HOUSE UNTITLED DAVID SHORE PROJECT Pilot Written by David Shore Network Draft January 12, 2004

TEASER FADE IN: EXT. BOSTON ~ WORKING CLASS NEIGHBORHOOD - DAY A bus disengages its passengers, some going to work, some coming home from the night shift. Among them we find-- RACHEL ADLER, 29, attractive. She’s sweet, but that mean she doesn’t get it - she’s insightful. But most significantly, she’s late. She’s dressed nicely, for work. Except her shoes - they’re nice too, but they’re runners. And she’s running. Down one street, past kids hanging out, around a corner. She doesn’t live here, but she’s at home here. She’s also very fit. Around another corner and into: INT. SCHCOL - MOMENTS LATER Rachel emerges from an office and is joined by MELANIE LANDON, also 29, also attractive, as they walk. ADLER McNeil calls me in to tell me I'm late. LANDON (sympathetic) Making you later. ADLER I know. I almost said something. LANDON Good for you. (knowing smile) Why were you late? ADLER You're not going to like the answer. LANDON I already know the answer, ADLER I missed the bus. LANDON I don’t doubt it. It’s an extra transfer from Brad's. (MORE) (CONTINUED)

CONTINUED: LANDON (cont'd) You spent the night, his alarm didn’t work - (bigger smile} Or maybe it did. ADLER I didn’t sleep with him. I Jjust missed the bus. LANDON Girl, either there’s something very wrong with you or there’s something very wrong with him. ADLER There’s nothing wrong with him. Adler stops and is about to open a door but Landon grabs the handle. LANDON Please tell me you know that for a fact. ADLER I gotta go, Melanie. LANDON Life’s too short to be throwing away chances like this. ADLER Life’s too short to be doing stupid stuff. I gotta go. and Adler opens the door and enters into: INT. KINDERGARTEN CLASSROOM - CONTINUOUS Where she’s met by 20 five-year-olds. ADLER Good morning guys. KIDS Good morning, Miss Rachel. ADLER Okay, everybody in your seats. Sydney, tell us what you did this weekend. (CONTINUED)

CONTINUED: Sydney doesn’t say anything. Adler takes a seat in front of the kids who take their seats on the carpet. ADLER {cont’d) Come on, Sydney, we know you’re not shy. SYDNEY ...How come we always tell you what we did, but you never tell us what you did?z ADLER (this is awkward) ...0kay. But you can’t tell Ms. Melanie, okay. I had a really great weekend. KID #2 What did you do? ADLER I made a new friend. It’s so much fun to make new friends, isn’t it? SYDNEY Doesn’t Miss Melanie know about friends? Why can’t we tell her? KID #2 My mom says Miss Melanie likes to talk. What does that mean? I like to talk. ADLER It means that their are some things that are private, just for you. SYDNEY I thought we’re s’'posed to tell our mom and dad everything. KID #2 Did you tell your mom and dad about your new friend? ADLER (it’s all too much) Yes, absolutely, you don’t need to have any secrets from your parents and I told mine claush bah fr-- (CONTINUED)

CONTINUED: (2) She stops herself. The kids laugh - Miss Rachel is talking like a baby. But Miss Rachel isn’t laughing. Confused, no idea what just happened. After a beat, she tries to speak again... ADLER (CONT'D} Moa. What the hell does that mean? The kids laugh again. But Adler looks panic stricken. She starts to stand up, but one of her legs collapses under her. ADLER (cont’d) Harra-- Bah, craw-- Some of the kids are now starting to show some concerns. Adler pulls herself part way up - enough to reach the white board. And she starts to scrawl... SYDNEY L-L-A-C T~H~E SYDNEY (cont’d) “The” We know that word; that’'s “the”. SYDNEY (cont’d) We haven’t learned all those letters, Miss Rachel. And as some of the more advanced kids try to sound out the word, Adler’s eyes roll back and she collapses. CUT TO BLACK SYDNEY (V.Q.) {(cont’d) Are you alright, Miss Rachel? FADE QUT: END OF TEASER I

w ACT ONE EXT. BOSTON - DAY We fly through that working class Boston neighborhood. ACROSS the river into a different world - CAMBRIDGE. PAST the rowers and the college students playing touch football, all with perfect skin. &nd right through one of the ivy framed windows of an ivory tower into: INT. HOSPITAL CORRIDOR - DAY A typical, busy hallway in a teaching hospital affiliated with one of the great Cambridge Universities. Lots of sick people, lots of visitors, nurses and orderlies, lots of doctors and lots of medical students. UPER - 2 MONTHS LATER And through this mess comes a 38 year old man, JAMES WILSON. He carries himself with the confidence of one blessed with the power to heal (he also carries a file)}. His usual purposeful stride has been slowed somewhat so that the man beside him can keep pace. GREG HOUSE, also 38, brilliant but scarred, wields the truth like a sword - and isn’t afraid to cut you. He walks with a cane and pain (the latter he hides, the former he wishes he could). He speaks and thinks gquickly - and doesn’t wait for others to catch up. Wilson is his best friend, his only friend - though you’d be hard pressed to describe even this relationship as friendly. As House pops a pill in his mouth (something he does frequently)... WILSON Twenty-nine-year old female, lost the ability to speak, seizure, lost HOUSE (re everybody) --They all assume I'm a patient because of this cane. WILSON So put on a white coat like the rest of us. HOUSE I don’t want them to think I'm a (CONTINUED)

