House, M.D. s08e18 Episode Script

Who are you? What are you doing? Get out of here! Mom! Lue? Lue? Are you okay? Okay, honey, calm down.
It's all right.
You were just having another bad dream.
I can't breathe.
Yes, you can.
You're fine.
Just relax.
Just take slow, deep breaths.
Nice and easy.
There's nothing to be afraid of.
I'm trying, but I can't.
Relax.
Slow, deep breaths.
I can't.
Lue? Oh, my God.
Lue? Lue, wake up! Wake up, Lue! Come on! Lue! Been paging you for over two hours.
Must've been in the shower.
And then I had to moisturize.
Eight-year-old boy was brought into the ER last night with acute respiratory distress.
No history of No history of asthma or allergies and his chest x-ray is clear.
Actually, I had to moisturize twice.
Dominika made Oysters Rockefeller last night.
Kid's been having night terrors.
Woke up in the middle of one in full respiratory arrest.
Stress-induced panic attack.
Tell the parents to lay off the grades.
The world needs fry cooks, too.
He does great in school.
The parents are divorced, but it was amicable and Dad's moved out of state.
You seen Wilson around? The dreams are about an ugly old hag trying to strangle him.
The family's Hmong.
SUNDS.
Sudden unexpected nocturnal death syndrome.
AKA BS name for, "No one's figured out why they died.
" Over 100 in the early '80s, only male, only Hmong.
Healthy right up until the moment they died in their sleep.
What was he dreaming about? It doesn't matter.
It's a dream.
It doesn't mean anything.
If the nightmare's scary enough, meaningful or not, it could cause a catecholamine surge and ventricular fibrillation.
An ancient demon, called a dab, was sitting on him, strangling him.
Think that qualifies.
Except in the rational part of the file where it says his EKG's within normal limits.
It's not his heart.
What about obstructive sleep apnoea? Sleep apnoea wouldn't have caused breathing problems after he woke up.
What did you dream of? I never remember my dreams.
But you're certain that they're insignificant.
Defensively so.
I was defending science.
You were defensively defending science.
Lung damage from inhaled toxins could keep causing problems after he woke up.
Or an upper respiratory infection.
Okay.
Chase and Park, start IV antibiotics for pneumonia.
Taub and Adams, go check the home for toxins.
Can I go with Taub? It was my idea.
Right.
'Cause for a moment there I thought you were uncomfortable around Chase because you had a nocturnal Australian.
You can go with whoever you want.
But all of you, read all of these files.
Do you believe a spirit could be hurting your son'? No, of course not.
Because if he's been taught to believe that, it is possible for the fear alone to affect heart function.
I'm an engineer.
I know illnesses aren't caused by evil spirits.
I'm sorry.
I didn't mean to, I just had to check.
Anything else you need to check? No.
I had a dream.
House, we can talk later.
Relax, I'm a doctor.
Your spectacular breasts mean nothing to me.
House.
House.
Later.
I had sex with Dominika.
In a dream? It wasn't literally sex.
Technically, it was flossing, but you know, teeth, testicles.
I think the symbolism is pretty clear.
"Later" just changed to "never".
I'll tell you what would be weirder.
If you didn't dream about having sex with Chase.
Have you? No.
But I've dreamed about having sex with a lot of people I work with and it didn't freak me out.
That's different How? 'Cause you've actually had sex with a lot of people at work and that hasn't freaked you out.
Good point.
So you're worried about what it means? I'm not worried.
It means nothing.
It means something, doesn't it? I work with him.
I can't want to sleep with him.
Maybe Chase just represents work.
You're just falling in love with your job.
It has been very satisfying lately.
You smell that? Yeah.
Ll smells like a wet dog.
It's mold.
It's not mold.
It's definitely mold.
I don't see any sign of water damage.
Holy crap.
It looked like a slaughterhouse.
I don't know what you're talking about.
It was clean when we left.
You're telling us some random person broke into your house to dismember a pig in your son's bedroom? A pie? My father-in-law.
What did you do? What you should have done weeks ago, when the dreams started.
I'm saving Lue.
He's coding! Need a doctor in here! V-tach.
No pulse.
- Oh, my God.
- Push one milligram epi.
- Paddles.
Charge to 50.
- Charging.
Clear.
Still V-tach.
Charge to 100.
Clear.
Charging Wait.
Normal sinus rhythm.
He's stable, but we've obviously got a second symptom.
Yeah, yeah, kid's in V-tach.
