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These are the user uploaded subtitles that are being translated: 1 00:00:00,001 --> 00:00:02,295 Narrator: The human heart is a giant muscle 2 00:00:02,420 --> 00:00:05,715 squeezing or contracting over 60 times each minute. 3 00:00:05,840 --> 00:00:07,425 That's 3,600... 4 00:00:07,550 --> 00:00:10,678 Walsh: At this point, your blood is a deep purple 5 00:00:10,803 --> 00:00:13,681 because it's just finished dropping off oxygen 6 00:00:13,806 --> 00:00:15,308 for all the parts of your body. 7 00:00:17,685 --> 00:00:19,395 Come on, follow me. 8 00:00:22,023 --> 00:00:23,191 Come on. 9 00:00:28,029 --> 00:00:30,281 I have a question and I need to go to the bathroom. 10 00:00:30,406 --> 00:00:31,991 Which would you like to do first? 11 00:00:32,825 --> 00:00:33,659 The question. 12 00:00:33,784 --> 00:00:36,078 - Okay. - Where's the bathroom? 13 00:00:37,246 --> 00:00:38,831 Who knows where the bathroom is? 14 00:00:38,956 --> 00:00:39,957 I do. 15 00:00:40,082 --> 00:00:41,626 Go with Ian to the bathroom. 16 00:00:41,751 --> 00:00:42,752 I don't have to go. 17 00:00:42,877 --> 00:00:45,379 We're not at school, nobody goes anywhere by themselves. 18 00:00:45,504 --> 00:00:47,298 - Why? - In case you get lost. 19 00:00:47,423 --> 00:00:49,008 Orin case somebody kidnaps us. 20 00:00:49,133 --> 00:00:51,510 If somebody kidnaps Ian, they'll kidnap me, too. 21 00:00:51,636 --> 00:00:52,836 I want to stay with the class. 22 00:00:52,929 --> 00:00:54,263 Michael, go with Ian... 23 00:00:55,514 --> 00:00:56,557 Do you need help? 24 00:00:56,682 --> 00:00:57,882 I need you to find a grown-up. 25 00:00:57,975 --> 00:00:58,975 Is the baby coming? 26 00:01:00,144 --> 00:01:02,230 - Who should I take with me? - You're fine. 27 00:01:02,355 --> 00:01:05,066 Go to the front desk or find a security guard. 28 00:01:05,191 --> 00:01:06,943 I really have to pee. 29 00:01:08,945 --> 00:01:10,321 Walsh: Oh, god. 30 00:01:10,696 --> 00:01:13,824 Is the baby coming? I don't know how to do this. 31 00:01:14,116 --> 00:01:15,785 Are you okay, Ian? 32 00:01:15,910 --> 00:01:17,161 Yeah. Sure. 33 00:01:19,997 --> 00:01:21,791 I don't think you are. 34 00:01:24,835 --> 00:01:26,337 You're bleeding. 35 00:01:29,340 --> 00:01:30,549 Walsh: Help! 36 00:01:31,050 --> 00:01:32,218 Help! 37 00:02:29,275 --> 00:02:30,943 - $20. - Call. 38 00:02:31,819 --> 00:02:33,279 You'll call anything. 39 00:02:33,404 --> 00:02:35,573 My stack is bigger than your stack. 40 00:02:36,824 --> 00:02:37,825 You in or out? 41 00:02:37,950 --> 00:02:39,785 You know that relative to their size, 42 00:02:39,910 --> 00:02:42,830 gorillas have smaller testicles than humans. 43 00:02:43,539 --> 00:02:46,917 Well, then you'd probably have an edge over a gorilla, but not over me. 44 00:02:47,043 --> 00:02:49,795 Reason is, primate testes' size 45 00:02:49,920 --> 00:02:53,007 inversely corresponds to the fidelity of our females. 46 00:02:54,550 --> 00:02:57,303 You think there might be a better time to annoy me about my wife? 47 00:02:57,428 --> 00:02:58,788 - I'm talking about poker. - Right. 48 00:02:58,888 --> 00:03:00,973 Women are evil, you're right to drive them away. 49 00:03:01,098 --> 00:03:03,309 Call, fold or raise. Story time can wait. 50 00:03:03,434 --> 00:03:05,978 We're smaller and better than chimps, 51 00:03:06,687 --> 00:03:08,564 bigger and worse than gorillas. 52 00:03:08,689 --> 00:03:10,024 For all our rationality, 53 00:03:10,149 --> 00:03:13,402 our supposed trust and fealty to a higher power, 54 00:03:13,527 --> 00:03:17,281 our ability to create a system of rules and laws, 55 00:03:17,573 --> 00:03:20,743 our baser drives are more powerful than any of that. 56 00:03:20,868 --> 00:03:23,871 We want to control our emotions, but we can't. 57 00:03:24,580 --> 00:03:27,124 If we're happy, things don't annoy us. 58 00:03:27,708 --> 00:03:30,920 If, on the other hand, we're sitting on crappy hole cards, 59 00:03:31,045 --> 00:03:34,048 little tiny things annoy us a whole lot more. 60 00:03:38,886 --> 00:03:39,762 I raise. 61 00:03:39,887 --> 00:03:42,367 So, are you gonna tell me an annoying story every time I raise? 62 00:03:42,431 --> 00:03:44,600 God, that would be annoying. 63 00:03:45,226 --> 00:03:46,477 I call. 64 00:03:46,894 --> 00:03:49,146 Dr. Cuddy, I got one of your patients in the er. 65 00:03:49,271 --> 00:03:50,940 Ian alston, six-years-old. 66 00:03:51,399 --> 00:03:53,818 Oh, I know him. What's the problem? I'm all in. 67 00:03:53,943 --> 00:03:55,736 Bloody diarrhea. Hemodynamically stable, 68 00:03:55,861 --> 00:03:57,947 but he's been developing some coordination problems. 69 00:03:58,072 --> 00:04:00,032 It sounds like gastroenteritis and dehydration. 70 00:04:00,157 --> 00:04:02,284 Order fluids and I'll take it on my service. 71 00:04:02,410 --> 00:04:03,536 Bet's to you, house. 72 00:04:03,661 --> 00:04:05,621 - They scan his head? - No, why would they scan... 73 00:04:05,663 --> 00:04:07,456 Don't play games. You gonna call? 74 00:04:07,581 --> 00:04:09,625 - How's the heart rate? - Stable. 75 00:04:09,750 --> 00:04:14,171 I'm sorry. House, it's gastroenteritis. I'm not going anywhere. 76 00:04:14,296 --> 00:04:15,381 Put the order in, 77 00:04:15,506 --> 00:04:19,009 and have someone tell Alan and Sarah that I'll be up when I'm done. 78 00:04:19,885 --> 00:04:21,262 You in or out? 79 00:04:25,266 --> 00:04:26,559 I'm out. 80 00:04:30,980 --> 00:04:32,356 Stone cold bluff. 81 00:04:32,481 --> 00:04:36,235 You might want to spend a little more time paying attention to your cards 82 00:04:36,360 --> 00:04:39,113 and a little less time staring at my breasts. 83 00:04:39,238 --> 00:04:40,865 They don't match either. 84 00:04:40,990 --> 00:04:42,950 I'm gonna take some air. 85 00:05:02,928 --> 00:05:04,930 Follow my finger with your eyes. 86 00:05:11,395 --> 00:05:13,397 How much longer will Dr. Cuddy be? 87 00:05:13,522 --> 00:05:16,442 Well, given the number of mojitos she's knocking back at the party, 88 00:05:16,567 --> 00:05:20,571 I'd say it's gonna be at least three hours before she's even conscious. 89 00:05:20,696 --> 00:05:22,364 Sarah: Weren't you at the same party? 