"(CLOCKS TICKING)" "(PEOPLE CHATTERING)" "So you want me to explain how you just lost? cling to hope?" "(SCOFFS)" "Come on." "It's called speed chess." "(EXASPERATED SIGHING)" "(HUMMING)" "goodbye" "(EXCLAIMS)" "Good game." "I said good game." "(GROANS)" "Hey!" "Hey!" "Wait!" "Stop it!" "Listen..." "Back away." "Back away." "Call 911." "Get an ambulance!" "Tell them to send two!" "My head's going to explode!" "(SCREAMS)" "Your head still hurt?" "You a moron?" "Nate!" "I'm clutching my head in pain and he asks if it hurts?" "some kind of med student?" "You look like you still have theme birthday parties." "Sorry." "Any problems concentrating in school lately?" "besides the dreams of running my tongue along my French teacher's breasts?" "I'm doing quite great." "The rage and pain could be caused by a parasite." "Does he eat a lot of sushi?" "No." "He was a vegetarian until just a few months ago." "Any changes in behavior since the new diet?" "No." "He's been this way since he became a teenager." "he's still gonna say what..." "Yeah." "Let's all shed a tear for poor little Nate's mother." "(SOBBING SARCASTICALLY)" "Any more stupid questions?" "Nate!" "I hate this kid." "I like this kid." "You haven't met him." "I know you hate him." "What more do I need to know?" "Kid's not a cliché." "Anybody can get into a fight after losing." "It takes real creativity to beat up someone you just beat." "The pain's not limited to his head." "The rest of his bumps and bruises are accounted for by the 17 fights he's been in this semester." "Concussion? and the tox screen showed no trace of coke or amphetamines." "Nate went medieval on the other kid." "Could be..." "Hold on." "I'm having a moment." "This could be Foreman's last time mistakenly suggesting adrenal gland tumor." "causes the head pain and rage." "But not the personality disorder." "There is no personality disorder." "He's a teenager." "Being a teenager excuses the odd inappropriate comment." "This kid say anything appropriate?" "He's having cluster headaches." "what's causing them?" "he'd have swelling around the eyes." "ER gave him ibuprofen for the pain." "but it could've knocked down the swelling." "Best bet is a vascular problem." "which the ER also gave him." "which means..." "Normal treatment is called "normal treatment because sometimes you have to use abnormal treatment. and give his noggin transcranial magnetic stimulation." "And don't you dare touch that acerbic wit." "Fifty bucks to whichever of you steps up and treats this brat." "Not the kid's fault." "He's sick." "Fine." "You do it." "No way." "He's your brat." "I'll do it." "But I've got a job interview after work." "you guys handle it." "Need a peer recommendation?" "Thanks." "Cameron should suffice." "drooling vegetable is it?" "It's safe." "which will hopefully squelch the head pain." "Is there anything you can do about the other pain?" "From the fights?" "my stomach." "I can barely bend my fingers." "You're already on pain meds." "Nothing more I can do." "man." "Tell your homies to quit stomping on me." "I'll get the word out that you're a great guy." "So do people watch what they say around you?" "Because I'm black?" "because you're gay." "(SIGHS HEAVILY) cause irritability or even hostility towards others." "You mean the illness is affecting his personality?" "it could..." "Change him?" "Yeah." "thank God!" "You must think I'm awful." "Here my son's lying in a hospital bed..." "I'm pretty sure I get it." "I thought I was a bad mother." "And I hated myself because I hated him." "What do you got for me this fine morning?" "Blood thinners and TMS had no effect." "It's not cluster headaches." "You accusing the symptoms of lying?" "Could be hemochromatosis." "Wouldn't account for the personality disorder." "What about hypothyroidism?" "He's not getting aggressive and lethargic." "He's getting aggressive and aggressiver." "What about ruptured dermoid cyst?" "Sorry." "I just got dizzy there." "I was expecting to turn right." "It's Foreman's turn to be shot down." "The thing that Cameron said." "Way to think outside the box." "But no fat in the ventricles." "It's cluster headaches." "Normal treatment didn't work." "Abnormal treatment didn't work." "Foreman." "But treatments don't always work." "Symptoms never lie. and that's not even a guarantee." "Foreman!" "we go with an unapproved treatment." "Hey!" "Something on your mind?" "Because you totally can't tell." "I had a job interview lined up at New York Mercy yesterday." "Hospital for Manhattan's glitterati." "Big coup." "Your homies would be kvelling." "because apparently I called to cancel." "I don't remember making that call." "You think I have a neurological issue?" "Yes." "Why are you jerking me around?" "It wasn't me." "Yeah." "socially repressed asses I work for." "Maybe it was Ashton Kutcher." "tell me you want me to stay." "Would