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#1Pilot (2004/11/16)
A young woman named Rebecca is teaching her kindergarten class when she begins to have trouble speaking. Soon, she collapses on the floor and begins convulsing. At the hospital, Dr. James Wilson, describes the case to Dr. House. Female, 29, first seizure one month ago, progressive deterioration of mental status. The doctor asks House to take this case and put his team to work on it.

House's team consists of three young genius doctors: Allison Cameron, Robert Chase and Eric Foreman, all bored stiff by House's lack of cases. After much persuasion, House agrees to look over the patient. Later, the hospital administrator, Dr. Lisa Cuddy, scolds House about not doing his job. Even though he has tenure, she can still let him go if he avoids his duties of seeing patients.

Cameron and Foreman give Rebecca a CT scan, but she has another seizure inside the machine. The doctors perform an emergency tracheotomy to facilitate breathing. Later, House wonders if Rebecca has vasculitis, or inflamed blood vessels. Allison points out that you can't diagnose vasculitis without a biopsy. House recommends they give her steroids to treat it and just see what happens.

House suggests to Foreman that he break into Rebecca's apartment to inspect it. Foreman is reluctant, but does it anyway. Elsewhere, the steroids seem to be having a positive effect on Rebecca. Later that night, Wilson gives Rebecca some basic tests and she proclaims that she can't see. More convulsions follow.

The next day, Foreman gives Rebecca a basic test which she fails, then passes. House suggests that they let her die, but pay attention post-mortem so that they can finally learn what disease she was suffering from. Foreman and Cameron inspect Rebecca's apartment. They find nothing. Back at the hospital, Foreman reveals in passing that Rebecca had ham in her fridge. House has an epiphany -- Rebecca must have a tapeworm in her brain. Although this new revelation is diagnosed, Rebecca doesn't want any more treatments. She just wants to die in peace. House calls her a coward. She wants proof it was a worm since he was wrong on vasculitis. Chase suggests a plain old x-ray to check for worms. House realizes he's right. If there's a worm in the brain, there is definitely one in her leg.

Chase shows Rebecca the x-ray. A worm larvae is in her thigh muscle. She will make a full recovery, and only require a small number of pills to get rid of the worm.
#2Paternity (2004/11/23)
A family arrives for an appointment with House even though it's a walk-in clinic. They claim to have a letter from him about the appointment, which is odd because House doesn't write letters. It seems that Dr. Cameron wrote the letter and signed House's name to aid the family.

House agrees to see the patient. Dan is a 16-year old who has the sudden onset of double vision and night terrors. House says that post-traumatic stress and sexual abuse are two common symptoms. Dan, a high school lacrosse player, admits that he was recently struck in the head. House tells the kid to get some glasses to correct the double vision and ride out the concussion that's causing the night terrors.

As the kid is leaving, House notices Dan's foot twitch and he asks if he's tired or about to fall asleep. He isn't, and House knows the myoclonic jerk is common when a person is falling asleep. The body misinterprets a falling pulse as dying and jolts you awake. House instructs his staff to admit the patient.

House bets Dr. Foreman that the dad isn't Dan's biological father. They can't rule out genetic causes just yet. During the first night, the patient has another night terror, which is recorded on a polysonagraph. But a series of scans and tests show no explanation for the symptoms. House re-examines the MRI and orders another test that shows there is significant blockage. A shunt is inserted to relieve the pressure. After surgery, it turns out what they thought was the issue was only a symptom of something larger. Is it Multiple Sclerosis?

That night, Dan goes missing from his bed. Cameron, Chase and Foreman set off on a search, eventually finding Dan on the roof. Dan thinks he's on the lacrosse field walking around. The doctors tackle him moments before he wanders off the edge of the roof.

The next morning, House is confused by Foreman's report from the roof. House is thrilled because this means Dan doesn't have night terrors -- and thus, is not suffering from MS. Dan must have an infection in his brain, which House thinks is neurosyphillis.

As Cameron and Chase inject penicillin into Dan's brain, he begins having another attack of voices in his head. The auditory hallucination disproves neurosyphillis. House orders more tests to read Dan's brain. He notices that the parents have left their lunch behind in the hospital, so House takes a sample to run a DNA test. Cameron finds that neither of them are Dan's biological parents. He's adopted. Was his birth mother vaccinated? House thinks infant Dan caught a basic measles virus that mutated and reappeared 16 years later after settling into his brain. He suggests injecting a needle into the boy's eye to do a biopsy on his retina.

That frightening test reveals the mutated virus which requires a dangerous brain surgery. However, the surgery if effective and Dan will be fine. Turns out Dan already knew he was adopted after doing his own research in the fifth grade.
#3Occam's Razor (2004/11/30)
Brandon, a 22-year old male, passed out after having sex with his fiancee. He had been complaining about a cough and a rash beforehand. Now he is suffering severe abdominal pain, nausea, fever and low blood pressure.

A quick scan and exam reveal nothing, so House and team look for alternate answers. Dr. Cameron points out that no condition accounts for this many symptoms. House realizes they need to control the patient's blood pressure first, and they run a core stem test and an EKG test among others.

The tests don't reveal much, but Dr. Foreman sees a result that signifies that the antibiotic treatment is shutting down Brandon's kidneys. Foreman theorizes that Brandon has a heart infection, not a stomach infection, which explains each symptom. Yet this is a 10 million to 1 shot. House, looking at a list of Brandon's symptoms, offers that two possible conditions combined -- a sinus infection and hypothyroidism -- account for all of Brandon's symptoms. And that's only a million to 1 shot. Since there's no time to wait for test results, he wants to start treating the sinus and thyroid immediately.

Foreman checks in on Brandon. The patient is feeling better but is still stuck with a cough. Foreman reports that Brandon tested negative for hypothyroidism. He insists that it can't be two illnesses and House's treatment regimen will only harm Brandon's liver. It could even kill him. House offers Foreman a $50 bet. If Brandon's white blood count goes up, Foreman is correct in presuming that he's actually fighting off an infection.

Brandon's white blood cell count drops. Both of their hypotheses were wrong. If Brandon gets so much as a cold, his body won't be able to fight it off and he will die. House has a revelation. He asks Dr. Wilson which of Brandon's symptoms came first. It was the coughing.

After a little research, House knows the answer. Brandon had visited a doctor for his cough and his prescription for cough medicine was accidentally filled with gout medicine. That medicine stops mytosis, the process in which cells divide and replace dead cells. This is not occurring, which explains each of the symptoms. But Dr. Cameron points out that Brandon did improve, but then worsen after checking into the hospital and stopping the gout medicine.

House meets with Brandon's parents and demands to know who prescribed the cough medicine which led to their son's deterioration. His mother gave it to him. She produces the pill bottle, which validates House's thinking. Chase and Brandon's mother visit the pharmacy. Brandon was indeed taking cough medicine and not gout medicine, disproving House's theory. House is incredibly annoyed that his elegant, thoughtful hypothesis wasn't proven right.

Dr. Wilson suggests exploratory surgery to find out what's in Brandon's blood. During the prep for surgery, Brandon's heart stops beating and the doctors shock him back to life. Cameron tells House about the surgery emergency and also mentions that Brandon is experiencing pain in his fingers. House has another revelation. He barges into Brandon's clean room and announces his diagnosis of colchicine poisoning. The order of Brandon's symptoms fits perfectly, which means that Brandon is doing drugs. Brandon admits that he's done ecstasy twice, which House notes is cut with colchicine. A quick fix and Brandon will be just fine.
#4Maternity (2004/12/7)
Still in the hospital, the newborn Hartig daughter spits up and the mother is concerned because the baby hasn't eaten anything yet. The baby suffers a seizure. Later, a nurse who was in the room recounts the incident to another doctor in the lounge. She discusses the baby's bowel obstruction. House overhears their chat and quickly leaves.

House presents Baby Hartig to his staff as Exhibit A. Exhibit B is Baby Hausen, another newborn who is also ill. House thinks an infection is spreading throughout the hospital, but Dr. Cuddy isn't buying it. House tours his doctors in the maternity ward to check the twelve newborns in the hospital. Nothing. But they do find one more baby upstairs with a sudden fever and similar symptoms.

House and crew discuss three sick babies and the symptoms. With a spike in fever and low blood pressure, these children could be dead in one day. The group thinks it might be a bacterial infection. Since there's no time to wait for test results, House orders the treatments to be started. Each baby gets an MRI. Nothing shows up on the scan, so the doctors continue administering two antibacterials. One of them starts causing the kidneys to shut down in two of the three babies. But which one? House says there's no point in guessing, so take Baby Hartig off the Astrianam medication and Baby Chin-Lopino off the Vincomiacin.

Dr. Cuddy and a hospital administration refuse to allow House to change the treatments without informing the parents. He pleads that this experiment will save at least six more babies, so Cuddy gives him the green light. Later, the Chin-Lopino baby's health begins to worsen with a falling heartrate and blood pressure. The doctors rush in and try to shock the baby back to life. The baby dies. The Astrianam doesn't work. House instructs his staff to cover the rest of the babies with Vincomiacin.

Chase informs the team that the Vincomiacin isn't working either as the Hartig baby is getting worse. Perhaps it isn't a bacterial infection. House performs an autopsy on Baby Chin-Lopino and devises a theory that it is a virus and not a bacteria that is affecting the babies' hearts. Foreman complains that it could be a 1000 viruses. However, with the amount of blood in the babies' bodies, they can only run five or six tests. So House tries to narrow down the list of possibilities, and end up with eight. That is still too many with a limited amount of blood to be drawn. Chase gets to work. House also has Cuddy take blood from the one healthy newborn in the hospital to use as a control group.

The sick babies all test positive for Echo virus 11, CMV AND Parvo virus B19. The healthy baby tested positive for Echo and CMV antibodies. House realizes that these infants still have their mothers' blood and immune systems, so he orders a test on the mothers to see what they have antibodies for. Whatever the women are missing is what is killing their kids. After more testing, the doctors settle on Echo virus 11. They have an experimental anti-virus in the hospital and give it a shot.

Chase and Foreman bring good news to the Hartigs. Their baby is recovering. All of the babies are recovering. That night, House observes an elderly maternity ward nurse coughing and wiping her nose as she pushes around a cart of baby toys and blankets.
#5Damned If You Do (2004/12/14)
House's new patient, Sister Augustine, has hands red with boils. While her fellow nuns suspect stigmata, House suspects dermatitis brought on by an allergic reaction to dish soap. He gives her an antihistamine, suggests over-the-counter cortisone cream and sends the good Sister on her way. Unfortunately, the antihistamine leaves Sister Augustine gasping for air. House believes it is an asthma attack caused by an allergic reaction to the pill. He notices a rapid heartbeat and calls for a nurse.

Dr. Cuddy is certain that House made a mistake and maybe gave the nun the wrong dosage. Cuddy will have to notify hospital attorneys within 24 hours if House can't find an underlying cause for the heart failure. He runs his team through possible explanations. Cameron wonders if it is a disease that gives patients only five years to live with treatment. Foreman goes the easier route -- House merely messed up.

Sister Augustine goes into MRI, but inside the tube she becomes frantic about a smell. The doctors cancel the test and Sister Augustine screams that Jesus is coming for her. Suddenly, she suffers convulsions. Foreman notices a rash appear on the Sister's leg as he's holding her down. He finds out that the nun tested positive for herpetic encephalitis which causes a weakened immune system. This same symptom can be triggered by the medicine House gave her earlier. The group tries to figure out other possible causes.

Mixed connective tissue disease? The treatment for that disease is prednisone, which caused these problems in the first place. House recommends a hyperbaric oxygen chamber, but Foreman is concerned that will make things even worse. Foreman goes to Cuddy and she becomes alarmed at the rash hyperbaric treatment. Cuddy pulls House off Sister Augustine's case.

Cuddy meets with Cameron, Foreman and Chase to discuss potential treatments. House, meanwhile, asks Chase if Sister Augustine is hiding something. Chase suggests talking to the Mother Superior, and House pays a visit to the convent. Mother Superior discusses Augustine's troubled past as a foster child and the woman's self-aborted pregnancy. That doesn't interest House, but the tasty tea that the convent serves does.

It is figwort tea, which when mixed with even the smallest level of epinephrine causes instant cardiac arrest. House was correct all along. However, there is some allergy still lurking that has gone untreated for so long that it has manifested into a monster. House decides to introduce various allergens until one causes a reaction. Sister Augustine is placed into a hypoallergenic room but still goes into convulsions. The doctors are baffled. What in this sterile environment could make a person react so violently?

