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1
00:00:18,269 --> 00:00:19,979
What do you say now?
2
00:00:20,938 --> 00:00:22,565
I don't know.
3
00:00:23,065 --> 00:00:25,151
You said your dad wouldn't be home
for an hour.
4
00:00:25,276 --> 00:00:26,444
I know, but you don't know...
5
00:00:26,569 --> 00:00:28,988
- Don't you love me?
- Of course. You know I do.
6
00:00:29,113 --> 00:00:30,781
Come on. Let's do it.
7
00:00:31,991 --> 00:00:33,451
All right.
8
00:00:44,962 --> 00:00:47,173
- Where are they?
- Nightstand.
9
00:00:54,013 --> 00:00:57,016
Gentlemen, start your engines.
10
00:01:02,104 --> 00:01:04,607
I so want this car!
11
00:01:29,590 --> 00:01:31,801
Oh, my god! You're bleeding.
12
00:01:32,593 --> 00:01:33,970
Look out!
13
00:02:34,280 --> 00:02:35,573
What lie are they telling you?
14
00:02:35,698 --> 00:02:38,034
I'll check on it. Okay.
15
00:02:38,826 --> 00:02:39,952
Yes.
16
00:02:41,996 --> 00:02:43,331
Come on.
17
00:02:43,873 --> 00:02:45,458
Okay, thank you.
18
00:02:46,667 --> 00:02:49,420
Okay, pharmaceuticals
were delivered this morning.
19
00:02:49,545 --> 00:02:52,965
But shipping accidentally sent the box
with Vicodin to research.
20
00:02:53,632 --> 00:02:55,051
That's a tough one.
21
00:02:55,176 --> 00:02:56,886
If only we had some way to
communicate
22
00:02:57,011 --> 00:02:59,180
with another part of the building.
23
00:03:00,139 --> 00:03:01,682
16-year-old m.V.A. Victim.
24
00:03:01,807 --> 00:03:04,619
He's been in and out of the hospital
for three weeks with internal bleeding.
25
00:03:04,643 --> 00:03:05,683
No one can find the cause.
26
00:03:05,728 --> 00:03:08,606
Internal bleeding after a car accident.
Wow, that's shocking.
27
00:03:08,731 --> 00:03:10,858
Let me talk to shipping.
I speak their language.
28
00:03:10,983 --> 00:03:12,085
Cameron: It's been three weeks...
29
00:03:12,109 --> 00:03:14,153
Your hospital doesn't have
my pain medication.
30
00:03:14,278 --> 00:03:16,947
Shipping says it's going to be an hour.
31
00:03:17,531 --> 00:03:18,592
This is Dr. Cuddy. What's going on?
32
00:03:18,616 --> 00:03:20,326
The crash didn't cause the bleed.
33
00:03:20,451 --> 00:03:21,827
Right. The bleed caused the crash.
34
00:03:21,952 --> 00:03:23,913
Blood got on the road,
got all slippery.
35
00:03:24,038 --> 00:03:25,915
Anyone in here got drugs?
36
00:03:28,292 --> 00:03:30,937
She saw his blood, she got distracted,
she crashed his dad's Porsche.
37
00:03:30,961 --> 00:03:31,961
Dad will love that.
38
00:03:32,046 --> 00:03:34,090
- He was...
- Don't talk.
39
00:03:34,215 --> 00:03:35,633
It's gonna be an hour.
40
00:03:35,841 --> 00:03:36,926
Thank god you took control.
41
00:03:37,051 --> 00:03:38,427
If you can't wait one hour to...
42
00:03:38,552 --> 00:03:40,096
Kid's got hemolytic anemia.
43
00:03:40,221 --> 00:03:41,931
Kid? How old?
44
00:03:42,056 --> 00:03:43,724
He must have inherited it.
45
00:03:43,891 --> 00:03:45,309
He's gonna die. My condolences.
46
00:03:45,434 --> 00:03:46,519
Wasn't inherited.
47
00:03:46,644 --> 00:03:48,354
The problem's outside
the red blood cells.
48
00:03:48,854 --> 00:03:51,690
This is impossible. A 16-year-old
does not get hemolytic anemia.
49
00:03:51,816 --> 00:03:54,711
Give her back the file. You have bigger
problems to tend to, like my meds.
50
00:03:54,735 --> 00:03:58,072
Elevated indirect bilirubin,
low serum haptoglobin.
51
00:03:58,197 --> 00:03:59,615
He's got meningitis.
52
00:04:03,577 --> 00:04:04,620
Artificial heart valve.
53
00:04:11,836 --> 00:04:13,921
Get everyone in my office.
54
00:04:14,880 --> 00:04:16,775
House: Kid's going to be dead
in a matter of days
55
00:04:16,799 --> 00:04:19,468
if we don't figure out why his red
blood cells are disintegrating.
56
00:04:19,593 --> 00:04:21,679
So, differential diagnosis, people.
57
00:04:21,804 --> 00:04:23,097
Well, it's not environmental.
58
00:04:23,222 --> 00:04:26,058
Dad hired a company to clean the
house, maid washed all the clothes,
59
00:04:26,183 --> 00:04:28,018
bought hypoallergenic sheets
and pillows.
60
00:04:28,144 --> 00:04:29,144
You want us to re-check?
61
00:04:29,228 --> 00:04:32,273
No. If it's environmental, he'll get
betterjust from staying here.
62
00:04:32,398 --> 00:04:33,399
It could be an infection.
63
00:04:33,524 --> 00:04:34,567
No fever. No white count.
64
00:04:34,692 --> 00:04:36,068
Well, he's 99.2.
65
00:04:36,235 --> 00:04:37,611
Barely above normal.
66
00:04:37,736 --> 00:04:40,322
Foreman: But above.
His body's reacting to something.
67
00:04:40,448 --> 00:04:42,509
Cameron: We could account for
the lack of fever and white count
68
00:04:42,533 --> 00:04:43,367
if it's lupus.
69
00:04:43,492 --> 00:04:45,172
Chase: Drugs will fitjust
as much as lupus.
70
00:04:45,202 --> 00:04:46,662
Meth will cause hemolytic anemia.
71
00:04:46,787 --> 00:04:48,414
Cameron: A lot of meth.
72
00:04:48,539 --> 00:04:50,499
Foreman: Also,
doesn't exactly seem like the type.
73
00:04:50,583 --> 00:04:52,543
Because his dad drives a Porsche?
74
00:04:52,668 --> 00:04:55,379
Rich kids do drugs just like poor kids.
75
00:04:55,504 --> 00:04:56,672
Didn't mean to offend you.
76
00:04:56,797 --> 00:05:01,051
Okay! So it's infection,
lupus, drugs or cancer.
77
00:05:01,177 --> 00:05:03,929
- Cancer?
- Why not? Great meeting.
78
00:05:04,430 --> 00:05:07,183
Shouldn't we narrow it down
before we finish?
79
00:05:07,308 --> 00:05:09,185
My leg gave us till 11:15.
80
00:05:09,310 --> 00:05:11,979
I'll talk to Wilson about lymphoma,
Ana for lupus,
81
00:05:12,104 --> 00:05:13,898
radioimmunoassay for drugs,
82
00:05:14,023 --> 00:05:16,525
and you test for whatever
you thought it was.
83
00:05:16,650 --> 00:05:19,111
I've got a date with a pharmacist.
84
00:05:19,862 --> 00:05:21,739
Those are already done.
85
00:05:23,908 --> 00:05:25,268
Come on!
Come on, come on, come on.
86
00:05:25,326 --> 00:05:26,494
Yeah.
87
00:05:36,629 --> 00:05:38,088
Excuse me.
88
00:05:41,634 --> 00:05:43,886
You know,
there are other ways to manage pain.
89
00:05:44,011 --> 00:05:46,931
Like what? Laughter? Meditation?
90
00:05:47,056 --> 00:05:49,558
Got a guy that can fix my third chakra?
91
00:05:49,683 --> 00:05:50,935
You're addicted.
92
00:05:51,060 --> 00:05:52,895
If the pills ran my life,
I'd agree with you,
93
00:05:53,020 --> 00:05:55,481
but it's my leg that's busy calendaring
what I can't do.
