- 145 pounds!
Johnson! Miller!
- Aaaah!
- Aaaaah!
- House.
House.
I know you're not asleep.
- That insight would be a lot more impressive
if you weren't just a product of my exhausted brain.
- Aren't you curious about why I'm here?
- curious why no french maid's outfit.
No spanky pants.
- I'm a hallucination... not a fantasy.
- It's insomnia.
Four nights without REM sleep can cause—
- That might explain why you're hallucinating.
Doesn't explain why you're hallucinating
Wilson's dead girlfriend.
- Probably just my secret and very unconscious desire
to get Wilson into my bedroom.
- Or maybe your guilt of Kutner's suicide
reminds you how guilty you felt about me.
- Who cares why you're here?
A decent night's sleep, you won't be.
- Guess I'll be around a few more hours.
- Need some coffee?
- Addictive substances are no substitute
for nature's healing balm.
Let's make this fast. I need to sleep.
- Deaf 14-year-old started hearing imaginary explosions.
- Exploding head syndrome.
Cool.
Well, obviously his brain knows how to hear.
- Patient went deaf at age four.
Complication of meningitis.
- So why no cochlear implant?
- Usual suspects are insomnia,
which he doesn't have, migraines, which he doesn't get,
and head trauma which didn't show up on the CT.
- Damn imaginary pen.
- Mom's signature's on everything.
Did the dad die?
- No, I doubt it. He was a sperm donor.
Medical records couldn't be cleaner.
- So we're left with temporal lobe seizure.
- Wrong.
- Someone at the wrestling meet
would have noticed a seizure.
- Could have just looked like a bad shot to the leg.
Put him in the seizure lab.
See if his head blows up all over again.
- You're gonna ignore your own subconscious?
Gonna be the limp leading the blind.
I need a 'scrip, for sleeping pills.
My neighbor's dog's been keeping me awake,
and seems strangely invulnerable to poison.
Why is the soon-to-be- second-prettiest Dr. Chase here?
- I'll take that as a congratulations.
- We're discussing a case.
- Why did he close that file?
- Wedding in two weeks?
I'd say you were pregnant,
but I don't think Chase's body is mature enough
to produce sperm.
- It's a small ceremony. Why wait?
- Nighty night.
- Drugs with no lecture?
He wants you out.
- Interesting case?
- Possible prostate cancer came into the E.R.
- Pencil cup.
- Oh!
No wonder his prostate's enlarged.
It's full of pool cues and cigars.
- Chase's best man doesn't get here
till the day of the wedding,
so I asked Wilson to throw his bachelor party.
- No retired ministers available to plan it?
- Chase doesn't want some big, raucous party.
- So she says.
- Luckily, there are people in this world
ready to stand up for what's right.
- No, no, no, I don't want— I don't want you to—
- Listen, two things I do well.
Bachelor parties rank towards the top.
- I get to help, right?
- Starting five hertz.
House made it through that entire differential
without mocking our patient
for not having a cochlear implant.
- The patient doesn't want an implant
because he's comfortable with who he is.
It's admirable.
- He's deaf.
It's not an identity, it's a disability.
- It's also a culture.
The deaf have their own schools, their own language.
Still no spiking.
- Going to 20.
Anything I can simulate with a $3.00 pair of ear plugs
is not a culture.
No sign of seizure.
Temporal lobe activity is still clean.
- Doctors... doctors, he can't see.
One of his eyes.
- The limp leading the blind.
- Is that supposed to mean something?
- I didn't think so.
- So exploding head syndrome, plus vision loss.
- Subclavian steal syndrome.
Vascular defect coupled with constant arm movement
could siphon blood flow from the brain.
- We should do an angio, check his—
- Knock yourselves out.
- How did I know he was gonna go blind?
Don't get cute, gazoo.
You're in my mind. You're obviously there.
- C-reactive protein.
I noticed in his file it was slightly elevated.
I figured the stress of the seizure lab
would drive inflammation even higher,
lead to optic neuritis.
