House (2004–2012): Season 2, Episode 24 - No Reason - full transcript

HOUSE: He's got
a temperature of 103.

And why do we care?

Because we're human beings.
It's what we do.

He said he was at
a Iuncheon meeting.

You took his history?

The guy Iooks Iike Harpo.
You should see him.

You asked him what book
he's currently reading?

HOUSE: It's hilarious
to watch him try and talk.

I asked him anything
I could think of.

Favorite color. "BIwoo."

Favorite dessert topping?



Trust me. You never know what
fact may prove the key
to saving your Iife.

(MUFFLED) Whipped cream.

I asked him if he was sure.
Where are you going?

You're an ass.

I know.
Where are you going?

This is either a toxin,
an infection or
an allergic reaction.

I assume you gave him epi,
so that rules out allergies.

Put him on antibiotics
in case it's an infection,

and if it's a toxin,
we'II keep him here overnight,

Iet the swelling go down,
send him home.

I'm going to the movies.

Which one of you is House?

Skinny brunette.

No, that's Dr. Cameron.



I'm skinny.
How do you know her name?

I was a patient of yours.

Oh, well, if you wanna Ieave
the chocolates downstairs...

Stay! Stay away from him.

(GASPING)

Shocking, isn't it?

Who'd want to hurt you?

(GUNSHOT)

You're pathetic.

Judging by the growth,
I'd say I've been unconscious
for two days.

You been sitting there
the whole time?

No.

Judging by the oily buildup
in your hair,
I'd say you're Iying.

I was scared.
Pardon me for caring.

Did I Iose any organs?

The bullet to your abdomen
pierced your stomach,
nicked the bowel,

Iodged in the posterior rib.

I always say if you're gonna
get shot, do it in a hospital.

The one in your neck...

I don't remember that one.

...went right through,
severed your jugular.

The shooter turns out
to be a guy...

Don't care.

You don't care why a guy
walked into a hospital
and shot a doctor?

Shot you?

I assume
his reasoning was faulty.

So what was it? Infection?

The surgery went fine.
You've had no post-op...

Not me. The patient. Harpo.

You just got shot, House.
You should rest.

I got shot.
Diagnostically boring.

Big fat tongue, on the other
hand, endlessly entertaining.

We biopsied his tongue.

And it was negative.

And the blood tests
were negative.

I didn't say
we did blood tests.

You don't biopsy a tongue
unless you have
to biopsy a tongue.

And you don't have to biopsy
a tongue unless you've already
come up with nothing

on a routine battery of tests
which don't involve torturing
the patient.

Any new symptoms other than
the increased
intracranial pressure?

Any guesses
on how I figured that one out?

(SIGHING)

You knew the next step
would be a Iumbar puncture.

A Iumbar puncture would almost
certainly give us
a definitive answer.

Since we don't have
a definitive answer,
we must not have done an LP.

And the most common reason
to not do an LP is increased
intracranial pressure.

He was shot by security
trying to...

House, what are you...

House.

I'm talking to Cuddy.

Lie down.
You've gotta be in pain.

Not today.
Today I'm on morphine.

You're gonna rip your stitches
out.

Check Harpo's trash.

Forget about the patient.

Come on, you're curious.

Trash?

You don't know what I'm
talking about,
but you know it's good.

You can't just be walking
around.

Well, then stop me.

You've Iost blood.
Physically stop me.

You could damage...
You can't.

Because that would involve
physically touching me.

And then things would get
so sexually charged...

I'm twice your size.
Get your hands off me.

Everything that Iives, eats.
And everything that eats,
poops.

That's why every organ has
a sanitation department,
the Iymph system.

Whatever's doing the damage
is dumping its waste in there.

That's what you meant
by trash.

Biopsy the Iymph node
under the jaw.

I'm sorry, I know it's crazy,
but there's no other place.

It's the ICU. It stands for
Intensive Care. He needs
intensive care. So do you.

He needs to be shot again.

He is handcuffed to his bed.
He is sedated. He's not going
to hurt you.

If your security was any good,
I wouldn't have been shot in
the first place.

