1 00:00:16,483 --> 00:00:18,474 What do you say now? 2 00:00:18,551 --> 00:00:20,746 I don't know. 3 00:00:20,820 --> 00:00:23,584 You said your dad wouldn't be home for an hour. 4 00:00:23,656 --> 00:00:26,557 I know, but it-- You don't know-- Don't you love me? 5 00:00:26,626 --> 00:00:29,356 Ofcourse. You know I-- Then, come on. Let's do it. 6 00:00:30,430 --> 00:00:32,421 All right. 7 00:00:43,576 --> 00:00:46,841 Where are they? Nightstand. 8 00:00:52,952 --> 00:00:55,819 Gentlemen, start your engines. 9 00:00:59,926 --> 00:01:03,589 I so want this car! 10 00:01:03,663 --> 00:01:05,722 Whoo-hoo! 11 00:01:05,799 --> 00:01:08,199 Whoo-hoo! 12 00:01:08,268 --> 00:01:10,793 Whoo-hoo! 13 00:01:28,822 --> 00:01:30,289 Oh, my God! You're bleeding. 14 00:01:30,356 --> 00:01:32,654 Look out! 15 00:02:32,418 --> 00:02:34,352 What lie are they telling you? 16 00:02:34,420 --> 00:02:38,481 I'll check on it. Okay. Yes-- 17 00:02:38,558 --> 00:02:41,994 Come on. 18 00:02:42,061 --> 00:02:45,326 Okay, thank you. 19 00:02:45,398 --> 00:02:47,696 Okay, pharmaceuticals were delivered this morning. 20 00:02:47,767 --> 00:02:50,702 But Shipping accidentally sent the box with Vicodin to Research. 21 00:02:50,770 --> 00:02:53,204 Hmm. That's a tough one. 22 00:02:53,273 --> 00:02:57,334 If only we had some way to communicate with another part of the building. 23 00:02:58,745 --> 00:03:00,679 Sixteen-year-old M.V.A. victim. 24 00:03:00,747 --> 00:03:04,046 He's been in and out of the hospital for three weeks with internal bleeding. No one can find the cause. 25 00:03:04,117 --> 00:03:07,018 Internal bleeding after a car accident. Wow, that's shocking. 26 00:03:07,086 --> 00:03:09,418 Let me talk to Shipping. I speak their language. 27 00:03:09,489 --> 00:03:13,084 It's been three weeks-- Your hospital doesn't have my pain medication. 28 00:03:13,159 --> 00:03:15,650 Shipping says it's going to be an hour. 29 00:03:15,728 --> 00:03:17,662 This is Dr. Cuddy. What's going on? 30 00:03:17,730 --> 00:03:20,665 The crash didn't cause the bleed. Right-- the bleed caused the crash. 31 00:03:20,733 --> 00:03:24,328 Blood got on the road, got all slippery-- Anyone here got drugs? 32 00:03:26,906 --> 00:03:30,103 She saw his blood, she got distracted, and she crashed his dad's Porsche. 33 00:03:30,176 --> 00:03:31,768 - Dad'll love that. - He was-- 34 00:03:31,844 --> 00:03:33,402 - Don't talk. - It's gonna be an hour. 35 00:03:33,479 --> 00:03:35,606 Thank God you took control. 36 00:03:35,682 --> 00:03:38,617 - If you can't wait one hour to get-- - Kid's got hemolytic anemia. 37 00:03:38,685 --> 00:03:40,550 Kid? How old? 38 00:03:40,620 --> 00:03:44,021 He must have inherited it. He's gonna die. My condolences. 39 00:03:44,090 --> 00:03:46,854 Wasn't inherited. The problem's outside the red blood cells. 40 00:03:46,926 --> 00:03:49,588 This is impossible. A 16-year-old does not get hemolytic anemia. 41 00:03:49,662 --> 00:03:53,792 Give her back the file. You have bigger problems to tend to, like my meds. 42 00:03:53,866 --> 00:03:57,165 Elevated indirect bilirubin, low serum haptoglobin-- 43 00:03:57,237 --> 00:03:59,762 - He's got meningitis. - Uh, no. 44 00:04:02,308 --> 00:04:04,401 - Artificial heart valve. - No. 45 00:04:10,483 --> 00:04:12,474 Get everyone in my office. 46 00:04:13,486 --> 00:04:16,046 Kid's gonna be dead in a matter of days... 47 00:04:16,122 --> 00:04:19,057 if we don't figure out why his red blood cells are disintegrating. 48 00:04:19,125 --> 00:04:21,593 So, differential diagnosis, people. Well, it's not environmental. 49 00:04:21,661 --> 00:04:24,892 Dad hired a company to clean the house, maid washed all the clothes... 50 00:04:24,964 --> 00:04:26,898 and bought hypoallergenic sheets and pillows. 51 00:04:26,966 --> 00:04:28,900 - You want us to recheck? - No. 52 00:04:28,968 --> 00:04:30,936 If it's environmental, he'll get better just from staying here. 53 00:04:31,004 --> 00:04:33,438 - It could be an infection. - No fever. No white count. 54 00:04:33,506 --> 00:04:36,168 - Well, he's 99.2. - Barely above normal. 55 00:04:36,242 --> 00:04:39,234 But above. His body's reacting to something. 56 00:04:39,312 --> 00:04:42,247 We could account for the lack of fever and white count if it's lupus. 57 00:04:42,315 --> 00:04:45,944 Drugs will fit just as much as lupus. Meth will cause hemolytic anemia. 58 00:04:46,019 --> 00:04:47,953 A lot of meth. 59 00:04:48,021 --> 00:04:50,080 Also doesn't exactly seem like the type. 60 00:04:50,156 --> 00:04:54,183 Because his dad drives a Porsche? Rich kids do drugs just like poor kids. 61 00:04:54,260 --> 00:04:56,194 Didn't mean to offend you. Okay! 62 00:04:56,262 --> 00:04:59,129 So it's infection, lupus, drugs or cancer. 63 00:04:59,198 --> 00:05:02,599 - Cancer? - Why not? Great meeting. 64 00:05:02,669 --> 00:05:05,866 Shouldn't we narrow it down before we finish? 65 00:05:05,938 --> 00:05:07,963 My leg gave us till 11:15. 66 00:05:08,041 --> 00:05:10,373 I'll talk to Wilson about lymphoma, A.N.A. for lupus, 67 00:05:10,443 --> 00:05:12,775 radioimmunoassay for drugs, 68 00:05:12,845 --> 00:05:15,780 and you test for whatever you thought it was. 69 00:05:15,848 --> 00:05:18,316 I've got a date with the pharmacist. 70 00:05:18,384 --> 00:05:20,716 That's already done, and-- 71 00:05:20,787 --> 00:05:24,154 Come on! Come on, come on, come on. 72 00:05:24,223 --> 00:05:26,214 Yeah. 73 00:05:34,834 --> 00:05:36,825 Excuse me. 74 00:05:40,206 --> 00:05:42,333 You know, there are other ways to manage pain. 75 00:05:42,408 --> 00:05:44,137 Like what? Laughter? 76 00:05:44,210 --> 00:05:47,008 Meditation? Got a guy that can fix my third chakra? 77 00:05:47,080 --> 00:05:49,173 You're addicted. 