Tell me about the luau in his bedroom.
It's a traditional Hmong ceremony.
It's supposed to call back the kid's soul.
Hasn't he heard of star 69? There's more.
The reason grandpa thinks the kid's soul was stolen is because he's convinced his son, the kid's father, had his stolen as well.
He beat his boss to death.
The dad didn't move away, he's in prison.
PTSD could definitely cause breathing problems and It's not PTSD.
Even if the kid wasn't there, just hearing what the dad did But he hasn't.
It happened when he was two, and all he's ever been told is that his parents divorced and his dad moved away.
The heart thing indicates a malignant arrhythmia.
He needs an EP study.
How many of the other files showed malignant arrhythmias? - None.
- Then forget the EP.
What about acute pericarditis? Explains the dyspnoea.
How many of the other files It's exacerbated by lying supine, so the symptoms would get worse when he goes to sleep.
Just like all 100 of the others.
Do an echo to check the pericardium.
See if you can find any cardio-active toxins in the home samples.
Can I just say that I very much enjoy my job? No, no, please.
No need to apologize for your earlier behavior.
The floss was mint, probably because of this green G-string she hangs up to dry in the bathroom.
My watch must have stopped.
Apparently it's already "never".
You might want to forward your calls.
You do not want the Reader's Digest version on this.
There was a very tight hygienist's uniform, suggestive use of a water sprayer The floss isn't sex.
It's guilt.
It's tying you up for throwing away the INS notification granting Dominika her citizenship.
She can move out but she still doesn't know it, which means you're basically holding her prisoner.
Tell her the truth and leave me alone.
Really? What? You startled me.
We work together every day, usually under a fair amount of stress.
It's only natural I pop into a subconscious thought every once in a while.
Have you ever dreamt about having sex with me? No.
You paused.
No, I didn't.
You think I'm lying? No.
I think you were fighting the urge to snap the word "no" because your subconscious finds the idea abhorrent.
So if I snap it's offensive, and if I don't snap it's offensive for the exact same reason? Talk to your subconscious.
This is becoming weird because you're making it weird.
So you don't find the idea abhorrent? I work with you.
I don't have to answer that question.
You just did.
What happened? Echo was negative but he has severe abdominal pain.
Ultrasound didn't suggest any intestinal blockages, but he's severely constipated.
No spores, clostridium, or organic toxins in the kitchen samples.
Nothing in the bedroom either.
We need to scope him and we're gonna need to clear his bowel first.
We should biopsy his thyroid.
For an impacted bowel? Hashimotds thyroiditis would explain his lung, heart and intestinal involvement.
And if you think we still need House's approval, it also explains dying in his sleep.
Nice call.
When you invite me for dinner, I thought maybe you take me to a restaurant.
Or have plates.
Yeah.
Sorry.
Idiot delivery guy forgot them.
Hmm.
The idiot delivery guy, or the idiot guy whose food you stole from lounge refrigerator' huh? You've gotten to know me pretty well.
My citizenship depends on it, right? Yeah.
That's actually why I wanted to talk to you.
You heard news? Yeah.
So, what news? They want us to come in for another interview? No.
Since we hadn't heard anything, I called.
And they said it's gonna be a couple weeks.
Maybe a month till they finalize their decision.
A month? Yeah, I know.
It sucks.
No, it does not suck to live with you.
It's been fun, but, you know, I just want to be legal.
And you will be.
Absolutely.
In the meantime You ever shot anyone? No.
Getaway.
Look, this needle isn't nearly as big as the one in your arm, and that didn't hurt did it? I don't want it.
They need to do it, Lue.
You'll only feel a little pinch as we give you the numbing medicine.
After that you won't feel a thing.
No! Lue, calm down, it's gonna be okay.
What's he saying? What's the problem? I don't know.
He's saying ifs too late.
There's nothing we can do.
It's Hmong.
He doesn't speak Hmong.
He's never even heard it.
It isn't him speaking.
It's the dab.
He's seizing.
Oh, my God! Need some Iorazepam in here! Seizure rules out Hashimoto's.
Yeah, that's the issue.
Not that we have no rational explanation for how the patient spoke a language he's never even heard.
I've got one.
It means "you're a bunch of pathetic idiots" in Hmong.
Or it doesn't.
But you wouldn't know because none of you speak Hmong.
Kid, on the other hand, is presumably fluent in gibberish.
The grandfather speaks Hmong.
He translated.
