-Dr House: [Do you have] Anything new in the
-Sister Pius: We just got a donation (gift)
of pans and pots this week.
House: This is contact dermatitis;
you're allergic to dish soap.
-Sister Eucharist: Nonsense. We've always
used that soap.
House: I've been a doctor for years. Why do I
have to keep assuring people that I know what I'm doing? A person can
become allergic to substances that they've had repeated and prolonged
exposure to. The good news is—free samples. Diphenhydramine. It's an
antihistamine (allergy medicine). It'll stop the allergic
reaction. And [you need to] get some of that over-the-counter
cortisone cream (a topical hormone medicine).
-Sister Augustine: Thank you, Doctor.
Eucharist: (in the next room) I want to thank
you for your patience. It's good to get a secular diagnosis. The
sisters tend to interpret their illnesses as divine intervention.
House: And you don't? Then you're wearing an
awfully funny hat.
Eucharist: If I break my leg, I believe it
happened for a reason. I believe God wanted me to break my leg. I also
believe he wants me to put a cast on it.
Pius (panic in her voice) : Doctor,
House (after examining Augustine with a
stethoscope): Sister, you're having an asthma attack. I need you to
relax. I'm gonna give you epinephrine. It'll open your lungs and help you
breathe. (House gives her an injection)
Eucharist: What happened?
House: It's probably an allergic reaction.
Pius: She's allergic to an anti-allergy
House: You figure somebody's out to get her (You
think that someone intentionally wants to hurt her)?
Augustine: Is my heart supposed to be feeling
House: It's called adrenaline. It makes your
heart beat fast… But not this fast… Get a nurse! Nurse, call a code and
charge up a defibrillator. She's got no pulse.
-Cutty: …You injected her with
epinephrine. Presumably 1cc (cubic centimeter).
-House: 0.1cc. That is the standard dose.
That is what I gave her.
Cutty: People don't go into cardiac
arrest from 0.1cc epinephrine.
House: She must have a preexisting heart
condition that got exacerbated by the epinephrine.
Cutty: The drawer has syringes with
both dosages. You could have reached for the wrong one.
House: But I didn't.
Cutty: Everyone makes mistakes. This is why
doctors pay through the nose for malpractice insurance. I can
justify keeping her here for a 24-hour observation. If you haven't found an
underlying cause for the cardiac arrest by then, I will have to notify
our attorneys [about the probability that you were negligent].
-House (to his staff): It's not allergic.
Allergies don't cause cardiac arrest like this.
-Foreman: Vasculitis? But that wouldn't
explain the symptoms.
House: Churg-Strauss vasculitis would. The
blood vessels of the heart, lungs and skin become inflamed, causing the
asthma, rash and heart problems.
Foreman: Isn't the prognosis for Churg-Strauss
a bit grim (very serious)?
-Cameron: Yeah. Untreated, only 33% of
patients survive past a year. Treated—five years.
Foreman: If it was any other attending
doctor, I'd say that he made a mistake and gave her too much epinephrine.
House: I didn't screw up. (then
Foreman: I don't trust a man who won't admit
he might be wrong.
Cameron: I don't believe he is wrong about
what happened in the clinic.
Foreman: What about you, Chase? [Do] You
think he's infallible too?
-Chase: All I know is, if House didn't make a
mistake and Sister Augustine has Churg-Strauss, he'll be self-satisfied and
our lives will be good for a few weeks. If House did make a mistake, he'll
be upset and our lives will be miserable for months.
-Cameron: Hi, I'm Dr. Cameron.
-Augustine: Has Dr. House figured out what I
have? Will I be okay?
Cameron: We're not sure what's wrong yet.
You'll have a chest CT scan soon that'll help with the diagnosis.
-Pius: Dr. House is giving her medication,
and he doesn't know what she has yet?
Augustine: Trust, Sister Pius. It all happens
for a reason. (They head for the CT department.) Doctors, I've been
talking to the staff. Did you know that the woman from the lab studied
astrophysics before becoming a nurse?
-Chase: You know the staff better than I do.
Augustine: I love to hear all about people.
Chase: Yet you live [away from people] in a
Augustine: It's where I serve our Lord and
the world best.
