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1
00:00:07,925 --> 00:00:11,345
- It's almost 11:00.
- She needs a lot of sleep these days.
2
00:00:11,470 --> 00:00:15,892
Please, Mrs. Bardach,
I haven't seen her for a week.
3
00:00:17,768 --> 00:00:19,645
- I'll see how she's feeling.
- Thank you.
4
00:00:19,770 --> 00:00:21,731
You know what to do.
5
00:00:34,785 --> 00:00:36,495
- Barbara: All done?
- Yeah.
6
00:00:37,496 --> 00:00:40,374
I scrubbed for 45 seconds,
7
00:00:40,499 --> 00:00:44,253
did the nails, all the way down
to the elbows, the whole deal.
8
00:00:46,672 --> 00:00:47,882
- Are you sick?
- No. No, no.
9
00:00:48,007 --> 00:00:48,883
- Cough?
10
00:00:49,008 --> 00:00:50,648
- Sore throat?
- No, no. I just, I just...
11
00:00:50,676 --> 00:00:53,971
Sometimes I sneeze when I look
at lights. I always have.
12
00:00:54,096 --> 00:00:58,351
- I'm sorry, you better...
- I would never get her sick. Please.
13
00:01:05,608 --> 00:01:07,151
A mask.
14
00:01:07,276 --> 00:01:09,612
- Got me by the bouncer.
- She's crazy.
15
00:01:09,737 --> 00:01:11,948
She's let me out like six times
in the last two months.
16
00:01:12,073 --> 00:01:14,784
Every time's just to go to the hospital.
I'm a prisoner.
17
00:01:14,909 --> 00:01:16,077
It's okay.
18
00:01:23,000 --> 00:01:24,710
- It's ugly.
- No.
19
00:01:28,714 --> 00:01:31,217
I wasn't looking at the scar anyways.
20
00:01:36,514 --> 00:01:38,182
Take off your mask.
21
00:01:40,601 --> 00:01:43,187
If your mom comes in here, she...
22
00:01:43,312 --> 00:01:46,315
Hey. Give me a kiss or I'll kill you.
23
00:01:53,823 --> 00:01:57,785
Your skin... are you okay?
24
00:02:07,920 --> 00:02:09,964
Melinda, can you...
25
00:02:10,089 --> 00:02:12,883
What's wrong? What's wrong?
Can you breathe?
26
00:02:14,051 --> 00:02:15,886
What's wrong? What's wrong?
Is it your heart?
27
00:02:16,012 --> 00:02:18,556
What's wrong? Mrs. Bardach!
28
00:02:24,937 --> 00:02:26,777
Melinda, Melinda,
I don't know how to use this.
29
00:02:26,897 --> 00:02:29,108
I've never used one of these before.
30
00:02:44,999 --> 00:02:46,834
What did you do to her?
31
00:03:48,896 --> 00:03:50,773
Cuddy called.
32
00:03:50,898 --> 00:03:53,150
I know. I saw the caller ID.
33
00:03:53,275 --> 00:03:56,070
Young girl, anaphylactic shock.
34
00:03:56,195 --> 00:03:57,363
You answered?
35
00:03:57,488 --> 00:04:00,324
Turns out,
that's what stops the ringing.
36
00:04:01,242 --> 00:04:02,827
It's a weird case.
37
00:04:04,995 --> 00:04:08,499
I thought you did the dishes last night?
It was your day.
38
00:04:08,624 --> 00:04:12,044
I did. Those are new. Midnight snack.
39
00:04:12,169 --> 00:04:15,756
For a midnight snack,
you made a pot roast,
40
00:04:15,881 --> 00:04:17,800
the same pot roast I made last night.
41
00:04:17,925 --> 00:04:19,343
Yeah.
42
00:04:19,468 --> 00:04:23,055
Actually, it was after midnight.
Today's your day, right?
43
00:04:24,140 --> 00:04:25,724
You want me out of here. I get it.
44
00:04:26,976 --> 00:04:29,204
- No, it's fine if you stay.
- The place I was gonna move,
45
00:04:29,228 --> 00:04:31,313
the guy never called.
Othewvise I'd already be there.
46
00:04:31,439 --> 00:04:33,315
- I said it's fine if you stay.
- Yeah.
47
00:04:33,441 --> 00:04:35,025
That's why you're making me miserable.
48
00:04:35,151 --> 00:04:38,612
Maybe I just wanna make sure
you do your fair share around here.
49
00:04:38,737 --> 00:04:40,823
- That...
- What's weird about it?
50
00:04:43,409 --> 00:04:45,619
The girl with the allergies.
51
00:04:45,744 --> 00:04:46,871
Yeah.
52
00:04:46,996 --> 00:04:49,623
- She's immunocompromised.
- What are you doing?
53
00:04:49,748 --> 00:04:52,585
- What? You asked me...
- You knew that I was interested.
54
00:04:52,710 --> 00:04:55,421
That gives you
a valuable bargaining chip.
55
00:04:55,546 --> 00:04:58,466
You could've had me doing dishes
for a week.
56
00:05:01,051 --> 00:05:02,178
Okay.
57
00:05:06,891 --> 00:05:10,644
The allergic reaction happened
while she was in a clean room.
58
00:05:18,903 --> 00:05:20,613
Why does she have a clean room
in her home?
59
00:05:20,738 --> 00:05:22,948
Heart transplant.
Immune system's in the toilet.
60
00:05:23,073 --> 00:05:26,660
So mommy builds her little angel
a John Travolta-quality bubble.
61
00:05:26,785 --> 00:05:28,329
Six months after the transplant.
62
00:05:28,454 --> 00:05:30,414
She doesn't need to be confined
to a clean room.
63
00:05:30,539 --> 00:05:31,832
Six months without putting out,
64
00:05:31,957 --> 00:05:35,628
Dr. Cuddy doesn't need to wear
thong panties, but it's not our call.
65
00:05:35,753 --> 00:05:38,255
I was wondering when you'd get
around to my panties.
66
00:05:38,380 --> 00:05:39,673
She's had four days of workups.
67
00:05:39,798 --> 00:05:42,051
They've tested everyone who came
anywhere near that room,
68
00:05:42,176 --> 00:05:43,385
everything in the room.
69
00:05:43,511 --> 00:05:45,304
It's like an Agatha christie mystery.
70
00:05:45,429 --> 00:05:47,806
Maybe it's not what was there,
it's what she was doing.
71
00:05:47,932 --> 00:05:50,518
Exercise allergy. Love it.
72
00:05:50,643 --> 00:05:53,604
What sort of exercise
could a strapping young man
73
00:05:53,729 --> 00:05:56,649
and a nubile teenage nymphet possibly...
74
00:05:56,774 --> 00:05:58,567
Mom was in the room within seconds.
75
00:05:58,692 --> 00:06:02,196
So the boyfriend brought in an allergen
and is lying about it.
76
00:06:02,321 --> 00:06:04,281
Or the girl snuck out,
and she's lying about that.
77
00:06:04,406 --> 00:06:06,700
Or the parents are lying about the
room being clean.
78
00:06:06,867 --> 00:06:09,828
These are your big ideas?
Somebody's lying?
79
00:06:09,954 --> 00:06:11,789
Hasn't let me down yet.
80
00:06:11,914 --> 00:06:15,584
Recheck mom, dad, the girl, the boy,
the room and the home.
81
00:06:18,837 --> 00:06:23,259
Any of you have a new soap, a detergent,
perfume?
82
00:06:23,384 --> 00:06:26,053
No, no. Barbara's really careful
about that stuff.
83
00:06:26,178 --> 00:06:28,138
And you haven't been outside recently?
84
00:06:28,264 --> 00:06:30,140
How could I? I'm trapped up there.
