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1
00:00:00,598 --> 00:00:03,222
Announcer:
Calamari stolen the lead,
but Ample Parking is making strides,
2
00:00:03,289 --> 00:00:07,659
and is now at fourth, third,
and holding second place, while
Blue Calamari is at steady speed.
3
00:00:07,743 --> 00:00:11,326
And down the stretch they come!
Ample Parking comes from behind.
4
00:00:11,514 --> 00:00:14,115
It's Ample Parking by a nose!
5
00:00:15,528 --> 00:00:17,957
This is the last call
for the third race.
6
00:00:18,088 --> 00:00:21,815
You may still wager if you hurry.
Here's your information on the race ...
7
00:00:21,914 --> 00:00:23,979
Out of the way.
Cripple coming through.
8
00:00:24,783 --> 00:00:30,187
Um, 6 race at Golden Downs.
I'll take the two and the four.
9
00:00:30,300 --> 00:00:36,157
Hey, that's my birthday.
February 4th, 1963.
I think that's a good bet?
10
00:00:36,389 --> 00:00:37,884
Oh, wh-what's your birthday?
11
00:00:38,072 --> 00:00:41,130
Take your time. Don't worry.
There's only 30 seconds to post.
12
00:00:41,131 --> 00:00:44,546
Is there any way I can bet
on the 6 and the 3 also?
13
00:00:44,547 --> 00:00:47,528
You know, for the year?
All four horses. Can I do that?
14
00:00:47,768 --> 00:00:52,850
He wants a $2.00 exacta box - 2, 4, 6, 3.
Give him $24.
15
00:00:55,464 --> 00:00:56,791
Mm-hmm.
16
00:00:58,620 --> 00:00:59,740
Your turn.
17
00:01:00,327 --> 00:01:04,734
9th at Gulfstream Park.
500 on the three horse.
Seminal Uprising to win.
18
00:01:04,924 --> 00:01:06,758
Might as well burn your money.
19
00:01:06,957 --> 00:01:09,225
I'll burn my winnings.
Bigger flame.
20
00:01:09,226 --> 00:01:10,631
Announcer:
Ladies and gentlemen...
21
00:01:11,070 --> 00:01:13,059
Same race,
TermiGator to win.
22
00:01:13,143 --> 00:01:14,262
Flag is up.
23
00:01:15,373 --> 00:01:18,511
- Sorry, race just closed.
- Damn it.
24
00:01:19,005 --> 00:01:20,695
She was 14 to 1, too.
25
00:01:20,943 --> 00:01:23,324
That fat ass over there
just saved you money.
26
00:01:23,438 --> 00:01:25,970
- No way Seminal Uprising is...
- I don't bet on the horses.
27
00:01:25,971 --> 00:01:28,654
I bet on the jocks.
My rider is bulimic.
28
00:01:28,775 --> 00:01:30,386
Purses after his weigh-ins.
29
00:01:30,698 --> 00:01:34,875
Leave a 2-pound pile at the starting gate,
shaves valuable time of that final 8th.
30
00:01:34,962 --> 00:01:36,842
Nice to have inside information.
31
00:01:36,917 --> 00:01:41,990
Leads at the stretch by a length,
the Burning Bush. And on the level
is Andy right up on the inside...
32
00:01:42,301 --> 00:01:43,978
[Clash and thud]
33
00:01:45,236 --> 00:01:47,656
[Breathes with difficulty]
34
00:01:50,859 --> 00:01:52,594
Is anybody here a doctor?
35
00:01:52,729 --> 00:01:54,303
[Breathes with difficulty]
36
00:01:58,480 --> 00:01:59,974
You tryin' to cop a feel?
37
00:02:00,056 --> 00:02:02,012
I took a CPR class at the Y.
38
00:02:02,096 --> 00:02:04,697
That would be useful
if she was having a heart atack
instead of seizure.
39
00:02:04,782 --> 00:02:06,625
Seizure?
Hold her tongue down?
40
00:02:06,626 --> 00:02:09,270
If you wanna get a finger bitten off.
Call an ambulance.
41
00:02:09,344 --> 00:02:11,598
Methodistis 3 blocks down.
I could drive her.
42
00:02:11,683 --> 00:02:13,143
Just make the call.
43
00:02:20,813 --> 00:02:22,269
Man:
What the hell is that?
44
00:02:22,433 --> 00:02:23,626
How should I know?
45
00:02:23,739 --> 00:02:26,463
Tell the paramedics to take her
to Princeton-Plainsborough.
46
00:02:26,614 --> 00:02:28,144
The doctor's name is House.
47
00:02:28,228 --> 00:02:31,290
And it's TermiGator
winning by 2 lengths!
48
00:02:34,351 --> 00:02:38,826
2x09 - Deception
49
00:03:00,804 --> 00:03:04,284
Original Airdate (FOX): 13-DEC-2005
50
00:03:07,835 --> 00:03:09,977
This is one does House hang out at OTB?
51
00:03:10,061 --> 00:03:11,056
Man's an addict.
52
00:03:11,140 --> 00:03:12,905
Right, addicted to pills,
not gambling.
53
00:03:12,989 --> 00:03:16,228
Same thing - drug abuse,
drinking, gambling.
54
00:03:16,374 --> 00:03:18,931
They all fire up the same
pleasure centers in the brain.
55
00:03:19,075 --> 00:03:20,608
An addict is an addict is...
56
00:03:20,692 --> 00:03:22,648
Gambling doesn't
take away his pain.
57
00:03:22,793 --> 00:03:24,316
It does when I win.
58
00:03:24,483 --> 00:03:30,672
Hot OTB babe has grand mal
and inexplicable bruising.
59
00:03:31,192 --> 00:03:32,015
What up with that?
60
00:03:32,099 --> 00:03:34,393
You were just standing there
and she started to seize?
61
00:03:34,477 --> 00:03:38,159
Spend as much time around
the real people as I do,
someone gets sick.
62
00:03:38,223 --> 00:03:41,140
Platelets are 89.
She's anemic.
63
00:03:41,284 --> 00:03:43,813
And she has a blood
alcohol level of .13.
64
00:03:43,881 --> 00:03:45,803
Hot OTB babe?
65
00:03:45,900 --> 00:03:49,049
Obviously a working girl.
Probably an STD, infection.
66
00:03:49,133 --> 00:03:50,920
No fever, no infection.
67
00:03:50,984 --> 00:03:52,710
Alcohol abuse explains it all.
68
00:03:52,849 --> 00:03:56,811
Causes seizures and affects
her blood's ability to clot,
which causes bruising.
69
00:03:56,897 --> 00:03:58,618
Start her on heparin.
She'll be fine by morning.
70
00:03:58,702 --> 00:04:02,036
Except for the fact that
the bruises are not petechial,
which means it's not DIC.
71
00:04:02,120 --> 00:04:03,961
So the bruises were
caused by trauma.
72
00:04:04,058 --> 00:04:06,897
She probably got beat up
by her boyfriend. Or her pimp.
73
00:04:06,956 --> 00:04:10,325
What's that called
when you judge someone
before ever meeting them?
74
00:04:10,409 --> 00:04:12,428
She's a regular at OTB.
75
00:04:12,663 --> 00:04:16,387
Somehow I don't see her
holding down a 9-to-5
and going to PTA meetings.
76
00:04:16,494 --> 00:04:17,380
I was there.
77
00:04:17,486 --> 00:04:18,956
I have a "9-to-3" job.
78
00:04:18,956 --> 00:04:22,044
It could be SLE,
familial telangiectasis,
79
00:04:22,210 --> 00:04:24,903
- or even Cushing's.
- Good. Start with those.
80
00:04:25,179 --> 00:04:26,483
- Which one?
- Cushing's.
81
00:04:26,627 --> 00:04:28,380
Explains the seizure
and the bruising.
82
00:04:28,464 --> 00:04:29,390
Not the anemia.
83
00:04:29,492 --> 00:04:30,795
So she doesn't eat
a lot of meat.
84
00:04:30,879 --> 00:04:34,911
DIC brought on by alcohol abuse
is far more likely. Do a full workup.
85
00:04:35,064 --> 00:04:38,336
H and P.
And lab her up, LP, MRI.
86
00:04:38,416 --> 00:04:39,682
Wh-Whoa!
87
00:04:40,948 --> 00:04:45,522
Did you just ever-so-subtly
order me to get her medical history?
88
00:04:45,860 --> 00:04:49,996
Cuddy put me in charge
last week. So...yeah.
89
00:04:53,155 --> 00:04:55,593
It was a pretend in charge.
90
00:04:55,677 --> 00:04:57,971
Formality to get past
the suits in legal.
91
00:04:58,055 --> 00:05:01,153
Right, those licensing board folk
love to play dress-up and pretend.
92
00:05:01,237 --> 00:05:03,849
Hey, no worries.
I'll let you keep
your parking space.
93
00:05:03,957 --> 00:05:04,806
You can have it.
94
00:05:04,890 --> 00:05:07,196
You'll also need
my handicapped placard.
95
00:05:07,280 --> 00:05:08,200
Bend over.
96
00:05:08,382 --> 00:05:10,142
Well, you make a pretty
convincing argument.
