House, M.D. s05e24 Episode Script

The risotto isn't bad, but it's not what Chef Zane did back at Fortunato.
He replaced the rosemary with saffron, for one thing.
And what is this stock? Did he get it out of a can? My fish isn't bad.
But it's not great either, I'm sure.
I warned you against the snapper.
Do you think it'll calm down? God.
I hope so.
That guy is a bit of a blowhard, though, isn't he? The food's not spicy at all, you can barely taste it.
Mine's pretty spicy.
Try it.
I don't taste anything.
Have you been throwing rolls at me? It wasn't me.
Really, he didn't.
I'm so sorry someone would choose to behave that way.
Really, I I'm so sorry.
Really, really, really sorry.
No, no, no, no.
I swear, I It's not me.
A bloody tear could just mean subconjunctival hemorrhage.
He sneezed too hard from a cold, which caused his lack of taste.
House isn't going to care.
Does "black tie optional" really mean black tie, 'cause I don't want to rent if There's been a glitch with the wedding.
And House will be interested.
A "glitch"? Patient had his corpus callosum cut to correct a seizure issue.
A "glitch"? The seizures stopped after the surgery.
But he's having trouble adjusting to a split brain.
A "glitch"? This is Dr.
Taub.
Tell him about shopping.
I go into a grocery store, everything seems normal.
I get to the checkout, and there's all these extra items in my cart.
Stuff I didn't put there.
Stuff I hate.
My left hand hates me.
Yeah.
I think House'll be interested.
Just warning you.
I'm in a good mood and largely pain-free, so I've got no idea how things are Alien hand syndrome.
Set off by a stroke, or is there a pony in the backyard? Split brain.
Right hemisphere controls the left, and It's making life miserable.
Non-logical thinkers often do.
The current issue isn't the split brain.
The surgery corrected You're dissing the right hemisphere? Most people who have this operation don't even notice they're missing anything.
The left brain has language, arithmetic, rationality and right brain is a mute loser.
The right brain is more aesthetically oriented, has greater facial recognition.
I couldn't have been a plastic surgeon without it.
Yes, and where would junior high be without our ability to judge people on aesthetics? Right brain's also more aware of the present moment our place in the universe.
It's a universal daisy chain of peace and love that throws buns at people.
His present symptoms could mean autoimmune disease a nasolacrimal tumor, an infection or just a cold.
Good morning, sunshine.
We got a brand new toy, you want to play? We need to talk.
Great.
I love euphemisms.
By "euphemism," I mean when you say something but mean something else.
Begin eliminating.
Search the home.
Isn't that locking the barn door after the horse has put his face between your breasts for an hour and a half? I'm your boss.
You're an employee.
I'm not normally into role-playing, but if you want to People who get close to you get hurt.
That's a fact.
You're also a valued doctor in this hospital.
That's another fact.
From now on, we're going to focus on the second fact.
So, this isn't you freaking out over last night? This isn't an emotional decision.
I'm just giving you the rules.
You can either accept them or leave.
I slept with Cuddy.
After she helped me detox from Vicodin.
I've been clean for almost 24 hours now.
Okay.
Thought I'd mention it.
Wow.
Wow.
One for each.
That's what she said.
Ah! How's the pain? She's probably got some bruising.
Yeah, I get it, you're a stud.
This is serious, House.
I feel better than I did four hours ago.
Four hours from now, I'll feel better than this.
The other "wow.
" You were sober? She was sober? Clean and sober and hot.
Wow.
This is fantastic.
How are you gonna screw it up? Several good options.
Unfortunately, I don't think she's gonna give me the pleasure.
She left before I woke up and five minutes ago, she told me that I'm just an employee.
Ha.
Yes.
Well, either she's actually in love with you and scared or she realized last night was a gigantic mistake.
You were needy and vulnerable, she was maternal.
You think she jumped me out of pity? No, I'm saying whatever is going on, you need to talk to her.
Absolutely.
