1 00:00:38,075 --> 00:00:39,025 Merry Christmas. 2 00:00:40,326 --> 00:00:41,526 And a happy go to hell. 3 00:00:43,088 --> 00:00:44,988 What's he doing here? Is he with you? 4 00:00:46,751 --> 00:00:48,101 Detective Tritter and I... 5 00:00:49,480 --> 00:00:50,580 we worked out a deal. 6 00:00:51,357 --> 00:00:53,607 Already got a lawyer. Get out of my office. 7 00:00:56,077 --> 00:00:58,477 I told him I didn't write those prescriptions. 8 00:01:00,180 --> 00:01:01,230 I spoke with the DA. 9 00:01:02,740 --> 00:01:06,540 He agreed to two months in a rehab facility in exchange for a guilty plea. 10 00:01:08,419 --> 00:01:09,519 Get out of my office. 11 00:01:10,579 --> 00:01:11,879 - No jail time. - Right. 12 00:01:11,980 --> 00:01:14,057 I should get locked up in some place I don't belong 13 00:01:14,058 --> 00:01:16,907 in order to avoid getting locked up in some other place I don't belong. 14 00:01:16,908 --> 00:01:19,415 I got you on forgery and fraud. Enough drugs to-- 15 00:01:19,416 --> 00:01:21,086 No sanctions to the medical board. 16 00:01:21,375 --> 00:01:23,349 And you get your car back and your bank accounts 17 00:01:23,350 --> 00:01:25,260 and your precious tumor-ridden patients. 18 00:01:25,261 --> 00:01:28,516 - I did this to help you. - Next Christmas, buy me a sweater. 19 00:01:28,869 --> 00:01:30,319 You punched out an employee. 20 00:01:30,342 --> 00:01:33,138 You nearly cut a little girl in half because you were too strung out-- 21 00:01:33,139 --> 00:01:34,259 I was in pain! 22 00:01:39,212 --> 00:01:40,970 You need to believe that I've got a problem 23 00:01:40,971 --> 00:01:43,621 so that your betrayal has the illusion of nobility. 24 00:01:44,154 --> 00:01:46,354 - But you just selfishly-- - Knock it off. 25 00:01:46,658 --> 00:01:49,680 Look, I don't care why Dr. Wilson is doing this. 26 00:01:50,546 --> 00:01:53,214 And right now, it makes no difference to you either. 27 00:01:53,215 --> 00:01:56,315 You need to deal with the reality of your current situation. 28 00:01:56,943 --> 00:01:59,693 You want to stand on principle, you end up in a cell. 29 00:02:00,134 --> 00:02:02,584 And you end up never practicing medicine again. 30 00:02:04,791 --> 00:02:06,141 So you've got two choices. 31 00:02:06,220 --> 00:02:07,170 Your principles 32 00:02:07,398 --> 00:02:08,348 or your life. 33 00:02:17,140 --> 00:02:18,240 Get out of my office. 34 00:02:24,486 --> 00:02:26,086 The DA put a clock on the deal. 35 00:02:27,205 --> 00:02:28,855 You've got three days to decide. 36 00:02:38,800 --> 00:02:43,300 Transcript: FRM - Synchro: jh26 www.sub-way.fr 37 00:03:10,926 --> 00:03:12,555 House! Just give me a minute. 38 00:03:13,292 --> 00:03:15,492 - You're afraid of the pain. - You're not? 39 00:03:16,995 --> 00:03:18,898 You can still have pain meds in rehab. 40 00:03:18,899 --> 00:03:21,131 -Tramadol, gabapentin-- - Those don't work. 41 00:03:21,132 --> 00:03:23,442 They will once you're weaned off the Vicodin. 42 00:03:23,443 --> 00:03:25,913 Look, there's Jesus. Better go tell the Romans. 43 00:03:26,411 --> 00:03:27,418 Fine, run to Cuddy. 44 00:03:28,218 --> 00:03:30,668 You don't think she's gonna support me on this? 45 00:03:35,961 --> 00:03:39,461 Well, the stitches are healing nicely. There's no sign of infection. 46 00:03:43,867 --> 00:03:44,817 Sorry. 47 00:03:45,741 --> 00:03:47,764 Just need her for a tiny moment. 48 00:03:48,786 --> 00:03:50,043 Small favor. 49 00:03:51,498 --> 00:03:52,448 Pills. 50 00:03:52,916 --> 00:03:54,690 - Who's the wit? - Doctor. 51 00:03:54,930 --> 00:03:57,234 Don't worry. I'll be firing him soon. 52 00:03:57,874 --> 00:03:59,050 Wait in my office. 53 00:04:00,058 --> 00:04:02,558 Incision looks just big enough for a chest tube. 54 00:04:02,673 --> 00:04:05,545 Collapsed lung? Someone mistake you for a pi�ata? 55 00:04:05,960 --> 00:04:09,464 Delightful. Usually we just get the elf jokes this time of year. 56 00:04:10,674 --> 00:04:11,659 No on trauma. 57 00:04:12,826 --> 00:04:14,018 Negative PPD. 58 00:04:14,996 --> 00:04:16,646 What flavor dwarfs are you guys? 59 00:04:16,850 --> 00:04:19,650 My daughter and I both have cartilage hair hypoplasia. 60 00:04:20,071 --> 00:04:21,969 Think you can make a pun out of that? 61 00:04:21,970 --> 00:04:24,657 Yes, but I don't want to be insensitive. 62 00:04:25,695 --> 00:04:28,080 She's got a bit of a short fuse, isn't she? 63 00:04:28,369 --> 00:04:30,255 It's a bleb. Wait in my office. 64 00:04:30,335 --> 00:04:32,385 Bleb's not a diagnosis. It's an evasion. 65 00:04:32,415 --> 00:04:34,240 We'll schedule an MRI to make sure. 66 00:04:34,711 --> 00:04:37,361 But a certain number of these cases are idiopathic. 67 00:04:37,366 --> 00:04:41,366 Let me translate that into Tolkien for you guys. Means Dr. Cuddy's got no idea 68 00:04:41,445 --> 00:04:44,213 why your daughter's lung suddenly popped like a balloon. 69 00:04:44,214 --> 00:04:45,164 You think you do? 70 00:04:47,972 --> 00:04:50,101 Give me her chart. And my pills. 71 00:04:53,344 --> 00:04:54,426 Santa needs us. 72 00:04:58,354 --> 00:04:59,754 Did you get that looked at? 73 00:05:01,018 --> 00:05:01,968 I'm fine. 74 00:05:02,849 --> 00:05:07,224 Great. I just admitted a cartilage hair hypoplasia dwarf. 15 years old-- 75 00:05:07,384 --> 00:05:08,534 What are you gonna do? 76 00:05:09,090 --> 00:05:12,390 I thought I'd get your theories, mock them, then embrace my own. 77 00:05:12,456 --> 00:05:13,254 The usual. 78 00:05:13,255 --> 00:05:14,555 Wilson told us he ratted. 79 00:05:15,647 --> 00:05:17,247 Your choice of verb, I take it. 80 00:05:17,328 --> 00:05:19,078 It's appropriate. He betrayed you. 81 00:05:19,687 --> 00:05:21,701 And you should take the deal. 82 00:05:22,813 --> 00:05:26,624 Unexplained lung collapse and anemia. Cuddy thinks it's idiopathic. 83 00:05:26,877 --> 00:05:29,981 "Cuddy" and "idiop" being the relevant parts of that sentence. 84 00:05:29,982 --> 00:05:32,299 Well, I'd say TB, but Cuddy's already ruled it out. 85 00:05:32,300 --> 00:05:34,412 Then you'd be just as big an "idiop" as her. 86 00:05:34,413 --> 00:05:35,851 Don't you people know your dwarves? 87 00:05:35,852 --> 00:05:37,949 There are over 200 varieties of dwarfism, 88 00:05:37,950 --> 00:05:39,642 each with different medical complications. 89 00:05:39,643 --> 00:05:42,458 You can't expect us to be intimately familiar with all of them. 90 00:05:42,459 --> 00:05:45,909 - The sick dwarves sure expect you to. - Cartilage hair hypoplasia. 