He is where he's supposed
to be, where you're supposed
to be.

Who did my surgery?

Gillick. Why?
Are you gonna
send him a fruit basket?

He screwed up.

It's annoying enough
dealing with
your Vicodin habit.

Quit upping your morphine.

I'm not.

I'm reducing it.

And you're not in pain?

I'm feeling better.

Gillick is very good.
Your recovery time...

This stomach kills me,
my neck is throbbing.

My Ieg feels better.

That's amazing.

It's unbelievable.

Since getting shot is not
an FDA-approved treatment
for anything,

it means something must've
gone wrong in the surgery.

Yes, terribly,
tragically wrong.

Enjoy the mistake.

He must have nicked something
in my peripheral
nervous system.

If it's alleviating pain,
who knows
what else it's doing?

Get back to the ICU
before you rip out
your stitches,

and I have to chain you
to your bed.

(INHALING)

(MOANING)

Why did you try to kill me?

I didn't.

Then the gun thing
might have been a mistake.

If I'd have killed you,
it would have been over.

I needed you to Iive,

'cause I want
to see you suffer.

(MACHINE BEEPING)

(MAN WAILING)

Get the needle out of there.

He can't breathe.

House.

The test was negative.

Are you sure you want
to be doing this?

I'm fine, I think.

Cameron,
have you got my records?

They don't Iike to release
patient's operative notes.

Yet you're holding them.

And whispering.

He's sleeping.

Yeah, killer needs his rest.

Otherwise,
he's grumpy all day.

Hey, wake up!

Watch me save a Iife.

AImost for sure
it's some sort of infection.

We've got him
on broad-spectrum antibiotics,

but it's not even
slowing the thing down.

Unless we figure out what type
of infection, we can't treat.

And we can't figure out what
type because
we can't do an LP.

Do an LP.

See what I did there?
Couldn't have done that
if you'd killed me.

We would have done an LP
two days ago if we could have,

but that much pressure,
something's bound to go...

We would've done an LP
two days ago

if the risks hadn't so
obviously outweighed
the benefits.

We just cut a hole in his
throat. The equation
has changed.

Couldn't have put it better
myself.

Pressure is 1 20 milliliters,

H2O, with small, visible
excursions related
to respiration and pulse.

Well within normal,
that's good.

No. That's weird.

You wanna hear a story?

I have a rule.

People who shoot me
forfeit the right...

My wife was sick.

None of the doctors
could figure out why.

Oh, I know this story.

She died.

So you selected
one of her doctors to kill,

because that would make
everything right again.

No, she Iived.
You cured her.

I'm truly sorry I did that.

In the course
of investigating her illness,

you convinced me
that everything was relevant.

You needed the truth.

I confessed to you
that I'd had an affair.

But it turns out that
it had nothing to do
with why she was sick.

Genetic predisposition
to brain aneurysms.

You told her that.

You also told her
about my affair.

And you caught crap,
she Ieft you,

and now I've got to pay

because you couldn't keep
your Iittle killer
in your pants.

She killed herself.

What sort of a hospital
has glass walls?

That's my husband.

Really?

You thought I just Iiked
watching people get needles
poked in the back?

No.

I figured a co-worker
or a sister, not wife.

Why?

Don't worry, it's not
insulting. At Ieast not
to you.

You're satisfied
by that answer?

You're Dr. House,
aren't you?

You're not going
to shoot me, are you?

You treated
a friend of mine.

She told me you only talk
to people if you have to.

And then you insult them,
while showing off how
insightful you are.

Sevens marry sevens, nines
marry nines,
fours marry fours.

Maybe there's some
wiggle room

if there's enough money
or somebody got pregnant.

But you've got
at Ieast three points
on your husband,

and your frock says
you didn't do it
for the money,

and your breasts say
that you haven't had any kids.

So you figure my marriage
is a mathematical error?

Numbers don't Iie.

We're having trouble
finding out what infection
your husband has,

and the most Iikely culprit
is an STD.

You want to know if I've had
an affair with someone closer
to my integer,

and I have to
tell you the truth
or my husband will die.