Sister Augustine decides that God wants to take her, so she requests to go back to the convent. House yells at her for constantly running away from her problems. Sister Augustine mentions that she has God inside her, which gives House a revelation. Examining x-rays, the doctors find a copper cross IUD inside Sister Augustine's uterus. She is allergic to copper.
#6The Socratic Method (2004/12/21)
A mother, Lucille Palmeiro, is hearing voices in her head. She feels a sharp pain in her leg, which turns out to be a blood clot. At the same time, Lucille's son, Luke, is working with a disability counselor to keep his mother's benefit checks coming in. She was diagnosed with schizophrenia last year. The clot moves to the Lucille's lungs and she collapses.

After Lucille is stabilized, a doctor explains her condition to Luke. The doctor is concerned that Luke is giving his mother alcohol, which he claims calms her down. House, overhearing the doctor's lecture, takes an interest in the case.

Why did this 38-year old woman develop a deep vein thrombosis? Dr. Wilson thinks House's only attraction to the case is the schizophrenia. House claims otherwise and drops in on the patient, which shocks Foreman and Chase. During his visit, House learns that Lucille has tremors which prevent her from shaving her legs. She must be bleeding more when she cuts herself. House orders a round of blood work.

Foreman tries to draw blood, but Lucille resists, exclaiming that they're going to steal it. She has to be forcibly restrained. Luke is upset with House for giving his mother Haldol to knock her out. She claims that Haldol makes her soul numb. That night, Lucille begins vomiting huge amounts of blood.

House upbraids Foreman for the dose of Haldol. House wonders if a Vitamin K deficiency explains the delay between the blood test and the vomiting. Foreman and Chase check the patient's home for any unused Anbecillin, which was prescribed earlier this year for a sore throat. Foreman finds a strongbox filled with meds, including an untouched bottle of Anbecillin. They also find a freezer loaded with microwave burgers. Luke says that's all she eats. House's theory about Vitamin K is becoming stronger.

Chase refuses to believe that the cause is merely a Vitamin K deficiency. He's sticking with alcohol as the cause. Chase and Cameron ultrasound Lucille's liver and find cirrhosis and a cancerous tumor. She needs a transplant because the tumor's size is past surgical guidelines. House suggests injecting ethanol into the tumor to temporarily shrink it so that the surgeon is fooled.

The surgeon operates, but is angry about House falsely shrinking the tumor. Social Services shows up to take Luke away. House starts to wonder if Lucille is actually crazy. That night, House accuses her of calling Social Services so that somebody will take care of her son. House agrees with the call, but that is a sane decision made from self sacrifice, and that doesn't fit in with schizophrenia.

Late that night, House has a revelation and begins calling Lucille's old doctors. They all hang up on him because it's so late. House thinks a specialist made an easy diagnosis. He gathers his team to search for other explanations to her symptoms. Wilson's disease is marked by high copper levels in the body. That does explain the cirrhosis. Seeing that Lucille cancelled an eye exam last year, they give her a quick test. The copper-colored rings around her corneas are a dead giveaway. The doctors start treating her for Wilson's disease.

Within a few days, a perfectly cogent Lucille is happily reunited with Luke. And House takes the blame for the call to Social Services.
#7Fidelity (2004/12/28)
After a morning romp with his wife, a man named Ed returned home to find his spouse sick in bed. Elise has remained there for days. At the hospital, Cameron tells House that the patient has been sleeping 18 hours a day, but the tests don't reveal anything.

House and his team go through the possibilities -- Depression? Parasites? House orders new blood work and another MRI. After more testing, Elise is told that there is no answer to her neurological problems. She goes into seizures.

House starts to suspect breast cancer. He also inquires about Elise's relationship with her husband. Cameron sets up a mammogram, and Elise reveals that her mother was about the same age when she died of cancer. The new tests show no tumors. Wilson thinks it's a small cell tumor, which is hard to locate. House wants to ignore the tumor until it gets bigger. House sends Foreman to Elise's workplace at a restaurant. The chef is adamant that the kitchen is perfectly clean.

Cameron is talking to Elise when she complains that her arm itches. Elise then sees her arm burst open and hundreds of ants crawl out. She screeches for the doctors to get them off her. Yet she is only hallucinating. Tests are still inconclusive. House believes that all of Elise's symptoms fit in with an African sleeping sickness. However, she has never been to Africa and never had a transfusion.

Cameron, Foreman and Chase consider amongst themselves to start treatments anyway, but each of those treatments would cause more problems. House then has a brainstorm. Anything that's in the blood can be transmitted through sex. He dispatches Foreman and Chase to ask Ed and Elise about their fidelity. They both adamantly deny any affairs.

Elise drops into a coma. The doctors still have no explanation. Again, Ed claims he has not had an affair. House tells Ed that he is going to give her a potentially fatal medicine and needs his consent. If Ed suspects there might have even been one time Elise was unfaithful, then they need to start treatment immediately. Foreman and Chase inject the dangerous medicine.

Elise's fever rises to 104. Just as House is telling Ed that they should have seen an improvement, Elise comes out of her coma. House tells Elise that he must know who she had an affair with so that the man can be alerted and given treatment. Elise cries, knowing that Ed has left her. Cameron tracks down Elise's former lover, who has a young son.
#8Poison (2005/1/25)
A student named Matt begins sweating and grimacing during a test. He stands up and passes out. His body goes into convulsions. Foreman presents the case to House. Matt has a severe case of bradycardia, which means that his heart rate is falling fast. House thinks it's simply drug use. While Chase is examining the boy, he begins seizing again.

On House's orders, Foreman and Cameron inspect Matt's home for signs of drug use. They turn up nothing, but Cameron does find a jar of tomato sauce with the lid popped. This could indicate a bacterial infestation. House says the seizures rule out food borne toxins. Or drug use, as Foreman points out. They suspect some sort of poison.

Matt is hooked up to an IV of pralidoxime. Chase tells the boy's mother that the blood work is conclusive that an organophosphate is causing Matt's trouble. Suddenly, Matt's heart rate plummets. Chase puts zoll pads on Matt's chest and their electricity brings his heart rate back up.

The doctors are stumped. Foreman mentions an experimental treatment that should work, but they need to know the exact poison. Foreman and Cameron go back to the kid's house to see what kind of pesticides might be used on the tomato garden. Cameron finds an empty can of disulfoton. Chase prepares an injection of disulfoton hydrolase, but Matt's mother insists he only used orange peel oil on the garden. He dumped the disulfoton out because he couldn't use pesticides in his environmental science class. Since the hydrolase would increase the toxicity if they're wrong, Mom begs Chase not to inject her son.

Cuddy tells House that he will need to get the mother to sign off on rejection of the treatment. He changes the legal language to be slightly more condescending when reading it to her. Mom changes her position. But before they can start Matt on the hydrolase, another patient named Chi is admitted with identical symptoms. Although the two have never had any contact, they do go to the same school.

Chase and Cameron inspect the school bus that Matt and Chi both rode that morning. The driver noticed a truck spraying near a pond. The country had been spraying ethyl-parathion to fight West Nile virus. There is a hydrolase for that, but Matt's mother refuses all treatments until she hears from the Centers for Disease Control. Cameron is sent in to talk to her, and she still refuses until an angry Cameron lays it out for her. Mom finally relents.

They administer the hydrolase. Later, both boys go into convulsions. The doctors save them, but the boys are left in terrible shape. It wasn't ethyl-parathion. They were poisoned in the morning at home. What's the answer? The lanolin in acne cream or deodorant? Foreman and Cameron head out on another inspection. They find a 128-ounce bottle of TKO detergent in each house. But Chi's mom says her son wore all-new clothes today that had never been washed. House and Chase salvage Chi's and Matt's clothes from the trash and run tests on them. They test positive for phosdrin. Time for another hydrolase.

Matt's Mom again rejects treatment until she hears from the CDC. House visits her once again. But instead of merely talking, he decides to just sit in the room with the medicine to pressure Mom. As House predicted, the CDC claims they can't diagnose simply by records. The mother agrees to the third hydrolase. Yet Chase had called her using a fake accent to tell her that the CDC had no opinion. The third time is indeed the charm, as Matt and Chi both recover.

Foreman learns that somebody was selling pants out of the back of his truck. The person's second job was at a cornfield. Some pesticide was spilled on the pants, which weren't washed. The boys were poisoned that way.
#9DNR (2005/2/1)
A student named Matt begins sweating and grimacing during a test. He stands up and passes out. His body goes into convulsions. Foreman presents the case to House. Matt has a severe case of bradycardia, which means that his heart rate is falling fast. House thinks it's simply drug use. While Chase is examining the boy, he begins seizing again.

On House's orders, Foreman and Cameron inspect Matt's home for signs of drug use. They turn up nothing, but Cameron does find a jar of tomato sauce with the lid popped. This could indicate a bacterial infestation. House says the seizures rule out food borne toxins. Or drug use, as Foreman points out. They suspect some sort of poison.

Matt is hooked up to an IV of pralidoxime. Chase tells the boy's mother that the blood work is conclusive that an organophosphate is causing Matt's trouble. Suddenly, Matt's heart rate plummets. Chase puts zoll pads on Matt's chest and their electricity brings his heart rate back up.

The doctors are stumped. Foreman mentions an experimental treatment that should work, but they need to know the exact poison. Foreman and Cameron go back to the kid's house to see what kind of pesticides might be used on the tomato garden. Cameron finds an empty can of disulfoton. Chase prepares an injection of disulfoton hydrolase, but Matt's mother insists he only used orange peel oil on the garden. He dumped the disulfoton out because he couldn't use pesticides in his environmental science class. Since the hydrolase would increase the toxicity if they're wrong, Mom begs Chase not to inject her son.

Cuddy tells House that he will need to get the mother to sign off on rejection of the treatment. He changes the legal language to be slightly more condescending when reading it to her. Mom changes her position. But before they can start Matt on the hydrolase, another patient named Chi is admitted with identical symptoms. Although the two have never had any contact, they do go to the same school.

Chase and Cameron inspect the school bus that Matt and Chi both rode that morning. The driver noticed a truck spraying near a pond. The country had been spraying ethyl-parathion to fight West Nile virus. There is a hydrolase for that, but Matt's mother refuses all treatments until she hears from the Centers for Disease Control. Cameron is sent in to talk to her, and she still refuses until an angry Cameron lays it out for her. Mom finally relents.

They administer the hydrolase. Later, both boys go into convulsions. The doctors save them, but the boys are left in terrible shape. It wasn't ethyl-parathion. They were poisoned in the morning at home. What's the answer? The lanolin in acne cream or deodorant? Foreman and Cameron head out on another inspection. They find a 128-ounce bottle of TKO detergent in each house. But Chi's mom says her son wore all-new clothes today that had never been washed. House and Chase salvage Chi's and Matt's clothes from the trash and run tests on them. They test positive for phosdrin. Time for another hydrolase.

Matt's Mom again rejects treatment until she hears from the CDC. House visits her once again. But instead of merely talking, he decides to just sit in the room with the medicine to pressure Mom. As House predicted, the CDC claims they can't diagnose simply by records. The mother agrees to the third hydrolase. Yet Chase had called her using a fake accent to tell her that the CDC had no opinion. The third time is indeed the charm, as Matt and Chi both recover.

Foreman learns that somebody was selling pants out of the back of his truck. The person's second job was at a cornfield. Some pesticide was spilled on the pants, which weren't washed. The boys were poisoned that way.
#10Histories (2005/2/8)
A woman is desperate to score some drugs. She heads to a house rave to get her fix, but doesn't have the $20 to get in. She begs to be allowed in to see her dealer, James. Once inside, the cops bust the party and the woman freaks out.

Wilson sums up her case for Foreman. A homeless woman was admitted with a suspected overdose. She has no ID and doesn't seem to know her name. She's got lesions on her skin and a twitchy wrist. Foreman is not happy to be handed this case. When the women seizes, he is skeptical that she's not merely acting. Foreman inspects her purse for insulin, suspecting diabetes.

Wilson goes to House for a second opinion. Foreman refuses to back down. House is more interested in who this woman is and her history. The next day, Chase sees the woman drawing and asks, gWho's James?h She freaks out and bites Foreman when he tries to help, drawing blood. Foreman bucks the rules to get the patient into an immediate MRI, using another person's name and appointment time. Cuddy shuts the MRI down before they can proceed because a CT scan shows that the patient has a surgical pin in her arm. The MRI would've ripped it out of her body. They can't proceed until they know who this woman is.

Using one of the woman's sketches as a clue, Foreman checks out a neighborhood. A homeless man directs him to a box where she lived. Foreman finds the box infested with bats. He also finds more sketches.

