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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:01,145 --> 00:00:04,315 ['Zat You, Santa Claus by Louis Armstrong] 2 00:00:04,348 --> 00:00:12,356 * 3 00:00:37,581 --> 00:00:39,250 Merry Christmas. 4 00:00:39,283 --> 00:00:41,752 And a happy go to hell. 5 00:00:41,785 --> 00:00:44,821 What's he doing here? Is he with you? 6 00:00:46,457 --> 00:00:48,259 Detective Tritter and I... 7 00:00:48,292 --> 00:00:50,527 we worked out a deal. 8 00:00:50,561 --> 00:00:52,163 Already got a lawyer. 9 00:00:52,196 --> 00:00:53,730 Get out of my office. 10 00:00:55,932 --> 00:00:57,768 I told him I didn't write those prescriptions. 11 00:00:59,603 --> 00:01:03,140 I spoke with the DA. 12 00:01:03,174 --> 00:01:04,875 He agreed to two months in a rehab facility 13 00:01:04,908 --> 00:01:06,777 in exchange for a guilty plea. 14 00:01:06,810 --> 00:01:09,613 Get out of my office. 15 00:01:09,646 --> 00:01:11,248 No jail time. Right. 16 00:01:11,282 --> 00:01:13,450 I should get locked up in some place I don't belong 17 00:01:13,484 --> 00:01:14,851 in order to avoid getting locked up 18 00:01:14,885 --> 00:01:16,253 in some other place I don't belong. 19 00:01:16,287 --> 00:01:18,155 I got you on forgery and fraud. 20 00:01:18,189 --> 00:01:19,523 Enough drugs-- 21 00:01:19,556 --> 00:01:20,924 No sanctions to the medical board. 22 00:01:20,957 --> 00:01:21,925 Mm-mmm. 23 00:01:21,958 --> 00:01:23,794 And you get your car back and your bank accounts 24 00:01:23,827 --> 00:01:24,795 and your precious tumor-ridden patients. 25 00:01:24,828 --> 00:01:26,897 I did this to help you. 26 00:01:26,930 --> 00:01:28,565 Next Christmas, buy me a sweater. 27 00:01:28,599 --> 00:01:30,467 You punched out an employee. 28 00:01:30,501 --> 00:01:31,902 You nearly cut a little girl in half 29 00:01:31,935 --> 00:01:32,869 because you were too strung out-- 30 00:01:32,903 --> 00:01:33,904 I was in pain! 31 00:01:38,875 --> 00:01:40,844 You need to believe that I've got a problem 32 00:01:40,877 --> 00:01:43,780 so that your betrayal has the illusion of nobility. 33 00:01:43,814 --> 00:01:45,182 But you just selfishly-- 34 00:01:45,216 --> 00:01:46,317 Knock it off. 35 00:01:46,350 --> 00:01:48,419 Look, I don't care 36 00:01:48,452 --> 00:01:50,454 why Dr. Wilson is doing this. 37 00:01:50,487 --> 00:01:52,489 And right now, it makes no difference to you either. 38 00:01:52,523 --> 00:01:54,891 You need to deal with the reality 39 00:01:54,925 --> 00:01:56,527 of your current situation. 40 00:01:56,560 --> 00:01:57,828 You want to stand on principle, 41 00:01:57,861 --> 00:02:00,297 you end up in a cell. 42 00:02:00,331 --> 00:02:02,399 And you end up never practicing medicine again. 43 00:02:04,568 --> 00:02:06,303 So you've got two choices. 44 00:02:06,337 --> 00:02:07,338 Your principles 45 00:02:07,371 --> 00:02:09,906 or your life. 46 00:02:16,913 --> 00:02:18,349 Get out of my office. 47 00:02:24,521 --> 00:02:26,990 The DA put a clock on the deal. 48 00:02:27,023 --> 00:02:29,693 You've got three days to decide. 49 00:02:38,869 --> 00:02:41,838 [Massive Attack's Teardrop] 50 00:02:41,872 --> 00:02:49,880 * 51 00:03:11,635 --> 00:03:13,003 (Wilson) House! 52 00:03:13,036 --> 00:03:14,471 Just give me a minute. 53 00:03:14,505 --> 00:03:15,672 You're afraid of the pain. 54 00:03:15,706 --> 00:03:17,541 You're not? 55 00:03:17,574 --> 00:03:19,876 You can still have pain meds in rehab. 56 00:03:19,910 --> 00:03:21,845 Tramadol, gabapentin-- Those don't work. 57 00:03:21,878 --> 00:03:23,647 They will once you're weaned off the Vicodin. 58 00:03:23,680 --> 00:03:25,449 Look, there's Jesus. 59 00:03:25,482 --> 00:03:27,584 Better go tell the Romans. 60 00:03:27,618 --> 00:03:29,052 Fine, run to Cuddy. 61 00:03:29,085 --> 00:03:31,288 You don't think she's gonna support me on this? 62 00:03:36,593 --> 00:03:38,395 Well, the stitches are healing nicely. 63 00:03:38,429 --> 00:03:39,996 There's no sign of infection. 64 00:03:40,997 --> 00:03:42,566 Whoa. 65 00:03:44,635 --> 00:03:46,537 Sorry. 66 00:03:46,570 --> 00:03:49,606 Just need her for a tiny moment. 67 00:03:49,640 --> 00:03:52,543 Small favor. 68 00:03:52,576 --> 00:03:53,544 Pills. 69 00:03:53,577 --> 00:03:55,045 Who's the wit? 70 00:03:55,078 --> 00:03:56,647 Doctor. Don't worry. 71 00:03:56,680 --> 00:03:58,649 I'll be firing him soon. 72 00:03:58,682 --> 00:04:00,050 Wait in my office. 73 00:04:00,083 --> 00:04:03,520 Incision looks just big enough for a chest tube. 74 00:04:03,554 --> 00:04:04,855 Collapsed lung? 75 00:04:04,888 --> 00:04:06,690 Someone mistake you for a piñata? 76 00:04:06,723 --> 00:04:08,525 Delightful. 77 00:04:08,559 --> 00:04:10,527 Usually we just get the elf jokes this time of year. 78 00:04:10,561 --> 00:04:13,664 No on trauma. 79 00:04:13,697 --> 00:04:15,499 Negative PPD. 80 00:04:15,532 --> 00:04:18,669 What flavor dwarfs are you guys? 81 00:04:18,702 --> 00:04:21,104 My daughter and I both have cartilage hair hypoplasia. 82 00:04:21,137 --> 00:04:22,906 Think you can make a pun out of that? 83 00:04:22,939 --> 00:04:25,676 Yes, but I don't want to be insensitive. 84 00:04:25,709 --> 00:04:29,780 She's got a bit of a short fuse, doesn't she? 85 00:04:29,813 --> 00:04:31,615 It's a bleb. Wait in my office. 86 00:04:31,648 --> 00:04:33,884 Bleb's not a diagnosis. It's an evasion. 87 00:04:33,917 --> 00:04:35,752 We'll schedule an MRI to make sure. 88 00:04:35,786 --> 00:04:39,490 But a certain number of these cases are idiopathic. 89 00:04:39,523 --> 00:04:41,091 Let me translate that into Tolkien for you guys. 90 00:04:41,124 --> 00:04:42,258 Means Dr. Cuddy's got no idea 91 00:04:42,292 --> 00:04:44,961 why your daughter's lung suddenly popped like a balloon. 92 00:04:44,995 --> 00:04:46,430 You think you do? 93 00:04:49,132 --> 00:04:52,803 Give me her chart. And my pills. 94 00:04:52,836 --> 00:04:55,606 Santa needs us. 95 00:04:58,675 --> 00:05:00,644 Did you get that looked at? 96 00:05:00,677 --> 00:05:03,414 I'm fine. 97 00:05:03,447 --> 00:05:05,449 Great. 98 00:05:05,482 --> 00:05:07,684 I just admitted a cartilage hair hypoplasia dwarf. 99 00:05:07,718 --> 00:05:09,620 15 years old-- What are you gonna do? 100 00:05:09,653 --> 00:05:11,688 I thought I'd get your theories, 101 00:05:11,722 --> 00:05:13,089 mock them, then embrace my own. 102 00:05:13,123 --> 00:05:14,591 The usual. 103 00:05:14,625 --> 00:05:15,659 Wilson told us he ratted. 104 00:05:15,692 --> 00:05:18,462 Your choice of verb, I take it. 105 00:05:18,495 --> 00:05:20,096 It's appropriate. He betrayed you. 106 00:05:20,130 --> 00:05:23,467 And you should take the deal. 107 00:05:23,500 --> 00:05:26,002 Unexplained lung collapse and anemia. 108 00:05:26,036 --> 00:05:28,138 Cuddy thinks it's idiopathic. 109 00:05:28,171 --> 00:05:29,640 "Cuddy" and "idiop" being 110 00:05:29,673 --> 00:05:30,974 the relevant parts of that sentence. 111 00:05:31,007 --> 00:05:32,876 Well, I'd say TB, but Cuddy's already ruled it out. 112 00:05:32,909 --> 00:05:35,546 Then you'd be just as big an "idiop" as her. 113 00:05:35,579 --> 00:05:36,980 Don't you people know your dwarves? 114 00:05:37,013 --> 00:05:39,015 There are over 200 varieties of dwarfism, 115 00:05:39,049 --> 00:05:40,817 each with different medical complications. 