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1
00:00:16,093 --> 00:00:18,295
What do you say now?
2
00:00:18,329 --> 00:00:20,597
I don't know.
3
00:00:20,631 --> 00:00:23,434
You said your dad
wouldn't be home for an hour.
4
00:00:23,467 --> 00:00:25,436
I know, but--
5
00:00:25,469 --> 00:00:27,704
Don't you love me?
Of course.
You know I do.
6
00:00:27,738 --> 00:00:29,206
Then come on.
Let's do it.
7
00:00:30,741 --> 00:00:32,309
All right.
8
00:00:43,320 --> 00:00:44,488
Where are they?
9
00:00:44,521 --> 00:00:46,657
Nightstand.
10
00:00:52,296 --> 00:00:55,699
Gentlemen,
start your engines.
11
00:00:55,732 --> 00:00:57,701
[motor roars]
12
00:00:59,670 --> 00:01:03,440
I so want this car!
13
00:01:03,474 --> 00:01:05,576
Woo-hoo!
14
00:01:05,609 --> 00:01:07,844
Woo-hoo!
15
00:01:07,878 --> 00:01:10,681
[laughing]
16
00:01:10,714 --> 00:01:12,849
[coughing]
17
00:01:19,290 --> 00:01:21,124
[horn blares]
18
00:01:23,827 --> 00:01:26,730
[coughing]
19
00:01:28,599 --> 00:01:30,901
Oh, my God.
You're bleeding.
20
00:01:30,934 --> 00:01:31,902
Look out!
21
00:01:31,935 --> 00:01:33,770
[tires screeching]
22
00:01:41,745 --> 00:01:44,281
[horn honks]
23
00:01:44,315 --> 00:01:45,616
crash!
24
00:01:45,649 --> 00:01:48,685
[New Age music]
25
00:01:48,719 --> 00:01:56,727
*
26
00:02:32,696 --> 00:02:34,698
What lie
are they telling you?
27
00:02:40,271 --> 00:02:42,005
Come on.
28
00:02:42,038 --> 00:02:43,907
Okay. Thank you.
29
00:02:45,576 --> 00:02:47,878
Pharmaceuticals were delivered
this morning.
30
00:02:47,911 --> 00:02:49,346
But shipping
accidentally sent the box
31
00:02:49,380 --> 00:02:50,714
with Vicodin to research.
32
00:02:50,747 --> 00:02:53,484
Hmm. That's a tough one.
33
00:02:53,517 --> 00:02:55,786
If only we had some way
to communicate
34
00:02:55,819 --> 00:02:57,654
with another part
of the building.
35
00:02:58,789 --> 00:03:00,257
16-year-old M.V.A. victim.
36
00:03:00,291 --> 00:03:01,758
He's been in and out
of the hospital
37
00:03:01,792 --> 00:03:02,959
for three weeks
with internal bleeding.
38
00:03:02,993 --> 00:03:04,328
No one can find a cause.
39
00:03:04,361 --> 00:03:05,796
Internal bleeding
after a car accident.
40
00:03:05,829 --> 00:03:07,298
Wow, that's shocking.
41
00:03:07,331 --> 00:03:09,733
Let me talk to shipping.
I speak their language.
42
00:03:09,766 --> 00:03:10,767
It's been three weeks.
43
00:03:10,801 --> 00:03:13,404
Your hospital doesn't have
my pain medication.
44
00:03:13,437 --> 00:03:15,706
Shipping says
it's gonna be an hour.
45
00:03:15,739 --> 00:03:17,408
This is Dr. Cuddy.
What's going on?
46
00:03:17,441 --> 00:03:18,742
The crash
didn't cause the bleed.
47
00:03:18,775 --> 00:03:20,744
Right. The bleed
caused the crash.
48
00:03:20,777 --> 00:03:22,713
Blood got on the road.
Got all slippery.
49
00:03:22,746 --> 00:03:24,615
Anyone here got drugs?
50
00:03:26,917 --> 00:03:28,585
She saw his blood.
She got distracted.
51
00:03:28,619 --> 00:03:29,753
She crashed
his dad's Porsche.
52
00:03:29,786 --> 00:03:31,588
Dad'll love that.
53
00:03:31,622 --> 00:03:32,623
He--
Don't talk.
54
00:03:32,656 --> 00:03:34,458
It's going to be an hour.
55
00:03:34,491 --> 00:03:35,692
Thank God you took control.
56
00:03:35,726 --> 00:03:37,361
(Cuddy)
If you can't wait
one hour--
57
00:03:37,394 --> 00:03:38,695
Kid's got hemolytic anemia.
58
00:03:38,729 --> 00:03:40,664
Kid? How old?
59
00:03:40,697 --> 00:03:42,666
He must have inherited it.
He's going to die.
60
00:03:42,699 --> 00:03:44,067
My condolences.
61
00:03:44,100 --> 00:03:45,602
Wasn't inherited.
62
00:03:45,636 --> 00:03:46,903
The problem's outside
the red blood cells.
63
00:03:46,937 --> 00:03:48,605
This is impossible.
64
00:03:48,639 --> 00:03:49,840
16-year-old doesn't get
hemolytic--
65
00:03:49,873 --> 00:03:51,074
Give her back the file.
66
00:03:51,107 --> 00:03:52,709
You have bigger problems
to tend to
67
00:03:52,743 --> 00:03:53,944
like my meds.
68
00:03:53,977 --> 00:03:55,846
Elevated indirect bilirubin,
69
00:03:55,879 --> 00:03:57,514
low serum haptoglobin.
70
00:03:57,548 --> 00:03:58,782
He's got meningitis.
71
00:03:58,815 --> 00:03:59,883
Uh, no.
72
00:04:02,519 --> 00:04:03,520
Artificial heart valve.
73
00:04:03,554 --> 00:04:05,856
No.
74
00:04:10,727 --> 00:04:12,463
Get everyone in my office.
75
00:04:13,764 --> 00:04:16,367
Kid's going to be dead
in a matter of days
76
00:04:16,400 --> 00:04:17,701
if we don't figure out
77
00:04:17,734 --> 00:04:18,969
why his red blood cells
are disintegrating.
78
00:04:19,002 --> 00:04:20,504
So differential diagnosis,
people.
79
00:04:20,537 --> 00:04:21,705
(Foreman)
Well, it's not environmental.
80
00:04:21,738 --> 00:04:23,740
Dad hired a company
to clean the house.
81
00:04:23,774 --> 00:04:24,608
Maid washed
all the clothes,
82
00:04:24,641 --> 00:04:26,743
bought hypoallergenic sheets
and pillows.
83
00:04:26,777 --> 00:04:27,978
Do you want us to re-check?
84
00:04:28,011 --> 00:04:29,346
No. If it's environmental,
85
00:04:29,380 --> 00:04:31,014
he'll get better
just from staying here.
86
00:04:31,047 --> 00:04:32,048
It could be an infection.
87
00:04:32,082 --> 00:04:33,717
No fever. No white count.
88
00:04:33,750 --> 00:04:34,818
He's 99.2.
89
00:04:34,851 --> 00:04:36,487
Barely above normal.
90
00:04:36,520 --> 00:04:38,789
But above. His body's reacting
to something.
91
00:04:38,822 --> 00:04:41,392
(Cameron)
We could account for the lack
of fever and white count
92
00:04:41,425 --> 00:04:42,526
if it's lupus.
93
00:04:42,559 --> 00:04:44,995
(Chase)
Drugs will fit just as much
as lupus.
94
00:04:45,028 --> 00:04:46,029
Meth'll cause
hemolytic anemia.
95
00:04:46,062 --> 00:04:47,297
(Cameron)
A lot of meth.
96
00:04:47,330 --> 00:04:50,133
(Foreman)
Also doesn't exactly seem
like the type.
97
00:04:50,166 --> 00:04:51,668
Because his dad
drives a Porsche?
98
00:04:51,702 --> 00:04:53,570
Rich kids do drugs
just like poor kids.
99
00:04:53,604 --> 00:04:54,871
Didn't mean to offend you.
100
00:04:54,905 --> 00:04:56,540
(House)
Okay, so it's infection,
101
00:04:56,573 --> 00:04:59,443
lupus, drugs, or cancer.
102
00:04:59,476 --> 00:05:00,711
Cancer?
103
00:05:00,744 --> 00:05:02,713
Why not?
Great meeting.
104
00:05:02,746 --> 00:05:05,482
Shouldn't we narrow it down
before we finish?
105
00:05:05,516 --> 00:05:07,784
My leg gave us
till 11:15.
106
00:05:07,818 --> 00:05:09,486
I'll talk to Wilson
about lymphoma.
107
00:05:09,520 --> 00:05:10,721
A-N-A for lupus.
108
00:05:10,754 --> 00:05:12,022
Radioimmunoassay for drugs.
109
00:05:12,055 --> 00:05:15,859
And you test for...
whatever you thought it was.
110
00:05:15,892 --> 00:05:18,629
I've got a date
with a pharmacist.
111
00:05:22,433 --> 00:05:23,967
Come on, come on,
come on, come on.
112
00:05:34,845 --> 00:05:36,913
'Scuse me.
