House MD S2E11 - English Transcript

(CHILDREN CHATTERING) Hi, kids. Mommy, Iook what I made. Oh, wow. It's a farmer and a cow and some horses. It's beautiful. It's for Ted's office. Oh, he's gonna Iove it. And it'd be nice if you called him Dad. Give me a big hug. Secret is the Haas avocados. I can e-mail you the recipe if you want. (TELEPHONE RINGING) It's the third time they've changed plans since Friday. These idiots think you can just add a 14th floor and the mayor won't notice. And I thought turning the garage into a nursery was complicated. Any Iuck on your end yet? Not for Iack of trying. MARGO: Ted. (CROWD CHEERING ON TV) Come on. Come on, Margo! I have to go tell a client he's an idiot. Go kick some ***. I have to take Stella to karate by 3:00 and a birthday party at Julia's after. You okay? Yeah. I'II be back. Just make sure she's dressed. (GROANING) (MARGO MOANING) Honey! Honey! (CRYING) CUDDY: He's actually on time. He's six minutes early. Something's happened. I'm on it. Good morning, Jimmy. Anybody die while I was gone? Did you iron your shirt? I thought about shaving. Couldn't find a razor. What the hell happened in Baltimore? Sorry, chief. Never kiss and tell. I think you just did. There's no such thing as "just a kiss. " Did you iron your shirt? Everybody's flash today. Has she Ieft Mark? Is she going to? I think I can hear cancer kids calling. Are you planning on asking her to Ieave Mark? Not sure. Cameron keeps my calendar. Hey. This is a big deal. This is an affair. Have you even talked to Stacy about what the hell this means? Didn't have a Iot of time for talking, if you know what I mean. Great. Breaking up a marriage. Fertile ground for high comedy. We need to talk about this. Gosh, wish I could. How did the *** test go? You study up? I rescheduled for this afternoon. We have a new patient. Thirty-four-year-old female, movement disorder. Movement disorder? Fascinating. This isn't just gonna go away. No. But maybe you will. Probably suffered head trauma in the car accident. Trauma Ieads to the dyskinesia. According to her husband, the flailing started before she got anywhere near that car. HOUSE: What does the flailing Iook Iike? Her arms spasm uncontrollably and there's a mild facial twitch. Demonstration? You wanna know what it Iooks Iike, go see the patient. Oh, snarky. Was he Iike this the whole time I was gone? The patient's been on a fertility regimen for the Iast 13 months. Excess estrogen in the system could explain Who finished the animal crackers? Sudden movement disorder could be a symptom of Huntington's. If you finish something, don't just put back the empty box, throw it out. Huntington's takes a day to confirm. We should put her on tamoxifen in case it is the fertility meds, counteract the estrogen. That's a great idea if you wanna kill her baby. Movement disorder can present in the first trimester. She's not pregnant. Peeing on a stick is only 99% accurate. Get a real pregnancy test. You know, the one with the blood and the hormones and the rabbit. Oh, I'm sorry, it's still your Iimo. What do you say, Miss Daisy? Whatever you want. Lame duck's done quacking. You quack, people shoot at you. Cuddy just put me here to make you miserable. Another two days, you can go back to making yourself miserable. Okay, get an MRI. See if it's in her head or in her uterus. You're gonna want to paralyze her. You run tests on a flailer, somebody's gonna Iose an eye. (GASPING) Sorry. You think I'm pregnant? We need to find out for sure. Would all this go away once she delivered? It could also be neurological. We need to get an MRI. Can she do that if she's pregnant? The risk to the fetus is extremely Iow. But there is a risk. I don't think we should do it until we're sure. Ted, I think you should take Stella home. I wanna stay here. We should be with you. You should take her out of the room. We're gonna temporarily stop Margo's spasms. You can do that? Vecuronium. It's a paralytic. Essentially cuts off the brain from the muscles. Don't worry. Your mom will be just fine. It'II make running the tests easier, and it won't be dangerous for the baby if you are pregnant. TED: Let's go, Stella. I want to go with Mommy. We'II be just outside, okay? We gotta Iet the doctors get her better. AII right? It's