94
00:05:55,606 --> 00:05:56,690
You're in denial.
95
00:05:56,815 --> 00:05:58,943
Right.
I never had an infarction in my leg.
96
00:05:59,068 --> 00:06:00,861
No dead muscle, no nerve damage.
97
00:06:01,487 --> 00:06:04,156
Doesn't even hurt.
Actually, it kind of tickles.
98
00:06:04,490 --> 00:06:07,284
And chicks dig this better
than a puppy.
99
00:06:07,409 --> 00:06:10,454
It's not just your leg.
You want to get high.
100
00:06:10,579 --> 00:06:12,139
You're doing, what,
80 milligrams a day?
101
00:06:12,248 --> 00:06:14,124
No. That's way too much.
102
00:06:14,250 --> 00:06:17,169
Moderation is the key.
Unless there's pain.
103
00:06:18,045 --> 00:06:20,047
It's double what you were taking
when I hired you.
104
00:06:20,172 --> 00:06:22,508
'Cause you're twice as annoying.
105
00:06:22,633 --> 00:06:24,468
I can't always be here to protect you.
106
00:06:24,593 --> 00:06:26,512
Patients talk. Doctors talk.
107
00:06:26,762 --> 00:06:28,556
About how big your ass
has gotten lately?
108
00:06:28,681 --> 00:06:29,932
Not me. I defend it.
109
00:06:30,057 --> 00:06:31,684
You got back.
110
00:06:39,858 --> 00:06:41,336
You can't go a week without the drugs.
111
00:06:41,360 --> 00:06:43,946
No, I don't want to go
without the drugs. It'll hurt.
112
00:06:44,071 --> 00:06:45,864
No, you can't.
113
00:06:45,990 --> 00:06:48,134
If you're just getting off
pain medication, it will hurt.
114
00:06:48,158 --> 00:06:50,744
But... you won't be having
a great time, but you'll make it.
115
00:06:50,869 --> 00:06:53,914
If you're detoxing,
you'll have chills, nausea.
116
00:06:54,039 --> 00:06:57,793
Your pain will magnify five, 10 times.
You won't make it.
117
00:06:57,918 --> 00:06:59,962
Well, I guess we'll never know.
118
00:07:00,087 --> 00:07:02,857
I'll give you a week off clinic duty
if you can go a week without narcotics.
119
00:07:02,881 --> 00:07:04,508
No way. I love the clinic.
120
00:07:04,633 --> 00:07:06,885
You love the pills. Two weeks.
121
00:07:07,011 --> 00:07:09,221
The pills don't make me high,
they make me neutral.
122
00:07:09,346 --> 00:07:10,681
A month.
123
00:07:15,894 --> 00:07:17,521
You're on, mister.
124
00:07:21,734 --> 00:07:22,818
Drugs could cause this?
125
00:07:22,943 --> 00:07:25,821
Cocaine and meth are very hard
on the blood system.
126
00:07:25,946 --> 00:07:27,948
Has he had any erratic behavior?
127
00:07:28,073 --> 00:07:29,658
No, but...
128
00:07:32,077 --> 00:07:34,163
She was in rehab in the ninth grade.
129
00:07:34,288 --> 00:07:35,956
She's supposedly clean now, but...
130
00:07:36,081 --> 00:07:37,333
She obviously cares for him.
131
00:07:37,458 --> 00:07:39,960
Yeah, what she cared about was the car.
132
00:07:40,085 --> 00:07:42,296
Anniversary present from my wife.
133
00:07:42,421 --> 00:07:45,591
We drove it up north
to watch the leaves change.
134
00:07:46,342 --> 00:07:47,968
She was dead a year later.
135
00:07:48,177 --> 00:07:49,428
Cancer.
136
00:07:49,928 --> 00:07:50,971
I'm sorry.
137
00:07:53,223 --> 00:07:56,018
Mr. Foster, we're gonna test Keith
for drugs.
138
00:07:56,310 --> 00:07:57,895
I don't do drugs.
139
00:07:58,020 --> 00:08:01,315
You know, it's not
that we don't trust you, but...
140
00:08:01,940 --> 00:08:05,944
Cameron: His hair will tell us any
drugs he's taken over the past 60 days.
141
00:08:06,070 --> 00:08:08,656
It's kind of like rings on a tree.
142
00:08:15,913 --> 00:08:17,289
Negative.
143
00:08:19,416 --> 00:08:20,518
Cameron: Have you been sick?
144
00:08:20,542 --> 00:08:21,627
No, nothing.
145
00:08:21,752 --> 00:08:22,896
Have you been out of the country?
146
00:08:22,920 --> 00:08:26,298
We went to China, but we got
all our shots before we left.
147
00:08:26,423 --> 00:08:28,050
Cameron: It could be an infection.
148
00:08:28,175 --> 00:08:30,719
We're going to give him
a gallium scan just to be safe.
149
00:08:30,844 --> 00:08:33,180
We inject a radioactive isotope
into his bloodstream,
150
00:08:33,305 --> 00:08:37,101
and we check to see if there's
inflammation anywhere in the body.
151
00:08:37,226 --> 00:08:40,229
Has he ever complained of
any joint pain?
152
00:08:40,354 --> 00:08:42,231
Sensitivity to light? Rashes?
153
00:08:42,356 --> 00:08:43,356
No, no. Nothing.
154
00:08:43,440 --> 00:08:45,776
Any relatives who've ever been
diagnosed with lupus?
155
00:08:45,901 --> 00:08:47,003
I don't even know what that is.
156
00:08:47,027 --> 00:08:50,572
In simple terms,
the body becomes allergic to itself.
157
00:08:50,698 --> 00:08:52,366
The immune system
attacks healthy cells
158
00:08:52,491 --> 00:08:54,660
in the circulatory system
and destroys them.
159
00:08:55,035 --> 00:08:57,037
Would it be treatable?
160
00:08:57,579 --> 00:08:59,331
It can be manageable.
161
00:09:00,416 --> 00:09:02,459
Cameron: We can test for
the antibodies.
162
00:09:02,584 --> 00:09:06,004
Ninety-five percent of patients
with lupus have positive Ana.
163
00:09:07,005 --> 00:09:08,882
Not cloudy. Negative.
164
00:09:09,591 --> 00:09:10,884
Cameron: What about bruising?
165
00:09:11,009 --> 00:09:15,097
Never complained of tenderness
under his arms or his groin?
166
00:09:15,222 --> 00:09:17,975
I'm not sure he'd tell me if he did.
167
00:09:18,100 --> 00:09:20,769
I guess I don't really know
what's going on in his life.
168
00:09:20,894 --> 00:09:22,980
- He's a teenager.
- Yeah.
169
00:09:27,317 --> 00:09:29,987
What type of cancer did your wife have?
170
00:09:31,947 --> 00:09:33,449
Pancreatic.
171
00:09:34,491 --> 00:09:36,869
It's his lymph nodes
we're concerned about.
172
00:09:36,994 --> 00:09:40,247
We're going to do a biopsy
to check for lymphoma.
173
00:09:40,831 --> 00:09:42,875
Wilson: Can you feel this?
174
00:09:43,959 --> 00:09:45,085
Good.
175
00:09:53,927 --> 00:09:56,138
I have cancer, don't I?
176
00:09:56,263 --> 00:09:57,973
We're just testing.
177
00:10:01,101 --> 00:10:03,395
That's what they told my mom.
178
00:10:09,902 --> 00:10:11,695
Definitely not cancer.
179
00:10:13,071 --> 00:10:14,072
Nothing?
180
00:10:14,198 --> 00:10:15,032
Nothing.
181
00:10:15,157 --> 00:10:17,868
Negative for drugs. Ana was negative.
Gallium scan was clear.
182
00:10:17,993 --> 00:10:19,745
Yeah, I got that from the "nothing."
183
00:10:19,870 --> 00:10:21,789
- Where's his hematocrit?
- Thirteen.
184
00:10:21,914 --> 00:10:24,058
Drops any lower, he's not gonna have
enough red blood cells
185
00:10:24,082 --> 00:10:25,709
to bring oxygen to his body.
