House (2004–2012): Season 4, Episode 15 - House's Head - full transcript
A bus that House was riding crashes. House claims there's a victim on the bus that's dying, but not from the bus accident. He stops at nothing to figure out who the patient is and what is ailing them.
(DANCE MUSIC PLAYING
ON STEREO)
You like that?
I don't know.
You want me
to use my butt again?
I don't know
how I got here.
How many drinks
did I have?
Your scotch hasn't
even arrived yet.
Means I was drunk
when I got here.
8:50.
I remember
being at work.
I've lost at least
four hours.
Say five words.
What do you mean?
That's four words.
The accepted diagnostic test for global
memory impairment is five random words.
Are you okay?
I'm trying to find that out.
Now, give me five animals.
Cat. Bird.
Monkey. Rhino. Goldfish.
Monkey. Rhino...
Either I'm massively drunk...
You're bleeding.
Or it's someone
else's blood.
Can you see a wound?
- How bad is it?
- It's all over.
I have a concussion.
Retrograde amnesia.
No keys, no phone,
I've been mugged.
No, you haven't.
You already
gave me a twenty.
Did you earn it?
Not yet.
Someone is going to die.
- Kenny!
- Not you.
I saw something.
A symptom.
Someone is going to die
unless I find them.
Who?
I have no idea.
Keep the change.
(INCOHERENT CHATTERING)
(SIRENS BLARING)
(CHATTERING ON POLICE RADIO)
HOUSE:
I saw somebody dying.
You saw 30 people
flying into glass and metal.
I saw a symptom
before the crash.
You're concussed.
You don't know what you saw
and you don't know
when you saw it.
A week ago,
you noticed a symptom in a soap star.
Bad argument,
since I was right about that.
But your brain obviously thinks it
happened last night. Wires are crossed.
That's all of it. A few stitches
will hold your brain in place.
' Ow!
' Hey,
hold your head still unless you want me
to sew your nose onto your eye.
Why was I taking a bus?
Because you were drunk.
What if I saw someone
and I followed them on from
somewhere in Princeton?
You Okay?
Perfect.
Uh...
You.
Get histories from everyone in here.
Did you just
forget his name?
No.
Lesbian, find out if anybody on that bus
was taken to other hospitals.
You just forgot mine.
No, Thirteen.
- I just wanted to call you a lesbian.
- I'm not a lesbian.
I was rounding up from 50 percent.
Find my cane and motorcycle.
Figure out
where I went last night.
Where's your cane and motorcycle,
and where'd you go last night?
You're gonna trust me?
I lie about everything.
You're staying the night. We need
to monitor your brain for swelling.
How much bigger
could it get?
You don't think it's
a little weird
that there's both a giant crash
and a simultaneous,
mysterious symptom sighting?
What if it's not
a coincidence?
You mean like the hand of God
reaching down and screwing with you?
That, or the symptom
caused the crash.
You see anybody
in a bus driver's uniform?
Right here,
purpura on Lalph Klamden's neck.
Indicative of leukemia.
It caused a bleed in the brain,
hence the accident.
Indicative of wearing a seatbelt.
It's just a bruise.
I have leukemia?
No, we just
ruled that out.
Pay attention.
So he probably had a seizure.
I didn't have a seizure.
I got hit by a garbage truck.
Which you drove into
while you were seizing.
You saw the bus driver exhibiting
the initial stages of a seizure
and didn't bother telling him
to pull over?
Hey!
Nobody leaves here
until I say they can be discharged.
- She said I was...
- Is she me?
You have a fever.
No, I'm fine.
98.6.
I need him to stay.
Pulse is normal, BP's normal,
everything's normal.
I just have a stiff neck
from the crash.
Stiff neck.
This man has meningitis.
We need to quarantine
the whole ER.
No one leaves here
until their full work-up is complete.
KUTNER:
You left here at 5:23 p.m.
Your motorcycle
never made it home.
Well, that covers ten seconds out of
the four hours I can't remember.
Where else
did you look?
We did pull up
a list of all the injuries.
Twenty-two victims
were brought here,
injuries ranging from a broken pelvis
to a severed right foot.
The other eight were taken over
to Princeton General.
Be helpful if these came
with head shots and resumes.
Twenty-something-year-old Jane Doe,
kidney contusion, laceration on her leg.
Both of which
are expected complications
when someone goes from 60 to 0
in no seconds flat.
Weirdest thing we've got
is a ruptured spleen.
Okay, new plan.
We make a list of all the bars
between here and the crash site,
we find out where I went, we go there...
TAUB: On it.
You're not gonna do anything,
are you?
We're gonna go to the ER
and do our jobs.
Someone is dying
because I can't remember...
When you remember,
you can page us.
The shortest distance
between here and your memory
is straight through your pre-frontal
cortex. All we have to do is access it.
Great idea.
I'll build the giant submarine,
you get
the miniaturization gizmo.
Medical hypnosis can bring the brain
to a Class 2 Theta state,
increasing focus
and memory retrieval.
You're not gonna make me
do the chicken dance, are you?
Someone in the surgical department
must be trained.
Just relax. Keep letting go
of any intrusive thoughts.
(EXHALES)
So what? You saw an ad
on the back of a comic book?
I did a rotation
in Melbourne.
Focus on the sound
of your breath.
You're taxing
an already injured brain.
It's like telling him to walk it off
after a broken ankle.
Wilson is done talking now.
Visualize the bus.
The way it looked.
The way it smelled.
The people on it.
What they look like.
This is a waste of
time.
Cool.
Focus on the details.
The bus is empty.
Is this really working?
Just focus. Clear your mind.
Think back to how you felt.
Details you saw.
I can't see
out the windows.
And I can
see you guys.
Memories further from the incident
should be clearer.
Where were you
before you got on the bus?
WILSON: Why'd you get so drunk
at 5:00 in the afternoon, alone?
I need a reason?
God, I hate
"Beer" brand beer.
When he's hypnotized,
can he lie?
- He...
- I could be mistaken,
but I can't actually lie under hypnosis.
- Is he lying?
- No.
What are you
running away from?
When I'm drinking, without you,
what am I running away from?
One of those imponderables.
Can we hold off on your insecurities
until we find
this patient?