House removes the surgical pin and runs the serial number on it to learn that the patient broke her arm in a car accident on October 2, 2002. House confesses that he only wanted the MRI so he'd have an excuse to take out the surgical pin. The patient's name is Victoria Matson. Foreman checks out Victoria's blood work and realizes that she's allergic to iron dextran, which they were administering to treat low magnesium and electrolytes. They find Victoria in respiratory arrest due to the allergic reaction, but the doctors are able to save her.

Cameron has various records for Victoria Matson from area hospitals. There is nothing alarming, except for one ultrasound performed and one ultrasound appointment cancelled. Wilson suspects that doctors were looking for ovarian cancer. House orders an ultrasound of her ovaries. The test indeed shows cancer. House wonders if it's a tuberculoma mass, admitting that it's a long shot. He instructs his charge to start Victoria on INH, rifampin and streptomycin to treat tuberculoma.

Foreman tries to give Victoria some antibiotics, and inquires about James. She has another fit. Victoria now thinks the sunlight is burning her and that the water they gave her is poison. Foreman sedates her, reporting to House that she has a fever of 105. It can't be tuberculoma, because the treatment isn't working. Chase has the lab report from Victoria's biopsy. It is tuberculoma. House is confused why he was right about the diagnosis but its treatment is killing Victoria.

The team sets off to figure out what else Victoria has that would cause this reaction. If it's bacterial infection, then they would need to order a blood and urine test, plus a chest X-ray. The doctors also put her on an ice bath to fight the fever. The tests show nothing significant. House's crew suspects meningitis, but when they go to Victoria's room she is gone. Yet she drew a comic strip on the wall depicting a superhero who is searching for James. After a time, paramedics bring a semi-conscious Victoria into the hospital. Her heart is racing.

House realizes that Victoria's heart was racing because a cop tasered her. However, she didn't feel it hit her thigh because she has no sensitivity there. He takes a needle and pokes Foreman in the wrist where Victoria bit him earlier. He doesn't feel it either. Finally, Houses knows that it is rabies that has been afflicting Victoria. Although it is incredibly rare, a homeless person wouldn't get shots after being bitten. The bats in Victoria's cardboard box are the most likely culprit. Unfortunately, it's too late for treatment and Victoria will die in the next day or two.

Foreman, meanwhile, gets a shot in the gut to treat his rabies and then sets out to find the mysterious James. Foreman and Wilson head to the rave party house, and using more of Victoria's sketches as a guide, find a strongbox that contains photos of a normal Victoria looking happy with some man. They also find a marriage certificate for Victoria and a man named Paul, as well as a birth certificate for James, her son. They dig up a newspaper clipping about the car crash in which Victoria broke her arm. Paul and James were killed in the wreck where she was driving.

Foreman goes to Victoria's bedside, claiming to be Paul. He tells her that he's come to forgive her for the accident. In her stupor, she believes him and tearfully apologizes.
#11Detox (2005/2/15)
A teenage couple decides to go for a drive in his dad's Porsche. The boy, named Keith, begins choking and coughing up blood. Distracted, the girl spins the car out and they are broadsided by a bus.

Cameron presents the case: the 16-year old victim of M.V.A. has been in an out of the hospital with internal bleeding for three weeks. House attributes it to the car crash, but Cameron says the bleeding started before the crash. House is more interested in getting his Vicodin prescription refilled but the pharmacy is empty. Cuddy sees House popping more Vicodin and challenges him to quit his addiction. He says he takes it to treat the pain, so she offers a month free from clinic duty if he goes a week without pills.

Cameron mentions that the victim has non-inherited hemolytic anemia, which is incredibly rare. House dismisses it as meningitis, but that's not it either. He calls his group together and tells them they have to figure out why the patient's red blood cells are supplying oxygen to the body. House instructs them to run tests for an infection, as well as Lupus, drug use and cancer.

In talking to the patient's father, Cameron learns that Keith's girlfriend was formerly in rehab and that his mother died of pancreatic cancer. The radioimmunoassay test is negative on drug use. A Gallium scan shows no infection and a radioactive isotope injected into the bloodstream shows no inflammation. The Lupus test comes up negative as well. Wilson performs a biopsy to check for lymphoma, but that too is wrong.

While the doctors mull other possibilities, Keith complains that he has something in his eye. The doctors find nothing, but Keith still can't see. Foreman observes a retinal clot. However, any treatment for the clot would kill him because of his low blood flow. They have two hours to save either his eye or his life. House asks his team how something could be causing both internal bleeding and clotting. Infection causes clotting, so what would be hiding from the Gallium scan? It must be a cardiac clot that flicks off and travels to the eye.

Chase performs an echocardiogram on Keith's heart, but begrudgingly admits that they are not going to treat his eye. The blindness will become permanent. Chase later tells House that the test showed no cardiac infection. House has him up the antibiotics. Chase thinks he can remove some liquid from the eye itself to make room for the clot to move out on its own. Chase leaves and House backs against a wall. He's in tremendous pain.

With a needle, Chase removes some vitreous humor from the eye which helps Keith see again. After the procedure, Keith's girlfriend comes in and kisses him. He vomits. The doctors rush him to the ICU. His liver is shutting down and he is dying. Keith's father is enraged. Cameron asks House if proving Cuddy wrong is worth all of this.

The team wonders what would cause liver damage. Hemolytic anemia is ruled out. House suggests hepatitis-E, even though Lupus is more likely. House thinks they need to rule out hep-E because it has no treatment, so he instructs the group to give Keith mendrol, which will react with the hep-E to make him worse. If not, they'll know that Lupus is the cause. Outside, Foreman tells Cameron that House is detoxing from Vicodin and is losing his mind. In his office, House sweats in pain.

Cameron tells Keith's father that she believes his son is afflicted with Lupus. To distract himself from the pain, House smashes himself with a paperweight and breaks a bone in his hand. As Cameron is treating him, Cuddy demands to know why House had Cameron lie. Now Keith's father wants his son either treated for Lupus or transferred. But when Cameron tells him that Keith is too weak to be moved, he relents.

Chase and Cameron prepare to begin the treatment and Keith starts to hallucinate. Cameron notices that Keith is bleeding profusely from the rectum and is going into hypovolemic shock. An angiography later reveals major internal bleeding, severe hemodynamic compromise and complete liver failure. Cameron says that hallucinations are from psychosis, which proves that Lupus is the cause. She's angry that they had to dally with hep-E because Keith needs a new liver. House still thinks Lupus is the wrong diagnosis, but he asks for Keith to be moved to the top of transplant list anyway.

In his office, House vomits from the pain. Foreman comes in with a bottle of Vicodin so that he can recover to treat Keith. Cameron and Chase break it to Keith's father that the Lupus is too advanced to treat and the transplant list has over 15,000 patients. House is still pondering who the gJulesh is that Keith yelled out during his hallucination. Keith's father informs them that Jules is their cat who died about a month ago. The girlfriend says that Jules slept in the bed with Keith.

Foreman and Chase exhume the cat. House does an autopsy. At the same time, an emergency liver comes in. Keith is taken into the OR and is prepped. Houses rushes in to stop the surgery, announcing that Keith doesn't have lupoid Hepatitis. He has acute naphthalene toxicity from termites. Termites create the toxin to protect their nests, and judging from the contents of Jules' stomach, Keith's bedroom was also infested with termites. The surgeon refuses to stop, so House spits on him to spread germs everywhere.

In the hallway, the group refuses to believe House's new diagnosis. If it was environmental, Keith would have improved in the hospital. But House explains that naphthalene is fat soluble. Keith was repulsed by the hospital food and hadn't eaten much, so his body started burning fat and the poison poured into his system. Keith's father punches House in the face. House promises that 24 hours of calorie intake will heal Keith. If they do the surgery, it won't solve anything.

Foreman and Chase hammer open a wall in Keith's home bedroom. Termites pour out. House was right. Back at the hospital, Keith is rapidly improving. And House made it through the week without any pills. He comes to the realization that he's addicted, but since he is functioning he'll just keep taking the drugs. Wilson yells at him for changing in the last few years and becoming miserable. He's using his leg and the drugs as an excuse.
#12Sports Medicine (2005/2/22)
A baseball player named Hank Wiggen shoots an anti-drug commercial but it's not going well. The director tries to provide some help, but Hank doesn't grasp what to do until his wife, Lola, advises him to just tell his own story. Hank got mixed up in drugs and only quit because he was going to die. Now he's clean and getting ready to pitch on Opening Day. On the next take, Hank throws a pitch and his upper arm breaks. His comeback is over.

At the hospital, Wilson tells House that he thinks Hank has osteopenia but that his bones are too thin to be fixed. Since Hank is young, House feels that cancer is the cause and Wilson hasn't found the cancer yet. The rest of the staff agrees that it must be cancer. Looking at Hank's baseball card, House notices that Hank put on 25 pounds after spending the previous season in a Japanese league. The doctors suspect steroids, which would explain the kidney problems and bone loss.

Chase wants a urine sample but Hank isn't willing. Chase just takes some from Hank's catheter bag. Cameron and Foreman report to House that tests showed there are no steroids, but that that Hank has elevated levels of Beta 2 proteins. He could have either amyloidosis or lymphoma. House still believes that steroids have come into play. Foreman admits that the FAT PAD biopsy and abdominal CT scan were negative for cancers, but Cameron points out that Hank also tested negative for steroids. House knows that today's steroids can be hidden from tests, but one thing can't be hidden. House goes into Hank's room and pulls back the bed sheet. Hank suffers from hypogonadism, which is shrunken testicles. House has them start Hank on Lupron. Hank's wife Lola is outraged.

If Hank isn't on steroids, Lupron will cause severe respiratory problems. Sure enough, Hank begins to gasp for air. House and staff try to figure out what's killing Hank. He isn't producing enough testosterone which is causing the hypogonadism. Chase suggests that it could be Addison's disease, which is treated with steroids. But Foreman mentions that Addison's would cause him to retain fluid, and that would overwork Hank's strained kidneys. What exactly is creating the kidney problems? House suggests past steroid use.

House drops in on Hank and Lola to explain the situation. He can keep denying steroid use, but that may be the trigger to all his health problems and it is treatable. If there is no steroid use, then the doctors are at a loss on what is causing the liver to malfunction. He could die. Lola is adamant that her husband is telling the truth, but Hank finally opens up. He admits that five years ago, a pitching coach gave him something that made him gain twelve pounds of muscle in a month. Hank has no idea what it was.

House presses Cuddy to put Hank on the transplant list, but she won't budge. She wants evidence of Addison's disease or anything else life-threatening. Lola tells House she wants to donate one of her own kidneys, and he is skeptical that she'll be a donor match. After some time, House gets back the lab results. Although Lola is a match, she's pregnant and cannot donate in her current condition. The next day, Foreman tells Hank that he's healthy enough for the transplant. Hank forbids his wife to get an abortion in order to undergo the surgery. House thinks he's being ridiculous, but Cameron isn't so sure. They haven't even narrowed the diagnosis to Addison's disease yet.

Hank's heart starts racing. His T-waves have peaked and his potassium is up. Chase and Foreman give him insulin sub q, D-50 glucose and kayexolate to treat hyperkalemia and get the potassium out. They think this will rule out both Addison's and steroids. House and Cameron arrive to find Hank's heart rate dropping precipitously. They have no idea what's afflicting Hank and they can't stabilize his heart rate.

That night, House observes Hank and notices he is hallucinating. Wilson wonders whether it is digitalis, which would explain the heart rate fluctuation and this new symptom, but not the earlier ones. Hank is not even on digitalis. House pays a visit to Warner, the scout that discovered Hank and was on the set of the commercial. Warner tells House that he has a heart condition and treats it with digitalis. However, he can't find the bottle. House thinks Hank stole the pills and tried to kill himself with the drug.

Back at the hospital, House lays it out for Hank. He knows what he did and he's scheduling the transplant. Hank wants Lola to have the baby. Making his point, he spills some of his urine bag on House's pants. House will begin treating for Addison's disease, which will ruin the patient's kidneys. House runs into Lola in the hallway and tells her about Hank. When he says she should keep her baby, Lola hugs him. House wonders why she didn't smell the urine that Hank splashed on him.

