House (2004–2012): Season 4, Episode 7 - Ugly - full transcript

We just arrived.

Yeah. Kids okay on your end?

Good.

Yeah, yeah.
He's very excited.

Hey, hey. Listen, I gotta go, okay?
I'll call you tomorrow.

Excuse me.

(SCREAMING)

Get away. Get away.

Sorry about that. Sorry.

What's wrong with him?

Excuse us.



I ought to go back
and kick the hell out of that guy.

She was old enough,
she didn't have to scream like that.

It's okay, Dad.
It didn't bother me.

For the first time,
none of these people bother me.

I just think,
"36 more hours."

Thirty-six more hours?
How do you figure that, Kenny?

Tomorrow at this time,
I'm scheduled for surgery.

It's a 10-hour procedure,
throw two in there for prep,

thirty-six until
I'm just another face in the crowd.

(CLEARS THROAT)

Kenny has a frontonasal
encephalocele.

It's a midline deformity.

He's here to undergo
a facial bipartition.

DARNELL:
And what does that mean?



Well, we have
five surgeons, four nurses.

He's going to require
six units of blood.

DARNELL:
Will it fix him?

It'll repair a lot of
the damage done...

We need a sound bite.

Would you say,
"He'll be ready for the junior prom"?

Yeah, yeah.
That's probably true.

No, I mean,
I need you to say it.

CRANK) SURGEON: Dr. Chase,

we got an issue.

Heart rate's skyrocketing,
he's over 180.

- He's in v-fib.
- Paddles!

Charge to 300.

Turn that camera off.

Is this a reaction
to anesthesia?

CRANK) SURGEON:
Haven't given it yet.

CHASE: Clear!

(BEEPING)

Crank it to 360.

I said turn that
damn camera off! Clear!

A teenage boy with a cranial facial
deformity was about to undergo

a reconstructive procedure, when he had
an unexplained cardiac arrest.

Good.

Good?

I mean, go on.

We have the patient
on a pacing wire,

it's the only thing keeping
his heart going.

Yeah, we know.
We're doctors.

Right, it was meant
to be just for them.

DARNELL: Just be yourself.

Until we are able to figure out exactly
what is causing the heart block,

the reconstructive surgery
is on hold, obviously.

That's "yourself"?

Fascinating case.

I will see you again
after I have saved his life.

Have a warm bath waiting.

Are you following me?

Darnell will be trailing you
throughout the case.

DARNELL:
Pretend we're not here.

But if I do that,
won't I bump into you?

DARNELL:
We'll stay out of your way.

No, it was a joke.

See, I became a doctor
because of the movie, Patch Adams.

Listen, do you wanna
get ahead of me and maybe back up,

I don't know, low down,
so I look more powerful?

That's perfect.
Yeah?

Also, my eyes look
better in rooms with summer colors.

You know what?
It's black and white...

You think
I like the cameras?

You think I want the whole world
watching you check out my ass

and question my wardrobe?

Would it be better if I checked out your
wardrobe and questioned your ass?

A little part of me...

There is no
little part of you.

...thought that maybe
you would see

what great PR this could be
for the hospital

and not make me
force you to act like a human being.

You using force on me
is intriguing.

On the other hand,
cameras make people act.

Sometimes like human beings,
sometimes just weird,

sometimes they wear
open-tip bras.

It's cold in here.

A less obvious point is that I need my
team to be unafraid

of the metaphorical fart.

That production company is covering
all the medical costs for this kid.

So either you let them
continue filming

or the kid goes home
with the same face.

Sorry about that. Private.

She waxes her moustache
once a month

and sometimes gets
some pretty gnarly ingrown hairs.

So, did he hire you flat out or are you
competing for one of the spots?

I'm not sure
what you mean by that.

She's not competing.

She was handpicked by House.
She's safe, like Foreman.

So that takes
three spots down to one.

- Where's Foreman?
- He's in the bathroom.

HOUSE: Good. Come on.
Let's go for a walk.