Do you see anyone
in the bar?
I see a faceless crowd. How do I focus?
Say something to make me focus.
He's concerned about you.
Why does that mean he's insecure?
Get your girlfriend
out of here.
- It's a legit question.
- Amber's there?
You've got Amber
in your head?
You put her
in my head.
I can't even have a conversation
with you in my subconscious
without her
tagging along.
She'd better have
her clothes on.
(SIGHS) Unfortunately.
I didn't mean
to say that out loud.
Say what out loud?
I didn't say it
out loud?
Nothing.
What's going
on in there?
If I can't lie,
I need these two out of here.
Let's just ignore Wilson and Amber
from now on, shall we?
I wish it were that...
That's some program they've
got down there in Melbourne. Cheers.
- I remember the bartender.
- Good.
Now you're accessing
your temporal lobe.
Does the bartender
have any odd symptoms?
No, he seems fine.
Is anybody here sick?
Anyone here taking the bus?
You are.
Because you took
my keys.
CHASE: Good. This is good.
Now we can retrace your steps.
Let's go back
to the bus.
- What's in front of you?
- Passengers.
Anything special
about them?
(COUGHING)
Some Emo guitar hero wannabe.
You're focusing on him.
Why?
Because nose picking
could mean nasal pruritus.
He's dying-
- You a nose picker?
- Do I have to answer...
If the answer was no,
you would have answered.
Tilt your head back.
He's fine.
Doesn't even
have meningitis.
Just like everybody else
we've had to give meningitis shots to.
You can go.
You have
a brain tumor.
You're kidding, right?
If I was kidding,
I'd be dressed like you.
You're fine.
A nurse will sign you out.
Go home, have fun, relax.
I'm probably just a nut case.
Tilt your head back.
Get your things and go.
You need to rest.
I'm admitting you.
(SCREAMING)
I can't gel "P!
I can't move my legs!
Your legs are not
your biggest problem.
Your biggest problem is I don't know
what your biggest problem is.
HOUSE: So, we have the who
but not the what.
We've only got
one symptom to go on.
Sudden onset paralysis.
We actually
have two symptoms.
Only one
that we remember.
You did a full work-up
on the guy.
- Did you find anything?
- CT ruled out subdural hematoma,
stroke,
or subarachnoid hemorrhage.
Guillain-Barre fits.
Just trying to figure out
what Guillain-Barré looks like.
You can't just
eliminate everything
because it doesn't match
what you might have seen.
How about because it doesn't match
what I could have seen?
Guillain-Barré has no external
physical manifestations.
Everything has some external
physical manifestations.
And you're obsessive enough
to notice any of them.
Which means there's nothing
we can rule out.
Elevated white count.
Means transverse myelitis...
Sudden paralysis
while driving a bus.
That's the sort of subtle clue
that only a genius would have noticed.
(SNIFFING)
Are you sure
you're feeling okay?
Where are you going?
To smell a bus.
Obviously.
Yeah, I'll start him on antibiotics
in case it's transverse myelitis.
You guys go sniff
a city bus.
Why are you smelling
the passengers' clothes?
Smell is the most powerful
evokerater of memory.
I need to get
back on that bus.
Okay.
So why are you taking so much Vicodin?
If Cuddy asks, blocking the pain
helps focus the memory.
You split your head open.
You should rest.
- Anything?
- Hint of
exploded bus.
House, that's four Vicodin
in forty seconds. At this rate...
Wish me luck.
I'm going in,
Rambo style.
House, do you think this is gonna work,
or are you just stoned?
Both, apparently.
You're wrong.
It's not working.
So you're saying
I'm not here?
If it was a real memory,
you'd be limping
and you wouldn't be talking to me.
I'm obviously
a hallucination.
Okay, so I went a little heavy
on the Vicodin.
Better hope so. 'Cause otherwise,
means your brain's bleeding.
We're both in my head. You'd think
one of us would have noticed the blood.
Why haven't you
had a head CT yet?
Who do you want me to treat?
Me or you? Did you have a seizure?
Dumb question. The brain's too fried
during a seizure to form memories.
Dumb answer.
I wasn't asking you, I was asking me,
because you've already proven
that you're not here.
- I'm getting a headache.
- Is that a clue?
Again, I'm not here.
You're getting a headache.
Stop arguing with a hallucination
and get some treatment.
WOMAN: He can't.
The hallucination is your messed-up
brain's way of reasoning out a problem.
You weren't on the bus.
How do you know?
Five-hundred-dollar shoes?
Not on the Princeton cross-town.
Must be another reason
why I'm here.
Yes.
What do you have to tell me?
I was talking
to the passengers on the bus.
You were hallucinating.
You're getting an MRI.
WILSON: Stop fidgeting.
If you haven't found the bleed yet,
it can't be...
There's edema and localized swelling
in the section of the temporal lobe
that controls
short-term memory.
Also, the penis size cortex
is set to "pathetic."
What didn't you
say out loud?
Very little.
When you were
under hypnosis,
you were talking to Amber.
I wanted to
see her naked.
Seriously,
what were you hiding?
I want to see
her naked.
You want to see everyone naked.
Why would you hide that?
Some guys get upset
when you objectify their girlfriends.
But if you're okay, I got
a digital video camera, so we could...
Why would I be upset
that you're treating my girlfriend
like you treat every other woman
on the planet?
Unless you're not.
Unless it's deeper
than that.
You weren't
objectifying her.
Trust me, I want to do some very nasty,
demeaning stuff to your girlfriend.
You have feelings for her.
This is bad.
It's a longitudinal fracture
of the temporal bone.
I banged my head.
This isn't
just a boo-boo.
I'll rest once I figure out
what's wrong with this guy.
Why?
Why this guy?
You want patients with weird,
undiagnosed symptoms?
You get five files like that
on your desk every morning.
And you'd never risk
your life for them.
Why is this guy so special that
all of a sudden you've become Batman?
I don't know.
Maybe it's because you have
a cracked skull and you're not yourself.
Go home,
go to sleep.
(GROANS)
My legs are holding.
Good. Now put all your weight
on your right leg.
(DOOR OPENS)
The antibiotics are working.
It's TM.
FOREMAN:
It's 2:00 in the morning.
You should be home resting
what's left of your bruised brain.