okay, sweetie. Love you. Love you. Your vitals will be watched closely. I'm gonna close your Iids so your eyes don't dry out. Just try to relax. What the hell did you do? Were you just cold and Ionely? Of course he told you. He's an eight-year-old boy. Hey, you're the one who kissed him. Why are you so worked up over this? Because you're married. Not to you. This is none of your business. The Iast time you Ieft, I was the one stuck picking up the pieces. Oh, right. He cried himself to sleep every night. That so sounds Iike him. He's been pining for five years. You're being dramatic. No. Actually, I'm underplaying. This is me being restrained. It was one kiss. Are you being intentionally thick? This was not just a one-night stand. You can't toy with him. I'm not. He's probably toying with me. I don't know what I'm doing. Oh, boy. Welcome back to the world. You're off the vecuronium. Could you wiggle your toes for me? The MRI was clear. Whatever this is, isn't in your brain. MRI. So I'm not pregnant? CAMERON: I'm sorry. So what do we do next? Well, it could be a variety of things, some treatable, others more serious. Open up. I'm gonna run a genetic test for Huntington's. That one of the more serious ones? Yeah. It's also possible that this is just a symptom of the fertility treatments. And now that we know you're not pregnant, we're gonna start you on tamoxifen to counteract the estrogen. Will that undo all the fertility treatments? For the time being, yeah. But it could cure you. You can start trying again once we get you healthy. Damn it! The spasms are gonna get worse now that the vecuronium is wearing off. What are you so scared of? I'm still your mother. I'm just a Iittle sick. Why did you even bring her here? I told you to Ieave her at home. FOREMAN: Hypervigilance, sudden irritability. Symptomatic of Iunch with Cuddy? The patient now defines Huntington's. Then what do you need me for? Start her on Huntington's meds. Before we get her test results back? We start her on valproic acid, it could destroy her Iiver. Could stroke. If we wait, she could progress to full-blown psychosis, and then her kid will never get the chance to say goodbye. Wanna tell the class how that feels? Huntington's patients don't progress to psychosis in a day. (PAGER BEEPING) She went from zero to 60 in world record time. Indicating it might be something other than Huntington's. We got a problem. Stay away from me! Where's my daughter? What's happening? She's having a psychotic break. No! She is not yours! What do you want with her? Calm down! TED: Honey. Margo, you're gonna hurt someone. No. CHASE: Push two milligrams of Ativan. I want my daughter! She's not yours! I want my daughter! No more experiments! No! CAMERON: How can her Huntington's test be negative? FOREMAN: AII the signs are there. Movement disorder, psychosis. It should be Huntington's. Yeah. It would certainly make your job easier. Well, good news for Margo, it's not Huntington's. Bad news for us, her psychotic break eliminates fertility meds. Which means we have no idea what's wrong with her. We give you so much, and you give us so Iittle. You know, the patient is prime age to develop spontaneous schizophrenia. AImost impossible. No family history of mental illness. How about toxins? None of her family members are sick. Nobody at her office, her volunteer group, kid's classes, and PTA members, all fine. So she raises a daughter, runs a business, she does charity work, she volunteers at school, attends PTA. What makes Mommy run? You're thinking drugs? ***. Explains the psychosis and the flailing. And the uncanny ability to bring home the bacon, fry it up in a pan, and never ever Iet Teddy forget that he's a man. I'II go Iook for her stash. Take Foreman. There's gotta be a reason for the stereotype. I know you're in there. I can hear you caring. The door was Iocked. It means I didn't wanna see anyone. High school reunion? It's for a patient. She can't roll. Hey, I Iocked that door, too. Paranoia. Must be the good stuff. Times Iike these, I wish I had cancer. So what did she say? It depends. What did you do, and who are we talking about? We both know that as soon as we talked, you ran to Stacy so you could gossip and giggle. I need to know what she said. I have a crazy idea. Why don't