186
00:10:25,834 --> 00:10:27,920
He'll suffocate with his lungs
working perfectly.
187
00:10:28,045 --> 00:10:29,421
You okay?
188
00:10:30,130 --> 00:10:33,634
Excuse me, someone? Help. Please!
189
00:10:34,635 --> 00:10:36,512
Polite for a dying kid.
190
00:10:40,265 --> 00:10:41,934
How long has it been?
191
00:10:42,059 --> 00:10:43,435
I'm fine.
192
00:10:44,311 --> 00:10:45,991
There's something in my eye,
up at the top.
193
00:10:46,021 --> 00:10:47,064
Which eye?
194
00:10:47,189 --> 00:10:48,857
This one. What's happening?
195
00:10:48,982 --> 00:10:51,819
It's all right. Just look down for me.
196
00:10:53,278 --> 00:10:55,656
It's clear. There's nothing in it.
197
00:10:55,781 --> 00:10:56,782
It's getting worse.
198
00:10:56,907 --> 00:10:57,741
Is it fuzzy?
199
00:10:57,866 --> 00:10:59,535
No, it's dark.
200
00:11:01,036 --> 00:11:02,663
I can't see.
201
00:11:16,885 --> 00:11:18,762
Foreman: It's a retinal clot
in the left eye.
202
00:11:18,887 --> 00:11:21,056
Coumadin would dissolve the clot,
fix his eyesight.
203
00:11:21,181 --> 00:11:23,684
You can't use blood thinners.
He's got internal bleeding.
204
00:11:23,809 --> 00:11:25,477
Fix the eye,
you'd kill everything else.
205
00:11:25,602 --> 00:11:27,646
Surgery's out for the same reason.
206
00:11:27,771 --> 00:11:29,082
We have two hours to figure this out.
207
00:11:29,106 --> 00:11:31,233
Either we restore the blood flow
or he loses the eye.
208
00:11:32,776 --> 00:11:34,486
Forget the eye.
209
00:11:34,611 --> 00:11:38,323
Tell him to use the other one
to look on the bright side.
210
00:11:38,448 --> 00:11:40,659
The clot tells us something.
211
00:11:40,993 --> 00:11:42,953
It could help us figure out
what he has,
212
00:11:43,120 --> 00:11:45,289
which could mean he gets to live.
213
00:11:45,414 --> 00:11:47,875
Differential diagnosis, people.
214
00:11:48,000 --> 00:11:50,794
How does internal bleeding
suddenly start clotting?
215
00:11:50,919 --> 00:11:53,505
It makes no sense.
They're opposing processes.
216
00:11:53,630 --> 00:11:54,715
It can happen in lupus.
217
00:11:54,840 --> 00:11:56,717
Increased platelet count
can cause blood clots.
218
00:11:56,842 --> 00:11:59,678
Ana was negative. It's not lupus.
219
00:11:59,803 --> 00:12:02,806
This is true.
But why are you the one saying it?
220
00:12:03,682 --> 00:12:07,144
What are you doing here?
I thought we ruled out cancer.
221
00:12:07,269 --> 00:12:09,021
I was lonely.
222
00:12:09,146 --> 00:12:11,356
Well, go see cuddy.
She needs a friend.
223
00:12:11,481 --> 00:12:13,358
That's funny.
She said you might need one.
224
00:12:13,483 --> 00:12:14,776
That's why you're here?
225
00:12:14,902 --> 00:12:17,571
She wants you to keep an eye on me
to make sure I don't cheat.
226
00:12:17,696 --> 00:12:19,007
No, I wanted to make sure you don't
227
00:12:19,031 --> 00:12:20,824
start firing shots
from the clock tower.
228
00:12:20,949 --> 00:12:22,284
I'm fine.
229
00:12:23,869 --> 00:12:25,245
What's going on?
230
00:12:25,370 --> 00:12:27,831
He hasn't had Vicodin in over a day.
231
00:12:29,583 --> 00:12:30,959
Does your leg hurt?
232
00:12:31,084 --> 00:12:32,502
You ever been shot?
233
00:12:32,961 --> 00:12:34,671
There's gonna be side effects.
234
00:12:34,796 --> 00:12:36,715
Insomnia, depression, tachycardia.
235
00:12:36,840 --> 00:12:38,717
Withdrawal symptoms. Not applicable.
236
00:12:38,842 --> 00:12:40,761
The only side effects
I'm gonna have are
237
00:12:40,886 --> 00:12:42,846
some pain and 30 days of freedom.
238
00:12:45,891 --> 00:12:48,060
Am I the only one who's concerned
about a dying kid?
239
00:12:48,185 --> 00:12:50,562
If it's not lupus, what else?
240
00:12:50,687 --> 00:12:54,775
Most likely candidate for throwing
a clot is infection or cancer.
241
00:12:54,900 --> 00:12:56,652
I checked the biopsy twice.
It's not cancer.
242
00:12:56,777 --> 00:12:59,696
It's not an infection.
Gallium scan didn't reveal anything.
243
00:12:59,821 --> 00:13:02,449
Okay. What hides from a gallium scan?
244
00:13:06,870 --> 00:13:07,955
Cardiac.
245
00:13:08,914 --> 00:13:11,291
Right. Clot flicks off,
travels through the arteries
246
00:13:11,416 --> 00:13:13,961
and gets backed up in the eye.
247
00:13:19,841 --> 00:13:21,468
I'm sorry. I wasn't paying attention.
248
00:13:21,593 --> 00:13:22,886
What happened?
249
00:13:23,011 --> 00:13:25,555
It's an infection in his heart.
250
00:13:25,681 --> 00:13:26,932
Great.
251
00:13:28,517 --> 00:13:32,938
Echocardiogram for the heart and
iv antibiotics for the infection, stat.
252
00:13:46,785 --> 00:13:48,662
Is it my birthday?
253
00:13:50,914 --> 00:13:53,542
I'm not lonely. My leg hurts.
254
00:13:53,667 --> 00:13:54,835
She's a real masseuse.
255
00:13:54,960 --> 00:13:56,878
She's $500 an hour, minimum.
256
00:13:57,004 --> 00:14:00,382
She's hot, so she's a hooker?
What kind of pathetic logic is that?
257
00:14:00,507 --> 00:14:02,134
The envious, jealous,
258
00:14:02,259 --> 00:14:04,678
i-never-got-any-in-high-school
kind of logic. Hello.
259
00:14:04,803 --> 00:14:07,389
She's a legitimate masseuse.
260
00:14:07,514 --> 00:14:08,849
Come on.
261
00:14:10,475 --> 00:14:12,269
God! She's beautiful.
262
00:14:12,394 --> 00:14:13,954
Because she's beautiful,
I should do it?
263
00:14:14,021 --> 00:14:15,564
What kind of pathetic logic is that?
264
00:14:15,689 --> 00:14:19,651
The envious, jealous, I'm-married-
and-i-can't-do-anything logic.
265
00:14:19,776 --> 00:14:20,776
Hello.
266
00:14:20,861 --> 00:14:23,030
Hi. Listen, I'm sure you're really good
267
00:14:23,155 --> 00:14:24,489
at whatever it is you do, but...
268
00:14:24,614 --> 00:14:25,782
Give me your hand.
269
00:14:25,907 --> 00:14:26,908
Huh?
270
00:14:28,160 --> 00:14:29,720
Hey, no, no. Let go of my hand.
Come on.
271
00:14:29,828 --> 00:14:31,246
She doesn't speak English.
272
00:14:46,720 --> 00:14:47,971
Oh, my god.
273
00:14:53,310 --> 00:14:54,770
Good.
274
00:14:55,937 --> 00:14:57,814
Take off your clothes.
275
00:15:00,942 --> 00:15:03,236
Not a fan of the stroganoff?
276
00:15:04,654 --> 00:15:05,864
I'm not hungry.
277
00:15:05,989 --> 00:15:08,658
Well, the antibiotics can cause nausea.
278
00:15:08,909 --> 00:15:10,452
So can the food.
279
00:15:11,870 --> 00:15:14,539
Shouldn't you be looking at my eye?
