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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 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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