you go talk to her? Because my bestest buddy says that could Iead to trouble. She sounds confused, but I don't think she is. I think she's waiting for you to do something, show her you're serious. Wow. It's a big jump from "infidelity is morally wrong" to "do her. " I didn't say "do her. " I said do something. What exactly did she say? She didn't say it was a mistake. She's not gonna Ieave Mark in the middle of his rehab. Too much guilt. She Ieft you. Harsh ***, dude. House. Killjoy. I could've covered this. You need to get that test today. I wish you guys would remember my birthday instead of my *** test. Forgive us for being concerned. I got a bet with House. He says you're too scared to get it. I say you're too *** not to. I'II cut you in. CAMERON: That was a colossal waste. FOREMAN: Who would've known? Searching a high-end family home for illicit narcotics was such an obvious choice. Working moms practically Iive in their cars. Little bump on the run. You were a car thief, right? Mama's Iittle helper. House, Ritalin. *** with a PG rating. Prescribed to her daughter. Mommy does everything for her family these days, even swallows their pills. It's possible the kid's meds are the kid's meds. Pop enough Ritalin, it can explain everything. Well, Ritalin maybe explains some tics, some involuntary No, case reports have referred to chorea. She's been cut off from her stash, so the flailing's tapered off, the psychosis hasn't returned. It's perfect. Tox screen will confirm that. Half-Iife's 1 2 hours. Drugs will be out of her system. We're done. Get rid of her. We're not done. We have to confirm the diagnosis before we send her home to die of something else. Oh, yes. The power tastes so sweet. You just can't resist. You're Iike a diabetic at the ice cream counter. You wanna say no, but you need that chocolaty goodness. Yeah, well, I'm still signing the charts. So until tomorrow, you're not allowed to kill anyone. Wuss. We've asked her three times if she's on any meds. So we don't ask her. Candy striper. So, you Iike dogs? (WHISTLING) That's not a dog. Smart kid. Are you always such a good Iittle girl, or does Mommy sometimes say you're the reason she needs a double martini? Who are you? Over here, kiddo. I'm talking to you. Focus. Must be because you're off your meds. Who are you? Doctor and candy striper. She's not on any medication. HOUSE: Well, that's strange. 'Cause this bottle has her name on it. And I think these are medical pills inside. What's he talking about? The doctor prescribed Stella A few months ago. I never told you about it, because I never gave her any. That's funny, 'cause the bottle's almost empty. You missed a couple of days. Take five. Stop. Why? Unless they're not hers. You need some water, sweetie? I'm not taking Ritalin. Come on. AII the cool moms are doing it. And tox screen says you're cool, too. You were on drugs while taking care of Stella? I'm sorry, Ted. It's a cafeteria menu. It should take a couple hours to process her. Then you can take her home and divorce her. Working Iate? Or are you just avoiding Mark? It was one kiss, Greg. So far. I'm planning on keeping a chart. I'm moving back to Short Hills. I think it's time. You're Ieaving? It was never meant to be permanent, and now that Mark's getting better Yeah, much better. Except for the whole walking thing. He needs to get back to work. Right. Saving the next generation from making bad choices about acne cream. You're running away because the kiss meant something. I'm not running away. I'm going home. With Mark. I Iove Mark. You Iove me more. I don't want you to Ieave. Are we okay? I'm sorry. Let's just get you home. That's a good idea. Mommy! Hey! Call a code! What's wrong, Mommy? What's going on? (TELEPHONE RINGING) This better be important. You've gotta come back in. No, I don't. Margo's stable, but Oh, my God. Well, I'II be right there. She had a stroke. Perfect. (SIGHS) Gotta go back to work. Right now? Well Patient's stable. Could maybe wait a half-hour. He should have been here Doubt if he makes it at all. I saw him Ieave with Stacy. He was probably just walking her to her car. Oh, yeah. That sounds Iike House. He's not an idiot. He's not gonna hook up with a married woman. I hope he is getting some. Maybe he'II mellow out. (HOUSE SINGING) What took you so Iong? It's midnight. Traffic. Cinco de Mayo. You owe me $100. You didn't take the test? Fear trumps *** every time. It's not a big deal. I had the viral Ioad and antibody test. It's 99. 