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1
00:00:00,062 --> 00:00:10,783
[Ceaseless drip of leaking water]
2
00:00:24,767 --> 00:00:28,097
[Air hissing from the heater]
3
00:00:29,179 --> 00:00:31,693
[Tick tock, tick tock...]
4
00:00:32,065 --> 00:00:33,513
[Sound of a passing car]
5
00:00:35,100 --> 00:00:39,933
[The water is still dripping]
6
00:00:40,126 --> 00:00:42,739
[Tick tock, tick tock...]
7
00:00:40,649 --> 00:00:42,755
[Air hissing]
8
00:00:41,563 --> 00:00:42,748
[Car passing]
9
00:00:46,009 --> 00:00:47,516
Hannah, are you okay?
10
00:00:47,621 --> 00:00:49,322
[Panting]
11
00:00:49,401 --> 00:00:50,665
Still can't sleep?
12
00:00:51,448 --> 00:00:52,663
I'm fine.
13
00:00:55,772 --> 00:00:57,061
Can I do anything to help you?
14
00:00:57,153 --> 00:00:59,719
Just go back to sleep.
I wanna go get a glass of wine.
15
00:00:59,819 --> 00:01:02,154
- I can keep you company.
- You have work in the morning.
16
00:01:02,165 --> 00:01:03,593
Are you sure?
You don't want me to...
17
00:01:03,722 --> 00:01:06,255
I'll be right back.
Just sleep.
18
00:01:17,317 --> 00:01:18,226
Hannah?
19
00:01:22,418 --> 00:01:23,794
Hannah?
20
00:01:35,899 --> 00:01:37,058
What'd you do?
21
00:01:37,855 --> 00:01:40,005
I just wanted to sleep.
22
00:01:40,402 --> 00:01:42,276
I'm calling an ambulance.
23
00:01:47,721 --> 00:01:52,206
2X18 - Sleeping Dogs Lie
24
00:02:14,252 --> 00:02:17,695
Original Airdate (FOX): 18 APR-2006
25
00:02:19,173 --> 00:02:23,295
[Snores]
26
00:02:23,422 --> 00:02:24,548
[The door opens]
27
00:02:32,170 --> 00:02:34,385
[Slams the door]
28
00:02:34,642 --> 00:02:37,553
You've seen one patient
in the last two hours.
29
00:02:37,887 --> 00:02:39,453
Complicated case.
30
00:02:40,212 --> 00:02:41,427
I'm a night owl.
31
00:02:41,512 --> 00:02:43,054
Wilson's an early bird.
32
00:02:43,303 --> 00:02:44,594
We are different species.
33
00:02:44,679 --> 00:02:46,068
Then move him into his own cage.
34
00:02:46,153 --> 00:02:48,562
Who'll clean the droppings for mine?
35
00:02:49,984 --> 00:02:53,274
25 year old female,
with sleep issues.
36
00:02:53,457 --> 00:02:55,286
I guess she's...
37
00:02:55,631 --> 00:02:57,315
Oh, what's the medical term?
38
00:02:57,733 --> 00:02:58,718
Upset.
39
00:02:58,719 --> 00:03:03,425
25-year-old females are usually
completely rational, they rocks, really.
40
00:03:04,491 --> 00:03:05,558
Aghhh...
41
00:03:05,559 --> 00:03:09,245
My theory seems to be supported by the fact
she swallowed a bottle of sleepng pills.
42
00:03:09,246 --> 00:03:11,967
Get her a shrink.
I need some shut-eye.
43
00:03:12,761 --> 00:03:14,706
She's a little bit more than upset.
44
00:03:15,268 --> 00:03:17,043
She hasn't slept in 10 days.
45
00:03:17,128 --> 00:03:18,678
She's lying.
46
00:03:19,132 --> 00:03:22,199
Without REM sleep
your neurons stop regenerating.
47
00:03:22,303 --> 00:03:24,581
Your brain shuts down lobe by lobe.
48
00:03:24,648 --> 00:03:27,909
She'd be insane after 5 days,
dead by 10.
49
00:03:27,910 --> 00:03:31,234
Give me a little credit.
I know what gets you off.
50
00:03:31,503 --> 00:03:34,155
She took the pills to sleep,
not to kill herself.
51
00:03:34,388 --> 00:03:35,536
Clever alibi.
52
00:03:35,622 --> 00:03:36,720
They didn't work.
53
00:03:36,801 --> 00:03:39,798
She stayed awake even though
she downed the whole bottle.
54
00:03:43,223 --> 00:03:47,387
And the longest anyone's ever
survived without sleep is 11 days.
55
00:03:47,575 --> 00:03:50,753
Which gives you 22 hours.
56
00:03:55,010 --> 00:03:56,338
You stole my article.
57
00:03:56,423 --> 00:03:57,297
I wouldn't do that.
58
00:03:57,298 --> 00:04:01,085
I wrote up the case where we induced
hyperthermic cardiac arrest
in the terminal cancer girl.
59
00:04:01,086 --> 00:04:03,063
I wrote my own.
I didn't steel yours.
60
00:04:03,148 --> 00:04:05,167
You knew I was writing one.
You gave me notes.
61
00:04:06,723 --> 00:04:07,939
Got a case.
62
00:04:09,280 --> 00:04:11,114
It can wait.
You two finish.
63
00:04:11,912 --> 00:04:14,440
5 bucks says someone loses an eye.
64
00:04:15,710 --> 00:04:18,572
Fine. You're only putting off the inevitable.
65
00:04:18,657 --> 00:04:21,937
25-year-old female,
hasn't slept for 10 days.
66
00:04:21,938 --> 00:04:24,919
I assume the ER tried
giving her some sedatives.
We should up the dosage.
67
00:04:24,920 --> 00:04:26,473
Sedation isn't the same as sleep.
68
00:04:26,558 --> 00:04:27,612
Thanks for your insight.
69
00:04:27,697 --> 00:04:30,454
For someone who hasn't slept in 10 days,
sedation is a great start.
70
00:04:30,539 --> 00:04:31,830
Sleep is an active process.
71
00:04:31,889 --> 00:04:34,262
Reboots the system, restores the brain.
Sedatives don't--
72
00:04:34,341 --> 00:04:36,290
The brain is being stressed;
we need to relieve that.
73
00:04:36,375 --> 00:04:39,017
You've had my article on your desk
for the last 4 months.
74
00:04:39,100 --> 00:04:40,608
I'm a very slow reader.
75
00:04:40,693 --> 00:04:43,529
No fever, no white count
means no infection.
76
00:04:43,673 --> 00:04:44,811
Schizophrenia?
77
00:04:44,973 --> 00:04:45,808
No delusions.
78
00:04:45,918 --> 00:04:47,087
You read his.
79
00:04:48,077 --> 00:04:50,064
Signed it, didn't read it.
80
00:04:50,149 --> 00:04:53,187
Aside from the sleeping pills,
tox screen was clean.
81
00:04:53,337 --> 00:04:56,253
No cocaine, methamphetamines
or diet pills.
82
00:04:56,338 --> 00:05:01,885
Only medicatiosn she's had recently are
Steroids for poison ivy and ibuprofen
for a knee she hurt skiing.
83
00:05:01,886 --> 00:05:03,726
Nothing that would cause sleep disturbances.
84
00:05:03,727 --> 00:05:07,226
- When did you get his article
- Uh... about 3 weeks ago.
85
00:05:08,501 --> 00:05:09,679
Let's go back to the beginning.
86
00:05:09,764 --> 00:05:10,715
How far back?
87
00:05:11,481 --> 00:05:12,968
Genesis.
88
00:05:13,305 --> 00:05:16,904
God said, "Let there be light".
89
00:05:17,234 --> 00:05:19,833
Sleep is initially contrlled
by external light cues.
90
00:05:19,834 --> 00:05:22,284
And if her brain can't
interpret those cues...
91
00:05:22,350 --> 00:05:23,683
Optic nerve disease.
92
00:05:25,075 --> 00:05:27,529
I'm sensing another article.
93
00:05:27,713 --> 00:05:29,633
I'll go run the test.
94
00:05:31,912 --> 00:05:36,861
I'm injecting a dye
which will allow us to take a look
at your retina and your optic nerve.
95
00:05:37,163 --> 00:05:38,817
Everything's kinda blurry.
96
00:05:38,902 --> 00:05:42,144
Normal, because of the dye,
it's gonna be that way next few hours.
97
00:05:48,937 --> 00:05:50,120
Need a hand?
98
00:05:50,121 --> 00:05:51,029
No.
99
00:05:52,165 --> 00:05:53,913
We're never gonna work together again?
100
00:05:53,914 --> 00:05:56,799
Just don't see the need to
make you feel better by forgiving you.