Recovery's too fast.
What, the fact that he's getting better
is evidence that we're wrong?
(GROANING)
I need to sit.
Recovery slow
enough for you now?
It's my stomach.
Which means it's
not transverse myelitis.
Rapid onset,
could be a perforated ulcer.
Wouldn't explain
the paralysis.
Addison's.
From a tumor.
It's possible that
I saw his eyelids droop.
We've scanned his head
five times.
You're bleeding.
Little thing called
a bus crash.
Just a scalp laceration. It could
be hidden in his optic chiasm.
It's coming
from your ear.
Think that's
a good thing?
But that would have
affected his eyesight.
I need to take a bath.
Hallucinations and smells were
kind of working, right? Why the bath?
Hypnosis gave me the nose picker.
Smells set off hallucinations.
Sensory deprivation should get the brain
into an alpha-theta phase.
Didn't you see
Altered States?
I don't think I was even born
when that movie was out.
Then you're too young to be a doctor.
That movie was released in 1980.
That was 28 years ago.
No it wasn't. Shut up.
Did you just forget
what year it is?
No, I just remembered
how old I am.
I need to give my brain
time to transition
so I can embrace my inner monkey.
Or maybe I don't.
Get me some physostigmine.
It crosses
the blood-brain barrier.
And act like a nerve gas,
stop your heart,
you'll go to heaven and be omniscient.
Good idea. Not gonna happen.
Don't do anything. Even if I escape,
eat a goat or get shot by police.
"Wasn't born yet" means I won't
be entertained by further reference.
I didn't know
you rode the bus.
I used to drive home after getting
drunk, but some mothers got mad-d.
What are you doing here?
You weren't on the bus with me.
Then I guess this isn't a memory.
It's a fantasy.
If it's a fantasy,
you'd be wearing this.
You're convinced
your patient is dying
and you wanna waste your time
with a sex fantasy?
Don't blame me,
blame my gender.
Well, I'm not here
to indulge that.
I'm here to help you figure out
what symptom you saw.
Your patient was driving the bus,
so all you could see...
Why can't you do both?
(DANCE MUSIC PLAYING)
Your patient was driving the bus, so
all you could see was him sitting down,
most likely
facing forward.
From behind I saw his earlobes wiggling,
or his head bobbing.
But not that.
Could indicate
aortic insufficiency.
- Marfan's syndrome.
- Or syphilis.
What if his earlobes
were just drooping?
Ehlers-Danlos?
Or Cutis Laxa.
It's not fatal
in adults.
Yes, he's an adult,
very good point, keep going.
I'm distracting you.
No!
Dance, woman.
You'd rather
be diagnosing.
I screamed no.
And your own subconscious
ignored you.
Because you'd rather fantasize
about finding symptoms.
How screwed up
is that?
Hey, over here.
Remember me?
I'm the sick guy.
Tell me what I saw.
Was it the blood
dripping from my ear?
That doesn't make sense
because your shirt wasn't stained.
And because
that was me.
I could have had a subtle hemiballismus,
indicating
the early stages of Huntington's.
Huntington's wouldn't explain
the abdominal pain,
and it's only on the table
because we're thinking of Thirteen.
A shuffling gait
could suggest Parkinson's.
Except there's no such thing as
"shuffling sitting."
He moved when he helped
the old lady up the steps.
Who are you?
I'm the answer.
Look.
At what?
BUS DRIVER: Here.
You were right.
Help him up.
I got it,
it's Parkinson's.
House. Your ear.
Start him on levodopa.
You should sit down.
House!
Get that out
of my face.
Welcome back.
I'm Nurse Dickerson.
I don't need your name.
And I got your profession
from your super competent technique
of melting my retinas.
Verbal faculties seem to be intact.
Do you remember passing out?
I remember puking
on Cuddy's shoes.
Yeah, skull fractures
tend to hurt.
Would hurt a lot less
if you hadn't swiped my pain pills.
Dr. Cuddy's orders.
Wants me to regulate the amount of...
Wait a second.
You brought muscle?
Dr. Cuddy's orders.
Means I was wrong.
My patient doesn't have Parkinson's.
Cuddy knows that's the only reason
I wouldn't want to stay here
with my pain pills,
porn and you forever.
Vomiting means
your brain injury is getting worse.
House's skull fracture extends
all the way down to his ear canal.
House is being looked after.
Our other patient has jaundice,
- low albumin and no diagnosis.
- Wilson's Disease.
Thank you.
But Wilson's wouldn't explain...
(TELEPHONE RINGING)
- Foreman.
- How did you eliminate Parkinson's?
Tests confirm the abdominal pain
was caused by liver failure.
I assume you've already ruled out
hepatitis and Wilson's.
You should really
be resting.
Give him five minutes.
Brainstorming a few possibilities
- isn't going to explode his brain.
- And if she's wrong,
that makes this phone call
that much more exciting.
What about
hepatic fibrosis?
Can't be,
his Alk phos was normal.
Could be thyrotoxic
periodic paralysis.
Did I mention
this diagnosis needs to make sense?
Why doesn't it make sense?
Bus driver's Asian.
His potassium's
slightly low.
If he got paralyzed
while driving the bus,
don't you think I would have gotten off
at the next stop?
Not if the next stop
was at a 90-degree angle into an SUV.
The bus would have slowed,
I would've noticed.
Phone call's over.
TPP has all the confirmed symptoms.
There's no downside to testing.
Genetic test is too slow.
Run the bagel test.
How many more bagels
do I have to eat for this to work?
High carbs plus exercise
is the quickest way to confirm TPP.
I've been on this for half an hour.
I'm not gonna collapse again.
- Up the speed.
- Keep eating.
(CELL PHONE RINGING)
Yeah.
HOUSE: So the carbo-loading marathon
isn't working.
Stop looking
around suspiciously.
To answer your
next two questions,
no, I am not there,
and yes, you are completely predictable.
If the test had worked,
you would have called
to put my delicate brain
at ease.
(KNOCKING ON DOOR)
NURSE DICKERSON:
I told you not to lock the door.
Still wiping.
Put the phone up
to bus driver's grill.
Who are
you talking to?
My large colon.
TPP's not consistent
with your patient's labored breathing.