House tracks down his group. They eliminated environmental causes because they thought Lola was healthy. She hasn't been able to smell anything for six months. The group should now consider this couple as a single patient. Their symptoms point to cadmium poisoning. Chase visits Hank to get another urine sample and asks what they should be looking for this time. Hank admits he's still using marijuana from the dealer he and Lola shared in Japan. She quit but he didn't. Chase points out that if there's cadmium in the soil, the marijuana can cause all of these symptoms. Chase puts Hank on treatment for cadmium poisoning. However, House writes on the medical report that it is Addison's disease so that Hank can avoid a drug ban from Major League Baseball.
#13Cursed (2005/3/1)
A baseball player named Hank Wiggen shoots an anti-drug commercial but it's not going well. The director tries to provide some help, but Hank doesn't grasp what to do until his wife, Lola, advises him to just tell his own story. Hank got mixed up in drugs and only quit because he was going to die. Now he's clean and getting ready to pitch on Opening Day. On the next take, Hank throws a pitch and his upper arm breaks. His comeback is over.

At the hospital, Wilson tells House that he thinks Hank has osteopenia but that his bones are too thin to be fixed. Since Hank is young, House feels that cancer is the cause and Wilson hasn't found the cancer yet. The rest of the staff agrees that it must be cancer. Looking at Hank's baseball card, House notices that Hank put on 25 pounds after spending the previous season in a Japanese league. The doctors suspect steroids, which would explain the kidney problems and bone loss.

Chase wants a urine sample but Hank isn't willing. Chase just takes some from Hank's catheter bag. Cameron and Foreman report to House that tests showed there are no steroids, but that that Hank has elevated levels of Beta 2 proteins. He could have either amyloidosis or lymphoma. House still believes that steroids have come into play. Foreman admits that the FAT PAD biopsy and abdominal CT scan were negative for cancers, but Cameron points out that Hank also tested negative for steroids. House knows that today's steroids can be hidden from tests, but one thing can't be hidden. House goes into Hank's room and pulls back the bed sheet. Hank suffers from hypogonadism, which is shrunken testicles. House has them start Hank on Lupron. Hank's wife Lola is outraged.

If Hank isn't on steroids, Lupron will cause severe respiratory problems. Sure enough, Hank begins to gasp for air. House and staff try to figure out what's killing Hank. He isn't producing enough testosterone which is causing the hypogonadism. Chase suggests that it could be Addison's disease, which is treated with steroids. But Foreman mentions that Addison's would cause him to retain fluid, and that would overwork Hank's strained kidneys. What exactly is creating the kidney problems? House suggests past steroid use.

House drops in on Hank and Lola to explain the situation. He can keep denying steroid use, but that may be the trigger to all his health problems and it is treatable. If there is no steroid use, then the doctors are at a loss on what is causing the liver to malfunction. He could die. Lola is adamant that her husband is telling the truth, but Hank finally opens up. He admits that five years ago, a pitching coach gave him something that made him gain twelve pounds of muscle in a month. Hank has no idea what it was.

House presses Cuddy to put Hank on the transplant list, but she won't budge. She wants evidence of Addison's disease or anything else life-threatening. Lola tells House she wants to donate one of her own kidneys, and he is skeptical that she'll be a donor match. After some time, House gets back the lab results. Although Lola is a match, she's pregnant and cannot donate in her current condition. The next day, Foreman tells Hank that he's healthy enough for the transplant. Hank forbids his wife to get an abortion in order to undergo the surgery. House thinks he's being ridiculous, but Cameron isn't so sure. They haven't even narrowed the diagnosis to Addison's disease yet.

Hank's heart starts racing. His T-waves have peaked and his potassium is up. Chase and Foreman give him insulin sub q, D-50 glucose and kayexolate to treat hyperkalemia and get the potassium out. They think this will rule out both Addison's and steroids. House and Cameron arrive to find Hank's heart rate dropping precipitously. They have no idea what's afflicting Hank and they can't stabilize his heart rate.

That night, House observes Hank and notices he is hallucinating. Wilson wonders whether it is digitalis, which would explain the heart rate fluctuation and this new symptom, but not the earlier ones. Hank is not even on digitalis. House pays a visit to Warner, the scout that discovered Hank and was on the set of the commercial. Warner tells House that he has a heart condition and treats it with digitalis. However, he can't find the bottle. House thinks Hank stole the pills and tried to kill himself with the drug.

Back at the hospital, House lays it out for Hank. He knows what he did and he's scheduling the transplant. Hank wants Lola to have the baby. Making his point, he spills some of his urine bag on House's pants. House will begin treating for Addison's disease, which will ruin the patient's kidneys. House runs into Lola in the hallway and tells her about Hank. When he says she should keep her baby, Lola hugs him. House wonders why she didn't smell the urine that Hank splashed on him.

House tracks down his group. They eliminated environmental causes because they thought Lola was healthy. She hasn't been able to smell anything for six months. The group should now consider this couple as a single patient. Their symptoms point to cadmium poisoning. Chase visits Hank to get another urine sample and asks what they should be looking for this time. Hank admits he's still using marijuana from the dealer he and Lola shared in Japan. She quit but he didn't. Chase points out that if there's cadmium in the soil, the marijuana can cause all of these symptoms. Chase puts Hank on treatment for cadmium poisoning. However, House writes on the medical report that it is Addison's disease so that Hank can avoid a drug ban from Major League Baseball.
#14Control (2005/3/15)
Carly, a thirty-something female CEO, is in the middle of a confident pitch to the board when she starts trembling. Suddenly, she can't move her leg. House gives his verdict to the team: paralysis and severe pain in the right quad. Cameron wonders if she has the same clot in her thigh that House had. House orders an angiogram to test for a clot. If that test is clean, then she'll be given an MRI to check for spinal pressure. If that one also turns out negative, then they will biopsy the leg. Chase oversees Carly's x-ray. While he flirts with the technician, Chase doesn't notice that the machine took a shot of Carly's left thigh.

Meanwhile, Cuddy announces that Edward Vogler, a large donor to the hospital, has been made the new chairman of the board. Vogler wants to make the hospital a cutting-edge research center where people without a prayer could go for help. The hospital will have a blank check to fight Alzheimer's, cancer, MS, AIDS and other such diseases.

House sees a young patient named Ricky van der Meer who suffers from a sore throat. Yet what's more interesting is that the boy's father had knee surgery a year ago and hasn't been able to speak since then. House checks in with Dr. Simpson, who operated on young Ricky's father. All Dr. Simpson has to say is that Mr. van der Meer received $1 million for a malpractice settlement when they couldn't find a thing wrong with him.

Cuddy catches up with Dr. House and tells him that Vogler wants him to start wearing a lab coat. House scoffs, complaining that Vogler will now start using the hospital's patients for clinical trials. They will be treated like lab rats who are pressured into treatments that are bad for them but good for study. Cuddy realizes that all Vogler is doing is upping the ante on House's game. House thinks Vogler will ruin the hospital.

In her room, Carly is in severe pain when Foreman arrives to tell her the tests were negative. She screams in agony. House reconvenes with his staff. Chase announces that her angiogram shows no signs of neurogenic or myopathic abnormalities. Foreman says tests for trichinosis, toxoplasmosis and polyarteris nodosa are negative as well. House asks Wilson about a possible bone scan to check for underlying cancers. Wilson warns him to keep his head down until Edward Volger is settled in.

Wilson stops by to see Carly. There is no cancer in her bone, but she might be having referred pain from cancer in another part of the body. Carly's mom died young from cancer, and she rejects Wilson's suggestion of a colonoscopy. Carly refuses to be examined. Wilson then presses for a very expensive virtual colonoscopy. She relents.

Wilson lets House know that there's no colon cancer according to the virtual scope, and that Carly doesn't want a physical scope. House wonders what Carly is so embarrassed about. He reconvenes his staff and notices something odd about her x-ray. Chase angioed the wrong leg. House sees Jenny's signature on the report and realizes exactly what happened. He orders Foreman to do a new angio.

Foreman is administering the new test when Carly complains that she can't breathe. Her lungs fill with fluid. Foreman performs a thoracentesis to drain the fluid and results on the fluid should be back from the lab soon. On the plus side, the angio revealed no clot. House is distracted, staring at a board with Carly's symptoms listed. He erases everything and writes, gPsych symptoms: Withholds pain, control, shame.h House then looks in on Carly as she sleeps. Examining her leg, he notices seven half-inch cuts in a perfect row on the thigh. She's a cutter.

House catches up with Wilson at lunch. Besides hinting that Carly has a broken heart, he is reluctant to tell him more. With new management practices, Wilson would be obligated to tell others. Chase and Cameron approach with news. The thoracentesis has revealed a congestive heart transplant. Carly needs an actual new heart.

Vogler questions Cuddy on what the Department of Diagnostic Medicine is. It's House's department. Vogler thinks it's a financial black hole, requiring $3 million a year to treat one patient per week. Cuddy argues that House saves one patient per week. Vogler asks why House isn't wearing his lab coat. Doesn't he respect Cuddy?

House tells Carly that she needs a transplant. She points out that she's a runner, but House counters that she's a high-powered bulimic. Since scarred knuckles are unseemly, she's been using Ipecac, which caused muscle damage. This created the pain in her leg and destroyed her heart. She admits that she does it three times a week. House tells her that he has an emergency meeting with the transplant committee to see where Carly would fall on the list. Normally, she would be ranked high because she has about a day to live. However, the bulimia makes her a risk, like a suicidal patient. Would House lie to the committee?

She asks what he wants. He wants to know whether she really wants to live or die. She breaks down and says she doesn't want to die. Later, House stands before the committee, which Vogler is observing. Cuddy asks if Carly has any exclusion criteria. Wilson subtly tries to shake House off, but he says there are no exclusionary causes. Cuddy warns him of disciplinary action for subverting the committee. He denies any outside factors.

After the meeting, Wilson yells at House for his diversion. House gets a page that transplant surgery is getting underway. In the office, Chase wonders to Foreman and Cameron why House would put Carly on the transplant list before the test results came back. It seems odd. Chase is also worried that he's going to be fired. Chase does some snooping around and finds a bottle of Ipecac in Carly's purse.

Cameron tells House that van der Meer has been on steroids. She also questions whether House will fire Chase, but House says he merely wants Chase doing everything he can to protect his job now that Vogler is looking to make cuts. House hears from the surgeon that Carly had a textbook operation. House checks in with van der Meer. He knows that being intubated during knee surgery paralyzed van der Meer's vocal cords, but he also knows that his new treatments have healed him. Van der Meer shakes his head. House confides that he won't have to give the settlement money back and van der Meer admits that he can speak.

House sits with Carly as she wakes up and warns her not to screw this up. He's relaxing in his office when Vogler enters. He wants answers about Carly's bulimia. They found the Ipecac in Carly's purse. House notes that, since he has full tenure, Vogler would need full board approval to dump him. With Wilson and Cuddy on his side, that's impossible. They might as well learn to live with each other. Vogler admits that he has a point. Just before leaving, Vogler mentions that it's actually easier to get rid of a board member than it is to dump a doctor.
#15MOB Rules (2005/3/22)
Carly, a thirty-something female CEO, is in the middle of a confident pitch to the board when she starts trembling. Suddenly, she can't move her leg. House gives his verdict to the team: paralysis and severe pain in the right quad. Cameron wonders if she has the same clot in her thigh that House had. House orders an angiogram to test for a clot. If that test is clean, then she'll be given an MRI to check for spinal pressure. If that one also turns out negative, then they will biopsy the leg. Chase oversees Carly's x-ray. While he flirts with the technician, Chase doesn't notice that the machine took a shot of Carly's left thigh.

Meanwhile, Cuddy announces that Edward Vogler, a large donor to the hospital, has been made the new chairman of the board. Vogler wants to make the hospital a cutting-edge research center where people without a prayer could go for help. The hospital will have a blank check to fight Alzheimer's, cancer, MS, AIDS and other such diseases.

House sees a young patient named Ricky van der Meer who suffers from a sore throat. Yet what's more interesting is that the boy's father had knee surgery a year ago and hasn't been able to speak since then. House checks in with Dr. Simpson, who operated on young Ricky's father. All Dr. Simpson has to say is that Mr. van der Meer received $1 million for a malpractice settlement when they couldn't find a thing wrong with him.

Cuddy catches up with Dr. House and tells him that Vogler wants him to start wearing a lab coat. House scoffs, complaining that Vogler will now start using the hospital's patients for clinical trials. They will be treated like lab rats who are pressured into treatments that are bad for them but good for study. Cuddy realizes that all Vogler is doing is upping the ante on House's game. House thinks Vogler will ruin the hospital.

In her room, Carly is in severe pain when Foreman arrives to tell her the tests were negative. She screams in agony. House reconvenes with his staff. Chase announces that her angiogram shows no signs of neurogenic or myopathic abnormalities. Foreman says tests for trichinosis, toxoplasmosis and polyarteris nodosa are negative as well. House asks Wilson about a possible bone scan to check for underlying cancers. Wilson warns him to keep his head down until Edward Volger is settled in.