Chase: Our Lord, maybe. The rest of the
world, on the other hand, would probably get more out of…
Augustine: Healing the sick?
Chase: As an example, yeah.
Augustine: Did you always want to be a
Chase: Always. [Did] You always want to be a
Augustine: My parents died when I was six. I
was raised in a foster home run by the Church. When I was 18 I took
my vows (a serious religious promise).
(They put her in the CT machine, and
Augustine quotes from the Bible to help her relax.)
-Foreman: Well, she's got God on her side.
Cameron: I don't believe in God.
Foreman: You're not even a little agnostic?
Augustine: Is it supposed to smell funny?
-Technician: Someone ralphed (AmE: vomited)
in there this morning. We cleaned it up, but…
Cameron: It's normal sister. (Then talking
to Foreman.) I believe in a higher order that's in control of what
happens, but not one, anthropomorphic entity (human-like or animal-like
being) called "God" who is concerned with the everyday workings of you
Foreman: What else is there to control but
the everyday workings of you and me?
Chase (looking at the CT results): Sister
Augustine has no vascular pathology, which means no Churg-Strauss.
Foreman: Which means House made a mistake.
Cameron: No, not necessarily. It could be
Augustine: Please help me! The smell [is
Cameron: We're coming. I gotcha (I've got
Augustine (obviously traumatized by
something, sits up and says): Oh, I see Jesus! He's burning me with his
Foreman: Let's get her on some Ativan. The
smells, religious visions—it's symptomatic of temporal lobe swelling.
Cameron: She's seizing (having a seizure).
Get the jaw block!
-Chase: Her immune system is severely
compromised (damaged or endangered).
-Cutty: Prednisone compromises the immune
system. (sarcastically:) Isn't that the medicine that you gave her
for that thing she doesn't have?
-House (to his staff): So, what are the
options for a compromised immune system?
Chase: Mixed connective tissue disease would
explain why she was feeling better on the prednisone—before it almost killed
-Foreman: But the treatment for that is
prednisone, and we can't go there because of the encephalitis.
House: Then we'll treat it with something
that modulates (changes) the immune system but doesn't suppress it (force
it to stop working)—hyperbaric oxygen chamber.
Foreman: There's no protocol for
putting a patient in a high-pressure oxygen room to treat auto-immune
problems. It could cause oxygen toxicity—lung and eye damage.
House (annoyed): Every treatment has its
dangers. Prep the nun and discontinue the prednisone.
Cutty: She comes in with a rash, and you put
her into cardiac arrest.
House: That well just never runs dry,
does it? Her reaction to the medicine is a symptom, not an error.
Cutty: There's always an explanation, isn't
there? But never one involving you screwing up!
House: One that fits all the facts.
Cutty: I want this patient going out the
front door and not the back (i.e., healthy, not dead), so I'm going
to do you the biggest favor one doctor can do for another. I am gonna stop
you from killing your patient. You're off the case.
(in the hospital chapel, a room set aside for prayer, but House goes there
to watch a portable TV): (2人)
-Eucharist: I need to talk with you, Dr.
House. Sister Augustine believes in things that aren't real.
-House (sarcastically): I thought that was a
job requirement for you [religious] people.
Eucharist (somewhat offended): She's been
known to lie to get sympathy. She's a hypochondriac.
House: So you're warning me that I may be
treating a non-existent ailment?
Eucharist: [She has had] Sore throats, joint
pains. There's always something wrong, and there's never a reason for it.
Mother Superior (their boss) plays right into it… lets Augustine off
work duties, treating her as fragile—special.
House: Let's talk about you for a
moment. We've got pride, anger, envy, gluttony… That's four of the "seven
deadly sins" in under two minutes (less than two minutes).
Eucharist (still annoyed, but calm): They say
you have a gift. You hide behind your intelligence. And you make jokes
because you're afraid to take anything seriously. Because if you take things
seriously, they matter. And if they matter…
House: …when things go wrong, I get hurt. I'm
not tough. I'm vulnerable.
Eucharist: I barely know you, but I hope I'm
right because the alternative is that you really are as miserable as
you seem to be.