90 00:05:22,490 --> 00:05:23,824 I don't drink. 91 00:05:26,160 --> 00:05:29,121 I want you to reach out and grab my cane. 92 00:05:34,627 --> 00:05:35,711 What's wrong? 93 00:05:35,836 --> 00:05:39,048 Your son's brain is losing control of his muscles. 94 00:05:39,173 --> 00:05:42,551 Dr. Cuddy's message said it was just dehydration from diarrhea. 95 00:05:42,676 --> 00:05:44,178 She's wrong. 96 00:05:45,804 --> 00:05:47,681 Is he gonna be all right? 97 00:05:50,768 --> 00:05:52,102 I don't know. 98 00:06:21,048 --> 00:06:23,425 So, were you in one of those cages? 99 00:06:24,009 --> 00:06:28,222 No. No, no, no, no. No, those are for tourists. 100 00:06:28,889 --> 00:06:30,849 You were in the water with the great white? 101 00:06:30,975 --> 00:06:34,937 Sure, it's no big deal. You just have to keep an eye on them. 102 00:06:35,062 --> 00:06:38,065 If they get too close, punch them in the nose. 103 00:06:38,315 --> 00:06:40,192 Send them on their way. 104 00:06:41,819 --> 00:06:43,028 I had you going. 105 00:06:43,153 --> 00:06:44,196 You are mean. 106 00:06:44,905 --> 00:06:47,157 Hey. How's that anal fissure? 107 00:06:47,992 --> 00:06:50,119 Did it heal yet? Or is it still draining? 108 00:06:50,244 --> 00:06:51,579 Oh, I'm sorry. 109 00:06:51,704 --> 00:06:53,464 I didn't realize you'd come back for seconds. 110 00:06:53,497 --> 00:06:56,497 I figured that after that girl in the staiwvell you'd be done for the night. 111 00:06:56,542 --> 00:06:57,543 He's joking. 112 00:06:57,668 --> 00:06:59,461 No Adam's apple, small hands. 113 00:06:59,587 --> 00:07:01,463 It's no surprises this time. 114 00:07:02,464 --> 00:07:04,174 I'll see you later. 115 00:07:07,052 --> 00:07:08,052 Got a case. 116 00:07:08,137 --> 00:07:09,497 Well, you could've just said that. 117 00:07:09,597 --> 00:07:10,917 You didn't have to screw with me. 118 00:07:10,973 --> 00:07:12,053 If I didn't screw with you, 119 00:07:12,099 --> 00:07:14,299 you'd spent the whole night thinking you might get laid, 120 00:07:14,351 --> 00:07:16,895 which means you'd be useless. Better to extinguish all hope. 121 00:07:17,021 --> 00:07:20,149 Get foreman and Cameron and meet me upstairs. Stat. 122 00:07:25,321 --> 00:07:26,655 What's so urgent? 123 00:07:26,780 --> 00:07:29,908 Two cases, same symptoms. 124 00:07:30,242 --> 00:07:33,287 What do six-year-olds and 70-year-olds have in common? 125 00:07:33,412 --> 00:07:34,997 Their immune systems don't work as well. 126 00:07:35,122 --> 00:07:37,124 - Could be listeria. - I already checked for that. 127 00:07:37,249 --> 00:07:39,960 Leukemia has a higher prevalence in both young and old. 128 00:07:40,085 --> 00:07:42,463 - So does asthma. - House: No, no, no. 129 00:07:42,588 --> 00:07:44,028 Cameron: They can both get diabetes. 130 00:07:48,010 --> 00:07:49,928 The nearly dead and the newly bred 131 00:07:50,054 --> 00:07:53,223 have more in common with each other than with people in the middle. 132 00:07:53,349 --> 00:07:56,602 It's weird. It's kind of a circle of life thing. 133 00:07:56,727 --> 00:07:59,271 - This kid doesn't have kidney failure. - He will. 134 00:07:59,396 --> 00:08:02,149 Based on this file, the kid just ate some bad food. 135 00:08:02,274 --> 00:08:03,317 Was the old man... 136 00:08:03,442 --> 00:08:07,404 They were nowhere near each other in any of the four dimensions. 137 00:08:07,780 --> 00:08:09,573 - This case is 12 years old. - Yep. 138 00:08:09,698 --> 00:08:11,659 And this case is cuddy's. 139 00:08:11,784 --> 00:08:13,035 She assigned it to me. 140 00:08:13,160 --> 00:08:16,872 She agrees with you that this is something more than gastroenteritis? 141 00:08:16,997 --> 00:08:19,708 She wouldn't have assigned it to me if she didn't, would she? 142 00:08:27,508 --> 00:08:29,259 What were we talking about? 143 00:08:29,385 --> 00:08:31,637 Two patients with two symptoms in common. 144 00:08:31,762 --> 00:08:34,098 And five symptoms not in common. 145 00:08:34,223 --> 00:08:37,017 While you were all wearing your "Frankie says relax" t-shirts, 146 00:08:37,142 --> 00:08:39,186 I was treating a 73-year-old woman 147 00:08:39,311 --> 00:08:41,397 who went through this progression of symptoms. 148 00:08:41,522 --> 00:08:43,524 The last of which was... 149 00:08:46,819 --> 00:08:49,113 And in case any of you missed that class in med school, 150 00:08:49,238 --> 00:08:50,948 that one's untreatable. 151 00:08:51,073 --> 00:08:52,491 Kid's got the first two. 152 00:08:52,616 --> 00:08:56,203 It took ester an hour and 20 minutes to go from two to three. 153 00:08:56,328 --> 00:08:58,598 And less than a day to make it all the way to the rear exit. 154 00:08:58,622 --> 00:09:02,334 This is all because a child has some blood in his diarrhea? 155 00:09:02,543 --> 00:09:03,543 He's got a tummy ache. 156 00:09:03,585 --> 00:09:05,745 If there was any reason to think it was anything worse, 157 00:09:05,796 --> 00:09:07,047 cuddy would be all over it. 158 00:09:07,172 --> 00:09:08,549 Great. Do a colonoscopy. 159 00:09:08,674 --> 00:09:11,754 On a six-year-old kid who probably has nothing worse than some food poisoning? 160 00:09:11,844 --> 00:09:13,971 And if you happen to find any purple papules, 161 00:09:14,096 --> 00:09:15,639 do me a favor and grab a slice. 162 00:09:15,764 --> 00:09:17,766 I wanna check for erdheim-Chester. 163 00:09:17,891 --> 00:09:22,312 A disease that there have been, what, maybe 200 reported cases of ever? 164 00:09:22,438 --> 00:09:26,817 If ester's family had let me do an autopsy, there'd be 201. 165 00:09:39,747 --> 00:09:41,248 Foreman: See anything? 166 00:09:41,373 --> 00:09:43,417 Chase: No, and I don't expect to. 167 00:09:44,752 --> 00:09:46,587 House usually avoids cases. 168 00:09:46,712 --> 00:09:50,007 If he's actually stealing a case from cuddy, there's gotta be a reason. 169 00:09:50,132 --> 00:09:53,051 It's not the first time I've seen this file. 170 00:09:53,510 --> 00:09:55,429 About a month before Cameron was hired, 171 00:09:55,554 --> 00:09:57,556 some trucker came in here with these symptoms. 172 00:09:57,681 --> 00:09:59,433 House decided he was dying. 