78 00:05:49,248 --> 00:05:53,685 If the pills ran my life, I'd agree with you, but it's my leg that's busy calendaring what I can't do. 79 00:05:53,753 --> 00:05:55,687 You're in denial. 80 00:05:55,755 --> 00:06:00,089 Right. I never had an infarction in my leg. No dead muscle, no nerve damage. 81 00:06:00,159 --> 00:06:02,593 Doesn't even hurt. Actually, it kinda tickles. 82 00:06:02,662 --> 00:06:04,596 And chicks dig this... 83 00:06:04,664 --> 00:06:06,598 better than a puppy. 84 00:06:06,666 --> 00:06:09,601 It's not just your leg. You wanna get high. 85 00:06:09,669 --> 00:06:11,603 You're doing, what, 80 milligrams a day? 86 00:06:11,671 --> 00:06:13,605 No. That's way too much. 87 00:06:13,673 --> 00:06:16,608 Moderation is the key. Unless there's pain. 88 00:06:16,676 --> 00:06:19,110 It's double what you were taking when I hired you. 89 00:06:19,178 --> 00:06:21,043 'Cause you're twice as annoying. 90 00:06:21,114 --> 00:06:23,048 I can't always be here to protect you. 91 00:06:23,116 --> 00:06:25,050 Patients talk. Doctors talk. 92 00:06:25,118 --> 00:06:28,554 About how big your ass has gotten lately? Not me. I defend it. 93 00:06:28,621 --> 00:06:30,612 You got back. 94 00:06:38,398 --> 00:06:42,061 You can't go a week without the drugs. No, I don't wanna go without the drugs. 95 00:06:42,135 --> 00:06:44,069 It'll hurt. No, you can't. 96 00:06:44,137 --> 00:06:47,072 If you're just getting off pain medication, it will hurt. 97 00:06:47,140 --> 00:06:50,075 You won't be having a great time, but you'll make it. 98 00:06:50,143 --> 00:06:52,577 If you're detoxing, you'll have chills, nausea. 99 00:06:52,645 --> 00:06:55,239 Your pain will magnify five, ten times. 100 00:06:55,314 --> 00:06:58,249 You won't make it. Well, I guess we'll never know. 101 00:06:58,317 --> 00:07:01,252 I'll give you a week off clinic duty if you can go a week without narcotics. 102 00:07:01,320 --> 00:07:03,311 No way. I love the clinic. 103 00:07:03,389 --> 00:07:05,983 You love the pills. Two weeks. 104 00:07:06,058 --> 00:07:08,891 The pills don't make me high. They make me neutral. A month. 105 00:07:13,900 --> 00:07:15,891 You're on, mister. 106 00:07:20,006 --> 00:07:24,170 Drugs could cause this? Cocaine and meth are very hard on the blood system. 107 00:07:25,178 --> 00:07:28,170 Has he had any erratic behavior? No, but-- 108 00:07:30,716 --> 00:07:32,775 She was in rehab in the ninth grade. 109 00:07:32,852 --> 00:07:35,946 She's supposedly clean now, but-- She obviously cares for him. 110 00:07:36,022 --> 00:07:38,081 Yeah, what she cared about was the car. 111 00:07:38,157 --> 00:07:40,682 Anniversary present for my wife. 112 00:07:40,760 --> 00:07:44,753 We drove it up north to watch the leaves change. 113 00:07:44,831 --> 00:07:46,765 She was dead a year later. 114 00:07:46,833 --> 00:07:49,301 Cancer. I'm sorry. 115 00:07:51,037 --> 00:07:54,598 Mr. Foster, we're gonna test Keith for drugs. 116 00:07:54,674 --> 00:07:56,608 I-- I don't do drugs. 117 00:07:56,676 --> 00:07:59,406 It's not that we don't trust you, but-- 118 00:08:00,546 --> 00:08:04,812 His hair will tell us any drugs he's taken over the past 60 days. 119 00:08:04,884 --> 00:08:07,876 It's kind of like rings on a tree. 120 00:08:14,460 --> 00:08:16,451 Negative. 121 00:08:17,797 --> 00:08:20,163 - Have you been sick? - No, nothing. 122 00:08:20,233 --> 00:08:24,863 - Have you been out of the country? - We went to China, but we got all our shots before we left. 123 00:08:24,937 --> 00:08:26,871 It could be an infection. 124 00:08:26,939 --> 00:08:29,430 We're going to give him a gallium scan just to be safe. 125 00:08:29,509 --> 00:08:32,478 We inject a radioactive isotope into his bloodstream, 126 00:08:32,545 --> 00:08:35,571 and we check to see if there's inflammation anywhere in the body. 127 00:08:35,648 --> 00:08:38,048 Has he ever complained of any joint pain? 128 00:08:38,117 --> 00:08:40,984 Sensitivity to light? Rashes? 129 00:08:41,053 --> 00:08:44,352 - No, no. Nothing. - Any relatives who've ever been diagnosed with lupus? 130 00:08:44,423 --> 00:08:46,687 I don't even know what that is. 131 00:08:46,759 --> 00:08:49,694 In simple terms, the body becomes allergic to itself. 132 00:08:49,762 --> 00:08:52,856 The immune system attacks healthy cells in the circulatory system and destroys them. 133 00:08:52,932 --> 00:08:54,923 Would it be treatable? 134 00:08:56,102 --> 00:08:58,093 It can be manageable. 135 00:08:59,171 --> 00:09:01,105 We can test for the antibodies. 136 00:09:01,173 --> 00:09:04,768 Ninety-five percent of patients with lupus have positive A.N.A. 137 00:09:05,845 --> 00:09:08,279 Not cloudy. Negative. 138 00:09:08,347 --> 00:09:12,784 What about bruising? Never complained of tenderness under his arms or his groin? 139 00:09:12,852 --> 00:09:15,514 I'm not sure he'd tell me if he did. 140 00:09:15,588 --> 00:09:19,080 I guess I don't really know what's going on in his life. 141 00:09:19,158 --> 00:09:21,820 - He's a teenager. - Yeah. 142 00:09:25,798 --> 00:09:28,790 What type of cancer did your wife have? 143 00:09:29,802 --> 00:09:31,702 Pancreatic. 144 00:09:31,771 --> 00:09:34,797 It's his lymph nodes we're concerned about. 145 00:09:34,874 --> 00:09:38,310 We're going to do a biopsy to check for lymphoma. 146 00:09:39,679 --> 00:09:41,977 Can you feel this? No. 147 00:09:42,048 --> 00:09:44,539 Good. 148 00:09:52,058 --> 00:09:53,992 I have cancer, don't I? 149 00:09:54,060 --> 00:09:56,620 We're just testing. 150 00:09:58,698 --> 00:10:01,462 That's what they told my mom. 151 00:10:08,541 --> 00:10:10,702 Definitely not cancer. 152 00:10:11,711 --> 00:10:13,770 - Nothing? - Nothing. 153 00:10:13,846 --> 00:10:16,508 Negative for drugs. A.N.A. was negative. Gallium scan was clear. 154 00:10:16,582 --> 00:10:18,516 Yeah, I got that from the "nothing". 155 00:10:18,584 --> 00:10:20,848 - Where's his hematocrit? - Thirteen. 