"I'm sorry." "Jeff." "Damn it." "This is the last time i'm turning around." "you're gonna be on your own." "I can't play without a stick." " Then I guess you won't play." " I don't care." "I suck anyway." " Don't say that." " I'm the worst guy on the whole team." "you're not." " Then who's worse?" "Don't worry about anyone else." "Just do your best." "See?" "You can't name anyone." "stop it." "Then name someone." "can you?" "You really think I'm better than those guys?" "Yes." "Hurry up and get your stick." "get back in the car." "I need an ambulance at 860 Oakwood avenue!" "Zach!" "Come on!" "Jeff!" "Don't do this!" "I'm sorry." "I just..." "I couldn't take the pain anymore." "House" " Season 05 Episode 12 "Painless" "Sync:" "NIZ or mowgli is cutting into your beauty sleep. and Rachel is doing great." "Thanks for asking." "Proving that you'rea better foster mom than a homeless drug addict." "Departmental budgets are due this week." "I'm gonna need an extension." " Got some time next decade." " Cameron already turned yours in." "That's nice of her." "Two questions:" "why did she?" "And why are you telling me?" "Same answer." "Now you owe her a favor." "I'm gonna need an extension." "I got some time..." "I've got a d. y. f. s." "home visit on friday." "And I've got a w-h-o-r-e visit on..." "Mama's busy." "You two are gonna have to go play outside for a while." "32-year-old male with chronic pain all over." "This is the favor?" "I was expecting something involving whipped cream and tongue depressors." "He's seen 7 different specialists over 3 years." "No diagnosis and no relief." "I am fascinated already." "It's like I'm treating myself." "He gets cured;" "I get to learn a valuable lesson about the milk of human kindness." "I never would've quit." " So you're wasting a favor because?" " I think you can help this guy." "Drug-seeking patients..." "Don't attempt suicide with medicine cabinets full of narcotics." " Sounds like fibromyalgia." " Sounds like you don't work for house." "Diagnosis that provides neither an explanation nor a cure is not a diagnosis." "American college of rheumatology would disagree." " There are specific criteria." " Which this guy doesn't meet." "doesn't make it worse. muscle cramps that come and go." "He tried to off himself." "He's mentally ill." " Pain's probably psychological." " It is not a sign of mental illness to want to be pain-free." "It is if your solution is sucking on a tailpipe." "Sane people don't attempt suicide." "Not ever?" "So if you were being burnt at the stake and someone handed you a gun..." "I'd shoot the guys with the torches." "Not one doctor this guy has seen in the past 3 years has been able to find what's wrong with him." " What does that tell you?" " It means they're idiots." "It means we got to start from the beginning. search the home." "Go home." "Get a refill..." "And a doughnut." "I'll help with the home." "Choose a statement in each group that best describes including today." "I'm not depressed." "I know what I did was stupid." "I usually sleep well." "I have some trouble with sleep." "I have a lot of trouble with sleep." "I have a lot of trouble." "It's up and down. his sleep pattern's pretty erratic." "He's a calm person." "he's miserable." "He's definitely calm." "Sometimes calmer the worse the pain gets." "interacting with other people makes it worse." " Interesting." " Why?" "Does that mean something?" "it's just... we've seen that in other... patients." "he can do chores." "He can no longer do chores." "He helps all the time." "He's really strong." "He used to play hockey." "And he was really good too." "I believe there's hope." "Hoping for things to get better is a struggle for me." "I feel completely hopeless." "He still laughs..." "All the time." "He was always optimistic." "He still is." "It's just..." "It's harder now." "I guess..." "I pray for strength more than hope." "There's nothing in there but a pharmacy's worth of pain meds." "This guy makes House look like a Christian scientist." "He's also more compliant than House." "had daily pill dispensers to make sure he didn't mix them up." "this ain't a bad one to choose." "definitely wouldn't be like that." "Don't worry." "I'm not making any plans." "I certainly wouldn't know." "you've been avoiding me." "I haven't." " Just been busy." "Metal polish could cause nerve damage if he inhaled enough of it." "he used a fair amount. i'd say he knew not to inhale." "Busy tonight?" "We can get some dinner." "I don't think so." "too intimate?" "I don't want to kiss you again either." " Why?" "Because we work together?" " No." "Because I like you." " That makes a lot of