"You have a patient waiting." "See? as do all the other follow-ups you have scheduled for today." "I had colds all winter." "right?" "I feel run-down like maybe something big is coming on." "give me something." " Sore throat?" " No. but could you run maybe a CBC or thyroid up." "I need a consult." "I may as well go back to my office and get my diagnosis on." "She's urinating on herself." "She's having a seizure." "If she hadn't peed..." "It's green." "Interesting." "House" " Season 5 Episode 18 " Here Kitty" "mpm" "The HTeam's AnonymHouse" "35-year-old woman." "Head of nursing at an old-age home." "Neurological symptoms and "P"?" "green pee." "I get it." "Nice." "Neuro" is also written in green." "Does that mean she has green neurological symptoms as well?" "I'm gonna use two colors." " Green indicates irony." " Pseudomonas infection." "She'd have a fever." "Toxins?" "Why are we taking this case?" "your lordship." "We were just preparing your morning briefing." "Sorry I'm late." "green pee does meet it's interesting." "But is it worth us taking this case?" "Us" aren't taking anything." "I'm taking." "You're accepting." "I accept. and she really likes those St. Patrick's day beers." "Go check out the house and the office for toxins and infections." "Her neuro exam was normal." "No subsequent seizures." "It's not life-threatening." "It's not important." "Luckily neither are you." "You okay?" "I'm fine." "the way you were arguing." "Airing disagreements doesn't qualify as arguing." "man." "I'm just trying to help." "We're friends." "There are 400 Japanese teenagers you were playing Halo with last night you're better friends with." "Your avatar should ask their avatars how they're doing." "I consider you a good friend even if we don't hang that much outside work." " I wasn't arguing with him." " You kinda were." "I was." "I was right." "You got conned." "Methylthioninium chloride." "green urine." "She's a nurse." "She knows the dosage." "Knows how to fake a seizure." "She pees pea soup and gets the warm attention of doctors all week long." "and you're her mark." "So you're insight is based on discovering an anti-alzheimer's drug at an old-age home." "No reason it'd be sitting in her desk." "You ever tried to pee on yourself in public?" "It's not easy." "I rushed the jewish frat." "We peed in private." "For good reason." "I can spot a fake seizure." "Which means this was real." "Which means... her problem is phenol." "Carbolic acid?" "maybe she accidentally inhaled some at a gout treatment facility circa 1890." "It's still in some antiseptic throat sprays." "She's been chugging it all winter for her colds." "Phenol explains the seizure and the urine." "She'd have to drink 5 bottles a day." "I'm sure you won't have trouble discovering evidence of it when you search her house." "Bye." "And you can start her on charcoal hemoperfusion for the phenol poisoning." "Seriously?" "You were lying about the throat spray." "That does make more sense." "So why are you wasting Taub's time?" "I don't want him to know that" "I'm wasting my time disproving his fake seizure theory." "Zip." "Chris?" "right?" "Neil Zane." "remember?" "Sure." "So you're some big doctor here now?" "I'm a doctor." "You?" "I was speaking at an Econ course over at the University." "I tripped and banged my leg." "I have some time." "Come with me." "Hi." "Tests back?" "Head CT was negative." "What about a thyroid up take or abdominal ultrasound?" "Sure." "How'bout I flash some lights in front of your face first?" "You want me to have another seizure?" "We're gonna have to give up the room unless we can confirm a problem." "Okay." "Damn it." "God." "Please forgive me." "I'm so sorry." "What are you worried about?" "Maybe a night in jail for fraud." "I've to go tell one of my employees he was right." "I'm not a Munchausen." "I'm gonna die unless you help me." "You'll have to come up with something more original." "A cat predicted my death." "Cats make terrible doctors." "that's women." "You're screwed." "How'd you slip?" "I've had this dizziness problem for a while now." "You get checked for labyrinthitis?" "On antibiotics for a week." "No difference." " Lie down a sec." " I'm dizzy." "That's normal." " So what are you teaching?" " Entrepreneurship." "Osttech Industries." "We make medical devices." "you can sit up." "So did that tell you anything?" "Did I... my God." "The... you just cured me." "I figured you had a tiny calcium deposit in your inner ear;" "I just shifted it around." "I've seen three doctors for this." "I'm buying you dinner." " Forget it." " Come on." "I'm also in investor in a club." "We'll make it a night out." "boring." "I know some married people who aren't boring." "I was one of them." "Good luck." "please do it in that order." "Debbie." "Have you heard