280
00:15:14,790 --> 00:15:17,167
The blood clot isn't life-threatening.
281
00:15:17,292 --> 00:15:20,754
We're focusing on figuring out
the cause of your problems.
282
00:15:20,879 --> 00:15:23,840
So the blindness will be permanent,
won't it?
283
00:15:41,316 --> 00:15:42,317
Thank you.
284
00:15:46,404 --> 00:15:47,948
I had a massage.
285
00:15:48,615 --> 00:15:50,200
Looks like you had a masseuse.
286
00:15:50,325 --> 00:15:51,326
Help the pain?
287
00:15:51,451 --> 00:15:52,452
I'm fine.
288
00:15:52,577 --> 00:15:53,578
I know.
289
00:15:54,496 --> 00:15:57,332
Kid's echo was normal, no sign of
any vegetations on heart valves.
290
00:15:57,457 --> 00:15:59,918
Never met a diagnostic study
I couldn't refute.
291
00:16:00,043 --> 00:16:01,878
And the antibiotics
aren't doing anything.
292
00:16:02,003 --> 00:16:05,423
So double the dosage.
Seventy milligrams.
293
00:16:05,549 --> 00:16:07,592
That'll box his kidneys for sure.
294
00:16:07,717 --> 00:16:09,136
You're right. Save the kidney.
295
00:16:09,261 --> 00:16:11,847
The guy we transplant it into
will be grateful.
296
00:16:11,972 --> 00:16:13,682
Also, I have an idea for his eye.
297
00:16:13,807 --> 00:16:15,851
Nothing we can do about his eye.
298
00:16:15,976 --> 00:16:17,816
- He's got a clot in the...
- Put it in a memo.
299
00:16:17,936 --> 00:16:19,229
If we remove some of the liquid
300
00:16:19,354 --> 00:16:20,981
from the eye itself,
the vitreous humor,
301
00:16:21,106 --> 00:16:24,734
it might make some extra room
around the retinal artery.
302
00:16:25,235 --> 00:16:28,780
If the artery expands,
the clot might move on its own.
303
00:16:28,905 --> 00:16:30,198
That's very creative.
304
00:16:30,323 --> 00:16:32,284
Why didn't you mention this before?
305
00:16:32,784 --> 00:16:34,578
I didn't think of it before.
306
00:16:34,703 --> 00:16:36,246
You should have.
307
00:16:55,765 --> 00:16:57,767
This is going to hurt.
308
00:16:57,893 --> 00:17:00,812
Your eye is numb.
You'll only feel pressure.
309
00:17:28,256 --> 00:17:29,841
Chase: Give it a minute.
310
00:17:37,849 --> 00:17:39,309
I can see.
311
00:18:08,672 --> 00:18:09,798
I can see you.
312
00:18:09,923 --> 00:18:12,467
I heard. Congratulations.
313
00:18:12,592 --> 00:18:15,637
Don't, I haven't brushed my teeth
in two days.
314
00:18:22,852 --> 00:18:25,939
I'm so scared they're not gonna find
out what's wrong with you.
315
00:18:26,064 --> 00:18:28,650
No biggie. I'm fine.
316
00:18:29,567 --> 00:18:32,445
I feel so bad about all this.
It's all my fault.
317
00:18:32,570 --> 00:18:35,657
No. No, it's not.
318
00:18:35,782 --> 00:18:39,077
But your father, he hates me.
319
00:18:39,661 --> 00:18:42,205
He's just pissed about his car.
320
00:18:48,461 --> 00:18:50,630
Help! Help! Help!
321
00:19:01,224 --> 00:19:02,267
What's wrong?
322
00:19:02,392 --> 00:19:04,185
Ast is 859.
We're getting him to the icu.
323
00:19:04,311 --> 00:19:07,314
Alt and ggt are in the tank.
Our antibiotics...
324
00:19:07,439 --> 00:19:08,799
House: Would not have caused this.
325
00:19:08,898 --> 00:19:10,001
She must have given him drugs!
326
00:19:10,025 --> 00:19:11,234
I wouldn't do that!
327
00:19:11,359 --> 00:19:12,777
It's not drugs!
328
00:19:13,361 --> 00:19:14,821
House: His liver is shutting down.
329
00:19:14,946 --> 00:19:17,407
What? What does that mean?
330
00:19:17,532 --> 00:19:19,951
It means he's all better.
He's ready to go home.
331
00:19:20,076 --> 00:19:22,078
- What?
- What do you think it means?
332
00:19:22,203 --> 00:19:24,372
You can't live without a liver.
He's dying.
333
00:19:24,497 --> 00:19:25,665
What is your problem?
334
00:19:25,790 --> 00:19:27,167
Bum leg. What's yours?
335
00:19:27,292 --> 00:19:30,211
Hey, we don't have time for this.
Let's go.
336
00:19:35,967 --> 00:19:37,886
His son's dying,
and you're mocking him?
337
00:19:38,011 --> 00:19:39,512
It was a dumb question.
338
00:19:39,637 --> 00:19:41,056
No, it wasn't.
339
00:19:44,184 --> 00:19:46,186
You're right. It wasn't.
340
00:19:47,812 --> 00:19:50,523
Is proving cuddy wrong worth all this?
341
00:20:04,871 --> 00:20:06,581
You know,
house shouldn't even be here.
342
00:20:06,706 --> 00:20:09,167
Because he said something
inappropriate?
343
00:20:09,292 --> 00:20:12,337
If we sent him home every time he did
that, we wouldn't need this office.
344
00:20:12,462 --> 00:20:14,589
He's in pain.
345
00:20:14,714 --> 00:20:16,758
What does the man have to do
to piss you off?
346
00:20:16,883 --> 00:20:18,763
He's been without pain relief
for over 70 hours.
347
00:20:18,802 --> 00:20:20,637
Exactly! He's detoxing.
348
00:20:20,762 --> 00:20:22,555
Can't you see he's out of his mind?
349
00:20:22,680 --> 00:20:25,100
That's what they said about manson.
350
00:20:27,227 --> 00:20:28,853
Do you want to continue
talking about me,
351
00:20:28,978 --> 00:20:32,107
or should we discuss
what the liver damage tells us?
352
00:20:33,983 --> 00:20:36,236
I was born in a log cabin
in Illinois...
353
00:20:36,361 --> 00:20:38,655
Hemolytic anemia doesn't cause
liver damage.
354
00:20:38,780 --> 00:20:40,573
Add the fact he's coughing blood,
355
00:20:40,698 --> 00:20:43,201
you've got three of the indicators of
organ-threatening lupus.
356
00:20:43,326 --> 00:20:45,120
It's moving too fast.
357
00:20:46,579 --> 00:20:48,665
Could be hepatitis e.
358
00:20:48,790 --> 00:20:51,626
There's only been one case of hep e
originating in the U.S. since...
359
00:20:51,751 --> 00:20:54,337
His history says he's been in and out
of the country
360
00:20:54,462 --> 00:20:55,755
four times in the last year.
361
00:20:55,880 --> 00:20:57,160
You really think he's got hep e?
362
00:20:58,258 --> 00:21:00,009
I think lupus is way more likely.
363
00:21:00,135 --> 00:21:02,929
All right, then let's start him
on iv cytoxan and plasmapheresis.
364
00:21:03,054 --> 00:21:05,682
No, we should rule out hep e.
365
00:21:05,807 --> 00:21:07,058
You just said it wasn't hep e.
366
00:21:07,183 --> 00:21:08,852
I said lupus is way more likely,
367
00:21:08,977 --> 00:21:11,354
but if we treat for lupus
and it is hep e...
368
00:21:11,479 --> 00:21:12,479
He's toast.
369
00:21:12,564 --> 00:21:13,565
House: Exactly.
370
00:21:13,690 --> 00:21:15,410
But there isn't a treatment
for hepatitis e.
371
00:21:15,483 --> 00:21:16,752
Either he'll get better on his own
372
00:21:16,776 --> 00:21:18,820
or he'll continue to deteriorate.
373
00:21:18,945 --> 00:21:21,364
Yeah. I went to medical school, too.
374
00:21:22,115 --> 00:21:24,159
Start him on squ-medrol.