101
00:05:57,673 --> 00:06:00,495
I wasn't asking for forgiveness.
I was asking if you needed help.
102
00:06:00,579 --> 00:06:05,243
It's unprofessional to be talking
about this in front of the patient.
Myabe that doesn't matter to you, but...
103
00:06:05,679 --> 00:06:08,758
Doesn't matter.
She's not listening..
104
00:06:09,666 --> 00:06:10,998
She's asleep.
105
00:06:11,233 --> 00:06:13,676
Normal stage one brain waves.
106
00:06:15,013 --> 00:06:17,155
Maybe she's... better?
107
00:06:19,638 --> 00:06:21,008
Still blurry.
108
00:06:21,336 --> 00:06:23,176
You fell asleep.
109
00:06:23,261 --> 00:06:24,739
No, I didn't.
110
00:06:26,858 --> 00:06:28,802
Negative for optic nerve desease.
111
00:06:28,902 --> 00:06:30,006
But she sleeps.
112
00:06:30,379 --> 00:06:32,788
For like 10 seconds,
maximum 1 minute.
113
00:06:33,388 --> 00:06:36,234
We also checked the ocular pressure.
It's normal.
114
00:06:36,722 --> 00:06:38,655
And she doesn't know she sleeps.
115
00:06:38,745 --> 00:06:41,151
Brain is often aware of stage one sleep.
116
00:06:41,152 --> 00:06:45,251
CT showed no tumers, no clots,
no seizure disorder.
117
00:06:45,466 --> 00:06:49,394
So she sleeps.
She just can't stay asleep.
118
00:06:50,326 --> 00:06:51,700
You going somewhere with this.
119
00:06:51,701 --> 00:06:53,791
You know what keeps me awake at night?
120
00:06:54,018 --> 00:06:55,774
"Monsters in the closet".
121
00:06:55,859 --> 00:06:58,057
There's no monster in the closet.
We looked.
122
00:06:58,118 --> 00:07:00,405
Well, it's certainly not showing up on the scans.
123
00:07:01,312 --> 00:07:02,535
Where's Cameron?
124
00:07:03,921 --> 00:07:07,364
She felt I could deliver the news on my own.
125
00:07:09,083 --> 00:07:11,262
Oh, this is going to work out great.
126
00:07:13,682 --> 00:07:14,602
Come on.
127
00:07:18,008 --> 00:07:21,256
If you two guys can't play nice together,
I'll take away your toys.
128
00:07:21,365 --> 00:07:23,137
I don't care whose fault this is.
129
00:07:23,138 --> 00:07:26,250
- If you hadn't...
- Especially, I don't care if it was my fault.
130
00:07:26,516 --> 00:07:29,918
Whatever this woman has,
it's not showing upon our tests,
131
00:07:30,003 --> 00:07:31,458
which means she's sick.
132
00:07:31,459 --> 00:07:34,017
Just not sick enough for us to see it.
133
00:07:34,167 --> 00:07:35,997
You want us make her sicker?
134
00:07:36,082 --> 00:07:37,082
Yes.
135
00:07:37,457 --> 00:07:40,590
I wanna stress her body.
Specifically her brain.
136
00:07:40,773 --> 00:07:41,724
Keep her awake.
137
00:07:42,104 --> 00:07:45,667
Depriving her of even
the 5 minutes of sleep
she does have-- it's torture.
138
00:07:45,812 --> 00:07:47,600
So is cutting people with knives,
139
00:07:47,838 --> 00:07:50,023
but you can totally get away with that
if you havea doctor coat on.
140
00:07:50,024 --> 00:07:53,279
House, those few seconds of sleep
maybe the only reason she 's still alive.
141
00:07:53,280 --> 00:07:55,807
More symptom we can force out her,
the more tests we can do
142
00:07:55,892 --> 00:07:58,990
The more tests we do,
the more information we get,
the quicker we make a diagnosis.
143
00:08:00,024 --> 00:08:02,580
See how much more fun it is
when you guys get along?
144
00:08:02,981 --> 00:08:05,675
You two take the first 4 hours.
145
00:08:11,808 --> 00:08:13,103
Hannah?
146
00:08:15,662 --> 00:08:16,901
Hannah!
147
00:08:18,663 --> 00:08:20,109
You fell asleep.
148
00:08:20,825 --> 00:08:22,345
No, I didn't.
149
00:08:22,619 --> 00:08:24,910
Your brain doesn't remember.
It was just a few seconds.
150
00:08:24,995 --> 00:08:26,252
Max:
Is this really necessary?
151
00:08:26,253 --> 00:08:30,142
The sooner we find out what's wrong,
the sooner she can get a real night's rest.
152
00:08:30,475 --> 00:08:31,571
Hannah?
153
00:08:32,792 --> 00:08:33,857
Hannah?
154
00:08:34,383 --> 00:08:35,057
Hannah?
155
00:08:38,294 --> 00:08:39,473
Ow.
156
00:08:40,174 --> 00:08:41,434
What did you do that for?
157
00:08:41,522 --> 00:08:44,078
- You fell asleep again.
- No, I didn't.
158
00:08:44,163 --> 00:08:46,433
- We are sorry.
- We have to do this.
159
00:08:46,850 --> 00:08:48,760
We don't have to be cruel.
160
00:08:48,962 --> 00:08:51,679
You know what happens
when you're nice. Nothing.
161
00:08:51,838 --> 00:08:54,403
That's how you define "nice"?
Not "stealing"?
162
00:08:54,479 --> 00:08:56,110
Doctors!
163
00:08:56,356 --> 00:08:58,226
Foreman:
She fall asleep again?
164
00:09:05,253 --> 00:09:08,011
[Snores]
165
00:09:14,754 --> 00:09:16,373
We got rectal bleeding.
166
00:09:16,374 --> 00:09:17,743
What, all of you?
167
00:09:19,523 --> 00:09:23,127
So monster is peeking out
from under the bed.
168
00:09:23,128 --> 00:09:27,112
Which either means
she has a clotting disorder
or she has a tumer in her colon.
169
00:09:27,197 --> 00:09:29,028
Chase:
I'll do a colonoscopy.
170
00:09:29,206 --> 00:09:31,113
Who's keeping her awake now?
171
00:09:31,114 --> 00:09:33,634
We figured once we found another symptom,
it really didn't matter.
172
00:09:33,635 --> 00:09:35,124
Yeah, he's got all the ideas.
173
00:09:35,207 --> 00:09:36,572
Who is with her?
174
00:09:36,657 --> 00:09:39,364
Her partner's donating blood,
so she's with a nurse.
175
00:09:39,545 --> 00:09:42,689
Probably singing her lullabies.
I want her awake.
176
00:09:42,833 --> 00:09:45,021
You have to sedate a patient
to do a colonoscopy.
177
00:09:45,022 --> 00:09:47,474
Why? Just because of the pain?
178
00:09:48,381 --> 00:09:53,256
If you find a tumar in her colon,
you can knock her out.
If you don't, she stays awake.
179
00:09:56,275 --> 00:09:59,020
Aghhh! God! It hurts.
180
00:09:59,105 --> 00:10:01,798
- Can't you hurry?
- Trust me. You don't want me to hurry.
181
00:10:02,509 --> 00:10:05,010
God, you're killing me.
[Moaning]
182
00:10:05,114 --> 00:10:06,335
Hold my hand.
183
00:10:08,172 --> 00:10:10,156
Keep breathing, nice and steady.
184
00:10:12,281 --> 00:10:13,827
How am I supposed to work with him?
185
00:10:15,474 --> 00:10:18,464
Um, maybe we shouldn't be
talking about this right now?
186
00:10:18,828 --> 00:10:20,728
You think I'm overreacting?
187
00:10:21,326 --> 00:10:24,741
Um, I need you to relax your anus.
188
00:10:26,579 --> 00:10:29,479
We are not here.
We are skiing.
189
00:10:30,158 --> 00:10:32,149
It's Thanksgiving, at Vail.
190
00:10:32,150 --> 00:10:34,983
You want me to think about
nearly killing myself
on a snowboard?
191
00:10:35,150 --> 00:10:37,830
Come on, you never fell.
192
00:10:39,003 --> 00:10:40,698
You were awesome.
193
00:10:42,552 --> 00:10:46,463
Is that what you told him?
I'm hysterical, and I need to relax my anus?
194
00:10:47,894 --> 00:10:51,102
I told him-- how many cases
do we work up in the year?
195
00:10:51,187 --> 00:10:53,564
They're all weird; he could've
written up any one of them.
196
00:10:54,689 --> 00:10:56,067
She's bleeding.
197
00:10:57,094 --> 00:10:59,007
I can't breathe.