85
00:06:30,266 --> 00:06:31,786
You're not trapped. It's just safer...
86
00:06:31,892 --> 00:06:35,437
They won't even tell me the alarm code.
Just tell her I can go back to school.
87
00:06:35,563 --> 00:06:37,022
Until we clear this up...
88
00:06:37,147 --> 00:06:40,985
Fine. Find out what I'm allergic to,
and I'll stay away from it.
89
00:06:41,110 --> 00:06:44,154
Then I can go back to school, right?
90
00:06:45,864 --> 00:06:49,743
It's up to your parents,
but, medically, there's no reason...
91
00:06:49,910 --> 00:06:51,328
Told you.
92
00:06:51,453 --> 00:06:54,707
Could I speak to you outside
for a second, please?
93
00:06:59,003 --> 00:07:01,672
You know, this is hard enough
without you in there...
94
00:07:01,797 --> 00:07:05,134
- She asked me my opinion.
- She is 16 years old. Lie to her.
95
00:07:05,259 --> 00:07:06,927
When I was eight, my mom, she hated...
96
00:07:07,052 --> 00:07:09,847
I know. I need to loosen up.
I'm overprotective.
97
00:07:09,972 --> 00:07:12,474
I saw finding Nemo. I get it.
I don't need another story.
98
00:07:12,600 --> 00:07:14,226
But you're not
just being overprotective.
99
00:07:14,351 --> 00:07:16,770
You're one of the most overprotective
parents I've ever seen.
100
00:07:16,895 --> 00:07:19,732
She has the best private tutors.
I let her friends visit.
101
00:07:19,857 --> 00:07:21,692
I'm not going to apologize.
102
00:07:21,817 --> 00:07:23,652
Just giving you my thoughts.
103
00:07:23,777 --> 00:07:26,447
She almost died
three times during her childhood.
104
00:07:26,572 --> 00:07:29,366
- Penicillin, bee stings, peanuts.
- I've seen her file.
105
00:07:29,491 --> 00:07:32,786
Six months ago, we leave her home alone
for the first time on a weekend.
106
00:07:32,911 --> 00:07:36,874
She goes out, buys one chocolate chip
cookie. Peanut butter in the dough.
107
00:07:36,999 --> 00:07:39,668
She's forgotten her epipen.
She drives to the hospital,
108
00:07:39,793 --> 00:07:43,839
passes out, has an accident.
Steering wheel crushed her chest.
109
00:07:43,964 --> 00:07:46,175
She ended up losing her heart.
110
00:07:47,176 --> 00:07:49,386
So when you say to me that
111
00:07:49,511 --> 00:07:53,766
I'm one of the most overprotective
parents you've seen, please,
112
00:07:53,891 --> 00:07:58,437
please introduce me to the ones
who were more protective
113
00:07:58,562 --> 00:08:01,732
so that I can find out
what they're doing right.
114
00:08:08,030 --> 00:08:11,325
She's allergic to having
a sucky social life.
115
00:08:11,450 --> 00:08:14,286
Give the parents a break.
They're just trying to keep her healthy.
116
00:08:14,411 --> 00:08:16,330
Everything in here's
labeled "hypoallergenic."
117
00:08:16,455 --> 00:08:17,956
Check it anyway.
118
00:08:21,502 --> 00:08:22,711
Cameron.
119
00:08:24,963 --> 00:08:27,966
This place is cleaner
than her hospital room.
120
00:08:29,385 --> 00:08:31,053
No alarm on this window.
121
00:08:31,178 --> 00:08:32,262
That's a 20-foot drop.
122
00:08:32,388 --> 00:08:34,948
You can get to the tree from here.
There's some bark scraped off.
123
00:08:35,057 --> 00:08:38,102
Sure, heart-transplant girl swung down
there on a vine.
124
00:08:38,227 --> 00:08:41,387
Maybe she was hooking up with Tarzan and
cheetah down by the elephant graveyard.
125
00:08:41,480 --> 00:08:45,567
Or Jane stayed in the tree house,
and Tarzan came up.
126
00:08:49,780 --> 00:08:53,701
Okay, I spent most of the night, Friday.
127
00:08:53,826 --> 00:08:56,912
But if her mom finds out about that,
she will totally freak.
128
00:08:57,037 --> 00:08:58,664
You guys had sex?
129
00:08:58,789 --> 00:09:00,416
Yeah, but, you know,
130
00:09:00,541 --> 00:09:03,377
I did everything I could
to make sure she wouldn't get sick.
131
00:09:03,502 --> 00:09:04,502
Latex allergy?
132
00:09:04,586 --> 00:09:06,755
What do you mean, like a condom?
We didn't...
133
00:09:06,880 --> 00:09:09,883
You had unsafe sex? The whole "unsafe"
thing didn't tell you something?
134
00:09:10,008 --> 00:09:13,846
Yeah, but, I mean, look. We didn't,
like, plan on it, you know? It just...
135
00:09:13,971 --> 00:09:16,432
I don't know. We're in love.
We've been dating for two years.
136
00:09:16,557 --> 00:09:19,935
Practically a lifetime.
How about a semen allergy?
137
00:09:20,060 --> 00:09:22,438
We're gonna need a semen sample.
138
00:09:24,064 --> 00:09:25,691
You can use the bathroom over there.
139
00:09:25,816 --> 00:09:29,027
- Right. How do I...
- Aim and shoot.
140
00:09:32,114 --> 00:09:35,159
And no thinking about Dr. Cameron.
We'll know.
141
00:09:35,951 --> 00:09:38,662
- We should tell her parents.
- Why stop there? Call the cops.
142
00:09:38,787 --> 00:09:39,787
Melinda's a minor.
143
00:09:39,830 --> 00:09:43,417
And if we nip it in the bud here,
teenagers will never again have sex.
144
00:09:43,542 --> 00:09:45,729
The parents will find out
when they get the bill anyway.
145
00:09:45,753 --> 00:09:48,648
So you're fine with them finding out as
long as you don't have to tell them?
146
00:09:48,672 --> 00:09:50,132
Pretty much.
147
00:09:54,094 --> 00:09:57,765
Too bad it's not you giving the sample.
We'd be done by now.
148
00:09:59,850 --> 00:10:02,644
Test was negative. No semen allergy.
149
00:10:02,770 --> 00:10:06,607
Boyfriend sneaks in to get his freak on
the night before the anaphylaxis.
150
00:10:06,732 --> 00:10:08,692
- I don't buy that it's unrelated.
- He loves her.
151
00:10:08,734 --> 00:10:11,487
He did everything he could to make
sure she wouldn't get sick.
152
00:10:11,612 --> 00:10:13,030
What does that mean?
153
00:10:13,155 --> 00:10:16,658
Love is an emotion certain people
experience, similar to happiness.
154
00:10:16,784 --> 00:10:19,286
No. Maybe I should give
a more relatable example.
155
00:10:19,411 --> 00:10:21,205
Oh, snap.
156
00:10:21,330 --> 00:10:25,000
What did he do to protect her,
brillo pad his privates?
157
00:10:25,125 --> 00:10:27,336
- I assumed he washed and he...
- Oh, good work.
158
00:10:27,461 --> 00:10:30,672
Assumptions are so much faster
than actual questions.
159
00:10:40,182 --> 00:10:41,725
House: You the boyfriend?
160
00:10:41,850 --> 00:10:45,562
- I need to borrow you.
- What is going on?
161
00:10:45,687 --> 00:10:49,316
Don't worry. I'll return him
in roughly the same condition.
162
00:10:55,697 --> 00:10:59,368
Did you take anything to stay healthy?
Something stronger than an apple a day?
163
00:10:59,493 --> 00:11:00,702
Is he okay?
