1 00:00:18,269 --> 00:00:19,979 What do you say now? 2 00:00:20,938 --> 00:00:22,565 I don't know. 3 00:00:23,065 --> 00:00:25,151 You said your dad wouldn't be home for an hour. 4 00:00:25,276 --> 00:00:26,444 I know, but you don't know... 5 00:00:26,569 --> 00:00:28,988 - Don't you love me? - Of course. You know I do. 6 00:00:29,113 --> 00:00:30,781 Come on. Let's do it. 7 00:00:31,991 --> 00:00:33,451 All right. 8 00:00:44,962 --> 00:00:47,173 - Where are they? - Nightstand. 9 00:00:54,013 --> 00:00:57,016 Gentlemen, start your engines. 10 00:01:02,104 --> 00:01:04,607 I so want this car! 11 00:01:29,590 --> 00:01:31,801 Oh, my god! You're bleeding. 12 00:01:32,593 --> 00:01:33,970 Look out! 13 00:02:34,280 --> 00:02:35,573 What lie are they telling you? 14 00:02:35,698 --> 00:02:38,034 I'll check on it. Okay. 15 00:02:38,826 --> 00:02:39,952 Yes. 16 00:02:41,996 --> 00:02:43,331 Come on. 17 00:02:43,873 --> 00:02:45,458 Okay, thank you. 18 00:02:46,667 --> 00:02:49,420 Okay, pharmaceuticals were delivered this morning. 19 00:02:49,545 --> 00:02:52,965 But shipping accidentally sent the box with Vicodin to research. 20 00:02:53,632 --> 00:02:55,051 That's a tough one. 21 00:02:55,176 --> 00:02:56,886 If only we had some way to communicate 22 00:02:57,011 --> 00:02:59,180 with another part of the building. 23 00:03:00,139 --> 00:03:01,682 16-year-old m.V.A. Victim. 24 00:03:01,807 --> 00:03:04,619 He's been in and out of the hospital for three weeks with internal bleeding. 25 00:03:04,643 --> 00:03:05,683 No one can find the cause. 26 00:03:05,728 --> 00:03:08,606 Internal bleeding after a car accident. Wow, that's shocking. 27 00:03:08,731 --> 00:03:10,858 Let me talk to shipping. I speak their language. 28 00:03:10,983 --> 00:03:12,085 Cameron: It's been three weeks... 29 00:03:12,109 --> 00:03:14,153 Your hospital doesn't have my pain medication. 30 00:03:14,278 --> 00:03:16,947 Shipping says it's going to be an hour. 31 00:03:17,531 --> 00:03:18,592 This is Dr. Cuddy. What's going on? 32 00:03:18,616 --> 00:03:20,326 The crash didn't cause the bleed. 33 00:03:20,451 --> 00:03:21,827 Right. The bleed caused the crash. 34 00:03:21,952 --> 00:03:23,913 Blood got on the road, got all slippery. 35 00:03:24,038 --> 00:03:25,915 Anyone in here got drugs? 36 00:03:28,292 --> 00:03:30,937 She saw his blood, she got distracted, she crashed his dad's Porsche. 37 00:03:30,961 --> 00:03:31,961 Dad will love that. 38 00:03:32,046 --> 00:03:34,090 - He was... - Don't talk. 39 00:03:34,215 --> 00:03:35,633 It's gonna be an hour. 40 00:03:35,841 --> 00:03:36,926 Thank god you took control. 41 00:03:37,051 --> 00:03:38,427 If you can't wait one hour to... 42 00:03:38,552 --> 00:03:40,096 Kid's got hemolytic anemia. 43 00:03:40,221 --> 00:03:41,931 Kid? How old? 44 00:03:42,056 --> 00:03:43,724 He must have inherited it. 45 00:03:43,891 --> 00:03:45,309 He's gonna die. My condolences. 46 00:03:45,434 --> 00:03:46,519 Wasn't inherited. 47 00:03:46,644 --> 00:03:48,354 The problem's outside the red blood cells. 48 00:03:48,854 --> 00:03:51,690 This is impossible. A 16-year-old does not get hemolytic anemia. 49 00:03:51,816 --> 00:03:54,711 Give her back the file. You have bigger problems to tend to, like my meds. 50 00:03:54,735 --> 00:03:58,072 Elevated indirect bilirubin, low serum haptoglobin. 51 00:03:58,197 --> 00:03:59,615 He's got meningitis. 52 00:04:03,577 --> 00:04:04,620 Artificial heart valve. 53 00:04:11,836 --> 00:04:13,921 Get everyone in my office. 54 00:04:14,880 --> 00:04:16,775 House: Kid's going to be dead in a matter of days 55 00:04:16,799 --> 00:04:19,468 if we don't figure out why his red blood cells are disintegrating. 56 00:04:19,593 --> 00:04:21,679 So, differential diagnosis, people. 57 00:04:21,804 --> 00:04:23,097 Well, it's not environmental. 58 00:04:23,222 --> 00:04:26,058 Dad hired a company to clean the house, maid washed all the clothes, 59 00:04:26,183 --> 00:04:28,018 bought hypoallergenic sheets and pillows. 60 00:04:28,144 --> 00:04:29,144 You want us to re-check? 61 00:04:29,228 --> 00:04:32,273 No. If it's environmental, he'll get betterjust from staying here. 62 00:04:32,398 --> 00:04:33,399 It could be an infection. 63 00:04:33,524 --> 00:04:34,567 No fever. No white count. 64 00:04:34,692 --> 00:04:36,068 Well, he's 99.2. 65 00:04:36,235 --> 00:04:37,611 Barely above normal. 66 00:04:37,736 --> 00:04:40,322 Foreman: But above. His body's reacting to something. 67 00:04:40,448 --> 00:04:42,509 Cameron: We could account for the lack of fever and white count 68 00:04:42,533 --> 00:04:43,367 if it's lupus. 69 00:04:43,492 --> 00:04:45,172 Chase: Drugs will fitjust as much as lupus. 70 00:04:45,202 --> 00:04:46,662 Meth will cause hemolytic anemia. 71 00:04:46,787 --> 00:04:48,414 Cameron: A lot of meth. 72 00:04:48,539 --> 00:04:50,499 Foreman: Also, doesn't exactly seem like the type. 73 00:04:50,583 --> 00:04:52,543 Because his dad drives a Porsche? 74 00:04:52,668 --> 00:04:55,379 Rich kids do drugs just like poor kids. 75 00:04:55,504 --> 00:04:56,672 Didn't mean to offend you. 76 00:04:56,797 --> 00:05:01,051 Okay! So it's infection, lupus, drugs or cancer. 77 00:05:01,177 --> 00:05:03,929 - Cancer? - Why not? Great meeting. 78 00:05:04,430 --> 00:05:07,183 Shouldn't we narrow it down before we finish? 79 00:05:07,308 --> 00:05:09,185 My leg gave us till 11:15. 80 00:05:09,310 --> 00:05:11,979 I'll talk to Wilson about lymphoma, Ana for lupus, 81 00:05:12,104 --> 00:05:13,898 radioimmunoassay for drugs, 82 00:05:14,023 --> 00:05:16,525 and you test for whatever you thought it was. 83 00:05:16,650 --> 00:05:19,111 I've got a date with a pharmacist. 84 00:05:19,862 --> 00:05:21,739 Those are already done. 85 00:05:23,908 --> 00:05:25,268 Come on! Come on, come on, come on. 86 00:05:25,326 --> 00:05:26,494 Yeah. 87 00:05:36,629 --> 00:05:38,088 Excuse me. 88 00:05:41,634 --> 00:05:43,886 You know, there are other ways to manage pain. 89 00:05:44,011 --> 00:05:46,931 Like what? Laughter? Meditation? 90 00:05:47,056 --> 00:05:49,558 Got a guy that can fix my third chakra? 91 00:05:49,683 --> 00:05:50,935 You're addicted. 92 00:05:51,060 --> 00:05:52,895 If the pills ran my life, I'd agree with you, 93 00:05:53,020 --> 00:05:55,481 but it's my leg that's busy calendaring what I can't do. 94 00:05:55,606 --> 00:05:56,690 You're in denial. 