House

Clear!

Charging! Clear!

Okay, I'm calling it.

Time of death...

8:32.

[Gareth Dunlop's Here Comes the Night]

Hello, Diana.

Shall we?

LV tear is within a zone of fresh tissue necrosis,

implicating a recent myocardial infarction

as the instigating event.

Unfortunately, the medical records show

that Dr. Penza never suspected heart disease,

instead giving steroids for an erroneous diagnosis

of asthma, thereby causing the fatal tear.

I suggest these findings warrant further investigation

into Dr. Penza's standard of care for this patient,

making this my...

third such recommendation regarding Dr. Penza this year.

Concluding autopsy with examination of the brain.

Dr. Treiber...

I'm cold.

== sync, corrected by elderman ==

Yes, it's mine.

And yes, I know that I can't drive stick.

And no, I don't care that I parked in a handicapped spot.

"Staring death in the face

has changed my life."

What a cliche.

The cliche is to lead a more meaningful life.

I've taken a holy vow

to lead a less meaningful one.

I've spent my life caring,

giving, and searching for the profound.

Now it's time for selfishness, indifference,

and embracing the shallow.

Your scan's in three days.

Tell me this isn't just you killing time

until you find out if your cancer's gonna kill it for you.

I just paid $75,000 for a ridiculously impractical car,

the depth of shallowness.

And tomorrow, I'm driving it to Cleveland

to meet my boyhood crush.

The years have not been kind to David Cassidy.

Julie Christie. Dr. Zhivago, Shampoo.

I was precocious.

She's opening some kind of

charity animal clinic or something.

I'm neglecting my patients

to fulfill a silly fantasy.

Textbook selfishness and indifference.

Or you've made sure that your patients are well-covered,

car is a rental,

and while waiting to get Julie Christie's autograph,

you'll adopt a puppy.

I don't even care whether you believe me or not.

Indifference.

He tried to cut open his own skull.

Head CT and tox screen were clean.

Interesting.

Cotard delusion.

Also known as "walking corpse syndrome."

Disconnect in the amygdala convinces you

that you're secretly dead.

Case solved.

Rendering it...

What's the past-tense of "interesting?"

No prior history of mental illness,

and before you say it was caused by antivirals,

I've already ruled that out. Plus, Cotard's

doesn't explain the paresthesia in his hand.

Also...

Treiber won't let any other doctor near him.

He trusts your work.

Treiber's the patient?

What's the future tense of "interesting"?

How's Wilson doing?

Wilson's scan is at the end of the week.

If his kick-ass chemo shrunk the tumor to an operable size,

he'll live.

If it didn't, he'll die.

That must be very hard.

Is there anything we can do?

Other than the prayer circle, what is there?

Patient's AST is high.

Psychosis could be brought on by liver failure.

Maybe Hep C?

Bilirubin and serum protein levels were normal.

Doesn't explain the tingly hand or why Chase hates him.

I don't hate him. He hates me.

He hates all doctors, and it's mutual.

He only hates the ones that screw up.

And you.

And they only hate Treiber because he finds their mistakes.

Mistakes are a wee bit easier to find on a dead patient,

a distinction he fails to recognize.

He's a rat.

Who makes the hospital a safer place

by keeping doctors accountable

and focused.

What if he got something from a cadaver?

He handles a lot of 'em. You suggesting we DDX them all?

No, just his last one.

She had bad knees.

She used dimethyl sulfoxide for joint pain.

Current from the defibrillator could've converted it

to dimethyl sulfate. When Treiber cut into her,

her blood released toxic fumes.

Everyone in the basement would be sick.

Gas would've dissipated quickly.

His lungs are fine. Blood clots make more sense.

One in his hand explains the paresthesia,

one in his carotid explains the psychotic episode.

You two look for toxic exposure.

Adams, you can help Chase ultrasound

his evil nemesis for evil clots.

I know House doesn't like seeing his patients,

but doesn't a fellow doctor rate an exception?

Psychosis appears to be intermittent.

Just snapped out of it long enough to ask

if House actually ordered this test.

Don't worry.

We're simply carrying out his direct orders.

Right. Forgot.

It's what you were hired to do.

Which is fine, his diagnostic error metric

is .17 compared to the hospital average of .32.

You actually think you can quantify

the value of every doctor?

Someone should.

And since I'm the only one who sees everything--

Right, you were hired to diagnose people

after they're already dead.

No sign of stenosis or clots.

Every doctor, every diagnosis, every treatment, every result.

It's pretty impressive.

It's pretty Orwellian.

All written in his secret code.

He has to keep it confidential.

Just like the Wannsee conference.

The "Big Brother" metaphor wasn't pointed enough for you?

You had to throw in Hitler?

A couple years ago,

he noticed a link in child deaths,

and it's completely changed hospital policies all over--

I get it. Treiber is nerd king.

The more people we kill, the more lives he saves.

Test is negative for dimethyl sulfate,

her blood is not toxic.

Then we should look for toxic exposure from something else.

You really think the hospital is idiotic enough

to issue toxic supplies?

Have you seen his tools?

Treiber doesn't always use hospital-issue.

Then he's the idiot?

No, but I don't want

to explain that assumption to House.

Both: Found something.

Thought we'd make it a road trip.

'80s music, junk food, beer.

I have a dental appointment.

That I'm going to make now.

Ah. I'll let you drive.

Not worth listening to you whine

about your feelings and fears for three days.

It's not gonna happen. I've taken a vow.

People don't change. You are a person, ergo, pass.

Yes, that's why I brought this.

20 CCs of propofol.

You can accompany me willingly,

or I will, when you least expect it,

inject the contents of this vial into your bloodstream.

The fall might result in a concussion,

or fractures,

or you might get lucky

and simply wake up somewhere near Allentown

with a nasty headache.

The choice is yours, and in case you've forgotten,

I am indifferent.

We leave tomorrow morning at 8:00 a.m.

No clots.

No gas.

But we found enough of this

to reanimate the entire morgue.

He's jacked on caffeine.

Stimulant psychosis.

How many times do I have to solve this case?

So all we have to do is hydrate and observe him for 24 hours.

Why don't you tell him it was your idea?

He might warm up to you.

If you get an ear in the mail, it's probably mine.

My abdomen!

It's my abdomen!

It's just the effects of withdrawal.