Wilson stops by to see Carly. There is no cancer in her bone, but she might be having referred pain from cancer in another part of the body. Carly's mom died young from cancer, and she rejects Wilson's suggestion of a colonoscopy. Carly refuses to be examined. Wilson then presses for a very expensive virtual colonoscopy. She relents.

Wilson lets House know that there's no colon cancer according to the virtual scope, and that Carly doesn't want a physical scope. House wonders what Carly is so embarrassed about. He reconvenes his staff and notices something odd about her x-ray. Chase angioed the wrong leg. House sees Jenny's signature on the report and realizes exactly what happened. He orders Foreman to do a new angio.

Foreman is administering the new test when Carly complains that she can't breathe. Her lungs fill with fluid. Foreman performs a thoracentesis to drain the fluid and results on the fluid should be back from the lab soon. On the plus side, the angio revealed no clot. House is distracted, staring at a board with Carly's symptoms listed. He erases everything and writes, gPsych symptoms: Withholds pain, control, shame.h House then looks in on Carly as she sleeps. Examining her leg, he notices seven half-inch cuts in a perfect row on the thigh. She's a cutter.

House catches up with Wilson at lunch. Besides hinting that Carly has a broken heart, he is reluctant to tell him more. With new management practices, Wilson would be obligated to tell others. Chase and Cameron approach with news. The thoracentesis has revealed a congestive heart transplant. Carly needs an actual new heart.

Vogler questions Cuddy on what the Department of Diagnostic Medicine is. It's House's department. Vogler thinks it's a financial black hole, requiring $3 million a year to treat one patient per week. Cuddy argues that House saves one patient per week. Vogler asks why House isn't wearing his lab coat. Doesn't he respect Cuddy?

House tells Carly that she needs a transplant. She points out that she's a runner, but House counters that she's a high-powered bulimic. Since scarred knuckles are unseemly, she's been using Ipecac, which caused muscle damage. This created the pain in her leg and destroyed her heart. She admits that she does it three times a week. House tells her that he has an emergency meeting with the transplant committee to see where Carly would fall on the list. Normally, she would be ranked high because she has about a day to live. However, the bulimia makes her a risk, like a suicidal patient. Would House lie to the committee?

She asks what he wants. He wants to know whether she really wants to live or die. She breaks down and says she doesn't want to die. Later, House stands before the committee, which Vogler is observing. Cuddy asks if Carly has any exclusion criteria. Wilson subtly tries to shake House off, but he says there are no exclusionary causes. Cuddy warns him of disciplinary action for subverting the committee. He denies any outside factors.

After the meeting, Wilson yells at House for his diversion. House gets a page that transplant surgery is getting underway. In the office, Chase wonders to Foreman and Cameron why House would put Carly on the transplant list before the test results came back. It seems odd. Chase is also worried that he's going to be fired. Chase does some snooping around and finds a bottle of Ipecac in Carly's purse.

Cameron tells House that van der Meer has been on steroids. She also questions whether House will fire Chase, but House says he merely wants Chase doing everything he can to protect his job now that Vogler is looking to make cuts. House hears from the surgeon that Carly had a textbook operation. House checks in with van der Meer. He knows that being intubated during knee surgery paralyzed van der Meer's vocal cords, but he also knows that his new treatments have healed him. Van der Meer shakes his head. House confides that he won't have to give the settlement money back and van der Meer admits that he can speak.

House sits with Carly as she wakes up and warns her not to screw this up. He's relaxing in his office when Vogler enters. He wants answers about Carly's bulimia. They found the Ipecac in Carly's purse. House notes that, since he has full tenure, Vogler would need full board approval to dump him. With Wilson and Cuddy on his side, that's impossible. They might as well learn to live with each other. Vogler admits that he has a point. Just before leaving, Vogler mentions that it's actually easier to get rid of a board member than it is to dump a doctor.
#16Heavy (2005/3/28)
Ten-year old Jessica Simms tells her mother that she isn't feeling good and doesn't want to go to school. She admits that she thinks the kids at school hate her. At school that day, Jessica is jumping rope in gym class when she complains that her chest hurts. The teacher pushes her to finish, but Jessica collapses. Her heart stops beating.

At the hospital, Cuddy asks House if he's made a decision on who to fire per Vogler's order. House wants to stall as long as possible, and she grants him a week. In the elevator, Cameron brings House up to date on Jessica. The team can't believe a 10-year old would have a heart attack but six tests proved it true. Chase thinks it's a simple case of Jessica being too obese and depressed. House though believes that Jessica's legion of previous doctors have missed something. Foreman wonders about a genetic condition. Cameron suggests Metabolic Syndrome X, which could cause a heart attack with high enough blood pressure. House orders a hyperinsulinemic euglycemic clamp. But before dispatching his staff, he informs them that he'll have to cut one of them by the end of the week. They're all shocked, and Cameron and Foreman think they need to stick together through this.

Cameron explains MS-X to Jessica's mother and says it can be controlled through diet and exercise. Mrs. Simms complains that doctors never see past Jessica's weight. Chase and Foreman try to cajole Jessica onto a scale as part of their standard tests. Afterwards, Chase is upset that Foreman told the little girl that she will probably grow into her body. He is also annoyed that Cameron tries to sugarcoat body image. Foreman counters that Chase is probably uptight because he knows he's the one who will be cut.

House's team conducts the HEC test on Jessica, who freaks out and tries to rip out the IV. The doctors and Mrs. Simms all struggle to restrain her. After sedating Jessica, Foreman explains to Mrs. Simms that psychosis brought on by hypoglycemia is common during HEC tests.

From the results, House declares that Jessica isn't hypoglycemic so her psychosis was caused by something else. Chase suggests blood clots, which Cameron shoots down. Yet it could have been brought on by liposuction, which isn't in Jessica's medical file. House considers other weight treatments like diet pills, which wouldn't show up in toxicology screenings. He orders the patient to be put on heparin and warfarin to prevent further clotting, placing Foreman in charge of locating the diet pills. Foreman chides House for pitting the doctors against each other. House asks Foreman whom he would cut. Foreman nominates Chase because he believes he doesn't appreciate the job. House says he's surprised that Foreman would have named anybody.

Vogler questions Cuddy on House's staff cut and what he has been telling the team. Vogler offers to help if Cameron is the one who's let go.

Foreman asks Jessica's schoolteacher if she ever saw Jessica with pills. He learns that Jessica doesn't have any friends at school, so the teacher directs him to Jessica's assigned 6th grade gbuddy.h The buddy tells him that Jessica always runs laps at recess because nobody will play with her. The girl says that she totally busted Jessica taking drugs one day.

Although Mrs. Simms adamantly denies giving her daughter diet pills, Jessica admits to taking them on her own. Jessica breaks down in tears and says she took them because she feels ugly and disgusting. The pills seem to explain all of her symptoms. Yet the doctors later find Jessica with huge, bleeding sores on her body. In the office, House thinks the warfarin they gave Jessica led to skin necrosis, but Cameron says they started heparin first. House asks if anybody actually saw Cameron administer the heparin. When there's no answer, he has the team give Jessica an unfractionated IV heparin and low molecular weight heparin by subcutaneous injection right away. Out in the hallway, Cameron lights into Chase for leaving her dangling in the meeting. The team is falling apart.

Vogler takes Foreman aside and asks if he likes working for House and values his job. Foreman responds in the affirmative.

Cameron is studying in the lab when House drops in on her to ask about the mistake with the heparin. Cameron insists that she didn't screw up but that she doesn't have another explanation. House then asks her who she would fire. She suggests that everyone take a pay cut so that they can all stay.

The next day, House announces to Vogler and Cuddy that he's made his decision. He wants to push for a 17% pay cut across the board so that everybody can stay. Vogler rejects this because it's not about the money. He wants to know that House will do whatever Vogler tells him to do, no matter how distasteful.

House catches up with his team, who reports that the necrosis is getting worse. Wilson thinks that if they don't stop it from spreading, it will kill Jessica in about three hours. They need to cut it out before it penetrates the abdominal wall. Wilson and Foreman break the news to Mrs. Simms that a radical mastectomy may be Jessica's only chance for survival because warfarin-induced necrosis attacks fatty tissue.

Cameron barges into House's office, accusing him of insisting that she made a mistake with the heparin so that he has an excuse to fire her. He counters that maybe she actually did make a mistake. Cameron wonders if House can't deal with his feelings for her. House says that she's the only one who has expressed feelings and maybe she's acting this way because she wants to be fired. Meanwhile, Vogler tells Chase that if he's the one fired, then he's going to need a new mole on House's team. Chase complains that he's been feeding Vogler information only to protect himself.

There is no change in Jessica's necrosis. House wonders if Cameron didn't actually screw up, but they don't know what else it could be besides warfarin. Chase posits that maybe Jessica's fatness is a symptom, not a cause. Could it be hypothyroidism? The parents are both big and tall, but Jessica's short. House starts putting it all together. Stunted growth, high blood pressure, blood clots and obesity are all symptoms of Cushing's disease. It can even explain the necrosis in rare cases.

Foreman points out that blood tests have not shown abnormal cortisol levels, but House says that is cyclical. They just haven't caught it at the right time. With only one hour left, they weigh the options between performing the mastectomy and treating her for Cushing's. If they're wrong on Cushing's, Jessica will die. House orders a quick MRI to look for what could cause hypercortisolism. Foreman and Chase study the brain scan. Chase spots a tumor on the brain, indicating Cushing's disease.

Foreman explains the situation to Mrs. Simms. The surgery is quite dangerous because the tumor is located between the cavernous sinuses, an area that controls eye movement, and the major arteries that feed the brain. The surgeon will make an incision under Jessica's lip and insert a fiber optic microscope. He will then go through that incision to chop the tumor into pieces for removal. After a few hours, the surgery ends in success.

A week later, a slimmer Jessica is back for her checkup. Chase, Foreman and Cameron are all happy to see her doing so well. House arrives for his meeting with Vogler and Cuddy. House nominates Chase to be the one who gets fired. Vogler rejects that and orders House to pick someone else. If he doesn't, the whole department is gone.
#17Role Model (2005/4/12)
Senator Gary Wright speaks at a fundraiser, but stumbles through the end of his speech. Then he struggles to converse with a supporter. Wright vomits on the man's suit before collapsing and tumbling down a flight of stairs.

Vogler gives the Senator's case to House. He also notes that if House was a team player from the start, then he wouldn't have to fire Cameron or Foreman. Vogler wants House to give a speech at the National Cardiology Conference next week where he is to extol the virtues of Eastbrook Pharmaceuticals' new and more expensive ACE inhibitor. Eastbrook is owned by Vogler. House chafes at the request. Vogler says he is to make the speech and examine the Senator, or else he will have to fire one of his proteges.

House and Foreman examine Wright, but Foreman does all the work. The man has a big scar on his tongue, which Wright explains happened when he was six and fell off the swings. House doesn't buy that explanation, pointing out that tongues heal fast. Then House notices that Wright has no reflexes when Foreman taps him with a mallet. House orders an MRI and a lumbar puncture, telling the Senator to cancel his travel plans.

The LP results are negative for infection and the MRI is fairly clean. There is, however, a low intensity spot inside the Broca's area of the brain. House tells the team that the lesion could either be nothing, a brain tumor or an infection. He orders surgery. He also lets the team know that none of them will have to worry about their jobs. House doesn't go into further details.

Cuddy is angry at House for attempting a risky brain biopsy based on a spot on an MRI. It could cause permanent neurological damage. House argues that a tumor is just as bad, but Cuddy says that neither of them can make that call. They lay out the situation to Senator Wright, explaining that it could be something or it could be nothing. Wright asks what the voters will think. House becomes intrigued when he hears Wright stutter while asking the question.

Surgery begins. Afterwards, the biopsy shows that there is no tumor or bacterial infection. Yet Wilson becomes quite concerned as he examines the biopsy and finds toxoplasmosis. This means that Wright has full-blown AIDS. Foreman and House explain to Wright that toxoplasmosis is a fairly common fungus that people can get from eating undercooked meat or touching cat feces. It usually responds to treatment and it only causes lesions when a patient's immune system is not functioning. The doctors think he has AIDS. Wright angrily denies the possibility. House informs him that the toxo drugs will fight the fungi, but it's going to be nasty. Wright firmly orders House to give him the toxo drugs, test him for HIV under a false name, and then run a test for cancer. Wright again proclaims that he does not have AIDS.

Cameron comes across an email press release announcing House's upcoming speech and reads it to Chase. They're shocked that House would do this. House enters and explains his deal with Vogler. He tells them that Foreman is testing Wright for leukemia, but he needs Chase and Cameron to rush the Elisa test for HIV. Cameron thanks him for agreeing to give the speech, but House presses on.

