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1
00:00:00,209 --> 00:00:01,770
Announcer:
Blue calamari is still in the lead,
2
00:00:01,794 --> 00:00:04,380
but ample parking is making strides,
and is now in fourth, third,
3
00:00:04,505 --> 00:00:07,466
and holding second place, while
blue calamari is at a steady speed.
4
00:00:07,592 --> 00:00:09,552
And down the stretch they come!
5
00:00:09,677 --> 00:00:13,806
Ample parking comes from behind.
And it's ample parking by a nose.
6
00:00:15,433 --> 00:00:20,021
This is the last call for the third
race. You may still wager if you hurry.
7
00:00:20,146 --> 00:00:21,814
Here's your information
on the race...
8
00:00:21,939 --> 00:00:23,816
Out of the way.
Cripple coming through.
9
00:00:25,193 --> 00:00:27,278
Sixth race at golden downs.
10
00:00:27,403 --> 00:00:32,158
I'll take the two and the four.
Hey, that's my birthday.
11
00:00:32,325 --> 00:00:35,661
February 4, 1963. Do
you think that's a good bet?
12
00:00:36,162 --> 00:00:37,455
What's your birthday?
13
00:00:37,580 --> 00:00:41,083
Take your time. Don't worry.
There's only 30 seconds to post.
14
00:00:41,209 --> 00:00:44,295
Is there any way I can bet
on the six and the three also?
15
00:00:44,420 --> 00:00:47,298
You know, for the year? All
four horses. Can I do that?
16
00:00:47,757 --> 00:00:52,053
He wants a $2 exacta box,
two, four, six, three. Give him $24.
17
00:00:58,434 --> 00:00:59,894
Your turn.
18
00:01:00,228 --> 00:01:03,147
The ninth at gulfstream park.
$500 on the three horse,
19
00:01:03,272 --> 00:01:04,565
seminole uprising to win.
20
00:01:04,690 --> 00:01:06,525
Might as well burn your money.
21
00:01:06,943 --> 00:01:09,403
I'll burn my winnings.
Bigger flame.
22
00:01:11,155 --> 00:01:13,199
Same race, termigator to win.
23
00:01:15,201 --> 00:01:16,827
Sorry, race just closed.
24
00:01:16,953 --> 00:01:18,204
Damn it.
25
00:01:18,913 --> 00:01:20,581
She was 14-to-1, too.
26
00:01:20,706 --> 00:01:23,292
Then fatass over there
just saved you money.
27
00:01:23,417 --> 00:01:24,669
No way seminole uprising's...
28
00:01:24,794 --> 00:01:26,879
I don't bet on the horses.
I bet on the jocks.
29
00:01:27,171 --> 00:01:30,174
My rider's bulimic,
purges after his weigh-ins.
30
00:01:30,633 --> 00:01:34,887
Leave a two-pound pile at the starting gate,
shaves valuable time off that final eighth.
31
00:01:35,012 --> 00:01:37,139
Nice to have inside information.
32
00:01:37,723 --> 00:01:38,909
Announcer: By a length.
33
00:01:38,933 --> 00:01:40,202
The burning bush
and on the level is candy,
34
00:01:40,226 --> 00:01:42,436
right up on the inside
is bowfinger...
35
00:01:48,943 --> 00:01:50,778
And termigator
pulling up against the rail.
36
00:01:50,903 --> 00:01:52,905
Is anybody here a doctor?
37
00:01:58,452 --> 00:01:59,954
Trying to cop a feel?
38
00:02:00,079 --> 00:02:01,789
I took a cpr class at the y.
39
00:02:01,914 --> 00:02:04,810
That would be useful if she was
having a heart attack instead of a seizure.
40
00:02:04,834 --> 00:02:06,419
Seizure? Hold her tongue down?
41
00:02:06,544 --> 00:02:09,213
If you wanna get a finger bitten off.
Call an ambulance.
42
00:02:09,463 --> 00:02:10,923
Methodist's three blocks down.
43
00:02:11,048 --> 00:02:13,009
- I could drive her.
- Just make the call.
44
00:02:20,683 --> 00:02:23,311
- What the hell is that?
- How should I know?
45
00:02:23,811 --> 00:02:26,355
Tell the paramedics to take
her to Princeton-plainsboro.
46
00:02:26,480 --> 00:02:28,024
Her doctor's name is house.
47
00:02:28,149 --> 00:02:30,860
Announcer: And it's
termigator, winning by two lengths.
48
00:03:06,020 --> 00:03:08,064
Since when does house
hang out at otb?
49
00:03:08,189 --> 00:03:09,315
The man's an addict.
50
00:03:09,440 --> 00:03:11,025
Right, addicted to pills,
not gambling.
51
00:03:11,150 --> 00:03:14,528
It's the same thing.
Drug abuse, drinking, gambling.
52
00:03:14,820 --> 00:03:17,156
They all fire up the same
pleasure centers in the brain.
53
00:03:17,281 --> 00:03:18,699
An addict is an addict is an...
54
00:03:18,824 --> 00:03:20,493
Gambling doesn't take away
his pain.
55
00:03:20,785 --> 00:03:22,161
It does when I win.
56
00:03:22,286 --> 00:03:26,123
Hot otb babe has grand mal
57
00:03:26,582 --> 00:03:28,709
and inexplicable bruising.
58
00:03:29,210 --> 00:03:30,336
What up with that?
59
00:03:30,461 --> 00:03:32,630
You were just standing there,
and she started to seize?
60
00:03:32,755 --> 00:03:35,174
Spend as much time
around the real people as I do,
61
00:03:35,299 --> 00:03:36,300
someone gets sick.
62
00:03:36,425 --> 00:03:38,594
Her platelets are 89,
she's anemic.
63
00:03:39,512 --> 00:03:41,764
And she has
a blood alcohol level of 0.13.
64
00:03:41,889 --> 00:03:43,682
Hot otb babe?
65
00:03:44,016 --> 00:03:47,103
Obviously a working girl.
Probably an std infection.
66
00:03:47,228 --> 00:03:48,813
No fever. No infection.
67
00:03:48,938 --> 00:03:50,606
Alcohol abuse explains it all.
68
00:03:50,981 --> 00:03:53,651
Causes seizures and affects
her blood's ability to clot,
69
00:03:53,776 --> 00:03:54,819
which causes bruising.
70
00:03:54,944 --> 00:03:56,824
Start her on heparin,
she'll be fine by morning.
71
00:03:56,862 --> 00:03:58,840
Except for the fact that the
bruises are not petechial,
72
00:03:58,864 --> 00:04:00,199
which means it's not dic.
73
00:04:00,324 --> 00:04:02,243
So the bruises were caused
by trauma.
74
00:04:02,368 --> 00:04:05,079
She probably got beat up
by her boyfriend. Or her pimp.
75
00:04:05,204 --> 00:04:08,582
What's that called when you judge
someone before ever meeting them?
76
00:04:08,707 --> 00:04:10,584
She's a regular at otb.
77
00:04:10,709 --> 00:04:14,630
Somehow, I don't see her holding
down a 9-to-5 and going to pta meetings.
78
00:04:14,755 --> 00:04:17,174
I was there.
I have a 9-to-3 job.
79
00:04:17,299 --> 00:04:21,554
It could be sle, familial
telangiectasias, or even cushing's.
80
00:04:21,679 --> 00:04:23,931
- Good. Start with those.
- Which one?
81
00:04:24,056 --> 00:04:26,559
Cushing's. It explains
the seizure and the bruising.
82
00:04:26,684 --> 00:04:27,685
Not the anemia.
83
00:04:27,810 --> 00:04:28,995
So she doesn't eat
a lot of meat.
84
00:04:29,019 --> 00:04:31,897
Dic brought on by alcohol
abuse is far more likely.
85
00:04:32,022 --> 00:04:36,402
Do a full workup, h and p.
And lab her up, lp, mri.
86
00:04:39,155 --> 00:04:43,159
Did you just ever so subtly order
me to get her medical history?
87
00:04:44,034 --> 00:04:47,621
Cuddy put me in charge
last week, so, yeah.
88
00:04:51,250 --> 00:04:55,963
It was a pretend in charge, a
formality to get past the suits in legal.
89
00:04:56,088 --> 00:04:59,258
Right, those licensing-board folk
love to play dress up and pretend.
90
00:04:59,383 --> 00:05:02,052
Hey, no worries. I'll let you keep
your parking space.