95 00:05:56,815 --> 00:05:58,943 Right. I never had an infarction in my leg. 96 00:05:59,068 --> 00:06:00,861 No dead muscle, no nerve damage. 97 00:06:01,487 --> 00:06:04,156 Doesn't even hurt. Actually, it kind of tickles. 98 00:06:04,490 --> 00:06:07,284 And chicks dig this better than a puppy. 99 00:06:07,409 --> 00:06:10,454 It's not just your leg. You want to get high. 100 00:06:10,579 --> 00:06:12,139 You're doing, what, 80 milligrams a day? 101 00:06:12,248 --> 00:06:14,124 No. That's way too much. 102 00:06:14,250 --> 00:06:17,169 Moderation is the key. Unless there's pain. 103 00:06:18,045 --> 00:06:20,047 It's double what you were taking when I hired you. 104 00:06:20,172 --> 00:06:22,508 'Cause you're twice as annoying. 105 00:06:22,633 --> 00:06:24,468 I can't always be here to protect you. 106 00:06:24,593 --> 00:06:26,512 Patients talk. Doctors talk. 107 00:06:26,762 --> 00:06:28,556 About how big your ass has gotten lately? 108 00:06:28,681 --> 00:06:29,932 Not me. I defend it. 109 00:06:30,057 --> 00:06:31,684 You got back. 110 00:06:39,858 --> 00:06:41,336 You can't go a week without the drugs. 111 00:06:41,360 --> 00:06:43,946 No, I don't want to go without the drugs. It'll hurt. 112 00:06:44,071 --> 00:06:45,864 No, you can't. 113 00:06:45,990 --> 00:06:48,134 If you're just getting off pain medication, it will hurt. 114 00:06:48,158 --> 00:06:50,744 But... you won't be having a great time, but you'll make it. 115 00:06:50,869 --> 00:06:53,914 If you're detoxing, you'll have chills, nausea. 116 00:06:54,039 --> 00:06:57,793 Your pain will magnify five, 10 times. You won't make it. 117 00:06:57,918 --> 00:06:59,962 Well, I guess we'll never know. 118 00:07:00,087 --> 00:07:02,857 I'll give you a week off clinic duty if you can go a week without narcotics. 119 00:07:02,881 --> 00:07:04,508 No way. I love the clinic. 120 00:07:04,633 --> 00:07:06,885 You love the pills. Two weeks. 121 00:07:07,011 --> 00:07:09,221 The pills don't make me high, they make me neutral. 122 00:07:09,346 --> 00:07:10,681 A month. 123 00:07:15,894 --> 00:07:17,521 You're on, mister. 124 00:07:21,734 --> 00:07:22,818 Drugs could cause this? 125 00:07:22,943 --> 00:07:25,821 Cocaine and meth are very hard on the blood system. 126 00:07:25,946 --> 00:07:27,948 Has he had any erratic behavior? 127 00:07:28,073 --> 00:07:29,658 No, but... 128 00:07:32,077 --> 00:07:34,163 She was in rehab in the ninth grade. 129 00:07:34,288 --> 00:07:35,956 She's supposedly clean now, but... 130 00:07:36,081 --> 00:07:37,333 She obviously cares for him. 131 00:07:37,458 --> 00:07:39,960 Yeah, what she cared about was the car. 132 00:07:40,085 --> 00:07:42,296 Anniversary present from my wife. 133 00:07:42,421 --> 00:07:45,591 We drove it up north to watch the leaves change. 134 00:07:46,342 --> 00:07:47,968 She was dead a year later. 135 00:07:48,177 --> 00:07:49,428 Cancer. 136 00:07:49,928 --> 00:07:50,971 I'm sorry. 137 00:07:53,223 --> 00:07:56,018 Mr. Foster, we're gonna test Keith for drugs. 138 00:07:56,310 --> 00:07:57,895 I don't do drugs. 139 00:07:58,020 --> 00:08:01,315 You know, it's not that we don't trust you, but... 140 00:08:01,940 --> 00:08:05,944 Cameron: His hair will tell us any drugs he's taken over the past 60 days. 141 00:08:06,070 --> 00:08:08,656 It's kind of like rings on a tree. 142 00:08:15,913 --> 00:08:17,289 Negative. 143 00:08:19,416 --> 00:08:20,518 Cameron: Have you been sick? 144 00:08:20,542 --> 00:08:21,627 No, nothing. 145 00:08:21,752 --> 00:08:22,896 Have you been out of the country? 146 00:08:22,920 --> 00:08:26,298 We went to China, but we got all our shots before we left. 147 00:08:26,423 --> 00:08:28,050 Cameron: It could be an infection. 148 00:08:28,175 --> 00:08:30,719 We're going to give him a gallium scan just to be safe. 149 00:08:30,844 --> 00:08:33,180 We inject a radioactive isotope into his bloodstream, 150 00:08:33,305 --> 00:08:37,101 and we check to see if there's inflammation anywhere in the body. 151 00:08:37,226 --> 00:08:40,229 Has he ever complained of any joint pain? 152 00:08:40,354 --> 00:08:42,231 Sensitivity to light? Rashes? 153 00:08:42,356 --> 00:08:43,356 No, no. Nothing. 154 00:08:43,440 --> 00:08:45,776 Any relatives who've ever been diagnosed with lupus? 155 00:08:45,901 --> 00:08:47,003 I don't even know what that is. 156 00:08:47,027 --> 00:08:50,572 In simple terms, the body becomes allergic to itself. 157 00:08:50,698 --> 00:08:52,366 The immune system attacks healthy cells 158 00:08:52,491 --> 00:08:54,660 in the circulatory system and destroys them. 159 00:08:55,035 --> 00:08:57,037 Would it be treatable? 160 00:08:57,579 --> 00:08:59,331 It can be manageable. 161 00:09:00,416 --> 00:09:02,459 Cameron: We can test for the antibodies. 162 00:09:02,584 --> 00:09:06,004 Ninety-five percent of patients with lupus have positive Ana. 163 00:09:07,005 --> 00:09:08,882 Not cloudy. Negative. 164 00:09:09,591 --> 00:09:10,884 Cameron: What about bruising? 165 00:09:11,009 --> 00:09:15,097 Never complained of tenderness under his arms or his groin? 166 00:09:15,222 --> 00:09:17,975 I'm not sure he'd tell me if he did. 167 00:09:18,100 --> 00:09:20,769 I guess I don't really know what's going on in his life. 168 00:09:20,894 --> 00:09:22,980 - He's a teenager. - Yeah. 169 00:09:27,317 --> 00:09:29,987 What type of cancer did your wife have? 170 00:09:31,947 --> 00:09:33,449 Pancreatic. 171 00:09:34,491 --> 00:09:36,869 It's his lymph nodes we're concerned about. 172 00:09:36,994 --> 00:09:40,247 We're going to do a biopsy to check for lymphoma. 173 00:09:40,831 --> 00:09:42,875 Wilson: Can you feel this? 174 00:09:43,959 --> 00:09:45,085 Good. 175 00:09:53,927 --> 00:09:56,138 I have cancer, don't I? 176 00:09:56,263 --> 00:09:57,973 We're just testing. 177 00:10:01,101 --> 00:10:03,395 That's what they told my mom. 178 00:10:09,902 --> 00:10:11,695 Definitely not cancer. 179 00:10:13,071 --> 00:10:14,072 Nothing? 180 00:10:14,198 --> 00:10:15,032 Nothing. 181 00:10:15,157 --> 00:10:17,868 Negative for drugs. Ana was negative. Gallium scan was clear. 182 00:10:17,993 --> 00:10:19,745 Yeah, I got that from the "nothing." 183 00:10:19,870 --> 00:10:21,789 - Where's his hematocrit? - Thirteen. 184 00:10:21,914 --> 00:10:24,058 Drops any lower, he's not gonna have enough red blood cells 185 00:10:24,082 --> 00:10:25,709 to bring oxygen to his body. 186 00:10:25,834 --> 00:10:27,920 He'll suffocate with his lungs working perfectly. 