116 00:05:40,851 --> 00:05:42,185 You can't expect us to be 117 00:05:42,218 --> 00:05:43,654 intimately familiar with all of them. 118 00:05:43,687 --> 00:05:46,423 The sick dwarves sure expect you to. 119 00:05:46,457 --> 00:05:47,558 Cartilage hair hypoplasia. 120 00:05:47,591 --> 00:05:48,692 They have compromises immune systems. 121 00:05:48,725 --> 00:05:50,627 Gold star for Cameron. 122 00:05:50,661 --> 00:05:52,095 For extra credit, 123 00:05:52,128 --> 00:05:53,897 explain to the special needs section of the class 124 00:05:53,930 --> 00:05:56,199 why our patient's negative TB test is irrelevant. 125 00:05:56,232 --> 00:05:59,035 A PDD involves planting a fragment of TB under the skin 126 00:05:59,069 --> 00:06:01,071 to see if the immune system recognizes it. 127 00:06:01,104 --> 00:06:02,706 Because of a compromised immune system, 128 00:06:02,739 --> 00:06:04,508 our patient could have TB but not recognize it. 129 00:06:04,541 --> 00:06:07,744 The little people love you. 130 00:06:07,778 --> 00:06:10,113 Let's go see a dwarf about a gallium scan. 131 00:06:14,117 --> 00:06:15,586 Gallium is a radioactive isotope. 132 00:06:15,619 --> 00:06:16,386 It travels through your veins 133 00:06:16,419 --> 00:06:17,688 allowing us to see any bright spots 134 00:06:17,721 --> 00:06:19,590 that might indicate infection. 135 00:06:21,625 --> 00:06:22,659 I'm 4'1". 136 00:06:22,693 --> 00:06:24,761 That's 1.5 canes in metric. 137 00:06:24,795 --> 00:06:27,598 You don't look a day over four feet. 138 00:06:29,099 --> 00:06:31,735 I saw in the file that her dad was normal-sized. 139 00:06:31,768 --> 00:06:33,570 It's average-sized. 140 00:06:33,604 --> 00:06:35,539 Compared to you, I'm sure it was huge. 141 00:06:35,572 --> 00:06:37,073 So did he have a fetish, 142 00:06:37,107 --> 00:06:40,611 or did he just fall in love with your long-legged soul? 143 00:06:40,644 --> 00:06:43,580 He grew up in the circus. Said I reminded him of home. 144 00:06:43,614 --> 00:06:45,549 Seems like you're the one with the fetish. 145 00:06:45,582 --> 00:06:48,885 I'm certainly curious about the logistics. 146 00:06:48,919 --> 00:06:50,721 Did you stand on a table? 147 00:06:50,754 --> 00:06:53,123 House. 148 00:06:53,156 --> 00:06:55,959 Pretty much he'd flat and spin me. 149 00:06:55,992 --> 00:06:56,993 Mom! 150 00:06:58,662 --> 00:06:59,730 (Cameron) So, Abigail, 151 00:06:59,763 --> 00:07:01,598 you want to hop up on the table for me? 152 00:07:01,632 --> 00:07:04,034 That's gonna be tough. 153 00:07:04,067 --> 00:07:06,169 Oh, I'm sorry. 154 00:07:06,202 --> 00:07:07,838 Uh, let me give you a boost. 155 00:07:07,871 --> 00:07:09,239 (Maddy) Stop treating her like she's five. 156 00:07:09,272 --> 00:07:11,908 Just bring over a stool and let her climb up herself. 157 00:07:11,942 --> 00:07:13,243 Mom, it's okay. 158 00:07:13,276 --> 00:07:15,145 I was just trying to be helpful. 159 00:07:17,781 --> 00:07:19,616 She also hates Jews. 160 00:07:19,650 --> 00:07:21,585 (Maddy) I've dealt with worse. 161 00:07:21,618 --> 00:07:23,854 Being different, you get used to people's idiocy. 162 00:07:23,887 --> 00:07:27,090 Still beats the hell out of actually being an idiot. 163 00:07:28,825 --> 00:07:30,661 What? 164 00:07:30,694 --> 00:07:33,597 Care to go for a spin? 165 00:07:38,902 --> 00:07:40,604 What the hell were you thinking? 166 00:07:40,637 --> 00:07:42,305 You didn't think ratting out 167 00:07:42,338 --> 00:07:43,874 this hospital's best doctor merited 168 00:07:43,907 --> 00:07:45,776 checking with your boss first? 169 00:07:45,809 --> 00:07:47,578 I didn't rat him out. I got him a deal. 170 00:07:47,611 --> 00:07:48,845 Which he'll never take. 171 00:07:48,879 --> 00:07:49,913 He will if we-- 172 00:07:49,946 --> 00:07:51,648 How long have you known House? 173 00:07:51,682 --> 00:07:53,617 Did you think he'd suddenly become reasonable? 174 00:07:53,650 --> 00:07:54,818 I made the deal. It's done. 175 00:07:54,851 --> 00:07:56,219 You can either keep yelling at me, 176 00:07:56,252 --> 00:07:58,021 or you can help me avoid a complete disaster. 177 00:07:58,054 --> 00:08:00,691 It already is gonna be a complete disaster. 178 00:08:00,724 --> 00:08:02,993 He's not gonna take the deal. He's gonna go to jail. 179 00:08:03,026 --> 00:08:04,060 Because he's a child. 180 00:08:04,094 --> 00:08:05,596 He's too stubborn. 181 00:08:05,629 --> 00:08:08,064 When a child misbehaves, what do you do? 182 00:08:08,098 --> 00:08:09,299 You take away something he loves. 183 00:08:09,332 --> 00:08:11,234 We can't take away his Vicodin. 184 00:08:11,267 --> 00:08:13,637 Not only will he be in pain, he'll start to detox. 185 00:08:13,670 --> 00:08:15,839 We tell him the only way to get the pills back 186 00:08:15,872 --> 00:08:16,840 is to take the deal. 187 00:08:16,873 --> 00:08:18,709 He won't be able to function. 188 00:08:18,742 --> 00:08:19,610 That's the point. 189 00:08:19,643 --> 00:08:21,945 You gonna explain that to his patient? 190 00:08:21,978 --> 00:08:25,582 What choice do we have? 191 00:08:25,616 --> 00:08:28,852 [exhales] 192 00:08:31,154 --> 00:08:33,757 Gallium scan shows no bright spots of any kind. 193 00:08:33,790 --> 00:08:35,358 Means it's not TB or any other infection. 194 00:08:35,391 --> 00:08:36,627 There's no bright spots 195 00:08:36,660 --> 00:08:37,994 because the whole thing's too bright. 196 00:08:38,028 --> 00:08:40,230 Except for the liver. 197 00:08:40,263 --> 00:08:42,098 The tech overexposed the image a bit, 198 00:08:42,132 --> 00:08:43,366 but it's nothing. 199 00:08:43,399 --> 00:08:44,768 The liver looks fine. 200 00:08:44,801 --> 00:08:46,737 Could be lung cancer. 201 00:08:46,770 --> 00:08:48,304 Tumor causes structural damage. 202 00:08:48,338 --> 00:08:49,372 Lung caves in on itself. 203 00:08:49,405 --> 00:08:50,774 Also explains the anemia. 204 00:08:50,807 --> 00:08:52,743 Doesn't explain the liver problem, though. 205 00:08:52,776 --> 00:08:55,145 Her lung collapsed. There is no liver problem. 206 00:08:55,178 --> 00:08:57,247 You guys look at the liver on this thing? 207 00:08:57,280 --> 00:08:58,682 There's no liver problem. 208 00:08:58,715 --> 00:08:59,816 Seriously, look at the liver. 209 00:08:59,850 --> 00:09:01,752 There's nothing there. Why not? 210 00:09:01,785 --> 00:09:03,153 Because there's nothing wrong. 211 00:09:03,186 --> 00:09:04,655 Every organ in the scan 212 00:09:04,688 --> 00:09:06,790 is lit up like a 100-watt bulb. 213 00:09:06,823 --> 00:09:10,827 Except for her liver, which is hovering around 60 watts. 214 00:09:10,861 --> 00:09:12,763 And not one of them good 60-watters, but an energy-- 215 00:09:12,796 --> 00:09:14,130 You're saying her liver's shutting down 216 00:09:14,164 --> 00:09:15,666 because the lighting is off? 217 00:09:15,699 --> 00:09:17,668 You just don't want a cancer diagnosis 218 00:09:17,701 --> 00:09:19,670 because then you'd have to deal with Wilson. 219 00:09:19,703 --> 00:09:21,638 Lung cancer is a lame diagnosis. 220 00:09:21,672 --> 00:09:23,674 Avoiding Wilson is an added bonus. [door opens] 221 00:09:23,707 --> 00:09:25,108 House, we need to talk. 222 00:09:25,141 --> 00:09:28,378 Not taking the deal. Glad we talked. 223 00:09:28,411 --> 00:09:30,714 Ultrasound her liver. 