- That's a lot clearer than "the limp leading the blind."
- It was just a glimmer. I couldn't put it into words.
- It was a long shot.
I don't even remember the C-reactive protein level.
- Obviously you do.
You just don't know it.
- How high is K2?
- I don't know. - Me neither.
But I read a book about it years ago.
Fierce, sexy sherpa on the cover, bending over—
- 28,251 feet.
- Cool.
An all-access pass to my own brain.
- Go play the kid some music.
- Why?
- Another long shot.
- We're using iodine dye to track blood flow
in your neck and arm.
House, what are you doing?
- What does it look like I'm doing?
Fighting the power.
Feel that?
How cool is that?
Apparently your mom doesn't care what you're missing.
- You're an ass.
- He says he feels the vibrations in his abdomen,
but not his hands.
What does that mean?
- It's a new symptom.
Neuropathy.
- Thought you were gonna get some sleep.
- Case got interesting.
- Like the zoo.
Except you can bang on the glass as much as you want.
- How did you know about the neuropathy?
- Good question.
- Enough with the riddles.
- Tell me about it.
- Think "wrestling record."
- Juggling.
No, pins.
Three pins.
Patient was pinned in his last three matches.
Leading up to that, he was 15 and 0.
I figured his balance was off from diminished sensation.
- Could be increased ICP from a brain tumor.
- That we missed on the head CT?
- Cutting weight for wrestling
could have led to rhabdomyolysis.
- He just went up a weight class three months ago.
- Foreman's right.
- Actually, increased ICP could make sense.
- You just said—
- I was processing.
- It also puts a new symptom on the table.
- His deafness.
What if it was caused by NF2 cancer
instead of his childhood meningitis?
- So meningitis was a coincidence?
- Or a byproduct of the cancer suppressing his immune system.
MRI his head.
- If you're right about NF2, his deafness may be reversible.
I'll set it up and talk to the patient.
- You two... doing anything?
- You know what a broken cowboy is?
It was on House's list of requirements.
- I have three theories.
- Why is House so into this bachelor party thing?
- He needs to have a reason to be into a bachelor party?
- He needs a reason to be into anything.
- Give me your wallet.
- House could be trying to tempt Chase into cheating.
Break them up.
- You think House is into Cameron?
- I think House is into Cameron being into him.
Marrying Chase would shatter that fantasy.
- If Chase cheats,
then they shouldn't be getting married in the first place.
- So you're okay with House
getting Chase smashed enough to make a stupid mistake?
- Being drunk doesn't change who you are.
It just reveals it.
- You think she can do the broken cowboy?
- God, I hope so.
- NF2 is an extremely slow-growing cancer,
which makes it very treatable.
If we're right, taking out the tumor
means there's a chance you'll regain your hearing.
- No.
He said you have to.
- What's wrong?
- He wants you to treat the cancer, but leave him deaf.
- Uh, sorry.
Doesn't work like that.
- Imaging shows slightly elevated ICP,
but no masses on or around the nerves.
It's not cancer.
- Slight bowing in the wall of the fourth ventricle.
Could still indicate a tumor.
- We brought pictures.
- The fact that you sent me on a scouting mission—
- No skirts.
- You're not on the guest list.
Bachelor parties are an ancient and sacred male rite of passage.
- The ventricle bowing is most likely
a pre-existing anatomical anomaly,
not the indication of a tumor.
- No way to know for sure without a brain biopsy.
If I get drunk enough, there's a chance
I might make out with one of the strippers.
Or become one.
Sold.
- We can't just drill
into our patient's brain on a hunch.
Oh, God, not her.
She's the one that got me hooked in with Madoff.
- Taub's right. It's not cancer.
- Yeah, by all means,
abandon a great diagnostic theory
because it's difficult to prove.
Do a biopsy.
We need to take a better look at his fourth ventricle.
- Or an older look.
- The mom's never gonna let us touch his brain
without some evidence.
