Opening Scene: A recording session is in progress. They are
expecting the legendary horn player John Henry. John Henry is in his limo on
the way to the session. His partner asks if he is up to doing the session.
John Henry says we will find out. Finally John shows up ready to start the
recording session. He listens to the music, tells the people he has the
music and they start recording. Suddenly he starts gasping for breath. He
can not breathe and needs to go to the hospital ASAP.
House enters Cuddy’s office and tells her he wants in on the John Henry
case. House is curious why John has been paralyzed for two years and no one
knows why. Cuddy tells House to forget his paralysis, as far as the hospital
is concerned it is a simple case of lobar pneumonia. Cuddy tells House that
Marty Hamilton is John’s primary physician in California and he is dealing
with the paralysis. Cuddy tells House that Dr. Hamilton already asked for
House’s team but not for House. She informs him that Foreman did his
residency with Dr. Hamilton. House tells Cuddy he knows that, she tells
House it is Foreman’s case.
Back in House’s office, Foreman is at the whiteboard leading the
differential. House is sitting at the table acting up. Foreman asks Cameron
and Chase for updates, then asks House who tells him his results are not
back yet, and is he going to fire him? Foreman says “no” but he can wash his
car. House says, “this is going to be fun”. Foreman gives Cameron and Chase
orders and to follow through. House asks Foreman what about the paralysis
and Foreman answers that they are sticking to the pneumonia. Foreman says
Dr. Hamilton already has determined John’s paralysis is a result of having
ALS (Lou Gehrig’s Disease). House gets up and starts to ask the team what
else could his paralysis be from other than ALS? Cameron and Chase start
giving ideas. Foreman tells House that ALS fits and even includes him having
pneumonia. House tells Foreman ALS is a death sentence, and Foreman tells
House that does not mean it is wrong.
Foreman is with John drawing blood. John asks Foreman if he thinks the
“breathing stuff” is connected to his ALS? Foreman answers that it makes
sense. John tells Foreman that Hamilton is a great doctor but his treatment
obviously is not working. He asks Foreman if he is going to die here or will
he make it home ? Foreman tells John that House thinks they should do an MRI
which John questions? He also tells Foreman he has heard of House, that he
is an obsessive son of a bitch. John asks Foreman who he thinks is right,
Hamilton or House? Foreman plays it safe and says both doctors are
excellent. He tells Foreman one says ALS and one says not, that Foreman has
to pick one. Foreman says everything points to ALS, so John tells him no MRI.
John also tells Foreman he wants to sign a DNR.
Back in House’s office he is listening to John Henry’s albums with his
headphones on. Foreman walks in and tells House John signed a DNR. House
sits up and takes the headphones off and asks Foreman “He rhymes with
dinner”? Foreman says no he signed a DNR. House says that makes more sense.
House asks Foreman if he told him it might not be ALS? Forman says no and
House tells him no wonder he signed a DNR. Foreman tells House how is
treating John. House tells him if it were his case he would be adding a
little IVG to the mix. Foreman tells House John does not want anything done,
no treatment. House tells Foreman DNR means “do not resuscitate” not “do not
treat”. House tells Foreman to hold on to that DNR paper as it may be worth
a lot of money real soon.
Forman is on the phone telling someone to start the IVG treatment.
House is at the clinic with a patient saying “his little man” has lost
some of its bounce. He wants some blue pills. House tells him he does not
need the blue pills, as his problem is a conflict in medications. The
patient needs to up his insulin levels. House tells him he “forgot” to tell
the nurse he had diabetes. House suddenly gets a page that John is “Code
Blue”. House gives the patient a script for the blue pills and tells him if
he has got heart disease from the diabetes the blue pills will kill him.
Otherwise, have a nice weekend.
Chase and Cameron are with John who is having difficulty breathing.
Foreman tells them that the problem was their mistake by giving him the IVG.
Chase tells them they have to intubate him right away, and Cameron goes to
get the equipment. Foreman tells them they can’t as he has signed a DNR.