CONTINUED: WILSON You see where the administration might have a problem with that attitude? HOUSE People don’t want a sick doctor. WILSON Which is fair enough - I don’t like healthy patients. (back to business) The twenty-nine-year old female's my cousin-- HOUSE -~And your cousin doesn’t like the diagnesis; I wouldn’t either. Brain tumor, she’s going to die, boring. WILSON No wonder you’re such a renowned diagnostician. You don’t need to actually know anything to figure cut what’s wrong. HOUSE You’'re the oncologist. I'm just a lowly infectious diseases guy. WILSON With a nephrology subspecialty and a rheumatology fellowship. Just a simple country doctor. (back to what matters) Brain tumors at her age are highly unlikely. HOUSE She’s whatever she’s got is highly unlikely. WILSON (shows House a document) The protein markers for the three most prevalent brain cancers didn’'t show up in her blood tests. HOUSE (barely glances) That’s an HMO lab. (MORE) (CONTINUED)

CONTINUED: (2) HOUSE (cont'd) They might as well have sent it to a high school kid with a chemistry set. WILSON There’s family history. HOUSE I thought your uncle died of cancer. WILSON Other side. No environmental factors. HOUSE That you know of. WILSON She’s not responding to radiation treatment. BOUSE None of which is even close to dispositive. All it does is raise one gquestion: your cousin goes to an HMO? WILSON Come on, why leave all the fun for the pathologist? (then:) Your staff is getting bored. INT. HOUSE’S OFFICE - AT THAT MOMENT Two men and a woman sit in the office. The older guy, ROBERT CHASE, 35, blond, old-money, sits on a couch, doing a medical journal crossword puzzle. TAYLOR FOREMAN, 26, black, polished, good-looking, leans against the door frame. ALLISON CAMERON, 27, beautiful, sits at the desk, reviewing mail and typing, acting very much like a secretary. Cameron and Foreman wear the smocks indicating they’ re hospital employees. Chase, emulating his employer, wears a t-shirt and jeans. FOREMAN Three days and I haven't seen an actual patient. This all we do? CHASE Until the checks start bouncing. (CONTINUED)

CONTINUED: FOREMAN So glad I passed up that neurology job at Sloan. So glad I was able to parlay a chief residency position into this-- CHASE --So glad you filled us in on your vaunted past. FOREMAN That wasn’t my point. CHASE You completely discounted the possibility that I'm here because it’s boring. {then:) Nine letters, iodine deficiency in children. FOREMAN Cretinism. That seems to work. Chase writes it down. FOREMAN (cont’d) (to Cameron) How long have you been here? CAMERON Six months, FOREMAN What’s your specialty? CAMERON Immunclogy. FOREMAN He abusive, miscgynist or just can’t afford a secretary? CHASE He doesn’t need a secretary. FOREMAN He’s got her answering his mail. CHASE No, he doesn’t. (CONTINUED)

CONTINUED: (2) FOREMAN (to Camercn) What are you doing? CAMERON Answering his mail. FOREMAN (to Chase) She’s answering his mail. CHASE But he didn’t ask her to. Foreman turns back to Cameron. She responds almost sheepishly - like she should be ashamed that she cares. CAMERON ...He throws all the requests for consults into the trash. (then:) I get them out... And apologize that he’s too busy. And she resumes typing a response... INT. HOSPITAL CORRIDOR - ELEVATOR BANK - AT THAT MOMENT House and Wilson have stopped, waiting for the elevator. HOUSE thinking this’ll be as interesting as cat man? WILSON (that was interesting) His doctor was treating a heart attack. You diagnosed a cat allergy. Over the phone. HOUSE My point is - that was your cousin too. The elevator door opens. House moves to get on. But Wilson grabs House’s cane, stopping him. As House blocks the door from closing: HOUSE (cont’d) Would you grab somebody’s leg? (CONTINUED)

10. CONTINUED: WILSON This is important to me. HOUSE Everything’s important to you. It’s your pathology. Let go of my cane. As the elevator starts beeping from waiting so long. WILSON We'’re not done. Finally, House accepts the inevitable. HOUSE ...Intraventricular lesion, right? WILSON Right. Wilson lets go of the cane and hands over the file. As House gets on the elevator, Wilson realizes—- WILSON (cont’d) I never said it was intraventricular. HOUSE If it was anywhere else, you’d biopsy and you wouldn’t need me to figure out what it is. And the doors close. INT. ADLER’S HOSPITAL ROOM - DAY Adler is alone. 1It’s stark, empty except for the high tech medical equipment monitoring her, medicating her, feeding her. It’s antiseptic, lonely. 1It’s the last place on earth a sick person would want to be. She stares out at this world, unblinking, weak, barely conscious. Her hair is patchy, her skin dry and wan, a few lesions. She’s aged ten years in two months. We SLOWLY CLOSE IN on her head. CLOSER, CLOSER, then we PASS RIGHT THROUGH her skull and into: HER BRAIN - Grooves and eddys like a giant walnut, signals coming in over neural pathways, synapses fire like lightning, blood courses through vessels - the superhighway of this supercomputer. {CONTINUED)

ot CONTINUED: And we are traveling through one of these rivers of blood, the walls translucent. We branch left, then right, then right again, into ever smaller vessels, narrowing down eventually into capillaries to bring blood to every corner of the brain. BAnd just as we reach the point where our path seems to be only a few molecules wide, it suddenly expands, like a creek flowing into a lake - a milky lake of... something; who knows what; but it doesn’t seem right. FOREMAN (V.0.) It’s & lesion. INT. HOUSE’S OFFICE - DAY Foreman is looking at the lit up from an MRI. House, Cameron, Foreman and Chase review Wilson’s cousin’s file. HOUSE And the big green thing in the middle of the bigger blue thing on a map is an island. I was looking for something a bit more creative. FOREMAN Shouldn’t we be speaking to the patient before we make a diagnosis? HOUSE Is she a doctor? FOREMAN No, but she may-- HOUSE --Everybody lies. CAMERON Dr. House doesn’t like dealing with patients. FOREMAN Isn’t treating patients why we became doctors? HOUSE No. Treating illpnesses is why we became doctors. Treating patients is actually what makes most doctors niserable. (CONTINUED)

