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1
00:00:07,851 --> 00:00:09,186
It's almost 11:00.
2
00:00:09,220 --> 00:00:11,322
She needs a lot of sleep
these days.
3
00:00:11,355 --> 00:00:14,425
Please, Mrs. Bardach.
4
00:00:14,458 --> 00:00:16,860
I haven't seen her for a week.
5
00:00:16,893 --> 00:00:19,096
I'll see how she's feeling.
6
00:00:19,130 --> 00:00:20,731
Thank you.
You know what to do.
7
00:00:22,633 --> 00:00:25,269
[water running]
8
00:00:34,611 --> 00:00:35,579
(Bardach)
All done?
9
00:00:35,612 --> 00:00:37,648
Yeah.
10
00:00:37,681 --> 00:00:40,584
I, uh, scrubbed
for 45 seconds,
11
00:00:40,617 --> 00:00:41,718
did the nails,
12
00:00:41,752 --> 00:00:43,420
all the way down
the elbows,
13
00:00:43,454 --> 00:00:45,156
the whole deal.
14
00:00:46,523 --> 00:00:47,758
Are you sick?
No, no, no.
15
00:00:47,791 --> 00:00:50,461
Cough, sore throat?
No, no.
16
00:00:50,494 --> 00:00:52,296
I just--Sometimes I sneeze
when I look at lights.
17
00:00:52,329 --> 00:00:53,897
I always have.
18
00:00:53,930 --> 00:00:55,466
I'm sorry. You better--
19
00:00:55,499 --> 00:00:57,701
I would never get her sick.
20
00:00:57,734 --> 00:00:59,236
Please.
21
00:01:01,938 --> 00:01:04,141
[knock on door]
22
00:01:05,776 --> 00:01:07,411
A mask.
23
00:01:07,444 --> 00:01:09,880
Got me by the bouncer.
She's crazy.
24
00:01:09,913 --> 00:01:12,183
She's let me out like six times
in the last two months.
25
00:01:12,216 --> 00:01:13,617
Every time it's just
to go to the hospital.
26
00:01:13,650 --> 00:01:14,651
I'm a prisoner.
27
00:01:14,685 --> 00:01:17,188
Aw, it's okay.
28
00:01:22,826 --> 00:01:23,894
It's ugly.
29
00:01:23,927 --> 00:01:25,529
No.
30
00:01:28,765 --> 00:01:31,202
I wasn't looking
at the scar anyways.
31
00:01:36,640 --> 00:01:38,275
Take off your mask.
32
00:01:39,310 --> 00:01:40,844
Uh...
33
00:01:40,877 --> 00:01:43,614
If your mom
comes in here, she--
34
00:01:43,647 --> 00:01:47,150
Hey, give me a kiss
or I'll kill you.
35
00:01:53,557 --> 00:01:55,158
Your skin.
36
00:01:56,893 --> 00:01:58,262
Are you okay?
37
00:01:58,295 --> 00:02:02,199
[wheezing]
38
00:02:08,305 --> 00:02:10,374
Melinda, can you--
39
00:02:10,407 --> 00:02:12,543
What's wrong? What's wrong?
Can you breathe?
40
00:02:13,677 --> 00:02:15,912
What's wrong?
Is it your heart?
41
00:02:15,946 --> 00:02:17,581
What's wrong?
42
00:02:17,614 --> 00:02:20,851
Mrs. Bardach! Miss--
43
00:02:25,256 --> 00:02:26,957
Melinda, I don't know
how to use this.
44
00:02:26,990 --> 00:02:28,459
I've never used
one of these before.
45
00:02:37,834 --> 00:02:41,338
[gasping]
46
00:02:44,808 --> 00:02:46,777
What did you do to her?
47
00:02:48,745 --> 00:02:51,715
[Massive Attack's Teardrop]
48
00:02:51,748 --> 00:02:59,756
*
49
00:03:49,005 --> 00:03:49,940
Cuddy called.
50
00:03:49,973 --> 00:03:53,910
I know. Saw the caller ID.
51
00:03:53,944 --> 00:03:55,912
Young girl,
anaphylactic shock.
52
00:03:55,946 --> 00:03:58,014
You answered?
53
00:03:58,048 --> 00:03:59,883
Turns out that's what
stops the ringing.