173 00:09:59,558 --> 00:10:01,268 Two days and a spinal tap, 174 00:10:01,393 --> 00:10:03,604 bone marrow extraction, and three colonoscopies later, 175 00:10:03,729 --> 00:10:05,939 we send the guy home with a bunch of painkillers 176 00:10:06,064 --> 00:10:08,817 and a diagnosis of a bad cheese sandwich. 177 00:10:09,610 --> 00:10:11,210 One of the guys who worked here before me 178 00:10:11,236 --> 00:10:14,865 said house tried to cure ester at least three other times. 179 00:10:15,616 --> 00:10:19,411 You know how people see the virgin Mary in danishes and stuff? 180 00:10:20,287 --> 00:10:23,332 Someone died 12 years ago and house doesn't know why. 181 00:10:23,457 --> 00:10:26,710 House sees that case now in paint peeling, 182 00:10:27,795 --> 00:10:30,214 in clouds, and now in this poor kid. 183 00:10:30,506 --> 00:10:33,842 Erdheim-Chester is an abnormal growth of some of the cells that fight infection. 184 00:10:33,967 --> 00:10:36,261 Is that cancer? Cos he seems okay now. 185 00:10:36,386 --> 00:10:38,680 The other doctor kind of scared us about that. 186 00:10:38,806 --> 00:10:41,558 He shouldn't have. We're just testing. It'll probably be negative. 187 00:10:41,683 --> 00:10:42,559 I don't understand. 188 00:10:42,684 --> 00:10:45,764 You don't think that's what it is but you want to do this thing to him anyway? 189 00:10:45,813 --> 00:10:48,148 - We need to be sure. - Isn't there any other way? 190 00:10:48,273 --> 00:10:50,150 It shouldn't take long. 191 00:10:50,818 --> 00:10:52,027 All right. 192 00:10:52,152 --> 00:10:55,113 Those ridges look a lot like purple papules. 193 00:10:55,239 --> 00:10:58,659 They're not purple. They're red. Probably just blood blisters. 194 00:11:00,786 --> 00:11:02,663 Give me the biopsy needle. 195 00:11:13,048 --> 00:11:15,217 - How long is this gonna take? - Forget it, chase. 196 00:11:15,342 --> 00:11:19,429 Your punching out the shark story's good, but she's not waiting for you. 197 00:11:20,722 --> 00:11:22,562 We couldn't confirm the source of the bleeding, 198 00:11:22,683 --> 00:11:23,892 but we did biopsy some... 199 00:11:24,017 --> 00:11:26,645 - Blood blisters. - You mean papules. 200 00:11:26,770 --> 00:11:28,647 Come on, Cameron. Who's right? 201 00:11:30,566 --> 00:11:33,193 Chase is. Negative for erdheim-Chester. 202 00:11:33,318 --> 00:11:34,778 Let me see. 203 00:11:42,494 --> 00:11:44,121 If it's not erdheim-Chester... 204 00:11:44,246 --> 00:11:47,875 It's exactly what we said before, a garden-variety viral gastroenteritis. 205 00:11:48,000 --> 00:11:49,209 Can we go back to the party? 206 00:11:49,334 --> 00:11:51,253 Do a kidney biopsy. 207 00:11:52,087 --> 00:11:53,964 Ester's shut down in exactly... 208 00:11:54,089 --> 00:11:55,382 Chase: This kid is not ester. 209 00:11:55,507 --> 00:11:57,217 You screwed up. She died. I'm sorry. 210 00:11:57,342 --> 00:11:59,469 But that does not mean this kid is dying as well. 211 00:11:59,595 --> 00:12:03,765 Jeez, you're testy when you don't get any fuzz. Come on. 212 00:12:18,488 --> 00:12:19,531 What'd the test say? 213 00:12:19,656 --> 00:12:21,033 Colonoscopy was clean. 214 00:12:21,158 --> 00:12:23,702 And the biopsy was negative for erdheim-Chester. 215 00:12:23,827 --> 00:12:27,205 So Ian's going to be all right? It was just some sort of virus. 216 00:12:27,581 --> 00:12:28,790 What's that? 217 00:12:29,499 --> 00:12:30,626 Urine. 218 00:12:30,751 --> 00:12:32,461 Yeah, but it's brown. 219 00:12:33,670 --> 00:12:35,505 Ian's kidneys are shutting down. 220 00:12:35,631 --> 00:12:38,050 Still think it's not the same case? 221 00:12:54,191 --> 00:12:56,985 House: So, what can cause bloody diarrhea, 222 00:12:57,110 --> 00:12:59,863 ataxia and kidney failure? 223 00:12:59,988 --> 00:13:02,115 - I'll go do a biopsy. - Forget it! 224 00:13:02,240 --> 00:13:03,700 That battle's over. 225 00:13:03,825 --> 00:13:06,078 His rising creatinine is his kidneys' way of saying, 226 00:13:06,203 --> 00:13:07,913 "go on without me." 227 00:13:08,705 --> 00:13:10,916 What explains everything? 228 00:13:12,626 --> 00:13:15,921 E. Coli ho-157 causes bloody diarrhea 229 00:13:16,046 --> 00:13:17,965 and leads to hemolytic-uremic syndrome. 230 00:13:18,090 --> 00:13:20,759 Toxins from the bacteria cause his kidneys to shut down. 231 00:13:20,884 --> 00:13:22,427 We should start him on plasmapheresis. 232 00:13:22,552 --> 00:13:25,806 Clear, concise and completely plausible. 233 00:13:25,931 --> 00:13:29,101 And exactly what I did last time. Didn't work. 234 00:13:29,351 --> 00:13:31,478 - What else? - Goodpasture's syndrome. 235 00:13:31,603 --> 00:13:33,897 Circulating antibodies cause kidney failure and bleeding. 236 00:13:34,022 --> 00:13:35,857 But not the purple papules. 237 00:13:35,983 --> 00:13:37,693 If you throw in ester's next symptom, 238 00:13:37,818 --> 00:13:39,611 brain, makes me think heavy metal toxicity. 239 00:13:39,736 --> 00:13:42,155 His hematocrit would have to be low. It's at 44, 240 00:13:42,280 --> 00:13:43,699 and ester's never dropped below... 241 00:13:43,824 --> 00:13:45,742 - 42. - You have the file memorized? 242 00:13:45,867 --> 00:13:47,536 It's my lucky number. 243 00:13:47,661 --> 00:13:48,745 What about lymphoma? 244 00:13:48,870 --> 00:13:53,500 Causes kidney failure, gi bleed, and can infiltrate the base of the brain. 245 00:13:54,876 --> 00:13:56,003 You check ester for that? 246 00:13:56,128 --> 00:13:58,547 She never showed any signs of... 247 00:13:59,965 --> 00:14:01,800 If he has lymphoma this far advanced, 248 00:14:01,925 --> 00:14:04,052 we should be able to see it in his blood and brain. 249 00:14:04,177 --> 00:14:06,805 Chase, run a blood smear and immunochemistries. 250 00:14:06,930 --> 00:14:08,890 Foreman, get an mri. 251 00:14:09,307 --> 00:14:11,685 - I'll page cuddy. - No, you won't. 252 00:14:11,810 --> 00:14:13,290 She thinks the kid has a stomachache. 253 00:14:13,353 --> 00:14:15,498 Then she'll come right up here and do one of two things. 254 00:14:15,522 --> 00:14:18,418 If she agrees with me, I don't need her. If she disagrees, I don't want her. 255 00:14:18,442 --> 00:14:20,110 Can't handle people disagreeing with you? 256 00:14:20,235 --> 00:14:21,835 She might have a different take on this. 257 00:14:21,862 --> 00:14:25,198 Subordinates can disagree with me all they want. It's healthy. 