91
00:05:02,178 --> 00:05:05,431
You can have it. You'll also need
my handicap placard.
92
00:05:05,556 --> 00:05:06,599
Bend over.
93
00:05:06,724 --> 00:05:08,201
You make
a pretty convincing argument.
94
00:05:08,225 --> 00:05:10,811
Chase killed that woman.
Now foreman's in charge?
95
00:05:10,936 --> 00:05:12,646
Cuddy: Yeah, we have
a pecking order here.
96
00:05:12,771 --> 00:05:14,523
If Cameron kills somebody,
chase takes over.
97
00:05:14,648 --> 00:05:16,066
There's a flow chart
in the lobby.
98
00:05:16,192 --> 00:05:18,736
For the next three weeks, you
answer directly to Dr. Foreman.
99
00:05:18,861 --> 00:05:21,530
And I expect you here
for grand rounds at 9:00.
100
00:05:21,655 --> 00:05:23,824
By the way,
I like sugar in my coffee.
101
00:05:25,659 --> 00:05:28,496
If there's a screw up,
it's your screw up.
102
00:05:29,622 --> 00:05:32,625
You won't have Dr. House
to fall back on.
103
00:05:36,712 --> 00:05:40,549
"Do you wear a seat belt?" Is
that really relevant to a seizure?
104
00:05:40,674 --> 00:05:41,717
Shph.
105
00:05:41,842 --> 00:05:44,220
How about,
"were you vaccinated for polio?"
106
00:05:44,345 --> 00:05:47,056
I think you gave me
the form intended for fdr.
107
00:05:47,181 --> 00:05:49,016
You really like
teeny tiny m0 in the fifth?
108
00:05:49,141 --> 00:05:51,101
I went 4-for-6 yesterday.
109
00:05:51,685 --> 00:05:54,104
You want winners? Cure me first.
110
00:05:54,647 --> 00:05:57,691
"Are you generally satisfied
with your life?"
111
00:05:57,816 --> 00:05:59,735
It does not ask that.
112
00:06:05,074 --> 00:06:06,283
You know, I was gonna ask
113
00:06:06,408 --> 00:06:09,578
what a respectable doctor
was doing at an otb parlor.
114
00:06:09,954 --> 00:06:12,873
Somehow that question
doesn't seem relevant anymore.
115
00:06:12,998 --> 00:06:15,376
- What's your excuse?
- It turns me on.
116
00:06:15,501 --> 00:06:18,128
Yeah? What else
turns you on? Drugs?
117
00:06:18,629 --> 00:06:20,756
Casual sex? Rough sex?
118
00:06:21,632 --> 00:06:23,425
Casual rough sex?
119
00:06:24,593 --> 00:06:27,179
- I'm a doctor. I need to know.
- No sex.
120
00:06:27,304 --> 00:06:29,640
Just moved here.
Haven't even found a job yet.
121
00:06:29,765 --> 00:06:30,933
Don't know anybody.
122
00:06:31,058 --> 00:06:32,601
Came here without a job.
123
00:06:33,769 --> 00:06:37,773
That means you didn't move here,
you moved away from somewhere else.
124
00:06:40,651 --> 00:06:42,069
Does that hurt? No.
125
00:06:43,320 --> 00:06:45,948
Are you on any prescription
meds? Hormones? Prednisone?
126
00:06:46,073 --> 00:06:49,326
I already answered that one. I think it
was question number 20-something.
127
00:06:49,451 --> 00:06:51,179
Well, yeah. And I could
reach down and get it.
128
00:06:51,203 --> 00:06:53,123
But that would kind of spoil
the whole cool move.
129
00:06:53,163 --> 00:06:54,999
I'm not on any medications.
130
00:06:55,124 --> 00:06:57,710
- Are you a vegetarian?
- No. Why?
131
00:06:58,335 --> 00:07:00,838
Because you might have
something called cushing's syndrome,
132
00:07:00,963 --> 00:07:02,006
which basically means...
133
00:07:02,131 --> 00:07:05,718
My pituitary
is overproducing acth,
134
00:07:05,843 --> 00:07:10,639
which is causing my adrenal glands to
push too much cortisol into my bloodstream.
135
00:07:10,764 --> 00:07:13,017
What a coincidence.
I'm a doctor, too.
136
00:07:13,142 --> 00:07:14,727
Yeah, I had it last year.
137
00:07:14,893 --> 00:07:19,064
They did brain surgery, removed
an adenoma from my pituitary.
138
00:07:31,285 --> 00:07:32,911
What did you just say?
139
00:07:33,037 --> 00:07:36,624
"You were right, house. Her
pituitary tumor regrew. It is cushing's.
140
00:07:36,749 --> 00:07:38,417
Uncanny how you do that."
141
00:07:38,542 --> 00:07:40,377
Actually, it was Cameron's idea.
142
00:07:40,502 --> 00:07:42,171
No, Cameron had three ideas.
143
00:07:42,296 --> 00:07:44,840
I chose one to encourage,
to nurture...
144
00:07:44,965 --> 00:07:46,759
Yeah, you're all about
the nurturing.
145
00:07:46,884 --> 00:07:48,636
Do you need a hug?
146
00:07:51,013 --> 00:07:53,015
I don't see any regrowth.
147
00:07:53,307 --> 00:07:54,827
You get her medical records
faxed over?
148
00:07:54,933 --> 00:07:57,686
Work smart, not hard.
That's my philosophy, boss.
149
00:07:57,811 --> 00:07:59,730
I'll take that as a no.
150
00:08:01,565 --> 00:08:03,901
Foreman: Anica, I need you
to stay completely still.
151
00:08:04,026 --> 00:08:05,527
Sorry.
152
00:08:08,739 --> 00:08:10,616
Still don't see anything.
153
00:08:10,824 --> 00:08:13,702
Okay, so it's a microadenoma.
Too small to see.
154
00:08:13,827 --> 00:08:15,162
So small, it's not even there.
155
00:08:15,287 --> 00:08:18,207
Right. It's just a coincidence
that I predicted a rare condition
156
00:08:18,332 --> 00:08:19,768
that she happened to have
a year ago.
157
00:08:19,792 --> 00:08:21,001
Results from her lp back yet?
158
00:08:21,126 --> 00:08:23,837
Didn't do an lp.
I knew what she had.
159
00:08:26,382 --> 00:08:27,758
Go do the lp.
160
00:08:33,931 --> 00:08:37,851
Okay, I need you to roll over
on your side, kiss your kneecaps.
161
00:08:38,477 --> 00:08:39,728
Party time.
162
00:08:40,771 --> 00:08:42,564
I thought it only took
one doctor to do this.
163
00:08:42,690 --> 00:08:43,774
I'm observing.
164
00:08:43,899 --> 00:08:46,110
She's here to make sure
I don't paralyze you.
165
00:08:47,069 --> 00:08:48,320
You've done this before, right?
166
00:08:48,445 --> 00:08:49,571
Successfully?
167
00:08:49,697 --> 00:08:51,448
He's kidding.
He's an excellent doctor.
168
00:08:51,573 --> 00:08:53,701
I'm going to numb
the area with some iidocaine,
169
00:08:53,826 --> 00:08:55,703
and then we're off to the races.
170
00:08:55,828 --> 00:08:57,287
See what I did there?
171
00:08:57,413 --> 00:09:00,874
I used horse-racing jargon to make
the patient feel more comfortable.
172
00:09:01,750 --> 00:09:03,544
Okay, here we go.
173
00:09:05,129 --> 00:09:07,256
Felt like bone. Does that hurt?
174
00:09:07,381 --> 00:09:09,007
A little bit.
What are you doing?
175
00:09:10,342 --> 00:09:11,885
Try rounding your back
a bit more.
176
00:09:12,010 --> 00:09:13,679
You're perfect
just the way you are.
177
00:09:14,346 --> 00:09:16,390
Oops, that was all me.
178
00:09:17,182 --> 00:09:19,017
Might want to move down
one vertebra.
179
00:09:19,143 --> 00:09:21,603
This is actually much harder
than I remember.
180
00:09:23,564 --> 00:09:25,315
My chest feels a little tight.
181
00:09:25,441 --> 00:09:26,817
Try taking a deep breath.
182
00:09:26,942 --> 00:09:28,662
Dr. House, maybe I
should take it from here.
183
00:09:28,736 --> 00:09:29,862
Eighth time's the charm.
