1 00:00:03,087 --> 00:00:04,881 I'm okay. Let's just go home. 2 00:00:05,006 --> 00:00:06,382 You're getting checked out. 3 00:00:07,049 --> 00:00:10,636 I tripped on the ice. Eight other kids tripped. This is embarrassing. 4 00:00:10,761 --> 00:00:13,014 You said you were just going to hang with your friends. 5 00:00:13,472 --> 00:00:16,559 I turn around, and you're out there on the ice. 6 00:00:16,934 --> 00:00:18,060 I'm fine. 7 00:00:18,394 --> 00:00:19,770 You don't know that. 8 00:00:19,896 --> 00:00:22,148 You fell awkwardly. 9 00:00:22,273 --> 00:00:23,524 No, I didn't. 10 00:00:23,649 --> 00:00:24,817 You don't know how to fall. 11 00:00:25,193 --> 00:00:27,069 I'm 16. I've been falling a lot. 12 00:00:27,195 --> 00:00:30,156 I think I'm getting the hang of it. And I checked. 13 00:00:33,576 --> 00:00:35,119 And now the doctors are going to check. 14 00:00:35,536 --> 00:00:37,914 You don't think that you're overreacting? 15 00:00:38,039 --> 00:00:39,916 I don't need you to fix every booboo. 16 00:00:40,041 --> 00:00:41,459 Then stop getting them. 17 00:00:41,584 --> 00:00:43,961 I was just playing around with my friends. I was having fun. 18 00:00:44,086 --> 00:00:45,254 You know you can't do that. 19 00:00:45,379 --> 00:00:46,672 Oh, I can't have fun. 20 00:00:46,797 --> 00:00:50,760 You know what I mean. I'm going to have a talk with your friends. 21 00:00:51,177 --> 00:00:52,511 - No! - They need to stop. 22 00:00:52,637 --> 00:00:55,181 No, I don't want you freaking them out. 23 00:00:57,808 --> 00:00:59,977 Fine. Fine, we'll go to the hospital, 24 00:01:00,102 --> 00:01:00,978 but they're going to tell you that I'm fine, 25 00:01:01,103 --> 00:01:03,743 and they're going to tell you that you don't need to worry about... 26 00:01:04,732 --> 00:01:06,067 Mom! 27 00:01:42,687 --> 00:01:43,938 Mom? 28 00:01:45,564 --> 00:01:46,649 Mom? 29 00:01:50,528 --> 00:01:51,904 Hello? 30 00:02:03,624 --> 00:02:08,504 Mom, you gotta wake up. No one's coming. Mom! 31 00:02:17,179 --> 00:02:18,681 Woman: 911, what's your emergency? 32 00:02:19,015 --> 00:02:22,560 We got into an accident along the canal road just outside Kingston. 33 00:02:23,060 --> 00:02:24,312 My mom's unconscious. 34 00:02:25,146 --> 00:02:26,522 Are you hurt? 35 00:02:28,858 --> 00:02:30,359 I'm fine. 36 00:02:34,113 --> 00:02:36,699 Mom? Mom? 37 00:03:18,574 --> 00:03:19,575 Where's foreman? 38 00:03:19,700 --> 00:03:20,993 He's down here somewhere. 39 00:03:21,410 --> 00:03:23,579 "Somewhere." very helpful. 40 00:03:23,704 --> 00:03:26,582 Do you have any idea when he's getting out tonight? 41 00:03:26,707 --> 00:03:28,042 Sometime. 42 00:03:28,167 --> 00:03:29,502 I realize you can't predict. 43 00:03:29,627 --> 00:03:33,089 I just thought you might be able to estimate. It's Valentine's day. 44 00:03:33,214 --> 00:03:34,715 I've planned a surprise getaway. 45 00:03:34,840 --> 00:03:36,092 Get away. 46 00:03:37,968 --> 00:03:38,969 Get away. 47 00:03:40,471 --> 00:03:42,306 Get away. 48 00:03:47,645 --> 00:03:48,687 Is my mom okay? 49 00:03:49,230 --> 00:03:50,481 She's gone to surgery. 50 00:03:54,193 --> 00:03:58,614 Foreman, your girlfriend wants to know if you're available for Valentine's. 51 00:03:58,739 --> 00:04:02,201 Act surprised. What are you doing down here? 52 00:04:02,326 --> 00:04:05,454 There's a snowstorm. Er's short-staffed. We're all supposed to be here. 53 00:04:05,579 --> 00:04:08,707 You're supposed to be here. You're an ass. Act surprised. 54 00:04:10,501 --> 00:04:12,628 This could sting a little. 55 00:04:15,923 --> 00:04:17,633 - Can we hurry this up? - Make sure that... 56 00:04:17,758 --> 00:04:21,095 Take your time. What's your name? 57 00:04:22,304 --> 00:04:24,432 Hannah morganthal. 58 00:04:25,099 --> 00:04:27,518 You have cipa, Hannah morganthal. 59 00:04:28,144 --> 00:04:29,186 No, I don't. 60 00:04:29,311 --> 00:04:32,481 We have to do x-rays to make sure you don't have internal injuries, 61 00:04:32,606 --> 00:04:34,150 blood tests to make sure no infections. 62 00:04:34,275 --> 00:04:39,780 Eeg for neurological anomalies and biopsy a spinal nerve. 63 00:04:40,364 --> 00:04:44,577 Congenital insensitivity to pain is one of the rarest conditions on the planet. 64 00:04:44,702 --> 00:04:46,871 There's only been about 60 documented cases. 65 00:04:46,996 --> 00:04:51,250 Yeah, and I have seven reasons to think that she's one of them. 66 00:04:51,375 --> 00:04:52,585 She says she's not. 67 00:04:52,710 --> 00:04:54,503 And that's reason number one. 68 00:04:54,628 --> 00:04:56,348 She knew what it was without us telling her. 69 00:04:56,755 --> 00:05:01,510 Two, she's still wet from the snow. She's not shivering. That's odd, 70 00:05:01,635 --> 00:05:03,888 unless she can't sweat or feel hot and cold. 71 00:05:04,096 --> 00:05:05,931 The ambulance was warm. 72 00:05:06,056 --> 00:05:07,099 I want to see my mother. 73 00:05:07,266 --> 00:05:09,059 Three, scarring around the lips and tongue. 74 00:05:09,727 --> 00:05:12,354 When she was a baby, she chewed on herself without feeling it. 75 00:05:12,480 --> 00:05:13,957 I fell through a window when I was a kid. 76 00:05:13,981 --> 00:05:15,649 Four, when you cleaned the wound, 77 00:05:15,774 --> 00:05:18,319 she flexed into the cleaner instead of away from it. 78 00:05:18,736 --> 00:05:21,572 It's hard to fake pain when you've never felt it. 79 00:05:21,697 --> 00:05:24,783 It takes an imaginative leap, Ms. Morganthal. 80 00:05:24,909 --> 00:05:26,869 That's one of them Jew names. 81 00:05:27,995 --> 00:05:30,206 Ashkenazis are a higher-risk group. 82 00:05:30,331 --> 00:05:32,541 On the other hand, she says she doesn't have it, 83 00:05:32,666 --> 00:05:35,127 and she'd be dead by now if she'd never been diagnosed. 84 00:05:35,252 --> 00:05:38,589 They killed our lord. You're going to trust them? 85 00:05:39,840 --> 00:05:42,426 She wants to see her mom. She admits having cipa, 86 00:05:42,551 --> 00:05:45,596 she knows we're not letting her go anywhere without a battery of tests. 87 00:05:45,721 --> 00:05:46,972 You said you had seven reasons. 88 00:05:47,097 --> 00:05:48,807 I pulled a number out of the air. 89 00:05:48,933 --> 00:05:50,226 What, five isn't enough? 90 00:05:50,351 --> 00:05:52,186 Five lame reasons aren't. 91 00:05:52,311 --> 00:05:54,355 I'm taking her to see her mom as soon as... 92 00:05:56,649 --> 00:05:59,109 I can hit her again if six isn't enough. 93 00:06:01,403 --> 00:06:03,405 Do the tests. 94 00:06:06,325 --> 00:06:08,911 Need to bail on the er. I got a case. 95 00:06:12,540 --> 00:06:13,660 Why are you wearing perfume? 96 00:06:14,041 --> 00:06:15,125 Is this a real case 97 00:06:15,251 --> 00:06:18,087 or one of those imaginary cases that happen when you're bored? 98 00:06:18,212 --> 00:06:19,838 Cipa. 99 00:06:19,964 --> 00:06:21,590 Cipa is a diagnosis. 100 00:06:22,716 --> 00:06:25,511 Diagnoses happen at the end of cases. 