54
00:04:00,884 --> 00:04:02,886
It's a weird case.
55
00:04:05,356 --> 00:04:07,824
I thought you did
the dishes last night.
56
00:04:07,858 --> 00:04:08,825
It was your day.
57
00:04:08,859 --> 00:04:10,927
I did. Those are new.
58
00:04:10,961 --> 00:04:12,396
Midnight snack.
59
00:04:12,429 --> 00:04:16,032
For a midnight snack,
you made a pot roast.
60
00:04:16,066 --> 00:04:17,934
The same pot roast
I made last night.
61
00:04:17,968 --> 00:04:21,972
Yeah. Actually,
it was after midnight.
62
00:04:22,005 --> 00:04:23,607
Today is your day, right?
63
00:04:23,640 --> 00:04:25,442
You want me out of here.
64
00:04:25,476 --> 00:04:26,610
I get it.
65
00:04:26,643 --> 00:04:28,044
No, it's fine if you stay.
66
00:04:28,078 --> 00:04:29,380
The place
I was gonna move,
67
00:04:29,413 --> 00:04:31,615
the guy never called.
68
00:04:31,648 --> 00:04:32,949
I said it's fine
if you stay.
69
00:04:32,983 --> 00:04:35,118
Yeah. That's why you're
making me miserable.
70
00:04:35,151 --> 00:04:37,354
Maybe I just want to make sure
you do your fair share
71
00:04:37,388 --> 00:04:38,789
around here.
72
00:04:38,822 --> 00:04:39,890
Tha--
73
00:04:39,923 --> 00:04:41,458
What's weird about it?
74
00:04:43,627 --> 00:04:45,061
The girl with the allergies.
75
00:04:45,095 --> 00:04:47,063
Yeah.
76
00:04:47,097 --> 00:04:48,465
She's immunocompromised.
77
00:04:48,499 --> 00:04:49,966
What are you doing?
78
00:04:50,000 --> 00:04:51,668
What? You asked me--
79
00:04:51,702 --> 00:04:53,036
You knew that I was interested.
80
00:04:53,069 --> 00:04:55,806
That gives you a valuable
bargaining chip.
81
00:04:55,839 --> 00:04:57,641
You could've had me
doing dishes for a week.
82
00:05:01,512 --> 00:05:03,346
Okay.
83
00:05:06,517 --> 00:05:10,020
The allergic reaction happened
while she was in a clean room.
84
00:05:19,062 --> 00:05:20,797
Why does she have
a clean room in her home?
85
00:05:20,831 --> 00:05:22,733
Heart transplant.
Immune system's in the toilet.
86
00:05:22,766 --> 00:05:26,870
Mommy builds her little angel
a John Travolta-quality bubble.
87
00:05:26,903 --> 00:05:28,739
Six months
after the transplant,
88
00:05:28,772 --> 00:05:30,841
she doesn't need to be
confined to a clean room.
89
00:05:30,874 --> 00:05:32,008
Six months
without putting out,
90
00:05:32,042 --> 00:05:34,110
Dr. Cuddy doesn't need
to wear thong panties,
91
00:05:34,144 --> 00:05:35,946
but it's not our call.
92
00:05:35,979 --> 00:05:38,515
I was wondering when you'd
get around to my panties.
93
00:05:38,549 --> 00:05:39,750
She's had four days
of workups.
94
00:05:39,783 --> 00:05:42,152
They've tested everyone who
came anywhere near that room,
95
00:05:42,185 --> 00:05:43,554
everything in the room.
96
00:05:43,587 --> 00:05:45,689
It's like
an Agatha Christie mystery.
97
00:05:45,722 --> 00:05:48,024
Maybe it's not what was there.
It's what she was doing.
98
00:05:48,058 --> 00:05:50,627
Exercise allergy.
Love it.
99
00:05:50,661 --> 00:05:53,797
What sort of exercise
could a strapping young man
100
00:05:53,830 --> 00:05:57,033
and a nubile teenage nymphet
possibly--
101
00:05:57,067 --> 00:05:58,935
Mom was in the room
within seconds.
102
00:05:58,969 --> 00:06:00,871
So the boyfriend
brought in an allergen
103
00:06:00,904 --> 00:06:02,439
and is lying about it.