I can't breathe!
198
00:10:59,154 --> 00:11:00,340
Hold on.
199
00:11:06,479 --> 00:11:09,953
We packed her nose to control the bleed
and started transfusing 2 units of whole blood.
200
00:11:10,060 --> 00:11:13,621
The pathologyfrom the rectal bleed
showed traces of nasal epithelium.
201
00:11:13,706 --> 00:11:15,730
So, the butt bleed's
just a nose bleed.
202
00:11:15,881 --> 00:11:18,205
That much blood is
not a "just a" anything.
203
00:11:18,549 --> 00:11:21,089
When two people fight this much,
204
00:11:21,174 --> 00:11:22,237
You know what it means?
205
00:11:22,434 --> 00:11:26,105
It's gotta be a massive sinus hemorrhage
that was draining down her throat and out the back.
206
00:11:26,106 --> 00:11:27,897
The question isn't what, it's why.
207
00:11:27,898 --> 00:11:29,218
Oh, get a room.
208
00:11:29,360 --> 00:11:33,365
Rat poison mixed with
some sort of neurogenic toxin could
cause bleeding and sleep disturbances.
209
00:11:33,366 --> 00:11:35,383
Do you have a specific type
of neurogenic toxin in mind,
210
00:11:35,467 --> 00:11:37,473
or should we just start running
a thousand different tox screens?
211
00:11:37,558 --> 00:11:39,946
Just pretend I'm not here.
I'll be reading.
212
00:11:40,057 --> 00:11:41,852
It could also be
some type of coagulopathy.
213
00:11:41,958 --> 00:11:46,914
Or could be us. Do you have any idea
what it feels like to have a 6-foot-long hose
shoved into your large intestine?
214
00:11:46,915 --> 00:11:52,665
No, but I now havea much greater respect for
whichever basketball player you dated in college.
215
00:11:53,204 --> 00:11:56,074
We've basically been torturing this girl
for the last eight hours.
216
00:11:56,173 --> 00:11:58,442
We've been poking her foot,
not punching her face.
217
00:11:58,527 --> 00:12:01,460
Extreme stress can cause
high blood pressure
which can cause bleeding.
218
00:12:01,545 --> 00:12:02,921
Wouldn't keep her awake for 10 days.
219
00:12:02,922 --> 00:12:07,448
What if the poison ivy...
wasn't poison ivy.
220
00:12:08,412 --> 00:12:13,465
She got the rash that was diagnosed
as poison ivy around the same time
the insomnia started.
221
00:12:13,585 --> 00:12:18,498
Rash + nose bleed + sleep distuvance
equals Wegener's Granulomatosis.
222
00:12:18,857 --> 00:12:20,638
Start corticosteroid treatment.
223
00:12:20,723 --> 00:12:22,482
The poison ivy treatment was steroids.
224
00:12:22,483 --> 00:12:23,664
Much lower dosage.
225
00:12:23,818 --> 00:12:25,999
Get her back on the juice,
triple the dose.
226
00:12:26,226 --> 00:12:30,240
Get a c-ANCA and upper airway biopsy
to confirm Wegener's.
227
00:12:41,061 --> 00:12:42,777
[Mutters something in Mandarin]
228
00:12:42,778 --> 00:12:45,031
She has, uh, menstrual problems.
229
00:12:45,116 --> 00:12:48,112
They are really bad.
The pain keeps her in bed all day.
230
00:12:48,197 --> 00:12:50,461
Plus she's super depressed.
231
00:12:56,226 --> 00:12:58,380
She said super depressed?
232
00:12:59,509 --> 00:13:02,678
She heard that birth control pills
can make her feel better.
233
00:13:03,030 --> 00:13:05,241
She wants birth control pills
234
00:13:05,342 --> 00:13:07,718
- for her PMS (premenstrual syndrome).
- I guess.
235
00:13:09,558 --> 00:13:12,965
Judging by the redness around
your mom's nostrils and the tissue,
236
00:13:13,050 --> 00:13:17,876
she's got conveniently stashed inside her wrist
and I'd say her problem is more likely a URI.
237
00:13:17,877 --> 00:13:18,820
Not a PMS.
238
00:13:19,115 --> 00:13:22,121
- URI?
- Upper Respiratory Infection.
239
00:13:22,227 --> 00:13:23,313
A cold.
240
00:13:23,635 --> 00:13:25,127
I don't think so.
241
00:13:25,212 --> 00:13:27,433
I also think she's got a problem with SAC.
242
00:13:27,434 --> 00:13:28,558
SAC?
243
00:13:28,559 --> 00:13:31,847
Thanks for palying.
Stupid American Child.
244
00:13:32,805 --> 00:13:34,107
If you want the pill,
245
00:13:34,255 --> 00:13:38,604
all you have to do is
to walk into any health clinic
in Jersey alone and ask for it.
246
00:13:39,779 --> 00:13:41,656
What exactly was your plan?
247
00:13:41,657 --> 00:13:43,987
Were you going to exchange
the birth control pills for some
248
00:13:43,988 --> 00:13:48,326
over-the-counter-decongestants
and hope that your mom's cold
lasts another 6 years?
249
00:13:48,411 --> 00:13:49,495
No.
250
00:13:51,309 --> 00:13:55,128
- Is that for her cold?
- No, that's for your ovaries.
251
00:13:55,954 --> 00:13:58,636
I assume you haven't had a stroke.
Have you had a blood clot?
252
00:13:59,270 --> 00:14:00,014
No.
253
00:14:00,304 --> 00:14:01,304
Super.
254
00:14:01,779 --> 00:14:05,074
Each 3 months when you need a refill,
take a bus to a free clinic.
255
00:14:05,075 --> 00:14:07,858
Don't wait around hoping
for Mom to get another sniffle.
256
00:14:09,169 --> 00:14:12,076
Not the sharpest chopstick
in the drower, is she?
257
00:14:12,409 --> 00:14:13,888
[Says something in Mandarin]
258
00:14:14,961 --> 00:14:16,215
Was this just one of your experiments?
259
00:14:16,328 --> 00:14:19,160
You just wanted to see how I'd react
being screwed over by Foreman?
260
00:14:20,808 --> 00:14:22,205
Nice idea, but no.
261
00:14:22,437 --> 00:14:24,677
It was just good old-fashioned laziness.
262
00:14:26,076 --> 00:14:27,617
Gotta hand it to Foreman, though.
263
00:14:27,702 --> 00:14:30,438
He knew that you're a suck-up
and I don't give a crap.
264
00:14:30,523 --> 00:14:32,535
He successfully exploited us both.
265
00:14:32,620 --> 00:14:34,613
Right. We're both victims.
266
00:14:34,698 --> 00:14:36,569
A simple heads up,
that's all I needed.
267
00:14:36,682 --> 00:14:41,330
Maybe between your incredibly witty remarks
about anal sex and Cuddy's breasts
You could have tip me off.
268
00:14:41,639 --> 00:14:43,438
Then I'd have Foreman pissed at me,
269
00:14:43,774 --> 00:14:45,686
and as annoying as you could be,
270
00:14:45,771 --> 00:14:48,216
at least, you're not gonna
pop a cap in my ass.
271
00:14:48,847 --> 00:14:50,293
Witty, huh?
272
00:14:54,104 --> 00:14:55,744
You, on the other hand,
273
00:14:55,797 --> 00:15:00,426
continue to be flabbergasted
every time someone actually
acts like a human being.
274
00:15:01,453 --> 00:15:04,129
Foreman did what he did
'cause it worked out best that way for him.
275
00:15:04,547 --> 00:15:06,100
That's what everyone does.
276
00:15:06,185 --> 00:15:08,364
That is not the definition of being human.
277
00:15:08,671 --> 00:15:11,190
That's the definition of being an ass.
278
00:15:16,108 --> 00:15:17,266
This will numb you up.
279
00:15:20,719 --> 00:15:23,140
And this will keep
your tongue out of the way.
280
00:15:25,075 --> 00:15:28,140
Don't worry,
you shouldn't feel anything
except for slight pulling.
281
00:15:28,141 --> 00:15:29,957
So you think I was out of line?
282
00:15:29,958 --> 00:15:33,582
That article would set on House's desk
for the next 6 years.
283
00:15:33,583 --> 00:15:34,918
I could have told her.
284
00:15:35,905 --> 00:15:37,734
You could've written it for too.
285
00:15:37,991 --> 00:15:39,711
She knows House as well as any of us.
286
00:15:39,805 --> 00:15:43,421
You should've known
she was waiting for to do
something she was never gonna do.
287
00:15:47,643 --> 00:15:48,710
Chase.
288
00:15:51,213 --> 00:15:53,027
Hannah, sill with us?