187 00:10:28,045 --> 00:10:29,421 You okay? 188 00:10:30,130 --> 00:10:33,634 Excuse me, someone? Help. Please! 189 00:10:34,635 --> 00:10:36,512 Polite for a dying kid. 190 00:10:40,265 --> 00:10:41,934 How long has it been? 191 00:10:42,059 --> 00:10:43,435 I'm fine. 192 00:10:44,311 --> 00:10:45,991 There's something in my eye, up at the top. 193 00:10:46,021 --> 00:10:47,064 Which eye? 194 00:10:47,189 --> 00:10:48,857 This one. What's happening? 195 00:10:48,982 --> 00:10:51,819 It's all right. Just look down for me. 196 00:10:53,278 --> 00:10:55,656 It's clear. There's nothing in it. 197 00:10:55,781 --> 00:10:56,782 It's getting worse. 198 00:10:56,907 --> 00:10:57,741 Is it fuzzy? 199 00:10:57,866 --> 00:10:59,535 No, it's dark. 200 00:11:01,036 --> 00:11:02,663 I can't see. 201 00:11:16,885 --> 00:11:18,762 Foreman: It's a retinal clot in the left eye. 202 00:11:18,887 --> 00:11:21,056 Coumadin would dissolve the clot, fix his eyesight. 203 00:11:21,181 --> 00:11:23,684 You can't use blood thinners. He's got internal bleeding. 204 00:11:23,809 --> 00:11:25,477 Fix the eye, you'd kill everything else. 205 00:11:25,602 --> 00:11:27,646 Surgery's out for the same reason. 206 00:11:27,771 --> 00:11:29,082 We have two hours to figure this out. 207 00:11:29,106 --> 00:11:31,233 Either we restore the blood flow or he loses the eye. 208 00:11:32,776 --> 00:11:34,486 Forget the eye. 209 00:11:34,611 --> 00:11:38,323 Tell him to use the other one to look on the bright side. 210 00:11:38,448 --> 00:11:40,659 The clot tells us something. 211 00:11:40,993 --> 00:11:42,953 It could help us figure out what he has, 212 00:11:43,120 --> 00:11:45,289 which could mean he gets to live. 213 00:11:45,414 --> 00:11:47,875 Differential diagnosis, people. 214 00:11:48,000 --> 00:11:50,794 How does internal bleeding suddenly start clotting? 215 00:11:50,919 --> 00:11:53,505 It makes no sense. They're opposing processes. 216 00:11:53,630 --> 00:11:54,715 It can happen in lupus. 217 00:11:54,840 --> 00:11:56,717 Increased platelet count can cause blood clots. 218 00:11:56,842 --> 00:11:59,678 Ana was negative. It's not lupus. 219 00:11:59,803 --> 00:12:02,806 This is true. But why are you the one saying it? 220 00:12:03,682 --> 00:12:07,144 What are you doing here? I thought we ruled out cancer. 221 00:12:07,269 --> 00:12:09,021 I was lonely. 222 00:12:09,146 --> 00:12:11,356 Well, go see cuddy. She needs a friend. 223 00:12:11,481 --> 00:12:13,358 That's funny. She said you might need one. 224 00:12:13,483 --> 00:12:14,776 That's why you're here? 225 00:12:14,902 --> 00:12:17,571 She wants you to keep an eye on me to make sure I don't cheat. 226 00:12:17,696 --> 00:12:19,007 No, I wanted to make sure you don't 227 00:12:19,031 --> 00:12:20,824 start firing shots from the clock tower. 228 00:12:20,949 --> 00:12:22,284 I'm fine. 229 00:12:23,869 --> 00:12:25,245 What's going on? 230 00:12:25,370 --> 00:12:27,831 He hasn't had Vicodin in over a day. 231 00:12:29,583 --> 00:12:30,959 Does your leg hurt? 232 00:12:31,084 --> 00:12:32,502 You ever been shot? 233 00:12:32,961 --> 00:12:34,671 There's gonna be side effects. 234 00:12:34,796 --> 00:12:36,715 Insomnia, depression, tachycardia. 235 00:12:36,840 --> 00:12:38,717 Withdrawal symptoms. Not applicable. 236 00:12:38,842 --> 00:12:40,761 The only side effects I'm gonna have are 237 00:12:40,886 --> 00:12:42,846 some pain and 30 days of freedom. 238 00:12:45,891 --> 00:12:48,060 Am I the only one who's concerned about a dying kid? 239 00:12:48,185 --> 00:12:50,562 If it's not lupus, what else? 240 00:12:50,687 --> 00:12:54,775 Most likely candidate for throwing a clot is infection or cancer. 241 00:12:54,900 --> 00:12:56,652 I checked the biopsy twice. It's not cancer. 242 00:12:56,777 --> 00:12:59,696 It's not an infection. Gallium scan didn't reveal anything. 243 00:12:59,821 --> 00:13:02,449 Okay. What hides from a gallium scan? 244 00:13:06,870 --> 00:13:07,955 Cardiac. 245 00:13:08,914 --> 00:13:11,291 Right. Clot flicks off, travels through the arteries 246 00:13:11,416 --> 00:13:13,961 and gets backed up in the eye. 247 00:13:19,841 --> 00:13:21,468 I'm sorry. I wasn't paying attention. 248 00:13:21,593 --> 00:13:22,886 What happened? 249 00:13:23,011 --> 00:13:25,555 It's an infection in his heart. 250 00:13:25,681 --> 00:13:26,932 Great. 251 00:13:28,517 --> 00:13:32,938 Echocardiogram for the heart and iv antibiotics for the infection, stat. 252 00:13:46,785 --> 00:13:48,662 Is it my birthday? 253 00:13:50,914 --> 00:13:53,542 I'm not lonely. My leg hurts. 254 00:13:53,667 --> 00:13:54,835 She's a real masseuse. 255 00:13:54,960 --> 00:13:56,878 She's $500 an hour, minimum. 256 00:13:57,004 --> 00:14:00,382 She's hot, so she's a hooker? What kind of pathetic logic is that? 257 00:14:00,507 --> 00:14:02,134 The envious, jealous, 258 00:14:02,259 --> 00:14:04,678 i-never-got-any-in-high-school kind of logic. Hello. 259 00:14:04,803 --> 00:14:07,389 She's a legitimate masseuse. 260 00:14:07,514 --> 00:14:08,849 Come on. 261 00:14:10,475 --> 00:14:12,269 God! She's beautiful. 262 00:14:12,394 --> 00:14:13,954 Because she's beautiful, I should do it? 263 00:14:14,021 --> 00:14:15,564 What kind of pathetic logic is that? 264 00:14:15,689 --> 00:14:19,651 The envious, jealous, I'm-married- and-i-can't-do-anything logic. 265 00:14:19,776 --> 00:14:20,776 Hello. 266 00:14:20,861 --> 00:14:23,030 Hi. Listen, I'm sure you're really good 267 00:14:23,155 --> 00:14:24,489 at whatever it is you do, but... 268 00:14:24,614 --> 00:14:25,782 Give me your hand. 269 00:14:25,907 --> 00:14:26,908 Huh? 270 00:14:28,160 --> 00:14:29,720 Hey, no, no. Let go of my hand. Come on. 271 00:14:29,828 --> 00:14:31,246 She doesn't speak English. 272 00:14:46,720 --> 00:14:47,971 Oh, my god. 273 00:14:53,310 --> 00:14:54,770 Good. 274 00:14:55,937 --> 00:14:57,814 Take off your clothes. 275 00:15:00,942 --> 00:15:03,236 Not a fan of the stroganoff? 276 00:15:04,654 --> 00:15:05,864 I'm not hungry. 277 00:15:05,989 --> 00:15:08,658 Well, the antibiotics can cause nausea. 278 00:15:08,909 --> 00:15:10,452 So can the food. 279 00:15:11,870 --> 00:15:14,539 Shouldn't you be looking at my eye? 280 00:15:14,790 --> 00:15:17,167 The blood clot isn't life-threatening. 281 00:15:17,292 --> 00:15:20,754 We're focusing on figuring out the cause of your problems. 