Is your friend single?

No.

And I've always been faithful.

I would've bet money
something would go wrong.

Let's rotate him back.

FOREMAN: He's bleeding
into his ocular orbit.

LP wouldn't do this.

Lots of pressure behind.
Gotta relieve it.

(MACHINES BEEPING)

What's going on?
What are they doing?

I should go.

I seem
to have torn my stitches.

You collapsed in the hall,
tore your stitches.

I remember. I was there.

How's your gut?
It's hurting?

You shoot the guy
who sold her the gun?

She Iocked herself in
the garage, and she started
the car.

You shoot the guy
who sold her
the garage-door opener?

You're an ass.

Now that is a bold position
to take given that I shot you.

The shooting
just makes you an idiot.

You're an ass because you're
trying to wrap it in the flag,
Iike you did a good thing.

You're an ass
and a hypocrite.

You don't believe in rules.
You do whatever you think
is right.

That's all I did.
You were my role model.

Watch out,
you're getting crumbs
on the flag.

I didn't commit to honor her.
I didn't commit to never Iie
to her.

If you'd kept your mouth shut,
she'd be alive,
and you wouldn't be shot.

If you'd kept your pistols
in your pants...

It's my fault she's dead!

I know it.

But why can't you admit
that it's maybe just
a Iittle bit yours, too?

That maybe it's not just
medical mistakes that screw
things up.

Here's how Iife works.

You either get to ask for
an apology, or you get
to shoot people.

Not both.

HOUSE: Infections
don't make your eyes pop out.

CHASE: We should get back.
You're supposed
be chained to your bed.

I'm not done eating.
Got to be some sort
of bleeding disorder.

This is really stupid.

If my stitches pop out again,
I got three doctors
to save me.

Could be some sort of
weakness in the Iining
of the ocular veins.

Okay, I'II be you guys.

(IMITATING CHASE) No way,
mate, too much blood
to just be a vein.

(IMITATING FOREMAN) No way,
Hizzy, if it was an artery,
he'd still be bleeding.

(IMITATING CAMERON) Actually,
he'd be dead.

He could've had
a granuloma in his sinuses
that bled,

which could've been caused
by Wegener's.

You'd think the surgeon
would've noticed
a giant growth

while he was sticking
the eyeball back in.

Tongue and eyes are sick,
what about the nose?

It's right in between them.
Why isn't it sick?

So it's not spreading.
It's got a common source.

Which can only be what?

The brain,
except the CT was clean.

Check the brain's trash.
See what it's hiding.

The brain doesn't have
a Iymph system.

I know. AII its garbage
just blows off,

gets caught in the snow fence
by the side of the road.

You're referring
to the blood-brain barrier.

What else? Biopsy the barrier.

Wouldn't it be safer
to make
a few educated guesses first?

Try some relatively
safe treatments?

Biopsy the barrier. But first,
start him on Mebendazole
in case it's a worm.

And Levofloxacin in case it's
an infection that slipped by
the first antibiotic.

And Azithromycin for STDs.

I really don't think
the wife is the kind
to be messing around.

If I was married to her,
I certainly...

CAMERON: House.

The patient isn't married.
He's a widower.

Really, it's more helpful
if you do the prescribed
rehab yourself.

My body is fine.

My mind, on the other hand...

Maybe she was a girlfriend.

Or maybe she was just trying
to jerk you around.

I spoke to every one
of the nurses
on that floor.

The patient
only had six visitors,

two females, no babes.
His mother and his aunt.

So they missed someone.
They're not security.

My posse never saw her or me
talking on the other side
of the glass.

They were a Iittle busy
trying to save the guy's Iife.

There's only one possible
conclusion.

It was a hallucination.

What does that Iook Iike
to you? Point six?

Anesthesia?

No. It's got to be six smudge.
Let's say you're right.

It wouldn't be that uncommon
after a trauma,
after that much blood Ioss.

If my perceptions are
compromised, then my
judgment is compromised.

What if his wife told me
that the patient just got bit
by a rabid Vietnamese Ieper?