He heard what he wanted to hear because if his grandson really is possessed, that means his son really is possessed, which is a giant step up from being a sledge-hammering psychopath.
Whatever it was preceded a seizure.
It's obviously a neurological symptom.
Scleroderma, advanced to the point that it's affecting his brain? Interesting.
So we should start treating with Interesting that you keep falling for it when I say, "Interesting.
" The scleroderma part was idiotic.
We'd have seen skin involvement.
The interesting part is that you and Park agree but you're notable to look at each other.
Um I'm looking at her.
I'm looking at him.
Good.
Now lick your lips.
Rasmussen's encephalitis.
Diffuse spotty inflammation could hit the autonomic centers of the brain.
That's Hmong for "get an MRI to confirm.
" Rasmussen's encephalitis? But he'll be okay? With treatment, it's manageable.
And it explains all the things that have happened to him'? We think so You're wrong.
And you're wasting my grandson's time.
Neurological issues can cause a person to speak in tongues, speak with an accent He wasn't speaking in tongues.
In times of stress, our senses can fool us into believing I know the difference between science and faith.
And when my son started having the same dreams my grandson is having' science couldn't help him.
I'm sorry if your son suffered from mental illness, but Kao was not crazy.
He was bright, caring, happy.
Until the bad dreams came.
I don't want to watch it happen again.
Please don't scare the boy.
It won't help him get better.
Axial view of the mid-brain level looks good.
Moving onto thalamic.
I had another dream last night.
This time it was about you.
Really? See.
That's how you're supposed to react.
When a woman tells you she's dreamt about you, you should be thrilled, even if not interested in her whatsoever.
You're an idiot, you know that? Well, I definitely won't be dreaming about you tonight.
I'm jealous of you two.
You couldn't be more different and yet, you have this good thing happening.
You support each other, you like each other.
Don't let House screw it up.
We're not that different.
Yeah, you are.
Well, apparently there are some things about you I don't know.
I served one year in police unit.
And you're just telling your husband now? Immigration doesn't know, no need for husband to know.
What is happening to boy with demons? An absence of evidence on an MRI, which my team has mistaken for evidence of absence.
This is what I am not understanding.
How can you believe in dark matters but not in dark spirits? Is the idea of demons so different than the Higgs boson? We can't see it, but we can see the impact of its presence.
I borrowed your physics book.
I read while in bathroom.
So you're a deadeye shot, and enjoy reading quantum physics on the crapper.
I read in bathtub.
Better image.
Thank you.
The doctors say my brain is sick.
Your doctors are trying their best but they aren't looking in the right place.
Yeah, I know this is a lot to put on an eight-year-old, but you've angered our ancestors by ignoring them.
Now, do you remember how to talk to them? Yeah, that's right.
Good-Now, close your eyes and we will ask for forgiveness together.
You're doing good.
But we have to do more.
The evil spirits are in the air.
And the only way to stop them is by stopping the air.
You have to be brave.
I'm not trying to hurt you.
This will help you.
I know it will.
Lue, are you okay? I can't wake him up.
Lue? Lue? You're safe, you're in the hospital.
Get Grandpa away! He's not here, honey.
It was just a dream.
He was choking me! No, Lue, it wasn't real.
It was.
He grabbed my neck! Those bruises weren't there before.
He had the dream, then he had the bruising.
More likely, and by "likely", I mean rationally, it was the other way around.
His brain felt the pain in his neck, created the dream to explain it.
Coagulopathy.
Lung problems cause a clotting disturbance.
He would have bruises everywhere.
Is it really preposterous that dreams can have physical manifestations? The short answer is Thoughts during sleep can and do cause physical changes.
Is that right, Dr.
Park? Did you wake up this morning experiencing physical changes? It's medically relevant.
Her dream doesn't mean anything.
Can we start acting like it doesn't mean anything? Sure.
We could also start acting like walls don't mean anything.
But then we'd hurt our noses.
You've been taking the high road.
You haven't been teasing in an obviously teasable situation because you know it does mean something.
She hates the dream because it makes her feel vulnerable.
You love the dream because it makes you feel superior.
The poor lass who can't help but fall sway to your charms, and you're bestowing upon her the gift of illusory irrelevance.
Can you please hint to House that you had a sex dream? I'd really prefer not to get distracted with trying to cure the patient today.
I refuse to divulge my dreams about girl-on-girl loofa action.
The bruising could indicate anemia, a vitamin C deficiency, or even leukemia.