97
00:05:10,226 --> 00:05:12,456
Chase killed that woman.
Now Foreman's in charge?
98
00:05:12,540 --> 00:05:14,455
Yeah, we have a
pecking order here.
99
00:05:14,539 --> 00:05:17,859
If Cameron kills somebody,
Chase takes over.
There's a flow chart in the lobby.
100
00:05:18,002 --> 00:05:20,671
For the next three weeks,
you answer directly
to Dr. Foreman.
101
00:05:20,755 --> 00:05:23,303
And I expect you here
for grand rounds at 9:00.
102
00:05:23,479 --> 00:05:26,695
By the way...
I like sugar in my coffee.
103
00:05:27,386 --> 00:05:30,522
If there's a screw-up,
it's your screw-up.
104
00:05:31,657 --> 00:05:34,163
You won't have Dr. House
to fall back on.
105
00:05:38,663 --> 00:05:40,623
"Do you wear a seat belt?"
106
00:05:40,707 --> 00:05:42,429
Is that really relevant
to a seizure?
107
00:05:42,536 --> 00:05:43,462
Skip it.
108
00:05:43,546 --> 00:05:44,564
How about, um...
109
00:05:44,648 --> 00:05:46,179
"Were you vaccinated for polio?"
110
00:05:46,263 --> 00:05:48,877
I think you gave me
the form intended for FDR.
111
00:05:49,093 --> 00:05:51,128
You really like
Teeny Tiny Mo in the 5th?
112
00:05:51,212 --> 00:05:53,478
I went 4 for 6 yesterday.
113
00:05:53,626 --> 00:05:56,083
You want winners,
cure me first.
114
00:05:56,316 --> 00:05:59,731
"Are you generally satisfied
with your life?"
115
00:05:59,829 --> 00:06:01,539
It does not ask that.
116
00:06:06,902 --> 00:06:08,168
You know,
I was going to ask
117
00:06:08,252 --> 00:06:11,692
what a respectable doctor
was doing in an OTB parlor.
118
00:06:11,888 --> 00:06:14,704
Somehow that question
doesn't seem relevant anymore.
119
00:06:14,840 --> 00:06:17,158
- What's your excuse?
- Turns me on.
120
00:06:17,242 --> 00:06:19,238
Yeah?
What else turns you on?
121
00:06:19,332 --> 00:06:20,411
Drugs?
122
00:06:20,595 --> 00:06:21,771
Casual sex?
123
00:06:21,855 --> 00:06:23,148
Rough sex?
124
00:06:23,604 --> 00:06:25,294
Casual rough sex?
125
00:06:26,277 --> 00:06:27,659
I'm a doctor.
I need to know.
126
00:06:27,743 --> 00:06:29,045
No sex.
127
00:06:29,131 --> 00:06:30,420
Just moved here.
128
00:06:30,532 --> 00:06:32,862
Haven't even found a job yet.
Don't know anybody.
129
00:06:32,973 --> 00:06:34,887
Came here without a job.
130
00:06:35,460 --> 00:06:37,379
That means
you didn't move here.
131
00:06:37,463 --> 00:06:39,387
You moved away
from somewhere else.
132
00:06:39,387 --> 00:06:40,182
Whew.
133
00:06:42,350 --> 00:06:43,946
- Does that hurt?
- No.
134
00:06:45,097 --> 00:06:47,894
You on prescription meds?
Hormones? Prednisone?
135
00:06:47,978 --> 00:06:51,047
I already answered that one.
I think it was question
number 20-something.
136
00:06:51,131 --> 00:06:53,047
Yeah, and I could
reach down and get it,
137
00:06:53,131 --> 00:06:55,124
but that would kind of
spoil the whole cool move.
138
00:06:55,208 --> 00:06:56,810
I'm not on any medications.
139
00:06:56,871 --> 00:06:59,970
- You vegetarian?
- No. Why?
140
00:07:00,142 --> 00:07:02,644
Because you might have something
called Cushing's Syndrome.
141
00:07:02,772 --> 00:07:03,610
Which basically means...
142
00:07:03,694 --> 00:07:07,261
My pituitary
is overproducing ACTH,
143
00:07:07,345 --> 00:07:09,317
which is causing
my adrenal glands
144
00:07:09,401 --> 00:07:12,333
to push too much cortisol
into my bloodstream.
145
00:07:12,417 --> 00:07:13,660
By coincidence,
146
00:07:13,766 --> 00:07:14,952
I'm a doctor too.
147
00:07:15,036 --> 00:07:16,539
Yeah, I had it last year.
148
00:07:16,689 --> 00:07:18,248
They did brain surgery.
149
00:07:18,332 --> 00:07:21,677
Removed an adenoma
from my pituitary.
150
00:07:25,883 --> 00:07:31,050
[Whistles a tune]
151
00:07:31,796 --> 00:07:32,890
Huh?
152
00:07:32,974 --> 00:07:34,669
What did you just say?
153
00:07:34,753 --> 00:07:37,550
"You were right, House,
her pituitary tumor regrew.
154
00:07:37,634 --> 00:07:40,262
It is Cushing's.
Uncanny how you do that."
155
00:07:40,346 --> 00:07:42,128
Actually, it was
Cameron's idea.
156
00:07:42,212 --> 00:07:43,935
No, Cameron
had three ideas.
157
00:07:44,019 --> 00:07:46,699
I chose one
to encourage, to nurture.
158
00:07:46,783 --> 00:07:48,650
Yeah, you're all about
the nurturing.
159
00:07:48,734 --> 00:07:50,270
Do you need a hug?
160
00:07:52,776 --> 00:07:54,694
I don't see any regrowth.
161
00:07:55,047 --> 00:07:56,698
You get a medical records
fax over?
162
00:07:56,782 --> 00:07:59,682
Work smart, not hard.
That's my philosophy, boss.
163
00:07:59,783 --> 00:08:01,352
I'll take that as a no.
164
00:08:03,098 --> 00:08:05,839
Foreman:
Anica, I need you to
stay completely still.
165
00:08:06,033 --> 00:08:07,358
Sorry.
166
00:08:10,485 --> 00:08:12,209
Still don't see anything.
167
00:08:12,517 --> 00:08:15,388
Okay, so it's a micro adenoma,
too small to see.
168
00:08:15,472 --> 00:08:17,122
It's so small,
it's not even there.
169
00:08:17,206 --> 00:08:21,354
Right, it's just a coincidence that
I predicted a rare condition that
shehappened to have a year ago.
170
00:08:21,424 --> 00:08:22,838
Results from her LP back yet?
171
00:08:22,922 --> 00:08:25,548
Didn't do an LP.
I knew what she had.
172
00:08:25,549 --> 00:08:27,884
Window Closed
[control panel: open_winMRI-1]
173
00:08:28,047 --> 00:08:29,819
Go do the LP.
174
00:08:35,755 --> 00:08:39,918
Okay, I need you to roll over
on your side, kiss your kneecaps.
175
00:08:40,180 --> 00:08:41,621
Party time.
176
00:08:42,383 --> 00:08:45,440
I thought it only took
one doctor to do this.
I'm observing.
177
00:08:45,524 --> 00:08:47,705
She's here to make sure
I don't paralyze you.
178
00:08:48,816 --> 00:08:50,186
You've done this
before, right?
179
00:08:50,270 --> 00:08:51,195
Successfully?
180
00:08:51,296 --> 00:08:53,241
He's kidding.
He's an excellent doctor.
181
00:08:53,325 --> 00:08:55,917
House:
I'm gonna numb the area
with some lidocaine.
182
00:08:56,063 --> 00:08:58,868
And then we're off to the races.
See what I did there?
183
00:08:59,073 --> 00:09:02,608
I used horse racing jargon
to make the patient
feel more comfortable.
184
00:09:03,462 --> 00:09:05,401
Okay, here we go.
185
00:09:05,572 --> 00:09:06,662
[Gasps] Ow!
186
00:09:06,762 --> 00:09:09,120
Felt like bone.
Does that hurt?
187
00:09:09,204 --> 00:09:11,912
A little bit.
What are you doing? Oww!
188
00:09:11,996 --> 00:09:13,429
Try running your back a bit more.
189
00:09:13,513 --> 00:09:14,967
Perfect is the way you are.
190
00:09:15,230 --> 00:09:18,052
- [Gasps]
- Oops. That was all me.
191
00:09:18,136 --> 00:09:18,982
Ow!
192
00:09:19,066 --> 00:09:20,652
Might wanna move down
one vertebrae.
193
00:09:20,797 --> 00:09:23,172
This is actually much harder
than I remember.
194
00:09:23,236 --> 00:09:24,763
[Gasps] Ohh!
195
00:09:25,369 --> 00:09:27,107
My chest feels
a little tight.
196
00:09:27,191 --> 00:09:28,583
Try taking a deep breath.
197
00:09:28,667 --> 00:09:30,250
Dr. House, maybe
I should take it from here.
198
00:09:30,334 --> 00:09:31,564
Eighth time's the charm.
199
00:09:31,668 --> 00:09:32,747
Aah!
200
00:09:32,910 --> 00:09:34,330
You trying
to piss off Foreman?