113
00:05:39,450 --> 00:05:42,619
You know, there are other ways
to manage pain.
114
00:05:42,653 --> 00:05:45,088
Like what--
laughter, meditation?
115
00:05:45,121 --> 00:05:47,090
Got a guy that can fix
my third chakra?
116
00:05:47,123 --> 00:05:49,460
You're addicted.
117
00:05:49,493 --> 00:05:51,795
If the pills ran my life,
I'd agree with you.
118
00:05:51,828 --> 00:05:54,164
But it's my leg that's busy
calendaring what I can't do.
119
00:05:54,197 --> 00:05:55,832
You're in denial.
120
00:05:55,866 --> 00:05:57,801
Right. I never had
an infarction in my leg.
121
00:05:57,834 --> 00:05:59,870
No dead muscle.
No nerve damage.
122
00:05:59,903 --> 00:06:02,673
It doesn't even hurt.
Actually, it kind of tickles.
123
00:06:02,706 --> 00:06:04,475
And chicks dig this
124
00:06:04,508 --> 00:06:06,109
better than a puppy.
125
00:06:06,142 --> 00:06:08,779
It's not just your leg.
You want to get high.
126
00:06:08,812 --> 00:06:10,781
You're doing, what,
80 milligrams a day?
127
00:06:10,814 --> 00:06:12,916
No. That's way too much.
128
00:06:12,949 --> 00:06:15,752
Moderation is the key.
Unless there's pain.
129
00:06:15,786 --> 00:06:17,454
It's double
what you were taking
130
00:06:17,488 --> 00:06:19,089
when I hired you.
131
00:06:19,122 --> 00:06:21,458
Because you're twice
as annoying.
132
00:06:21,492 --> 00:06:23,193
I can't always be here
to protect you.
133
00:06:23,226 --> 00:06:24,861
Patients talk.
Doctors talk.
134
00:06:24,895 --> 00:06:26,863
About how big your ass
has gotten lately?
135
00:06:26,897 --> 00:06:29,966
Not me. I defend it.
You got back.
136
00:06:38,174 --> 00:06:39,976
You can't go a week
without the drugs.
137
00:06:40,010 --> 00:06:42,245
No, I don't want to go a week
without the drugs.
138
00:06:42,278 --> 00:06:43,714
It'll hurt.
No, you can't.
139
00:06:43,747 --> 00:06:45,215
If you're just getting off
pain medication,
140
00:06:45,248 --> 00:06:46,750
it will hurt.
141
00:06:46,783 --> 00:06:48,051
You won't be having
a great time,
142
00:06:48,084 --> 00:06:49,586
but you'll make it.
143
00:06:49,620 --> 00:06:50,754
If you're detoxing,
144
00:06:50,787 --> 00:06:52,489
you'll have chills,
nausea.
145
00:06:52,523 --> 00:06:55,191
Your pain will magnify
five, ten times.
146
00:06:55,225 --> 00:06:56,727
You won't make it.
147
00:06:56,760 --> 00:06:58,595
Well, I guess
we'll never know.
148
00:06:58,629 --> 00:07:00,030
I'll give you a week
off clinic duty
149
00:07:00,063 --> 00:07:02,165
if you can go a week
without narcotics.
150
00:07:02,198 --> 00:07:03,700
No way. I love the clinic.
151
00:07:03,734 --> 00:07:04,835
You love the pills.
Two weeks.
152
00:07:04,868 --> 00:07:07,971
The pills don't make me high,
they make me neutral.
153
00:07:08,004 --> 00:07:09,039
A month.
154
00:07:14,645 --> 00:07:16,046
You're on, mister.
155
00:07:20,083 --> 00:07:21,785
Drugs could cause this?
156
00:07:21,818 --> 00:07:24,054
Cocaine and meth are very hard
on the blood system.
157
00:07:24,087 --> 00:07:26,990
Has he had
any erratic behavior?
158
00:07:27,023 --> 00:07:30,527
No, but...
159
00:07:30,561 --> 00:07:32,896
she was in rehab
in the ninth grade.
160
00:07:32,929 --> 00:07:34,765
She's supposedly clean now,
but--
161
00:07:34,798 --> 00:07:36,066
She obviously cares
for him.
162
00:07:36,099 --> 00:07:38,201
What she cared about
was the car.
163
00:07:38,234 --> 00:07:40,837
Anniversary present
for my wife.
164
00:07:40,871 --> 00:07:44,808
We drove it up north
to watch the leaves change.
165
00:07:44,841 --> 00:07:46,877
She was dead a year later.
166
00:07:46,910 --> 00:07:48,044
Cancer.
167
00:07:48,078 --> 00:07:49,646
I'm sorry.
168
00:07:51,915 --> 00:07:54,785
Mr. Foster, we're going
to test Keith for drugs.
169
00:07:54,818 --> 00:07:56,853
I don't do drugs.
170
00:07:56,887 --> 00:07:59,790
It's not that we don't
trust you, but...
171
00:07:59,823 --> 00:08:01,892
(Cameron)
His hair will tell us
172
00:08:01,925 --> 00:08:04,728
any drugs he's taken
over the past 60 days.
173
00:08:04,761 --> 00:08:08,031
It's kind of like
rings on a tree.
174
00:08:14,104 --> 00:08:15,972
Negative.
175
00:08:17,808 --> 00:08:19,109
Have you been sick?
176
00:08:19,142 --> 00:08:20,310
No. Nothing.
177
00:08:20,343 --> 00:08:21,712
Have you been out
of the country?
178
00:08:21,745 --> 00:08:22,579
We went to China,
179
00:08:22,613 --> 00:08:25,015
but we got all our shots
before we left.
180
00:08:25,048 --> 00:08:26,883
(Cameron)
It could be an infection.
181
00:08:26,917 --> 00:08:29,185
We're going to give him
a Gallium Scan just to be safe.
182
00:08:29,219 --> 00:08:31,254
We inject a radioactive isotope
into his bloodstream.
183
00:08:31,287 --> 00:08:33,724
Then we check to see
if there's inflammation
184
00:08:33,757 --> 00:08:35,592
anywhere in the body.
185
00:08:35,626 --> 00:08:36,760
Has he ever complained
186
00:08:36,793 --> 00:08:38,194
of any joint pain,
187
00:08:38,228 --> 00:08:39,863
sensitivity to light,
188
00:08:39,896 --> 00:08:41,131
rashes?
189
00:08:41,164 --> 00:08:42,733
No, no. Nothing.
190
00:08:42,766 --> 00:08:44,701
Any relatives ever been
diagnosed with lupus?
191
00:08:44,735 --> 00:08:46,870
I don't even know
what that is.
192
00:08:46,903 --> 00:08:48,004
In simple terms,
193
00:08:48,038 --> 00:08:49,339
the body becomes allergic
to itself.
194
00:08:49,372 --> 00:08:51,241
The immune system attacks
healthy cells
195
00:08:51,274 --> 00:08:53,610
in the circulatory system
and destroys them.
196
00:08:53,644 --> 00:08:55,145
Would it be treatable?
197
00:08:55,178 --> 00:08:58,314
It can be manageable.
198
00:08:58,348 --> 00:09:00,150
We can test
for the antibodies.
199
00:09:00,183 --> 00:09:04,821
95% of patients with lupus
have positive A-N-A.
200
00:09:04,855 --> 00:09:08,158
Not cloudy.
Negative.
201
00:09:08,191 --> 00:09:09,726
What about bruising?
202
00:09:09,760 --> 00:09:12,062
Never complained
of tenderness under his arms,
203
00:09:12,095 --> 00:09:13,730
his groin?
204
00:09:13,764 --> 00:09:15,899
I'm not sure he'd tell me
if he did.
205
00:09:15,932 --> 00:09:19,235
I guess I don't really know
what's going on in his life.
206
00:09:19,269 --> 00:09:20,837
He's a teenager.
207
00:09:20,871 --> 00:09:22,939
Yeah.
208
00:09:25,942 --> 00:09:28,378
What type of cancer
did your wife have?
209
00:09:30,781 --> 00:09:31,648
Pancreatic.
210
00:09:31,682 --> 00:09:34,951
It's his lymph nodes
we're concerned about.
211
00:09:34,985 --> 00:09:38,655
We're going to do a biopsy
to check for lymphoma.
212
00:09:38,689 --> 00:09:40,957
(man)
Can you feel this?
213
00:09:40,991 --> 00:09:42,125
No.
214
00:09:42,158 --> 00:09:43,860
Good.
215
00:09:52,903 --> 00:09:54,137
I have cancer,
don't I?
216
00:09:54,170 --> 00:09:56,773
We're just testing.
217
00:09:59,910 --> 00:10:01,778
That's what they told
my mom.
218
00:10:01,812 --> 00:10:04,915
(Cameron)
We'll review the slides
219
00:10:04,948 --> 00:10:08,084
and check
for any abnormal cells.
220
00:10:08,118 --> 00:10:10,353
Definitely not cancer.
221
00:10:11,755 --> 00:10:12,856
Nothing?
222
00:10:12,889 --> 00:10:14,691
Nothing.