sense." " What doesn't make sense is me getting involved with anyone." "I thought you'd gotten past that." "That's why you agreed to the drug trial." " You can't give up on life because..." " I'm not giving up on life." "I'm just giving up on you." "I finally feel like I have a grip on things." "I can handle this." "What I can't handle is dragging anyone else down with me." "Does this look like quail to you?" "You think he's had food poisoning every day for the last three years? as well as the elevated C.K. levels." "So would the carbon monoxide he sucked out of his car." "It's not a toxic reaction." "It's a psychosomatic reaction. getting out of bed." "He's not in pain because he's depressed." "He's depressed because he's in pain." "Not according to the pain profile you ordered." "It's not a diet issue." "We should start him on antidepressants as well as his family's." " We're not diagnosing his family." " We're not diagnosing you either. do a muscle biopsy." "What muscle?" "He says it hurts all over." "Then she'll biopsy all over." "I can leave early." "just ask Cameron to do it. the pain will go away?" "it's definitely treatable." "My arm!" "It's starting to..." "He needs more medicine." "B.P. is down." "We need to get him in trendelenburg position." " Can you hear me?" "!" " He's arresting." "We need a crash cart in here!" "He's not answering his cell either." "V.Q. scan showed a pulmonary embolism." "Means the pain's not psychosomatic." "It also means it's not rhabdomyolysis." "his heart and lungs were the only places he didn't have pain." "Means it's getting worse." "Got to let the phone ring more than four times when you're calling a cripple." "pulmonary embolism go." " How'd you know..." "You called after midnight." "It's got to be a heart problem." "Heart only would be consistent with which means 13 and Foreman which means it has to be lungs as well." "Hypercoagulable state could cause pain and A.P.E." "that's helpful." "like Trousseau's?" "lack of obvious physical signs." "And why he's gone three years without anyone seeing it." "and pelvis for tumors." "Why did he think only you two would be singing in the rain?" "Bone windows are normal." "Checking for cancerous masses in the lungs." "who do you know who committed suicide?" " Rromeo and Juliet." " Your mom?" "Dad?" "Saying I wouldn't do it under any circumstances means my whole family was suicidal? abandonment." "Just because you grew up in a Charles Dickens novel..." "It's people like me who don't do it." "there's nowhere to go but up." "Thorax is clear." "No tumors in the lungs." "The only betrayal comes from father of the year in there." "a kid." "People who count on him to have a pulse." "Okay." "Switching to high-res cuts of the abdomen." "My parents live very happily in queens." "or attempted to think about committ... along his diaphragm." "That's not cancer." "No hurry." "I already bathed once this week." "I wouldn't want to look elitist." "Can't do anything till I write up an estimate." "Fine." "Pad it all you want." "Here's a check for the deductible." "Don't touch the piano and lock up when you leave." "deductible doesn't apply here." "but - which means the home warranty..." " Doesn't cover negligence. and into your shower." "It didn't burst." "It was pulled apart." "'cause I'm clearly a guy who likes to knock out a few naked pull-ups before I greet the day." " You hang laundry in there?" " I'm about to hang a plumber in there." "there's no rust." "There's no corrosion. and it's not covered." "So... give somebody else a call." "i'm only holding your hand to check for choreiform movement." "I'm getting absolutely no intimacy from it." "it has nothing to do with you." "I know." "That's the problem." "but you can't shut everyone out." "support. his son... wouldn't trade him for the healthiest guy in the world." "True." "hating every day." "Only their pain has no prospect of relief." " This a bad time?" " No." "Yeah." "No trace of cancer. - and House won't answer his phone." " His intestine must be damaged." " The air's leaking into his body." " if there's a blockage it could be choking off blood flow to his intestine. why the cramps come and go." "Do an angioplasty on the superior mesenteric and find the other blockages before he has another cardiac arrest." "I'll help." "Good thing we don't have a suicidal patient undiagnosed pain disorder." "We did till we diagnosed it." "We found intestinal edema and air in the blood vessels. we would've seen uneven pulses." "His blood pressure was uneven." "13 and Kutner are doing an angio." "He had hemorrhages in his fingers." "There's air in the intestine." "It has to