201
00:09:34,454 --> 00:09:36,298
[Monitor stars beeping]
Let...
202
00:09:36,382 --> 00:09:37,904
Cameron:
EP's 240 over 140.
203
00:09:37,988 --> 00:09:39,268
Turn that thing off, will you?
204
00:09:39,352 --> 00:09:40,711
Take the needle out.
205
00:09:41,073 --> 00:09:42,918
- Take the needle out!
- Okay!
206
00:09:45,022 --> 00:09:49,112
It's a hypertensive crisis.
Start her on an IV Lopressor drip.
207
00:09:49,112 --> 00:09:52,328
Titrate to systolic
less than 140. She'll be fine.
208
00:09:52,566 --> 00:09:54,600
House:
Cameron, meet me
in my office.
209
00:09:55,064 --> 00:09:57,228
House:
At the risk of
sounding redundant...
210
00:09:57,312 --> 00:09:59,486
and right...again...
211
00:09:59,743 --> 00:10:01,397
she has Cushing's.
212
00:10:01,462 --> 00:10:02,659
Cushing's.
213
00:10:02,717 --> 00:10:06,208
Right...the fact that
you mangled her LP
has nothing to do with it?
214
00:10:06,292 --> 00:10:08,354
Actually, it has
everything to do with it.
215
00:10:08,354 --> 00:10:12,619
Cushing's plus stress
equals hypertensive crisis.
216
00:10:12,889 --> 00:10:14,345
Smart move,
sending the rookie.
217
00:10:14,429 --> 00:10:17,731
Her initial symptoms
could have been caused
by alcohol-induced DIC.
218
00:10:17,919 --> 00:10:21,822
She hada hypertensive crisis
because it's been at least six hours
since she hadher last drink.
219
00:10:21,910 --> 00:10:22,660
She's detoxing.
220
00:10:22,772 --> 00:10:25,947
The exact same moment
that I'm futilely trying
to give her an LP?
221
00:10:26,031 --> 00:10:29,939
Right, an invisible tumor
on her pituitary
is much more likely.
222
00:10:30,025 --> 00:10:31,597
Chase:
What if the tumor is
somewhere else?
223
00:10:31,743 --> 00:10:35,152
There could be an
ACTH-secreting tumor
on her lung or pancreas.
224
00:10:35,216 --> 00:10:36,106
It's awfully rare.
225
00:10:36,168 --> 00:10:37,891
Not as rare as
an invisible tumor.
226
00:10:37,975 --> 00:10:40,352
Why didn't they put you
in charge instead of Foreman?
227
00:10:40,554 --> 00:10:43,226
Oh, yeah, you're the guy
that killed that woman.
228
00:10:43,449 --> 00:10:47,101
Get a pan-man scan
before she dies of cortisol OD.
229
00:10:49,520 --> 00:10:51,230
[Whimpers] Please?
230
00:10:51,769 --> 00:10:53,440
Fine, do it.
231
00:10:53,992 --> 00:10:55,275
But when you
don't find anything,
232
00:10:55,359 --> 00:10:59,063
put her on a Librium taper
for the withdrawal and
get her a bed in a rehab clinic.
233
00:11:10,748 --> 00:11:12,394
Chase:
Lungs look clean.
234
00:11:13,074 --> 00:11:15,618
Her lymph node's
not enlarged.
235
00:11:17,253 --> 00:11:19,608
Cuddy tapped Foreman
to run the department.
236
00:11:20,259 --> 00:11:22,442
- I didn't even get asked.
- Neither did I.
237
00:11:22,546 --> 00:11:24,500
- You were suspended.
- I was kidding.
238
00:11:24,720 --> 00:11:28,114
It's the irony of women in charge.
They don't like other women in charge.
239
00:11:28,198 --> 00:11:29,586
Hmph!
240
00:11:29,754 --> 00:11:31,415
What? You think
it's something else?
241
00:11:33,114 --> 00:11:34,922
You sabotaged yourself.
242
00:11:35,107 --> 00:11:37,552
You went on a date with House.
You slept with me.
243
00:11:37,636 --> 00:11:41,945
Putting you in charge of this department is
like a sexual harassment suit waiting to happen.
244
00:11:42,029 --> 00:11:45,810
Yeah. They're really worried
that I'm gonna create
a hostile work environment.
245
00:11:46,055 --> 00:11:47,928
Maybe that's the problem.
246
00:11:48,496 --> 00:11:51,870
Being in charge means
having to say "no" to House.
247
00:11:52,016 --> 00:11:53,892
Would you hire you for that?
248
00:11:57,051 --> 00:11:59,528
[On TV]
Anderson coming out strong.
249
00:11:59,709 --> 00:12:03,562
What is he thinking?
He watched what Tom Meents just did.
250
00:12:03,976 --> 00:12:07,621
You ordered MRIs for
the entire maternity ward?
251
00:12:07,834 --> 00:12:09,402
I was in a crazy mood.
252
00:12:09,790 --> 00:12:11,752
Good thing I got
a new boss to back me up.
253
00:12:11,816 --> 00:12:13,898
Although I think one of those
is actually necessary.
254
00:12:13,995 --> 00:12:16,259
Better comb through
before you cancel them all.
255
00:12:19,310 --> 00:12:21,210
What do you expect me
to do, House?
256
00:12:21,340 --> 00:12:23,295
Quit? Cry?
257
00:12:23,387 --> 00:12:26,075
Actually, I expect you
to act like what you are.
258
00:12:26,302 --> 00:12:29,363
My employee.
My subordinate.
259
00:12:30,281 --> 00:12:31,188
My bitch.
260
00:12:31,272 --> 00:12:33,552
Yeah. Well, since
you asked nicely--
261
00:12:33,653 --> 00:12:36,478
God. I can't believe I got
more than a year behind
262
00:12:36,562 --> 00:12:39,548
on my discharge summaries.
Gotta get caught up.
263
00:12:40,688 --> 00:12:41,427
Oh, no. Wait.
264
00:12:41,532 --> 00:12:44,566
I'm not authorized
to sign these anymore.
Only you are.
265
00:12:45,077 --> 00:12:48,332
Keep it coming.
I'm not gonna break.
266
00:12:49,204 --> 00:12:51,369
Scan showed a mass
on her pancreas.
267
00:12:52,211 --> 00:12:54,786
It looks malignant.
Probably inoperable.
268
00:12:56,632 --> 00:12:58,510
I'd give her two months.
269
00:13:00,871 --> 00:13:02,215
[Sighs]
270
00:13:02,278 --> 00:13:06,040
On the bright side,
it still means I was right.
271
00:13:12,840 --> 00:13:14,244
Where's Dr. House?
272
00:13:14,328 --> 00:13:16,452
Dr. Foreman's
overseeing your case.
273
00:13:16,562 --> 00:13:19,041
He thought it'd be best
if I spoke with you.
274
00:13:19,125 --> 00:13:21,591
We found a mass
in your pancreas.
275
00:13:22,122 --> 00:13:24,012
It looks like cancer.
276
00:13:24,896 --> 00:13:28,591
So something in my pancreas
caused me to have a seizure?
277
00:13:29,086 --> 00:13:33,598
Probably.
But the bigger point is...
278
00:13:33,688 --> 00:13:39,519
[Inhales deeply and exhales]
A one year survival rate for
pancreatic cancer is less than 20%.
279
00:13:39,603 --> 00:13:41,330
So what's the treatment?
280
00:13:42,430 --> 00:13:48,880
We need to biopsy the mass
to see what we're dealing with. And...
281
00:13:50,290 --> 00:13:53,399
Then we can recommend
options from there.
282
00:13:53,483 --> 00:13:54,944
Sounds good.
283
00:13:59,822 --> 00:14:02,588
I need your consent
to do the biopsy.
284
00:14:08,245 --> 00:14:09,352
Thanks.
285
00:14:09,974 --> 00:14:11,602
Wish me luck.
286
00:14:12,081 --> 00:14:13,839
Good luck.
287
00:14:15,939 --> 00:14:19,010
Cameron:
It was weird.
She barely reacted at all.
288
00:14:19,094 --> 00:14:20,588
I've had people hug me
289
00:14:20,651 --> 00:14:22,572
and people take
a swing at me.
290
00:14:22,656 --> 00:14:24,805
This was more like
she didn't even hear me.
291
00:14:25,204 --> 00:14:27,079
Magnify three times.
292
00:14:31,728 --> 00:14:36,806
House assisting.
That is funny.
293
00:14:37,352 --> 00:14:39,658
Too bad Foreman's gonna die.
294
00:14:49,834 --> 00:14:51,604
Good afternoon.
295
00:14:51,985 --> 00:14:53,176
I'm Dr. House.
296
00:14:53,278 --> 00:14:55,127
I'm going to be
looking at your...
297
00:14:56,996 --> 00:14:58,705
Perfect.
298
00:14:59,871 --> 00:15:01,192
Excuse me.
299
00:15:05,753 --> 00:15:09,198
I need Dr. Foreman in
Exam Room One for a consult.
300
00:15:10,358 --> 00:15:12,310
So, when did this start?
301
00:15:12,518 --> 00:15:13,958
A couple weeks ago.
