HOUSE, M.D.
2X08 - THE MISTAKE
Original Airdate (FOX): 29-NOV-2005
WRITTEN BY PETER BLALE (IV)
DIRECTED BY DAVID SEMEL
TRANSCRIPT PROVIDED BY TWIZ TV.COM
Originally transcribed by JENNA for HOUSE: TRANSCRIPTS AND MORE!
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DISCLAIMER:
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(Scene opens on the backstage of a
school concert/talent show)
Magician boy on stage: 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... [a bouquet of flowers pops out of the hat]
[The camera pans to a side of the
stage where a mother (Kayla) is with her 2 daughters (Dory and Nicky). She's
fixing one of their dresses]
Dory: Mom it's not working! It's
ripped!
Kayla: It's okay baby, it's just a
little tear.
Dory: Hurry up, mom!
Kayla: [turns to Nicky] What are
you so worried about?
Nicky: Sally's going to make fun
of us.
Kayla: Sally Ayerson?
[Nicky nods]
Dory: She said her mom bought her
dress as Bloomingdales. You had to make ours. We're going to look stupid!
Kayla: Do you girls remember that
music we were listening to yesterday? That lady who sang about respect?
Nicky: Retha?
Kayla: Aretha. That's right. Do
you think she had lots of money growing up in Detroit?
Dory: What's Detroit?
Kayla: 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.
[The girls look confused by this]
Kayla: Do you know what that
means? [the girls shake their heads] Good.
[The girls start their performance
on stage, dancing and singing. Kayla is now in the crowd watching the
performance. Kayla looks uncomfortable and pops a pill, but a second later
she starts crying out in pain. Performance stops as she continues crying out
loudly in pain]
[CREDITS]
(Six Months Later)
[Stacy walks in through the
hospital doors]
Cuddy: Hey.
Stacy: Hey.
Cuddy: Did you speak to Chase and
House yet? The disciplinary hearing.
Stacy: The McGinley case. That's
not for two weeks.
Cuddy: 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.
Stacy: Will you ask someone else?
Cuddy: I'm asking you.
Stacy: Let me work with Chase. House
should have separate counsel.
Cuddy: 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.
Stacy: There is nothing
approaching love in what I feel about him right now.
Cuddy: Well if you can't work with
him, it amounts to the same thing.
Stacy: [sighs] We had a fight.
It's awkward. Why not use another lawyer?
Cuddy: Because 40% of our lawsuits
last year were about House. You can't work with him, you can't work here.
(Cut to House and Wilson in
House's office playing a game involving tossing a coin over a chain-link of
paperclips and into the other's cupped hands - looks fun!)
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.
House: So you're saying I'm not
allowed to have oral sex with an intern either?
Wilson: [scores a coin in House's
hands] Yes! And yes.
House: 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. [he tosses the coin and it almost hits Wilson's face]
Stacy: [walking into the office]
Where's Chase?
House: He's too busy to service
you until after work. 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. [to Wilson] She stews before she gets violent.
Stacy: [throws the pieces of paper
on to the table in front of House] This one says you're okay with moving the
disciplinary hearing to tomorrow. This one says I've advised you of your
legal rights.
House: Uh huh, any legal rights I
should know about?
Stacy: Nope. [angrily tosses her
pen on to the table, Wilson winces]
House: Great. [to Wilson] And you
thought this was going to be awkward. [he signs the papers]
(Cut to Stacy with Chase in a
meeting room)
Stacy: You shouldn't sign it.
Postponing is almost always the smart thing to do. Tempers cool, memories fade.
Chase: They rule on me it’s done,
right?
Stacy: Yeah, but...
Chase: Then let's get it over with
[he signs the paper]
Stacy: Have you ever done a peer
review before?
Chase: No.
Stacy: Good. Here's a misnomer -
these are your bosses. This will cost you some money, some privileges, or it
could cost you your career.
Chase: All I can tell them is what
happened.
Stacy: 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.
Chase: Patient presented to the
clinic--
Stacy: What's her name?
Chase: It's in the file.
Stacy: Do you know it? [Chase
makes a sign saying of course he does] Then use it.
Chase: Kayla presented to the
clinic with multiple joint and stomach pain. Dr Foreman was called in for a
neurological consult.
(Flashback scene of Foreman doing
a test on Kayla involving her having to point to one of Foreman's fingers and
then pointing to her own nose)
Sam (Kayla's brother): What's the
point of this, man?
Foreman: Checking your sister's
cerebral coordination.
Sam: The thing is in her leg and
her stomach. Wait in the clinic for six hours so she can play patty cake?
Foreman: She could have gone to
the ER last night.
Sam: Oh yeah? You wanna come over
and babysit her kids?
