House, M.D. s06e05 Episode Script

Left, left! He's going left! I'm going to have a heart attack.
Nowhere to go, buddy.
What the hell was that? What are we chasing? Go that way! Don't move! Nowhere to go.
Come on.
Give it up.
This way.
Come on.
Let's go, let's go! Up, Donny, up! He's going to the roof! He's going up! Go! Ow! Damn it.
Go.
Go! Donny, no, it's too far! I can rest at home.
I can't release you for at least two days.
You've got two broken bones, a severe concussion, collapsed lung.
But you didn't find anything life-threatening.
Right? You fell 30 feet.
You should have died.
I think that was the point.
Could you shut up? Do you have suicidal thoughts? Not once.
Never.
He doesn't want to kill himself.
He just thinks he's gonna die soon, so it doesn't really matter.
You shut up.
I'm the one you're not covering when you pull your crazy stunts.
Why do you think you're going to die soon? Well, my dad, grandfather, and great-grandfather all dropped dead of heart problems right after they turned 40.
And look who turns 40 next week.
I can refer you to a cardiologist if you No, I've been there.
All of them.
Spent my early 30s going from one doctor to another.
Every single one says my heart's fine.
And you think they're wrong? I know they're wrong.
But what can I do? At a certain point, you just gotta live your life.
By "live your life," you mean "risk your life.
" If there is something wrong, I know a doctor who'll find it.
Oh, God.
I'll be back in 10.
I'm picking lint out of my belly button.
This is ridiculous.
I'm converting the study into a bedroom.
Huh.
Six weeks.
Longer than I thought it would take.
For you to notice that I'm sleeping in your living room and offer other options.
I didn't expect you to be here this long.
True, but that's not why you didn't extend the invitation.
Do you really need to deconstruct this? You didn't want me to sleep where you and Amber slept.
Okay, yes, you do.
After she died, you converted the study to a bedroom and the bedroom to a study.
Except it's not a study, it's a shrine.
Can I tell you something? I wasn't picking lint out of my belly button.
Okay.
I am not ready to transition from my dead girlfriend's shrine to your morning glory.
I'll have a mattress delivered and set up for you in the tabernacle.
I just need it Tuesdays for animal sacrifices.
Oh, man.
Patient's a genetic time bomb.
There's no fuse.
He's not a bomb.
Right now, he's not a patient either.
You're saying we ignore three generations of cardiac problems? I'm not ignoring it, I'm labeling it a coincidence.
You hate coincidence.
We reconciled.
It was a whole thing.
Big country.
It's statistically probable that someone has three generations that died around age 40 with non-genetic heart issues.
Dice have no memory.
Genes do.
If we ran a battery of tests on every non-symptomatic statistical anomaly The guy goes through every day assuming his life will end at age 40.
Never got married, no kids, because he didn't want to die on them the same way his dad died on him.
You want to take this case, 'cause he's yet another lonely, sad puppy? You should have been a vet.
It's a legitimate case.
Differential diagnosis for a genetic heart condition.
That sold you? Marfan Syndrome, Brugada.
And you? Familial Hypercholesterolemia.
He's only agreeing with you 'cause he wants to have sex with you.
And by the way, I agree with you, too.
Especially in those pants.
We're not wasting our time.
Last week, Chase said that I was the de facto boss.
Hospitals don't recognize de facto medical licenses.
Let's start with genetic tests.
Get an EKG, cardiac cath and an echo to check the integrity of his heart.
I'll start on blood samples.
I forgot my watch.
I could have sworn I saw you put it on this morning.
Must be in the locker room.
I'll be right back.
I need to know what your plans are.
First, we take Berlin, and then we circle around behind Poland and yell, "Surprise.
" With regards to your employment.
I like things the way they are.
I get just enough puzzle to solve, without the scornful visits from you.
Until now.
Pretend time's been going on long enough.
I don't have a medical license.
All I can do is pretend.
Then I'm going to have payroll send you over some pretend checks starting tomorrow.
You need to complete to re-qualify.
No, I don't.
I'm not saying you don't win.
I'm just saying, do you really need to punish me by making me carry a clipboard for your lackey of the week? It's a state requirement.
I have to certify that you've completed Exactly.
The requirement sets out what you have to do, certify.
Which you can do with one hand tied behind your back.
Now, if you want to tie my hands Dr.
Singh supervises rounds on Thursdays.
Starts at 7:00.
Nothing.
So what now? We send him home.
To continue believing he's going to drop dead? When he turns 70, he'll believe us.