101 00:06:25,636 --> 00:06:27,846 She's got no idea what's going on in her body. 102 00:06:27,972 --> 00:06:29,282 There's bound to be something wrong. 103 00:06:29,306 --> 00:06:31,076 In other words, she could be perfectly healthy, 104 00:06:31,100 --> 00:06:33,769 but you're curious about someone who can't feel pain 105 00:06:33,894 --> 00:06:36,730 because you always feel pain, so you want to go exploring. 106 00:06:37,690 --> 00:06:39,441 She was in a car accident. 107 00:06:39,567 --> 00:06:42,778 She needs x-rays, blood tests, eeg, nerve biopsy. 108 00:06:42,903 --> 00:06:46,365 I also note that, although snow is coming down in sheets this morning, 109 00:06:46,490 --> 00:06:49,535 you left your hat at home, and you used earmuffs. 110 00:06:49,660 --> 00:06:50,953 Do your tests, except for the... 111 00:06:51,078 --> 00:06:53,348 So while everyone else was just worrying about getting in, 112 00:06:53,372 --> 00:06:55,499 you were concerned with hat head. 113 00:06:57,501 --> 00:07:00,087 Blind dates are never a good idea. 114 00:07:00,546 --> 00:07:04,842 Only reason to wear a scarf like that is as a beacon to identify you in a crowd. 115 00:07:05,634 --> 00:07:07,678 Do your tests, except for the nerve biopsy. 116 00:07:07,803 --> 00:07:09,963 - I need the nerve biopsy. - You'd risk paralyzing her. 117 00:07:10,014 --> 00:07:11,181 It's neurological. 118 00:07:11,307 --> 00:07:13,183 You have no evidence of that. 119 00:07:13,309 --> 00:07:14,935 She tripped. 120 00:07:15,936 --> 00:07:17,813 Do you have any evidence, other than the fact 121 00:07:17,938 --> 00:07:21,066 that a typically clumsy cipa patient tripped on an icy day? 122 00:07:23,611 --> 00:07:26,905 If the eeg reveals a problem, we can talk then. 123 00:07:31,619 --> 00:07:33,305 Could have left the scarf at home and just told him 124 00:07:33,329 --> 00:07:35,205 you'd be wearing a look of desperation. 125 00:07:39,335 --> 00:07:41,503 Spiking on leads c-3 and 0-2. 126 00:07:41,629 --> 00:07:42,772 She could be going into a seizure. 127 00:07:42,796 --> 00:07:45,090 Hannah: Hello? I think there's a simpler explanation. 128 00:07:45,215 --> 00:07:50,012 You're not going to find anything. I'm fine! I want to see my mom! 129 00:07:50,929 --> 00:07:52,097 So sedate her. 130 00:07:52,222 --> 00:07:53,599 She won't consent. 131 00:07:53,724 --> 00:07:54,892 She's a teenager. 132 00:07:55,017 --> 00:07:56,894 No dad. Mom's still in surgery. 133 00:07:57,019 --> 00:07:59,063 What do you want us to do? Hold her down? 134 00:07:59,188 --> 00:08:02,068 Well, only until you inject her with a sedative. Then you can let her go. 135 00:08:02,191 --> 00:08:03,400 We tried. 136 00:08:03,525 --> 00:08:04,526 Seriously? 137 00:08:04,652 --> 00:08:07,529 She's strong and doesn't care. We'd have broken something 138 00:08:07,655 --> 00:08:09,633 before we can get her to sit still enough to inject her. 139 00:08:09,657 --> 00:08:12,284 So break her arm. She won't mind. 140 00:08:12,868 --> 00:08:15,162 - You're cranky. - I'm in pain. 141 00:08:16,705 --> 00:08:18,874 Come on, let's go break her arm. 142 00:08:21,627 --> 00:08:25,506 Nurse shortie, your biznitch, how long are you going to waste her time? 143 00:08:25,631 --> 00:08:27,299 I'm so glad we're walking somewhere. 144 00:08:27,424 --> 00:08:29,235 Another 60 feet, and this conversation is over. 145 00:08:29,259 --> 00:08:31,859 When you guys are out of this program, Cameron will find somebody, 146 00:08:31,887 --> 00:08:35,474 chase will find eight somebodies, and you'll be alone. 147 00:08:35,599 --> 00:08:37,601 Thirty feet. You'll date, and you'll date, 148 00:08:37,726 --> 00:08:40,437 but you're the ultimate dawvinian. You have to fight for everything. 149 00:08:40,562 --> 00:08:42,481 - Anybody else would just slow you down. - Yeah. 150 00:08:42,606 --> 00:08:43,667 I'm still with her, aren't I? 151 00:08:43,691 --> 00:08:44,775 Yeah. 152 00:08:44,900 --> 00:08:47,754 I can only imagine it's because she hasn't given you an excuse to break up, 153 00:08:47,778 --> 00:08:51,240 and you don't have the guts to recognize your own reality. 154 00:08:52,074 --> 00:08:54,576 I want to see my mother. 155 00:08:54,702 --> 00:08:55,703 Hi again. 156 00:08:56,787 --> 00:08:58,890 I'm sure I could say this without being condescending, 157 00:08:58,914 --> 00:09:01,184 but then you'd get the false impression that I respect you, 158 00:09:01,208 --> 00:09:05,713 so you're a kid, you're scared, you're stalling, grow up. 159 00:09:06,004 --> 00:09:08,632 I'm not scared. I'm never scared. 160 00:09:08,757 --> 00:09:11,218 See? How juvenile was that? 161 00:09:11,343 --> 00:09:14,388 You can't feel pain. Nothing left but pleasure. 162 00:09:14,513 --> 00:09:16,306 Why don't you tell me how wonderful that is? 163 00:09:16,432 --> 00:09:17,516 It sucks. 164 00:09:17,641 --> 00:09:19,119 Better than being in pain all the time. 165 00:09:19,143 --> 00:09:20,728 Get in the chair. 166 00:09:20,853 --> 00:09:22,688 Every morning, I have to check my eyes 167 00:09:22,813 --> 00:09:24,813 to make sure I didn't scratch a cornea in my sleep. 168 00:09:24,857 --> 00:09:28,110 Oh, god, stop. I'm in a pool of tears here. 169 00:09:28,444 --> 00:09:29,444 I can't cry. 170 00:09:29,528 --> 00:09:30,612 Neither can I. 171 00:09:31,655 --> 00:09:35,492 Every morning, I check my eyes forjaundice 172 00:09:35,617 --> 00:09:37,661 in case the Vicodin's finally shot my liver. 173 00:09:38,203 --> 00:09:40,497 I can't run anywhere without examining all my toes 174 00:09:40,622 --> 00:09:42,583 - for swelling. - I can't run. 175 00:09:42,708 --> 00:09:45,169 Boys can't hold me for too long because I can overheat. 176 00:09:45,294 --> 00:09:48,005 Girls can't hold me for too long because I only pay for an hour. 177 00:09:48,589 --> 00:09:52,301 I need an alarm on my watch to remind me to go to the bathroom. 178 00:09:52,426 --> 00:09:54,906 Know how many humiliating experiences before I thought of that? 179 00:09:54,970 --> 00:09:57,848 Bathroom is 50 feet from my office. Every drink of water, 180 00:09:57,973 --> 00:09:59,224 I weigh the pros and cons. 181 00:09:59,349 --> 00:10:01,477 After everything I do, I self-check. 182 00:10:01,602 --> 00:10:04,772 Mouth, tongue, gums for cuts, count teeth, check temperature, 183 00:10:04,897 --> 00:10:07,816 fingers, toes and joints for swelling, skin for bruises. 184 00:10:07,941 --> 00:10:08,941 Igotshot 185 00:10:14,573 --> 00:10:18,118 I sat on a stove when I was three. Want to see the coil marks? 186 00:10:18,243 --> 00:10:19,745 - Yeah. - You think I'm lying? 187 00:10:19,870 --> 00:10:21,765 You think I would just want to check out your tuchus, 188 00:10:21,789 --> 00:10:23,665 as your people would say? 189 00:10:31,673 --> 00:10:37,221 Put her in the chair and run the test. If she moves again, give her nitrous. 190 00:10:37,346 --> 00:10:39,824 You weren't shot because of leg pain. You were shot because you're a jerk. 191 00:10:39,848 --> 00:10:42,309 Some think the two are connected. 