of her?" "Debbie." " Sorry but without a last name..." " She was in the news." "We found her as a kitten." "She lives in the nursing home." "She only sleeps next to people when they're about to die." "Ten patients in the last year." "And then yesterday she did it to me while I was sitting on my couch. we all know this is real." "Can you come back later?" "I have some business I'm conducting with the Prince of Nigeria." "Just watch this video." "It'll prove I'm not lying." "I'm begging you." "Chest." "Quick!" "Before she goes without attention for eight seconds." "She's faking." "The cat told me." "Listen." "Soft breath sounds." "Means it's bronchospasm." "Can't fake that. we call the loved ones and tell them to come in." " You want to treat her?" " She's a nutjob." "Don't we all have quirks?" "Aren't those eccentricities what make us human?" "It's like Debbie's here on earth to bring people to the other side." "The doctors we spoke to also agreed the cat..." "Nutjobs get sick too." "So you think... this cat story is nonsense." "And you admit she faked her earlier symptoms." "But you still think she's actually sick now?" "anything would sound ridiculous If you said it in that voice." "Confirm she's faking or I'm gonna have to kick her out." " There's that voice again." " I'll give you 24 hours." "Consecutive?" "What are you doing?" "I expect you to die." "go." " Bronchitis." "no fever." " And Blofeld didn't smoke a cigar." " He might have." "Dude had a lair." "Means he was rich." "Rich people enjoy a good stogie." "Sometimes send them as gifts." "did that sound like I was awkwardly trying to segue into making a point?" "Yes." "Emphysema." "Lungs were clean on the CT. epileptic seizures;" "they can smell cancer." "It is possible there's something in this cat." "It's more possible that it was just a coincidence." "10 million nursing homes." "100 million pet cats." "One of them was bound to pick a few winners." "Debbie was able to predict there was something wrong before you were." "Is that a coincidence too?" "Maybe the cat didn't predict anything." " Might have caused the deaths." " We shoulda listened to Ted Nugent." "it could be cat scratch fever or visceral larva migrans. but it may be killing Morgan." "The worms hop from the cat to the cat lady's lungs." " I could buy that." " Those cigars were for me." "why is some fancy CEO sending you a box of Cuban cigars?" " Is it related to your money worries?" " What money worries? I'd say that he lost almost all his money on the market last year." "I'm on a diet." "I'm also extrapolating from the online portfolio but it's mostly the muffins." "Scope her for worms in the lungs." "We could help out in there. it takes at least four people to look inside a crazy woman's lungs for imaginary worms." "So you're in a good mood again." "You need another speech about what a great friend I am? but maybe we do." " You really lost all that money?" " I don't care about the money." " I just feel bad for Rachel." " She married a guy in one situation and ended up with another;" "that's hard on anyone." "Thanks." "Makes me feel much better hearing my wife's a gold digger. a flunky for this mad scientist... so that's good." "There are no worms in the lungs." " What else could cause bronchospasm?" " Severe acid reflux." " No esophagitis." "It's not reflux." " Why are you pushing a crash cart?" "Because patients sometimes crash." "And they haven't yet invented a crash tractor for me to drive wildly around the hallways." "Why are we in the coma patients' room?" "You actually think the cat is going to predict someone's death?" "I know the cat the not going to predict anyone's death." "Then I will have scientifically disproved..." "You didn't keep this patient despite the cat." "You kept this patient because of the cat." "You're scared there's something to it." "If I could prove the non-existence of an omniscient God" "I would." "Cat version's gonna have to do." " Are you scared?" " Cats brains are always in alpha mode." "The scientific tests that have seemed to confirm that's where it takes place." "Please tell me that you were kidding so I won't have to fire you." "I was kidding." "right?" "Airborne allergens possible?" " Skin test was negative." " Lungs may be more sensitive." "Or House just screwed up. which she was having." " I also heard the lung sounds too." " You saying I screwed up?" "but yes." " Don't you want to check their charts?" " Of course not." "This is a double-blind." "I don't want to even subconsciously signal to Teddy which one's the sickest." "Her name's Debbie." "Are those welts on that guy's arm?" "Were they here when we got here?" "He has a severe cat allergy." "That never happened." "Look at Debbie." "mister... when you don't die tonight you will finally have done something good