[Stacy's voice cuts into the
scene]
Stacy: Ok, patient comes from a
family of jerks, I get it. Can you stick to the medicine?
[Back to the flashback. Foreman is
looking at Kayla's eyes]
Sam: Something wrong?
[Kayla's was red, looked inflamed]
Chase: There was some uveitis.
Stacy: Meaning?
Chase: Her iris? The colour part
of her eye was inflamed.
Stacy: Meaning?
Chase: Worst case, blindness [he's
pouring glasses of water for himself and for Stacy]. But there was an upside.
It was weird enough to get House interested.
[Flashback scene is now of House
and ducklings in the conference room]
Cameron: Young woman, joint pain.
Gonorrhea is a possibility.
Foreman: It's probably articular.
Maybe rheumatoid.
Cameron: It's typically small
joints, it's her knee.
Foreman: Takayasu's arthritis
[House is trying to open his
bottle of vicodin, he knocks it against the metal frame of the whiteboard]
House: Get a sed rate and
serologies. [keeps struggling as he can't get the lid open] Child proof. How
many kids are hopped up on vicodin?
Foreman: Gimme.
House: Right. Like I'd ever get it
back. Chase [he tosses the bottle to chase]
Stacy: Don't care about the
vicodin.
[The bottle of vicodin freezes in
mid-air, and then disappears with a slight popping noise]
[Flashback scene continues]
Cameron: Might not just be her
arteries, could be all her blood vessels.
Chase: Vasculitis, with stomach
pain... so Bichette's.
Foreman: No, she'd have oral
sores.
House: Or genital. [to Chase] Go
find them.
[As Chase is about to leave, the
flashback freezes]
Stacy: I thought she was Foreman's
patient, why did you do the exam?
[Flashback goes back again]
[Chase is now struggling to open
the bottle of vicodin]
Foreman: She'd have oral sores.
House: Or genital. Go find them.
[Foreman is about to leave when
Chase opens the bottle of vicodin, splattering the pills all over the table]
House: Woah woah Foreman... Chase
can handle the pelvic.
[Flashback scene of Chase checking
Kayla for genital sores. Kayla looks very embarrassed and has her hands
covering up her face]
Chase: Any pain? [Kayla nods] Is
it bad? [She looks like she's shaking her head but seems unsure] This will go
a little easier if you talk to me.
Kayla: [puts her hands down] I'm
sorry. I umm... I just really hate hospitals.
Chase: When I was 12, had my
tonsils out. Got to skip school, lots of ice cream, made me want to be a
doctor.
Kayla: My mom... died when I was 8
so... I spent months at Princeton General.
Chase: [checks her file] She died
of (can't make it out)? Your mom? [Kayla nods] Bottles stashed around the
house? Mood swings? That whole deal?
Kayla: You've been there?
Chase: My mom. Dad left, mom
crawled inside a bottle. Made for a great Yr 12 of high school.
Kayla: You ok with your dad now?
Chase: No.
[Stacy suddenly cuts into the
flashback]
Stacy: Does your dad have anything
to do with this story?
[We see Stacy and Chase talking
again in the meeting room]
Chase: No, it's just...
Stacy: 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.
Chase: She had some ulceration.
Stacy: Confirming Bichette's?
Chase: 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.
Stacy: You didn't make an
appointment?
Chase: Nope. She just showed up.
[Flashback scene, Chase is talking
on the phone at the desk in the clinic, we see Kayla walking into the clinic
in the background]
Chase: [on the phone] Uh huh.
Kayla: Dr Chase.
Chase: [putting down the phone, he
looks happy and hyped up] Hi. All right, let's take a look. [Kayla pulls up
her sleeve to reveal a pustule] 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.
Kayla: Okay. Thanks.
[Chase smiles and walks out, scene
changes back to Stacy with Chase in the meeting room]
Stacy: And you were just chatting
on the phone to someone and she just happened to run into you.
Chase: That's what happened.
Stacy: No appointment? No real
examination?
Chase: Just gave her the test
results.
Stacy: So, lower standard of care,
you really couldn't be expected to notice there was anything else wrong.
Chase: We didn't even go into an
exam room.
Stacy: [pause] 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. [takes up a piece of paper and hands
it over to Chase] You wrote her a prescription, which means there was an
examination. What really happened?
Chase: I was on the phone
[Flashback scene starts again with
Chase on the phone, only this time, Chase looks rather distraught]
Kayla: [walks into the clinic] Dr
Chase? Hi.
Chase: [turns around] Hi.
Kayla: Kayla. I'm here for the
test... my arm? [she pulls up her sleeve]
Chase: Oh. [he distractedly puts
down the phone] Oh yeah... umm, okay. [he looks at her arm] It's positive.