156 00:10:20,920 --> 00:10:25,254 Drops any lower, he's not gonna have enough red blood cells to bring oxygen to his body. 157 00:10:25,324 --> 00:10:27,519 He'll suffocate with his lungs working perfectly. You okay? 158 00:10:28,995 --> 00:10:31,725 Excuse me, someone? Help. Please! 159 00:10:32,732 --> 00:10:35,292 Polite for a dying kid. 160 00:10:38,871 --> 00:10:40,862 How long has it been? 161 00:10:40,940 --> 00:10:42,874 I'm fine. 162 00:10:42,942 --> 00:10:45,467 - There's something in my eye. Up at the top. - Which eye? 163 00:10:45,544 --> 00:10:47,671 This one. What's happening? 164 00:10:47,747 --> 00:10:49,874 It's all right. Just look down for me. 165 00:10:51,717 --> 00:10:54,379 It's clear. There's nothing in it. 166 00:10:54,453 --> 00:10:56,478 - It's getting worse. - Is it fuzzy or-- 167 00:10:56,555 --> 00:10:58,580 No, it's dark. 168 00:10:59,959 --> 00:11:01,950 I can't see. 169 00:11:15,307 --> 00:11:17,502 It's a retinal clot in the left eye. 170 00:11:17,576 --> 00:11:19,976 Coumadin would dissolve the clot, fix his eyesight. 171 00:11:20,046 --> 00:11:22,981 You can't use blood thinners. He's got internal bleeding. 172 00:11:23,049 --> 00:11:26,348 Fix the eye, you'd kill everything else. Surgery's out for the same reason. 173 00:11:26,419 --> 00:11:30,048 We have two hours to figure this out. Either we restore the blood flow, or he loses the eye. 174 00:11:31,524 --> 00:11:36,962 Forget the eye. Tell him to use the other one to look on the bright side. 175 00:11:37,029 --> 00:11:39,020 The clot tells us something. 176 00:11:40,099 --> 00:11:43,262 Could help us figure out what he has, which could mean he gets to live. 177 00:11:43,335 --> 00:11:46,566 Differential diagnosis, people. 178 00:11:46,639 --> 00:11:49,403 How does internal bleeding suddenly start clotting? 179 00:11:49,475 --> 00:11:52,706 It makes no sense. They're opposing processes. 180 00:11:52,778 --> 00:11:55,645 It can happen in lupus. Increased platelet count can cause blood clots. 181 00:11:55,715 --> 00:11:58,047 A.N.A. was negative. It's not lupus. 182 00:11:58,117 --> 00:12:01,416 This is true. But why are you the one saying it? 183 00:12:01,487 --> 00:12:05,548 What are you doing here? I thought we'd ruled out cancer. 184 00:12:05,624 --> 00:12:07,558 I was lonely. 185 00:12:07,626 --> 00:12:09,651 Well, go see Cuddy. She needs a friend. 186 00:12:09,729 --> 00:12:12,061 That's funny. She said you might need one. 187 00:12:12,131 --> 00:12:15,999 That's why you're here. She wants you to keep an eye on me. Make sure I don't cheat. 188 00:12:16,068 --> 00:12:19,595 No, I wanted to make sure you don't start firing shots from the clock tower. 189 00:12:19,672 --> 00:12:22,106 I'm fine-- 190 00:12:22,174 --> 00:12:24,108 What's going on? 191 00:12:24,176 --> 00:12:26,406 He hasn't had Vicodin in over a day. 192 00:12:27,680 --> 00:12:30,672 - Does your leg hurt? - You ever been shot? 193 00:12:31,751 --> 00:12:35,118 There's gonna be side effects. Insomnia, depression, tachycardia. 194 00:12:35,187 --> 00:12:37,280 Withdrawal symptoms. Not applicable. 195 00:12:37,356 --> 00:12:41,349 The only side effects I'm gonna have are some pain and 30 days of freedom. 196 00:12:43,763 --> 00:12:46,789 Am I the only one who's concerned about a dying kid? 197 00:12:46,866 --> 00:12:49,198 If it's not lupus, what else? 198 00:12:49,268 --> 00:12:53,329 Most likely candidate for throwing a clot is infection or cancer. 199 00:12:53,405 --> 00:12:55,498 Checked the biopsy twice. It's not cancer. 200 00:12:55,574 --> 00:12:58,338 It's not an infection. Gallium scan didn't reveal anything. 201 00:12:58,410 --> 00:13:01,470 Okay. What hides from a Gallium scan? 202 00:13:05,417 --> 00:13:07,851 Cardiac. Right. 203 00:13:07,920 --> 00:13:11,913 Clot flicks off, travels through the arteries, then gets backed up in the eye. 204 00:13:18,631 --> 00:13:21,361 I'm sorry. I wasn't paying attention. What happened? 205 00:13:21,433 --> 00:13:23,993 It's an infection in his heart. 206 00:13:24,069 --> 00:13:26,060 Great. 207 00:13:27,239 --> 00:13:31,403 Echocardiogram for the heart and I.V. antibiotics for the infection, stat. 208 00:13:45,457 --> 00:13:47,448 Is it my birthday? 209 00:13:49,795 --> 00:13:52,491 I'm not lonely. My leg hurts. 210 00:13:52,565 --> 00:13:55,796 - She's a real masseuse. - She's $500 an hour, minimum. 211 00:13:55,868 --> 00:13:59,395 She's hot, so she's a hooker? What kind of pathetic logic is that? 212 00:13:59,471 --> 00:14:03,202 The envious, jealous, I-never-got-any-in-high-school kind of logic. Hello! 213 00:14:03,275 --> 00:14:05,607 She's a legitimate masseuse. 214 00:14:05,678 --> 00:14:07,669 Come on. 215 00:14:08,681 --> 00:14:10,615 God! She's beautiful. 216 00:14:10,683 --> 00:14:14,346 Because she's beautiful, I should do it? What kind of pathetic logic is that? 217 00:14:14,420 --> 00:14:18,789 The envious, jealous, I'm-married-and-I-can't-do-anything logic. Hello. 218 00:14:18,858 --> 00:14:22,021 Hi. Uh, listen, I'm sure you're really good at whatever it is you do, but-- 219 00:14:22,094 --> 00:14:24,961 Déme su mano. Huh? 220 00:14:26,866 --> 00:14:29,630 - Hey, no, no. Let go of my hand. - She doesn't speak English. 221 00:14:29,702 --> 00:14:31,602 Shh. 222 00:14:33,038 --> 00:14:34,869 Ow! 223 00:14:34,940 --> 00:14:37,431 Ow-- Ahh. 224 00:14:37,509 --> 00:14:40,910 Ahh. 225 00:14:44,316 --> 00:14:46,307 Oh, my God. 226 00:14:50,789 --> 00:14:52,780 Bueno. 227 00:14:52,858 --> 00:14:55,292 Take off your clothes. 228 00:14:59,632 --> 00:15:01,793 Not a fan of the Stroganoff? 229 00:15:03,302 --> 00:15:07,398 I'm not hungry. Well, the antibiotics can cause nausea. 230 00:15:07,473 --> 00:15:09,464 So can the food. 231 00:15:10,643 --> 00:15:13,578 Shouldn't you be looking at my eye? 232 00:15:13,646 --> 00:15:15,614 The blood clot isn't life-threatening. 