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1
00:00:46,126 --> 00:00:48,160
Let's hear it for Della Carr.
2
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Dude, your sister kicks serious ass.
3
00:00:51,430 --> 00:00:53,532
Competed in the boy's league this year.
4
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Kicked their asses too.
5
00:01:00,239 --> 00:01:01,072
Nice job, Del. You...
6
00:01:01,124 --> 00:01:02,624
I went faster on the 50-50.
7
00:01:02,708 --> 00:01:03,742
You were right.
8
00:01:03,793 --> 00:01:06,328
All right, who wants next ?
9
00:01:06,412 --> 00:01:07,946
Yeah, yeah, I'm a little biased.
10
00:01:16,806 --> 00:01:20,091
Whoo !
11
00:01:20,143 --> 00:01:22,794
Whoa !
12
00:01:22,845 --> 00:01:23,929
Custom decks.
13
00:01:23,980 --> 00:01:25,430
Start the bidding at 400 bucks.
14
00:01:25,481 --> 00:01:27,465
Trust me, the kids'll force
their parents to buy them.
15
00:01:27,517 --> 00:01:29,234
You got to see this.
16
00:01:37,610 --> 00:01:40,144
You made a great event today, hon.
17
00:01:40,196 --> 00:01:41,863
Fast enough for you ?
18
00:01:41,948 --> 00:01:42,981
I'm already in a wheelchair.
19
00:01:43,032 --> 00:01:45,834
What are you so afraid of ?
20
00:01:49,338 --> 00:01:51,840
That wasn't what I meant.
21
00:01:56,161 --> 00:01:58,346
Della ? You okay ?
22
00:01:58,431 --> 00:02:01,433
Mom ! Dad !
23
00:02:46,729 --> 00:02:48,813
We got to stop parking like this.
24
00:02:48,881 --> 00:02:50,381
People are gonna talk.
25
00:02:50,433 --> 00:02:54,185
Well, that's why I plan on
doing some talking first.
26
00:02:54,237 --> 00:02:56,387
I want us to formerly
report our relationship
27
00:02:56,439 --> 00:02:58,406
to Human Resources.
28
00:02:58,491 --> 00:03:01,726
Okay. You get them, I'll
cover everybody else.
29
00:03:01,777 --> 00:03:03,411
I would appreciate it
30
00:03:03,479 --> 00:03:05,580
if we could keep it quiet
until we had that meeting.
31
00:03:05,665 --> 00:03:07,532
It's gonna be hard with me
grabbing your ass all day.
32
00:03:07,583 --> 00:03:10,401
Grabbing stops at the threshold.
33
00:03:10,453 --> 00:03:12,103
Of the parking garage.
34
00:03:12,171 --> 00:03:13,238
Handicapped plates.
35
00:03:13,306 --> 00:03:15,040
I got special access.
36
00:03:19,411 --> 00:03:22,197
I just don't want our
relationship affecting our jobs.
37
00:03:22,265 --> 00:03:25,016
Or the other way around.
38
00:03:28,854 --> 00:03:33,975
Why, Dr. Cuddy, how was your weekend ?
39
00:03:34,060 --> 00:03:37,195
I got a call about a case for you.
40
00:03:37,262 --> 00:03:38,229
14-year-old.
41
00:03:38,281 --> 00:03:39,814
EMTs think her heart stopped...
42
00:03:39,899 --> 00:03:41,149
Sounds great.
43
00:03:41,233 --> 00:03:43,434
You haven't seen it yet.
44
00:03:43,486 --> 00:03:45,603
I sense something fascinating about it.
45
00:03:45,655 --> 00:03:47,939
I'm gonna get us in to
see HR this afternoon.
46
00:03:47,990 --> 00:03:49,624
Think you can hold
your tongue till then ?
47
00:03:49,692 --> 00:03:53,111
Mom...
48
00:03:53,162 --> 00:03:54,278
Fine.
49
00:03:54,330 --> 00:03:55,580
People are gonna know soon enough.
50
00:03:55,631 --> 00:03:57,332
I think I can hold it till lunch.
51
00:04:09,545 --> 00:04:11,796
I'm seeing Cuddy.
52
00:04:11,847 --> 00:04:13,732
Generally, without her clothes on.
53
00:04:13,799 --> 00:04:15,951
Use your imagination.
54
00:04:16,018 --> 00:04:18,086
Hope it's got a wide-angle lens.
55
00:04:18,154 --> 00:04:20,071
You don't actually need that.
56
00:04:20,139 --> 00:04:22,991
I'm gonna check my office
for whoopee cushions.
57
00:04:23,075 --> 00:04:24,159
This is not a prank.
58
00:04:24,243 --> 00:04:27,712
This is not me walking out the door.
59
00:04:27,780 --> 00:04:30,398
Really ? You and Cuddy ?
60
00:04:30,466 --> 00:04:32,200
For reals. Foreman can translate.
61
00:04:32,268 --> 00:04:34,753
So junior miss everything...
62
00:04:34,820 --> 00:04:38,421
skateboarder, basketballer,
science clubber, seal clubber...
63
00:04:39,492 --> 00:04:41,142
I'm actually guessing
with that last one.
64
00:04:41,210 --> 00:04:43,144
Healthy one day, heart
arrhythmia the next.
65
00:04:43,212 --> 00:04:44,346
Are you sure it a good idea
66
00:04:44,413 --> 00:04:47,015
to be yanking on the chain of command ?
67
00:04:47,099 --> 00:04:48,616
Way to go, House.
68
00:04:48,684 --> 00:04:51,019
I'm surprised you two
didn't get together sooner.
69
00:04:51,103 --> 00:04:52,687
EKG, echo and head CT are all spotless.
70
00:04:52,772 --> 00:04:54,606
There's nothing on
her neurological exam.
71
00:04:54,673 --> 00:04:55,940
Interesting.
72
00:04:56,008 --> 00:04:58,293
In favor, indignant, indifferent.
73
00:04:58,361 --> 00:05:00,228
Think I'd like a female perspective.
74
00:05:00,312 --> 00:05:03,965
Or Thirteen's. Where is she ?
- She's gone.
75
00:05:04,033 --> 00:05:05,617
She said she was taking
a leave of absence.
76
00:05:05,684 --> 00:05:08,352
Wanted us to think it was for
a Huntington's study in Rome.
77
00:05:08,404 --> 00:05:09,571
They've never heard of her.
78
00:05:09,655 --> 00:05:11,122
Cell and home phone are disconnected.
79
00:05:11,190 --> 00:05:13,491
Apartment's already been vacated.
80
00:05:13,542 --> 00:05:15,810
And what's with the death's head cane ?
81
00:05:15,878 --> 00:05:20,465
They didn't have a death's
ass cane in my size.
82
00:05:20,532 --> 00:05:23,084
Well, I guess we'll just have to wait.
83
00:05:23,169 --> 00:05:25,220
Conditions that cause
intermittent heart arrhythmias.
84
00:05:25,304 --> 00:05:26,588
Taub.
85
00:05:26,655 --> 00:05:28,089
Three years, you've been
trying to game out Thirteen,
86
00:05:28,174 --> 00:05:29,441
and now you don't care ?
87
00:05:29,508 --> 00:05:31,693
Sorry. Not caring about Thirteen
88
00:05:31,761 --> 00:05:33,645
is not part of the differential
for heart arrhythmia,
89
00:05:33,712 --> 00:05:35,063
but you do get a home
version of the game.
90
00:05:35,147 --> 00:05:36,314
Patient's brother has severe,
91
00:05:36,381 --> 00:05:37,649
congenital muscular dystrophy.
92
00:05:37,716 --> 00:05:39,567
Life expectancy of about 25.
93
00:05:39,652 --> 00:05:41,352
If she's had a latent case of it...
94
00:05:41,404 --> 00:05:43,271
Wouldn't be sudden onset. Foreman.
95
00:05:43,339 --> 00:05:45,757
Do you know something about
Thirteen that we don't ?
96
00:05:45,825 --> 00:05:47,292
She's entitled to her privacy.
97
00:05:47,359 --> 00:05:49,444
Just as I'm entitled to a diagnosis.
98
00:05:49,512 --> 00:05:52,113
And you're glossing
over Thirteen's departure
99
00:05:52,198 --> 00:05:55,417
because you actually
respect somebody's privacy ?
100
00:05:55,484 --> 00:05:56,818
I agree. It's weird of me not to care.
101
00:05:56,886 --> 00:05:59,154
So either I'm a changed
man because of Cuddy,
102
00:05:59,221 --> 00:06:00,588
or I'm pretending to be a changed man
103
00:06:00,673 --> 00:06:02,257
because I do know
something about Thirteen
104
00:06:02,341 --> 00:06:03,908
and I'm trying to
throw you off the scent,
105
00:06:03,959 --> 00:06:05,794
or I've just gone nutty bananas
because I lost a patient.
106
00:06:05,861 --> 00:06:06,961
All of which you are free to discuss
107
00:06:07,046 --> 00:06:09,431
after I get a diagnosis.