Talk to Nurse Previn, get an appointment with Dr Broston in rheumatology. [he
starts to walk out]
Kayla: I took that medicine you
gave me? But my stomach still hurts.
Chase: [pauses at the door and
turns back looking rather fed up. He digs out his pad and pen and writes her a
prescription] Bichette's can be stronger than we thought, or it could be
reflux from the prednisone. This is a stronger antacid. [he starts walking out
again]
Kayla: Doctor...
Chase: [turns around] Yes?
Kayla: [pauses] Nothing.
[Chase walks out]
Stacy: You didn't ask her anything
about the stomach pain?
[Scene goes back to the meeting
room]
Chase: I made one little mistake.
Stacy: As little mistakes go, that
was a biggie.
(Scene cuts to House and Wilson
walking down the corridor together)
Wilson: She's only advising Chase?
Not you?
House: Well what's the committee
going to do to me? I haven't even met this patient.
Wilson: Your disdain for human
interaction doesn't exculpate you, it inculpates you. Besides the charts,
you're responsible for everything Chase does.
House: Which is why this doesn't
matter. She protects Chase, she protects me.
Wilson: Unless her advice to Chase
is to make a deal and give you up. [Fakes a VERY bad Australian accent]
"I'm so sorry, if only Dr House had paid attention, he'd never even met
her, he never does."
House: Chase loves me. And isn't
Turkish.
Wilson: Cameron loves you. Chase
loves his job.
House: [is about to enter an exam
room in the clinic] You really think Stacy hates me that much?
Wilson: I think right now she
hates you more than enough. You think emotion only affects doctor's judgments?
[House pops a vicodin]
(Scene cuts back to the meeting
room)
Stacy: 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--
Chase: I just figured the stomach
pain was the Bichette's. Any doctor would have thought the same.
Stacy: 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.
Chase: The way she hesitated I
thought she might have had a doorknob question. [Stacy has no idea what that
means] 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 penis has turned green".
Stacy: 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.
Chase: No. I didn't. I figured it
out later.
Stacy: What changed?
Chase: [shrugs] Nothing.
Stacy: Bad answer.
Chase: I wasn't thinking clearly
at first.
Stacy: Worst answer. What was her
doorknob question?
Chase: I figured it might be blood
in her stool, which could indicate a bleeding ulcer.
[Flashback, paramedics are
wheeling a bloody Kayla with a gas mask on into the hospital]
Chase: [rushing down the corridor
to join them] Talk to me.
((the whole conversation was in a
rush so I couldn't catch many of the words here))
Paramedic: 35-yr-old female
vomiting massive amounts of blood. (LOC at work?), BP 80 over 20, heart rate
140.
Chase: Push flows?
Paramedic: 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.
Foreman: I thought she had
Bichette's.
Paramedic: 1, 2, 3 [lifts Kayla on
to a gurney]
Chase: [prepares a wire and slips
it in through Kayla's mouth and into her stomach. We see the camera at the end
of the wire move down into her stomach] I'm in her stomach. There's too much
blood, I can't see.
Foreman: She burst an artery?
Chase: [We suddenly see the ulcer
on the screen] No, there. Bubbling, just a bad ulcer. Cauterizing.
Foreman: Can't see, use more
saline.
Chase: Hold on! Okay. [sighs]
Looks good.
[House shows up]
Chase: Bleeding ulcer. We got it.
She was fine 2 hours ago.
[Alarms start beeping]
Foreman: Systolic BP's 70.
House: Where's the ulcer?
Chase: It's brown. I cauterized
it. It must be something else. [he moves the wire around until they see
another bleeding ulcer which looks worse than the first] There.
Foreman: Second ulcer?
House: Not anymore. It perforated.
Chase: Get her to an OR!
[Scene cuts back to the meeting
room]
Chase: The surgeons were able to
suture the perforation. But the contents of the patient's [Stacy looks up at
him]... Kayla's stomach had spilled into her body. She got septic.
Stacy: Then the infection lowers
her blood pressure...
Chase: 50 over ((something?)) at
one point. 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.
Stacy: If I skip my coffee I get
cranky. Do you want anything?
[Chase shakes his head and Stacy
walks out of the meeting room as they take a break]
(Scene cuts to Stacy walking with
Cameron down the hallway)
Stacy: Why did Chase screw up?
Cameron: He forgot to ask her a
question, does there need to be a reason?
Stacy: It might help him.
Cameron: As far as I'm concerned,
he made a little mistake. It happens.
Stacy: How far are you concerned?
Cameron: You think I'm biased?
Stacy: You're colleagues. You've
worked together for over a year. And everyone says you slept together.
Cameron: [clears her throat] Who
says?
Stacy: The correct answer is
"we're not involved and I'm not biased".
Cameron: 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.
Stacy: Yeah. Why did Chase screw
up?