192 00:10:50,067 --> 00:10:51,443 He didn't have to do that. 193 00:10:51,568 --> 00:10:53,070 Yeah, he did. 194 00:10:53,195 --> 00:10:54,488 I'm sick? 195 00:10:54,613 --> 00:10:56,448 No, your eeg was normal. 196 00:10:56,573 --> 00:10:58,367 X-ray showed no break. 197 00:10:58,492 --> 00:11:00,652 Blood tests showed no infections. Urine indicated no... 198 00:11:01,703 --> 00:11:02,703 Hannah? 199 00:11:04,498 --> 00:11:07,376 Call a code! Oh, god. 200 00:11:07,960 --> 00:11:09,878 Need ice packs and cooling blankets. 201 00:11:11,421 --> 00:11:13,298 - Got saline in there? - She's not flushed. 202 00:11:13,423 --> 00:11:14,734 She's not sweating. You must be... 203 00:11:14,758 --> 00:11:15,968 She has a temperature of 105. 204 00:11:33,569 --> 00:11:35,404 Wow, she's actually sick. 205 00:11:35,529 --> 00:11:38,156 We got her temperature down below boiling. It could be infection. 206 00:11:38,282 --> 00:11:41,535 No, lp showed normal proteins and no white blood cells. 207 00:11:41,660 --> 00:11:43,912 High bilirubin. Could be a liver problem. 208 00:11:44,037 --> 00:11:46,790 - Nope, transaminases were normal. - Could be drugs. 209 00:11:46,915 --> 00:11:48,417 She's smoked pot since she was 11. 210 00:11:48,542 --> 00:11:50,127 No again. Tox screen was clean. 211 00:11:50,252 --> 00:11:51,545 We're doing this case backwards. 212 00:11:51,670 --> 00:11:53,189 We do the tests, and then she gets sick? 213 00:11:53,213 --> 00:11:56,174 Maybe we did something to her. Maybe she got sick after the tests. 214 00:11:56,300 --> 00:11:58,093 We should rerun them. 215 00:11:58,969 --> 00:12:01,305 And biopsy a spinal nerve. 216 00:12:03,432 --> 00:12:05,512 You want to risk paralysis because she's got a fever? 217 00:12:06,268 --> 00:12:09,479 I want to risk paralysis because I don't know what's causing the fever. 218 00:12:09,605 --> 00:12:11,315 - If it's neurological... - It's a fever. 219 00:12:11,440 --> 00:12:15,944 In a cipa patient. Obviously things are different in her upstairs wiring. 220 00:12:16,069 --> 00:12:18,071 And have been since the day she was born. 221 00:12:18,238 --> 00:12:19,698 Yeah, it's much more likely 222 00:12:19,823 --> 00:12:22,409 that whatever it is was cleverly waiting and hiding 223 00:12:22,534 --> 00:12:23,814 until you guys were done testing. 224 00:12:24,077 --> 00:12:24,912 Where are you going? 225 00:12:25,078 --> 00:12:27,372 You're all against this, right? 226 00:12:27,539 --> 00:12:31,501 And you're all going to stand on principle and refuse to do it, right? 227 00:12:32,794 --> 00:12:35,339 I'm going to get cuddy's approval. 228 00:12:37,883 --> 00:12:41,261 Cameron: How long are we going to keep Hannah in the dark about her mother? 229 00:12:41,386 --> 00:12:42,888 Chase: Long as possible. 230 00:12:43,430 --> 00:12:45,307 Side airbags should be standard. 231 00:12:45,432 --> 00:12:47,267 I'm sure she'll agree. 232 00:12:48,894 --> 00:12:51,063 She should know her mother's situation. 233 00:12:52,189 --> 00:12:55,525 Breaking that news is that surgeon's problem. 234 00:12:56,401 --> 00:12:57,694 Any word from house? 235 00:12:59,112 --> 00:13:02,240 Well, maybe cuddy will say no. 236 00:13:02,783 --> 00:13:03,784 Cuddy never says no. 237 00:13:03,909 --> 00:13:05,118 That's not true. 238 00:13:05,243 --> 00:13:08,163 Nobody ever says no. We don't say no. 239 00:13:08,288 --> 00:13:09,414 You don't say no. 240 00:13:09,539 --> 00:13:11,583 He'll come back. He'll browbeat us. 241 00:13:11,708 --> 00:13:13,728 He'll give us seven reasons, and eventually we'll fold. 242 00:13:13,752 --> 00:13:15,796 We all will, not just me. 243 00:13:17,464 --> 00:13:19,883 The only way we can avoid biopsying this kid's spine 244 00:13:20,008 --> 00:13:21,510 is to find the answer some other way. 245 00:13:21,635 --> 00:13:23,512 All the tests were negative. 246 00:13:23,637 --> 00:13:24,763 We need a better history. 247 00:13:25,180 --> 00:13:26,580 How much more papewvork do you need? 248 00:13:26,682 --> 00:13:29,559 We've got pediatric records, a few dozen er records, 249 00:13:29,685 --> 00:13:31,812 our own admission questionnaire. 250 00:13:32,562 --> 00:13:33,581 What's the first question? 251 00:13:33,605 --> 00:13:35,440 Insurance coverage. 252 00:13:35,565 --> 00:13:36,650 Okay, second question. 253 00:13:36,775 --> 00:13:38,568 Just make your point. 254 00:13:39,945 --> 00:13:41,655 "Where does it hurt?" 255 00:13:42,030 --> 00:13:43,910 If we knew where it hurt, we could diagnose her. 256 00:13:44,032 --> 00:13:46,243 You do know cipa means she can't feel pain. 257 00:13:46,368 --> 00:13:49,121 No, cipa means she's insensitive to pain. 258 00:13:49,246 --> 00:13:51,641 She still has scattered nerve fibers that could conduct pain, 259 00:13:51,665 --> 00:13:53,583 but the signals don't make it to the brain. 260 00:13:54,209 --> 00:13:58,588 What if we give her more pain signals, a lot more pain signals? 261 00:13:58,714 --> 00:14:00,274 Maybe some of them will make it through. 262 00:14:00,424 --> 00:14:01,550 You want to torture her? 263 00:14:04,094 --> 00:14:06,430 Yes, we do this to anybody else, it's torture. 264 00:14:06,555 --> 00:14:08,974 Doing it to her is no different than pricking a finger. 265 00:14:09,558 --> 00:14:11,393 We keep poking sharp sticks into her, 266 00:14:11,518 --> 00:14:16,356 eventually we'll find the part that's already tender. 267 00:14:18,734 --> 00:14:21,903 So what does a Dean of medicine do? 268 00:14:22,029 --> 00:14:24,281 Oh, can we please not talk about that? 269 00:14:24,406 --> 00:14:27,451 I will talk about anything else. I'm just trying to get away from work. 270 00:14:27,743 --> 00:14:31,997 Metaphorically, because geographically, the coffee place 271 00:14:32,122 --> 00:14:33,522 around the corner from the hospital 272 00:14:33,582 --> 00:14:35,250 probably isn't the furthest you could get. 273 00:14:35,375 --> 00:14:36,626 Well, the snow! 274 00:14:36,752 --> 00:14:37,878 The roads are clearing, 275 00:14:38,920 --> 00:14:42,049 but it's a good place to beat a retreat from. 276 00:14:43,717 --> 00:14:46,094 You usually expect your dates to go wrong? 277 00:14:46,219 --> 00:14:48,388 Experience has taught me to have an escape route. 278 00:14:48,513 --> 00:14:50,932 Well, low expectations, that's in my favor. 279 00:14:59,274 --> 00:15:02,152 Whatever happens, I need you to understand 280 00:15:02,277 --> 00:15:05,989 that there are certain aspects to my life I'm not happy about. 281 00:15:06,948 --> 00:15:08,784 Need a nerve biopsy. 282 00:15:09,534 --> 00:15:11,995 And you had to come here personally to tell me that? 283 00:15:12,120 --> 00:15:13,560 And how did you even know I was here? 284 00:15:13,663 --> 00:15:14,663 I had to bring the file, 285 00:15:15,749 --> 00:15:19,669 and this was the most noncommittal location in walking distance. 