91 00:05:46,042 --> 00:05:47,864 They have compromises immune systems. 92 00:05:47,865 --> 00:05:49,114 Gold star for Cameron. 93 00:05:50,026 --> 00:05:52,721 For extra credit, explain to the special needs section of the class 94 00:05:52,722 --> 00:05:55,127 why our patient's negative TB test is irrelevant. 95 00:05:55,128 --> 00:05:58,144 A PDD involves planting a fragment of TB under the skin to see 96 00:05:58,145 --> 00:06:01,456 if the immune system recognizes it. Because of a compromised immune system, 97 00:06:01,457 --> 00:06:03,742 our patient could have TB but not recognize it. 98 00:06:03,743 --> 00:06:05,143 The little people love you. 99 00:06:06,086 --> 00:06:08,286 Let's go see a dwarf about a gallium scan. 100 00:06:12,277 --> 00:06:15,123 Gallium is a radioactive isotope. It travels through your veins 101 00:06:15,124 --> 00:06:18,524 allowing us to see any bright spots that might indicate infection. 102 00:06:20,076 --> 00:06:23,092 I'm 4'1". That's 1.5 canes in metric. 103 00:06:24,779 --> 00:06:26,629 You don't look a day over four feet. 104 00:06:28,430 --> 00:06:30,908 I saw in the file that her dad was normal-sized. 105 00:06:30,909 --> 00:06:31,964 It's average-sized. 106 00:06:32,444 --> 00:06:34,394 Compared to you, I'm sure it was huge. 107 00:06:34,939 --> 00:06:36,075 So did he have a fetish, 108 00:06:36,076 --> 00:06:38,926 or did he just fall in love with your long-legged soul? 109 00:06:39,283 --> 00:06:42,083 He grew up in the circus. Said I reminded him of home. 110 00:06:42,932 --> 00:06:45,132 Seems like you're the one with the fetish. 111 00:06:45,362 --> 00:06:47,562 I'm certainly curious about the logistics. 112 00:06:47,938 --> 00:06:50,120 - Did you stand on a table? - House. 113 00:06:51,859 --> 00:06:54,273 Pretty much he lay flat and spin me. 114 00:06:54,865 --> 00:06:55,815 Mom! 115 00:06:57,032 --> 00:06:59,732 So, Abigail, you want to hop up on the table for me? 116 00:07:01,257 --> 00:07:02,529 That's gonna be tough. 117 00:07:03,193 --> 00:07:05,840 Oh, I'm sorry. Uh, let me give you a boost. 118 00:07:06,848 --> 00:07:08,512 Stop treating her like she's five. 119 00:07:08,513 --> 00:07:10,751 Just bring over a stool and let her climb up herself. 120 00:07:10,752 --> 00:07:11,729 Mom, it's okay. 121 00:07:12,649 --> 00:07:14,299 I was just trying to be helpful. 122 00:07:16,557 --> 00:07:18,026 She also hates Jews. 123 00:07:19,180 --> 00:07:22,880 I've dealt with worse. Being different, you get used to people's idiocy. 124 00:07:23,137 --> 00:07:25,837 Still beats the hell out of actually being an idiot. 125 00:07:28,611 --> 00:07:29,561 What? 126 00:07:30,938 --> 00:07:32,088 Care to go for a spin? 127 00:07:38,017 --> 00:07:40,766 What the hell were you thinking? You didn't think ratting out 128 00:07:40,767 --> 00:07:44,167 this hospital's best doctor merited checking with your boss first? 129 00:07:44,312 --> 00:07:46,334 I didn't rat him out. I got him a deal. 130 00:07:46,454 --> 00:07:48,704 - Which he'll never take. - He will if we-- 131 00:07:48,720 --> 00:07:52,007 How long have you known House? Did you think he'd suddenly become reasonable? 132 00:07:52,008 --> 00:07:54,528 I made the deal. It's done. You can either keep yelling at me, 133 00:07:54,529 --> 00:07:56,485 or you can help me avoid a complete disaster. 134 00:07:56,486 --> 00:07:58,781 It already is gonna be a complete disaster. 135 00:07:58,932 --> 00:08:01,632 He's not gonna take the deal. He's gonna go to jail. 136 00:08:01,701 --> 00:08:04,107 Because he's a child. He's too stubborn. 137 00:08:04,204 --> 00:08:08,004 When a child misbehaves, what do you do? You take away something he loves. 138 00:08:08,397 --> 00:08:09,953 We can't take away his Vicodin. 139 00:08:09,954 --> 00:08:12,554 Not only will he be in pain, he'll start to detox. 140 00:08:12,771 --> 00:08:15,802 And we tell him the only way to get the pills back is to take the deal. 141 00:08:15,803 --> 00:08:18,193 - He won't be able to function. - That's the point. 142 00:08:18,194 --> 00:08:20,144 You gonna explain that to his patient? 143 00:08:22,096 --> 00:08:23,296 What choice do we have? 144 00:08:30,093 --> 00:08:32,258 Gallium scan shows no bright spots of any kind. 145 00:08:32,259 --> 00:08:34,234 Means it's not TB or any other infection. 146 00:08:34,235 --> 00:08:37,305 There's no bright spots because the whole thing's too bright. 147 00:08:37,306 --> 00:08:38,406 Except for the liver. 148 00:08:39,218 --> 00:08:42,068 The tech overexposed the image a bit, but it's nothing. 149 00:08:42,345 --> 00:08:43,445 The liver looks fine. 150 00:08:43,489 --> 00:08:44,589 Could be lung cancer. 151 00:08:45,250 --> 00:08:48,150 Tumor causes structural damage. Lung caves in on itself. 152 00:08:48,251 --> 00:08:49,551 Also explains the anemia. 153 00:08:49,617 --> 00:08:51,464 Doesn't explain the liver problem, though. 154 00:08:51,465 --> 00:08:53,773 Her lung collapsed. There is no liver problem. 155 00:08:53,774 --> 00:08:55,438 You guys look at the liver on this thing? 156 00:08:55,439 --> 00:08:58,197 - There's no liver problem. - Seriously, look at the liver. 157 00:08:58,198 --> 00:09:00,028 - There's nothing there. - Why not? 158 00:09:00,135 --> 00:09:01,520 - Because there's nothing wrong. 159 00:09:01,521 --> 00:09:04,634 Every organ in the scan is lit up like a 100-watt bulb. 160 00:09:05,072 --> 00:09:08,578 Except for her liver, which is hovering around 60 watts. 161 00:09:08,798 --> 00:09:11,305 And not one of them good 60-watters, but an energy saving-- 162 00:09:11,306 --> 00:09:14,115 You're saying her liver's shutting down because the lighting is off? 163 00:09:14,116 --> 00:09:15,736 You just don't want a cancer diagnosis 164 00:09:15,737 --> 00:09:17,514 because then you'd have to deal with Wilson. 165 00:09:17,591 --> 00:09:21,918 Lung cancer is a lame diagnosis. Avoiding Wilson is an added bonus. 166 00:09:22,366 --> 00:09:23,566 House, we need to talk. 167 00:09:24,039 --> 00:09:26,302 Not taking the deal. Glad we talked. 168 00:09:27,086 --> 00:09:28,186 Ultrasound her liver. 169 00:09:29,206 --> 00:09:30,156 Sit down. 170 00:09:30,893 --> 00:09:31,843 Stand up. 171 00:09:32,451 --> 00:09:33,401 Your turn. 172 00:09:33,677 --> 00:09:35,077 House, you're off the case. 173 00:09:35,532 --> 00:09:38,841 Your treatment privileges are suspended until you accept Tritter's deal. 174 00:09:38,844 --> 00:09:40,697 Well, I'm obviously not gonna take the deal 175 00:09:40,698 --> 00:09:42,711 just so I can have the fun of treating a dwarf. 