Negative for drugs.
223
00:10:14,725 --> 00:10:16,827
A-N-A was negative.
Gallium Scan was clear.
224
00:10:16,860 --> 00:10:18,328
Yeah, I got that
from the nothing.
225
00:10:18,361 --> 00:10:19,863
Where's his hematocrit?
226
00:10:19,896 --> 00:10:20,797
13.
227
00:10:20,831 --> 00:10:21,965
Drops any lower,
228
00:10:21,998 --> 00:10:23,734
he's not going to have
enough red blood cells
229
00:10:23,767 --> 00:10:25,702
to bring oxygen
to his body.
230
00:10:25,736 --> 00:10:27,838
He'll suffocate with his lungs
working perfectly.
You okay?
231
00:10:27,871 --> 00:10:30,340
(Keith)
Excuse me, someone.
232
00:10:30,373 --> 00:10:32,743
Help, please.
233
00:10:32,776 --> 00:10:35,445
Polite for a dying kid.
234
00:10:38,915 --> 00:10:40,884
How long has it been?
235
00:10:40,917 --> 00:10:42,986
I'm fine.
236
00:10:43,019 --> 00:10:44,755
There's something in my eye.
Up at the top.
237
00:10:44,788 --> 00:10:46,256
Which eye?
238
00:10:46,289 --> 00:10:47,758
This one.
What's happening?
239
00:10:47,791 --> 00:10:50,026
It's all right.
Just look down for me.
240
00:10:52,095 --> 00:10:54,197
It's clear.
There's nothing in it.
241
00:10:54,230 --> 00:10:55,398
It's getting worse.
242
00:10:55,431 --> 00:10:56,800
Is it fuzzy or--
243
00:10:56,833 --> 00:10:59,269
No, it's dark.
244
00:10:59,302 --> 00:11:01,772
I can't see.
245
00:11:14,818 --> 00:11:17,821
(Foreman)
It's a retinal clot
in the left eye.
246
00:11:17,854 --> 00:11:19,122
Coumadin would dissolve
the clot,
247
00:11:19,155 --> 00:11:20,290
fix his eyesight.
248
00:11:20,323 --> 00:11:21,457
You can't use
blood thinners.
249
00:11:21,491 --> 00:11:22,959
He's got internal bleeding.
250
00:11:22,993 --> 00:11:24,460
Fix the eye,
you kill everything else.
251
00:11:24,494 --> 00:11:26,296
Surgery's out
for the same reason.
252
00:11:26,329 --> 00:11:27,998
We have two hours
to figure this out.
253
00:11:28,031 --> 00:11:29,265
Either we restore
the blood flow
254
00:11:29,299 --> 00:11:30,300
or he loses the eye.
255
00:11:30,333 --> 00:11:33,336
Forget the eye.
256
00:11:33,369 --> 00:11:35,005
Tell him to use
the other one
257
00:11:35,038 --> 00:11:36,873
and to look
on the bright side.
258
00:11:36,907 --> 00:11:38,541
The clot
tells us something.
259
00:11:38,574 --> 00:11:40,276
Could help us figure out
260
00:11:40,310 --> 00:11:41,878
what he has.
261
00:11:41,912 --> 00:11:43,814
Which could mean
he gets to live.
262
00:11:43,847 --> 00:11:45,281
Differential diagnosis,
263
00:11:45,315 --> 00:11:46,883
people.
264
00:11:46,917 --> 00:11:49,552
How does internal bleeding
suddenly start clotting?
265
00:11:49,585 --> 00:11:51,054
Makes no sense.
266
00:11:51,087 --> 00:11:53,056
They're opposing processes.
267
00:11:53,089 --> 00:11:54,925
It can happen in lupus.
268
00:11:54,958 --> 00:11:56,126
Increased platelet count
could cause blood clots.
269
00:11:56,159 --> 00:11:57,127
A-N-A was negative.
270
00:11:57,160 --> 00:11:58,394
It's not lupus.
271
00:11:58,428 --> 00:11:59,562
This is true.
272
00:11:59,595 --> 00:12:01,564
But why are you the one
saying it?
273
00:12:01,597 --> 00:12:03,266
What are you doing here?
274
00:12:03,299 --> 00:12:05,268
I thought
we ruled out cancer.
275
00:12:05,301 --> 00:12:07,871
I was lonely.
276
00:12:07,904 --> 00:12:10,006
Well, go see Cuddy.
She needs a friend.
277
00:12:10,040 --> 00:12:12,375
That's funny.
She said you might need one.
278
00:12:12,408 --> 00:12:13,376
That's why you're here?
279
00:12:13,409 --> 00:12:14,878
She wants you to keep
280
00:12:14,911 --> 00:12:15,578
an eye on me,
281
00:12:15,611 --> 00:12:17,313
make sure I don't cheat.
282
00:12:17,347 --> 00:12:19,883
No, I wanted to make sure
you don't start firing shots
283
00:12:19,916 --> 00:12:22,385
from the clock tower.
I'm fine.
284
00:12:22,418 --> 00:12:23,987
(Cameron)
What's going on?
285
00:12:24,020 --> 00:12:26,890
He hasn't had Vicodin
in over a day.
286
00:12:27,891 --> 00:12:29,492
Does your leg hurt?
287
00:12:29,525 --> 00:12:30,961
You ever been shot?
288
00:12:30,994 --> 00:12:33,296
There's going
to be side effects.
289
00:12:33,329 --> 00:12:35,365
Insomnia, depression,
tachycardia.
290
00:12:35,398 --> 00:12:37,200
Withdrawal symptoms.
Not applicable.
291
00:12:37,233 --> 00:12:38,935
The only side effects
I'm going to have
292
00:12:38,969 --> 00:12:41,872
are some pain
and 30 days of freedom.
293
00:12:44,074 --> 00:12:47,110
Am I the only one who's
concerned about a dying kid?
294
00:12:47,143 --> 00:12:49,512
If it's not lupus,
what else?
295
00:12:49,545 --> 00:12:51,347
Most likely candidate
for throwing a clot
296
00:12:51,381 --> 00:12:53,616
is infection or cancer.
297
00:12:53,649 --> 00:12:55,585
Checked the biopsy twice.
It's not cancer.
298
00:12:55,618 --> 00:12:56,953
It's not an infection.
299
00:12:56,987 --> 00:12:58,621
Gallium Scan
didn't reveal anything.
300
00:12:58,654 --> 00:13:01,491
Okay, what hides
from a Gallium Scan?
301
00:13:05,428 --> 00:13:07,463
Cardiac.
302
00:13:07,497 --> 00:13:08,965
(Cameron)
Right.
Clot flicks off,
303
00:13:08,999 --> 00:13:10,233
travels through
the arteries,
304
00:13:10,266 --> 00:13:12,135
gets backed up
in the eye.
305
00:13:18,541 --> 00:13:19,910
I'm sorry.
I wasn't paying attention.
306
00:13:19,943 --> 00:13:21,878
What happened?
307
00:13:21,912 --> 00:13:24,314
It's an infection
in his heart.
308
00:13:24,347 --> 00:13:27,050
Great.
309
00:13:27,083 --> 00:13:28,218
Echocardiogram
for the heart
310
00:13:28,251 --> 00:13:30,620
and IV antibiotics
for the infection.
311
00:13:30,653 --> 00:13:32,855
Stat.
312
00:13:45,335 --> 00:13:47,603
Is it my birthday?
313
00:13:48,704 --> 00:13:51,374
I'm not lonely.
314
00:13:51,407 --> 00:13:52,642
My leg hurts.
315
00:13:52,675 --> 00:13:54,510
She's a real masseuse.
316
00:13:54,544 --> 00:13:55,979
She's $500 an hour
minimum.
317
00:13:56,012 --> 00:13:57,480
She's hot so she's a hooker?
318
00:13:57,513 --> 00:13:59,950
What kind
of pathetic logic is that?
319
00:13:59,983 --> 00:14:01,117
The envious, jealous,
320
00:14:01,151 --> 00:14:03,553
I never got any in high school
kind of logic. Hello.
321
00:14:03,586 --> 00:14:06,122
She's a legitimate masseuse.
322
00:14:06,156 --> 00:14:07,958
C'mon.
323
00:14:09,392 --> 00:14:10,994
God, she's beautiful.
324
00:14:11,027 --> 00:14:12,628
Because she's beautiful,
I should do it?
325
00:14:12,662 --> 00:14:14,464
What kind of pathetic logic
is that?
326
00:14:14,497 --> 00:14:15,598
The envious, jealous,
327
00:14:15,631 --> 00:14:17,467
I'm married
and I can't do anything logic.
328
00:14:17,500 --> 00:14:19,169
Hello.
329
00:14:19,202 --> 00:14:20,703
Uh, listen,
330
00:14:20,736 --> 00:14:22,372
I'm sure you're really good
at whatever it is
331
00:14:22,405 --> 00:14:24,174
you do, but--
Dame su mano.
332
00:14:24,207 --> 00:14:25,375
Huh?
333
00:14:27,210 --> 00:14:28,444
Hey, let go of my hand.