286 00:15:19,920 --> 00:15:23,340 You left your car keys in your desk. Greg house. 287 00:15:24,382 --> 00:15:26,551 You two must have met online. 288 00:15:26,676 --> 00:15:28,996 Either that, or you've got a friend who secretly hates you. 289 00:15:30,931 --> 00:15:32,432 Don herrick. 290 00:15:33,433 --> 00:15:37,270 Yeah, we connected through singleballroomdancelovers.Com. 291 00:15:41,066 --> 00:15:43,068 Why would he volunteer that information? 292 00:15:43,527 --> 00:15:44,569 Why would I hide it? 293 00:15:44,694 --> 00:15:47,948 You didn't tell him that anything he said would be held against you? 294 00:15:48,448 --> 00:15:49,728 So what line of work are you in? 295 00:15:49,825 --> 00:15:52,911 Auto maintenance, changing oil and filters. 296 00:15:53,703 --> 00:15:57,499 Great, 'cause my place overcharges. Can't trust anything you guys say. 297 00:15:57,624 --> 00:15:58,625 Where are you located? 298 00:15:58,750 --> 00:16:01,837 In 14 states. I own eastern lube. 299 00:16:06,967 --> 00:16:10,554 Most cipa complications are infection, and she's got a fever. 300 00:16:10,679 --> 00:16:12,556 Lp? Urine? 301 00:16:12,681 --> 00:16:14,307 Clean. Normal. 302 00:16:14,432 --> 00:16:16,268 Same with the white-blood-cell count. 303 00:16:16,393 --> 00:16:18,270 - Cancer? - Nothing on the scan. 304 00:16:18,395 --> 00:16:20,581 I think it's her nerves messing with the temperature control. 305 00:16:20,605 --> 00:16:22,899 Amyloid, sarcoid, there's a lot of candidates. 306 00:16:23,441 --> 00:16:24,776 I want a biopsy. 307 00:16:24,901 --> 00:16:27,070 Fine, if that's what you need, go get it. 308 00:16:31,741 --> 00:16:32,901 He seems a lot nicer 309 00:16:32,951 --> 00:16:36,204 than that one from wiccaneedsadaddyfigure.Com. 310 00:16:44,254 --> 00:16:47,340 Chase: One of these is warm, 311 00:16:47,465 --> 00:16:50,385 and the other is very hot. 312 00:16:51,386 --> 00:16:56,183 Start here. Move to the hot one. Just a few seconds, then back. 313 00:16:56,308 --> 00:16:58,748 We're going to monitor activity in your brain while you do it. 314 00:16:59,644 --> 00:17:04,399 If you feel any response to the heat, it could indicate a vascular problem. 315 00:17:09,946 --> 00:17:11,948 How's m y m om doi ng? 316 00:17:12,073 --> 00:17:14,743 She's okay. Do you feel anything? 317 00:17:17,996 --> 00:17:19,164 What does "okay" mean? 318 00:17:19,706 --> 00:17:20,916 She's still in surgery. 319 00:17:21,041 --> 00:17:22,334 They tell me it's going okay. 320 00:17:22,459 --> 00:17:24,211 Can you take your hand out? 321 00:17:24,336 --> 00:17:25,754 And you didn't ask anything else? 322 00:17:26,713 --> 00:17:28,173 Take your hand out of the water. 323 00:17:28,840 --> 00:17:30,759 What's going on with my mother? 324 00:17:33,303 --> 00:17:34,303 Hannah! 325 00:17:36,473 --> 00:17:38,975 You just got second-degree burns. 326 00:17:39,935 --> 00:17:43,897 I'll be fine. What's going on with my mother? Is she going to die? 327 00:17:44,022 --> 00:17:46,441 They said she's okay. Surgery this long 328 00:17:46,566 --> 00:17:48,860 is typical when there are internal injuries. 329 00:17:51,279 --> 00:17:53,240 Foreman: Naloxone and kinase proteins in. 330 00:17:53,615 --> 00:17:55,450 And that's going to make me feel pain? 331 00:17:55,575 --> 00:17:58,221 I didn't feel anything when you guys screwed this thing into my head. 332 00:17:58,245 --> 00:18:01,665 It'll replace missing chemicals in your nerves, heighten sensitivity. 333 00:18:01,790 --> 00:18:03,830 We're going to be drilling directly into your skull. 334 00:18:04,251 --> 00:18:06,753 A response should indicate sarcoma. 335 00:18:06,878 --> 00:18:08,421 What does it feel like? 336 00:18:08,546 --> 00:18:10,507 It hurts. 337 00:18:12,384 --> 00:18:13,802 I'm sorry. 338 00:18:15,971 --> 00:18:18,682 Bone pain is the worst there is, so you need 339 00:18:18,807 --> 00:18:20,527 to let me know as soon as you feel anything. 340 00:18:21,476 --> 00:18:22,686 She's ready. 341 00:18:23,937 --> 00:18:26,523 So, what, I just sit here while you guys drill a hole in me? 342 00:18:29,192 --> 00:18:30,193 You wanna talk? 343 00:18:32,195 --> 00:18:35,699 Just you and your mom, huh? You two must be pretty close. 344 00:18:35,824 --> 00:18:39,744 We were, until I got arrested. Third time. 345 00:18:40,412 --> 00:18:41,913 - Drugs? - Fights. 346 00:18:43,164 --> 00:18:44,164 You got an advantage. 347 00:18:44,416 --> 00:18:46,334 Not really. Never know when to stop. 348 00:18:47,002 --> 00:18:51,047 You piss a lot of people off, or are you just trying to piss off your mom? 349 00:18:51,172 --> 00:18:53,675 Those are pretty much the only two choices you have. 350 00:18:58,471 --> 00:19:03,310 Hannah? You want us to stop? Stop the drill! Stop the drill! 351 00:19:11,735 --> 00:19:13,903 It's okay. What did you feel? 352 00:19:15,280 --> 00:19:18,867 Where did you feel it? Hannah, I need to know how it hurt. 353 00:19:26,333 --> 00:19:27,500 Hannah! 354 00:19:33,006 --> 00:19:35,967 I am so tired of this. Did you know 355 00:19:36,092 --> 00:19:38,845 that the new nurse from cardiology is sleeping with that weird lawyer 356 00:19:38,970 --> 00:19:39,971 from the board? 357 00:19:40,096 --> 00:19:41,139 The guy with 11 fingers? 358 00:19:41,890 --> 00:19:43,058 He has 11 fingers? 359 00:19:43,975 --> 00:19:45,393 How do you not notice that? 360 00:19:47,228 --> 00:19:49,314 The nurse used to be a man. 361 00:19:50,190 --> 00:19:52,275 - She's not anymore? - But we can't talk about that. 362 00:19:52,400 --> 00:19:54,295 - I thought we were. - We were supposed to talk about that. 363 00:19:54,319 --> 00:19:57,864 I came here to talk about that, but on the way up, I ran into Cameron. 364 00:19:57,989 --> 00:20:00,283 You've got a cipa patient? 365 00:20:00,408 --> 00:20:02,327 Tranny nurse is more interesting. 366 00:20:02,452 --> 00:20:05,663 Oh, it's way more interesting, but instead I've got to be your conscience. 367 00:20:05,789 --> 00:20:08,434 I'm tired of being your conscience. I don't enjoy being your conscience. 368 00:20:08,458 --> 00:20:10,058 - No one enjoys... - You're studying her. 369 00:20:10,418 --> 00:20:11,252 She's actually sick. 370 00:20:11,378 --> 00:20:13,588 Which you found out after you took her on. 371 00:20:13,713 --> 00:20:16,800 I was curious. Since I'm not a cat, that's not dangerous. 372 00:20:16,925 --> 00:20:20,136 I don't think that metaphor was designed to actually warn cats. 373 00:20:20,512 --> 00:20:22,490 You don't care about her illness. You care about cipa, 374 00:20:22,514 --> 00:20:25,809 which means your focus is going to be on getting your answers, not hers. 375 00:20:25,934 --> 00:20:28,395 Thank you. Forewarned is forearmed. 376 00:20:28,520 --> 00:20:30,280 What do you think you're going to figure out? 377 00:20:30,355 --> 00:20:34,359 Do you think her lack of pain is somehow the answer to your pain? 378 00:20:34,484 --> 00:20:36,945 I think if you'd stop talking to Cameron, 379 00:20:37,070 --> 00:20:40,615 then right now we could be ranking nurses in order of do-ability. 