[distant crowd murmuring] i can't do this button. oh, you almost got it. almost got it. [soft laughter] the sound... of the people talking. hmm? [humming] it's a flat. is it? well. look how smart you are, huh? here we go. here we go. [applause] thank you. i am proud to introduce my son to you,

patrick obyedkov. 25 years ago, patrick was in the fourth grade. a good student, played little league. and then there was the accident. [softly] and here we are... [louder] raising money for people with similar neurological disabilities. i hope you enjoy the concert. [applause] [whispering] are you all set? all set. [beethoven's waldstein sonata, allegro con brio] ♪

[off-key sequence] he's never missed a note. [music continues, more frequent missed notes] ♪ something's wrong. [frenzied playing] ♪ patrick, what is it? my hand, it hurts. let me see it. [tearing up] oh, papa! ow!

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35-year-old savant, dystonia in his left hand. he paged us at 5:00 in the morning for that? i'm going back to bed. dystonia's not life-threatening. clonazepam will take care of it. he's already on clonazepam. for seizures he has from a bus accident when he was ten. then we treat with benztropine. what's up? 35-year-old savant, dystonia. [raspberry] i'm going back to bed. where are you going? bathroom. it can wait. there is no case, house. even if dystonia was some big medical mystery, it's not this time. you're not intrigued as to how a perfectly healthy ten-year-old boy

with no prior musical training gets into an accident on his way to school, can suddenly play the piano? do we have to solve a 25-year-old case before breakfast? you two shower together? (both) no! double negative, it's a yes. savantism is just one of those things. it's inexplicable. just because it's inexplicted, doesn't mean it's inexplicable. i want new labs. cbc with platelets, chem panel, thyroid and adrenal function tests. for what? i don't know. (foreman) raise your left hand. that's your right hand. what are you looking for? just wanna make sure whatever happened doesn't happen again. push up. push up. he repeats what people say. it's a compensation mechanism. he knows he's supposed to say something, so he repeats what he just heard. that's good, shows he's engaged. spine's okay. all right. now stick out your tongue like this, copy me. you have a big tongue. [laughter]

i know, it's funny, but copy me. [grunts] [soft grunt] there was construction on radcliff. so i had to get out of the car and, and walk in high heels for over a mile. radcliff? what was the cross street? does it matter? i don't know, i'm not the one who brought it up. tie this off. nice and tight. does this have anything to do with my foot? you have a blister. you don't waste a doctor's time with a blister. you waste a doctor's time with more important things. like the sewer that's being vented out of your mouth. my breath? if you could stop doing that, we'd all be grateful. i can't stop breathing. no, but you could stop puking. i don't-- your lips say, "no," your gnarly fingers say, "blegh!" [knocking on door] it's good to go. it's a shame.

you do look cute that thin. motor cortex looks good. everything checks out. what tests did you run? full battery of neurological-- i need this blood checked for cholesterol and glucose levels. patient had a foot problem. different patient. there was no one else in there. you're using the wrong equipment. (dr. obyedkov) dr. foreman, i thought we were being discharged. i'm dr. house. on the off chance that dr. foreman didn't mention it, i have something of a gift too. come on. [boomtown rats' i don't like mondays] ♪ your turn. my turn.

[repeats] ♪ does this have anything to do with his hand? it might. okay, patrick, close your eyes. what's this? [discordant notes] d, g flat, a flat, b, c-- yeah, all right, all right. he's good. can we let him go? he's great. he's staying. [gentle piano music] ♪ [both playing the melody] ♪

[melody becomes more complex] ♪ call radiology. i need a functional mri of his brain. fmri's not gonna show trauma. i'm not looking for trauma. i wanna see the music. see the music. [bizet's allegro vivace] ♪ well, that's dull.

you think fmri's gonna show a big arrow pointing to a flashing sign saying "savantism"? would be hugely helpful. somehow, he's been rewired as a music specialist. i wanna know how that happens. he has access to parts of the brain that you don't. his brain's doing nothing. it looks like any jerk listening. he's not a savant at listening. he's a savant at playing. well, listening and playing are two different neurological processes. turn off the music. [speaker clicking] patrick, i want you to pretend that your leg is a piano. my leg's not a piano. i know, that's why i said "pretend." the kid's a moron. keep your head still, use your fingers. [beethoven's waldstein sonata, rondo, allegro moderato] ♪

wow. cool, huh? his heart rate rose. emotional response? then why is there no activity in the limbic system? unless there's a problem with his heart. do an echo to confirm. then scrub up, he's gonna need surgery. [sighing] wasn't dystonia. he's got a heart condition that caused the arteries in his arm to constrict. do you have any idea why house would want to go to boston? the chowder? plane tickets, this friday. i opened his mail. i heard there's an opening at harvard for division chief, infectious disease. well, ambition's not one of his more prominent traits. although... what? well, he was testing blood in the clinic. don't think it was a patient's blood. why, it was green? no, he was checking for routine stuff.

makes sense if he's looking for basic medical clearance for employment. [sighs] i'm going home. no, you're not. he could show up any minute. not with a savant to obsess about. i'll take in here. bedroom's down the hall. you've been here? where else would the bedroom be? come with? you're scared of him catching us breaking into his home, but you're not scared of him catching us doing it in his bed? [deep breath] if i'm gonna get fired anyway... almost at the heart. no bleeding. and...done. heart rate's 160, it's accelerating. he's at 210. he's in supraventricular tachycardia.