302
00:15:14,042 --> 00:15:15,423
I didn't want
to get pregnant.
303
00:15:15,507 --> 00:15:18,644
Jake's not into rubbers,
so I got on the jelly.
304
00:15:19,456 --> 00:15:21,504
You think I'm allergic
or something?
305
00:15:21,952 --> 00:15:24,761
You have an infection.
Gonna need a sample.
306
00:15:24,845 --> 00:15:26,042
I brought the jar.
307
00:15:26,303 --> 00:15:28,607
No, I meant
a sample of your...
308
00:15:35,266 --> 00:15:38,295
Okay. We have
a neurological problem here.
309
00:15:38,295 --> 00:15:40,595
There's something wrong
with my brain?
310
00:15:41,240 --> 00:15:42,367
Oh, yeah.
311
00:15:42,753 --> 00:15:45,658
You can cover yourself up.
I got what I need.
312
00:15:48,530 --> 00:15:49,535
What's up?
313
00:15:49,709 --> 00:15:51,210
Smell this.
314
00:15:51,927 --> 00:15:54,578
[Sniffs]
Smells like vaginosis.
315
00:15:54,667 --> 00:15:56,813
But it's not
really my call.
316
00:15:56,879 --> 00:16:00,705
Great. I'll be sure
to put a gold star
by your name on the board.
317
00:16:00,909 --> 00:16:03,411
Anica's biopsy
for pancreatic cancer
318
00:16:03,579 --> 00:16:05,248
was negative.
319
00:16:10,732 --> 00:16:12,726
Okay. I'm gonna give you
some antibiotics
320
00:16:12,814 --> 00:16:14,556
and you probably shouldn't
have sex for a while.
321
00:16:14,659 --> 00:16:15,586
How long?
322
00:16:15,757 --> 00:16:19,048
On an evolutionary basis,
I'd recommend forever.
323
00:16:20,287 --> 00:16:22,787
The mass in the
pancreas is benign.
324
00:16:22,873 --> 00:16:24,282
It's probably
just scar tissue.
325
00:16:24,431 --> 00:16:27,687
Good news. She's not sick all.
Other than being an alcoholic.
326
00:16:27,771 --> 00:16:32,429
The labs you sent
yesterday put her ACTH at
64 pico-grams per milliliter.
327
00:16:32,496 --> 00:16:34,761
She's got Cushing's.
Something set it off.
328
00:16:34,845 --> 00:16:36,507
It's gotta be in her brain.
329
00:16:36,601 --> 00:16:38,545
Set her up
for a venous sampling.
330
00:16:38,840 --> 00:16:40,034
There is another possibility.
331
00:16:40,118 --> 00:16:41,427
Chase, hold on.
332
00:16:41,691 --> 00:16:43,503
How'd you get him
trained so fast?
333
00:16:43,696 --> 00:16:44,741
Electronic collar?
334
00:16:44,816 --> 00:16:46,052
Got treats in your pocket?
335
00:16:46,156 --> 00:16:49,107
She didn't even
read the consent form
for the pancreatic biopsy.
336
00:16:49,170 --> 00:16:50,096
Who reads those things?
337
00:16:50,189 --> 00:16:53,494
Maybe she didn't read it
because she KNEW that
there was nothing wrong with her.
338
00:16:53,578 --> 00:16:57,729
There is another explanation
for the Cushing's. Maybe she
injected herself with the ACTH.
339
00:16:57,813 --> 00:16:59,653
Her behavior suggests
Munchausen's.
340
00:16:59,738 --> 00:17:02,423
She's had four hospitalizations
in the last four months.
341
00:17:02,490 --> 00:17:06,496
Well, being hospitalized a lot
certainly points to nothing
being wrong with you.
342
00:17:06,980 --> 00:17:09,532
She's had zero symptoms
since she got here.
343
00:17:09,636 --> 00:17:14,318
The scarring on her pancreas could be be
caused from injecting herself with
the benzene and setting offthe seizures.
344
00:17:14,402 --> 00:17:15,819
House:
She's had brain surgery.
345
00:17:15,903 --> 00:17:18,565
You can fake a stomach ache.
You can't fake a brain tumor.
346
00:17:18,649 --> 00:17:20,320
You can fake
an invisible one.
347
00:17:22,639 --> 00:17:25,591
We should check her apartment.
Look for medications, syringes.
348
00:17:25,675 --> 00:17:27,761
- Venous sampling's easier.
- And more dangerous.
349
00:17:27,837 --> 00:17:29,183
Not if you get caught breaking in.
350
00:17:29,283 --> 00:17:32,518
So don't get caught, House.
351
00:17:33,750 --> 00:17:35,940
Why do you think
Cuddy picked Foreman over me?
352
00:17:36,093 --> 00:17:38,208
If I done something wrong
or if there's something
I needed to improve on...
353
00:17:38,275 --> 00:17:40,409
Would it make you shut up
if I told you she wanted someone black?
354
00:17:40,493 --> 00:17:42,835
How would you describe
my leadership skills?
355
00:17:42,894 --> 00:17:45,419
Nonexistent.
Otherwise excellent.
356
00:17:45,503 --> 00:17:47,790
There's more to being
a leader than being a jerk.
357
00:17:48,276 --> 00:17:49,928
The world will never know.
358
00:17:52,037 --> 00:17:54,111
[Starts engine]
359
00:17:54,300 --> 00:17:55,843
No. No way.
360
00:17:56,412 --> 00:17:57,858
- It just snowed.
- Yesterday.
361
00:17:57,921 --> 00:17:59,192
The streets are clear.
362
00:18:00,227 --> 00:18:02,392
My car is right there.
363
00:18:02,560 --> 00:18:05,481
There's construction on Elm.
Bike'll be faster.
364
00:18:05,482 --> 00:18:07,396
[Guns the motor]
365
00:18:26,844 --> 00:18:29,039
Cameron:
There's even books
in the bathroom.
366
00:18:30,113 --> 00:18:34,242
Well, either she's very smart or
she has a severe fiber deficiency.
367
00:18:34,243 --> 00:18:38,775
"Tuesday 1 pm Opthalmologist, Dr. Peterson"
"Thursday 10 am Gynecologist, Dr. Lachowicz"
368
00:18:39,635 --> 00:18:42,979
She's got an appointment
with her ophthalmologist on Tuesday
369
00:18:42,979 --> 00:18:45,470
and an appointment with
her gynecologist on Thursday.
370
00:18:46,148 --> 00:18:48,577
Multiple appointments
with multiple doctors.
371
00:18:48,788 --> 00:18:50,516
Symptom of Munchausen's.
372
00:18:50,600 --> 00:18:57,398
Or, just thinking outside the box here,
she has a vagina and trouble reading.
373
00:18:57,892 --> 00:19:01,035
There's three pairs of reading glasses.
Each with different prescriptions.
374
00:19:01,090 --> 00:19:04,024
Which would be
explained by a tumor
pressing on the optic nerve.
375
00:19:04,108 --> 00:19:05,718
Because you're looking
for her to have a tumor.
376
00:19:05,825 --> 00:19:07,462
And you are looking for...
377
00:19:07,839 --> 00:19:10,024
A person with
Munchausen's Syndrome
378
00:19:10,102 --> 00:19:13,807
drinks battery acid.
They don't go to an ophthalmologist
to get their pupils dilated.
379
00:19:13,953 --> 00:19:17,059
An ophthalmologist is a doctor.
Attention is attention.
380
00:19:17,265 --> 00:19:19,302
How many hospitals
have you contacted?
381
00:19:19,444 --> 00:19:22,268
Has one doctor said she's crazy?
It's not Munchausen's.
382
00:19:22,352 --> 00:19:24,217
It's not your call.
383
00:19:26,966 --> 00:19:30,379
If you think she's got Munchausen's,
then obviously you got
something to show the man.
384
00:19:30,474 --> 00:19:32,926
A syringe in her apartment.
A bottle of ACTH.
385
00:19:33,010 --> 00:19:35,138
Munchausen patients are good
at covering their tracks.
386
00:19:35,222 --> 00:19:36,867
Oh, right. So the fact
that we found nothing
387
00:19:36,951 --> 00:19:37,802
proves there's something.
388
00:19:37,886 --> 00:19:40,559
Look at the pathology reports
from the surgery she had in Chicago.
389
00:19:40,643 --> 00:19:42,506
They removed 30% of her pituitary.
390
00:19:42,616 --> 00:19:43,461
They found no tumor.
391
00:19:43,545 --> 00:19:45,404
It's possible
the surgeons just missed it.
392
00:19:45,488 --> 00:19:47,649
I mean that kind of surgery.
You're just cutting and hoping.
393
00:19:47,733 --> 00:19:52,010
Of course! We're both right.
Excellent solution. Everybody's happy.
394
00:19:52,226 --> 00:19:53,769
Come on.
Step up, Foreman.
395
00:19:53,914 --> 00:19:56,709
If you think I'm right,
order me to stick a needle in her brain.
396
00:19:56,793 --> 00:19:58,789
If you think Cameron's right,
send the patient home.
397
00:19:58,948 --> 00:20:01,373
Either she'll be fine,
or she'll die.