Does our patient freak you out a little? No.
If he's two people, then we're all two people and we just don't know it.
And what does that say about identity? It says we're making it up as we go along, which I find freeing.
Wow, I haven't been in a bathroom this size since my dorm in med school.
Is that fungus? It's from the steam buildup.
What do you think of this "glitch" with Chase and Cameron's wedding? It's always a sad thing when sperm comes between people.
I hear the sperm is very good today.
I mean, the salmon.
Go away.
No other tables.
You'd let your wife keep another man's offspring on ice next to the frozen peas, just in case? That's what this is about.
She's not ready to commit to me.
She's planning for failure.
Did you know that male fruit flies have toxic chemicals in their seminal fluid that inhibit the sperm of other males? Wilson says we need to talk.
We talked.
I agree.
This has clearly gone past the talking stage.
What? Hey.
Great, did you find my MP3? Not yet.
But I got your shaving stuff, toothpaste, deodorant some magazines, and this cactus from your window.
You didn't have to do that.
Really, the hospital supplies all that stuff.
I'm still trying too hard, huh? Trying to get your other half to like me.
No, no, no.
Don't say that, okay? I like you, which means that We shouldn't read into that.
Anti-fungal meds.
Ordinarily we'd put them in your IV but since your right brain doesn't seem too fond of IVs You should be feeling better in a few days.
I have to get back to work.
Rick says your shift will be waiting for you when you get back.
Thanks.
Oh, my God.
I'm sorry.
I'm so, so sorry.
I'm sorry.
I have to go.
I have to get back to work.
No, no, no Babe, wait.
Hold on.
No, no.
It wasn't me I can't walk.
Well, obviously it wasn't the fungus.
And it's not a coordination issue.
Dehydration can cause loss of balance.
We haven't had him on IV.
No.
Good skin turgor, not orthostatic.
Could be our tax dollars at work constantly building new roadways and bridges.
Meningioma.
Slow-growing.
It could extend along the sub-osteal layer of the cranial cavity and be hidden by the bone.
The cancer cells are actually re-growing a connection between the left and right hemispheres.
If you're right, the two halves have begun sending messages again but it's too early in the process for him to pick up on it.
But we can test for it.
Proof.
You didn't talk to her, did you? If I'd talked, she'd have lied, I'd have lied and though two negatives make a positive I thought thermal-imaging photos seemed simpler.
Note how many more heated areas appear after less than a minute with me.
So it's either love, or possibly rage.
Don't talk to her.
I have no plans to talk to her.
Manipulation is in your genetic code.
You think I'm making a mistake, you move in to correct.
You are making a mistake.
She lied to me.
Either last night or today.
I need to find out which and why.
And clearly, thermal imaging is the way.
This isn't a case.
You're not looking for a diagnosis.
If this matters at all to you, please, for once in your life, be an adult.
Keep your eyes focused on the plus sign.
Any image that appears on your far right will only be seen by your left brain and any image on your far left will only be seen by your right brain.
Okay.
Just start by saying the words.
Book, giraffe, willow, fortunate.
You're not saying the word.
I didn't see a word.
Could you draw a picture of what you think the word might be? Look, I didn't see Candle.
This is so cool.
Yeah, that's not freaky at all.
No communication.
So far.
Scott, why are you standing? I'm a little chilly.
I thought I'd get a sweater or something from my room.
Is that okay? Just a few more minutes.
And that, ladies and gentlemen, is the left hemisphere.
The side that's obsessed with finding answers the one that needs things to make sense, the interpreter.
That's where we tell the story of who we are and why we do things.
That's also the side that was wrong.
The right brain's advantage is that it isn't logical it doesn't choose which details to look at.
It makes connections you could never see.
You owe your insight to the "mute loser.
" I'll send it tickets to a Phillies game.
Confabulation means no communication.
Means your theory's wrong.
But he is cold.
Why are you scratching? It itches.
Ammonia breath.
Your liver is failing.