380 00:20:41,366 --> 00:20:43,135 - I need you. - What did the nerve biopsy show? 381 00:20:43,159 --> 00:20:44,387 - Never did it. - Well, then do it. 382 00:20:44,411 --> 00:20:45,787 - Can't. - Why? 383 00:20:45,912 --> 00:20:47,539 She's gonna jump off the lobby balcony. 384 00:20:48,373 --> 00:20:49,582 You think I can catch her? 385 00:20:54,379 --> 00:20:56,423 - Get away from me! - I'm not gonna hurt you. 386 00:20:56,548 --> 00:20:59,259 Yes, you are. You'rejust jealous I can do anything. 387 00:20:59,384 --> 00:21:01,302 Hannah, you're having a paranoid delusion. 388 00:21:01,428 --> 00:21:02,303 I don't believe you. 389 00:21:02,429 --> 00:21:03,763 Did you think she would? 390 00:21:03,888 --> 00:21:07,267 This is real. You want me to be in pain. You even said so. 391 00:21:07,392 --> 00:21:09,894 If we wanted to hurt you, we'd let you jump. 392 00:21:10,019 --> 00:21:11,688 Just let me see my mother. 393 00:21:11,813 --> 00:21:14,441 Fine, we'll take you to our or observation room. 394 00:21:14,566 --> 00:21:16,443 - I don't believe you! - Your mother is fine. 395 00:21:16,568 --> 00:21:18,653 - I just spoke to her surgeon. - I don't believe you! 396 00:21:18,778 --> 00:21:22,407 Hannah, what do you want from us? What do you want us to do? 397 00:21:23,950 --> 00:21:24,993 I can't feel my legs. 398 00:21:25,118 --> 00:21:27,358 You're trying to pull the same stunt twice in 10 minutes. 399 00:21:27,454 --> 00:21:31,958 I'm not pretending. They don't hurt. They're just... they're... 400 00:21:48,099 --> 00:21:50,435 Anything? We're not looking for pain. 401 00:21:50,560 --> 00:21:51,853 Anything at all? Pressure? 402 00:21:51,978 --> 00:21:53,104 Nothing. 403 00:21:53,229 --> 00:21:56,816 You have six broken bones, a fever, a concussion, erratic heart rhythms 404 00:21:56,941 --> 00:21:59,444 and a complete lack of sensation below the waist. 405 00:21:59,569 --> 00:22:01,654 I feel fine. 406 00:22:02,614 --> 00:22:05,283 Is my mother out of surgery yet? 407 00:22:05,408 --> 00:22:06,784 Not yet. 408 00:22:07,744 --> 00:22:10,121 This is excellent. 409 00:22:10,246 --> 00:22:12,165 The paranoia seems to have dissipated, 410 00:22:12,290 --> 00:22:14,685 but her vitals keep getting worse. She could be dead in hours. 411 00:22:14,709 --> 00:22:17,921 But if you're gonna die a miserable, lingering death, 412 00:22:18,046 --> 00:22:20,131 pain-free is the way to do it. 413 00:22:20,256 --> 00:22:22,136 Are we sure the fall didn't cause the paralysis? 414 00:22:22,258 --> 00:22:26,638 The paralysis caused the fall. Spine's clean. No vertebral fractures 415 00:22:26,763 --> 00:22:27,843 or spinal cord compression. 416 00:22:28,181 --> 00:22:29,724 Even better. 417 00:22:29,849 --> 00:22:33,811 The nuttiness and paralysis mean there's definitely a neurological component. 418 00:22:33,937 --> 00:22:35,104 Could be a nerve disease. 419 00:22:35,230 --> 00:22:37,982 Which is why we need to look at the nerve that you didn't biopsy. 420 00:22:38,107 --> 00:22:39,317 There are other tests. 421 00:22:39,442 --> 00:22:41,027 HIV? Syphilis? 422 00:22:42,403 --> 00:22:46,199 She was negative for all stds. Vascular? No, Ana was negative. 423 00:22:46,324 --> 00:22:48,326 Cerebral clot? No, mri was... 424 00:22:48,451 --> 00:22:49,744 Thyroid storm. 425 00:22:52,664 --> 00:22:56,960 Makes sense given her glucose reaction was slow, and potassium's down. 426 00:22:58,086 --> 00:23:02,382 Yeah, I'll check with an endocrinologist. 427 00:23:02,507 --> 00:23:03,507 Bennett's on call. 428 00:23:03,883 --> 00:23:05,051 Perfect. 429 00:23:18,606 --> 00:23:20,692 - No. - Need a consult. 430 00:23:20,817 --> 00:23:22,902 I already okayed your nerve biopsy. 431 00:23:23,027 --> 00:23:24,362 Need an endocrinologist. 432 00:23:24,487 --> 00:23:25,487 Bennett's on call. 433 00:23:25,572 --> 00:23:26,698 Won't pick up. 434 00:23:26,823 --> 00:23:27,967 His cell phone must be broken. 435 00:23:27,991 --> 00:23:29,242 Mine's working. 436 00:23:29,742 --> 00:23:31,160 Had to give you the file. 437 00:23:34,122 --> 00:23:38,376 I assume you're thinking thyroid storm. Have you done a hormone panel? 438 00:23:38,501 --> 00:23:41,087 Normal. Tsh was on the low side. 439 00:23:42,714 --> 00:23:45,341 Is that a cheery fire I hear crackling nearby? 440 00:23:45,466 --> 00:23:48,094 No, what about cpk enzymes? 441 00:23:48,219 --> 00:23:50,013 Elevated, 275. 442 00:23:51,055 --> 00:23:55,643 People light fires for themselves, but then they don't deny it. 443 00:23:57,186 --> 00:23:58,186 He's here? 444 00:23:58,229 --> 00:23:59,522 Cpk isn't high enough. 445 00:23:59,647 --> 00:24:03,192 Potassium's what you'd expect because of the bronchodilators. 446 00:24:03,318 --> 00:24:06,112 Oh, my god! You're not wearing a bra. 447 00:24:06,237 --> 00:24:07,697 It's not thyroid storm. 448 00:24:07,822 --> 00:24:08,822 You just met him. 449 00:24:08,990 --> 00:24:10,199 I like him, 450 00:24:10,325 --> 00:24:13,202 and I like sex. Do I need to stitch a letter on my tops? 451 00:24:13,620 --> 00:24:17,165 No. Might be worth taking out an ad in the local papers. 452 00:24:21,836 --> 00:24:23,921 Do you like me, house? 453 00:24:25,340 --> 00:24:29,093 I was on the phone with Bennett 15 minutes ago. His cell phone's working. 454 00:24:29,218 --> 00:24:32,305 Your mo is to avoid me at all costs, 455 00:24:32,430 --> 00:24:36,434 and suddenly you need my input on every move you make. I can only assume 456 00:24:36,559 --> 00:24:37,639 it's because I'm on a date. 457 00:24:38,102 --> 00:24:39,102 When we met, I noticed... 458 00:24:39,145 --> 00:24:41,785 You noticed he was a shriner because of the way he parted his hair. 459 00:24:41,856 --> 00:24:44,376 You noticed he was a mama's boy because of the way he blinked his left eye. 460 00:24:44,400 --> 00:24:46,444 I'm not interested. I'm not impressed. 461 00:24:47,111 --> 00:24:49,872 There are only two reasons anyone would want to screw with me tonight. 462 00:24:49,989 --> 00:24:51,866 Either they're an altruistic decent person 463 00:24:51,991 --> 00:24:56,954 who's worried about my well-being, or they want me for themselves. 464 00:24:59,791 --> 00:25:01,584 You left out the third option. 465 00:25:01,709 --> 00:25:05,046 Evil bastard who just wants to mess with other people's happiness. 466 00:25:10,093 --> 00:25:11,969 Good night, house. 467 00:25:22,939 --> 00:25:25,024 We won't be bothered again. 468 00:25:27,485 --> 00:25:30,405 It's late. I should go. 469 00:25:30,530 --> 00:25:31,906 Why? 470 00:25:33,324 --> 00:25:35,868 I part my hair on the left, and I'm a shriner? 471 00:25:35,993 --> 00:25:37,870 You heard the conversation? 