164
00:11:00,828 --> 00:11:04,873
He's just tired from being in a coma
so long. What'd you take?
165
00:11:05,707 --> 00:11:08,627
- Don't worry. He can keep a secret.
- Right...
166
00:11:10,546 --> 00:11:14,007
Antibiotics? Penicillin?
167
00:11:14,132 --> 00:11:16,760
Any of those names ring a bell?
168
00:11:16,885 --> 00:11:21,223
Yeah. My friend Elliot, his dad had,
like, a whole bottle that
169
00:11:21,348 --> 00:11:26,728
he hadn't finished, so I swiped it
and took a bunch for, like, a week.
170
00:11:26,854 --> 00:11:30,357
I mean, there's no way I was gonna risk
breathing germs on Melinda.
171
00:11:30,482 --> 00:11:34,820
This is the one downside of teenage sex.
You're idiots.
172
00:11:34,945 --> 00:11:38,949
You almost killed your girlfriend.
She's allergic to penicillin.
173
00:11:40,701 --> 00:11:44,413
What, do you think there was still some
on my lips? I brushed my teeth.
174
00:11:44,538 --> 00:11:46,540
Think lower and more fun.
175
00:11:49,334 --> 00:11:55,173
- I mean, it can go through your stuff?
- Totally, dude.
176
00:11:55,299 --> 00:11:56,675
There's this administrator here,
177
00:11:56,800 --> 00:12:00,762
whenever she gets sick,
she just gives me the prescription.
178
00:12:01,513 --> 00:12:03,891
But, you know, they tested Melinda.
179
00:12:04,016 --> 00:12:06,768
They said she wasn't allergic
to my stuff.
180
00:12:06,894 --> 00:12:08,562
Yeah, four days later.
181
00:12:08,687 --> 00:12:13,191
By that time the penicillin was crusting
up a sock at the bottom of your hamper.
182
00:12:13,317 --> 00:12:15,986
Do you have to tell her it was my fault?
183
00:12:18,488 --> 00:12:20,365
Great part of being a grownup,
184
00:12:20,490 --> 00:12:22,826
you never have to do anything.
185
00:12:29,791 --> 00:12:32,920
You're releasing her? What happened?
What did you find out?
186
00:12:33,045 --> 00:12:35,547
Tests on your house ruled out
any environmental allergens.
187
00:12:35,672 --> 00:12:36,882
Yeah, but what caused this?
188
00:12:37,007 --> 00:12:39,447
We believe it's highly unlikely
that this set of circumstances
189
00:12:39,551 --> 00:12:42,679
- will repeat itself.
- What set of circumstances?
190
00:12:42,804 --> 00:12:46,934
It's good news. She's healthy.
But you might wanna talk to...
191
00:12:47,059 --> 00:12:48,977
Cameron!
192
00:12:49,102 --> 00:12:51,104
I can't breathe.
193
00:12:51,229 --> 00:12:52,773
Getting the epi.
194
00:12:55,067 --> 00:12:56,234
Lewis: Give her the shot!
195
00:12:56,360 --> 00:12:58,695
No murmurs, no friction rubs...
196
00:12:58,820 --> 00:13:00,781
- What are you waiting for?
- Quiet.
197
00:13:00,906 --> 00:13:03,575
Cameron: She's coughing up white
sputum.
198
00:13:03,700 --> 00:13:06,119
Crackling two-thirds of the way up.
199
00:13:08,121 --> 00:13:09,247
Look at her neck.
200
00:13:09,373 --> 00:13:11,500
Please, she is vomiting.
Would you give her the shot?
201
00:13:11,625 --> 00:13:14,044
It's not an allergy. It's her heart.
202
00:13:19,675 --> 00:13:22,678
What's the good news?
What's the bad news?
203
00:13:22,803 --> 00:13:24,638
Congestive heart failure.
204
00:13:24,763 --> 00:13:25,764
Is which?
205
00:13:25,889 --> 00:13:27,599
- Good news.
- Why?
206
00:13:28,308 --> 00:13:30,936
I don't know. It just sounded like you.
207
00:13:32,145 --> 00:13:34,856
New puzzle piece, always good news.
What's the bad news?
208
00:13:34,982 --> 00:13:38,193
We've got two puzzle pieces
from two different puzzles.
209
00:13:38,318 --> 00:13:39,653
Seems that way.
210
00:13:39,778 --> 00:13:42,531
What if her anaphylaxis
wasn't anaphylaxis?
211
00:13:42,656 --> 00:13:45,158
Toxicity from the anti-rejection meds
could cause a seizure
212
00:13:45,283 --> 00:13:46,743
and then heart failure.
213
00:13:46,868 --> 00:13:50,706
And get cured by a mommy-wielded
epipen? It's anaphylaxis. What else?
214
00:13:50,831 --> 00:13:52,666
What if they really are two puzzles?
215
00:13:52,791 --> 00:13:56,211
You think she had two unrelated
rare conditions in one week?
216
00:13:56,336 --> 00:13:59,715
- We explained the anaphylaxis.
- What do you mean "we"? I did.
217
00:13:59,840 --> 00:14:03,677
At least I thought I did.
Maybe I didn't. Still, it was all me.
218
00:14:03,802 --> 00:14:07,848
And heart problems aren't so rare for
someone who's had a heart transplant.
219
00:14:07,973 --> 00:14:10,726
I say we assume house was
right about the anaphylaxis.
220
00:14:10,851 --> 00:14:12,602
It is tempting.
221
00:14:12,728 --> 00:14:17,315
Heart failure could be either infection,
coronary disease, or rejection.
222
00:14:17,441 --> 00:14:18,734
Sorry.
223
00:14:18,859 --> 00:14:22,529
There's a reason they call it
the whiteboard. It's not my rule.
224
00:14:22,654 --> 00:14:25,657
What ties
both these conditions together?
225
00:14:34,958 --> 00:14:38,420
Okay, we can all stare at each other,
or we can investigate
226
00:14:38,545 --> 00:14:41,840
what caused the heart failure.
Just the heart failure.
227
00:14:42,841 --> 00:14:45,260
You wanna give me that black marker?
228
00:14:51,767 --> 00:14:53,687
There's no fever,
so it's probably not infection.
229
00:14:53,810 --> 00:14:55,937
Or no fever because she's been
on immunosuppressants
230
00:14:56,063 --> 00:14:57,189
for the last six months.
231
00:14:57,314 --> 00:15:00,817
Foreman: Let's do a ct,
get a heart biopsy, and then redo...
232
00:15:02,736 --> 00:15:05,363
- Cameron: Anything?
- Foreman: Not yet.
233
00:15:05,489 --> 00:15:08,408
So I hear you don't want
teenagers having sex.
234
00:15:08,533 --> 00:15:10,827
Teen suicide rate
isn't high enough for you already?
235
00:15:10,952 --> 00:15:14,164
I think those two are brats. The girl
undercuts her mom any chance she gets.
236
00:15:14,289 --> 00:15:17,751
Yeah, it's the daughter's fault. Nothing
to do with mom infantilizing her.
237
00:15:17,876 --> 00:15:20,170
Good point. Explains why parents
who don't pay attention
238
00:15:20,295 --> 00:15:22,089
get such nice, well-adjusted children.
239
00:15:22,255 --> 00:15:23,799
What's this?
240
00:15:23,965 --> 00:15:26,551
- You think it's vegetation?
- Yeah.
241
00:15:26,718 --> 00:15:29,429
The kind made of muscle
that opens your heart valves.
242
00:15:29,554 --> 00:15:32,766
It's nothing. She's clean.
243
00:15:34,643 --> 00:15:35,811
Foreman: It's good news.
244
00:15:35,936 --> 00:15:39,106
You don't show any signs
of coronary artery disease.