258 00:14:25,323 --> 00:14:27,951 People who can shut me down on the other hand... 259 00:14:28,076 --> 00:14:30,746 Forget cuddy. I'll have Wilson keep her busy. 260 00:14:38,587 --> 00:14:41,882 Keep your answers short and discreet. Is cuddy still playing? 261 00:14:42,966 --> 00:14:45,886 The chicken is still in piccadilly square. 262 00:14:46,011 --> 00:14:48,889 Brilliant. She'll never suspect that normandy is our target. 263 00:14:49,014 --> 00:14:50,390 Is that house? 264 00:14:50,557 --> 00:14:53,810 Tell him that the blinds just went to 20-40 and he's running out of chips. 265 00:14:53,935 --> 00:14:56,188 - How's she doing? - What's going on? 266 00:14:56,313 --> 00:14:58,113 The way you took off, something's obviously... 267 00:14:58,231 --> 00:15:01,193 Love to chat but got a game to play. How's she doing? 268 00:15:01,610 --> 00:15:04,005 The patient is on life support. We're about to pull the plug. 269 00:15:04,029 --> 00:15:05,030 Are you talking about me? 270 00:15:05,155 --> 00:15:06,615 What've you got? 271 00:15:06,907 --> 00:15:09,701 Those sounds like high-dose cardio meds. 272 00:15:09,826 --> 00:15:11,578 Two hearts. 273 00:15:11,703 --> 00:15:12,703 You got the flush? 274 00:15:12,788 --> 00:15:14,164 Still waiting on the final labs. 275 00:15:14,289 --> 00:15:16,083 Is she drinking her seltzer? 276 00:15:16,583 --> 00:15:19,127 No, hydration is not a problem. 277 00:15:19,252 --> 00:15:21,713 She's bluffing. Push her all in. 278 00:15:24,299 --> 00:15:25,467 Call. 279 00:15:25,926 --> 00:15:28,887 Two pair. Show me your hearts. 280 00:15:33,934 --> 00:15:35,310 Seven of clubs. 281 00:15:36,019 --> 00:15:38,188 Oh, dear. Sounds like I messed up. 282 00:15:38,313 --> 00:15:40,816 You're gonna be stuck with her for a while. 283 00:15:40,941 --> 00:15:42,150 Talk to you soon. 284 00:15:43,443 --> 00:15:45,362 Cuddy: Oh, yes! 285 00:16:00,085 --> 00:16:02,045 Why are you taking a picture of his head? 286 00:16:02,170 --> 00:16:04,047 We're looking for lymphoma, but... 287 00:16:04,172 --> 00:16:07,801 So, it's not erdheim-something and it's not his kidneys, 288 00:16:07,926 --> 00:16:09,553 but his kidneys are failing. 289 00:16:09,678 --> 00:16:10,846 Where's Dr. Cuddy? 290 00:16:10,971 --> 00:16:12,305 Dr. House mentioned another case. 291 00:16:12,430 --> 00:16:14,975 Is there another patient with the same thing that Ian has? 292 00:16:15,100 --> 00:16:17,310 - Not exactly. - What does that mean? 293 00:16:17,435 --> 00:16:19,563 Dr. House had a patient a while back 294 00:16:19,688 --> 00:16:21,857 who exhibited the same symptoms as your son. 295 00:16:21,982 --> 00:16:25,068 - Then you know what's wrong? - No. 296 00:16:25,193 --> 00:16:26,611 So what do you know? 297 00:16:26,736 --> 00:16:29,447 We know the likely course the disease will take. 298 00:16:29,573 --> 00:16:30,574 Which is? 299 00:16:30,699 --> 00:16:32,576 She had multiple system failures affecting... 300 00:16:32,701 --> 00:16:34,161 What happened to her? 301 00:16:38,081 --> 00:16:41,084 She died 24 hours after her admission. 302 00:16:48,216 --> 00:16:51,344 Mr. or Mrs. Alston, would you mind giving me a hand? 303 00:16:53,471 --> 00:16:55,724 Foreman: He's having trouble sitting still. 304 00:16:55,849 --> 00:16:57,934 It's impossible to get the detail we need. 305 00:16:58,059 --> 00:17:02,147 So I figured he might feel more comfortable hearing your voices. 306 00:17:07,110 --> 00:17:08,320 Ian, honey. 307 00:17:09,988 --> 00:17:14,201 Just sit still. They'll be done in a moment. We're here with you. 308 00:17:14,326 --> 00:17:15,785 I'm scared. 309 00:17:17,287 --> 00:17:19,039 It's okay, honey. It's... 310 00:17:19,164 --> 00:17:23,084 It's only a big camera. It's gonna take a picture of your head. 311 00:17:24,169 --> 00:17:26,838 You love it when I take your picture at home, don't you? 312 00:17:26,963 --> 00:17:28,089 Yeah. 313 00:17:29,090 --> 00:17:32,177 And you have to hold still for that, too, right? 314 00:17:32,469 --> 00:17:34,471 But this isn't like that. 315 00:17:36,723 --> 00:17:40,185 I know it's scary, Ian, but you can do it. 316 00:17:41,561 --> 00:17:43,980 You're getting to be so grown-up. 317 00:17:46,274 --> 00:17:51,196 So just hold perfectly still, just for a little bit. 318 00:17:51,863 --> 00:17:54,199 Mommy, are you crying? 319 00:17:55,200 --> 00:17:58,995 No. No, honey, I'm just tired. 320 00:18:00,497 --> 00:18:02,666 Okay. |'|| try. 321 00:18:31,903 --> 00:18:34,990 The base of his brain's been infiltrated by a small mass. We think... 322 00:18:35,115 --> 00:18:36,908 - Pituitary? - Looks that way. 323 00:18:37,033 --> 00:18:39,202 Explains the low blood pressure. 324 00:18:41,121 --> 00:18:43,665 And pretty much confirms the lymphoma. 325 00:18:48,420 --> 00:18:50,630 If we'd started ester on prednisone... 326 00:18:50,755 --> 00:18:53,174 Did anyone see the lymphoma? 327 00:18:53,300 --> 00:18:55,969 No, we saw a mass. The location is consistent with... 328 00:18:56,094 --> 00:18:58,013 Didn't see any in the blood either. 329 00:18:58,138 --> 00:19:01,224 White blood cells show no spindling or abnormal nuclei. 330 00:19:01,349 --> 00:19:04,769 Nothing on immunochemistries either. It's not lymphoma. 331 00:19:37,177 --> 00:19:38,553 Foreman: House! 332 00:19:40,305 --> 00:19:41,639 It's a train. 333 00:19:42,640 --> 00:19:44,976 - We don't know what kind of train... - Whoa. Whoa. Whoa. 334 00:19:45,101 --> 00:19:47,145 - I'm thirsty. - It's closed. 335 00:19:51,274 --> 00:19:52,650 It's not now. 336 00:19:59,324 --> 00:20:02,327 We got one advantage. We know where the tracks are going. 337 00:20:02,452 --> 00:20:06,164 The fact that the end of the line is death is an advantage? 338 00:20:06,289 --> 00:20:08,625 The fact that we know is an advantage. 339 00:20:08,750 --> 00:20:11,086 It means maybe we can get ahead of it. 340 00:20:11,711 --> 00:20:13,129 Next station is the liver. 341 00:20:13,254 --> 00:20:15,757 We got about 90 minutes before it gets there. 342 00:20:15,882 --> 00:20:19,177 Maybe we can cut down a tree across the line just outside of town. 343 00:20:19,302 --> 00:20:20,303 I'll do an ultrasound. 