Walks look good on camera.

They give the illusion
of the story moving forward.

New patient.

Sixteen-year-old boy with second-degree
infranodal heart block.

Post-arrest.

THIRTEEN: Any reports
of light-headedness or syncope?

Certainly not
light-headedness.

Why did you hire her?

Not in front of
the company.

Are we gonna
be on TV?

I'm making a music video.

Come on. A little faster,
more energy.

Why are you glad
Foreman's not here?

Because he would object
to what I'm about to do.

Oh!

Sorry.

Hey, buddy.

You stay in there, we'll be out here,
making sure he doesn't move again.

God! Finally
I hear myself think.

- Our patient has...
- Why did you hire her?

Because she has way
more diagnostic experience

than the other
swimsuit models I was considering.

Our patient has a frontonasal
encephalocele with a midline cleft.

(EXCLAIMS IN DISGUST)

Don't stare
directly at it.

So what caused
"Big Head's" heart to stop?

TAUB:
Simple. His big head.

Increased intracranial pressure
would cause heart block.

Wrong. Sixteen years they've been
testing that insane noggin to death.

What about
a congenital heart defect?

He has a midline
anomaly on his head,

makes sense he'd have
a midline anomaly in his heart, too.

The 16 years of
testing didn't show?

Why did you bring her
in so late? It's not fair.

- The rest of us...
- Hey, hey, hey! You wanted fair,

you picked the wrong job,
the wrong profession,

the wrong species.

Forget the deformity.

Treat the patient like
he's any other really, really ugly kid.

Infection?
Could be endocarditis.

Well, since he doesn't have
a prosthetic heart valve,

I assume you're thinking
he's an IV drug user?

House said
assume he's normal.

Dealers don't ask for ID
and don't care what you look like.

Nice. You're right
about the habit.

You're wrong about
the substance.

Blackened skin under the nose
equals frostbite from huffing Freon.

Freon's toxic,
it damages the heart.

Discoloration could
be acanthosis nigricans.

It's a common side effect
of these deformities.

There's also discoloration
on the cheeks and forehead.

Do a nuclear study.

If I'm right,
you'll see scarring of the heart.

(DOOR CLOSING)

I'm not part of
some game, am I?

I gave up a career
because I thought this was a firm offer.

Yes, this is a real offer.

I think
she might be an idiot.

- Who?
- No, she can't be an idiot.

I mean, she was in the CIA,
for God's sake.

And the Bay of Pigs
was a daring triumph.

She had good ideas
in Langley.

All your ideas.

She was able to identify
that they were good ideas.

Stab in the dark here,
is she pretty?

She's new.

- She's nervous.
- She's a C-cup.

She said one dumb thing
in a differential.

They all say dumb things
in differentials.

A D-cup?

If she's no good,
just fire her.

I can't.
I just hired her.

She left a career.

Wow.

Either that's actual guilt,
or I have got to see this woman.

My son is not huffing Freon.

Mr. Arnold, Dr. House is like a
savant when it comes to diagnostics.

What's his genius theory?

Because Kenny's not normal,
he's doing drugs to deal with his pain?

Maybe the way to
look at this is that you are normal.

And what's that
supposed to mean?

You're like any other parent who thinks
his kid can't be doing drugs.

Doing this because
my dad thinks I'm on drugs?

I was doing drugs
behind my parent's back at your age,

and I had a lot
less reason to be.

Not that your life
must be miserable.

Not that I'm suggesting
that you should be doing drugs.

- How's school going?
- I'm home schooled.

Really? You're lucky.

Going to school
was boring.

My dad took me out,
and it wasn't because it was boring.

I had a rough time
in school, too.

Maybe not like you, but, you know...
I don't mean to compare our situations.

Actually, I guess I am
comparing our situations,

but only to show you
how yours is worse.

You can edit that out, right,
so I don't look like an idiot?

Relax. Everyone acts like
an idiot around me.

Makes you think
it's not an act.

Can I have something
for my headache?