Patient has
labored breathing
because he's been on a treadmill
for the last thirty minutes.
Did you take
my cell phone?
My large colon did.
I'm negotiating its release.
BUS DRIVER: Help.
What's happening?
KUTNER:
The test worked. He collapsed.
You're half right.
He's wheezing, isn't he?
(WHEEZING)
Yeah.
Can't wheeze without moving
your chest muscles. This isn't TPP.
Then what is it?
How am I supposed to know?
I'm not there.
Right heart strain.
He's still not oxygenating.
Must be
a pulmonary embolism.
So why haven't you
pushed a vial of tPA?
- You let him back in?
- I asked him back in.
At the tail end of me patiently
explaining how you idiots were idiots.
Pushed tPA
10 minutes ago.
That means it's not a clot.
TAUB: Has to be a clot.
If he had a bagel stuck in his windpipe,
I would have seen it on the echo.
Get him to the OR
to suck it out.
Must have just screwed up
the intubation.
Seal's good.
It's a clot, House.
Wait, wait.
Look at his teeth.
He's got shiny new caps.
He's had recent dental surgery.
You can tell us what that means
while we're rolling him to the OR.
House!
House!
House!
Get a syringe.
I didn't bring you back here
so you could stage a coup.
Listen to me. Dental air drill
pushed an air bubble into his gums.
Dislodged while he's driving.
Caused a myoclonic jerk.
That's what I must have seen.
Then it hit his spine,
his liver,
and now his lungs.
Dr. Hadley,
open the door.
I'm not plumping
his pillows here,
I'm putting him
in the Trendelenburg position,
move the bubble
to the apex of his heart
so you can suck it out.
Now get the damn syringe.
I can't risk you
stabbing him in the heart
looking for an unconfirmed air bubble.
Stab him.
- Dr. Hadley!
- See? She doesn't even know your name.
(HEART MONITOR BEEPING)
Stab his heart!
Sats at 75.
- Yes, he's suffocating.
- If you're wrong...
Shut up and make a decision. Keep
standing there, he's dead either way.
CUDDY: Dr. Hadley!
I'm sorry.
Open that door.
- Don't shoot!
- Get him to the OR.
The O2 sats.
It was an air bubble.
He's okay.
The other nurse always
used to tuck me in.
I'll be on the couch,
with a shotgun
in my lap.
Worrying about me.
Making sure you don't try
and make a limp for the border.
Get some sleep.
I'm not sleepy, Mommy.
Me neither.
Who are you?
And why are you stalking me?
Technically,
you're stalking me.
What is that?
A mosquito?
Maybe just a fly.
In the ointment.
So there's something wrong,
there's some detail I'm not noticing
that's spoiling the big picture.
Is this significant? Or is this dream
just going in a different direction now?
Guess that depends.
What are you going
to do with that?
I have to tie
this around you.
I'm cold.
Stay with me.
Why did I say that?
- Hey.
- Go away.
It's not over.
I saved the wrong person.
This wasn't just a dream, or a fantasy,
or a drug-induced trip to Wonderland.
So the bus driver with the air bubble
was just a coincidence.
No. I got the causation flipped.
The bubble didn't cause the crash.
The crash caused
the bubble to dislodge.
There was no myoclonic jerk.
I saw something else
in someone else.
You're not leaving.
What's the most dangerous thing
a patient could do
when his brain
is on the brink of herniating?
Elevated heart rate, BP,
which is exactly why you need to stop.
Instead of sleeping, I'm going
to be pacing around this apartment,
trying to decipher
those visions.
Why does this
matter so much?
I don't know.
Heart rate?
-121.
- BP?
Contextual memory, I need to get back
on that bus with all 31 passengers
to remember
who and what I saw.
I'm not gonna call in crash victims
because you've gone insane.
Maybe I don't need
the actual victims.
Who's playing Anne McKeon?
Right here.
Jane Doe #2 from Princeton General?
Right here.
You, too, that's right.
Goth Kid,
at the back, on the right.
Yeah, here.
Okay-
You think that staring at pictures
on our shirts
is going to be more effective
than hypnosis?
If you'd stop talking,
the re-enactment could stimulate
activity in my hippocampus
and parahippocampal cortex.
How long
do we have to sit here
before you are stimulated?
Stop staring
at my breasts.
And don't say,
"Or lack thereof."
You Okay?
What did you see?
Just slipped away.
Is that Vicodin?
No, just a little
memory pick-me-up.
Physostigmine?
Are you crazy?
Alzheimer drugs will
make your brain go into overdrive.
That's the point.
It'll speed up my neuronal firing,
turn up the voltage
on my memory.
And blow out your heart.
How many did you take?
Just now, or including the ones
I took on the ride over?
CUDDY:
House, this isn't worth...
WOMAN: House?
Why are you here?
You believe in reason above all else.
There must be a reason.
You have something to tell me.
Yes. Who am I?
That's asking, not telling.
Who are you?
You know who I am.
If I did, I'd be passed out in bed
instead of OD'ing on physostigmine
on the 6th Street
cross-town.
What's my necklace made of?
- Resin.
- Who am I?
I don't know.
Why the guessing game?
Because you don't know
the answer.
And if I don't,
you don't.
But you know
the clues.
I know what's bugging
your subconscious.
What's my necklace
made of?
No.
Who am I?
It doesn't make sense.
What's my necklace made of?
Amber.
(ALL SCREAMING)
(ALL SCREAMING)
(GLASS SHATTERING)
(INDISTINCT CHATTERING)
I have to tie
this around you.
I'm cold.
Stay with me.
Just stay with me.
(MEN CHATTERING INDISTINCTLY)
(CHATTERING ON POLICE RADIO)
(SIRENS BLARING)
Sir, are you all right?
Are you all right?
Are you
injured anywhere?
They'll take care of you
over there.
(GASPS)
He's coming out of it.
KUTNER: Strong pulse.
You idiot!
Your heart stopped!
Amber.
- What?
- Amber.
It was Amber.
She was on the bus.
You almost kill yourself, and all
we're getting is drug-induced fantasies.
Have you
spoken to her?
She's probably working,
she's been on-call.
I called her.
She didn't call...
- How could she...
- I don't know.
Jane Doe #2.