CONTINUED: FOREMAN So you’'re trying to eliminate the humanity from the practice of medicine? HOUSE If we don’t talk to them, they can’t lie to us. we can’t lie to them. Humanity’s overrated. (to all} I don’t think it’'s a2 tumor. FOREMAN (disagrees) First year medical school - if you hear hoofbeats, you think horses, not zebras. HOUSE Are you in first year medical school? (0ff Foreman’s glare) If this is a horse, the kindly old family doctor makes the obvious diagnosis and it never gets near this office. And if this is a horse, she’s dead in no time. More significantly, we spend that time shoveling horse manure. Differential diagnosis, people. And thus begins a very fast, very smart exchange of ideas. CHASE Aneurysm, stroke or some other ischemic syndrome. CAMERON Wyburn-Mason syndrome. HOUSE Get her a contrast MRI. CAMERON Creutzfeldt~Jacob Disease. HOUSE Mad cow? CHASE Mad zebra. (CONTINUED)

CONTINUED: Stop. House turns back from Chase to Foreman. (2} HOUSE Draw cerebrospinal fluid; check for the 14-3-3 protein and, while you’re there, check for lymphocytic and eocsinophilic pleocytosis. CHASE Progressive Multifocal Leukoencephalopathy. HOUSE Contrast MRI again. FOREMAN Wernicke’s Encephalopathy. HOUSE No. Blood tests were normal for thiamine. CHASE Brain abscess. HOUSE The contrast MRI will help-- FOREMAN (still on his own idea) --Attending could have screwed up the tests. FOREMAN (cont’d) T assume it’s a corollary of ‘people lie’ that ‘people screw up’ . House smiles -~ well done, Grasshopper. HOUSE ...Double check all the blood and sample tests. (then, to all) And get her scheduled for a contrast MRI asap. Let’s find out what kind of zebra we’re treating here. L)

INT. HOSPITAL CORRIDORS - ELEVATOR BANK - DAY Briefcase in hand, House is once again waiting for the elevator. He's approached by LISA CUDDY, 39, smart, cute, but not sweet. You don’t get to be hospital administrator and dean of medicine by being sweet. cupDy I was expecting you in my office twenty minutes ago. HOUSE Really? That’s odd because I had no intention of being in your cffice twenty minutes ago. CUDDY You think we have nothing to talk about? HOUSE No. I just can’t think of anything that I'd be interested in. CUDDY I sign your paychecks. HOUSE I have tenure. The elevator doors open. HOUSE {cont’d) You going to grab my cane, stop me from leaving? CUDDY That would be juvenile. House gets on the elevator. Cuddy simply steps on with him. INT. ELEVATOR - CONTINUOUS CUDDY I can still fire you if you’re not doing your Jjob. HOUSE I'm here from nine to five. (CONTINUED)

CONTINUED: CUDDY Your billings are virtually non- existent-- HOUSE Rough year. CUDDY You ignore requests for consults-- HOUSE ~~T call back, somerimes I mis- dial. cuDDY You’re six years behind in your obligations to the clinic. HQUSE You see, I was right, this doesn’t interest me. CcuDDY Six years times 3 weeks; you owe me better than four months. HOUSE It’s five o’clock. I'm going home. INT. HOSPITAL LOBBY - OUTSIDE FREE CLINIC - CONTINUOUS The elevator doors open. He exits; she follows. CUDDY The only reason I don’t fire you is your reputation is still worth something to this hospital. HOUSE Excellent; we have a point of agreement - you won't fire me. CUbDY Your reputation won’t last if you don’t do your job. (he keeps going) I just want you to do your HOUSE But as the philoscpher Jagger once said: “you can’t always get what you want.” (CONTINUED)

16. CONTINUED: She stops in front of the entrance to the FREE CLINIC in the lobby and watches as House exits the building... INT. ADLER’S HOSPITAL ROOM -~ DAY Foreman stands beside her bed, finishes drawing several vials cf blood from her arm. Then: FOREMAN Open wide. Foreman apprcaches her mouth with a cotton swab as she opens. EXTREME CLOSE-UP, AND SLO~-MO - the swab brushes against the inside of Adler’s cheek. Flakes of skin break off, moisture clings to the swab. GO CLCSER, FREAKISHLY CLOSER on the moisture - to the molecular level - we see the familiar double-helix, then we hear... a COUGH. CHASE (V.O.) Gag reflex. QUICKLY OUT FROM FREAKISH CLOSE UP TC REGULAR OLD EXTREME CLOSE UP - the throat convulses, once, twice, and then another COUGH ensues. STAY WITH GERM - shooting out of the mouth at 60 mph (in SLO- MO) past Foreman leaning back to aveid it and landing on Chase’s white smock (he wears one when he sees patients). REGULAR SHOT 70 REVEAL - Chase and Cameron are now at the foot of the bed. CHASE (cont’d) (repeating) Gag reflex. You dor't need to take the sample from so far back. ADLER {(to Chase, with some difficulty) Are you my doctor? Dr. House? CHASE Thankfully, no. CAMERON We're just taking you for your MRI, Rachel.