So pull yourself off the case.

And the next case?

You take two weeks,
you recover.

What if I don't?

What if it wasn't
the shooting?

The guy who sees connections
between everything

sees no connection between
being shot
and minor brain disruptions?

What if it was the surgery?

What if it was the fact that
you tore out your stitches
and Iost two pints of blood?

Why did Gillick give me
Ketamine during my surgery?

Working.

We need to talk.

Get back to the ICU.
Who uncuffed you?

Why would a surgeon
administer Ketamine?

Who showed you
your surgical file?

How do you know
it's mine?

Because your patient hasn't
had surgery, and you don't
care about anybody else.

My anesthesia was almost
nonexistent, and yet
I wasn't awake.

For some reason, somebody
decided to put me in
a dissociative coma

instead
of just putting me out.

There are plenty of reasons
to use...

Fine. I'II go beat the truth
out of my surgeon.
Gillick, right?

It worked.

There's a clinic in Germany.
They've been treating
chronic pain

by inducing comas
and Ietting the mind
basically reboot itself.

There's about a 50% chance
your pain will come back,

which of course means
there is a 50% chance
that it won't.

You had no right.

To heal you?

You messed with my brain.

Why are you so upset?

Are you experiencing
any neurological symptoms?

Dizziness, tremors,
hallucinations?

No.

It's a point of principle.

Test was negative.

No trash
against the fence.

CAMERON: Is your Ieg
really better?

Don't worry,
I'm sure something else
is wrong.

We did find blood.

On which side?
The wrong side.

First thing that makes sense.

The wrong side's
the wrong side.
It can't make sense.

It'd mess with his brain,
wouldn't cause fever.

He's been sleeping
a Iot Iately.

You worried?

I marked a change
of meds on his chart.

Foreign object, body wants
to get rid of it,
that causes the fever.

BIood's a foreign object?

FOREMAN: In the brain Iining
it is.

BIood dyscrasia means cancer.

Find it.

AII the tests...
Have been negative.

What do you do
if your trashcans are full?

You use your neighbor's
trashcans.

Except it's still Iight
outside, your neighbor
will see you.

So you go out the back way
into an alley and drop off
your trash by their garage.

We'II check the Iymphatic
system in the chest.

You got that from trash cans
in the alley?

The saliva glands
from the tongue

are connected
to the Iymphatic system
in the Iungs.

It's the next
Iymphatic system over.

Yeah.

Go get Iung Iymph.

How did he know that?

I wouldn't have hired him
if he wasn't smart.

Right.

'Cause you have nothing
but respect for him.

Maybe he knew the answer
because the question

wasn't nearly as tricky
as you thought.

Maybe
he's not getting smarter,

you're getting dumber.

You pretend
to buck the system,
pretend to be a rebel.

You claim to hate rules.

But all you do
is substitute your own rules
for society's.

And it's a nice simple rule,

tell the blunt, honest truth

in the starkest, darkest way.

And what will be, will be.

What will be, should be.

And everyone else is a coward.

But you're wrong.

It's not cowardly
to not call someone an idiot.

People aren't tactful
or polite just because
it's nice.

They do it
because they got an ounce
of humility.

Because they know
that they will make mistakes,

and they know that
their actions
have consequences,

and they know that those
consequences are their fault.

Why do you want so bad
not to be human, House?

No, he's awake.

House, we need to talk to you.

How the hell did you know
I was awake?

Your nostrils flare
when you sleep.

No, they do not.

Fine. I'm Iying.

Test was negative.
You knew?

Force of habit.
Showed no cancer.

No reason why he's got
a fever of 103,

and no reason why
his tongue
won't fit in his mouth.

He's post-op.
Chase is getting him up
and around.

It's important that you're up
ASAP after surgery.

You think you can urinate?

It's getting bigger!

Are you getting aroused?

No! Not that part!

Oh, God, it hurts!

It's not stopping!

Surgeons found no evidence
of a burst artery.

The blood had to come from
somewhere, you took
a shower in it.

Trauma?