I know for them to approve this price, they'll need statistical documentation What? Why are you looking at me? When you first walked in, I was under the impression you wanted to say something else.
Nope.
About House and me.
There's nothing to talk about.
I want permission to do a liver biopsy.
We're looking for sarcoidosis.
Fine.
What do you mean, "Fine"? What do you mean, what do I mean? Do you mean that because a liver biopsy is not a test that by any stretch of the imagination could be considered risky so asking my permission is essentially wasting my time and you're wondering what my reaction to that will be? Yes.
Are you trying to make me angry? Yes.
Do your biopsy.
And also, do your clinic hours.
I'm blowing off my clinic hours.
Really? Let's see how that goes.
Still not angry.
Try again later.
Sorry.
I know I'm a little ripe.
Just a sweaty guy.
Recently? Always.
With a crazy left hand.
Sometimes I fantasize about cutting it off.
Just a fantasy.
It's the hand that's crazy, not me.
What? If it doesn't like an ultrasound wand, how's it gonna react to a needle? Can you get music into this room? I think you're using your relationship with Cuddy as a replacement for drugs.
You should be in more pain so soon into detoxing but your body's full of romantic endorphins and on top of that, you create this distraction of looking for proof.
You think I should stop and let the pain flood back? Cuddy is not a Vicodin substitute.
Quite the opposite.
You have to wait for her to be ready.
Great advice.
You pretend that I'm going to do that.
You've made two major changes in your life not a time anyone's judgment is at its best.
Didn't you used to argue that my judgment would be better off drugs? Admit it.
You're curious why I want to make her angry.
I'm sure it's convoluted, wrong and stupid.
You're dying to know what I found on her coffee cup.
No, because Oxytocin.
Oxytocin, the chemical involved in emotional bonding.
Her lips say "no," her hormones say "Oh, my God, yes, more.
" No.
For you to know her levels were elevated you'd need a baseline to compare them with.
I paid the guy in the gym to retrieve one of her water bottles from the trash.
Love inspires us to greatness.
So I need to make her lose her temper which breaks her delusion, which demonstrates to me, and to her that there is something underneath this facade.
And then what happens? She admits everything and falls into your arms? That's outcome one.
Outcome two is she kills me.
I think it's Great.
I thought you'd say that.
You're committing yourself to something.
To someone.
I mean, it's childish in a way, but ultimately great.
Assuming Are you absolutely sure you want this to succeed? Why is an old guy standing in my doorway? Eugene Schwartz.
Eugene Schwartz.
Dr.
Cuddy asked me to come up here from the clinic.
She says you're seeing patients in your office.
It's still free, though, isn't it? She sent him.
That's gotta mean something.
I'll go get my decoder ring.
I squawk.
Like a parrot.
No, that's not it.
It started a few months ago.
I was doing some woodworking in my garage.
I was trying to make a chair.
Was it the chair? Anyway, all of a sudden, from nowhere this strange noise comes bursting out of my mouth.
Tough to fake that.
Nice pants.
My wife Mona thinks I'm busting her chops.
It's ruining my marriage.
Where are we going? So your left hand would rather play air guitar than give me a hard time? Lt'd rather play air guitar than tie shoes, eat dinner Your right hand's playing, too.
I don't want to discourage it.
Splinter hemorrhages under his fingernails.
What's that BP and O2 sat are dropping.
We need a bag of B- Negative in here! So much for sarcoidosis.
Points to a clotting issue.
Clots would explain all his symptoms.
Why aren't we in the office? I'm tired of clinic duty.
There's only one thing that could cause squawking, right? Yeah.
We gave him heparin and did an echo of his heart to see if it was throwing clots, but More air guitar? The heart's fine.
We wanted to test for Factor V Leiden, Protein C, Protein S but the hand got tired of cooperating.
We finally knocked him out.
And all those tests came up negative anyway or you'd have opened by telling me your brilliant diagnosis.
He apologized for being sweaty said it had always been an issue.