224 00:09:30,747 --> 00:09:32,415 Sit down. 225 00:09:32,448 --> 00:09:34,685 Stand up. Your turn. 226 00:09:34,718 --> 00:09:36,419 House, you're off the case. 227 00:09:36,452 --> 00:09:38,421 Your treatment privileges are suspended 228 00:09:38,454 --> 00:09:39,956 until you accept Tritter's deal. 229 00:09:39,990 --> 00:09:41,758 Well, I'm obviously not gonna take the deal 230 00:09:41,792 --> 00:09:44,661 just so I can have the fun of treating a dwarf. 231 00:09:44,695 --> 00:09:46,396 So I assume there's more to this threat. 232 00:09:46,429 --> 00:09:48,431 I'm also cutting off your Vicodin. 233 00:09:48,464 --> 00:09:49,399 That could work. 234 00:09:49,432 --> 00:09:50,834 I'm taking over as attending. 235 00:09:50,867 --> 00:09:52,435 Get an MRI of her lungs. 236 00:09:52,468 --> 00:09:53,837 This is not lung cancer. 237 00:09:53,870 --> 00:09:57,841 We'll find out as soon as we MRI her lungs. 238 00:10:03,346 --> 00:10:06,182 You're gonna come begging me to save this girl 239 00:10:06,216 --> 00:10:08,418 long before I come begging your for pills. 240 00:10:08,451 --> 00:10:10,821 I hope not. 241 00:10:10,854 --> 00:10:12,288 For everyone's sake. 242 00:10:20,063 --> 00:10:21,031 This is wrong. 243 00:10:21,064 --> 00:10:23,066 Cutting House off? 244 00:10:23,099 --> 00:10:25,035 Might not work, but it's not wrong. 245 00:10:25,068 --> 00:10:26,169 Bone windows looks clean. 246 00:10:26,202 --> 00:10:28,872 [MRI pulsing] 247 00:10:28,905 --> 00:10:30,974 Abigail, we need you to hold still, okay? 248 00:10:31,007 --> 00:10:32,475 (Abigail) Can I come out? 249 00:10:32,508 --> 00:10:34,878 Just hang in there two more minutes and we'll be done. 250 00:10:34,911 --> 00:10:35,879 Okay. 251 00:10:35,912 --> 00:10:39,149 Because it's effective doesn't make it right. 252 00:10:39,182 --> 00:10:40,751 Cuddy's bending the rules to get a patient 253 00:10:40,784 --> 00:10:41,885 to do the right thing. 254 00:10:41,918 --> 00:10:43,386 Who'd work for a doctor like that? 255 00:10:43,419 --> 00:10:45,756 And the ends justify the means? 256 00:10:45,789 --> 00:10:48,358 If the ends involve us keeping our jobs, sure. 257 00:10:48,391 --> 00:10:51,094 Lung parenchyma is clean. No masses. 258 00:10:51,127 --> 00:10:52,996 It's not lung cancer. 259 00:10:53,029 --> 00:10:54,931 [Abigail coughing] 260 00:10:54,965 --> 00:10:56,699 Abigail, you okay? 261 00:11:04,074 --> 00:11:06,142 House was right. Her liver's failing. 262 00:11:06,176 --> 00:11:08,044 Endoscopy confirmed the vomiting 263 00:11:08,078 --> 00:11:09,345 was cause by variceal bleeding. 264 00:11:09,379 --> 00:11:12,482 Bloodwork also confirms House's hypothesis-- 265 00:11:12,515 --> 00:11:15,018 I get it. House was right. It's the liver. 266 00:11:15,051 --> 00:11:16,019 Let's move on. 267 00:11:16,052 --> 00:11:18,989 What causes liver disease and a collapsed lung? 268 00:11:19,022 --> 00:11:21,024 Schistosomiasis, the parasite-- 269 00:11:21,057 --> 00:11:22,125 There's no eosinophilia. 270 00:11:22,158 --> 00:11:23,259 Cirrhosis could explain-- 271 00:11:23,293 --> 00:11:24,460 Could be a hepatoma. 272 00:11:24,494 --> 00:11:28,264 She's 15. It's not liver cancer. 273 00:11:28,298 --> 00:11:30,133 It's not unheard of. 274 00:11:30,166 --> 00:11:32,035 Cirrhosis fits better. 275 00:11:32,068 --> 00:11:33,436 The question is, what caused it? 276 00:11:33,469 --> 00:11:35,005 Could be hepatitis, Budd-Chiari. 277 00:11:35,038 --> 00:11:36,873 Or drugs and alcohol. 278 00:11:36,907 --> 00:11:38,474 If anyone has a reason to dull the pain, 279 00:11:38,508 --> 00:11:39,509 it's a teenage dwarf. 280 00:11:39,542 --> 00:11:40,911 I'll do a liver biopsy to confirm. 281 00:11:40,944 --> 00:11:42,178 I'll search the patient's home 282 00:11:42,212 --> 00:11:44,981 for drugs and alcohol. 283 00:11:46,182 --> 00:11:48,518 Cameron, you got a moment? 284 00:11:55,191 --> 00:11:58,494 What exactly is your problem with me? 285 00:11:58,528 --> 00:12:01,164 Hepatoma is a weak diagnosis. 286 00:12:01,197 --> 00:12:02,833 So this is all about the case? 287 00:12:02,866 --> 00:12:04,167 What else would it be about? 288 00:12:06,870 --> 00:12:09,505 I made this deal to help him. 289 00:12:09,539 --> 00:12:11,975 And helped yourself at the same time. 290 00:12:12,008 --> 00:12:15,045 This is not my practice. This is not about my car. 291 00:12:15,078 --> 00:12:17,013 I gave both of them up to help House, 292 00:12:17,047 --> 00:12:18,281 and I would've gone on without them 293 00:12:18,314 --> 00:12:20,016 if hadn't almost maimed that little girl 294 00:12:20,050 --> 00:12:21,484 and if he hadn't punched out Chase. 295 00:12:21,517 --> 00:12:23,053 Was it an easy choice? 296 00:12:23,086 --> 00:12:25,555 Of course not, but it's right. 297 00:12:25,588 --> 00:12:27,257 Then why wasn't it easy? 298 00:12:27,290 --> 00:12:29,926 Because he's my friend. 299 00:12:29,960 --> 00:12:32,062 It's obviously complicated. 300 00:12:32,095 --> 00:12:33,429 It's complicated? 301 00:12:33,463 --> 00:12:35,131 When you decided to talk to Tritter, 302 00:12:35,165 --> 00:12:37,133 your life got a million times better. 303 00:12:37,167 --> 00:12:39,102 How do you separate that out? 304 00:12:39,135 --> 00:12:41,137 How do you pretend your windfall 305 00:12:41,171 --> 00:12:43,073 isn't relevant to this decision? 306 00:12:46,209 --> 00:12:48,611 It was the right thing to do. 307 00:12:48,644 --> 00:12:50,981 You pretending your motives are pure 308 00:12:51,014 --> 00:12:53,216 is why I have a problem. 309 00:12:55,886 --> 00:12:57,220 [door opens] 310 00:13:04,360 --> 00:13:05,395 [door opens] 311 00:13:05,428 --> 00:13:07,864 Where's Cuddy? In this drawer. 312 00:13:07,898 --> 00:13:09,065 It's a rescue mission. 313 00:13:09,099 --> 00:13:11,101 But I got it under control. You can leave. 314 00:13:13,269 --> 00:13:15,171 You were right about the liver failure. 315 00:13:15,205 --> 00:13:16,907 Patient had variceal bleeding 316 00:13:16,940 --> 00:13:18,008 which suggested cirrhosis, but-- 317 00:13:18,041 --> 00:13:19,075 Off the clock. 318 00:13:19,109 --> 00:13:21,177 You predicted this. You obviously saw something. 319 00:13:21,211 --> 00:13:22,112 Obviously. 320 00:13:22,145 --> 00:13:25,181 Liver biopsy was negative for cirrhosis. 321 00:13:25,215 --> 00:13:27,417 But it shows sclerosing cholangitis. 322 00:13:27,450 --> 00:13:29,552 Even weirder, there's no increase 323 00:13:29,585 --> 00:13:31,054 in alkaline phosphatase. 324 00:13:31,087 --> 00:13:32,889 Hmm. Medical mystery. 325 00:13:32,923 --> 00:13:34,925 Sounds like the kind of thing I'd be good at. 326 00:13:38,161 --> 00:13:39,329 Breaking and entering. 327 00:13:39,362 --> 00:13:41,331 Sounds like the kind of thing you'd be good at. 328 00:13:41,364 --> 00:13:44,000 I take it that's where Cuddy's been keeping your pills. 329 00:13:44,034 --> 00:13:47,137 One theory, one drawer. 330 00:13:52,608 --> 00:13:54,544 Really? 331 00:13:54,577 --> 00:13:56,512 I thought you'd be all for this "torture House plan." 332 00:13:56,546 --> 00:13:57,981 It works, therefore it's good. 333 00:13:58,014 --> 00:14:00,183 On the other hand, I don't want to talk you out 334 00:14:00,216 --> 00:14:02,052 of this deal by pointing out your hypocrisy, 335 00:14:02,085 --> 00:14:05,989 so patient's life at stake, blah, blah, blah, blah. 336 00:14:06,022 --> 00:14:06,990 Forget about the specific nature 337 00:14:07,023 --> 00:14:08,158 of the liver dysfunction. 