233 00:15:15,681 --> 00:15:18,411 We're focusing on figuring out the cause of your problems. 234 00:15:18,484 --> 00:15:22,318 So the-- So the blindness will be permanent, won't it? 235 00:15:40,105 --> 00:15:42,266 Thank you. Bye. 236 00:15:44,944 --> 00:15:46,878 I had a massage. 237 00:15:46,946 --> 00:15:50,382 Looks like you had a masseuse. Help the pain? 238 00:15:50,449 --> 00:15:52,883 I'm fine. I know. 239 00:15:52,952 --> 00:15:56,217 Kid's echo was normal. No signs of any vegetations on heart valves. 240 00:15:56,288 --> 00:15:59,052 Never met a diagnostic study I couldn't refute. 241 00:15:59,124 --> 00:16:01,058 And the antibiotics aren't doing anything. 242 00:16:01,126 --> 00:16:04,061 So double the dosage. 70 milligrams. 243 00:16:04,129 --> 00:16:06,063 That'll box his kidneys for sure. 244 00:16:06,131 --> 00:16:08,065 Oh, you're right. Save the kidney. 245 00:16:08,133 --> 00:16:11,068 The guy we transplant it into will be grateful. 246 00:16:11,136 --> 00:16:14,071 Also, I have an idea for his eye. Nothing we can do about his eye. 247 00:16:14,139 --> 00:16:16,505 He's got a clot in the retina-- Put it in a memo. 248 00:16:16,575 --> 00:16:19,510 If we remove some of the liquid from the eye itself, the vitreous humour, 249 00:16:19,578 --> 00:16:22,570 it might make some extra room around the retinal artery. 250 00:16:24,083 --> 00:16:28,315 If the artery expands, the clot might move on its own. That's very creative. 251 00:16:28,387 --> 00:16:30,821 Why didn't you mention this before? 252 00:16:30,889 --> 00:16:32,880 I didn't think of it before. 253 00:16:32,958 --> 00:16:35,290 You should've. 254 00:16:53,846 --> 00:16:55,780 This is going to hurt. 255 00:16:55,848 --> 00:16:59,284 Your eye is numb. You'll only feel pressure. 256 00:17:25,711 --> 00:17:27,702 Give it a minute. 257 00:17:35,821 --> 00:17:37,755 I can see. 258 00:18:06,318 --> 00:18:08,252 I can see you. 259 00:18:08,320 --> 00:18:10,754 I heard. Congratulations. 260 00:18:10,823 --> 00:18:13,849 Don't. I haven't brushed my teeth in two days. 261 00:18:21,400 --> 00:18:24,460 I'm so scared they're not gonna find out what's wrong with you. 262 00:18:24,536 --> 00:18:27,334 No biggie. I'm fine. 263 00:18:27,406 --> 00:18:31,467 I feel so bad about all this. It's all my fault. 264 00:18:31,543 --> 00:18:33,773 No. No, it's not. 265 00:18:33,846 --> 00:18:37,805 But your father-- he hates me. 266 00:18:37,883 --> 00:18:40,477 He's just pissed about his car. 267 00:18:47,426 --> 00:18:49,894 Help! Help! Help! 268 00:18:58,904 --> 00:19:01,202 What's wrong? 269 00:19:01,273 --> 00:19:03,798 A.S.T. is 859. We're getting him to the I.C.U. 270 00:19:03,876 --> 00:19:05,844 A.L.T. and G.G.T. are in the tank. Our antibiotics-- 271 00:19:05,911 --> 00:19:08,573 Would not have caused this. She must have given him drugs! 272 00:19:08,647 --> 00:19:11,480 - I wouldn't do that! - It's not drugs! 273 00:19:11,550 --> 00:19:14,178 His liver is shutting down. What? 274 00:19:14,253 --> 00:19:17,916 What does that mean? It means he's all better. He's ready to go home. 275 00:19:17,990 --> 00:19:20,481 What? What do you think it means? 276 00:19:20,559 --> 00:19:23,027 You can't live without a liver. He's dying. 277 00:19:23,095 --> 00:19:25,723 What is your problem? Bum leg. What's yours? 278 00:19:25,797 --> 00:19:28,288 Hey, we don't have time for this. Let's go. 279 00:19:33,472 --> 00:19:35,770 His son's dying, and you're mocking him? 280 00:19:35,841 --> 00:19:38,105 It was a dumb question. 281 00:19:38,177 --> 00:19:39,701 No, it wasn't. 282 00:19:42,047 --> 00:19:44,038 You're right. It wasn't. 283 00:19:45,851 --> 00:19:48,217 Is proving Cuddy wrong worth all this? 284 00:20:03,902 --> 00:20:07,668 - You know, House shouldn't even be here. - Because he said something inappropriate? 285 00:20:07,739 --> 00:20:11,334 If we sent him home every time he did that, we wouldn't need this office. 286 00:20:11,410 --> 00:20:15,779 - He's in pain. - What does the man have to do to piss you off? 287 00:20:15,847 --> 00:20:18,714 - He's been without pain relief for over 70 hours. - Exactly! 288 00:20:18,784 --> 00:20:21,275 He's detoxing. Can't you see he's out of his mind? 289 00:20:21,353 --> 00:20:23,344 That's what they said about Manson. 290 00:20:25,991 --> 00:20:27,925 Do you wanna continue talking about me, 291 00:20:27,993 --> 00:20:30,461 or should we discuss what the liver damage tells us? 292 00:20:33,098 --> 00:20:35,623 I was born in a log cabin in Illinois-- 293 00:20:35,701 --> 00:20:37,635 Hemolytic anemia doesn't cause liver damage. 294 00:20:37,703 --> 00:20:39,568 Add the fact he's coughing blood, 295 00:20:39,638 --> 00:20:42,266 you've got three of the indicators of organ-threatening lupus. 296 00:20:42,341 --> 00:20:44,036 It's moving too fast. 297 00:20:45,577 --> 00:20:47,636 Could be hepatitis "E". 298 00:20:47,713 --> 00:20:50,409 There's only been one case of hep "E" originating in the U.S. since-- 299 00:20:50,482 --> 00:20:54,543 His history says he's been in and out of the country four times in the last year. 300 00:20:54,620 --> 00:20:56,383 You really think he's got hep "E"? 301 00:20:56,455 --> 00:20:59,049 No. I think lupus is way more likely. 302 00:20:59,124 --> 00:21:01,922 All right, then let's start him on I.V. cytoxan and plasmapheresis. 303 00:21:01,994 --> 00:21:04,758 No, we should rule out hep "E". 304 00:21:04,830 --> 00:21:06,764 You just said it wasn't hep "E". 305 00:21:06,832 --> 00:21:09,824 I said lupus is way more likely, but if we treat for lupus and it is hep "E"-- 306 00:21:09,901 --> 00:21:12,597 He's toast. Exactly. 307 00:21:12,671 --> 00:21:14,605 But there isn't a treatment for hepatitis "E". 