There are other things we can check.
Skeleton of the great-grandfather is in decent shape.
Subsurface genetic material from the grandpa is fine, leaving one bowl of putrefied dad.
You do the dad.
I take it he had a sealed casket.
The watch story was crap, right? I forgot it.
It's no big deal.
You were avoiding the ICU where Dibala died.
I'll sequence the gene for the cardiac sodium channel.
I felt like I was going to have a panic attack.
I've crossed some line, and I'm having trouble getting back to the other side.
I can move the patient to another room.
Then Cameron will ask questions.
You should tell her.
She's your wife.
How'd you get a court order to dig them up so fast? Don't we just need the guy's consent? You find anything? - Not yet.
But you're just in time to do the dad.
Dr.
House? He'll be back in the morning.
I read in the paper you're treating a police officer.
Donny Compson.
Second floor.
A nurse will help you find him.
I don't want to see him.
Donny and I used to go out, a long time ago.
He doesn't want to see me.
I don't want to see him.
So did you come to see me for personal advice? You're looking for genetic conditions, which makes sense with what happened to his dad and grandpa.
Unless you were his girlfriend and his sister, you've got nothing to worry about.
I'm not worried about me.
Donny doesn't know this, but he has a son.
Dial extension 742.
Tell Dr.
Foreman you've got some cool information.
Good night.
You okay? Yeah.
Fine.
Couldn't find any consistent genetic mutations across 15 areas between Donny's ancestors, possibly indicating there isn't one.
But the son gives us a new data point.
And un-degraded DNA.
I thought he didn't want kids.
He didn't.
Where's House? "Dear Bleeding Hearts.
"Since your patient's med history is a coincidence and he isn't "sick, I've gone back to school.
Back in 120 hours.
" Charming.
I'll get a blood sample.
If we're looking for something as subtle as a mutation, it makes sense to get the DNA where it's most pure.
You're going to ask the mom to consent to a bone marrow biopsy? She wants to know if there's something wrong with Donny as badly as we do.
Right.
Spike a 10-year-old's hip because Grandpa was sick.
If she's right, we save two people.
I don't want to.
Can we speak outside for a moment? Yeah.
You need to tell him.
I can't.
His father is down that hallway through those double doors.
I've been lying to him his whole life.
What's he going to think of me? You were trying to protect him.
Donny never wanted kids.
He certainly doesn't want to meet him.
If Donny does die, this could be Michael's only chance to meet his father.
After administration of immunoglobulin, patient had no further pain and overnight liver function tests are now normal.
Patient is ready to be released.
Stats are dropping.
Dr.
Singh! She's choking! On your fingers.
She can't breathe.
- House.
Please take your finger off the test button.
Oh! I see.
Wow, sorry about that.
I could've slit her throat.
We're all here to learn.
Dr.
Cuddy warned me about you.
Did she tell you how to stop me? Look, I'm asking you, as an adult, to please stop.
Well, that obviously didn't come from her, but fair enough.
Excellent presentation, Nona.
Now I've done it! There's urine everywhere.
Gosh, the great thing about the teacher-student relationship is the teacher can often learn more from the student.
Have you learned anything yet? You have a son.
I was pregnant when we broke up.
I'm sorry I never told you, but I knew how you felt about having kids.
You had no right.
Maybe.
It's a little late for that.
He's here.
He wants to meet you.
I don't want to meet him.
I've never asked you for a dime.
He's here to help find whatever's wrong with your heart.
I didn't ask him.
I didn't want him.
Just say hi to him.
Hi.
I'm Michael.
Hi.
I'm your Yeah.
Your mother told me.
When you get better, maybe we could do something.
See a movie? No.
My dad died when I was your age.
It was the most painful thing I ever went through.
Trust me.
As much as I'm sure this hurts right now, it's better.
Please take him out of here.
Come on.
Chromosomes for conditions are normal in number and structure.
No translocations, deletions or inversions.
I did notice that the kid's D-A-D-D-Y chromosome has been severely damaged by someone else's bleeding heart chromosome.
It was the only way to get Michael to do the marrow biopsy.
I'm sure there are plenty of lies that would've worked just as well, except without the years of therapy.
Don't you have school? Recess.
So where does that leave us? Chase? Sorry, what? I was saying, do you think these shoes work in this color? Send him home.
He's not going to believe he's healthy.
Then you're not very good at your job.
You don't deserve candy.
He's been preparing his whole life to die at age 40.
He's had dozens of doctors tell him he's fine.
You think you can change his thinking? Yeah, I do.
