House Season3 EP11

Words and Deeds

Episode 311 : 2007-01-09

As emergency workers struggle to douse a raging blaze, a firefighter named Derek Hoyt walks out of the burning building intact. Suddenly, he gasps for air and becomes delirious. When he staggers back towards the building, he complains of being freezing.

Cameron examines Derek, who is covered in skin grafts. His last procedure was six months ago. His body temperature is wildly swinging up and down. She wants to refer him to House, who is currently at a preliminary hearing pleading not guilty to all charges. The judge sets an evidence hearing for a later date.

Back at the hospital, House gets the details on Derek's case. Thinking of the skin grafts, Chase suggests a hospital-acquired infection. House orders a blood culture and a round of antibiotics. Cuddy summons House to her office and orders him to talk to Tritter. She blames the entire situation on House. Tritter kept setting traps for him, and House continually fell into them. House actually seems somewhat chastened.

Cameron visits Derek and explains they think he has Mercer Disease, a common bacterial infection contracted in the hospital. Derek asks if Mercer makes everything look blue. Cameron immediately realizes that it's something else entirely. House suggests male menopause or really high estrogen and low testosterone levels. He instructs his team to run a hormone panel.

The doctors attempt to draw blood from Derek, but when they get the needles into his arms, he freaks out and demands that they be removed. He grabs Cameron and begins choking her as Foreman tries to restrain him. Foreman injects a sedative and Derek goes limp.

A very contrite House pays a visit to Tritter. He admits that he can be described as anything from arrogant to unhinged, but he has to act that way because of the constant, crushing pain he deals with. His pain can be described as intolerable only on a good day. He knows that he has handled it incorrectly. Tritter thanks him, but is sure that House didn't mean a word of it. Tritter says he will see him at the hearing.

Back at the hospital, the team updates House on Derek's case. They insist it has to be neurological. Foreman wants a CT for a frontal lobe tumor and an LP for meningitis. An absent House agrees and leaves. The team chases after him, wondering why he isn't shooting down their ideas. He says it is because he has to go upstairs and check himself into rehab.

Without House, the team starts their first differential diagnosis. Cameron immediately wants to consult House, but Foreman and Chase think this is their chance to grow up. And with House undergoing detox, he won't be much help. Chase recalls an old House comment: "Everybody lies." With all of the skin grafts Derek has had, he must be in tremendous pain. He must be hiding his pain to keep his job. They need to find the pain. Suddenly they are paged. Derek cannot breathe.

Chase quickly recognizes a heart attack and they stabilize him, but realizes it won't last long. Derek has been hiding a series of chest pains. Now they have to figure out what's causing these attacks. Cameron goes to see House and finds him puking in his rehab dorm room. House advises them to look for an external or environmental cause that all three attacks share in common.

After some thought, the doctors summon Derek's firefighting partner, Amy. Derek then suffers another attack. The doctors perform a battery of tests on Amy, who's clean of any spores, molds, toxins or possible physical causes. Cameron asks Derek if he's in love with Amy. He is unable to admit to it because Amy is engaged to his brother.

The team reports back to House to figure out a plan. When they theorizes that the only way to cure Derek is to end his love for Amy, House has a radical solution. They can fry his brain to clear any thoughts of Amy. A procedure like that will need Cuddy's permission, and the doctors are actually able to talk her into it.

Cameron explains the planned procedure to Derek. This electroshock therapy will wipe out Derek's memory. His feelings for Amy, his firefighter training and his childhood. Cameron begs Derek to tell Amy how he feels. If not, he's choosing to wipe out his entire life for a secret.

Tritter pays a visit to House in rehab because Cuddy goaded him into it. He's still not going to talk to the DA. House rails that Tritter's word means nothing. Tritter says he'll never trust an addict, and even House's actions lie.

The doctors perform the procedure on Derek and then test his mental faculties. They bring Amy and his brother in. Derek has no memory of either of them. The team informs House that everything has basically worked out. Later, Cameron and Amy observe Derek through a window. Cameron congratulates Amy on her upcoming wedding, but Amy has no idea what Cameron is talking about. She's not marrying Derek's brother nor do they even date.

The doctors place an emergency call to House, who's at his evidence hearing. Derek's memories were false. They fried his brain for nothing and whatever was plaguing him is still there. They talk through the symptoms and House orders his team to set up Derek with a selective vertebral angiography. As House limps out of court, the judge threatens to find him in contempt. He leaves anyway.