Do you think someone snuck
in here just to kick him
in the jewels

and poke out his eye
and swell up his tongue?

Keep riding.

I got a bet with my physio
that I can do 100 klicks
by Friday.

What about blood
from the kidneys?

Kidneys drain into
the bladder, which drains
into the ureter.

There's no way
it would mess with
the scrotum.

Yeah, basic human anatomy.

Therefore, I think it's safe
to assume that the problem
Iies elsewhere.

But given that this case
doesn't make any kind
of sense whatsoever,

maybe we should even
question the basics.

Maybe he's not human?

An anatomical defect would
seem more Iikely, but Iet's
not rule that one out.

Even more Iikely, he is human,
his anatomy is where
it's supposed to be,

but he has testicular cancer.

CAMERON: We tested for cancer.

FOREMAN: We tested the Iymph
system in his chest.

CHASE: Surgeons found
no growths.

FOREMAN: Surgeon was trying
to put everything back
where it was.

They weren't doing
an inventory.

May have been Iucky. You don't
catch testicular cancer early,
it kills.

Probably eroded some vessel.

Yeah, yeah, I know.

The question is why
I didn't think of it.

Well, eyes popping out
is a rather odd presentation.

Sack blowing up,
on the other hand...

If you could think of
everything yourself, you
wouldn't need a team to annoy.

I screwed up
some basic anatomy,

and I missed connecting
a testicular explosion with
a testicular problem.

You think there's any way
I would've done that before
Cuddy messed with my brain?

She was trying
to help you, and it worked.

Yeah, I can run Iike the wind,
but I can't think.

And seeing as how I'm too old
to become
a professional athlete,

it Iooks to me as if
she screwed me over big time.

You don't want a healthy Ieg.

Oh, here we go.

If you've got a good Iife,
if you're healthy,
you've got no reason to bitch.

No reason to hate Iife.

Well, here's the flaw
in your argument.

If I enjoy hating Iife,
I don't hate Iife,
I enjoy it.

I didn't say
it was rational.

HIV testing is 99% accurate,

which means there are
some people who test positive,

who Iive with
their own impending doom
for months or years

before finding out
everything's okay.

Weirdly, most of them
don't react with happiness,
or even anger.

They get depressed.

Not because they wanted
to die,

but because they've defined
themselves by their disease.

Suddenly what made them them,
isn't real.

I don't define myself
by my Ieg.

No. You have taken it
one step further.

The only way you could come
to terms with your disability

was to somehow make it
mean nothing.

So you had
to redefine everything.

You have dismissed
anything physical,

anything not coldly,
calculatingly intellectual.

Why are you protecting her?

Because she's done
nothing wrong.

You're completely comfortable
with what she did to me?

Yeah, I am. Yeah.

You agonize
over moral choices.

You're not completely
comfortable with anything

until you've taken days
to get your head around
every possible side.

I've known
what she did for six hours.

How come you're acting
Iike you've known for days?

What do I have?

You're not sick.
What do I have?

You need to calm down!

I have my brain! That's it!

We were trying to help you.

Yeah, nobody tries
to screw up, they just do.

You were out of control.
You were shooting morphine.

I can make people better.

And you two decide
to trade that
for jogging shoes!

If you're suffering from
side-effects, then we can Iook
at that.

You value the physical
so much.

Let me put this
in terms you can understand.

You're unbelievable.

Even when you're out of your
mind with anger and fear,

you still couch it
in Iogical terms.

Are you hallucinating?

Yeah, I'm hallucinating.

No, I mean right now.

MORIARTY: Are you
hallucinating?

How did you know I was...

You were yelling at me.

You were calling me Wilson.

No.

You're Iosing it, House.

I never call Wilson
by his name.

Yeah, right.

Now the hallucinator is going
to tell the hallucinatee
what happened.

You're not the hallucinatee.
Wilson was the hallucinatee.

You think maybe
you're focusing on
the wrong thing here?

Cuddy's office was
the hallucinatee. The bathroom
was the hallucinatee.

Bathroom. It figures.

What figures?