472 00:25:38,663 --> 00:25:39,872 I'm not interested in him. 473 00:25:40,415 --> 00:25:41,624 I don't blame you. 474 00:25:41,749 --> 00:25:45,002 I only said those things so that he wouldn't come back. 475 00:25:48,297 --> 00:25:51,592 I don't really care about my job. I do it well. 476 00:25:51,718 --> 00:25:55,096 I provide a service, but my goal was always to make enough money 477 00:25:55,221 --> 00:25:59,726 to do the things I really like. Music, travel... 478 00:25:59,851 --> 00:26:02,019 I like those things, too. 479 00:26:02,145 --> 00:26:05,231 You like them, but they're not really important to you. 480 00:26:05,898 --> 00:26:10,903 I don't know whether it's house, your job, or if you just thrive on conflict, 481 00:26:11,028 --> 00:26:14,991 but you should hear yourself when you're talking to him. 482 00:26:16,951 --> 00:26:23,124 Nothing else in the world's going on. You're focused, confident, compelling. 483 00:26:26,169 --> 00:26:32,133 Don't take this the wrong way, but I'd like to go out with that woman. 484 00:26:34,594 --> 00:26:36,763 I can get her on the phone. 485 00:26:49,692 --> 00:26:51,569 Where did you go? She's getting worse. 486 00:26:51,694 --> 00:26:54,530 It's not thyroid storm. Give me a spinal nerve. 487 00:26:54,655 --> 00:26:56,073 There are still other tests. 488 00:26:56,199 --> 00:26:57,759 She just said the girl is getting worse. 489 00:26:57,784 --> 00:26:59,744 You really want to wait? 490 00:27:07,210 --> 00:27:09,563 Cameron: We'll be risking infection, maybe make the paralysis worse. 491 00:27:09,587 --> 00:27:12,965 It is worse, and we're making it worse than worse? Do the biopsy. 492 00:27:13,090 --> 00:27:15,426 We could paralyze her and get no useful information. 493 00:27:15,551 --> 00:27:16,969 Do the biopsy. 494 00:27:17,094 --> 00:27:18,363 If you're thinking peripheral neuropathy, 495 00:27:18,387 --> 00:27:20,157 we should take a nerve a little further away from the spine. 496 00:27:20,181 --> 00:27:22,850 A little further from the truth. We're talking paralysis. 497 00:27:22,975 --> 00:27:25,102 There's a good chance the spine is relevant. 498 00:27:25,228 --> 00:27:28,147 If this thing is progressing, it could kill her in hours. 499 00:27:29,273 --> 00:27:31,526 Give me back my papers. 500 00:27:31,651 --> 00:27:32,931 Is he asking for a spinal nerve? 501 00:27:34,570 --> 00:27:35,905 How did you know? 502 00:27:36,030 --> 00:27:37,073 Give us a minute. 503 00:27:43,538 --> 00:27:47,333 Did you know they recently found a protein that speeds up nerve growth? 504 00:27:47,458 --> 00:27:50,086 Fascinating stuff. If you put that protein 505 00:27:50,211 --> 00:27:52,046 with the insulation from a spinal nerve, 506 00:27:52,171 --> 00:27:54,966 you could grow your own little garden. If that spinal nerve... 507 00:27:55,091 --> 00:27:58,094 Yeah, yeah, yeah, if it happened to come from a person with cipa, 508 00:27:58,219 --> 00:28:02,348 I can grow pain-free nerves and graft them into my own leg. What an evil plan! 509 00:28:02,640 --> 00:28:04,976 You'd have to be on immunosuppressors for life. 510 00:28:05,101 --> 00:28:06,894 Risk of infection, shorter lifespan... 511 00:28:07,019 --> 00:28:08,729 Shorter but normal. 512 00:28:09,856 --> 00:28:14,443 Usually jealousy expresses itself by trying to destroy what someone has. 513 00:28:14,569 --> 00:28:18,197 You're more ambitious. You actually want to change medical fact 514 00:28:18,322 --> 00:28:19,407 to get this thing... 515 00:28:19,532 --> 00:28:21,033 Medical fact changes all the time. 516 00:28:21,158 --> 00:28:22,535 You're risking your patient's life. 517 00:28:22,660 --> 00:28:24,370 That's how medical fact changes. 518 00:28:24,495 --> 00:28:25,496 A doctor risks... 519 00:28:25,621 --> 00:28:29,041 To serve their patient's health, not their own. 520 00:28:29,166 --> 00:28:30,286 This is medically justified. 521 00:28:30,334 --> 00:28:35,965 Are you sure? Are you sure that you're the right one to be making this call? 522 00:28:47,393 --> 00:28:51,105 Biopsy whatever nerve you figure you could safely get at. 523 00:28:51,772 --> 00:28:53,608 God, Wilson's annoying. 524 00:28:56,903 --> 00:28:59,071 Past 3:00 am. On Valentine's day night. 525 00:28:59,405 --> 00:29:02,074 I assume you had a date with Wendy. 526 00:29:02,199 --> 00:29:04,118 She'll survive. She knows the deal. 527 00:29:04,243 --> 00:29:06,120 - You're lucky. - I know. 528 00:29:06,954 --> 00:29:10,791 Someday, when there's time, I would like to actually have a social life. 529 00:29:10,917 --> 00:29:13,044 Someday? Come on. 530 00:29:13,169 --> 00:29:15,963 If there's one thing a good-looking woman can have whenever she wants, 531 00:29:16,088 --> 00:29:17,089 it's a social life. 532 00:29:17,214 --> 00:29:18,925 You mean a sex life. 533 00:29:19,050 --> 00:29:20,970 There's nothing wrong with a little companionship 534 00:29:21,052 --> 00:29:22,428 until the real thing comes along. 535 00:29:22,553 --> 00:29:23,804 I had the real thing. 536 00:29:23,930 --> 00:29:26,223 Forgive me if I don't want to settle. 537 00:29:26,349 --> 00:29:29,018 - Right. - What does that mean? 538 00:29:29,560 --> 00:29:30,561 Nothing. 539 00:29:30,686 --> 00:29:32,647 You think I didn't have the real thing? 540 00:29:32,772 --> 00:29:35,149 I have no idea what you had. 541 00:29:35,274 --> 00:29:36,651 And yet you'rejudging it. 542 00:29:39,070 --> 00:29:41,489 It's late. I'm cranky. Sorry. 543 00:29:41,614 --> 00:29:43,032 I didn't have the real thing. 544 00:29:43,157 --> 00:29:44,408 How could you even know? 545 00:29:44,533 --> 00:29:46,410 You married a dying man. 546 00:29:47,203 --> 00:29:50,706 You thought, "six months, a year, it'll be tough, 547 00:29:50,831 --> 00:29:53,151 "but then I'll recover, and I'll have the rest of my life." 548 00:29:53,250 --> 00:29:57,254 It's like willingly getting the flu or joining the peace corps, short-terrn. 549 00:29:57,380 --> 00:30:01,842 Wow, you nailed it. It's basically like a wasted weekend. 550 00:30:01,968 --> 00:30:04,053 The sacrifices you made were huge, 551 00:30:04,679 --> 00:30:07,098 but they were at the height of your love for him. 552 00:30:07,515 --> 00:30:11,519 Commitment is only commitment because it has no expiration date. 553 00:30:11,644 --> 00:30:16,190 You stand next to someone and watch them floss for 30 years like my parents have, 554 00:30:16,315 --> 00:30:19,819 then ask for sacrifices. That's how you know the real thing. 555 00:30:29,662 --> 00:30:32,957 Cameron, I wasn't criticizing you. 556 00:30:34,625 --> 00:30:39,088 People who avoid commitment are people who know what a big thing it is. 557 00:30:47,096 --> 00:30:48,639 This isn't right. 558 00:30:53,227 --> 00:30:55,312 Cipa can't cause this much degeneration. 559 00:30:55,438 --> 00:30:58,691 A few nerve fibers we teased out of the center have some insulation left, 560 00:30:58,816 --> 00:31:01,402 but the insulation around the bundles has been stripped bare. 561 00:31:01,527 --> 00:31:03,567 Means the damage must be coming from the outside in. 562 00:31:03,654 --> 00:31:05,573 Which means it's secondary demyelination, 563 00:31:05,698 --> 00:31:07,533 which means the source is somewhere else, 564 00:31:07,658 --> 00:31:09,218 which tells us it's not a nerve disease. 