398
00:20:02,143 --> 00:20:05,303
Do the venous sampling.
Get her consent.
399
00:20:10,705 --> 00:20:13,978
Nice move, boss.
Way to cover your ass.
400
00:20:14,478 --> 00:20:15,750
I just agreed with you.
401
00:20:15,834 --> 00:20:17,334
Not because
you think I'm right.
402
00:20:17,434 --> 00:20:19,180
You're just taking
the safe route.
403
00:20:19,381 --> 00:20:20,987
You're a wuss.
404
00:20:21,400 --> 00:20:24,311
Don't worry.
Your secret's safe with me.
405
00:20:26,934 --> 00:20:29,966
House:
Hey, Wilson!
Guess what Foreman just did?
406
00:20:36,771 --> 00:20:37,800
Hi.
407
00:20:40,058 --> 00:20:43,042
This is a consent form
to stick a wire into your brain.
408
00:20:43,316 --> 00:20:47,879
It's important for hospitals to
get these signed for procedures
that are completely unnecessary.
409
00:20:49,278 --> 00:20:50,658
Then why are you doing it?
410
00:20:50,742 --> 00:20:52,608
Because you're mentally ill.
411
00:20:53,029 --> 00:20:57,362
You injected yourself
with ACTH to induce Cushing's
to get attention doctors.
412
00:20:57,594 --> 00:20:59,397
And so far it's worked.
413
00:20:59,871 --> 00:21:01,803
I'd like to see
another doctor.
414
00:21:02,013 --> 00:21:03,514
I'm not giving you
what you want?
415
00:21:03,624 --> 00:21:05,166
I don't want a bitch.
416
00:21:05,334 --> 00:21:07,834
Just sign the forms, okay,
and I'll get out of here.
417
00:21:08,214 --> 00:21:10,883
Hopefully for you, what ever
you injected yourself with
won't wear off
418
00:21:10,949 --> 00:21:14,587
before you get fun of
a caring and concerned doctor
cutting into your head.
419
00:21:30,223 --> 00:21:32,446
You chose me to make
House miserable, didn't you?
420
00:21:32,552 --> 00:21:35,374
Apparently he's
making YOU miserable.
421
00:21:35,458 --> 00:21:36,732
That's impressive.
422
00:21:36,930 --> 00:21:37,970
Find someone else.
423
00:21:38,115 --> 00:21:39,349
No.
424
00:21:39,643 --> 00:21:44,331
For the first time in six years
I'm getting copied on all
experimental tests and procedures.
425
00:21:44,415 --> 00:21:47,428
Clinic hours have been
logged and completed.
426
00:21:47,512 --> 00:21:49,996
You've given me four months
of House's dictations
427
00:21:50,080 --> 00:21:52,178
so I can finally bill
insurance companies.
428
00:21:52,262 --> 00:21:55,471
I only did that stuff to prove
he couldn't make me miserable.
429
00:21:55,555 --> 00:21:57,074
Well, way to go.
430
00:21:57,253 --> 00:21:59,608
Now everybody's
getting what they need.
Even House.
431
00:21:59,715 --> 00:22:04,198
He gets to play mad scientist,
and this department runs smoothly.
432
00:22:04,282 --> 00:22:07,041
So I'm stuck with this
for the next three weeks.
433
00:22:07,345 --> 00:22:08,761
Maybe longer.
434
00:22:10,449 --> 00:22:13,432
Would you be interested
if this wasn't just pretend?
435
00:22:15,656 --> 00:22:16,634
What did Mommy say?
436
00:22:16,718 --> 00:22:18,294
I don't get any candy
in my stocking.
437
00:22:18,378 --> 00:22:20,018
Patient being prepped
for the venous sampling?
438
00:22:20,084 --> 00:22:20,815
Yeah.
439
00:22:20,971 --> 00:22:23,545
Mentally ill patient is
right on track for
a pointless procedure.
440
00:22:23,629 --> 00:22:27,143
Yeah, we get your objection.
[Phone starts ringing]
441
00:22:32,101 --> 00:22:33,515
Foreman.
442
00:22:33,812 --> 00:22:35,566
Are you sure?
443
00:22:36,288 --> 00:22:38,511
That doesn't make any sense.
Check it again.
444
00:22:39,055 --> 00:22:41,580
Haw! We gotta delay
the venous sampling.
445
00:22:41,664 --> 00:22:43,638
Why?
Her urine turning orange?
446
00:22:46,283 --> 00:22:47,926
How would you know that?
447
00:22:48,162 --> 00:22:49,661
Because that's
what rifampin does.
448
00:22:49,755 --> 00:22:51,333
She's not on antibiotics?
449
00:22:51,524 --> 00:22:55,302
But if a Munchausen's patient
thinks she's about get busted,
450
00:22:55,386 --> 00:22:59,389
she sees pills labeled
"Dangerous: might cause seizures,"
she might grab a couple.
451
00:22:59,473 --> 00:23:02,989
And if that label were accidentally
on a bottle of antibiotics
452
00:23:03,073 --> 00:23:05,348
and if that bottle were
accidentally left in her room...
453
00:23:05,432 --> 00:23:07,321
- You set her up?
- Might have.
454
00:23:07,624 --> 00:23:09,140
It's Munchausen's.
455
00:23:09,224 --> 00:23:11,485
All this she did to herself.
456
00:23:32,035 --> 00:23:35,047
I don't what the hell
you're talking about.
457
00:23:35,226 --> 00:23:38,525
I had a seizure.
I'm sick. I need your help.
458
00:23:38,609 --> 00:23:40,285
Not from this department.
459
00:23:40,369 --> 00:23:44,150
The half-life of rifampin is
three hours. After that,
you'll get your psych referral
460
00:23:44,319 --> 00:23:45,696
and your discharge papers.
461
00:23:45,780 --> 00:23:47,865
You know, just because
you stick your fingers
down your throat
462
00:23:47,932 --> 00:23:50,012
doesn't mean
the rest of us are screwed up.
463
00:23:50,771 --> 00:23:54,063
I guess when cooperation fails,
you move onto hostility.
464
00:23:54,667 --> 00:23:56,882
I didn't do this to myself.
465
00:24:08,589 --> 00:24:10,548
Chase:
100% commitment.
466
00:24:10,632 --> 00:24:11,709
Sign of a good liar.
467
00:24:11,793 --> 00:24:14,337
[Scoffs]
Also the sign of a sociopath.
468
00:24:15,008 --> 00:24:16,073
What are you doing?
469
00:24:16,157 --> 00:24:17,910
Correcting your last note.
470
00:24:18,438 --> 00:24:20,504
We can't discharge her,
she's sick.
471
00:24:21,424 --> 00:24:23,338
Anybody ever tell you
you write like a girl?
472
00:24:23,434 --> 00:24:24,271
What?
473
00:24:24,424 --> 00:24:26,504
You got some other explanation
for orange urine?
474
00:24:26,615 --> 00:24:28,944
- It's Munchausen's.
- Correct, but not complete.
475
00:24:29,035 --> 00:24:31,141
You just don't wanna admit
that she skunked you.
476
00:24:31,291 --> 00:24:33,684
At the end of
"The Boy Who Cried Wolf"
477
00:24:33,799 --> 00:24:35,754
the wolf really does come.
478
00:24:35,865 --> 00:24:38,531
And he eats the sheep
and the boy and his parents.
479
00:24:38,615 --> 00:24:40,562
- The wolf doesn't eat the parents.
- It does when I tell it.
480
00:24:40,646 --> 00:24:42,918
You're not telling
the story now. I am.
481
00:24:44,342 --> 00:24:46,412
Look, I checked her records.
482
00:24:46,496 --> 00:24:48,636
All her hospitalizations
were for different things.
483
00:24:48,720 --> 00:24:51,605
Brain tumor, fainting spells,
skin rashes, seizures.
484
00:24:51,689 --> 00:24:54,470
She's had every blood test
known to man and the results
were all over the map.
485
00:24:54,554 --> 00:24:57,506
There's only one constant.
Low HCT.
486
00:24:57,726 --> 00:24:58,876
The anemia's real.
487
00:24:58,960 --> 00:25:01,218
There's a million things
she could have taken
to have done that.
488
00:25:01,302 --> 00:25:02,807
True. Could just be her M.O.
489
00:25:02,891 --> 00:25:06,103
She self-induces two illnesses.
One always changes, one never does.
490
00:25:06,172 --> 00:25:09,548
Or maybe, she has
Munchausen's and aplastic anemia.
491
00:25:09,645 --> 00:25:12,785
Which would mean
without the proper treatment,
she'll continue to get sicker, weaker,
492
00:25:12,869 --> 00:25:15,366
eventually she'll start
bleeding internally and die.
493
00:25:15,541 --> 00:25:17,617
- She's not getting sicker.
- She will.
494
00:25:17,700 --> 00:25:20,943
If her bone marrow was dying,
the entire blood panel
would be affected.
495
00:25:21,027 --> 00:25:22,755
- Her white count's normal.
- So far.
496
00:25:22,819 --> 00:25:24,321
We need to do
a bone marrow biopsy.
497
00:25:24,405 --> 00:25:25,860
- No. No more tests.
- Look.