- Patient broke his nose years ago.
Hospital could have done an MRI.
Okay.
- The main reason my third wife and I eloped
was to avoid House's bachelor party.
Have you seen Caligula?
- My patient's brain now...
versus three years ago.
See any difference?
Is he telling you to avoid the party?
- I took an oath to do no harm.
- Sure, don't come.
If you want your wedding vows to be meaningless.
- This should be interesting.
- You are going to commit
to that one special woman forever,
which is beautiful.
But if your commitment the day after the wedding
is the same as your commitment the day before,
then the wedding meant nothing.
So, and I see no logical way around this,
if you want your marriage to matter,
you have to be a wanton, trolling,
muck-covered pig the day before.
- You're evil.
See ya.
- The wall of the fourth ventricle changed.
It isn't bowed in the older scan.
- Evidence of NF2, right?
- You'd need to do a brain biopsy to confirm.
Uh, I'm not going to the bachelor party.
Every time I go to one of your parties,
I end up embarrassing myself in some new and unexpected way.
- That whole thing with the duck was hardly unexpected.
- I'm not going.
- Okay.
- It's not okay.
Do you know who we need?
That stripper you got for Wilson's bachelor party.
You could do body shots right off her.
- Why go back to that well?
In the nine years since Wilson's party,
a whole new generation of hot girls
have been abused by their stepfathers.
- She loved cats.
- What made you remember the stripper loved cats?
- Chase has a cat.
They'll bond.
Ahem, House?
You, uh, entertaining yourself up there?
- Just rehearsing for the revival of Evita.
What'd you find?
- The biopsy shows nerve inflammation
consistent with increased intracranial pressure.
Something's wrong, but it's not cancer.
- He's gonna go through life deaf.
- He's okay with that.
- He has no idea what he's missing.
His mom's a moron.
He's gonna pay for her stupidity
for the rest of his life?
Are we okay with that?
- Why are you closing?
Let's put in a cochlear implant.
- That wasn't in the paperwork.
- Really? Well, someone must have screwed up.
I'll go track it down.
- I'll wait.
- That's a great idea.
Let the kid spend more time under anesthesia
with his skull cracked open.
- I'll wait.
- I have been known to lie to serve my own agenda.
An implant does absolutely nothing to help me diagnose him.
- Let's get an implant tray in here.
- Just— just try to relax.
- Just during the recovery phase...
- Her son didn't want the implant.
- If he still doesn't want it after having time to adjust,
I'll take it out.
I'll blind him too,
if he wants to experience that culture.
Remove it now.
- Kid's just had brain surgery.
He's not stable.
- Ms. Miller,
I'm not trying to minimize Dr. House's wrongdoing.
But the best thing... - Why is she sitting?
She's not yelling, not threatening, not pacing.
Just sitting.
- Understand, Dr. House?
House!
Focus.
I need you to say you accept the arrangement.
- No problem.
You're not mad.
- I'm mad.
- Not mad enough.
You wanted your son to hear.
You just didn't have the guts to make him get the implant.
- Once my son is stable,
I want that thing out of his head.
- Why did you do this?
- Because he is ignorant,
and he's being raised by an idiot.
- Not good enough.
You always have—
- My patient is opting into a handicap!
It's an insult to all the other gimps out there.
- Okay.
But I'm still putting Foreman in charge of the case.
- That's the arrangement?
- Okay.
- You're okay with Foreman in charge?
Who you calling?
Oh... right, you don't want to look like a lunatic.
- Yeah, about that...
- You think we did the wrong thing?
- I'm not sure.
I'm not even sure why we did it.
- Well, that argument you made to Cuddy
sounded pretty good.
- To you, maybe.
- Huh.
I figured by now you'd be at the board
in your monocle and jodhpurs.
- Yeah, you did something stupid.
Quick, better mock someone.
- Why did you do it?
- Why did I give a human being the power of hearing?
You ask God the same question, he'll give you the same answer.