176 00:09:42,712 --> 00:09:44,977 So I assume there's more to this threat. 177 00:09:45,390 --> 00:09:47,140 I'm also cutting off your Vicodin. 178 00:09:47,454 --> 00:09:48,279 That could work. 179 00:09:48,280 --> 00:09:50,822 I'm taking over as attending. Get an MRI of her lungs. 180 00:09:50,823 --> 00:09:52,112 This is not lung cancer. 181 00:09:52,326 --> 00:09:55,261 We'll find out as soon as we MRI her lungs. 182 00:10:02,036 --> 00:10:04,387 You're gonna come begging me to save this girl 183 00:10:04,388 --> 00:10:06,588 long before I come begging your for pills. 184 00:10:07,468 --> 00:10:08,418 I hope not. 185 00:10:09,739 --> 00:10:10,789 For everyone's sake. 186 00:10:17,321 --> 00:10:19,366 - This is wrong. - Cutting House off? 187 00:10:19,960 --> 00:10:21,760 Might not work, but it's not wrong. 188 00:10:22,103 --> 00:10:23,403 Bone windows looks clean. 189 00:10:26,310 --> 00:10:28,460 Abigail, we need you to hold still, okay? 190 00:10:28,622 --> 00:10:29,572 Can I come out? 191 00:10:30,158 --> 00:10:32,359 Just hang in there two more minutes and we'll be done. 192 00:10:32,360 --> 00:10:33,317 Okay. 193 00:10:33,530 --> 00:10:35,383 Because it's effective doesn't make it right. 194 00:10:35,384 --> 00:10:38,664 Cuddy's bending the rules to get a patient to do the right thing. 195 00:10:39,368 --> 00:10:42,254 - Who'd work for a doctor like that? - And the ends justify the means? 196 00:10:42,255 --> 00:10:44,655 If the ends involve us keeping our jobs, sure. 197 00:10:45,423 --> 00:10:47,886 Lung parenchyma is clean. No masses. 198 00:10:48,460 --> 00:10:49,560 It's not lung cancer. 199 00:10:51,227 --> 00:10:52,348 Abigail, you okay? 200 00:11:01,435 --> 00:11:03,335 House was right. Her liver's failing. 201 00:11:03,481 --> 00:11:06,781 Endoscopy confirmed the vomiting was cause by variceal bleeding. 202 00:11:06,866 --> 00:11:09,849 Bloodwork also confirms House's hypothesis-- 203 00:11:09,938 --> 00:11:12,888 I get it. House was right. It's the liver. Let's move on. 204 00:11:13,034 --> 00:11:15,680 What causes liver disease and a collapsed lung? 205 00:11:15,849 --> 00:11:18,949 - Schistosomiasis, the parasite-- - There's no eosinophilia. 206 00:11:19,432 --> 00:11:22,032 - Cirrhosis could explain-- - Could be a hepatoma. 207 00:11:23,159 --> 00:11:25,377 She's 15. It's not liver cancer. 208 00:11:26,351 --> 00:11:27,401 It's not unheard of. 209 00:11:28,063 --> 00:11:30,365 Cirrhosis fits better. The question is, what caused it? 210 00:11:30,366 --> 00:11:33,366 - Could be hepatitis, Budd-Chiari. - Or drugs and alcohol. 211 00:11:33,887 --> 00:11:36,740 If anyone has a reason to dull the pain, it's a teenage dwarf. 212 00:11:36,741 --> 00:11:38,164 I'll do a liver biopsy to confirm. 213 00:11:38,165 --> 00:11:40,915 I'll search the patient's home for drugs and alcohol. 214 00:11:43,245 --> 00:11:44,195 Cameron, 215 00:11:44,502 --> 00:11:45,452 you got a moment? 216 00:11:52,427 --> 00:11:54,327 What exactly is your problem with me? 217 00:11:56,233 --> 00:11:57,733 Hepatoma is a weak diagnosis. 218 00:11:58,121 --> 00:12:01,371 - So this is all about the case? - What else would it be about? 219 00:12:03,881 --> 00:12:06,441 I made this deal to help him. 220 00:12:07,130 --> 00:12:09,030 And helped yourself at the same time. 221 00:12:09,128 --> 00:12:12,028 This is not about my practice. This is not about my car. 222 00:12:12,160 --> 00:12:15,278 I gave both of them up to help House, and I would've gone on without them 223 00:12:15,279 --> 00:12:18,580 if hadn't almost maimed that little girl and if he hadn't punched out Chase. 224 00:12:18,581 --> 00:12:19,731 Was it an easy choice? 225 00:12:20,477 --> 00:12:22,638 Of course not, but it's right. 226 00:12:22,836 --> 00:12:24,086 Then why wasn't it easy? 227 00:12:25,077 --> 00:12:26,957 Because he's my friend. It's 228 00:12:27,782 --> 00:12:30,082 - obviously complicated. - It's complicated? 229 00:12:30,395 --> 00:12:34,057 When you decided to talk to Tritter, your life got a million times better. 230 00:12:34,058 --> 00:12:35,558 How do you separate that out? 231 00:12:36,443 --> 00:12:39,803 How do you pretend your windfall isn't relevant to this decision? 232 00:12:43,283 --> 00:12:45,161 It was the right thing to do. 233 00:12:45,825 --> 00:12:48,975 You pretending your motives are pure is why I have a problem. 234 00:13:02,465 --> 00:13:04,320 - Where's Cuddy? - In this drawer. 235 00:13:04,663 --> 00:13:05,813 It's a rescue mission. 236 00:13:06,166 --> 00:13:08,366 But I got it under control. You can leave. 237 00:13:10,485 --> 00:13:12,421 You were right about the liver failure. 238 00:13:12,422 --> 00:13:15,171 Patient had variceal bleeding which suggested cirrhosis, but-- 239 00:13:15,172 --> 00:13:16,122 Off the clock. 240 00:13:16,676 --> 00:13:18,667 You predicted this. You obviously saw something. 241 00:13:18,668 --> 00:13:19,618 Obviously. 242 00:13:20,292 --> 00:13:22,211 Liver biopsy was negative for cirrhosis. 243 00:13:22,212 --> 00:13:24,531 But it shows sclerosing cholangitis. 244 00:13:25,213 --> 00:13:28,213 Even weirder, there's no increase in alkaline phosphatase. 245 00:13:28,436 --> 00:13:31,636 Medical mystery. Sounds like the kind of thing I'd be good at. 246 00:13:35,240 --> 00:13:38,288 Breaking and entering. Sounds like the kind of thing you'd be good at. 247 00:13:38,289 --> 00:13:41,139 I take it that's where Cuddy's been keeping your pills. 248 00:13:42,321 --> 00:13:43,792 One theory, one drawer. 249 00:13:49,846 --> 00:13:50,796 Really? 250 00:13:51,072 --> 00:13:53,822 I thought you'd be all for this "torture House plan." 251 00:13:53,823 --> 00:13:55,373 It works, therefore it's good. 252 00:13:55,374 --> 00:13:57,403 On the other hand, I don't want to talk you out 253 00:13:57,404 --> 00:14:00,852 of this deal by pointing out your hypocrisy, so patient's life at stake... 254 00:14:02,436 --> 00:14:05,875 Forget about the specific nature of the liver dysfunction. It's irrelevant. 255 00:14:05,876 --> 00:14:08,937 The dwarf's problem is global. That's why the gallium scan was bright. 256 00:14:08,938 --> 00:14:11,715 And it's gonna spread throughout her entire body unless you stop it. 257 00:14:11,716 --> 00:14:14,966 If that were true, more than lungs and liver would be affected. 