108
00:06:09,515 --> 00:06:10,715
If it's Long QT Syndrome,
109
00:06:10,766 --> 00:06:12,183
any startling stimulus
in that skate park
110
00:06:12,251 --> 00:06:13,535
could have triggered the arrhythmia.
111
00:06:13,602 --> 00:06:15,270
Loud noise, flashing lights.
112
00:06:15,337 --> 00:06:17,472
Scare the patient to
death to confirm Long QT.
113
00:06:20,893 --> 00:06:22,193
Fine. If you insist,
114
00:06:22,261 --> 00:06:23,761
do it in a room with
one of those thingamabobs
115
00:06:23,813 --> 00:06:27,398
that brings people back to life.
116
00:06:27,450 --> 00:06:28,366
Scare test is insane.
117
00:06:28,434 --> 00:06:29,434
Scare test is legitimate.
118
00:06:29,502 --> 00:06:30,819
Simulates real world conditions.
119
00:06:30,903 --> 00:06:32,704
This fling with Cuddy is insane.
120
00:06:32,771 --> 00:06:34,456
Flare gun ? Scary enough ?
121
00:06:34,540 --> 00:06:36,741
How about just telling her
we're planning this stupid test ?
122
00:06:36,792 --> 00:06:39,160
And I'm hoping House and Cuddy
are more than just a fling.
123
00:06:39,245 --> 00:06:40,295
It's clearly mellowed him out.
124
00:06:40,379 --> 00:06:41,863
He didn't even care about Thirteen.
125
00:06:41,931 --> 00:06:43,164
Right. The guy who ordered us
126
00:06:43,249 --> 00:06:44,833
to stop the patient's
heart has mellowed out.
127
00:06:44,917 --> 00:06:46,701
It's gonna be horrible
because it's doomed,
128
00:06:46,769 --> 00:06:47,836
which is just gonna make House
129
00:06:47,920 --> 00:06:49,337
50 times more of a crank.
130
00:06:49,421 --> 00:06:50,839
Firecrackers.
131
00:06:50,923 --> 00:06:53,141
We can hide 'em under one
of those covered food trays.
132
00:06:58,630 --> 00:07:01,216
Find any itching powder in your hanky ?
133
00:07:01,283 --> 00:07:03,434
Any fake poo in your desk drawer ?
134
00:07:03,486 --> 00:07:05,186
Yes, the lack of dime-store pranks
135
00:07:05,271 --> 00:07:07,589
is proof that you're
actually dating Cuddy,
136
00:07:07,656 --> 00:07:08,857
and not just mocking me
137
00:07:08,941 --> 00:07:10,575
for being worried about you.
138
00:07:10,642 --> 00:07:12,243
What do I have to do
to prove this to you ?
139
00:07:12,311 --> 00:07:14,312
Tattoo a cane on her inner thigh ?
140
00:07:14,363 --> 00:07:17,365
Tattoo her inner thigh on my cane ?
141
00:07:17,449 --> 00:07:19,450
You told everybody, didn't you ?
142
00:07:19,502 --> 00:07:20,451
Repeatedly.
143
00:07:20,519 --> 00:07:21,703
This one's not buying it.
144
00:07:21,787 --> 00:07:22,820
Need a little help.
145
00:07:22,872 --> 00:07:24,289
I'm not selling it.
146
00:07:24,340 --> 00:07:26,457
It's time for our meeting
at Human Resources.
147
00:07:26,509 --> 00:07:28,426
Hmm. Human Resources.
148
00:07:28,493 --> 00:07:30,795
Now, why would I need to
go to Human Resources ?
149
00:07:30,863 --> 00:07:32,363
House, you've been to Human Resources
150
00:07:32,431 --> 00:07:34,382
74 times in the last six weeks.
151
00:07:34,466 --> 00:07:37,501
Never after doing this.
152
00:07:37,553 --> 00:07:39,103
Well, I'm convinced.
153
00:07:39,171 --> 00:07:40,805
Come on. One peck.
154
00:07:40,856 --> 00:07:42,140
Just enough to arouse him a little.
155
00:07:42,191 --> 00:07:43,975
I... hey, I'm not even...
156
00:07:44,026 --> 00:07:45,410
I didn't mean you.
157
00:07:45,477 --> 00:07:47,478
If I confirm it, can we leave ?
158
00:07:47,530 --> 00:07:49,314
Yes.
159
00:07:49,365 --> 00:07:51,349
It's true.
160
00:07:56,188 --> 00:07:57,071
I've been more passionate
161
00:07:57,156 --> 00:07:58,239
with my great aunt.
162
00:07:58,307 --> 00:08:00,375
Mabel ? Up high.
163
00:08:08,968 --> 00:08:11,669
We done here ?
164
00:08:18,577 --> 00:08:20,728
She didn't even ask me to cough.
165
00:08:20,813 --> 00:08:26,050
Think you straightened
out my limp a little.
166
00:08:26,118 --> 00:08:27,619
How would you describe
167
00:08:27,686 --> 00:08:30,555
the exact nature of the relationship ?
168
00:08:30,623 --> 00:08:31,890
You ever see Wild Kingdom ?
169
00:08:31,957 --> 00:08:33,791
Those insects that rip
their partner's heads off
170
00:08:33,859 --> 00:08:36,227
after copulating ?
171
00:08:44,069 --> 00:08:45,453
It's a sexual relationship.
172
00:08:48,207 --> 00:08:49,324
Go slowly now.
173
00:08:49,391 --> 00:08:50,692
He's writing it down.
174
00:08:50,759 --> 00:08:53,461
I believe that I can still
175
00:08:53,545 --> 00:08:55,546
supervise Dr. House effectively,
176
00:08:55,598 --> 00:08:57,265
but we both want to
follow hospital policy
177
00:08:57,349 --> 00:08:58,383
to the letter.
178
00:08:58,434 --> 00:09:00,084
Our concern is to make sure
179
00:09:00,152 --> 00:09:02,070
that there's no conflict of interest,
180
00:09:02,137 --> 00:09:04,439
no liability for the hospital.
181
00:09:04,523 --> 00:09:06,341
You think we're gonna
sue if things go South ?
182
00:09:06,408 --> 00:09:08,109
Let me tell you. She actually does go...
183
00:09:08,193 --> 00:09:10,144
House.
184
00:09:10,229 --> 00:09:12,196
Let him talk.
185
00:09:12,264 --> 00:09:15,300
I, uh, know that
you're not going to sue,
186
00:09:15,367 --> 00:09:19,937
because you are both going
to sign love contracts.
187
00:09:19,989 --> 00:09:21,772
Consensual relationship agreements.
188
00:09:21,824 --> 00:09:23,808
Well, obviously outside council
189
00:09:23,876 --> 00:09:28,863
will have to review the
crotchless undies clause.
190
00:09:28,931 --> 00:09:30,949
Uh, we'll also need to watch
191
00:09:31,016 --> 00:09:33,635
for any favoritism toward Dr. House.
192
00:09:33,719 --> 00:09:35,386
Does that mean she has
to sleep with everyone ?
193
00:09:35,454 --> 00:09:37,255
I promise not to give
him a raise or a promotion
194
00:09:37,306 --> 00:09:38,506
of any kind.
195
00:09:38,590 --> 00:09:39,623
There's got to be a joke there
196
00:09:39,675 --> 00:09:41,092
about keeping up with inflation.
197
00:09:41,143 --> 00:09:45,063
Or bias against him.
198
00:09:47,399 --> 00:09:48,599
Are there any supervisory issues
199
00:09:48,651 --> 00:09:49,901
with Dr. House's current case load ?
200
00:09:49,968 --> 00:09:51,302
No, her case is solved.
201
00:09:51,353 --> 00:09:53,104
Patient has Long QT.
202
00:09:53,155 --> 00:09:54,989
Gonna scare her into
cardiac arrest to confirm it.
203
00:09:55,074 --> 00:09:56,157
No, we're not.
204
00:09:56,241 --> 00:09:58,943
Okay, no, we're not.
205
00:09:58,994 --> 00:10:03,314
See ? Everything's under control.
206
00:10:03,365 --> 00:10:05,867
I know you're still planning
your ridiculous scare test.
207
00:10:05,951 --> 00:10:07,985
The patient is nowhere near sick enough
208
00:10:08,037 --> 00:10:09,754
to justify the risk.
209
00:10:09,821 --> 00:10:11,673
An angiogram and an E.P. study
210
00:10:11,757 --> 00:10:14,342
are much safer and very effective.
211
00:10:14,426 --> 00:10:17,345
Fair point. Not doing the scare test.
212
00:10:20,683 --> 00:10:22,967
I'd invite you to watch
me not doing the test,
213
00:10:23,018 --> 00:10:24,802
but having not done
it many times before,
214
00:10:24,853 --> 00:10:27,338
trust me, it's pretty not interesting.
215
00:10:35,047 --> 00:10:35,897
House ?
216
00:10:35,981 --> 00:10:37,065
Scare test was not approved.
217
00:10:37,149 --> 00:10:39,017
Do an angio and E.P. study instead.
