House MD S2E8 - English Transcript

Welcome! I'm here for illuding! What is *** and what is magic? This is what you've wanted. Now I will astound you! As you see there's nothing up my sleeves. And this hat just an ordinary old hat. Watch as I wave three times above the hat, and whisper the magic words. And now [Laughter and aplause] Mom it's not working! It's ripped! It's okay baby, it's just a little tear. Hurry up, mom! What are you so worried about? Sally's going to make fun of us. Sally Ayerson? She said her mom bought her dress at Bloomingdales. You had to make ours. We're going to look stupid! Do you girls remember that music we were listening to yesterday? That lady who sang about respect? Retha? Aretha. That's right. Do you think she had lots of money growing up in Detroit? What's Detroit? It's a city. The point is that she's one of the best singers ever. If Sally's mean to you again I'm just going to have to key her daddy's new convertible. Do you know what that means? Good. Piano intro for "Little Bitty Pretty One" # Mmmm m m mm # # Mmmm m m mm # # Mmmm m m mm # # Mmmm m m mm # # Wow wow wo wo wow # # Wow wow wo wo wow # # Little bitty pretty one # # Come on and talk to me # # Lovey dovey dovey one # # Come and sit down on my knee # # Wow wow wo wo wow # Ahhh! [Starts crying out in pain] YeeeAhhhh! Ahhhhhhh! Original Airdate (FOX): 29-NOV-2005 [Overhead speaker is calling for Dr. Lau] "Dr. Lau, 2826. Dr. Lau, 2826. " - Hey. - Hey. Did you speak to Chase and House yet? The disciplinary hearing. The McGinley case. That's not for two weeks. Tomorrow. Scheduling disaster, you don't want to hear it. You gotta get the boys okay to move the hearing up, and you gotta do that whole legal advice thing. - Will you ask someone else? - I'm asking you. Let me work with Chase. House should have separate counsel. Stop looking for whatever you're looking for. For the last month, House has been crowing that you can't work with him because you're just swooning in love. There is nothing approaching love in what I feel about him right now. Well if you can't work with him, it amounts to the same thing. [Sighs] We had a fight. It's awkward. Why not use another lawyer? Because 40% of our lawsuits last year were about House. You can't work with him, you can't work here. House: She's over-reacting. Wilson: You snuck into her shrink's office and read her private file. When Nixon did that, he got impeached. So you're saying I'm not allowed to have oral sex with an intern either? - Yes! - And yes. The file got me on the floor of her attic with her pouring out her soul. The only thing I did wrong was get caught. Stacy: Where's Chase? He's too busy to service you until after work. House: I got a couple of minutes though. Feel free to say something like "what'll we do with the time left over?" Or you could just stew. That works as well. She stews before she gets violent. This one says you're okay with moving the disciplinary hearing to tomorrow. This one says I've advised you of your legal rights. Uh huh, any legal rights I should know about? Nope. [Tosses her pen on to the table] Great. And you thought this was going to be awkward. You shouldn't sign it. Postponing is almost always the smart thing to do. Tempers cool, memories fade. - They rule on me it's done, right? - Yeah, but Then let's get it over with. - Have you ever done a peer review before? - No. Good. Here's a misnomer, these are your bosses. This will cost you some money, some privileges, or it could cost you your career. All I can tell them is what happened. There's an objective reality to what happened and that committee is never going to know it. All they're going to know is what they picture happened, which depends a little on what you tell them, and a whole lot on HOW you tell them. May 11th. - Patient presented to the clinic - What's her name? - It's in the file. - Do you know it? Then use it. Kayla presented to the clinic with multiple joint and stomach pain. Chase: Dr. Foreman was called in for a neurological consult. Sam: What's the point of this, man? Checking your sister's cerebral coordination. The thing is in her leg and her stomach. Wait in the clinic for six hours so she can play patty cake? She could have gone to the ER last night. Oh yeah? You wanna come over and babysit her kids? Stacy: Ok, patient comes from a family of jerks, I get it. Can you stick to the medicine? Something wrong? Chase: There was some uveitis. Stacy: Meaning? Her iris? The colour part of her eye was inflamed. Meaning? Worst case, blindness. But there was an upside. It was weird enough to get House interested. Young woman, joint pain. Gonorrhea is a possibility. It's probably articular. Maybe