House shows up at John’s room and walks in he asks how long John’s condition
has been like this? Foreman tells House he did put him on the IVG. House
tells Foreman John is not dead and they can fix this. Foreman insists they
honor the DNR. No one will do it so House goes to intubate him. Foreman
keeps telling House he can not intubate him. House is not listening. John’s
wife walks in and House tells her John had a reaction to some medicine they
put him on. She asks what did House just do, and Cameron answers he saved
John is now on an ventilator and Chase tells House he is stable. House
says the IVG made him worse which means that multifocal motor neuropathy was
a bad diagnosis. House asks the team what is really wrong with John? Foreman
reminds House, John had a DNR and he totally violated it. House reminds
Foreman that John signed the DNR because he did not want to die a slow
painful death from ALS, and this episode had nothing to do with that. House
says this is Foreman’s case and maybe he does not want to look bad in front
of his old boss. Foreman shouts at House that he assaulted him and House
says fine, that he won’t do it again. Foreman answers that he will. House
asks Chase and Cameron what would make John’s lungs worse? They give him
ideas. A woman walks in and is holding a paper for House. Cameron opens it
and tells House it is a restraining order, and that House is not allowed to
come within 50 feet of John Henry. They have also asked the DA to file
criminal charges for battery against House. House tells Cameron to test his
blood, he has some left in the lab just add this new test to the order. He
tells Chase to get a biopsy to confirm Wegner’s, and finally move the
patient to the second floor ICU. Chase asks why and House tells him it is
right above the clinic and he is sure it is pretty much 50 feet in any
direction. It is nice having a court order saying he can not do clinic duty.
Cuddy is in the clinic with some patients and House appears standing “50
feet” away and yells out her name. House asks why she paged him and Cuddy
wants to know why he is yelling? He tells her John’s bed is behind that
wall. House is confused about why Cuddy is not angry about what he did. She
tells House when she hired him, she knew he was “insane”. She will
continue to try and stop him from doing “insane” things but once
they are done, she set aside $50,000 year for legal expenses. So far she
tells him he has come in under budget. Cuddy tells House that Foreman called
Dr, Hamilton and he is flying in from LA. He is coming in as a friend to
personally pull the plug on John. House tells Cuddy that yes, he does need a
House is now in court involving the charges brought against him. House’s
lawyer tells the Judge that they request to keep John on life support. The
Judge asks House did he beat up a guy in a wheelchair? House’s lawyer tells
the Judge that House allegedly forced a tube down John’s throat against his
will. House stands up and tells the Judge it was a medical tube to save his
life. House’s lawyer explains to the Judge that without the tube, it is
likely that John will probably die. The Judge reminds him that the patient
knew that as he did sign the DNR. Houses’ lawyer explains to the Judge that
John dying will violate his client’s Six-Amendment right, to face his
accuser. While John’s lawyer is talking to the Judge, Wilson (who is sitting
behind House) asks him why is he doing this? Wilson states that even if the
Judge rules in his favor the restraining order and the criminal charges
stay. What has House gained? House tells Wilson he has gained time. House
stands up again and tells the Judge he has a medical issue. The Judge asks
him does it pertain to this case? House tells him it does not. House asks
the Judge if he has any family history of heart disease? House points out
that the Judge’s fingers show signs of clubbing indicating a heart problem.
He tells him to please see his doctor and then sits down. The Judge is half
listening to John’s lawyer but now is concerned about what House just told
him. Wilson and House walk out of the courtroom and House has won.
House is now at the lab with Cameron and Chase getting new information.
House tells them to start a new medicine to treat Wegner’s disease. Cameron
asks that they have very little information to go on to believe it is
Wegner’s. House insists that if the new medicine works, and John starts
walking then he knows if he was right. Cameron asks House if he is asking
Chase and her if he wants them to treat the patient and lose their medical
Back in John’s room, House walks in with the medicine he wants to use.
John still is tubed but shakes his head “no” at House. Someone walks into
the room and House introduces himself to Dr. Hamilton. He tells House they
need to talk and House tells Hamilton he started John on Cytoxan. Hamilton
tells House he checked him out and he knows he is a good doctor, and House
should appreciate he (Hamilton) is a good doctor too. House asks him why?
Hamilton tells House he checked on Wegner’s as well and the tests came back
negative as his will as well. Hamilton tells House he is going to take John
off the ventilator and let John die. Suddenly Foreman walks in the office.
Foreman apologizes to Hamilton for putting his patient (John) on IVG
medicine. House reminds Hamilton he has a court order to keep John alive,
and Hamilton informs House that all charges against him have been dropped.
House tells them both that John does not have to die. Foreman tells House it
is not Wegner’s.
House is standing outside John’s room talking to Wilson telling him if it
is Wegner’s his lungs will not be able to handle it. As soon as they pull
the plug he will die. John nods his head to the doctors that he is ready for
them to pull the plug. Hamilton starts unplugging him from the machine.