282 00:15:20,879 --> 00:15:23,840 So the blindness will be permanent, won't it? 283 00:15:41,316 --> 00:15:42,317 Thank you. 284 00:15:46,404 --> 00:15:47,948 I had a massage. 285 00:15:48,615 --> 00:15:50,200 Looks like you had a masseuse. 286 00:15:50,325 --> 00:15:51,326 Help the pain? 287 00:15:51,451 --> 00:15:52,452 I'm fine. 288 00:15:52,577 --> 00:15:53,578 I know. 289 00:15:54,496 --> 00:15:57,332 Kid's echo was normal, no sign of any vegetations on heart valves. 290 00:15:57,457 --> 00:15:59,918 Never met a diagnostic study I couldn't refute. 291 00:16:00,043 --> 00:16:01,878 And the antibiotics aren't doing anything. 292 00:16:02,003 --> 00:16:05,423 So double the dosage. Seventy milligrams. 293 00:16:05,549 --> 00:16:07,592 That'll box his kidneys for sure. 294 00:16:07,717 --> 00:16:09,136 You're right. Save the kidney. 295 00:16:09,261 --> 00:16:11,847 The guy we transplant it into will be grateful. 296 00:16:11,972 --> 00:16:13,682 Also, I have an idea for his eye. 297 00:16:13,807 --> 00:16:15,851 Nothing we can do about his eye. 298 00:16:15,976 --> 00:16:17,816 - He's got a clot in the... - Put it in a memo. 299 00:16:17,936 --> 00:16:19,229 If we remove some of the liquid 300 00:16:19,354 --> 00:16:20,981 from the eye itself, the vitreous humor, 301 00:16:21,106 --> 00:16:24,734 it might make some extra room around the retinal artery. 302 00:16:25,235 --> 00:16:28,780 If the artery expands, the clot might move on its own. 303 00:16:28,905 --> 00:16:30,198 That's very creative. 304 00:16:30,323 --> 00:16:32,284 Why didn't you mention this before? 305 00:16:32,784 --> 00:16:34,578 I didn't think of it before. 306 00:16:34,703 --> 00:16:36,246 You should have. 307 00:16:55,765 --> 00:16:57,767 This is going to hurt. 308 00:16:57,893 --> 00:17:00,812 Your eye is numb. You'll only feel pressure. 309 00:17:28,256 --> 00:17:29,841 Chase: Give it a minute. 310 00:17:37,849 --> 00:17:39,309 I can see. 311 00:18:08,672 --> 00:18:09,798 I can see you. 312 00:18:09,923 --> 00:18:12,467 I heard. Congratulations. 313 00:18:12,592 --> 00:18:15,637 Don't, I haven't brushed my teeth in two days. 314 00:18:22,852 --> 00:18:25,939 I'm so scared they're not gonna find out what's wrong with you. 315 00:18:26,064 --> 00:18:28,650 No biggie. I'm fine. 316 00:18:29,567 --> 00:18:32,445 I feel so bad about all this. It's all my fault. 317 00:18:32,570 --> 00:18:35,657 No. No, it's not. 318 00:18:35,782 --> 00:18:39,077 But your father, he hates me. 319 00:18:39,661 --> 00:18:42,205 He's just pissed about his car. 320 00:18:48,461 --> 00:18:50,630 Help! Help! Help! 321 00:19:01,224 --> 00:19:02,267 What's wrong? 322 00:19:02,392 --> 00:19:04,185 Ast is 859. We're getting him to the icu. 323 00:19:04,311 --> 00:19:07,314 Alt and ggt are in the tank. Our antibiotics... 324 00:19:07,439 --> 00:19:08,799 House: Would not have caused this. 325 00:19:08,898 --> 00:19:10,001 She must have given him drugs! 326 00:19:10,025 --> 00:19:11,234 I wouldn't do that! 327 00:19:11,359 --> 00:19:12,777 It's not drugs! 328 00:19:13,361 --> 00:19:14,821 House: His liver is shutting down. 329 00:19:14,946 --> 00:19:17,407 What? What does that mean? 330 00:19:17,532 --> 00:19:19,951 It means he's all better. He's ready to go home. 331 00:19:20,076 --> 00:19:22,078 - What? - What do you think it means? 332 00:19:22,203 --> 00:19:24,372 You can't live without a liver. He's dying. 333 00:19:24,497 --> 00:19:25,665 What is your problem? 334 00:19:25,790 --> 00:19:27,167 Bum leg. What's yours? 335 00:19:27,292 --> 00:19:30,211 Hey, we don't have time for this. Let's go. 336 00:19:35,967 --> 00:19:37,886 His son's dying, and you're mocking him? 337 00:19:38,011 --> 00:19:39,512 It was a dumb question. 338 00:19:39,637 --> 00:19:41,056 No, it wasn't. 339 00:19:44,184 --> 00:19:46,186 You're right. It wasn't. 340 00:19:47,812 --> 00:19:50,523 Is proving cuddy wrong worth all this? 341 00:20:04,871 --> 00:20:06,581 You know, house shouldn't even be here. 342 00:20:06,706 --> 00:20:09,167 Because he said something inappropriate? 343 00:20:09,292 --> 00:20:12,337 If we sent him home every time he did that, we wouldn't need this office. 344 00:20:12,462 --> 00:20:14,589 He's in pain. 345 00:20:14,714 --> 00:20:16,758 What does the man have to do to piss you off? 346 00:20:16,883 --> 00:20:18,763 He's been without pain relief for over 70 hours. 347 00:20:18,802 --> 00:20:20,637 Exactly! He's detoxing. 348 00:20:20,762 --> 00:20:22,555 Can't you see he's out of his mind? 349 00:20:22,680 --> 00:20:25,100 That's what they said about manson. 350 00:20:27,227 --> 00:20:28,853 Do you want to continue talking about me, 351 00:20:28,978 --> 00:20:32,107 or should we discuss what the liver damage tells us? 352 00:20:33,983 --> 00:20:36,236 I was born in a log cabin in Illinois... 353 00:20:36,361 --> 00:20:38,655 Hemolytic anemia doesn't cause liver damage. 354 00:20:38,780 --> 00:20:40,573 Add the fact he's coughing blood, 355 00:20:40,698 --> 00:20:43,201 you've got three of the indicators of organ-threatening lupus. 356 00:20:43,326 --> 00:20:45,120 It's moving too fast. 357 00:20:46,579 --> 00:20:48,665 Could be hepatitis e. 358 00:20:48,790 --> 00:20:51,626 There's only been one case of hep e originating in the U.S. since... 359 00:20:51,751 --> 00:20:54,337 His history says he's been in and out of the country 360 00:20:54,462 --> 00:20:55,755 four times in the last year. 361 00:20:55,880 --> 00:20:57,160 You really think he's got hep e? 362 00:20:58,258 --> 00:21:00,009 I think lupus is way more likely. 363 00:21:00,135 --> 00:21:02,929 All right, then let's start him on iv cytoxan and plasmapheresis. 364 00:21:03,054 --> 00:21:05,682 No, we should rule out hep e. 365 00:21:05,807 --> 00:21:07,058 You just said it wasn't hep e. 366 00:21:07,183 --> 00:21:08,852 I said lupus is way more likely, 367 00:21:08,977 --> 00:21:11,354 but if we treat for lupus and it is hep e... 368 00:21:11,479 --> 00:21:12,479 He's toast. 369 00:21:12,564 --> 00:21:13,565 House: Exactly. 370 00:21:13,690 --> 00:21:15,410 But there isn't a treatment for hepatitis e. 371 00:21:15,483 --> 00:21:16,752 Either he'll get better on his own 372 00:21:16,776 --> 00:21:18,820 or he'll continue to deteriorate. 373 00:21:18,945 --> 00:21:21,364 Yeah. I went to medical school, too. 374 00:21:22,115 --> 00:21:24,159 Start him on squ-medrol. 375 00:21:24,284 --> 00:21:26,536 If he's got hep e, that's only gonna make him worse. 