then you're talking about another surgeon, I didn't miss anything.
But we're not talking about another videotape this one showed a bump, we need to biopsy it.
A bump? Oh, yeah, my grandfather died of a bump.
She can't survive a second round of general anesthesia, let alone a third.
You'd do this for House.
Yeah.
Then what do you suggest? Because the patient's got a high fever, a low heart rate and a dim chance of survival if we stand here like idiots.
Then I suggest you don't stand there like idiots.
How do you get coal out of a mountain when it's someone else's mountain? If we don't have House, doesn't mean we can't think like House.
But it does mean we don't have to talk like him.
You don't dig down.
You go in from the side.
We insert a lighted scope through the rectum move the intestine till we find the ganglioma then push it to the surface.
Where we see the light, we cut.
We'll make as small an incision as we can but unfortunately it'll be very painful.
After your surgery experience, we can't give you anesthesia Can I talk to Dr.
House? No.
We can do this, we know what we're doing.
I don't mean to be insulting but my former boss didn't insist on me coming here because of you or Your former boss? I've been replaced.
I'm sorry.
I mean, you must be I'm fine.
She has a big Beijing trip ton of work to do, she can't just wait for me to get better.
We've been well trained, we'll take good care of you.
How can you let her treat you like a footstool? The world needs flunkies.
Don't say that, you're better than that.
I have no problem with it.
Why do you? Because life is short.
I mean, yours could've ended in that surgery.
You'd have never lived for yourself.
What kind of feminist We can have anything.
No, we can't.
We can aspire to anything.
But we don't get it just because we want it.
I would rather spend my life close to the birds than waste it wishing I had wings.
You're through the sigmoid, into the descending colon.
Switching on the light.
Advance toward the anastomosis.
That's it.
Push the wall of the intestine toward the skin.
There, I see it.
Don't look down.
Scalpel.
So your last day is Friday? I'm gonna miss you.
You shouldn't go.
Did House ask you to talk to me? Or are you trying to save the patient because there'll always be another House asked me.
And you're doing it? I told him to go to hell.
Thanks.
But I think he's right.
You think you're making a rational choice.
You think the worst is over and then six months later, you look back and you realize you didn't know what you were doing.
Are you saying the pain doesn't go away? It gets easier.
Not in two months.
Not in two years.
But, no, it never really goes away.
Being here, in this building I was just in the lounge, I kept staring at Amber's locker.
I saw a guy wearing a scarf this morning.
The color reminded me of his eyes.
We lived 500 miles from here.
I have to do something.
Then do it.
But don't think it's the right choice, because there isn't one.
It's not a ganglioma, the problem wasn't the surgery.
Abnormally deposited proteins.
It's amyloidosis.
It would explain the blinking and the low heart rate.
The only way to treat amyloidosis is to treat whatever's causing it.
It's not as if a lot of things cause amyloid, rheumatoid arthritis.
Familial Mediterranean fever.
Lymphoma.
Well, we can't all be right.
But you can all be wrong.
Patient's joints don't hurt abdominal pain went away when the fetus did and no palpable lymph nodes.
Got anything constructive to say? Sorry.
Sorry.
She has lots and lots of palpable lymph nodes joint and abdominal pain, she'll be better by dinner time.
If we don't find the cause of the amyloidosis we never get her off that wire, she never walks out of this hospital.
But, hey, who needs House? So glad we lost those training wheels.
You want me to make the call? There seems to be some disagreement.
And this isn't just a pretext to pressure me into staying? Does it look like a pretext? No.
She really is dying, isn't she? Inflammation, enlarged nuclei, some mitotic activity.
It could be lymphoma.
There are no palpable lymph nodes.
Makes it less likely, but doesn't rule it out.
I'm an oncologist, I see cancer.
Show it to an immunologist, they'll see autoimmune.
I already showed it to an immunologist.
We'll start her on chemo.
You should leave.
House doesn't want to lose his sidekick.
Cuddy doesn't want to lose her check on House.
No one's talking about what you want.
It's not that I want to.
Want to, need to.
If there's any chance that being away from here will make your life even a little bit easier, do it.
That's what everyone else here would do.
Don't expect anything to change too fast.