375
00:21:24,284 --> 00:21:26,536
If he's got hep e,
that's only gonna make him worse.
376
00:21:26,661 --> 00:21:28,121
Not as much.
377
00:21:28,246 --> 00:21:30,165
It's goldilocks, people.
378
00:21:30,290 --> 00:21:32,167
Won't hurt him so much
that it'll kill him,
379
00:21:32,292 --> 00:21:34,502
and it won't hurt him so little
that we can't tell.
380
00:21:34,627 --> 00:21:36,796
It'll hurt him just right.
381
00:21:37,797 --> 00:21:38,882
And if it does nothing...
382
00:21:39,007 --> 00:21:41,634
We'll know it's not hep e,
and can start treating for the lupus.
383
00:21:41,759 --> 00:21:44,637
Now watch me do it
while drinking a glass of water.
384
00:21:44,762 --> 00:21:46,264
What do we tell the dad?
385
00:21:46,389 --> 00:21:49,392
"We think your kid has lupus, so we're
gonna treat him for hepatitis e.
386
00:21:49,517 --> 00:21:51,102
"And, oh, yeah, if it really is hep e,
387
00:21:51,227 --> 00:21:53,313
"we're not actually giving him
hep e medication.
388
00:21:53,438 --> 00:21:55,607
"So it's gonna make him worse,
not better."
389
00:21:55,732 --> 00:21:57,692
Do you think he'll go for that?
390
00:21:57,817 --> 00:21:58,817
So you want us to lie?
391
00:21:58,902 --> 00:22:01,404
No. I want you to lie.
392
00:22:01,571 --> 00:22:02,780
Why me?
393
00:22:02,906 --> 00:22:04,741
Because he trusts you.
394
00:22:08,536 --> 00:22:09,579
This is a mistake.
395
00:22:09,704 --> 00:22:10,705
This is a lawsuit.
396
00:22:10,830 --> 00:22:13,625
Hep e is possible.
House always pulls these stunts,
397
00:22:13,750 --> 00:22:14,935
and he's right more often than not.
398
00:22:14,959 --> 00:22:17,313
He's delaying treatment because of
a one-in-a-million chance
399
00:22:17,337 --> 00:22:18,977
that even he doesn't think
is the problem.
400
00:22:19,047 --> 00:22:20,215
I don't want to lie to him.
401
00:22:20,340 --> 00:22:21,424
Then don't.
402
00:22:21,549 --> 00:22:22,550
And get fired?
403
00:22:22,675 --> 00:22:24,969
Like he's gonna fire you. He loves you.
404
00:22:25,094 --> 00:22:26,638
I've got to do something.
405
00:22:26,763 --> 00:22:28,556
Kid needs treatment.
406
00:22:28,723 --> 00:22:30,266
Treat him for lupus.
407
00:22:30,391 --> 00:22:32,393
That will get you fired.
408
00:22:33,102 --> 00:22:34,812
You really think house is losing it?
409
00:22:36,022 --> 00:22:37,190
Yeah.
410
00:22:37,857 --> 00:22:40,568
He's fine. He knows what he's doing.
411
00:23:29,409 --> 00:23:30,577
Okay.
412
00:23:41,129 --> 00:23:44,090
We're recommending a drug
called squ-medrol.
413
00:23:44,674 --> 00:23:46,467
For hepatitis?
414
00:23:46,634 --> 00:23:48,469
Did that show up on his blood tests?
415
00:23:49,887 --> 00:23:52,807
The tests are never 100% accurate.
416
00:23:53,182 --> 00:23:55,160
Well, then, all the other tests
could be wrong, too.
417
00:23:55,184 --> 00:23:58,271
This could still be
an infection or cancer.
418
00:23:59,272 --> 00:24:02,233
They don't fit any of
the most recent symptoms.
419
00:24:02,358 --> 00:24:04,819
Well, what, just hepatitis does?
420
00:24:05,653 --> 00:24:08,573
I know, I know,
I know you can never be sure.
421
00:24:12,076 --> 00:24:15,330
When Wendy was in the hospital,
422
00:24:16,331 --> 00:24:19,459
a doctor told us there was this
aggressive experimental treatment
423
00:24:19,584 --> 00:24:22,879
which might extend her life
by two or three years.
424
00:24:23,671 --> 00:24:25,548
Well, we figured
if there was any hope at all
425
00:24:25,673 --> 00:24:27,318
that we could have her with us
a little while longer,
426
00:24:27,342 --> 00:24:29,093
it'd be worth it.
427
00:24:29,385 --> 00:24:31,846
Three weeks later, she was gone.
428
00:24:36,059 --> 00:24:38,353
I don't think it's hepatitis.
429
00:24:40,855 --> 00:24:42,774
I think your son has lupus.
430
00:24:43,441 --> 00:24:45,860
I think it's broken.
431
00:24:46,778 --> 00:24:48,279
What did you do?
432
00:24:49,364 --> 00:24:52,283
Accidentally closed the car door on it.
433
00:24:52,408 --> 00:24:54,994
No. Door would've broken the skin.
434
00:24:55,119 --> 00:24:59,290
This looks like something hard
and smooth smashed it.
435
00:24:59,415 --> 00:25:01,000
I want my lawyer.
436
00:25:01,876 --> 00:25:04,003
The brain has
a gating mechanism for pain.
437
00:25:04,128 --> 00:25:07,799
Registers the most severe injury
and blocks out the others.
438
00:25:07,924 --> 00:25:09,342
Did it work?
439
00:25:09,509 --> 00:25:10,968
Well, my hand hurts like hell.
440
00:25:12,929 --> 00:25:14,847
Yeah. I feel much better.
441
00:25:16,849 --> 00:25:18,643
Don't splint it.
442
00:25:19,018 --> 00:25:21,270
I want to be able to bang it
against the wall
443
00:25:21,437 --> 00:25:23,690
if I need to administer another dose.
444
00:25:23,815 --> 00:25:25,358
Just tape it up.
445
00:25:31,155 --> 00:25:32,883
Why did you tell Cameron
to lie to Mr. Foster?
446
00:25:32,907 --> 00:25:34,367
Make it tight.
447
00:25:34,492 --> 00:25:35,785
Answer me.
448
00:25:36,744 --> 00:25:39,831
Nothing I can say is gonna change
how you feel,
449
00:25:40,832 --> 00:25:42,226
and nothing can come out of
your reaction
450
00:25:42,250 --> 00:25:43,810
that is gonna change what I plan to do,
451
00:25:43,876 --> 00:25:45,461
so I prefer to say nothing.
452
00:25:45,586 --> 00:25:48,089
So that was just you saying nothing.
453
00:25:48,214 --> 00:25:49,382
Uh-huh.
454
00:25:49,757 --> 00:25:51,008
The guy is furious.
455
00:25:51,134 --> 00:25:52,301
And scared.
456
00:25:52,427 --> 00:25:53,469
So what are you gonna do?
457
00:25:53,594 --> 00:25:55,680
The father's insisting on
the lupus treatment.
458
00:25:55,805 --> 00:25:59,475
Yeah, Cameron told me,
and I told her to tell him no.
459
00:25:59,600 --> 00:26:02,395
Well, you can't just sit back
and let the kid die.
460
00:26:02,520 --> 00:26:03,688
Neither can the father.
461
00:26:03,813 --> 00:26:04,897
So that's your plan?
462
00:26:05,022 --> 00:26:06,822
You're gonna play chicken
with the kid's life?
463
00:26:06,899 --> 00:26:09,819
Well, he's the dad.
I should win easily.
464
00:26:10,361 --> 00:26:12,155
Take the week off.
465
00:26:12,280 --> 00:26:14,574
Why, 'cause I lied to a patient?
466
00:26:14,699 --> 00:26:17,827
I take risks. Sometimes patients die.
467
00:26:17,952 --> 00:26:20,246
But not taking risks
causes more patients to die,
468
00:26:20,371 --> 00:26:21,789
so I guess my biggest problem is
469
00:26:21,914 --> 00:26:24,167
I've been cursed with the ability
to do the math.
470
00:26:26,627 --> 00:26:29,380
I told him that we wouldn't treat him
for the lupus until...