Yeah, is that new?

Sixteen years old.

Has the same birthday I do.

I'm gonna start
the test now.

KUTNER: Study showed
no signs of scarring on Kenny's heart.

TAUB: It wasn't drugs.

HOUSE: Well, then,
give me something better.

What's causing
heart block?

It could be
toxoplasmosis.

We should do an LP
to test for infection.

If it was toxoplasmosis,
we'd have seen enlarged lymphs,

and because you're not pretty enough to
be an idiot, you must know that already,

which means you just
said it because you want to do an LP

to look for
intracranial pressure.

Because it is
intracranial pressure.

Wait, I'm not done.

You thought
I wouldn't catch on,

which means you either think I'm
an idiot, which is flattering,

I've been doing
my hair differently...

The kid's got headaches. He's been
popping acetaminophen like peanuts.

How could you possibly
think that I was done?

I prefaced that with an "either."
It needs an "or."

Or, you are an idiot,

which is possible, I'm not great
at judging men's looks.

The OR?

DARNELL: And the MRI room.

Yes...

Dr. House frequently conducts

differential diagnoses
in a variety of places.

He feels that
a change in venue

often leads to a change
in thinking processes.

I have to go take care
of something else.

Just let me do a CT scan,
see if I'm right.

The sooner
we fix the problem,

the sooner we can get to
his reconstructive surgery.

Yeah. Who cares if you're dead?
It's how you look.

Well, since you've given me nothing
better, we're back to drugs.

The one thing
we know it's not.

Decreased uptake
on the membranous septum.

Could be an artifact.
We can redo it, but...

Nothing's nothing.
Do an EP study.

EP study means
we have to stop this kid's heart.

I'll set it up.

House, do you have a minute
to be disemboweled?

I'm gonna thread this catheter

through different areas in your heart,

and once I've found the right pathway,
I'll apply some electrical energy.

It'll stop my heart?

It sounds
worse than it is. You'll be fine.

Is it gonna hurt?

There'll be
some discomfort.

If you've done drugs,
I understand.

Being different's
really hard.

Kenny, it's more important
for you to get better

than to worry about
getting in trouble.

If I did drugs,
that could explain my heart problem?

It could.

And then you could
do the surgery to fix my face?

That's why we're here.

You know how famous people,

everywhere they go
people are watching them, staring?

They never
have a chance to just be,

you know? And a lot of
them turn to drugs.

And people stare at them
because they're beautiful,

but, me they just stare...

(COUGHING)

You Okay?

I need to know what
kind of drugs, Kenny, and how much.

(COUGHS)

Coke, mostly.
A lot of coke.

And then when I run out,
I usually go to LSD or acid.

Those are the same thing.

They are?

You don't do drugs,
do you?

I drank from
my dad's liquor cabinet one time...

- We're not gonna do this test.
- No...

(COUGHING)

I need you to turn
on your side.

(RAPID BEEPING)

We need to intubate.
I need some help in here!

HOUSE: Too bad you guys
are going for a theatrical release.

Vomiting blood would have
made a great act-out.

Likely causes?

Mallory-Weiss tear.

No pallor, no melena.

Why are you wearing a tie?

I always wear ties,
I'm a doctor.

DARNELL: Please don't look
at the camera.

Sorry.

Nasal papilloma.

Hemorrhage could have
overwhelmed the heart.

HOUSE: Nice lipstick.

Thank you.

HOUSE: Bad idea.

The hemorrhage came
after the block.

House, let them
do their job.

Is anybody here
more interested in the medicine,

a little less interested
in the paparazzi?

Upper GI bleed.

Could be something
he ate or drank. Maybe a peptic ulcer.

Good.

Except no abdominal pain,
patient hasn't lost his appetite

and the last I checked,
the gastrointestinal tract

isn't connected to the heart.

Yeah, but other
than that, real good.

Nasopharyngeal angiofibrosis.

I just said
it wasn't a nasal tumor.