344 00:20:20,428 --> 00:20:22,222 No, treatment will tell us more, faster. 345 00:20:22,347 --> 00:20:25,183 How can we start treatment if we have no idea what we're treating for? 346 00:20:25,308 --> 00:20:27,185 Treat him for everything. 347 00:20:27,310 --> 00:20:30,188 Give him acetylcysteine, and interferon, and silymarin, 348 00:20:30,313 --> 00:20:33,566 and whatever else you can think of to protect the liver. 349 00:20:47,455 --> 00:20:48,289 What's going on? 350 00:20:48,415 --> 00:20:51,918 Oh, just catching up on some TV. How're you doing? 351 00:20:52,043 --> 00:20:55,255 Well, thanks to your last consult, the patient has improved dramatically. 352 00:20:55,380 --> 00:20:57,924 Tell house the patient is about to kill the doctor. 353 00:20:58,049 --> 00:20:59,551 - She says the patient... - I heard. 354 00:20:59,676 --> 00:21:02,470 - What've you got? - Well, cuddy just raised and... 355 00:21:02,595 --> 00:21:03,721 - You're paired. - What? 356 00:21:03,847 --> 00:21:05,056 Nines. 357 00:21:07,434 --> 00:21:08,518 How do you know? 358 00:21:08,643 --> 00:21:11,187 Anything lower, you wouldn't sound so excited. 359 00:21:11,312 --> 00:21:12,814 Jacks or higher, 360 00:21:12,939 --> 00:21:16,192 your voice sounds like Debbie from accounting is sitting in your lap. 361 00:21:16,317 --> 00:21:18,445 Ask cuddy if she can beat a pair of threes. 362 00:21:18,570 --> 00:21:20,370 What's going on? If you're gonna mess with me, 363 00:21:20,447 --> 00:21:22,091 wouldn't it be more fun to do it in person? 364 00:21:22,115 --> 00:21:23,700 Yes, it would. 365 00:21:25,869 --> 00:21:27,579 Can you beat a pair of threes? 366 00:21:27,704 --> 00:21:28,746 What'd she do? 367 00:21:28,872 --> 00:21:30,999 I left orders for p0 fluids, doctor. 368 00:21:31,124 --> 00:21:33,376 Enough with the codes. She obviously knows it's me. 369 00:21:33,501 --> 00:21:35,628 She's drinking her seltzer. 370 00:21:36,171 --> 00:21:37,464 Did she stop? 371 00:21:37,672 --> 00:21:39,174 - Yes. - Go all in. 372 00:21:40,258 --> 00:21:41,968 - But... - Just do it. 373 00:21:42,385 --> 00:21:44,304 You couldn't care less about this charity event. 374 00:21:44,429 --> 00:21:46,389 You claim not to be messing with me. 375 00:21:46,514 --> 00:21:47,874 You're either trying to keep me... 376 00:21:47,974 --> 00:21:49,225 Shut up. 377 00:21:49,350 --> 00:21:52,812 Look, last time I wanted the game to go on. I still do. 378 00:21:52,937 --> 00:21:55,148 It means that this time you get to win. 379 00:21:55,273 --> 00:21:56,316 Hold on. 380 00:22:03,156 --> 00:22:04,407 I fold. 381 00:22:12,957 --> 00:22:15,376 House, are you sure you're okay? 382 00:22:46,950 --> 00:22:50,161 Meds seem to be working. Liver's holding its own. 383 00:22:50,828 --> 00:22:51,829 Good. 384 00:22:51,955 --> 00:22:54,374 - But the platelets are dropping. - Even better. 385 00:22:54,499 --> 00:22:55,959 Why? It means he's getting sicker. 386 00:22:56,084 --> 00:22:58,419 It's new. New is good. 387 00:22:59,546 --> 00:23:01,506 Because old ended in death. 388 00:23:04,676 --> 00:23:06,219 I can't breathe. 389 00:23:07,595 --> 00:23:08,595 Chase! 390 00:23:11,057 --> 00:23:12,684 Sarah: What's happening? 391 00:23:17,313 --> 00:23:18,690 Sarah: Ian, come on. 392 00:23:19,315 --> 00:23:21,234 Honey, just relax. 393 00:23:21,693 --> 00:23:24,529 Ian, breathe. Come on, honey. Please. 394 00:23:25,113 --> 00:23:26,447 Please, honey. 395 00:24:19,626 --> 00:24:21,336 Foreman: We had to put him on a ventilator. 396 00:24:21,461 --> 00:24:23,504 He's back on ester's path 397 00:24:24,213 --> 00:24:26,758 and we managed to make the train skip a few stations. 398 00:24:26,883 --> 00:24:30,845 Which means that instead of 12 hours, he's probably got less than two. 399 00:24:30,970 --> 00:24:33,681 Which begs the question, why? What did we do? 400 00:24:33,806 --> 00:24:35,475 Acetylcysteine could mess with the lungs. 401 00:24:35,600 --> 00:24:38,311 Mess with them, not shut them down in 20 minutes. 402 00:24:38,436 --> 00:24:40,480 Interferon modulates the immune system. 403 00:24:40,605 --> 00:24:43,524 It could affect a cancer of the blood, like one of the ieukemias. 404 00:24:43,650 --> 00:24:45,526 It doesn't speed them up. It slows them down. 405 00:24:45,652 --> 00:24:47,278 It slows down all 500 of them? 406 00:24:47,403 --> 00:24:50,948 Anybody know where we can find an oncologist at this hour? 407 00:24:55,495 --> 00:24:58,831 What effects would interferon have on leukemia? 408 00:24:59,123 --> 00:25:01,793 Depends on what type. Could make it better. Could make it worse. 409 00:25:01,918 --> 00:25:03,795 A four-year fellowship to learn that. 410 00:25:03,920 --> 00:25:05,640 Cuddy: Tell house if he wants to play cards, 411 00:25:05,672 --> 00:25:07,548 he can get his ass back down here and play. 412 00:25:07,674 --> 00:25:10,593 You hear that. She wants me off the phone. 413 00:25:10,718 --> 00:25:12,261 Means she's vulnerable. Go all in. 414 00:25:12,387 --> 00:25:16,140 But the party's over in less than three hours. 415 00:25:16,599 --> 00:25:18,601 Cuddy: It's over in less than two hours, 416 00:25:18,726 --> 00:25:20,895 which means you either have 417 00:25:21,646 --> 00:25:24,023 three of a kind or just threes. 418 00:25:24,732 --> 00:25:26,693 I'm guessing threes. 419 00:25:27,610 --> 00:25:29,862 I bet $500. 420 00:25:31,614 --> 00:25:34,117 - Go all in. - You obviously want to bust me. 421 00:25:34,242 --> 00:25:35,243 Why would you... 422 00:25:35,368 --> 00:25:36,411 Either you go all in, 423 00:25:36,536 --> 00:25:39,956 or I tell everybody in the building that you wear toenail Polish. 424 00:25:41,124 --> 00:25:42,583 I'm all in. 425 00:25:44,210 --> 00:25:45,837 I'll call. 426 00:25:46,462 --> 00:25:49,006 I'm betting you have a pair of threes, 427 00:25:49,132 --> 00:25:51,801 but even if you have three, 428 00:25:52,969 --> 00:25:55,722 it's not gonna beat trip nines. 429 00:25:57,807 --> 00:25:59,559 Oh! Oh! Oh, no! 430 00:26:00,309 --> 00:26:03,688 Oh, no! Oh! Oh, that's gotta hurt. 431 00:26:03,813 --> 00:26:04,813 What happened? 432 00:26:04,897 --> 00:26:06,537 I just killed two birds with one straight. 