338 00:14:08,191 --> 00:14:09,192 It's irrelevant. 339 00:14:09,225 --> 00:14:10,126 The dwarf's problem is global. 340 00:14:10,160 --> 00:14:12,062 That's why the gallium scan was bright. 341 00:14:12,095 --> 00:14:13,563 And it's gonna spread throughout her entire body 342 00:14:13,596 --> 00:14:14,697 unless you stop it. 343 00:14:14,730 --> 00:14:16,099 If that were true, 344 00:14:16,132 --> 00:14:18,301 more than lungs and liver would be affected. 345 00:14:18,334 --> 00:14:19,535 They will be. 346 00:14:19,569 --> 00:14:21,237 It'll spread though the biliary tree 347 00:14:21,271 --> 00:14:23,073 and hit her pancreas next. 348 00:14:23,106 --> 00:14:25,041 Strop retracing your steps. Get ahead of it. 349 00:14:25,075 --> 00:14:27,110 Forget the liver and focus on the pancreas. 350 00:14:27,143 --> 00:14:28,378 'Cause after that-- 351 00:14:28,411 --> 00:14:29,579 Actually, after that 352 00:14:29,612 --> 00:14:30,713 doesn't really matter what it hits 353 00:14:30,746 --> 00:14:32,983 because pretty much all roads lead to a dead dwarf. 354 00:14:33,016 --> 00:14:34,184 [lock clicks] 355 00:14:34,217 --> 00:14:38,088 I get why you don't want to go to rehab. 356 00:14:38,121 --> 00:14:41,124 But only an idiot goes to prison for being stubborn. 357 00:14:41,157 --> 00:14:44,327 Only an idiot stands between Ahab and his whale. 358 00:14:44,360 --> 00:14:46,096 Move. 359 00:14:46,129 --> 00:14:47,597 [drawer opens] 360 00:14:54,770 --> 00:14:57,640 Sorry. 361 00:15:06,316 --> 00:15:08,318 Santa's got gifts. 362 00:15:08,351 --> 00:15:09,719 Olive oil wasn't in the kitchen. 363 00:15:09,752 --> 00:15:11,121 It was in the medicine cabinet. 364 00:15:11,154 --> 00:15:12,488 Home remedy for ear infections. 365 00:15:12,522 --> 00:15:13,689 Ear infections are fairly typical 366 00:15:13,723 --> 00:15:15,091 among CHH dwarfs. 367 00:15:15,125 --> 00:15:16,492 Or it's a symptom. 368 00:15:16,526 --> 00:15:18,628 Certainly wouldn't indicate a pancreatic problem. 369 00:15:18,661 --> 00:15:21,064 Or House is wrong and it's a symptom. 370 00:15:21,097 --> 00:15:22,398 Laxatives. 371 00:15:22,432 --> 00:15:23,599 I don't think they were used 372 00:15:23,633 --> 00:15:25,535 to maintain her girlish figure. 373 00:15:25,568 --> 00:15:27,037 Again, intestinal problems are common-- 374 00:15:27,070 --> 00:15:28,604 Again, it might be a symptom. 375 00:15:28,638 --> 00:15:32,108 And glucosamine suggests chronic joint pain-- 376 00:15:32,142 --> 00:15:35,178 Who ordered the Alpha-1 antitrypsin deficiency test? 377 00:15:35,211 --> 00:15:36,046 I did. 378 00:15:36,079 --> 00:15:38,181 You think the problem's in her pancreas? 379 00:15:38,214 --> 00:15:39,082 Well, I think it will be. 380 00:15:39,115 --> 00:15:41,017 I think we need to forget about the liver. 381 00:15:41,051 --> 00:15:42,152 We just forgot about the lungs. 382 00:15:42,185 --> 00:15:43,619 Now we need to forget about the liver? 383 00:15:43,653 --> 00:15:45,388 We need to stop retracing our steps 384 00:15:45,421 --> 00:15:47,190 and get ahead of this thing. 385 00:15:48,758 --> 00:15:51,161 House, you've tanned. 386 00:15:51,194 --> 00:15:53,529 You don't think I could've come up with this? 387 00:15:53,563 --> 00:15:54,497 Did you? 388 00:15:54,530 --> 00:15:56,799 You suspended House because it'd be dangerous 389 00:15:56,832 --> 00:15:59,202 having him in charge, but getting his opinion-- 390 00:15:59,235 --> 00:16:00,270 I'm sure he gave you that opinion 391 00:16:00,303 --> 00:16:02,138 simply because he was worried about the patient. 392 00:16:02,172 --> 00:16:03,773 Just because House wants his pills 393 00:16:03,806 --> 00:16:05,375 doesn't mean his theory is wrong. 394 00:16:05,408 --> 00:16:07,210 No, the test results mean that. 395 00:16:07,243 --> 00:16:09,212 Your test was negative. 396 00:16:09,245 --> 00:16:10,746 And the biopsy indicated severe duct inflammation. 397 00:16:10,780 --> 00:16:14,817 Do an ERCP to check the liver for bile duct cancer. 398 00:16:14,850 --> 00:16:16,219 Just because it wasn't Alpha-1 doesn't mean 399 00:16:16,252 --> 00:16:17,287 the pancreas isn't next. 400 00:16:17,320 --> 00:16:18,354 (Wilson) You needed an organ. 401 00:16:18,388 --> 00:16:20,056 He needed a fix. 402 00:16:20,090 --> 00:16:21,557 He'd have made up any story for a pill. 403 00:16:21,591 --> 00:16:22,825 You didn't give him anything, did you? 404 00:16:22,858 --> 00:16:24,360 No. 405 00:16:31,201 --> 00:16:33,469 Ow! 406 00:16:33,503 --> 00:16:37,073 There's no bruise or nothing, but it really hurts. 407 00:16:37,107 --> 00:16:39,075 Unfortunately, that pain and lack of bruising. 408 00:16:39,109 --> 00:16:40,843 is typical of a zygomatic break. 409 00:16:40,876 --> 00:16:43,346 Wow. That sounds bad. 410 00:16:43,379 --> 00:16:45,815 Hmm, bones are aligned properly. 411 00:16:45,848 --> 00:16:47,750 Which ER did you go to after the car accident? 412 00:16:47,783 --> 00:16:49,385 Princeton Plainsboro. 413 00:16:49,419 --> 00:16:51,521 Here's my discharge slip. 414 00:16:51,554 --> 00:16:52,855 Okay. 415 00:16:52,888 --> 00:16:56,159 Gonna get you some acetaminophen with codeine. 416 00:16:56,192 --> 00:16:59,195 I tried that, and it makes me nauseous. 417 00:16:59,229 --> 00:17:01,531 Uh, there's a drug called gabapentin 418 00:17:01,564 --> 00:17:03,599 which is good for certain kinds of pains. 419 00:17:03,633 --> 00:17:05,635 Great, 'cause I haven't slept in days. 420 00:17:05,668 --> 00:17:08,304 Gabapentin's not really gonna help with the sleep. 421 00:17:08,338 --> 00:17:09,872 Oh. 422 00:17:09,905 --> 00:17:11,707 Is there something else you can give me? 423 00:17:11,741 --> 00:17:16,179 Uh, Vicodin's your best bet with sleep issues. 424 00:17:16,212 --> 00:17:17,847 Thanks so much. 425 00:17:17,880 --> 00:17:20,516 Unfortunately, our policy forbids 426 00:17:20,550 --> 00:17:22,218 prescribing opiates to new patients. 427 00:17:22,252 --> 00:17:25,688 How can a clinic have a rule against relieving pain? 428 00:17:25,721 --> 00:17:27,157 Just with opiates. 429 00:17:27,190 --> 00:17:28,724 We find that it helps weed out drug seekers. 430 00:17:28,758 --> 00:17:30,226 You think I'm a drug seeker? 431 00:17:30,260 --> 00:17:32,162 I'm not saying that. Well, then give me the Vicodin. 432 00:17:32,195 --> 00:17:34,664 I can't. Because you think I'm a drug seeker. 433 00:17:34,697 --> 00:17:35,765 I just said I didn't. 434 00:17:35,798 --> 00:17:38,868 No, you said that the policy was to stop drug seeking. 435 00:17:38,901 --> 00:17:40,670 Then you said I'm not a drug seeker. 436 00:17:40,703 --> 00:17:42,538 Policy doesn't apply. 437 00:17:42,572 --> 00:17:44,240 I'm sorry. That's the policy. 438 00:17:44,274 --> 00:17:47,177 Gabapentin works on nerve damage. 439 00:17:47,210 --> 00:17:48,578 You're prescribing it for a broken face. 440 00:17:48,611 --> 00:17:50,180 Might as well hand out Band-Aids 441 00:17:50,213 --> 00:17:50,880 for a severed carotid. 442 00:17:50,913 --> 00:17:52,782 You're a doctor. 443 00:17:52,815 --> 00:17:54,217 Not by this clinic's definition 444 00:17:54,250 --> 00:17:56,319 since I'm neither a moron nor a mindless drone. 445 00:17:56,352 --> 00:17:58,154 Security. 446 00:17:58,188 --> 00:18:01,557 Forget it. I'll throw myself out. 447 00:18:05,328 --> 00:18:08,331 That tube is going all the way down to my liver? 448 00:18:08,364 --> 00:18:10,533 Don't worry. You'll be sedated. 