You wet your bed.

Damn it.

Test was negative.

No.

AFP and beta HCG
say no testicular cancer.

So, Iet's recap.
We've just ruled
out everything,

which doesn't make sense.

So the answer has to be
something that
doesn't make sense.

Do a cystoscopy.
Make sure he's human.

The test was negative.

For him being human?

Everything was
right where it's supposed
to be.

AII the tubes go
where they're supposed to go.

Most Iikely scenario,
some kind
of bacterial prostatitis.

(TAPPING)

Did you find out
if his father hunched?

His father have trouble
peeing?

His father have sex
with his own mother?

If the answers to any of those
questions is yes,
assume you're right.

If the answers are no,
assume you're right,

but biopsy some prostate
Iymphs just to be sure.

But then we'd have to
cut through his stomach,

and since he's clearly got
a bleeding problem,
this kind of surgery...

He doesn't clearly have
anything.

How did I get here?

What are you talking about?

I was in the ICU,

and then I was coming down
these stairs with you guys.

What happened in between?

I don't remember
how I got here.

I'm taking myself off my case.

Your patient is in critical
care. He's had a fever
unabated for two...

I think I'm Iosing my mind.

I'm having blackouts.

You said you weren't
having any...

I Iied.

If you are doing this to scare
me, you made your point.

Next time you get shot,
I promise to only treat
the bullet wounds.

I'm off the case.

Why did you jump up
when I came in?

I thought you were going
to attack me again.

Again?

Yeah, you were in my face.

You were...
No, I wasn't.

You came in here
with Wilson and...

That was a hallucination.

No, you...

Which means this is
a hallucination.

How can I tell what's real
and what's not?

Everything Iooks the same,
sounds the same,

tastes the same.

Seems Iike I'd be the Iast
person you'd want to ask.

Why not?

You're obviously not here.
I'm obviously not here.

Which means this is a creation
of my mind, which means I'm
really just asking myself.

If you're talking to yourself,
that's a Iot of
unnecessary explanation.

Hey, I'm trying
to work this out.

That requires give and take,
even in my own mind.

What was the question?

How can I tell what's real?

Does it matter?

That doesn't sound Iike
something I'd ask.

AII right. Your concern is
that if you act in
the real world

based on information that's
not real, the results are
impossible to foresee.

With you so far.

But information is incapable
of harm in and of itself.

Ideas are neither good nor bad
but merely as useful as what
we do with them.

Only actions
can cause harm.

That sounds Iike me.

So you do nothing.
You refrain from taking
any actions.

You continue to throw out
your ideas as you always
would,

but if they're based on faulty
assumptions, your team will
point that out.

They won't do anything
that could hurt him.

So I trust my team?

Test was negative.

No blood in the prostate.

No structural abnormalities.

If something doesn't
make sense,
what does that mean?

It's not rhetorical.

I need your input on
everything I ask, no matter
how obvious it might seem.

It means you're wrong.

It means one of your
assumptions is wrong.

Because if something doesn't
make sense, it can't be real.

So what are our assumptions?

We don't have any.
We're just guessing
and testing.

We assume the tests are right.

We've already re-done them.
Twice.

Let's go more basic.

What's more basic
than the test results?

The tests themselves.

What does a biopsy consist of?

You take a sample.

Define sample.

It's a small representative
piece of whatever you think is
the problem.

You go down to the shore,
you fill a cup of water.

It's got no fish in it.
Does that mean no fish
in the ocean?

We can do another biopsy.

We could fill another cup
of water.

But we gotta dive in.
We got to see
what's actually in there.

We can't operate,
he's got a bleeding problem.

We assume he's got
a bleeding problem.

Yeah, because he bled
from where he wasn't supposed
to bleed,

causing parts of his body
to blow up.

Assuming that crazy assumption
is correct, if we operate on
him, we'II kill him.

What if we could find a way
to do this surgery

without giving him more than
a paper cut?

You want to Iet
a robot operate on me?

The technology is amazing.

It magnifies everything
10 times. It's 10 times
the accuracy.

No way. I want a person.