for the world as opposed to your life as a... fireman." "Foreman's airborne allergen theory makes the most sense." "Do a methacholine challenge on catgirl to check it out." "I told you to get rid of "death cat"." " Do you see a cat?" " I see a litter box." "Dr. Cuddy." " Can't make it to the toilets on time." " On the mice too?" "now you see the mice actually prove that I don't have a cat." "Are these... are these the genetically modified lab mice from oncology?" "Genetically modified for tastiness." "and get rid of your patient." "My team's doing a methacholine challenge. which came up negative." "Who told you about the test?" "but yes." "Her airways clamped down." "I heard it." "it could happen again." "I wish there was a lawsuit cat." "It could warn you." "I'll have to get security to do it." "You're joining me for a good-bye smoke." "I don't smoke." "Fine." "If you don't want the seventh graders to think you're cool." "I went through your purse." "Horoscopes." "Good luck charms." "good nursing school." "So you weren't always a superstitious idiot. that sound right?" "That's when you switched from a family insurance plan" " to the one you're on now." " I was married." "I got divorced. which you only get in adulthood when you have a kid." "Or I should say when you had a kid because no kid has come to visit you." "Which all makes me think something bad happened." "Timothy." "What happened?" "He was in school." "He was having his morning snack." "And he choked. and they did everything that they were supposed to." "He shouldn't have died." "You want to make it make sense." "What's wrong with that?" "is what's wrong." "What's wrong is that it doesn't do a thing to bring your kid back or put you and your ex together again." "Rash on your neck." "Probably not enough for Cuddy." "I can't breathe." "doc." "doc?" "Hooray!" "You're officially sick." "Churg-Strauss fits best." "you change the litter box." "This is pathetic." "You're still punishing me for calling you out on the green urine lady?" "This is for ratting me out to Cuddy." "just scoop some poop out of a box." "Just clean it." "that'll happen." "He won't just continue to let our room smell like cat pee." "I'll clean it next time." "I'm outta here." "I'm gonna go test the patient." "you think your bag's gonna die now?" "Now you're punishing me because you think I'm superstitious?" "What do you care?" "It's not so much about me caring per se." "It's more about me wondering why you're such a credulous idiot." "start the patient on steroids for the Churg-Strauss." "Unless we have something we need to argue about." "This is good stuff." "The best." "It's made from the distilled sweat of recently laid-off hedge fund managers." " Aren't you happy you came out tonight?" " Yeah." "but not the greatest day at work." "I used to have an office like this." " Used to?" " When I was a plastic surgeon." "But one day I took stock of my life and... screw it." "I had an affair with the daughter of one of my partners." "They signed a non-disclosure." "I signed a non-compete." "And the funny thing is" "I wound up telling my wife anyway." "You like your job?" "Same as you." "Same as everyone." "It has its ups and downs." "You're lying to make me feel better." "it's the best." "you know?" "I'm a kid with toys." "what do you think of the prototype?" "It's amazing." "Gotta make it a half-inch smaller though. which are your fastest-growing market." "Meaning the girls would have to use two hands to hit the switch." "Why do I bother paying the idiots that work for me?" "because I am breaking out the really good stuff." "What's wrong?" "I went to the bathroom." "My urine..." " green again?" " It's brown." "honest." "I'm just a girl who can't say no." "It is possible she's still faking." "She didn't fake the for the bronchospasm." "You think she's faking some stuff but not other stuff?" "Maybe she's "unchausen"." "I'm just saying the brown urine doesn't make sense." " What?" " Nothing." "We've ruled out every possible cause for brown urine." "No blood in the urine." "Liver and kidneys fine." " Brown could be fecal." "A fistula..." " we checked." "How do we know the urine is still brown?" "Had to be." "Once you've gone brown... what if it just looked brown?" "what plus green makes brown?" "Purple." "Strep bovis infection from colon cancer." "Paraneoplastic syndrome would explain the bronchospasm." "We scoped her when we checked for the fistula." "There's no tumor." "I wasn't scared by the umbrella either." "kutner." "I realize it's stupid." "I just..." "I don't know everything. 