COLE: Stomach cancer.
Tumor causes bleeding,

body's reaction to the tumor causes
paraneoplastic syndrome,

which leads to heart block.

Finally, someone who is
not just a pretty face.

You and Taub,
run the scope, find the tumor.

Could be dangerous. If the bleeding
was caused by liver failure

as a result of the
intracranial pressure...

Liver is the one organ you can't
ascribe to intracranial pressure.

True.

Intracranial pressure
can cause liver problems.

It causes an increase in the cavernous
sinus pressure, which causes pressure

in the superior vena cava,
which shuts down the liver.

- Did you just think of that?
- No.

Then why didn't
you say anything in...

Think it would've
changed his mind? Not a chance.

House would have
undercut me,

and forced me to do a procedure
I just argued against,

and then I'd look like a hypocrite
in front of the thousands of people

and potential future employers
watching this film.

If you're right, and we stick a scope
back down a kid with liver failure,

he could bleed again.

I know.

He just vomited blood.

Isn't that dangerous?

No. You're in good hands.

(SIGHS)

Okay. All right.

Well, it's great how he rebounded
from that setback.

DARNELL: What setback?

He didn't tell you
about the...

Well, that's his right.

The records were sealed.

Personally, I think he was just
tapping his foot

and reaching for
the toilet paper.

Obviously it was
a witch hunt.

DARNELL: You think
they singled him out because...

No. Literally, a witch hunt.
Dr. House is a practicing Wiccan.

It's a beautiful religion,
it's very caring.

(DOOR OPENING)

HOUSE:
Hey, hey, hey, hey.

You have an all-access pass
to the case, not my Fave 5s. Now, go.

Come on! Come on!
Let's go!

(DOOR CLOSING)

I think
I'm going blind.

Hairy palms, too?

She said something idiotic again
and I didn't even notice it.

Foreman had to point
out that it was idiotic.

She's making me an idiot.

It's cute.
You have a crush.

No, I think
it's something systemic.

Thirteen's pretty.

You're obviously
okay with her.

She killed a patient.

The bitch is pretty.

The bitch is a bitch.

- Ask her out.
- The bitch? She's a bitch.

No, the one that's
making you an idiot.

It's the story of life.
Boy meets girl. Boy gets stupid.

Boy and girl live
stupidly ever after.

(PAGER BEEPING)

- Pretty girl kill again?
- No.

Elephant boy just
vomiting up blood again.

No tumors in the
patient's stomach, so...

But the scope caused
variceal bleeding.

Took 20 minutes of banding
to stop it.

Taub was right about
the liver failure.

Yeah.

His craniofacial deformity is causing
intracranial pressure...

- No.
- ...which is causing...

Where are the nosebleeds?
Where's the labored breathing?

You were right
about me being wrong.

You were wrong
about you being right.

I need new ideas.
Anybody?

Does it bother you that
this kid's gonna die

because you won't
put down that camera at all? You know?

Your people should
be extra motivated.

I'm sure they all wanna
look good in the film.

No, 'cause now they're too worried
about looking bad.

Dr. House, heart block plus liver
failure could mean autoimmune.

Maybe scleroderma.

Foreman?
Does that make sense?

Not without
tight skin on the hands,

muscle weakness
and a 30-year-old patient.

Liver failure plus heart block
could be a mitochondrial disorder.

Hey, say what
she just said.

Liver failure plus heart block could be
a mitochondrial disorder?

Go look for signs of
retinal degeneration.

No, it's ICP.
You're only gonna see swelling.

Take him with you,
so he can see the degeneration, too.

DARNELL: So before you worked
here in the ER,

you worked for House, right?

Three and a half years.

Why did you leave?

Hey. I don't
wanna be on TV.

I'm not signing
a release.

We'll blur you out.

Take off your pants.

You gonna be able
to use any of this if I start swearing?

Did House treat you as badly
as he treats his current fellows?

Loaded question.

(EXCLAIMS)

That's not even a word.

(LAUGHS)

Fork!

Very clever.