184
00:09:31,029 --> 00:09:32,573
You trying to piss off foreman?
185
00:09:32,740 --> 00:09:34,366
Just let...
186
00:09:34,533 --> 00:09:35,951
Cameron: BP's 240 over 140.
187
00:09:36,076 --> 00:09:37,494
Turn that thing off, will you?
188
00:09:37,619 --> 00:09:38,746
Take the needle out.
189
00:09:38,871 --> 00:09:40,622
- Take the needle out!
- Okay.
190
00:09:43,083 --> 00:09:47,296
It's a hypertensive crisis.
Start her on an iv iopressor drip.
191
00:09:47,421 --> 00:09:50,174
Titrate to systolic less
than 140. She'll be fine.
192
00:09:50,549 --> 00:09:52,760
Cameron. Meet me in my office.
193
00:09:53,218 --> 00:09:57,723
At the risk of sounding
redundant and right, again,
194
00:09:57,890 --> 00:10:00,768
she has cushing's. Cushing's.
195
00:10:00,893 --> 00:10:04,480
Right, the fact that you mangled
her lp has nothing to do with it.
196
00:10:04,605 --> 00:10:06,607
Actually, it has
everything to do with it.
197
00:10:06,732 --> 00:10:10,486
Cushing's plus stress
equals hypertensive crisis.
198
00:10:11,028 --> 00:10:12,571
Smart move, sending the rookie.
199
00:10:12,696 --> 00:10:15,949
Her initial symptoms could have
been caused by alcohol-induced dic.
200
00:10:16,074 --> 00:10:17,785
She had a hypertensive crisis
201
00:10:17,910 --> 00:10:19,929
because it's been at least six
hours since she had her last drink.
202
00:10:19,953 --> 00:10:20,996
She's detoxing.
203
00:10:21,121 --> 00:10:23,957
The exact same moment that
I'm futilely trying to give her an lp?
204
00:10:24,082 --> 00:10:27,920
Right. An invisible tumor on
her pituitary is much more likely.
205
00:10:28,045 --> 00:10:29,838
Chase: What if the tumor
is somewhere else?
206
00:10:29,963 --> 00:10:33,425
There could be an acth-secreting
tumor on her lung or pancreas.
207
00:10:33,550 --> 00:10:34,550
It's awfully rare.
208
00:10:34,635 --> 00:10:36,053
Not as rare
as an invisible tumor.
209
00:10:36,178 --> 00:10:38,680
Why didn't they put you
in charge instead of foreman?
210
00:10:38,806 --> 00:10:41,767
Oh, yeah, you're the guy
that killed that woman.
211
00:10:41,892 --> 00:10:45,187
Get a pan-man scan
before she dies a cortisol od.
212
00:10:50,025 --> 00:10:51,401
Fine. Do it.
213
00:10:52,152 --> 00:10:54,512
But when you don't find
anything, put her on a librium taper
214
00:10:54,571 --> 00:10:57,491
for the withdrawal and get
her a bed in a rehab clinic.
215
00:11:09,044 --> 00:11:10,754
Chase: Lungs look clean.
216
00:11:11,338 --> 00:11:13,757
Her lymph nodes
are not enlarged.
217
00:11:15,551 --> 00:11:17,928
Cuddy tapped foreman
to run the department.
218
00:11:18,595 --> 00:11:20,848
- I didn't even get asked.
- Neither did I.
219
00:11:20,973 --> 00:11:22,808
- You were suspended.
- I was kidding.
220
00:11:22,975 --> 00:11:26,895
It's the irony of women in charge.
They don't like other women in charge.
221
00:11:27,896 --> 00:11:30,566
What? You think
it's something else?
222
00:11:31,316 --> 00:11:34,444
You sabotaged yourself.
You went on a date with house.
223
00:11:34,570 --> 00:11:37,447
You slept with me. Putting
you in charge of this department
224
00:11:37,573 --> 00:11:40,242
is like a sexual harassment
suit waiting to happen.
225
00:11:40,367 --> 00:11:41,869
Yeah, they're really worried
226
00:11:41,994 --> 00:11:44,204
that I'm gonna create
a hostile work environment.
227
00:11:44,329 --> 00:11:46,331
Maybe that's the problem.
228
00:11:46,874 --> 00:11:49,877
Being in charge means
having to say no to house.
229
00:11:50,252 --> 00:11:52,421
Would you hire you for that?
230
00:11:55,340 --> 00:11:58,969
Announcer: Anderson
coming out strong. What is he thinking?
231
00:11:59,094 --> 00:12:01,555
He watched
what Tom mants just did.
232
00:12:02,347 --> 00:12:05,642
You ordered mris
for the entire maternity ward?
233
00:12:06,143 --> 00:12:07,978
I was in a crazy mood.
234
00:12:08,103 --> 00:12:10,063
Good thing I got
a new boss to back me up.
235
00:12:10,188 --> 00:12:12,274
Although, I think one of
those is actually necessary.
236
00:12:12,399 --> 00:12:14,860
Better comb through
before you cancel them all.
237
00:12:17,696 --> 00:12:21,617
What do you expect me to do,
house? Quit? Cry?
238
00:12:21,783 --> 00:12:24,703
Actually, I expect you
to act like what you are.
239
00:12:24,828 --> 00:12:27,331
My employee. My subordinate.
240
00:12:28,582 --> 00:12:29,666
My bitch.
241
00:12:30,292 --> 00:12:31,752
Well, since you asked nicely...
242
00:12:31,877 --> 00:12:32,920
My god.
243
00:12:33,045 --> 00:12:36,256
I can't believe I got more than a year
behind on my discharge summaries.
244
00:12:36,381 --> 00:12:39,718
Got to get caught up.
Oh, no, wait.
245
00:12:39,843 --> 00:12:42,846
I'm not authorized to sign
these anymore. Only you are.
246
00:12:43,263 --> 00:12:45,682
Keep it coming.
I'm not gonna break.
247
00:12:47,476 --> 00:12:49,853
Scan showed a mass
on her pancreas.
248
00:12:50,479 --> 00:12:52,981
Looks malignant.
Probably inoperable.
249
00:12:54,733 --> 00:12:56,735
I'd give her two months.
250
00:13:00,572 --> 00:13:03,533
On the bright side,
it still means I was right.
251
00:13:12,751 --> 00:13:14,044
Where's Dr. House?
252
00:13:14,169 --> 00:13:16,380
Dr. Foreman's
overseeing your case.
253
00:13:16,797 --> 00:13:21,510
He thought it'd be best if I spoke with
you. We found a mass in your pancreas.
254
00:13:22,135 --> 00:13:23,887
It looks like cancer.
255
00:13:24,846 --> 00:13:28,266
So something in my pancreas
caused me to have a seizure?
256
00:13:29,226 --> 00:13:32,980
Probably.
But the bigger point is...
257
00:13:35,774 --> 00:13:39,569
A one-year survival rate for
pancreatic cancer is less than 20%.
258
00:13:39,695 --> 00:13:41,238
So what's the treatment?
259
00:13:42,406 --> 00:13:47,119
We need to biopsy the mass
to see what we're dealing with,
260
00:13:47,244 --> 00:13:50,664
and then we can
261
00:13:51,623 --> 00:13:53,083
recommend options from there.
262
00:13:53,458 --> 00:13:54,626
Sounds good.
263
00:13:59,631 --> 00:14:02,384
I need your consent
to do the biopsy.
264
00:14:08,306 --> 00:14:09,349
Thanks.
265
00:14:09,766 --> 00:14:11,101
Wish me luck.
266
00:14:12,060 --> 00:14:13,520
Good luck.
267
00:14:15,897 --> 00:14:18,608
Cameron: It was weird.
She barely reacted at all.
268
00:14:19,109 --> 00:14:22,279
I've had people hug me
and people take a swing at me.
269
00:14:22,404 --> 00:14:24,740
This was more like
she didn't even hear me.
270
00:14:25,198 --> 00:14:26,908
Magnify three times.
271
00:14:31,705 --> 00:14:33,498
Wilson: House assisting.
272
00:14:34,332 --> 00:14:35,709
That is funny.
273
00:14:37,210 --> 00:14:39,629
Too bad foreman's gonna die.
274
00:14:49,765 --> 00:14:54,269
Good afternoon, I'm Dr. House.
I'm gonna be looking at your...
275
00:14:56,938 --> 00:14:58,273
Perfect.