have come from somewhere." "Yes..." "It does. the blood will start flowing freely again." "Will that take away the pain? and the pain will completely go away." " Cancel the angio." " He has air in his blood vessels." " If we don't open the artery to his..." " Where can air come from?" "Air can either com from a breach in the lumen air can come from the air." "Teeth marks." "I'm guessing from when he blew into his i. v. tube." "Air bubble caused the P.E. and cardiac arrest." "You tried to finish the job that you started at home." "Why?" "I lied." "I want to die." "Please just let me die." "No." "He's in a hyperbaric chamber." "A dose of high pressure ought to chase the air out of his blood." "the whole idea of suicide watch was specifically created for suicidal patients." "I realize how you might've thought the name was just a coincidence." "Are there any visuals in this room that are key to us learng our lesson?" "'cause the telephone..." "I'm inconveniencing you because you inconvenienced me." " When was the last time you showered?" " Scent of a man..." "I realize you haven't experienced it sober." "If anyone should be able to handle a depressed pain patient..." " He insisted he was no longer..." " Apparently he lied." "Didn't think I'd have to remind you of that remote possibility. - so if you can't control..." " Non-motor seizures." "I was thinking about the patient." "What were you saying?" "The pain started in his abdomen near his intestine. all of them cleaner and squeakier than Cuddy's rubber nipples." "What about a glycogen storage disease like Mcardle's?" "It explains the pain." "There's plenty of muscle cells in the wall of the intestine." "Fourteen is right." "Go run an ischemic forearm test." "Take the garbage out on your way out." "you have to marry him first." "Or employ him." "Good girl." "I don't think I'm ready to run a decathlon yet." "that'll be plenty." "whenever you're ready." "You look better." "they said my basal ganglian volume has improved." "I can drink a cup of water without spilling it all over myself." "Thank you for getting me back in the study." "I haven't even seen you in weeks." "I didn't even know our appointments were back-to-back again." "they weren't." "Mine got switched this morning." "We're gonna take your blood repeatedly. - you have a muscle abnormality." " If you're right about this... can you take away the pain?" "we can reduce it." "Keep squeezing the ball." " How long does he have to..." " You should get something to eat." " Don't worry about us." " I'm not." " Please get out of here." " These tests are all I can handle." " They're trying to help you." " They can't. by not being..." " An ass?" "You have no idea what I'm going through." "I know it's better than what you tried to go through." "no baggage at all." " Where's the pain worst right now?" " Left arm." " Does it hurt more?" " Couldn't." "And lactate level is steady." "It's not any kind of glycogen." "god!" "Pain jumped to my leg!" "That's never happened before... your abdomen..." "You feel anything there?" "My leg!" "It feels like it's being sawed off." "Nice." "What?" "Switching janice's appointment time so I could see the skies" " brighten like a lifetime tv movie." " I don't know..." "Sticking your most improved study participant in my face." "Is that your way of getting into my pants?" "and..." "I wouldn't use it as a social lubricant." "And this is the first I've heard of janice improving at all." "thanks for the good news." "Pain started in his abdomen. - skipping the trunk entirely." " I need the name of a good lawyer." " We're getting sued?" " Probably." "That's Cuddy's problem." "not his body." "Except the pain's in two places which means you're not using yours." "you're from one of the 12 tribes." "You know must know a ton of shysters." "What type of lawyer do you need?" "I'll bring it up at the next world domination subcommittee meeting." "Didn't say I needed a lawyer." "I said I needed the name of a lawyer." "Pain hopped to another limb on the same side." " It's gotta be central..." " Could be peripheral." " If multiple areas of disc disease" " Were consistent" "Were consistent with a completely spotless mri." "Who represented the hospital when you set that patient on fire?" "Chris carrick." "Chris?" "That doesn't sound like a very good lawyer. - we're never gonna diagnose the guy." " What was the name of the firm?" "Caddell and carrick." "It's not like we can chop off his head to see if the pain goes away." "Why not?" "Need to cut off a guy's head." "Got to figure out if his pain's coming from his brain or his body." "A stiff shot of lidocaine below the brain