it matter?" "but it'd be the adult way to handle it." "why bother with it?" "I've been totally professional! scheduled my interviews on my own time." "You have no right to screw with my future." "aren't you?" "It wasn't me." "I only sabotage people I consider worth it." "cunning woman." "It's a massive turn-on." "You girls can gossip later." "What are you talking about?" "You called New York Mercy to have Foreman's job interview killed." "but in a polite way." "I take it you're off your anti-depressants." "You're deflecting." "Only I'm allowed to do that." "Does Foreman actually think I did that?" "No." "Just me." "But I know something he doesn't:" "I didn't do it." "Why would I do it?" "Do you want him to leave?" "No." "Are you planning on doing something?" "I'm waiting for board approval." "there's nothing to be done." "You had to stop him." "It wasn't me." "What are you doing?" "twitch of the lips." "Send in Nurse Unger when you pass her on your way out." "almost forgot." "I need to give a 16-year-old magic mushrooms to treat a cluster headache." "Is that cool?" "no problem." "I was being sarcastic." "It wouldn't look that way in the court transcript." "Mushrooms have psilocybins that work on cluster headaches." "It's either that or cutting into his brain and going on a fishing expedition. possibly suffer a fit of severe paranoia." "I have now." "it's definitely better that the Dean of Medicine prescribes it instead of an unhinged doctor with a history of drug use." "Takes the stink off if the patient decides to put on a cape and fly off the roof." "tightly controlled setting." "And make sure the mother signs off on it." "Garth." "And don't stand in Foreman's way." "It's just wrong." "New research shows that a chemical component in the mushrooms can... lots of technical medical stuff." "So when do I get them?" "I went to college." "I know about mushrooms." "Friend of a friend shot himself in the foot." "Enid!" "Sign the consent form." "but cardiac arrest is possible. small "N"..." "And if the mushrooms don't work?" "The next step would be a type of brain surgery." "God." "Pain's getting worse!" "Need shrooms now!" "yeah." "how's the pain?" "the bush kangaroo!" "Nate." "We need to know how the pain is." "What I got here is the opposite of pain." "which means hopefully... you're hot." "She's making me horny." "Deal with it." "then not close the deal." "Shut up." "Take it easy." "You'll regret saying no!" "Check it out." "for God's sake." "Hold it." "What are you doing?" "He has undersized testes." "His other secondary sexual characteristics are normal." "avoid discussions of other men's testicles." "Thanks." "You were right about the cluster headaches." "You're wrong about what caused them." "Vascular problem in a major artery wouldn't cause hypogonadism." "personality disorder and hypogonadism?" "Where's Foreman?" "He's mad at me." "Why?" "No reason." "Yeah." "That makes sense." "The male genitals are controlled by the hypothalamus and pituitary gland." "We're not talking about Foreman anymore." "Kid's being pummeled at school." "A couple blows to the head can cause hypothalamic lesions." "We ever going to talk about what happens when Foreman's gone?" "yes." "It's not lesions." "His temperature would be all over the map." "Symptoms don't lie." "and you haven't even read a résumé." "Doesn't even need to." "The two of us can handle it." "Craniopharyngioma fits the symptoms." "Biopsy the brat's pituitary." "And let the record show I was right about the cluster headaches." "Forget it!" "It's a straightforward procedure." "We thread an endoscopic tube up through the nostril..." "And cut something out of my brain?" "No way." "it could kill you." "okay?" "I'll be fine." "right?" "but it'll be a lot easier if..." "Do whatever you have to do." "just not my brain." "you got to do this." "I can't take it anymore... okay?" "Loosen up!" "Get yourself coited." "I'm going to give him a sedative." "Dr. Skippy." "Why don't you take her for a ride?" "Nate?" "Are you in pain?" "Nate?" "His heart rate's normal." "Respiration's even." "What's happening?" "What's the matter with him?" "He's jaundiced." "His liver's shutting down." "CHASE:" "We've started him on sodium polystyrene sulfonate." "His liver's operating at about 20% and deteriorating fast." "Which means he'll be dead long before Foreman turns in his parking pass. and liver failure?" "head pain." "Altered mental status leads to the personality disorder and rage." "All we need to do is figure out what caused the liver failure." "we need to figure out how symptoms yesterday can be caused by liver failure today." "it wasn't great yesterday." "it could have caused... (EXCLAIMING)" "Don't sneak up on a person like that!" "I'm listening." "listening doesn't help me." "Okay." "Let's go with the liver and a time-machine theory." "what causes liver