- Patient has a fever now too.
- Probably just a post-op complication.
Arnold-Chiari?
- Not without muscle weakness.
- Pseudotumor cerebri?
- We checked his eyes before the surgery.
No papilledema.
- Candy?
I'm pretty sure Wilson's stripper's name
was something sweet.
- Maybe his fever is more than the post-op reaction.
His girlfriend was sick a few months ago.
Maybe her flu was really Epstein-Barr.
- Lolli?
- They swap spit, virus travels to his brain,
leads to meningitis,
leads to increased intracranial pressure.
- I agree. Taffy?
- I agree.
- Go ahead, start him on rivavirin for Epstein-Barr.
- Keep making decisions like that.
It really bolsters the illusion that you're in charge.
- Why aren't you in my office?
- Because I know what the word "my" means.
- I did something insane,
and you're not all over me analyzing why.
- It was nice.
- I gave that idiot an implant
to prove to him what an idiot he's been.
How is that nice?
- You didn't do it to solve the case.
You didn't do it to save his life.
You... did it to make his life better.
It was a caring act.
Which you did in a way that was...
immoral and illegal, but...
baby steps.
- Doesn't sound like us.
- You can't make me go to the bachelor party.
- I know.
- And you're okay with that?
- What choice do I have?
Seth!
Please, God.
"Seth"?
Yes.
Seth.
Oh.
I think he just wet the bed.
- The kid's dehydrated, but stable.
Thankfully, the fountain of whiz
seems to have stopped for the moment.
- Not before hosing Epstein-Barr off the table.
Now eat up.
We're gonna pick out the ice cream flavors
for the bachelor party.
- Could be systemic autoimmune disease.
Sarcoido—
This tastes like... Vodka.
- Well, it'd be stupid if it tasted like bourbon.
That's the brown one.
- It is vodka?
- Flash frozen in a secret process.
Guy figured it out in his basement.
Lemoncello.
Genius.
- Symptoms came on too hard and too fast.
Sarcoidosis is progressive.
- Remember in med school
when Donovan gave grand rounds?
There was that guy who was peeing liters.
- Glomerulonephritis?
A wrestler—steroids could have damaged the kidneys.
Hmm, the scotch is nice.
- His urine would have been brown.
- Donovan ruled out osmotic diuresis—
Kidney disease.
- Pheochromocytoma? - No hypertension.
Plasma metanephrine's normal.
- Devic's?
- It happened at night.
That was the clue.
Night, recumbent body position,
changes in B.P.
- It's his heart.
Run a 12-lead EKG, watch him for four hours.
Foreman concurs.
What the hell just happened?
Everything started to fade away.
- You're getting better at focusing.
Ignoring everything that doesn't matter.
Uh-oh.
He looks pissed.
I think he might hit us.
- Is your eyesight better than mine?
- We need to talk about the bachelor party.
- Excellent topic choice.
Surgery's so boring,
and my lying to you is just so yesterday.
- It's my fault for letting you talk me into the implant.
Cameron is not gonna be happy about this party.
- But you, on the other hand...
- Plan on spending the rest of my life with Cameron.
- So... I need to cancel the fart band?
- So... I need you to kidnap me.
- Spoken like a true Aussie.
By the way, if you know where I can get me the sheet music
to Waltzing Matilda...
Hey... want some ice cream?
We're having a sundae bar.
- Sweet.
- That's her name.
- Sundae or bar?
- Karamel.
- With a "K."
Bathroom?
- Down the hall, two doors on your right.
- Thank you.
- Do I... sound like...
her?
I do.
- It takes time.
- You still haven't slept?
And then I have a clever response.
- EKG, normal sinus, normal intervals.
His heart's fine. - His heart's not fine.
- The heart was fine during this test.
The arrhythmia's hiding.
- Or we were wrong about the heart.
- Could be the thyroid.
- Hashimodo's would explain the kid's urine
and brain pressure.
- Treadmill.
- Or the arrhythmia is hiding.
