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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 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 www.tvsubtitles.net 61150

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