498
00:25:25,944 --> 00:25:28,188
You kick her to the curb
with a Munchausen's diagnosis,
499
00:25:28,302 --> 00:25:30,917
you're guaranteeing that
no doctor will ever listen to her again.
500
00:25:31,027 --> 00:25:33,803
We do more tests,
we'll only be feeding her psychosis.
501
00:25:33,863 --> 00:25:36,163
The more attention we give her,
the more she'll want.
502
00:25:38,028 --> 00:25:40,221
What if she doesn't know
we're testing her?
503
00:25:40,371 --> 00:25:43,088
House. You were wrong.
Live with it.
504
00:25:43,172 --> 00:25:45,608
There's probably some blood
left over from previous tests.
505
00:25:45,693 --> 00:25:48,185
Blood tests alone can't
confirm aplastic anemia.
506
00:25:48,269 --> 00:25:51,393
Yes, I know.
That's why I wanna
do a bone marrow biopsy.
507
00:25:51,477 --> 00:25:54,979
The blood tests could show
a systemic disease, or a virus
or toxin that could be the cause.
508
00:25:55,063 --> 00:25:57,981
Fine.
You wanna test the extra blood?
Knock yourself out.
509
00:25:58,065 --> 00:25:59,762
But the patient is off-limits.
510
00:25:59,866 --> 00:26:01,703
And if the results
are positive...
511
00:26:01,787 --> 00:26:03,390
I get my biopsy?
512
00:26:05,496 --> 00:26:07,138
It's a safe way to go.
513
00:26:23,775 --> 00:26:28,757
I need all of these tests
and a PCR done on this sample.
514
00:26:29,391 --> 00:26:30,772
You're gonna
need more blood.
515
00:26:30,963 --> 00:26:32,045
Patient's empty.
516
00:26:32,235 --> 00:26:33,992
Then I can't do it.
517
00:26:35,446 --> 00:26:36,566
You can try.
518
00:26:36,590 --> 00:26:38,808
You can try to look
like Salma Hayek.
519
00:26:38,892 --> 00:26:40,606
It's not gonna
make it happen.
520
00:26:45,362 --> 00:26:50,562
You may not have Salma's ass,
but she doesn't have your eyes.
521
00:26:50,926 --> 00:26:52,520
Yeah, right.
522
00:26:58,029 --> 00:26:59,692
How soon do you need it?
523
00:26:59,959 --> 00:27:01,110
[Knocking on door]
524
00:27:01,194 --> 00:27:03,655
Dr. Wilson. Can I talk to you
about something in confidence?
525
00:27:03,655 --> 00:27:04,465
Of course.
526
00:27:04,802 --> 00:27:06,904
- It's about House.
- Oh. Then no.
527
00:27:07,164 --> 00:27:08,506
Fine.
528
00:27:08,848 --> 00:27:10,409
I won't say anything.
529
00:27:12,617 --> 00:27:14,004
Do you think
there's any way
530
00:27:14,154 --> 00:27:17,115
House would take me
seriously as his boss?
531
00:27:17,199 --> 00:27:19,730
Uh...where is this coming from?
532
00:27:19,806 --> 00:27:21,310
Did Cuddy say something?
533
00:27:21,607 --> 00:27:24,000
We talked.
She intimated.
534
00:27:24,888 --> 00:27:27,182
And you want my advice
on how to usurp him?
535
00:27:27,266 --> 00:27:30,369
It's very ancient Rome.
He'll need a toga, of course. A...
536
00:27:30,453 --> 00:27:31,143
sword.
537
00:27:31,227 --> 00:27:32,578
It's not a coup.
538
00:27:32,662 --> 00:27:35,116
I just wanna
figure out some way
we can work together.
539
00:27:35,224 --> 00:27:38,307
I mean, I keep the team running
from an administrative point of view.
540
00:27:38,391 --> 00:27:40,042
House doesn't have to
deal with the red tape.
541
00:27:40,111 --> 00:27:42,756
- It's a win-win.
- I'm sure he'll see it that way.
542
00:27:43,608 --> 00:27:45,827
You have any advice
on how to approach him,
543
00:27:45,911 --> 00:27:48,449
- how to deal with the guy?
- No.
544
00:27:52,219 --> 00:27:54,283
But you won't
tell him we talked?
545
00:27:54,427 --> 00:27:55,961
No.
546
00:27:57,232 --> 00:28:01,515
There is no way
this is gonna happen.
547
00:28:05,521 --> 00:28:07,777
[Singing The Beatles' "Aint She Sweet"]
# Oh, ain't he sweet #
548
00:28:08,162 --> 00:28:10,432
# See him walkin' down that street #
549
00:28:10,648 --> 00:28:13,213
# So I ask you
very confidentially #
550
00:28:13,369 --> 00:28:15,465
# Ain't he sweet #
551
00:28:17,011 --> 00:28:18,968
Epstein-Barr titers
are through the roof.
552
00:28:19,234 --> 00:28:22,715
Most common viral cause
of aplastic anemia.
553
00:28:23,498 --> 00:28:25,328
So what I'm saying is...
554
00:28:25,867 --> 00:28:29,353
# Just cast an eye
in his direction #
555
00:28:29,460 --> 00:28:33,187
# Oh me, oh my,
ain't that perfection #
556
00:28:33,271 --> 00:28:35,217
Fetal hemoglobin's
also elevated.
557
00:28:35,301 --> 00:28:36,169
Yeah, just a wee bit.
558
00:28:36,277 --> 00:28:38,702
- Could indicate...
- Uh, you see that in Sickle Cell.
559
00:28:38,790 --> 00:28:40,791
Not all Sickle Cell patients are black.
560
00:28:40,855 --> 00:28:43,584
None of her other blood panels
showed any sign of Sickle Cell.
561
00:28:43,668 --> 00:28:46,757
Which means either
something's changed
drastically since yesterday,
562
00:28:47,413 --> 00:28:50,342
- or this isn't her blood.
- Oh course it is!
563
00:28:51,462 --> 00:28:52,915
Metaphorically.
564
00:28:54,387 --> 00:28:56,344
Look, I couldn't
do the tests.
565
00:28:56,786 --> 00:28:59,708
I tried, and there wasn't
enough blood left over.
566
00:29:00,049 --> 00:29:02,496
You just let me do the biopsy.
567
00:29:04,053 --> 00:29:05,053
Chase:
No way.
568
00:29:05,123 --> 00:29:06,851
I just got back
from a suspension.
569
00:29:06,935 --> 00:29:09,168
And if it wasn't for me,
you would have been fired.
570
00:29:09,680 --> 00:29:11,757
Why don't you just get
the sample yourself?
571
00:29:11,904 --> 00:29:13,530
Since when have you cared
what your boss said?
572
00:29:13,590 --> 00:29:16,179
I don't care what anybody says,
I care what they do.
573
00:29:16,263 --> 00:29:19,550
And right now,
Blackpoleon Blackaparte
has got the nurses on red alert.
574
00:29:19,634 --> 00:29:21,554
I can't get into
the patient's room.
575
00:29:21,856 --> 00:29:23,882
So come on.
I'll draw the enemy fire,
576
00:29:23,966 --> 00:29:26,120
you outflank them, get in there,
get the bone marrow sample.
577
00:29:26,411 --> 00:29:27,479
Can't.
578
00:29:28,950 --> 00:29:30,722
Who are you more afraid of?
579
00:29:34,553 --> 00:29:38,098
I'm not afraid of Foreman.
I agree with him.
All the tests back him up.
580
00:29:38,156 --> 00:29:40,388
All the tests
have not been done.
581
00:29:41,653 --> 00:29:44,519
You do realize that
Blackaparte's reign
is only temporary.
582
00:29:44,706 --> 00:29:48,837
I also realize that no matter what I do,
you're still gonna treat me like crap.
583
00:29:49,195 --> 00:29:51,547
Crap is a relative term.
584
00:30:00,332 --> 00:30:02,029
I never even made it
into the room.
585
00:30:02,185 --> 00:30:05,237
Nurses called the attending
as soon as a Trocar was ordered.
586
00:30:05,542 --> 00:30:07,513
You used her real name?
587
00:30:07,697 --> 00:30:10,371
I just processed
your patient's discharge papers.
588
00:30:10,516 --> 00:30:12,379
She's on her way out right now.
589
00:30:15,546 --> 00:30:17,234
Whoa! Whoa. Whoa.
590
00:30:17,472 --> 00:30:18,446
Wait up.
591
00:30:19,329 --> 00:30:20,860
It's all right.
She's gonna stay.
592
00:30:21,117 --> 00:30:23,389
- Wonderful.
- Oh, bite me!
593
00:30:23,976 --> 00:30:26,173
I don't need to hear
the riot act again.
594
00:30:26,273 --> 00:30:28,240
How would you like
another medical test?
595
00:30:29,117 --> 00:30:31,340
- What?
- Sit.
596
00:30:31,654 --> 00:30:32,848
Why?
597
00:30:33,420 --> 00:30:36,228
So you don't crack your skull
when you pass out.
598
00:30:37,314 --> 00:30:38,611
Just do it.
599
00:30:40,907 --> 00:30:42,999
- You know what colchicine is?