problems?" "Wilson's Disease." "No." "Ceruloplasmin is normal." "so no cancer." "Could be a narrowing of the bile ducts." "Primary Sclerosing Cholangitis." "Most liver damage begins with what we put in our bodies." "Foreman?" "Angry teen..." "Alcohol." "No." "Blood tests were negative." "No signs of drug use or acetaminophen poisoning in his tox screen." "Maybe the water was contaminated." "His mother would also be sick." "Cuddy?" "Sounded like someone would back." "Go." "We'll try and muddle through without your blank stare to guide us." "what about the good things?" "He was raised a vegetarian." "Was raised." "or he's not a vegetarian anymore." "He started eating red meat a few months ago. his body would have no problem metabolizing it." "What if he had an OTC deficiency?" "damages the liver." "Run a hamburger test." "It's exactly what it sounds like." "wait for his ammonia levels to spike." "I'll double your salary." "Chase and Cameron would mutiny if they found out." "Chase and Cameron wouldn't be heading up their own diagnostic group." "You'd work in parallel with House." "It'll be your practice." "complete autonomy." "I've only been doing this for three years." "Three years under House." "No better training. you know who I'd have to go to." "Or you can just let that patient die." "That's completely up to you." "No." "Why?" "He's evil." "He didn't sabotage your interview." "How do you know?" "Because I did." "I didn't!" "You believed me." "Means you're not sure House did it." "somebody did it." "Somebody here did it." "I can't work here." "(DOOR OPENS)" "This isn't a medical procedure." "This is just about Doogie making me eat garbage." "We need to see how your liver processes the proteins." "Then get me a steak." "Some roast beef." "What if I brought him something from home?" "It has to be prepared here so we know there's no chemicals or preservatives that could affect the test results." "I'm not eating anything prepared by five-dollar-an-hour immigrant hospital cooks in hairnets." "Shut up!" "Either you start eating or I'm going to strap you to this bed and shove these down your throat one by one." "Got it?" "Can't get mad at me!" "I'm sick!" "(MIMICKING COUGHING)" "Supposed to feel bad for me." "full set of body restraints." "Doctor." "Trust me." "It'll be a lot less messy if you do it yourself." "You killed Foreman's job interview." "Why would I..." "Somebody did. which means it's either you or the weird night janitor who wears his pants backwards." "I want Foreman to leave." "House has to realize he needs someone who stands up to him." "Chase is afraid of him and I enable him." "House needs limits." "I give him..." "You authorize magic mushrooms." "House is a six-year-old who thinks he's better off without parents." "A few tummy aches after dinners of ice cream and ketchup might do him some good." "You're lying." "An enabler doesn't conspire against." "An enabler enables." "What?" "You're paranoid." "You made that call. you basically guaranteed Foreman's out of here." "I thought it'd be fun to work on my boat with him." "because skin cancer looks cool." "I realize I got burnt." "I'm not too worried about that." "It's these white marks." "You know." "Lie down." "and there's chemicals everywhere. does he have a cooler with lots of brown bottles with long necks?" "And does Daddy like to lie down on his boat and go nap-nap in the sun?" "Oh!" "What the hell?" "I will give you this for the $1.41 in your pocket." "Wait." "How could you know..." "A psychic once told me that I'm psychic." "Hey!" "One of these quarters is Canadian." "Give me back my syringe." "Hamburger stress test showed no change in his ammonia levels." "Liver's properly converting the ammonia into urea." "He doesn't have OTC deficiency." "Welcome back." "I'm sorry." "I shouldn't have been taking my problems out on the patient." "Or on me." "Apology accepted." "Starve him." "And what are we looking for?" "Diabetic steatosis would screw up his liver." "Starve him overnight and see if his blood sugar pops." "we could set off another rage." "Not a problem." "You can take him." "(NURSE SCREAMS)" "I want something to eat!" "please don't." "What happened?" "I was just trying to get a urine sample and he went crazy." "I need to eat!" "You're not sticking anything else in me!" "It's just a few more hours." "You're going to hurt yourself." "I'm going to hurt you!" "we can leave you alone." "You want your sample?" "Here's your damn sample!" "don't!" "my God!" "you need to get back into bed." "Right now." "Chem panel and urinalysis confirms the bloody urine was caused by kidney failure." "He's on dialysis." "He's going to need it for the rest of his life." "Which is shortening as we speak." "We are looking at a Chinese menu." "We've got symptoms from too many columns." "They are going to overcharge us." "Multiple organ failure could mean primary