INT. HOSPITAL CORRIDOR - MOMENTS LATER Chase wheels the gurney carrying Adler through the halls. Adler is a little overwhelmed by all that’s happened, and all that’s happening. ADLER I've already had an MRI. CHASE Not like this one. Any allergies to any heavy metals? ADLER Not that I know of. CHASE Any pacemakers, metal rods, surgical implants? ADLER No. INT. RADIOLOGY ROOM - MOMENTS LATER A TECHNICIAN is on the phone behind a glass wall. Chase, Cameron and Foreman continue to prep Adler - she’s been transferred to the MRI table, ready to be backed into the confining machine. Only thing left to do is the most fundamental thing of all - she’s signing a release. CHASE (preparing the needle) We inject gadolinium into an artery. It distributes itself throughout your brain and acts as a contrast material for the magnetic rescnance imager. CAMERON (in short) Whatever’s in your head lights up like a Christmas tree. Adler smiles up, grateful, hopeful. The Technician has hung up and approaches: TECHNICIAN Sorry, no Christmas lights today. (explains) Dr. House’s authorization has been pulled. (CONTINUED)

Off Adler, what the hell is going on? INT. CLINIC - RECEPTION - DAY House strides through the automatic doors, stops and yells: HOUSE Where the hell is Cuddy?! INT. CLINIC - CUDDY’S COFFICE - MOMENTS LATER House pops & pill as he conlronts Cuddy. As angry as he is, zhe’s equally calm. HCOUSE You puliled my authorization! Yes. Why are you yelling? HOUSE No radiclogy, no tests-- 4 - &lso make long distance phone calls. HOUSE If you're geing to fire ms, have the guts to face {shaking her head) Or pootocepies. You're still yelling. HOUSE I'm angry! You're risking a patients life-- I assume those were two separate peints. HOUSE {still velling) You're showing me disrespect. You embarrassed me. And as long as I work here, you have no legal right~- (CONTINUED}

the yelling designed tc scare me? Because I don't know what I'm supposed to be scared of. Mors yvelling? That’s not scary. That yocu're going to hurt me? That's scary. But I‘m pretty sure I can you. Ho"se sits down, oddly calmer - he can respect the Zact that she talks straight to him, even while he hates her for {cont’d} I locked up that philosophsr you quoted. Jagger. And you’re right, you can’t alwavs get what you want. But as it turns out, if you sometimes, you get what you need. HACUSE So, becatse you want me treat patients, re not letting me rsat patience? I need you te de your jeb. And I'11 tell you what the yelling did accomplish - it told me you care about something here. resumably not the health of the patient, but something and I don’t really cars what that something is because whatever ‘t is, 1t gives me all the leverage in this relationship right now. House, knowing she’s right. INT. HOSPITAL LOBRBY -~ OUTSIDE FREE - MOMENTS LATER Wilson, Chase, Cameron and Foreman wait amonyg the patients, and nurses going about their business. House emerges, still looking angry - or is it annoyed? And he limps away. Wilson follows: knows somesthing 1is up. {CONTINUED]

20. CONTINUED: HOUSE (cont’d) I'm doing four hours a week in that clinic. Until I make up the time I’ve missed. Wilson thinks about that - how long will that take. HOUSE (cont’d) 2054. I’1l be caught up in 2054. (then:) You’d better love this cousin a whole lot. INT. RADICLOGY ROOM - DAY Chase injects the contrast material and the motorized bed slowly backs BAdler head-first into the MRI machine as Cameron explains to Adler what is going to happen within her body. CAMERON Right now, the gadelinium 1s flowing with your klood, through your neck, toward your brain. INSIDE HER BLOODSTREAM AT THE MOLECULAR LEVEL, we see the greenish gadolinium flowing with the blue (oxygenated) blood through the relatively large arteries. CAMERON (V.0.) (cont’d) But you won’t feel a thing for the entire process. The gadolinium is joined midstream by a couple of tiny white things - we’re not sure what they are or if they’re good or bad. CAMERCN (V.0.) An electromagnetic field will cause the nuclei of every atom in your body to line up parallel to each other. And as the machine is turned on, we see atoms rotating. OUTSIDE HER BODY - INSIDE THE MACHINE - Adler is starting to lock a little clammy. ADLER {almost mumbling) I don’'t feel very good. (CONTINUED)

CONTINUED: CUTSIDE THE MACHINE CHASE It's common Lo feel a little ciaustrophobic. Please try nct to move, okay? CAMERCHN Hext you’ll be hit with a pulse cf radic waves. This throws everything outr of alignment. MOLECULAR LEVEL VIEW And we see the nuclei vibrate cut of alignment. N — We alse now see hundreds of white bombarding the gadelinium. CAMERCN (V.0.) (cont’d; When the nuclei ge back into alignment, they send off signals. the machine reads. CUTSLIDE EER BODY - INSIDE THE MACHINE Zs the lights of the e-m fislds flash off her, even worse. She struggles to speak. But noth Adler loocks ing comes out. We RE~ENTER HER BODY, but this time through her open mouth, down the smaller than usual throat whare we see muscles rapldly contracting and relaxing, each time the throat gets a little smaller. QUTSIDE THE MACHINE CHASE The machine now slowly scans your body. Relax, and it’ll be done kefore yvou know iz, Rachel. Again, nc response. Cameron senses something isn’t right. CAMERON Rachel..,? N ADLER’S THROAT - She can’t answer because it's virtually closed. OQUTSIDE THE MACHINE CAMERCR {cont’d) Get her cut of Lhere. (CONTINUED)

She probably fell asleep; she’s exhausted. CAMERCN Two minutes ago she claustrophobic. She’s sleeping. Get her of there. HASE It71l just be another minute or two. Camercn reaches over and hits the button to s’sct the motorized bed. CAMERCN If she’s having an allergic reaction, she’ll be dead in two minutes. As the bed slowly brings Adler ocut, Cameron hurries from the area. Cameron grabs Adler by the ankies and starts pull her the rest of the way out. CAMERON {cent’d} cold. The Technician helips Cameron almost yank Adler out and & nearby gurney. She checks for respiration. FOREMAN She’s not breathing. Do we have surgical equipment in here? hs if to answer that question, Chase takes a scalpel and cuts into Adler’s threat. flies, but it’'s as under control as it can be when somebody is suffocating before your eyes. Chase inserts a tube, guickly and efficiently performing a trachesotomy. He then turns to CHASE ...Good call. And as the wheezing sound of air through the makeshift opening to Adler’s throat £ills the air, we: FRDE OUT: END OF ACT ONE