104
00:06:02,473 --> 00:06:04,541
Or the girl snuck out
and she's lying about that.
105
00:06:04,575 --> 00:06:06,610
Or the parents are lying
about the room being clean.
106
00:06:06,643 --> 00:06:09,580
These are your big ideas?
Somebody's lying?
107
00:06:09,613 --> 00:06:11,982
Hasn't let me down yet.
108
00:06:12,015 --> 00:06:13,984
Recheck Mom, Dad,
the girl, the boy,
109
00:06:14,017 --> 00:06:16,086
the room, and the home.
110
00:06:20,023 --> 00:06:23,727
Any of you have a new soap,
detergent, perfume?
111
00:06:23,760 --> 00:06:27,030
No. Barbara's really careful
about that stuff.
112
00:06:27,063 --> 00:06:28,632
And you haven't been
outside recently?
113
00:06:28,665 --> 00:06:30,467
How could I?
I'm trapped up there.
114
00:06:30,501 --> 00:06:31,935
You're not trapped.
It's just safe--
115
00:06:31,968 --> 00:06:34,204
They won't even tell me
the alarm code.
116
00:06:34,237 --> 00:06:36,039
Just tell her I can
go back to school.
117
00:06:36,072 --> 00:06:37,774
Till we clear this up.
Fine.
118
00:06:37,808 --> 00:06:41,211
Find out what I'm allergic to,
and I'll stay away from it.
119
00:06:41,244 --> 00:06:44,447
Then I can go back
to school, right?
120
00:06:46,082 --> 00:06:47,918
It's up to your parents.
121
00:06:47,951 --> 00:06:49,119
But medically,
there's no reason--
122
00:06:49,152 --> 00:06:50,754
Told you.
123
00:06:50,787 --> 00:06:53,924
Could I speak to you outside
for a second, please?
124
00:06:59,295 --> 00:07:01,565
You know, this is hard enough
without you in there giving--
125
00:07:01,598 --> 00:07:02,633
She asked my opinion.
126
00:07:02,666 --> 00:07:04,968
She is 16 years old.
Lie to her.
127
00:07:05,001 --> 00:07:06,937
When I was eight,
my mom, she hated--
128
00:07:06,970 --> 00:07:09,039
I know.
I-I need to loosen up.
129
00:07:09,072 --> 00:07:10,206
I'm overprotective.
130
00:07:10,240 --> 00:07:11,908
I saw Finding Nemo.
I get it.
131
00:07:11,942 --> 00:07:13,109
I don't need another story.
132
00:07:13,143 --> 00:07:14,678
But you're not just
being overprotected.
133
00:07:14,711 --> 00:07:15,879
You're one of the most
overprotective parents
134
00:07:15,912 --> 00:07:16,913
I've ever seen.
135
00:07:16,947 --> 00:07:19,049
She has the best
private tutors.
136
00:07:19,082 --> 00:07:21,785
I let her friends visit.
I'm not going to apologize.
137
00:07:21,818 --> 00:07:23,687
Just giving you my thoughts.
138
00:07:23,720 --> 00:07:26,623
She almost died three times
during her childhood.
139
00:07:26,657 --> 00:07:28,959
Penicillin,
bee stings, peanuts.
140
00:07:28,992 --> 00:07:30,293
I've seen her file.
141
00:07:30,326 --> 00:07:31,695
Six month ago,
we leave her home alone
142
00:07:31,728 --> 00:07:33,129
for the first time
on a weekend.
143
00:07:33,163 --> 00:07:35,966
She goes out,
buys one chocolate chip cookie.
144
00:07:35,999 --> 00:07:37,000
Peanut butter in the dough.
145
00:07:37,033 --> 00:07:38,669
She's forgotten her epi pen,
146
00:07:38,702 --> 00:07:40,036
she drives to the hospital,
147
00:07:40,070 --> 00:07:41,938
passes out, has an accident.
148
00:07:41,972 --> 00:07:44,040
Steering wheel
crushed her chest.
149
00:07:44,074 --> 00:07:47,243
She ended up losing her heart.
150
00:07:47,277 --> 00:07:50,146
So when you say to me
that I'm one of the most
151
00:07:50,180 --> 00:07:54,150
overprotective parents
you've seen, please...