Female, late 20s,
kidney damage.
Does Amber have a birthmark
on her right shoulder blade?
She was on
the bus with me.
She's the one
who's dying.
ON STEREO)
You like that?
I don't know.
You want me
to use my butt again?
I don't know
how I got here.
How many drinks
did I have?
Your scotch hasn't
even arrived yet.
Means I was drunk
when I got here.
8:50.
I remember
being at work.
I've lost at least
four hours.
Say five words.
What do you mean?
That's four words.
The accepted diagnostic test for global
memory impairment is five random words.
Are you okay?
I'm trying to find that out.
Now, give me five animals.
Cat. Bird.
Monkey. Rhino. Goldfish.
Monkey. Rhino...
Either I'm massively drunk...
You're bleeding.
Or it's someone
else's blood.
Can you see a wound?
- How bad is it?
- It's all over.
I have a concussion.
Retrograde amnesia.
No keys, no phone,
I've been mugged.
No, you haven't.
You already
gave me a twenty.
Did you earn it?
Not yet.
Someone is going to die.
- Kenny!
- Not you.
I saw something.
A symptom.
Someone is going to die
unless I find them.
Who?
I have no idea.
Keep the change.
(INCOHERENT CHATTERING)
(SIRENS BLARING)
(CHATTERING ON POLICE RADIO)
HOUSE:
I saw somebody dying.
You saw 30 people
flying into glass and metal.
I saw a symptom
before the crash.
You're concussed.
You don't know what you saw
and you don't know
when you saw it.
A week ago,
you noticed a symptom in a soap star.
Bad argument,
since I was right about that.
But your brain obviously thinks it
happened last night. Wires are crossed.
That's all of it. A few stitches
will hold your brain in place.
' Ow!
' Hey,
hold your head still unless you want me
to sew your nose onto your eye.
Why was I taking a bus?
Because you were drunk.
What if I saw someone
and I followed them on from
somewhere in Princeton?
You Okay?
Perfect.
Uh...
You.
Get histories from everyone in here.
Did you just
forget his name?
No.
Lesbian, find out if anybody on that bus
was taken to other hospitals.
You just forgot mine.
No, Thirteen.
- I just wanted to call you a lesbian.
- I'm not a lesbian.
I was rounding up from 50 percent.
Find my cane and motorcycle.
Figure out
where I went last night.
Where's your cane and motorcycle,
and where'd you go last night?
You're gonna trust me?
I lie about everything.
You're staying the night. We need
to monitor your brain for swelling.
How much bigger
could it get?
You don't think it's
a little weird
that there's both a giant crash
and a simultaneous,
mysterious symptom sighting?
What if it's not
a coincidence?
You mean like the hand of God
reaching down and screwing with you?
That, or the symptom
caused the crash.
You see anybody
in a bus driver's uniform?
Right here,
purpura on Lalph Klamden's neck.
Indicative of leukemia.
It caused a bleed in the brain,
hence the accident.
Indicative of wearing a seatbelt.
It's just a bruise.
I have leukemia?
No, we just
ruled that out.
Pay attention.
So he probably had a seizure.
I didn't have a seizure.
I got hit by a garbage truck.
Which you drove into
while you were seizing.
You saw the bus driver exhibiting
the initial stages of a seizure
and didn't bother telling him
to pull over?
Hey!
Nobody leaves here
until I say they can be discharged.
- She said I was...
- Is she me?
You have a fever.
No, I'm fine.
98.6.
I need him to stay.
Pulse is normal, BP's normal,
everything's normal.
I just have a stiff neck
from the crash.
Stiff neck.
This man has meningitis.
We need to quarantine
the whole ER.
No one leaves here
until their full work-up is complete.
KUTNER:
You left here at 5:23 p.m.
Your motorcycle
never made it home.
Well, that covers ten seconds out of
the four hours I can't remember.
Where else
did you look?
We did pull up
a list of all the injuries.
Twenty-two victims
were brought here,
injuries ranging from a broken pelvis
to a severed right foot.
The other eight were taken over
to Princeton General.
Be helpful if these came
with head shots and resumes.
Twenty-something-year-old Jane Doe,
kidney contusion, laceration on her leg.
Both of which
are expected complications
when someone goes from 60 to 0
in no seconds flat.
Weirdest thing we've got
is a ruptured spleen.
Okay, new plan.
We make a list of all the bars
between here and the crash site,
we find out where I went, we go there...
TAUB: On it.
You're not gonna do anything,
are you?
We're gonna go to the ER
and do our jobs.
Someone is dying
because I can't remember...
When you remember,
you can page us.
The shortest distance
between here and your memory
is straight through your pre-frontal
cortex. All we have to do is access it.
Great idea.
I'll build the giant submarine,
you get
the miniaturization gizmo.
Medical hypnosis can bring the brain
to a Class 2 Theta state,
increasing focus
and memory retrieval.
You're not gonna make me
do the chicken dance, are you?
Someone in the surgical department
must be trained.
Just relax. Keep letting go
of any intrusive thoughts.
(EXHALES)
So what? You saw an ad
on the back of a comic book?
I did a rotation
in Melbourne.
Focus on the sound
of your breath.
You're taxing
an already injured brain.
It's like telling him to walk it off
after a broken ankle.
Wilson is done talking now.
Visualize the bus.
The way it looked.
The way it smelled.
The people on it.
What they look like.
This is a waste of
time.
Cool.
Focus on the details.
The bus is empty.
Is this really working?
Just focus. Clear your mind.
Think back to how you felt.
Details you saw.
I can't see
out the windows.
And I can
see you guys.
Memories further from the incident
should be clearer.
Where were you
before you got on the bus?
WILSON: Why'd you get so drunk
at 5:00 in the afternoon, alone?
I need a reason?
God, I hate
"Beer" brand beer.
When he's hypnotized,
can he lie?
- He...
- I could be mistaken,
but I can't actually lie under hypnosis.
- Is he lying?
- No.
What are you
running away from?
When I'm drinking, without you,
what am I running away from?
One of those imponderables.
Can we hold off on your insecurities
until we find
this patient?
Do you see anyone
in the bar?
I see a faceless crowd. How do I focus?
Say something to make me focus.
He's concerned about you.
Why does that mean he's insecure?