G ACT TWQ ‘ADE IN: INT. HOSPITAL CORRIDOR - OUTSIDE ADLER’S ROOM - DAY e. ™ douse pops & p s he leans against a wall, waiting, 1 watching pecp INT. ADLER’S HOQSPITAL RCOOM - AT THAT KOMENT Once again, Adler can’t speak. But this time it’s on account of the tube in her threoat, al_owing her to breathe instead. She’s in some pain, but she’s awake. Chase, Cameron and Foreman are with her. FOREMAN Really bad luck: you know how rare it ig to be allergic to gadolinium? And then really good luck: there was an immunclogist in the room. Ad.er to Cameron - heor eyes show her gratitude. White blood cells attacked what it an alien invader. You rad arn anaphylactic reaction and your throat closed up. We'l monitor your blood for a few days but good news is... CHASE ...this isn’t what’s going to kill Adler nods, she gets it. INT. HOSPTTEL CORRIDOR - OUTSIDE ADLER’S ROOM - DAY House is still waiting. Finally, Chase and Camercn emerge. HOUSE Told you. You can’t trust people. CAMERON She probably knew she was allergic to gadolinium but figured this was an easy way to someone to cubt a hole in her throat. {CONTINUED)

24. CONTINUED: HOUSE Her motives aren’t really relevant to us mortals, are they? Any chance we can make this work with some other contrast materilal? CAMERON High likelihood of allergies to similar materials. CHASE And low likelihood of getting another release signed. HOUSE (turns to Foreman) Can’t get a picture; we’re going to have to get a thousand words. FOREMAN You want me to take a patient history? HOUSE We need to know if there’s a possibility of a genetic cause or an envirommental factor setting off an inflammation reaction, check pets, allergic sources, also check for recent travel-- FOREMAN (teasing) I thought everybody lied. HOUSE Truth begins in lies. (beat) Think about it. And House walks away. Foreman turns to Cameron and Chase. FOREMAN That doesn’t mean anything, does it? The other just shrug. INT. CLINIC - DAY House enters, magazines under his arm, and speaks to the receptionist as he passes: (CONTINUED)

CONTINUED: HOUSE o.m. House checks in. e write that down. Do you zable here scmewhere? pital starts in eight minutes. o 2:52 Pleas have Ecs cubby but we’ve got patients. House turns and sess her approaching. Come on, Tvlencl you paperwork. I made sure your Iirst case was an interesting one. HOUSE Cough won’t away? Runny ncse looks a funny color? Patient admitted complaining of back spasms. HOUSE 1 read abeut something like that in the England Journal of Medicine. Thank gcodness this is 3 teaching hospital; page all the interns. CuDDY Patient is orange. HOUSE {that is interesting) ...The color? CUDDY No, the fruit. HOUSE Nothing turns you orange. CcuDDY (dry} That’s why interesting. Exam room 1. ™y o {CONTINUED)

CONTINUED: (Z} Cuddy. pleased, as House starts walking zway. INT. CLINIC - EXAMINATION ROOM 1 - DAY ON TEE patient, ROB PRITCHARD. lie’s 32, very good looking, very veir, looks rich even wearing just his underpants, sitzing on the examining table. he is, in fact, crange. He nervously plays with his wedding band as... PRITCHARD I was golfing. My cleats got stuck. It hurt a little but I kept The next morning, I could barely stand up. REVEAL HOUSE; he doesn’t even try not te smile - this guy's range and he’s bitching about his back? You're smiling. I take it that this isn’t sericus. House takes cut & as he shakes his hsad. PRITCHARD (cont’d} thazt? HOUSE (pops it in his awn mouth) Pain killer. PRITCHARD (realizes:) Ck, for you. For your leg. HOUSE Ho, because they're yummy. {cffering) You want one? {Pritchard is thrown} 1l make your back feel better. Pritchard takes one as: HOUSE (cont’d) Unfcrtunately, you have a deeper problem. ...Your wife is having an affair. PRITCHARD Vhat?! (COWTINUED)

CONTINUED: znd House Faremar in Cameron is also present, watching over Foreman. She shakes HOUSE You're ovange, you moron. And it's cne thing for ysu not to notice, but if your wife nasn’'t picked up cn the fact that her husband has changed colors, she’s just not paying attention. {then} By the way, do you eat just a ridiculous amount of carrots and is toc stunned do much more than nod. HOUSE {cont’d) One turns you yellow, the other Turns yvou rec. Finc some finger paints and do the math. And cget a good lawyer. leaves. HOSPITAL ROOM - DAY terviews Adier. She speaks with difficulty. ADLER Just a poodle. FOREMAN Poodles are hypecalergenic; is that why you got one? her head. what about at school? Any animals? any birds? CAMERON Parrots are often a source of it can lead to nerve problems-- FOREMAN {(sotte) This will go much faster if we don’t walk her through medical school. (CONTINUED)

CONTINUED: CAMERCN If she knows the significance of what we’re asking-- (do we need to do this in front of the patient?) don’t want her thinking some questions are more significant than others. Some are. ADLER {puts an end to this) No parrots. Pet gerbil. But Carly Diamond dropped a book on it. Next question. FOREMAN ...Do you work anywhere else? ADLER No. All I've ever wanted to be was a kindergarten teacher. FOREMAN Ever been sick? ADLER ...Yeah. CAMERON (to Foreman) You think you could be more specific? FOREMAN No. I want to know everything. INT. CLINIC - EXAMINATION ROOM 2 - DAY 28. A ten-year-old boy sits on the examination table, wheezing slightly. reviewing His mother stands nervously nearby. the patient’s chart. HOUSE Has he been using his inhaler? House is (CONTINUED)