HIV infection." "That'd mean someone agreed to sleep with him." "his serology is negative." "His uric acid's slightly elevated." "Ten percent of males in this country have elevated..." "So we're only going to pay attention to abnormal abnormalities?" "We've been stuffing him with meat and his kidneys are shot." "Of course his uric acid level's... or McAb." "Brat's got a genetic disorder." "Get the sequencing primers." "See if it's one of the ones we can treat." "but then I got to run." "Job interview?" "You going to stop me if it is?" "You do the nurse stuff." "They'll do the doctor stuff." "Is this a blood test for our marriage license?" "Planning on kidnapping me to Massachusetts?" "Can't..." "What did you give him?" "Are you treating him for something?" "A sedative." "Did he need a sedative?" "I did." "Just shutting him up so I can draw some of his blood in peace." "You walked in with that." "You didn't even give him a chance." "People are what they are." "He's sick." "The rudeness isn't his fault." "it wouldn't be his fault either." "But I still wouldn't let him cough on me." "Hi." "Hey." "Where are you going?" "The lab." "We're testing our patient's blood for a hereditary..." "Cuddy thinks I sabotaged Foreman's interview." "She's going to fire me." "I don't believe it." "She said it was unprofessional and..." "I literally don't believe it." "Cuddy wouldn't fire you for something like that." "Which means either she lied to you or you're lying to me." "(ELEVATOR DINGS)" "You so would have fallen for that three years ago." "You were looking for a reaction." "save your skin." "But how am I going to save you?" "Unless you think I'm the one who really did it." "I would do anything to save him." "ergo..." "It wasn't me." "I don't care about House." "I don't believe you." "No one does." "House is nothing more than my boss." "Foreman's nothing more than a colleague." "You're lying." "Everyone does." "But it wasn't me." "No markers for hepatic fibrosis." "And nothing for McAb." "Foreman's interview in New York got screwed up." "I heard." "Foreman thought it was House." "House thought it was Cuddy." "Cuddy thought it was Wilson." "Wilson thought it was me." "And you think it was me?" "God..." "You think I sabotaged Foreman?" "I don't even want him here." "I know." "Then why would I do..." "I think you sabotaged Foreman just to sabotage Foreman. vindictive jerk?" "You actually think I would do something like that?" "It was someone." "It wasn't me." "Negative for Von Gierke disease." "And it's Tuesday." "I know." "I like you." "I know." "See you next Tuesday." "Found something." "He's got a partial HPRT enzyme deficiency." "Means he could have Kelley-Seegmiller Syndrome." "so it may not be Kelley-Seegmiller. or it isn't." "Kelley-Seegmiller explains the aggressive personality." "he wouldn't just be aggressive." "banging his head." "Lovely disease." "incurable." "I wonder if that's why Cameron's on the "not" side?" "That and the fact that symptoms don't lie." "Kelley-Seegmiller carriers self-mutilate when they're stressed." "He's in ICU with a failing liver and no kidneys." "his life is sweet. slowing the disease's progress." "So let's speed it up." "Why?" "So you two kids will stop fighting." "I don't feel like waiting for respiratory failure." "find some way for the mother to get lost for a while." "I'm going to stress this kid till he bites off a finger." "You move me to geriatrics?" "Who are you?" "Dr. McCaney." "The man who's going to kick your ass all over this chess board." "I'm too weak to..." "To bite yourself." "Yeah." "You need some liquid energy." "I'm gonna give you this shot of adrenaline." "(WINCING)" "I don't want to play." "Aside from being indicative of pituitary issues small testicles also indicate" "that you're a big chicken." "Please don't make me do the sound effect." "You're not going to goad me into playing." "Didn't think I'd have to." "Thought you'd just jump at the chance of humiliating someone." "Age before cripple." "I'm white." "It is on." "Bird's Opening." "Passive approach." "Sign of a coward." "Sicilian Defense." "Sign of an idiot." "Arrogance has to be earned." "Tell me what you've done to earn yours." "I can walk." "I don't bleed out of my penis." "Check." "it's a real thin line between tortured genius and awkward kid who can't get girls because he's creepy." "Why are you doing this?" "To stress you out." "Check." "but why? but I figure it's more stressful if you don't know why." "I'm not feeling too stressed." "right?" "anybody like you?" "You're dying." "Check." "Your move." "(BREATHING HEAVILY)" "Care to lay down your king?" "You can't win." "You can pin my queen." "My knight to E7." "Your king to H8." "Sacrifice rook takes pawn." "Bishop blocks." "Queen to H5." "Checkmate." "Save what's left of your dignity." "Lay down your king." "(GASPING)" "(ALARM