258 00:14:15,211 --> 00:14:16,161 They will be. 259 00:14:16,267 --> 00:14:19,517 It'll spread though the biliary tree and hit her pancreas next. 260 00:14:19,778 --> 00:14:21,989 Stop retracing your steps. Get ahead of it. 261 00:14:21,990 --> 00:14:25,240 Forget the liver and focus on the pancreas. 'Cause after that-- 262 00:14:25,273 --> 00:14:27,536 Actually, after that doesn't really matter what it hits 263 00:14:27,537 --> 00:14:29,900 because pretty much all roads lead to a dead dwarf. 264 00:14:32,026 --> 00:14:34,234 I get why you don't want to go to rehab. 265 00:14:35,170 --> 00:14:37,870 But only an idiot goes to prison for being stubborn. 266 00:14:37,891 --> 00:14:40,960 Only an idiot stands between Ahab and his whale. 267 00:14:41,146 --> 00:14:42,096 Move. 268 00:14:52,719 --> 00:14:53,669 Sorry. 269 00:15:02,671 --> 00:15:03,653 Santa's got gifts. 270 00:15:05,031 --> 00:15:07,828 Olive oil wasn't in the kitchen. It was in the medicine cabinet. 271 00:15:07,829 --> 00:15:09,228 Home remedy for ear infections. 272 00:15:09,229 --> 00:15:11,611 Ear infections are fairly typical among CHH dwarfs. 273 00:15:11,612 --> 00:15:13,028 Or it's a symptom. 274 00:15:13,315 --> 00:15:15,497 Certainly wouldn't indicate a pancreatic problem. 275 00:15:15,498 --> 00:15:17,398 Or House is wrong and it's a symptom. 276 00:15:18,405 --> 00:15:19,355 Laxatives. 277 00:15:19,411 --> 00:15:21,960 I don't think they were used to maintain her girlish figure. 278 00:15:21,961 --> 00:15:23,761 Again, intestinal problems are common-- 279 00:15:23,762 --> 00:15:25,262 Again, it might be a symptom. 280 00:15:26,058 --> 00:15:28,728 And glucosamine suggests chronic joint pain-- 281 00:15:28,834 --> 00:15:31,534 Who ordered the Alpha-1 antitrypsin deficiency test? 282 00:15:31,808 --> 00:15:32,758 I did. 283 00:15:33,113 --> 00:15:34,754 You think the problem's in her pancreas? 284 00:15:34,755 --> 00:15:37,503 Well, I think it will be. I think we need to forget about the liver. 285 00:15:37,504 --> 00:15:40,574 We just forgot about the lungs. Now we need to forget about the liver? 286 00:15:40,575 --> 00:15:42,575 We need to stop retracing our steps and 287 00:15:42,845 --> 00:15:44,095 get ahead of this thing. 288 00:15:45,589 --> 00:15:47,589 House, you've tanned. 289 00:15:48,467 --> 00:15:50,309 You don't think I could've come up with this? 290 00:15:50,310 --> 00:15:51,260 Did you? 291 00:15:51,677 --> 00:15:54,365 You suspended House because it'd be dangerous having him in charge, 292 00:15:54,366 --> 00:15:55,395 but getting his opinion-- 293 00:15:55,396 --> 00:15:56,723 I'm sure he gave you that opinion 294 00:15:56,724 --> 00:15:58,978 simply because he was worried about the patient. 295 00:15:58,979 --> 00:16:01,969 Just because House wants his pills doesn't mean his theory is wrong. 296 00:16:01,970 --> 00:16:04,820 No, the test results mean that. Your test was negative. 297 00:16:05,445 --> 00:16:07,809 And the biopsy indicated severe duct inflammation. 298 00:16:07,810 --> 00:16:10,665 Do an ERCP to check the liver for bile duct cancer. 299 00:16:10,825 --> 00:16:13,881 Just because it wasn't Alpha-1 doesn't mean the pancreas isn't next. 300 00:16:13,882 --> 00:16:15,961 You needed an organ. He needed a fix. 301 00:16:16,575 --> 00:16:20,337 He'd have made up any story for a pill. You didn't give him anything, did you? 302 00:16:20,338 --> 00:16:21,288 No. 303 00:16:30,515 --> 00:16:33,115 There's no bruise or nothing, but it really hurts. 304 00:16:33,714 --> 00:16:35,528 Unfortunately, that pain and lack of 305 00:16:35,529 --> 00:16:37,664 bruising is typical of a zygomatic break. 306 00:16:38,857 --> 00:16:39,807 That sounds bad. 307 00:16:40,561 --> 00:16:44,118 Bones are aligned properly. Which ER did you go to after the car accident? 308 00:16:44,119 --> 00:16:45,219 Princeton Plainsboro. 309 00:16:46,032 --> 00:16:47,332 Here's my discharge slip. 310 00:16:48,624 --> 00:16:49,574 Okay. 311 00:16:49,583 --> 00:16:51,983 Gonna get you some acetaminophen with codeine. 312 00:16:52,269 --> 00:16:54,440 I tried that, and it makes me nauseous. 313 00:16:55,995 --> 00:17:00,114 There's a drug called gabapentin which is good for certain kinds of pains. 314 00:17:00,242 --> 00:17:02,291 Great, 'cause I haven't slept in days. 315 00:17:02,672 --> 00:17:05,272 Gabapentin's not really gonna help with the sleep. 316 00:17:06,620 --> 00:17:08,670 Is there something else you can give me? 317 00:17:10,896 --> 00:17:13,096 Vicodin's your best bet with sleep issues. 318 00:17:13,938 --> 00:17:14,888 Thanks so much. 319 00:17:14,920 --> 00:17:18,520 Unfortunately, our policy forbids prescribing opiates to new patients. 320 00:17:19,293 --> 00:17:21,993 How can a clinic have a rule against relieving pain? 321 00:17:22,108 --> 00:17:25,136 Just with opiates. We find that it helps weed out drug seekers. 322 00:17:25,182 --> 00:17:26,473 You think I'm a drug seeker? 323 00:17:26,549 --> 00:17:28,630 - I'm not saying that. - Then give me the Vicodin. 324 00:17:28,631 --> 00:17:31,219 - I can't. - Because you think I'm a drug seeker. 325 00:17:31,243 --> 00:17:32,793 - I just said I didn't. - No, 326 00:17:33,003 --> 00:17:35,603 you said that the policy was to stop drug seeking. 327 00:17:35,777 --> 00:17:38,770 Then you said I'm not a drug seeker. Policy doesn't apply. 328 00:17:38,771 --> 00:17:40,271 I'm sorry. That's the policy. 329 00:17:41,441 --> 00:17:45,184 Gabapentin works on nerve damage. You're prescribing it for a broken face. 330 00:17:45,185 --> 00:17:47,552 Might as well hand out Band-Aids for a severed carotid. 331 00:17:47,553 --> 00:17:48,503 You're a doctor. 332 00:17:48,728 --> 00:17:49,982 Not by this clinic's definition 333 00:17:49,983 --> 00:17:52,433 since I'm neither a moron nor a mindless drone. 334 00:17:53,288 --> 00:17:54,646 - Security. - Forget it. 335 00:17:55,048 --> 00:17:56,198 I'll throw myself out. 336 00:18:01,893 --> 00:18:04,764 That tube is going all the way down to my liver? 337 00:18:05,326 --> 00:18:06,926 Don't worry. You'll be sedated. 338 00:18:07,620 --> 00:18:10,715 Sometimes doctors have to do things that make people uncomfortable 339 00:18:10,716 --> 00:18:12,692 - to help them. - But we always want 340 00:18:12,836 --> 00:18:16,536 to respect the patient's wishes and not shove things down their throats. 341 00:18:19,532 --> 00:18:20,482 Foreman. 