We need to stress him.
Put the patient on a treadmill.
- The patient just had brain surgery.
A stress test could cause a brain bleed and kill him.
- I value your opinion.
I value rejecting your opinion.
- You're not doing this.
You haven't been sleeping.
- Cuddy doesn't actually want you in charge.
She just wants to avoid a lawsuit
and to win an NAACP award.
- And if I let you risk our patient's life
testing an organ we already tested,
we accomplish neither.
Run a thyroid panel.
How do we get him into the stress lab
without Foreman's sign-off?
- We could kill Foreman.
Is she new?
- Focus.
The lab simulates stress.
What if it's not simulated?
- We could tell him his girlfriend dumped him.
- That's a tough sell.
She never leaves the room for more than five minutes.
We could kill her.
Or... asthma meds.
Force the heart to beat faster.
- Revealing the arrhythmia.
Nice idea.
- It was yours.
- I just left the room for a few minutes.
He ripped out his implant.
So much for improving his life.
- Actually, I think we just saved it.
- Look at that.
Arrhythmia.
- You were right about the heart.
Should have listened to you.
- The correct phrasing would be,
"I should always listen to you."
- He's got problems everywhere.
What goes everywhere?
- Blood. Could be thrombocythemia.
Excess platelets lead to clotting throughout the body.
- Not with a normal platelet count.
- So the clotting doesn't start in the blood,
it starts in the lungs— pulmonary embolism.
- Should do a VQ scan, see if his lungs are clear.
- Go.
You sure I did this at Wilson's party?
- The last time, you used grain alcohol
instead of the sambuca.
- And it worked?
Explains my lack of eyebrows by the end of the evening.
By the power of greyskull, I—
- This is why we're rehearsing.
Ever wonder what's happening
every time our patient gets sicker?
- Not right now!
- First symptom, wrestling.
Then, under the lights of the seizure lab—
- Are you going somewhere with this, because this feels—
- Just keep doing what you're doing—it helps.
Then, under the stress of blindness...
and post-op fever.
What do all the symptoms have in common?
- Heat.
See, if you hadn't been here,
that would have just popped into my head.
Which actually would have been way cooler.
Foreman, kid's got Uhthoff phenomenon.
Which means it's MS.
Start him on double-dose interferon.
- Let's get our drink on.
- Not before I've added "chemical burns"
to this guy's cause of death.
- Well, the patient's responding to interferon.
Looks like I can retire as department figurehead.
- Dr. Robert Chase.
We're with the department of citizenship
and immigration.
Did you recently apply for a marriage license?
- Uh... Yes.
- According to our records, your work permit is expired.
If you could come with us.
- Um, I'm his fiancee.
I can come along and clear this—
- I'm sorry, ma'am. Illegals only.
- I'm—I'm sure it's a mistake.
I'll call you as soon as I know what's going on.
- Don't let House get him in too much trouble.
- Oh ho!
- Allow me to welcome you
to the best night of your life.
- Ahem!
- Whoo!
- Yeah!
- Now, aha, a few ground rules for the evening.
Uh, safety is job one.
We've now gone 18 days without an injury in the workplace.
Uh, yes, these girls are all
working their way through law school.
Don't test them.
- House!
- I knew you couldn't stay away.
- This is my apartment.
You can't do this.
- Clearly, reality begs to differ.
- Where's my furniture?
- Out back somewhere.
- James!
- Karamel?
Hi.
- How's your wife?
- Uh... we—we got divorced.
- Ohh.
- How is your cat? - Dead.
- Oh.
- How 'bout we go have a drink?
- Oh... Okay.
- Yeah... yeah...
- All right! - Yeah!
- You're okay with this?
- I paid 50 bucks for this.
- You guys are great together.
Trust is everything.
I gotta get some air.
Keep it real.
- You should be out there...
enjoying the lap dances of your labors.
- Eh, I kind of like it in here.
- Me too.
To us figuring out M.S.