Wilson and House look on. Amazingly John is still breathing. He is holding
his own. House says it is not Wegner’s, wrong again.
Wilson tells House and the team that John is stable but one of his arms
is now paralyzed. House says the real question is why is still alive? House
is still determined to find out what is really wrong with John.
Hamilton is with John telling him to have him paged if he needs him and
leaves the room. House sneaks around the corner and walks into John’s room,
and John tells him to get out. House tells John that yes his life sucks, but
just give him a chance to find out what is wrong with him. If after that
John still wants to kill himself, House will give him a hand. John tells
House that playing at that recording session was his way of testing “his
air”. He can’t play anymore. House asks him is that all he is, a musician?
John asks House isn’t it the same with House. John tells House that both of
them have their “one thing” and if they lose that there is nothing else left
for them. House while still wanting to figure out what is wrong with John,
does now understand better his reason to wanting to die. House leave John’s
room, then turns around and starts to disconnect John’s wires and tells him
it is not over for him. He tells John he can call the police if he wants and
that he is going to get a MRI.
Foreman and Hamilton are having a catch up lunch. Foreman and Hamilton
are laughing about the fun times they had at some medical conferences they
attended together. Hamilton asks if Foremen if he enjoys working with House?
Foreman says enjoy is not the word he would use. Hamilton tells Foreman that
they work too hard not to enjoy ourselves. Hamilton ask if Foreman is seeing
anyone, and Foreman tells him sort of. Hamilton asks if he thinks she would
enjoy moving to LA?
Cameron and Chase are reviewing the MRI when Foreman walks in the room.
He tells then that Hamilton offered him a job. Cameron asks if he is going
to take it? He tells them that it would be a partnership, more money, a car
allowance and other extras. Chase asks then why didn’t he tell Hamilton yes?
Foreman tells them it is because he made a commitment here. House would let
Foreman out of his agreement in a heartbeat. Cameron looks at the test and
determines it was a stroke, that John’s arm and legs being paralyzed are
separate issues. House is up behind Foreman listening to him and then asks
what is the verdict? Cameron tells House that a clot caused the arm
paralysis. Foreman says if they bust the clot he might be able to use his
arm, House says go ahead and try it.
Foreman tells John they found a blood clot and they would like to treat
it and see if he gets use of his arm again. Foreman tells him the negative
side is he could lose function in his lungs. John does not want that. He
tells them no. Foreman tells John they could do a embolectomy, were they go
in and pull the clot out. Foreman says that it will either help or kill him,
either way for John it is a win-win situation. John gives the okay.
Cameron and Chase do the procedure and it appears to remove the clot and
John seems fine afterward.
House is back in his office and Foreman is telling House that with
Hamilton here he notices the difference in the styles. House is getting on
Foreman for his remark about House having no humility. House gets a page and
tells Foreman they have to go. They walk into John’s room and Hamilton tells
House congratulations. John woke up and can use his arm. House goes to leave
and pats John on his leg. John starts to tell them all he felt it.
House says that John now has feeling all the way up his calf. Now they
are trying to figure out what is making John better. House tells Chase and
Cameron to stop all their drugs. When John starts to get worse again then
add back their medicines one by one until he starts to get better again then
they know what works.
House goes to see John and sees that he is getting worse, losing feeling
again in his legs. He tells Foreman that as long as he works for him he will
do his job. House tells them to start the steroids again and get another MRI.
Cameron and Chase do the MRI and Cameron discovers something shocking.
Meanwhile House and Foreman sit down to talk. House tells Foreman he
checked Hamilton out and that he is a good doctor. He asks Foreman if he
thinks he is better then him? House tells Foreman if he thinks Hamilton is a
better doctor than House he should take the job. Cameron and Chase rush in
with the result for House and Foreman, Ateriavenous Malformation. There is
pressure on his spine causing the paralysis, and Foreman wonders how
Hamilton could have missed that? House says they missed it too, as it was
not there before. House tells them if they remove the blockage on his spine
John will walk again.
John awakes after the surgery and is fine. He starts rehab on his legs
and makes great progress. House is now leaving the hospital and runs into
John who is walking with a cane. House bets him $50 he can beat him to the
curb. John thanks House for sticking with the case. John hands House his
horn as a gift. House is amazed. John tells House he can sell it if he
wants just please do not play it.
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