'cause I thought your superstitiousness had to do with your folks being killed." "But "you're stupid" works just as well." "Why is there a ladder here?" "Forgot that one." "Scopes don't work as well as pillcams." "Give her one." "Find the tumor." "tiny Taub." "Sorry I was late again." "I've got a long commute from the poor house." "Knew it when I hired you. if that nightclub stamp on your hand is any indication." "I'm not quitting." " I know." "Guy who signs a non-compete instead of just telling his wife that he cheated" " doesn't have the guts to quit." " Bad example." "I did tell her." "not from courage." "And bravely running to Cuddy behind my back." "Arriving heroically to work every day." "Cowards make lousy employees." "maybe you're quitting." "I'm screwed." "kill has snuggled up by coma guy over there." "she did yesterday as well." "And he's still breathing." "We done?" "Thank you for showing me this." "But maybe she's just confused in this new environment." "a preacher in upstate New York added up some dates in the bible and predicted Jesus' return." "His followers gave away all their possessions and showed up in a field." "Guess who didn't show. and they went right back the next month but with more followers. it redoubled everyone's belief." "I know I sound just like them." "But I also know you're wrong." "Something terrible's gonna happen to me." "You trying to prove to her she's not dying?" "as she might be dying." "This woman lost her kid." "Why are you attacking beliefs that give her a little bit of comfort?" "I don't care if her superstitions make her feel better." "I just want her to think more clearly." "Maybe that could make her as happy as you are." "Where are we going?" "Experimenting." "Dr. Wilson." "It's just not cute anymore." "You already experimented on the coma guy." " Haven't you proved your point?" " Not to the patient." "And not to the millions of idiots who drooled over that news item about the magic cat." "Why are you so obsessed with this?" "Can't you just call her an idiot and leave everyone alone?" "therapy cat." "You're a liar." "not cats." "Aren't you feisty?" "This one's special." "interesting stuff happens." "playtime's over." "This is a good thing." "or..." "I don't believe in the legend of good-bye kitty. which is just another way of saying you give a crap about other people." "but I don't give a crap." "Also the pillcam's back." "Polypoid. since that's the opening to the appendix." "How many times are we gonna watch this?" "There's no tumor." "my God." "The death cat is attacking your legs." "You're gonna die." "Maybe it has something to do with that little red dot dancing around down there." "the death laser is attacking your legs." " You're gonna die." " We're wasting time looking for cancer." "She's still walking around." "She's still pretty healthy." "Maybe it's something minor." "Maybe we're not wasting time." "We wouldn't have seen a flat lesion." "Skin cancer could have metastasized to the intestines." "Cool." "Check for melanomas." "kitty." "Come here." "kitty." " What?" " It's not cancer." "We found spider veins on her back." "They weren't there when she came in." "Spider veins means Cushing's. - brown urine..." " But the bronchospasm?" "Cushing's myopathy." "It's uncommon but... wait a second." "You didn't wake me up to tell me a symptom that's not killing her." "What else is going on?" "I think she's dying." "I just told you it's Cushing's." "Treat..." "I don't mean because of the spider veins." "Mr. Limpert died." " If that's my gym teacher..." " it's your coma patient." "and he just died." "House." "puss." "Say "puss" one more time." "It's the 6th "puss" that really does it." "You're right." "Sulking will solve everything." "and that cat knows something." " You believe it now?" " Yesterday it was all a coincidence." "Yesterday it was until I unintentionally proved it wasn't." "Patient must have cushing's." " We have to figure out whether it's..." " Cat's nose is powerful. you'd know that most of the patients' livers and kidneys were fine." " What else?" " MRIS aren't telling if the cushing's" " in her adrenals or her brain." " So check her A.C.T.H." " A cat's vision is at the blue end..." " A.c.t.h. Is 11.7." "It's too close to tell." "We can't treat the wrong organ 'cause that won't solve anything." "could kill her." "Maybe as the senior fellow you could have made sure so that I could be concentrating on the cat instead of looking for the cat." "You all right?" "Your nose." "What'd he say?" ""Do you like cranberry juice?" "Crap." "Cheaper than fake blood." "And more cran-tastic." "Don't ever leave my door open like that again." "and this woman could be dying." "So have Chase do a venous sampling in her brain." "it's the adrenals." "I'm not who I used to be." "I'm scared." "That's not a way to live." "I want to come work for you." "you didn't think..." "I didn't mean to imply that I could hire you right now. but you don't have an MBA." "And I just hired a chief medical officer." "Let me invest in