218
00:10:39,084 --> 00:10:41,185
First of all, that's
not as effective as...
219
00:10:44,490 --> 00:10:46,708
How come you're not doing
the more specialized test ?
220
00:10:46,792 --> 00:10:49,327
This test is virtually
just as effective.
221
00:10:49,395 --> 00:10:51,963
And Dr. House puts a
premium on patient safety.
222
00:10:52,030 --> 00:10:53,364
But frequently changes his mind.
223
00:10:53,415 --> 00:10:56,417
Hugo, give him a break. I'm fine.
224
00:10:56,485 --> 00:10:57,719
You should go to the
bathroom before we go.
225
00:10:57,803 --> 00:10:59,637
We've been hydrating
you for quite a while.
226
00:10:59,704 --> 00:11:00,722
I don't have to pee.
227
00:11:00,789 --> 00:11:02,390
Once we start the test,
228
00:11:02,474 --> 00:11:04,208
you won't be able to
move for at least an hour.
229
00:11:04,259 --> 00:11:06,177
I really don't have to pee.
230
00:11:06,245 --> 00:11:08,312
How much fluid have we given her ?
231
00:11:09,932 --> 00:11:11,449
2.5 liters.
232
00:11:11,517 --> 00:11:13,151
When's the last time you
went to the bathroom ?
233
00:11:13,218 --> 00:11:15,386
Last night, I guess.
234
00:11:15,437 --> 00:11:16,671
What does that mean ?
235
00:11:16,739 --> 00:11:19,424
Your daughter's kidneys
seem to be failing.
236
00:11:23,530 --> 00:11:25,998
So what could cause her heart to stop
237
00:11:26,015 --> 00:11:28,066
and her urine not to drop ?
238
00:11:28,818 --> 00:11:31,721
House, I was expecting
your relationship with Cuddy
239
00:11:31,820 --> 00:11:33,988
to complicate our work long-term.
240
00:11:34,039 --> 00:11:36,791
I am now concerned it might
be affecting us short-term.
241
00:11:36,842 --> 00:11:38,126
All due respect.
242
00:11:38,177 --> 00:11:39,661
None taken.
243
00:11:39,728 --> 00:11:41,563
I listen to Cuddy all the time.
244
00:11:41,630 --> 00:11:44,015
She's my boss. Also yours, by the way.
245
00:11:44,083 --> 00:11:45,550
You'd listen, then tell
her she's being an idiot,
246
00:11:45,634 --> 00:11:47,001
and do whatever you want.
247
00:11:47,069 --> 00:11:48,186
I find I can skip the idiot part
248
00:11:48,270 --> 00:11:49,471
when she's not being an idiot,
249
00:11:49,522 --> 00:11:50,755
and since the scare test
250
00:11:50,823 --> 00:11:52,157
would have led to the same dead end,
251
00:11:52,224 --> 00:11:53,558
she was right to stop it.
252
00:11:53,642 --> 00:11:55,894
Which means your problem's about you.
253
00:11:55,978 --> 00:11:57,362
This should be interesting.
254
00:11:57,446 --> 00:11:59,063
Losers love company.
255
00:11:59,148 --> 00:12:01,399
And if even a misanthrope like me
256
00:12:01,484 --> 00:12:02,901
has a chance at happiness,
257
00:12:02,985 --> 00:12:04,486
it's gonna be pretty lonely
258
00:12:04,537 --> 00:12:06,337
on that landfill of loserdom
259
00:12:06,405 --> 00:12:08,439
you call a marriage.
260
00:12:08,507 --> 00:12:09,941
Heart, kidneys, go.
261
00:12:10,009 --> 00:12:11,843
Could be Fabry disease.
262
00:12:11,911 --> 00:12:13,545
Lipid deposition in her tissues.
263
00:12:13,612 --> 00:12:14,829
Dad's history was clean.
264
00:12:14,897 --> 00:12:15,980
What about protein deposits ?
265
00:12:16,048 --> 00:12:18,149
They wouldn't show in
her parents' history.
266
00:12:18,217 --> 00:12:20,134
Amyloidosis.
267
00:12:20,202 --> 00:12:22,170
Explains both the symptoms.
268
00:12:22,221 --> 00:12:23,371
Marrow transplant to treat.
269
00:12:23,422 --> 00:12:24,872
Brother's a match.
270
00:12:24,924 --> 00:12:27,542
Confirm and do.
271
00:12:30,279 --> 00:12:31,329
I been experiencing fatigue,
272
00:12:31,397 --> 00:12:33,932
and... and weakness.
273
00:12:34,016 --> 00:12:35,600
Wouldn't have anything
to do with the fact
274
00:12:35,684 --> 00:12:39,137
that you're... 102 years old.
275
00:12:39,205 --> 00:12:40,688
Usually he's strong as an ox.
276
00:12:40,739 --> 00:12:42,524
102-year-old
ox.
277
00:12:42,575 --> 00:12:45,026
He has tingling in
his feet and his legs.
278
00:12:45,077 --> 00:12:47,328
I want a full battery of tests.
279
00:12:47,396 --> 00:12:48,646
Carbon dating ?
280
00:12:48,714 --> 00:12:51,065
I'll pay cash if it's not covered.
281
00:12:51,116 --> 00:12:52,567
That's nice of you to float your friend.
282
00:12:52,618 --> 00:12:54,786
He's not my friend. He's my father.
283
00:12:54,870 --> 00:12:57,672
He's 22 years older than me.
284
00:12:57,740 --> 00:13:00,792
Well, that's true, he's
definitely had his jowls done.
285
00:13:00,876 --> 00:13:03,294
Statistically, if he
didn't have these symptoms,
286
00:13:03,379 --> 00:13:05,179
he'd be like most people of his age...
287
00:13:05,247 --> 00:13:06,914
dead for the past several decades.
288
00:13:06,966 --> 00:13:08,550
Do the tests. I'm sick.
289
00:13:08,601 --> 00:13:10,935
You have a bad case of natural causes.
290
00:13:11,003 --> 00:13:15,256
Do the damn tests.
291
00:13:15,307 --> 00:13:16,975
If the vial fills with sand,
292
00:13:17,059 --> 00:13:20,261
we take that as a bad sign.
293
00:13:20,329 --> 00:13:21,329
Hugo should be here.
294
00:13:21,397 --> 00:13:22,513
Why'd you ask him to leave ?
295
00:13:22,581 --> 00:13:24,599
We wanted to be able
to discuss this openly.
296
00:13:24,650 --> 00:13:26,601
But it obviously affects him.
297
00:13:26,669 --> 00:13:27,952
Honey, let the doctor finish.
298
00:13:28,020 --> 00:13:29,437
It's a standard procedure.
299
00:13:29,488 --> 00:13:30,605
We use general anesthesia,
300
00:13:30,656 --> 00:13:32,090
harvest a very small amount of...
301
00:13:32,157 --> 00:13:34,626
No. I'm not taking my brother's marrow.
302
00:13:34,710 --> 00:13:35,776
Del, it's...
303
00:13:35,828 --> 00:13:36,961
These harvests are harmless.
304
00:13:37,046 --> 00:13:38,079
With the meds we give,
305
00:13:38,147 --> 00:13:39,581
there's almost no pain,
306
00:13:39,648 --> 00:13:40,632
almost no risk of infection.
307
00:13:40,716 --> 00:13:42,800
Almost ?
308
00:13:42,868 --> 00:13:47,205
His life's hard enough as it is.
309
00:13:47,273 --> 00:13:49,173
Small problem with the treatment.
310
00:13:49,241 --> 00:13:52,393
Patient won't take
marrow from steel wheels ?
311
00:13:52,461 --> 00:13:53,928
We're finding another match.
312
00:13:53,979 --> 00:13:55,096
And how do you know ?
313
00:13:55,147 --> 00:13:56,964
What other problem could there be
314
00:13:57,016 --> 00:13:58,633
with a problem-free procedure ?
315
00:13:58,701 --> 00:14:00,852
Boy's sports, science club,
316
00:14:00,936 --> 00:14:03,137
she's living his life, not hers.
317
00:14:03,188 --> 00:14:05,156
Makes sense she's being
a self-denying moron.
318
00:14:05,240 --> 00:14:06,240
She loves her brother.
319
00:14:06,308 --> 00:14:07,442
She's thinking selflessly.
320
00:14:07,509 --> 00:14:08,476
How is that at all...
321
00:14:08,527 --> 00:14:09,494
Being moronic ?
322
00:14:09,578 --> 00:14:10,811
Mm. If I can only think
323
00:14:10,863 --> 00:14:11,979
of a harm-free medical treatment
324
00:14:12,031 --> 00:14:12,964
she turned down lately.
325
00:14:13,032 --> 00:14:14,032
You're right.
326
00:14:14,116 --> 00:14:15,199
If everyone were more selfish,
327
00:14:15,284 --> 00:14:16,618
the world would be a better place.
328
00:14:16,669 --> 00:14:19,120
See ? I can skip the idiot part
329
00:14:19,171 --> 00:14:22,340
when you're not being an idiot.