But what if it's a symptom? There are cancers that cause night sweats and can lead to clots.
Lymphoma.
Or pancreatic cancer.
Go scan his pancreas.
And try Led Zeppelin.
We've always remembered what this hospital did for Leo when his appendix burst.
Still, a check this size Sorry to interrupt, here's my poo.
Dr.
House said to bring it over and leave it with you as soon as I could.
I don't know if you people have an official term for it.
Stool sample.
Ah, yes.
Thank you.
I'll take care of it.
It's hard to rush these things.
Even if you've eaten a lot of broccoli.
Where are you going? Annie called.
She's not coming back.
This is not the best time Look, you said the heparin would keep new clots from forming.
Maybe.
But something's obviously causing the clots.
If you have pancreatic cancer We're not trying to scare you but even in its early stages, the fatality rate You walk out of here Stop! Look, I'd ask you to put yourself in my place but nobody can put themselves in my place.
Did she find somebody new? Was I not being attentive enough? No.
She's just tired of being insulted by a limb.
She said that my feelings toward her were mixed.
Well, my feelings aren't mixed.
You're not going anywhere.
Unless you want to go naked.
Your right brain knows you need to stay.
My right brain's an ass.
Got a minute? There's something wrong with this cup.
I need someone to bounce ideas off of.
Someone to be my whiteboard.
That's how you taught me to work.
I have three choices.
First, I can accept it's over, pretend we don't work in the same hospital have selective visual impairment when we pass each other in the hall.
Second, I can accept it's over and leave.
Or you could try making him angry.
Standard choice number three.
Third, I can talk to him.
But it's not like I have any new facts I can present and Chase has this romantic view of love that reality can't compete with.
I know how you could succeed.
How? Just say the magic words, "I will destroy my husband's sperm.
" You mean, succeed without doing that? Probably not.
I have doubts.
Normal doubts.
It's not wrong to prepare for bad things to happen, even if you don't expect them to.
I don't expect my condo to burn down, but I have fire insurance.
Patient's girlfriend left him, now he wants to leave us.
If your condo rules don't let you buy insurance, do you go homeless? His room is this way.
What? You think I can fix this? We need to offer this guy something he can only get if he stays in the hospital.
Relationship counseling.
I don't know if his girlfriend is I mean his two hemispheres.
That's the breakfast of relationships, the most important one of the day.
We need your special skills.
Is the guy out there? The guy that's gonna make my right brain work? Oh, for What do you think your right brain wants? How should I know? It's crazy, it does things I would never do.
Duct of Wirsung slightly enlarged, but within normal parameters.
Say something.
It's mute.
It can't communicate with you.
Maybe you should try communicating with it.
"Talk to her.
" The well isn't deep, is it? You're the dominant half, you make all the decisions.
The right side has no control over anything.
It must be frustrating.
No masses in body or tail segments.
I can't communicate with it, that's the whole When you decide to go and get groceries, what do you do? What do you mean? I put on my jacket and I go to the store.
Your right brain has no idea why you're suddenly getting up and putting on your jacket.
It just gets dragged along.
Next time, try saying it out loud.
Just say to the empty air "Hey, I think I'll go to the store because we're out of peanut butter"? How much did they teach you about people like me when you were learning to be a therapist? I'm an oncologist.
Your right brain likes what he's saying.
Hasn't moved the entire scan.
Hasn't gotten us anything, though.
Scan's clean.
It's not pancreatic cancer.
Clotting could be a problem well before a solid tumor forms.
It could still be pancreatic.
Yes, but if you want a diagnosis backed by actual evidence we should probably look at other cancers.
House.
I just squawked! What? Eugene Schwartz.
Your patient from yesterday.
I just squawked! I was buying some flowers for Mona.
It happened when I was paying the clerk.
I assume Dr.
Cuddy gave you this number.
Yes.
She told me to call you any time I squawked, day or night.