289
00:15:53,196 --> 00:15:54,283
What's wrong with her eyes?
290
00:15:54,284 --> 00:15:55,471
Foreman:
It looks like REM.
291
00:15:55,673 --> 00:15:57,434
- What's that?
- Rapid Eye Movements.
292
00:15:57,435 --> 00:15:58,887
That's what your eyes do
when you're sleeping.
293
00:15:58,971 --> 00:16:00,075
But she's awake.
294
00:16:00,188 --> 00:16:01,169
Hannah.
295
00:16:01,795 --> 00:16:03,487
Hannah, can you hear me?
296
00:16:04,741 --> 00:16:06,390
Yeah, off course.
297
00:16:07,907 --> 00:16:09,629
Was she sitting up or lying down?
298
00:16:09,630 --> 00:16:11,618
- Sitting up.
- Then It wasn't REM.
299
00:16:11,703 --> 00:16:13,917
Chase says her eyes are moving the exact way.
300
00:16:14,030 --> 00:16:15,170
Did you start her on Steroids?
301
00:16:15,171 --> 00:16:17,302
- Not yet. We were still doing the--
- But she wasn't sleeping.
302
00:16:17,415 --> 00:16:18,092
How do you know?
303
00:16:18,197 --> 00:16:19,922
'Cause we haven't done anything yet.
304
00:16:20,150 --> 00:16:25,755
She may be able to sleep with her eyes open
but unless you also discovered she's got
two extra tits and her hooves for feet.
305
00:16:25,823 --> 00:16:29,682
There's no way she'd be able to
maintain enough muscle tensity
during REM sleep to sit upright.
306
00:16:29,780 --> 00:16:31,119
It's a movement disdorder,
307
00:16:31,381 --> 00:16:33,137
which rules out Wegener's.
308
00:16:34,123 --> 00:16:35,153
Where's Foreman?
309
00:16:35,532 --> 00:16:37,171
- Keeping her awake.
- Good.
310
00:16:37,507 --> 00:16:41,043
Rabies could cause muscle spasms,
malaise, anxiety and wakefulness.
311
00:16:41,128 --> 00:16:43,577
Pretty unlikely she forget
being bitten by a crazed animal.
312
00:16:43,655 --> 00:16:45,054
She could've been exposed
through an open wound.
313
00:16:45,120 --> 00:16:46,225
She have a dog?
314
00:16:46,226 --> 00:16:49,104
For less than a week.
She had an allergic reaction,
so they had to give it away.
315
00:16:49,166 --> 00:16:49,844
Allergies?
316
00:16:49,995 --> 00:16:52,640
Animal allergies seemed unlikely
but it's possible that--
317
00:16:52,706 --> 00:16:54,626
- When?
- When what?
318
00:16:55,225 --> 00:16:56,678
When did she get rid of the dog?
319
00:16:56,763 --> 00:16:59,659
About a month ago.
Her girlfriend gave it to her
for her birthday.
320
00:17:00,535 --> 00:17:02,520
Well, then it's not allergies.
321
00:17:02,964 --> 00:17:05,305
She's just leaving her girlfrined.
322
00:17:07,134 --> 00:17:09,720
You... spoke to the dog?
323
00:17:09,865 --> 00:17:13,969
If her birthday was a month ago,
she would've still been on steroids
for the poison ivy.
324
00:17:14,117 --> 00:17:17,075
Those meds would've
suppressed any reaction
she might've had to the dog.
325
00:17:17,076 --> 00:17:19,016
Which means she lied
about being allergic.
326
00:17:19,087 --> 00:17:20,356
Dog's a commitment.
327
00:17:20,547 --> 00:17:23,189
You pretend to be allergic
because you don't wanna
tell your girlfriend
328
00:17:23,256 --> 00:17:25,171
that you're not planning
on being around that long.
329
00:17:25,172 --> 00:17:27,738
So I think we can move
onto options other than allergies.
330
00:17:27,859 --> 00:17:31,106
We should still do a scratch test.
If she's allergic to one thing--
331
00:17:31,187 --> 00:17:33,166
She is not allergic.
332
00:17:33,268 --> 00:17:39,029
Okay. Well, we could either base our diagnosis
on your admittedly keen understanding
of lesbian relationships,
333
00:17:39,093 --> 00:17:41,631
or we could do a scratch test.
334
00:17:44,692 --> 00:17:46,314
Do a scratch test.
335
00:17:48,891 --> 00:17:50,834
[Coughs]
336
00:17:51,927 --> 00:17:53,763
You still feeling a lot of blood
in your throat?
337
00:17:53,804 --> 00:17:55,568
No, it's actually getting a little better.
338
00:17:55,797 --> 00:17:58,358
Good. Maybe things are just
starting to improve on their own.
339
00:17:58,921 --> 00:17:59,713
Just a few more.
340
00:17:59,794 --> 00:18:01,085
[Coughs]
341
00:18:01,086 --> 00:18:02,497
You want some water
to wash out your mouth?
342
00:18:02,580 --> 00:18:03,718
No, I'm okay.
343
00:18:03,799 --> 00:18:06,409
Come on, that can't taste good.
I'm gonna get you a soda.
344
00:18:06,410 --> 00:18:08,162
- It's okay, isn't it?
- Mm-hmm.
345
00:18:13,226 --> 00:18:15,748
You and Max seem to have
a really nice relationship.
346
00:18:16,241 --> 00:18:18,778
- Yeah.
- She's very supportive.
347
00:18:19,147 --> 00:18:20,251
Uh-huh.
348
00:18:22,579 --> 00:18:26,944
When Max got you the dog,
did you lie about having
an allergic reaction?
349
00:18:28,875 --> 00:18:30,023
No.
350
00:18:31,977 --> 00:18:32,624
Why?
351
00:18:32,625 --> 00:18:35,218
If you have pre-existing conditions,
it's important we know.
352
00:18:35,302 --> 00:18:38,290
But if you don't,
it's just as important.
353
00:18:39,196 --> 00:18:43,031
- If I'm wasting my time doing this allergy test--
- You're not gonna tell her, are you?
354
00:18:45,081 --> 00:18:46,301
It's none of my business.
355
00:18:46,382 --> 00:18:48,426
She's a good person and then...
356
00:18:48,494 --> 00:18:51,038
We've just been
together so long, I...
357
00:18:54,179 --> 00:18:56,363
I'm tired of her.
358
00:19:00,460 --> 00:19:02,523
Sounds terrible, doesn't it?
359
00:19:04,396 --> 00:19:06,387
I guess it happens sometimes.
360
00:19:07,511 --> 00:19:09,236
Oh, my back hurts.
361
00:19:15,575 --> 00:19:17,102
Hannah, can you turn over?
362
00:19:17,209 --> 00:19:18,330
What's wrong?
363
00:19:19,033 --> 00:19:20,717
I'm not sure.
364
00:19:25,707 --> 00:19:27,233
Oh, my God.
365
00:19:29,526 --> 00:19:30,934
She has massive internal bleeding.
366
00:19:30,974 --> 00:19:32,305
Chase:
Did she have access to aspirin?
367
00:19:32,379 --> 00:19:33,632
She'd have to take a hell of a lot.
368
00:19:33,712 --> 00:19:36,026
Why not, considering
her current mental state.
369
00:19:37,006 --> 00:19:38,921
What about her mental state?
370
00:19:39,563 --> 00:19:42,090
You were right about her
wanting to break up.
371
00:19:42,200 --> 00:19:44,509
That just means I was right,
doesn't mean she's suicidal.
372
00:19:44,620 --> 00:19:46,878
A bottle of pills is
what landed her here
in the first place.
373
00:19:46,958 --> 00:19:48,364
Sleeping pills.
374
00:19:48,705 --> 00:19:50,560
God knows why
she'd want them.
375
00:19:51,607 --> 00:19:54,777
What else can cause
sleep disorder
and internal bleeding?
376
00:19:54,857 --> 00:19:57,642
Drugs or alcohol can
mess with the sleeping
and compromise the liver.
377
00:19:58,464 --> 00:20:00,813
What are you doing here?
Who's keeping her awake?
378
00:20:00,893 --> 00:20:01,885
Doesn't matter.
379
00:20:02,163 --> 00:20:04,418
Liver function tests
are through the sky.
380
00:20:04,770 --> 00:20:07,052
Liver's not compromised,
it's dead.
381
00:20:07,514 --> 00:20:10,073
She doesn't need a diagnosis,
she needs a new liver.
382
00:20:11,637 --> 00:20:14,312
She's not getting a new liver
unless we can figure out
what's wrong with her.
383
00:20:14,392 --> 00:20:16,993
Test for cirrhosis: 12 hours.