471
00:26:29,505 --> 00:26:31,007
What did he say?
472
00:26:31,132 --> 00:26:33,332
He said he wanted to transfer Keith
to another hospital.
473
00:26:33,426 --> 00:26:35,320
He's not stable enough.
He'd never make it through the door.
474
00:26:35,344 --> 00:26:36,512
That's what I told him.
475
00:26:36,637 --> 00:26:38,639
And that's when he caved.
476
00:26:38,765 --> 00:26:42,435
Yeah. He agreed to do it your way.
477
00:26:43,311 --> 00:26:45,354
Two plus two equals four.
478
00:26:49,901 --> 00:26:52,695
If it is hepatitis e,
we should see a marked decline
479
00:26:52,820 --> 00:26:54,572
in liver function tests
within the hour.
480
00:26:54,697 --> 00:26:55,883
Why bother explaining it to me?
481
00:26:55,907 --> 00:26:57,634
It's not like I have any choice
in the matter.
482
00:26:57,658 --> 00:27:00,369
If there's no hep e, we'll start
treatment for lupus immediately.
483
00:27:00,495 --> 00:27:01,704
Ouch!
484
00:27:01,829 --> 00:27:03,122
Keith? What's wrong?
485
00:27:03,289 --> 00:27:04,540
What's happening?
486
00:27:04,665 --> 00:27:06,292
No, get off.
487
00:27:06,417 --> 00:27:08,544
Keith, it's Dr. Chase.
Where does it hurt?
488
00:27:08,669 --> 00:27:09,669
Jules, no!
489
00:27:09,754 --> 00:27:10,755
He's hallucinating.
490
00:27:10,880 --> 00:27:11,920
Is this from the medicine?
491
00:27:11,964 --> 00:27:13,233
We haven't started the medicine.
492
00:27:13,257 --> 00:27:14,443
Keith, you're in the hospital.
493
00:27:14,467 --> 00:27:16,010
Keith, there's nothing on you.
494
00:27:16,135 --> 00:27:17,553
Keith! Keith! Keith!
495
00:27:17,678 --> 00:27:19,055
Keith! Keith! Keith!
496
00:27:19,180 --> 00:27:21,974
Hey. You okay, buddy?
497
00:27:28,231 --> 00:27:30,107
I think I wet the bed.
498
00:27:30,942 --> 00:27:34,237
Don't worry about it. It's fine.
Let's get you up.
499
00:27:36,405 --> 00:27:37,406
Foster: Oh, god!
500
00:27:37,532 --> 00:27:38,616
He's had a major bleed.
501
00:27:38,741 --> 00:27:39,951
Bright red blood, per rectum.
502
00:27:40,076 --> 00:27:42,662
I didn't mean to. I'm sorry.
503
00:27:42,787 --> 00:27:44,831
He's going into hypovolemic shock.
504
00:27:44,956 --> 00:27:46,666
Pressure's 60, heart rate's 140.
505
00:27:46,791 --> 00:27:48,960
We need an angiography, stat!
506
00:27:58,761 --> 00:28:01,305
Foreman: Angiography revealed
major upper and lower gi bleeding,
507
00:28:01,430 --> 00:28:04,225
severe hemodynamic compromise
and liver failure.
508
00:28:04,350 --> 00:28:05,852
Chase: He's also hallucinating.
509
00:28:05,977 --> 00:28:08,312
Thinks he's being tortured
by someone named Jules.
510
00:28:08,437 --> 00:28:10,147
Hallucinations are a symptom of
psychosis,
511
00:28:10,273 --> 00:28:11,899
which is
the fourth diagnostic criteria.
512
00:28:12,024 --> 00:28:14,443
It's official. This is lupus.
513
00:28:14,902 --> 00:28:16,445
Who's Jules?
514
00:28:17,822 --> 00:28:19,216
Any mention of her
in the medical history?
515
00:28:19,240 --> 00:28:21,120
It doesn't matter what
he's hallucinating about,
516
00:28:21,242 --> 00:28:23,661
it matters why! It's lupus.
517
00:28:23,786 --> 00:28:26,330
There's no need to get snippy.
518
00:28:26,455 --> 00:28:27,891
This kind of lupus takes years
to get to this point.
519
00:28:27,915 --> 00:28:30,042
- It's been a week.
- Yeah.
520
00:28:30,167 --> 00:28:31,979
And a 16-year-old kid shouldn't have
hemolytic anemia
521
00:28:32,003 --> 00:28:34,672
or be bleeding out of every orifice,
but he is.
522
00:28:34,797 --> 00:28:36,340
We had an opportunity to treat this.
523
00:28:36,465 --> 00:28:39,135
Instead, we diddled around with
hepatitis e, and now it's too late.
524
00:28:39,260 --> 00:28:42,054
He needs a new liver. We screwed up.
525
00:28:43,556 --> 00:28:45,725
You're saying I screwed up.
526
00:28:46,767 --> 00:28:47,602
Yes.
527
00:28:47,727 --> 00:28:49,228
Then why don't you just say that?
528
00:28:50,897 --> 00:28:52,023
You gonna blame this on her?
529
00:28:52,148 --> 00:28:54,650
Did you agree with my recommendation
to treat for hep e?
530
00:28:54,775 --> 00:28:55,775
No, I didn't.
531
00:28:55,860 --> 00:28:57,403
And she made herself quite clear.
532
00:28:57,528 --> 00:29:00,048
And then she went and lied to
the father. That's why you're angry.
533
00:29:00,072 --> 00:29:01,324
Yeah. I trusted you.
534
00:29:01,449 --> 00:29:04,368
You always trust me.
That's a big mistake.
535
00:29:05,369 --> 00:29:06,871
Lupus is a bad diagnosis.
536
00:29:06,996 --> 00:29:08,664
It's the best diagnosis we've got.
537
00:29:08,789 --> 00:29:09,874
That doesn't make it good.
538
00:29:09,999 --> 00:29:13,419
No. It just makes it this kid's
only chance to live.
539
00:29:17,715 --> 00:29:19,759
Put him on the transplant list.
540
00:29:20,760 --> 00:29:22,303
And make sure cuddy knows.
541
00:29:22,428 --> 00:29:25,806
See if she can do anything
to get him close to the top.
542
00:29:49,789 --> 00:29:51,457
Cafeteria.
543
00:29:51,582 --> 00:29:53,626
Stay away from the Sushi.
544
00:29:54,543 --> 00:29:56,963
And what happened to your hand?
545
00:29:57,088 --> 00:29:58,965
Got stuck in a drawer.
546
00:29:59,090 --> 00:30:00,424
Yeah, right.
547
00:30:00,549 --> 00:30:01,842
You're going through withdrawal.
548
00:30:01,968 --> 00:30:04,553
No, I am going through pain.
549
00:30:05,554 --> 00:30:07,223
Pain causes nausea.
550
00:30:09,058 --> 00:30:12,561
I took this job to work with you,
not cover your ass.
551
00:30:13,604 --> 00:30:14,981
Your Vicodin.
552
00:30:18,859 --> 00:30:21,654
And your solution is to give me drugs?
553
00:30:21,779 --> 00:30:23,990
- That's interesting.
- No.
554
00:30:24,115 --> 00:30:26,117
Now I'm covering my ass.
555
00:30:27,535 --> 00:30:30,329
Take your pills
before you kill this kid.
556
00:31:09,869 --> 00:31:12,621
Lupus is normally treated with
medication.
557
00:31:12,747 --> 00:31:14,832
But in Keith's case,
the disease is too advanced.
558
00:31:14,957 --> 00:31:16,500
Because you lied.
559
00:31:17,001 --> 00:31:19,837
Because house wanted to play games
with my son's life.
560
00:31:19,962 --> 00:31:21,122
There's no way to really tell
561
00:31:21,213 --> 00:31:22,691
what progression
the disease may have taken.
562
00:31:22,715 --> 00:31:24,091
You're right.
563
00:31:26,343 --> 00:31:27,762
And I'm sorry.
564
00:31:30,431 --> 00:31:32,016
So what do we do?