- No.
600
00:30:43,335 --> 00:30:45,762
Well, don't feel bad.
It's for gout.
601
00:30:45,846 --> 00:30:48,537
It's got nothing to do with anything
you've ever pretended to have.
602
00:30:48,621 --> 00:30:50,794
- I'm not pretending...
- Shut up.
603
00:30:51,856 --> 00:30:54,813
Colchicine decimates
your white blood cells
604
00:30:54,897 --> 00:30:56,332
and leaves almost no trace.
605
00:30:56,389 --> 00:30:58,152
It's great for faking
your way into hospitals.
606
00:30:58,248 --> 00:31:00,225
- I didn't fake my way...
- Shut up.
607
00:31:01,409 --> 00:31:03,381
You've beeing this for years.
608
00:31:04,503 --> 00:31:06,719
Don't worry,
it's probably not your fault.
609
00:31:07,755 --> 00:31:10,951
When you were a kid,
you had a close relative
who had a chronic disease,
610
00:31:11,035 --> 00:31:12,933
probably your sister.
611
00:31:14,030 --> 00:31:17,966
You saw all the attention she got
while you were left alone, ignored.
612
00:31:18,470 --> 00:31:21,107
And it really seriously
crewed you up.
613
00:31:21,980 --> 00:31:24,039
- I do not have a relative...
- Shut up!
614
00:31:24,129 --> 00:31:26,512
I'm trying to give you
what you want.
615
00:31:29,197 --> 00:31:31,227
And save your life.
616
00:31:33,747 --> 00:31:36,006
You have aplastic anemia.
617
00:31:36,090 --> 00:31:38,001
What, are you trying
to scare me now?
618
00:31:39,378 --> 00:31:41,874
It means you're
not just sick in the head.
619
00:31:42,222 --> 00:31:44,255
The problem is,
the rest of you appears well.
620
00:31:44,339 --> 00:31:46,759
So I've got to make you seem
as sick as you're supposed to be
621
00:31:46,843 --> 00:31:48,457
by injecting you with a drug
622
00:31:48,541 --> 00:31:51,525
that simulates symptoms
that you actually have.
623
00:31:54,787 --> 00:31:56,556
All you need to know is...
624
00:31:56,758 --> 00:31:59,182
you've hit
the Munchausen's jackpot.
625
00:31:59,360 --> 00:32:02,189
I'm gonna give you
a cocktail of insulin
for a seizure
626
00:32:02,261 --> 00:32:05,504
and colchicine
to kill your white count,
627
00:32:05,588 --> 00:32:08,994
this will absolutely confirm
my diagnosis of aplastic anemia.
628
00:32:09,109 --> 00:32:12,371
There is one...small catch.
629
00:32:12,455 --> 00:32:15,819
If you've actually done something
to yourself to cause the anemia,
630
00:32:16,083 --> 00:32:17,584
then I'm wrong.
631
00:32:18,079 --> 00:32:20,490
And if I do what I plan to do,
632
00:32:21,017 --> 00:32:24,134
then the treatment will kill you
instead of saving you.
633
00:32:24,493 --> 00:32:25,986
So I need to know.
634
00:32:26,459 --> 00:32:30,208
Have you been taking anything
besides the insulin, the ACTH,
635
00:32:30,359 --> 00:32:33,109
and the pills Cameron
left in your room?
636
00:32:39,145 --> 00:32:40,610
No.
637
00:32:41,747 --> 00:32:42,975
Good.
638
00:32:43,770 --> 00:32:45,299
Give me your arm.
639
00:32:55,838 --> 00:32:57,459
It was my mom.
640
00:32:58,271 --> 00:32:59,948
She had MS.
641
00:33:00,493 --> 00:33:02,969
She was in and out
of hospitals all the time.
642
00:33:03,438 --> 00:33:07,505
People were always
trying to do things for her.
643
00:33:07,914 --> 00:33:10,601
Bring her food
or brush her hair, or...
644
00:33:10,685 --> 00:33:12,380
make her happy.
645
00:33:13,379 --> 00:33:15,096
People cared.
646
00:33:18,803 --> 00:33:21,289
She died when I was 16.
647
00:33:24,789 --> 00:33:26,791
Then there was no one.
648
00:33:30,175 --> 00:33:31,580
Boo hoo.
649
00:33:34,383 --> 00:33:35,782
Where are you going?
650
00:33:37,967 --> 00:33:40,356
Well, I obviously can't
be around when it happens.
651
00:33:40,440 --> 00:33:42,383
Well, what are you gonna do?
You're just gonna...
652
00:33:42,437 --> 00:33:45,177
Relax.
You know the drill.
653
00:33:45,394 --> 00:33:48,673
People walk by here
all the time. You'll be fine.
654
00:34:11,915 --> 00:34:14,636
**So fairly off the door and
she has another seizure.
655
00:34:14,720 --> 00:34:16,948
She must've somehow
grabbed insulin on her way out.
656
00:34:17,030 --> 00:34:21,505
Once she's stable, we need to
get her out of here before
she does more damage to herself.
657
00:34:21,585 --> 00:34:22,697
We can't.
658
00:34:22,805 --> 00:34:24,465
Her white count's down.
659
00:34:25,904 --> 00:34:27,472
Sorry, I missed that.
660
00:34:28,146 --> 00:34:30,257
Hearing's been off since
the Ricky Martin concert.
661
00:34:30,341 --> 00:34:32,508
Some cholo kicked me in the head.
662
00:34:32,592 --> 00:34:35,444
White count, hematocrit,
and platelets are all off.
663
00:34:35,667 --> 00:34:38,498
Her bone marrow's shutting down.
She actually has aplastic anemia.
664
00:34:38,582 --> 00:34:39,586
Say what?
665
00:34:39,670 --> 00:34:41,865
Cameron:
All her other labs show
nothing that would...
666
00:34:41,949 --> 00:34:46,378
Lab ***.
A good diagnostician
reads between the labs.
667
00:34:47,071 --> 00:34:48,034
You were right.
668
00:34:48,218 --> 00:34:51,310
Hey, hey, hey.
We're not here to
play the blame game.
669
00:34:51,471 --> 00:34:52,610
These things happen.
670
00:34:52,999 --> 00:34:56,255
Sometimes doctors send
people out on the street to die
671
00:34:56,339 --> 00:35:00,145
after other doctors warn them
that they're sending people
out on the street to die.
672
00:35:00,251 --> 00:35:01,636
There's no way you could know.
673
00:35:03,240 --> 00:35:05,129
I'll go give her the news.
674
00:35:12,989 --> 00:35:14,216
Who are you?
675
00:35:14,613 --> 00:35:18,043
I'm Dr. Foreman.
I'm in charge of your case.
676
00:35:19,905 --> 00:35:21,735
You have aplastic anemia.
677
00:35:22,270 --> 00:35:24,578
Which means your
bone marrow has shut down.
678
00:35:24,682 --> 00:35:27,319
And your body can't
make new blood anymore.
679
00:35:28,496 --> 00:35:29,493
Are you sure?
680
00:35:29,709 --> 00:35:32,233
I went back and
checked your old records.
681
00:35:32,317 --> 00:35:33,880
It makes sense.
682
00:35:34,227 --> 00:35:38,030
The aplastic anemia's apparently
been developing for months.
683
00:35:38,678 --> 00:35:41,294
I'm sorry,
we should've caught it earlier.
684
00:35:41,378 --> 00:35:42,650
So...
685
00:35:43,116 --> 00:35:47,141
It's not just the latest white count
that's leading you to feel this...
686
00:35:50,321 --> 00:35:52,156
I know this is scary.
687
00:35:52,701 --> 00:35:55,335
But a bone marrow transplant
could cure you.
688
00:35:55,419 --> 00:35:57,789
A marrow transplant
could kill me.
689
00:35:57,973 --> 00:36:01,126
The other option is
weekly blood transfusions.
690
00:36:01,349 --> 00:36:03,689
Injections of GCSF.
691
00:36:04,218 --> 00:36:07,484
- It's a life-long regimen.
- Yeah, I don't want that.
692
00:36:07,668 --> 00:36:08,964
Are you sure?
693
00:36:11,781 --> 00:36:14,165
I-I don't want to
be ruel here, but...
694
00:36:14,789 --> 00:36:17,804
you jumped through a lot of hoops
to get this sort of attention.
695
00:36:18,487 --> 00:36:20,254
I just wanna be healthy.
696
00:36:22,295 --> 00:36:25,280
It's not so much fun
when you're actually sick.
697
00:36:27,462 --> 00:36:28,718
No.
698
00:36:32,818 --> 00:36:35,107
We'll um...
we'll check the registry.
699
00:36:35,191 --> 00:36:37,175
See if there's a donor match.
700
00:36:40,766 --> 00:36:42,032
Thank you.
701
00:36:48,400 --> 00:36:51,769
We have to kill all the old bone marrow
before we give you the new stuff.
702
00:36:51,966 --> 00:36:53,808
You'll have no immune system.
703
00:36:54,125 --> 00:36:57,086
We'll keep you in a sterile room
for two weeks to make sure
everything's dead.