565 00:31:09,326 --> 00:31:12,538 It's something systemic that's affecting the nerves, 566 00:31:12,663 --> 00:31:15,374 which means that we need to... 567 00:31:15,499 --> 00:31:17,168 Where are you going? 568 00:31:17,293 --> 00:31:19,086 Kid's mom is finally out of surgery. 569 00:31:21,088 --> 00:31:22,840 I'll be right back. 570 00:31:26,260 --> 00:31:27,386 So what? 571 00:31:27,511 --> 00:31:28,971 Hannah should see her. 572 00:31:29,096 --> 00:31:33,184 Yes, immediately after we're done chatting about saving her life. 573 00:31:33,309 --> 00:31:35,644 Most likely causes are metabolic. 574 00:31:35,770 --> 00:31:38,730 They found brain swelling. They're prepping her mother for another surgery. 575 00:31:38,773 --> 00:31:42,526 Again, so what? Get a nurse to take the kid. 576 00:31:43,152 --> 00:31:45,232 There are more than 60 different metabolic conditions 577 00:31:45,279 --> 00:31:47,841 that could account for what she's got. There's only three of you guys. 578 00:31:47,865 --> 00:31:50,242 - She's scared. - She should be. 579 00:31:50,367 --> 00:31:52,244 She'll die if we don't diagnose her. 580 00:31:52,369 --> 00:31:53,954 So diagnose her. 581 00:32:05,132 --> 00:32:06,258 Mom? 582 00:32:25,444 --> 00:32:29,532 How bad is it? Are you okay? 583 00:32:30,574 --> 00:32:32,535 I'm okay, mom. 584 00:32:33,536 --> 00:32:35,913 I'll get better. I always get better. 585 00:32:36,038 --> 00:32:39,125 Are you checking yourself, your temperature? 586 00:32:41,293 --> 00:32:46,215 Mom, could you just let it go? You shouldn't be worrying. 587 00:32:47,133 --> 00:32:50,052 Baby, I'm sorry. 588 00:32:50,427 --> 00:32:52,721 I should have seen that car coming. 589 00:32:52,930 --> 00:32:57,059 No, mom, I did this to myself. I screwed up. 590 00:32:58,477 --> 00:33:02,273 You were right. You were right, and I was wrong. 591 00:33:02,398 --> 00:33:05,067 No. No. 592 00:33:05,192 --> 00:33:10,322 I shouldn't have gone out on the ice. I shouldn't have fallen down, 593 00:33:12,116 --> 00:33:14,160 and I shouldn't have made you rush me to an er 594 00:33:14,285 --> 00:33:15,828 for the 10th time this year. 595 00:33:22,209 --> 00:33:23,669 Mom? 596 00:33:27,631 --> 00:33:29,675 - Mom? - You okay? 597 00:33:30,551 --> 00:33:32,178 They have to take her back to surgery. 598 00:33:32,303 --> 00:33:35,931 Hannah, your BP is way up. We need to get you some rest. 599 00:33:38,350 --> 00:33:40,352 My hand's wet. 600 00:33:41,020 --> 00:33:43,063 You're crying. 601 00:33:43,189 --> 00:33:44,356 I can't cry. 602 00:33:51,280 --> 00:33:53,407 My head's killing me. 603 00:34:01,707 --> 00:34:04,543 So what does the pain tell us? 604 00:34:04,668 --> 00:34:06,428 No tingling or itching, so we can rule out... 605 00:34:06,503 --> 00:34:09,381 It tells us nothing. It wasn't physical pain. It was emotional. 606 00:34:09,506 --> 00:34:12,760 Exactly. What were they doing when she got the headache? 607 00:34:12,885 --> 00:34:13,928 Saying goodbye. 608 00:34:14,053 --> 00:34:15,596 You said they were arguing. 609 00:34:15,721 --> 00:34:17,657 They weren't really arguing. She was just frustrated. 610 00:34:17,681 --> 00:34:19,225 What were they arguing about? 611 00:34:19,350 --> 00:34:20,768 Whose fault it was. 612 00:34:22,561 --> 00:34:26,899 Peripheral neuropathy, fever and intermittent paranoia. 613 00:34:27,024 --> 00:34:29,610 Lots of metabolic conditions can explain those things. 614 00:34:29,735 --> 00:34:31,487 What if we add guilt? 615 00:34:32,696 --> 00:34:35,199 Guilt? As a symptom? 616 00:34:35,324 --> 00:34:38,494 Alzheimer's can cause euphoria, pain causes depression, 617 00:34:38,619 --> 00:34:42,998 and b12 deficiency causes guilt, along with all that other stuff. 618 00:34:43,123 --> 00:34:46,043 If she felt guilty, she wouldn't be making her mother's life miserable. 619 00:34:46,168 --> 00:34:48,021 She wouldn't be getting in fights, getting arrested. 620 00:34:48,045 --> 00:34:50,256 Maybe she's fighting because she feels guilty. 621 00:34:50,381 --> 00:34:52,817 She's showing her mom she can take stupid risks and still be safe. 622 00:34:52,841 --> 00:34:53,884 Means mom can let go. 623 00:34:54,009 --> 00:34:55,302 Chase: Which is rational. 624 00:34:55,427 --> 00:34:57,429 If guilt is a symptom, it's caused by the illness, 625 00:34:57,554 --> 00:34:59,723 not by a thought process, and it would have to be new. 626 00:34:59,848 --> 00:35:01,488 Couple years ago, she was a model student. 627 00:35:01,517 --> 00:35:03,495 This is pointless. If the headache was caused by guilt, 628 00:35:03,519 --> 00:35:04,770 she has a b12 deficiency. 629 00:35:04,895 --> 00:35:06,895 If it's just because she was sad, it's meaningless. 630 00:35:06,981 --> 00:35:08,274 How the hell do we test for that? 631 00:35:08,399 --> 00:35:09,525 We don't. 632 00:35:09,650 --> 00:35:13,612 Give her a shot of b12. When she gets better, I was right. 633 00:35:13,737 --> 00:35:17,616 We already did. Er gave her b12 when she was admitted, 634 00:35:17,741 --> 00:35:22,579 part of a multivitamin supplement. Apparently, she's just sad. 635 00:35:28,335 --> 00:35:30,087 Why are you still here? 636 00:35:30,212 --> 00:35:33,632 Trying to get a couple pages into a drug trial. Paperwork's due tomorrow. 637 00:35:33,757 --> 00:35:34,842 Why are you here? 638 00:35:34,967 --> 00:35:36,885 Still haven't figured out why. 639 00:35:37,011 --> 00:35:39,430 No, I meant here, in my office. 640 00:35:39,555 --> 00:35:44,059 Just dumped a cool b12 theory. Moved on to leukemia. 641 00:35:45,477 --> 00:35:46,895 Very pedestrian. 642 00:35:47,021 --> 00:35:48,564 I'm not happy. 643 00:35:49,565 --> 00:35:51,525 Her white-blood-cell count was low. 644 00:35:51,650 --> 00:35:55,612 The ones she's got, it's just a lot of eosinophils. 645 00:35:55,738 --> 00:35:57,823 The immunoglobulin e-level's borderline. 646 00:35:57,948 --> 00:36:00,576 If you want to be 100% sure, check the bone marrow. 647 00:36:00,701 --> 00:36:03,078 The team's doing a biopsy right now. 648 00:36:05,497 --> 00:36:09,084 It turns out the weird lawyer knew 649 00:36:09,209 --> 00:36:10,544 that she used to be a man. 650 00:36:10,669 --> 00:36:11,879 And he's cool with that? 651 00:36:12,004 --> 00:36:15,716 Turns out that his previous girlfriend also used to be a man. 652 00:36:17,343 --> 00:36:19,386 Yeah. 653 00:36:24,224 --> 00:36:27,436 Is it possible for you to just watch me eat, 654 00:36:28,604 --> 00:36:32,232 or do you get some primeval thrill out of beating the other hunters 655 00:36:32,358 --> 00:36:33,692 to the food? 656 00:36:42,409 --> 00:36:43,786 See you later. 657 00:36:44,745 --> 00:36:47,164 You still haven't figured out that I don't need sedation? 658 00:36:47,790 --> 00:36:50,667 It's so you don't move during the procedure. 