330
00:14:22,424 --> 00:14:24,676
Yeah, I had that same facial expression
331
00:14:24,760 --> 00:14:26,010
for the first 48 hours.
332
00:14:26,095 --> 00:14:27,295
Had another one too,
333
00:14:27,346 --> 00:14:29,681
but only for 15 seconds at a time.
334
00:14:29,765 --> 00:14:31,182
I'm happy for you. You're happy for you.
335
00:14:31,266 --> 00:14:33,167
This is huge.
336
00:14:33,218 --> 00:14:35,269
So who's gonna supervise you ?
337
00:14:35,337 --> 00:14:36,888
Cuddy.
338
00:14:36,972 --> 00:14:39,557
Well, I guess maybe that can work.
339
00:14:39,642 --> 00:14:42,026
Maybe ? Nothing's changed.
340
00:14:42,111 --> 00:14:45,229
You showed up for clinic
hours. Voluntarily.
341
00:14:45,314 --> 00:14:47,532
Fine. A little bit has changed.
342
00:14:47,616 --> 00:14:48,650
House, everything's changed.
343
00:14:48,701 --> 00:14:49,850
You're sleeping together.
344
00:14:49,902 --> 00:14:51,319
You want something from her
345
00:14:51,370 --> 00:14:54,188
besides a sign-off on
scaring your patient to death.
346
00:14:54,239 --> 00:14:55,473
You talked to Taub.
347
00:14:55,541 --> 00:14:57,091
He's worried about you.
348
00:14:57,159 --> 00:14:58,042
He's a jerk.
349
00:14:58,127 --> 00:14:59,427
I'm worried too.
350
00:14:59,495 --> 00:15:00,395
Do I need to say it ?
351
00:15:00,462 --> 00:15:02,430
I want this to work.
352
00:15:02,498 --> 00:15:04,415
I'm not doing anything differently.
353
00:15:04,500 --> 00:15:06,751
She changed my mind
about one diagnostic test.
354
00:15:06,835 --> 00:15:08,803
And she was right.
355
00:15:08,870 --> 00:15:10,838
Even though it's your emotional default,
356
00:15:10,889 --> 00:15:13,040
stop worrying.
357
00:15:13,092 --> 00:15:16,995
I can handle it.
358
00:15:17,062 --> 00:15:19,313
I hear you're a pretty
fierce skateboarder.
359
00:15:19,381 --> 00:15:21,432
I do okay.
360
00:15:21,517 --> 00:15:22,567
All your activities,
361
00:15:22,651 --> 00:15:25,553
don't they seem like things
362
00:15:25,604 --> 00:15:27,572
a 16-year-old
boy would do ?
363
00:15:27,656 --> 00:15:29,791
Some people might think
364
00:15:29,858 --> 00:15:32,026
you're trying to live his life for him.
365
00:15:32,077 --> 00:15:35,496
I am. Sort of.
366
00:15:35,564 --> 00:15:36,581
Um, I got into skateboarding
367
00:15:36,665 --> 00:15:37,965
when some of Hugo's classmates did,
368
00:15:38,033 --> 00:15:41,085
and he realized he could never do it.
369
00:15:41,170 --> 00:15:43,838
It's the same with a lot of things.
370
00:15:43,905 --> 00:15:46,741
We live through it together.
371
00:15:46,809 --> 00:15:49,210
And you're not worried
you're being selfless
372
00:15:49,261 --> 00:15:51,596
to the point of self-denial ?
373
00:15:51,680 --> 00:15:54,665
You've never been inspired by someone ?
374
00:15:54,733 --> 00:15:58,753
Why don't you take your pills ?
375
00:16:00,756 --> 00:16:04,442
Need some help in here.
376
00:16:04,526 --> 00:16:06,360
Hemothorax. We need to bronch her now.
377
00:16:06,428 --> 00:16:07,528
Clear an O.R.
378
00:16:07,596 --> 00:16:09,363
She's drowning in her own blood.
379
00:16:09,431 --> 00:16:11,449
It's not amyloidosis.
380
00:16:19,225 --> 00:16:20,809
She's bleeding to death.
381
00:16:20,877 --> 00:16:22,878
Out of her lung.
382
00:16:22,946 --> 00:16:25,314
I want to fill a
quarter of it with foam.
383
00:16:25,382 --> 00:16:27,716
That'd stop the bleeding, all right.
384
00:16:27,784 --> 00:16:30,986
Thought it made more sense
than diet and exercise.
385
00:16:31,054 --> 00:16:32,905
And if she doesn't have
enough lung function left,
386
00:16:32,989 --> 00:16:34,173
you'll have killed her.
387
00:16:34,240 --> 00:16:36,659
The only alternative is
slowly suturing the lung,
388
00:16:36,726 --> 00:16:38,360
hoping that the bleeding stops in time
389
00:16:38,411 --> 00:16:39,878
and she doesn't die on her own.
390
00:16:39,946 --> 00:16:42,164
But we would walk away with clean hands.
391
00:16:42,232 --> 00:16:44,083
Except for all the blood.
392
00:16:47,671 --> 00:16:49,121
You're right.
393
00:16:49,205 --> 00:16:50,422
Faster and riskier's better.
394
00:16:50,507 --> 00:16:52,007
Foam the lung.
395
00:16:58,498 --> 00:17:00,065
Got a green light ?
396
00:17:04,320 --> 00:17:08,190
No. Suture the lung.
397
00:17:08,257 --> 00:17:10,726
Scalpel, rib spreader.
398
00:17:14,781 --> 00:17:17,099
I can't handle it.
399
00:17:19,819 --> 00:17:21,036
What happened ?
400
00:17:21,104 --> 00:17:24,957
She said "yes," and I heard "no".
401
00:17:25,041 --> 00:17:26,291
I didn't actually hear "no".
402
00:17:26,376 --> 00:17:29,828
But I just... Was sure
that's what she meant.
403
00:17:29,913 --> 00:17:34,366
Way she tilted her head
and half-arched her eyebrow.
404
00:17:34,434 --> 00:17:36,085
What do I even care what she meant ?
405
00:17:36,136 --> 00:17:40,122
She said yes. That's all that matters.
406
00:17:40,173 --> 00:17:42,124
I'm screwing this up.
407
00:17:42,192 --> 00:17:44,810
It's not completely bad, House.
408
00:17:44,894 --> 00:17:46,478
You care enough to pull your punches.
409
00:17:46,563 --> 00:17:47,730
That's not a bad thing.
410
00:17:47,797 --> 00:17:50,065
But you and Cuddy have
got to figure out a way
411
00:17:50,133 --> 00:17:51,834
of avoiding this problem.
412
00:17:51,901 --> 00:17:55,020
Set some ground rules.
413
00:17:55,088 --> 00:17:57,372
Yeah.
414
00:17:57,440 --> 00:17:59,925
I have to avoid this problem.
415
00:17:59,993 --> 00:18:02,144
If I can restrict our interactions
416
00:18:02,195 --> 00:18:04,980
to places where neither
of us are wearing pants...
417
00:18:05,031 --> 00:18:07,116
Yeah, that's not avoiding the problem,
418
00:18:07,183 --> 00:18:09,785
that's avoiding the issue.
419
00:18:09,836 --> 00:18:12,538
Since avoidance is my plan
for dealing with the issue,
420
00:18:12,622 --> 00:18:15,424
technically, that's not avoiding it.
421
00:18:15,491 --> 00:18:17,192
Thanks.
422
00:18:17,260 --> 00:18:18,210
No problem.
423
00:18:21,548 --> 00:18:23,265
Stitching worked.
424
00:18:23,332 --> 00:18:24,266
This time.
425
00:18:24,333 --> 00:18:25,467
No guarantee bowing to Cuddy
426
00:18:25,518 --> 00:18:27,686
will work next time.
427
00:18:27,771 --> 00:18:29,938
Heart arrhythmia, kidney failure,
428
00:18:30,006 --> 00:18:31,690
and now bleeding lung.
429
00:18:31,775 --> 00:18:33,859
I don't want to criticize
your girlfriend, but...
430
00:18:33,943 --> 00:18:35,027
hey, you've been on me for years
431
00:18:35,111 --> 00:18:36,511
to respect someone's opinion.
432
00:18:36,563 --> 00:18:38,013
Just 'cause I had to
go outside this group
433
00:18:38,064 --> 00:18:39,014
to find one I respect.
434
00:18:39,065 --> 00:18:40,432
Multi-system involvement
435
00:18:40,500 --> 00:18:41,450
centered in the lung.
436
00:18:41,517 --> 00:18:42,568
Sarcoidosis ?
437
00:18:42,652 --> 00:18:44,036
Doesn't explain the hemothorax.
438
00:18:44,120 --> 00:18:45,454
Tb can affect all three organs.
439
00:18:45,521 --> 00:18:46,738
Skin test was negative.
440
00:18:46,806 --> 00:18:48,040
What about Goodpasture's ?