Test for hepatitis: 8.
384
00:20:17,073 --> 00:20:18,479
Her liver's not gonna
last another 6.
385
00:20:18,559 --> 00:20:20,319
So your advice is
we just give up?
386
00:20:21,104 --> 00:20:26,656
My advice is that we narrow our focus
to conditions that we can diagnose treat,
and cure in less than 6 hours.
387
00:20:27,754 --> 00:20:29,577
And there's nothing on that list.
388
00:20:32,059 --> 00:20:34,545
The girlfriend donated blood, right?
389
00:20:34,778 --> 00:20:36,349
Yeah, so?
390
00:20:36,722 --> 00:20:38,471
It means that
they're the same type.
391
00:20:39,516 --> 00:20:42,808
You can't ask
the person she's about to dump
to donate half her liver.
392
00:20:43,557 --> 00:20:45,420
It does seem tacky, doesn't it?
393
00:20:54,476 --> 00:20:56,387
I'm Dr. Hosue.
394
00:20:56,652 --> 00:20:58,376
I'm in charge of your case.
395
00:20:59,692 --> 00:21:00,870
What's going on?
396
00:21:00,978 --> 00:21:03,752
How come no one is
keeping her awake anymore?
397
00:21:04,112 --> 00:21:06,442
You're in acute liver failure.
398
00:21:07,823 --> 00:21:10,765
We can continue
the transfusions and the lactulose,
399
00:21:10,845 --> 00:21:12,681
But it's only a stop-gap.
400
00:21:13,637 --> 00:21:17,617
There's really nothing we can do
to stop the toxins from building up
in your bloodstream.
401
00:21:18,703 --> 00:21:21,107
Which means that in a few hours
402
00:21:21,712 --> 00:21:24,204
you will lapse into a coma...
403
00:21:25,647 --> 00:21:27,514
and you won't wake up.
404
00:21:33,382 --> 00:21:34,642
I'm sorry.
405
00:21:36,904 --> 00:21:39,352
That's it? You are giving up?
You're...
406
00:21:39,438 --> 00:21:41,699
not gonna figure out
what's doing this to her?
407
00:21:42,271 --> 00:21:46,646
Even with the right diagnosis,
any treatment's gonna take longer
than the time she has left.
408
00:21:46,726 --> 00:21:49,628
If it's her liver,
can't she get a transplant?
409
00:21:50,044 --> 00:21:52,375
Wouldn't work without a diagnosis.
410
00:21:52,495 --> 00:21:55,572
Whatever killed the first liver
would do the same to the second.
411
00:21:55,833 --> 00:22:01,696
But it would-- it would give you more time
to make the diagnosis, to get her better.
412
00:22:03,524 --> 00:22:06,365
Well, it might give us
an extra day or two, but...
413
00:22:06,974 --> 00:22:11,401
no procurement agency is gonna
let a liver go to a patient
with an undiagnosed, pre-existing--
414
00:22:11,501 --> 00:22:14,179
Hannah and I have
the same blood type.
415
00:22:14,551 --> 00:22:16,390
Couldn't I be the donor.
416
00:22:23,832 --> 00:22:27,475
It is medically possible
for us to take a part of your--
417
00:22:27,560 --> 00:22:29,619
Please, I don't care
about the risks.
418
00:22:40,088 --> 00:22:43,145
You're very lucky to have
such a devoted partner.
419
00:22:57,869 --> 00:23:00,012
I just bought us 36 hours.
420
00:23:00,194 --> 00:23:01,835
Differential diagnosis.
421
00:23:02,069 --> 00:23:05,877
Which monster eats your liver,
screws up your sleep,
and causes bleeding?
422
00:23:05,962 --> 00:23:07,451
Does Max know
Hannah plans to leave her?
423
00:23:07,452 --> 00:23:09,386
Didn't come up.
So I guess no.
424
00:23:09,470 --> 00:23:11,510
If she knew, there's no way
she'd go through with this.
425
00:23:11,615 --> 00:23:15,296
And if you didn't have a pathological need
to create a close, personal relationship
426
00:23:15,380 --> 00:23:19,013
with every dying person you meet,
we would be blissfully ignorant
of any ethical dilemmas
427
00:23:19,098 --> 00:23:21,310
and might actually be able to
concentrate on the differential.
428
00:23:21,418 --> 00:23:22,631
Scratch test was negative.
429
00:23:22,632 --> 00:23:26,712
It's rare, bet any of the hepatitis viruses
could cause sleep disturbances and liver failure.
430
00:23:26,797 --> 00:23:27,927
No, PCRs were normal.
431
00:23:28,012 --> 00:23:30,548
- We have an ethical dilemma.
- No, we don't.
432
00:23:31,363 --> 00:23:32,313
Continue.
433
00:23:32,414 --> 00:23:36,770
What about splenic cancer or
Non-Hodgkin's lymphoma?
She's the right age.
434
00:23:36,813 --> 00:23:39,623
Could explain the bleeding.
Maybe the liver failure.
435
00:23:39,708 --> 00:23:43,125
We're withholding information
relevant to her decision
to risk her life.
436
00:23:43,356 --> 00:23:44,908
How is that not an ethical dilemma?
437
00:23:44,992 --> 00:23:46,817
It's not medical information.
438
00:23:46,901 --> 00:23:48,811
- Who cares?
- The AMA.
439
00:23:48,898 --> 00:23:51,998
Wilson's disease could explain liver and neurological symptoms.
440
00:23:52,106 --> 00:23:53,611
It also causes bleeding disorders.
441
00:23:53,695 --> 00:23:55,467
No Kayser-Fleischer rings
in her eyes.
442
00:23:55,516 --> 00:23:57,933
Rings don't have to be there
if there's neurological symptoms.
443
00:23:58,017 --> 00:24:00,495
- This is immoral.
- Look, let's say you're right.
444
00:24:00,644 --> 00:24:02,865
We tell, she changes her mind,
our patient dies.
445
00:24:02,949 --> 00:24:04,049
How is that moral?
446
00:24:05,578 --> 00:24:06,375
What else?
447
00:24:06,703 --> 00:24:10,759
Poison mushrooms can cause
liver failure, sleep disturbances,
and internal bleeding.
448
00:24:10,843 --> 00:24:13,128
She's not 'shrooming;
she's a sport's nut.
449
00:24:13,187 --> 00:24:15,256
Right. Skiers never party.
450
00:24:15,324 --> 00:24:17,654
She's doing this out of love
and Max doesn't know--
451
00:24:17,738 --> 00:24:20,449
It's only moral to save a person
if they love you?
452
00:24:21,212 --> 00:24:23,810
It's kind of a selfish way
of looking at life.
453
00:24:23,956 --> 00:24:26,826
I like Wilson's disease,
like cancer, love mushrooms.
454
00:24:26,910 --> 00:24:28,958
Yeah, but we don't have
the time to test for any of it.
455
00:24:29,042 --> 00:24:32,508
Before she can get the transplant,
we need to do about 80 procedures.
456
00:24:32,592 --> 00:24:34,991
So do those tests and my tests
at the same time.
457
00:24:35,075 --> 00:24:40,630
Use the PET to look for cancer and Wilson's
while you endoscope her bile ducts,
scrape her stomach for mushroom spores.
458
00:24:40,631 --> 00:24:46,366
One of you CT her liver,
while the other two check
proteins CA-125 and CA-19.5.
459
00:24:46,536 --> 00:24:49,310
Oh yeah,
anyone says anything to Max,
460
00:24:49,492 --> 00:24:51,438
they're fired.
461
00:24:51,985 --> 00:24:54,962
- We have to.
- We have to not.
462
00:24:55,046 --> 00:24:56,372
Because she's not our patient.
463
00:24:56,456 --> 00:24:59,670
She's getting surgery,
she's someone's patient.
464
00:25:02,531 --> 00:25:04,449
Calvin and Sam.
Great, thank you.
465
00:25:05,015 --> 00:25:06,484
Need a little help.
466
00:25:06,652 --> 00:25:10,017
Inexplicable rash
on a patient's scrotum
you need me to look at?
467
00:25:10,101 --> 00:25:14,391
27-year-old female wants
to donate half her liver
to her dying girlfriend.
468
00:25:14,475 --> 00:25:15,619
That's very generous.
469
00:25:16,071 --> 00:25:18,531
This is sleepless girl?
What's she got?
470
00:25:18,615 --> 00:25:19,886
Liver failure.
471
00:25:19,970 --> 00:25:23,140
Sort of figured that out when
you said she needed a new liver.
472
00:25:25,913 --> 00:25:27,158
You don't have a diagnosis.
473
00:25:27,242 --> 00:25:29,138
Transplant buys me time.
