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House
|
No, can't. See, ironically I'm bound by this court order which your ace attorney got. I have to make him all better before shipping him back for the state to kill him. Is it just me, or is that weird? Anyway, we're walking.
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House
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Somebody left this on my chair. It's clEver. Forces me to either deal with the file or nEver sit down again.
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Cameron
|
Cindy Kramer. I told her you'd see her.
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House
|
You shouldn't have told her that. She's got metastatic squamous cell lung cancer, six months, tops.
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Cameron
|
Have you Even looked at the x-ray?
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House
|
No, just guessing. It's a new game. If I'm wrong, she gets a stuffed bear.
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Cameron
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A spot on a x-ray doesn't necessarily mean that she's terminal.
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House
|
I love Parkldren. So filled with hope.
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Cameron
|
It could be pneumonia. It could be sarcodosis.
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House
|
Could be, if she didn't already have swollen hilar lymph nodes on the other lung.
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Cameron
|
Could we at least brainstorm for other ideas? [He takes the x-ray and puts it up on the light board.] Thank you. [He begins to write on the board.] I still think it could be pneumonia and sarcodosis, but we should check for tuberculosis and definitely rule out congestive heart failure. [She looks to see that House has written "denial, anger, bargaining, depression, acceptance"� on the board.] The five stages of dying.
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House
|
Exactly. Personally, I think it's all just new-age crap, but from your tear-filled, puppy-dog eyes I think I've made my point. Now go tell Cindy WhatEver-her-name-is that she's dying. [He walks into Diagnostics, where Chase and Foreman are sitting.] Tachycardia, pulmonary edema, likely suspects?
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Cameron
|
[following him in] The Death Row guy? That's who you're working on instead of Cindy?
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House
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God, I've got to learn not to beat around the bush. By dying, I meant no matter what we do. Very, very soon she is going to be dead. Is it still to subtle?
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Cameron
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I took an oath to do no harm.
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House
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Yeah, well, it's not like they make you sign it or anything.
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Cameron
|
We cure your Patient, he goes back to Death Row. He goes back to Death Row, they kill him!
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House
|
He stays here and we don't treat him, he dies, and I still don't treat Cindy Lou-Who.
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Foreman
|
Can we get on with this?
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House
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Yeah, I knew I could count on your help for your homie.
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Foreman
|
[sarcastically] Exactly, I'm black. I sympathize for guys who grew up in the city kept down by the Man. [Chase smirks.]
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House
|
Makes sense to me.
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Foreman
|
It's a bunch of crap. You can't blame society for the fact that you chose to become a killer. The guy's pRobably a heroin addict, that explains the tachycardia, which caused the pulmonary edema.
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Chase
|
How does an inmate on Death Row get his hands on heroin?
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Foreman
|
Are you serious?
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House
|
The Man knows prisons. When we've got a yachting question, we'll come to you. Okay, drugs it is. Test his hair, blood, urine, the works. [Chase and Foreman get up, Cameron still has her angry face on. House makes an "after you"� motion with his hand.]
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Cameron
|
Thanks for getting my back. I thought you seminary boys were against the death penalty.
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Chase
|
I left the seminary.
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Cameron
|
Over their stance on capital punishment?
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Chase
|
I'm against the death penalty in principle. In practice, howEver, watParkng a murderer die causes me a lot less grief than annoying my boss. [The three are stopped by guards who pat them down before they can go to see Clarence.]
|
Guard
|
We gotta check you out before you go in.
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Cameron
|
Department of Justice statistics show that it's a racially motivated form of punishment. Black defendants are ten times more likely to get a death sentence than whites.
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Foreman
|
Doesn't mean we need to get rid of the death penalty, do we? It just means we need to kill more white people. [Clarence wakes up with a start.] It's okay, you're in a hospital, we're taking care of you. [He starts to move around violently.]
|
Clarence
|
Water! water.
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House
|
What's the differential for being thirsty?
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Chase
|
He was just a little dehydrated, and out of his mind. We upped his saline drip, he's fine now.
|
Foreman
|
Blood and urine tests came back clean, no sign of opiates in his system. [Cameron grabs a marker and is about to write on the board, when! ]
|
House
|
Don't do that.
|
Cameron
|
What, you have some House theory explaining heroin use despite a negative test?
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House
|
Nope. Only I get to write on the board. [I'll just take this moment to say that I love that the board is titled "Dead Man Dying"�. All right, go on.] So it's not drugs. What else can cause the heart to do wind sprints? You got the blood work back, any "� [Stacy walks into his office and looks at him through the wall] "� thing out of the ordinary?
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Chase
|
His bi-carb is low.
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House
|
Yeah, but which column? Could be the result of the tachycardia, could be the cause?
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Cameron
|
It's the cause.
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House
|
Why, because you want it to be? Let's see how well that works with your other Patient.
