" We're starting a fund." " Then you don't need me." " The man's injured." "He can't work." " His fault." "We're family." "We depend on each other." "We're not family." "We're co-workers." "He's not even that anymore." "I can't believe you said that." "Can't come between a man and his beer money. but he should give." "You gave." "Go back to work." "Paolo is the one who got you off the night shift." "It's not like I asked him." "Also covered for you labor day weekend." "it's america." "If you don't want to contribu..." "If you don't want to cont... god!" "Get an ambulance." "House" " Season 5 Episode 08 "Emancipation" "Sync:" "NIZ" " Good morning." " Don't wanna hear it." "So I take it you did not ask Cuddy out." " Yeah." " Yeah "I didn't" or yeah "I did"?" "Whichever one means you almost had me convinced it was a good idea." " Nothing to say?" " No." "you don't don't?" "Whichever one means no." " Is this some kind of reverse..." " No." "House?" "16-year-old girl with fluid in her lungs." "or cardiac issues." "no pneumonia." "She's a factory worker." "She probably works close to a lot of recent immigrants." "Thank god some of those offshore sweat shop jobs are coming back to America." "She's an emancipated minor." "In a factory? or she's just a lying runaway." "Her parents died last year." "No relatives." "she got a G.E.D. and got emancipated." "Could've picked up a parasite from a co-worker." "She'd be having G.I. Problems." "Pregnancy's more likely." "causes the pulmonary edema." "She's not sexually active." "She could be lying." "But not every teenager is having sex." "But every teenager is stupid." "Teenagers on their own are stupider." "makes her rent." "kutner's right." "not a screw-up lying through her teeth. do the tests." "What else?" "Drugs could damage the heart." "Pressure imbalance allows fluid" " to build up in the lungs." " Tox screen's clean." "For drugs used recently." "Not for drugs used before recently." "16 doesn't automatically mean a risky lifestyle." "Didn't we just have this conversation?" "Kutner trusts her." "Someone else doesn't." "shut up." "Check her home and work for toxins or drugs." "do an echo." "Find the extent of the heart damage." "Kutner can do the echo on his own." "Yes... but he'll be very lonely." "So I have to ask why?" "I've been asked to help run a clinical trial." "That okay with you?" "Good for your career." "Great for your street cred." "What's in it for me?" "You have four doctors and never more than one case." "It means I have time to work on other things." "And they'll have more chances to step up." " Stand on their own." " And if there's an emergency Should she wait'til you finish grooming lab rats? I'll be there." "The patient is my priority." "No." "do you want a reason?" "Clinical trials take time." "Your time is my time." "I don't do drugs." "Still a good idea to check your heart." "Something else could have damaged it." "You find it hard being all on your own?" " Having to do everything without..." " Drugs to ease my pain?" " That's not what..." " Teenager on her own?" "I wouldn't trust me either." "I meant it must be hard." "No one there to back you up." "but I'm not into the whole pity thing." "I was actually doing the "I get it" thing." "I lost my parents when I was six." "It doesn't go away." "But it gets easier." "You learn to deal." "I still get nervous when there's a knock on the door." "Always think it's the state trooper..." "With more bad news." "You already got the worst news and survived." "That's sorta the upside." "Your heart's healthy." "Isn't that good news?" "yeah." "But it also means we still don't know what's wrong." "place spotless." "Looks like she builds her own furniture." "what happens at 30?" "You turn back into a kid." "Like Kutner." "Kutner's not that bad." "He needs everything to be nice." "He wants to see the best in everyone." "friendly is a dangerous thing." "There is such a thing as too trusting." "Corollary is there is such a thing as not trusting enough." "you get hurt." "you don't live." "So the object in life is to get hurt just the right amount?" "Excuse me if I don't go out of my way to take relationship advice from you." "And trust..." "Should be earned." "Bong means nothing." "Drugs are irrelevant." " Relevant if she's taking them." " Even if she is: irrelevant." "Echo showed no heart damage." "Would that be the echo that Foreman choose not to run with you after I dashed his new drug discovery dreams?" "You mad at me because you think kutner screwed up the echo?" " I didn't screw up the echo." " I know." "No structural heart damage." " So if it's not the heart..." " It's the heart." "Didn't you just say it's not?" "Not all heart damage has to be structural." "Drugs could have caused intermittent tachycardia." "Irregular heartbeat would account for the pulmonary edema." "Edema was acute." "Vasculitis makes more sense." "she'd be too weak to work in a factory." "She builds her