Lymphoma was your idea? Why? I feel better.
Sometimes just knowing you're being treated helps.
You've given me 18 different treatments, this is the first one that made me feel better.
I don't think it's psychological.
Thank you.
I'm sorry.
I shouldn't have gotten angry at you.
Your choices are your choices.
You're not like me.
Maybe you have wings.
I have Huntington's Chorea.
Dozen years or so, my nervous system, my cognitive skills even my emotional balance, they'll all start to fray.
I won't be able to fly, I won't be able to walk I won't be able to breathe.
And you want to make sure your life matters? I don't want to just be tightening bolts and following instructions.
I want something to be different because of me.
I am.
Not just 'cause you saved my life.
I'm applying for a job at a foundation.
Running the finance division.
I mean, I don't know if I'm gonna get it but if I don't, there are other foundations.
It's almost 4:00.
Soap time.
Nurses' remote, works in the doctors' lounge.
Why do you think Wilson's leaving? How many times do I have to use the word "idiot"? And that's a good enough answer for you? Whenever anyone does anything out of the norm you have to tell them what screwed-up process is really at work in their head.
That's why I locked the two of you in a room so you would say something stupid and insensitive and maybe with a little bit of truth.
But you didn't.
So I can only assume that you don't want to know the reason.
You're afraid to know.
You're not listening to me, are you? Try it sometime, you'll see why.
You look 37.
I am 37.
You looked 27 last week.
Unless I blacked out for She has got lymphoma, chemo's probably Stop the chemo.
She's getting better.
Bradycardia's improving, we didn't She have bruising? She was pounding her legs during the hallucinations.
It's not lymphoma.
Hey, don't No, no, no.
My bad.
Thought "no" meant "yes".
Those aren't bruises, they're mycobacterial lesions.
She has diffuse lepromatous leprosy must've caught it on one of her overseas estrogen tours.
Chemo wipes out some of the bacteria, she feels a little better wipes out most of her immune system, she gets a whole lot worse.
Leprosy? Like where my limbs fall off? Actually, this is the flattering one.
It's also known as "pretty leprosy".
Doesn't disfigure, makes your skin look younger, smoother.
Don't let the girls hear, they'll all want to lick your face.
Unless you're that kind of feminist.
Blast her with antibiotics and prednisone, she'll be fine.
Damn, it's after 4:00.
I'm late.
Damn.
What? She's happy you're gonna be fine but she'd be happier if you were gonna be fine five minutes ago.
Test confirmed Dr.
House's diagnosis.
Thank God.
When you got pregnant the physical stress triggered e - Nodosum leprosum a common complication of leprosy.
Inflamed the nerves to your heart, made it hard to absorb vitamins scarred your fallopian tubes.
It explains everything.
Better prescribe me some skin cream, too, huh? You might want it for those job interviews.
I'm going back on the road with Patty.
My replacement flamed out.
She says I can manage some projects on my own, carve out more of a role.
Do you really think she can change? I don't know.
The truth is I'm not sure I You can change.
No.
I'm not sure I want her to change.
If she's reasonable, if she's just another employer then I'm just another employee.
In a weird way, I matter.
I like you better now that you're dying.
I was wrong.
You took a shot.
She's going back to work for that idiot.
It's pathetic.
You thought something would change? She almost died because of that job.
Yeah, I thought Almost dying changes nothing.
Dying changes everything.
I'm sorry.
I know I didn't try to kill her I know I didn't want her hurt, I know it was a freak accident but I feel like crap, and she's dead because of me.
I don't blame you.
I wanted to.
I tried to.
I must've reviewed Amber's case file a hundred times to find a way But it wasn't your fault.
Then we're okay? I mean, I know you're not, but maybe I can help.
We're not okay.
Amber was never the reason I was leaving.
I didn't want to tell you because Because I was trying, like I always do, to protect you which is the problem.
You spread misery because you can't feel anything else.
You manipulate people because you can't handle any kind of real relationship.
And I've enabled it for years, the games, the binges the middle-of-the-night phone calls.
I should have been the one on the bus, not You should have been alone on the bus.
If I've learned anything from Amber, it's that I have to take care of myself.
We're not friends anymore, House.
I'm not sure we ever were.