308 00:21:14,673 --> 00:21:17,335 Either he'll get better on his own or he'll continue to deteriorate. 309 00:21:17,409 --> 00:21:20,936 Yeah. I went to medical school too. 310 00:21:21,013 --> 00:21:23,004 Start him on solumedrol. 311 00:21:23,081 --> 00:21:27,017 - If he's got hep "E", that's only gonna make him worse. - Not as much. 312 00:21:27,085 --> 00:21:29,019 It's Goldilocks, people. 313 00:21:29,087 --> 00:21:33,547 Won't hurt him so much that it'll kill him, and it won't hurt him so little that we can't tell. 314 00:21:33,625 --> 00:21:35,820 It'll hurt him... just right. 315 00:21:35,894 --> 00:21:37,828 And if it does nothing-- 316 00:21:37,896 --> 00:21:41,354 We'll know it's not hep "E" and can start treating for lupus. 317 00:21:41,433 --> 00:21:43,958 Now watch me do it while drinking a glass of water. 318 00:21:44,036 --> 00:21:48,268 What do we tell the dad? "We think your kid has lupus, so we're gonna treat him for hepatitis 'E'. 319 00:21:48,340 --> 00:21:52,674 And, oh, yeah, if it really is hep 'E', we're not actually giving him hep 'E' medication. 320 00:21:52,744 --> 00:21:55,508 So it's gonna make him worse, not better." Think he'll go for that? 321 00:21:56,682 --> 00:21:59,048 - So you want us to lie? - No. 322 00:21:59,117 --> 00:22:02,018 - I want you to lie. - Why me? 323 00:22:02,087 --> 00:22:04,078 Because he trusts you. 324 00:22:06,725 --> 00:22:09,660 - This is a mistake. - This is a lawsuit. 325 00:22:09,728 --> 00:22:11,662 Hep "E" is possible. 326 00:22:11,730 --> 00:22:14,164 House always pulls these stunts, and he's right more often-- 327 00:22:14,232 --> 00:22:18,032 He's delaying treatment because of a one-in-a-million chance that even he doesn't think is the problem. 328 00:22:18,103 --> 00:22:20,037 I don't wanna lie to him. Then don't. 329 00:22:20,105 --> 00:22:23,040 And get fired? Oh, like he's gonna fire you. He loves you. 330 00:22:23,108 --> 00:22:25,372 I've gotta do something. 331 00:22:25,444 --> 00:22:28,379 - Kid needs treatment. - Treat him for lupus. 332 00:22:28,447 --> 00:22:30,540 That will get you fired. 333 00:22:31,683 --> 00:22:33,674 You really think House is losing it? 334 00:22:33,752 --> 00:22:35,913 Yeah. 335 00:22:36,855 --> 00:22:38,846 He's fine. He knows what he's doing. 336 00:23:28,407 --> 00:23:31,740 Okay. 337 00:23:40,118 --> 00:23:43,383 We're recommending a drug called solumedrol. 338 00:23:43,455 --> 00:23:48,017 For hepatitis? Did that show up on his blood tests? 339 00:23:49,027 --> 00:23:52,463 The tests are never 100% accurate. 340 00:23:52,531 --> 00:23:55,261 Well, then all the other tests could be wrong too. 341 00:23:55,333 --> 00:23:58,268 This could still be an infection or cancer. Um-- 342 00:23:58,336 --> 00:24:01,271 They don't fit any of the most recent symptoms. 343 00:24:01,339 --> 00:24:04,137 Well, what, just hepatitis does? 344 00:24:04,209 --> 00:24:07,872 I know, I know, I know-- you can never be sure. 345 00:24:10,849 --> 00:24:13,841 When Wendy was in the hospital, 346 00:24:15,253 --> 00:24:18,120 a doctor told us there was this aggressive experimental treatment... 347 00:24:18,190 --> 00:24:21,591 which might extend her life by two or three years. 348 00:24:22,661 --> 00:24:27,155 Well, we figured if there was any hope at all that we could have her with us a little while longer, it'd be worth it. 349 00:24:28,333 --> 00:24:31,325 Three weeks later, she was gone. 350 00:24:34,773 --> 00:24:36,764 I don't think it's hepatitis. 351 00:24:39,277 --> 00:24:41,438 I think your son has lupus. 352 00:24:42,447 --> 00:24:45,382 I think it's broken. 353 00:24:45,450 --> 00:24:47,441 What did you do? 354 00:24:48,453 --> 00:24:51,388 Accidentally closed the car door on it. 355 00:24:51,456 --> 00:24:53,651 No. Door would've broken the skin. 356 00:24:53,725 --> 00:24:58,321 This looks like something hard and smooth smashed it. 357 00:24:58,396 --> 00:25:00,330 I want my lawyer. 358 00:25:00,398 --> 00:25:03,333 The brain has a gating mechanism for pain. 359 00:25:03,401 --> 00:25:06,962 Registers the most severe injury and blocks out the others. 360 00:25:07,038 --> 00:25:10,371 Did it work? Well, my hand hurts like hell. 361 00:25:12,043 --> 00:25:14,978 Yeah. I feel much better. Huh. 362 00:25:16,047 --> 00:25:17,981 Don't splint it. 363 00:25:18,049 --> 00:25:22,486 I want to be able to bang it against the wall if I need to administer another dose. 364 00:25:22,554 --> 00:25:25,250 Just tape it up. 365 00:25:29,494 --> 00:25:31,928 Why did you tell Cameron to lie to Mr. Foster? 366 00:25:31,997 --> 00:25:34,158 Make it tight. Answer me. 367 00:25:36,234 --> 00:25:39,203 Nothing I can say is gonna change how you feel, 368 00:25:39,271 --> 00:25:42,206 and nothing can come out of your reaction that is gonna change what I plan to do, 369 00:25:42,274 --> 00:25:44,208 so I prefer to say nothing. 370 00:25:44,276 --> 00:25:46,710 So that was just you saying nothing. 371 00:25:46,778 --> 00:25:48,712 Uh-huh. 372 00:25:48,780 --> 00:25:51,840 - The guy is furious. - And scared. 373 00:25:51,917 --> 00:25:54,852 So what are you gonna do? The father's insisting on the lupus treatment. 374 00:25:54,920 --> 00:25:58,287 Yeah, Cameron told me, and I told her to tell him no. 375 00:25:58,356 --> 00:26:01,291 Well, you can't just sit back and let the kid die. 376 00:26:01,359 --> 00:26:03,520 Neither can the father. So that's your plan? 377 00:26:03,595 --> 00:26:05,620 You're gonna play chicken with the kid's life? 378 00:26:05,697 --> 00:26:08,530 Well, he's the dad. I should win easily. 379 00:26:08,600 --> 00:26:10,966 Take the week off. 380 00:26:11,036 --> 00:26:13,470 Why, 'cause I lied to a patient? 