own furniture." "You think she skips work because she's feeling a little weak?" "She needs steroids. making her current one irregular-er-er." "Start her on beta-blockers." "do anything that isn't starting her on beta-blockers." "Start her on the treatment." "Page me if you need me." "Irregular heartbeat causes blood to back up behind the heart and into the lungs." "Beta-blockers keep this from happening." "I thought my heart was fine." "It's tricky." "An arrhythmia can come and go." "So you don't believe me or the test." "You guys are more cynical than I am." "We found the bong in your apartment." "You went into my apartment?" "Extended drug use can..." "The bong belongs to my ex." "It's why he's ex." "That doesn't mean you didn't use it." "No." "You have no reason to trust me." "You have to do your treatment." "The other possibility is you have vasculitis." "The treatment is steroids." "if they've damaged your heart they could kill you." "I haven't used drugs." "I'll get the steroids." "Why are you here?" "you don't." "I'm here `cause House doesn't want me to be here." "I'm guessing he said no to the clinical trials." "He didn't need to say no." "He just wanted to say no." "House did something solely out of self-interest?" "That's freaky." " Don't suppose you'd want to override?" " No." "What do you think this is gonna prove?" "Does it matter?" "Just figured you could use some help down here." "And you spending two hours wiping noses will annoy House." "god bless." "If you want to prove you can do his job and something more... right?" "That hurt?" "What about that?" "Four days he's been like this." "It's just getting worse." " Maybe he just needs to poop." " Evan!" "What?" "Worked last time I had a stomach ache." "It's actually a smart idea." "Which is why that's the first thing the other doctors checked." "His insides are clear." " Anyone else sick in daycare?" " No." " How'bout his friends?" " No." "No one." "What's happening?" "Not sure yet." "Don't worry." "I've got an idea." "right?" "That's my plan." "You need to make him better." "Stay the hell away from me!" "Just calm down." "she went crazy." "it's OK." " We're here to help you." " Stay away from me!" "Don't touch me!" "I said don't..." "Get your hands off of me!" "Get your..." "Beta-blockers don't cause psychotic breaks." "She's not on beta-blockers." "We started her on haloperidol." "She's stable." "Lab tests showed the delirium wasn't caused by a metabolic problem." "we do." "Foreman." " I didn't switch her meds. clearly inspired oliver twist." "I treated her based on the symptoms she presented. and almost killed her in the process." "She wasn't on steroids long enough for it to cause the delirium." " It's a new symptom." " One that rules out vasculitis." "And arrhythmia." "no irregular heartbeat." "Heart's not the problem." "We're both wrong." "So what causes lung issues and delirium?" "And is not based on wishful thinking that she's safe and happy?" "Prinzmetal angina." "Silent and unhappy is better than vocal and unhelpful. it's not a heart problem." "I'm not talking about her heart but about her head." "Prinzmetal angina doesn't affect..." "No reason it couldn't cause an artery in the brain to spasm." "Leads to the delirium and the pulmonary edema. and run an FMRI to see which artery's dancing." "I mean..." "Foreman." "I want his signature on the paperwork." "I want videotape." "I want photographs of him with the patient and today's newspaper." " Set her up." "When you're ready..." " House wants you..." "To do the procedure." "page me." "That's really a camera?" "Pretty cool?" "This can go places the other scopes can't." " I need you to swallow this pill." " Don't wanna." "It doesn't hurt." "Promise." "please." "To help make you better. we'll have to make you." "It's a power pill." "It's not just a camera." "It makes your muscles grow." "Like the vitamins we take." "Except this was made with a secret formula." "sweetheart." " You're very brave." "Jonah's lucky." "I was pretty cruel to my little brother when I was your age." "Why?" "I guess I thought that's what big brothers did." "I was wrong." "Is he a doctor too?" "sweetie?" "He can't feel it." "your brother?" " What's happening?" " I don't know." "How you guys getting along?" "And you suddenly care why?" "House was asking questions last week." "we might be distracted." "isn't it?" " Very." "You're obviously fine." "I need a differential for uncontrollable giggling." "He's four." "They laugh." "Nothing like diarrhea and bloody vomit to put you in the mood to goof around." "I've looked down one end and up the other." "All the tests came back clean." " I can't figure this out." " You can't?" "Don't you work with 3 other doctors and a grouchy gimp?" "This isn't House's case. it won't be enough." "Gotta go." " Sorry." " You didn't Miss much." "No spasms yet." "Nothing in the anterior or posterior cerebral arteries." "How much longer?" "Just a few more