rheumatoid. It's typically small joints, it's her knee. Takayasu's arthritis. Get a sed rate and serologies. Child proof. How many kids are hopped up on vicodin? Gimme. Right. Like I'd ever get it back. Chase. Stacy: Don't care about the vicodin. [Pop!] Might not just be her arteries, could be all her blood vessels. Vasculitis, with stomach pain, so Bichette's. No, she'd have oral sores. Or genital. Go find them. I thought she was Foreman's patient, why did you do the exam? Foreman: She'd have oral sores. House: Or genital. Go find them. Woah woah Foreman Chase can handle the pelvic. Any pain? Is it bad? This will go a little easier if you talk to me. I'm sorry. I umm I just really hate hospitals. When I was 12, had my tonsils out. Got to skip school, lots of ice cream, made me want to be a doctor. My mom died when I was 8 so I spent months at Princeton General. She died of TT's? Your mom? Bottles stashed around the house? Mood swings? That whole deal? You've been there? My mom. Dad left, mom crawled inside a bottle. Made for a great Year 12 of high school. You ok with your dad now? No. Does your dad have anything to do with this story? No, it's just Okay, I get it, the two of you bonded, which is why you probably haven't been sued. Patients never sue doctors they like. But keep it brief, ok? The panel doesn't like to think they're being manipulated when they're being manipulated. She had some ulceration. Confirming Bichette's? I gave her some prednisone, an antacid and I ran a pathogy test on her arm, takes 24 hours to confirm. Told her any doctor could check it out. You didn't make an appointment? Nope. She just showed up. [On the phone] Uh huh. Dr. Chase. Hi. All right, let's take a look. Okay, those little pustules means it's positive. Talk to Nurse Previn, get an appointment with Dr. Broston in rheumatology. Bichette's is very treatable. You're going to be fine. Okay. Thanks. And you were just chatting on the phone to someone and she just happened to run into you. That's what happened. No appointment? No real examination? Just gave her the test results. So, lower standard of care, you really couldn't be expected to notice there was anything else wrong. We didn't even go into an exam room. As your lawyer, I can't stop you from lying, I can't even be in the room, but I would be remiss if I didn't prep you until I'm better. You wrote her a prescription, which means there was an examination. What really happened? I was on the phone. Dr. Chase? Hi. Hi. Kayla. I'm here for the test my arm? Oh. Oh yeah umm, okay. It's positive. Talk to Nurse Previn, get an appointment with Dr. Broston in rheumatology. I took that medicine you gave me, but my stomach still hurts. Bichette's can be stronger than we thought, or it could be reflux from the prednisone. This is a stronger antacid. Doctor Yes? Nothing. You didn't ask her anything about the stomach pain? I made one little mistake. As little mistakes go, that was a biggie. She's only advising Chase? Not you? Well what's the committee going to do to me? I haven't even met this patient. Your disdain for human interaction doesn't exculpate you, it inculpates you. Besides the charts, you're responsible for everything Chase does. Which is why this doesn't matter. She protects Chase, she protects me. Unless her advice to Chase is to make a deal and give you up. [Poorly mimics Chase] "I'm so sorry, if only Dr. House had paid attention, he'd never even met her, he never does. " Chase loves me. And isn't Turkish. Cameron loves you. Chase loves his job. You really think Stacy hates me that much? I think right now she hates you more than enough. You think emotion only affects doctor's judgments? Everything stems from that one interaction, they're going to slam you on it. Were you distracted, your problem. Overworked, that's their problem. Forgetful, yours, lazy I just figured the stomach pain was the Bichette's. Any doctor would have thought the same. Then why did you call her an hour after she left the clinic? Nurse Previn said you asked her to have Kayla come back in. The way she hesitated I thought she might have had a doorknob question. Patient comes in, says he's got a sniffly nose, you examine him for 10 minutes right? Then you're leaving, hand on the doorknob, and he says "oh yeah and my *** has turned green". Embarrassing question, only important when patient saves it for last, so you knew she was about to ask the most important question and you left. No. I didn't. I figured it out later. What changed? Nothing. Bad answer. I wasn't thinking clearly at first. Worst answer. What was her doorknob question? I figured it might be blood in her stool, which could indicate a bleeding ulcer. Talk to me. 35-yr-old female vomiting massive amounts of blood. LOC at work, BP 80 over 20, heart rate 140. Push flows? 