Get your girlfriend
out of here.
- It's a legit question.
- Amber's there?
You've got Amber
in your head?
You put her
in my head.
I can't even have a conversation
with you in my subconscious
without her
tagging along.
She'd better have
her clothes on.
(SIGHS) Unfortunately.
I didn't mean
to say that out loud.
Say what out loud?
I didn't say it
out loud?
Nothing.
What's going
on in there?
If I can't lie,
I need these two out of here.
Let's just ignore Wilson and Amber
from now on, shall we?
I wish it were that...
That's some program they've
got down there in Melbourne. Cheers.
- I remember the bartender.
- Good.
Now you're accessing
your temporal lobe.
Does the bartender
have any odd symptoms?
No, he seems fine.
Is anybody here sick?
Anyone here taking the bus?
You are.
Because you took
my keys.
CHASE: Good. This is good.
Now we can retrace your steps.
Let's go back
to the bus.
- What's in front of you?
- Passengers.
Anything special
about them?
(COUGHING)
Some Emo guitar hero wannabe.
You're focusing on him.
Why?
Because nose picking
could mean nasal pruritus.
He's dying-
- You a nose picker?
- Do I have to answer...
If the answer was no,
you would have answered.
Tilt your head back.
He's fine.
Doesn't even
have meningitis.
Just like everybody else
we've had to give meningitis shots to.
You can go.
You have
a brain tumor.
You're kidding, right?
If I was kidding,
I'd be dressed like you.
You're fine.
A nurse will sign you out.
Go home, have fun, relax.
I'm probably just a nut case.
Tilt your head back.
Get your things and go.
You need to rest.
I'm admitting you.
(SCREAMING)
I can't gel "P!
I can't move my legs!
Your legs are not
your biggest problem.
Your biggest problem is I don't know
what your biggest problem is.
HOUSE: So, we have the who
but not the what.
We've only got
one symptom to go on.
Sudden onset paralysis.
We actually
have two symptoms.
Only one
that we remember.
You did a full work-up
on the guy.
- Did you find anything?
- CT ruled out subdural hematoma,
stroke,
or subarachnoid hemorrhage.
Guillain-Barre fits.
Just trying to figure out
what Guillain-Barré looks like.
You can't just
eliminate everything
because it doesn't match
what you might have seen.
How about because it doesn't match
what I could have seen?
Guillain-Barré has no external
physical manifestations.
Everything has some external
physical manifestations.
And you're obsessive enough
to notice any of them.
Which means there's nothing
we can rule out.
Elevated white count.
Means transverse myelitis...
Sudden paralysis
while driving a bus.
That's the sort of subtle clue
that only a genius would have noticed.
(SNIFFING)
Are you sure
you're feeling okay?
Where are you going?
To smell a bus.
Obviously.
Yeah, I'll start him on antibiotics
in case it's transverse myelitis.
You guys go sniff
a city bus.
Why are you smelling
the passengers' clothes?
Smell is the most powerful
evokerater of memory.
I need to get
back on that bus.
Okay.
So why are you taking so much Vicodin?
If Cuddy asks, blocking the pain
helps focus the memory.
You split your head open.
You should rest.
- Anything?
- Hint of
exploded bus.
House, that's four Vicodin
in forty seconds. At this rate...
Wish me luck.
I'm going in,
Rambo style.
House, do you think this is gonna work,
or are you just stoned?
Both, apparently.
You're wrong.
It's not working.
So you're saying
I'm not here?
If it was a real memory,
you'd be limping
and you wouldn't be talking to me.
I'm obviously
a hallucination.
Okay, so I went a little heavy
on the Vicodin.
Better hope so. 'Cause otherwise,
means your brain's bleeding.
We're both in my head. You'd think
one of us would have noticed the blood.
Why haven't you
had a head CT yet?
Who do you want me to treat?
Me or you? Did you have a seizure?
Dumb question. The brain's too fried
during a seizure to form memories.
Dumb answer.
I wasn't asking you, I was asking me,
because you've already proven
that you're not here.
- I'm getting a headache.
- Is that a clue?
Again, I'm not here.
You're getting a headache.
Stop arguing with a hallucination
and get some treatment.
WOMAN: He can't.
The hallucination is your messed-up
brain's way of reasoning out a problem.
You weren't on the bus.
How do you know?
Five-hundred-dollar shoes?
Not on the Princeton cross-town.
Must be another reason
why I'm here.
Yes.
What do you have to tell me?
I was talking
to the passengers on the bus.
You were hallucinating.
You're getting an MRI.
WILSON: Stop fidgeting.
If you haven't found the bleed yet,
it can't be...
There's edema and localized swelling
in the section of the temporal lobe
that controls
short-term memory.
Also, the penis size cortex
is set to "pathetic."
What didn't you
say out loud?
Very little.
When you were
under hypnosis,
you were talking to Amber.
I wanted to
see her naked.
Seriously,
what were you hiding?
I want to see
her naked.
You want to see everyone naked.
Why would you hide that?
Some guys get upset
when you objectify their girlfriends.
But if you're okay, I got
a digital video camera, so we could...
Why would I be upset
that you're treating my girlfriend
like you treat every other woman
on the planet?
Unless you're not.
Unless it's deeper
than that.
You weren't
objectifying her.
Trust me, I want to do some very nasty,
demeaning stuff to your girlfriend.
You have feelings for her.
This is bad.
It's a longitudinal fracture
of the temporal bone.
I banged my head.
This isn't
just a boo-boo.
I'll rest once I figure out
what's wrong with this guy.
Why?
Why this guy?
You want patients with weird,
undiagnosed symptoms?
You get five files like that
on your desk every morning.
And you'd never risk
your life for them.
Why is this guy so special that
all of a sudden you've become Batman?
I don't know.
Maybe it's because you have
a cracked skull and you're not yourself.
Go home,
go to sleep.
(GROANS)
My legs are holding.
Good. Now put all your weight
on your right leg.
(DOOR OPENS)
The antibiotics are working.
It's TM.
FOREMAN:
It's 2:00 in the morning.
You should be home resting
what's left of your bruised brain.
Recovery's too fast.
What, the fact that he's getting better
is evidence that we're wrong?
(GROANING)
I need to sit.