I'm sorry, but I'm about to lose you because I'm about to drive into a tunnel in a canyon on an airplane while hanging up the phone.
I might be getting some more phone calls, so let's make it fast.
Lymphoma.
That's right, pancreatic.
I know it's pancreatic.
I know there's evidence.
I know we've seen it.
I just can't Right brainlleft brain issues? If the cancer's too small to find, let's make it easier.
Let's open him up and paint it.
There's a new procedure using scorpion toxin and infrared paint.
The paint only works on the cancer cells, makes them easier to spot.
Just agitating the pancreas can cause clotting and you want to do it to a guy whose problem is clotting? If I'm right about pancreatic cancer the only chance he's got is finding and removing those cancer cells now.
His brain MRI showed narrowing in the blood vessels leading up from the neck.
If we do shake something loose, we could kill him.
Or one of him.
A clot in his brain could kill one of them without affecting the other.
He might actually be okay with that.
How long is it going to take? Assuming he doesn't crash, a few minutes.
Hey, you and Cameron I'm sorry.
I'll be right back.
I don't want to be homeless.
Okay.
You can stay in the condo.
I'll find some other That's not what I mean.
I want to marry you.
I got the forms to destroy the sperm.
You sure? Yeah.
I want to hug you, but then I'd have to re-scrub.
I know.
BP is dropping.
Go.
No sign of cancer.
BP is 90 over 60.
You never answered my question.
Relax.
Our friendship is not doomed.
Thank God.
But my question was, do you really want Cuddy or is this just another challenge? You're worried that once I'm in a relationship you and me will be over.
Hey, I'm actually for this.
I think this is great.
But if you're serious, and you don't treat it seriously, then you will get hurt.
And if you don't accept that, then accept that she will get hurt.
I was told it was your birthday.
I understand.
So, so sorry.
I know.
Clearly, there was a mix-up.
Have a nice day.
Does she look angry? If you're standing there when she looks up here Oh, no.
Systolic's 80.
Gotta finish this suture before I can get out.
Give him a dopamine drip.
We weren't looking up at the right time.
Get to your point.
We're a little busy here.
The clots aren't from cancer.
They're coming from his heart.
We echoed the heart.
No clots.
Not while we were looking.
Didn't I open with that? The clots were caused by an arrhythmia.
No arrhythmia.
Not while we were looking.
Intermittent arrhythmia.
This guy pulls our equipment off at the slightest provocation.
We'd have to be watching at the exact moment it happened which I'm guessing, given the way you two are scrambling around like idiots is right now.
Yes, I'm saying do a transesophageal echo.
We have to get his BP stable.
Absolutely.
Right after the echo.
Systolic's 70.
The heart looked healthy at the last echo.
And an arrhythmia wouldn't cause clots in a healthy ventricle so start with the left atrial appendage.
Wow.
Yep, I did it again.
Now get this poor guy's BP under control and seal off the appendage.
And then all we have to do is find out what damaged his heart before it goes after something he really needs.
So what damages a healthy 20-year-old heart enough to make it send out clots like it's bombing Dresden? Rhabdo.
Would've fried his kidneys, too.
What about Graves'? Thyroid function tests were normal.
Cushing's.
Cortisol overproduction could interfere with heart rhythm.
Run a dexamethasone suppression test.
Annie.
You hit me.
I know.
I'm so sorry.
But it wasn't me.
I know you would never have done that if you were in control of yourself, but But you came back.
To talk with your doctors.
I've been going over and over what happened.
And I had this thought, out of nowhere.
Ever since I've known Scott, I've seen his left hand throw things but always sort of playfully, thinking it's fun.
But when he threw this, it was angry.
And that's when his hand slapped me, too, when I brought it to him.
Could it mean something? Deodorant shouldn't How often do you use it? A few times a day.
It's special, heavy-duty stuff.
I have to send away for it.
Sprayed around a bathroom the size of a shoebox.
I'll check the ingredients from the manufacturer.
I'll check for any references associated with health issues.