3 litres in the field, and we're boosting another one right now. It's gotta be a bleeding ulcer, doc. Co-worker says that she's been eating ibuprofens like candy. I thought she had Bichette's. 1, 2, 3. Chase: I'm in her stomach. There's too much blood, I can't see. She burst an artery? No, there. Bubbling, just a bad ulcer. Cauterizing. - Can't see, use more saline. - Hold on! Okay. [Sighs] Looks good. Bleeding ulcer. We got it. She was fine 2 hours ago. [Alarms start beeping] Systolic BP's 70. House: Where's the ulcer? It's brown. I cauterized it. It must be something else. Chase: There. Foreman: Second ulcer? Not anymore. It perforated. Get her to an OR! The surgeons were able to suture the perforation. But the contents of the patient's Kayla's stomach had spilled into her body. She got septic. Then the infection lowers her blood pressure It damaged her liver and kidneys. Listen, I know this looks bad, I obviously got the diagnosis wrong but I did everything by the book. I couldn't have known what was going to happen. If I skip my coffee I get cranky. Do you want anything? Why did Chase screw up? He forgot to ask her a question, does there need to be a reason? It might help him. As far as I'm concerned, he made a little mistake. It happens. How far are you concerned? You think I'm biased? You're colleagues. You've worked together for over a year. And everyone says you slept together. [Clears her throat] Who says? The correct answer is "we're not involved and I'm not biased". We're not involved. And I don't know why he messed up. House has worked with him longer than I have. You should talk to House. Yeah. Why did Chase screw up? Because he doesn't give a crap about patients. Well he always gets positive patient reviews. Yeah. He smiles all 84 of his teeth, tells them his tonsil story. It's a nice story. He still has his tonsils. As soon as he's out of the room, which is as soon as he can be out of the room, he starts in on the trash talk. Thinks not giving a crap makes him like House. Like something to aspire to. Am I going to have to testify? I won't be encouraging them to call you. What'd House say? [Coughing] Two months like this. Let me guess, no insurance. Just heard about the free clinic. It's a good move. You don't want to skimp on the essentials like wristwatches, MP3 players. I need to talk to you. From the doorway? - It's confidential. - Cool. I love gossip. Hear that crackling sound like crumpling up paper? Keep listening. Let me know if it changes. Two questions. Why did Chase screw up and how bad was it? Wow. Talk about efficient. I only need one answer, Chase didn't screw up. He said he did. Well I'm not a lawyer, but that seems like a sucky legal strategy. Look I don't wanna know what you think a reasonable doctor would have done in Chase's position. If I thought he was a 'reasonable' doctor, I wouldn't have hired him. God, you two are a couple of geniuses. Deny everything, completely fool the lawyer who's trying to help you. Too bad the review committee members are actually doctors. Stacy. [Sighs] I'm in her stomach. There's too much blood, I can't see. She burst an artery? No. There. Bubbling, just a bad ulcer. Okay, cauterizing. Looks good. Bleeding ulcer, we've got it. She was fine 2 hours ago. If by fine, you mean she had fountains of blood spurting out of every orifice then yeah, I believe you. [Alarms start beeping] I'm guessing those are salvatory bells. Systolic BP's 70. Show me the ulcer. It's brown. I cauterized it. Sweep back, show me the whole stomach. Stop. Foreman: Second ulcer? Not anymore. It perforated. Get her to an OR! Let's go. She was not fine She mentioned stomach pain? Yeah, so I gave her a stronger You didn't do an exam. She just came in for a follow-up. The results of the pathogen test. Did you listen to her stomach? Check her vitals? Maybe if she'd said something about taking ibuprofen, mentioned the *** bleeding! Yeah, why didn't she go to med school like you did?! Diarrhoea! Blood in the stool! These are routine questions Doctors skip all the time! It was a minor mistake; I couldn't have known it was going to happen Mistakes are as serious as the results they cause! This woman could die because you were too lazy to ask one simple question! No! She might die because I had the bad luck to spill your damn vicodin pills! And I responded with a number of trenchant remarks which made Chase cry, none of which I'm going to testify about. Unless you convince Chase to row on me. Excuse me, testify about what? Uhh Chuck. I'm going to break from the parable of the wicked doctor and