paddles! charging. clear! [shock] we're wasting our time! his high school yearbook. unless you think he's going to boston to attend a high school reunion, put it back and let's get out of here before he comes home. he's not smiling. (chase) i wonder if he has teeth. what's the area code for boston? 617, why? (woman's voice) massachusetts general. may i help you? [hangs up phone] did you think you could steal dr. house without a fight? (man on speaker phone) steal him for what? quit jerking me around, i know he's coming out there. we're not looking to hire him. he's called you six times in the last month. we're not looking to hire him. you think if you keep repeating it, i'll start believing you? dr. cuddy, there's nothing else i can say. i'm sorry. well, if he's not coming there for a job interview, he's either coming to your hospital for a social visit or because he's a patient.

is it a social visit, dr. medick? i can't stand house. neither can dr. kupersmith. what's up? do you know a dr. kupersmith in boston? yeah, he's an oncologist. what's up? what's his subspecialty? brain cancer. what's going on?

(cuddy) he doesn't look sick. he should have symptoms.

blurred vision, headaches, confusion, clumsiness. depends on how far along the cancer is, what kind, how aggressive. he didn't tell you. house is house. he's no different than anyone else with cancer. once you tell, then every conversation is about that. (foreman) cardiac arrest means we were wrong. there was a heart problem. but no vasoconstriction! the heart problem couldn't have caused the hand problem. unless the bleed happened suddenly. less blood to the brain explains the dystonia, less blood to the heart explains the heart attack. scope him above and below. if that doesn't work, gut him. you can't sedate him? there's a risk his throat could collapse. you look mad, pop. no. no, i'm not mad, i promise you. it's just that, um, the doctor has to do something to you and it's, and it's gonna hurt. hurt me? why hurt me? make you better.

what's wrong with me? well, they don't know. patrick, don't you worry, everything is gonna be great. all right, here we go, patrick. you wanna hurt me. okay, open. like this. uh-uh. mm-mm. you just look at me. and everything is gonna be okay. [crying] look at me. patrick, over here. oh, daddy! yep, it's okay. [coughing] it's okay, really. dr. wilson! wilson! i just spoke to cuddy, she can't confirm whether house is applying for a job in boston. yeah, i'm late for a-- if i have to look for work, i have a right to know. [melancholy piano music] ♪

that's pretty. i wrote this when i was in junior high school. i could never figure out what came next. then dimwit came up with this. [emotional piano music] ♪ it's good. it's perfect. i could set up a tower on the roof during a lightning storm. help you switch brains with your patient. then you would be the brilliant pianist and he would be the doctor hiding brain cancer from his friend. it's nothing. you need to talk about it. you need to talk about it. at least let me look at your medical file. you're making a big deal out of nothing. who else knows? no one. and cancer isn't nothing. sorry, didn't mean to offend your specialty. why didn't you come to me? stein's good. stein's in africa for the next six months. he's given me at least six months.

i'll go to boston, i'll get the treatment. everything'll be fine. no need to talk about it. you're right, surgeon found a bleed behind the kidney in the retroperitoneal cavity, but no reason for it. no cancer, no ruptured arteries... so bleeding explains the symptoms, but we've got no explanation for the bleeding. and while they were closing him up, patrick had a grand mal seizure, which makes no sense, since he's on an anti-convulsant medication. you told him. no, i didn't. i...only told cameron. (house) hey! okay. you guys have cleverly deduced that i have cancer. you have no right to know. you have no business knowing. we'd like to run some blood tests. as soon as you work up our patient, who is not me! we just want to make sure you weren't misdiagnosed.

i wasn't, let's move on. we're just asking for a couple of vials. no! why not? okay, we're going to proceed as if i'm perfectly healthy. how can we do that if we know you're not? you don't know anything! except, hopefully, how a patient on anti-convulsant medication has a seizure. anti-seizure meds don't prevent seizures, they just make them manageable. according to the surgeon's report, this one wasn't even close to manageable. means the question isn't why is he having seizures, it's why are his seizures getting worse? what's changed? his brain, it's gotten worse. so we make it even worser. we take him off anti-convulsant medication. (cameron) he'll seize even more. multiple seizures can seriously damage a brain. dude can't button his shirt. how much more damaged we really talking about? stronger seizures will light up different parts of the brain which will indicate which parts are damaged. once he gets worse, do a pet scan.

pet scan done? no. you come for my feelings? 'cause i left them in my other pants. this is a letter of recommendation. i'm applying for a job at penn. thank you for writing your own. i'm sure my thoughts are beautifully phrased. thank you for signing it. saves me having to fake your signature. stay away from weiss. he cries with his patients. holds their hands as they die. he won't like you. your newfound nonchalance in the face of cancer. i thought you'd find it appealing. 20 seconds. pretty good. for what? time it took you to go from hard-ass to human being.

you really wanna leave? if you're not here, there's not much point in staying. i'm not dead yet. what are you doing? i know this must be a turn-on for you.

little whorish to kiss and stab. you kissed back. i didn't want you to die without knowing the feeling. actually, no woman should die without knowing the feeling. all we need is a few drops of your blood. foreman and chase's lips are not gonna get so close now that i know your plan. there's a nurse downstairs about to risk his job to steal the blood you drew from yourself yes-- i'm patient number 020406. in the record room under the name luke n. laura. there's a whole vial of blood there. along with ct scans, mris, csf--everything you need. if you need a sperm sample, come back without the needle. six centimeter mass in his dorsal midbrain, extending into the temporal lobe. that's inoperable. what kind of time does he have? he's got a year.

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