449 00:18:10,566 --> 00:18:12,868 Sometimes doctors have to do things 450 00:18:12,902 --> 00:18:15,638 that make people uncomfortable to help them. 451 00:18:15,671 --> 00:18:17,807 But we always want to respect the patient's wishes 452 00:18:17,840 --> 00:18:19,275 and not shove things down their throats. 453 00:18:22,545 --> 00:18:23,546 Foreman. 454 00:18:26,382 --> 00:18:27,450 You haven't given her the sedative. 455 00:18:27,483 --> 00:18:29,219 No. 456 00:18:29,252 --> 00:18:30,953 Abigail! 457 00:18:30,986 --> 00:18:34,190 Abigail! She's unconscious. 458 00:18:34,224 --> 00:18:36,792 Check her airway. 459 00:18:36,826 --> 00:18:38,328 Airway's clear. 460 00:18:38,361 --> 00:18:40,230 Her breath smells fruity. 461 00:18:40,263 --> 00:18:42,398 Diabetic ketoacidosis. 462 00:18:42,432 --> 00:18:45,268 Hang an insult drip at .1 migs per kig per hour. 463 00:18:45,301 --> 00:18:46,736 Pancreas is failing. 464 00:18:46,769 --> 00:18:47,903 You ready to call House yet? 465 00:18:47,937 --> 00:18:51,241 [exhales] 466 00:18:56,412 --> 00:18:57,680 You were right. 467 00:18:57,713 --> 00:18:59,282 The patient's pancreas is failing. 468 00:18:59,315 --> 00:19:01,951 Told you you'd come begging me for help. 469 00:19:01,984 --> 00:19:05,255 Her insulin production is almost non-existent-- 470 00:19:05,288 --> 00:19:08,824 Give me my pills or lose an arm. 471 00:19:08,858 --> 00:19:10,493 The girl is dying. So give me my pills. 472 00:19:10,526 --> 00:19:12,428 Take the deal and I will. 473 00:19:12,462 --> 00:19:17,233 You'd rather kill this girl than give me my pills. 474 00:19:17,267 --> 00:19:20,470 I would rather lose one patient now 475 00:19:20,503 --> 00:19:23,273 than the dozens we will lose while you're in prison. 476 00:19:25,741 --> 00:19:27,009 Well, have fun explaining that 477 00:19:27,042 --> 00:19:29,712 to her itsy-bitsy grieving mother. 478 00:19:36,018 --> 00:19:38,254 What if we sacrifice this girl and House still goes to jail? 479 00:19:38,288 --> 00:19:40,022 I'd feel bad. Can we get on with this? 480 00:19:40,055 --> 00:19:42,325 House correctly predicted the spread. 481 00:19:42,358 --> 00:19:43,859 Means we've got a global systemic illness 482 00:19:43,893 --> 00:19:46,429 affecting lungs, liver, and pancreas so far. 483 00:19:46,462 --> 00:19:47,797 Ideas. 484 00:19:47,830 --> 00:19:49,265 Langerhans cell histiocytosis 485 00:19:49,299 --> 00:19:50,533 attacks multiple organ systems. 486 00:19:50,566 --> 00:19:52,602 Histiocytosis usually starts in the brain, 487 00:19:52,635 --> 00:19:53,603 then moves to the internal organs. 488 00:19:53,636 --> 00:19:55,271 Abigail's brain is fine. 489 00:19:55,305 --> 00:19:56,238 Cystic fibrosis. 490 00:19:56,272 --> 00:19:59,409 Exocrine function is normal. Hodgkins lymphoma. 491 00:19:59,442 --> 00:20:00,576 It's a systemic cancer which her dwarfism 492 00:20:00,610 --> 00:20:01,777 predisposes her to. 493 00:20:01,811 --> 00:20:03,313 Do you have any ideas that aren't cancer? 494 00:20:03,346 --> 00:20:05,315 Cancer fits. Autoimmune fits better. 495 00:20:05,348 --> 00:20:07,417 We should treat her with prednisone for lupus. 496 00:20:07,450 --> 00:20:09,452 That'll spike her blood sugar and put her back in a coma. 497 00:20:09,485 --> 00:20:11,387 It's much safer just to run a double-stranded DNA test. 498 00:20:11,421 --> 00:20:13,323 Not if she dies before we get the results. 499 00:20:13,356 --> 00:20:15,291 One of you is probably right. 500 00:20:15,325 --> 00:20:17,727 Why don't we hold the sniping until we find out which? 501 00:20:17,760 --> 00:20:19,662 Wilson, do an LP for lymphoma. 502 00:20:19,695 --> 00:20:23,299 You guys, run an antibody test for lupus. 503 00:20:23,333 --> 00:20:25,468 [exhales] 504 00:20:26,669 --> 00:20:29,572 Because of your daughter's dwarfism, 505 00:20:29,605 --> 00:20:31,374 we've had to pick a higher entry point 506 00:20:31,407 --> 00:20:33,643 for the lumbar puncture, which increases the risk. 507 00:20:33,676 --> 00:20:35,745 So why not do the lupus test first? 508 00:20:35,778 --> 00:20:37,413 In the interest of time, we think it's best 509 00:20:37,447 --> 00:20:38,748 to proceed on both fronts. 510 00:20:38,781 --> 00:20:41,584 You have no idea what's wrong with my daughter. 511 00:20:41,617 --> 00:20:43,419 We have several theories. 512 00:20:43,453 --> 00:20:44,487 What does Dr. House think? 513 00:20:44,520 --> 00:20:46,989 He's-- He had to go home sick. 514 00:20:47,022 --> 00:20:49,058 My daughter may be dying, 515 00:20:49,091 --> 00:20:50,660 and he's gone home with the sniffles? 516 00:20:50,693 --> 00:20:52,362 He's not-- 517 00:20:52,395 --> 00:20:54,364 He was the only one who seemed to have any idea 518 00:20:54,397 --> 00:20:55,398 what was wrong with her. 519 00:20:55,431 --> 00:20:56,932 He better be really damn sick. 520 00:20:56,966 --> 00:21:00,302 He is. 521 00:21:03,138 --> 00:21:06,476 (House) Unless you got Vicodin, go away. 522 00:21:06,509 --> 00:21:08,778 House, it's me. I, uh-- 523 00:21:11,381 --> 00:21:12,982 Oh, God. 524 00:21:14,517 --> 00:21:16,352 I don't have-- 525 00:21:16,386 --> 00:21:19,321 No pills, no egg nog. 526 00:21:21,491 --> 00:21:22,592 What happened to your arm? 527 00:21:24,394 --> 00:21:26,362 Cut myself. 528 00:21:30,099 --> 00:21:33,436 Wilson was wrong about lymphoma. 529 00:21:33,469 --> 00:21:36,038 Kid's not losing any weight, no night sweats. 530 00:21:36,071 --> 00:21:37,573 Cuddy send you? 531 00:21:37,607 --> 00:21:41,411 No, she doesn't trust me not to give you pills. 532 00:21:41,444 --> 00:21:43,446 Is she right? 533 00:21:43,479 --> 00:21:47,683 House, these cuts are straight in a row. 534 00:21:47,717 --> 00:21:51,587 You did this on purpose. 535 00:21:51,621 --> 00:21:54,457 Cutting releases endorphins. 536 00:21:54,490 --> 00:21:55,958 Endorphins relieve pain. 537 00:21:55,991 --> 00:21:58,628 You gonna get me some pills? 538 00:21:58,661 --> 00:22:00,430 No. 539 00:22:00,463 --> 00:22:02,732 Then you can leave. 540 00:22:02,765 --> 00:22:05,635 No constitutional symptoms means-- 541 00:22:05,668 --> 00:22:07,169 Soon as the kid gets cured, 542 00:22:07,202 --> 00:22:09,605 Cuddy's got no pressure to fold. 543 00:22:09,639 --> 00:22:12,041 You really think she's gonna fold? 544 00:22:17,613 --> 00:22:21,150 Autoimmune fits better than cancer. 545 00:22:21,183 --> 00:22:25,555 But lupus loves kidneys, usually attacks them first. 546 00:22:25,588 --> 00:22:28,424 Kidneys are fine, right? Yeah. 547 00:22:28,458 --> 00:22:31,427 House, take the deal. 548 00:22:31,461 --> 00:22:33,162 You can survive without Vicodin. 549 00:22:33,195 --> 00:22:36,499 After you were shot, you stayed clean for months. 550 00:22:36,532 --> 00:22:38,133 Yeah, I wonder if it had something to do 551 00:22:38,167 --> 00:22:39,769 with the absence of pain. 552 00:22:39,802 --> 00:22:41,070 Leave that. 553 00:22:41,103 --> 00:22:42,104 I want to be able to pour alcohol on it 554 00:22:42,137 --> 00:22:43,506 so I can distract myself. 555 00:22:43,539 --> 00:22:45,808 Then you can rip off the bandage. 556 00:22:51,080 --> 00:22:52,848 Kid been sick lately? 557 00:22:52,882 --> 00:22:54,717 There's a history of ear infections. 