tell a little story about a patient. Let's call him Buck, who has low O2 stats and crackling lung sounds. Like I have? Buck has idiopathic pulmonary fibrosis. His lung tissue's turning to rock. There's no known cause, no treatment. He is slowly suffocating. You're talking about me? Lung transplant's about a half a million dollars, but this poor sucker's got no insurance. If he tried to sign up now, he'd be excluded, pre-existing condition. But let me confirm with my lawyer. She confirms. If only Buck hadn't been diagnosed with fibrosis before he got insurance. So back to the exam. That's how you tell this guy he's dying? Oh relax. He's got a cold, and soon, health insurance. Such a hero. Always righting wrongs. Who cares who you have to manipulate. I'm sorry. I didn't realise you and Buck were so close. Stacy: It's a point of principle. Right. It's got nothing to do with what I did to you. There's nothing for us to talk about. That's why you're following me. I read some notes If Chase screwed up I was wrong. Terribly, terribly sorry. If Chase screwed up so badly, why didn't you fire him? He has great hair. What are you hiding? I'm gay. Oh, that's not what you meant. It does explain a lot though. No girlfriend, always with Wilson, obsession with sneakers Diarrhoea, blood in the stool. Two simple questions you could have asked her six months ago and averted this whole thing. You didn't ask either, why? Judging from your question, and your demeanour, I assume you were visiting with House. Been over this. I don't know. - Good doctors don't make mistakes - Good doctors never forget to ask questions? Then you've got your answer, apparently I'm not a good doctor! FYI, self-pity generally is not a good strategy in these hearings. What happened after the operation? The kidney damage isn't so bad. The liver damage is more worrisome. There's no dialysis for livers. I know, but if she loses her liver she can get a transplant, right? We can put her on a list. I could do it. I could give her part of my liver. Surgeons won't operate unless the donor's had a long time to weigh the decision. There's black markets. Those organs That's just Ooh ohhh my stomach! [Alarms start beeping] - Are they constant? - Ohh oh yeah! - Sharp or dull? - Oh I don't know! It's bad. It's a little cold. - Appendicitis? - No, it's a clot. Nurse! Call the OR, we've got to prep her for an embolectomy. Oh, ohhh! A CVC, PT and a liver panel. Sepsis had lowered her BP so much she got clots in her liver. They blocked the hepatic artery, cut off the blood flow. Her liver was shocked. Did Cuddy list her though? With all the other problems? Forget it. We can't give a liver to a woman this sick. Do you listen to what you're saying? There is no point in giving a new liver to somebody who also has vasculitis. Treatable. And kidney damage. It's healing. You know what's really killing her? Chase forgot to ask a standard question about stomach pain, so he missed the diagnosis, so she perforated, so she got sepsis, so her BP tanks, so she got blood clots, so she lost her liver. Livers are important, Cuddy. Can't live without them, hence the name. And here's the big issue, Chase is a hospital employee, and Kayla is the sympathetic mother of those 2 jury-friendly moppets Kayleb and Cody. Dory and Nicky. Your point, beyond just trying to make Chase wet himself seems to be that the hospital faces liability here. Well thanks for clearing that up. I still need a medical reason to list her. That is a medical reason! The family wins this hospital in a lawsuit, they'll turn it into condos. And people will die waiting outside a condo for medical care. [Sighs] Start praying for a 12-car pile-up on the turnpike 'cause we're not exactly swimming in livers over here. When you're testifying, skip the details on how House convinced Cuddy. I don't think the people who got bumped down the transplant list need to know why. It didn't matter anyway. Sam: She next on the list? Yes. But she's AB negative. Very rare. How long can she go on like this? Probably another day or two. I'm donating my liver. Sam, we've talked about this. I'm a perfect match. How'd you get checked out so fast? I know a guy in medical testing and I paid him to rush it. Sam bribed someone to rush his test? Wouldn't you? Someone's going to get the blame for what happened, so the more we spread it around might as well you said no surgeon would do a live donor transplant on such short notice. House took care of that too. Your patient's hardly clotting. Sub-Q vitamin K and fresh frozen plasma pre-op. Pretty risky. Well that's why I came to the best transplant surgeon in the hospital. She's dead without you. Get her in this