565
00:31:32,391 --> 00:31:34,185
He needs a new liver.
566
00:31:35,352 --> 00:31:38,606
There are over 15,000 patients
on the transplant list.
567
00:31:38,731 --> 00:31:41,609
But how many are about to bleed to
death unless they get a new liver?
568
00:31:41,734 --> 00:31:43,819
In Jersey? I'd say 20.
569
00:31:44,737 --> 00:31:47,782
Two thousand patients die each year
because a donor liver can't be found.
570
00:31:47,907 --> 00:31:48,949
That's almost five a day.
571
00:31:49,075 --> 00:31:50,868
So he's screwed.
572
00:31:52,161 --> 00:31:54,080
I'll see what I can do.
573
00:31:55,206 --> 00:31:56,957
Could I donate part of my liver?
574
00:31:57,083 --> 00:31:59,085
Sorry. You're a different blood type.
575
00:31:59,460 --> 00:32:00,503
So we just wait?
576
00:32:00,628 --> 00:32:01,796
I'm afraid so.
577
00:32:02,588 --> 00:32:04,799
And hope for someone to die.
578
00:32:07,218 --> 00:32:08,761
Who's Jules?
579
00:32:10,513 --> 00:32:11,990
Dr. House, you should get back
to your office.
580
00:32:12,014 --> 00:32:14,809
Jules. There's no Jules in the history.
581
00:32:14,934 --> 00:32:15,935
It was a hallucination.
582
00:32:16,060 --> 00:32:17,061
Of what?
583
00:32:17,186 --> 00:32:19,105
Our cat. Does this matter?
584
00:32:19,230 --> 00:32:20,272
Foreman: No. I'm sorry.
585
00:32:20,397 --> 00:32:21,637
We'll continue the transfusions
586
00:32:21,732 --> 00:32:23,543
and the treatment for the anemia
and liver failure
587
00:32:23,567 --> 00:32:24,711
while we're waiting for a donor.
588
00:32:24,735 --> 00:32:25,861
How long can he wait?
589
00:32:26,153 --> 00:32:27,321
Not long.
590
00:32:27,988 --> 00:32:29,198
I don't think this is lupus.
591
00:32:29,323 --> 00:32:30,592
It's lupus. Come on, let's just...
592
00:32:30,616 --> 00:32:34,328
Your fourth diagnostic criterion for
lupus is psychosis.
593
00:32:34,453 --> 00:32:35,806
This is just a kid missing his cat.
594
00:32:35,830 --> 00:32:38,150
He was being attacked by an animal
that wasn't in the room.
595
00:32:38,207 --> 00:32:39,500
That's psychosis.
596
00:32:39,625 --> 00:32:41,877
There's a difference
between psychosis and hallucination.
597
00:32:42,002 --> 00:32:44,088
So if he was imagining a fake cat,
it'd be lupus,
598
00:32:44,213 --> 00:32:45,756
but since it was a real cat, it's not?
599
00:32:45,881 --> 00:32:46,882
Take your damn pills.
600
00:32:47,007 --> 00:32:48,008
Psychosis requires...
601
00:32:48,134 --> 00:32:49,927
There's no cat.
602
00:32:51,095 --> 00:32:52,763
Jules is dead.
603
00:32:55,808 --> 00:32:59,687
You have a dead family pet
and you never mentioned it?
604
00:33:00,688 --> 00:33:01,688
Nice family history.
605
00:33:01,772 --> 00:33:03,607
Family history is asking about
family members,
606
00:33:03,732 --> 00:33:05,612
meaning people related to the patient.
Let's go.
607
00:33:05,734 --> 00:33:06,902
How did the cat die?
608
00:33:07,027 --> 00:33:08,195
Can you get him out of here?
609
00:33:08,320 --> 00:33:09,446
Cameron: Dr. House, come on.
610
00:33:09,572 --> 00:33:11,532
What happened to the cat?
611
00:33:13,033 --> 00:33:14,618
Old age.
612
00:33:14,743 --> 00:33:16,328
She was 15 years old.
613
00:33:16,453 --> 00:33:17,496
When?
614
00:33:17,746 --> 00:33:18,747
About a month ago.
615
00:33:18,873 --> 00:33:19,975
Does this have anything to do with...
616
00:33:19,999 --> 00:33:22,042
Where'd she sleep? With Keith.
617
00:33:22,168 --> 00:33:23,711
This is not a cat allergy.
618
00:33:23,836 --> 00:33:25,588
It's not lupus.
619
00:33:26,130 --> 00:33:27,840
Where is Jules?
620
00:33:32,970 --> 00:33:36,765
Four years of college,
four at med school,
621
00:33:36,891 --> 00:33:38,684
two years' residency,
622
00:33:38,809 --> 00:33:41,937
another four of subspecialty training,
and where do I end up?
623
00:33:43,314 --> 00:33:45,441
Talking instead of digging.
624
00:33:45,566 --> 00:33:47,985
Come on. The ground's frozen solid.
625
00:33:58,370 --> 00:33:59,914
Foreman: What's that?
626
00:34:50,422 --> 00:34:51,882
Out of the way!
627
00:34:53,717 --> 00:34:56,053
Cuddy: We have the liver.
Prep or 4.
628
00:35:21,996 --> 00:35:25,249
All right, Keith,
start counting backward from 10.
629
00:35:26,292 --> 00:35:27,418
Ten,
630
00:35:29,378 --> 00:35:30,546
nine,
631
00:35:31,338 --> 00:35:32,506
eight...
632
00:35:34,967 --> 00:35:36,302
Scalpel.
633
00:35:42,057 --> 00:35:43,183
Stop the gases.
634
00:35:43,309 --> 00:35:44,893
What the hell are you doing, house?
635
00:35:45,019 --> 00:35:48,731
Saving a 16-year-old kid from a
lifetime of immunosuppressant drugs
636
00:35:48,856 --> 00:35:50,733
and a very nasty scar.
637
00:35:50,858 --> 00:35:53,068
This kid doesn't have iupoid hepatitis.
638
00:35:53,193 --> 00:35:55,029
He has acute naphthalene toxicity.
639
00:35:55,154 --> 00:35:56,155
Naphthalene?
640
00:35:56,280 --> 00:35:58,490
You're talking about mothballs.
641
00:35:58,615 --> 00:36:00,492
Nope. Termites.
642
00:36:00,784 --> 00:36:03,620
They create naphthalene
to protect their nests,
643
00:36:03,746 --> 00:36:05,789
which I'm assuming is rather large
644
00:36:05,914 --> 00:36:08,876
and inside all four walls of
his bedroom at home.
645
00:36:10,044 --> 00:36:12,713
And your assumption is based on what?
646
00:36:12,838 --> 00:36:15,883
The autopsy I just conducted
on his pet cat.
647
00:36:16,008 --> 00:36:17,634
Call cuddy, and security.
648
00:36:17,760 --> 00:36:19,280
You are not removing that kid's liver.
649
00:36:25,768 --> 00:36:27,644
Have you completely lost your mind?
650
00:36:27,770 --> 00:36:30,439
No, but I have been feeling
a little sick lately.
651
00:36:34,360 --> 00:36:37,571
There's no way we can do
this surgery now.
652
00:36:37,696 --> 00:36:38,696
You think?
653
00:36:38,781 --> 00:36:41,325
Foreman: You've already cost him
his liver. Don't kill him, too.
654
00:36:41,450 --> 00:36:43,660
Why are you so eager
to cut into a healthy kid?
655
00:36:43,786 --> 00:36:45,454
Healthy? He's in the toilet.
656
00:36:45,579 --> 00:36:47,581
He just needs some chicken soup.
657
00:36:47,706 --> 00:36:48,986
I'm telling hourani to re-scrub.
658
00:36:49,041 --> 00:36:50,459
We're doing this transplant.
659
00:36:50,584 --> 00:36:51,584
No, you're not.
660
00:36:51,668 --> 00:36:52,669
You said it.
661
00:36:52,795 --> 00:36:54,439
If Keith's symptoms
had an environmental cause,
662
00:36:54,463 --> 00:36:56,191
they would have disappeared
as soon as he got here.