that laser scalpel start-up." " I got money saved." "Not a ton but..." " We put in a $2 million minimum for the first round financing." "I guess I could take you on at a smaller number." "it wouldn't be some quick payoff." "I know it's not gonna change my life overnight." "I just need to start changing it." "then let's start." "What exactly are you hoping to find inside your dead coma guy?" "Catnip." "Chew toy." "I don't know." "That's why I'm looking." "Your patient had cardiac arrest during the venous sampling." "but her heart's still tenuous." "possibly dying." "So nothing." "What about the A.C.T.H. ?" "Slightly elevated." "That confirms the Cushing's is in the brain... go." "Are you sure that it's Cushing's?" "You'd expect central body obesity. - there wouldn't be a cat involved." " So it's the brain." "The next question is whether to remove the pituitary right now..." "That's not a question for me." "That's a question for the patient." "You'll present both sides and let her decide." "All right." "I've gotta stop telling you my theories." "You always just try to prove me wrong." "You mean the theory about Cuddy's ass getting bigger at the full moon?" "I confirmed that one." "Photo's on my blog." "you'd be up in the patient room hectoring her on what to do." "Instead you're up in some irrelevant dead guy who may or may not be connected to a magic cat because you want to prove to me that you don't care." "Case is over." "I'm exploring a scientific mystery." "for one reason... they save lives." "I don't know what you're doing now." "Cushing's means you're overproducing a hormone called cortisol." "The recommended course of action is to suppress it with drugs." "And that will cure it?" "Just treat it." "It could come back." "The only permanent solution but the surgery's dangerous." "Your heart stopped on the table once already." "I want the surgery." "This thing is gonna kill me if I don't kill it first." "Because of the cat?" "Do you want to tell me what an idiot I'm being? not the O.R." "There's a reason I got sick." "There's a reason for all the bad things that have happened to me. then it's not a world I want to live in." "I'll schedule an operating room." "Early." "I'm not staying long." "I'm quitting." "You got a new job?" "then you're not quitting." "See you back here tomorrow." "You're not accepting my resignation? and I punish you and then take you back." "Bye." "Bring donuts." "Everyone loves those bear claws." "puss." "Puss?" "I've been waiting 15 minutes." "Where's Neil?" "Neil doesn't work here anymore." " He's the CEO." " I'm sorry." "I wish I could help you." "Sorry." "This is crazy." "I'm investing with his company." "He doesn't have a company." "a temp." "Where is he?" "He's in custody." "I really am not supposed to say anything else." "I went to high school with him." "That's what everyone else thought too." "I'm guessing you also cured his ear problem." "Did you give him the money yet?" "I was right." "you were wrong." "It was a coincidence." "The cat was not predicting deaths." "It was trying to keep warm." "dead people are renowned for their warm glow. like three of the patients were." "like the other eight." " Wasting doesn't..." " It does." "If it means someone sticks a heating blanket on you. you've solved a completely trivial mystery." "Completely trivial?" "My God." "It's clearly only partially trivial." "which means she was overheated." "So what causes flushing and mimics every cushing's symptom except central body obesity?" "Cancer." "A corticotropin-producing carcinoid tumor of the intestine." "But your pillcam didn't find anything." "Means it must be somewhere the pillcam couldn't go." "The appendix." "you probably saved her life." "You definitely saved her needless surgery." "I did." "What's the O.R. Extension number?" "Just curious." "Thank you." "I wouldn't come here for thanks." "That would be ungracious." "It's more about gloating." "You were about to cut out a piece of your brain just to chase some crazy superstition." " But I didn't." " You "didn't" didn't do anything." "I stopped it." "And what made you do that?" "reason." "Pick any three." "A cat chooses that exact moment to sit on your computer." "Maybe that's science and logic and reason or maybe it's something else." "You're an idiot." "I looked up the preacher from New York state." "His followers never faded out. a major religion." "That man changed the course of history." "Because his followers were as deluded as he was." "Maybe he just gave them something to live for." "Feel better." "Cat pee on my chair?" " Blood on my face?" " Fake blood." "You pay for the dry cleaning." "Why are you still alive?" "I'm not sure." "I guess he was impressed you stood up to him." "And got a cat to pee on his chair." "A cat." "See you tomorrow." "0000"