BEEPING)" "Crap." "He's having a seizure." "Four milligrams I.V. Lorazepam." "Right away." "I hate this kid." "I like this kid." "Did you get the job?" "They're going to let me know." "Kelley-Seegmiller didn't cause this seizure." "one less diagnosis." "I assume they're going to call for references." "Did you give them my name?" "No. and the protein buildup could cause organ failure." "Wouldn't alter his personality." "Whose name did you give?" "My last boss." "Ouch." "That can't look good." "I hate this kid." "What if we're not dealing with one condition?" "What if it's multiple conditions?" "It's got to be one." "It's always one." "But nothing explains this constellation of symptoms." "We've got to be missing something." "Maybe the kid lied about some medication." "Maybe he's hiding something..." "Why would he be hiding something?" "because he's evil?" "What if he is?" "What if the symptoms lied?" "There." "Now all we're looking at is a simple evil jerk with amyloidosis." "You're not being objective." "Amyloidosis was your idea." "You were right." "It doesn't fit the symptoms." "it does." "Look. and you can't hate him if he's a victim..." "You want him to be a victim because you want to believe that people are good." "it's got to be a chemical problem." "and it's not." "Flush him with immunosuppressants." "and find him a marrow donor." "What'll happen to him?" "Substances called amyloid proteins shutting them down." "and I'm afraid it can be fatal." "do you operate or something to take them out?" "He needs a bone marrow transplant." "Dr. Cameron is searching the donor bank." "We should test you as well." "I was happy." "Relieved." "Now..." "I'm going to take a small piece of nerve from your ankle." "Let me know if you feel any pain." "I'm burning up." "Why can't you just knock me out like you did last time?" "Wish I could." "But your body has to be clear so it's ready for a marrow transplant." "Dr. X." "I know you've busted ass trying to save me." "It's all right." "I wasn't going to thank you." "I was going to tell you you really suck at this." "We're doing our best." "That's sort of my point." "Your best really sucks." "Nerve biopsy was clean." "No evidence of amyloidosis." "It was your idea." "Don't give up on it so fast." "He's running a fever." "one of them's got to be an infection." "what doesn't." "Is he having trouble breathing?" "he has mucus in his chest from an infection." "Could also be from an amyloid buildup." "Keep him on immunosuppressants and biopsy somewhere else." "His sinuses." "you got two choices: or just do what I asked." "You're not ready." "There was a third choice." "Don't do what I asked. but you didn't." "Because you still trust my judgment more than your own." "didn't you?" "Foreman's already been over this." "It wasn't me. which means either nobody did it or somebody wants everybody chasing ghosts." "who does that sound like?" "And why would I do that? he was going to be useless around here." "sometimes I forget why I hired you." "You cost him a good opportunity and gained nothing." "I cost him a crappy opportunity." "New York Mercy is where you go to treat boils and cysts and build a 401-K." "tell him." "and there'd be no point." "You do." "And the point would be to make him feel like he's wanted." "He doesn't need that." "it'd make him feel like maybe you weren't evil." "He needs that." "Talk to Foreman. but forgot to add one." "Nate." "I am." "Black or white?" "Just limp away." "He doesn't want to play." "Leave him alone." "or this comes out." "this is really important." "(GROANS)" "Stop it!" "right?" "because I'm really enjoying this. thanks to all the crap that's been pushing its way in between them." "this stuff isn't important at all." "Your doctors said he needs immunosuppressants." "They're idiots." "It's not amyloidosis." "It's iron." "He's got hemochromatosis." "can't get rid of it." "Idle iron is the devil's playground." "whacking them in the process." "Causes all the symptoms." "Including something that wasn't a symptom." "Those body aches?" "They were not from the fighting." "His personality issues?" "Sorry." "The iron's innocent on that count." "Your kid's a jerk." "it's probably your fault. you'd have half as much iron and be twice less almost dead." "(GROANS) nurse!" "(ALARM BEEPING) for some reason." "Is he going to be okay? gonna have to get his blood drained every few months for the rest of his life." "My condolences." "It's going to be a long and annoying life." "And I wouldn't have taken your bishop. attacking the king's pawn." "I'd have lost the exchange but won the game." "I know." "I was bluffing." "And that's why you lost." "Jerk." "You just here to watch or you got something to say?" "Still running the new biopsy for amyloidosis?" "Yeah." "Still nothing." "Run the test again." "Recheck your results." "Looks like you're in for an all-nighter."