afternoon. [Sighs] Thank you very much. My pleasure. And this was right before you ran the marathon, I suppose? Was it the part where he warmly clasped my hands in thanks, was that too much? What'd you do to him? The hospital lawyer asks me if I did something unethical. If I did, the last person I tell is the hospital lawyer, especially since she's gone all 'old testament' on me. You'll tell me. Oh. Ok then. One caveat, I've moved past threesomes. I'm now into foursomes. If someone backs out then you've still got a threesome. If two people back out, you're still having sex. You'd be amazed. Even if three people Anything you say is attorney-client. So you can get advice about the bad bad thing you did, knowing I'll be tortured because I can't tell a soul. Actually, it is kinda cool. Are you completely out of your mind? She's dying on her own, why would I volunteer to be her executioner? I'd just be inviting a lawsuit from the brother, no matter what! 5 grand. And that's just ante money. After the surgery, you get another 15. Though I warn you, that includes the tip. [Laughs scornfully] I make 600 grand a year, you think I'm going to risk tanking my percentages for 20 thousand? It's tax free. For the record, I hope the department takes you and Chase and drop-kicks both your *** out the back door. Great. That means I don't have to bother welshing on the 15 grand I would have owed you. If you don't do the surgery, I'm going to tell your wife that you've been sleeping with a series of nurses. Currently Nurse Cuttler in Radiology. Now what's 600 grand divided by two? Last Christmas party, Nurse Cuttler handed you one of those little hotdogs. And you didn't thank her. Well that only happens when you're very very intimate. That and the fact that you've been practically dancing around with your zipper open, used *** stuck in your shoe. Your wife is apparently the only one who doesn't know. There is no way you'll tell her. Of course I won't. I'm much too cowardly. No, I'd just send an anonymous letter. Now I've uh I've got an OR booked for 4 this afternoon. Are you free? Hmm. Oh, and for the record, you are the worst transplant surgeon in this hospital. But unfortunately, you're the only one who's currently cheating on his wife. You bribed him and then you blackmailed him?! She'd have been dead in 2 days if I hadn't made Ayersman do the surgery. Leave the blackmail out of the story you tell the committee. Tried to leave it out of the story I told you. And then there was that incident in the parking lot. Don't do that! Wait! What are you nuts?! Please! I didn't do it! I didn't do anything! - No! - Please! Apparently, someone sent an anonymous letter to his wife. You blackmailed Ayersman before he performed the surgery and then you ratted him out anyway?! Doesn't seem fair, does it? You just can't control yourself, can you? No matter how stupid, how self-destructive To make this conversation easier, can we discard the fiction that we're talking about anything other than what I did to you? You're not mad because I broke into your psychiatrist's office. Yeah, I was thrilled about that. Okay, it was a lousy thing to do, but if what I'd found was that everything was all kittens and moonbeams in Markville, - you'd be over it. - No I wouldn't! You're mad at me for letting you know what I did because you liked where things were going. And for that I actually am sorry. It was stupid. Let me tell you a story about a patient. The patient we'll call Fusan. Chase: Because Sam had rushed his tests, we were able to get them into surgery that afternoon. Dr. Ayersman performed the live donor transplant. He ressected the right lobe, hepatic vein, and hepatic artery of Sam's liver, and transplanted it into Kayla. The operation was a success. Kayla and Sam continued to receive routine care. Two months later, she came by for an exam. July 24th, be precise. You did the exam? - Honestly, I just wanted to - Honestly? So you've been lying up until now? Let's make a deal. I won't use the word 'honestly', and you'll quit stopping by to see House so you don't take it out on me afterwards, how about that? I wanted to be as far away from Kayla as possible, but House was rubbing my nose in it. How are the girls? They're great. Dory had her first crush, which was cute. Oh yeah? And then her first sort of break up, which was not so cute. [Thermometer peeps] You're hot. 99. 