152
00:07:54,184 --> 00:07:58,855
please introduce me to the ones
who were more protective
153
00:07:58,889 --> 00:08:00,791
so that I can find out
what they're doing right.
154
00:08:09,099 --> 00:08:11,267
Maybe she's allergic to having
a sucky social life.
155
00:08:11,301 --> 00:08:12,803
Give the parents a break.
156
00:08:12,836 --> 00:08:14,237
They're just trying
to keep her healthy.
157
00:08:14,270 --> 00:08:16,607
Everything in here's labeled
"hypoallergenic."
158
00:08:16,640 --> 00:08:17,674
Check it anyway.
159
00:08:21,778 --> 00:08:22,979
Cameron.
160
00:08:25,949 --> 00:08:27,951
This place is cleaner
than her hospital room.
161
00:08:29,786 --> 00:08:31,722
No alarm on this window.
162
00:08:31,755 --> 00:08:32,923
It's 20-foot drop.
163
00:08:32,956 --> 00:08:34,090
You can get to the tree
from here.
164
00:08:34,124 --> 00:08:35,792
There's some bark
scraped off.
165
00:08:35,826 --> 00:08:38,595
Sure. Heart-transplant girl
swung down there on a vine.
166
00:08:38,629 --> 00:08:39,996
Maybe she was hooking up
with Tarzan and Cheetah
167
00:08:40,030 --> 00:08:41,732
down by the elephant graveyard.
168
00:08:41,765 --> 00:08:44,167
Or...Jane stayed
in the tree house
169
00:08:44,200 --> 00:08:46,036
and Tarzan came up.
170
00:08:50,273 --> 00:08:54,077
Okay. Um, I spent
most of the night Friday.
171
00:08:54,110 --> 00:08:56,246
But if her mom
finds out about that,
172
00:08:56,279 --> 00:08:57,347
she will totally freak.
173
00:08:57,380 --> 00:08:58,915
You guys had sex?
174
00:08:58,949 --> 00:09:01,384
Yeah, but, you know,
I did everything I could
175
00:09:01,417 --> 00:09:03,086
to make sure
she wouldn't get sick.
176
00:09:03,119 --> 00:09:04,387
A latex allergy?
177
00:09:04,420 --> 00:09:06,823
What do you mean,
like a condom? We didn't--
178
00:09:06,857 --> 00:09:08,158
You had unsafe sex?
179
00:09:08,191 --> 00:09:09,826
The whole unsafe thing
didn't tell you something?
180
00:09:09,860 --> 00:09:13,163
Yeah, but we didn't like
plan on it, you know?
181
00:09:13,196 --> 00:09:15,265
It just--I don't know.
We're in love.
182
00:09:15,298 --> 00:09:16,700
We've been dating
for two years.
183
00:09:16,733 --> 00:09:18,068
Practically a lifetime.
184
00:09:18,101 --> 00:09:19,135
How about a semen allergy?
185
00:09:20,303 --> 00:09:23,006
We're gonna need
a semen sample.
186
00:09:25,075 --> 00:09:26,076
You can use the bathroom
over there.
187
00:09:26,109 --> 00:09:28,011
Right. Uh, how do I...
188
00:09:28,044 --> 00:09:29,112
Aim and shoot.
189
00:09:32,749 --> 00:09:34,685
No thinking about Dr. Cameron.
We'll know.
190
00:09:34,718 --> 00:09:36,052
[scoffing]
191
00:09:36,086 --> 00:09:37,353
We should tell her parents.
192
00:09:37,387 --> 00:09:39,089
Why stop there?
Call the cops.
193
00:09:39,122 --> 00:09:40,290
Melinda's a minor.
194
00:09:40,323 --> 00:09:41,692
And if we
nip it in the bud here,
195
00:09:41,725 --> 00:09:44,260
teenagers will
never again have sex.
196
00:09:44,294 --> 00:09:45,962
The parents will find out
when they get the bill anyway.
197
00:09:45,996 --> 00:09:47,030
Oh, so you're fine
with them finding out
198
00:09:47,063 --> 00:09:48,198
as long as you don't have
to tell them personally?
199
00:09:48,231 --> 00:09:49,966
Pretty much.
200
00:09:53,970 --> 00:09:56,072
Too bad it's not you
giving the sample.
201
00:09:56,106 --> 00:09:57,974
We'd be done by now.