(Scene changes, we see she's in a
lab, camera pans up and we see she's just asked that question to Foreman)
Foreman: Because he doesn't give a
crap about patients.
Stacy: Well he always gets
positive patient reviews.
Foreman: Yeah. He smiles all 84 of
his teeth, tells them his tonsil story.
Stacy: It's a nice story.
Foreman: 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. [Stacy nods] Am I going to have to
testify?
Stacy: I won't be encouraging them
to call you.
Foreman: What'd House say?
(Scene cuts to the clinic, patient
is coughing)
[House is checking the man out
with his stethoscope]
Patient: Two months like this.
House: 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..
[Door suddenly opens, Stacy stands
at the door]
Stacy: I need to talk to you.
House: From the doorway?
Stacy: It's confidential.
House: Cool. I love gossip. [he
puts the ear pieces of his stethoscope into the patient's ears and lets the
patient hear his own lung] Hear that crackling sound like crumpling up paper?
Keep listening. Let me know if it changes.
[He sits down on his stool and
looks perfectly content to stay there. Stacy walks in and shuts the door]
Stacy: Two questions. Why did
Chase screw up and how bad was it?
House: Wow. Talk about efficient.
I only need one answer - Chase didn't screw up.
Stacy: He said he did.
House: Well I'm not a lawyer, but
that seems like a sucky legal strategy.
Stacy: Look I don't wanna know
what you think a reasonable doctor would have done in Chase's position.
House: If I thought he was a
'reasonable' doctor, I wouldn't have hired him.
Stacy: 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.
[She starts to walk out the door]
House: Stacy.
[She walks back, House sighs]
[Flashback - again we see Chase
trying to cauterize the ulcer]
Chase: I'm in her stomach. There's
too much blood, I can't see.
Foreman: She burst an artery?
Chase: No. There. Bubbling, just a
bad ulcer. Okay, cauterizing. Looks good.
[House walks up]
Chase: Bleeding ulcer, we've got
it. She was fine 2 hours ago.
House: If by fine, you mean she
had fountains of blood spurting out of every orifice then yeah, I believe you.
[alarms start ringing]
House: I'm guessing those are
salvatory bells.
Foreman: Systolic BP's 70.
House: Show me the ulcer.
Chase: It's brown. I cauterized
it.
House: Sweep back, show me the
whole stomach. [Chase sweeps the camera back] Stop.
Foreman: Second ulcer?
House: Not anymore. It perforated.
Chase: Get her to an OR!
Foreman: Let's go. [the nurses
wheel Kayla after him]
[House confronts Chase]
House: She was not fine 2 hours
ago. She mentioned stomach pain?
Chase: Yeah, so I gave her a
stronger--
House: You didn't do an exam.
Chase: She just came in for a
follow-up. The results of the pathogen test.
House: Did you listen to her
stomach? Check her vitals?
Chase: Maybe if she'd said
something about taking ibuprofen, mentioned the rectal bleeding!
House: Yeah, why didn't she go to
med school like you did?! Diarrhoea! Blood in the stool! These are routine
questions--
Chase: Doctors skip all the time!
It was a minor mistake; I couldn’t have known it was going to happen--
House: Mistakes are as serious as
the results they cause! This woman could die because you were too lazy to ask
one simple question!
Chase: She might die because I had
the bad luck to spill your damn vicodin pills!
[House turns to the camera]
House: And I responded with a
number of trenchant remarks which made Chase cry, none of which I'm going to
testify about.
[Scene cuts back to House and
Stacy in the clinic]
House: Unless you convince Chase
to row on me.
Patient: Excuse me, testify about
what?
House: Uhh... [checks the
patient's file] 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.
Chuck: Like I have?
House: Buck has idiopathic
pulmonary fibrosis. His lung tissue's turning to rock. There's no known cause,
no treatment. He is slowly suffocating.
Chuck: You're talking about me?
House: 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 [he turns to Stacy who doesn't respond]. She confirms. If only
Buck hadn't been diagnosed with fibrosis before he got insurance. So... back
to the exam.
[Chuck looks scared and shocked
and wordlessly leaves the clinic]
Stacy: That's how you tell this
guy he's dying?
House: Oh relax. He's got a cold,
and soon, health insurance.
Stacy: Such a hero. Always
righting wrongs. Who cares who you have to manipulate.
House: I'm sorry. I didn't realise
you and Buck were so close. [walks out of the exam room]
Stacy: It's a point of principle.
House: Right. It's got nothing to
do with what I did to you.
Stacy: There's nothing for us to
talk about.
House: [takes some lollies from
the clinic counter and puts them in his pocket] That's why you're following
me. I read some notes--
Stacy: If Chase screwed up--
House: I was wrong. Terribly,
terribly sorry.