245
00:15:39,231 --> 00:15:40,398
So what's next?
246
00:15:40,524 --> 00:15:44,486
Well, blood work to rule out infection,
and then a heart surgical biopsy
247
00:15:44,611 --> 00:15:45,987
to rule out rejection.
248
00:15:46,113 --> 00:15:49,533
But you don't think you're gonna
rule out both things, do you?
249
00:15:53,954 --> 00:15:55,455
I'm gonna lose this heart, right?
250
00:15:55,580 --> 00:15:57,999
Hopefully we'll find the problem
and fix it.
251
00:15:58,125 --> 00:16:01,044
- You'll keep your heart a long time.
- How long?
252
00:16:01,169 --> 00:16:05,674
There could be drug breakthroughs that
allow you to keep it for decades more.
253
00:16:05,799 --> 00:16:09,594
Yeah. That's the answer
my cardiologist always gives me.
254
00:16:09,719 --> 00:16:13,640
I looked it up on the web.
It's like five or 10 years, right?
255
00:16:16,226 --> 00:16:18,353
That's about the average.
256
00:16:18,478 --> 00:16:20,981
That's why I need to have a life.
257
00:16:21,815 --> 00:16:24,901
Why can't you convince my mom
to let me go back to school?
258
00:16:25,026 --> 00:16:29,447
Melinda, you've got bigger worries right
now than missing school.
259
00:16:29,573 --> 00:16:31,658
Until we figure out what's wrong
with your heart,
260
00:16:31,783 --> 00:16:34,494
the safest place for you to be
is right here.
261
00:18:03,625 --> 00:18:05,418
Where's...
262
00:18:07,545 --> 00:18:09,631
The hooker, I assume?
263
00:18:09,756 --> 00:18:11,508
Right up here, buddy.
264
00:18:14,719 --> 00:18:18,932
You said you'd hang the stethoscope
if you were having sex.
265
00:18:19,057 --> 00:18:21,393
I didn't say it had to be
with another person.
266
00:18:21,518 --> 00:18:25,313
Can you think of anything that would tie
together anaphylaxis and heart failure?
267
00:18:25,438 --> 00:18:29,401
No. I was waiting out there for hours!
268
00:18:29,526 --> 00:18:31,403
Yeah, well, I need a lot of foreplay.
269
00:18:31,528 --> 00:18:33,822
And then there's
the cuddling aftewvards.
270
00:18:34,531 --> 00:18:38,451
Any way that anaphylaxis isn't
anaphylaxis even if it responds to epi?
271
00:18:38,576 --> 00:18:40,495
No. Oh, no wonder you were in the mood.
272
00:18:40,620 --> 00:18:43,164
This month's New Jersey
journal of cardiology.
273
00:18:43,290 --> 00:18:47,252
Have you seen the centerfold?
There's no way those valves are real.
274
00:18:47,377 --> 00:18:49,754
Any chance that the heart failure
could be unrelated to...
275
00:18:49,879 --> 00:18:54,467
No. If you need time alone to work,
you just have to say so.
276
00:18:54,592 --> 00:18:56,654
- You don't have to lie about it.
- Lying's more fun.
277
00:18:56,678 --> 00:18:59,264
Being lied to... not as much fun.
278
00:18:59,389 --> 00:19:02,809
Please have an answer to this question.
What's for dinner?
279
00:19:02,934 --> 00:19:05,478
You still haven't done the dishes?
280
00:19:05,645 --> 00:19:08,273
You want one of these?
I think I got a couple of blueberries.
281
00:19:08,398 --> 00:19:11,276
Oh, nope. Sorry, just one.
282
00:19:14,154 --> 00:19:16,323
Well, don't look all weepy.
283
00:19:16,448 --> 00:19:20,869
You got a problem with me, deal with it.
Short my sheets or something.
284
00:19:27,500 --> 00:19:29,502
Foreman: Biopsy was negative
for rejection.
285
00:19:29,627 --> 00:19:30,627
Thank god.
286
00:19:30,670 --> 00:19:33,298
- And what about the blood tests?
- Showed no infection.
287
00:19:33,423 --> 00:19:36,509
So we still don't know what caused
her heart failure.
288
00:19:36,634 --> 00:19:38,554
Let's just be happy
she doesn't need a new heart.
289
00:19:38,636 --> 00:19:41,222
Mrs. Bardach, it could have just been
a one-time thing.
290
00:19:41,348 --> 00:19:43,433
So she has an allergic reaction
and heart failure,
291
00:19:43,558 --> 00:19:46,269
and neither of them can be explained.
292
00:19:46,394 --> 00:19:48,229
- Are they doing any more tests on her?
- No.
293
00:19:48,355 --> 00:19:49,773
She's not here.
294
00:19:52,233 --> 00:19:55,904
Notify local hospitals, cab companies,
the state troopers, and local cops.
295
00:19:56,029 --> 00:19:58,323
Any security officers off duty
are back on duty.
296
00:19:58,448 --> 00:19:59,491
Woman: We're on it.
297
00:19:59,616 --> 00:20:02,452
And I'm gonna need some pictures.
And go through those drawers.
298
00:20:02,577 --> 00:20:05,914
And I want at least two people
going over the surveillance tapes.
299
00:20:06,039 --> 00:20:07,874
Will that work?
300
00:20:07,999 --> 00:20:10,460
- Are those all her clothes?
- Yeah.
301
00:20:11,086 --> 00:20:13,406
She's obviously still in the building.
So where did she go?
302
00:20:13,463 --> 00:20:16,800
- What does she want?
- See her boyfriend?
303
00:20:16,925 --> 00:20:18,968
She didn't take her phone.
304
00:20:19,469 --> 00:20:21,346
She wants to be outside.
305
00:20:34,401 --> 00:20:37,404
If you're trying to scare your parents,
great job.
306
00:20:39,322 --> 00:20:41,032
Can we go back now?
307
00:20:42,283 --> 00:20:43,493
I hate her.
308
00:20:45,703 --> 00:20:49,165
When I was eight years old, I was sick.
309
00:20:49,874 --> 00:20:52,293
Not really sick, but the point is,
my mom, she could...
310
00:20:52,419 --> 00:20:55,338
She was like this before.
Home by 9:00 every night.
311
00:20:55,463 --> 00:20:58,383
Can't go out on the weekends.
Can't do sports.
312
00:20:58,508 --> 00:21:00,468
Transplant just gave her
what she always wanted.
313
00:21:00,593 --> 00:21:03,763
Melinda, you had heart failure.
314
00:21:04,514 --> 00:21:07,809
This is kind of an insane time
to be criticizing your mom
315
00:21:07,934 --> 00:21:09,269
about being overprotective.
316
00:21:09,394 --> 00:21:12,981
I know. I mean,
this is what makes it even worse.
317
00:21:13,106 --> 00:21:16,276
All of her craziness, it just...
318
00:21:18,486 --> 00:21:20,405
It makes sense now.
319
00:21:20,530 --> 00:21:23,032
Everything's gonna be all right.
320
00:21:23,616 --> 00:21:26,035
I didn't even try to get outside.
321
00:21:27,579 --> 00:21:29,706
- I was too scared.
- Come on.
322
00:21:41,217 --> 00:21:44,512
Whoa, whoa, Melinda.
Please walk back towards me.
323
00:21:45,346 --> 00:21:46,473
Why?
324
00:21:47,390 --> 00:21:48,390
Please.
325
00:21:53,855 --> 00:21:55,732
It feels kind of weird.
326
00:21:58,026 --> 00:22:00,153
Foreman: It's called steppage gait.
327
00:22:00,278 --> 00:22:02,530
- Lewis: Is it serious?
- Not necessarily.