- And the blindness and neuropathy and arrhythmia
and anything else we did.
What exactly did my team do?
- Look good in their lab coats.
Except for Taub.
- Some people just work better alone...
so to speak.
- One more drink.
- No! I can't!
I need to take a break.
- Meet Karamel.
- Huh?
- Maybe one more drink.
- Ooh...
- What's that taste?
Is that—
is that strawberry?
- House, you in there?
- Use the other bathroom.
It's in the kitchen.
Looks like a sink.
- Chase went into anaphylactic shock
from the stripper's body butter or something.
- Is he okay?
- One of the residents had an epipen, so he's fine.
We're taking him to the hospital to be safe.
- Okay.
- I knew that Chase was allergic to strawberries,
didn't I?
That's why you wanted Karamel at this party.
- I suggested Karamel
'cause she was great at Wilson's party.
- I knew about her body butter
and about his strawberry allergy.
I tried to kill Chase.
Why would I do that?
I don't want Cameron.
- You're not a big fan of other people's happiness, either.
Hello.
You confirm?
Thanks.
That kid we saved...
he's dying.
It's not M.S.
We were wrong.
- Thank God you're okay.
What happened?
- It was a good—
- Uh, long story.
- Your patient's lung failure rules out M.S.
We put him on a ventilator.
- Uh, enlarged lymphs could—
- Are any of you sober?
- Turn around. You need to go to the hospital.
- I need to sleep.
- I'm you.
You can't just shut a door.
- You tried to kill Chase.
I need to push you back down.
You're dangerous.
- That's the hospital.
- Not answering.
Hello.
- I'm here with your team,
trying to sober them up
so they can... help treat your dying patient.
- Foreman's dying patient.
- What causes lung failure
plus your patient's previous symptoms?
- Eosinophilic pneumonitis.
White blood cells accumulate, clog up the lungs,
lead to heart problems.
It fits.
- House, are you there?
- It's not eosinophilic pneumonitis.
I gotta crash.
- House, don't hang up. We need your help.
- I can't.
- We can solve this.
- Good night.
- Eosinophilic pneumonitis could actually make sense.
- No, House ruled it out
because it would affect the larynx.
Patient would be...
Hoarse,
Which we wouldn't notice in a deaf kid
who rarely speaks.
- Wait.
Everyone's getting breath mints.
- We need to hear Seth speak.
- But that means taking out the tube.
Isn't that dangerous?
- It's the safest way to confirm what's wrong with him.
- I need him to breathe out as I pull on the tube.
- okay. Breathe out.
- Say, "ah."
- Ahhhh.
- I'm sorry. We were wrong.
I need to, uh, suction out your throat
before we reintubate.
Your son smoke?
Smoke?
I don't think so.
- Tobacco stains on his teeth.
- He says he used to chew tobacco
to cut weight for wrestling.
- Used to?
- Chewing tobacco wouldn't explain his symptoms.
- But not chewing tobacco might.
Taub was right. It's sarcoidosis.
The tobacco releases toxins.
Those toxins suppressed his immune system.
Once he quit chewing,
the absence of those toxins
kicked a dormant condition into hyper-drive.
- Is it treatable?
- Usually responds to corticosteroids
and methotrexate.
I'll start the meds.
- I need sleeping pills.
I was gonna hit up Wilson,
but he's not answering his phone.
- He must have left it in his pants.
Which he wasn't wearing
when the police found him trying to walk home...
oddly, from his own apartment.
- Pills.
- Your patient's doing fine.
Thanks to your team.
- It wasn't eosinophilic pneumonitis, was it?
- Sarcoidosis.
- Good.
- House, please talk to me.
- I haven't slept through the night
since Kutner killed himself.
- The wrestling might have to wait.
I'm gonna tell your doctors to repair your implant.
- And then you ripped it out
rather than live with it for a few days, even.
I'm your mother.
This is my call.
I don't know if I'm making the right one.
But it's mine to make.
- Sleep well?
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