CONTINUED: MOTHER Not in a few days. He's only ten. I werry about children taking such strong medicine fregquently. YOUNG PATIENT {(to House) Wnat happened to your leg? HOUSE (ignoring child; Your docter probably was concerned about the strength of the medicine too. She probably wsigned that danger against the danger of not breathing. Oxygen is so important during those pre-pubescent vears, dor’t you think? Mom and son are toc stunned to respond. He turns And he’ ECUSE I'm going to assume nobody has ever told you what asthma is, or if they have, you had other things on your mind. Some stimulant triggers in your child’s airways to become inflamed, (stops, thinks, continues) .».the muscles in the walls of the ailrways contract, mucus production increases, the cell lining starts to shed. {more thinking) But the steroids stop the inflammation. The more often this happens-- znd walks ouz. MOTHER What? The more often this hLappens, what? HOUSE {calling back} Forget it. If you don't trust steroids, you shouldn’t trust doctors. gone~--

30. INT. ADLER’S HOSEITAL ROOM - DAY Fereman continues his patient history. Cameron’s beeper goes ¢fZ. She checks it as Adler speaks. ADLER & mom, hsart attack, I think in } ighti dad, lives in CAMERCN House. urgent. They get up and exit to-- INT. HOSPITAL CCRRIDOR ~ QUTSIDE ADLER’S ROCM - DAY Cameron and Foreman emerge on the run, heading for House's cffice. But he’s right thers. They stop abruptly. CRMERON You couldn’t have knocked? Stercids. We’re gonna give steroids. High doses of predrisone. FOREMAN Wny? What does she have? HOUSE (to Foreman) Any history of leg ulcers? POREMAN {not She has a varicose vein. ECUSE Any lesions relatad tc rheumatic diseases? gotta be some evidence of-- CAMERON (picking up) --You’'re locking for support for a diagnosis of temporal vasculitis? Inflammation of blood vessels in the brain is awfully rare. Especislly for her age. (CONTINUED)

CONUINUED: HOUSE So is a tumor. Blood tests show any evidence of anemia? FOREMAN CAMEROK That could indicate anything. Or nothing. HOUSE You're right. Apparently, got ne reason te think it is vasculitis. 3But it could be. TF the blocd vessels aze inflamed, that’s gonna look like a lesion on the regular MRI., BAnd the pressure is going to cause neurclogical symptoms. CAMERON But we test for it without a - biopsy. HOUSE Yes we can. We treat it. If she gets better, we know we were right. CAMERON And if we're wrong? HOUSE Then we learn something else. Informaticn is in short supply hers. CAMERON She gets worse. Maybe a lot worse. Maybe HOUSE -—How much worse can she What are we gonna do; rcb her of the best weeks of her life? Camexron) Find Chsse. Start Adler on prednisone. Foreman, you had lunch? Cameron, zccepting the inevitable.

INT. ADLER’E HOSPITAL ROOM - DAY 3 ner medication. The wventilator is out theugh with considerable difficulty. ~ o Why steroids? Just part of your treatment. the issue) You haven’t had too many visite o poyiriend? ADLER Cameron is & ncte in Adler’s chart as Chase prepares and she can talk, "s still qulye weak. rs; Three dates. I wouldn’t have stood by him il he was vomiting all day long. CAMERON What about work? You must friends from work. ADLER have Everybody I like is f;va~ycars old. {back to what's worries her) The Nurse said you stopped my radiation. hase ready to give her the injection. CHASE Just trying some alternative medicaticn. Adler heard enough - she covers her arm so ha can’t make the injection. ADLER Cut the crap. Steroids ar alternative radiaticon. CHASE {avoiding the issue) The tests weren’t CAMBRON en’ - ™ n We’ re treating you for vasculitis. It's an inflammation of blood vessels in your krain. (CONTINUED)

CONTINUED: ADLER (realizes, thrilled) ...It"s not a tumor? I don’t have a tumor? CHASE We don’t know for sure. ADLER But that’s what you’re treating, right? You wouldn’t do this unless you think I don’t have a tumor. CAMERON If it’s vasculitis, the steroids should quickly reduce the swelling. ADLER (grateful, hopeful) Thank you so much. CHASE We didn’t do anything. We Jjust nade the diagnosis. INT. HOSPITAL - OUTSIDE ADLER’S ROOM - MOMENTS LATER Cameron and Chase emerge. CHASE You should have told her the truth - it’s a long shot guess. CAMERON If House is right, no harm. If House is wrong, given a dying woman a couple days of hope-- CHASE -~False hope. CAMERON If any other type was available, I'd give her that. INT. HOSPITAL CAFETERIAR - DAY Foreman eats. House sits opposite him - no food. HOUSE What’s she lying about? (CONTINUED)

34. CONTINUED: FOREMAN She’s a kindergarten teacher. HOUSE And if I were a kindergarten student, I would trust her implicitly. FOREMAN 1711 double check with her GP. HOUSE I don’t trust him. FOREMAN You know him. Or her. HOUSE I don’t need to. Off Foreman’'s look. HOUSE (cont’d) I"11 give you a ‘for instance’. The lady making the egg salad back there; her eyes look glassy, did you notice that? EGG SALAD LADY - in the cafeteria, quickly wiping her nose with her sleeve. HOUSE {cont’d) Hospital policy is to stay home if you’re sick, but if you’re making eight dellars an hour, you kind of need that eight dollars an hour, don’t you? And the sign in the bathroom says employees must wash after using the facilities, but I figure somebody who wipes a sniffle with a sleeve isn’t hyper-concerned with sanitary conditions. So what do you think: should I trust her? {(then:) I want you to check the patient’s home for contaminants, pets, parrots, garbage, medication... FOREMAN Her sister flies in tonight, I’11 have her ask-- (CONTINUED)