433 00:26:06,649 --> 00:26:07,734 Good bye. 434 00:26:08,609 --> 00:26:11,237 Fine, keep playing. But I need you to recommend a good oncologist 435 00:26:11,362 --> 00:26:13,590 because if I don't get one up here in the next few minutes, 436 00:26:13,614 --> 00:26:15,658 I got a dead six-year-old. 437 00:26:18,411 --> 00:26:21,664 If you need help, ask. These games are insane. 438 00:26:22,248 --> 00:26:24,208 The games have a higher success rate. 439 00:26:24,333 --> 00:26:26,627 Well, I don't see anything that looks like leukemia. 440 00:26:26,753 --> 00:26:29,046 - You do a bone marrow biopsy? - No time. 441 00:26:29,172 --> 00:26:31,340 Even if there is an occult blood cancer, 442 00:26:31,466 --> 00:26:33,509 you wouldn't expect interferon to make it worse. 443 00:26:33,634 --> 00:26:35,136 Certainly not this fast. 444 00:26:35,261 --> 00:26:37,901 - House: What would move this fast? - Cameron: Autoimmune diseases. 445 00:26:37,972 --> 00:26:39,732 If his body's own defenses are attacking him, 446 00:26:39,849 --> 00:26:41,827 beefing them up is just gonna put fuel on the fire. 447 00:26:41,851 --> 00:26:43,978 Sarcoidosis could be in his brain and lungs. 448 00:26:44,103 --> 00:26:46,647 No. No enlarged hilar lymph nodes on his chest X-ray. 449 00:26:46,773 --> 00:26:49,776 The systemic nature suggests juvenile rheumatoid arthritis. 450 00:26:49,901 --> 00:26:51,152 Or kawasaki's disease. 451 00:26:51,277 --> 00:26:52,612 Can't be kawasaki's. 452 00:26:52,737 --> 00:26:54,655 That doesn't affect the elderly. 453 00:26:55,990 --> 00:26:57,575 This is a kid's X-ray? 454 00:26:57,700 --> 00:26:59,744 House had another patient. 455 00:27:01,788 --> 00:27:03,581 Who may or may not have had kawasaki's. 456 00:27:03,706 --> 00:27:04,874 This kid on the other hand, 457 00:27:04,999 --> 00:27:08,544 he makes antibodies that are eating the inside of his arteries, 458 00:27:08,669 --> 00:27:11,631 choking off blood to his major organs, one by one. 459 00:27:11,756 --> 00:27:15,635 First the gi tract, then the kidneys, then the brain, now the lungs. 460 00:27:16,969 --> 00:27:21,265 Can anyone think of a reason why kawasaki's can't affect the elderly, 461 00:27:21,641 --> 00:27:26,437 other than that it doesn't? Nice. 462 00:27:26,562 --> 00:27:28,523 Foreman: We can confirm with blood work. 463 00:27:28,648 --> 00:27:30,483 We need an Ana, sed rate... 464 00:27:30,608 --> 00:27:32,235 Labs will take two hours. 465 00:27:32,860 --> 00:27:34,278 What was the old lady's sed rate? 466 00:27:34,403 --> 00:27:35,780 House: Elevated, 98. 467 00:27:35,905 --> 00:27:39,700 You can't use another patient's labs to diagnosis kawasaki's disease. 468 00:27:39,826 --> 00:27:41,146 Is that like a dare or something? 469 00:27:41,202 --> 00:27:42,662 You don't have time to be wrong. 470 00:27:42,787 --> 00:27:45,790 Fine. We'll look for kawasaki where he lives, 471 00:27:45,915 --> 00:27:47,875 Ian's coronary arteries. 472 00:27:53,965 --> 00:27:55,883 This other patient, 473 00:27:58,135 --> 00:28:00,805 the old lady, ester? 474 00:28:04,475 --> 00:28:06,018 Have you read Moby dick? 475 00:28:06,143 --> 00:28:07,436 It was a book? 476 00:28:07,687 --> 00:28:10,106 - It was ten years ago. - Twelve. 477 00:28:10,439 --> 00:28:11,983 Obsession is dangerous. 478 00:28:12,108 --> 00:28:14,777 Only if you're on a wooden ship, and your obsession is a whale. 479 00:28:14,902 --> 00:28:16,195 I think I'm in the clear. 480 00:28:16,320 --> 00:28:17,572 You do realize it's a metaphor. 481 00:28:17,697 --> 00:28:20,867 You realize the point of metaphors is to scare people from doing things 482 00:28:20,992 --> 00:28:23,369 by telling them that something much scarier is gonna happen 483 00:28:23,494 --> 00:28:25,788 than what will really happen. 484 00:28:25,997 --> 00:28:29,166 God, I wish I had a metaphor to explain that better. 485 00:28:29,292 --> 00:28:33,129 Go back to the game. Don't worry, I'm not gonna get eaten by witches. 486 00:28:37,925 --> 00:28:40,803 Chase: Coronary arteries clear. No aneurysms. 487 00:28:40,970 --> 00:28:43,514 Flip the mode. Let's see the flow. 488 00:28:46,934 --> 00:28:49,186 Sarah: How did that other woman die? 489 00:28:49,729 --> 00:28:52,773 She went into respiratory distress. 490 00:28:53,232 --> 00:28:55,943 - Her heart and liver were already... - No. 491 00:28:57,153 --> 00:28:58,571 Did she suffer? 492 00:29:00,072 --> 00:29:01,657 Was she in pain? 493 00:29:01,782 --> 00:29:03,200 I don't know. 494 00:29:06,579 --> 00:29:10,374 Laminar flow. No blood clots, no ragged edges. 495 00:29:10,791 --> 00:29:13,669 Damn. Shut it down. We're just wasting time. 496 00:29:19,967 --> 00:29:21,385 Look at the right atrium. 497 00:29:21,510 --> 00:29:23,638 - That's not kawasaki's. - No. 498 00:29:24,555 --> 00:29:26,265 Chase: It's small, but it's there. 499 00:29:26,390 --> 00:29:28,809 Ester didn't have a mass in her heart. 500 00:29:28,935 --> 00:29:31,270 Ian's younger. He can take more of a pounding. 501 00:29:31,395 --> 00:29:33,439 Ester died before the disease reached her heart. 502 00:29:33,564 --> 00:29:35,566 The disease made a mass and made it fast. 503 00:29:35,691 --> 00:29:37,276 - Could be bacteria. - Muscle. 504 00:29:37,401 --> 00:29:38,401 Connective tissue. 505 00:29:38,444 --> 00:29:40,404 House: The kid can't take any more theories. 506 00:29:40,529 --> 00:29:42,449 Only thing we know is that whatever that mass is, 507 00:29:42,531 --> 00:29:43,950 that's what he's got. 508 00:29:44,075 --> 00:29:47,411 We need a piece of it. I'm doing a biopsy. 509 00:30:01,968 --> 00:30:03,386 I'll shut the blinds. 510 00:30:03,511 --> 00:30:04,762 No, let them watch. 511 00:30:04,887 --> 00:30:07,515 I do my best work on the big stage. 512 00:30:09,058 --> 00:30:11,811 Passing through the superior vena cava. 513 00:30:11,936 --> 00:30:14,021 You're in the atrium. Pull back. 514 00:30:16,065 --> 00:30:18,484 You've hit the wall of the heart. 515 00:30:18,609 --> 00:30:20,277 These procedures would be so much simpler 516 00:30:20,403 --> 00:30:22,947 if you could do them on healthy people. 517 00:30:23,781 --> 00:30:25,408 And out again. 518 00:30:28,411 --> 00:30:29,704 - V-fib. - Cardiac arrest. 519 00:30:29,829 --> 00:30:31,414 Chase: Call a code. 520 00:30:32,164 --> 00:30:33,749 Come on, paddles! 