Foreman administers the test by injecting Wright in the back, and he says that they can wait until the HIV test results return. Wright claims not to be lying because black politicians can't lie and nobody gives them the benefit of the doubt.

House gives Wright the results of the Elisa test. It's positive. His T cell count is so low, he is close to death. They will need to contact his sexual partners. Wright insists that he's only had two girlfriends since his wife died and that he used condoms. House tells him to come clean and admit to homosexual relations. Wright chides House for being so cynical and never believing in people. House draws some more blood from Wright.

The next day, Wright tries to get out of bed, but his foot is numb. Cuddy thinks the antiretrovirals aren't working, and she prods House for not seeing that Wright is just going to get worse. House is more concerned with why Cuddy is spying on his case. House tells Wright that the antiretrovirals are not working because he doesn't have AIDS. The test returned a false positive, which happens one time in five thousand. Wright's relief is erased when House says that he is still dying, only now they don't know why.

House convenes the team outside, away from Cuddy. Foreman notes that Wright is losing control of the muscles on his right side, his brain is getting foggier and his T cells are still in the single digits. What could be causing this? House orders a full body scan.

Wilson asks House if he ran a second AIDS test because he suspected a false positive. House claims that it is standard procedure, which Wilson knows he doesn't care about. House admits that he was moved by Wright's insistence that he didn't engage in risk behaviors. Wilson mocks House's first bout of actually believing in people. Wilson then wonders if being near the ultra-nice Cameron is rubbing off on House. He then realizes that House has an interest in Cameron.

A CT scan on Wright reveals five slightly enlarged lymph nodes and a cyst in both his liver and right kidney. Cuddy orders all this to be checked out. Vogler enters, handing House his notes for the speech. House criticizes Vogler for undermining him in front of his staff. Vogler retorts that they already know that House is undermined. House pulls Chase into his office for a speech. He asks Chase how they can work together with Chase constantly reporting on him. Chase responds that he had no choice.

Foreman performs the multiple biopsies on a sedated Wright. He finds that both cysts are benign and that all the lymph nodes are clean. House suspects hairy cell leukemia and wants to biopsy Wright's spleen. Everybody resists. Chase insists that the spleen will bleed too much and Cuddy believes that, because of the Senator's condition, this procedure could cause sepsis and death. Foreman says that Wright's brain is turning to mush. They have to do it.

House approaches Cameron in the lab and tries to inquire as to why she would like him, but it goes nowhere. They bicker about House's personal issues and he leaves.

Foreman approaches Wright to get a consent signature for the biopsy, but Wright now has a hacking cough. Foreman says they don't need consent because they can't perform the biopsy. He tells the team that Wright's breathing is severely impaired. His stain indicates pneumocystis carinii pneumonia, which is another killer fungus consistent with hairy cell leukemia. Yet with respiratory distress, they can't biopsy because Wright's blood won't clot. How else can they diagnose hairy cell? House wonders what other symptoms a patient with hairy cell would have. Chase and Cameron suggest virii like HTLV and interleukin-2. House orders tests for both.

Foreman shows House the test results. Wright is negative on all virii. It's not hairy cell. House notices that Wright is positive for Epstein Barr. He rushes into Wright's room and removes his oxygen mask. Wright begins gasping for air. House says that he knows the tongue scar is from an epileptic seizure. Wright says he hasn't had a seizure since he was six and has not been on medication since he was ten. House asks if the medication was phenytoin, which Wright confirms.

House bursts into his office and tells the team. Wright took phenytoin. This, along with the Epstein Barr virus, is associated with common variable immunodeficiency disease. The body can't fight off fungi. House posits that Wright contracted this as a kid. Yet recent stress, like giving big speeches, triggered its reemergence. Cameron doubts it, but House orders an IV immunoglobin. If Wright improves, House is right. If House is wrong, Wright is dead.

Foreman inserts the IV. The medicine begins to drip. After some time, Wright improves greatly. He'll need medication for the rest of his life, but he will be fine.

The time comes for House's big speech. He dispassionately reads a one paragraph statement about the drug. Vogler stops House and tells him that wasn't enough. House returns to the microphone and praises Vogler as a brilliant businessman. House then congratulates Eastbrook and Vogler for smartly tweaking their ACE inhibitor just slightly enough to win a new patent and make millions more.

That night, House is at home ignoring his phone when Cameron drops by. She tells House that he won't have to fire anyone because she's leaving. This is the only way she can deal with her feelings for him.
#18Babies and Bathwater (2005/4/19)
Pregnant Naomi Randolph is in the driver's seat with her slightly intoxicated husband, Sean, as a passenger. Suddenly, she goes limp and the car swerves into oncoming traffic. Sean quickly grabs the wheel and pulls the car over. A police officer arrives. When Naomi slurs her words, he asks her to get out of the car. She mindlessly sways to the back of the car, then collapses.

At the hospital, Foreman tells the Randolphs that there is no sign of stroke but the bloodwork shows that her kidneys and liver are struggling. Naomi nervously declares that she's 39 and has miscarried three times already. Foreman and Chase track down House, who's napping. He takes Naomi's file and becomes interested when he sees she has three miscarriages. Foreman reports that her B.U.N. and creatinine are up and her LFTs are slightly elevated. Yet he thinks that, with three miscarriages, there's some underlying physiology. House muses that it could be pregnancy-related autoimmunity where the body becomes allergic to the baby. House also informs them in passing that Cameron quit. Foreman and Chase are shocked, but House merely asks for a blood test, an MRI, a sonogram and a round of magnesium in case it is pre-eclampsia.

The ultrasound shows no sign of fetal distress. Naomi swallows a bit of food, but begins choking on it. They cannot perform the Heimlich maneuver, so Foreman dives in with the forceps. Naomi can't swallow. An MRI shows no signs of vasculitis. Naomi begins cramping up during the exam. Foreman and Chase recognize the pre-term labor and administer medicines to prevent it.

House sneaks around the hospital, trying to avoid Vogler. Vogler corners House in his office anyway. House tries to say he cut Cameron to make things even, but Vogler declares that tomorrow morning House will announce his resignation and make a public apology. If not, Vogler will destroy him.

Chase and Foreman tell House that Naomi's contractions are under control and she might make it to full term. Chase affirms that it's pre-eclampsia. Foreman suggests myasthenia, which would explain the muscle loss and choking incident. House counters that choking on a soft, wet pear is well past the point of mere muscle weakness. House orders them to administer an endoscopy and check her eyelids. Wilson pulls House away to inform him that the board met this morning about his future. House feels very confident about his status, because his tenure needs a unanimous vote to be revoked and his contract is still current. Wilson thinks Vogler will find a way to get to him.

House then checks in with another patient. Two young parents named Joel and Rachel Kaplan have a baby that developed pneumonia and malnourishment after the parents put the child on a raw food vegan diet. House reports that the baby is improving, but they need to give her a real diet, which they gladly agree to do. At that moment, Social Services bursts in, seizes the child and arrests the Kaplans for child endangerment. House confronts Cuddy, wondering if this is how Vogler will get him. Cuddy calmly explains that the nurses were concerned and made the call. House took a big legal risk in not reporting the abuse. She warns him not to give Vogler an excuse to dump him.

Foreman and Chase examine Naomi's eyelids and notice some drooping. Chase peers at her esophagus and notices swelling. An X-ray reveals a three centimeter mass in the right upper lobe. Foreman hopes it's a granuloma, but House points out that there's no calcification. Wilson tells the Naomi that she has small cell lung cancer. It has spread, so they cannot operate. The antibodies her body was making to fight the tumor got sidetracked, which explains the brain and kidney problems. She suffers from Lambert-Eaton syndrome. Wilson plainly informs Naomi that the five year survival rate is only ten to fifteen percent, so they have to start chemo and radiation right away. Naomi asks about the baby. They will be forced to perform a C-section before starting treatment, and the child has an 80% chance of surviving the early birth. Naomi refuses the treatment. With only a 15% chance of surviving, she'd rather protect the baby.

Vogler sums up some of House's recent actions to the hospital board. He has violated a DNR, was charged with assault, he spit on a surgeon and he accepted a gift from a known mafia member. Wilson leaps to House's defense, citing that he has saved hundreds of lives. Vogler calls House a drug addict, a disgrace and an embarrassment. Vogler makes it simple: either House is fired or Vogler leaves with his hundred million dollars. Vogler calls for a vote. All of the board members -- including Cuddy ? approve termination. Wilson is opposed, and House is saved because it wasn't unanimous. Vogler immediately calls a vote on dismissing Dr. Wilson from the board.

House meets with Chase and Foreman to discuss Naomi's refusal of treatment. House thinks they need to raise her odds of survival in order to convince her to agree to the treatment. He walks off to look for Wilson, but is stopped by the Kaplans. They plead with him for help, claiming that they fed their baby enough and a nutritionist advised them that this diet was safe. Intrigued, House calls Foreman and asks for a CT scan on Olive Kaplan. House finds Wilson, who's packing up his office. He decided to resign after being dumped off the board. Wilson angrily complains that only two things matter to him -- his job and his friendship with House. Yet House didn't care enough about either to give one lousy speech. House feebly tries to apologize, then asks about some clinical trials for Naomi's sake. Later, House tries to confront Cuddy, but she quickly ends the conversation by declaring that he may be a great doctor but he is not worth $100 million.

House meets with another oncologist and shows him a slide of Naomi's cancer cells with hopes to getting her into the doctor's clinical trial. She is eligible if she can be ready to begin in two days. House schedules a C-section for Naomi, but Foreman and Chase argue that this is against hospital regulations. Clinical trials cannot be conducted until at least a month after a major surgery. Why give Vogler any help in firing House?

House lays everything out for Naomi, but she resists. Sean begs House to convince Naomi to agree. After Sean leaves the room, Naomi asks about her incontinence which is rare for a woman of her age. House questions whether this is really her first child. Naomi confesses that she bore a girl when she was eighteen, but the baby suffered from infantile Alexander's disease. The child died and Naomi separated from her husband. She wanted to start her life over. House accuses her of being selfish and ignoring what Sean truly wants, which is for Naomi to fight the cancer. She tearfully agrees to the C-section.

Naomi is put under for the operation, but a call comes into the OR and the surgeons end the procedure before starting. Vogler has nixed it. House confronts Vogler in the lobby and indicts him for killing Naomi. Vogler says that he needs to protect the study, protect the numbers and protect the protocol from the FDA. Vogler tells House to calm down because there is another board meeting that night.

Chase and Foreman lay out the situation for Naomi and Sean. Naomi begins gasping for air. Chase slides an ET tube down her throat and Foreman kicks on the ultrasound. They spot a blood clot, which needs to be removed immediately. Foreman tells Sean it requires his permission to begin the procedure, but that it's not that simple. The best course for the baby would be an immediate C-section to prevent any damage from a lack of oxygen. In her current condition, there's a real chance that Naomi won't survive the C-section. Sean opts to avoid the C-section and save his wife.

In the OR, Foreman pushes for streptokinase. It is not enough, and they are forced to suck out the clot. Chase inserts a special embolecetomy catheter into Naomi's IV line and draws out the clot. House checks Naomi's printout. Her BP drops again and House realizes that she's bleeding into her abdomen. There is no way to stop it. House tells Sean that he needs to okay the C-section because Naomi is likely to die either way. House explains that he must make a decision to save the baby. Sean relents.

The baby is removed and the doctors wait for it to take a breath. Naomi goes into cardiac arrest and they try to shock her back to life. As they work, the baby screams. It is alive. Outside, House catches Cuddy on her way to the board meeting. He hands Cuddy the CT scan for Olive Kaplan. Cuddy notices the thymus gland indicates DiGeorge Syndrome, a genetic condition which explains the lack of weight gain. House tells Cuddy to start Olive on immunoglobin replacement because he assumes that he won't be around long enough to do it himself.

The meeting gets underway and Vogler conducts the vote. This time, only Cuddy is opposed. Vogler can't believe that she would change her mind since yesterday. She argues that he might have saved another life. Cuddy points out that Vogler is responsible to no one and that if the board rolls over for this, then Vogler will completely own them without any dissenting voices. She leaves them to their vote.

Later, House and his staff celebrate the fact that Cuddy's speech convinced four board members to give up Vogler's money. Cuddy says that she voted to get rid of the lesser of two evils. Losing $100 million is no victory for anybody.
#19Kids (2005/5/3)
At the USA Swimming and Diving National Championships, twelve year-old Mary Carroll prepares to dive from 10 meters. On top of the platform, Mary's vision becomes blurry. She nervously approaches the edge, talks herself into the dive and leaps. When she surfaces, Mary finds the crowd swarming a man who collapsed next to the pool and is bleeding from his ear.