663
00:36:56,215 --> 00:36:57,255
They've only gotten worse.
664
00:36:57,341 --> 00:36:59,361
If the food here wasn't one step
below rikers island,
665
00:36:59,385 --> 00:37:01,303
he would've gotten better.
He's lost 14 pounds.
666
00:37:01,428 --> 00:37:03,764
Yeah, sure.
This is nothing but a dietary thing.
667
00:37:03,889 --> 00:37:06,725
Naphthalene is a gas,
a fat-soluble gas.
668
00:37:06,850 --> 00:37:09,603
Kid breathes it in,
it gets stored in his fat cells.
669
00:37:09,728 --> 00:37:12,898
Outside the hospital, his body burned
protein and carbs for energy,
670
00:37:13,023 --> 00:37:15,109
and the naphthalene stayed in fat.
671
00:37:15,234 --> 00:37:17,194
But once the car accident
put him in the hospital
672
00:37:17,319 --> 00:37:19,613
and he started losing weight,
673
00:37:19,738 --> 00:37:21,538
his body had to get its energy
somewhere else.
674
00:37:21,615 --> 00:37:23,534
It started to burn fat.
675
00:37:24,660 --> 00:37:28,664
The floodgates opened.
The poison poured into his system.
676
00:37:28,789 --> 00:37:31,041
So getting away from the poison is
what poisoned him?
677
00:37:31,166 --> 00:37:33,794
Getting away from his dad's meatloaf
is what's killing him.
678
00:37:33,919 --> 00:37:36,839
You want to explain to me
why you stopped the surgery?
679
00:37:36,964 --> 00:37:39,299
Oh, my god! My god.
680
00:37:40,801 --> 00:37:42,094
I want him locked up!
681
00:37:43,720 --> 00:37:45,347
Take it easy.
682
00:37:56,358 --> 00:37:59,403
Your cat did not die of old age.
683
00:38:02,322 --> 00:38:05,742
It died of massive internal bleeding
and acute liver failure
684
00:38:05,868 --> 00:38:08,328
caused by naphthalene poisoning.
685
00:38:09,288 --> 00:38:11,248
The exact same thing your son has.
686
00:38:11,373 --> 00:38:12,541
You lie to me,
687
00:38:12,666 --> 00:38:15,752
you mess up my son's surgery,
and now you expect me to trust you?
688
00:38:15,878 --> 00:38:18,839
Give me 24 hours.
We'll pump your son full of calories.
689
00:38:18,964 --> 00:38:20,966
That liver is going to
somebody right now.
690
00:38:21,091 --> 00:38:22,468
We're doing that surgery.
691
00:38:22,593 --> 00:38:24,511
You do the surgery,
692
00:38:24,887 --> 00:38:27,181
you'll be killing a mother of four.
693
00:38:27,306 --> 00:38:28,599
Father of three.
694
00:38:28,724 --> 00:38:29,724
I was guessing.
695
00:38:29,808 --> 00:38:31,018
Like you are now?
696
00:38:32,769 --> 00:38:35,189
Naphthalene poisoning is
the best explanation we have
697
00:38:35,314 --> 00:38:37,316
for what's wrong with your son.
698
00:38:37,441 --> 00:38:39,151
It explains the internal bleeding,
699
00:38:39,276 --> 00:38:40,903
the hemolytic anemia,
the liver failure.
700
00:38:41,028 --> 00:38:43,780
It also predicts what'll happen next.
701
00:38:43,906 --> 00:38:46,700
If you do the surgery, he's gonna lay
on that table for 14 hours
702
00:38:46,825 --> 00:38:48,660
while his body continues to burn fat
703
00:38:48,785 --> 00:38:50,954
and release poison into his system.
704
00:38:52,664 --> 00:38:55,459
Either way, I did you a favor.
He's awake now.
705
00:38:55,584 --> 00:38:58,045
You've got a chance to say good-bye.
706
00:39:05,219 --> 00:39:07,888
I think you should trust Dr. House.
707
00:39:20,734 --> 00:39:22,903
Give the liver to the other guy.
708
00:39:37,334 --> 00:39:38,794
Watch out.
709
00:40:00,649 --> 00:40:03,819
Inr's down and his red count
is climbing.
710
00:40:06,446 --> 00:40:08,448
Means you made the right call.
711
00:40:08,574 --> 00:40:11,618
His liver's healing.
He's gonna be just fine.
712
00:40:29,177 --> 00:40:30,470
You made it a week.
713
00:40:30,596 --> 00:40:32,222
And won my prize.
714
00:40:32,389 --> 00:40:33,599
Congratulations.
715
00:40:33,724 --> 00:40:35,100
Cuddy's a sucker.
716
00:40:35,225 --> 00:40:36,768
I would've done it for two weeks off.
717
00:40:36,893 --> 00:40:38,854
Yeah, it was a piece of cake.
718
00:40:38,979 --> 00:40:40,939
You learn anything?
719
00:40:41,940 --> 00:40:43,108
Yeah.
720
00:40:43,900 --> 00:40:45,569
I'm an addict.
721
00:40:58,790 --> 00:40:59,791
Okay.
722
00:41:00,751 --> 00:41:02,669
I'm not stopping.
723
00:41:05,714 --> 00:41:07,341
There are programs.
724
00:41:07,466 --> 00:41:09,676
Cuddy would give you the time.
725
00:41:09,801 --> 00:41:11,654
You could get on a different
pain-management regimen.
726
00:41:11,678 --> 00:41:13,805
I don't need to stop.
727
00:41:13,930 --> 00:41:15,098
You just said...
728
00:41:15,223 --> 00:41:18,894
I said I was an addict.
I didn't say I had a problem.
729
00:41:19,895 --> 00:41:22,856
I pay my bills.
I make my meals. I function.
730
00:41:24,066 --> 00:41:25,859
Is that all you want?
731
00:41:26,818 --> 00:41:29,738
- You have no relationships.
- I don't want any relationships.
732
00:41:29,863 --> 00:41:31,156
You alienate people.
733
00:41:31,281 --> 00:41:33,200
I've been alienating people
since I was three.
734
00:41:33,325 --> 00:41:35,494
Come on! Drop it.
735
00:41:36,453 --> 00:41:38,533
You don't think you've changed
in the last few years?
736
00:41:38,580 --> 00:41:39,998
Well, of course I have.
737
00:41:40,165 --> 00:41:41,885
I've gotten older,
my hair's gotten thinner.
738
00:41:41,958 --> 00:41:43,598
Sometimes I'm bored.
Sometimes I'm lonely.
739
00:41:43,710 --> 00:41:45,295
Sometimes I wonder what it all means.
740
00:41:45,420 --> 00:41:46,880
No, I was there.
741
00:41:47,005 --> 00:41:49,841
You are not just a regular guy
who is getting older.
742
00:41:49,966 --> 00:41:53,303
You've changed. You're miserable,
and you're afraid to face yourself.
743
00:41:53,428 --> 00:41:55,347
Of course I've changed!
744
00:42:02,854 --> 00:42:04,940
And everything's the leg?
745
00:42:05,065 --> 00:42:06,733
Nothing's the pills?
746
00:42:06,858 --> 00:42:08,443
They haven't done a thing to you?
747
00:42:09,945 --> 00:42:11,822
They let me do my job.
748
00:42:12,698 --> 00:42:14,866
And they take away my pain.
749
00:42:46,732 --> 00:42:48,275
How'd it go?
750
00:42:49,317 --> 00:42:51,111
He admitted
he's addicted to the narcotics.
751
00:42:51,236 --> 00:42:52,714
Well, admitting
you have a problem is the...
752
00:42:52,738 --> 00:42:54,865
And he says it's not a problem.
753
00:42:56,700 --> 00:42:58,160
Maybe it's not.
754
00:42:58,827 --> 00:43:00,287
What do I know?
755
00:43:00,412 --> 00:43:01,830
What are you gonna do?
756
00:43:01,955 --> 00:43:03,832
Nothing. Done enough damage.
757
00:43:03,957 --> 00:43:06,418
Better hope he never finds out that
that was your idea.
758
00:43:06,543 --> 00:43:08,420
He'd never believe it.
52578
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