441
00:18:48,124 --> 00:18:51,110
Affects the lungs, kidneys.
442
00:18:51,177 --> 00:18:54,379
And autoimmune explains the
out of the blue arrhythmia.
443
00:18:54,464 --> 00:18:55,681
Goodpasture's it is.
444
00:18:55,748 --> 00:18:58,533
Immunosuppressants and
plasmapheresis to treat,
445
00:18:58,585 --> 00:19:00,886
kidney biopsy to confirm.
446
00:19:09,596 --> 00:19:12,014
Dr. House.
447
00:19:12,065 --> 00:19:14,983
Don't tell me, your father's
hairline is receding,
448
00:19:15,051 --> 00:19:16,384
and he needs more tests.
449
00:19:16,436 --> 00:19:17,853
He's 102.
450
00:19:17,904 --> 00:19:20,155
His next test is an autopsy.
451
00:19:20,223 --> 00:19:21,723
Look, I love the old man,
452
00:19:21,791 --> 00:19:24,443
but I got to get him
out of the damn House.
453
00:19:24,527 --> 00:19:26,628
He can't do anything without me.
454
00:19:26,696 --> 00:19:30,199
He needs to be in a care facility.
455
00:19:30,250 --> 00:19:32,084
Well, so tell him. He's a big boy now.
456
00:19:32,168 --> 00:19:34,837
I can't. I'm his whole life.
457
00:19:34,904 --> 00:19:37,906
But if it comes from a doctor...
458
00:19:44,347 --> 00:19:46,765
That's very generous. When you were 30.
459
00:19:50,136 --> 00:19:52,254
Pretend to run the tests,
460
00:19:52,305 --> 00:19:55,057
and then tell him...
461
00:19:55,108 --> 00:19:57,392
He can't live with me anymore.
462
00:20:07,904 --> 00:20:10,739
I didn't run into you all afternoon.
463
00:20:10,790 --> 00:20:12,291
I missed you.
464
00:20:12,375 --> 00:20:15,777
Busy day.
465
00:20:15,828 --> 00:20:20,448
Maybe we should plan on lunch tomorrow.
466
00:20:20,500 --> 00:20:26,838
Problem is, at lunch
you tend to wear tops.
467
00:20:26,923 --> 00:20:29,474
This is much better.
468
00:20:41,137 --> 00:20:42,971
Cuddy and I are naked.
469
00:20:43,022 --> 00:20:44,973
So I'm having trouble focusing.
470
00:20:45,024 --> 00:20:45,941
Use small words.
471
00:20:45,992 --> 00:20:47,542
Kidney bioy was clean,
472
00:20:47,610 --> 00:20:49,311
so we rechecked the piece
of her lung from the O.R.
473
00:20:49,379 --> 00:20:51,930
You lost me.
474
00:20:51,998 --> 00:20:53,031
Sorry, who is this calling again ?
475
00:20:53,116 --> 00:20:54,449
It's not Goodpasture's.
476
00:20:54,517 --> 00:20:56,385
There's intimal thickening
of the blood vessels.
477
00:20:56,452 --> 00:20:58,036
And lymphocytic infiltrate.
478
00:20:58,121 --> 00:20:59,321
We tested for lam. It's positive.
479
00:20:59,372 --> 00:21:00,606
Plus her lung's fried.
480
00:21:00,673 --> 00:21:02,074
She needs a donor lung to live,
481
00:21:02,141 --> 00:21:03,926
which is the only
treatment for lam, anyway.
482
00:21:03,993 --> 00:21:05,594
Taub's gone to the transplant committee.
483
00:21:05,661 --> 00:21:06,912
They may have found a donor lung.
484
00:21:06,980 --> 00:21:10,382
So this call is purely expositional.
485
00:21:14,270 --> 00:21:15,537
I should really get dressed.
486
00:21:15,605 --> 00:21:17,105
I told the nanny I'd be home by 9:00.
487
00:21:17,173 --> 00:21:19,691
And I slipped the nanny 40 bucks,
488
00:21:19,759 --> 00:21:22,261
told her to stay till 10:00.
489
00:21:22,328 --> 00:21:23,278
Really ?
490
00:21:23,346 --> 00:21:25,314
Mm-hmm, really.
491
00:21:37,354 --> 00:21:39,989
Good news.
492
00:21:44,578 --> 00:21:46,579
Surgery was uneventful,
493
00:21:46,647 --> 00:21:48,198
but the donor lung started failing
494
00:21:48,265 --> 00:21:49,783
about an hour into recovery.
495
00:21:49,850 --> 00:21:50,983
We know we're right about lam.
496
00:21:51,035 --> 00:21:52,202
Tests confirmed it.
497
00:21:52,286 --> 00:21:53,653
That leaves us with two options.
498
00:21:53,704 --> 00:21:55,255
Body's rejecting the new lung
499
00:21:55,322 --> 00:21:57,173
or we should have rejected the new lung
500
00:21:57,258 --> 00:21:58,741
because it's infected.
501
00:21:58,809 --> 00:22:00,043
Let's biopsy, see which one it is.
502
00:22:00,127 --> 00:22:01,161
No guarantee
503
00:22:01,228 --> 00:22:02,512
we'd hit the affected spot.
504
00:22:02,596 --> 00:22:03,963
If we give steroids for rejection,
505
00:22:04,014 --> 00:22:05,331
it'd make an infection worse.
506
00:22:05,382 --> 00:22:06,833
If we give antibiotics for infection,
507
00:22:06,884 --> 00:22:08,351
it'd make rejection worse.
508
00:22:08,435 --> 00:22:09,752
Which worse is worse ?
509
00:22:09,820 --> 00:22:11,254
If we treat for
infection and we're wrong,
510
00:22:11,322 --> 00:22:12,505
she'll be dead within hours.
511
00:22:12,573 --> 00:22:13,857
And if we treat for
rejection and we're wrong ?
512
00:22:13,941 --> 00:22:15,608
She'll probably hang on a day or two.
513
00:22:15,676 --> 00:22:17,727
You're assuming her
rejection's hyperacute.
514
00:22:17,812 --> 00:22:19,863
Odds are, it isn't.
515
00:22:19,947 --> 00:22:22,899
Gotta head off the worst worse first.
516
00:22:22,967 --> 00:22:24,784
I studied under Dr. Seuss.
517
00:22:24,852 --> 00:22:28,037
Start with iv methylprednisolone
for hyperacute rejection.
518
00:22:28,105 --> 00:22:30,707
If that fails, we'll switch her
to broad-spectrum antibiotics
519
00:22:30,791 --> 00:22:33,743
and hope we're not too late.
520
00:22:37,364 --> 00:22:38,748
Cat got your legs ?
521
00:22:38,833 --> 00:22:40,400
We just decided to give meds
522
00:22:40,467 --> 00:22:42,886
that could kill the
patient based on a guess.
523
00:22:42,970 --> 00:22:44,838
You need approval from Cuddy,
524
00:22:44,889 --> 00:22:46,556
and she'll want to
take the safer course,
525
00:22:46,640 --> 00:22:49,208
and you're gonna fold like
an origami crane, so...
526
00:22:49,260 --> 00:22:53,212
I'll just wait here till
we get our actual orders.
527
00:22:53,264 --> 00:22:54,714
Fine. You do it.
528
00:22:54,765 --> 00:22:57,200
Tell her she's being an idiot
529
00:22:57,268 --> 00:22:59,536
for always choosing the safer course.
530
00:22:59,603 --> 00:23:02,772
She's sitting on her ample, if
well-formed, bureaucratic ass
531
00:23:02,857 --> 00:23:04,190
while our patient's dying.
532
00:23:04,241 --> 00:23:06,326
We'll see who folds
like an origami shrimp.
533
00:23:06,393 --> 00:23:09,078
You want me to get Cuddy's approval ?
534
00:23:09,163 --> 00:23:10,413
I gotta be somewhere important.
535
00:23:10,497 --> 00:23:11,814
Sitting at your desk ?
536
00:23:11,882 --> 00:23:13,499
I'm running late.
537
00:23:30,434 --> 00:23:32,552
Forget the tests.
538
00:23:32,620 --> 00:23:36,272
I think junior might have a
few words to say about that.
539
00:23:36,357 --> 00:23:40,092
I love him, but he can't let go.
540
00:23:40,144 --> 00:23:42,528
40 bucks says he can.
541
00:23:42,596 --> 00:23:45,198
I can't do anything
without him helping me
542
00:23:45,265 --> 00:23:47,200
like I'm senile.
543
00:23:47,267 --> 00:23:49,769
If I go back there, I'm
gonna rip his throat out.
544
00:23:49,837 --> 00:23:51,871
You sure you won't warm
up to him over time ?
545
00:23:57,795 --> 00:23:58,912
Skip the blood work.
546
00:23:58,963 --> 00:24:01,798
Tell my son it's grim news.
547
00:24:01,882 --> 00:24:04,116
I need to be in a nursing home.
548
00:24:04,168 --> 00:24:07,119
A private room.
549
00:24:07,171 --> 00:24:08,605
Make it a suite.