276
00:14:59,691 --> 00:15:01,318
Excuse me.
277
00:15:05,614 --> 00:15:08,784
Need Dr. Foreman in
exam room one for a consult.
278
00:15:10,410 --> 00:15:11,661
So, when did this start?
279
00:15:12,162 --> 00:15:13,580
Couple weeks ago.
280
00:15:13,914 --> 00:15:18,460
I didn't want to get pregnant. Jake's
not into rubbers, so I got on the jelly.
281
00:15:19,503 --> 00:15:20,903
You think I'm allergic
or something?
282
00:15:21,713 --> 00:15:23,465
You have an infection.
283
00:15:23,715 --> 00:15:24,549
I'm gonna need a sample.
284
00:15:24,674 --> 00:15:26,093
I brought the jar.
285
00:15:26,301 --> 00:15:28,470
No, I meant a sample of your...
286
00:15:35,227 --> 00:15:38,313
Okay. We have
a neurological problem here.
287
00:15:38,438 --> 00:15:39,940
There's something wrong
with my brain?
288
00:15:41,108 --> 00:15:42,484
Oh, yeah.
289
00:15:42,984 --> 00:15:45,529
Cover yourself up.
Got what I need.
290
00:15:48,323 --> 00:15:49,449
What's up?
291
00:15:49,574 --> 00:15:50,574
Smell this.
292
00:15:52,369 --> 00:15:56,289
Smells like vaginosis,
but it's not really my call.
293
00:15:56,414 --> 00:16:00,168
Great. I'll be sure to put a gold
star by your name on the board.
294
00:16:00,585 --> 00:16:04,172
Anica's biopsy for pancreatic
cancer was negative.
295
00:16:10,470 --> 00:16:12,430
Okay, I'm gonna give you
some antibiotics
296
00:16:12,556 --> 00:16:14,516
and you probably shouldn't
have sex for a while.
297
00:16:14,641 --> 00:16:15,475
How long?
298
00:16:15,600 --> 00:16:18,645
On an evolutionary basis,
I'd recommend forever.
299
00:16:20,021 --> 00:16:24,067
The mass in the pancreas is
benign. It's probably just scar tissue.
300
00:16:24,192 --> 00:16:27,362
Good news. She's not sick at
all. Other than being an alcoholic.
301
00:16:27,487 --> 00:16:32,242
The labs you sent yesterday put her
acth at 64 picograms per milliliter.
302
00:16:32,367 --> 00:16:34,494
She's got cushing's.
Something set it off.
303
00:16:34,619 --> 00:16:38,373
It's gotta be in her brain. Set
her up for a venous sampling.
304
00:16:38,498 --> 00:16:39,708
There is another possibility.
305
00:16:39,833 --> 00:16:40,917
Chase, hold on.
306
00:16:41,334 --> 00:16:44,504
How'd you get him trained
so fast? Electronic collar?
307
00:16:44,629 --> 00:16:45,839
Got treats in your pocket?
308
00:16:45,964 --> 00:16:48,717
She didn't even read the consent
form for the pancreatic biopsy.
309
00:16:48,842 --> 00:16:49,885
Who reads those things?
310
00:16:50,010 --> 00:16:53,305
Maybe she didn't read it because she
knew that there was nothing wrong with her.
311
00:16:53,430 --> 00:16:55,199
There is another explanation
for the cushing's.
312
00:16:55,223 --> 00:16:59,436
Maybe she injected herself with the
acth. Her behavior suggests Munchausen's.
313
00:16:59,561 --> 00:17:02,272
She's had four hospitalizations
in the last four months.
314
00:17:02,397 --> 00:17:06,443
Well, being hospitalized a lot certainly
points to nothing being wrong with you.
315
00:17:06,693 --> 00:17:09,446
She's had zero symptoms
since she got here.
316
00:17:09,571 --> 00:17:10,673
The scarring on her pancreas
317
00:17:10,697 --> 00:17:12,592
could be caused from injecting
herself with the benzene
318
00:17:12,616 --> 00:17:13,909
and setting off the seizures.
319
00:17:14,034 --> 00:17:15,452
House: She's had brain surgery.
320
00:17:15,785 --> 00:17:18,413
You can fake a stomachache.
You can't fake a brain tumor.
321
00:17:18,538 --> 00:17:20,540
You can fake an invisible one.
322
00:17:22,584 --> 00:17:25,378
We should check her apartment.
Look for medications, syringes...
323
00:17:25,503 --> 00:17:27,547
- Venous sampling's easier.
- And more dangerous.
324
00:17:27,672 --> 00:17:31,593
- Not if you get caught breaking in.
- So don't get caught, house.
325
00:17:33,595 --> 00:17:35,555
Why do you think cuddy
picked foreman over me?
326
00:17:35,680 --> 00:17:37,807
Have I done something wrong
or is there...
327
00:17:37,933 --> 00:17:40,286
Will it make you shut up if I told you
she wanted someone black?
328
00:17:40,310 --> 00:17:42,562
How would you describe
my leadership skills?
329
00:17:42,687 --> 00:17:45,148
Nonexistent.
Othenlvise excellent.
330
00:17:45,273 --> 00:17:47,943
There's more to being a leader
than being a jerk.
331
00:17:48,068 --> 00:17:50,153
The world will never know.
332
00:17:54,199 --> 00:17:56,910
No. No way. It just snowed.
333
00:17:57,035 --> 00:17:58,536
Yesterday.
The streets are clear.
334
00:18:00,038 --> 00:18:01,915
My car is right there.
335
00:18:02,374 --> 00:18:05,627
There's construction on elm.
Bike will be faster.
336
00:18:26,606 --> 00:18:29,234
Cameron: There's even books
in the bathroom.
337
00:18:29,943 --> 00:18:33,571
Well, either she's very smart or
she has a severe fiber deficiency.
338
00:18:39,369 --> 00:18:42,706
She's got an appointment with
her ophthalmologist on Tuesday
339
00:18:42,831 --> 00:18:45,458
and an appointment with
her gynecologist on Thursday.
340
00:18:46,001 --> 00:18:48,545
Multiple appointments
with multiple doctors.
341
00:18:48,670 --> 00:18:50,255
Symptom of Munchausen's.
342
00:18:50,380 --> 00:18:53,675
Or, just thinking
outside the box here,
343
00:18:53,800 --> 00:18:56,553
she has a vagina
and trouble reading.
344
00:18:57,595 --> 00:19:00,890
There's three pairs of reading
glasses, each with different prescriptions.
345
00:19:01,016 --> 00:19:03,768
Which would be explained by a
tumor pressing on the optic nerve.
346
00:19:03,893 --> 00:19:05,621
Because you're looking
for her to have a tumor.
347
00:19:05,645 --> 00:19:07,522
And you're looking for...
348
00:19:07,731 --> 00:19:11,067
A person with Munchausen's
syndrome drinks battery acid.
349
00:19:11,192 --> 00:19:13,796
But they don't go to an ophthalmologist
to get their pupils dilated.
350
00:19:13,820 --> 00:19:17,115
An ophthalmologist is a
doctor. Attention is attention.
351
00:19:17,240 --> 00:19:20,785
How many hospitals have you
contacted? Has one doctor said she's crazy?
352
00:19:20,910 --> 00:19:23,621
- It's not Munchausen's.
- It's not your call.
353
00:19:26,791 --> 00:19:28,102
If you think
she's got Munchausen's,
354
00:19:28,126 --> 00:19:30,046
then obviously you got
something to show the man.
355
00:19:30,378 --> 00:19:32,589
A syringe in her apartment.
A bottle of acth.
356
00:19:32,714 --> 00:19:34,914
Munchausen's patients are good
at covering their tracks.
357
00:19:35,008 --> 00:19:37,611
Right. So, the fact that we found
nothing proves there's something.
358
00:19:37,635 --> 00:19:40,388
Look at the pathology reports
from the surgery she had in Chicago.
359
00:19:40,513 --> 00:19:43,308
They removed 30% of her
pituitary. They found no tumor.
360
00:19:43,433 --> 00:19:45,310
It's possible
the surgeons just missed it.
361
00:19:45,435 --> 00:19:47,663
In that kind of surgery,
you're just cutting and hoping...
362
00:19:47,687 --> 00:19:49,397
Of course, we're both right.
363
00:19:49,522 --> 00:19:51,983
Excellent solution,
everybody's happy.
