Psychopath Patient is Hiding the Truth | House M.D.

0:00 Hi, I'm Dr.

0:01 House.

0:02 How long have you been a psychopath?

0:04 Are you kidding?

0:04 He's not.

0:05 Are you saying I'm like Ted Bundy or something?

0:08 Sociopathy can get a bad rap.

0:10 Doesn't necessarily mean you're violent.

0:12 Just that you're completely without conscience.

0:14 You lack any normal emotion.

0:15 You manipulate everyone around you.

0:17 You're promiscuous.

0:17 You lie pathologically.

0:19 Any of this ringing bells?

0:22 Is that why you were asking me all those weird questions?

0:24 Yeah.

0:24 Oh, you have Darwin to thank for that.

0:26 She got the creeps around you.

0:28 Which oddly is an actual medical phenomenon around psychopaths.

0:31 Probably an evolved response to predators.

0:33 I'm sorry.

0:35 You're really freaking me out.

0:36 I have no idea what Relax.

0:39 We have a duty of confidentiality and you have

0:41 an undiagnosed heart problem that could kill you at any moment.

0:44 We believe that your mental abnormality is related to your physical one.

0:48 So we want to keep on predating.

0:53 What do you want to know?

0:56 Your co-worker's story was true.

0:58 You poisoned him.

0:59 No.

1:00 I gave him a little volume and an antiemetic.

1:03 You sure you understand what the word no means?

1:06 I've had them both before.

1:06 Why can't he?

1:07 So you were just helping him out?

1:08 I assume he was cool with the whole seducing and firing part, too.

1:12 Russ knew what he was getting into.

1:14 He got sex every Thursday night and I got to take credit for his best ideas.

1:18 And what are you getting out of your marriage?

1:20 Same thing you get out of your job.

1:22 Bill has a trust fund and I have a pre-nup his parents made me sign.

1:28 Told you he was rich.

1:29 She's not that weird.

1:30 I'm not so different than anybody else.

1:32 Everyone I've ever known, my family, my classmates, the people I work with.

1:37 They're all out for themselves.

1:39 Difference is I could admit to myself.

1:40 have you been this way?

1:44 Just how I am.

1:45 You going to cure my heart problems now?

1:47 Tertiary syphilis can cause pseudo psychopath syndrome and cardiomyopathy.

1:51 Fits best.

1:52 Start around penicillin.

1:53 Rule out Wilson's and Hashimoto's.

1:55 Even if the tests are positive, you don't have to worry.

1:58 You're testing for syphilis, not a cold.

2:00 Honey.

2:01 At this stage it's probably not communicable.

2:03 You think I'm worried about myself?

2:05 I just want my wife to get better.

2:06 She might have caught it at birth,

2:08 so it doesn't prove she was cheating if you're worried about that.

2:11 Of course not.

2:12 How many weeks am I going to have to [cough] You okay?

2:15 Why is she coughing?

2:16 I don't know.

2:17 You want some water?

2:19 [laughter] [cough] Are you threatening me?

2:23 Not at all.

2:24 Well, you should be.

2:26 You let him know what I told you.

2:27 I will not only have your license pulled,

2:29 I will sue you for everything I lose in the divorce.

2:32 So the fun you got out of making those snotty little comments,

2:34 is it worth $19 million?

2:37 Oh, wait.

2:38 Will you hold that look?

2:39 I'm really bad at showing emotions.

2:41 How's this?

2:44 Thanks, baby.

2:45 Can I have your arm, please?

2:50 My arm!

2:51 You broke it!

2:52 I don't know what happened.

2:53 Neither do I, but I know what happened after.

2:55 She called Cuddy [clears throat] and demanded that I kick you off the case.

2:58 He backed you up because of the new BUN creatinine numbers.

3:02 Brittle bones were from kidney failure.

3:04 Heart and kidneys.

3:06 And brain.

3:07 No, psychopathy is not a symptom.

3:08 It was yesterday.

3:09 In the meantime, kidney failure ruled out syphilis and testing

3:12 ruled out the other ideas that would have fit.

3:14 Protein levels, kidneys, arrhythmia.

3:16 Could be paraneoplastic.

3:17 I'd say lymphoma.

3:20 You okay?

3:21 Yeah.

3:24 Look, I get that you got to act fast.

3:28 Radiation?

3:28 You definitely ruled out everything else?

3:30 I'm sorry, but We could still check for environmental toxins.

3:37 Where does she spend most of her time?

3:39 Mostly at work.

3:41 Home.

3:41 Hobbies?

3:42 Recurring activities outside the home?

3:43 No, not really.

3:45 She took a landscaping class at the Y.

3:48 When did it meet?

3:50 Every Thursday night this summer.

3:53 You dig in soil, you can be exposed to pesticides, [music]

3:57 heavy metals, lots of bad things.

3:59 Can you find out all about her landscaping class,

4:01 where it was, details like that?

4:03 Yeah, I'll do it now.

4:06 You lied about your landscaping class.

4:09 Dr.

4:10 Hadley thought the soils might be poisoned.

4:12 You told him that?

4:14 I just thought Russ said you were having an affair.

4:17 Was this your cover?

4:18 Every Thursday night you I'm so sorry.

4:26 Oh.

4:27 God.

4:27 It's not what you think.

4:29 Do you remember that telecom case I said that we didn't get last year?

4:32 In fact, we did and I was swamped.

4:35 Every Friday morning we had a conference call with London,

4:37 so the night before I would just go excuse?

4:40 You expect me to believe that you were at the office?

4:42 What's the biggest argument we've ever had?

4:44 You said I spend too much time away from home,

4:47 that I don't need a job, that you would take care of me.