328
00:22:03,364 --> 00:22:06,117
All right. Stick your leg out.
Hold it up.
329
00:22:07,535 --> 00:22:10,997
She was under anesthesia for the biopsy.
If she lost oxygen...
330
00:22:11,122 --> 00:22:13,124
Ct ruled out brain damage.
331
00:22:13,791 --> 00:22:16,377
Put your leg down. Relax.
332
00:22:19,589 --> 00:22:21,925
Why is her leg twitching like that?
333
00:22:23,009 --> 00:22:25,803
- Fasciculation.
- Is that serious?
334
00:22:25,929 --> 00:22:28,556
It's paralysis, and it's ascending.
335
00:22:29,015 --> 00:22:31,518
She's gonna lose the use of her legs?
336
00:22:35,438 --> 00:22:36,814
To start with.
337
00:22:42,445 --> 00:22:45,114
It's ascending fast.
She can hardly extend her leg now.
338
00:22:45,240 --> 00:22:48,993
At this rate, it'll be up to her lungs
in a matter of days.
339
00:22:49,118 --> 00:22:53,498
So, anaphylaxis, heart failure,
paralysis.
340
00:22:53,623 --> 00:22:55,183
We couldn't put the first two together.
341
00:22:55,291 --> 00:22:57,085
I'm guessing we can't put
all three together.
342
00:22:57,210 --> 00:23:00,547
Tick paralysis? Could also explain
the anaphylaxis, maybe even the...
343
00:23:00,672 --> 00:23:03,216
Penicillin allergy explains
the allergic reaction much better.
344
00:23:03,341 --> 00:23:07,262
Particularly because tick paralysis is
usually accompanied by a tick.
345
00:23:07,387 --> 00:23:10,306
We did two comprehensive physicals
looking for insect bites.
346
00:23:10,431 --> 00:23:12,850
Can we put any two of those together?
347
00:23:12,976 --> 00:23:14,352
How about we stipulate?
348
00:23:14,477 --> 00:23:17,355
You argued that there must be
something to connect all three symptoms,
349
00:23:17,480 --> 00:23:19,148
you mocked us for not figuring it out,
350
00:23:19,274 --> 00:23:21,434
and finally you let us discuss
the paralysis on its own
351
00:23:21,484 --> 00:23:23,403
because it's what's gonna kill her.
352
00:23:23,528 --> 00:23:27,156
Now, it's ascending. Her mris are clean,
so rule out stroke or aneurysm.
353
00:23:27,282 --> 00:23:29,033
- Cameron: Als, ms?
- Foreman: Too quick.
354
00:23:29,158 --> 00:23:31,160
- Spinal lesion from leukemia?
- Too slow.
355
00:23:31,286 --> 00:23:33,997
- It's most likely guillain barré.
- Chase: She's immunosuppressed.
356
00:23:34,122 --> 00:23:35,122
What about botulism?
357
00:23:35,164 --> 00:23:37,768
Not unless she's been walking
on her hands the last couple of days.
358
00:23:37,792 --> 00:23:39,752
Botulism paralysis is descending,
not ascending.
359
00:23:39,877 --> 00:23:43,006
Could be a virus. West nile,
even polio with her immune system shot.
360
00:23:43,131 --> 00:23:46,342
Get an lp and do pcrs for the viruses.
361
00:23:46,467 --> 00:23:48,678
And get an emg
to check for guillain barré.
362
00:23:48,803 --> 00:23:52,348
Foreman's right.
We gotta find out why she's paralyzed.
363
00:23:54,017 --> 00:23:57,562
But not before staring at me dumbly
for a few seconds.
364
00:24:07,947 --> 00:24:10,033
Foreman: We ran more tests
on your daughter.
365
00:24:10,158 --> 00:24:13,411
We took a lumbar puncture,
got some spinal fluid.
366
00:24:13,536 --> 00:24:15,580
Then we brought it to the lab
to look for infections
367
00:24:15,705 --> 00:24:17,957
that could be affecting her brain.
368
00:24:19,959 --> 00:24:22,378
We also did an emg to check
how her muscles and nerves
369
00:24:22,503 --> 00:24:25,256
are responding to electrical impulses.
370
00:24:25,381 --> 00:24:29,010
Unfortunately, her muscles are showing
increased weakness above the knee.
371
00:24:29,135 --> 00:24:30,970
You mean she's getting worse?
372
00:24:31,095 --> 00:24:34,098
The lp and pcrs ruled out
polio and west nile.
373
00:24:34,223 --> 00:24:36,184
We think it's guillain barre.
374
00:24:36,309 --> 00:24:37,977
The body's immune response goes
haywire
375
00:24:38,102 --> 00:24:40,104
and starts attacking
the peripheral nerves.
376
00:24:40,229 --> 00:24:43,441
It causes muscle weakness and
paralysis.
377
00:24:43,566 --> 00:24:44,609
How bad is it?
378
00:24:44,734 --> 00:24:49,238
It's serious, but guillain barré usually
responds very well to plasmapheresis.
379
00:24:56,412 --> 00:24:59,040
Foreman: You see, the plasma,
the clear liquid
380
00:24:59,165 --> 00:25:01,626
contains most of the antibodies
which are overreacting
381
00:25:01,751 --> 00:25:03,836
and attacking her nervous system.
382
00:25:03,961 --> 00:25:05,880
The machine spins her blood
in a centrifuge
383
00:25:06,005 --> 00:25:08,841
and separates parts of the blood
based on weight.
384
00:25:08,966 --> 00:25:11,302
White blood cells are the heaviest,
then the red cells,
385
00:25:11,427 --> 00:25:13,221
then platelets and plasma.
386
00:25:13,388 --> 00:25:15,598
We discard the stuff
that's causing all the trouble
387
00:25:15,723 --> 00:25:19,227
and return the good blood cells back
to her body in a replacement fluid.
388
00:25:19,352 --> 00:25:22,647
If it works,
we'll see results in a couple of days.
389
00:25:30,405 --> 00:25:33,282
You didn't get any messages for me
last week, did you?
390
00:25:33,408 --> 00:25:34,742
Nope.
391
00:25:34,867 --> 00:25:37,036
That's funny.
The guy finally called back.
392
00:25:37,161 --> 00:25:40,206
The place I lost,
he said he left three voicemails.
393
00:25:40,331 --> 00:25:41,165
Gotta pee.
394
00:25:41,290 --> 00:25:45,169
Which I never got, if that wasn't clear.
395
00:25:45,294 --> 00:25:48,923
He must be lying.
You wouldn't want to live with a liar.
396
00:25:49,048 --> 00:25:51,092
- You erased my messages?
- Yep.
397
00:25:51,217 --> 00:25:54,721
Decided I wanted you to stay.
Told you that, didn't I?
398
00:25:54,846 --> 00:25:58,850
You're miserable, and you're lonely,
and you're gonna trap me here
399
00:25:58,975 --> 00:26:00,935
to keep me every bit
as miserable and lonely, too.
400
00:26:01,060 --> 00:26:03,646
Yeah, and you're happy, happy, happy.
401
00:26:03,771 --> 00:26:07,316
Okay. Hey, I'm obviously going through
a rough patch here.
402
00:26:07,442 --> 00:26:10,069
Wife leaves, tends to bum somebody out.
403
00:26:11,237 --> 00:26:13,531
Do you know where my pee went?
404
00:26:15,992 --> 00:26:17,618
You're missing some?
405
00:26:17,744 --> 00:26:22,123
No. Came out of me and went right
into the toilet. Now, why would that be?
406
00:26:23,040 --> 00:26:25,960
You're William tell. You could pick
an apple off someone's head?
407
00:26:26,085 --> 00:26:29,172
No, it's because there was
no clear plastic wrap over the toilet.