House goes to Cameron's place to tell her that Vogler is gone and he wants her back at work. House gets a page about an epidemic, but Cameron asks why he wants her back. He replies that it's because she's a good doctor. Since that's not what she wanted to hear, she slams the door on him.

House arrives at the hospital to find hundreds of people in the lobby. Cuddy reports that the man who collapsed at the meet has bacterial meningitis. Five thousand people were exposed who are all being sent to hospitals throughout the region. She needs House to pitch in. House, Wilson, Chase, Foreman and the rest of the staff begin examining patients and either discharging them or sending them to the second floor for treatment.

Mary comes through House's line. She has fever, a rash and neck pain, which are three of the symptoms. He also notices that she moves her head oddly, and she comments that it only hurts moving side to side, not up and down. Meningitis typically causes pus in the spinal canal that makes up and down movements painful. House quickly gathers his staff to discuss. Mary's rash has been present for a week. If it were meningitis, she'd already be dead. House orders a lumbar puncture and has Chase research all known causes of neck pain. He also orders rifampin for meningitis, just in case he's wrong.

Foreman can't get a bed and nurse for the lumbar puncture due to the overload. So he performs the procedure in the hallway. Chase searches online for a possible explanation. House makes it clear that this is just busy work for Chase as a form of punishment. Later, Foreman returns to check on Mary, but she's been moved because the staff needed a gurney. He finds her on a couch and tells Mary that she has no meningitis or infections. They're going to keep her overnight, but she shouldn't worry. That's when Foreman notices blood in Mary's mouth.

Still working out in the hallway, Chase and Foreman insert an endoscope into Mary's throat. The camera into her GI tract will show where the blood is coming from. It shows nothing. Next, they give her a pillcam. A tiny camera that she swallows and sends back video from the intestines. Reviewing the images, House notices a Dieulafoy on Mary's intestines. Cuddy interrupts and sends House back to clinic duty to handle the crush. While examining quarantined patients, Chase, Foreman, House and Wilson discuss possible illnesses for Mary. Chase throws out bone cancer, which Wilson agrees would explain the meningeal symptoms. House orders a marrow sample.

Foreman begs again for a sterile environment for Mary's procedure, again with no luck. He brings her down to the morgue to take the sample. After a few hours, he returns to Mary's spot in the hallway to deliver the good news. It's not cancer. Mary smiles, but then the EEG begins going crazy. Mary looks fine, but is unresponsive. She's having an absence seizure. Foreman quickly orders two milligrams of Ativan.

House, Foreman and Chase discuss the absence seizure in the bathroom, desperate to hide from Cuddy's demands to work the clinic. Foreman reports that the seizure frequency is increasing, with five in the last half hour. Whatever she has, it's in her brain. House wants a CT scan to check for intercranial bleeding, but the scanner is backed up with meningitis patients. Chase suggests an old method, transcranial ultrasound. It will at least reveal bleeding.

Meanwhile, House and Wilson interview a second candidate to replace Cameron. After rejecting the first young doctor for having an Asian letter tattoo and caring too much about what people think of him, House rejects the second. She's a young woman who has a fantastic background and a mouth to counter House's barbs. Yet her pointy-heeled shoes mean she also cares too much about what people think of her.

Foreman injects Mary with gadolinium, which will help the blood show on an x-ray. Chase continues poring through research materials and places a lock of hair into a gas chromatograph. Back in the clinic, Wilson chastises House for continually pushing people away for the tiniest flaws. Foreman reports significant bleeding in Mary's temporal lobe and Chase finds no sign of poisoning. House asks Cuddy for an operating room and a neurosurgeon. They rush Mary into surgery.

Mary's parents arrive at the hospital after the surgery. Foreman informs them that the operation went well and the swelling and pressure are going down. In his office, House peruses the board listing Mary's symptoms. Chase and Foreman run through possible explanations. What else do they know about Mary? She's twelve, she travels a lot and she's not afraid of heights. House suddenly heads for the door. Chase and Foreman follow.

The doctors look at Mary as she recovers in a room. House notices all the balloons. She's quite popular, but none are from male teammates. Is it because she's so young or are they purposefully avoiding her? House orders a recheck of Mary's red blood cells to see if they are intact. Under the microscope, Chase notices that Mary's blood looks like it's been in a blender. Foreman thinks it's purpura and she is bleeding into her skin. Yet ther is no e coli and she is not menopausal. There might be one other possible cause -- pregnancy.

House performs an ultrasound, which reveals a six-week old fetus. He wonders if a couple of sneaked-in beers led to a lost night, but Mary insists that it wasn't the guy's fault. She knew what she was doing. House is forced to perform a plasmapheresis to clean the antibodies from Mary's blood, which means they will have to terminate the pregnancy. Mary doesn't want her parents to find out. Under state law, House must obey this even though he knows keeping the secret is the wrong decision. House tells Mary's parents that their daughter has TTP, which is easily curable. They don't need to worry about what TTP stands for because it's only a bunch of big words they've never heard before. They press House for details, but he evades them by saying the hospital will perform a small surgical procedure to remove an unnatural growth.

After the procedure and the plasmapheresis, Mary is greatly improved. House spies from afar as Mary's parents visit their little girl. Mary breaks down and tells her parents everything, just what House hoped would happen. The next day, House interviews another prospective candidate, but he tells her there's no open position.

House heads back to Cameron's apartment to say that he needs her back. She claims that she's accepted another position, but House tells her to drop it. He wants her back, and offers up more money and a car allowance. Yet she only wants a dinner as a date, not as a colleague. He agrees and they shake hands over this odd deal. Cameron says she'll be back at work the next morning.
#20Love Hurts (2005/5/10)
Harvey Park, a 21-year old Asian, patiently waits to be seen by a doctor. In a clinic room, House and Wilson discuss the return of Cameron. Wilson can't figure out why she would come back until he realizes that Cameron likes House. House reluctantly admits that he agreed to take Cameron on a date. Frustrated by Wilson's teasing, House leaves and bumps into Harvey Park, who's carrying around a glass of apple juice. House mistakes the juice for a urine sample and yells at Harvey, who cowers back to the waiting room. Wilson tells House he'd better apologize because he can't afford another patient complaint. House tracks down Harvey, who struggles to speak. House shines a penlight in his eye and rushes Harvey into the ER because he's having a stroke.

Cameron returns to the hospital, much to the surprise of Foreman and Chase. House enters with Wilson and announces Harvey's stroke, displaying the CT scan. Foreman notices ischemia, which is the death of brain tissue. Yet nothing tells them the underlying cause, so they need an MRI. However, Harvey has a metal plate in his jaw from a reconstruction. An MRI would rip it right out.

House notes that the team must be clever to figure this one out. He orders EMG tests to rule out hyperexplexia, an angiogram for vasculitis, a tox screen for drugs and an echocardiogram for the heart. Out in the hallway, Cameron coyly tells her co-workers about her upcoming date with House. They're surprised and think it's an amusingly bad idea.

Foreman visits Harvey and finds a woman named Annette by his side. Foreman asks Harvey about his history, but Annette answers all of the questions. Foreman demands that Harvey respond for himself, but Harvey struggles to remember words. Foreman eventually learns that Harvey had been grinding his jaw and went to an acupuncturist. That led to him visiting a shen balancer, a homeopathic doctor, a chiropractor and a naturopath, who sent Harvey back to the acupuncturist.

Cameron begins the EMG test with Harvey. She inserts needles into various muscles to measure his body's electrical current. The staff discusses the results when the EMG proves normal. The echo report shows a mitral valve prolapse, so Foreman wonders if perhaps a clot formed and went to the brain. House is more disturbed by Harvey's faith in natural medicine. Chase wonders if it's an aneurysm due to trauma. Using a Magic 8 ball, House decides to go with Foreman's theory. He orders blood thinners and antibiotics.

The doctors head to Harvey's room, only to find Annette choking Harvey with her hands. Foreman pulls her off, but Harvey insists that she wasn't hurting him. Chase quickly says that Annette is a dominatrix. How does Harvey even know Annette? Cuddy gathers Annette, House and a hospital lawyer in her office. Annette explains that Harvey is an asphyxiaphyliac. He gets off on being strangled or smothered.

Chase recounts how he met Annette through a former girlfriend who was into pain. House is angry that Chase didn't mention Harvey's predilection earlier. They could have gone with Chase's trauma-induced aneurysm theory. House still wants the blood thinners and antibiotics, just in case Foreman proved correct. If Harvey has another stroke, then they will schedule vascular surgery.

Cuddy catches up with House and tells him that his date with Cameron is a good idea. What happened in his last relationship is no reason to give up on people. Elsewhere, Chase is examining Harvey when he notices weakness in the man's arm and hand. He's having mini-strokes and the blood thinners aren't making a difference. House schedules vascular surgery for the following day. Chase explains to Harvey that the surgery will repair the damaged blood vessels in his neck, which they believe is from the strangulations. Harvey begins to cry, feeling that he's a loser who needs Annette. Chase tries to badger Harvey into it, which backfires. He doesn't want surgery. House tells Chase to sneak Annette into the hospital.

Annette tries to order Harvey to have the surgery, but he screams at her to get out of his room. Foreman thinks the emotional swings indicate another stroke. The doctors struggle to restrain Harvey. The lawyer rules out forced surgery. House argues that with Harvey in a coma, things have changed. The next-of-kin is deceased and cannot give permission.

House tells his team to look for Harvey's parents. Although they are accountants, he lives in a bad neighborhood. It's more likely that they cut him off after learning about his peccadilloes. Cameron and Chase poke around Harvey's apartment. They find a high school yearbook. Meanwhile, Foreman, Chase and Cameron begin dialing every Park in the phone book. The real parents hang up on Chase. House redials and tells Mr. Park that Harvey is dead and they need him to identify the body.

Mr. and Mrs. Park meet with Cuddy, House and the lawyer. House offers a surgery consent form. Mrs. Park calls their own lawyer while Mr. Park explains that their son humiliated the family. House wonders what would be more embarrassing to them -- people knowing their son is a pervert, or people knowing they let their son die by denying him surgery. Mrs. Park signs the form.

Wilson intercepts Cameron for a chat. He says that it's been a long time since House opened up to anybody. If she hurts him, then he will probably close himself off permanently. That night, the date is on. Cameron asks House to spare her the small talk and say how he feels about her and their relationship. House explains that she lives under the delusion that she can fix anything that isn't perfect. She needs instead of loves. And now that her husband has died of cancer, she wants to take him on as a new charity case.

The next morning, Harvey's surgery gets underway. Yet Wilson, Chase and Foreman are more interested in details of the date. Neither House nor Cameron gives up details. The surgeon announces that no aneurysm was found in Harvey. The doctors retreat back to House's office. They have no idea what's causing the strokes. House asks for another angiogram and echo, as well as a full body scan. Then House has an idea.

Chase reported that Harvey had boxes of breath mints in his apartment, but they all know that Harvey has repugnant breath that smells of old vomit. This is the leading sign of fulminating osteomylitis, which is an infection in the jaw from the break never healing properly. The infected tissue in the jaw broke off and blocked blood flow to the brain. The metal plate in Harvey's jaw hid the infection from the scans, and a jaw infection isn't likely to show up in blood scans either. House inserts a needle into Harvey's jaw and extracts pus. This means there is definitely an infection, and they will have to remove the jaw.

Afterwards, House explains to Harvey and Annette that their days of strangulation are over. Harvey weakly asks if his parents came to see him. In his office that night, House looks through old photos that were buried deep in his wallet. He misses somebody.
#21Three Stories (2005/5/17)
House is trying to get out of lecturing a class of medical students. He finally agrees to it after much complaining to Cuddy and an offer of two hours off clinic duty. On his way to the class, House is stopped by a woman from his past named Stacy. She needs his help with a case and presents him with her husband's file. This catches House off guard -- he didn't know she was married. House thinks the diagnosis is something simple like indigestion or a kidney stone.

Stacy presses House for an answer. Her husband is suffering from abdominal pain and fainting, but three different doctors have found nothing. She begs for help, but House dispassionately responds that isn't sure he wants her husband to live.

House lectures to a group of third-year medical students and presents three fictional patients, all of whom are complaining of leg pain. One will end up in a coma. The students make guesses about the diagnoses, and House walks them through his typical approach: never trust patients, investigate for yourself and don't care too much about them. He also interjects that sometimes you'll be completely wrong and will nearly kill a patient.

