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Cindy | But it's just a cough. [Cameron tries not to cry, and gives Cindy a hug.] |
Mom | 10-minute warning |
Mom | What about your meds? |
Wilson | House! Need you. |
House | Uh uh, forget it. I'm going home. |
Wilson | Hay fEver? |
House | Boy, you must be a doctor and Everything! |
Wilson | Two minutes. |
House | No, the purple thingy on the file means that "whoEver"� is one of yours, which means cancer, which means no way is it two minutes. |
Wilson | Fine, I'm lying. 30 minutes. |
House | Mystery of life. |
Wilson | Benadryl might help. |
House | I already did 1000 milligrams. [He sneezes] |
Wilson | Steam room? |
House | Why Jimmy. We'll talk about this in the morning. |
Wilson | I've got a nine year old with cancer. Alveolar Rhabdomyosarcoma. Terminal kid trumps your stuffy nose. |
House | Not yet. |
Wilson | She's hallucinating. [He said the magic word] |
House | So the Rhabdo's in her brain. Make her comfortable she's got about a week. |
Wilson | Yeah except there is no cancer in her brain. Pristine CT scan, blood tests, protein markers all negative. |
House | The cancer's in remission? Which means the hallucinations are unconnected. |
Wilson | Fascinating huh? And not that it matters but if you fix whatEver's going on in her head you give her maybe another year. Long time for a nine year old. |
House | No. It'll just fly by. |
Cameron | Five major surgeries, a bone marrow transplant, 14 rounds of chemo and blast radiation. |
Chase | If it was me I'd just stay home and watch TV or something. Not lie here under a microscope. |
House | Don't worry, anything happens to you nobody's is going to lift a finger. Differential diagnosis on your marks, get set! |
Foreman | Hallucinations could be caused by! |
House | Whoa. Wait for it! [Pause] and go. |
Foreman | Latent neurotoxicity from the chemo treatments. |
Cameron | No. The Patient's last round of chemo was two months ago. We would have seen it by now. |
Chase | Genetic component. |
Foreman | No, nothing on mom. Dad split when she was pregnant [ Cameron hands House a cup of tea] his medical history is also clean. |
House | What a guy. |
Chase | What about graft vs. host disease from the bone marrow transplant? Infection travels to her brain and she has hallucinations. |
Foreman | Blood work and LP were clean. |
House | [Looking at the scan] But where there's infection there's meningial swelling. |
Foreman | That CT shows no meningial involvement. |
House | True. Get a tox screen and MRI. |
Foreman | We can do that if you want to ignore what we just discussed. |
House | Sounds good. |
Cameron | Toxic exposure doesn't make chronological sense. |
House | Yes, there is a third option � she's making it all up because she doesn't want to get in trouble for breaking a mirror. Unfortunately we can't test for that so! [He looks at Chase] Tox screen, MRI and you [He looks at Cameron] stay away from the Patient. |
Cameron | What'd I do? |
House | Oh well, you'd just get all warm and cuddly around the dying girl and insinuate yourself; end up in a custody battle. Chase you handle the mom. Tell her that you'd just sit home and watch TV and die, but you're going to go though the motions of trying to save her daughters life. It's a doctor thing. [They begin to exit and he sips the tea] What the hell is this? |
Cameron | Black walnut and ginger. |
House | It's nice. |
Chase | Let's lay you down and I'll attach this thingamajiggy. |
Andie | Sat monitor. |
Chase | Oh, a pro. I don't have to explain anything. I like it. [He's prepping her and finds her central line] |
Andie | Central line for the chemo. |
Chase | Yeah. It doesn't hurt or anything does it? |
Andie | No it's awesome. Instead of an IV; it saves me a lot of time and a bunch of needle sticks. |
Chase | Don't think I've Ever heard anyone say they like their central line before. Alright, can I interest you in a walk in the Park? [He turns on the wall monitor] |
Andie | No thanks. |
Chase | Okay. [He changes the image to a field of butterflies] |
Andie | Don't want any butterflies either; doesn't matter what the walls look like, you're still looking for cancer. |
Chase | Not today. We're looking for an infection, but I get your point. You comfortable? |
Andie | Yep. |
Chase | Alright let's get this over with. |
Andie | A pro. I like it. |
House | Whoa look at the time I should have been out of here 20 minutes ago. |
Nurse | You've only been here 20 minutes. |
House | Can't slip anything by you can I. |
Nurse | There's a Patient in one. |
House | I'm taking a sick day. |
Cuddy | Take some Claritin. |
House | Everyone's a doctor suddenly. |
Nurse | Patient in one requested a male doctor. |
Cuddy | Balls are in your court, Doctor. |
House | Union rules. I can't check out this guy's seeping gonorrhea this close to lunch. |
Cuddy | Exam room one. |
House | Well it's sexist and a very dangerous precedent; if people could choose the sex of their doctors you gals would be out of business. |
Cuddy | Exam room one. |
House | Sore throat? [We see the Patient holding an open book in front of him, he removes it to rEveal blood stained pants] Well it's not lupus. Well not Everyone can operate a zipper; the up, the down. What comes next? |
Patient | My new girlfriend nEver been with a guy who wasn't c-circumcised so she freaked and� |
House | Aha, and you wanted Rivkah to feel all gemutlicht. I get it it's a shandah. |
Patient | I got some box cutters and uh! |
House | Just like Abraham did it. |
Patient | I sterilized them which, uh, I was told you're! |
House | Stop talking. I'm gonna get a plastic surgeon. Get the Twinkie back in the wrapper. |
Foreman | House. Hey, House. Andie's MRI and tox screen were clean. No infection. No neurotoxins. |
House | Oxygen saturation is 94%, check her heart. |
Foreman | Her oxygen saturation is normal. |
House | It's off by one percentage point. |
Foreman | It's within range. It's normal. |
House | If her DNA was off by one percentage point she'd be a dolphin. We've got a Patient, who for no obvious reason is hallucinating. Since it's not obvious, I thought we'd go with subtle. |
Cameron | It doesn't matter if her sat percentage is off that means her blood isn't getting enough oxygen. That's a pRoblem with her lungs not her heart |
Foreman | A lung pRoblem isn't causing hallucinations. |
Chase | But the lungs could lead us somewhere that is. |
House | Welcome to the end of the thought process. |
Chase | Primary pulmonary hypertension. |
Cameron | Maybe PE or pulmonary fibrosis. |
Foreman | Could be some bizarre case of kyphoscoliosis. [Chase laughs] |
House | I'm going home. While I'm resting you guys get some arterial blood gasses. Once you confirm she is hypoxic I want a plethysmography, Chest X-ray, CT and VQ. And if all that comes back negative then snake a catheter into her lungs. Don't worry, I don't sleep in. I'll get bagels. |
Chase | You Ever had this test before? [Andie shakes her head] |
Andie | What's it for? |
Chase | This goes all the way up the vein by your hip into your lung. If I find something up there blocking anything I pull it out. Simple. |
Andie | Its gonna be easy. The doctor at Sloan told me I had a great aorta. |
Chase | Oh, you have had this test before. |
Andie | Sorry. I just like hearing you talk. |