minutes. - or did you have to change schools?" " Is chatting about lousy foster parents supposed to relax me?" "Left middle cerebral artery looks good." "My foster parents were great." "I think most foster parents do it because they want to do a decent thing." "Which is why you didn't get emancipated." "Nothing around the vertebral artery." "No sign of spasms." "But that's odd." "How'd you find out about your parents?" "I told you." "State trooper." "Look at that." "Arteries are fine." "You can stop." "Not that." "did he come to your house or call you down to the station?" "Came to my house." "I cried into the guy's shirt for an hour." "Fmris tell us where the blood flow is." "You were using your limbic region." "It lights when we use our imagination." "It doesn't light up when we're telling the truth." "are they?" "put you on a different treatment..." " I didn't lie about the drugs." " Why lie about your parents?" "Because I wish they were dead." "I got emancipated because my dad raped me." "And my mom pretended it didn't happen. or brain dysfunction." "It's not prinzmetals." "All the fmri showed is House was right." "She was lying." "Only relevant if it can cause pulmonary edema and delirium." "and that's your response?" "Is she a psych patient?" "Rape could mean std." "Thank goodness one of you doesn't have a heart." "we could solve this thing and let her live to have more nightmares." "the delirium." "No sign in her bloodwork." "Could be lying about the rape." "you were all bff." "Now you think she's pathological." "Yesterday I had no reason to doubt." "If she'd been honest from the beginning..." "She lied about dead parents because it's better than rapist parents." " You find that unsympathetic?" " That's it." " What's it?" " Her whole life's a mess." "What rhymes with mess?" "It's not stress." "She has none of the usual manifestations." "no cardiac... and she's delirious." "She's a picture of emotional health." "Severe emotional stress can lead to asymmetric function of the midbrain." "Explains the delirium." "Interruption of the brain-heart coupling could cause pulmonary edema." "the treatment's basically anti-anxiety meds." "Hard to argue with." "Yes." "I agree." "It does explain everything." "make sure she does it." "make sure he makes sure." "I went to Cuddy's house." "But I didn't go in." "Went home without ringing either her metaphorical or actual bell." "You're processing." "I'm scrubbing." " "Huh" means processing." " "Huh" means acknowledging." "or..." "No insights?" "No opinions?" "You're disappointed." "You made the decision." "I can't tell you what's right for you." "Seriously?" "'cause last week you could." "Last year you could." "Seems to come pretty easy to you." "Do you want me to tell you what you should do?" "I want you to stop thinking that acting inscrutable makes you anything other than annoying." "Interesting." "Holding things in can give you cancer!" "Kid's in daycare." "Could be meningitis." "no rash." "You check his thyroid?" "TSH and 3 t4 were within range." "Ruled out all the usual suspects." "and it feels like we're your goomah." "Your feelings are hurt?" "Either you can handle these cases or you can't." "stomach cancer." "Leiomyosarcoma." "Long shot." "Altered mental status means porphyria's more likely." "No abdominal pain?" "the gi symptoms..." "Neither's perfect." "Then we test for both." "you mean the collective "not you." "Thanks." "Severe stress scrambles the way the brain communicates with the rest of the body." "I have a problem with my brain?" "Not exactly." "The problem would be with your body chemistry." " Where's Dr. Kutner?" " There's four of us." "It's my turn." "I'm sorry I lied about my parents." "You did what you thought you had to do to protect yourself." "we should see a change in your lungs pretty fast." "Then we can figure out how to manage your stress." "It might help to turn him in." "get closure." "Won't help." "Not addressing what happened won't make it go away." "What do I have to do to make it go away?" " I didn't mean that." "I just mean..." " I addressed it." "I got away from him." "Reporting it just labels me." "Girl raped by Dad." " It doesn't have to define you." " It's how you see me." "That's why you're treating me with tranquilizers." "Not anymore." "Stress wouldn't change your urine color." "Labs show the brown urine was caused by shredded red cells. and runs her blood through a wood chipper?" "Factory lunch rooms aren't the cleanest places." " Coulda picked up e." "Coli." " Or Shigella from the restroom." "the delirium." "and cause delirium." "her sodium's normal." " What does her furniture look like?" "what?" "It was wood nailed together." "The wood have little dents or holes?" "but they were painted." "The desk did." "Looked like she had stapled stuff all over it." "Holes means that it was pressure-treated." "Sawing or burning it releases arsenic into the air." " Into her lungs." " Tests didn't