558 00:22:57,853 --> 00:23:01,524 Say Abigail's immune system 559 00:23:01,557 --> 00:23:04,193 is like a shy guy in a bar. 560 00:23:04,226 --> 00:23:06,195 And the ear infections, 561 00:23:06,228 --> 00:23:09,832 they come in and try to coax him to-- 562 00:23:09,865 --> 00:23:11,801 Heh. 563 00:23:11,834 --> 00:23:14,970 To hell with the metaphor. You get the point, right? 564 00:23:15,004 --> 00:23:17,673 Nerd gets drunk. Trashes the bar. 565 00:23:17,707 --> 00:23:21,110 One of the autoimmunes triggered by a minor infection. 566 00:23:21,143 --> 00:23:24,914 Factor in her age, elevated sed-rate, anemia... 567 00:23:24,947 --> 00:23:27,116 It's Still's disease. 568 00:23:27,149 --> 00:23:30,786 You start her on prednisone, methotrexate, cyclosporin. 569 00:23:32,555 --> 00:23:34,223 House. 570 00:23:34,256 --> 00:23:36,492 Stop this. 571 00:23:36,526 --> 00:23:37,860 Please. 572 00:24:01,851 --> 00:24:03,185 What'd he say? 573 00:24:03,218 --> 00:24:06,088 Still's disease. It's chronic, but manageable. 574 00:24:06,121 --> 00:24:07,823 A diagnosis that's virtually unconfirmable. 575 00:24:07,857 --> 00:24:09,058 And with a treatment that's more dangerous 576 00:24:09,091 --> 00:24:12,562 than what we were considering for lupus. 577 00:24:12,595 --> 00:24:14,897 How bad is he? 578 00:24:14,930 --> 00:24:16,131 Are you asking because you care, 579 00:24:16,165 --> 00:24:18,568 or because you're wondering whether to trust his opinion? 580 00:24:18,601 --> 00:24:21,537 Both. He's detoxing. 581 00:24:21,571 --> 00:24:23,238 In agony. 582 00:24:23,272 --> 00:24:26,576 He started cutting himself. 583 00:24:26,609 --> 00:24:29,078 But he's still House. 584 00:24:30,813 --> 00:24:33,683 I'll order the treatment. 585 00:24:43,859 --> 00:24:45,861 [elevator pings] 586 00:24:53,669 --> 00:24:55,905 Ahem! 587 00:24:55,938 --> 00:24:57,272 Your plan isn't working. 588 00:24:57,306 --> 00:25:01,110 Two days down, one to go. 589 00:25:01,143 --> 00:25:03,713 Figured I'd show you how much it isn't working. 590 00:25:03,746 --> 00:25:07,216 Yeah, clearly the drugs have no hold on you. 591 00:25:07,249 --> 00:25:11,153 We both know that my pride 592 00:25:11,186 --> 00:25:13,188 far surpasses my instinct for self-preservation. 593 00:25:13,222 --> 00:25:16,058 You want to redeem yourself? Give up now. 594 00:25:16,091 --> 00:25:17,860 And you'll go to jail. 595 00:25:17,893 --> 00:25:20,262 I've done nothing wrong. 596 00:25:20,295 --> 00:25:24,634 And you'll go to jail. 597 00:25:24,667 --> 00:25:26,702 Which makes this your last chance 598 00:25:26,736 --> 00:25:29,238 to do me a kindness before ruining my life forever. 599 00:25:31,907 --> 00:25:34,243 The nausea's bad this time. 600 00:25:37,212 --> 00:25:38,914 You can write me a scrip for metoclopramide 601 00:25:38,948 --> 00:25:42,251 so I can stop puking. 602 00:25:42,284 --> 00:25:44,720 They'd give me that in rehab. 603 00:25:44,754 --> 00:25:48,390 Then you should go to rehab. 604 00:25:48,423 --> 00:25:50,192 I have a patient. 605 00:26:05,841 --> 00:26:08,310 I'm so sorry for your loss. 606 00:26:08,343 --> 00:26:12,347 I know it's little solace, but he went without pain. 607 00:26:15,250 --> 00:26:17,419 House. 608 00:26:17,452 --> 00:26:19,722 Well, look on the bright side. 609 00:26:19,755 --> 00:26:22,858 At least you don't have to go by Mrs. Zebalusky anymore. 610 00:26:22,892 --> 00:26:24,660 That's gotta be a relief. 611 00:26:24,694 --> 00:26:27,062 You know this man? 612 00:26:27,096 --> 00:26:27,997 I'm sorry. He's sick-- 613 00:26:28,030 --> 00:26:30,265 Did you hear my diagnosis on the dwarf? 614 00:26:30,299 --> 00:26:31,834 Still's disease. 615 00:26:31,867 --> 00:26:35,070 Did you even consider those ear infections, 616 00:26:35,104 --> 00:26:37,139 or you just wrote it off as a dwarf thing? 617 00:26:37,172 --> 00:26:38,207 You sure he's dead? 618 00:26:38,240 --> 00:26:40,375 Dr. Wilson sometimes misses things. 619 00:26:40,409 --> 00:26:42,812 Trying to embarrass me in front of grieving widow 620 00:26:42,845 --> 00:26:44,146 crosses lines-- 621 00:26:44,179 --> 00:26:46,849 Right! I'm pathetic. 622 00:26:46,882 --> 00:26:48,283 I'm stung out, haven't slept, 623 00:26:48,317 --> 00:26:50,986 puking every hour, and I still out-diagnosed you. 624 00:26:51,020 --> 00:26:53,155 But I'm supposed to let you decide what's best-- 625 00:26:53,188 --> 00:26:55,057 Please! 626 00:26:55,090 --> 00:26:57,192 Please leave. 627 00:26:58,961 --> 00:27:01,130 Sorry. 628 00:27:01,163 --> 00:27:02,865 I'm done. 629 00:27:04,767 --> 00:27:06,035 House. 630 00:27:10,973 --> 00:27:12,742 You didn't come in here just to embarrass me. 631 00:27:12,775 --> 00:27:14,276 You could do that any time. 632 00:27:17,012 --> 00:27:18,848 Stealing Oxy from a dead man. 633 00:27:18,881 --> 00:27:20,816 Yeah, you don't have a problem. 634 00:27:30,125 --> 00:27:31,260 [door opens] 635 00:27:34,930 --> 00:27:36,265 How's the girl? 636 00:27:36,298 --> 00:27:37,299 Much better. 637 00:27:39,234 --> 00:27:40,435 House was right. 638 00:27:40,469 --> 00:27:42,204 It happens. 639 00:27:42,237 --> 00:27:45,975 I thought we could handle this. 640 00:27:46,008 --> 00:27:47,910 Still's disease never crossed my mind. 641 00:27:47,943 --> 00:27:50,780 Don't beat yourself up. I didn't get it either. 642 00:27:53,983 --> 00:27:55,450 Whew. 643 00:28:02,091 --> 00:28:07,329 [chuckles] I feel like a mob informant. 644 00:28:07,362 --> 00:28:10,032 You wanna go inside? 645 00:28:10,065 --> 00:28:12,101 Got a cafeteria in there, right? 646 00:28:12,134 --> 00:28:16,338 I can't testify. 647 00:28:16,371 --> 00:28:19,809 Drug addicts hurt the people around them with their habit. 648 00:28:19,842 --> 00:28:23,245 House has hurt plenty of people, you included. 649 00:28:23,278 --> 00:28:25,180 He saves lives. 650 00:28:25,214 --> 00:28:26,916 People that no one else can save. 651 00:28:26,949 --> 00:28:30,319 And no matter how much of an ass he is, 652 00:28:30,352 --> 00:28:33,288 statistically House is a positive force 653 00:28:33,322 --> 00:28:35,858 in the universe. 654 00:28:35,891 --> 00:28:37,426 The pills let him do that. 655 00:28:37,459 --> 00:28:41,363 Vicodin does not make House a genius. 656 00:28:41,396 --> 00:28:45,234 Whatever he does on the pills, he can do off. 657 00:28:45,267 --> 00:28:47,136 He's just not willing to try. 658 00:28:49,839 --> 00:28:54,009 I won't testify against him. 659 00:28:54,043 --> 00:28:56,178 Then we'll subpoena you. 660 00:28:56,211 --> 00:28:59,214 And your previous statement will be read into evidence. 661 00:28:59,248 --> 00:29:02,051 And you will be charged with interfering 662 00:29:02,084 --> 00:29:04,453 with an investigation. 663 00:29:04,486 --> 00:29:06,388 And you will go to jail. 664 00:29:12,127 --> 00:29:16,165 Again, statistically, better me than him. 665 00:29:16,198 --> 00:29:18,500 Statistically... 666 00:29:18,533 --> 00:29:21,436 the two of you will be in jail. 667 00:29:24,907 --> 00:29:27,910 [water running] 668 00:29:54,403 --> 00:29:56,105 (Maddy) Dr. Cameron! 669 00:29:56,138 --> 00:29:58,140 Dr. Cameron, come quick. 670 00:29:58,173 --> 00:30:00,009 There's something wrong with Abby. 671 00:30:00,042 --> 00:30:01,043 Couldn't be too severe. 672 00:30:01,076 --> 00:30:02,311 Her cardiac alarm didn't go off. 673 00:30:02,344 --> 00:30:05,347 It's not her heart. She's bleeding. 674 00:30:06,982 --> 00:30:10,319 Picking up a scrip. Under Zebalusky. 675 00:30:15,290 --> 00:30:18,260 This is, uh, Dr. Wilson's patient. 