364
00:19:52,108 --> 00:19:53,526
Come on, step up, foreman.
365
00:19:53,651 --> 00:19:56,404
If you think I'm right, order
me to stick a needle in her brain.
366
00:19:56,529 --> 00:19:58,698
If you think Cameron's right,
send the patient home.
367
00:19:58,823 --> 00:20:01,534
Either she'll be fine,
or she'll die.
368
00:20:01,993 --> 00:20:04,704
Do the venous sampling.
Get her consent.
369
00:20:10,418 --> 00:20:13,463
Nice move, boss.
Way to cover your ass.
370
00:20:14,339 --> 00:20:15,423
I just agreed with you.
371
00:20:15,548 --> 00:20:17,175
Not because you think I'm right,
372
00:20:17,300 --> 00:20:20,512
you're just taking
the safe route. You're a wuss.
373
00:20:21,179 --> 00:20:23,890
Don't worry,
your secret's safe with me.
374
00:20:26,643 --> 00:20:29,562
Hey, Wilson,
guess what foreman just did!
375
00:20:39,739 --> 00:20:43,118
This is a consent form to
stick a wire into your brain.
376
00:20:43,243 --> 00:20:45,554
It's important for hospitals to
get these signed for procedures
377
00:20:45,578 --> 00:20:47,956
that are completely unnecessary.
378
00:20:49,124 --> 00:20:51,876
- Then why are you doing it?
- Because you're mentally ill.
379
00:20:52,877 --> 00:20:57,382
You injected yourself with acth to induce
cushing's to get attention from doctors.
380
00:20:57,507 --> 00:20:58,633
And so far, it's worked.
381
00:20:59,592 --> 00:21:01,136
I'd like to see another doctor.
382
00:21:01,761 --> 00:21:05,098
- I'm not giving you what you want?
- I don't want a bitch.
383
00:21:05,223 --> 00:21:07,517
Just sign the forms, okay?
And I'll get out of here.
384
00:21:08,143 --> 00:21:10,788
Hopefully for you, whatever you
injected yourself with won't wear off
385
00:21:10,812 --> 00:21:14,774
before you get the fun of a caring and
concerned doctor cutting into your head.
386
00:21:30,165 --> 00:21:32,542
You chose me to make
house miserable, didn't you?
387
00:21:32,667 --> 00:21:36,504
Apparently, he's making you
miserable. That's impressive.
388
00:21:36,796 --> 00:21:37,881
Find someone else.
389
00:21:39,674 --> 00:21:41,134
For the first time in six years,
390
00:21:41,259 --> 00:21:44,262
I'm getting copied on all
experimental tests and procedures.
391
00:21:44,387 --> 00:21:47,474
Clinic hours have been
logged and completed.
392
00:21:47,599 --> 00:21:49,809
You've given me four months
of house's dictations
393
00:21:49,934 --> 00:21:51,978
so I can finally bill
insurance companies.
394
00:21:52,103 --> 00:21:55,231
I only did that stuff to prove
he couldn't make me miserable.
395
00:21:55,356 --> 00:21:56,858
Well, way to go.
396
00:21:56,983 --> 00:21:59,569
Now everybody's getting
what they need, even house.
397
00:21:59,694 --> 00:22:04,073
He gets to play mad scientist,
and this department runs smoothly.
398
00:22:04,199 --> 00:22:06,993
So I'm stuck with this
for the next three weeks.
399
00:22:07,160 --> 00:22:09,245
Maybe longer.
400
00:22:10,205 --> 00:22:12,999
Would you be interested
if this wasn't just pretend?
401
00:22:15,335 --> 00:22:17,962
What did mommy say? I don't
get any candy in my stocking?
402
00:22:18,087 --> 00:22:19,732
Patient being prepped
for the venous sampling?
403
00:22:19,756 --> 00:22:23,218
Yeah, a mentally ill patient is right
on track for a pointless procedure.
404
00:22:23,343 --> 00:22:25,261
Yeah, we get your objection.
405
00:22:31,809 --> 00:22:34,521
Foreman. Are you sure?
406
00:22:35,897 --> 00:22:38,316
That doesn't make any sense.
Check it again.
407
00:22:39,526 --> 00:22:41,152
We gotta delay
the venous sampling.
408
00:22:41,277 --> 00:22:43,238
Why? Her urine turning orange?
409
00:22:45,949 --> 00:22:47,617
How would you know that?
410
00:22:47,742 --> 00:22:49,369
Because
that's what rifampin does.
411
00:22:49,494 --> 00:22:51,204
She's not on antibiotics.
412
00:22:51,329 --> 00:22:54,916
But if a Munchausen's patient
thinks she's about to get busted,
413
00:22:55,041 --> 00:22:57,544
she sees pills labeled
"dangerous, might cause seizures",
414
00:22:57,669 --> 00:22:59,087
she might grab a couple.
415
00:22:59,212 --> 00:23:02,549
And if that label were accidentally
on a bottle of antibiotics,
416
00:23:02,674 --> 00:23:04,968
and if that bottle were
accidentally left in her room...
417
00:23:05,093 --> 00:23:08,137
- You set her up?
- Might have. It's Munchausen's.
418
00:23:09,055 --> 00:23:11,349
All this, she did to herself.
419
00:23:29,909 --> 00:23:33,037
I don't know what the
hell you're talking about.
420
00:23:33,246 --> 00:23:36,416
I had a seizure. I'm sick.
I need your help.
421
00:23:36,541 --> 00:23:38,167
Not from this department.
422
00:23:38,293 --> 00:23:40,128
The half-life
of rifampin is three hours.
423
00:23:40,253 --> 00:23:43,339
After that, you'll get your psych
referral and your discharge papers.
424
00:23:43,464 --> 00:23:45,776
You know, just because you
stick your fingers down your throat
425
00:23:45,800 --> 00:23:48,428
doesn't mean
the rest of us are screwed up.
426
00:23:48,595 --> 00:23:52,348
I guess when cooperation
fails, you move on to hostility.
427
00:23:52,473 --> 00:23:54,559
I didn't do this to myself.
428
00:24:06,404 --> 00:24:09,741
100% commitment.
Sign of a good liar.
429
00:24:09,866 --> 00:24:12,076
Also the sign of a sociopath.
430
00:24:12,869 --> 00:24:14,162
What are you doing?
431
00:24:14,287 --> 00:24:15,955
Correcting your last note.
432
00:24:16,372 --> 00:24:18,791
We can't discharge her
if she's sick.
433
00:24:19,250 --> 00:24:21,044
Anybody ever tell you,
you write like a girl?
434
00:24:21,169 --> 00:24:24,422
What? You got some other explanation
for orange urine?
435
00:24:24,547 --> 00:24:26,966
- It's Munchausen's.
- Correct, but not complete.
436
00:24:27,091 --> 00:24:29,218
You just don't want to admit
that she skunked you.
437
00:24:29,344 --> 00:24:33,348
At the end of the boy who cried
wolf, the wolf really does come.
438
00:24:33,890 --> 00:24:36,392
Then he eats the sheep,
and the boy, and his parents.
439
00:24:36,517 --> 00:24:38,579
- The wolf doesn't eat the parents.
- He does when I tell it.
440
00:24:38,603 --> 00:24:41,189
You're not telling
the story now. I am.
441
00:24:42,190 --> 00:24:44,108
Look, I checked her records.
442
00:24:44,233 --> 00:24:46,486
All her hospitalizations
were for different things.
443
00:24:46,611 --> 00:24:49,280
Brain tumor, fainting spells,
skin rashes, seizures.
444
00:24:49,405 --> 00:24:50,990
She's had every
blood test known to man
445
00:24:51,115 --> 00:24:52,301
and the results
are all over the map.
446
00:24:52,325 --> 00:24:55,078
There's only one constant,
low hct.
447
00:24:55,620 --> 00:24:57,622
- The anemia's real.
- There's a million things
448
00:24:57,747 --> 00:24:59,099
she could have taken
to have done that.
449
00:24:59,123 --> 00:25:00,792
True, it could just be her mo.
450
00:25:00,917 --> 00:25:04,128
She self-induces two illnesses.
One always changes, one never does.
451
00:25:04,253 --> 00:25:07,298
Or maybe she has Munchausen's
and aplastic anemia,
452
00:25:07,423 --> 00:25:09,258
which would mean,
without proper treatment,
453
00:25:09,384 --> 00:25:10,864
she'll continue
to get sicker, weaker,
454
00:25:10,927 --> 00:25:13,346
eventually she'll start
bleeding internally and die.