381 00:26:13,538 --> 00:26:15,972 I take risks. Sometimes patients die. 382 00:26:16,041 --> 00:26:18,976 But not taking risks causes more patients to die, 383 00:26:19,044 --> 00:26:22,241 so I guess my biggest problem is I've been cursed with the ability to do the math. 384 00:26:24,349 --> 00:26:28,410 I told him that we wouldn't treat him for the lupus until-- 385 00:26:28,486 --> 00:26:32,081 - What'd he say? - He said he wanted to transfer Keith to another hospital. 386 00:26:32,157 --> 00:26:35,126 He's not stable enough. He'd never make it through the door. That's what I told him. 387 00:26:35,193 --> 00:26:37,821 And that's when he caved. 388 00:26:37,896 --> 00:26:41,059 Yeah. He agreed to do it your way. 389 00:26:42,133 --> 00:26:43,896 Two plus two equals four. 390 00:26:49,708 --> 00:26:53,303 If it is hepatitis "E", we should see a marked decline in liver function tests within the hour. 391 00:26:53,378 --> 00:26:56,313 Why bother explaining it to me? It's not like I have any choice in the matter. 392 00:26:56,381 --> 00:26:59,077 If there's no hep "E", we'll start treatment for lupus immediately. 393 00:26:59,150 --> 00:27:01,084 Ouch. 394 00:27:01,152 --> 00:27:03,143 - Keith? What's wrong? - What's happening? 395 00:27:03,221 --> 00:27:05,155 No, get off. 396 00:27:05,223 --> 00:27:08,681 Keith, it's Dr. Chase. Where does it hurt? Jules, no! 397 00:27:08,760 --> 00:27:10,853 - He's hallucinating. - Is this from the medicine? 398 00:27:10,929 --> 00:27:14,421 - We haven't started the medicine. - Keith, you're in the hospital. Keith, there's nothing on you. 399 00:27:14,499 --> 00:27:17,866 - Hey. Hey. Keith. - Keith! Keith! Keith! 400 00:27:17,936 --> 00:27:20,461 Hey. You okay, buddy? 401 00:27:26,411 --> 00:27:28,936 Um, I think I wet the bed. 402 00:27:29,014 --> 00:27:33,007 Oh-- Don't worry about it. It's fine. Let's get you up. 403 00:27:35,387 --> 00:27:37,651 - Oh, God! - He's had a major bleed. 404 00:27:37,722 --> 00:27:41,488 - Bright red blood per rectum. - I didn't-- I didn't mean to. I'm sorry. 405 00:27:41,559 --> 00:27:43,527 He's going into hypovolemic shock. 406 00:27:43,595 --> 00:27:47,656 - Pressure's 60, heart rate's 140. - We need an angiography, stat! 407 00:27:57,609 --> 00:28:00,544 Angiography revealed major upper and lower G.I. bleeding, 408 00:28:00,612 --> 00:28:03,376 severe hemodynamic compromise and liver failure. 409 00:28:03,448 --> 00:28:06,940 He's also hallucinating. Thinks he's being tortured by someone named Jules. 410 00:28:07,018 --> 00:28:08,952 Hallucinations are a symptom of psychosis, 411 00:28:09,020 --> 00:28:11,454 which is the fourth diagnostic criterion. 412 00:28:11,523 --> 00:28:13,457 It's official. This is lupus. 413 00:28:13,525 --> 00:28:16,460 Who's Jules? 414 00:28:16,528 --> 00:28:18,860 Any mention of her in the medical history? 415 00:28:18,930 --> 00:28:22,388 It doesn't matter what he's hallucinating about, it matters why! It's lupus. 416 00:28:22,467 --> 00:28:24,401 Well, there's no need to get snippy. 417 00:28:24,469 --> 00:28:27,029 This kind of lupus takes years to get to this point. 418 00:28:27,105 --> 00:28:28,504 It's been a week. Yeah. 419 00:28:28,573 --> 00:28:32,703 And a 16-year-old kid shouldn't have hemolytic anemia or be bleeding out of every orifice, but he is. 420 00:28:32,777 --> 00:28:37,714 We had an opportunity to treat this. Instead, we diddled around with hepatitis "E", and now it's too late. 421 00:28:37,782 --> 00:28:40,546 He needs a new liver. We screwed up. 422 00:28:41,619 --> 00:28:43,519 You're saying I screwed up. 423 00:28:45,323 --> 00:28:47,689 - Yes. - Then why don't you just say that? 424 00:28:49,894 --> 00:28:52,886 - You gonna blame this on her? - Did you agree with my recommendation to treat for hep "E"? 425 00:28:52,964 --> 00:28:56,195 - No, I didn't. - And she made herself quite clear. 426 00:28:56,267 --> 00:29:00,033 - And then she went and lied to the father. That's why you're angry. - Yeah. I trusted you. 427 00:29:00,105 --> 00:29:03,666 You always trust me. That's a big mistake. 428 00:29:03,742 --> 00:29:05,767 Lupus is a bad diagnosis. 429 00:29:05,844 --> 00:29:08,438 - It's the best diagnosis we've got. - That doesn't make it good. 430 00:29:08,513 --> 00:29:11,949 No. It just makes it this kid's only chance to live. 431 00:29:16,421 --> 00:29:19,015 Put him on the transplant list. 432 00:29:19,090 --> 00:29:21,285 And make sure Cuddy knows. 433 00:29:21,359 --> 00:29:24,351 See if she can do anything to get him close to the top. 434 00:29:48,052 --> 00:29:49,986 Cafeteria. 435 00:29:50,054 --> 00:29:51,988 Stay away from the sushi. 436 00:29:52,056 --> 00:29:54,081 And what happened to your hand? 437 00:29:55,894 --> 00:29:58,419 Got stuck in a drawer. 438 00:29:58,496 --> 00:30:00,987 Yeah, right. You're going through withdrawal. 439 00:30:01,065 --> 00:30:04,762 No, I am going through pain. 440 00:30:04,836 --> 00:30:07,771 Pain causes nausea. 441 00:30:07,839 --> 00:30:11,935 I took this job to work with you, not cover your ass. 442 00:30:12,877 --> 00:30:14,902 Your Vicodin. 443 00:30:17,348 --> 00:30:20,579 And your solution is to give me drugs. 444 00:30:20,652 --> 00:30:22,586 That's interesting. No. 445 00:30:22,654 --> 00:30:25,987 Now I'm covering my ass. 446 00:30:26,057 --> 00:30:28,685 Take your pills before you kill this kid. 447 00:31:08,533 --> 00:31:10,967 Lupus is normally treated with medication. 448 00:31:11,035 --> 00:31:13,697 But in Keith's case, the disease is too advanced. 449 00:31:13,771 --> 00:31:18,731 Because you lied. Because House wanted to play games with my son's life. 450 00:31:18,810 --> 00:31:22,007 There's no way to really tell what progression the disease may have taken-- You're right. 451 00:31:24,082 --> 00:31:26,676 And I'm sorry. 452 00:31:28,820 --> 00:31:30,583 So what do we do? 453 00:31:30,655 --> 00:31:32,589 He needs a new liver. 