474
00:25:29,853 --> 00:25:32,054
Let's just skip the part
where I say this is insane.
475
00:25:32,161 --> 00:25:32,845
It was her idea.
476
00:25:32,925 --> 00:25:34,522
If she wants to be an idiot,
it's her call.
477
00:25:34,606 --> 00:25:35,540
You don't need me.
478
00:25:35,689 --> 00:25:38,083
Just have one of your team
walk her through the process.
479
00:25:38,167 --> 00:25:41,515
The donor and the donee sort of
have opposing interests, right?
480
00:25:41,620 --> 00:25:43,337
You can't really
advise them both.
481
00:25:43,612 --> 00:25:46,269
You're concerned
about the ethics of this?
482
00:25:46,731 --> 00:25:49,226
What's going on?
What do you know?
483
00:25:49,330 --> 00:25:50,890
Nothing medically relevant.
484
00:25:50,955 --> 00:25:53,331
But you know something,
and it is relevant.
485
00:25:54,293 --> 00:25:56,708
If I can't tell her,
I can't really tell you, can I?
486
00:25:56,792 --> 00:25:58,950
Not if you're advising her.
487
00:25:59,472 --> 00:26:02,223
I assume this information
is in the medical file.
488
00:26:02,307 --> 00:26:05,845
- My patient's confidential file.
- This hospital's file.
489
00:26:08,633 --> 00:26:10,891
You can either
satisfy your curiosity,
490
00:26:10,999 --> 00:26:13,589
or you can remain ignorant,
do nothing ethically wrong,
491
00:26:13,647 --> 00:26:16,960
and my patient doesn't die
in three hours.
492
00:26:23,605 --> 00:26:29,519
These tests and the counseling
normally happen over weeks.
493
00:26:29,603 --> 00:26:31,257
Sometimes months.
494
00:26:31,608 --> 00:26:32,366
It's okay.
495
00:26:34,039 --> 00:26:36,980
Well, the most important part
we're skipping is time--
496
00:26:37,064 --> 00:26:39,454
time for you to change your mind.
497
00:26:39,603 --> 00:26:41,823
I don't want to change my mind.
498
00:26:42,005 --> 00:26:47,061
Not now,
but with time and perspective,
maybe we learn things--
499
00:26:47,128 --> 00:26:49,410
If we had the time,
we'd take the time, but we don't.
500
00:26:49,475 --> 00:26:51,332
So can you get this over with?
501
00:26:54,177 --> 00:26:58,149
Either I sign off on this,
or it doesn't happen.
502
00:26:58,616 --> 00:27:00,875
So I need you to listen to me.
503
00:27:01,279 --> 00:27:04,958
Because there's a chance
that you will die on that table.
504
00:27:12,727 --> 00:27:16,361
I just want me and Hannah
to be able to lie in bed together,
505
00:27:17,540 --> 00:27:22,947
as old ladies.
Compare scars.
506
00:27:30,171 --> 00:27:33,577
I need you to lie on your side,
and hold your knees.
507
00:27:38,175 --> 00:27:42,646
I'm gonna check for vascular abnormalities
that might prevent us from doing the transplant.
508
00:27:42,772 --> 00:27:46,476
At the same time I'm also
checking for mushroom spores
to see if that's the underlying--
509
00:27:46,560 --> 00:27:47,846
I don't do mushrooms.
510
00:27:47,930 --> 00:27:50,975
You lie about your love life,
maybe you lie about drugs. Open.
511
00:27:54,765 --> 00:27:57,463
Aren't you at all concerned about
what Max is going through right now?
512
00:27:57,546 --> 00:27:59,533
They're shoving a tube
up her rectum.
513
00:27:59,611 --> 00:28:01,977
They're gonna swab her stomach,
just like I'm doing.
514
00:28:02,061 --> 00:28:03,932
It's going to hurt,
just like this hurts.
515
00:28:04,270 --> 00:28:09,099
Which is nothing at all
like the risk she's taking on the table.
516
00:28:12,107 --> 00:28:14,193
You really don't love her, do you?
517
00:28:14,598 --> 00:28:15,948
I'm not leaving her
because I don't--
518
00:28:16,032 --> 00:28:18,925
I'm not talking about the leaving.
I'm talking about this.
519
00:28:19,342 --> 00:28:22,177
If you care for her at all,
you won't let her do this blind.
520
00:28:26,852 --> 00:28:29,345
- You'd really tell.
- Yeah.
521
00:28:31,311 --> 00:28:33,455
You'd die.
522
00:28:41,982 --> 00:28:44,124
Take it you've seen that.
523
00:28:46,837 --> 00:28:51,322
Seen it, digested it,
watched it blow up
my entire department.
524
00:28:51,475 --> 00:28:53,996
- You read Cameron's version?
- Didn't read either.
525
00:28:54,061 --> 00:28:55,430
It was good.
526
00:28:55,771 --> 00:28:57,407
Better than Foreman's?
527
00:28:57,783 --> 00:29:01,443
Maybe. He was more analytical
about the diagnostic procedures.
528
00:29:02,356 --> 00:29:05,447
She concentrated more
on the ethical dilemmas
of informed consent.
529
00:29:05,590 --> 00:29:08,404
How any patient
can really be informed
without a medical degree.
530
00:29:08,488 --> 00:29:10,492
Same old party lines.
531
00:29:11,131 --> 00:29:12,468
Foreman should've told her.
532
00:29:12,616 --> 00:29:14,681
Oh, shoulda woulda coulda.
533
00:29:14,906 --> 00:29:18,772
If you allow this sort of thing
in your department,
you're basically saying it's okay.
534
00:29:18,856 --> 00:29:24,910
No, I'm saying that I don't care what they do
as long as my life isn't interrupted
by pointless conversations like this one.
535
00:29:25,022 --> 00:29:27,485
They won't trust each other,
and they won't trust you.
536
00:29:27,569 --> 00:29:28,824
They shouldn't.
537
00:29:29,347 --> 00:29:35,009
Deception like this is
just one step removed from
actively sabotaging one another.
538
00:29:35,177 --> 00:29:36,520
Then what would you do?
539
00:29:36,652 --> 00:29:39,867
I could be the kindest,
gentlest boss in the world
540
00:29:39,952 --> 00:29:43,007
and Foreman would've still done
what he did because that's who he is.
541
00:29:43,091 --> 00:29:46,077
We can only hope that
Cameron has learned something.
542
00:29:46,855 --> 00:29:50,579
Right, because you're
all about the teaching.
543
00:29:51,179 --> 00:29:53,857
Our children are the future.
544
00:29:59,332 --> 00:30:00,265
Hey.
545
00:30:00,793 --> 00:30:03,169
Cuddy cleared Max for surgery.
She's okay to go.
546
00:30:03,278 --> 00:30:05,413
- How's our patient?
- She's also cleared.
547
00:30:05,885 --> 00:30:08,774
I don't care about the prep.
I care about the diagnostic tests.
548
00:30:08,858 --> 00:30:11,259
Well, it looks negative
for Wilson's disease,
we'll know for surein an hour.
549
00:30:11,343 --> 00:30:13,468
- Blood proteins are normal, it's not--
- Where's Cameron?
550
00:30:13,552 --> 00:30:15,398
Taking a sample of the bile duct.
551
00:30:16,602 --> 00:30:18,933
Surgeries are supposed
to start in about 15 minutes.
552
00:30:19,041 --> 00:30:20,330
She had a chance to get one last--
553
00:30:20,414 --> 00:30:21,921
Hannah and Max will be
in the same room.
554
00:30:22,005 --> 00:30:23,802
You wanted us to do
as much as we can before--
555
00:30:23,886 --> 00:30:27,176
They're both awake.
With Cameron.
556
00:30:31,911 --> 00:30:34,810
Maybe we should give these two
a minute together before the surgery.
557
00:30:36,020 --> 00:30:37,581
You ready, honey?
558
00:30:40,611 --> 00:30:41,610
Max.
559
00:30:41,668 --> 00:30:44,519
It's okay.
I'm right here.
560
00:30:45,233 --> 00:30:50,164
- I need you to know something.
- I know. I love you, too.
561
00:30:51,713 --> 00:30:52,733
I don't know how to say this.
562
00:30:52,803 --> 00:30:54,204
Good lord.
563
00:30:54,272 --> 00:30:55,568
You can tell me anything.
564
00:30:55,652 --> 00:30:59,898
She hasn't slept in eleven days,
you people trying to torture her?
565
00:31:04,999 --> 00:31:06,642
Ding, ding, let's go.
566
00:31:11,347 --> 00:31:13,946
- I told you not--
- I didn't say a word to Max.