376 00:21:26,661 --> 00:21:28,121 Not as much. 377 00:21:28,246 --> 00:21:30,165 It's goldilocks, people. 378 00:21:30,290 --> 00:21:32,167 Won't hurt him so much that it'll kill him, 379 00:21:32,292 --> 00:21:34,502 and it won't hurt him so little that we can't tell. 380 00:21:34,627 --> 00:21:36,796 It'll hurt him just right. 381 00:21:37,797 --> 00:21:38,882 And if it does nothing... 382 00:21:39,007 --> 00:21:41,634 We'll know it's not hep e, and can start treating for the lupus. 383 00:21:41,759 --> 00:21:44,637 Now watch me do it while drinking a glass of water. 384 00:21:44,762 --> 00:21:46,264 What do we tell the dad? 385 00:21:46,389 --> 00:21:49,392 "We think your kid has lupus, so we're gonna treat him for hepatitis e. 386 00:21:49,517 --> 00:21:51,102 "And, oh, yeah, if it really is hep e, 387 00:21:51,227 --> 00:21:53,313 "we're not actually giving him hep e medication. 388 00:21:53,438 --> 00:21:55,607 "So it's gonna make him worse, not better." 389 00:21:55,732 --> 00:21:57,692 Do you think he'll go for that? 390 00:21:57,817 --> 00:21:58,817 So you want us to lie? 391 00:21:58,902 --> 00:22:01,404 No. I want you to lie. 392 00:22:01,571 --> 00:22:02,780 Why me? 393 00:22:02,906 --> 00:22:04,741 Because he trusts you. 394 00:22:08,536 --> 00:22:09,579 This is a mistake. 395 00:22:09,704 --> 00:22:10,705 This is a lawsuit. 396 00:22:10,830 --> 00:22:13,625 Hep e is possible. House always pulls these stunts, 397 00:22:13,750 --> 00:22:14,935 and he's right more often than not. 398 00:22:14,959 --> 00:22:17,313 He's delaying treatment because of a one-in-a-million chance 399 00:22:17,337 --> 00:22:18,977 that even he doesn't think is the problem. 400 00:22:19,047 --> 00:22:20,215 I don't want to lie to him. 401 00:22:20,340 --> 00:22:21,424 Then don't. 402 00:22:21,549 --> 00:22:22,550 And get fired? 403 00:22:22,675 --> 00:22:24,969 Like he's gonna fire you. He loves you. 404 00:22:25,094 --> 00:22:26,638 I've got to do something. 405 00:22:26,763 --> 00:22:28,556 Kid needs treatment. 406 00:22:28,723 --> 00:22:30,266 Treat him for lupus. 407 00:22:30,391 --> 00:22:32,393 That will get you fired. 408 00:22:33,102 --> 00:22:34,812 You really think house is losing it? 409 00:22:36,022 --> 00:22:37,190 Yeah. 410 00:22:37,857 --> 00:22:40,568 He's fine. He knows what he's doing. 411 00:23:29,409 --> 00:23:30,577 Okay. 412 00:23:41,129 --> 00:23:44,090 We're recommending a drug called squ-medrol. 413 00:23:44,674 --> 00:23:46,467 For hepatitis? 414 00:23:46,634 --> 00:23:48,469 Did that show up on his blood tests? 415 00:23:49,887 --> 00:23:52,807 The tests are never 100% accurate. 416 00:23:53,182 --> 00:23:55,160 Well, then, all the other tests could be wrong, too. 417 00:23:55,184 --> 00:23:58,271 This could still be an infection or cancer. 418 00:23:59,272 --> 00:24:02,233 They don't fit any of the most recent symptoms. 419 00:24:02,358 --> 00:24:04,819 Well, what, just hepatitis does? 420 00:24:05,653 --> 00:24:08,573 I know, I know, I know you can never be sure. 421 00:24:12,076 --> 00:24:15,330 When Wendy was in the hospital, 422 00:24:16,331 --> 00:24:19,459 a doctor told us there was this aggressive experimental treatment 423 00:24:19,584 --> 00:24:22,879 which might extend her life by two or three years. 424 00:24:23,671 --> 00:24:25,548 Well, we figured if there was any hope at all 425 00:24:25,673 --> 00:24:27,318 that we could have her with us a little while longer, 426 00:24:27,342 --> 00:24:29,093 it'd be worth it. 427 00:24:29,385 --> 00:24:31,846 Three weeks later, she was gone. 428 00:24:36,059 --> 00:24:38,353 I don't think it's hepatitis. 429 00:24:40,855 --> 00:24:42,774 I think your son has lupus. 430 00:24:43,441 --> 00:24:45,860 I think it's broken. 431 00:24:46,778 --> 00:24:48,279 What did you do? 432 00:24:49,364 --> 00:24:52,283 Accidentally closed the car door on it. 433 00:24:52,408 --> 00:24:54,994 No. Door would've broken the skin. 434 00:24:55,119 --> 00:24:59,290 This looks like something hard and smooth smashed it. 435 00:24:59,415 --> 00:25:01,000 I want my lawyer. 436 00:25:01,876 --> 00:25:04,003 The brain has a gating mechanism for pain. 437 00:25:04,128 --> 00:25:07,799 Registers the most severe injury and blocks out the others. 438 00:25:07,924 --> 00:25:09,342 Did it work? 439 00:25:09,509 --> 00:25:10,968 Well, my hand hurts like hell. 440 00:25:12,929 --> 00:25:14,847 Yeah. I feel much better. 441 00:25:16,849 --> 00:25:18,643 Don't splint it. 442 00:25:19,018 --> 00:25:21,270 I want to be able to bang it against the wall 443 00:25:21,437 --> 00:25:23,690 if I need to administer another dose. 444 00:25:23,815 --> 00:25:25,358 Just tape it up. 445 00:25:31,155 --> 00:25:32,883 Why did you tell Cameron to lie to Mr. Foster? 446 00:25:32,907 --> 00:25:34,367 Make it tight. 447 00:25:34,492 --> 00:25:35,785 Answer me. 448 00:25:36,744 --> 00:25:39,831 Nothing I can say is gonna change how you feel, 449 00:25:40,832 --> 00:25:42,226 and nothing can come out of your reaction 450 00:25:42,250 --> 00:25:43,810 that is gonna change what I plan to do, 451 00:25:43,876 --> 00:25:45,461 so I prefer to say nothing. 452 00:25:45,586 --> 00:25:48,089 So that was just you saying nothing. 453 00:25:48,214 --> 00:25:49,382 Uh-huh. 454 00:25:49,757 --> 00:25:51,008 The guy is furious. 455 00:25:51,134 --> 00:25:52,301 And scared. 456 00:25:52,427 --> 00:25:53,469 So what are you gonna do? 457 00:25:53,594 --> 00:25:55,680 The father's insisting on the lupus treatment. 458 00:25:55,805 --> 00:25:59,475 Yeah, Cameron told me, and I told her to tell him no. 459 00:25:59,600 --> 00:26:02,395 Well, you can't just sit back and let the kid die. 460 00:26:02,520 --> 00:26:03,688 Neither can the father. 461 00:26:03,813 --> 00:26:04,897 So that's your plan? 462 00:26:05,022 --> 00:26:06,822 You're gonna play chicken with the kid's life? 463 00:26:06,899 --> 00:26:09,819 Well, he's the dad. I should win easily. 464 00:26:10,361 --> 00:26:12,155 Take the week off. 465 00:26:12,280 --> 00:26:14,574 Why, 'cause I lied to a patient? 466 00:26:14,699 --> 00:26:17,827 I take risks. Sometimes patients die. 467 00:26:17,952 --> 00:26:20,246 But not taking risks causes more patients to die, 468 00:26:20,371 --> 00:26:21,789 so I guess my biggest problem is 469 00:26:21,914 --> 00:26:24,167 I've been cursed with the ability to do the math. 470 00:26:26,627 --> 00:26:29,380 I told him that we wouldn't treat him for the lupus until... 