454 00:31:33,658 --> 00:31:37,094 There are over 15,000 patients on the transplant list. 455 00:31:37,161 --> 00:31:40,028 But how many are about to bleed to death unless they get a new liver? 456 00:31:40,098 --> 00:31:42,566 In Jersey? I'd say, uh, 20. 457 00:31:43,701 --> 00:31:47,228 Two thousand patients die each year because a donor liver can't be found. That's almost five a day. 458 00:31:47,305 --> 00:31:49,000 So he's screwed. 459 00:31:50,975 --> 00:31:52,840 I'll see what I can do. 460 00:31:54,646 --> 00:31:58,241 - Could I donate part of my liver? - Sorry. You're a different blood type. 461 00:31:58,316 --> 00:32:00,443 So we just wait? I'm afraid so. 462 00:32:00,518 --> 00:32:02,782 And hope for someone to die. 463 00:32:04,956 --> 00:32:06,947 Who's Jules? 464 00:32:08,826 --> 00:32:11,522 Dr. House, you should get back to your office-- Jules. 465 00:32:11,596 --> 00:32:14,963 - There's no Jules in the history. - It was a hallucination. 466 00:32:15,033 --> 00:32:16,967 Of what? Our cat. 467 00:32:17,035 --> 00:32:19,469 Does this matter? No. I'm sorry. 468 00:32:19,537 --> 00:32:23,564 We'll continue the transfusions and the treatment for the anemia and liver failure while we're waiting for a donor. 469 00:32:23,641 --> 00:32:26,906 - How long can he wait? - Not long. 470 00:32:26,978 --> 00:32:29,208 - I don't think this is lupus. - It's lupus. Come on, let's just go-- 471 00:32:29,280 --> 00:32:32,215 Your fourth diagnostic criterion for lupus is psychosis. 472 00:32:32,283 --> 00:32:34,615 This is just a kid missing his cat. 473 00:32:34,686 --> 00:32:37,951 He was being attacked by an animal that wasn't in the room. 474 00:32:38,022 --> 00:32:41,219 That's psychosis. There's a difference between psychosis and hallucination. 475 00:32:41,292 --> 00:32:44,728 So if he was imagining a fake cat, it'd be lupus, but since it was a real cat, it's not? 476 00:32:44,796 --> 00:32:46,821 - Take your damn pills. - Psychosis requires-- 477 00:32:46,898 --> 00:32:48,957 There is no cat. 478 00:32:50,001 --> 00:32:52,265 Jules is dead. 479 00:32:54,472 --> 00:32:57,999 You have a dead family pet and you never mentioned it? 480 00:32:58,076 --> 00:33:00,067 Nice family history. 481 00:33:00,144 --> 00:33:04,274 Family history's asking about family members, meaning people related to the patient. 482 00:33:04,349 --> 00:33:07,113 How did the cat die? Can you get him outta here? 483 00:33:07,185 --> 00:33:10,746 - Dr. House, come on, let's-- - What happened to the cat? 484 00:33:11,956 --> 00:33:13,981 Old age. 485 00:33:14,058 --> 00:33:15,958 - She was 15 years old. - When? 486 00:33:16,027 --> 00:33:17,756 About a month ago. 487 00:33:17,829 --> 00:33:20,127 - Does this have anything to do with-- - Where'd she sleep? 488 00:33:20,198 --> 00:33:22,029 With Keith. This is not a cat allergy. 489 00:33:22,100 --> 00:33:23,965 And it's not lupus. 490 00:33:24,035 --> 00:33:26,003 Where is Jules? 491 00:33:31,576 --> 00:33:33,510 Four years of college, 492 00:33:33,578 --> 00:33:35,512 four at med school, 493 00:33:35,580 --> 00:33:37,514 two years of residency, 494 00:33:37,582 --> 00:33:40,517 another four of subspecialty training, and where do I end up? 495 00:33:42,220 --> 00:33:44,154 Talking instead of digging. 496 00:33:44,222 --> 00:33:46,383 Come on. The ground's frozen solid. 497 00:33:56,734 --> 00:33:58,565 What's that? 498 00:34:49,087 --> 00:34:51,021 Out of the way! 499 00:34:52,023 --> 00:34:54,924 We have the liver. Prep O.R. four. 500 00:35:20,985 --> 00:35:24,614 All right, Keith, start counting backward from ten. 501 00:35:24,689 --> 00:35:26,680 Ten, 502 00:35:27,692 --> 00:35:29,626 nine, 503 00:35:29,694 --> 00:35:32,322 eight-- 504 00:35:32,396 --> 00:35:34,694 Scalpel. 505 00:35:39,971 --> 00:35:42,235 Stop the gases. 506 00:35:42,306 --> 00:35:43,773 What the hell are you doing, House? 507 00:35:43,841 --> 00:35:49,108 Saving a 16-year-old kid from a lifetime of immunosuppressant drugs and a very nasty scar. 508 00:35:49,180 --> 00:35:51,774 This kid doesn't have lupoid hepatitis. 509 00:35:51,849 --> 00:35:53,840 He has acute naphthalene toxicity. 510 00:35:53,918 --> 00:35:57,115 Naphthalene? Y-Y-You're talking about mothballs. 511 00:35:57,188 --> 00:35:58,917 Nope. Termites. 512 00:36:00,191 --> 00:36:02,125 They create naphthalene to protect their nests, 513 00:36:02,193 --> 00:36:07,324 which I'm assuming is rather large and inside all four walls of his bedroom at home. 514 00:36:08,933 --> 00:36:10,867 And your assumption is based on what? 515 00:36:10,935 --> 00:36:14,132 The autopsy I just conducted on his pet cat. 516 00:36:14,205 --> 00:36:17,971 - Call Cuddy. And Security. - You are not removing that kid's liver. 517 00:36:18,042 --> 00:36:19,805 Now! 518 00:36:23,047 --> 00:36:26,642 Have you completely lost your mind? 519 00:36:26,717 --> 00:36:29,447 No, but I have been feeling a little sick lately. 520 00:36:29,520 --> 00:36:32,011 Ah-choo! 521 00:36:33,958 --> 00:36:37,223 There's no way we can do this surgery now. Ya think? 522 00:36:37,295 --> 00:36:40,162 You've already cost him his liver. Don't kill him too. 523 00:36:40,231 --> 00:36:43,166 Why are you so eager to cut into a healthy kid? 524 00:36:43,234 --> 00:36:46,169 Healthy? He's in the toilet. He just needs some chicken soup. 525 00:36:46,237 --> 00:36:50,196 - I'm telling Hourani to re-scrub. We're doing this transplant. - No, you're not. 526 00:36:50,274 --> 00:36:54,643 You said it. If Keith's symptoms had an environmental cause, they would have disappeared as soon as he got here. 527 00:36:54,712 --> 00:36:56,202 They've only gotten worse. 528 00:36:56,280 --> 00:36:59,807 If the food here wasn't one step below Riker's Island, he would've gotten better. 529 00:36:59,884 --> 00:37:02,512 - He's lost 14 pounds-- - Sure. This is nothing but a dietary thing. 