550
00:24:08,672 --> 00:24:10,390
Be our little secret.
551
00:24:12,292 --> 00:24:16,896
I sit around on my bureaucratic ass ?
552
00:24:16,964 --> 00:24:18,464
I was relaying your words.
553
00:24:18,532 --> 00:24:20,833
I said well-formed.
I said well-formed !
554
00:24:20,901 --> 00:24:22,719
What were you...
555
00:24:22,786 --> 00:24:24,887
I needed to be aggressive.
You're an idiot.
556
00:24:24,955 --> 00:24:27,857
She was siding with Foreman's analysis.
557
00:24:27,925 --> 00:24:30,159
The odds are against it
being hyperacute rejection.
558
00:24:30,244 --> 00:24:32,161
Stop.
559
00:24:32,246 --> 00:24:33,696
I agree with you.
560
00:24:33,764 --> 00:24:35,882
That was our analysis from the start.
561
00:24:35,950 --> 00:24:38,117
If you've got a problem
with a team decision,
562
00:24:38,168 --> 00:24:40,119
you come to me.
563
00:24:40,170 --> 00:24:42,455
I'm sorry. I
- I'll deal with him later.
564
00:24:44,091 --> 00:24:46,526
I said well-formed.
565
00:24:53,517 --> 00:24:55,652
People who have not seen Cuddy naked
566
00:24:55,719 --> 00:24:57,770
should not throw stones.
567
00:24:57,838 --> 00:25:00,640
She does have great cans.
568
00:25:02,226 --> 00:25:04,176
Cuddy has House on such a short leash,
569
00:25:04,228 --> 00:25:06,012
she might as well start
giving him chew toys.
570
00:25:06,063 --> 00:25:08,731
Let's give the antibiotics
at least another hour.
571
00:25:08,816 --> 00:25:11,401
Amazing. And House hasn't
given you one ounce of grief
572
00:25:11,485 --> 00:25:14,153
for your complete lack of
interest in his love life ?
573
00:25:14,204 --> 00:25:16,489
Did it ever occur to you
that House is just happy
574
00:25:16,540 --> 00:25:18,357
and could give a crap
about other people's lives
575
00:25:18,409 --> 00:25:19,542
because of it ?
576
00:25:19,626 --> 00:25:22,194
Well, that's ironic and depressing.
577
00:25:22,246 --> 00:25:23,713
And by that logic,
578
00:25:23,797 --> 00:25:25,381
the reason you don't give a crap
579
00:25:25,466 --> 00:25:27,000
is because you're happy,
580
00:25:27,051 --> 00:25:29,035
which means you've got someone new
581
00:25:29,086 --> 00:25:30,970
giving you chew toys.
582
00:25:31,038 --> 00:25:32,371
You're 1/4th right.
583
00:25:32,423 --> 00:25:33,873
Wait.
584
00:25:33,924 --> 00:25:36,225
Are you saying...
585
00:25:36,310 --> 00:25:37,977
You're dating four women ?
586
00:25:44,217 --> 00:25:45,318
BP's dropping.
587
00:25:45,385 --> 00:25:46,903
Means the antibiotics aren't working.
588
00:25:46,987 --> 00:25:49,522
Put her in trendelenburg.
Can you save the lung ?
589
00:25:49,573 --> 00:25:51,858
Believe it or not, we
got a better chance now.
590
00:25:51,909 --> 00:25:53,776
This means rejection, not infection.
591
00:25:53,861 --> 00:25:55,862
Start her on iv
methylprednisolone right away.
592
00:26:01,785 --> 00:26:02,869
Wow.
593
00:26:02,920 --> 00:26:04,904
You hate salad.
594
00:26:04,955 --> 00:26:07,590
She's really got you tied up in knots.
595
00:26:07,658 --> 00:26:10,043
I caved. Through an intermediary.
596
00:26:10,094 --> 00:26:12,295
I need a plan "C".
597
00:26:12,379 --> 00:26:15,264
What you need is a plan
that you actually develop
598
00:26:15,349 --> 00:26:17,717
with Cuddy.
599
00:26:20,137 --> 00:26:22,188
Antibiotics didn't work and
then steroids didn't work.
600
00:26:22,255 --> 00:26:23,439
The new lung's ruined,
601
00:26:23,524 --> 00:26:25,341
and it's not rejection or infection.
602
00:26:25,409 --> 00:26:26,976
The only two options were wrong.
603
00:26:27,061 --> 00:26:28,478
Unless it's not lam.
604
00:26:28,562 --> 00:26:31,064
It is lam. The tests were positive.
605
00:26:31,115 --> 00:26:33,766
Then the tests have to be wrong.
606
00:26:33,817 --> 00:26:35,768
Deep-fryer's working again.
607
00:26:35,819 --> 00:26:38,371
Still working on that ?
608
00:26:38,438 --> 00:26:40,289
No, it was here when I sat down.
609
00:26:40,374 --> 00:26:41,374
I need to think.
610
00:27:10,671 --> 00:27:13,072
I want to make sure
you're trying everything
611
00:27:13,140 --> 00:27:14,524
to save my sister.
612
00:27:14,608 --> 00:27:16,325
Everything ?
613
00:27:16,393 --> 00:27:18,945
Well, that must be it.
614
00:27:19,012 --> 00:27:21,164
See, I thought you guys
checked the box marked,
615
00:27:21,248 --> 00:27:22,782
"try every other thing".
616
00:27:22,833 --> 00:27:25,251
I'm the one that's
supposed to die first.
617
00:27:25,318 --> 00:27:27,653
I'm the damaged one, not her.
618
00:27:27,721 --> 00:27:29,455
She never even gets a cold.
619
00:27:29,506 --> 00:27:31,591
Damage has a way of spreading
to everyone around you.
620
00:27:31,658 --> 00:27:33,759
For example, your
obvious emotional damage
621
00:27:33,827 --> 00:27:36,012
is now making me have a
philosophical conversation
622
00:27:36,096 --> 00:27:37,663
instead of dealing with your sister.
623
00:27:37,714 --> 00:27:40,266
See how that might be damaging ?
624
00:27:48,976 --> 00:27:50,076
Never ?
625
00:27:51,862 --> 00:27:54,063
When was the last time you had a cold ?
626
00:27:54,148 --> 00:27:56,732
Any minor aches, swelling, anything ?
627
00:27:58,485 --> 00:28:00,486
It's been years.
628
00:28:00,554 --> 00:28:02,822
She never gets colds.
629
00:28:02,890 --> 00:28:04,824
I didn't ask when's the
last time she mentioned it.
630
00:28:04,875 --> 00:28:07,627
I asked when she had
one... even a tiny one.
631
00:28:07,694 --> 00:28:09,378
It's nothing.
632
00:28:09,446 --> 00:28:13,166
Sometimes my ears ache a little.
633
00:28:13,217 --> 00:28:15,384
So now tell me the rest of the nothing.
634
00:28:15,469 --> 00:28:18,254
M
- my chest...
635
00:28:18,338 --> 00:28:20,339
Soreness.
636
00:28:20,407 --> 00:28:22,091
Some congestion.
637
00:28:22,159 --> 00:28:23,726
You never said anything about that.
638
00:28:23,810 --> 00:28:25,528
I barely noticed it
639
00:28:25,596 --> 00:28:27,430
until that skateboarding
tournament in Denver.
640
00:28:27,498 --> 00:28:28,731
How long ago ?
641
00:28:28,799 --> 00:28:30,633
A... Year ?
642
00:28:32,636 --> 00:28:34,103
Cold's nothing when I think of
643
00:28:34,188 --> 00:28:36,439
what Hugo goes through every day.
644
00:28:36,523 --> 00:28:38,390
Yeah, we get it. Your
brother, the Saint.
645
00:28:38,442 --> 00:28:40,860
His sister, the martyr.
646
00:28:44,248 --> 00:28:46,449
Thank God you followed me.
647
00:28:46,533 --> 00:28:48,400
Now you can go back to
the transplant committee
648
00:28:48,452 --> 00:28:50,069
while I get confirmation.
649
00:28:50,120 --> 00:28:51,337
Confirmation of what ?
650
00:28:51,404 --> 00:28:53,623
What causes low-level
cold symptoms for a year,
651
00:28:53,707 --> 00:28:55,791
can ruin two lungs, is
immune to drug therapies,
652
00:28:55,876 --> 00:28:58,427
and gets worse in cities
nicknamed mile-high ?
653
00:28:58,512 --> 00:28:59,679
A clotting disorder ?
654
00:28:59,746 --> 00:29:01,764
She has a nasty case
of sickle cell trait.
655
00:29:01,848 --> 00:29:03,916
Her heart arrhythmia
wasn't sudden at all.
656
00:29:03,967 --> 00:29:06,302
Screwed-up blood cells
screwed up the blood vessels
657
00:29:06,386 --> 00:29:09,188
which gave us a screwed-up
positive for lam.
658
00:29:09,256 --> 00:29:11,857
If she'd told us about her
symptoms sooner... like ever...