676 00:30:18,293 --> 00:30:19,962 Yeah. 677 00:30:19,995 --> 00:30:21,463 Wilson's busy right now. 678 00:30:21,496 --> 00:30:24,433 What with Mr. Zebalusky dying in agony 679 00:30:24,466 --> 00:30:26,301 on account of his metastic lung cancer 680 00:30:26,335 --> 00:30:29,238 and not having the pills to relieve that agony 681 00:30:29,271 --> 00:30:32,074 because of some moron pharmacist. 682 00:30:32,107 --> 00:30:34,543 Sign the book. 683 00:31:03,705 --> 00:31:05,307 Bleeding wasn't a ruptured eardrum, ear infection, 684 00:31:05,340 --> 00:31:06,708 or bleeding disorder. 685 00:31:06,741 --> 00:31:08,643 Her heart rate's climbing. Blood pressure's dropping. 686 00:31:08,677 --> 00:31:11,413 She's on the verge of a multi-system failure. 687 00:31:11,446 --> 00:31:12,581 Head CT was clean. 688 00:31:12,614 --> 00:31:14,183 Means it's not a neurological problem. 689 00:31:14,216 --> 00:31:15,684 Basically we have nothing. 690 00:31:15,717 --> 00:31:17,052 Cancer is still on the table. 691 00:31:17,086 --> 00:31:19,488 Spinal fluid was negative for lymphoma. 692 00:31:19,521 --> 00:31:21,023 What other-- Leukemia. 693 00:31:21,056 --> 00:31:22,624 We need to do a bone marrow biopsy. 694 00:31:22,657 --> 00:31:24,026 None of the blood tests suggest leukemia. 695 00:31:24,059 --> 00:31:27,096 Cancer doesn't explain the collapsed lung. 696 00:31:27,129 --> 00:31:28,730 Unless a small clot lead to a pulmonary infarct. 697 00:31:28,763 --> 00:31:30,699 It's a long shot. Autoimmune is way more likely. 698 00:31:30,732 --> 00:31:31,967 Autoimmune diseases respond to steroids, 699 00:31:32,001 --> 00:31:33,068 which we've given her. 700 00:31:33,102 --> 00:31:34,536 And she got better for a while. 701 00:31:34,569 --> 00:31:36,638 We stopped the treatment too soon. Because she crashed. 702 00:31:36,671 --> 00:31:38,207 All we're doing is bouncing back and forth 703 00:31:38,240 --> 00:31:39,208 between cancer and autoimmune. 704 00:31:39,241 --> 00:31:41,343 We're going in circles. 705 00:31:48,650 --> 00:31:51,586 Give me half an hour. 706 00:31:51,620 --> 00:31:54,623 [children laughing and shouting] 707 00:31:59,794 --> 00:32:01,363 Can I have a French fry? 708 00:32:01,396 --> 00:32:03,765 Get your own. 709 00:32:03,798 --> 00:32:06,435 You took the last ones. 710 00:32:06,468 --> 00:32:08,703 What's wrong with you? 711 00:32:08,737 --> 00:32:11,240 I got spinal muscular atrophy. 712 00:32:11,273 --> 00:32:13,008 [exhales] 713 00:32:13,042 --> 00:32:16,278 Guess it's not contagious. 714 00:32:16,311 --> 00:32:18,213 Nice bear. 715 00:32:18,247 --> 00:32:19,748 It's a dog. 716 00:32:19,781 --> 00:32:21,216 (Cuddy) House. 717 00:32:21,250 --> 00:32:23,152 It's not Still's. 718 00:32:23,185 --> 00:32:24,553 Steroids helped until the patient 719 00:32:24,586 --> 00:32:27,322 started bleeding from the ears and mouth. 720 00:32:27,356 --> 00:32:29,391 That's a bear. 721 00:32:29,424 --> 00:32:31,560 His name is Bill. He's a dog. 722 00:32:31,593 --> 00:32:35,330 You win. You can have Vicodin. 723 00:32:35,364 --> 00:32:37,566 Words have set meanings for a reason. 724 00:32:37,599 --> 00:32:39,168 If you see an animal like Bill 725 00:32:39,201 --> 00:32:41,103 and you try to play fetch, 726 00:32:41,136 --> 00:32:42,604 Bill's gonna eat you because Bill's a bear. 727 00:32:42,637 --> 00:32:44,706 Are you on something? 728 00:32:46,108 --> 00:32:47,642 You got your hands on pain meds. 729 00:32:47,676 --> 00:32:51,613 Bill has fur, four legs, and a collar. 730 00:32:51,646 --> 00:32:52,781 He's a dog. 731 00:32:52,814 --> 00:32:55,550 It's between cancer and autoimmune. 732 00:32:55,584 --> 00:32:58,387 See, that's what we call a faulty syllogism. 733 00:32:58,420 --> 00:32:59,754 Just because you call Bill a dog 734 00:32:59,788 --> 00:33:04,593 doesn't mean that he is... a dog. 735 00:33:09,631 --> 00:33:12,767 We gotta x-ray our patient's leg. 736 00:33:15,770 --> 00:33:18,173 Her leg looks fine. 737 00:33:18,207 --> 00:33:19,474 Weird, huh? 738 00:33:19,508 --> 00:33:21,276 Why aren't you detoxing? 739 00:33:21,310 --> 00:33:22,711 Will power. 740 00:33:22,744 --> 00:33:24,613 What--what-- 741 00:33:24,646 --> 00:33:26,815 Normal's not normal if you're not normal. 742 00:33:26,848 --> 00:33:28,283 Did you just take a pill? 743 00:33:28,317 --> 00:33:29,818 No. 744 00:33:29,851 --> 00:33:32,087 So how does a dwarf 745 00:33:32,121 --> 00:33:34,423 have completely normal growth plates? 746 00:33:34,456 --> 00:33:35,757 It's impossible. 747 00:33:35,790 --> 00:33:37,359 We must be missing something. 748 00:33:37,392 --> 00:33:39,094 How many pills have you taken? 749 00:33:39,128 --> 00:33:41,263 Not nearly as many as I'm gonna take. 750 00:33:41,296 --> 00:33:42,831 Forgotten how delicious they were. 751 00:33:42,864 --> 00:33:45,600 I didn't give them to him. 752 00:33:45,634 --> 00:33:47,369 Can we forget my vices, get back to my virtues? 753 00:33:47,402 --> 00:33:49,538 We were missing the fact that just because 754 00:33:49,571 --> 00:33:52,874 we called her a dwarf doesn't mean she is a dwarf. 755 00:33:52,907 --> 00:33:54,709 Everyone assumed she was because of her mother. 756 00:33:54,743 --> 00:33:56,511 There's not test for CHH dwarfism. 757 00:33:56,545 --> 00:33:59,748 So she lost an identity, but we gained a symptom. 758 00:33:59,781 --> 00:34:03,318 If she doesn't have skeletal dwarfism, 759 00:34:03,352 --> 00:34:05,587 then her short stature must be caused 760 00:34:05,620 --> 00:34:07,289 by growth hormone deficiency. 761 00:34:07,322 --> 00:34:08,890 And something's wrong with her pituitary gland. 762 00:34:08,923 --> 00:34:11,526 And based on her size, it's been wrong for a while. 763 00:34:11,560 --> 00:34:14,763 So what connects a long-term pituitary issue 764 00:34:14,796 --> 00:34:17,266 with problems in the lungs, liver, and pancreas? 765 00:34:17,299 --> 00:34:19,668 Oh, you guys and your bickering. 766 00:34:19,701 --> 00:34:21,570 Cancer versus autoimmune. 767 00:34:21,603 --> 00:34:22,871 Obviously you think it's something else. 768 00:34:22,904 --> 00:34:25,874 Nope. I think it's both. 769 00:34:25,907 --> 00:34:28,477 Langerhans cell histiocytosis. 770 00:34:28,510 --> 00:34:30,145 Also known as, 771 00:34:30,179 --> 00:34:32,381 "you got your cancer in my autoimmune" disease. 772 00:34:32,414 --> 00:34:35,150 The immune component responded to the Still's treatment. 773 00:34:35,184 --> 00:34:36,651 lead to the short-term improvement. 774 00:34:36,685 --> 00:34:37,752 The cancer portion didn't. 775 00:34:37,786 --> 00:34:39,654 We dismissed this earlier 776 00:34:39,688 --> 00:34:41,356 because there were no neurological symptoms. 777 00:34:41,390 --> 00:34:43,558 Yeah. It's not your fault. 778 00:34:43,592 --> 00:34:45,860 The only neurological symptom was her height. 779 00:34:45,894 --> 00:34:47,729 Who could've noticed? 780 00:34:57,772 --> 00:34:59,708 This is your pituitary gland. 781 00:34:59,741 --> 00:35:02,377 And this is the granuloma that's been crushing it. 782 00:35:02,411 --> 00:35:05,214 No pituitary equals no growth hormone 783 00:35:05,247 --> 00:35:06,748 equals about that much. 784 00:35:06,781 --> 00:35:08,783 She's not a dwarf? 785 00:35:08,817 --> 00:35:11,753 Just hormonally challenged. 