521 00:30:35,876 --> 00:30:37,253 - Come on. - Charge. 522 00:30:37,378 --> 00:30:38,587 Clear! 523 00:30:39,964 --> 00:30:41,757 Woman over P.A.: Code blue, iso room. 524 00:30:41,882 --> 00:30:44,010 Code blue, iso room. 525 00:30:45,594 --> 00:30:47,013 And again. 526 00:30:50,558 --> 00:30:52,268 - Nothing. - Again. 527 00:31:07,700 --> 00:31:08,951 You got a clock on this? 528 00:31:09,076 --> 00:31:11,579 How much longer you gonna keep doing this? 529 00:31:11,704 --> 00:31:12,913 Clear. 530 00:31:16,500 --> 00:31:18,711 Wait. I've got something. 531 00:31:21,881 --> 00:31:23,299 He's back. 532 00:31:30,723 --> 00:31:33,601 - What are you doing? - I'm doing what we came here to do. 533 00:31:33,726 --> 00:31:35,936 - It almost killed him. - I know. I was right here. 534 00:31:36,062 --> 00:31:37,188 I need a vacutainer. 535 00:31:37,313 --> 00:31:40,316 His brain's been oxygen deprived for over eight minutes. 536 00:31:40,441 --> 00:31:42,041 There might be nothing left. He might... 537 00:31:42,109 --> 00:31:45,488 Tell the parents. Where the hell is that vacutainer? 538 00:31:57,583 --> 00:32:00,544 - So, what's he got? - Brain damage. 539 00:32:00,669 --> 00:32:02,963 Good chance. I was talking about before that. 540 00:32:03,089 --> 00:32:05,649 - You're not worried about... - Things I can't do anything about? 541 00:32:05,716 --> 00:32:07,426 - I try not to. - Yeah. 542 00:32:07,551 --> 00:32:09,804 Things just roll off you like water off a duck. 543 00:32:09,929 --> 00:32:11,013 Histiocytosis. 544 00:32:11,138 --> 00:32:13,307 Very unlikely in a 73-year-old. 545 00:32:13,432 --> 00:32:15,935 Whatever this is, it's very unlikely. 546 00:32:16,185 --> 00:32:17,937 Come on. More ideas. Let's go, people. 547 00:32:18,062 --> 00:32:21,482 Genetic disorders could cause masses everywhere. Tuberous sclerosis. 548 00:32:21,607 --> 00:32:23,567 If it's genetic, he's had it all his life. 549 00:32:23,692 --> 00:32:25,027 - Why now? - I don't know. 550 00:32:25,152 --> 00:32:26,612 It sure fits nice enough. 551 00:32:26,737 --> 00:32:28,531 We haven't ruled out leukemia yet. 552 00:32:28,656 --> 00:32:31,408 Or sarcoma. He could have multiple soft tissue tumors. 553 00:32:31,534 --> 00:32:32,535 Foreman: Or sarcoidosis. 554 00:32:32,660 --> 00:32:34,203 Multiple neurofibromatosis. 555 00:32:34,328 --> 00:32:35,955 Foreman: Chondrocytomas. 556 00:32:37,957 --> 00:32:39,667 How's it going? You win? 557 00:32:39,792 --> 00:32:42,837 I got called away by the angry parents of a patient. 558 00:32:42,962 --> 00:32:44,338 There are three of you here. 559 00:32:44,463 --> 00:32:47,025 None of you had the sense to stop him, to pick up a phone and call me. 560 00:32:47,049 --> 00:32:48,489 House: I told them you'd signed off. 561 00:32:48,551 --> 00:32:50,761 The parents are mad because their kid is dying. 562 00:32:50,886 --> 00:32:52,096 It's understandable. 563 00:32:52,221 --> 00:32:54,181 But if he doesn't die, they won't be mad anymore. 564 00:32:54,306 --> 00:32:56,642 If he's brain damaged, they might still be a little ticked. 565 00:32:56,767 --> 00:32:57,810 Had to do it to save him. 566 00:32:57,935 --> 00:33:00,521 You had to do it to diagnose ester. 567 00:33:00,646 --> 00:33:02,523 You may have killed a six-year-old 568 00:33:02,648 --> 00:33:06,026 because you're obsessed with a woman who's been dead for 12 years. 569 00:33:06,152 --> 00:33:08,362 Sometimes you lose, house! You're not god! 570 00:33:08,487 --> 00:33:09,487 He's not dead yet. 571 00:33:09,572 --> 00:33:10,715 No, but you're done with him. 572 00:33:10,739 --> 00:33:12,992 It's my case now. Go home. Go ride your motorcycle. 573 00:33:13,117 --> 00:33:16,662 Go brood in a dark room. Just don't go near Ian again. 574 00:33:23,919 --> 00:33:27,047 So, anything else or is it just these seven? 575 00:33:27,173 --> 00:33:28,507 Drop it, house. She's right. 576 00:33:28,632 --> 00:33:30,134 No, she's not! 577 00:33:31,260 --> 00:33:33,387 - You know she's not. - We should have called her. 578 00:33:33,512 --> 00:33:34,847 I'm surprised you didn't. 579 00:33:34,972 --> 00:33:36,783 You're gonna have to find a way to let this go. 580 00:33:36,807 --> 00:33:38,309 We can't go near Ian. 581 00:33:38,434 --> 00:33:40,269 We don't need to go near him. 582 00:33:40,686 --> 00:33:42,271 We have his tumor. 583 00:33:42,897 --> 00:33:45,274 Well, cuddy may be right that we screwed up the protocol. 584 00:33:45,399 --> 00:33:48,027 She may be right about my screwed up obsession. 585 00:33:48,152 --> 00:33:50,654 But I'm right about the medicine. 586 00:33:50,821 --> 00:33:53,115 How many tests can we do with that? 587 00:33:53,240 --> 00:33:55,659 Look, we cure the kid, we solve everybody's problems. 588 00:33:55,784 --> 00:33:57,119 How many? 589 00:34:00,080 --> 00:34:01,457 Maybe two good pieces. 590 00:34:01,582 --> 00:34:03,334 How many okay pieces? 591 00:34:04,126 --> 00:34:06,170 Three would be pushing it. 592 00:34:07,838 --> 00:34:10,132 Three tests, seven choices. 593 00:34:11,675 --> 00:34:13,344 Okay, what's first? 594 00:34:13,802 --> 00:34:15,971 Sarcoidosis seems most likely. 595 00:34:16,096 --> 00:34:19,558 Yeah. So likely that cuddy's gonna think of that all on her own. 596 00:34:19,683 --> 00:34:22,978 She's got the kid's whole body to play with. Let her do that test. 597 00:34:23,103 --> 00:34:24,480 What's next? 598 00:34:24,605 --> 00:34:26,085 It's moving too fast to be spreading. 599 00:34:26,190 --> 00:34:28,430 It has to be growing from something that's already there. 600 00:34:28,525 --> 00:34:30,402 Genetic disorder. Tuberous sclerosis. 601 00:34:30,527 --> 00:34:33,530 Or it's his immune system. Histiocytosis. 602 00:34:34,240 --> 00:34:37,409 Well, there are more documented cases of histio amongst older people 603 00:34:37,534 --> 00:34:40,162 than tuberous sclerosis. Let's start with that. 604 00:34:45,751 --> 00:34:47,753 Wing or drumstick? 605 00:34:50,089 --> 00:34:51,632 Gonna need a little more than that. 606 00:34:51,757 --> 00:34:53,109 A little more is more than a third. 607 00:34:53,133 --> 00:34:57,221 If we have to repeat this test because you didn't cut us enough... 