334
00:14:28,478 --> 00:14:30,013
She doesn't speak English.
335
00:14:30,046 --> 00:14:31,982
Shhh.
336
00:14:33,383 --> 00:14:35,218
Ow!
337
00:14:35,251 --> 00:14:37,587
Ow. Ah.
338
00:14:37,620 --> 00:14:41,291
Ahhhh...
339
00:14:45,161 --> 00:14:46,997
Oh, my God.
340
00:14:52,002 --> 00:14:53,136
Bueno.
341
00:14:53,169 --> 00:14:55,671
Take off your clothes.
342
00:14:59,742 --> 00:15:03,079
Not a fan
of the stroganoff?
343
00:15:03,113 --> 00:15:04,747
I'm not hungry.
344
00:15:04,780 --> 00:15:07,083
The antibiotics
can cause nausea.
345
00:15:07,117 --> 00:15:09,585
So can the food.
346
00:15:09,619 --> 00:15:12,355
Shouldn't you be looking
at my eye?
347
00:15:12,388 --> 00:15:15,725
The blood clot
isn't life-threatening.
348
00:15:15,758 --> 00:15:17,393
We're focusing
on figuring out
349
00:15:17,427 --> 00:15:18,728
the cause
of your problems.
350
00:15:18,761 --> 00:15:21,164
So the--so the blindness
351
00:15:21,197 --> 00:15:22,698
will be permanent, won't it?
352
00:15:39,782 --> 00:15:41,417
Thank you.
Bye.
353
00:15:44,787 --> 00:15:46,689
I had a massage.
354
00:15:46,722 --> 00:15:48,758
Looks like you had
the masseuse.
355
00:15:48,791 --> 00:15:50,160
Help the pain?
356
00:15:50,193 --> 00:15:52,628
I'm fine.
I know.
357
00:15:52,662 --> 00:15:54,197
Kid's echo was normal.
358
00:15:54,230 --> 00:15:56,032
No sign of any vegetations
on heart valves.
359
00:15:56,066 --> 00:15:58,368
Never met a diagnostic study
I couldn't refute.
360
00:15:58,401 --> 00:16:00,203
And the antibiotics
aren't doing anything.
361
00:16:00,236 --> 00:16:02,372
So double the dosage.
362
00:16:02,405 --> 00:16:04,240
70 milligrams.
363
00:16:04,274 --> 00:16:06,076
That'll box his kidneys
for sure.
364
00:16:06,109 --> 00:16:07,710
You're right.
Save the kidney.
365
00:16:07,743 --> 00:16:10,413
The guy we transplant it
into will be grateful.
366
00:16:10,446 --> 00:16:12,582
Also, I have an idea
for his eye.
367
00:16:12,615 --> 00:16:14,384
Nothing we can do
about his eye.
368
00:16:14,417 --> 00:16:16,686
He's got a clot
in the ret--
Put it in a memo.
369
00:16:16,719 --> 00:16:19,222
If we remove some of the liquid
from the eye itself,
370
00:16:19,255 --> 00:16:20,656
the vitreous humour,
371
00:16:20,690 --> 00:16:23,526
it might make some extra room
around the retinal artery.
372
00:16:23,559 --> 00:16:27,197
If the artery expands,
the clot might move on its own.
373
00:16:27,230 --> 00:16:28,664
That's very creative.
374
00:16:28,698 --> 00:16:30,800
Why didn't
you mention this before?
375
00:16:30,833 --> 00:16:33,236
I didn't think
of it before.
376
00:16:33,269 --> 00:16:34,570
You should've.
377
00:16:54,457 --> 00:16:56,259
This is going to hurt.
378
00:16:56,292 --> 00:16:57,827
Your eye's numb.
379
00:16:57,860 --> 00:16:59,795
You'll only feel pressure.
380
00:17:26,689 --> 00:17:28,090
Give it a minute.
381
00:17:36,699 --> 00:17:38,168
I can see.
382
00:18:07,363 --> 00:18:08,664
I can see you.
383
00:18:08,698 --> 00:18:12,168
I heard. Congratulations.
384
00:18:12,202 --> 00:18:14,337
Don't. I haven't brushed
my teeth in two days.
385
00:18:21,744 --> 00:18:23,546
I'm so scared
they're not going to find out
386
00:18:23,579 --> 00:18:24,647
what's wrong with you.
387
00:18:24,680 --> 00:18:27,717
No biggie. I'm fine.
388
00:18:27,750 --> 00:18:29,719
I feel so bad
about all this.
389
00:18:29,752 --> 00:18:31,654
It's all my fault.
390
00:18:31,687 --> 00:18:33,956
No. It's not.
391
00:18:33,989 --> 00:18:38,228
But your father, he hates me.
392
00:18:38,261 --> 00:18:40,730
He's just pissed
about his car.
393
00:18:44,800 --> 00:18:46,902
[vomiting]
394
00:18:46,936 --> 00:18:48,671
Help! Help! Help!
395
00:18:59,849 --> 00:19:01,684
What's wrong?
396
00:19:01,717 --> 00:19:04,254
AST's 859.
We're getting him to the ICU.
397
00:19:04,287 --> 00:19:06,222
ILT and GGT are in the tank.
Our antibiotics--
398
00:19:06,256 --> 00:19:07,690
Would not have caused this.
399
00:19:07,723 --> 00:19:08,791
She must have given
him drugs.
400
00:19:08,824 --> 00:19:09,892
I wouldn't do that!
401
00:19:09,925 --> 00:19:11,661
(House)
It's not drugs!
402
00:19:11,694 --> 00:19:13,429
His liver is shutting down.
403
00:19:13,463 --> 00:19:14,564
What?
404
00:19:14,597 --> 00:19:15,865
What does that mean?
405
00:19:15,898 --> 00:19:18,334
It means he's all better.
He's ready to go home.
406
00:19:18,368 --> 00:19:19,602
What?
407
00:19:19,635 --> 00:19:20,670
What do you think it means?
408
00:19:20,703 --> 00:19:22,238
You can't live
without a liver.
409
00:19:22,272 --> 00:19:23,406
He's dying.
410
00:19:23,439 --> 00:19:24,507
What is your problem?
411
00:19:24,540 --> 00:19:25,908
Bum leg, what's yours?
412
00:19:25,941 --> 00:19:27,610
Hey, we don't have time
for this.
413
00:19:27,643 --> 00:19:29,645
Let's go.
414
00:19:34,384 --> 00:19:35,985
His son's dying
and you're mocking him.
415
00:19:36,018 --> 00:19:38,521
It was a dumb question.
416
00:19:38,554 --> 00:19:39,922
No, it wasn't.
417
00:19:42,892 --> 00:19:44,460
You're right.
It wasn't.
418
00:19:46,562 --> 00:19:48,598
Is proving Cuddy wrong
worth all this?
419
00:20:03,379 --> 00:20:04,914
You know,
House shouldn't even be here.
420
00:20:04,947 --> 00:20:06,916
Because he said something
inappropriate?
421
00:20:06,949 --> 00:20:08,818
If we sent him home
422
00:20:08,851 --> 00:20:10,786
every time he did that,
we wouldn't need this office.
423
00:20:10,820 --> 00:20:12,788
He's in pain.
424
00:20:12,822 --> 00:20:15,057
What does the man have to do
to piss you off?
425
00:20:15,090 --> 00:20:17,627
He's been without pain relief
for over 70 hours.
426
00:20:17,660 --> 00:20:19,028
Exactly. He's detoxing.
427
00:20:19,061 --> 00:20:20,863
Can't you see
he's out of his mind?
428
00:20:20,896 --> 00:20:22,832
(House)
That's what they said
about Manson.
429
00:20:25,401 --> 00:20:27,370
Do you want to continue
talking about me
430
00:20:27,403 --> 00:20:29,772
or should we discuss
what the liver damage tells us?
431
00:20:31,507 --> 00:20:33,976
I was born in a log cabin
in Illinois--
432
00:20:34,009 --> 00:20:35,978
Hemolytic anemia doesn't cause
liver damage.
433
00:20:36,011 --> 00:20:38,514
Add the fact
he's coughing blood,
434
00:20:38,548 --> 00:20:40,450
you've got three
of the indicators
435
00:20:40,483 --> 00:20:41,617
of organ-threatening lupus.
436
00:20:41,651 --> 00:20:43,553
It's moving too fast.
437
00:20:43,586 --> 00:20:46,989
Could be Hepatitis-E.
438
00:20:47,022 --> 00:20:48,691
There's only been one case
of Hep-E
439
00:20:48,724 --> 00:20:49,725
originating in the U.S. since--
440
00:20:49,759 --> 00:20:51,594
His history says he's been
441
00:20:51,627 --> 00:20:53,863
in and out of the country
four times in the last year.
442
00:20:53,896 --> 00:20:55,698
You really think
he's got Hep-E?
443
00:20:55,731 --> 00:20:58,534
No. I think lupus
is way more likely.
444
00:20:58,568 --> 00:20:59,669
All right,
then let's start him
445
00:20:59,702 --> 00:21:01,003
on IV cytoxan
and plasmapheresis.