471 00:26:29,505 --> 00:26:31,007 What did he say? 472 00:26:31,132 --> 00:26:33,332 He said he wanted to transfer Keith to another hospital. 473 00:26:33,426 --> 00:26:35,320 He's not stable enough. He'd never make it through the door. 474 00:26:35,344 --> 00:26:36,512 That's what I told him. 475 00:26:36,637 --> 00:26:38,639 And that's when he caved. 476 00:26:38,765 --> 00:26:42,435 Yeah. He agreed to do it your way. 477 00:26:43,311 --> 00:26:45,354 Two plus two equals four. 478 00:26:49,901 --> 00:26:52,695 If it is hepatitis e, we should see a marked decline 479 00:26:52,820 --> 00:26:54,572 in liver function tests within the hour. 480 00:26:54,697 --> 00:26:55,883 Why bother explaining it to me? 481 00:26:55,907 --> 00:26:57,634 It's not like I have any choice in the matter. 482 00:26:57,658 --> 00:27:00,369 If there's no hep e, we'll start treatment for lupus immediately. 483 00:27:00,495 --> 00:27:01,704 Ouch! 484 00:27:01,829 --> 00:27:03,122 Keith? What's wrong? 485 00:27:03,289 --> 00:27:04,540 What's happening? 486 00:27:04,665 --> 00:27:06,292 No, get off. 487 00:27:06,417 --> 00:27:08,544 Keith, it's Dr. Chase. Where does it hurt? 488 00:27:08,669 --> 00:27:09,669 Jules, no! 489 00:27:09,754 --> 00:27:10,755 He's hallucinating. 490 00:27:10,880 --> 00:27:11,920 Is this from the medicine? 491 00:27:11,964 --> 00:27:13,233 We haven't started the medicine. 492 00:27:13,257 --> 00:27:14,443 Keith, you're in the hospital. 493 00:27:14,467 --> 00:27:16,010 Keith, there's nothing on you. 494 00:27:16,135 --> 00:27:17,553 Keith! Keith! Keith! 495 00:27:17,678 --> 00:27:19,055 Keith! Keith! Keith! 496 00:27:19,180 --> 00:27:21,974 Hey. You okay, buddy? 497 00:27:28,231 --> 00:27:30,107 I think I wet the bed. 498 00:27:30,942 --> 00:27:34,237 Don't worry about it. It's fine. Let's get you up. 499 00:27:36,405 --> 00:27:37,406 Foster: Oh, god! 500 00:27:37,532 --> 00:27:38,616 He's had a major bleed. 501 00:27:38,741 --> 00:27:39,951 Bright red blood, per rectum. 502 00:27:40,076 --> 00:27:42,662 I didn't mean to. I'm sorry. 503 00:27:42,787 --> 00:27:44,831 He's going into hypovolemic shock. 504 00:27:44,956 --> 00:27:46,666 Pressure's 60, heart rate's 140. 505 00:27:46,791 --> 00:27:48,960 We need an angiography, stat! 506 00:27:58,761 --> 00:28:01,305 Foreman: Angiography revealed major upper and lower gi bleeding, 507 00:28:01,430 --> 00:28:04,225 severe hemodynamic compromise and liver failure. 508 00:28:04,350 --> 00:28:05,852 Chase: He's also hallucinating. 509 00:28:05,977 --> 00:28:08,312 Thinks he's being tortured by someone named Jules. 510 00:28:08,437 --> 00:28:10,147 Hallucinations are a symptom of psychosis, 511 00:28:10,273 --> 00:28:11,899 which is the fourth diagnostic criteria. 512 00:28:12,024 --> 00:28:14,443 It's official. This is lupus. 513 00:28:14,902 --> 00:28:16,445 Who's Jules? 514 00:28:17,822 --> 00:28:19,216 Any mention of her in the medical history? 515 00:28:19,240 --> 00:28:21,120 It doesn't matter what he's hallucinating about, 516 00:28:21,242 --> 00:28:23,661 it matters why! It's lupus. 517 00:28:23,786 --> 00:28:26,330 There's no need to get snippy. 518 00:28:26,455 --> 00:28:27,891 This kind of lupus takes years to get to this point. 519 00:28:27,915 --> 00:28:30,042 - It's been a week. - Yeah. 520 00:28:30,167 --> 00:28:31,979 And a 16-year-old kid shouldn't have hemolytic anemia 521 00:28:32,003 --> 00:28:34,672 or be bleeding out of every orifice, but he is. 522 00:28:34,797 --> 00:28:36,340 We had an opportunity to treat this. 523 00:28:36,465 --> 00:28:39,135 Instead, we diddled around with hepatitis e, and now it's too late. 524 00:28:39,260 --> 00:28:42,054 He needs a new liver. We screwed up. 525 00:28:43,556 --> 00:28:45,725 You're saying I screwed up. 526 00:28:46,767 --> 00:28:47,602 Yes. 527 00:28:47,727 --> 00:28:49,228 Then why don't you just say that? 528 00:28:50,897 --> 00:28:52,023 You gonna blame this on her? 529 00:28:52,148 --> 00:28:54,650 Did you agree with my recommendation to treat for hep e? 530 00:28:54,775 --> 00:28:55,775 No, I didn't. 531 00:28:55,860 --> 00:28:57,403 And she made herself quite clear. 532 00:28:57,528 --> 00:29:00,048 And then she went and lied to the father. That's why you're angry. 533 00:29:00,072 --> 00:29:01,324 Yeah. I trusted you. 534 00:29:01,449 --> 00:29:04,368 You always trust me. That's a big mistake. 535 00:29:05,369 --> 00:29:06,871 Lupus is a bad diagnosis. 536 00:29:06,996 --> 00:29:08,664 It's the best diagnosis we've got. 537 00:29:08,789 --> 00:29:09,874 That doesn't make it good. 538 00:29:09,999 --> 00:29:13,419 No. It just makes it this kid's only chance to live. 539 00:29:17,715 --> 00:29:19,759 Put him on the transplant list. 540 00:29:20,760 --> 00:29:22,303 And make sure cuddy knows. 541 00:29:22,428 --> 00:29:25,806 See if she can do anything to get him close to the top. 542 00:29:49,789 --> 00:29:51,457 Cafeteria. 543 00:29:51,582 --> 00:29:53,626 Stay away from the Sushi. 544 00:29:54,543 --> 00:29:56,963 And what happened to your hand? 545 00:29:57,088 --> 00:29:58,965 Got stuck in a drawer. 546 00:29:59,090 --> 00:30:00,424 Yeah, right. 547 00:30:00,549 --> 00:30:01,842 You're going through withdrawal. 548 00:30:01,968 --> 00:30:04,553 No, I am going through pain. 549 00:30:05,554 --> 00:30:07,223 Pain causes nausea. 550 00:30:09,058 --> 00:30:12,561 I took this job to work with you, not cover your ass. 551 00:30:13,604 --> 00:30:14,981 Your Vicodin. 552 00:30:18,859 --> 00:30:21,654 And your solution is to give me drugs? 553 00:30:21,779 --> 00:30:23,990 - That's interesting. - No. 554 00:30:24,115 --> 00:30:26,117 Now I'm covering my ass. 555 00:30:27,535 --> 00:30:30,329 Take your pills before you kill this kid. 556 00:31:09,869 --> 00:31:12,621 Lupus is normally treated with medication. 557 00:31:12,747 --> 00:31:14,832 But in Keith's case, the disease is too advanced. 558 00:31:14,957 --> 00:31:16,500 Because you lied. 559 00:31:17,001 --> 00:31:19,837 Because house wanted to play games with my son's life. 560 00:31:19,962 --> 00:31:21,122 There's no way to really tell 561 00:31:21,213 --> 00:31:22,691 what progression the disease may have taken. 562 00:31:22,715 --> 00:31:24,091 You're right. 563 00:31:26,343 --> 00:31:27,762 And I'm sorry. 564 00:31:30,431 --> 00:31:32,016 So what do we do? 565 00:31:32,391 --> 00:31:34,185 He needs a new liver. 