I learnt how to be
a doctor from House.

Or at least a doctor who learnt
how to be a doctor from House,

if that makes any sense.

And you left his team
because you couldn't stand him anymore?

No, no. I love Dr. House.

Now, that's something
we haven't heard.

I mean...

What did
you ask me again?

DARNELL: Why you um.

I loved being around him,

professionally.

You know, he was
always stimulating.

Not in an erotic
sense of the word.

Fork. They forked,
and then they spooned!

Lean forward, and place your chin
on the rest.

I can't reach it.

Scooch in a little.

I'll take care of it.

Just like last time?

Maybe we should try this
the old-fashioned way.

Okay, look up to the ceiling
and try not to blink, okay?

Okay, good.
Now straight ahead.

There it is.
Swelling, no degeneration.

It's not mitochondrial.

Swelling proves there's increased
pressure in his brain.

Absolutely.

So, now we can schedule
the reconstruction?

Absolutely not.

Your test proved
you wrong.

We found exactly what
I predicted we'd find.

Swelling means
there's increased pressure.

You get a gold Star of David
for proving,

yes, this kid
has a big head

and big heads cause pressure.
Doesn't explain the liver.

Too much
acetaminophen does.

JRA explains all of it,
including the liver.

One theory's better
than two. Treat with steroids.

If you're wrong, steroids are gonna mess
with his immune system,

put off his surgery
for months.

You really wanna lose
this argument in front of the camera?

I'll speak to the father.

Dr. House believes
that Kenny has JRA.

Juvenile rheumatoid arthritis.

We need to start
administering steroids.

Will the steroids fix it?

I don't think he has JRA.

I think
Dr. House is wrong,

and that the steroid
treatment could be dangerous.

I think I can get House
thrown off the case,

and get Kenny
the facial surgery he needs.

CUDDY: The father refused steroids until
we're sure about the diagnosis.

I am sure.

It's JRA.

And why would
he even doubt that,

unless a former fellow of mine
was chirping in his ear?

The decision was his.
I merely voiced my concern.

Why did you
take this job?

He's got a bulging cyst.

Perfectly good plastic
surgery practice, lots of money.

Fluids aren't
draining properly.

Temptation to come screw with me
just too much for you?

There's gotta be
a better reason.

He needs surgery
to drain it.

Oh, and I think
I mentioned this earlier. You're fired.

What you did
was over the line. Get out.

But don't go anywhere.
You're not fired, yet.

No one is firing anyone
in the middle of this case.

Not while those
cameras are here,

and not while Taub is the only person
that this father trusts.

Where are you going?

To do what I always do
in these situations.

Treat my patient
behind his back.

That's one option.

Or you can do a CT scan
of the kid's head.

If there's no midline shift,
we know Taub's wrong

and you get your consent
to give the kid steroids.

Just a warning.

If we have to start getting consent
every time we do a procedure,

soon they'll be asking
for informed consent.

FOREMAN: Didn't think
you had the guts to stage a coup.

Coup failed.
I'm scheduled for execution at dawn.

No, you're not.

No reprieve
from the governor.

You're a test result
away from becoming House's front runner.

He doesn't care about what you said,
or what you did five minutes ago.

He just wants
the next good idea.

Show me 20 percent
magnification of the forebrain.

I look at our patient, as soon as I
saw his face, I saw a regular kid.

One thing about being a plastic surgeon,
you don't see what is,

you see what could be.

Talk like that around House,

doesn't matter how many
good ideas you come up with.

SURGEON: So,

tell me
what you don't like about yourself.

Gosh.

There's so many things.

Is Dr. Taub available?
Because he was very highly recommended.

Well, he's no longer
practicing with us,

but I've taken over
all his files,

so if you tell me
what needs work...

Do you know why he left?

He had personal issues
to deal with, so if we could just...

My goodness.
Is he okay?

Oh, yeah, he's fine.
He's fine.

Because my friend
had his ears done by Dr. Taub.

Should he worry that
they may pop back?