408
00:26:29,297 --> 00:26:31,299
The stuff's in the kitchen.
You had plenty of time.
409
00:26:31,424 --> 00:26:34,177
- All that was missing was the will.
- This isn't a college dorm.
410
00:26:34,302 --> 00:26:37,263
- It could be.
- We're not 18!
411
00:26:37,388 --> 00:26:41,684
So what? What did I do to you?
I scammed you into doing the dishes,
412
00:26:41,809 --> 00:26:45,229
I made you sit on the steps.
I didn't kill your puppy.
413
00:26:45,354 --> 00:26:49,400
- I did not make you miserable.
- Oh, so this is therapy?
414
00:26:49,525 --> 00:26:52,653
No, it just makes me smile.
415
00:26:54,197 --> 00:26:56,073
All right.
I'm finding a new place tomorrow.
416
00:26:56,199 --> 00:26:58,075
Right. But not tonight.
417
00:26:58,868 --> 00:27:01,537
Well, I figure you wanna shave
my eyebrows while I'm asleep.
418
00:27:01,662 --> 00:27:03,998
I wouldn't wanna deprive you
of that last smile.
419
00:27:04,123 --> 00:27:05,374
You're not going anywhere.
420
00:27:05,500 --> 00:27:08,503
You're gonna sit on my couch
and depress us both
421
00:27:08,628 --> 00:27:10,948
because you just can't admit
that it's over with your wife.
422
00:27:11,047 --> 00:27:14,008
- That's right. I'm here on vacation.
- Have you gotten a lawyer yet?
423
00:27:16,052 --> 00:27:19,138
- That... that's not...
- Have you even called one?
424
00:27:21,432 --> 00:27:24,477
As long as you're here,
it's just a fight.
425
00:27:24,602 --> 00:27:28,356
But as soon as you get a place,
then it's a divorce.
426
00:27:33,528 --> 00:27:35,071
Everything sucks.
427
00:27:36,405 --> 00:27:39,325
Might as well find something
to smile about.
428
00:27:50,419 --> 00:27:52,255
Foreman: Reflexes are marginally
weaker.
429
00:27:52,380 --> 00:27:53,923
The paralysis is getting worse?
430
00:27:54,048 --> 00:27:57,260
Sometimes it takes a few treatments
for the plasmapheresis to work.
431
00:27:57,385 --> 00:28:00,221
Why do these things keep
happening to me?
432
00:28:02,765 --> 00:28:04,433
Dan's back.
433
00:28:04,559 --> 00:28:07,228
Hey, baby, did you hear that?
Dan's here.
434
00:28:08,813 --> 00:28:10,648
I don't wanna see him.
435
00:28:14,485 --> 00:28:17,071
- I'll tell him to come back later.
- No.
436
00:28:17,822 --> 00:28:19,824
Mommy, stay here, please.
437
00:28:22,076 --> 00:28:23,202
Of course.
438
00:28:57,278 --> 00:28:59,697
- Is she doing okay?
- She's sleeping.
439
00:28:59,822 --> 00:29:01,657
I'm sure she's exhausted.
440
00:29:01,782 --> 00:29:04,327
Mood swings are common
with the anti-rejection meds.
441
00:29:04,452 --> 00:29:06,746
No. She's had mood swings.
This isn't it.
442
00:29:06,871 --> 00:29:10,833
This is... she's given up.
443
00:29:13,210 --> 00:29:15,046
I know you think I'm...
444
00:29:17,214 --> 00:29:19,216
This isn't what I wanted.
445
00:29:21,886 --> 00:29:23,971
She's always fought with me.
446
00:29:24,972 --> 00:29:28,142
Ever since she was a baby,
she was so damn stubborn.
447
00:29:28,935 --> 00:29:31,479
But I never wanted her like this.
448
00:29:33,564 --> 00:29:35,441
I just wanted her safe.
449
00:29:36,859 --> 00:29:38,527
Lewis: Doctor!
450
00:29:41,322 --> 00:29:44,909
She can't breathe.
She can't even get a whole sentence out.
451
00:29:47,495 --> 00:29:48,955
She's using the accessory muscles.
452
00:29:49,080 --> 00:29:50,957
- 02 sat's down to 90. Lungs clear?
- Yeah.
453
00:29:51,082 --> 00:29:52,959
Does your tongue feel swollen?
Is it itchy?
454
00:29:53,084 --> 00:29:55,461
- Foreman: No hives.
- It's not an allergy.
455
00:29:55,586 --> 00:29:57,630
Lips are cyanotic.
We've got to intubate.
456
00:29:57,755 --> 00:29:59,256
What are you doing?
457
00:29:59,382 --> 00:30:00,967
Pushing iorazepam.
458
00:30:01,509 --> 00:30:05,388
She's not getting enough oxygen.
We've gotta assist her breathing.
459
00:30:15,064 --> 00:30:17,274
What was that?
Was that a reaction to the treatment?
460
00:30:17,400 --> 00:30:20,319
It's the paralysis.
It's reached her lungs.
461
00:30:29,412 --> 00:30:30,871
Chase: Melinda's dying.
462
00:30:30,997 --> 00:30:34,583
We're all dying. How fast?
463
00:30:34,709 --> 00:30:36,293
Too fast for guillain barre.
464
00:30:36,419 --> 00:30:39,338
Cuddy wants to get her an mri
to rule out a spinal lesion.
465
00:30:39,463 --> 00:30:41,924
Cuddy? What's she doing on this?
466
00:30:42,925 --> 00:30:44,927
The family lost confidence in us.
467
00:30:45,052 --> 00:30:48,055
I don't blame them. I'll be right in.
468
00:31:02,653 --> 00:31:04,864
It's like she got poisoned
with a nerve agent.
469
00:31:04,989 --> 00:31:07,283
Glue inhalation. Would explain
why she hasn't admitted it.
470
00:31:07,408 --> 00:31:08,928
Foreman: Tox screen was clear for pot.
471
00:31:08,993 --> 00:31:12,288
Middle-class heart transplant patient's
gonna huff glue?
472
00:31:12,413 --> 00:31:14,749
- Pesticides?
- Cameron: They're not spraying.
473
00:31:14,874 --> 00:31:18,252
This girl's tough.
She gets what she wants.
474
00:31:19,003 --> 00:31:22,757
She's deprived of human contact.
She gets herself a backdoor man.
475
00:31:22,882 --> 00:31:25,968
Or in her case, a side-window boy.
What else has she been deprived of?
476
00:31:26,093 --> 00:31:28,304
She's on a special diet
because of her allergies.
477
00:31:28,429 --> 00:31:32,808
The boyfriend brings the hot beef.
He also brings a side dish, botulism.
478
00:31:32,933 --> 00:31:35,144
This paralysis is ascending, remember?
479
00:31:35,269 --> 00:31:37,563
Not if the heart problem's
really a paralytic problem.
480
00:31:37,688 --> 00:31:39,607
Why would she admit the sex
and not the food?
481
00:31:39,732 --> 00:31:41,942
She didn't admit anything.
482
00:31:42,068 --> 00:31:44,653
He admitted the sex,
and we didn't ask him about food.
483
00:31:44,779 --> 00:31:46,947
- Get me a rat.
- You have a rat.
484
00:31:47,073 --> 00:31:49,825
What? I'm not gonna kill Steve.
485
00:31:49,950 --> 00:31:53,662
Only way to confirm this,
inject a rat with her blood
486
00:31:53,788 --> 00:31:56,665
and wait for it to get all botulistic
on your ass.
487
00:31:56,791 --> 00:32:00,836
In the meantime, I'm going downstairs
to browbeat a scared dying teenage girl
488
00:32:00,961 --> 00:32:05,091
until she breaks down
like a scared dying teenage girl.