show..." "Because it found a cloak of invisibility hiding..." "Arsenic gets absorbed in the internal organs so it doesn't show up in the blood tests." "Test her hair." "chelate it out of her blood." "no porphyria." "You paged me with negative test results?" "because it means we're done." "this kid has a real problem." " Talk to House?" " Not his case." "There's a point when Cameron and I aren't enough." "We're not there." "We need to run some more tests. and now he can barely lift his head." "We'll figure this out." "I just need..." "Help!" "We need a crash cart!" " What's going on?" " He's in cardiac arrest." "Get them outta here." "Clear." "Nothing." "Go again." "Clear." "He's back." "We're there." "Chelation's complete." " You're arsenic-free." " So I can get outta here?" "In the morning." "That's it?" "No advice?" "kiddo"?" "You want my advice?" "expect's another." "I wish I could tell you what to do." "But you're strong." "You've make good choices." "You'll be fine." "Thanks." "Need four milligrams lorazepam!" "After the seizure we run a new MRI. this is her brain today." "Lesions." "which appear out of nowhere." "then she wasn't." " Lesions grew too fast for cancer." " Could be infection." "Mrsa." "WBC count would be through the roof." "Put the arsenic back." "You wanna treat a patient nearly poisoned to death by giving her more poison?" "Just because we call something a poison doesn't mean it's bad for you. the arsenic wasn't killing her." "the arsenic was fighting the killer." "It's a hero." "We should be organizing a parade." "So what does arsenic treat?" "the treatment was arsenic. that much arsenic in her system would've wiped out the syphilis." "Acute promyelocytic leukemia's still treated with arsenic." "APL explains the lesions and why they appeared after we took the arsenic out." "put the arsenic back." "We still have a problem." "but it can't cure it." "she's gonna need a bone marrow transplant." "Best match would be a sibling or a parent. then load her up with arsenic." "Keep her alive till you can convince her that rapist marrow and rapist-enabling marrow work just as well as the unleaded stuff." "We need to talk." "This about the case you didn't want me to know about?" "You didn't flinch when you found out about a 16-year-old who could be dying in the next few days." "Means you're here about someone even younger dying even faster." "He needs you." "But he has you." "This boy is going to die." " You selfish enough to let it happen?" " Pot calling a kettle a pot?" "You're a hypocrite." "you'd help this kid." "But you prefer play mind games to prove you're the only one with magical powers." "Wanted something all your own?" "Now you got it." "Your disengagement won't work." " I can see that." " You think" " I'll do what you think I should do." " I sound convoluted." "Disengagement is neither artful nor effective." "So my not doing anything isn't causing you to do anything?" "Right." "I'm okay with that." "you're not." "You are designed to have opinions and to force them on people." "I'm starting to sound desperate." "Don't screw with my stuff." "right?" "bone marrow's a little more complex." "The best donors are immediate family." "But those donor banks have thousands of names." "Your parents'similar dna" " gives you a much better chan..." " No." "I'll owe my life to them." "It'd mean everything else that had happened was somehow okay." "They don't deserve that." "They're not in my life." "then I'm dead." "I have Huntington's disease." "I'm dying." "but it'll be sooner than I ever planned." "And I'd do anything to stop it. the only way to make your life matter is to live as long and as well as you possibly can." "Have you ever been raped?" "No." "Don't try to walk in my shoes and I won't try to walk in yours." " You had no right." " To convince her to do the right thing?" " To lie to her." " It's a true story." "Who cares if it's not mine?" " It's my life." " It's her life." "Point wasn't I'm dying." "Point was she should live." "You should have told her." "give her stats on DNA markers." "Everything's by the book." "Nothing's ever personal." "Trying to sleep here!" "Biopsy confirmed APL." "She needs a bone marrow transplant." "Run the donor banks." "I'm going home." "We need to track down her parents. or there'd be no need to screw up your courage before saying it." "Children who've been through trauma can't think clearly." "Those who are dying..." "Guess I'm the only one caring about patient rights." " What she wants could kill her." " What she needs could save her. - not treat them for chronic idiocy." " Idiocy is what's killing her." "I'm going home." "but all you care about is getting your answer." "Your point being?" "Taub and Kutner can check the donor banks." "I'm gonna find her parents." "Can't see why you're surprised." "he's pushing back." "I get." "His ego's killing my patient." "You liked this case because he wasn't looming over you." "The