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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.] |