House has realized that all of Derek's issues go back to the initial thoughts on menopause. The test reveals spinal meningioma pressing on an artery and affecting Derek's brain. They need to schedule surgery to remove it.

At the trial, Cuddy is on the stand when House barges back in. The DA shows Cuddy the pharmacy log and asks if this indicates that House stole oxycodone from Wilson's dead patient. Cuddy explains that it does not. The DA states that Cuddy testified earlier that it did, but she presses on. Dr. Wilson informed her that House had tried to steal the same patient's oxycodone before, so Cuddy went down to the pharmacy and swapped out bottles. House stole a placebo. She has a pharmacy inventory report reflecting her order. Tritter vehemently protests that this report is obviously forged. The judge asks why Cuddy didn't come forward with this evidence earlier. Cuddy admits that she never thought it would come to this point. The judge, while making a point to chide House, declares that Tritter tried to make an example out of House and dismisses the case based on both Cuddy's testimony and her efforts to protect House. However, House is still guilty of contempt for walking out earlier, so it's a night in jail for him.

As the bailiff leads House out, Tritter stops him. House bristles for a threat, but Tritter merely wishes him luck and says he hopes he's been wrong about him.

At the hospital, Cameron explains to Derek that this latest treatment has worked. He can move on and begin creating new memories.

That night, Cuddy and Wilson visit House in jail. Cuddy is angry that House forced her to forge evidence and perjure herself. She makes it clear that she owns him now. It may entail clinic duty, unruly patients or extra hours. Whatever she wants, he's going to do it. She walks off. Wilson slips House a cup of medication from the rehab supervisor. House greedily gulps it down. Wilson realizes that the rehab supervisor has been slipping House Vicodin. House smiles, proud of his scheme. Wilson, distraught and despondent, worries that nothing has changed.

第11集（S3EP11:Words and Deeds）
1.House: If you called to see the design for my prison tats, they’re still in r&D.
HOUSE:如果你叫我只是想看看我的監獄紋身，我還沒設計好。
5分28秒看似平常的這句話，其實是大叔在惡搞同在FOX電視網播出的"Prison Break"（《林肯打官司》）呢。如果大叔也設計一個可以幫助越獄的紋身，估計會很搞笑。

2.House: When I lead the big patient revolution, Voldemort here is the first to go.
HOUSE: 要是我帶領病人大革命的話，首先要解決掉的就是這個伏地魔。
12分53秒處以及片尾提到的伏地魔，是《哈裡波特》裡的大反派，不用多介紹了吧。這裡House把康復中心的看守比作伏地魔，可是沒想到這個House口中的“伏地魔”早就被大叔收買，一直偷偷給大叔維克丁呀。^^

3.House: But that Andre the Giant guy was powerful.
HOUSE: 那個巨人Andre就更強大。
14分20秒，House在康復中心對心理醫生所說的。這裡的巨人Andre真名為André René Roussimoff，看美國摔角的人可能會知道。患有巨人症的Andre身高7尺4寸（2米23的樣子），當時是WWWF（世界摔角聯盟）中最高大的選手。他曾多次出現在一些電影或電視中，Andre在1993年去世。今年會有一部關於他的傳記電影上映。

4.House: I should have an affair with a dying patient and move into a hotel.
House: 我不應該和一個快死的病人搞外遇，然後自己搬到酒店去住。
20分45秒House面對來探望自己的Wilson，2人爭吵時大叔這樣諷刺了下Wilson。在第一季的19集House vs. God中，Wilson被House發現自己和自己的女病人有染，後來Wilson又因為和老婆的感情問題值得搬到酒店去住。（真不明白Wilson這麼好的人為什麼感情一直不順利）

5.Cuddy: surprised to see you’re not spooning your way through the walls.
Cuddy: 很驚訝你沒有用勺子在牆上挖個洞逃走。
40分44秒，Cuddy和Wilson一起去“探監”的時候。Cuddy說的這句話應該是出自94年的經典電影《肖恩克的救贖》（The Shawshank Redemption）。我記得當時男主角Andy Dufresne就是用個勺子還是個磨成圓形了的小鋤頭在牆上打洞逃走的。