A person
would be controlling...

People suck.

People have turned you
from a guy with
a swollen tongue

into a guy with one eye,
one ball, and
a stapled-on face.

If you want someone
to hold you while you cry
yourself to sleep at night,

choose warm and soft.

You want someone to write you
a poem,
pick the sensitive Ioner.

If all you care about
is that something's
done right,

pick the guy
with the metal head.

No way.
No way, no way.

You gotta see this thing in
action before you say no way.
Come on.

House, what are you doing?

Nothing.
I'm not doing anything.

Just throwing out ideas.

I think that you should
put him in a wheelchair
and take him down to the OR.

But I may be out of my mind.

Relax, Cameron.

I'm not going to cut you.

I just wanna show
what this puppy can do.

It can make
one-millimeter incisions.

You don't know how small
that is?

It's small even in metric.

If I do something that doesn't
make sense, even to you,

stop me.

Delicate, no?

House.

Does that hurt?

Seen enough.

No.

That wasn't a question.

You either do this,
or you die.

You've wasted your Iife.

Yeah.

If only I'd spent more time
dedicating myself to finding
someone worthy to shoot.

If I had killed you,
would it have mattered?

Not to me.
Have you got a pen?

You don't care
if you Iive or die?

I care because I Iive.
I can't care if I'm dead.

I don't want
to hear semantics.

You anti-semantic bastard.

Would anybody care
that the world Iost that wit?

Working here.

That's all right.
You don't have
to say anything.

Just Iet me soak
into your subconscious.

You think that the only truth
that matters is the truth
that can be measured.

Good intentions don't count.
What's in your heart
doesn't count.

Caring doesn't count.

But a man's Iife
can be measured

by how many tears are shed
when he dies.

Just because
you can't measure them,

just because
you don't want
to measure them,

doesn't mean it's not real.

That does not make sense.

And even if I'm wrong,
you're still miserable.

Did you really think
that your Iife's purpose

was to sacrifice yourself
and get nothing in return?

No.

MORIARTY: You believe there's
no purpose to anything.

Even the lives you save,
you dismiss.

You turn the one decent thing
in your life

and you taint it,
strip it of all meaning.

You're miserable for nothing.

And I don 't know why
you'd want to live.

(CAR ENGINE IDLING)

I'm sorry.

I know what's wrong.

House, get out of here,
you're not sterile.

He'II be fine.

CHASE: Great.

What's he got?

How come you guys
have never tried to yank me
off this case?

I'm having hallucinations,
blackouts.

But you're always insane,
and you're always right.

I'm almost always
eventually right.

You have no way of knowing
when eventually is.

Every time
I've had an epiphany
on this one,

you guys were right on board.

No challenges,
nothing to explain.

No offense, but either you
guys are getting smarter
or I'm getting dumber.

We've worked with you
Iong enough to know...

I know the test results
even before you enter
the room.

We have identical knowledge.

How is that possible?

You're wrong.

If something
doesn't make sense,

one of your assumptions
has to be wrong.

Because if it doesn't make
sense, it can't be real.

But what if the faulty
assumption is that it's real?

House, you're Iosing it.

I've Iost it.

Why did you stop me?

Because I think you're going
to kill him.

No, you don't think that.
You know it.

Because you're in my head.

As Iong as the delusion
makes sense,
my mind Iets it go on.

I have to make it
not make sense. I have to

push it past the point
where it can trick my mind.

If this is a nightmare,
you're gonna wake up.

If it's real,
you're killing a man.

It's also possible
that I may already be dead.

And I don't believe
in the afterlife.

House, go back to your room.

If this is a hallucination,
it's a good one.

You're pain-free.
You can walk.

It's not real. Therefore,
it's meaningless.
I want meaning.

(MACHINES BEEPING)

(EKG FLATLINES)

Oh, God.

Goodbye.

CHASE: He was shot.
Twice.

Once in the abdomen,
once in the neck.

Hello.
It's gonna be okay.

You're gonna be okay.

You don't know nothing.

Tell Cuddy

I want Ketamine.