530 00:37:02,587 --> 00:37:05,215 Naphthalene is a gas, a fat-soluble gas. 531 00:37:05,289 --> 00:37:08,224 Kid breathes it in, it gets stored in his fat cells. 532 00:37:08,292 --> 00:37:11,591 Outside the hospital, his body burned protein and carbs for energy. 533 00:37:11,662 --> 00:37:13,425 And the naphthalene stayed in fat. 534 00:37:13,497 --> 00:37:18,264 But once the car accident put him in the hospital and he started losing weight, 535 00:37:18,336 --> 00:37:20,634 his body had to get its energy somewhere else. 536 00:37:20,705 --> 00:37:23,299 It started to burn fat. 537 00:37:23,374 --> 00:37:24,306 The floodgates opened. 538 00:37:24,375 --> 00:37:27,435 The poison poured into his system. 539 00:37:27,511 --> 00:37:29,945 So getting away from the poison is what poisoned him? 540 00:37:30,014 --> 00:37:32,949 Getting away from his dad's meat loaf is what's killing him. 541 00:37:33,017 --> 00:37:35,679 You wanna explain to me why you stopped the surgery? 542 00:37:35,753 --> 00:37:37,744 Oh, my God! My God. 543 00:37:39,757 --> 00:37:42,248 - I want him locked up! - Hey! 544 00:37:42,326 --> 00:37:44,419 Take it easy. 545 00:37:55,139 --> 00:37:58,131 Your cat did not die of old age. 546 00:38:01,245 --> 00:38:04,737 It died of massive internal bleeding and acute liver failure... 547 00:38:04,815 --> 00:38:06,908 caused by naphthalene poisoning. 548 00:38:08,185 --> 00:38:10,813 The exact same thing your son has. 549 00:38:10,888 --> 00:38:14,483 You lie to me, you mess up my son's surgery, and now you expect me to trust you? 550 00:38:14,558 --> 00:38:17,994 Give me 24 hours. We'll pump your son full of calories-- 551 00:38:18,062 --> 00:38:21,156 - That liver is going to somebody right now. - We're doing that surgery. 552 00:38:21,232 --> 00:38:25,100 You do the surgery, you'll be killing a mother of four. 553 00:38:25,169 --> 00:38:26,932 Father of three. 554 00:38:27,004 --> 00:38:29,768 - I was guessing. - Like you are now? 555 00:38:31,208 --> 00:38:35,406 Naphthalene poisoning is the best explanation we have for what's wrong with your son. 556 00:38:36,480 --> 00:38:39,813 It explains the internal bleeding, the hemolytic anemia, the liver failure. 557 00:38:39,884 --> 00:38:42,284 It also predicts what'll happen next. 558 00:38:42,353 --> 00:38:46,414 If you do the surgery, he's gonna lay on that table for 14 hours... 559 00:38:46,490 --> 00:38:50,256 while his body continues to burn fat and release poison into his system. 560 00:38:50,328 --> 00:38:52,990 Either way, I did you a favor. 561 00:38:53,064 --> 00:38:56,090 He's awake now. You've got a chance to say good-bye. 562 00:39:03,674 --> 00:39:05,665 I think you should trust Dr. House. 563 00:39:18,889 --> 00:39:21,221 Give the liver to the other guy. 564 00:39:35,740 --> 00:39:37,605 Watch out. 565 00:39:59,063 --> 00:40:02,430 I.N.R.'s down and his red count is climbing. 566 00:40:04,902 --> 00:40:07,393 Means you made the right call. 567 00:40:07,471 --> 00:40:10,167 His liver is healing. He's gonna be just fine. 568 00:40:27,691 --> 00:40:29,625 You made it a week. 569 00:40:29,693 --> 00:40:31,627 And won my prize. 570 00:40:31,695 --> 00:40:33,629 Congratulations. Cuddy's a sucker. 571 00:40:33,697 --> 00:40:36,131 I would've done it for two weeks off. 572 00:40:36,200 --> 00:40:38,134 Yeah, it was a piece of cake. 573 00:40:38,202 --> 00:40:39,635 You learn anything? 574 00:40:40,971 --> 00:40:42,563 Yeah. 575 00:40:42,640 --> 00:40:44,631 I'm an addict. 576 00:40:54,285 --> 00:40:56,276 Uh-- 577 00:40:57,455 --> 00:40:59,286 Okay. 578 00:40:59,356 --> 00:41:01,847 I'm not stopping. 579 00:41:04,361 --> 00:41:06,295 There are programs. 580 00:41:06,363 --> 00:41:08,297 Cuddy would give you the time. 581 00:41:08,365 --> 00:41:11,493 You could get on a different pain management regimen. I don't need to stop. 582 00:41:12,803 --> 00:41:14,771 You just said-- 583 00:41:14,839 --> 00:41:18,900 I said I was an addict. I didn't say I had a problem. 584 00:41:18,976 --> 00:41:21,069 I pay my bills. I make my meals. I function. 585 00:41:22,913 --> 00:41:26,178 Is that all you want? You have no relationships. 586 00:41:26,250 --> 00:41:28,616 I don't want any relationships. 587 00:41:28,686 --> 00:41:32,122 - You alienate people. - I've been alienating people since I was three. 588 00:41:32,189 --> 00:41:34,623 Oh, come on! Drop it. 589 00:41:34,692 --> 00:41:37,160 You don't think you've changed in the last few years? 590 00:41:37,228 --> 00:41:40,459 Well, ofcourse I have. I've-- I've gotten older, my hair's got thinner. 591 00:41:40,531 --> 00:41:44,433 Sometimes I'm bored. Sometimes I'm lonely. Sometimes I wonder what it all means. 592 00:41:44,502 --> 00:41:45,867 No, I was there. 593 00:41:45,936 --> 00:41:48,598 You are not just a regular guy who's getting older. 594 00:41:48,672 --> 00:41:51,539 You've changed. You're miserable, and you're afraid to face yourself. 595 00:41:51,609 --> 00:41:54,271 Ofcourse I've changed! 596 00:42:01,318 --> 00:42:03,878 And everything's the leg? 597 00:42:03,954 --> 00:42:06,946 Nothing's the pills? They haven't done a thing to you? 598 00:42:08,592 --> 00:42:11,459 They let me do my job. 599 00:42:11,529 --> 00:42:14,157 And they take away my pain. 600 00:42:45,629 --> 00:42:48,063 How'd it go? 601 00:42:48,132 --> 00:42:50,566 He admitted he's addicted to the narcotics. 602 00:42:50,634 --> 00:42:54,126 Well, admitting you have a problem is the first-- And he says it's not a problem. 603 00:42:55,472 --> 00:42:57,406 Maybe it's not. 604 00:42:57,474 --> 00:42:59,408 What do I know? 605 00:42:59,476 --> 00:43:02,741 What are you gonna do? Nothing. Done enough damage. 606 00:43:02,813 --> 00:43:06,749 Better hope he never finds out that that was your idea. He'd never believe it. 607 00:44:01,005 --> 00:44:02,267 Ripped by phaelox for divxstation.com