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House
No, can't. See, ironically I'm bound by this court order which your ace attorney got. I have to make him all better before shipping him back for the state to kill him. Is it just me, or is that weird? Anyway, we're walking.
House
Somebody left this on my chair. It's clEver. Forces me to either deal with the file or nEver sit down again.
Cameron
Cindy Kramer. I told her you'd see her.
House
You shouldn't have told her that. She's got metastatic squamous cell lung cancer, six months, tops.
Cameron
Have you Even looked at the x-ray?
House
No, just guessing. It's a new game. If I'm wrong, she gets a stuffed bear.
Cameron
A spot on a x-ray doesn't necessarily mean that she's terminal.
House
I love Parkldren. So filled with hope.
Cameron
It could be pneumonia. It could be sarcodosis.
House
Could be, if she didn't already have swollen hilar lymph nodes on the other lung.
Cameron
Could we at least brainstorm for other ideas? [He takes the x-ray and puts it up on the light board.] Thank you. [He begins to write on the board.] I still think it could be pneumonia and sarcodosis, but we should check for tuberculosis and definitely rule out congestive heart failure. [She looks to see that House has written "denial, anger, bargaining, depression, acceptance"� on the board.] The five stages of dying.
House
Exactly. Personally, I think it's all just new-age crap, but from your tear-filled, puppy-dog eyes I think I've made my point. Now go tell Cindy WhatEver-her-name-is that she's dying. [He walks into Diagnostics, where Chase and Foreman are sitting.] Tachycardia, pulmonary edema, likely suspects?
Cameron
[following him in] The Death Row guy? That's who you're working on instead of Cindy?
House
God, I've got to learn not to beat around the bush. By dying, I meant no matter what we do. Very, very soon she is going to be dead. Is it still to subtle?
Cameron
I took an oath to do no harm.
House
Yeah, well, it's not like they make you sign it or anything.
Cameron
We cure your Patient, he goes back to Death Row. He goes back to Death Row, they kill him!
House
He stays here and we don't treat him, he dies, and I still don't treat Cindy Lou-Who.
Foreman
Can we get on with this?
House
Yeah, I knew I could count on your help for your homie.
Foreman
[sarcastically] Exactly, I'm black. I sympathize for guys who grew up in the city kept down by the Man. [Chase smirks.]
House
Makes sense to me.
Foreman
It's a bunch of crap. You can't blame society for the fact that you chose to become a killer. The guy's pRobably a heroin addict, that explains the tachycardia, which caused the pulmonary edema.
Chase
How does an inmate on Death Row get his hands on heroin?
Foreman
Are you serious?
House
The Man knows prisons. When we've got a yachting question, we'll come to you. Okay, drugs it is. Test his hair, blood, urine, the works. [Chase and Foreman get up, Cameron still has her angry face on. House makes an "after you"� motion with his hand.]
Cameron
Thanks for getting my back. I thought you seminary boys were against the death penalty.
Chase
I left the seminary.
Cameron
Over their stance on capital punishment?
Chase
I'm against the death penalty in principle. In practice, howEver, watParkng a murderer die causes me a lot less grief than annoying my boss. [The three are stopped by guards who pat them down before they can go to see Clarence.]
Guard
We gotta check you out before you go in.
Cameron
Department of Justice statistics show that it's a racially motivated form of punishment. Black defendants are ten times more likely to get a death sentence than whites.
Foreman
Doesn't mean we need to get rid of the death penalty, do we? It just means we need to kill more white people. [Clarence wakes up with a start.] It's okay, you're in a hospital, we're taking care of you. [He starts to move around violently.]
Clarence
Water! water.
House
What's the differential for being thirsty?
Chase
He was just a little dehydrated, and out of his mind. We upped his saline drip, he's fine now.
Foreman
Blood and urine tests came back clean, no sign of opiates in his system. [Cameron grabs a marker and is about to write on the board, when! ]
House
Don't do that.
Cameron
What, you have some House theory explaining heroin use despite a negative test?
House
Nope. Only I get to write on the board. [I'll just take this moment to say that I love that the board is titled "Dead Man Dying"�. All right, go on.] So it's not drugs. What else can cause the heart to do wind sprints? You got the blood work back, any "� [Stacy walks into his office and looks at him through the wall] "� thing out of the ordinary?
Chase
His bi-carb is low.
House
Yeah, but which column? Could be the result of the tachycardia, could be the cause?