455
00:25:13,471 --> 00:25:15,390
- She's not getting sicker.
- She will.
456
00:25:15,515 --> 00:25:18,851
If her bone marrow was dying, the
entire blood panel would be affected.
457
00:25:18,976 --> 00:25:20,696
- Her white count's normal.
- House: So far.
458
00:25:20,770 --> 00:25:23,147
- We need to do a bone marrow biopsy.
- No. No more tests.
459
00:25:23,272 --> 00:25:26,275
Look, you kick her to the curb
with a Munchausen's diagnosis
460
00:25:26,401 --> 00:25:28,961
you're guaranteeing that no
doctor will ever listen to her again.
461
00:25:29,070 --> 00:25:31,698
We do more tests, we'll
only be feeding her psychosis.
462
00:25:31,823 --> 00:25:34,283
The more attention we give
her, the more she'll want.
463
00:25:35,827 --> 00:25:38,162
What if she doesn't know
we're testing her?
464
00:25:38,287 --> 00:25:40,707
House, you were wrong.
Live with it.
465
00:25:40,915 --> 00:25:43,376
There's probably some blood
left over from previous tests.
466
00:25:43,501 --> 00:25:45,962
Blood tests alone
can't confirm aplastic anemia.
467
00:25:46,087 --> 00:25:49,215
Yes, I know. That's why I want
to do a bone marrow biopsy.
468
00:25:49,340 --> 00:25:51,175
But blood tests could show
a systemic disease.
469
00:25:51,300 --> 00:25:53,553
- A virus or a toxin could be the cause.
- Fine.
470
00:25:53,678 --> 00:25:55,763
You want to test the extra
blood? Knock yourself out.
471
00:25:55,888 --> 00:25:57,390
But the patient is off-limits.
472
00:25:57,515 --> 00:26:00,810
And if the results
are positive, I get my biopsy?
473
00:26:03,187 --> 00:26:05,148
It's the safe way to go.
474
00:26:21,664 --> 00:26:26,085
I need all of these tests
and a pcr done on this sample.
475
00:26:27,086 --> 00:26:28,379
You're gonna need more blood.
476
00:26:28,755 --> 00:26:30,173
Patient's empty.
477
00:26:30,298 --> 00:26:31,966
Then I can't do it.
478
00:26:33,217 --> 00:26:34,343
You can try.
479
00:26:34,469 --> 00:26:38,973
I can try to look like Salma Hayek,
that's not gonna make it happen.
480
00:26:43,102 --> 00:26:47,482
You may not have Salma's ass,
but she doesn't have your eyes.
481
00:26:48,691 --> 00:26:50,234
Yeah, right.
482
00:26:55,907 --> 00:26:57,700
How soon you need it?
483
00:26:58,951 --> 00:27:01,311
Dr. Wilson, can I talk to you
about something in confidence?
484
00:27:01,412 --> 00:27:03,247
- Of course.
- It's about house.
485
00:27:03,372 --> 00:27:04,957
Oh, then no.
486
00:27:05,082 --> 00:27:07,460
Fine. I won't say anything.
487
00:27:10,421 --> 00:27:14,884
Do you think there's any way house
would take me seriously as his boss?
488
00:27:16,260 --> 00:27:19,305
Where is this coming from?
Did cuddy say something?
489
00:27:19,430 --> 00:27:21,474
We talked. She intimated.
490
00:27:22,809 --> 00:27:25,144
And you want my advice
on how to usurp him?
491
00:27:25,269 --> 00:27:28,981
It's very ancient Rome, you'll
need a toga, of course, a sword.
492
00:27:29,106 --> 00:27:33,069
It's not a coup. I just want to figure
out some way we can work together.
493
00:27:33,319 --> 00:27:36,197
I mean, I keep the team running
from an administrative point of view,
494
00:27:36,322 --> 00:27:38,634
house doesn't have to deal
with the red tape. It's a win-win.
495
00:27:38,658 --> 00:27:40,326
I'm sure he'll see it that way.
496
00:27:41,619 --> 00:27:43,538
Do you have any advice
on how to approach him?
497
00:27:43,663 --> 00:27:46,165
- How to deal the guy?
- No.
498
00:27:50,127 --> 00:27:51,407
But you won't tell him
we talked?
499
00:27:55,258 --> 00:27:58,261
There is no way
this is going to happen.
500
00:28:14,944 --> 00:28:17,154
Epstein-barr titers
are through the roof,
501
00:28:17,280 --> 00:28:20,157
the most common viral cause
of aplastic anemia.
502
00:28:21,284 --> 00:28:23,327
So what I'm saying is...
503
00:28:31,168 --> 00:28:33,880
- Fetal hemoglobin's also elevated.
- Just a wee bit.
504
00:28:34,005 --> 00:28:35,005
Could indicate...
505
00:28:35,089 --> 00:28:36,424
You see that in sickle cell.
506
00:28:36,549 --> 00:28:38,676
Not all sickle cell
patients are black.
507
00:28:38,801 --> 00:28:41,929
None of her other blood panels showed
any sign of sickle cell, which means
508
00:28:42,054 --> 00:28:46,642
either something's changed drastically
since yesterday, or this isn't her blood.
509
00:28:46,767 --> 00:28:48,227
Of course it is.
510
00:28:49,353 --> 00:28:51,063
Metaphorically.
511
00:28:52,690 --> 00:28:54,692
Look, I couldn't do the tests.
512
00:28:54,817 --> 00:28:57,695
I tried, but there wasn't
enough blood left over.
513
00:28:58,070 --> 00:29:00,323
If you'd just let me
do the biopsy.
514
00:29:02,033 --> 00:29:03,159
Chase: No way.
515
00:29:03,284 --> 00:29:04,702
I just got back
from a suspension.
516
00:29:04,827 --> 00:29:07,622
And if it wasn't for me,
you would've been fired.
517
00:29:07,747 --> 00:29:09,916
Why don't you just
get the sample yourself?
518
00:29:10,041 --> 00:29:11,685
Since when have you cared
what your boss said?
519
00:29:11,709 --> 00:29:13,961
I don't care what anybody
says, I care what they do.
520
00:29:14,086 --> 00:29:17,173
Right now blackpoleon blackaparte
has got the nurses on red alert.
521
00:29:17,298 --> 00:29:19,258
I can't get into
the patient's room.
522
00:29:19,383 --> 00:29:22,261
So, come on, I'll draw the
enemy fire, you outflank them
523
00:29:22,386 --> 00:29:23,986
get in there,
get the bone marrow sample.
524
00:29:24,055 --> 00:29:25,055
Can't.
525
00:29:26,807 --> 00:29:28,684
Who you more afraid of?
526
00:29:32,104 --> 00:29:35,942
I'm not afraid of foreman, I agree
with him. All the tests back him up.
527
00:29:36,067 --> 00:29:38,277
All the tests
have not been done.
528
00:29:39,445 --> 00:29:42,365
You do realize that blackaparte's
reign is only temporary.
529
00:29:42,490 --> 00:29:46,494
I also realize that no matter what I
do, you're still gonna treat me like crap.
530
00:29:47,036 --> 00:29:48,996
"Crap" is a relative term.
531
00:29:58,005 --> 00:29:59,757
I never even made it
to the room.
532
00:29:59,882 --> 00:30:02,969
Nurses called the attending
as soon as a trocar was ordered.
533
00:30:03,135 --> 00:30:05,012
You used her real name?
534
00:30:05,304 --> 00:30:08,224
I just processed your
patient's discharge papers.
535
00:30:08,349 --> 00:30:10,685
She's on her way out right now.
536
00:30:15,022 --> 00:30:16,357
Wait up.
537
00:30:17,149 --> 00:30:18,734
It's all right,
she's gonna stay.
538
00:30:18,859 --> 00:30:20,820
- Wonderful.
- Oh, bite me.
539
00:30:21,737 --> 00:30:23,906
I don't need to hear
the riot act again.
540
00:30:24,031 --> 00:30:26,450
How'd you like
another medical test?
541
00:30:26,951 --> 00:30:28,202
- What?
- Sit.
542
00:30:29,286 --> 00:30:30,454
Why?
543
00:30:31,163 --> 00:30:34,333
So you don't crack your skull
when you pass out.