342 00:18:22,745 --> 00:18:24,203 You haven't given her the sedative. 343 00:18:24,204 --> 00:18:25,154 No. 344 00:18:25,659 --> 00:18:26,609 Abigail! 345 00:18:27,715 --> 00:18:28,665 Abigail! 346 00:18:28,889 --> 00:18:29,839 She's unconscious. 347 00:18:30,753 --> 00:18:31,703 Check her airway. 348 00:18:33,848 --> 00:18:34,798 Airway's clear. 349 00:18:35,282 --> 00:18:38,384 - Her breath smells fruity. - Diabetic ketoacidosis. 350 00:18:39,040 --> 00:18:42,703 Hang an insuline drip at .1 migs per kig per hour. Pancreas is failing. 351 00:18:43,142 --> 00:18:44,592 You ready to call House yet? 352 00:18:53,021 --> 00:18:55,621 You were right. The patient's pancreas is failing. 353 00:18:56,756 --> 00:18:58,459 Told you you'd come begging me for help. 354 00:18:58,460 --> 00:19:00,910 Her insulin production is almost non-existent-- 355 00:19:02,803 --> 00:19:04,909 Give me my pills or lose an arm. 356 00:19:05,058 --> 00:19:07,025 - The girl is dying. - So give me my pills. 357 00:19:07,026 --> 00:19:08,326 Take the deal and I will. 358 00:19:10,581 --> 00:19:13,194 You'd rather kill this girl than give me my pills. 359 00:19:14,576 --> 00:19:16,457 I would rather lose one patient now 360 00:19:16,968 --> 00:19:19,668 than the dozens we will lose while you're in prison. 361 00:19:22,074 --> 00:19:25,400 Well, have fun explaining that to her itsy-bitsy grieving mother. 362 00:19:30,460 --> 00:19:33,233 What if we sacrifice this girl and House still goes to jail? 363 00:19:33,234 --> 00:19:35,362 I'd feel bad. Can we get on with this? 364 00:19:35,835 --> 00:19:39,114 House correctly predicted the spread. Means we've got a global systemic 365 00:19:39,115 --> 00:19:42,737 illness affecting lungs, liver, and pancreas so far. Ideas. 366 00:19:42,849 --> 00:19:46,000 Langerhans cell histiocytosis attacks multiple organ systems. 367 00:19:46,143 --> 00:19:48,070 Histiocytosis usually starts in the brain, 368 00:19:48,071 --> 00:19:49,606 then moves to the internal organs. 369 00:19:49,607 --> 00:19:51,950 Abigail's brain is fine. Cystic fibrosis. 370 00:19:52,255 --> 00:19:54,712 Exocrine function is normal. Hodgkins lymphoma. 371 00:19:54,879 --> 00:19:57,413 It's a systemic cancer which her dwarfism predisposes her to. 372 00:19:57,414 --> 00:19:59,405 - Any ideas that aren't cancer? - Cancer fits. 373 00:19:59,406 --> 00:20:02,220 Autoimmune fits better. We should treat her with prednisone for lupus. 374 00:20:02,221 --> 00:20:04,545 That'll spike her blood sugar and put her back in a coma. 375 00:20:04,546 --> 00:20:06,778 It's much safer just to run a double-stranded DNA test. 376 00:20:06,779 --> 00:20:08,821 Not if she dies before we get the results. 377 00:20:09,300 --> 00:20:10,682 One of you is probably right. 378 00:20:10,683 --> 00:20:13,123 Why don't we hold the sniping until we find out which? 379 00:20:13,124 --> 00:20:17,371 Wilson, do an LP for lymphoma. You guys, run an antibody test for lupus. 380 00:20:23,600 --> 00:20:26,755 Because of your daughter's dwarfism, we've had to pick a higher entry point 381 00:20:26,756 --> 00:20:29,051 for the lumbar puncture, which increases the risk. 382 00:20:29,052 --> 00:20:30,995 So why not do the lupus test first? 383 00:20:31,172 --> 00:20:34,772 In the interest of time, we think it's best to proceed on both fronts. 384 00:20:35,235 --> 00:20:37,673 You have no idea what's wrong with my daughter. 385 00:20:37,674 --> 00:20:40,574 - We have several theories. - What does Dr. House think? 386 00:20:40,666 --> 00:20:42,609 He's-- He had to go home sick. 387 00:20:43,139 --> 00:20:46,389 My daughter may be dying, and he's gone home with the sniffles? 388 00:20:46,530 --> 00:20:47,312 He's not-- 389 00:20:47,313 --> 00:20:50,551 He was the only one who seemed to have any idea what was wrong with her. 390 00:20:50,552 --> 00:20:52,102 He better be really damn sick. 391 00:20:53,201 --> 00:20:54,151 He is. 392 00:20:58,814 --> 00:21:00,464 Unless you got Vicodin, go away. 393 00:21:02,126 --> 00:21:03,511 House, it's me. I, uh-- 394 00:21:07,518 --> 00:21:08,468 Oh, God. 395 00:21:10,837 --> 00:21:12,337 - I don't have-- - No pills, 396 00:21:13,373 --> 00:21:14,323 no egg nog. 397 00:21:17,325 --> 00:21:18,675 What happened to your arm? 398 00:21:20,350 --> 00:21:21,300 Cut myself. 399 00:21:26,776 --> 00:21:28,426 Wilson was wrong about lymphoma. 400 00:21:28,785 --> 00:21:31,311 Kid's not losing any weight, no night sweats. 401 00:21:32,024 --> 00:21:33,486 - Cuddy send you? - No, 402 00:21:34,109 --> 00:21:36,359 she doesn't trust me not to give you pills. 403 00:21:37,918 --> 00:21:38,868 Is she right? 404 00:21:39,525 --> 00:21:41,900 House, these cuts are straight in a row. 405 00:21:43,084 --> 00:21:44,334 You did this on purpose. 406 00:21:47,527 --> 00:21:50,869 Cutting releases endorphins. Endorphins relieve pain. 407 00:21:51,572 --> 00:21:53,022 You gonna get me some pills? 408 00:21:54,404 --> 00:21:55,354 No. 409 00:21:56,413 --> 00:21:57,436 Then you can leave. 410 00:21:58,787 --> 00:22:00,690 No constitutional symptoms means-- 411 00:22:01,025 --> 00:22:04,136 Soon as the kid gets cured, Cuddy's got no pressure to fold. 412 00:22:05,200 --> 00:22:06,950 You really think she's gonna fold? 413 00:22:13,063 --> 00:22:15,295 Autoimmune fits better than cancer. 414 00:22:16,742 --> 00:22:19,960 But lupus loves kidneys, usually attacks them first. 415 00:22:20,647 --> 00:22:22,447 - Kidneys are fine, right? - Yeah. 416 00:22:25,615 --> 00:22:26,565 Take the deal. 417 00:22:26,869 --> 00:22:28,519 You can survive without Vicodin. 418 00:22:28,628 --> 00:22:31,178 After you were shot, you stayed clean for months. 419 00:22:31,916 --> 00:22:35,316 Yeah, I wonder if it had something to do with the absence of pain. 420 00:22:35,396 --> 00:22:38,643 Leave that. I want to be able to pour alcohol on it so I can distract myself. 421 00:22:38,644 --> 00:22:40,344 Then you can rip off the bandage. 422 00:22:46,657 --> 00:22:49,857 - Kid been sick lately? - There's a history of ear infections. 423 00:22:53,384 --> 00:22:55,504 Say Abigail's immune system 424 00:22:57,216 --> 00:22:58,807 is like a shy guy in a bar. 425 00:23:00,326 --> 00:23:01,526 And the ear infections, 426 00:23:01,798 --> 00:23:03,719 they come in and try to coax him to-- 427 00:23:07,295 --> 00:23:08,645 To hell with the metaphor. 428 00:23:09,038 --> 00:23:10,338 You get the point, right? 