No, it wasn't
a professional issue.

I'm sorry,
I really can't go into more detail.

Shall we discuss
your needs?

You know that toe next to the big toe?
Mine's bigger than my big toe.

Is there any way to shorten it?
Or make my big toe bigger?

Like, a toe-gmentation?

Did he lie,
cheat or steal?

You're not here
for a consultation, are you?

What gave me away?

Was it my obviously
perfect feet?

(DOOR OPENS)

Hi.

CT shows that...

Let's go.

What are you two
doing here?

Skipping three scenes.

CT's back. He's gonna say that there's
evidence of an anomaly,

I'm gonna say,
he's wrong.

He's gonna go back to the father
and we'll all end up here.

The defect is pushing
on the right frontal lobe.

This bend is a sign
of herniation.

Or, it's a sign
of increased pressure from JRA.

Dr. Taub would rather
distract you from the truth

with sparkly things,
like four karat diamonds.

House.

Your partner said
that you left for personal reasons,

but your wife said
you lost a patient.

You son of a bitch,
you spoke to my wife?

See, that confused me.

Why would
you give her a diamond

if you screwed
somebody else over?

If you screwed her over,
I mean, I could...

Get that camera
out of here!

You say anything to her?

Just asked questions.

Get them
out of here, too.

We're doctors.

I screwed around
with a nurse. It became a deal.

My partners found out
and I resigned.

There. Happy?

If you could be
a bit more descriptive, I'd be happier.

Some people pop
pain pills,

I cheat.

We all have our vices.

Taub, I don't see it.
Stay away from the family.

House, start steroids
and stay away from his family.

Wow, you are ugly.

Wow, you're an ass.

I have a deformity.

I know, that's
why you're ugly.

But you're
a lucky boy.

Anywhere else
in the animal kingdom,

your parents would have
eaten you at birth.

Your son needs steroids.

Dr. Cuddy agrees.

Does Dr. Taub?

He's not a real doctor.
He's a plastic surgeon.

All he cares is
that your son looks good in his coffin.

So, I'm supposed
to believe you?

The doctor who cares.

You shouldn't care
if I care.

I don't trust you.

Because I don't think
the surgery's important?

You're putting your trust in someone
who does think the surgery's important.

You're willing to take chances to risk
his life for something he doesn't need?

I do need it.

I can't have
real relationships.

I can't even have
a real conversation.

Not even with my dad.

Dad.

I know you love me.

But you don't
treat me normal.

You're always protective.

The world
can always go to hell.

But you never yell at me.

Even when I screw up.

I wanna be normal.

Take your steroids,
and you get to live.

Then you can
do your surgery.

But it'll only
change your face.

It won't change
who your face made you.

WILSON: We're gonna get caught.

HOUSE: Not on film.

All their camera
equipment's in here.

Where did
you get those keys?

Blue, the janitor.

What?

That's his name.

His name's Lou.

Owe him an apology.

Just watch 20 minutes
of this stuff,

tell me if
I'm out of my mind.

Finally, we have
video evidence.

TERZI: Dr. House, heart block
plus liver failure

could mean autoimmune.

Maybe scleroderma.

HOUSE: Foreman?
Does that make sense?

FOREMAN: Not without
tight skin on the hands,

muscle weakness
and a 30-year-old patient.

Can I see that again?

What did you miss?
She screwed up, I didn't...

No, just the part
where she leans forward.

I think you can
see through her dress.

TERZI: Upper GI bleed.

Could be something he ate or drank.
Maybe a peptic ulcer.

HOUSE: Good.

You thought
that was a good idea?

What am I gonna do?

Just enjoy.

I'm gonna keep her around,
because she makes me an idiot?

Well, you're protected,
Foreman seems immune.

You think he's gay?

Did he become an idiot
around Chase?

HOUSE: I just said
it's not a nasal...

Wait a minute, rewind that.
Was that Thirteen?

Wow.

I can't believe
I'm that guy.

Every guy is that guy.