During a coffee break, House discusses Stacy's dilemma with Wilson. Wilson believes that something must really be wrong with the husband because Stacy is desperate enough to seek out House. He didn't think she'd ever get married. The students interrupt the chat and pull House back into the lecture. They throw out more guesses to treat the three cases, and House continues to change the circumstances on them. Using an example of a farmer bitten by a snake, House explains his normal routine. First you find the type of snake and administer antivenin. If the patient has a reaction to that, figure out the other snakes it could have been. Who looks for the exact snake in the field and who simply administers other kinds of antivenin? Half the class goes for each option. House tells them that half of the class has saved the patient. The other half killed him.

House continues to pepper the students with details about each patient. One treatment works, the other doesn't. One patient isn't responding to treatment, another is possibly a drug addict looking for a fix. The students dutifully scribble notes and offer suggestions. House turns back to the farmer. After telling the man that he is going to die from the snake bite, the farmer asks what will happen to his dog. The farmer's dog bit him, not a snake. Moving on, the supposed drug addict is now discharging urine that has a brown tinge and is laced with blood. What could this be? His kidneys are shutting down due to muscle death, which releases myoglobin and is toxic to the kidneys. But, since all of the students prescribed antibiotics and bed rest, that patient will die in three days. They screwed up and killed someone, which is something they'll need to learn to deal with.

In the last case study, the patient is a high school volleyball player with tendonitis. A closer exam showed a nodule in the girl's neck. An MRI then revealed an osteosarcoma, which is a cancerous tumor in the femur. It has to be removed surgically, but if it's too large or too ingrained they may have to amputate the leg. Coincidentally, the farmer contracted flesh-eating bacteria from the dog's mouth. The damaged tissue has to be removed from the farmer's leg and this procedure could also end in amputation.

In a hospital room, Cuddy tells a man in his late 30s that an MRI showed a problem and they may need to amputate his leg. Back in the classroom, Cameron, Foreman and Chase are observing House's lecture from the back row. As House explains that an MRI showed that the leg pain was caused by a clotted aneurysm that led to an infarction, the doctors realize that the three fictional patients in the lecture are actually one real patient -- House himself.

Flashback to the hospital room, where Cuddy tries to convince the man that surgery is necessary. The man is House. He refuses to allow them to amputate his leg, even with Stacy at his bedside urging him to allow the surgery. In the lecture hall, the empty seats begin to fill up. House explains that amputation protects doctors. If they cut off as much tissue as possible, they minimize the chance of something going wrong.

In the flashback, House demands no surgery. He wants them to try a bypass to restore the circulation. Stacy can't believe he's being so stubborn. House's surgery goes well, with a catheter drilling through the clot. As promised, the post-op pain is excruciating, caused by the muscle cell death. In bed, House is looking through his own chart. He doesn't like how his potassium level is rising. He calls a nurse in and demands a dose of calcium glucinate. Before she does so, he goes into cardiac arrest. Cuddy rushes into the room to shock House back to life.

Back to present day. House explains to the lecture hall that the patient was technically dead for over a minute. House flashes to the time when he was under. He sees the farmer and the volleyball player now wearing prosthetics. From the back of the class, Wilson asks if House thinks the dead patient's visions were real. House thinks the white light is simply a chemical reaction that takes place while the brain shuts down. Foreman and Cameron ask why he'd believe that and not something else. House replies that it's more comforting to believe that life simply isn't a test.

In flashback, Stacy is by House's bed as he struggles with the pain. She urges him to allow the amputation. He insists that he can get through this. If he had a patient of his own in this situation, he'd browbeat them until they accepted the surgery. So why is he resisting? Stacy tells Cuddy that House has asked to be put into a chemically-induced coma so he can sleep through the pain. Cuddy says this is possible. Stacy comes up with a plan. Since she is House's medical proxy and he is unconscious, then she gets to make the decisions. Cuddy agrees to this, but isn't sure that's the right tack.

Cuddy puts House under. Stacy then asks Cuddy about the middle ground between a bypass and the amputation that she recommended earlier. Cuddy explains that they can go in and take out the dead muscle tissue. There's some risk of reperfusion injury, but Stacy quickly agrees to the procedure. In class, House explains to the students that because so much muscle was removed, the utility of the patient's leg was severely compromised. Since they waited so long for the procedure, the patient continues to experience chronic pain. The students begin to debate Stacy's proxy rights and her decision. House wonders aloud when the class is finished. Cuddy, who's been quietly listening in, answers that it was twenty minutes ago. House limps out.

Back in his office, House calls Stacy and leaves a message. He'll see her husband the next morning.
#22Honeymoon (2005/5/24)
House and Stacy are out to dinner, waiting for the arrival of her husband, Mark. Once again he is late because he's been avoiding House. When mark finally arrives, he announces that he has already consulted other doctors because he didn't want to waste House's valuable time. The doctors thought he was suffering from stress, so Mark declares himself to be fine. Mark and House politely bicker with their rivalry over Stacy coming to the surface. The argument becomes more competitive as the two men race to down their beers. Mark suddenly becomes woozy and passes out. House drugged him in order to get him back to the hospital for a checkup.

Cameron and Foreman review Mark's file. He has experienced stomach pains and mood swings with no apparent source. Tests have shown nothing. House, making no effort to hide his disdain for Mark, orders another battery of tests. Out in the hallway, Wilson reminds House of his past with Stacy and advises him to treat this case like any other patient -- by being cold and distant.

Cameron explains to Mark that a CT of his abdomen revealed nothing. He prepares to leave. Foreman tells House that the surgeon is booked. Cameron can't believe that House would plan exploratory surgery for a patient who doesn't think he's sick.

House joins Stacy in the waiting room. The surgery reveals nothing but a distended bladder. House asks for video of the surgery. Wilson interrupts to say he saw House talking to Stacy. Wasn't he supposed to stay away from her? House admits that he likes Stacy -- which is why he was talking to her -- but he can handle everything. House continues poring over the video. He notices something and rouses his team from their sleep to come in. They don't see anything.

House shows them a comparison video and they immediately spot the problem. There are tremors in the muscle fiber, which is an abdominal epilepsy. There must be some sort of serious neurological problem.

Later that morning, Foreman brings in Mark's EEG graph. He's noticed a small abnormality in the brain waves, which means his axonal nerves are dying. The likely causes are encephalitis or Alzheimer's. Cameron points out that Early Onset Alzheimer's is the worst kind. House asks for viral serologies to rule out encephalitis and Tau proteins to check for Alzheimer's. He also asks the team to check out Mark and Stacy's house for possible indicators.

Cameron is in the lab when Stacy demands to know what their team is thinking. Cameron admits that Alzheimer's is the early guess. Cameron then asks Stacy what House was like before his leg troubles. She says that he was pretty much the same as he is now. The lab test finishes as Stacy is waiting. Mark tests negatively for Alzheimer's.

Chase and Foreman are out at the house and find an unused mountain bike and a yoga mat. Mark has recently changed his workout. Chase finds a bottle of amphetamines hidden in the back of a desk drawer underneath some papers. They bring it back to House. Although regular use could explain the symptoms, House doesn't agree. The prescribing doctor recently had his license pulled for writing illegal prescriptions to high school kids. Since Mark is a guidance counselor, it is more likely that he confiscated the pills from a student. With no trace of encephalitis or Alzheimer's, House orders a PET scan to check for alteration in the metabolic activity of the cerebral cortex.

Foreman injects a chemical marker called FDDNP into Mark that will highlight brain functions. Mark slides into the PET scanner and Foreman begins to ask him simple questions about his life. House interrupts and begins to quiz Mark about his wedding day. Mark angrily replies that Stacy wore a white dress and that they didn't leave their Paris hotel room for the entire two weeks of their honeymoon.

That night, House stands on the roof. Stacy barges outside, angry that House quizzed Mark about her. House explains that he was testing the operational parameters of Mark's limbic system, but Stacy isn't buying this claim. House admits that he doesn't know what's wrong with Mark. Everything is coming up negative. Mark is perfectly healthy, but his brain is dying. Stacy is devastated that House can't figure it out. He assures her that he hasn't given up. They just have to wait for something to change.

That night, a frantic Mark calls in the nurses and Stacy. He can't feel his feet or his hands. He's paralyzed. House and the team retreat to his office to find explanations. Realizing that the paralysis is peripheral, House suggests Guillain-Barre syndrome. Foreman says he's done the tests already and no antibodies have shown up. House wonders if Mark has the virus but isn't producing antibodies. Foreman realizes that would mean Mark is sick, but his body isn't doing anything about it. They will have to do it for him. Yet without antibodies, they'll never know if they are correct. House thinks that if the treatment works, they were right. If Mark dies, it was something else.

Cameron explains to Mark what they're going to try. Mark is hooked up to a plasmapheresis machine which will clean his blood. Mark then notices House call Stacy out into the hallway. Mark becomes paranoid that Stacy is going to leave him. He struggles to breathe. House enters the room and orders two milligrams of Ativan to calm Mark down. It wasn't an allergic reaction, just a panic attack. Out in the hallway, House asks Stacy about the cards that she and Mark have been receiving. He doesn't notice any of her old friends on them. He also finds it odd that she didn't tell her old friend Dr. Wilson that she would be in the area. Stacy wants to know what his point is. Is she still in love with him? Should she abandon her dying husband for him? Stacy thinks maybe Wilson is right about House staying away from her.

House drowns his sorrows at a bar when Wilson comes in. Although House had called him there, Wilson is in a hurry because he was in the middle of his wife's dinner party. House tells him that Mark isn't responding to treatment and he is happy about that. However, House isn't sure whether it's because he hopes to reunite with Stacy or that he merely wants her to suffer. Wilson has no response.

The next morning, House again calls Stacy out from Mark's room for a talk. House confides that he thinks she and Mark are good together, especially because he took her to Paris, her dream city. Stacy says that they never went to Paris on their honeymoon. Since she had to work, they spent a couple of nights in New York. House is intrigued, and asks her when Mark switched from mountain biking to yoga. She responds that it was about a month ago and House rushes off. Bursting into his office, House puts up Mark's PET scan x-ray for the team to see. Lying is a very creative process which is more involved than telling the truth. What does the PET scan show when House asked Mark about the honeymoon? The brain shows minimal involvement. They never went, but Mark's brain thinks they did.

House sums up the symptoms again: abdominal pain, peripheral neuropathy, paranoia and now delusions. House thinks Mark suffers from Acute Intermittent Porphyria, which doesn't show in tests, only when caught in the middle of an attack. Another symptom is light sensitivity, which might make a person give up mountain biking for an indoor sport like yoga. House orders his doctors to start Mark on Hematin and glucose, but Cameron points out that if he doesn't have AIP, the Hematin will give Mark renal failure. The only way to confirm AIP is to sample urine during an attack. But how will they know an attack is coming? AIP has very specific triggers, such as barbiturates, alcohol and high protein levels. House is going to give Mark all of these and wait to see what happens. Stacy asks for a minute with Mark.

Stacy tells House that Mark doesn't want the shot. She asks House to give it to him anyway, but House refuses. This kicks off a tremendous argument about their past. Stacy thinks that House wants Mark to die so they can get back together. House says she should force him into the treatment because she's good at that. She demands to know if this is payback for his leg. She thinks she saved his life. House claims that he's respecting Mark's decision, which Stacy calls him on. He constantly browbeats patients into accepting treatment. The only difference is that Stacy had done it to him.

Mark still refuses the trigger. Yet since he is paralyzed, House is about to inject the syringe into the IV. Foreman takes the line from House's hand. Cameron says he needs a court order to go around Mark. Even Chase steps in. House begins to walk away, then quickly turns back and stabs Mark in the thigh. For a moment, nothing happens. Suddenly, Mark's body begins to spasm. House orders Chase to draw urine from the catheter. House sticks a needle into Mark's bladder to pull a sample, then allows Cameron to inject Mark with Ativan, which calms him down.

In the lab, the team examines Mark's urine. It is still yellow, which means there is no AIP. House shines a light on the test tube to stimulate oxidation. Suddenly, the urine in test tube turns black. House tells his team to start Mark on glucose and Hematin.

Eventually, Mark can move his extremities again. The treatment is a success. That night, Stacy finds House in his office. She admits that she isn't over him and that he was always the one for her. But she can't be with him because, when they were together, she was lonely. Mark makes room in his life for her.

The next day, Cuddy intercepts House in the hallway with some news. Since Stacy's husband is going to need monitoring for some time, and they could definitely use her again, Cuddy offered her a consulting job. But Stacy will only accept if it's okay with House. He agrees.
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