446
00:21:01,036 --> 00:21:02,438
No.
447
00:21:02,472 --> 00:21:03,973
We should rule out Hep-E.
448
00:21:04,006 --> 00:21:05,641
You just said
it wasn't Hep-E.
449
00:21:05,675 --> 00:21:07,109
I said lupus
is way more likely.
450
00:21:07,142 --> 00:21:09,078
But if we treat for lupus
and it is Hep-E--
451
00:21:09,111 --> 00:21:11,814
He's toast.
Exactly.
452
00:21:11,847 --> 00:21:13,683
But there isn't a treatment
for Hepatitis-E.
453
00:21:13,716 --> 00:21:15,351
Either he'll get better
on his own
454
00:21:15,385 --> 00:21:16,786
or he'll continue
to deteriorate.
455
00:21:16,819 --> 00:21:19,989
Yeah, I went
to medical school too.
456
00:21:20,022 --> 00:21:22,392
Start him on solumedrol.
457
00:21:22,425 --> 00:21:23,493
If he's got Hep-E,
458
00:21:23,526 --> 00:21:24,694
that's only gonna
make him worse.
459
00:21:24,727 --> 00:21:25,828
Not as much.
460
00:21:25,861 --> 00:21:27,997
It's Goldilocks, people.
461
00:21:28,030 --> 00:21:30,366
It won't hurt him so much
that it'll kill him
462
00:21:30,400 --> 00:21:32,635
and it won't hurt him so little
that we can't tell.
463
00:21:32,668 --> 00:21:35,104
It'll hurt him just right.
464
00:21:35,137 --> 00:21:37,407
And if it does nothing--
465
00:21:37,440 --> 00:21:38,574
We'll know it's not Hep-E
466
00:21:38,608 --> 00:21:40,843
and can start treating
for lupus.
467
00:21:40,876 --> 00:21:43,413
Now watch me do it while
drinking a glass of water.
468
00:21:43,446 --> 00:21:44,747
What do we tell the dad?
469
00:21:44,780 --> 00:21:45,715
We think your kid has lupus,
470
00:21:45,748 --> 00:21:47,717
so we're going to treat him
for Hepatitis-E.
471
00:21:47,750 --> 00:21:49,385
And oh yeah,
if it really is Hep-E,
472
00:21:49,419 --> 00:21:51,921
we're not actually giving him
Hep-E medication.
473
00:21:51,954 --> 00:21:53,889
So it's going
to make him worse, not better.
474
00:21:53,923 --> 00:21:55,858
You think he'll go for that?
475
00:21:55,891 --> 00:21:57,092
So you want us to lie?
476
00:21:57,126 --> 00:21:59,529
No. I want you to lie.
477
00:21:59,562 --> 00:22:01,464
Why me?
478
00:22:01,497 --> 00:22:02,832
Because he trusts you.
479
00:22:05,935 --> 00:22:07,437
(Cameron)
This is a mistake.
480
00:22:07,470 --> 00:22:08,738
This is a lawsuit.
481
00:22:08,771 --> 00:22:10,606
Hep-E is possible.
482
00:22:10,640 --> 00:22:12,007
House always pulls
these stunts
483
00:22:12,041 --> 00:22:13,175
and he's right
more often--
484
00:22:13,208 --> 00:22:14,544
He's delaying treatment
485
00:22:14,577 --> 00:22:16,011
because of a one
in a million chance
486
00:22:16,045 --> 00:22:17,880
that even he doesn't think
is the problem.
487
00:22:17,913 --> 00:22:19,715
I don't want
to lie to him.
Then don't.
488
00:22:19,749 --> 00:22:20,683
And get fired?
489
00:22:20,716 --> 00:22:23,052
Like he's going to fire you.
He loves you.
490
00:22:23,085 --> 00:22:24,787
I've got
to do something.
491
00:22:24,820 --> 00:22:26,722
The kid needs treatment.
492
00:22:26,756 --> 00:22:27,790
Then treat him for lupus.
493
00:22:27,823 --> 00:22:29,792
That will get you fired.
494
00:22:31,594 --> 00:22:32,995
You really think House
is losing it?
495
00:22:34,129 --> 00:22:35,931
Yeah.
496
00:22:35,965 --> 00:22:38,167
He's fine.
He knows what he's doing.
497
00:23:21,744 --> 00:23:23,546
God!
498
00:23:39,294 --> 00:23:42,264
We're recommending a drug
called solumedrol.
499
00:23:42,297 --> 00:23:44,834
For Hepatitis?
500
00:23:44,867 --> 00:23:46,268
Did that show up
on his blood tests?
501
00:23:46,301 --> 00:23:51,774
The tests
are never 100% accurate.
502
00:23:51,807 --> 00:23:53,776
Well, then all the other tests
could be wrong too.
503
00:23:53,809 --> 00:23:55,778
This could still be
an infection or cancer?
504
00:23:55,811 --> 00:24:00,249
Um, they don't fit any
of the most recent symptoms.
505
00:24:00,282 --> 00:24:03,252
Well, what,
just Hepatitis does?
506
00:24:03,285 --> 00:24:04,887
I know, I know,
I know.
507
00:24:04,920 --> 00:24:07,489
You can never be sure.
508
00:24:09,825 --> 00:24:13,228
When Wendy
was in the hospital,
509
00:24:13,262 --> 00:24:15,230
doctor told us
510
00:24:15,264 --> 00:24:17,667
there was this aggressive
experimental treatment
511
00:24:17,700 --> 00:24:20,936
which might extend her life
by two or three years.
512
00:24:20,970 --> 00:24:23,038
We figured if there
was any hope at all
513
00:24:23,072 --> 00:24:25,307
that we could have her
with us a little while longer,
514
00:24:25,340 --> 00:24:26,676
it'd be worth it.
515
00:24:26,709 --> 00:24:29,712
Three weeks later,
she was gone.
516
00:24:34,349 --> 00:24:36,118
I don't think
it's Hepatitis.
517
00:24:38,788 --> 00:24:40,856
I think your son has lupus.
518
00:24:42,758 --> 00:24:44,727
I think it's broken.
519
00:24:44,760 --> 00:24:46,328
What'd you do?
520
00:24:46,361 --> 00:24:50,132
Accidentally closed
the car door on it.
521
00:24:50,165 --> 00:24:52,968
No, the door
would've broken the skin.
522
00:24:53,002 --> 00:24:55,771
This looks like something
hard and smooth smashed it.
523
00:24:55,805 --> 00:24:58,340
I want my lawyer.
524
00:24:58,373 --> 00:24:59,875
Makes sense.
525
00:24:59,909 --> 00:25:01,711
The brain has
a gating mechanism for pain.
526
00:25:01,744 --> 00:25:04,013
It registers
the most severe injury
527
00:25:04,046 --> 00:25:05,280
and blocks out the other.
528
00:25:05,314 --> 00:25:06,749
Did it work?
529
00:25:06,782 --> 00:25:10,052
My hand hurts like hell.
530
00:25:10,085 --> 00:25:14,256
Yeah.
I feel much better.
531
00:25:14,289 --> 00:25:16,926
Don't splint it.
532
00:25:16,959 --> 00:25:19,361
I want to be able
to bang it against the wall
533
00:25:19,394 --> 00:25:21,797
if I need to administer
another dose.
534
00:25:21,831 --> 00:25:23,365
Just tape it up.
535
00:25:23,398 --> 00:25:25,801
[door opens]
536
00:25:28,871 --> 00:25:30,873
Why'd you tell Cameron
to lie to Mr. Foster?
537
00:25:30,906 --> 00:25:32,207
Make it tight.
538
00:25:32,241 --> 00:25:33,743
Answer me.
539
00:25:33,776 --> 00:25:37,212
Nothing I can say
is going to change how you feel
540
00:25:37,246 --> 00:25:39,882
and nothing could come
out of your reaction
541
00:25:39,915 --> 00:25:42,051
that is going to change
what I plan to do,
542
00:25:42,084 --> 00:25:43,786
so I prefer to say nothing.
543
00:25:43,819 --> 00:25:46,622
So that was just you
saying nothing?
544
00:25:46,656 --> 00:25:47,890
Uh-huh.
545
00:25:47,923 --> 00:25:49,725
The guy is furious.
546
00:25:49,759 --> 00:25:51,193
And scared.
547
00:25:51,226 --> 00:25:52,895
So what are you going to do?
548
00:25:52,928 --> 00:25:54,029
The father's insisting
on the lupus treatment.
549
00:25:54,063 --> 00:25:57,199
Yeah, Cameron told me.
And I told her to tell him no.
550
00:25:57,232 --> 00:26:00,836
Well, you can't just sit back
and let the kid die.
551
00:26:00,870 --> 00:26:01,771
Neither can the father.
552
00:26:01,804 --> 00:26:02,872
So that's your plan?
553
00:26:02,905 --> 00:26:03,973
You're going to play chicken
554
00:26:04,006 --> 00:26:04,974
with the kid's life?
555
00:26:05,007 --> 00:26:06,141
He's the dad.
556
00:26:06,175 --> 00:26:07,843
I should win easily.