I'm not every guy-

What is this?
Semantics here?

Okay, all guys
are that guy.

I'm not all guys!

Cameron was smart.

You know, I'm beginning
to doubt that.

I wanted to clarify
something I said earlier.

"I love Dr. House,"

and then I qualified it,
which, after thinking about it,

I didn't really need to do.

I did love being around him.

I guess, I just
wanted to qualify

what I qualified before.

I'm looking defensive,
aren't I?

No, no. I think that's great.
Clears everything up.

It's no big deal, really...

There's a mass lesion
in the left anterior temporal lobe

surrounded by oedema.

Did you just insult me
in Pig Latin?

Dr. House, please.

Will you just take
a look at this?

The defect is causing
this nodular shadow here, you see it?

You're right,
I didn't see that before.

Come on, let's go.

Hey.

I know you think you're feeling better,
on account of feeling better,

but this trusted family doctor
thinks that he's found a mass lesion,

so if you could lie back down
and struggle to breathe...

Okay-

You were right.

I'm thrilled I'm wrong.

This is great, Kenny.

You're gonna
get your surgery now.

First person I'm coming
back to see is you,

because compared to me,
you're gonna look like butt.

Hey!

What, no comeback?

Look at that.

What?

His little finger,
it's twitching.

No, it's not.

Just give it a second. There.

TAUB: And?

He's not better.

What's wrong?

My diagnosis.

I don't know what he has.

Cancel the surgery.

New symptom.
Involuntary muscle movement.

Twitching finger
is a symptom?

The body doing something
it's not supposed to do

is the definition
of a symptom.

Kid's about to have
a life-changing operation. He's nervous.

Or he's not.

FOREMAN:
Or you were right.

Kid got better
when we put him on steroids.

This is JRA and
it's under control now.

Or the steroids
have just tempered his condition.

He got a haircut,
but he's still got bad hair.

What about Lyme disease?

It explains everything,
the heart issues, the internal bleeding,

even why he'd get
better on steroids.

On the other hand,
if he has Lyme disease,

there'd be other subtle clues
like a huge target-shaped rash.

But thanks for playing.

Why can't you just
accept the fact that you cured this kid?

You want to
stop his surgery!

You're not normal.

So you don't want anyone
also to be normal.

You don't think
normal's healthy.

Could be rheumatic fever.

Also explains why
the steroids helped.

It's a similar
inflammatory disease.

Rheumatic fever
doesn't explain liver failure.

Taub thinks that
acetaminophen does.

TAUB: Fine.
Let's test your theory.

Remove his pacing wire.

If he's better,
his heart will be just fine on its own

and then he can have
his operation.

If I'm right,
his heart will stop.

Kutner, have the
paddles on standby.

Another chance
to blow someone up.

There'll be
some minor discomfort

and you'll feel a slow,
steady pulling sensation.

Are you sure his heart
is ready for this?

HOUSE: Absolutely.

He's convinced he's sure.

Whereas I care
about your son,

and have therefore brought
a professional defibrillist.

We're not gonna need those.

Dad, I feel fine, and my finger
hasn't moved in a while.

Okay. Take him off.

Here we go.

Heart rates 85 beats
per minute. BP 110 over 70.

Is he okay?

I feel the same.

He's fine. You're fine.

Thank God!

HOUSE:
What do you mean, thank God?

God's the guy
who gave it to him.

Thank you. Thank you.

DARNELL: Can you tell us
about the procedure?

We have to use both an extra
and intracranial approach

to get enough exposure
to reduce the encephalocele cyst

and do the bony
reconstruction.

And how are you
participating in this procedure?

She's not.

They don't want me here because they
think the kid's cured. I don't.

DARNELL:
And what do you think the problem is?

I wish I knew.

I just know that if Dr. House is right,
something's gonna go wrong.

Dr. House doesn't
think he's right.

Well, then I'll just
waste a few hours watching a surgery.

See, the danger is,
we have to reconstruct

all the way down
to the cranial base,

and there are some
big vessels down there.