429 00:23:10,455 --> 00:23:12,198 Nerd gets drunk. Trashes the bar. 430 00:23:13,006 --> 00:23:16,173 One of the autoimmunes triggered by a minor infection. 431 00:23:16,301 --> 00:23:19,050 Factor in her age, elevated sed-rate, anemia... 432 00:23:20,405 --> 00:23:21,667 It's Still's disease. 433 00:23:22,837 --> 00:23:25,687 You start her on prednisone, methotrexate, cyclosporin. 434 00:23:29,939 --> 00:23:30,889 Stop this. 435 00:23:32,363 --> 00:23:33,313 Please. 436 00:23:57,700 --> 00:23:58,650 What'd he say? 437 00:23:58,659 --> 00:24:00,633 Still's disease. It's chronic, but manageable. 438 00:24:00,634 --> 00:24:03,706 A diagnosis that's virtually unconfirmable. And with a treatment 439 00:24:03,707 --> 00:24:06,907 that's more dangerous than what we were considering for lupus. 440 00:24:08,592 --> 00:24:10,975 - How bad is he? - Are you asking because you care, 441 00:24:10,976 --> 00:24:13,926 or because you're wondering whether to trust his opinion? 442 00:24:14,094 --> 00:24:15,887 - Both. - He's detoxing. 443 00:24:16,670 --> 00:24:17,620 In agony. 444 00:24:18,518 --> 00:24:19,918 He started cutting himself. 445 00:24:21,590 --> 00:24:23,264 But he's still House. 446 00:24:26,487 --> 00:24:27,787 I'll order the treatment. 447 00:24:51,096 --> 00:24:52,346 Your plan isn't working. 448 00:24:52,737 --> 00:24:54,520 Two days down, one to go. 449 00:24:56,345 --> 00:24:58,795 Figured I'd show you how much it isn't working. 450 00:24:59,968 --> 00:25:02,268 Yeah, clearly the drugs have no hold on you. 451 00:25:04,409 --> 00:25:08,549 We both know that my pride far surpasses my instinct for self-preservation. 452 00:25:09,030 --> 00:25:11,180 You want to redeem yourself? Give up now. 453 00:25:11,955 --> 00:25:13,105 And you'll go to jail. 454 00:25:14,333 --> 00:25:15,583 I've done nothing wrong. 455 00:25:16,244 --> 00:25:17,394 And you'll go to jail. 456 00:25:19,603 --> 00:25:20,674 Which makes this 457 00:25:20,941 --> 00:25:24,532 your last chance to do me a kindness before ruining my life forever. 458 00:25:27,315 --> 00:25:28,715 The nausea's bad this time. 459 00:25:32,522 --> 00:25:35,872 You can write me a scrip for metoclopramide so I can stop puking. 460 00:25:38,090 --> 00:25:39,590 They'd give me that in rehab. 461 00:25:41,369 --> 00:25:42,819 Then you should go to rehab. 462 00:25:44,120 --> 00:25:45,070 I have a patient. 463 00:26:02,285 --> 00:26:03,668 I'm so sorry for your loss. 464 00:26:03,669 --> 00:26:06,369 I know it's little solace, but he went without pain. 465 00:26:12,547 --> 00:26:14,097 Well, look on the bright side. 466 00:26:14,626 --> 00:26:17,526 At least you don't have to go by Mrs. Zebalusky anymore. 467 00:26:18,714 --> 00:26:20,014 That's gotta be a relief. 468 00:26:20,657 --> 00:26:23,225 - You know this man? - I'm sorry. He's sick-- 469 00:26:23,417 --> 00:26:25,417 Did you hear my diagnosis on the dwarf? 470 00:26:25,882 --> 00:26:27,063 Still's disease. 471 00:26:27,474 --> 00:26:29,486 Did you even consider those ear infections, 472 00:26:29,487 --> 00:26:31,687 or you just wrote it off as a dwarf thing? 473 00:26:32,337 --> 00:26:33,337 You sure he's dead? 474 00:26:33,656 --> 00:26:35,456 Dr. Wilson sometimes misses things. 475 00:26:35,773 --> 00:26:39,221 Trying to embarrass me in front of grieving widow crosses lines that even-- 476 00:26:39,222 --> 00:26:40,751 Right! I'm pathetic. 477 00:26:42,095 --> 00:26:43,532 I'm strung out, I haven't slept, 478 00:26:43,533 --> 00:26:46,083 puking every hour, and I still out-diagnosed you. 479 00:26:46,300 --> 00:26:48,499 But I'm supposed to let you decide what's best-- 480 00:26:50,804 --> 00:26:51,754 Please leave. 481 00:26:54,219 --> 00:26:55,169 Sorry. 482 00:26:56,740 --> 00:26:57,690 I'm done. 483 00:27:06,206 --> 00:27:09,906 You didn't come in here just to embar- rass me. You could do that any time. 484 00:27:12,068 --> 00:27:13,572 Stealing Oxy from a dead man. 485 00:27:14,238 --> 00:27:15,838 Yeah, you don't have a problem. 486 00:27:30,339 --> 00:27:31,289 How's the girl? 487 00:27:31,570 --> 00:27:32,520 Much better. 488 00:27:34,633 --> 00:27:35,583 House was right. 489 00:27:35,880 --> 00:27:36,830 It happens. 490 00:27:38,727 --> 00:27:40,327 I thought we could handle this. 491 00:27:40,943 --> 00:27:42,893 Still's disease never crossed my mind. 492 00:27:43,423 --> 00:27:45,873 Don't beat yourself up. I didn't get it either. 493 00:27:58,675 --> 00:28:00,755 I feel like a mob informant. 494 00:28:02,938 --> 00:28:03,988 You wanna go inside? 495 00:28:05,217 --> 00:28:06,867 Got a cafeteria in there, right? 496 00:28:07,490 --> 00:28:08,625 I can't testify. 497 00:28:11,488 --> 00:28:14,488 Drug addicts hurt the people around them with their habit. 498 00:28:15,006 --> 00:28:18,016 House has hurt plenty of people, you included. 499 00:28:18,479 --> 00:28:19,445 He saves lives. 500 00:28:20,102 --> 00:28:21,802 People that no one else can save. 501 00:28:22,478 --> 00:28:23,428 And 502 00:28:24,014 --> 00:28:25,814 no matter how much of an ass he is, 503 00:28:25,902 --> 00:28:26,852 statistically 504 00:28:27,254 --> 00:28:29,454 House is a positive force in the universe. 505 00:28:30,948 --> 00:28:32,428 The pills let him do that. 506 00:28:32,796 --> 00:28:36,235 Vicodin does not make House a genius. 507 00:28:36,362 --> 00:28:39,706 Whatever he does on the pills, he can do off. 508 00:28:40,428 --> 00:28:41,928 He's just not willing to try. 509 00:28:44,608 --> 00:28:46,867 I won't testify against him. 510 00:28:49,043 --> 00:28:50,293 Then we'll subpoena you. 511 00:28:51,487 --> 00:28:54,249 And your previous statement will be read into evidence. 512 00:28:54,250 --> 00:28:57,793 And you will be charged with interfering with an investigation. 513 00:28:59,823 --> 00:29:01,073 And you will go to jail. 514 00:29:07,054 --> 00:29:08,940 Again, statistically, 515 00:29:09,789 --> 00:29:11,198 better me than him. 516 00:29:11,397 --> 00:29:12,347 Statistically... 517 00:29:13,395 --> 00:29:14,995 the two of you will be in jail. 518 00:29:51,272 --> 00:29:54,328 Dr. Cameron, come quick. There's something wrong with Abby. 519 00:29:54,425 --> 00:29:56,711 Couldn't be too severe. Her cardiac alarm didn't go off. 520 00:29:56,712 --> 00:29:58,512 It's not her heart. She's bleeding. 521 00:30:02,093 --> 00:30:04,220 Picking up a scrip, under Zebalusky. 522 00:30:10,692 --> 00:30:12,970 This is, uh, Dr. Wilson's patient. 