704
00:36:57,229 --> 00:36:58,886
Then we'll give you
the donor marrow.
705
00:36:58,994 --> 00:37:01,656
It'll take another couple of weeks
until it takes hold.
706
00:37:02,169 --> 00:37:03,768
You won't feel a thing.
707
00:37:03,852 --> 00:37:06,955
If you get uncomfortable for any reason
I need to talk, don't yell.
708
00:37:07,227 --> 00:37:09,873
Walls are four inches thick. Lead.
709
00:37:10,055 --> 00:37:11,554
Use the microphone.
710
00:37:12,512 --> 00:37:13,582
Are you ready?
711
00:37:14,539 --> 00:37:15,590
Okay.
712
00:37:15,737 --> 00:37:17,574
[Irradiation starts]
713
00:37:19,623 --> 00:37:21,302
Where's Dr. House?
714
00:38:12,259 --> 00:38:13,454
Turn it off.
715
00:38:13,881 --> 00:38:15,952
[Monitor starts beeping]
Now what?
716
00:38:16,036 --> 00:38:17,150
How long has she been in there?
717
00:38:17,234 --> 00:38:19,008
Three minutes.
What's going on?
718
00:38:19,280 --> 00:38:21,202
She doesn't have
aplastic anemia.
719
00:38:21,285 --> 00:38:22,674
She has an infection.
720
00:38:22,782 --> 00:38:26,274
No. Her white count
would be through the roof.
Hers is one the floor.
721
00:38:26,573 --> 00:38:29,881
- Well, the body does crazy things.
- "The body does crazy things."
722
00:38:29,965 --> 00:38:31,454
Well, that explains everything.
723
00:38:31,538 --> 00:38:32,379
She had no fever.
724
00:38:32,463 --> 00:38:35,771
'Cause her self-inflicted Cushing's
suppressed her immune system.
725
00:38:36,117 --> 00:38:38,749
Stopped her from having a fever.
Hid the infection.
726
00:38:40,724 --> 00:38:44,893
Clostridium perfringens
could cause the bruises,
schistocytes, the anemia...
727
00:38:44,977 --> 00:38:47,068
Explains everything
except the white count.
728
00:38:47,937 --> 00:38:53,030
Augmentin is a lot safer than
destroying her immune system.
Why don't we try that?
729
00:38:55,168 --> 00:38:58,374
Ww-you're taking
the safe course?
730
00:38:58,576 --> 00:39:00,060
What's going on?
731
00:39:00,650 --> 00:39:03,474
There's lots of explanations
for a low white count.
732
00:39:03,558 --> 00:39:05,709
Name one that fits her case.
733
00:39:09,679 --> 00:39:11,517
Colchicine.
734
00:39:15,370 --> 00:39:20,120
I figure that she'd gotten
her hands on it and, uh,
just self-medicated.
735
00:39:20,532 --> 00:39:22,505
That's brilliant of her!
736
00:39:23,709 --> 00:39:28,095
Take the exact medication that
would confirm your diagnosis.
737
00:39:28,892 --> 00:39:30,654
People do crazy things.
738
00:39:30,843 --> 00:39:33,699
You injected her against her will
just so you could be right?
739
00:39:33,783 --> 00:39:36,111
- She consented.
- She's mentally ill!
740
00:39:36,195 --> 00:39:38,591
But she smells oh so sweet.
741
00:39:41,237 --> 00:39:43,366
She would've gotten sicker
when I said she was gonna get sicker,
742
00:39:43,450 --> 00:39:46,399
except Cameron dosed her
with antibiotics. Just hold this.
743
00:39:46,483 --> 00:39:49,052
- Is everything okay?
- Pull my finger.
744
00:39:49,775 --> 00:39:50,970
[Gasps]
745
00:39:51,465 --> 00:39:52,730
[Sniffs]
746
00:39:53,518 --> 00:39:54,854
Grapey.
747
00:39:55,460 --> 00:39:56,697
You have a bacterium.
748
00:39:56,781 --> 00:39:58,126
It's on all of us. But...
749
00:39:58,286 --> 00:40:01,335
the bruises you gave yourself
with the Cushing's made a lovely home.
750
00:40:01,756 --> 00:40:03,186
Bacteria moved in,
751
00:40:03,516 --> 00:40:06,228
parked their cars on the lawn.
There goes the neighborhood.
752
00:40:06,312 --> 00:40:09,500
By "neighborhood"
I mean your internal organs.
753
00:40:10,102 --> 00:40:12,487
So, should we put her
on the Augmentin, boss?
754
00:40:12,632 --> 00:40:15,850
Or do you think she injected
herself with grapes? [Sniffs]
755
00:40:17,407 --> 00:40:19,698
I love the smell of pus
in the morning.
756
00:40:19,833 --> 00:40:21,283
Smells like...
757
00:40:22,162 --> 00:40:23,586
victory.
758
00:40:28,249 --> 00:40:30,398
If you were serious
about the offer,
759
00:40:30,584 --> 00:40:32,229
I'm serious
about accepting.
760
00:40:33,242 --> 00:40:35,195
I'd like to run
the department.
761
00:40:35,455 --> 00:40:37,897
And you said it yourself,
things run smooth.
762
00:40:38,631 --> 00:40:40,822
Except for the part where
House went behind your back
763
00:40:40,927 --> 00:40:44,319
and KO'd the patient
with insulin and colchicine.
764
00:40:44,403 --> 00:40:46,898
There was no reason
to suspect an infection.
765
00:40:47,007 --> 00:40:49,598
Even House didn't think
it was an infection.
766
00:40:49,790 --> 00:40:51,505
You would've done
the same thing I did.
767
00:40:51,654 --> 00:40:53,448
And I'd be just as wrong.
768
00:40:53,987 --> 00:40:56,738
What House did was insane.
But he saved her life.
769
00:40:56,822 --> 00:40:57,582
He got lucky.
770
00:40:57,666 --> 00:40:59,837
He got her to admit
she's got a problem.
771
00:40:59,942 --> 00:41:02,301
She's agreed to
out-patient treatment.
772
00:41:02,453 --> 00:41:03,993
He gets lucky a lot.
773
00:41:08,590 --> 00:41:11,311
Did you ever really
intend to give me this job?
774
00:41:11,395 --> 00:41:13,986
Or were you just trying to
stop me from stepping down?
775
00:41:14,070 --> 00:41:16,451
You've got
two more weeks in charge.
776
00:41:16,956 --> 00:41:19,362
Hopefully the next case
will go better.
777
00:41:26,420 --> 00:41:28,365
She should've died.
778
00:41:29,135 --> 00:41:30,885
House is not a hero.
779
00:41:31,353 --> 00:41:34,086
A person who has the guts
to break a bad rule,
780
00:41:34,324 --> 00:41:36,025
they're a hero.
781
00:41:36,181 --> 00:41:38,826
House doesn't break rules.
He ignores them.
782
00:41:39,129 --> 00:41:41,046
He's not Rosa Parks.
783
00:41:41,431 --> 00:41:43,491
He's an anarchist.
784
00:41:43,575 --> 00:41:45,079
All he stands for is the right
785
00:41:45,184 --> 00:41:48,426
for everyone to grab
whatever they want
whenever they want.
786
00:41:48,976 --> 00:41:50,910
You tell doctors that's okay,
787
00:41:51,444 --> 00:41:54,694
your mortality rate is
gonna go through the roof.
788
00:41:58,777 --> 00:42:02,486
Kinda digging this whole
Foreman-in-charge thing.
789
00:42:03,390 --> 00:42:04,388
You know.
790
00:42:05,883 --> 00:42:08,207
It frees me up
to watch my soaps.
791
00:42:08,528 --> 00:42:10,601
Catch a movie
in the afternoon.
792
00:42:10,685 --> 00:42:11,996
Have lunch with you.
793
00:42:12,122 --> 00:42:14,059
Yeah, that's
a big change for you.
794
00:42:14,269 --> 00:42:17,456
Now Cuddy's up
Foreman's ass, not mine.
795
00:42:20,407 --> 00:42:23,942
# Carols everywhere...#
796
00:42:24,005 --> 00:42:26,485
You couldn't live
with Foreman as your boss.
797
00:42:27,024 --> 00:42:28,098
Why not?
798
00:42:29,151 --> 00:42:30,903
People can change, you know.
799
00:42:34,619 --> 00:42:38,984
# Sleigh bells in the air #
800
00:42:39,209 --> 00:42:42,470
# Beauty everywhere... #
801
00:42:42,626 --> 00:42:44,734
- White count is way down.
- Oh.
802
00:42:44,879 --> 00:42:47,456
We're going to need to admit you.
Just run a few more tests.
803
00:42:47,456 --> 00:42:49,407
Whatever you think is best.
804
00:42:53,760 --> 00:42:58,361
# Christmas time is here... #
805
00:43:00,156 --> 00:43:03,840
Last race at the Belmont.
Put it all on the 5. To win.
806
00:43:04,006 --> 00:43:07,478
# Oh that we could always see #
Transcript : Raceman
Synchro : Vaccine
807
00:43:07,621 --> 00:43:13,612
# Such spirit through the year #
www.forom.com
9999
00:00:0,500 --> 00:00:2,00
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