786 00:35:11,786 --> 00:35:13,655 What about my mom? 787 00:35:13,688 --> 00:35:15,190 Your mom's the real deal. 788 00:35:15,224 --> 00:35:17,226 But you're just a tiny little poser. 789 00:35:17,259 --> 00:35:19,794 Your recent ear infections caused your body 790 00:35:19,828 --> 00:35:21,563 to release a cascade of the same cells 791 00:35:21,596 --> 00:35:23,232 that made the granuloma. 792 00:35:23,265 --> 00:35:24,799 They attacked your lungs, moved down to your liver, 793 00:35:24,833 --> 00:35:26,635 then hitched a ride over to your pancreas. 794 00:35:26,668 --> 00:35:28,970 We can nuke them with a mild course of chemo 795 00:35:29,003 --> 00:35:30,672 and then remove the granuloma. 796 00:35:30,705 --> 00:35:32,274 And then what? 797 00:35:32,307 --> 00:35:33,775 What will happen to her then? 798 00:35:33,808 --> 00:35:37,712 Let me see if I can make this clear. 799 00:35:37,746 --> 00:35:42,384 This pill represents... a pill. 800 00:35:42,417 --> 00:35:46,788 And my mouth represents your daughter's mouth. 801 00:35:46,821 --> 00:35:49,891 We deposit the pill in the month. 802 00:35:54,796 --> 00:35:57,332 You may be tall enough to play in the WNBA, 803 00:35:57,366 --> 00:35:59,568 but you'll be able to post up your mom no problem. 804 00:36:01,570 --> 00:36:03,538 What if I don't take the pills? 805 00:36:03,572 --> 00:36:06,675 What if you remove the thing in my head 806 00:36:06,708 --> 00:36:09,010 and give me the chemo, but not the pills? 807 00:36:09,043 --> 00:36:10,579 Would I still get better? 808 00:36:10,612 --> 00:36:12,514 Your body needs growth hormone 809 00:36:12,547 --> 00:36:13,548 from lots of things. 810 00:36:13,582 --> 00:36:15,650 Like...to grow. 811 00:36:15,684 --> 00:36:17,719 I like who I am now. 812 00:36:17,752 --> 00:36:20,622 Nobody your age likes who they are now. 813 00:36:20,655 --> 00:36:21,723 I do. 814 00:36:24,058 --> 00:36:24,993 You like needing help 815 00:36:25,026 --> 00:36:26,861 when you want something off a high shelf? 816 00:36:26,895 --> 00:36:28,730 Not being able to press an elevator button 817 00:36:28,763 --> 00:36:29,831 above the eighth floor? 818 00:36:29,864 --> 00:36:32,000 Having to smell ass every time you stand in line? 819 00:36:32,033 --> 00:36:33,768 You don't need growth hormone. 820 00:36:33,802 --> 00:36:37,539 It's just your ticket out of the freak show. 821 00:36:50,819 --> 00:36:52,887 Can't you deliver a diagnosis 822 00:36:52,921 --> 00:36:55,457 without making her feel that her life isn't worth living? 823 00:36:55,490 --> 00:36:56,791 I'm trying to help her. 824 00:36:56,825 --> 00:36:59,428 You're trying to make her taller. 825 00:36:59,461 --> 00:37:00,862 Not too tall. 826 00:37:00,895 --> 00:37:03,632 Just tall enough to wipe her own butt. 827 00:37:03,665 --> 00:37:04,799 [House chuckles] 828 00:37:06,801 --> 00:37:08,303 Are you high? 829 00:37:08,337 --> 00:37:09,604 Higher than you. 830 00:37:09,638 --> 00:37:12,073 If my daughter doesn't want to choose 831 00:37:12,106 --> 00:37:14,576 the easy path, I won't force her to. 832 00:37:14,609 --> 00:37:15,744 Then you're a lousy mom. 833 00:37:15,777 --> 00:37:18,413 You want your daughter to be a freak. 834 00:37:18,447 --> 00:37:19,448 We're not freaks. 835 00:37:19,481 --> 00:37:21,816 You want her to overcome adversity. 836 00:37:21,850 --> 00:37:23,051 Yes. 837 00:37:23,084 --> 00:37:24,786 Then why stop at height? 838 00:37:24,819 --> 00:37:26,555 Poke a stick in her eye. 839 00:37:26,588 --> 00:37:28,523 Imagine how interesting she'll be then. 840 00:37:28,557 --> 00:37:30,692 Being little is not the same as-- 841 00:37:30,725 --> 00:37:33,027 You and I have found out that being normal sucks 842 00:37:33,061 --> 00:37:35,597 'cause we're freaks. 843 00:37:35,630 --> 00:37:39,067 The advantage of being a freak is it makes your stronger. 844 00:37:39,100 --> 00:37:41,770 Now, how strong do you really want her to have to be? 845 00:37:44,138 --> 00:37:47,342 Tell her what you have to tell her. 846 00:37:47,376 --> 00:37:49,778 Tell her you lied. 847 00:37:51,480 --> 00:37:54,449 Even if you didn't. 848 00:38:00,589 --> 00:38:03,057 This is who you were supposed to be. 849 00:38:03,091 --> 00:38:04,759 You hate normal. 850 00:38:04,793 --> 00:38:07,829 It's not that simple. 851 00:38:07,862 --> 00:38:11,700 If I grow, I'll fade into the background. 852 00:38:11,733 --> 00:38:13,735 I'll be boring. 853 00:38:16,805 --> 00:38:18,740 We'll get you a funny hat. 854 00:38:22,977 --> 00:38:26,415 You could never be boring. 855 00:38:26,448 --> 00:38:28,850 You want me to be like everybody else? 856 00:38:33,922 --> 00:38:35,924 I want you to have what I can't. 857 00:38:54,175 --> 00:38:56,645 Abigail agreed-- 858 00:38:56,678 --> 00:38:58,747 Abigail agreed to take growth hormone. 859 00:38:58,780 --> 00:39:00,515 Who's Abigail? 860 00:39:00,549 --> 00:39:03,552 Your non-dwarf dwarf patient. 861 00:39:03,585 --> 00:39:06,488 Oh, good. 862 00:39:06,521 --> 00:39:09,491 Then the growth hormone makes sense. 863 00:39:09,524 --> 00:39:11,793 Christmas Eve. 864 00:39:11,826 --> 00:39:13,862 Yeah, I know. 865 00:39:13,895 --> 00:39:15,063 Deal expires tomorrow. 866 00:39:15,096 --> 00:39:17,699 You have plans for tonight? 867 00:39:17,732 --> 00:39:20,168 You worried I'm gonna be popping more pills? 868 00:39:20,201 --> 00:39:24,639 Thought you might prefer people over pills. 869 00:39:25,807 --> 00:39:26,941 Hmph. 870 00:39:53,868 --> 00:39:56,204 Hey, Mom. 871 00:39:56,237 --> 00:40:01,209 I guess you guys are already up at Aunt Sarah's. 872 00:40:01,242 --> 00:40:02,944 I'm sure Dad's in the egg nog 873 00:40:02,977 --> 00:40:04,679 and you're probably suffering through 874 00:40:04,713 --> 00:40:06,681 another dried out turkey. 875 00:40:14,122 --> 00:40:17,125 Just wanted to say Merry Christmas. 876 00:40:42,050 --> 00:40:44,252 [knock on door] 877 00:40:44,285 --> 00:40:46,521 (Wilson) House? Are you okay? 878 00:40:46,555 --> 00:40:47,656 [knocking continues] 879 00:40:47,689 --> 00:40:49,558 House, I tried calling three times. 880 00:40:49,591 --> 00:40:51,526 House! 881 00:41:37,772 --> 00:41:40,742 [Have Yourself a Merry Little Christmas by Ella Fitzgerald] 882 00:41:40,775 --> 00:41:48,783 * 883 00:42:04,198 --> 00:42:06,835 I'm ready to take the deal. 884 00:42:06,868 --> 00:42:09,671 Well, that's off the table. 885 00:42:11,372 --> 00:42:13,374 The clock doesn't expire until-- 886 00:42:13,407 --> 00:42:14,843 Got new evidence. 887 00:42:14,876 --> 00:42:16,711 We don't need Wilson anymore. 888 00:42:16,745 --> 00:42:19,313 The thing about addicts 889 00:42:19,347 --> 00:42:22,083 is, uh... 890 00:42:22,116 --> 00:42:24,385 no matter how smart they are, 891 00:42:24,418 --> 00:42:28,790 they are dumb when it comes to drugs. 892 00:42:28,823 --> 00:42:31,392 So, uh, I've been keeping an eye on the pharmacy log. 893 00:42:31,425 --> 00:42:35,730 Seems some patient of Wilson's named Zebalusky 894 00:42:35,764 --> 00:42:39,367 managed to pick up his Oxy prescription 895 00:42:39,400 --> 00:42:41,703 after he died. 896 00:42:41,736 --> 00:42:43,705 [Tritter laughs] 897 00:42:48,710 --> 00:42:50,111 Jesus walks, huh? 898 00:42:58,086 --> 00:43:00,088 Merry Christmas. 899 00:43:02,924 --> 00:43:05,426 [laughs] 900 00:43:05,459 --> 00:43:08,663 Captioning by Matthew at CaptionMax www.captionmax.com 63864

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