Somebody's grateful.
We'll just leave the three of you alone.
Why is there no lipstick on this cup? Cuddy was wearing lipstick when she drank from it.
It was on my face.
Why isn't it on the cup? Why is it always reasonable, in Houseland, to take an emotional problem and sidestep it by turning it into a mechanical problem? Because, in Houseland, and the rest of the universe, by the way when a question presents itself, it calls for an answer.
If the left brain is the interpreter of reality and the one that tells us the story of who we are, then what is your story? Do you want to be the man with the answers? Or do you want to be the man with Cuddy? What do I do? You make her angry.
Do you really think that was the best time to mock me? I'm as surprised as you, but I think I'm serious.
Communication can't start unless you're both I've been trying to make her angry for No, you haven't.
Come on.
Poo? Strippers? It's routine stuff.
You've been pulling your punches.
You're scared.
You should be.
Now go terrorize her.
You don't want to destroy it, do you? I said I was gonna do it, I'll do it.
But you don't want to.
I want to be with you.
Maybe I'm not comfortable with it, but Let's say it's our fifth anniversary.
Are you ready to destroy it now? Tenth.
Three kids.
They spend their summers in Melbourne and have annoying accents.
It's disgusting how happy we are.
You ready now? You don't have doubts.
You just don't want to kill the only thing left of someone you loved.
Don't do it.
I do have trouble giving things up.
For example, I never cancelled any of our wedding plans.
Attention! I have an announcement.
As you go about your day I would like you to be aware of the fact that I slept with Lisa Cuddy.
This is beyond asshood.
You have the luxury of not caring about your image.
I do not.
I can permit a lot of crap but an employee shouting about his sexual exploits with me, no.
That is zero tolerance.
So congratulations, House, I'm angry.
I was wondering if we should move in together.
You're fired.
I wouldn't worry about it.
I think she likes you.
If I'm fired, I think that probably means I don't have to see patients.
I'm here as a squeaky wheel.
I know how you doctors are, you're busy, you get distracted.
My lab results could be sitting in your inbox.
I don't need your labs, you have acid reflux.
Well, how could you Acid splashes on the vocal cords they tense, make that squawking sound.
It's completely harmless.
I'm gonna give you a prescription, and you're gonna go away.
You are a great doctor.
Why'd you move your belt? I always move my belt.
It makes me sore.
You didn't tell me that.
At 86, what isn't sore? Soreness is less important than squawking.
It's the squawking that was bothering my wife.
That's not a potbelly.
That's a tumor.
That's why pancreatic cancer was on my mind.
My brain was trying to tell me This isn't sounding good.
Pancreatic cancer? Can cause acid reflux.
We should scope you.
So it's not good.
Even for cancer, it's not good.
No, it's not.
The deodorant has a high proportion of propylene glycol.
Same stuff made a kid in Singapore develop a heart condition and, get this, seizures.
Our patient may never have needed split-brain surgery.
I'm sure he will half appreciate the irony.
Can you take this man to Radiology? Pancreatic scan.
And stay with him.
Eugene Schwartz.
Whatever it is, just say it quickly.
Do you have more than one lipstick in the same shade? Maybe one that has a sealing agent, and one that doesn't? How could that possibly be relevant to anything? You really don't think you're just overreacting to the other night? Fine.
I am overreacting.
You've said plenty of lousy things to me before.
But reaching the final straw has been a good thing because it made me realize we not only don't have a personal relationship we never could.
You're You've been overreacting to something I said? You insulted me, I walked out.
It's nothing that hasn't happened a hundred times before.
I quit.
Great.
My nanny is off the clock at 7:30.
So your week off You can go suckle the little bastard child who makes you feel good about yourself.
Screw you.
No, no.
That's not what happened.
I told you that I needed you.
You helped me.
Are you okay? Are you okay? So, this is the story you made up about who you are.
It's a nice one.
Too bad it isn't true.
No.
I'm not okay.