557
00:26:07,877 --> 00:26:09,244
Take the week off.
558
00:26:09,278 --> 00:26:11,914
What, 'cause I lied
to a patient?
559
00:26:11,947 --> 00:26:14,917
I take risks.
Sometimes patients die.
560
00:26:14,950 --> 00:26:18,020
But not taking risks
causes more patients to die.
561
00:26:18,053 --> 00:26:19,354
So I guess my biggest problem
562
00:26:19,388 --> 00:26:21,757
is I've been cursed
with the ability to do the math.
563
00:26:21,791 --> 00:26:23,425
[door opens]
564
00:26:23,458 --> 00:26:27,930
I told him that we wouldn't
treat him for the lupus--
565
00:26:27,963 --> 00:26:29,765
What did he say?
He said he wanted
566
00:26:29,799 --> 00:26:31,366
to transfer Keith
to another hospital.
567
00:26:31,400 --> 00:26:32,735
He's not stable enough.
568
00:26:32,768 --> 00:26:34,670
He would never make it
through the door.
569
00:26:34,704 --> 00:26:36,205
That's what I told him.
570
00:26:36,238 --> 00:26:38,207
That's when
he caved.
Yeah.
571
00:26:38,240 --> 00:26:40,409
He agreed to do it your way.
572
00:26:40,442 --> 00:26:43,278
Two plus two equals four.
573
00:26:49,018 --> 00:26:49,985
If it is Hepatitis-E,
574
00:26:50,019 --> 00:26:51,186
we should see
a marked decline
575
00:26:51,220 --> 00:26:52,788
in liver function tests
within the hour.
576
00:26:52,822 --> 00:26:53,823
Why bother
explaining it to me?
577
00:26:53,856 --> 00:26:56,759
It's not like I have
any choice in the matter.
578
00:26:56,792 --> 00:26:58,427
If there's no Hep-E,
579
00:26:58,460 --> 00:27:00,095
we'll start treatment
for lupus immediately.
Ouch.
580
00:27:00,129 --> 00:27:01,831
Keith, what's wrong?
581
00:27:01,864 --> 00:27:03,332
What's happening?
582
00:27:03,365 --> 00:27:04,800
No, get off.
583
00:27:04,834 --> 00:27:06,802
Keith, it's Dr. Chase.
Where does it hurt?
584
00:27:06,836 --> 00:27:08,070
Jules! No!
585
00:27:08,103 --> 00:27:09,271
He's hallucinating.
586
00:27:09,304 --> 00:27:10,706
Is this from the medicine?
587
00:27:10,740 --> 00:27:11,707
We haven't started
the medicine.
588
00:27:11,741 --> 00:27:12,875
We're in the hospital,
Keith.
589
00:27:12,908 --> 00:27:13,743
Keith,
there's nothing on you.
590
00:27:13,776 --> 00:27:17,212
Keith.
Keith! Keith!
591
00:27:17,246 --> 00:27:19,849
Hey, you okay, buddy?
592
00:27:26,455 --> 00:27:28,958
I think I wet the bed.
593
00:27:28,991 --> 00:27:30,826
Don't worry about it.
It's fine.
594
00:27:30,860 --> 00:27:31,994
Let's get you up.
595
00:27:34,830 --> 00:27:35,765
Oh God!
596
00:27:35,798 --> 00:27:37,099
He's had a major bleed.
597
00:27:37,132 --> 00:27:38,133
Bright red blood
per rectum.
598
00:27:38,167 --> 00:27:39,334
I didn't--I didn't mean to.
599
00:27:39,368 --> 00:27:40,870
I'm sorry.
600
00:27:40,903 --> 00:27:42,905
He's going
into hypovolemic shock.
601
00:27:42,938 --> 00:27:44,907
Pressure's 60.
Heart rate's 140.
602
00:27:44,940 --> 00:27:47,042
We need an angiography.
Stat.
603
00:27:57,052 --> 00:28:00,355
(Foreman)
Angiography revealed major
upper and lower GI bleeding.
604
00:28:00,389 --> 00:28:02,091
Severe hemodynamic compromise
605
00:28:02,124 --> 00:28:03,192
and liver failure.
606
00:28:03,225 --> 00:28:04,259
(Chase)
He's also hallucinating.
607
00:28:04,293 --> 00:28:06,929
Thinks he's being talked to
by someone named Jules.
608
00:28:06,962 --> 00:28:08,798
Hallucinations
are a symptom of psychosis,
609
00:28:08,831 --> 00:28:10,065
which is the fourth
diagnostic criteria.
610
00:28:10,099 --> 00:28:11,233
It's official.
611
00:28:11,266 --> 00:28:13,102
This is lupus.
612
00:28:13,135 --> 00:28:14,303
Who's Jules?
613
00:28:16,271 --> 00:28:18,841
Any mention of her
in the medical history?
614
00:28:18,874 --> 00:28:20,943
It doesn't matter
what he's hallucinating about.
615
00:28:20,976 --> 00:28:22,411
It matters why.
It's lupus.
616
00:28:22,444 --> 00:28:24,279
There's no need
to get snippy.
617
00:28:24,313 --> 00:28:27,082
This kind of lupus takes years
to get to this point.
618
00:28:27,116 --> 00:28:28,317
It's been a week.
619
00:28:28,350 --> 00:28:30,319
Yeah, and a 16-year-old kid
shouldn't have hemolytic anemia
620
00:28:30,352 --> 00:28:32,521
or be bleeding out
of every orifice, but he is.
621
00:28:32,554 --> 00:28:35,958
We had an opportunity
to treat this.
622
00:28:35,991 --> 00:28:37,526
Instead, we diddled around
with Hepatitis-E.
623
00:28:37,559 --> 00:28:39,361
And now it's too late.
He needs a new liver.
624
00:28:39,394 --> 00:28:41,196
We screwed up.
625
00:28:41,230 --> 00:28:43,332
You're saying I screwed up.
626
00:28:43,365 --> 00:28:46,101
Yes.
627
00:28:46,135 --> 00:28:47,536
Then why didn't
you just say that?
628
00:28:49,905 --> 00:28:51,073
You going to blame this
on her?
629
00:28:51,106 --> 00:28:52,942
Did you agree
with my recommendation
630
00:28:52,975 --> 00:28:55,010
to treat for Hep-E?
No, I didn't.
631
00:28:55,044 --> 00:28:55,945
And she made herself
quite clear.
632
00:28:55,978 --> 00:28:58,147
And then she went and lied
to the father.
633
00:28:58,180 --> 00:29:00,082
That's why
you're angry.
Yeah, I trusted you.
634
00:29:00,115 --> 00:29:03,518
You always trust me.
It's a big mistake.
635
00:29:03,552 --> 00:29:05,587
Lupus is a bad diagnosis.
636
00:29:05,620 --> 00:29:07,256
It's the best diagnosis
we've got.
637
00:29:07,289 --> 00:29:09,258
That doesn't make it good.
638
00:29:09,291 --> 00:29:11,961
No, just makes it this kid's
only chance to live.
639
00:29:15,865 --> 00:29:18,500
Put him
on the transplant list.
640
00:29:18,533 --> 00:29:20,169
And make sure Cuddy knows.
641
00:29:20,202 --> 00:29:24,139
See if she can do anything
to get him close to the top.
642
00:29:37,152 --> 00:29:41,523
[dry heaving]
643
00:29:48,197 --> 00:29:49,865
Cafeteria.
644
00:29:49,899 --> 00:29:51,934
Stay away from the sushi.
645
00:29:51,967 --> 00:29:54,003
What happened to your hand?
646
00:29:54,036 --> 00:29:58,140
Got stuck in a drawer.
647
00:29:58,173 --> 00:30:00,943
Right. You're going
through withdrawal.
648
00:30:00,976 --> 00:30:04,479
No. I am going through pain.
649
00:30:04,513 --> 00:30:06,281
Pain causes nausea.
650
00:30:06,315 --> 00:30:09,118
I took this job
to work with you,
651
00:30:09,151 --> 00:30:11,620
not cover your ass.
652
00:30:11,653 --> 00:30:13,455
Your Vicodin.
653
00:30:17,192 --> 00:30:20,262
And your solution
is to give me drugs.
654
00:30:20,295 --> 00:30:21,363
That's interesting.
655
00:30:21,396 --> 00:30:24,066
No. Now I'm covering
my ass.
656
00:30:26,001 --> 00:30:28,537
Take your pills
before you kill this kid.
657
00:31:08,243 --> 00:31:10,545
Lupus is normally treated
with medication.
658
00:31:10,579 --> 00:31:13,448
But in Keith's case,
the disease is too advanced.
659
00:31:13,482 --> 00:31:16,085
Because you lied.
660
00:31:16,118 --> 00:31:18,487
'Cause House wanted to play
games with my son's life?
661
00:31:18,520 --> 00:31:20,555
There's no way to really tell
what progression the disease
662
00:31:20,589 --> 00:31:21,957
may have taken--
You're right.
663
00:31:23,758 --> 00:31:26,495
And I'm sorry.
664
00:31:28,597 --> 00:31:30,399
So what do we do?