567
00:31:14,030 --> 00:31:16,558
This is exactly why
you got screwed with Foreman.
568
00:31:16,703 --> 00:31:18,873
You're looking for people
to do the right thing.
569
00:31:18,957 --> 00:31:22,469
She hasn't slept,
her judgment's compromised
due to inactivity in her prefrontal cortex.
570
00:31:22,553 --> 00:31:26,581
Oh, she could have
the best prefrontal cortex
in the history of mankind.
571
00:31:26,665 --> 00:31:31,654
But given the choice of life versus death,
those bad, bad people are going to choose life.
572
00:31:31,720 --> 00:31:33,309
Then why'd you sedate her?
573
00:31:33,655 --> 00:31:38,127
If she wasn't gonna tell,
if she was never gonna do the right thing,
why bother knocking her out?
574
00:31:39,259 --> 00:31:42,633
This isn't about them.
If she talks,
if she does the decent thing,
575
00:31:42,741 --> 00:31:45,940
then you don't get to solve your puzzle,
your game's over, you lose.
576
00:31:46,024 --> 00:31:49,375
Yeah, I want to save her;
I'm morally bankrupt.
577
00:32:11,263 --> 00:32:12,266
How's it going?
578
00:32:12,355 --> 00:32:14,327
They're about to
remove Hannah's liver.
579
00:32:19,067 --> 00:32:21,810
All right, I'm good to go.
580
00:32:22,062 --> 00:32:24,345
You can start
removing Max's liver.
581
00:32:25,868 --> 00:32:28,890
Cuddy:
You want to let me in on what
the big secret is between these two?
582
00:32:29,227 --> 00:32:30,984
You read Foreman's article?
583
00:32:33,057 --> 00:32:34,503
It was good.
584
00:32:36,003 --> 00:32:38,164
He basically stole it from me.
585
00:32:39,710 --> 00:32:41,063
So?
586
00:32:41,231 --> 00:32:42,789
You're on his side?
587
00:32:43,037 --> 00:32:45,638
Sides?
No, this isn't dodgeball.
588
00:32:46,776 --> 00:32:49,219
What am I supposedto do?
Just sit backand take it?
589
00:32:49,407 --> 00:32:51,158
No, write another article.
590
00:32:51,228 --> 00:32:56,808
Kick ass, until you're sitting
behind some big expensive desk, and
someone from Johns Hopkins calls and says,
591
00:32:56,895 --> 00:33:00,770
"We're thinking about hiring
Eric Foreman as our Head of Neurology,"
592
00:33:00,854 --> 00:33:03,032
and you can say
whatever you want.
593
00:33:03,314 --> 00:33:07,688
Lovely.
Revenge as motive for success.
594
00:33:07,808 --> 00:33:09,736
Well, it doesn't have to be the motive.
595
00:33:10,030 --> 00:33:11,876
But it sure tastes good.
596
00:33:12,686 --> 00:33:14,434
She's in VF.
I've got no pulse!
597
00:33:14,518 --> 00:33:15,710
She's arresting.
598
00:33:16,693 --> 00:33:17,944
Paddles.
599
00:33:18,028 --> 00:33:21,583
Ugh! I am so relieved
you two are here.
600
00:33:21,872 --> 00:33:24,231
Without you looking out,
they'd be playing foosball down there.
601
00:33:24,315 --> 00:33:25,453
Max's heart stopped.
602
00:33:25,551 --> 00:33:27,722
Your patient is on the other side.
603
00:33:27,806 --> 00:33:32,739
Get yourself upstairs and
figure out what Hannah has,
or Max has risked her life for nothing.
604
00:33:35,684 --> 00:33:36,860
Charging.
605
00:33:38,362 --> 00:33:39,047
Clear.
606
00:33:44,767 --> 00:33:46,262
We're okay.
607
00:33:51,549 --> 00:33:55,681
Chase:
Max's cardiac arrest was caused
by hypoxia from hypoventilation.
608
00:33:55,848 --> 00:34:00,772
They restarted her heart and
the right lobe of her liver was
successfully transplanted into Hannah.
609
00:34:00,921 --> 00:34:05,837
Now, where were we before
we were so rudely interrupted
by the liver transplant?
610
00:34:05,921 --> 00:34:10,414
DOPA decarboxylase was processed normally and
the cerolo-plasmaand copper levels were normal.
611
00:34:10,498 --> 00:34:11,506
So no Wilson's disease.
612
00:34:11,614 --> 00:34:14,529
Gastric content was negative for spores,
so no mushroom toxicity.
613
00:34:14,613 --> 00:34:16,900
And the initial tests
were negative for cancer.
614
00:34:16,962 --> 00:34:18,808
- Which cancer were you looking for?
- Any of them.
615
00:34:18,913 --> 00:34:21,592
We ran blood tests for
ovarian, lung, and lymphomas.
616
00:34:21,676 --> 00:34:22,739
It's not gonna tell you much.
617
00:34:22,823 --> 00:34:25,046
Her blood was taken after
she was given immunosuppressants.
618
00:34:25,149 --> 00:34:29,905
They fight rejection.
They also mess up our ability
to get any clear readings.
619
00:34:31,509 --> 00:34:34,648
Great battles kick up a lot of dirt.
620
00:34:35,532 --> 00:34:39,590
Obscure the battlefield
so generals can't see what's going on.
621
00:34:40,259 --> 00:34:43,015
So what are your orders,
General House?
622
00:34:44,949 --> 00:34:47,238
Sound the retreat.
623
00:34:49,571 --> 00:34:50,868
How ya feeling?
624
00:34:51,804 --> 00:34:53,129
Is Max okay?
625
00:34:53,213 --> 00:34:55,863
She's still unconscious,
but her vitals look good.
626
00:34:56,941 --> 00:35:02,462
We need to stop
all the immunosuppressant drugs
which are protecting your new liver.
627
00:35:04,323 --> 00:35:06,627
But if you stop the drugs, I'll die.
628
00:35:07,317 --> 00:35:10,736
You're dead anyway
if we don't figure out
what caused all this.
629
00:35:11,967 --> 00:35:16,629
By removing any outside influences,
it'll help us see what's
really going on with your body.
630
00:35:16,758 --> 00:35:20,692
So you did all this
to buy me a couple of days,
and now you're taking 'em back?
631
00:35:25,308 --> 00:35:26,872
Will it hurt?
632
00:35:28,208 --> 00:35:30,567
As your body goes into
acute organ rejection,
633
00:35:30,631 --> 00:35:34,012
your liver will begin to swell,
it'll put pressure on--
634
00:35:35,626 --> 00:35:39,599
Yeah. It'll hurt.
We can knock you out.
635
00:35:39,663 --> 00:35:45,410
Mm, no. If Max wakes up,
I want to talk to her.
636
00:35:52,091 --> 00:35:56,766
She's been taking the decongestants,
but she's not getting better.
She also says...
637
00:35:57,503 --> 00:35:58,534
What?
638
00:35:59,517 --> 00:36:01,573
Her boobs are bigger.
639
00:36:07,965 --> 00:36:11,713
Ugh. How could you
get them mixed up?
640
00:36:11,783 --> 00:36:15,102
They come in a little wheel,
they don't look anything
like decongestants.
641
00:36:15,186 --> 00:36:18,918
Oh, God! The cashier
put them both in the same bag.
I thought I gave her the right ones.
642
00:36:19,330 --> 00:36:21,371
[Asks in Mandarin]
643
00:36:24,006 --> 00:36:26,298
[Answers in Mandarin]
644
00:36:27,021 --> 00:36:29,964
No, you gave her
the wrong pills.
645
00:36:30,061 --> 00:36:32,316
You speak Mandarin?
646
00:36:32,878 --> 00:36:36,514
I can count to ten,
ask to goto the bathroom, and...
647
00:36:37,016 --> 00:36:39,413
[Says something in Mandarin]
648
00:36:41,523 --> 00:36:44,592
I'm not pregnant!
We--we haven't even done it yet.
649
00:36:47,859 --> 00:36:50,185
Okay, I'm going to
leave you two alone now.
650
00:36:50,242 --> 00:36:52,348
I'm sure you got
a lot to talk about.
651
00:36:59,027 --> 00:37:01,628
Fever's 106,
she's in full rejection mode.
652
00:37:01,965 --> 00:37:03,754
Is that supposed to surprise me?
653
00:37:03,907 --> 00:37:05,854
Her white count is normal.
654
00:37:06,957 --> 00:37:08,910
Normal is not normal.
655
00:37:09,011 --> 00:37:10,301
She's been on steroids,
656
00:37:10,385 --> 00:37:12,896
transplant team gave her
a cocktail of immunosuppressants,
657
00:37:12,980 --> 00:37:14,785
she hasn't slept in over a week.