489
00:32:09,970 --> 00:32:11,931
- You're up early.
- Cuddy needed a consult.
490
00:32:12,056 --> 00:32:14,683
We're checking for spinal lesions
from leukemia.
491
00:32:14,809 --> 00:32:17,186
Yeah, I know. Fits perfectly.
492
00:32:17,311 --> 00:32:20,439
Unless this is the patient
with the anaphylaxis, the heart failure,
493
00:32:20,564 --> 00:32:22,900
and the paralysis, in which case,
you're wasting your time.
494
00:32:23,025 --> 00:32:24,193
We wanted a second opinion.
495
00:32:24,318 --> 00:32:26,278
Second?
We must have given you at least eight.
496
00:32:26,403 --> 00:32:30,950
Okay, well, here's nine. Botulism.
497
00:32:31,784 --> 00:32:33,786
Listen to me,
have you eaten anything abnormal?
498
00:32:33,911 --> 00:32:35,830
- Any canned foods?
- No.
499
00:32:35,955 --> 00:32:36,956
You sure?
500
00:32:37,081 --> 00:32:39,375
Lying to your parents is
usually the right thing to do,
501
00:32:39,500 --> 00:32:41,585
but there is
an impending death exception.
502
00:32:41,710 --> 00:32:42,837
Don't talk to her like that.
503
00:32:42,962 --> 00:32:45,714
You're right. She never lies.
I was being rude.
504
00:32:45,840 --> 00:32:49,635
When your boyfriend snuck in
on Friday night... surprise.
505
00:32:49,760 --> 00:32:52,263
Perhaps he got you
some sexy little treats, huh?
506
00:32:52,388 --> 00:32:57,226
Some honey or some edible undewvear,
some massage oils. Come on, anything.
507
00:32:58,477 --> 00:33:01,689
- We didn't...
- Yeah, yeah. We know about the sex.
508
00:33:01,814 --> 00:33:04,191
Turns out that Danny's little Danny is
full of penicillin.
509
00:33:04,316 --> 00:33:06,110
That's what caused
your anaphylactic shock.
510
00:33:06,235 --> 00:33:09,196
You didn't tell us that was what...
511
00:33:09,321 --> 00:33:13,200
No. It was...
He took clindamycin, what I use...
512
00:33:16,412 --> 00:33:18,330
He said he was on penicillin.
513
00:33:18,455 --> 00:33:21,917
- I saw the bottle.
- That's a non-penicillin antibiotic.
514
00:33:22,042 --> 00:33:24,378
If the antibiotics didn't cause
the anaphylaxis...
515
00:33:24,503 --> 00:33:26,338
It's still on the table.
516
00:33:26,463 --> 00:33:27,882
Everything is connected.
517
00:33:28,007 --> 00:33:29,925
What did we discuss?
What was the differential?
518
00:33:30,050 --> 00:33:31,510
Cameron said...
519
00:33:34,263 --> 00:33:37,808
When Dan came to your house that night,
he go through any tall grass?
520
00:33:37,933 --> 00:33:39,435
Climbed a fence.
521
00:33:45,274 --> 00:33:46,525
What are you doing?
522
00:33:46,650 --> 00:33:48,694
Your daughter had two visitors
on Friday night.
523
00:33:48,819 --> 00:33:53,365
One of them is still in the room.
She has tick paralysis.
524
00:33:54,491 --> 00:33:58,537
Dan tracked a tick onto his jeans,
which wouldn't be a problem.
525
00:33:58,662 --> 00:34:02,041
But being a teenager,
Dan couldn't keep his tick in his pants.
526
00:34:02,166 --> 00:34:04,043
We already checked her.
527
00:34:04,877 --> 00:34:05,877
Now I'm checking her.
528
00:34:05,961 --> 00:34:08,547
Tick bites don't ordinarily cause
anaphylactic shock.
529
00:34:08,672 --> 00:34:10,674
This girl's allergies are not ordinary.
530
00:34:10,799 --> 00:34:14,011
House, get out of here. We have to
re-intubate her, get her into the mri.
531
00:34:14,136 --> 00:34:15,888
The time course is perfect.
532
00:34:16,013 --> 00:34:17,890
The bite itself sets off
an allergic reaction.
533
00:34:18,015 --> 00:34:20,184
Venom takes four days to kick in.
534
00:34:20,309 --> 00:34:21,936
Heart's vulnerable, hits that first,
535
00:34:22,061 --> 00:34:24,021
then a day later sets off
the ascending paralysis.
536
00:34:24,146 --> 00:34:26,106
Except that ticks aren't
usually invisible.
537
00:34:26,232 --> 00:34:28,025
They are until you find them.
538
00:34:30,069 --> 00:34:31,320
Oh, no. That's dandruff.
539
00:34:31,445 --> 00:34:33,739
Okay, well, that wasn't
nearly as dramatic as I'd hoped.
540
00:34:33,864 --> 00:34:36,825
It just means the next time will be
even better.
541
00:34:39,370 --> 00:34:41,770
- Lewis: What's happening?
- That's the tick venom ascending.
542
00:34:41,872 --> 00:34:45,292
Either that or you stressed her
into heart failure. BP's dropping.
543
00:34:45,417 --> 00:34:48,087
- Heart rate, 47.
- I'm administering atropine.
544
00:34:48,212 --> 00:34:50,339
She's gonna need
a transvenous pacing wire.
545
00:34:50,464 --> 00:34:54,468
Okay, magical tick hunt is over.
Only real doctor stuff now.
546
00:34:54,593 --> 00:34:56,178
This is just gonna get worse.
547
00:34:56,303 --> 00:34:59,265
Ticks produce more toxins
the longer they feed.
548
00:34:59,390 --> 00:35:02,810
She's gonna be dead in an hour even
if you pump her heart full of jet fuel,
549
00:35:02,935 --> 00:35:05,229
- unless you let me find the tick.
- Could he be right?
550
00:35:05,354 --> 00:35:08,154
The only thing I know for sure is
that your daughter's heart won't last
551
00:35:08,274 --> 00:35:09,900
another 20 minutes without treatment.
552
00:35:10,025 --> 00:35:13,279
Okay, I just need one final instruction.
When I find the tick on the autopsy,
553
00:35:13,404 --> 00:35:16,949
do you want to know? I'm thinking not,
probably make the coping easier.
554
00:35:17,074 --> 00:35:18,575
Stop talking to them!
555
00:35:18,701 --> 00:35:21,036
Page borsisky in cardiology.
Get her team down here stat.
556
00:35:21,161 --> 00:35:22,788
Get them out of here.
Get house out, too.
557
00:35:22,913 --> 00:35:25,416
Dr. Wilson, I could use your help.
558
00:35:26,667 --> 00:35:30,170
Well, I don't know if the dopamine's
enough. She may need inamrinone lactate.
559
00:35:30,296 --> 00:35:31,714
Why? What's that? She doesn't...
560
00:35:31,839 --> 00:35:34,633
She might need stronger pressors.
They don't have any in radiology.
561
00:35:34,758 --> 00:35:37,970
Inamrinone can cause arrhythmia
and thrombocytopenia.
562
00:35:38,095 --> 00:35:41,098
Not inamrinone could cause death.
Death's worse.
563
00:35:41,765 --> 00:35:44,018
We have to get her up to the icu.
564
00:35:50,774 --> 00:35:54,778
Woman on P.A. system: Cardiac team
to icu stat. Cardiac team to icu stat.
565
00:35:58,282 --> 00:36:01,744
- Sorry, a little crowded here.
- House, get out of the elevator.
566
00:36:01,869 --> 00:36:03,704
You're welcome to wait for the next one.