566 00:31:35,352 --> 00:31:38,606 There are over 15,000 patients on the transplant list. 567 00:31:38,731 --> 00:31:41,609 But how many are about to bleed to death unless they get a new liver? 568 00:31:41,734 --> 00:31:43,819 In Jersey? I'd say 20. 569 00:31:44,737 --> 00:31:47,782 Two thousand patients die each year because a donor liver can't be found. 570 00:31:47,907 --> 00:31:48,949 That's almost five a day. 571 00:31:49,075 --> 00:31:50,868 So he's screwed. 572 00:31:52,161 --> 00:31:54,080 I'll see what I can do. 573 00:31:55,206 --> 00:31:56,957 Could I donate part of my liver? 574 00:31:57,083 --> 00:31:59,085 Sorry. You're a different blood type. 575 00:31:59,460 --> 00:32:00,503 So we just wait? 576 00:32:00,628 --> 00:32:01,796 I'm afraid so. 577 00:32:02,588 --> 00:32:04,799 And hope for someone to die. 578 00:32:07,218 --> 00:32:08,761 Who's Jules? 579 00:32:10,513 --> 00:32:11,990 Dr. House, you should get back to your office. 580 00:32:12,014 --> 00:32:14,809 Jules. There's no Jules in the history. 581 00:32:14,934 --> 00:32:15,935 It was a hallucination. 582 00:32:16,060 --> 00:32:17,061 Of what? 583 00:32:17,186 --> 00:32:19,105 Our cat. Does this matter? 584 00:32:19,230 --> 00:32:20,272 Foreman: No. I'm sorry. 585 00:32:20,397 --> 00:32:21,637 We'll continue the transfusions 586 00:32:21,732 --> 00:32:23,543 and the treatment for the anemia and liver failure 587 00:32:23,567 --> 00:32:24,711 while we're waiting for a donor. 588 00:32:24,735 --> 00:32:25,861 How long can he wait? 589 00:32:26,153 --> 00:32:27,321 Not long. 590 00:32:27,988 --> 00:32:29,198 I don't think this is lupus. 591 00:32:29,323 --> 00:32:30,592 It's lupus. Come on, let's just... 592 00:32:30,616 --> 00:32:34,328 Your fourth diagnostic criterion for lupus is psychosis. 593 00:32:34,453 --> 00:32:35,806 This is just a kid missing his cat. 594 00:32:35,830 --> 00:32:38,150 He was being attacked by an animal that wasn't in the room. 595 00:32:38,207 --> 00:32:39,500 That's psychosis. 596 00:32:39,625 --> 00:32:41,877 There's a difference between psychosis and hallucination. 597 00:32:42,002 --> 00:32:44,088 So if he was imagining a fake cat, it'd be lupus, 598 00:32:44,213 --> 00:32:45,756 but since it was a real cat, it's not? 599 00:32:45,881 --> 00:32:46,882 Take your damn pills. 600 00:32:47,007 --> 00:32:48,008 Psychosis requires... 601 00:32:48,134 --> 00:32:49,927 There's no cat. 602 00:32:51,095 --> 00:32:52,763 Jules is dead. 603 00:32:55,808 --> 00:32:59,687 You have a dead family pet and you never mentioned it? 604 00:33:00,688 --> 00:33:01,688 Nice family history. 605 00:33:01,772 --> 00:33:03,607 Family history is asking about family members, 606 00:33:03,732 --> 00:33:05,612 meaning people related to the patient. Let's go. 607 00:33:05,734 --> 00:33:06,902 How did the cat die? 608 00:33:07,027 --> 00:33:08,195 Can you get him out of here? 609 00:33:08,320 --> 00:33:09,446 Cameron: Dr. House, come on. 610 00:33:09,572 --> 00:33:11,532 What happened to the cat? 611 00:33:13,033 --> 00:33:14,618 Old age. 612 00:33:14,743 --> 00:33:16,328 She was 15 years old. 613 00:33:16,453 --> 00:33:17,496 When? 614 00:33:17,746 --> 00:33:18,747 About a month ago. 615 00:33:18,873 --> 00:33:19,975 Does this have anything to do with... 616 00:33:19,999 --> 00:33:22,042 Where'd she sleep? With Keith. 617 00:33:22,168 --> 00:33:23,711 This is not a cat allergy. 618 00:33:23,836 --> 00:33:25,588 It's not lupus. 619 00:33:26,130 --> 00:33:27,840 Where is Jules? 620 00:33:32,970 --> 00:33:36,765 Four years of college, four at med school, 621 00:33:36,891 --> 00:33:38,684 two years' residency, 622 00:33:38,809 --> 00:33:41,937 another four of subspecialty training, and where do I end up? 623 00:33:43,314 --> 00:33:45,441 Talking instead of digging. 624 00:33:45,566 --> 00:33:47,985 Come on. The ground's frozen solid. 625 00:33:58,370 --> 00:33:59,914 Foreman: What's that? 626 00:34:50,422 --> 00:34:51,882 Out of the way! 627 00:34:53,717 --> 00:34:56,053 Cuddy: We have the liver. Prep or 4. 628 00:35:21,996 --> 00:35:25,249 All right, Keith, start counting backward from 10. 629 00:35:26,292 --> 00:35:27,418 Ten, 630 00:35:29,378 --> 00:35:30,546 nine, 631 00:35:31,338 --> 00:35:32,506 eight... 632 00:35:34,967 --> 00:35:36,302 Scalpel. 633 00:35:42,057 --> 00:35:43,183 Stop the gases. 634 00:35:43,309 --> 00:35:44,893 What the hell are you doing, house? 635 00:35:45,019 --> 00:35:48,731 Saving a 16-year-old kid from a lifetime of immunosuppressant drugs 636 00:35:48,856 --> 00:35:50,733 and a very nasty scar. 637 00:35:50,858 --> 00:35:53,068 This kid doesn't have iupoid hepatitis. 638 00:35:53,193 --> 00:35:55,029 He has acute naphthalene toxicity. 639 00:35:55,154 --> 00:35:56,155 Naphthalene? 640 00:35:56,280 --> 00:35:58,490 You're talking about mothballs. 641 00:35:58,615 --> 00:36:00,492 Nope. Termites. 642 00:36:00,784 --> 00:36:03,620 They create naphthalene to protect their nests, 643 00:36:03,746 --> 00:36:05,789 which I'm assuming is rather large 644 00:36:05,914 --> 00:36:08,876 and inside all four walls of his bedroom at home. 645 00:36:10,044 --> 00:36:12,713 And your assumption is based on what? 646 00:36:12,838 --> 00:36:15,883 The autopsy I just conducted on his pet cat. 647 00:36:16,008 --> 00:36:17,634 Call cuddy, and security. 648 00:36:17,760 --> 00:36:19,280 You are not removing that kid's liver. 649 00:36:25,768 --> 00:36:27,644 Have you completely lost your mind? 650 00:36:27,770 --> 00:36:30,439 No, but I have been feeling a little sick lately. 651 00:36:34,360 --> 00:36:37,571 There's no way we can do this surgery now. 652 00:36:37,696 --> 00:36:38,696 You think? 653 00:36:38,781 --> 00:36:41,325 Foreman: You've already cost him his liver. Don't kill him, too. 654 00:36:41,450 --> 00:36:43,660 Why are you so eager to cut into a healthy kid? 655 00:36:43,786 --> 00:36:45,454 Healthy? He's in the toilet. 656 00:36:45,579 --> 00:36:47,581 He just needs some chicken soup. 657 00:36:47,706 --> 00:36:48,986 I'm telling hourani to re-scrub. 658 00:36:49,041 --> 00:36:50,459 We're doing this transplant. 659 00:36:50,584 --> 00:36:51,584 No, you're not. 660 00:36:51,668 --> 00:36:52,669 You said it. 661 00:36:52,795 --> 00:36:54,439 If Keith's symptoms had an environmental cause, 662 00:36:54,463 --> 00:36:56,191 they would have disappeared as soon as he got here. 663 00:36:56,215 --> 00:36:57,255 They've only gotten worse. 