Stacy: If Chase screwed up so
badly, why didn't you fire him?
House: He has great hair.
Stacy: [grabbing on to House's arm
to stop him from walking away] What are you hiding?
House: I'm gay. Oh, that's not
what you meant. It does explain a lot though. No girlfriend, always with
Wilson, obsession with sneakers...
[Stacy gives up and walks away]
(Scene cuts to Stacy walking back
into the meeting room and putting a cup of coffee on the table for Chase)
Stacy: 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?
Chase: [folding up his
shirtsleeves] Judging from your question, and your demeanour, I assume you
were visiting with House. Been over this. I don't know.
Stacy: Good doctors don't make
mistakes--
Chase: Good doctors never forget
to ask questions? Then you've got your answer, apparently I'm not a good
doctor!
Stacy: FYI self-pity generally is
not a good strategy in these hearings. What happened after the operation?
[Flashback - Kayla's resting after
the op, Cameron and Chase are talking to her brother, Sam]
Cameron: The kidney damage isn't
so bad. The liver damage is more worrisome. There's no dialysis for livers.
Sam: I know, but if she loses her
liver she can get a transplant, right?
Chase: We can put her on a list.
Sam: I could do it. I could give
her part of my liver.
Cameron: Surgeons won't operate
unless the donor's had a long time to weigh the decision.
Sam: There's black markets.
Cameron: Those organs---
[They're interrupted by Kayla
giving a loud cry of pain from the bed behind him, alarms start beeping]
Kayla: Ooh... ohhh my stomach!
Chase: Are they constant?
Kayla: Ohh... oh yeah!
Chase: Sharp or dull?
Kayla: Oh I don't know!
Chase: It's bad.
[Cameron starts to do an
ultrasound and squirts gel on to Kayla's abdomen]
Cameron: It's a little cold.
Appendicitis?
Chase: No, it's a clot.
Cameron: Nurse! Call the OR, we've
got to prep her for an embolectomy.
Chase: A CVC, PT and a liver panel
[calls out over Kayla's moans of pain]
[Cut back to meeting room]
Chase: 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.
Stacy: Did Cuddy list her though?
With all the other problems?
[Chase nods, flashback - House and
Chase in Cuddy's office, Cuddy is looking at Kayla's file]
Cuddy: Forget it. We can't give a
liver to a woman this sick.
House: Do you listen to what
you're saying?
Cuddy: There is no point in giving
a new liver to somebody who also has vasculitis.
Chase: Treatable.
Cuddy: And kidney damage.
Chase: It's healing.
House: 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. [Chase is facepalmming and
looking very dejected] 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.
Chase: Dory and Nicky.
Cuddy: 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.
House: That is a medical reason!
[Cuddy's confused] 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.
[Cuddy capitulates]
Cuddy: Start praying for a 12-car
pile-up on the turnpike 'cause we're not exactly swimming in livers over here
[she signs the paper]
(Cut back to the meeting room)
Stacy: 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.
Chase: It didn't matter anyway.
[Flashback - Chase and Foreman
talking to Sam outside Kayla's room]
Sam: She next on the list?
Chase: Yes
Foreman: But she's AB negative.
Very rare.
Sam: How long can she go on like
this?
Foreman: Probably another day or
two.
Sam: [takes a file out of his
backpack] I'm donating my liver.
Chase: Sam, we've talked about
this.
Sam: I'm a perfect match. 6 out of
6 HLA proteins.
Foreman: How'd you get checked out
so fast?
Sam: I know a guy in medical
testing and I paid him to rush it.
Stacy: Sam bribed someone to rush
his test?
Chase: Wouldn't you?
Stacy: 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.
Chase: House took care of that
too.
(Scene cuts to a flashback of
House talking with transplant surgeon, Dr Ayersman)
Ayersman: Your patient's hardly
clotting.
House: Sub-Q vitamin K and fresh
frozen plasma pre-op.
Ayersman: Pretty risky.
House: Well that's why I came to
the best transplant surgeon in the hospital. She's dead without you.
Ayersman: [smiles] Get her in this
afternoon.
House: [sighs] Thank you very
much.
Ayersman: My pleasure
[they warmly shake hands, the
scene freezes]
[Scene cuts to Stacy facing House
in the clinic exam room again]
Stacy: And this was right before
you ran the marathon, I suppose?
House: Was it the part where he
warmly clasped my hands in thanks, was that too much?
Stacy: What'd you do to him?
House: 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.
Stacy: You'll tell me.
House: 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 [Stacy's glaring at House at this point]. If two
people back out, you're still having sex. You'd be amazed. Even if three
people--
Stacy: 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.
House: [winks] Actually, it is
kinda cool.