608 00:35:02,726 --> 00:35:05,688 Chase: I'm adding one micro liter of the immunoperoxidase. 609 00:35:05,813 --> 00:35:07,940 Make it two. I don't want house biting off our heads 610 00:35:08,065 --> 00:35:11,193 because we weren't sure if it turned red or not. 611 00:35:16,824 --> 00:35:18,742 Cameron: That's definitely not red. 612 00:35:24,331 --> 00:35:26,583 The problem could still be an abnormal cell growth 613 00:35:26,709 --> 00:35:27,793 but a different cell line. 614 00:35:27,918 --> 00:35:30,087 Sarcoma? Muscle cells are throughout his body. 615 00:35:30,212 --> 00:35:31,463 It would explain the geography. 616 00:35:31,588 --> 00:35:34,800 Genetic disorder is far more likely in a six-year-old. Tuberous sclerosis. 617 00:35:34,925 --> 00:35:36,802 Pretty unlikely to cause a gi bleed. 618 00:35:36,927 --> 00:35:38,012 The time course fits. 619 00:35:38,137 --> 00:35:40,639 Mr. Foreman, you agree with both of them? Thanks for playing. 620 00:35:40,764 --> 00:35:43,350 If we have enough tissue for two tests, why not do both? 621 00:35:43,475 --> 00:35:44,915 Then we don't have to think as hard. 622 00:35:44,977 --> 00:35:47,977 Taking the pressure off the choice makes us less likely to think critically. 623 00:35:48,063 --> 00:35:50,899 Sarcoma is more likely to hit a six and 70-year-old. 624 00:35:51,025 --> 00:35:52,693 Tuberous sclerosis, it is. 625 00:35:52,818 --> 00:35:54,153 You think sarcoma is less likely? 626 00:35:54,278 --> 00:35:55,404 It's more likely. 627 00:35:55,529 --> 00:35:58,866 The test for it, on the other hand, is less reliable. 628 00:36:11,003 --> 00:36:13,297 Cameron: Test is negative. Well, that's okay. 629 00:36:13,422 --> 00:36:17,968 If the tumor cells hadn't matured, the ki-67 protein wouldn't have turned off. 630 00:36:19,762 --> 00:36:22,222 - What happens if we don't solve this? - Kid dies. 631 00:36:22,348 --> 00:36:24,600 I mean for the next 12 years. 632 00:36:25,976 --> 00:36:28,020 Ki-67's negative. 633 00:36:31,607 --> 00:36:33,817 And pch antigen is negative. 634 00:36:45,245 --> 00:36:47,873 Mighty Casey's down to his last strike. 635 00:36:47,998 --> 00:36:49,958 Mighty Casey struck out. 636 00:36:50,167 --> 00:36:52,544 Thanks a lot. I was gonna read that this weekend. 637 00:36:52,669 --> 00:36:56,048 Chondrocytoma. Connective tissue's been in all the places we've been looking. 638 00:36:56,173 --> 00:36:58,813 The kid is too sick for that. We're better off testing for sarcoma. 639 00:36:58,842 --> 00:37:01,595 We would've seen signs of that when we tested for tuberous sclerosis. 640 00:37:01,720 --> 00:37:03,931 The tumor cells looked like muscle under the microscope. 641 00:37:04,056 --> 00:37:06,892 No, they didn't. They looked like fat. 642 00:37:07,935 --> 00:37:10,020 I vote for neurofibromatosis. 643 00:37:11,105 --> 00:37:13,982 - Why? - Because the other choices suck worse. 644 00:37:22,574 --> 00:37:24,118 Give me a minute. 645 00:37:53,730 --> 00:37:55,691 You want me out of here? 646 00:37:57,943 --> 00:37:59,987 You come up with anything? 647 00:38:30,100 --> 00:38:32,978 Hey. We can talk about it tomorrow. 648 00:38:43,906 --> 00:38:46,033 I won the poker tournament. 649 00:38:47,993 --> 00:38:50,913 I totally played this guy, berman, from business affairs. 650 00:38:51,038 --> 00:38:55,000 I got great cards. But I don't bet. Just call, no raises. 651 00:38:55,125 --> 00:38:57,377 Berman pairs his king on the flop. 652 00:38:57,503 --> 00:38:59,922 I keep calling, the river turns, 653 00:39:00,964 --> 00:39:02,758 I check. He can't stand it. 654 00:39:02,883 --> 00:39:06,011 He goes all in. He's sure he's won. 655 00:39:07,763 --> 00:39:09,890 I call, I flip them. 656 00:39:11,475 --> 00:39:12,768 Pocket aces. 657 00:39:13,060 --> 00:39:14,686 I nailed his ass. 658 00:39:23,654 --> 00:39:26,031 The aces were hiding all along. 659 00:39:34,498 --> 00:39:36,959 Test him for erdheim-Chester disease. 660 00:39:37,084 --> 00:39:39,461 Erdheim-Chester? That's not even on the list. 661 00:39:39,586 --> 00:39:42,256 Because we already did it. He tested negative. 662 00:39:42,381 --> 00:39:44,550 - So did ester. - The disease lied. 663 00:39:44,675 --> 00:39:47,678 Yeah, the tumor's got it in for you. Diseases don't lie. 664 00:39:47,803 --> 00:39:49,972 Fine, it didn't lie. It slow played us. 665 00:39:50,097 --> 00:39:53,684 We biopsied the colon, it hadn't reached the gi tract yet. 666 00:39:53,850 --> 00:39:56,645 It's there now. It's in his liver, his lungs. 667 00:39:56,770 --> 00:39:58,689 You want it to be there. 668 00:39:58,814 --> 00:40:00,857 Because then you didn't screw up 12 years ago. 669 00:40:00,983 --> 00:40:04,820 We can't waste our one test on the one disease we know it's not. 670 00:40:07,698 --> 00:40:09,324 Run the test. 671 00:40:20,919 --> 00:40:22,588 You sure about this? 672 00:40:22,713 --> 00:40:25,507 Wait. Let me think about that. Don't pressure me. 673 00:40:25,632 --> 00:40:27,509 Just run the damn test. 674 00:40:30,429 --> 00:40:32,472 Cameron: Cells look like macrophages. 675 00:40:32,598 --> 00:40:34,308 That's a good start. 676 00:40:40,314 --> 00:40:42,733 Take your time, and say it loud. 677 00:40:52,492 --> 00:40:54,202 Cd 68 positive. 678 00:41:06,757 --> 00:41:08,467 Start the treatment. 679 00:42:07,859 --> 00:42:10,362 So, ester can rest peaceful now, huh? 680 00:42:10,987 --> 00:42:12,155 Yeah. 681 00:42:18,870 --> 00:42:19,871 $40. 682 00:42:25,252 --> 00:42:26,878 You got lucky. 683 00:42:27,796 --> 00:42:29,297 You gonna call? 684 00:42:29,464 --> 00:42:30,882 What I do 685 00:42:31,967 --> 00:42:34,636 is not just based on the flip of a card. 686 00:42:34,970 --> 00:42:37,347 You guessed. You got lucky. 687 00:42:37,472 --> 00:42:38,473 It fit. 688 00:42:38,598 --> 00:42:41,685 It could just as easily have been sarcoma or tuberous sclerosis. 689 00:42:41,810 --> 00:42:44,062 No, not just as easily. 690 00:42:44,187 --> 00:42:46,857 Maybe not. But it wasn't impossible. 691 00:42:50,318 --> 00:42:51,987 Are you gonna call? 692 00:42:53,655 --> 00:42:55,991 You know, relative to its size, 693 00:42:56,658 --> 00:42:59,745 the barnacle has the largest penis of any animal. 50659

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