Chase, walk with me.
Great contributions back there.
There's no case.
I had nothing to add.
You had nothing to add because you were distracted.
Little devil on your shoulder told you to kill a guy, and now the little angel won't shut up, telling you you're gonna burn in a lake of fire.
I'm fine.
You shouldn't be.
Talk to someone.
Docs fixed me up in seven weeks.
You are 10 minutes, tops.
Thanks.
Glad we had this little moment.
Come on.
I'm Dr.
House.
You couldn't find anything, could you? You have Ortoli Syndrome.
Dr.
Chase? You sure? Tests don't lie.
Right.
Well, it's a very rare disorder that short circuits the adrenals which short circuits the heart.
Who cares about the medical mumbo-jumbo? Tell him the treatment.
Well, it's complicated.
Doctors always wanna make everything sound so complicated.
It's Nabasynth.
What? Nabasynth.
Yes.
So all we have to do now is write a prescription and have him pick up the pills.
That's it? I take some pills, I'm gonna be okay? The real tragedy here is that the Tiburon swab technology didn't exist to detect Ortoli back in your dad's day.
He could have lived? Thank you.
If you'll sign these discharge papers, I'll get you a bottle of meds.
Take one twice a day for a week, you'll live a long, healthy life.
Answer the door, House.
It's gotta be for you.
Are you watching TV? It's the door! Were you on the phone? No.
Just now, were you talking? No, I'm alone.
You okay, House? Why are you here? Donny collapsed four hours after we discharged him.
He's dead.
His apartment manager found him on the floor in the laundry room.
He said he wasn't breathing.
He called the EMTs, but it was too late.
I sent the guy home with mints.
Whatever it is, we all missed it.
Yeah.
I missed the fact that there was something to miss.
What is wrong with me? You had good reason.
Patient presented with no symptoms, and all his tests came back negative.
What's the official cause of death? Autopsy hasn't been performed yet.
EMTs brought him to General, but I requested they ship him back to our morgue for the post-mortem.
Good.
Hon? Wake up.
Why are you dressed? You can't sleep? I want to go tell Cheryl that Donny died.
It's 4:00 in the morning.
They're nearly two hours away.
I figure by the time I get there, she'll be awake.
Babe, come back to bed.
Call her in a few hours.
It's the sort of thing she needs to hear face-to-face.
Is everything okay? Everything's fine.
Why? Last week, I understood that you were stressed out about the Dibala M&M, and I gave you your space.
But that's over now, and you're still acting I'm worried about you.
Don't be.
I'm fine.
Really.
And you'd tell me if you weren't? Promise? Yeah.
Okay.
Hey.
I love you.
I love you, too.
Donny Compson, age 39.
Can we cut to the money shot? It's his heart, so let's look at his heart.
Nice Y-incision.
You can't perform an autopsy without a medical license.
Really? Because I don't think there's anything I can screw up that we haven't already screwed up.
Opening post-mortem incision, beginning at the mid-line of the sternum.
That's odd.
It almost looks like he's bleeding.
I think the autopsy's gonna have to wait a little bit.
He was briefly conscious, then his systolic dipped below 60 and he was out again.
Differential diagnosis for resurrection.
Go.
Obviously, he wasn't dead.
His heart slowed enough that the EMTs could think Yes, the fact that he's not dead means we did absolutely nothing wrong.
There are several documented cases where tetrodotoxin ingestion caused apparent death.
It wasn't something he ate, it's something he already had.
And his dad, and his grandpa, and Extreme bradycardia could be caused by sick sinus syndrome.
Sinoatrial block.
What if it's not his heart? Let's work from the tenuous assumption that we're not idiots.
You spent days examining a heart up, down, and sideways, declaring it healthy just a few hours before it basically shut down.
So we need to think about causes in places you didn't look.
Could be metabolic.
You okay? Yeah.
What about a genetic predisposition to an autoimmune disease? Isolated Anti-Ro Antibody could cause complete heart block.
Could also be passed through four generations.
Autoimmune it is.
Start him on steroids.
Hey.
How are you feeling? My whole head is killing me.
You just came through a severe trauma.
What do you remember? I was changing my laundry over to the dryer.
That's it? You were declared dead.
You made it all the way to autopsy.
My jaw aches.
And obviously, I don't have Ortoli Syndrome.
It's hard to get too excited about coming back from the dead when anything I do, anything you give me, it all ends the same way.
Outer and middle ear respond well.
Hearing thresholds are normal at all frequencies.