CONTINUED: Foreman is (2) HOUSE Would the police call for permission before dropping by to check out a crime scene? FOREMAN It's not a crime scene. HOUSE We don't know that. We don’t know she wasn’t poisoned; we don’t know what she doesn’t want us to know. First principles: we don’t know anything and we don’t trust anyone. FOREMAN what do I de? I can't just break in. HOUSE Isn’t that how you got into the Felkers' home? stunned by the mention of this name. HOUSE (cont’d) Yeah I know, the court records are sealed, you were sixteen, it was a stupid mistake. But your old gym teacher has a big mouth. You should send a thank you note. FOREMAN (fighting anger) ...I should thank him? HOUSE I needed somebody around here with street smarts, who knows when he’s being conned, and knows how to con. FOREMAN I should sue you. HOUSE I'm pretty sure you can’t sue somebody for wrongful hiring. House just looks to Foreman - whatcha gonna do? can’t believe he’s in this position. Finally... o Foreman (CONTINUED)

CONTINUED: (3) FOREMAN ...But I'm pretty sure I gan sue if you fire me for pnot committing a B&E. Foreman picks up his sandwich and takes a message-laden bite. INT. CLINIC - EXAMINATION ROOM 1 - DAY Alone in the room, House pops a pill and reads People Magazine. After a beat, Cuddy enters, angry. HOUSE I'm doing research - people are fascinating, aren’t they? cupby Why are you giving Adler steroids? HOUSE Because she's my patient. what you do with patients; you give them medicine. CUDDY You don’t prescribe medicine based on guesses. At least we since Tuskegee and Mengele. HOUSE You’re comparing me to a Nazi? Nice. CUDDY I'm stopping the treatment. And she exits. He follows as quickly as he can. INT. CLINIC -~ RECEPTION AREA - CONTINUOUS HOUSE She’s my patient. cupDY It’s my hospital. HOUSE I did not get her sick. She is not an experiment. I have a legitimate theory of what’s wrong with her. {CONTINUED)

~J CORTINUED: CUDDY no proof. HOUSE There’'s never any preof. TFive different doctors give £five d:fferent diagnoses based on the same evidence-~- cUnDY don’t have any evidence. INT. HOSPITAL LOBBY - QUTSIDE FREE CLINIC - She pull way from him as she strides across the lobby. She arrives the elevators first, presses the up button - nothing. Frustrated, she presses it two more times as House catches up. She spins on him: s at knows anything, huh? So way do you think you're always right? HOUSE M I don’t. I just find difficult to operate on the oppcsite assumpticn. Cuddy steps away and opens the docr to the stairwell. HOUSE (cont’d) Why are ycu so afraid to make a mistake? CUDDY Because I'm a doctor. Because if ¥e make a mistake, people die. And she takes the stairs tweo at a time, leaving House no way to keep up. HOUSE {calling People used to have more respect for cripples, you know. As he returns to the elevator and pushes the button, he notices somebody in a wheelchair looking at him, having overheard his last comment. HOUSE They dian’'t really.

38. INT. HOSPITAL CORRIDOR - OQUTSIDE ADLER’S ROOM - DAY House approaches Zfrom the elevator, stops outside the room and looks in to see: HOUSE'S POV - inside Adler’s room. Cuddy stands at the Zoot cf the bed, reviewing the chart. Adler sits up in bed, eating dinner - the change in her is dramatic. This is the first time we’ve seen her eating and, when she talks, it’s effortless. ADLER Much better, thank you. Are you Dr. House? I thought he was a he but—- ...No. (closes chart) Don’t eat too much, fast. ADLER Thank him for me. Right. And she leaves, passing House in the hallway. HOUSE Shall I discontinue the treatment, boss? CUDDY You got lucky. HOUSE (pointedly not something she would do:) I took a chance. And she’s gone... EXT. CAMBRIDGE - NIGHT - TO ESTABLISH INT. ADLER’S HOSPITAL ROOM - DAY Wilson sits opposite Adler. She’s still doing much better. ADLER Am I ever going to meet Dr. House? (CONTINUED)

0 CONTINUED: WILSON You may run into him at a movie or on the subway. ADLER Is he a good man? WILSON a good doctor. ADLER Can you be one without the other? Don't you have to care about WILSON Caring is a good motivator. He's found scomething else. She nods, accepts this. Then... ARDLER He's your friend, huh? {off Wilson's Does he care about you? WILSON I think so. ADLER You don’t know? WILSON {smiles) Everybody lies, ADLER It’s not what people say; it’s what they do. Wilson thinks about that insight for a beat: WILSON Yasah. He cares about me. {n ensues for = Then... ADLER (too scared to yell) can’t see. (CONTINUED)

40. CONTINUED: {2) Wilson hurries forward. ADLER (cont’d) (now she’s truly panicked) I can’t And she begins to have a seizure. INT. HOSPITAL CORRIDOR - MOMENTS LATER We hear the code announcement as a team of medical professionals hurry toward Adler’s room. INT. ADLER’S HOSPITAL ROOM - CONTINUOUS They roll in to assist Wilson. An Orderly is already there attempting to hold Adler down as she has convulsions. Wilson examines her eyes. WILSON (urgent) She’s non-responsive. conscious but eyes are fixed and-- Suddenly we hear the sound all television viewers are familiar with - the buzz of a patient flat-lining. The doctors spring into action, now desperately trying to save her life. FADE OUT:

CT THREE FADE IN: EXT. CAMBRIDGE - DAY - ESTABLISHING FOREMAN (V.0.) You’'re stable. You were in a coma for nearly twelve hours. Please count by sevens. INT. ADLER’S HOSPITAL ROOM - DAY START ON a pad of paper - somebody writes on it... First ‘7', then hesitantly, ‘14’, then a ‘21’, except the ‘27 is backwards. REVEAL it’s Adler writing. She’s writing because on a ventilator. Foreman sits beside her. He hands her four cardboard pictures. FOREMAN Can you arrange these to tell a story? Adler examines the cards. HER POV: all black and white, rather basic, sketches. A mom in a store buying something (#1); a girl opening a present with mom at her side (#2): the girl putting together a kite (#3); a girl and her mom flying the kite. Adler picks up the sketch of the store (#1}... MORPH TO ANIMATION. We're in Adler’s mind (not her brain this time), creating the story. The black and white sketch of a mom purchases the kite kit, already wrapped, and turns to a LITTLE GIRL who is suddenly beside her. The store background dissolves as the little girl opens her present - transporting us into in sketch #2. But now the little girl stops. She looks at her present, looks at her mom, she’s confused. What’s next, what's she going to do? CHASE (V.0.) She couldn’t put them in order? INT. HOUSE'S QFFICE - DAY Foreman reports back to House, Chase and Cameron. CHASE Could the damage have been caused by a lack of oxygen during her selzure?

TIKUED: FOREMAN I don’t think sc. I gave her the same test five minutes later. She dié fine. The discorientation comes and goes, like the verbal skills, 30 what's go;ng C nappen? FOREMAN The aphasia will come and go, with increa ¢ freguency and duration Same thing with the apraxia; disoxientation-- {(how can you be surs?} We even know what she has. FOREMAN I don‘t to know what it Just need know whare it is. And given the latest symptoms, it’'s clearly growing deeper into Lhe Icbhe. Soon, she’s be able to walk with any censistency. Blindness after that: then the more fundamental organs will start to fail. They all what that means. How long do we have? FOREMAN Depends. If it’s & grade 4 tumor, it’1l be moving fast - she could be dead in two wseks. If 1schem‘c, more likely chronic. If it’s an infecticus agont, that’11 probakly be fastest of all, Maybe a week. HOUSE going to stop all treatment. EOREMAN I still think it’s a we should go back tTo the (CONTINUED)

CONTINUED: {2; CHASE She didr’t respond to the FOREMAN she did; maybe we just didn’'t see the effects until after thes stercid treatment began. HOUSE No, it’e not & tumor. The steroids did something. CAMERON Placebo effect. I told her she'd feel better, so she did. {(firm} the stercids did something. T just don’t know what. FOREMAN we’re gonna do notning? We're just going to watch her die? HOUSE Ne. H®We're going to watch how fast she’s dying. You outlined the various time-frames that the various diagneses will follow. {then:) When we see how fast it's killing her, we'll know what it is. CAMERON And by then, maybe it’s too late to do anything about it. FOREMAN (desperate) There’s got to pe something zlse we can do. Something than watching her die. They’'re all desperate, but only Foreman wears it on his slae HOUSE I'm open to alternatives. {CONTINUED)

CONTINTELD: Off Foreman, wishing he had one-- LNT. HOSPITAL - OUTSIDE HOUSE’S OFFICE - MOMENTS LATER Cameron, Foreman and Chase emerge. Forsman is pre-occupied. CHASE take the first shift patient- And he walks away. Foreman turns to Cameron - he’s made a decision. FOREMAN need you for an hour or two. CAMERCN up? Wh ct FOREMAN When you break house, it's always better to have a white chick with you. Cff Cameron’s understandable confusion-- INT. CLINIC - EXAMINATION ROOM 2 - DAY A patient, MOLNAR, 40ish, sits on the table, fully dressed. He’s not feeling well and has spent a considerable amount of time online, self-diagnosing. MOTNAR I’m tired a lot. Reveal House, sitting at the cpposite side of the room. HOUSE Any other reason you think you have Chronic Fatigue Syndrome? MOLRAR It’s kind of the definition, isn’t HOUSE It’s kind of the definition of growing up. (CONTINUED)

45, CONTINUED: MOLNAR I had a couple headaches last month, a mild fever, sometimes I can’t sleep and I have trouble concentrating. HOUSE Apparently not during internet searches. MOLNAR I was thinking it also might be fibromyalgia. House just stares for a beat, then pops a pill, rises and leaves the patient sitting there. INT. CLINIC - RECEPTION AREA - CONTINUOUS House walks to the reception desk. HOUSE I need 36 doses of Vicodin; and 78 cents. The nurse gives him a look, then slaps the change on the counter. He picks it up, goes to the nearby vending machine, drops the change in and gets some Skittles. He then returns to the reception desk, where the bottle of pills he reguested is waiting. House pockets the pills and refills the bottle with the Skittles. Cuddy approaches as he finishes. CuDbY We need to talk. HOUSE (hands bottle to Receptionist) Exam room 2. (then, to Cuddy:} What’s up? INT. CLINIC - OFFICE -~ MOMENTS LATER House and Cuddy enter from the hallway. Not a word is spoken, until the moment Cuddy shuts the door - then she vells: CUDDY What the hell did you tell Pritchard?! (CONTINUED)

CONTINUELD: INT. ADLER HOUSE Why are you yelling? CUDDY Don’t get cute! Orange guy. Did you tell him his wife was having an affair? HOUSE No. I said she doesn’t care about him. That man gives half a million dollars to this hospital every yvear! HOUSE I'm sorry. time, give me their financial statements, so I know who’s naughty and who’s nice. That is not how you speak to patients! HOUSE Actually, it is. If you don't want me to talk that way to patients, don't make me talk to patients. And he leaves. APARTMENT - DAY A MONTAGE of sorts. BLACK - then the small door opens revealing that ouxr POV is from under the sink, looking out at Cameron -- gloves on, she digs through the garbage, CAMERON (calling) Nothing interesting in the garbage. {then) House just doesn’t believe in pretense; figures life’s too short and too painful, so he says what he thinks. sniffing where necessary. (CONTINUED)