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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.
56807
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