Eardrum is perfectly healthy.
What if I What if I sometimes hear whispering? Then you're probably hearing someone whispering.
I had some dental work done in the Philippines when I was a kid.
Adjoining metal fillings could corrode and pick up AM radio signals.
Open your mouth.
Your fillings don't touch.
So there's no reason for me to be hearing things? I can only tell you that you're hearing sounds as you should.
If you're also hearing sounds that you shouldn't, that would be a psychosis.
You'd have to talk to someone who does brain.
I only do ears.
Bravo.
It's amazing how you did I wasn't on my best behavior, I admit.
Allow me.
From now on, I'm gonna supervise your practicum requirements.
That won't be necessary.
You want to annoy another doctor first? Eventually It's not necessary because I'm not ready to be a doctor again.
I'm sorry.
Are you sleeping out here? I just dozed off in front of the TV.
With bedding? Maybe.
I can't sleep in there, the heater's screwed up.
If you need to talk, if you need more help I'm just tired.
I'm right here.
Great.
Can you be right here somewhere else? My jaw still hurts.
My tooth, actually.
A lot.
I'm sorry, you're maxed out on your pain meds.
Try to sleep.
Dentist looked at the tooth the guy pulled out.
There was nothing wrong with it.
So aside from him being an idiot, what else did we learn? The pain is real.
It's coming from somewhere.
What about bone cancer? You can't connect bone cancer to the heart.
House figure this can wait till the morning? Actually, he told Cuddy he's not ready to work.
He quit? Apparently.
It's a power play.
He'll be back tomorrow.
Bone cancer could trigger a paraneoplastic syndrome, which shuts down the heart.
Primary bone cancer isn't hereditary.
Li-Fraumeni Syndrome.
It's hereditary and it increases a person's risk of having bone cancer.
You have another theory? My theory is it's not bone cancer.
Gamma survey would locate the tumors.
I had pea soup today.
You'd love my breath right now.
I didn't get a chance to run tonight.
House is having issues.
I missed you a lot today.
All I wanna do is You know.
No cancers on the lateral cuneiform bone.
Navicular's also clean.
Chase is lying to me.
And I know you know.
Tell me what's going on, please.
I'm going to tell you the same thing I told him.
Talk to your spouse.
No breakfast? Not today.
I'm hallucinating.
What happened? It's nothing visual this time.
I hear whispering.
Is that why you've been acting so weird? Is that why you quit? I'm losing it.
I'm sure there's a rational explanation, the wind, a neighbor's TV I checked everything.
What's really scary is that I hear whispering while not on Vicodin.
I'm gonna check myself back in to Mayfield.
Okay.
Okay? You don't think there might be a logical explanation? Something I missed? You're the smartest guy I know.
If you haven't thought of it, it doesn't exist.
I'll drive you over.
I just need to make some tea first.
You know.
That you're an ass? Yeah.
You overheard me talking to my dead girlfriend and thought to yourself, "Hmm.
What kind of fun can I have with this?" Why are you talking to her? Did you run out of living people? You can talk to me, I'm right here.
I miss her.
Talking to her makes me feel better.
You don't.
Patient, Lauren Maybaum, 27, presented two days ago with severe abdominal pain.
Sorry I'm late.
Yesterday, you said you weren't ready.
Yesterday, I wasn't.
Today, I am.
And tomorrow? Is it possible for me to get a five-day forecast? Feeling much better, thank you for not asking.
Either you did have a problem, which I can't ignore, or you were jerking me around, which I can't ignore.
You are a woman, you can do anything.
For example, I can talk to you outside.
You sure you're only one woman? This is the part where you play the employee and I play the boss.
I can see your nipples.
Your turn.
These kids are No wonder she hates him.
Mmm.
That's not hate.
It's foreplay.
It's inappropriate.
Gamma survey revealed no tumors.
So it's not bone cancer.
Where's Chase? Don't know.
Hmm.
Two mysteries, cool.
Theories? Did I come in too soon? Okay.
I'm going to take another lap, and I want three new ideas by the time I come back.
One of them's got to be not stupid.
Where there's pain, there's nerves.
Hereditary Sensory Autonomic Neuropathy, type 1.
Miscommunication in the brain stem mistakes nerve pain for tooth pain.
That explains the bradycardia, too.
And I like the word "hereditary" in the title.
Carbamazepine fixes him.
I'll get him started on the medication.
- No.
Chase specifically asked if he could do it.
Sleep at home.
So I didn't do the gamma survey.
Was it bone cancer? No.