659
00:29:11,925 --> 00:29:13,359
she might not be dying.
660
00:29:13,426 --> 00:29:14,977
You were right after all.
661
00:29:15,062 --> 00:29:16,479
I never said sickle...
662
00:29:16,563 --> 00:29:18,147
if everyone were more selfish,
663
00:29:18,232 --> 00:29:20,449
the world would be a better place.
664
00:29:20,534 --> 00:29:23,369
So she's gonna die.
665
00:29:25,022 --> 00:29:26,289
Unless we can find...
666
00:29:26,356 --> 00:29:27,990
she burned through one donor lung.
667
00:29:28,058 --> 00:29:31,961
Transplant committee's never
gonna give her a second one.
668
00:29:32,045 --> 00:29:34,380
Well, then I guess you're right again.
669
00:29:38,335 --> 00:29:41,220
Unless we don't need their approval.
670
00:29:50,184 --> 00:29:52,068
You can't advise your patient's parents
671
00:29:52,153 --> 00:29:55,655
to take marrow and half
a lung from their son !
672
00:29:55,723 --> 00:29:59,192
I guess I can just chat
with them about the weather.
673
00:29:59,243 --> 00:30:01,578
Blood tests just confirmed
sickle cell trait.
674
00:30:01,662 --> 00:30:05,832
So they might be curious about
the only treatment option.
675
00:30:05,900 --> 00:30:08,101
Though we are having
weird weather lately.
676
00:30:08,169 --> 00:30:10,020
There is a huge reason not to take lungs
677
00:30:10,087 --> 00:30:11,571
from living patients.
678
00:30:11,622 --> 00:30:13,240
So their siblings can die ?
679
00:30:13,307 --> 00:30:14,908
Their son has cmd.
680
00:30:14,959 --> 00:30:17,894
As it is, he's gonna die of
respiratory failure by 25.
681
00:30:17,962 --> 00:30:19,913
We could cut whatever
time he has left in half.
682
00:30:19,964 --> 00:30:22,582
That qualifies as a bad reason
for them to reject the idea.
683
00:30:22,633 --> 00:30:24,518
It's a much worse reason for
them not to get the choice.
684
00:30:24,585 --> 00:30:26,703
It's coercive to tell them !
685
00:30:26,771 --> 00:30:28,305
You ever hear of "do no harm" ?
686
00:30:28,389 --> 00:30:30,106
That was second year, right ?
687
00:30:30,191 --> 00:30:31,591
'Cause I had mono all that fall.
688
00:30:31,642 --> 00:30:32,926
Their son's not even our patient.
689
00:30:32,977 --> 00:30:34,277
Why don't we just take half a lung
690
00:30:34,362 --> 00:30:35,946
from some guy in the
clinic with a toothache ?
691
00:30:36,013 --> 00:30:37,263
That's a great idea.
692
00:30:37,315 --> 00:30:39,032
Now we can give the parents two options.
693
00:30:39,099 --> 00:30:41,551
We don't compromise
one life for another.
694
00:30:45,072 --> 00:30:46,740
Okay.
695
00:30:50,211 --> 00:30:52,662
Okay ?
696
00:30:52,747 --> 00:30:55,281
Seriously.
697
00:30:55,333 --> 00:30:56,616
You made an argument.
698
00:30:56,667 --> 00:30:57,951
If you don't want me to defer to you,
699
00:30:58,019 --> 00:30:59,386
why make it at all ?
700
00:30:59,453 --> 00:31:01,955
But are you deferring to me
701
00:31:02,006 --> 00:31:05,008
just because we're seeing each other ?
702
00:31:08,262 --> 00:31:10,130
Maybe.
703
00:31:12,066 --> 00:31:13,900
Yeah. I think so.
704
00:31:13,968 --> 00:31:15,569
This is screwing me up.
705
00:31:15,636 --> 00:31:18,104
Why is it not screwing you up ?
706
00:31:19,740 --> 00:31:23,610
It is.
707
00:31:23,661 --> 00:31:26,312
I don't know why I okayed
you foaming that lung.
708
00:31:26,364 --> 00:31:28,782
I realized it was wrong
as soon as I said it.
709
00:31:28,833 --> 00:31:30,149
I knew it !
710
00:31:30,201 --> 00:31:31,868
I knew 'cause you tilted your head.
711
00:31:31,953 --> 00:31:36,256
House... We are screwing this up.
712
00:31:36,323 --> 00:31:38,541
I'm gonna call HR,
713
00:31:38,626 --> 00:31:42,345
find someone else to
supervise you as soon as I can.
714
00:31:58,178 --> 00:32:00,563
I've got your...
715
00:32:00,648 --> 00:32:02,449
Test results.
716
00:32:04,118 --> 00:32:06,319
You have the metabolism, blood counts,
717
00:32:06,370 --> 00:32:08,939
liver and kidney
function of a 92-year-old.
718
00:32:09,006 --> 00:32:10,707
Which is great, 'cause you're 102.
719
00:32:10,791 --> 00:32:12,358
What's not so great
720
00:32:12,410 --> 00:32:14,294
is the average life expectancy is 78.
721
00:32:14,361 --> 00:32:16,129
It is my recommendation
that you move into a home
722
00:32:16,196 --> 00:32:17,831
with
round-the-clock care.
723
00:32:17,882 --> 00:32:19,499
Oh...
724
00:32:19,550 --> 00:32:22,085
I can't believe it !
725
00:32:22,153 --> 00:32:25,338
Can't my son give me
round-the-clock care ?
726
00:32:25,406 --> 00:32:27,707
Not unless you've done
your two-year certification
727
00:32:27,758 --> 00:32:29,576
in tiburon swab technology.
728
00:32:29,644 --> 00:32:30,794
There must be some other way.
729
00:32:30,861 --> 00:32:32,679
Just because he has a little tingling
730
00:32:32,730 --> 00:32:35,732
and some trouble feeling hot and cold
731
00:32:35,816 --> 00:32:39,436
and some difficulty... you
can't feel hot and cold ?
732
00:32:39,503 --> 00:32:41,271
Not lately. But at my age...
733
00:32:41,355 --> 00:32:43,156
Show me your teeth.
734
00:32:46,060 --> 00:32:48,528
Dentures. Fairly worn.
735
00:32:48,579 --> 00:32:51,164
I'm guessing ten years old.
736
00:32:51,231 --> 00:32:53,733
Show me your denture cream.
737
00:32:53,801 --> 00:32:56,586
Why would he carry denture cream ?
738
00:32:56,671 --> 00:32:59,405
Because...
739
00:32:59,457 --> 00:33:01,091
He has...
740
00:33:01,175 --> 00:33:03,093
Zinc poisoning.
741
00:33:03,177 --> 00:33:04,761
But to get it from denture cream,
742
00:33:04,845 --> 00:33:06,079
he'd have to take so much of it...
743
00:33:06,130 --> 00:33:07,580
trust me, he never
leaves home without it.
744
00:33:07,631 --> 00:33:09,299
How much do you use, pop ?
745
00:33:09,383 --> 00:33:12,435
About a tube a day. I buy it online.
746
00:33:12,503 --> 00:33:14,587
So what does this mean ?
747
00:33:14,638 --> 00:33:16,623
Bizarrely, it explains
all your symptoms.
748
00:33:16,691 --> 00:33:18,975
Better-fitting
dentures, you'll be fine.
749
00:33:19,043 --> 00:33:22,445
Medically, there's no
reason to go anywhere.
750
00:33:31,956 --> 00:33:32,956
Hospital rebate.
751
00:33:33,040 --> 00:33:35,892
You might wanna...
752
00:33:35,960 --> 00:33:37,944
Put it towards couples therapy.
753
00:33:53,794 --> 00:33:55,595
The transplant committee's...
754
00:33:55,663 --> 00:33:57,914
Never gonna give my daughter
another lung, are they ?
755
00:33:57,982 --> 00:33:59,015
No.
756
00:33:59,083 --> 00:34:02,468
Are there any other options ?
757
00:34:02,520 --> 00:34:04,237
We're looking into it.
758
00:34:06,073 --> 00:34:07,690
Looking into what ?
759
00:34:10,995 --> 00:34:11,945
Please.
760
00:34:11,996 --> 00:34:13,830
Tell me.
761
00:34:13,914 --> 00:34:15,865
Give me some kind of hope.
762
00:34:15,950 --> 00:34:17,500
I'm afraid I can't do that.
763
00:34:17,585 --> 00:34:19,235
We're talking about my daughter's life.
764
00:34:19,303 --> 00:34:21,271
What can't you tell me ?
765
00:34:24,258 --> 00:34:29,012
If there's any...
Chance you can save her,
766
00:34:29,096 --> 00:34:31,865
anything you can try...
767
00:34:37,805 --> 00:34:41,474
We can take marrow and
half a lung from your son.
768
00:34:44,011 --> 00:34:48,047
It would likely shorten
his life significantly.
769
00:34:50,067 --> 00:34:53,369
He'd never be able to go on
a respirator if he needed to.