stem should numb him all the way down to his tippy toes." "Hearing me say "no" over the phone wasn't good enough?" "I'm inconveniencing you because you inconvenienced me." "That foster-care official is coming in the morning." "there'd be no inconvenience." "Do not try and force me to choose between my child..." "I'm forcing you to do your job! you want to separate a patient's central nervous system from his body." "it's in his brain." "If it vanishes... and five?" "or he leaks fluid which would make him wish he were dead?" "You need to scratch option five." "He's already there. all you want to do is look under the hood." "You don't care if there's a one-in-three chance you'll kill him." "there's a one-in-one chance he'll kill himself." "I got to go." "Do whatever it is you think is right." "you said you were gonna be a little late." "and this place is a disaster." "Never mind." "This should numb everything from your shoulders down." "Any pain that's peripheral should be gone." " What are you doing here?" " Just stretching my leg." "Carry on." "Bad pain day today?" "About to get better." "Don't worry." "He's making yours a double." "I remember when the drugs still made things tolerable." "I still thought I had good days left." "Turns out you have to live to find out." "do you?" " Left them all back on krypton." "You're alone." "That's why you can handle your pain. to be what anyone else wants you to be." "aren't you?" "Yes." "Take a look at your future." "Let's hope the drugs work this time." "I really wasn't expecting you till later." "so I thought i'd knock you off the docket." "I'm sorry this place is such a mess." "It's been a difficult work week." " Any guns in the house?" " No." "Pets?" "Besides the ants?" "No." "Nice bag." " Pricey way to ditch the diapers." " That's not what I usually..." "I sort of panicked." "if you'd just give me a minute to explain." "Everything looks fine." "Really? and you care enough to be embarrassed by what a mess this place is." "that puts you head and shoulders above most of the foster moms I visit." "if you haven't adopted her by then." "My legs..." "They're different." "Better." "but less." "maybe five." "Can't be." "it's still a ten." "Periphery is zero." "It is." "but not all of it." "What does this mean?" "Maybe Taub was right." "It's psychosomatic after all." "Which one of you is house?" "The big black guy." "Chris carrick. it won't be just a bill." "It'll be a lawsuit." "Can you blame me?" "the guy shot me." "What if the spinal block triggered some sort of placebo effect?" "Guy's taken the finest opiates blue cross can buy." "How come they didn't trigger a placebo effect?" "What happened?" "!" "do something!" "do not let it be what his father has." "I think he's faking." "How dare you?" "!" "the kid's in excruciating..." " Where is it?" " Where's what?" "His idiot son distracted the orderlies so that daddy death wish here could down a bottle of isopropyl." "he'll be a corpse." " You're hurting me." " Remember the feeling." "you'll do a better acting job." "why did you do this?" "Because he's not dad anymore." "He just wants it to be over with." "Please." "just..." "Just let him die." "Fabry disease might be able to cause central and peripheral pain." " No angiokeratomata." " Lightning pain from syphilis." "All the syph tests were negative." " Why aren't you guys still talking?" " Because we ran out of ideas." " Nothing explains this." " Something has to." "Unless..." "Nothing does." "So now you think..." "Mine's a more interesting version of nothing." "It used to be something." "We can't find anything because whatever injury caused the original pain healed a long time ago." "The only thing left... is the drugs." "Opioid induced pain." "Pain and the drugs that treat pain sometimes to the point where pain receptors read painkillers as killer pain." "Take him off the drugs." "so we're gonna torture him?" "Torture is the cure." "Eventually his body will recalibrate itself." " Assuming you're right." " Yes." "I find it confusing to assume otherwise." "How would you like to stop taking vicodin?" "Good thing i'm not the patient." "It's open." " Thank you." " Is it too big?" "She'll grow into it." "You can put it there." "I take it the home inspection was pushed back." "I passed." "You do realize that's a good thing?" "This place was a disaster." "I had to stash a dirty diaper in my briefcase." "So you buy another briefcase." "I let house supervise himself." "That's like handing a 12-year-old the keys to the liquor cabinet and the car." "You passed the inspection." "The patient lived." "The car is still in the driveway." "And the next time my