[House and Stacy are now
transported into a replay of the flashback. They're standing in Ayersman's
office even as Ayersman and House are talking about doing the transplant]
Ayersman: Are you completely out
of your mind? She's dying on her own, why would I volunteer to be her
executioner? [House hands him an envelope] I'd just be inviting a lawsuit from
the brother, no matter what! [He opens the envelope, there's money inside]
House: 5 grand. And that's just
ante money. After the surgery, you get another 15. Though I warn you, that
includes the tip.
Ayersman: [laughs scornfully] I
make 600 grand a year, you think I'm going to risk tanking my percentages for
20 thousand? [he throws the envelope down on the table]
House: [shrugs] It's tax free.
Ayersman: For the record, I hope
the department takes you and Chase and drop-kicks both your asses out the back
door.
House: [nods] Great. [pockets the
envelope] Means I don't have to bother welshing on the 15 grand I would have
owed you. If you don't do the surgery, [he starts to walk away] 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?
[House looks thoughtful, Ayersman
looks shocked]
House: 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 condom
stuck in your shoe. [he walks over to pick up a sweet in a bowl nonchalantly]
Your wife is apparently the only one who doesn't know.
Ayersman: There is no way you'll
tell her.
House: Of course I won't. I'm much
too cowardly. [Ayersman looks defeated] 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?
[eats the sweet]
[Ayersman closes his eyes and
grimaces but nods]
House: 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. [he
walks out, passing by the figures of himself and Stacy watching the scene]
[Scene cuts back to Stacy and
House in the exam room]
Stacy: You bribed him and then you
blackmailed him?!
House: She'd have been dead in 2
days if I hadn't made Ayersman do the surgery.
Stacy: Leave the blackmail out of
the story you tell the committee.
House: Tried to leave it out of
the story I told you.
Stacy: And then there was that
incident in the parking lot.
[Scene cuts to a blond woman in a
tight dress keying Ayersman's brand new red convertible]
Ayersman: Hey now! Don't do that!
Hey what are you nuts?! Please, please! I didn't do it! I didn't do anything!
[Scene cuts back to exam room]
House: Apparently, someone sent an
anonymous letter to his wife.
Stacy: You blackmailed Ayersman
before he performed the surgery and then you ratted him out anyway?!
House: Doesn't seem fair, does it?
Stacy: You just can't control
yourself, can you? No matter how stupid, how self-destructive--
House: 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.
Stacy: Yeah, I was thrilled about
that.
House: 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.
Stacy: No I wouldn't!
House: 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. [Stacy turns and leaves, House throws
his head back and looks fairly heartbroken and dejected]
[turns around to see the patient
in the exam room, sitting there with House's stethoscope, probably listening
to her own lungs too]
House: Let me tell you a story
about a patient. [he takes the earpieces out of her ears] The patient we'll
call [checks her file] Fusan.
(Scene cuts to flashback of the
organ transplant operation. Chase is narrating)
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.
[Chase is observing the operation from the observation deck]
[Scene cuts back to the meeting
room]
Chase: Two months later, she came
by for an exam.
Stacy: July 24th, be precise. You
did the exam?
Chase: Honestly, I just wanted
to--
Stacy: Honestly? So you've been
lying up until now?
Chase: 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? [Stacy narrows her eyes] I
wanted to be as far away from Kayla as possible, but House was rubbing my nose
in it.
[Flashback - Chase is checking up
Kayla]
Chase: How are the girls?
Kayla: They're great. Dory had her
first crush, which was cute.
Chase: Oh yeah? [measures her
temperature through her ear]
Kayla: And then her first sort of
break up, which was not so cute.
Chase: You're hot. 99.3 [checks
the pulse in her throat] You been coughing?
Kayla: No.
Chase: Pain in urinating?
Kayla: No. 99's not that high, is
it?
Chase: 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.
[Cut back to meeting room]
Chase: I wasn't making any more
mistakes.
Stacy: Another phrase to avoid in
front of the committee.
Chase: She spikes a fever an hour
later.
[Flashback - House and Ducklings
in the conference room]
Foreman: Her AST and ALT are up.
She's rejecting the liver.
Chase: No, it's just an infection.
One of our cultures is growing a strep.
Cameron: Just one? Probably a
contaminant.
Chase: She's dehydrated, her
haematocrit's way up, it's strep!
Foreman: Transaminases are up too.
Chase: It's just stress from the
strep.
House: Please, Chase, you and this
strep. Get a room already.
Chase: She's not rejecting the
liver! It's just an infection, she'll be fine.
[Sam bursts into the conference
room]
Cameron: Worst case we could
re-list her.
Sam: [points at House] You House?
House: Umm... well that depends.
Are you going to hit [goes to stand next to Foreman and points at him] Dr
House? [Foreman looks at House and House stops pointing with an innocent
expression on his face]
Sam: You haven't even seen my
sister and you're being cute with me?