That is so weird that you and I had the same dream.
I assume yours also ends with me achieving ecstasy while simultaneously placing third in the New York City Marathon.
Third? I'm a realist.
Liver failure can cause gibberish from encephalopathy, constipation, bruising, and breathing problems.
Hepatic fibrosis could hit someone his age.
So let's hit his liver.
Get a biopsy.
Angle a bit more superiorly.
He keeps having these nightmares that become real.
They really hurt him.
I don't want to believe that a nightmare can do that, but I'm struggling with it, too.
But these things can be explained medically.
But you haven't.
Every doctor, every idea they've had, it's been wrong.
Liver biopsy's back.
Team's about to meet.
You're back to avoiding eye contact with me? House got to you again? Want me to gaze longingly into your eyes as I tell you the test results? I want you to treat me like a friend.
Which means getting over the fact that you like me more than I like you.
Yeah, egotism and preening really turn me on.
Too bad I'm not attracted to androgyny and self-pity or you'd have it made.
Because anyone who hasn't gotten wet from your petri dish of STDs clearly has low self-esteem.
Bitch.
Dick.
Are you coming? Why didn't your lips move when you said that? Chase, are you coming? The liver biopsy's back.
I'll be right there.
Biopsy was negative for fibrosis.
So once again you don't know what's wrong.
It's always good to rule out the bad things.
Doctors.
God.
Was he Yes.
He was levitating.
Cool.
So the one thing we know for sure is, he was not levitating.
He was floating six inches off the bed.
He could've just been arching his back off the bed.
Yes.
But then I would have come into the room and reported that the patient was weirdly arching his back off the bed.
It was his whole body.
He was levitating.
So many questions.
Starting with, why did Chase address his comment to someone who wasn't even in the room? Hocus pocus, on my feet you idiots must focus.
I feel so drained.
The kid's not a magician.
Of course not, he's the lovely assistant.
His Grandpa Pig Sticker's waving the wand.
Middling with, is Chase trying to avoid Taub or is he trying to prove that he's not avoiding Park? We checked the bed.
There were no platforms or wires.
This wasn't a trick.
Tetanus can cause muscle rigidity.
Maybe he was propped up by his heel and elbow.
Except he wasn't.
Tetanus wouldn't cause that kind of breathing difficulty.
And ending with, if Chase is trying not to avoid Park, why is he doing this today and not yesterday? But hypocalcaemia could, and the enema we administered to cure his constipation had a high phosphorus load, which could make him transiently hypocalcaemic.
It's along shot.
But at least it has the benefit of being rational.
Go pump up his electrolytes and start beta-blockers.
And good news for Park.
I think Chase had a sex dream about you.
Dreams don't mean anything.
I don't know.
Nothing you've done has helped.
If we don't start and he has another seizure the neurological damage could be permanent.
My father-in-law He thinks the calling ceremony didn't work because Lue wasn't there.
And you think he's right? I don't know.
I'm sorry, but there's no way we can allow him to perform an exorcism in your son's hospital room.
Then I will have to take him home.
A day ago you were insulted I'd even think you might believe that stuff.
And now you're willing to stop all treatment so you can try it? Maybe Xang was right about Kao.
The man I loved wasn't evil and would never do what he did.
He was possessed.
And my son needs his soul back.
Why not? As long as he doesn't feed the kid anything or put anything on his skin that we haven't verified as harmless, what's the problem? I agree.
And since we're establishing a new policy of, "What the hell, we'll try anything," I'd like to hire Shakira to belly-dance while singing Waka Waka.
As long as you get the mom and Shakira to consent.
It's no different than having a priest or rabbi lead a prayer vigil.
The mom is scared and confused and desperate for anything that'll give her hope.
True.
But in the long run, I think you'll be happier having our lawyer declare her unfit.
That way, you won't be ratifying superstition over science and I'll still be working here.
And why would that make me happier? You're not going anywhere, and we're not ratifying their beliefs.
We're respecting them.
You do realize it may involve animal sacrifice? People who live in glass hospitals shouldn't throw exorcisms.
I'll talk to the mother.
I don't want to deny him the medicine.
I just want to make sure I try everything I can.
I understand that.
But you have to understand that we're a hospital, not a temple.
Then I'll take him elsewhere.
No, you won't.
He's sick.
We can't let him leave here.
I'm sorry.
You really have no choice.
I spoke to a lawyer.
He told me as long as I wasn't saying no to your treatment, you couldn't say no to my religion.