3 - You been coughing? - No. - Pain in urinating? - No. 99's not that high, is it? Immunosuppressants block fevers, you shouldn't have one at all. I'm sending a nurse in here to draw cultures, and I'm ordering a chest x-ray. I wasn't making any more mistakes. Another phrase to avoid in front of the committee. She spikes a fever an hour later. Her AST and ALT are up. She's rejecting the liver. No, it's just an infection. One of our cultures is growing a strep. Just one? Probably a contaminant. She's dehydrated, her haematocrit's way up, it's strep! Transaminases are up too. It's just stress from the strep. Geez, Chase, you and this strep. Get a room already. She's not rejecting the liver! It's just an infection, she'll be fine. Worst case we could re-list her. You House? Ummwell that depends. Are you going to hit. Dr. House? You haven't even seen my sister and you're being cute with me? Sam, we're talking about her right now. Her fever might Could be Hep B, Hep C, right? It's treatable. You give her interferon, she's ok. Right? You know a lot about hepatitis. He just donated his liver. You're flushed. You sick? I'm tired. You're hiding the fact that you're sick. - Now why would you do that? - Hey, wait, what are you Now either you specifically asked for a tattoo of a heart that's been left out in the sun too long, or that is a really bad home job. It's a very common way of getting Hep C, which you have. You've had it a long time. It was going to keep me from giving my liver. You paid off that lab tech to say you were clean?! It hasn't been active in years. She was going to die if I You paid someone off? That is TOTALLY unethical! Get an MRI for him and his sister right now. She got Hep from me, didn't she? No! No no no, god no! I think she got cancer from you. House was right? Brother had an undiagnosed hepatoma that was transplanted with his liver. Grew a lot faster in Kayla because she was immunosuppressed. How could House have known? Hepatitis can cause liver cancer. Plus her haematocrit, red blood cell count was high. Usually means dehydration, rare cases cancer. We probably saved Sam's life. We were able to operate on him early enough before it metastasized. Kayla had already started rejecting the liver. And you couldn't re-list her because of the cancer. Nothing we could do. This is good. The brother lying about his Hep. It's an intervening act, the proximate cause of her cancer and not your mistake. She would have died six months ago if he hadn't given up his liver. Maybe. Can't prove it. [Stacy's beeper goes off] You need to come with me. Just been served with papers. Actually paper. One page. Defendant Princeton-Plainsborough hospital and Dr. Robert Chase, blah blah blah, medical malpractice, negligence, blah blah. You're surprised they're suing? You think people love Chase so much they're gonna just forgo Punitive damages in the amount of Punitives?! That means they're alleging gross negligence. Well he's obviously out of his mind! Larry Wusekus. He's not crazy. Ooh! I've been sued by him. YOU have been hiding things and lying to me all day! I haven't lied about anything. Except for the parts that I admitted I was lying about. And I'm not the one being sued. I feel funny. [Sighs] Well, what haven't you told us? [Sighs] Before she checked out, Sam found her a second liver. - She had cancer, how could she - Black market. There was a doctor in Mexico City who was going to do the surgery. Chase: She's leaving from JFK at 5. To meet some Mexican guy in the back of a van with a pig's liver and a hacksaw?! This is nuts! You want to rat me out to House? He'll say if there's a chance in a billion then go for it. This is not what she wants! She's being manipulated by a morally guilty brother and a legally guiltier doctor. You think she wants to die? She's dying either way. Chase. How many people you know walking around with a black market organ from a third world surgeon, huh? Foreman: This isn't going to be your salvation! It's just one more thing they'll pin on you! Go in there, be the good guy. - We need to talk. - No, there's no time. Two minutes. Kayla, I made a mistake. I wasn't as blunt as I should have been about you all the time. Probably didn't want to face it myself. Dr. Chase, please don't do this. Stress of the travel, the operation, even then, the cancer. Kayla, we are going! My dad died. Lung cancer. I saw him a couple of months before it happened, we never talked about it. I'm sorry your father died, but it has nothing He never even told me he was sick. I wish he had. It wou [Takes a deep breath] You're gonna die. Alone. Thousand of miles from your children, you don't want to do that to them. Kayla [Whispers] I'm sorry Sam. Kayla, you can't give up. If you do this, if you go home I killed you. No. You gave me 3 months. You gave Dory and Nicky And when they found my cancer, they found yours. And I got to save my baby brother. [Sam starts to cry] Chase: A week later, Kayla died at home. Sam was furious. Gotta be why