658
00:37:14,869 --> 00:37:16,279
Her white count
should be in the tank.
659
00:37:16,363 --> 00:37:18,114
Looks like the problem is
some sort of infection.
660
00:37:18,199 --> 00:37:20,669
Probably caused a hypotension,
shocked the liver.
661
00:37:20,731 --> 00:37:22,896
We should start
broad spectrum antibiotics.
662
00:37:22,984 --> 00:37:25,543
Yeah, you might want to
add some chicken soup.
663
00:37:25,604 --> 00:37:28,287
It'd be just as useless,
but it's got chicken.
664
00:37:28,674 --> 00:37:30,980
We need to know exactly
what kind of infection
we're dealing with.
665
00:37:31,064 --> 00:37:33,361
What infection causes
sleep disturbance, bleeding,
666
00:37:33,462 --> 00:37:36,993
movement disorder, organ failure,
and an abnormally normal white count.
667
00:37:37,098 --> 00:37:38,808
- What about tularemia?
- Chest was clear.
668
00:37:38,892 --> 00:37:40,472
Tularemia doesn't cause
movement disorders.
669
00:37:40,556 --> 00:37:41,973
It would if she developed meningitis.
670
00:37:42,036 --> 00:37:43,991
There was no ulcerations on the skin.
671
00:37:44,720 --> 00:37:47,045
With the bleeding,
it looks more like leptospirosis.
672
00:37:47,129 --> 00:37:49,285
Without conjunctivitis
and elevated creatinine?
673
00:37:49,351 --> 00:37:51,945
What about typhoid or
some kind of relapsing fever?
674
00:37:52,029 --> 00:37:53,747
Makes sense,
if we were in the Sudan.
675
00:37:53,747 --> 00:37:55,354
We sure she hasn't been
out of the country?
676
00:37:55,438 --> 00:37:58,343
She hasn't even been out of
the state in at least a year.
Neither has Max.
677
00:37:58,427 --> 00:37:59,686
Maybe she lied.
678
00:38:00,246 --> 00:38:02,158
You talk to
her friends, neighbors?
679
00:38:02,548 --> 00:38:03,543
You don't know?
680
00:38:03,691 --> 00:38:07,067
Come on,
if you don't stay up to date on my notes,
where's your next article gonna come from?
681
00:38:07,841 --> 00:38:09,134
You talk to the dog?
682
00:38:09,465 --> 00:38:11,877
We're not as upon
foreign languages as you are.
683
00:38:11,946 --> 00:38:14,806
Ha! Has the dog been traveling?
684
00:38:15,216 --> 00:38:17,394
- It came from a breeder.
- Where?
685
00:38:17,904 --> 00:38:19,314
I don't know.
686
00:38:20,737 --> 00:38:22,295
A place called
Blue Barrel Kennels.
687
00:38:22,404 --> 00:38:24,343
They only had the thing
for like two days.
688
00:38:24,427 --> 00:38:26,619
Blue Barrel is a kind of cactus.
689
00:38:27,370 --> 00:38:29,754
You see many cacti in Jersey?
690
00:38:38,503 --> 00:38:40,106
Want to seea magic trick?
691
00:38:46,094 --> 00:38:48,316
Oh, no! Where'd it go?
Where'd it go?
692
00:38:49,111 --> 00:38:50,857
Is it here?
693
00:38:51,768 --> 00:38:54,881
No. What about here?
694
00:38:56,583 --> 00:38:58,662
There it is.
695
00:38:59,067 --> 00:39:02,745
Aw, that doesn't look
anything like a nose.
696
00:39:03,148 --> 00:39:05,185
Cameron:
That wasn't there this morning.
697
00:39:19,864 --> 00:39:22,466
Get that to the lab and call CDC.
698
00:39:22,746 --> 00:39:24,111
And tell them what?
699
00:39:24,195 --> 00:39:27,095
That we have a patient
with the plague.
700
00:39:28,127 --> 00:39:30,982
The black plague?
701
00:39:31,554 --> 00:39:32,542
Looks that way.
702
00:39:32,611 --> 00:39:34,480
Plague is carried
by rodents, not dogs.
703
00:39:34,564 --> 00:39:36,892
Where there's dogs,
there's fleas.
704
00:39:37,253 --> 00:39:38,778
And if they hail
from the Southwest,
705
00:39:38,895 --> 00:39:42,760
and those fleas can't tell the difference
between prairie dogs and puppy dogs.
706
00:39:42,890 --> 00:39:47,022
A small percentage of plague cases
present with sleep disturbance.
707
00:39:48,573 --> 00:39:52,524
Imagine an idyllic river of bacteria.
708
00:39:53,183 --> 00:39:55,846
Okay, it's not idyllic for her,
but it serves my purposes.
709
00:39:55,930 --> 00:40:00,022
The steroids and immunosuppressants acted
like a big, honkin' dam across the river--
710
00:40:00,103 --> 00:40:03,673
Physics 101.
Put a dam up in front
of a raging river, the river rises.
711
00:40:04,081 --> 00:40:05,716
By stopping
the immunosuppressants,
712
00:40:05,800 --> 00:40:09,956
we blew up the dam and
a 100-foot wall of bacteria
flooded her lymph nodes.
713
00:40:10,040 --> 00:40:11,965
We better find out
where that dog is now.
714
00:40:12,187 --> 00:40:14,565
After we start
the immunosuppressants
715
00:40:14,718 --> 00:40:18,876
and fill her up to the eyeballs with
streptomycin sulfate
gentamicin and tetracycline.
716
00:40:18,976 --> 00:40:20,656
Use a garden hose
if you've got one.
717
00:40:20,830 --> 00:40:23,372
Get yourselves some
prophylactic treatments as well.
718
00:40:25,575 --> 00:40:27,407
I've got the plague?
719
00:40:28,334 --> 00:40:30,124
Don't worry, it's treatable.
720
00:40:30,955 --> 00:40:35,637
Being a bitch, though,
nothing we can do about that.
721
00:40:42,806 --> 00:40:44,409
You weren't in your room.
722
00:40:44,920 --> 00:40:47,754
The surgeon said
I'd heal faster if I walk.
723
00:40:48,171 --> 00:40:50,697
Got this far, needed a rest.
724
00:40:51,220 --> 00:40:53,975
What you did was crazy,
but it was pretty amazing too.
725
00:40:54,081 --> 00:40:57,059
Yeah, I'm a hero.
726
00:40:59,653 --> 00:41:02,752
She's been planning to leave me.
727
00:41:05,147 --> 00:41:06,592
Really?
728
00:41:07,066 --> 00:41:10,965
She told a friend;
the friend let it slip.
729
00:41:13,108 --> 00:41:16,667
You knew and you gave up
half your liver anyway?
730
00:41:19,383 --> 00:41:21,451
She can't leave me now.
731
00:41:26,016 --> 00:41:30,137
You really want her to stay out of guilt?
That's not gonna make either of you happy.
732
00:41:30,221 --> 00:41:31,762
You don't know that.
733
00:41:32,537 --> 00:41:34,197
I love her.
734
00:41:36,399 --> 00:41:38,615
I just want her to stay.
735
00:41:55,600 --> 00:41:58,218
I don't own House's cases.
736
00:41:59,128 --> 00:42:01,869
You had just as much right
as I did to write it up.
737
00:42:02,322 --> 00:42:06,160
You shoulda told me, but
I shoulda handled it better too.
738
00:42:08,963 --> 00:42:12,135
If we want this not to get
in the way of our friendship,
739
00:42:12,219 --> 00:42:15,128
I think we both
have to apologize, and
740
00:42:15,735 --> 00:42:17,530
put it behind us.
741
00:42:20,154 --> 00:42:22,171
I like you, really.
742
00:42:22,255 --> 00:42:24,549
We have a good time
working together.
743
00:42:24,986 --> 00:42:26,753
But ten years from now,
744
00:42:27,183 --> 00:42:30,313
we're not gonna be
hanging out, having dinners.
745
00:42:30,404 --> 00:42:32,117
Maybe we'll exchange Christmas cards,
746
00:42:32,219 --> 00:42:35,415
say hi, give a hug
if we're at the same conference.
747
00:42:35,894 --> 00:42:39,661
[Exhale]
We're not friends.
748
00:42:39,739 --> 00:42:41,780
We're colleagues.
749
00:42:43,959 --> 00:42:47,742
And I don't have
anything to apologize for.
750
00:43:04,363 --> 00:43:05,907
Transcript : Raceman
Synchro : Vaccine
751
00:43:07,058 --> 00:43:09,976
www.forom.com
9999
00:00:0,500 --> 00:00:2,00
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