Give me 24 hours.
This came in the mail today.
I'm sorry.
I should have told you but Tell me what? I don't understand.
What's the letter? It's from my uncle in Poland.
My Aunt Luba, they put in the nursing home two months ago.
That's too bad.
My mother, I talk to her twice a week and she never even mentioned it.
What does she think, that I can't handle? I'm 29 years old! I am not a child! Were you going out tonight? I could stay.
He's still barely breathing.
Lue, how you feeling? Any stronger? Lue? Can you hear me? What's wrong? I'm not sure.
Lue, I need you to squeeze my hand.
He's not responding.
Get me an amp of D50.
You're wrong again? I'm calling his grandfather.
Genetic tests for Brugada and Long QT variants came back negative.
What about a carotid aneurysm? We should do an angiogram.
He's got normal carotid pulses.
Who cares? Mom's given up, why shouldn't I? I'm sorry.
Do we not treat idiots because I thought And her kid levitated.
That happens to my girl, I'm expanding my diagnostic horizons.
All the more reason why we should shut down.
We cure this kid now, crazy grandpa and his magic beads get all the credit.
And since when do you care about credit? Since when do I care about this kid? All I care about is sending mommy out into the world having faith in faith.
Kid's better off dead.
Soon as she's done appeasing the gods, let's talk.
What about Kawasaki? Explains the irregular heartbeat, respiratory distress and seizures.
It fits.
Which means he needs a coronary bypass.
It can't be Kawasaki.
The echo would've shown it.
But a patent ductus arteriosis It can't be a PDA.
He's not an infant nor has he had any symptoms for eight years.
Maybe he has.
Maybe he had an infected ductus which we inadvertently treated with antibiotics.
So no evidence is evidence of evidence? Just saying it's consistent.
It's a billion to one.
Which means there are seven people in the world who fit the diagnosis.
I thought we were looking for 100.
Maybe PDA is more common than we thought.
But idiot doctors like you You're wrong.
But the treatment's just ibuprofen.
Closes the malformed duct.
Worst-case scenario, he just doesn't get better.
Worst-case scenario is, you piss me off You're not gonna let us save an eight-year-old because one more person might embrace religion? Does anyone here think my diagnosis is right? Well, then, I've decided, for today only, to respect your opinions.
We'll proceed according to your diagnosis.
And nothing else.
That's an order.
Good luck.
We need to put him on the OR schedule.
His BP is dropping.
He's crashing.
Call a code.
You need to stop this.
I'm giving him the ibuprofen.
Dinner's almost ready.
I think I'll stick with the fluids tonight, thanks.
Why are you sulking? I'm not sulking.
Oh! My mistake.
Either religion is killing a kid or I am.
What are you doing? Comforting my husband after a bad day.
If this is not what you want, I go back to making dinner.
I'm not gonna answer that Oh, smart man.
This is killing mood.
U.
S.
Citizenship.
I'll get it.
This is Mrs.
House.
Please give good news so my husband and I can go back to sex.
It's fantastic! How many notices you sent me? Okay.
I come pick up naturalization certificate.
Thank you for calling.
I'm sorry.
Dr.
Adams, Dr.
Taub.
His vitals are improving.
He's stabilizing.
He's gonna be okay.
It worked.
Um No, ii didn't.
Mrs.
Cheng, the medicine I administered was a long-shot treatment for Lue's heart.
But that's what's helping him.
Ibuprofen? That's for headaches.
I know it seems hard to believe but ifs true.
And I know this seems hard for you to believe.
Honey.
Grand pa was right.
He saved you.
There were two things we thought were impossible.
One of them wasn't.
That's all we know.
You're such a brave boy.
Was I good? Doesn't mean anything.
Idea got planted, it was probably inevitable.
It means something.
What? Well, it could mean the obvious, that you want some of this.
When will you learn that that look is insulting? Or it could just mean that we like each other.
I'm weird, and you're pretty, but we connect, we feel safe.
We trust each other.
Maybe.
Just testing my theory.
Adams defied me.
There's one more zealot in the world.
And Dominika moved out.
She was fun.
She was hot.
She fixed my blender.
That is not a metaphor.
You know any good fake divorce lawyers? I'm surprisingly depressed by this.
I have cancer.
You were a little short with me the other day.
You do need an excuse.
Cancer may be overplaying it.
Stage II thymoma.
I didn't want to tell you until I had it confirmed.
I got the tests back this morning.
I have cancer, House.