there'd be a lawsuit. Cuddy: Are you buying this?! Of course not, there was no illegal transplant, there's no causation. He was ready to kill me! Maybe he's lying to his lawyers. Or you're lying to us. Last thursday he saw you for post-op care. If you hate your doctor, you find another doctor before you find a lawyer. This guy didn't sue Cameron or Foreman. He didn't even sue House. Something personal here, something you don't want us to know before your hearing. The guy didn't hate you before that meeting, he hated you after. So how's everything else? The girls? Ah, you know a lot of crying. Some nightmares. We'll be ok, though. Good. Girls are not going to be happy about leaving town, though. They love that house. The yard, their friends. You're moving? Ever since the operation I've been on disability and there's the mortgage so moving out to stay somewhere cheaper. Anyways, thanks. I killed your sister. I mis-diagnosed her ulcer. Killed her. Shut up man. She liked you, just I was hung-over when she came back to see me. I'd been up half the night drinking, had a headache, and I just wanted to get the hell out of there. Couldn't care less what your sister was saying about her stomach pain. [ Loud crashing noise] May I speak to my future former employee? House: Great story. You think I'm lying? It's exactly what I told him. I'm sure it is. But you lied to him. You want him to sue you. I killed his sister! I ordered black coffee this morning and got cream. Everybody screws up. They didn't put poison in your coffee. I've seen you hung-over. You weren't the day you blew his sister's diagnosis. What does it matter why? Is she less dead if I have a good excuse? If I thought you'd screwed up because you were drunk, I would have fired you. You knew? You were depressed and distracted. I assumed you'd gotten a phone call from your step mom. [On the phone] This is Robert. Umm what did he die of? That's impossible. I saw him two months ago, if he had lung cancer, he would have Dr. Chase? Good news is, both your parents are dead now so no reason to screw up this bad again. How'd you know? There's this interconnected network of computers, or interweb where you can How did you know to look? [Sighs] When he visited he told me he only had two months left. When you screwed up I did the math. Why didn't you tell me he was dying? He asked me not to. So you just hung me out there to be blindsided. Yeah Chase, it was all my fault. Look, you got a choice. You can either tell the truth, hospital settles, family gets some money, they get to keep their house. Or you can keep up this lie, family gets punitive damages, they buy a jet, they move to park avenue, and you have to find another career. You're not going to say anything? I'm going to keep my mouth shut. Legally, it's better for me if you go down in flames. Is Chase telling the committee about his dad? I don't know. I thought you were going to get him to sell me out. - I wouldn't do that. - Why not? You're my client too. Yeah. And that's not going to change unless you leave this job. Or I do. So how do you deal with a coworker that you have feelings for, positive or negative. I don't want to end up like Chase, I don't want to get emotionally caught up and kill you. It's not all negative. Maybe you were right. Maybe maybe that is the problem. So what do we do? I don't know. Dr. House. After considering the testimonial and documentary evidence, this committee in the matter of Kayla McGinley has reached a decision. Dr. Chase, your error resulted in a patient's death. You also lied, both to your superiors and the patient's brother. But taking into account the mitigating factor of your father's death, we've decided not to revoke your privileges. You'll receive one week's suspension, and a letter in your permanent file. Now as for Dr. House there is no evidence of a failure to supervise that would lead to disciplinary action. And yet, there is enough in the record to be very troubled by your conduct, including certain allegations of black mail from members of the transplant team. And by your general refusal to meet with your patients. It should be noted that your patient's cancer was diagnosed as the result of a direct physical examination of Not of the patient, I met the brother. Never met her. You want me to go to a family reunion every time I take on a patient? The committee has determined that for no less than one month, Dr. House will have his practice supervised by another doctor, to be designated by Dr Cuddy. This proceeding is adjourned. Did you know this was coming? They contacted me about an hour ago. What's happening to Chase? Now you're fired! No, he's not. Dr. House, meet your new boss.