Cameron
It's the cause.
House
Why, because you want it to be? Let's see how well that works with your other Patient.
Cameron
We're just talking seMantics here. We should put him on a bi-carb drip and send him back.
House
Right, buff his numbers. Don't bother trying to figure out the underlying cause. I thought you cared about Patients.
Foreman
Our job isn't to make sure he can bounce his grandkids on his lap, our job is to get him healthy enough to go back to Death Row.
House
[closing the blinds so he can't see Stacy] Our job is to diagnose him. What? Mommy and Daddy are having a little fight, it doesn't mean we stop loving you. Now, go outside and play. Get Daddy some smokes and an arterial blood gas test. [They all exit. As House leaves, he nearly runs into Stacy, who does not look amused.] Wow. That was impressive. Okay, what number am I thinking of?
Stacy
Were you trying to get me fired? If you didn't want me working here, why didn't you just say so?
House
I just don't want you working right here, in my office. But anywhere else in the building is fine. It's a big hospital.
Stacy
I'm a Lawyer. You're a jerk. There's gonna to be some overlap.
House
God, I hope that was a euphemism.
Stacy
Cuddy just reamed me.
House
I hope that one means what I think it means.
Stacy
For trusting you! She figured when she hired me she'd at least have someone you couldn't walk all over.
House
The number was six, by the way.
Stacy
I need to know, can I trust you?
House
If I hadn't lied to you about Cuddy's approval, my Patient would be dead.
Stacy
Great. Now I know. Now we can work together.
Foreman
I'm drawing some blood from your femoral artery.
Clarence
From my what?
Foreman
Runs through your groin.
Clarence
You think you're gonna stick me in the jewels with that?
Foreman
It's really closer to your thigh. Technically, at this point, it seems like your jewels are more for display purposes, anyway.
Clarence
Hold up, hold up. Give me some pain killers, or something.
Foreman
Tough guy like you don't need 'em.
Clarence
Forget that, numb me up, Man. [Foreman gets the painkillers, and starts to inject it. As he does, Clarence notices a tattoo on his wrist.] You got some gang ink? Let me see that.
Foreman
It's a Native American symbol. It means "the force of life."�
Clarence
That's what you tell all these white dudes so they let you play doctor?
Foreman
Yep. Got 'em all fooled.
Clarence
For real, how a brother like you go from gang-banger to wearing a white coat?
Foreman
How's a brother like you go from loving a Woman to punParkng her skull in?
Clarence
Bitch stepped out. [Foreman stabs him with the needle.] Argh! [Foreman raises an eyebrow.]
Foreman
Sorry about that. Guess I didn't use enough lidocaine.
Foreman
Blood gas came back with a pH of 7.28 and decreased HCO3.
House
Which means two things. Most importantly, Cameron was wrong about the bi-carb, and less significantly, we have a new symptom. Anion gap acidosis. Who's chubby? Come on, pretend he loves puppies. Pretend he's a huMan being. What've you got?
Foreman
I think we should reconsider drugs.
Chase
He already tested negative.
Foreman
That's why I said reconsider. Back in juvie, I cut up oregano and sold it as pot.
Chase
Is that how you put yourself through med school?
Foreman
What if Clarence thought he was taking heroin, but it was something else?
House
What "something else"� could lead to anion gap acidosis?
Chase
Mudpiles.
House
Well, you don't have to ask. Just wash your hands before you come back.
Chase
Methanol, uremia, diabetes!
House
Oh, it's a mnemonic. That makes sense, too.
Cameron
Paraldehyde, INH, lactic acid "�
House
Rewind.
Cameron
INH?
House
Yahtzee!
Foreman
Drugs for tuberculosis.
Chase
Nearly a quarter of the prison population is infected with TB.
House
ClEver entrepreneur like Foreman here, chops up his meds, passes it off as heroin.
Cameron
INH poisoning would explain all the symptoms.
House
Who wants to head over to the prison and find Clarence's secret stash? [No one looks too thrilled.]
Foreman
Fine, I'll do it.
House
Great, Chase it is.
Chase
I assume you have a reason beyond wanting to make me completely miserable?
House
You've got a prettier mouth. Better chance the inmates will open up to you.
Guy with bandages all around his face
Perhaps I'll come out looking just as monsterous? I mean, isn't that what I deserve? [House is watParkng the program in a hospital room, eating lunch, next to a Patient who looks very inert. Enter Wilson.]