523 00:30:13,636 --> 00:30:14,586 Yeah. 524 00:30:15,234 --> 00:30:16,484 Wilson's busy right now. 525 00:30:17,202 --> 00:30:21,240 What with Mr. Zebalusky dying in agony on account of his metastic lung cancer 526 00:30:22,081 --> 00:30:24,327 and not having the pills to relieve that agony 527 00:30:24,328 --> 00:30:26,311 because of some moron pharmacist. 528 00:30:28,696 --> 00:30:29,646 Sign the book. 529 00:30:55,997 --> 00:30:59,757 Bleeding wasn't a ruptured eardrum, ear infection, or bleeding disorder. 530 00:31:00,224 --> 00:31:02,418 Her heart rate's climbing. Blood pressure's dropping. 531 00:31:02,419 --> 00:31:04,769 She's on the verge of a multi-system failure. 532 00:31:05,315 --> 00:31:08,257 Head CT was clean. Means it's not a neurological problem. 533 00:31:08,258 --> 00:31:10,970 - Basically we have nothing. - Cancer is still on the table. 534 00:31:10,971 --> 00:31:13,682 Spinal fluid was negative for lymphoma. What other-- 535 00:31:13,779 --> 00:31:15,714 Leukemia. We need to do a bone marrow biopsy. 536 00:31:15,715 --> 00:31:17,528 None of the blood tests suggest leukemia. 537 00:31:17,529 --> 00:31:19,535 Cancer doesn't explain the collapsed lung. 538 00:31:19,536 --> 00:31:22,036 Unless a small clot lead to a pulmonary infarct. 539 00:31:22,037 --> 00:31:24,023 It's a long shot. Autoimmune is way more likely. 540 00:31:24,030 --> 00:31:26,110 It respond to steroids, which we've given her. 541 00:31:26,111 --> 00:31:28,344 And she got better for a while. We stopped it too soon. 542 00:31:28,345 --> 00:31:29,350 Because she crashed. 543 00:31:29,359 --> 00:31:33,109 All we're doing is bouncing back and forth between cancer and autoimmune. 544 00:31:33,944 --> 00:31:35,144 We're going in circles. 545 00:31:42,742 --> 00:31:43,842 Give me half an hour. 546 00:31:53,611 --> 00:31:54,861 Can I have a French fry? 547 00:31:56,602 --> 00:31:57,552 Get your own. 548 00:31:57,746 --> 00:31:59,060 You took the last ones. 549 00:32:01,408 --> 00:32:02,400 What's wrong with you? 550 00:32:02,401 --> 00:32:04,200 I got spinal muscular atrophy. 551 00:32:06,858 --> 00:32:08,208 Guess it's not contagious. 552 00:32:10,247 --> 00:32:11,197 Nice bear. 553 00:32:12,414 --> 00:32:13,364 It's a dog. 554 00:32:14,872 --> 00:32:17,983 It's not Still's. Steroids helped until the patient 555 00:32:18,086 --> 00:32:20,236 started bleeding from the ears and mouth. 556 00:32:21,437 --> 00:32:22,387 That's a bear. 557 00:32:22,917 --> 00:32:24,795 His name is Bill. He's a dog. 558 00:32:26,132 --> 00:32:27,755 You win. You can have Vicodin. 559 00:32:29,308 --> 00:32:31,208 Words have set meanings for a reason. 560 00:32:31,514 --> 00:32:34,026 If you see an animal like Bill and you try to play fetch, 561 00:32:34,027 --> 00:32:36,277 Bill's gonna eat you because Bill's a bear. 562 00:32:36,698 --> 00:32:37,993 Are you on something? 563 00:32:39,650 --> 00:32:41,300 You got your hands on pain meds. 564 00:32:42,249 --> 00:32:44,768 Bill has fur, four legs, and a collar. 565 00:32:45,392 --> 00:32:46,345 He's a dog. 566 00:32:47,041 --> 00:32:48,937 It's between cancer and autoimmune. 567 00:32:49,208 --> 00:32:51,508 See, that's what we call a faulty syllogism. 568 00:32:51,671 --> 00:32:54,721 Just because you call Bill a dog doesn't mean that he is... 569 00:32:57,119 --> 00:32:58,069 a dog. 570 00:33:03,944 --> 00:33:05,644 We gotta x-ray our patient's leg. 571 00:33:09,767 --> 00:33:10,808 Her leg looks fine. 572 00:33:11,511 --> 00:33:12,461 Weird, huh? 573 00:33:13,031 --> 00:33:14,281 Why aren't you detoxing? 574 00:33:14,735 --> 00:33:15,685 Will power. 575 00:33:16,570 --> 00:33:17,520 What--what-- 576 00:33:17,735 --> 00:33:19,889 Normal's not normal if you're not normal. 577 00:33:20,695 --> 00:33:21,995 Did you just take a pill? 578 00:33:22,774 --> 00:33:23,724 No. 579 00:33:24,511 --> 00:33:27,501 So how does a dwarf have completely normal growth plates? 580 00:33:27,853 --> 00:33:30,500 It's impossible. We must be missing something. 581 00:33:31,037 --> 00:33:32,587 How many pills have you taken? 582 00:33:32,867 --> 00:33:36,567 Not nearly as many as I'm gonna take. Forgotten how delicious they were. 583 00:33:37,235 --> 00:33:38,570 I didn't give them to him. 584 00:33:38,571 --> 00:33:41,021 Can we forget my vices, get back to my virtues? 585 00:33:41,075 --> 00:33:42,441 We were missing the fact that 586 00:33:42,442 --> 00:33:45,692 just because we called her a dwarf doesn't mean she is a dwarf. 587 00:33:45,897 --> 00:33:47,865 Everyone assumed she was because of her mother. 588 00:33:47,866 --> 00:33:49,968 There's not test for CHH dwarfism. So 589 00:33:50,209 --> 00:33:52,609 she lost an identity, but we gained a symptom. 590 00:33:53,706 --> 00:33:56,720 If she doesn't have skeletal dwarfism, then 591 00:33:57,025 --> 00:34:00,872 her short stature must be caused by growth hormone deficiency. 592 00:34:01,006 --> 00:34:02,919 And something's wrong with her pituitary gland. 593 00:34:02,920 --> 00:34:04,970 And based on her size, it's been wrong for a while. 594 00:34:04,971 --> 00:34:07,903 So what connects a long-term pituitary issue 595 00:34:07,982 --> 00:34:10,534 with problems in the lungs, liver, and pancreas? 596 00:34:11,079 --> 00:34:12,734 Oh, you guys and your bickering. 597 00:34:13,157 --> 00:34:14,693 Cancer versus autoimmune. 598 00:34:14,966 --> 00:34:16,765 Obviously you think it's something else. 599 00:34:16,766 --> 00:34:18,525 Nope. I think it's both. 600 00:34:19,533 --> 00:34:21,630 Langerhans cell histiocytosis. 601 00:34:21,907 --> 00:34:25,531 Also known as, "you got your cancer in my autoimmune" disease. 602 00:34:26,293 --> 00:34:28,649 The immune component responded to the Still's treatment 603 00:34:28,650 --> 00:34:31,448 lead to the short-term improvement. The cancer portion didn't. 604 00:34:31,449 --> 00:34:34,481 We dismissed this earlier because there were no neurological symptoms. 605 00:34:34,482 --> 00:34:36,226 Yeah. It's not your fault. 606 00:34:36,969 --> 00:34:39,319 The only neurological symptom was her height. 607 00:34:39,745 --> 00:34:40,845 Who could've noticed? 608 00:34:51,196 --> 00:34:52,696 This is your pituitary gland. 609 00:34:53,052 --> 00:34:55,652 And this is the granuloma that's been crushing it. 610 00:34:55,850 --> 00:34:59,819 No pituitary equals no growth hormone equals about that much. 611 00:35:01,195 --> 00:35:02,155 She's not a dwarf? 612 00:35:02,984 --> 00:35:04,570 Just hormonally challenged. 