So, what we'll do
is we'll work our way down to here...

When were
these pictures taken?

Well, about three weeks ago.
Why? What do you see?

Well, the acanthosis
nigricans was already there.

It's been there a lot longer than that,
probably his whole life.

What about around
his hairline?

What?
There's no discoloration.

There is now.

I have a new theory.

Their bad ideas don't indicate
a lack of intelligence,

they indicate
an open mind.

The willingness
not to be trapped by conventional...

You've got a problem.

Tell me something
I don't know.

You hire beautiful girls, enslave them,
force them to be around you

because you don't know
how to have an actual relationship.

If they're qualified, keep them.
If not, fire them and ask them out.

You do realize that, "Tell me something
I don't know" is just an expression?

- Thirteen...
- You think that just because

she is as beautiful, ergo,

you think that because she
hasn't had a decent idea...

No. My point is she's about to enter
your office, so you should shut up.

You were right
about the diagnosis.

Yes, it was JRA.
I'm very proud.

No, I mean you were right about
being wrong. He's got Lyme disease.

It explains everything.

Could you just hold up some fingers
so I can see if I'm literally blind?

We ruled out
Lyme disease hours ago.

All the symptoms fit.

I am so ashamed.

Is she really
that good looking?

Apparently.

How many lives have been lost
because of pretty girls?

The target rash is hiding.

No one ever looked at
him closely enough.

(BUZZING)

She's getting uglier
by the second.

We can try and pretend
we're above it

and we can try
and intellectualize it away,

but ultimately, shiny, pretty,
perky things are good

and ugly, misshapen,
teenage boys are repulsive.

DARNELL: The question
was, do you resent

Dr. Cuddy's interference
in your practice?

Oh.

Well, then I guess my answer
wasn't very helpful, was it?

"Mini-stud", stand up.

I spoke to
your other partner.

After Cuddy told you...

No, I stayed away.
Did it all over the phone.

I asked for a reference. Said you were
applying for a plastic surgery job.

Oh, God!

Yeah.

He went nuts.
Apparently you signed a non-compete.

Now, why would
you agree to that?

I don't wanna practice
plastic surgery.

You sign a contract
because someone's making you.

Someone's getting
something from you.

What did they give you
in return?

They agreed to keep
their mouths shut.

So you gave up your chosen career
just so they'd be quiet?

I love my wife.

You risked this job
with nothing to fall back on.

I thought you were wrong.

Sit back down.

You're keeping him
because he's a philanderer?

Where do I sign up?

Ask the Mormon. I'm keeping him
because he's interesting.

Dr. Terzi, would you
please stand up?

Nice.

I have treated you unfairly.

Pre-judged you.

And for me
to be a better person,

I have to
rectify that situation.

You're fired.

You wanna grab some dinner?

Maybe a movie?

Seriously.

Just days ago, with Kenny's
condition worsening,

it was Dr. Gregory House
reassuring Kenny and his father.

I care about your son.

DARNELL: The charming House,
who happens to be a film buff

with a soft spot in his heart for
children told us how he got his start.

See, I became a doctor
because of the movie, Patch Adams.

DARNELL: Determined to save
the boy's life, as well as...

The horror.

Well, it's nice of them
to send us an early copy.

Not so much sent
as stolen.

DARNELL: It was Dr. Gregory
House who served as not only a doctor,

but a rock for Kenny
and his father.

You're putting your trust in someone
who does think the surgery's important.

DARNELL: House, one of
those rare doctors...

God!

...who wears his heart
on his sleeve.

I was saying
that was a stupid thing to do!

It's difficult
not to be moved.

Oh, stop it.

Suddenly, I don't feel I can
trust Michael Moore movies.

Where are you going?

Kittens to get out of trees?
Deaf kids to read to?

I owe it to the world to make sure this
evil never sees the light of day.

DARNELL:
ls there anything else?

(SIGHS)

Thank you, Dr. House.

Thank you.