665
00:31:30,432 --> 00:31:32,401
He needs a new liver.
666
00:31:32,434 --> 00:31:35,070
(Cuddy)
There are over 15,000 patients
667
00:31:35,104 --> 00:31:37,139
on the transplant list.
668
00:31:37,172 --> 00:31:38,573
But how many about
to bleed to death
669
00:31:38,607 --> 00:31:40,009
unless they get a new liver?
670
00:31:40,042 --> 00:31:42,344
In Jersey, I'd say,
uh, 20.
671
00:31:42,377 --> 00:31:44,479
2,000 patients
672
00:31:44,513 --> 00:31:46,515
die each year because
a donor liver can't be found.
673
00:31:46,548 --> 00:31:48,050
That's almost five a day.
674
00:31:48,083 --> 00:31:50,685
So we're screwed.
675
00:31:50,719 --> 00:31:52,621
I'll see what I can do.
676
00:31:52,654 --> 00:31:54,356
(father)
Could I donate
677
00:31:54,389 --> 00:31:55,424
part of my liver?
678
00:31:55,457 --> 00:31:56,458
Sorry.
679
00:31:56,491 --> 00:31:57,993
You're a different
blood type.
680
00:31:58,027 --> 00:32:00,229
So we just wait?
I'm afraid so.
681
00:32:00,262 --> 00:32:02,597
And hope for someone to die.
682
00:32:05,300 --> 00:32:06,968
Who's Jules?
683
00:32:09,038 --> 00:32:11,273
Dr. House, you should get back
to your off--
684
00:32:11,306 --> 00:32:13,175
Jules. There's no Jules
in the history.
685
00:32:13,208 --> 00:32:14,743
It was a hallucination.
686
00:32:14,776 --> 00:32:16,778
Of what?
Our cat.
687
00:32:16,811 --> 00:32:17,779
Does this matter?
688
00:32:17,812 --> 00:32:19,014
(Foreman)
No, I'm sorry.
689
00:32:19,048 --> 00:32:20,082
We'll continue
the transfusions
690
00:32:20,115 --> 00:32:22,051
and the treatment
for the anemia and liver failure
691
00:32:22,084 --> 00:32:23,352
while we're waiting
for a donor.
692
00:32:23,385 --> 00:32:24,786
How long can he wait?
693
00:32:24,819 --> 00:32:26,388
Not long.
694
00:32:26,421 --> 00:32:28,123
I don't think this is lupus.
695
00:32:28,157 --> 00:32:28,923
It's lupus.
Come on. Let's--
696
00:32:28,957 --> 00:32:31,393
Your fourth diagnostic
criterion
697
00:32:31,426 --> 00:32:32,561
for lupus is psychosis.
698
00:32:32,594 --> 00:32:34,463
This is just a kid
missing his cat.
699
00:32:34,496 --> 00:32:36,165
He was being attacked
by an animal
700
00:32:36,198 --> 00:32:37,766
that wasn't in the room.
701
00:32:37,799 --> 00:32:38,900
That's psychosis.
702
00:32:38,933 --> 00:32:41,036
There's a difference between
psychosis and hallucination.
703
00:32:41,070 --> 00:32:43,438
So if he was imagining
a fake cat, it would be lupus.
704
00:32:43,472 --> 00:32:45,074
But since it's a real cat,
it's not?
705
00:32:45,107 --> 00:32:46,408
Take your damn pills.
706
00:32:46,441 --> 00:32:48,777
Psychosis requires--
There's no cat.
707
00:32:48,810 --> 00:32:51,046
Jules is dead.
708
00:32:54,249 --> 00:32:58,220
You have a dead family pet,
and you never mentioned it?
709
00:32:58,253 --> 00:33:00,089
Nice family history.
710
00:33:00,122 --> 00:33:01,723
Family history is asking
about family members,
711
00:33:01,756 --> 00:33:04,093
meaning people
related to the patient.
712
00:33:04,126 --> 00:33:05,594
Let's go.
How did the cat die?
713
00:33:05,627 --> 00:33:08,097
Can you get him
out of here?
Dr. House, come on--
714
00:33:08,130 --> 00:33:10,832
What happened to the cat?
715
00:33:10,865 --> 00:33:13,802
Old age.
716
00:33:13,835 --> 00:33:15,170
She was 15 years old.
717
00:33:15,204 --> 00:33:16,438
When?
718
00:33:16,471 --> 00:33:17,572
About a month ago.
719
00:33:17,606 --> 00:33:19,074
Does this have anything
to do with--
720
00:33:19,108 --> 00:33:20,209
Where'd she sleep?
721
00:33:20,242 --> 00:33:21,843
With Keith.
This is not
a cat allergy.
722
00:33:21,876 --> 00:33:24,413
It's not lupus.
723
00:33:24,446 --> 00:33:26,081
Where is Jules?
724
00:33:32,154 --> 00:33:34,623
Four years of college,
four at med school,
725
00:33:34,656 --> 00:33:36,625
two years residency,
726
00:33:36,658 --> 00:33:39,161
another four
of sub-specialty training
727
00:33:39,194 --> 00:33:40,329
and where do I end up?
728
00:33:40,362 --> 00:33:44,166
Talking instead of digging.
729
00:33:44,199 --> 00:33:46,201
Come on.
The ground's frozen solid.
730
00:33:54,309 --> 00:33:56,478
[hollow thump]
731
00:33:56,511 --> 00:33:58,447
What the...
732
00:34:48,863 --> 00:34:51,800
Out of the way.
733
00:34:51,833 --> 00:34:54,769
We have the liver.
Prep O.R. 4.
734
00:35:19,628 --> 00:35:21,963
All right, Keith,
735
00:35:21,996 --> 00:35:24,499
start counting backward
from ten.
736
00:35:24,533 --> 00:35:27,502
Ten.
737
00:35:27,536 --> 00:35:29,504
Nine.
738
00:35:29,538 --> 00:35:32,241
Eight.
739
00:35:32,274 --> 00:35:36,478
Scalpel.
740
00:35:38,980 --> 00:35:40,715
[door opens]
741
00:35:40,749 --> 00:35:41,950
Stop the gasses.
742
00:35:41,983 --> 00:35:43,685
What the hell
are you doing, House?
743
00:35:43,718 --> 00:35:45,220
Saving a 16-year-old kid
744
00:35:45,254 --> 00:35:47,556
from a lifetime
of immunosuppressant drugs
745
00:35:47,589 --> 00:35:48,857
and a very nasty scar.
746
00:35:48,890 --> 00:35:51,660
This kid doesn't have
lupoid Hepatitis.
747
00:35:51,693 --> 00:35:53,762
He has acute naphthalene
toxicity.
748
00:35:53,795 --> 00:35:54,929
Naphthalene.
749
00:35:54,963 --> 00:35:56,998
You--you--you're talking
about moth balls.
750
00:35:57,031 --> 00:36:00,001
No. Termites.
751
00:36:00,034 --> 00:36:01,936
They create naphthalene
to protect their nest,
752
00:36:01,970 --> 00:36:03,472
which I'm assuming
is rather large
753
00:36:03,505 --> 00:36:05,006
and inside all four walls
754
00:36:05,039 --> 00:36:06,508
of his bedroom and home.
755
00:36:08,510 --> 00:36:10,745
And your assumption
is based on what?
756
00:36:10,779 --> 00:36:13,982
The autopsy I just conducted
on his pet cat.
757
00:36:14,015 --> 00:36:14,883
Call Cuddy
and security.
758
00:36:14,916 --> 00:36:17,819
You are not removing
that kid's liver.
759
00:36:17,852 --> 00:36:19,654
Now.
760
00:36:20,855 --> 00:36:22,791
[hawks up loogy]
761
00:36:22,824 --> 00:36:24,359
[spits]
Ah!
762
00:36:24,393 --> 00:36:26,528
Have you completely lost
your mind?
763
00:36:26,561 --> 00:36:29,331
No, but I have been feeling
a little sick lately.
764
00:36:29,364 --> 00:36:30,499
Achoo!
765
00:36:30,532 --> 00:36:32,000
Ah.
766
00:36:32,033 --> 00:36:33,802
(woman)
There's no way
767
00:36:33,835 --> 00:36:35,304
we can do this surgery now.
768
00:36:35,337 --> 00:36:36,938
You think?
769
00:36:36,971 --> 00:36:38,873
You've already cost him
his liver.
770
00:36:38,907 --> 00:36:39,908
Don't kill him too.
771
00:36:39,941 --> 00:36:42,711
Why are you so eager
to cut into a healthy kid?
772
00:36:42,744 --> 00:36:44,045
Healthy?
He's in the toilet.
773
00:36:44,078 --> 00:36:45,714
He just needs
some chicken soup.
774
00:36:45,747 --> 00:36:47,782
I'm telling Hourani
to re-scrub.
775
00:36:47,816 --> 00:36:48,883
We're doing
this transplant.
776
00:36:48,917 --> 00:36:49,851
No, you're not.
777
00:36:49,884 --> 00:36:51,420
You said it.
778
00:36:51,453 --> 00:36:52,754
If Keith's symptoms
had an environmental cause,
779
00:36:52,787 --> 00:36:54,489
they would've disappeared
as soon as he got here.