567
00:36:03,829 --> 00:36:05,581
- You got her?
- Got her.
568
00:36:17,051 --> 00:36:20,304
As long as we're stuck here, this might
be a good time to look for that tick.
569
00:36:20,429 --> 00:36:23,932
- Turn the elevator back on.
- Just be a minute, honey.
570
00:36:32,191 --> 00:36:34,568
- Atropine's wearing off.
- So inject her again.
571
00:36:34,693 --> 00:36:36,653
- That's just temporary.
- Temporary's fine.
572
00:36:36,779 --> 00:36:37,988
We're not hanging wallpaper.
573
00:36:38,113 --> 00:36:40,491
We've gotta get her upstairs
and put her on norepinephrine.
574
00:36:40,616 --> 00:36:43,410
It wasn't penicillin. You still think
the symptoms are unconnected?
575
00:36:43,535 --> 00:36:45,255
We've gotta take care
of her heart before...
576
00:36:45,371 --> 00:36:47,291
You wake up in the morning,
your paint's peeling,
577
00:36:47,373 --> 00:36:49,291
your curtains are gone,
and the water's boiling.
578
00:36:49,416 --> 00:36:51,335
- Which problem do you deal with first?
- House.
579
00:36:51,460 --> 00:36:54,546
None of them. The building's on fire!
We treat her symptoms, she dies.
580
00:36:54,671 --> 00:36:57,841
We find the cause, she lives.
That tick is an iv drip of poison.
581
00:36:57,966 --> 00:37:00,052
We unhook it, she'll be fine.
582
00:37:08,727 --> 00:37:12,773
This is my last atropine.
Last us about three minutes.
583
00:37:12,898 --> 00:37:14,983
Let's get her gown up.
584
00:37:23,826 --> 00:37:27,246
Her heart rate falls below 35,
we're getting her to the icu.
585
00:37:27,371 --> 00:37:30,207
I'm not gonna let her die
in this elevator.
586
00:37:35,003 --> 00:37:36,463
Where are they?
587
00:37:36,588 --> 00:37:39,007
Get maintenance up here, right away.
588
00:37:40,008 --> 00:37:42,636
- Foreman: Ear canal's clean.
- House: Left foot's clean.
589
00:37:42,761 --> 00:37:46,682
If it's not here, we've only got...
Heart rate's 46.
590
00:37:46,807 --> 00:37:50,602
It's here. Looks like a mole
or a freckle, something we missed.
591
00:37:50,727 --> 00:37:52,312
Check the armpits.
592
00:37:56,775 --> 00:37:59,215
Dr. Foreman's an excellent doctor.
He'll be able to handle it.
593
00:37:59,278 --> 00:38:02,322
Yeah? You know that from experience?
You lose a lot of patients on elevators?
594
00:38:02,448 --> 00:38:04,634
The maintenance guy said
it didn't just stop on its own,
595
00:38:04,658 --> 00:38:07,119
that they hit the emergency stop button.
596
00:38:07,244 --> 00:38:09,872
Well, I'm sure he must be mistaken.
597
00:38:12,624 --> 00:38:14,168
- Perineum.
- We checked it.
598
00:38:14,293 --> 00:38:16,173
- If we get her upstairs, we still...
- Maxilla.
599
00:38:16,253 --> 00:38:17,463
Checked.
600
00:38:19,798 --> 00:38:22,092
Down to 38. We don't have a lot of time.
We can still...
601
00:38:22,217 --> 00:38:24,803
Eyebrows, eardrums, pubic hair.
602
00:38:24,928 --> 00:38:28,724
Checked, checked, checked.
We checked everywhere! It's not...
603
00:38:30,726 --> 00:38:31,810
Thirty-five.
604
00:38:31,935 --> 00:38:34,480
- We gotta get her to the icu.
- We haven't found the tick yet.
605
00:38:34,605 --> 00:38:36,773
We already kidnapped her!
You wanna add murder?
606
00:38:36,899 --> 00:38:41,028
We've looked over every inch of skin
on her body, house! It's over.
607
00:38:49,369 --> 00:38:51,997
Hey, is that the first time you had sex?
608
00:38:54,875 --> 00:38:57,961
With all the other stuff going on down
there, she might not have realized.
609
00:39:12,518 --> 00:39:14,770
- You sick, miserable...
- Cuddy: What are you doing?
610
00:39:14,895 --> 00:39:16,230
Barbara: Oh, my god!
611
00:39:18,982 --> 00:39:21,735
See? Told you it'd be
even more dramatic.
612
00:39:26,240 --> 00:39:28,784
Push norepinephrine.
Get her heart back to normal.
613
00:39:28,909 --> 00:39:31,787
She'll be completely cured by tomorrow.
614
00:39:32,955 --> 00:39:35,749
Foreman, let's get her into the icu.
615
00:39:50,264 --> 00:39:53,684
Inamrinone was a stupid idea
616
00:39:53,809 --> 00:39:56,061
unless you wanted me
to get that girl in the elevator.
617
00:39:56,186 --> 00:39:59,898
- Oh, I wouldn't do that.
- Wouldn't respect you if you did.
618
00:40:07,322 --> 00:40:12,327
Wow, looks like somebody filed
halfway through your cane
619
00:40:12,452 --> 00:40:14,496
while you were sleeping.
620
00:40:40,522 --> 00:40:42,316
Reflexes back to normal.
621
00:40:42,441 --> 00:40:43,984
Heart's looking good, too.
622
00:40:44,109 --> 00:40:46,820
I'll send in the nurse,
we'll get you transferred out of icu.
623
00:40:46,945 --> 00:40:49,573
You'll be discharged in the morning.
624
00:40:49,698 --> 00:40:51,950
Thank god. I just wanna get home.
625
00:40:52,701 --> 00:40:54,953
And back to school on Monday.
626
00:40:56,872 --> 00:40:58,248
I'm not ready.
627
00:40:58,999 --> 00:41:00,667
You're ready.
628
00:41:01,335 --> 00:41:04,921
- I'm sick, mom.
- You're not sick.
629
00:41:05,047 --> 00:41:07,716
You're gonna go to class,
630
00:41:07,841 --> 00:41:11,053
and you're gonna see
your friends and your boyfriend.
631
00:41:17,893 --> 00:41:19,853
Man on t.V.: What's this doohickey?
632
00:41:22,189 --> 00:41:25,317
Woman: A brassiere.
You know about those things.
633
00:41:25,442 --> 00:41:27,402
Woman: You're a big boy now.
634
00:41:27,527 --> 00:41:29,780
Man: Well, I've never run across
one like that.
635
00:41:29,905 --> 00:41:32,908
Woman: It's brand new.
Revolutionary uplift.
636
00:41:33,033 --> 00:41:36,328
- Woman: It's explained to you.
- Man: I know. I know.
637
00:41:36,453 --> 00:41:42,042
Man: I have acrophobia,
which gives me vertigo and I get dizzy.
638
00:41:42,167 --> 00:41:43,728
Man: What a moment to find out I had it.
639
00:41:43,752 --> 00:41:45,212
Woman: Well, you've got it.
640
00:41:45,337 --> 00:41:47,756
Woman: There's no one to blame.
Why quit?
641
00:41:47,881 --> 00:41:50,717
Man: You mean and sit behind a desk?
Chair-borne.
642
00:41:50,842 --> 00:41:54,012
- Woman: It's where you belong.
- Man: What about my acrophobia?
643
00:41:54,137 --> 00:41:56,556
I called a divorce lawyer today.
644
00:41:58,392 --> 00:42:00,227
Does that mean you're leaving?
645
00:42:01,311 --> 00:42:02,854
At some point.
646
00:42:06,608 --> 00:42:10,612
You might not want to sit exactly there.
51655
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