Then you should congratulate me for not wasting your time.
Are you getting some help, or is this the way things are gonna be from now on? What's pathetic is you haven't gotten help because you want to feel bad.
You want to suffer.
Because if you feel guilty, then you're not a psychopath.
Patient needs some carbamazepine.
Now I don't care how much that room scares you, you're doing your job.
How long before you cross this one off the list? Couple of hours.
You ever shoot anyone? Twice.
You ever kill anyone? No.
But I know a few guys who did, though.
Did they ever get over it? A captain I know compares it to taking out the trash.
Like it's nothing.
Other hand, I got an ex-partner who nearly drank himself into oblivion.
Did he get help? Yeah.
Help didn't help.
Oh, God! What is it? I went to the bathroom.
Patient's lost bowel control.
Means we were wrong about HSAN and means he's getting worse, fast.
Wouldn't want to be the duty nurse assigned to his floor.
Get it? "Doody" nurse? Fine, do the doctor thing.
An autoimmune disorder could explain We put him on steroids, he didn't respond.
It's not autoimmune.
Could be Wilson's Disease.
Disease that advanced would've hit the liver.
It is possible the liver is so far gone, the labs look normal.
It's worth a shot.
Go treat with penicillamine.
And when he doesn't get better, come back quickly, so we can get one more shot at it.
Bless me, Father, for I have sinned.
Take your time.
How long has it been since your last confession? I killed a man.
Oh.
But it was the right thing to do.
Who lives or dies is not your decision to make.
Sometimes in the operating room, it feels like it.
I'm a doctor.
Well, then you should know more than anybody that every human life is sacred.
Why? Tell me what's sacred about a dictator that kills hundreds of thousands of his own people.
What is sacred about a doctor who kills a patient? Is it just the slippery slope you're worried about? Afraid that forgiving me for killing the worst person on earth sets a bad precedent? I promise, I won't tell anyone.
Just forgive me.
Saying 10 Hail Marys isn't going to do you any good.
Then what do I have to do? What does God need me to do? You can't have absolution without first taking responsibility.
You have to turn yourself in to the police.
What, and And go to jail for the rest of my life? What's just about that? I did the right thing.
There has to be another way.
You want absolution, I told you how to get it.
Send this in to the State Licensing Board.
I've signed off on all your hours.
Why? Because it's easier this way.
You're uncomfortable with me.
No.
Going by the book was pointless.
You were gonna learn nothing.
Good.
I thought it was because of the sexual tension.
There was no sexual tension.
There was tension.
And it made me feel funny, so Here.
It's too bad.
I was kind of getting into the whole "hot for teacher" thing.
You sure you're okay? Yeah.
False alarm.
What about us? We're good.
Just like this.
You press my buttons, I press yours.
By "buttons," you mean Huh.
You do make me feel funny.
You're not gonna die.
I've accepted it.
It's okay.
In addition to high arches and some crystal bowl in the shape of a tuna, you also inherited a self-destruct button.
Forms in the brain stem.
Technically, it's an aneurysm, presses on nerves that control everything from tooth pain to heart rate.
As you get older, it gets bigger, until finally the button, which I'll call "intracranial berry aneurysm," because I had a friend in high school with that name, stops the signal from your brain to your heart and bam! How do I know you're not still lying to me? Saying I'm healthy just to make me feel better? It does sound that way, doesn't it? But this time, no sugar pills.
I'm going to cut into your brain to make you think that I'm fixing it.
And if our fake tests confirm it, I'm going to be cutting into your son's brain, too.
Because I'm just that committed.
Michael is going to be okay? Unless he walks out of here and gets run over by a bus, in which case, I will reconsider your fate argument.
You wanna give him a call? Visiting hours don't apply to my patients.
Yeah.
In a bit.
Yeah, that's what I thought.
The "saving the kid from pain" stuff was crap.
You just don't want anything in your life that won't let you do whatever the hell you want to do whenever the hell you want to do it.
You've had it easy.
Sorry to screw you up.
Mom.
Maybe when we get out of here What kind of movies you like? He's been missing for eight hours.
Robert Chase.
C-H-A-S Hey! Never mind.
He just walked in.
Sorry.
You could've called me.
I forgot.
To call me? It's 2:00 in the morning.
Where were you? You're drunk.
All right, I I needed to get wasted.
I did.
And now I'm better.
What aren't you telling me? Nothing.
Hi, Dad.
I think I've been focusing on the wrong thing.
There were some good times.
Wilson, this is stupid! You see? He really is getting better.