9% that I don't have ***. And if you have the test, and it's negative, you gain a tenth of a point. But if it's positive you Iose nearly 100, right? No arrhythmia, so Ritalin isn't the big problem. Something else is going on. Fine, Iet's play doctors. I removed the clot which caused the stroke. Problem is, we don't know where it came from. Did ultrasounds of her heart, arms and Iegs. AII clear. Could be a protein C deficiency. Wouldn't explain the movement disorder. Nothing explains everything. What if it's a crime syndicate? Let's say Ritalin and the fertility meds plotted a caper. Ritalin takes care of the psychosis, the flailing. I still don't think Ritalin HOUSE: Fertility meds are competitive by nature. They had to do something bigger, something really unexpected. Fertility treatments have been known to cause endometrial cancer. Which could cause clots, which could have caused her to stroke. So ultrasound her uterus this time. See if there's something growing in there that doesn't Iook adorable in a onesie. Cameron. I Iove you. You'II get your test results tomorrow. The prescription for my heart condition. A bit on the cheesy side. I was trying for romantic. Still fits. Did you tell Mark? I told him I had to work Iate. You gonna tell him? How am I gonna tell him? Still working on that phrasing. How about, "You know all the stuff you were worried about when we first came here, honey? "You were right. " Pithy. Everything's easy when you don't care if you hurt anyone. You already did the hurting part. He just doesn't know it yet. If I never tell him, it'II never hurt. I want not to Iove Mark. I wanna hate you. I want all of this to be simple, but it's not. You can either have a Iife with me, or you can have a Iife with him. It can't be both. It's not easy, but it is simple. No endometrial thickening. No masses. FOREMAN: No cancer. She's on fertility treatments. She had a blood clot. It's there. Millions of women are on fertility treatments and they don't get cancer. Right. They get babies. She had a blood clot and a stroke. She'II get another one and probably die, if we don't find that tumor. Do an endometrial biopsy. Biopsy's painful and unnecessary. We just did an ultrasound. What? (HOUSE SHUSHING) If you have a personal issue that's interfering with What are we waiting for? Your four weeks just expired. Your reign of terror is over. Mine has just begun. Now go stick a needle up her hoo-hoo and find that cancer. "Hoo-hoo"? He went to Hopkins. COMMENTATOR 1 : Pergasaurus has got 1,500 horsepower blown and injected with alcohol. COMMENTATOR 2: Yeah, that baby really moves. COMMENTATOR 1 : Oh, yeah, and the transmission, two-speed Powerglide. Suspension What are you watching? TV. What are you doing here? Ted's with my mom. He asked the nurse to watch me. What nurse? She's not really watching me. I got that. Do you still have the balloons? No. Do you wanna play something? Nope. When can Mommy come home? Don't know. What's wrong with your foot? War wound. Does it hurt? Every day. Is that why you're so sad? Oh, aren't you adorable? I'm not sad, I'm complicated. Chicks dig that. One day you'II understand. That's what my parents say when they don't want me to know something. They say that a Iot? Only when they're talking about making babies and stuff. When you catch them fighting? They don't fight. Not ever? People who Iove each other don't fight. Right. Forgot that. What floor was that nurse on who was watching you? Two. Good talk. At your age, the type of uterine cancer that develops is not Iikely to metastasize. It's very treatable. Okay, hold still, Margo. (STAMMERING) I'm feeling a Iittle bit dizzy. Oh, my God. (MONITOR BEEPING RAPIDLY) BP's dropping. What's going on? CHASE: Get him out of here. What's going on? CAMERON: Heart rate's 98 and rising. We've gotta find that bleed. What'd you do, hit an artery? With what? I hadn't even started the procedure. (MOANING) I need some advice. Whatever it is, can it wait? Yeah. What was Greg Iike after I Ieft? An egomaniacal narcissistic pain in the ***. Same as before you Ieft. Do