Recovery slow
enough for you now?
It's my stomach.
Which means it's
not transverse myelitis.
Rapid onset,
could be a perforated ulcer.
Wouldn't explain
the paralysis.
Addison's.
From a tumor.
It's possible that
I saw his eyelids droop.
We've scanned his head
five times.
You're bleeding.
Little thing called
a bus crash.
Just a scalp laceration. It could
be hidden in his optic chiasm.
It's coming
from your ear.
Think that's
a good thing?
But that would have
affected his eyesight.
I need to take a bath.
Hallucinations and smells were
kind of working, right? Why the bath?
Hypnosis gave me the nose picker.
Smells set off hallucinations.
Sensory deprivation should get the brain
into an alpha-theta phase.
Didn't you see
Altered States?
I don't think I was even born
when that movie was out.
Then you're too young to be a doctor.
That movie was released in 1980.
That was 28 years ago.
No it wasn't. Shut up.
Did you just forget
what year it is?
No, I just remembered
how old I am.
I need to give my brain
time to transition
so I can embrace my inner monkey.
Or maybe I don't.
Get me some physostigmine.
It crosses
the blood-brain barrier.
And act like a nerve gas,
stop your heart,
you'll go to heaven and be omniscient.
Good idea. Not gonna happen.
Don't do anything. Even if I escape,
eat a goat or get shot by police.
"Wasn't born yet" means I won't
be entertained by further reference.
I didn't know
you rode the bus.
I used to drive home after getting
drunk, but some mothers got mad-d.
What are you doing here?
You weren't on the bus with me.
Then I guess this isn't a memory.
It's a fantasy.
If it's a fantasy,
you'd be wearing this.
You're convinced
your patient is dying
and you wanna waste your time
with a sex fantasy?
Don't blame me,
blame my gender.
Well, I'm not here
to indulge that.
I'm here to help you figure out
what symptom you saw.
Your patient was driving the bus,
so all you could see...
Why can't you do both?
(DANCE MUSIC PLAYING)
Your patient was driving the bus, so
all you could see was him sitting down,
most likely
facing forward.
From behind I saw his earlobes wiggling,
or his head bobbing.
But not that.
Could indicate
aortic insufficiency.
- Marfan's syndrome.
- Or syphilis.
What if his earlobes
were just drooping?
Ehlers-Danlos?
Or Cutis Laxa.
It's not fatal
in adults.
Yes, he's an adult,
very good point, keep going.
I'm distracting you.
No!
Dance, woman.
You'd rather
be diagnosing.
I screamed no.
And your own subconscious
ignored you.
Because you'd rather fantasize
about finding symptoms.
How screwed up
is that?
Hey, over here.
Remember me?
I'm the sick guy.
Tell me what I saw.
Was it the blood
dripping from my ear?
That doesn't make sense
because your shirt wasn't stained.
And because
that was me.
I could have had a subtle hemiballismus,
indicating
the early stages of Huntington's.
Huntington's wouldn't explain
the abdominal pain,
and it's only on the table
because we're thinking of Thirteen.
A shuffling gait
could suggest Parkinson's.
Except there's no such thing as
"shuffling sitting."
He moved when he helped
the old lady up the steps.
Who are you?
I'm the answer.
Look.
At what?
BUS DRIVER: Here.
You were right.
Help him up.
I got it,
it's Parkinson's.
House. Your ear.
Start him on levodopa.
You should sit down.
House!
Get that out
of my face.
Welcome back.
I'm Nurse Dickerson.
I don't need your name.
And I got your profession
from your super competent technique
of melting my retinas.
Verbal faculties seem to be intact.
Do you remember passing out?
I remember puking
on Cuddy's shoes.
Yeah, skull fractures
tend to hurt.
Would hurt a lot less
if you hadn't swiped my pain pills.
Dr. Cuddy's orders.
Wants me to regulate the amount of...
Wait a second.
You brought muscle?
Dr. Cuddy's orders.
Means I was wrong.
My patient doesn't have Parkinson's.
Cuddy knows that's the only reason
I wouldn't want to stay here
with my pain pills,
porn and you forever.
Vomiting means
your brain injury is getting worse.
House's skull fracture extends
all the way down to his ear canal.
House is being looked after.
Our other patient has jaundice,
- low albumin and no diagnosis.
- Wilson's Disease.
Thank you.
But Wilson's wouldn't explain...
(TELEPHONE RINGING)
- Foreman.
- How did you eliminate Parkinson's?
Tests confirm the abdominal pain
was caused by liver failure.
I assume you've already ruled out
hepatitis and Wilson's.
You should really
be resting.
Give him five minutes.
Brainstorming a few possibilities
- isn't going to explode his brain.
- And if she's wrong,
that makes this phone call
that much more exciting.
What about
hepatic fibrosis?
Can't be,
his Alk phos was normal.
Could be thyrotoxic
periodic paralysis.
Did I mention
this diagnosis needs to make sense?
Why doesn't it make sense?
Bus driver's Asian.
His potassium's
slightly low.
If he got paralyzed
while driving the bus,
don't you think I would have gotten off
at the next stop?
Not if the next stop
was at a 90-degree angle into an SUV.
The bus would have slowed,
I would've noticed.
Phone call's over.
TPP has all the confirmed symptoms.
There's no downside to testing.
Genetic test is too slow.
Run the bagel test.
How many more bagels
do I have to eat for this to work?
High carbs plus exercise
is the quickest way to confirm TPP.
I've been on this for half an hour.
I'm not gonna collapse again.
- Up the speed.
- Keep eating.
(CELL PHONE RINGING)
Yeah.
HOUSE: So the carbo-loading marathon
isn't working.
Stop looking
around suspiciously.
To answer your
next two questions,
no, I am not there,
and yes, you are completely predictable.
If the test had worked,
you would have called
to put my delicate brain
at ease.
(KNOCKING ON DOOR)
NURSE DICKERSON:
I told you not to lock the door.
Still wiping.
Put the phone up
to bus driver's grill.
Who are
you talking to?
My large colon.
TPP's not consistent
with your patient's labored breathing.
Patient has
labored breathing
because he's been on a treadmill
for the last thirty minutes.
Did you take
my cell phone?
My large colon did.