Chase: Sam, we're talking about
her right now. Her fever might--
Sam: Could be Hep B, Hep C, right?
It's treatable. You give her interferon, she's ok. Right?
House: You know a lot about
hepatitis.
Cameron: He just donated his
liver.
House: You're flushed. You sick?
Sam: I'm tired.
House: You're hiding the fact that
you're sick. Now why would you do that? [he grabs Sam's right arm which has
two tattoos on the forearm]
Sam: Hey, wait, what are you--
House: 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.
Sam: [looking guilty. Ducklings
look shocked] It was going to keep me from giving my liver.
Foreman: You paid off that lab
tech to say you were clean?!
Sam: It hasn't been active in
years. She was going to die if I--
House: [sarcastic] You paid
someone off? That is TOTALLY unethical! Get an MRI for him and his sister
right now.
[Cameron and Foreman start to walk
out]
Sam: She got Hep from me, didn't
she?
House: No! No no no, god no!
[serious] I think she got cancer from you.
[Cut back to the meeting room]
Stacy: House was right? [she
sounds a little too impressed at that]
Chase: Brother had an undiagnosed
hepatoma that was transplanted with his liver. Grew a lot faster in Kayla
because she was immunosuppressed.
Stacy: How could House have known?
Chase: 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.
[Flashback - operating on Sam]
Chase: We were able to operate on
him early enough before it metastasized.
[Back to meeting room]
Chase: Kayla had already started
rejecting the liver.
Stacy: And you couldn't re-list
her because of the cancer.
Chase: Nothing we could do.
Stacy: This is good. The brother
lying about his Hep. It's an intervening act, the proximate cause of her
cancer and not your mistake.
Chase: She would have died six
months ago if he hadn't given up his liver.
Stacy: Maybe. Can't prove it.
[Stacy’s beeper goes off] You need to come with me.
(Scene cuts to Cuddy's office.
House, Cuddy, Chase and Stacy are present)
Cuddy: Just been served with
papers. Actually paper. One page. [reads it] Defendant Princeton-Plainsborough
hospital and Dr Robert Chase, blah blah blah, medical malpractice, negligence,
blah blah.
House: You're surprised they're
suing? You think people love Chase so much they're gonna just forgo--
Cuddy: Punitive damages in the
amount of 10 million dollars. [passes the paper to Cuddy]
Stacy: Punitives?! That means
they're alleging gross negligence.
Chase: Well he's obviously out of
his mind!
Stacy: Larry Wusekus. He's not
crazy.
House: Ooh! I've been sued by him.
Stacy: You have been hiding things
and lying to me all day!
House: 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. [He walks around to stand beside Cuddy
behind her desk]
Stacy: [sighs] Well, what haven't
you told us?
[Stacy, Cuddy and even House are
staring expectantly at Chase]
Chase: [sighs] Before she checked
out, Sam found her a second liver.
Cuddy: She had cancer, how could
she--
Chase: Black market. There was a
doctor in Mexico City who was going to do the surgery.
[Flashback - Chase is putting on
his jacket preparing to go with Kayla, Foreman and Cameron are trying to stop
him]
Chase: She's leaving from JFK at
5.
Foreman: To meet some Mexican guy
in the back of a van with a pig's liver and a hacksaw?! This is nuts!
Chase: You want to rat me out to
House? He'll say if there's a chance in a billion then go for it.
Cameron: This is not what she
wants!
Foreman: She's being manipulated
by a morally guilty brother and a legally guiltier doctor.
Chase: You think she wants to die?
Cameron: She's dying either way.
[Chase glares at them and prepares
to walk out. Foreman grabs his arm to stop him]
Foreman: Chase. How many people
you know walking around with a black market organ from a third world surgeon,
huh? 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.
[Scene cuts to Sam hurrying around
Kayla's room packing her stuff. Chase walks in looking sombre. Kayla's sitting
up on her bed. She looks pale and very sickly]
Chase: We need to talk.
Sam: No, there's no time.
Chase: 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.
Sam: Dr Chase, please don't do
this.
Chase: Stress of the travel, the
operation, even then, the cancer.
Sam: Kayla, we are going!
Chase: My dad died. Lung cancer. I
saw him a couple of months before it happened, we never talked about it.
Sam: I'm sorry your father died,
but it has nothing--
Chase: [not paying any attention
to Sam] He never even told me he was sick. I wish he had. It wou-- [he stops
and 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 nods and looks at Sam]
Sam: Kayla...
Kayla: [whispers] I'm sorry Sam.
Sam: Kayla, you can't give up. If
you do this, if you go home... I killed you.