nanny gets sick when house wants to saw someone in half?" "Did I mention you passed the inspection?" "I passed by their meager standard." "I failed by mine." "Why do women always do that?" "Fail? with your kids." "You got to be more like us men." "Be lazy?" "Blame others?" "Get help!" "Most men in your position and a wife and two nannies at home." "You're not superwoman." "Don't be a martyr. which will knock the opioids out of your pain receptors. - and most of the pain will be gone." " Hours?" " I need those drugs." " Not if they're causing pain." "sedate me while..." " That'll take drugs too." "We need to clear everything out." "i'll try anything else." " That's what we're trying to stop. - someone you were close..." " A colleague." "We were residents together." "I should've done more to stop it." "He had the mother of all god complexes." "he was blind to his own." "Helped himself to a vial of insulin." "It's a miracle he survived." "His friends and family almost didn't." "He was a selfish ass." "It'll be over soon." "This is lunacy." "You're torturing this guy on a hunch." "It's the only hunch we've got." "I'd manipulate a clinical trial in the hopes that he'd sleep with you." "Are you suggesting I got Thirteen in that trial because of some personal..." "I think you got her in because of your usual messiah complex." "I think you messed with the appointment schedule because of your i like to have sex" complex." "I checked the logs." "You moved your most promising patient right before her." "False hope being quite the aphrodisiac." "How's it false if the trials are showing results?" "you wouldn't have to change the schedule." "hey..." "Hope springs eternal." "This was a cooking accident?" "First time making cherries jubilee." "Awfully big fire." "some of the portions in that recipe were off. accidental fire damage in which case you'd have to replace the entire waterline to fix the sagging pipe." "I guess so." "Hate to have your next-door neighbors end up with no hot water." "Lucky the fire escaped your pipes entirely." "It's not working." "I know." "I started him back on the pain meds..." " Which means you can leave." " My son was right." "I tried for so long to protect him from... but I'm the one who's been selfish." "it's the way." "There is no answer." " There's always an answer." " Then what is it?" "He's been here four days." "Three suicide attempts." "You don't have an answer." "When I saw you... thank god." "The doctor will understand." "Because I sure as hell don't." "My husband thinks it's over. tell me you'd want to live like that." "Then stabilize him." "Get him in decent enough shape for the drive home." "So he can finally... okay." "There's got to be something we can do." "We can't just let the patient leave." "We didn't." "House did." "Because he realized there's nothing he could do." "something else we can try." "right?" "Because I have principles?" "Because you paid more to bribe me to lie on your claim than the entire cost of the repair. as long as the people who pocketed my premiums for the last nine years pay." "I didn't break the pipe." "Whatever." "that's fine by me." "but I'm right." "Lock up on your way out." "And don't touch the piano." "Testicles." "What do they make you think of?" "that summer on fire island." "so close." "The correct answer is epilepsy." "Epilepsy doesn't cause chronic pain. - then rewires the pain neurons." " Would've shown up on an eeg. like the area that controls the muscles supporting the... testicles." "doesn't it?" "how it all started." "It wasn't the stomach." "right?" "It's everywhere." "But when it first started." "It started in the stomach... or... a permeating pain like your kidneys are being pulled out through your scrotum." "Why?" "Because epilepsy is treatable." "Looks like we shot the guys with the torches." "Yeah." "Pays to hang around." "That selfish ass with the god complex who almost made the stupidest decision of his life... was it?" "It was you." "No." "See you tomorrow." "You're here early." "I'm feeling better." " What's wrong?" " I. v.'s leaking a little." "It's no big deal." "I'll be right back." "Foreman." "You busy tonight?" "No." "the spike on Dr. Hadley's i." "V. Bag wasn't pushed in all the way." " I don't want any dosing errors." " Sorry." "It won't happen again." "doesn't it?" " What?" " The medication." "you can smell it." "It's disgusting." "I didn't smell anything." "then." "You offered to do house's budget wanted him to take that case." " Why?" " I thought it would help house... possibly curing a guy who has even less to look forward to." "Can I ask you something?" "How would you like my job?" "0000"