780
00:36:54,523 --> 00:36:55,824
They've only gotten worse.
781
00:36:55,857 --> 00:36:56,891
And if the food here
782
00:36:56,925 --> 00:36:57,859
wasn't one step
below Rikers island
783
00:36:57,892 --> 00:36:58,993
he would've gotten better.
784
00:36:59,027 --> 00:37:00,662
He's lost 14 pounds.
Yeah, sure.
785
00:37:00,695 --> 00:37:02,364
This is nothing
but a dietary thing.
786
00:37:02,397 --> 00:37:05,434
Naphthalene is a gas--
a fat soluble gas.
787
00:37:05,467 --> 00:37:07,869
Kid breathes it in,
it gets stored in his fat cells.
788
00:37:07,902 --> 00:37:09,404
Outside the hospital,
789
00:37:09,438 --> 00:37:11,473
his body burned protein
and carbs for energy
790
00:37:11,506 --> 00:37:13,342
and the naphthalene
stayed in fat.
791
00:37:13,375 --> 00:37:15,844
Once the car accident
put him in the hospital,
792
00:37:15,877 --> 00:37:17,512
he started losing weight.
793
00:37:17,546 --> 00:37:19,848
His body had to get
its energy somewhere else.
794
00:37:19,881 --> 00:37:22,584
It started to burn fat.
795
00:37:22,617 --> 00:37:24,486
The floodgates opened,
796
00:37:24,519 --> 00:37:27,422
the poison poured
into his system.
797
00:37:27,456 --> 00:37:28,757
So getting away
from the poison
798
00:37:28,790 --> 00:37:29,824
is what poisoned him?
799
00:37:29,858 --> 00:37:30,959
Getting away
from his dad's meatloaf
800
00:37:30,992 --> 00:37:32,060
is what's killing him.
801
00:37:32,093 --> 00:37:33,895
(Cuddy)
Do you want to explain to me
802
00:37:33,928 --> 00:37:35,597
why you stopped
the surgery?
803
00:37:35,630 --> 00:37:36,998
Oh, my God!
804
00:37:38,767 --> 00:37:41,002
I want him locked up!
805
00:37:54,716 --> 00:37:57,919
Your cat did not die
of old age.
806
00:37:59,554 --> 00:38:02,524
It died of massive
internal bleeding
807
00:38:02,557 --> 00:38:04,659
and acute liver failure
808
00:38:04,693 --> 00:38:06,861
caused by naphthalene
poisoning.
809
00:38:06,895 --> 00:38:10,699
The exact same thing
your son has.
810
00:38:10,732 --> 00:38:12,767
You lie to me,
you mess up my son's surgery,
811
00:38:12,801 --> 00:38:14,403
and now you expect me
to trust you?
812
00:38:14,436 --> 00:38:16,905
Give me 24 hours. We'll pump
your son full of calories--
813
00:38:16,938 --> 00:38:19,741
That liver is going
to somebody right now.
814
00:38:19,774 --> 00:38:20,875
We're doing that surgery.
815
00:38:20,909 --> 00:38:22,677
If you do the surgery,
816
00:38:22,711 --> 00:38:25,013
you'll be killing a mother
of four.
817
00:38:25,046 --> 00:38:26,848
Father of three.
818
00:38:26,881 --> 00:38:28,483
I was guessing.
819
00:38:28,517 --> 00:38:29,718
Like you are now?
820
00:38:30,885 --> 00:38:33,555
Naphthalene poisoning
is the best explanation we have
821
00:38:33,588 --> 00:38:35,123
for what's wrong
with your son.
822
00:38:35,156 --> 00:38:37,492
It explains
the internal bleeding,
823
00:38:37,526 --> 00:38:39,728
the hemolytic anemia,
the liver failure.
824
00:38:39,761 --> 00:38:41,996
It also predicts
what will happen next.
825
00:38:42,030 --> 00:38:43,832
If you do the surgery,
826
00:38:43,865 --> 00:38:46,134
he's going to lay
on that table for 14 hours
827
00:38:46,167 --> 00:38:47,969
while his body continues
to burn fat
828
00:38:48,002 --> 00:38:49,971
and release poison
into his system.
829
00:38:50,004 --> 00:38:52,006
Either way,
I did you a favor.
830
00:38:52,040 --> 00:38:52,741
He's awake now.
831
00:38:52,774 --> 00:38:56,010
You got a chance
to say good-bye.
832
00:39:03,618 --> 00:39:05,587
I think you should trust
Dr. House.
833
00:39:18,633 --> 00:39:20,969
Give the liver
to the other guy.
834
00:39:35,550 --> 00:39:36,851
Watch out.
835
00:39:58,873 --> 00:40:02,143
INR is down, and his
red count is climbing.
836
00:40:04,713 --> 00:40:06,147
Means you made
the right call.
837
00:40:06,180 --> 00:40:08,149
His liver's healing.
838
00:40:08,182 --> 00:40:10,051
He's going to be just fine.
839
00:40:27,536 --> 00:40:28,903
You made it a week.
840
00:40:28,937 --> 00:40:30,639
And won my prize.
841
00:40:30,672 --> 00:40:32,106
Congratulations.
842
00:40:32,140 --> 00:40:33,808
Cuddy's a sucker.
843
00:40:33,842 --> 00:40:35,544
I would've done it
for two weeks off.
844
00:40:35,577 --> 00:40:37,011
Yeah, it was a piece
of cake.
845
00:40:37,045 --> 00:40:39,814
Learn anything?
846
00:40:39,848 --> 00:40:42,116
Yeah.
847
00:40:42,150 --> 00:40:44,252
I'm an addict.
848
00:40:53,995 --> 00:40:55,063
Uh...
849
00:40:57,131 --> 00:40:59,000
Okay.
850
00:40:59,033 --> 00:41:00,735
I'm not stopping.
851
00:41:04,038 --> 00:41:05,707
There are programs.
852
00:41:05,740 --> 00:41:08,009
Cuddy would give you the time.
853
00:41:08,042 --> 00:41:09,944
You can get on a different
pain management regimen--
854
00:41:09,978 --> 00:41:11,245
I don't need to stop.
855
00:41:11,279 --> 00:41:14,683
You just said--
856
00:41:14,716 --> 00:41:18,820
I said I was an addict,
I didn't say I had a problem.
857
00:41:18,853 --> 00:41:21,022
I pay my bills.
I make my meals. I function.
858
00:41:22,824 --> 00:41:24,292
Is that all you want?
859
00:41:24,325 --> 00:41:25,927
You have no relationships.
860
00:41:25,960 --> 00:41:28,329
I don't want
any relationships.
861
00:41:28,362 --> 00:41:29,731
You alienate people.
862
00:41:29,764 --> 00:41:30,965
I've been alienating people
863
00:41:30,999 --> 00:41:32,033
since I was three.
864
00:41:32,066 --> 00:41:34,703
Oh, come on.
Drop it.
865
00:41:34,736 --> 00:41:37,071
You don't think you've changed
in the last few years?
866
00:41:37,105 --> 00:41:38,573
Of course I have.
867
00:41:38,607 --> 00:41:41,142
I've--I've gotten older.
My hair's gotten thinner.
868
00:41:41,175 --> 00:41:42,611
Sometimes I'm bored.
Sometimes I'm lonely.
869
00:41:42,644 --> 00:41:44,212
Sometimes I wonder
what it all means.
870
00:41:44,245 --> 00:41:45,780
No. I was there.
871
00:41:45,814 --> 00:41:48,282
You are not just a regular guy
who's getting older.
872
00:41:48,316 --> 00:41:49,884
You've changed.
873
00:41:49,918 --> 00:41:51,920
You're miserable and you're
afraid to face yourself.
874
00:41:51,953 --> 00:41:53,988
[cane slams on desk]
Of course I've changed!
875
00:42:01,129 --> 00:42:03,064
And everything's the leg?
876
00:42:03,097 --> 00:42:04,933
Nothing's the pills.
877
00:42:04,966 --> 00:42:06,835
They haven't done a thing
to you?
878
00:42:06,868 --> 00:42:10,271
They let me do my job
879
00:42:10,304 --> 00:42:14,075
and they take away my pain.
880
00:42:45,039 --> 00:42:46,941
How'd it go?
881
00:42:46,975 --> 00:42:49,744
He admitted he's addicted
to the narcotics.
882
00:42:49,778 --> 00:42:51,813
Well, admitting you have
a problem is the fir--
883
00:42:51,846 --> 00:42:54,282
And he says
it's not a problem.
884
00:42:54,315 --> 00:42:56,818
Maybe it's not.
885
00:42:56,851 --> 00:42:58,953
What do I know?
886
00:42:58,987 --> 00:43:00,388
What are you going to do?
887
00:43:00,421 --> 00:43:02,023
Nothing. Done enough damage.
888
00:43:02,056 --> 00:43:04,726
Better hope he never finds out
that that was your idea.
889
00:43:04,759 --> 00:43:06,661
He'd never believe it.
890
00:43:22,911 --> 00:43:25,980
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