659 00:36:50,959 --> 00:36:54,671 Is that nitrous? What, are you trying to kill her? 660 00:36:55,381 --> 00:36:57,716 We gave her nitrous during the eeg. 661 00:36:57,841 --> 00:36:59,152 That's what made this thing rear its ugly... 662 00:36:59,176 --> 00:37:00,427 What thing? 663 00:37:00,552 --> 00:37:01,762 B12 deficiency. 664 00:37:01,887 --> 00:37:02,763 Are you having déja vu? 665 00:37:02,888 --> 00:37:05,974 We've had this conversation. She was given b12. She didn't get better. 666 00:37:06,100 --> 00:37:09,728 Because someone else ate it. Get an abdominal mri. 667 00:37:09,853 --> 00:37:13,982 What? What are you doing? Don't touch me! 668 00:37:14,191 --> 00:37:15,859 - Don't touch me! - See? There's she goes. 669 00:37:15,984 --> 00:37:18,195 - Don't touch me! - Another paranoid delusion. 670 00:37:19,238 --> 00:37:22,825 At the rate she's going downhill, forget the mri. We need an or. 671 00:37:22,950 --> 00:37:23,992 Leave me alone! 672 00:37:25,744 --> 00:37:26,620 Occupied! 673 00:37:26,745 --> 00:37:27,913 Her hernia can wait. 674 00:37:28,038 --> 00:37:29,665 Help! They're trying to kill me! 675 00:37:29,790 --> 00:37:33,210 Okay, you can either believe that we really are trying to kill her, 676 00:37:33,335 --> 00:37:35,838 or you can assume she's suffering from a medical condition. 677 00:37:35,963 --> 00:37:38,674 Seeing as this is a hospital, and we're all dressed like doctors, 678 00:37:38,799 --> 00:37:40,592 and there are easier ways to kill somebody... 679 00:37:40,717 --> 00:37:42,761 - Bev, help them. - I'm gonna need iodine, 680 00:37:42,886 --> 00:37:46,849 scalpel numbers 10 and 15, forceps and a largish salad bowl. 681 00:37:48,475 --> 00:37:50,269 Okay, hold her down. 682 00:37:51,603 --> 00:37:53,939 Come on, weenie, she's in a cast. 683 00:37:54,731 --> 00:37:56,191 Swab. 684 00:37:59,820 --> 00:38:00,820 Fifteen. 685 00:38:00,946 --> 00:38:02,364 You're not gonna anesthetize her? 686 00:38:02,823 --> 00:38:05,117 Relax. It's just a magic trick. 687 00:38:09,580 --> 00:38:12,749 She's faking it. We're not falling for it this time. 688 00:38:14,751 --> 00:38:16,712 Okay, keep that retracted. 689 00:38:22,551 --> 00:38:23,635 Forceps. 690 00:38:37,608 --> 00:38:42,654 Lake fishing can be fun. It can bring the generations together. 691 00:38:42,779 --> 00:38:46,158 But if you don't cook that trout or perch well, 692 00:38:46,450 --> 00:38:49,453 you'll be giving room and board to this fellow, 693 00:38:50,120 --> 00:38:53,332 and by "free board," I mean all the b12 you can take in. 694 00:38:53,707 --> 00:38:55,584 I could have a tapeworm in me? 695 00:38:55,709 --> 00:38:58,086 Not likely. You'd be in a lot of pain. 696 00:39:05,802 --> 00:39:07,346 It's gotta be 25 feet long. 697 00:39:07,471 --> 00:39:10,390 Damn it. World record's over 60. 698 00:39:19,274 --> 00:39:23,695 Hannah, wake up. Somebody here to see you. 699 00:39:25,822 --> 00:39:28,700 She's got limited motion on her left side. 700 00:39:29,284 --> 00:39:32,120 You might have to take care of her for a while. 701 00:39:35,832 --> 00:39:39,503 You don't feel it, but you're about to rip your stitches out. 702 00:39:39,628 --> 00:39:42,756 Take care of yourself. Then you can take care of her. 703 00:39:53,767 --> 00:39:55,394 You haven't gone home. 704 00:39:55,519 --> 00:39:57,646 Sorry I screwed up Valentine's day. 705 00:39:57,771 --> 00:40:03,193 I'm dating a doctor. I'd be an idiot to expect anything else. 706 00:40:03,318 --> 00:40:07,406 I did get you a gift. Mgh. 707 00:40:08,782 --> 00:40:11,118 Best teaching hospital in Boston. 708 00:40:11,243 --> 00:40:15,080 You want to be a nurse practitioner? That's as good as it gets. 709 00:40:15,914 --> 00:40:19,293 I made a few calls, and you're in if you want in. 710 00:40:19,543 --> 00:40:23,589 This is why you've been helping me get my surgical hours for accreditation. 711 00:40:23,714 --> 00:40:25,799 - I thought you wanted... - Stupid. 712 00:40:29,636 --> 00:40:32,180 You've got 10 feet of personal space around you. 713 00:40:32,347 --> 00:40:34,641 I step fonlvard, you step back. 714 00:40:34,766 --> 00:40:36,643 I've shared a lot of things with you. 715 00:40:36,768 --> 00:40:38,687 Which is why you're breaking up with me. 716 00:40:41,440 --> 00:40:42,774 You can't stand to be close. 717 00:40:42,899 --> 00:40:46,486 Wendy, you think I'll stay with you because you're angry with me? 718 00:40:46,612 --> 00:40:48,405 I'm upset 719 00:40:49,906 --> 00:40:51,783 because I care. 720 00:40:53,452 --> 00:40:55,954 Only you'd expect an argument to be rational, 721 00:40:57,623 --> 00:40:59,666 you and that ass boss of yours. 722 00:41:23,565 --> 00:41:26,818 Well, you could ask her for the spinal nerve. 723 00:41:26,943 --> 00:41:29,529 She's got no reason to give it. 724 00:41:29,655 --> 00:41:30,656 She owes you. 725 00:41:31,907 --> 00:41:34,409 The hospital will send her a bill. 726 00:41:35,369 --> 00:41:39,414 I'm just saying, if you want to do it, do it while her b12 is still low. 727 00:41:40,582 --> 00:41:42,626 Guilt can be your friend. 728 00:41:47,714 --> 00:41:49,716 Breakfast? 729 00:41:50,425 --> 00:41:52,177 Yeah. 730 00:41:56,640 --> 00:41:58,558 Happy Valentine's day. 731 00:41:58,684 --> 00:42:01,269 Holiday that only applies to people who are already paired up. 732 00:42:01,395 --> 00:42:03,397 For everyone else, it's Wednesday. 733 00:42:03,522 --> 00:42:06,608 Wow, thank you for that dash of cold water. 734 00:42:06,733 --> 00:42:09,069 Don't get me wrong. I still think true love's out there. 735 00:42:09,194 --> 00:42:12,656 It's just very far away, possibly in another galaxy. 736 00:42:12,781 --> 00:42:14,741 We may need to develop faster-than-iig ht travel 737 00:42:14,866 --> 00:42:16,952 before we can make contact. 738 00:42:19,079 --> 00:42:21,707 So I'm thinking we should have sex. 739 00:42:23,041 --> 00:42:25,419 That makes sense. 740 00:42:25,544 --> 00:42:26,729 Despite the wisdom of pop songs, 741 00:42:26,753 --> 00:42:29,715 there's no point putting our lives on hold until love comes along. 742 00:42:29,840 --> 00:42:34,803 We're both healthy and busy people. We work together so it's convenient. 743 00:42:34,928 --> 00:42:36,221 Like microwave pizza. 744 00:42:36,471 --> 00:42:37,740 And of all the people I work with, 745 00:42:37,764 --> 00:42:40,475 you're the one I'm least likely to fall in love with. 746 00:42:40,600 --> 00:42:42,811 Like microwave pizza. 747 00:42:42,936 --> 00:42:46,690 The point here is to make things simpler, not more complicated. 748 00:42:46,815 --> 00:42:49,276 Someday, there'll be time to get serious about someone. 749 00:42:49,401 --> 00:42:52,821 Meanwhile, we already had sex once and didn't get weird about it, so... 750 00:42:52,946 --> 00:42:58,326 I get it. I get it. So what if I'm offended by your judgment? 751 00:42:59,953 --> 00:43:02,706 Then you're not the man I'm looking for.