613 00:35:05,680 --> 00:35:06,630 What about my mom? 614 00:35:07,026 --> 00:35:08,326 Your mom's the real deal. 615 00:35:08,650 --> 00:35:10,500 But you're just a tiny little poser. 616 00:35:11,080 --> 00:35:13,526 Your recent ear infections caused your body to release 617 00:35:13,527 --> 00:35:15,968 a cascade of the same cells that made the granuloma. 618 00:35:15,969 --> 00:35:18,246 They attacked your lungs, moved down to your liver, 619 00:35:18,247 --> 00:35:20,142 then hitched a ride over to your pancreas. 620 00:35:20,263 --> 00:35:23,012 We can nuke them with a mild course of chemo and then 621 00:35:23,013 --> 00:35:24,191 remove the granuloma. 622 00:35:24,614 --> 00:35:26,914 And then what? What will happen to her then? 623 00:35:28,735 --> 00:35:30,585 Let me see if I can make this clear. 624 00:35:31,682 --> 00:35:33,484 This pill represents... 625 00:35:34,716 --> 00:35:35,666 a pill. 626 00:35:35,922 --> 00:35:38,947 And my mouth represents your daughter's mouth. 627 00:35:40,602 --> 00:35:42,482 We deposit the pill in the month. 628 00:35:48,601 --> 00:35:50,938 You may never be tall enough to play in the WNBA, 629 00:35:50,939 --> 00:35:53,539 but you'll be able to post up your mom no problem. 630 00:35:54,912 --> 00:35:56,512 What if I don't take the pills? 631 00:35:57,529 --> 00:35:59,529 What if you remove the thing in my head 632 00:35:59,577 --> 00:36:01,887 and give me the chemo, but not the pills? 633 00:36:02,392 --> 00:36:03,692 Would I still get better? 634 00:36:03,791 --> 00:36:06,841 Your body needs growth hormone from lots of things. Like... 635 00:36:07,784 --> 00:36:08,870 to grow. 636 00:36:09,470 --> 00:36:10,701 I like who I am now. 637 00:36:11,598 --> 00:36:13,783 Nobody your age likes who they are now. 638 00:36:14,087 --> 00:36:15,037 I do. 639 00:36:17,740 --> 00:36:20,352 You like needing help when you want something off a high shelf? 640 00:36:20,353 --> 00:36:22,995 Not being able to press an elevator button above the eighth floor? 641 00:36:22,996 --> 00:36:25,547 Having to smell ass every time you stand in line? 642 00:36:25,740 --> 00:36:30,140 You don't need growth hormone. It's just your ticket out of the freak show. 643 00:36:44,450 --> 00:36:46,088 Can't you deliver a diagnosis 644 00:36:46,161 --> 00:36:48,614 without making her feel that her life isn't worth living? 645 00:36:48,615 --> 00:36:49,815 I'm trying to help her. 646 00:36:50,144 --> 00:36:53,431 - You're trying to make her taller. - Not too tall. 647 00:36:54,296 --> 00:36:56,246 Just tall enough to wipe her own butt. 648 00:37:00,743 --> 00:37:02,637 - Are you high? - Higher than you. 649 00:37:03,526 --> 00:37:07,366 If my daughter doesn't want to choose the easy path, I won't force her to. 650 00:37:07,743 --> 00:37:09,014 Then you're a lousy mom. 651 00:37:09,918 --> 00:37:12,968 - You want your daughter to be a freak. - We're not freaks. 652 00:37:13,704 --> 00:37:16,391 - You want her to overcome adversity. - Yes. 653 00:37:16,481 --> 00:37:17,731 Then why stop at height? 654 00:37:18,175 --> 00:37:21,475 Poke a stick in her eye. Imagine how interesting she'll be then. 655 00:37:21,526 --> 00:37:23,374 Being little is not the same as-- 656 00:37:23,422 --> 00:37:27,583 You and I have found out that being normal sucks 'cause we're freaks. 657 00:37:29,037 --> 00:37:31,987 The advantage of being a freak is it makes your stronger. 658 00:37:32,532 --> 00:37:35,282 Now, how strong do you really want her to have to be? 659 00:37:38,195 --> 00:37:39,995 Tell her what you have to tell her. 660 00:37:40,922 --> 00:37:42,147 Tell her you lied. 661 00:37:44,780 --> 00:37:45,780 Even if you didn't. 662 00:37:53,826 --> 00:37:55,676 This is who you were supposed to be. 663 00:37:56,712 --> 00:37:57,839 You hate normal. 664 00:37:59,735 --> 00:38:00,835 It's not that simple. 665 00:38:01,862 --> 00:38:04,799 If I grow, I'll fade into the background. 666 00:38:05,244 --> 00:38:06,194 I'll be boring. 667 00:38:10,388 --> 00:38:11,738 We'll get you a funny hat. 668 00:38:16,254 --> 00:38:17,604 You could never be boring. 669 00:38:19,813 --> 00:38:21,763 You want me to be like everybody else? 670 00:38:27,057 --> 00:38:28,707 I want you to have what I can't. 671 00:38:47,807 --> 00:38:48,757 Abigail agreed-- 672 00:38:49,758 --> 00:38:51,708 Abigail agreed to take growth hormone. 673 00:38:52,582 --> 00:38:53,532 Who's Abigail? 674 00:38:54,581 --> 00:38:56,310 Your non-dwarf dwarf patient. 675 00:38:57,021 --> 00:38:57,971 Oh, good. 676 00:38:59,734 --> 00:39:01,584 Then the growth hormone makes sense. 677 00:39:03,741 --> 00:39:05,714 - Christmas Eve. - Yeah, I know. 678 00:39:07,021 --> 00:39:08,171 Deal expires tomorrow. 679 00:39:09,434 --> 00:39:10,834 You have plans for tonight? 680 00:39:11,235 --> 00:39:13,535 You worried I'm gonna be popping more pills? 681 00:39:15,083 --> 00:39:17,333 Thought you might prefer people over pills. 682 00:39:46,985 --> 00:39:47,935 Hey, Mom. 683 00:39:49,584 --> 00:39:52,216 I guess you guys are already up at Aunt Sarah's. 684 00:39:54,672 --> 00:39:56,172 I'm sure Dad's in the egg nog 685 00:39:56,405 --> 00:39:59,655 and you're probably suffering through another dried out turkey. 686 00:40:07,563 --> 00:40:09,363 Just wanted to say Merry Christmas. 687 00:40:40,454 --> 00:40:41,404 Are you okay? 688 00:40:41,551 --> 00:40:42,655 I called three times. 689 00:41:57,296 --> 00:41:58,696 I'm ready to take the deal. 690 00:42:00,854 --> 00:42:02,254 Well, that's off the table. 691 00:42:04,804 --> 00:42:07,604 - The clock doesn't expire until-- - Got new evidence. 692 00:42:08,139 --> 00:42:09,639 We don't need Wilson anymore. 693 00:42:10,906 --> 00:42:12,627 The thing about addicts is, uh... 694 00:42:14,956 --> 00:42:16,456 no matter how smart they are, 695 00:42:17,652 --> 00:42:20,083 they are dumb when it comes to drugs. 696 00:42:20,992 --> 00:42:23,778 So, uh, I've been keeping an eye on the pharmacy log. 697 00:42:24,593 --> 00:42:27,828 Seems some patient of Wilson's named Zebalusky 698 00:42:28,565 --> 00:42:29,515 managed to 699 00:42:30,427 --> 00:42:31,907 pick up his Oxy prescription 700 00:42:32,442 --> 00:42:33,392 after he died. 701 00:42:41,730 --> 00:42:42,826 Jesus walks, huh? 702 00:42:51,432 --> 00:42:52,382 Merry Christmas. 703 00:42:57,000 --> 00:43:02,000 Transcript: FRM - Synchro: jh26 www.sub-way.fr 9999 00:00:0,500 --> 00:00:2,00 www.tvsubtitles.net