you think he's capable of having a real relationship? What happened in Baltimore? Nothing. Right. Maybe something. Right. Technically, most of the something happened after Baltimore. Oh, God, Stacy. I don't know what to do. Are you seriously thinking about Ieaving Mark? No. I don't know. I can't. And you want me to tell you it's okay? It wasn't all bad with Greg. I was with him for a reason. You Ieft him for a reason. I could swear I remember him being fun. Sorry for the scare. Just tell me she's okay. UItrasound showed the bleed was coming from her Iiver. It's rare, but the blood got into her fallopian tubes. In a way, it was Iucky. Let us know we were Iooking in the wrong place. The tumor's in her Iiver. Is it cancer? We're running some more tests. There it is. It's a Iiver tumor. Well, if it's malignant, at Ieast she's only gonna Ieave one child without a mother. Do a biopsy. We can't. It's vascular. MARK: House. What? I'm here about Stacy. What about her? I think I'm Iosing her. Your wife, your problem. She won't talk to me. So what? You gonna talk to me instead? Talk to your shrink. She keeps saying everything's fine. Find a bar. Talk to a stranger. You're the only one who's been through this. I'm shutting her out. I'm saying things and then hating myself for saying them. How did you get past that? Didn't. Can you please be a human being for one minute and talk to me? Sorry. Gotta go. People dying. You're not gonna outrun me. House! You're not ready for this. I've seen the way you and Stacy talk to each other. You're an idiot. You probably just set your rehab back three months. Let go. Get off of me! Liver tumor doesn't make sense. You saying the CT was wrong? I'm saying the symptoms don't add up. A plus B does not equal Iiver tumor. We gotta solve for X. We gotta Iook at this differently. What do we know about her? The side effects of the Ritalin caused the No. We've examined the file up and down. Come on, give me that. Why do you people always overlook the human element? What do we know about her? Margo Dalton. The woman. She's a people-pleaser. She doesn't Iike to Iet people down. Never fights with her husband. She turned to drugs instead of asking for help to manage her Iife. So if she can't manage now, why does she want another kid? Foreman, I need your help here. You wanna pull a bank job, would you go it alone? If you gonna rob a home, sure, that's a one or two man crew. But a bank, you need a Iookout, a getaway driver. I'm not saying anything until the metaphor plays itself out. So here's the caper. Fertility meds create a distraction. Mommy had three refills on Ritalin in the Iast three weeks. That team goes straight for the top floor. No trouble taking out communications, but they need the specialist, a safecracker. AII he does is stroke, blood clot, Iiver tumor. Foreman was right. This badass even does flailing. Come on. There's only one guy I know who does that kind of work. Birth control pills? While the surgeons are cutting out a chunk of your Iiver, should I have them do a hysterectomy, too? A hysterectomy? I'm trying to get pregnant. You don't have to Iie to me. We're not married. You're Supermom. You can do anything. You work seven days a week, you volunteer, you raise a kid. Yet you still somehow find the time to Iie to hubby number two that you really, really wanna give him a child with his chin and pretty brown eyes. What makes you think that I would Because it fits. Birth control pills caused a hepatocellular adenoma. Explains all your symptoms that aren't explained by your other Iies. That's it? AIso I'II have the tuna on rye. Would you Iike to Ieave my room now? Your tumor is benign. Stop taking the pill, and it will go away on its own. I'm canceling the surgery. What are you gonna tell my husband? That I'm canceling the surgery. You can do the explaining. It's tricky, huh? It's one thing to say you can't have a baby. It's another to say you don't want one. Personally, I'd make up some other Iie. Could Could I die on the table? Could you die if you tell him the truth? I need this surgery. I'm not on the pill. You can't cancel the surgery. If she goes off the pill, the tumor goes away on its own. You have no proof the birth control pills caused this. You have no proof she's even taking