544
00:30:35,126 --> 00:30:36,335
Just do it.
545
00:30:38,796 --> 00:30:40,131
You know what colchicine is?
546
00:30:41,424 --> 00:30:43,467
Well, don't feel bad.
It's for gout.
547
00:30:43,592 --> 00:30:46,387
It's got nothing to do with anything
you've ever pretended to have.
548
00:30:46,512 --> 00:30:49,098
- I'm not pretending to...
- Shut up.
549
00:30:49,765 --> 00:30:52,435
Colchicine decimates
your white blood cells.
550
00:30:52,560 --> 00:30:54,061
Leaves almost no trace.
551
00:30:54,186 --> 00:30:55,986
It's great for faking
your way into hospitals.
552
00:30:56,063 --> 00:30:58,190
- I didn't fake my way...
- Shut up.
553
00:30:59,233 --> 00:31:01,777
You've been
doing this for years.
554
00:31:02,028 --> 00:31:05,072
Don't worry,
it's probably not your fault.
555
00:31:05,489 --> 00:31:07,491
When you were a kid,
you had a close relative
556
00:31:07,616 --> 00:31:10,286
who had a chronic disease,
probably your sister.
557
00:31:11,829 --> 00:31:15,958
And you saw all the attention she
got while you were left alone, ignored.
558
00:31:16,125 --> 00:31:18,794
And it really,
seriously screwed you up.
559
00:31:19,670 --> 00:31:21,922
- I do not have a relative...
- Shut up!
560
00:31:22,048 --> 00:31:24,508
I'm trying to give you
what you want.
561
00:31:27,261 --> 00:31:29,096
And save your life.
562
00:31:31,515 --> 00:31:33,059
You have aplastic anemia.
563
00:31:33,768 --> 00:31:36,270
What, are you trying
to scare me now?
564
00:31:37,146 --> 00:31:39,940
It means you're not
just sick in the head.
565
00:31:40,107 --> 00:31:42,068
Problem is,
the rest of you appears well.
566
00:31:42,193 --> 00:31:44,445
So I gotta make you seem as
sick as you're supposed to be
567
00:31:44,570 --> 00:31:46,113
by injecting you with a drug
568
00:31:46,238 --> 00:31:48,866
that simulates the symptoms
that you actually have.
569
00:31:52,578 --> 00:31:56,707
All you need to know is, you've
hit the Munchausen's jackpot.
570
00:31:57,166 --> 00:32:01,545
I'm gonna give you a cocktail of
Insulin for seizure and colchicine
571
00:32:01,837 --> 00:32:03,214
to kill your white count.
572
00:32:03,339 --> 00:32:07,009
This will absolutely confirm
my diagnosis of aplastic anemia.
573
00:32:07,134 --> 00:32:09,887
There is one small catch.
574
00:32:10,221 --> 00:32:13,974
If you've actually done something
to yourself to cause the anemia,
575
00:32:14,100 --> 00:32:15,476
then I'm wrong.
576
00:32:16,060 --> 00:32:18,145
And if I do what I plan to do,
577
00:32:18,813 --> 00:32:21,607
then the treatment will kill
you instead of saving you.
578
00:32:22,191 --> 00:32:24,068
So I need to know.
579
00:32:24,276 --> 00:32:28,114
Have you been taking anything
besides the Insulin, the acth,
580
00:32:28,322 --> 00:32:31,033
and the pills
Cameron left in your room?
581
00:32:39,583 --> 00:32:42,461
Good. Give me your arm.
582
00:32:53,639 --> 00:32:55,307
It was my mom.
583
00:32:56,308 --> 00:32:57,518
She had Ms.
584
00:32:58,269 --> 00:33:01,021
She was in and out
of hospitals all the time.
585
00:33:01,397 --> 00:33:04,608
People were always trying
to do things for her.
586
00:33:05,901 --> 00:33:09,655
Bring her food, or brush
her hair, or make her happy.
587
00:33:11,323 --> 00:33:12,825
People cared.
588
00:33:16,787 --> 00:33:18,664
She died when I was 16.
589
00:33:22,877 --> 00:33:24,712
Then there was no one.
590
00:33:28,132 --> 00:33:29,508
Boo-hoo.
591
00:33:32,178 --> 00:33:34,138
Where are you going?
592
00:33:36,056 --> 00:33:38,184
I obviously can't be around
when it happens.
593
00:33:38,309 --> 00:33:40,436
Well, what are you gonna do,
you're just gonna...
594
00:33:40,561 --> 00:33:42,563
Relax, you know the drill.
595
00:33:43,355 --> 00:33:45,691
People walk by here
all the time, you'll be fine.
596
00:34:11,383 --> 00:34:14,220
So, barely out the door
and she has another seizure.
597
00:34:14,345 --> 00:34:16,472
She must have somehow
grabbed Insulin on the way out.
598
00:34:16,597 --> 00:34:18,825
Foreman: Once she's stable,
we need to get her out of here
599
00:34:18,849 --> 00:34:20,392
before she does more damage
to herself.
600
00:34:20,768 --> 00:34:21,894
We can't.
601
00:34:22,436 --> 00:34:24,313
Her white count's down.
602
00:34:25,314 --> 00:34:27,066
Sorry, I missed that.
603
00:34:27,608 --> 00:34:29,693
Hearing's been off since
the Ricky Martin concert,
604
00:34:29,818 --> 00:34:32,029
some cholo
kicked me in the head.
605
00:34:32,154 --> 00:34:35,074
White count, hematocrit,
and platelets are all off.
606
00:34:35,199 --> 00:34:37,952
Her bone marrow's shutting down.
She actually has aplastic anemia.
607
00:34:38,077 --> 00:34:39,161
Say what?
608
00:34:39,286 --> 00:34:41,497
All her other labs
show nothing that would...
609
00:34:41,622 --> 00:34:45,626
Labs, shmabs. A good
diagnostician reads between the labs.
610
00:34:46,585 --> 00:34:47,586
You were right.
611
00:34:47,711 --> 00:34:50,631
Hey, we're not here
to play the blame game.
612
00:34:50,965 --> 00:34:52,341
These things happen.
613
00:34:52,466 --> 00:34:55,594
Sometimes doctors send
people out on the street to die
614
00:34:55,719 --> 00:34:57,554
after other doctors
have warned them
615
00:34:57,680 --> 00:34:59,807
that they're sending people
out on the street to die.
616
00:34:59,932 --> 00:35:02,268
There's no way you could know.
617
00:35:02,768 --> 00:35:04,812
I'll go give her the news.
618
00:35:12,528 --> 00:35:13,904
Anica: Who are you?
619
00:35:14,196 --> 00:35:17,283
I'm Dr. Foreman.
I'm in charge of your case.
620
00:35:19,410 --> 00:35:21,412
You have aplastic anemia,
621
00:35:21,787 --> 00:35:24,331
which means your bone
marrow has shut down.
622
00:35:24,456 --> 00:35:27,084
Your body can't make
new blood anymore.
623
00:35:28,127 --> 00:35:29,336
Are you sure?
624
00:35:29,461 --> 00:35:32,881
I went back and checked your
old records. It makes sense.
625
00:35:33,716 --> 00:35:37,386
The aplastic anemia's apparently
been developing for months.
626
00:35:38,429 --> 00:35:41,015
I'm sorry, we should
have caught it earlier.
627
00:35:42,599 --> 00:35:46,812
It's not just the latest white count
that's leading you to feel this...
628
00:35:49,982 --> 00:35:51,734
I know this is scary.
629
00:35:52,484 --> 00:35:54,945
But a bone marrow transplant
could cure you.
630
00:35:55,070 --> 00:35:57,364
A marrow transplant
could kill me.
631
00:35:57,531 --> 00:36:00,617
The other option
is weekly blood transfusions,
632
00:36:00,993 --> 00:36:02,995
injections of gcsf.
633
00:36:03,912 --> 00:36:07,249
- It's a lifelong regimen.
- Yeah, I don't want that.
634
00:36:07,416 --> 00:36:08,792
You sure?
635
00:36:11,503 --> 00:36:13,088
I don't want to be cruel here,
636
00:36:13,213 --> 00:36:17,259
but you've jumped through a lot
of hoops to get this sort of attention.
637
00:36:18,177 --> 00:36:20,220
I just want to be healthy.
638
00:36:21,847 --> 00:36:24,933
It's not so much fun
when you're actually sick.