I'm negotiating its release.
BUS DRIVER: Help.
What's happening?
KUTNER:
The test worked. He collapsed.
You're half right.
He's wheezing, isn't he?
(WHEEZING)
Yeah.
Can't wheeze without moving
your chest muscles. This isn't TPP.
Then what is it?
How am I supposed to know?
I'm not there.
Right heart strain.
He's still not oxygenating.
Must be
a pulmonary embolism.
So why haven't you
pushed a vial of tPA?
- You let him back in?
- I asked him back in.
At the tail end of me patiently
explaining how you idiots were idiots.
Pushed tPA
10 minutes ago.
That means it's not a clot.
TAUB: Has to be a clot.
If he had a bagel stuck in his windpipe,
I would have seen it on the echo.
Get him to the OR
to suck it out.
Must have just screwed up
the intubation.
Seal's good.
It's a clot, House.
Wait, wait.
Look at his teeth.
He's got shiny new caps.
He's had recent dental surgery.
You can tell us what that means
while we're rolling him to the OR.
House!
House!
House!
Get a syringe.
I didn't bring you back here
so you could stage a coup.
Listen to me. Dental air drill
pushed an air bubble into his gums.
Dislodged while he's driving.
Caused a myoclonic jerk.
That's what I must have seen.
Then it hit his spine,
his liver,
and now his lungs.
Dr. Hadley,
open the door.
I'm not plumping
his pillows here,
I'm putting him
in the Trendelenburg position,
move the bubble
to the apex of his heart
so you can suck it out.
Now get the damn syringe.
I can't risk you
stabbing him in the heart
looking for an unconfirmed air bubble.
Stab him.
- Dr. Hadley!
- See? She doesn't even know your name.
(HEART MONITOR BEEPING)
Stab his heart!
Sats at 75.
- Yes, he's suffocating.
- If you're wrong...
Shut up and make a decision. Keep
standing there, he's dead either way.
CUDDY: Dr. Hadley!
I'm sorry.
Open that door.
- Don't shoot!
- Get him to the OR.
The O2 sats.
It was an air bubble.
He's okay.
The other nurse always
used to tuck me in.
I'll be on the couch,
with a shotgun
in my lap.
Worrying about me.
Making sure you don't try
and make a limp for the border.
Get some sleep.
I'm not sleepy, Mommy.
Me neither.
Who are you?
And why are you stalking me?
Technically,
you're stalking me.
What is that?
A mosquito?
Maybe just a fly.
In the ointment.
So there's something wrong,
there's some detail I'm not noticing
that's spoiling the big picture.
Is this significant? Or is this dream
just going in a different direction now?
Guess that depends.
What are you going
to do with that?
I have to tie
this around you.
I'm cold.
Stay with me.
Why did I say that?
- Hey.
- Go away.
It's not over.
I saved the wrong person.
This wasn't just a dream, or a fantasy,
or a drug-induced trip to Wonderland.
So the bus driver with the air bubble
was just a coincidence.
No. I got the causation flipped.
The bubble didn't cause the crash.
The crash caused
the bubble to dislodge.
There was no myoclonic jerk.
I saw something else
in someone else.
You're not leaving.
What's the most dangerous thing
a patient could do
when his brain
is on the brink of herniating?
Elevated heart rate, BP,
which is exactly why you need to stop.
Instead of sleeping, I'm going
to be pacing around this apartment,
trying to decipher
those visions.
Why does this
matter so much?
I don't know.
Heart rate?
-121.
- BP?
Contextual memory, I need to get back
on that bus with all 31 passengers
to remember
who and what I saw.
I'm not gonna call in crash victims
because you've gone insane.
Maybe I don't need
the actual victims.
Who's playing Anne McKeon?
Right here.
Jane Doe #2 from Princeton General?
Right here.
You, too, that's right.
Goth Kid,
at the back, on the right.
Yeah, here.
Okay-
You think that staring at pictures
on our shirts
is going to be more effective
than hypnosis?
If you'd stop talking,
the re-enactment could stimulate
activity in my hippocampus
and parahippocampal cortex.
How long
do we have to sit here
before you are stimulated?
Stop staring
at my breasts.
And don't say,
"Or lack thereof."
You Okay?
What did you see?
Just slipped away.
Is that Vicodin?
No, just a little
memory pick-me-up.
Physostigmine?
Are you crazy?
Alzheimer drugs will
make your brain go into overdrive.
That's the point.
It'll speed up my neuronal firing,
turn up the voltage
on my memory.
And blow out your heart.
How many did you take?
Just now, or including the ones
I took on the ride over?
CUDDY:
House, this isn't worth...
WOMAN: House?
Why are you here?
You believe in reason above all else.
There must be a reason.
You have something to tell me.
Yes. Who am I?
That's asking, not telling.
Who are you?
You know who I am.
If I did, I'd be passed out in bed
instead of OD'ing on physostigmine
on the 6th Street
cross-town.
What's my necklace made of?
- Resin.
- Who am I?
I don't know.
Why the guessing game?
Because you don't know
the answer.
And if I don't,
you don't.
But you know
the clues.
I know what's bugging
your subconscious.
What's my necklace
made of?
No.
Who am I?
It doesn't make sense.
What's my necklace made of?
Amber.
(ALL SCREAMING)
(ALL SCREAMING)
(GLASS SHATTERING)
(INDISTINCT CHATTERING)
I have to tie
this around you.
I'm cold.
Stay with me.
Just stay with me.
(MEN CHATTERING INDISTINCTLY)
(CHATTERING ON POLICE RADIO)
(SIRENS BLARING)
Sir, are you all right?
Are you all right?
Are you
injured anywhere?
They'll take care of you
over there.
(GASPS)
He's coming out of it.
KUTNER: Strong pulse.
You idiot!
Your heart stopped!
Amber.
- What?
- Amber.
It was Amber.
She was on the bus.
You almost kill yourself, and all
we're getting is drug-induced fantasies.
Have you
spoken to her?
She's probably working,
she's been on-call.
I called her.
She didn't call...
- How could she...
- I don't know.
Jane Doe #2.
Female, late 20s,
kidney damage.
Does Amber have a birthmark
on her right shoulder blade?
She was on
the bus with me.
She's the one
who's dying.