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Cameron
|
We're just talking seMantics here. We should put him on a bi-carb drip and send him back.
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House
|
Right, buff his numbers. Don't bother trying to figure out the underlying cause. I thought you cared about Patients.
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Foreman
|
Our job isn't to make sure he can bounce his grandkids on his lap, our job is to get him healthy enough to go back to Death Row.
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House
|
[closing the blinds so he can't see Stacy] Our job is to diagnose him. What? Mommy and Daddy are having a little fight, it doesn't mean we stop loving you. Now, go outside and play. Get Daddy some smokes and an arterial blood gas test. [They all exit. As House leaves, he nearly runs into Stacy, who does not look amused.] Wow. That was impressive. Okay, what number am I thinking of?
|
Stacy
|
Were you trying to get me fired? If you didn't want me working here, why didn't you just say so?
|
House
|
I just don't want you working right here, in my office. But anywhere else in the building is fine. It's a big hospital.
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Stacy
|
I'm a Lawyer. You're a jerk. There's gonna to be some overlap.
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House
|
God, I hope that was a euphemism.
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Stacy
|
Cuddy just reamed me.
|
House
|
I hope that one means what I think it means.
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Stacy
|
For trusting you! She figured when she hired me she'd at least have someone you couldn't walk all over.
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House
|
The number was six, by the way.
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Stacy
|
I need to know, can I trust you?
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House
|
If I hadn't lied to you about Cuddy's approval, my Patient would be dead.
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Stacy
|
Great. Now I know. Now we can work together.
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Foreman
|
I'm drawing some blood from your femoral artery.
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Clarence
|
From my what?
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Foreman
|
Runs through your groin.
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Clarence
|
You think you're gonna stick me in the jewels with that?
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Foreman
|
It's really closer to your thigh. Technically, at this point, it seems like your jewels are more for display purposes, anyway.
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Clarence
|
Hold up, hold up. Give me some pain killers, or something.
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Foreman
|
Tough guy like you don't need 'em.
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Clarence
|
Forget that, numb me up, Man. [Foreman gets the painkillers, and starts to inject it. As he does, Clarence notices a tattoo on his wrist.] You got some gang ink? Let me see that.
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Foreman
|
It's a Native American symbol. It means "the force of life."�
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Clarence
|
That's what you tell all these white dudes so they let you play doctor?
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Foreman
|
Yep. Got 'em all fooled.
|
Clarence
|
For real, how a brother like you go from gang-banger to wearing a white coat?
|
Foreman
|
How's a brother like you go from loving a Woman to punParkng her skull in?
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Clarence
|
Bitch stepped out. [Foreman stabs him with the needle.] Argh! [Foreman raises an eyebrow.]
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Foreman
|
Sorry about that. Guess I didn't use enough lidocaine.
|
Foreman
|
Blood gas came back with a pH of 7.28 and decreased HCO3.
|
House
|
Which means two things. Most importantly, Cameron was wrong about the bi-carb, and less significantly, we have a new symptom. Anion gap acidosis. Who's chubby? Come on, pretend he loves puppies. Pretend he's a huMan being. What've you got?
|
Foreman
|
I think we should reconsider drugs.
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Chase
|
He already tested negative.
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Foreman
|
That's why I said reconsider. Back in juvie, I cut up oregano and sold it as pot.
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Chase
|
Is that how you put yourself through med school?
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Foreman
|
What if Clarence thought he was taking heroin, but it was something else?
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House
|
What "something else"� could lead to anion gap acidosis?
|
Chase
|
Mudpiles.
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House
|
Well, you don't have to ask. Just wash your hands before you come back.
|
Chase
|
Methanol, uremia, diabetes!
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House
|
Oh, it's a mnemonic. That makes sense, too.
|
Cameron
|
Paraldehyde, INH, lactic acid "�
|
House
|
Rewind.
|
Cameron
|
INH?
|
House
|
Yahtzee!
|
Foreman
|
Drugs for tuberculosis.
|
Chase
|
Nearly a quarter of the prison population is infected with TB.
|
House
|
ClEver entrepreneur like Foreman here, chops up his meds, passes it off as heroin.
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Cameron
|
INH poisoning would explain all the symptoms.
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House
|
Who wants to head over to the prison and find Clarence's secret stash? [No one looks too thrilled.]
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Foreman
|
Fine, I'll do it.
|
House
|
Great, Chase it is.
|
Chase
|
I assume you have a reason beyond wanting to make me completely miserable?
|
House
|
You've got a prettier mouth. Better chance the inmates will open up to you.
|
Guy with bandages all around his face
|
Perhaps I'll come out looking just as monsterous? I mean, isn't that what I deserve? [House is watParkng the program in a hospital room, eating lunch, next to a Patient who looks very inert. Enter Wilson.]
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