770
00:34:53,437 --> 00:34:54,971
Most people with cmd need to
771
00:34:55,039 --> 00:34:57,290
as their respiratory function declines.
772
00:35:07,084 --> 00:35:08,418
How long...
773
00:35:08,486 --> 00:35:10,870
Do we have to decide ?
774
00:35:10,921 --> 00:35:13,723
Morning at the latest.
775
00:35:19,096 --> 00:35:20,597
Thank you.
776
00:35:58,352 --> 00:36:00,603
Where are my parents ?
777
00:36:00,671 --> 00:36:04,374
They're probably dealing with
committee issues or something.
778
00:36:04,441 --> 00:36:06,693
They were arguing.
779
00:36:06,760 --> 00:36:08,578
I saw my mom crying.
780
00:36:08,646 --> 00:36:10,980
Looked like my dad was yelling at her.
781
00:36:11,048 --> 00:36:13,733
They care about you a lot.
782
00:36:22,109 --> 00:36:25,444
Hugo was a marrow match ?
783
00:36:25,496 --> 00:36:28,248
We're way past that now.
784
00:36:29,767 --> 00:36:32,168
They want a lung from him too.
785
00:36:32,236 --> 00:36:34,854
Is that what this is about ?
786
00:36:37,491 --> 00:36:40,276
No. It's nothing you
need to worry about.
787
00:36:40,344 --> 00:36:43,680
Everybody's working on getting
you the best care possible.
788
00:36:59,997 --> 00:37:03,583
How do they expect us
to go on from here ?
789
00:37:06,287 --> 00:37:10,039
We make a choice... And we live with it.
790
00:37:11,625 --> 00:37:13,459
There's no living with it.
791
00:37:13,510 --> 00:37:16,012
No matter what we decide.
792
00:37:35,282 --> 00:37:38,701
Still cold and clammy. She
had a respiratory arrest.
793
00:37:38,786 --> 00:37:40,370
Oh, my God !
794
00:37:40,454 --> 00:37:42,538
What is she doing here ?
795
00:37:42,623 --> 00:37:44,240
She figured out what was going on.
796
00:37:44,325 --> 00:37:46,359
She's pinking up.
797
00:37:46,410 --> 00:37:48,361
She must have yanked
off her ivs and oxygen.
798
00:37:48,412 --> 00:37:50,897
Came here to die.
799
00:37:59,910 --> 00:38:01,878
By unhooking herself from everything,
800
00:38:01,929 --> 00:38:04,614
she delivered a hypoxic
insult to her body
801
00:38:04,682 --> 00:38:07,751
that started a downward spiral.
802
00:38:07,802 --> 00:38:09,436
If you're gonna make a decision,
803
00:38:09,520 --> 00:38:11,305
you're running out of time.
804
00:38:20,064 --> 00:38:22,115
Hr can't find you a new supervisor.
805
00:38:22,200 --> 00:38:23,600
How come ?
806
00:38:23,668 --> 00:38:26,203
Because you're unsupervisable, House.
807
00:38:26,270 --> 00:38:27,954
Two department chairs
threatened to quit.
808
00:38:28,022 --> 00:38:30,407
Well, I guess we're
stuck with each other.
809
00:38:33,211 --> 00:38:36,279
I have no idea why I'm making this call
810
00:38:36,331 --> 00:38:38,448
or if it's the right call to make.
811
00:38:38,516 --> 00:38:40,217
But if you feel strongly
812
00:38:40,284 --> 00:38:43,787
about presenting the parents
your treatment option,
813
00:38:43,838 --> 00:38:46,790
you can do it.
814
00:38:46,841 --> 00:38:49,309
Thank you, I will.
815
00:38:49,394 --> 00:38:51,595
Several hours ago.
816
00:38:51,662 --> 00:38:53,847
You told them ?
817
00:38:53,915 --> 00:38:56,650
I told him. He came to my office.
818
00:39:00,555 --> 00:39:03,423
I'm sorry.
819
00:39:06,010 --> 00:39:09,780
Well... I should probably
be more mad at you.
820
00:39:11,416 --> 00:39:12,916
Yeah.
821
00:39:14,752 --> 00:39:17,287
Dr. House ?
822
00:39:17,338 --> 00:39:19,056
We've decided.
823
00:39:20,675 --> 00:39:23,710
We're not gonna take
the lung from my son.
824
00:39:25,880 --> 00:39:27,330
She's still on the waiting list.
825
00:39:27,382 --> 00:39:29,549
We're gonna do whatever we
can do find her another...
826
00:39:29,617 --> 00:39:31,385
what ginormous crack pipe
827
00:39:31,469 --> 00:39:33,036
have you people been sucking on ?
828
00:39:33,104 --> 00:39:35,389
House ! Are you gonna pretend
829
00:39:35,473 --> 00:39:36,890
that you're not choosing
your own daughter's death ?
830
00:39:36,958 --> 00:39:38,425
Our daughter doesn't want it.
831
00:39:38,493 --> 00:39:40,394
Probably doesn't wanna
floss her teeth either.
832
00:39:40,478 --> 00:39:42,279
She's a mindless teenybopper.
833
00:39:42,346 --> 00:39:45,031
Don't put this on them. What do you
mean, put it on ? It is on them !
834
00:39:45,116 --> 00:39:47,183
As much as they may
wanna pass the lung here !
835
00:39:47,235 --> 00:39:48,852
Of course they do !
836
00:39:48,903 --> 00:39:50,654
You're handing them
an impossible choice.
837
00:39:50,705 --> 00:39:52,906
Life has handed them a crappy choice,
838
00:39:52,990 --> 00:39:54,708
and they're picking
the crappier option...
839
00:39:54,792 --> 00:39:56,910
trading who knows how
many healthy decades
840
00:39:56,994 --> 00:39:58,862
for four or five years in which
roller boy will be a limp rag.
841
00:39:58,913 --> 00:40:00,997
Not everything is a math
equation. Do you need me
842
00:40:01,048 --> 00:40:03,066
to explain the difference
between decade and year ?
843
00:40:03,134 --> 00:40:04,468
Their son is a human being.
844
00:40:04,535 --> 00:40:05,919
You know what they are, right ?
845
00:40:06,003 --> 00:40:08,588
Intrinsic value. We
don't get to decide...
846
00:40:08,673 --> 00:40:10,674
and we do it every day.
If the two of them needed
847
00:40:10,725 --> 00:40:12,759
the same lung... he needs
to keep the one he's got.
848
00:40:12,844 --> 00:40:15,395
You don't get to play
God by ripping out...
849
00:40:15,480 --> 00:40:17,864
that train left the station when
we learned to do transplants.
850
00:40:17,932 --> 00:40:19,599
The rest is just paper-pushing.
851
00:40:19,684 --> 00:40:21,902
Of course, now we're on to
your real area of expertise.
852
00:40:21,986 --> 00:40:24,271
Oh, I thought we were
moving on to yours...
853
00:40:24,355 --> 00:40:25,822
bullying your patients
854
00:40:25,890 --> 00:40:28,692
into embracing your
own lack of a moral...
855
00:40:32,413 --> 00:40:33,914
Hugo. Honey.
856
00:40:33,998 --> 00:40:36,249
We didn't mean for you
to hear any of this.
857
00:40:36,334 --> 00:40:37,868
Hugo, please !
858
00:40:54,101 --> 00:40:56,987
I want you to take half my lung.
859
00:40:57,054 --> 00:40:58,822
No.
860
00:41:00,925 --> 00:41:02,859
I'm not.
861
00:41:05,095 --> 00:41:07,764
You do so many great things.
862
00:41:07,815 --> 00:41:11,635
I just watch.
863
00:41:11,702 --> 00:41:15,739
I get to watch and coach and cheer.
864
00:41:15,790 --> 00:41:18,274
But that's not me out there.
865
00:41:18,326 --> 00:41:21,795
It never will be.
866
00:41:23,614 --> 00:41:26,166
If you take this piece of me,
867
00:41:26,250 --> 00:41:29,002
carry it with you...
868
00:41:29,086 --> 00:41:33,139
Then I really can share
in everything you do.
869
00:41:33,207 --> 00:41:36,326
This is the great thing
870
00:41:36,394 --> 00:41:40,530
I can do with my life.
871
00:41:40,598 --> 00:41:43,934
Don't make me live without you.
872
00:42:18,052 --> 00:42:19,436
We got lucky.
873
00:42:24,475 --> 00:42:27,644
I did give them an impossible choice.
874
00:42:27,695 --> 00:42:29,846
The kid took it away from them.
875
00:42:29,897 --> 00:42:33,700
That fight...
876
00:42:33,784 --> 00:42:36,019
Was the first honest interaction
877
00:42:36,070 --> 00:42:38,371
you and I have had since
we came back to work.
878
00:42:41,292 --> 00:42:45,045
If we are painfully, brutally
honest with each other,
879
00:42:45,129 --> 00:42:47,664
maybe we'll get lucky again.
880
00:42:50,868 --> 00:42:52,302
You've got a big ass.
62862
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