Kayla: [shakes her head] No. You
gave me 3 months. You gave Dory and Nicky 3 more months with me. And when they
found my cancer, they found yours. And I got to save my baby brother
[Sam and Kayla start to cry and
hug each other]
Chase: A week later, Kayla died at
home. Sam was furious. Gotta be why there'd be a lawsuit.
Cuddy: Are you buying this?!
Stacy: Of course not, there was no
illegal transplant, there's no causation.
Chase: He was ready to kill me!
Maybe he's lying to his lawyers.
Stacy: 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.
[Flashback - Chase is doing a
check-up on Sam]
Chase: So how's everything else?
The girls?
Sam: Ah, you know... a lot of
crying. Some nightmares. [Chase finishes the check-up, Sam sits up and buttons
up his shirt] We'll be ok though.
Chase: Good.
Sam: Girls are not going to be
happy about leaving town though. They love that house. The yard, their
friends.
Chase: You're moving?
Sam: Ever since the operation I've
been on disability and there's the mortgage so... moving out to stay
somewhere cheaper. Anyways, thanks. [he shakes hands with Chase. As he starts
to walk out...]
Chase: I killed your sister. I
mis-diagnosed her ulcer. Killed her.
Sam: Shut up man. She liked you,
just--
Chase: 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.
[Sam angrily sweeps medical
instruments off a table, Chase flinches]
[Scene goes back to Cuddy's
office. Cuddy and Stacy are silent]
House: May I speak to my future
former employee?
[House and Chase are talking alone
together outside Cuddy's office]
House: Great story.
Chase: You think I'm lying? It's
exactly what I told him.
House: I'm sure it is. But you
lied to him. You want him to sue you.
Chase: I killed his sister!
House: I ordered black coffee this
morning and got cream. Everybody screws up.
Chase: They didn't put poison in
your coffee.
House: I've seen you hung-over.
You weren't the day you blew his sister's diagnosis.
Chase: What does it matter why? Is
she less dead if I have a good excuse?
House: If I thought you'd screwed
up because you were drunk, I would have fired you.
Chase: You knew?
House: You were depressed and
distracted. I assumed you'd gotten a phone call from your step mom.
[Flashback - to the scene where
Chase picks up the phone in the clinic again, this time before Kayla walks in]
Chase: [on the phone] This is
Robert. [He starts to get visibly distressed] Umm... what did he die of?
[pause] That's impossible. I saw him two months ago, if he had lung cancer,
he would have... [he doesn't bother to even say goodbye as he takes the phone
away from his ear, his eyes start to fill with tears]
Kayla: [from behind] Dr Chase?
[Chase puts down the phone]
[Cut back to House and Chase]
House: Good news is, both your
parents are dead now so... no reason to screw up this bad again.
Chase: How'd you know?
House: There's this interconnected
network of computers, or interweb where you can--
Chase: How did you know to look?
House: [sighs] When he visited he
told me he only had two months left. When you screwed up I did the math.
Chase: Why didn't you tell me he
was dying?
House: He asked me not to.
Chase: [getting angry] So you just
hung me out there to be blindsided.
House: [softly] 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.
Chase: You're not going to say
anything?
House: I'm going to keep my mouth
shut. Legally, it's better for me if you go down in flames.
(Scene cuts to House in a very
nice grey suit and tie twirling his cane waiting in front of the room where
Chase is going through his meeting with the disciplinary board)
[Stacy walks up and sits down next
to House]
Stacy: Is Chase telling the
committee about his dad?
House: I don't know. I thought you
were going to get him to sell me out.
Stacy: I wouldn't do that.
House: Why not?
Stacy: You're my client too.
House: 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.
Stacy: It's not all negative.
[House looks up at her hopefully]
Stacy: Maybe you were right...
maybe that is the problem.
House: So what do we do?
Stacy: [shakes her head] I don't
know.
[A doctor opens the door and
invites House into the room]
Doctor: Dr House
[Scene cuts to House sitting next
to Chase as the committee give their ruling]
Head Doc: 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. [Chase looks relieved] 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, [House starts to look up in surprise] including certain allegations
of black mail [he rolls his eyes] 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---
House: 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?
Head Doc: 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.
[Everyone starts to leave, House
continues sitting there in shock]
(Scene cuts to House walking into
the conference room where Cuddy and Wilson are waiting with the Ducklings)
[House yanks his tie off as he
enters the room]
House: [to Cuddy] Did you know
this was coming?
Cuddy: They contacted me about an
hour ago.
Cameron: What's happening to
Chase?
House: [to Chase as he walks in]
Now you're fired!
Foreman: No, he's not.
Cuddy: Dr House, meet your new
boss.
[Everyone turns to look at
Foreman]
Wilson: [pointing to Foreman]
Guess I'm his best friend now.
[House's smile turns speculative
and there's a challenging gleam in his eyes]