them. If we do the surgery maybe we'II kill her on the table. Then I can prove I'm right at the autopsy. Or we can forget the surgery, Iet the tumor grow, and kill her. Why don't you take it up with Stacy, see which option minimizes your risk? Here's what I think she's gonna say, "Oh, I Iove Greg. "But if you go against the patient's wishes, you're calling her a Iiar. "And if something goes wrong, I end up in court "having to defend the big mean doctor, albeit with dreamy eyes, "who wouldn't believe the nice suburban mom. "And even though his cane makes me melt, do the damn surgery. " HOUSE: Shocking. It's benign. People do crazy things for Iove. No, crazy is hanging out in the park all day talking to pigeons. Margo knows what she's doing. She gave up half her Iiver to save her marriage. No, she surgically removed her fingerprints to cover her pathetic Iie. It's twisted and manipulative. I get that. But it's also romantic. I'm barely willing to put the seat down after I pee. Do we need to talk? Nope. I'm fine. So the surgeon got the whole tumor, and it was benign. That's good, right? Yeah, benign is good. How could a benign tumor have caused all the symptoms? We believe all your wife's symptoms will go away now. Oh, thank God. Look, I'm gonna pick up Stella. I'II call you after I get the babysitter. Dr. Foreman, you can help me. You could tell my husband that because of all this, I can't take any more fertility treatments. Confidentiality rules stop me from telling your husband the truth. But my obligation to Iie ends there. Are there Is there a birth control method, something that won't make me sick? Margo, you're gonna have risks with everything, especially if you're not telling your fertility doctor. If you keep doing this, it's gonna kill your marriage and kill you. You don't know. In a few years, we'II give up. Stop trying to get pregnant. We'II hug, cry. Eventually Ted will stop thinking about it, and he'II appreciate Stella even more. And we'II Iive happily together for the next 50 years. Something you need to see. Knowing is always better than not knowing. It's a referral request. Right. The *** thing came in earlier. You're fine. You won't read your mail, but you'II open mine? It said "confidential," and I wanted to know. The most important Ietter of my Iife, and you're still an ***. Comforting, isn't it? (DOOR OPENING) Hey. Hi. I'm gonna talk to Mark tonight, and I'm gonna stay here with you. Don't do it. This isn't funny, Greg. I know. You spent all these months chasing me. Now I'm here and you start running? What the hell changed? Nothing. Nothing changes. I'm not gonna change. Who asked you to? Mark is willing to do whatever it takes. I'm not. Never was. Now you're introspective? Weren't so analytical the other night. You were happy with Mark. You'II be happy again. Shut up about Mark. What the hell is wrong with you? I can't make you happy! What? How do you think this is gonna end? We'II be happy, for what? A few weeks? A few months? And then I'II I'II say something insensitive or I'II start ignoring you. And at first it'II be okay. It's just House being House. And then, at some point, you will need something more. You'II need someone who can give you something I can't. You know I'm right. I've been there before. Oh. It doesn't have to be. It does. It does. I don't wanna go there again. I'm sorry, Stacy. (DOOR CLOSING) (SIGHS) $50 says they're divorced in a year. Six months, tops. I'II take that bet. It's the perfect marriage. There's nothing to fight over if you never talk about anything. What did you tell her? I told her she's better off without me. That's probably true. You're an idiot. You don't think she'd be better off without you. Right. I sent her off on a whim. You have no idea why you sent her off! Don't do this. This was no great sacrifice! You sent her away because you've got to be miserable! This kind of psycho-crap help get your patients through the Iong nights? Or is it just for you? Tough Iove make you feel good? Helping people feel their pain? You don't Iike yourself. But you do admire yourself. It's all you've got, so you cling to it. You're so afraid if you change, you'II Iose what makes you special. Being miserable doesn't make you better than anybody else, House. It just makes you miserable.