639
00:36:32,358 --> 00:36:36,195
We'll check the registry.
See if there's a donor match.
640
00:36:40,240 --> 00:36:41,658
Thank you.
641
00:36:47,998 --> 00:36:51,418
We have to kill all the old bone
marrow before we give you the new stuff.
642
00:36:51,543 --> 00:36:53,128
You'll have no immune system.
643
00:36:53,420 --> 00:36:55,339
We'll keep you in a
sterile room for two weeks
644
00:36:55,464 --> 00:36:58,425
to make sure everything's dead,
then we'll give you the donor marrow.
645
00:36:58,550 --> 00:37:01,720
It'll take another couple
weeks until it takes hold.
646
00:37:01,845 --> 00:37:03,305
You won't feel a thing.
647
00:37:03,430 --> 00:37:06,683
If you get uncomfortable for any
reason and need to talk, don't yell.
648
00:37:06,809 --> 00:37:09,311
Walls are
four inches thick, lead.
649
00:37:09,561 --> 00:37:12,773
Use the microphone.
Are you ready?
650
00:37:14,400 --> 00:37:15,400
Okay.
651
00:37:19,321 --> 00:37:20,948
Where's Dr. House?
652
00:38:11,915 --> 00:38:13,459
Turn it off!
653
00:38:14,793 --> 00:38:16,879
- Now what?
- How long has she been in there?
654
00:38:17,004 --> 00:38:18,338
Three minutes. What's going on?
655
00:38:18,464 --> 00:38:20,674
She doesn't have
aplastic anemia.
656
00:38:20,924 --> 00:38:23,010
- She has an infection.
- No.
657
00:38:23,135 --> 00:38:26,096
Her white count would be
through the roof. Hers is on the floor.
658
00:38:26,221 --> 00:38:27,973
Well, body does crazy things.
659
00:38:28,098 --> 00:38:30,934
"Body does crazy things."
That explains everything!
660
00:38:31,059 --> 00:38:32,144
She had no fever.
661
00:38:32,269 --> 00:38:35,481
'Cause her self-inflicted cushing's
suppressed her immune system.
662
00:38:35,772 --> 00:38:38,525
Stopped her from having
a fever, hid the infection.
663
00:38:40,319 --> 00:38:43,071
Clostridium perfringens
could cause the bruises,
664
00:38:43,197 --> 00:38:44,299
the schistocytes, the anemia.
665
00:38:44,323 --> 00:38:46,825
Explains everything
except the white count.
666
00:38:47,117 --> 00:38:50,787
Augmentin is a lot safer than
destroying her immune system.
667
00:38:50,913 --> 00:38:52,247
Why don't we try that?
668
00:38:55,584 --> 00:38:58,712
You're taking the safe course?
What's going on?
669
00:39:00,172 --> 00:39:02,758
There's lots of explanations
for a low white count.
670
00:39:03,050 --> 00:39:05,219
Name one that fits her case.
671
00:39:09,097 --> 00:39:10,349
Colchicine.
672
00:39:14,895 --> 00:39:19,149
I figure that she'd gotten her
hands on it and self-medicated.
673
00:39:19,858 --> 00:39:21,818
That's brilliant of her.
674
00:39:23,278 --> 00:39:26,949
Take the exact medication that
would confirm your diagnosis.
675
00:39:28,283 --> 00:39:30,202
People do crazy things.
676
00:39:30,327 --> 00:39:33,288
You injected her against her
will just so you could be right?
677
00:39:33,413 --> 00:39:35,624
- She consented.
- She's mentally ill!
678
00:39:35,749 --> 00:39:37,834
But she smells oh-so-sweet.
679
00:39:40,587 --> 00:39:43,340
She would've gotten sicker when
I said she was gonna get sicker
680
00:39:43,465 --> 00:39:45,105
except Cameron
dosed her with antibiotics.
681
00:39:45,175 --> 00:39:47,135
- Just hold this.
- Is everything okay?
682
00:39:47,261 --> 00:39:48,720
Pull my finger.
683
00:39:53,058 --> 00:39:54,351
Grapey.
684
00:39:54,977 --> 00:39:57,145
You have a bacterium.
It's on all of us.
685
00:39:57,271 --> 00:40:00,941
But the bruises you gave yourself
with the cushing's made a lovely home.
686
00:40:01,358 --> 00:40:04,278
Bacteria moved in,
parked their cars on the lawn.
687
00:40:04,403 --> 00:40:05,904
There goes the neighborhood.
688
00:40:06,029 --> 00:40:08,532
By neighborhood, I mean,
your internal organs.
689
00:40:09,533 --> 00:40:11,994
So, should we put her
on the augmentin, boss?
690
00:40:12,119 --> 00:40:14,204
Or do you think she
injected herself with grapes?
691
00:40:16,873 --> 00:40:19,167
I love the smell of pus
in the morning.
692
00:40:19,334 --> 00:40:22,254
Smells like... victory.
693
00:40:27,551 --> 00:40:31,430
If you were serious about the
offer, I'm serious about accepting.
694
00:40:32,639 --> 00:40:37,144
I'd like to run the department. And
you said it yourself, things run smooth.
695
00:40:38,145 --> 00:40:40,397
Except for the part where
house went behind your back
696
00:40:40,522 --> 00:40:43,775
and ko'd the patient
with Insulin and colchicine.
697
00:40:43,900 --> 00:40:46,278
There was no reason
to suspect an infection.
698
00:40:46,403 --> 00:40:48,822
Even house didn't think
it was an infection.
699
00:40:49,239 --> 00:40:50,839
You would have done
the same thing I did.
700
00:40:50,949 --> 00:40:52,826
And I'd be just as wrong.
701
00:40:53,452 --> 00:40:56,455
What house did was insane.
But he saved her life.
702
00:40:56,580 --> 00:40:57,414
He got lucky.
703
00:40:57,539 --> 00:40:59,416
He got her to admit
she's got a problem.
704
00:40:59,541 --> 00:41:03,170
She's agreed to outpatient
treatment. He gets lucky a lot.
705
00:41:08,216 --> 00:41:10,761
Did you ever really intend
to give me this job,
706
00:41:10,886 --> 00:41:13,472
or were you just trying to
stop me from stepping down?
707
00:41:13,597 --> 00:41:16,224
Well, you've got
two more weeks in charge.
708
00:41:16,516 --> 00:41:19,436
Hopefully the next case
will go better.
709
00:41:25,942 --> 00:41:29,696
She should've died.
House is not a hero.
710
00:41:31,114 --> 00:41:33,533
A person who has the guts
to break a bad rule,
711
00:41:33,784 --> 00:41:35,494
they're a hero.
712
00:41:35,661 --> 00:41:38,205
House doesn't break rules,
he ignores them.
713
00:41:38,622 --> 00:41:42,167
He's not Rosa Parks,
he's an anarchist.
714
00:41:43,126 --> 00:41:46,380
All he stands for is the right for
everyone to grab whatever they want
715
00:41:46,505 --> 00:41:48,173
whenever they want.
716
00:41:48,340 --> 00:41:50,467
You tell doctors that's okay,
717
00:41:51,009 --> 00:41:54,388
your mortality rate
is gonna go through the roof.
718
00:41:58,308 --> 00:42:01,478
Kind of digging this whole
foreman-in-charge thing.
719
00:42:02,771 --> 00:42:03,772
Give me those.
720
00:42:05,357 --> 00:42:07,693
Frees me up to watch my soaps,
721
00:42:08,193 --> 00:42:11,154
catch a movie in the
afternoon, have lunch with you.
722
00:42:11,613 --> 00:42:13,281
Yeah, that's
a big change for you.
723
00:42:13,407 --> 00:42:16,451
Now cuddy's
on foreman's ass, not mine.
724
00:42:23,375 --> 00:42:26,253
You couldn't live with foreman
as your boss.
725
00:42:26,420 --> 00:42:27,713
Why not?
726
00:42:28,463 --> 00:42:30,632
People can change, you know.
727
00:42:42,060 --> 00:42:44,312
Your white count is way down.
728
00:42:44,438 --> 00:42:46,833
We're going to need to admit
you, just to run a few more tests.
729
00:42:46,857 --> 00:42:48,942
Whatever you think is best.
730
00:42:59,536 --> 00:43:02,289
Last race at belmont.
Put it all on the five
731
00:43:02,414 --> 00:43:03,623
to win.
56409
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