664 00:36:57,341 --> 00:36:59,361 If the food here wasn't one step below rikers island, 665 00:36:59,385 --> 00:37:01,303 he would've gotten better. He's lost 14 pounds. 666 00:37:01,428 --> 00:37:03,764 Yeah, sure. This is nothing but a dietary thing. 667 00:37:03,889 --> 00:37:06,725 Naphthalene is a gas, a fat-soluble gas. 668 00:37:06,850 --> 00:37:09,603 Kid breathes it in, it gets stored in his fat cells. 669 00:37:09,728 --> 00:37:12,898 Outside the hospital, his body burned protein and carbs for energy, 670 00:37:13,023 --> 00:37:15,109 and the naphthalene stayed in fat. 671 00:37:15,234 --> 00:37:17,194 But once the car accident put him in the hospital 672 00:37:17,319 --> 00:37:19,613 and he started losing weight, 673 00:37:19,738 --> 00:37:21,538 his body had to get its energy somewhere else. 674 00:37:21,615 --> 00:37:23,534 It started to burn fat. 675 00:37:24,660 --> 00:37:28,664 The floodgates opened. The poison poured into his system. 676 00:37:28,789 --> 00:37:31,041 So getting away from the poison is what poisoned him? 677 00:37:31,166 --> 00:37:33,794 Getting away from his dad's meatloaf is what's killing him. 678 00:37:33,919 --> 00:37:36,839 You want to explain to me why you stopped the surgery? 679 00:37:36,964 --> 00:37:39,299 Oh, my god! My god. 680 00:37:40,801 --> 00:37:42,094 I want him locked up! 681 00:37:43,720 --> 00:37:45,347 Take it easy. 682 00:37:56,358 --> 00:37:59,403 Your cat did not die of old age. 683 00:38:02,322 --> 00:38:05,742 It died of massive internal bleeding and acute liver failure 684 00:38:05,868 --> 00:38:08,328 caused by naphthalene poisoning. 685 00:38:09,288 --> 00:38:11,248 The exact same thing your son has. 686 00:38:11,373 --> 00:38:12,541 You lie to me, 687 00:38:12,666 --> 00:38:15,752 you mess up my son's surgery, and now you expect me to trust you? 688 00:38:15,878 --> 00:38:18,839 Give me 24 hours. We'll pump your son full of calories. 689 00:38:18,964 --> 00:38:20,966 That liver is going to somebody right now. 690 00:38:21,091 --> 00:38:22,468 We're doing that surgery. 691 00:38:22,593 --> 00:38:24,511 You do the surgery, 692 00:38:24,887 --> 00:38:27,181 you'll be killing a mother of four. 693 00:38:27,306 --> 00:38:28,599 Father of three. 694 00:38:28,724 --> 00:38:29,724 I was guessing. 695 00:38:29,808 --> 00:38:31,018 Like you are now? 696 00:38:32,769 --> 00:38:35,189 Naphthalene poisoning is the best explanation we have 697 00:38:35,314 --> 00:38:37,316 for what's wrong with your son. 698 00:38:37,441 --> 00:38:39,151 It explains the internal bleeding, 699 00:38:39,276 --> 00:38:40,903 the hemolytic anemia, the liver failure. 700 00:38:41,028 --> 00:38:43,780 It also predicts what'll happen next. 701 00:38:43,906 --> 00:38:46,700 If you do the surgery, he's gonna lay on that table for 14 hours 702 00:38:46,825 --> 00:38:48,660 while his body continues to burn fat 703 00:38:48,785 --> 00:38:50,954 and release poison into his system. 704 00:38:52,664 --> 00:38:55,459 Either way, I did you a favor. He's awake now. 705 00:38:55,584 --> 00:38:58,045 You've got a chance to say good-bye. 706 00:39:05,219 --> 00:39:07,888 I think you should trust Dr. House. 707 00:39:20,734 --> 00:39:22,903 Give the liver to the other guy. 708 00:39:37,334 --> 00:39:38,794 Watch out. 709 00:40:00,649 --> 00:40:03,819 Inr's down and his red count is climbing. 710 00:40:06,446 --> 00:40:08,448 Means you made the right call. 711 00:40:08,574 --> 00:40:11,618 His liver's healing. He's gonna be just fine. 712 00:40:29,177 --> 00:40:30,470 You made it a week. 713 00:40:30,596 --> 00:40:32,222 And won my prize. 714 00:40:32,389 --> 00:40:33,599 Congratulations. 715 00:40:33,724 --> 00:40:35,100 Cuddy's a sucker. 716 00:40:35,225 --> 00:40:36,768 I would've done it for two weeks off. 717 00:40:36,893 --> 00:40:38,854 Yeah, it was a piece of cake. 718 00:40:38,979 --> 00:40:40,939 You learn anything? 719 00:40:41,940 --> 00:40:43,108 Yeah. 720 00:40:43,900 --> 00:40:45,569 I'm an addict. 721 00:40:58,790 --> 00:40:59,791 Okay. 722 00:41:00,751 --> 00:41:02,669 I'm not stopping. 723 00:41:05,714 --> 00:41:07,341 There are programs. 724 00:41:07,466 --> 00:41:09,676 Cuddy would give you the time. 725 00:41:09,801 --> 00:41:11,654 You could get on a different pain-management regimen. 726 00:41:11,678 --> 00:41:13,805 I don't need to stop. 727 00:41:13,930 --> 00:41:15,098 You just said... 728 00:41:15,223 --> 00:41:18,894 I said I was an addict. I didn't say I had a problem. 729 00:41:19,895 --> 00:41:22,856 I pay my bills. I make my meals. I function. 730 00:41:24,066 --> 00:41:25,859 Is that all you want? 731 00:41:26,818 --> 00:41:29,738 - You have no relationships. - I don't want any relationships. 732 00:41:29,863 --> 00:41:31,156 You alienate people. 733 00:41:31,281 --> 00:41:33,200 I've been alienating people since I was three. 734 00:41:33,325 --> 00:41:35,494 Come on! Drop it. 735 00:41:36,453 --> 00:41:38,533 You don't think you've changed in the last few years? 736 00:41:38,580 --> 00:41:39,998 Well, of course I have. 737 00:41:40,165 --> 00:41:41,885 I've gotten older, my hair's gotten thinner. 738 00:41:41,958 --> 00:41:43,598 Sometimes I'm bored. Sometimes I'm lonely. 739 00:41:43,710 --> 00:41:45,295 Sometimes I wonder what it all means. 740 00:41:45,420 --> 00:41:46,880 No, I was there. 741 00:41:47,005 --> 00:41:49,841 You are not just a regular guy who is getting older. 742 00:41:49,966 --> 00:41:53,303 You've changed. You're miserable, and you're afraid to face yourself. 743 00:41:53,428 --> 00:41:55,347 Of course I've changed! 744 00:42:02,854 --> 00:42:04,940 And everything's the leg? 745 00:42:05,065 --> 00:42:06,733 Nothing's the pills? 746 00:42:06,858 --> 00:42:08,443 They haven't done a thing to you? 747 00:42:09,945 --> 00:42:11,822 They let me do my job. 748 00:42:12,698 --> 00:42:14,866 And they take away my pain. 749 00:42:46,732 --> 00:42:48,275 How'd it go? 750 00:42:49,317 --> 00:42:51,111 He admitted he's addicted to the narcotics. 751 00:42:51,236 --> 00:42:52,714 Well, admitting you have a problem is the... 752 00:42:52,738 --> 00:42:54,865 And he says it's not a problem. 753 00:42:56,700 --> 00:42:58,160 Maybe it's not. 754 00:42:58,827 --> 00:43:00,287 What do I know? 755 00:43:00,412 --> 00:43:01,830 What are you gonna do? 756 00:43:01,955 --> 00:43:03,832 Nothing. Done enough damage. 757 00:43:03,957 --> 00:43:06,418 Better hope he never finds out that that was your idea. 758 00:43:06,543 --> 00:43:08,420 He'd never believe it.