decisions were yours." "Only difference now is he decided not to loom." "Doesn't change the fact that your patient's dying." "What are we missing?" "What's not in the file?" "overburdened at the end of her rope." "Makes her kid sick so someone else will take care of him." " Sympathize with her." " Munchausen by proxy?" "was here when he went into cardiac arrest." "said something." "Evan's even more protective than she is." " Then maybe it's the brother." " He's eight." " Could be jealous." " He's the opposite of jealous." "He includes jonah in everything he does." "brushes his teeth." "I think we gave him an idea." "Either that or he's off to kill house." "M. Velez?" "I'm Dr. Remy Hadley from Princeton-Plainsboro hospital." "for leukemia and we need to test both you and your wife for bone marrow donation." "you said you were from Princeton-Plainsboro?" "but time is short and..." "What's going on?" "This doctor says you have leukemia." "I don't have leukemia." "Sophia velez?" "Yeah?" "Sophia isabel velez?" "Yeah." "Do you know something I don't?" "Just that liars lie." "You stole her identity." "To protect myself." " So they can't find me." " We can protect you." "But we need to find your parents." "Why?" "You have my blood." "You don't need my name to find a donor." "You're a minor." "You forged the emancipation papers. we'd still need your parents' consent to treat you." "Can't you just pretend you didn't go to that house?" "That you didn't find that girl?" "Calling your parents doesn't mean a family reunion." "You don't even have to see them." "it'll be an emergency." "it'll be an emergency." "You'll have to give me a transplant." "Even without consent." "An iron overdose?" "From his vitamins." "we can treat him tonight." "He'll be back to his old self in the morning." "But... they're children's vitamins." "I..." "I only give him one." "I know." "I thought more would make him strong." "I didn't mean to make him sick." "He's gonna be okay." "He's gonna hate me." "that's the great thing about brothers." "and they'll still love you." "Donor list turned up a partial match." "So treat her." "It's only a three out of six." " So don't treat her." " She may not last the week." "Partial's better than nothing." " So treat her." " She'll reject it." "And she'll be too weak to try again when a better match turns up." "right?" " If a better match turns up." "get back to me." "She's scared." "Not scared enough." "Tell her the thing about emotional reactions is they're definitionally irrational." "Or stupid." "Might wanna phrase that in your own words." "She wants to deny her parents the satisfaction of saving her life." "That's your rational explanation of her emotional response." "That was her explanation." "That makes sense." "How long before she came up with that?" "It was her immediate reaction." "That doesn't make sense." "The fact that it makes sense doesn't make sense?" "Emotional is immediate." "She went to rational first." "Means there was no emotional to process." "You're saying she's lying about being raped?" "Wouldn't be her first." "She lied about one trauma to cover a worse trauma." "So..." "What's worse than rape?" "I'm Dr. House." "What did you do? but it wasn't rape." "Believe whatever you want. and you don't like people feeling sorry for you." " Why not?" " I don't want pity." "I just wanna be normal." "But you know you're not. how well you're coping." "hurt little girl." "Because that's not what you see." "You see someone who did something terrible... who deserves to suffer." "Who doesn't deserve to live." "What did you do?" "we'll find your parents... if only to deliver the body." "Then they won't care." "You're an idiot. you broke their Fabergé egg?" "I killed their son." "I killed my brother." "I was supposed to watch him." "He was in the bath." "I could hear him laughing." "it's like I kill him again." "If you don't take your parents'bone marrow... you'd be killing their other child." "they will then." "I don't care." "Sure you do." "You want someone to tell you it was just an accident." "but it is that bad." "And you know it." "There's nothing you can do to change that." "But there is one thing you can do to not make it worse. you missed cake." "I want to do clinical trials." "Already had this conversation." "I've proved that I can work two cases at once." "I can do this." "And I'm doing it." "Okay." "Okay?" "Just like that?" "Can I give my reasons later... or never?" "Three days ago you said no." "Three days ago you asked me." "Now you told me." "Can't say no if it's not a question." "Nice thing you did for foreman." "He speaks." "He deflects." "I almost cost a four-year-old his life." "you knew foreman would figure it out." "Did i?" "You just needed to prove it to him." "You're an ass." "But a noble one." "I sound clever." "Thank you." "Your little game didn't work." "and you're not me." "You wanna talk about her?" "Nope." "All right." "house." "Good to know."