4:50 Yeah, that's all true.

4:52 You yelled at me.

4:54 You made me feel like you didn't value anything that I did.

4:57 I need this job to feel like I'm accomplishing something on my own.

5:03 That's why I lied to you.

5:04 I mean, cuz if I call your office tomorrow

5:06 and I check Call my office, call my secretary.

5:08 Call my clients.

5:09 Interrupt their dinner, wake them up.

5:11 I don't care.

5:11 I just want you to know the truth.

5:14 You know I love you.

5:19 It's okay.

5:23 Fire her.

5:24 What for?

5:24 You seem to have lied your way out of any trouble.

5:26 Until Bill checks up on my cover.

5:28 I have to create a whole new one to cover that one up.

5:30 I've done it before, but it's a pain and I would like Dr.

5:33 Hadley to share that pain.

5:34 She didn't reveal any confidences and she had

5:36 a valid medical reason to ask about your landscaping class.

5:39 We can see what a jury says about that.

5:41 And admit to your husband the truth.

5:43 You're not going to sue us.

5:45 We will remove Dr.

5:46 Hadley from all patient contact.

5:48 What?

5:48 But it's for Dr.

5:49 Hadley's benefit, not yours.

5:52 We have no obligation to inflict you on her.

5:56 You called the medical board?

5:58 What is she talking about?

5:59 Accusations of sexual harassment.

6:01 You don't think I know it's you?

6:02 Thirteen, come on.

6:03 You already got me fired from the case.

6:05 What else do you want?

6:06 Dr.

6:06 Hadley.

6:08 Get out here now.

6:09 You're acting like an idiot.

6:10 She's trying to make me lose my license.

6:12 Then she'll fail unless you're stupid enough to go in there and scream at her.

6:15 Sexual harassment accusations are incredibly serious.

6:17 made them anonymously, the case goes away.

6:19 If she used her name, we all back you up, it goes away.

6:23 You're completely overreacting.

6:24 You'd be pissed off, too, if you were me.

6:27 Or maybe not.

6:27 I don't know.

6:28 You're just about as emotional as she is.

6:29 I'm doing you a favor.

6:31 And even when you try to do something nice, you sound like a jerk.

6:38 Something's wrong with her liver.

6:39 Blood flow is backing up, spilling into her esophagus.

6:41 From the cancer?

6:42 This isn't lymphoma.

6:43 We don't know what it is.

6:44 We can wrap bands around the veins, but the bleed is so bad that might not work.

6:47 Want to try something called a TIPS,

6:49 a shunt that makes the blood bypass the liver.

6:51 That That'll save her?

6:53 Should help preserve her liver and heart.

6:54 The liver cleans out toxins.

6:56 Bypass it too long, she'll get brain damage, eventually die.

6:58 But that's still probably less dangerous than bleeding out now.

7:01 Probably.

7:04 Valerie usually makes [snorts] the decisions.

7:06 to step up now.

7:07 Was she cheating on me?

7:08 I can't discuss.

7:09 Just tell me she wasn't lying.

7:11 Just tell me that.

7:13 I don't even know who she is anymore.

7:15 Either way, you got to do it right now.

7:17 Do whatever you think is right.

7:18 I'd give her a day, two days at the most.

7:21 Great.

7:23 You be the clock.

7:25 Everyone else will be the doctors.

7:27 Heart, kidneys, now liver.

7:29 Amyloidosis?

7:29 No speckles on Too much kidney failure.

7:31 Primary hepatic fibrosis.

7:33 That's our best guess.

7:35 Start her on steroids.

7:36 Even if we route the liver, it's probably too scarred.

7:38 We got to list her for a new one.

7:39 With an unconfirmed diagnosis, not going to happen.

7:41 a family member?

7:42 I don't think the husband's the right blood type.

7:44 Even if he was, he's not going to give his liver now.

7:46 her, I assume.

7:47 Not yet.

7:49 Says he won't abandon her while she's sick.

7:52 Does she have any other family members?

7:54 No one's going to risk their life to save hers.

7:56 Sarah?

7:57 I'm Dr.

7:58 Hadley.

7:58 I'm I'm sorry to bother you, but I was told you're Valerie's sister.

8:02 I was just surprised you came to visit.

8:06 Yeah.

8:07 So is the rest of my family.

8:09 I was even more surprised you got tested as a donor.

8:12 Wrong blood type.

8:13 But why?

8:15 I mean, you know what she's like.

8:17 She's not that bad.

8:19 Yes, she is.

8:22 Our dad was a mean drunk.

8:26 I was the older sister.

8:27 I was supposed to stand up for her.

8:30 Not the other way around.

8:32 She protected you when you were kids?

8:34 Yeah, and then all of the sudden all of his crap

8:39 and all of his abuse it just changed her.

8:43 We were wrong.

8:44 Psychopathy is a symptom.

8:46 I spoke to her sister.

8:47 She wasn't always like this.

8:48 She changed and right around adolescence.

8:52 The raw food diet.

8:54 She could fulminate.

8:55 Nuts are high in copper.

8:57 It's Wilson's disease.

8:58 We ruled that out.

8:59 No Kayser-Fleischer rings.

9:01 There is one other sign.

9:02 I know there are lipstick lesbians.

9:05 Are there nail polish remover bisexuals?

9:11 Are her fingernails blue?

9:13 Yep.

9:13 Start her on chelation.

9:16 What has happened?

9:18 You're going to get better.

9:19 Your body has an inability to process copper.

9:22 It caused all of your problems, even what's wrong with your brain.

9:26 And that's going to change, too?

9:29 It's probably rewired her neurons permanently by now.

9:32 But it's possible.

9:35 Maybe.