202
00:10:00,110 --> 00:10:02,913
Test was negative.
No semen allergy.
203
00:10:02,946 --> 00:10:05,048
Boyfriend sneaks in
to get his freak on
204
00:10:05,081 --> 00:10:06,850
the night before
the anaphylaxis.
205
00:10:06,883 --> 00:10:08,752
I don't buy
that it's unrelated.
He loves her.
206
00:10:08,785 --> 00:10:10,687
Did everything he could to make
sure she wouldn't get sick.
207
00:10:10,721 --> 00:10:12,923
What does that mean?
208
00:10:12,956 --> 00:10:15,325
Love is an emotion
certain people experience,
209
00:10:15,358 --> 00:10:16,860
similar to happiness.
210
00:10:16,893 --> 00:10:19,262
No. Maybe I should give
a more relatable example.
211
00:10:19,295 --> 00:10:20,931
Oh, snap!
212
00:10:20,964 --> 00:10:23,800
What did he do to protect her?
213
00:10:23,834 --> 00:10:25,335
Brillo-pad his privates?
214
00:10:25,368 --> 00:10:27,904
I assumed he washed
and he--
Oh, good work.
215
00:10:27,938 --> 00:10:30,140
Assumptions are so much faster
than actual questions.
216
00:10:30,173 --> 00:10:32,142
[sighs heavily]
217
00:10:40,116 --> 00:10:42,418
You the boyfriend?
218
00:10:42,452 --> 00:10:43,787
Need to borrow you.
219
00:10:43,820 --> 00:10:45,488
What is going on?
220
00:10:45,521 --> 00:10:49,159
Don't worry. I'll return him
in roughly the same condition.
221
00:10:56,066 --> 00:10:57,768
Do you take anything
to stay healthy?
222
00:10:57,801 --> 00:10:59,970
Something stronger
than an apple a day?
223
00:11:00,003 --> 00:11:01,071
Is he okay?
224
00:11:01,104 --> 00:11:02,405
He's just tired...
225
00:11:02,438 --> 00:11:04,074
from being
in a coma so long.
226
00:11:04,107 --> 00:11:05,108
What'd you take?
227
00:11:05,141 --> 00:11:08,378
Don't worry.
He can keep a secret.
228
00:11:10,814 --> 00:11:12,348
Antibiotics?
229
00:11:12,382 --> 00:11:13,950
Penicillin?
230
00:11:13,984 --> 00:11:16,052
Any of those names
ring a bell?
231
00:11:17,087 --> 00:11:20,056
Yeah, uh...
my friend Elliot,
232
00:11:20,090 --> 00:11:22,358
his dad had, like, a whole
bottle that he hadn't finished,
233
00:11:22,392 --> 00:11:26,930
so I swiped it and took a bunch
for, like, a week.
234
00:11:26,963 --> 00:11:30,500
There's no way I was gonna risk
breathing germs on Melinda.
235
00:11:30,533 --> 00:11:33,469
This is the one downside
of teenage sex:
236
00:11:33,503 --> 00:11:35,138
You're idiots.
237
00:11:35,171 --> 00:11:37,540
You almost killed
your girlfriend.
238
00:11:37,573 --> 00:11:39,209
She's allergic to penicillin.
239
00:11:40,977 --> 00:11:42,979
What, do you think there was
still some on my lips?
240
00:11:43,013 --> 00:11:44,080
I brushed my teeth.
241
00:11:44,114 --> 00:11:46,783
Think lower and more fun.
242
00:11:49,519 --> 00:11:51,521
I mean, it can--
243
00:11:51,554 --> 00:11:53,456
It can go through your stuff?
244
00:11:53,489 --> 00:11:54,590
Totally, dude.
245
00:11:54,624 --> 00:11:57,994
There's this administrator here,
whenever she gets sick,
246
00:11:58,028 --> 00:11:59,996
she just gives me
the prescription.
247
00:12:01,865 --> 00:12:04,100
But you know,
they tested Melinda,
248
00:12:04,134 --> 00:12:07,070
they said...she wasn't
allergic to my stuff.
249
00:12:07,103 --> 00:12:09,039
Yeah, four days later.
250
00:12:09,072 --> 00:12:11,074
By that time, the penicillin
was crusting up a sock
251
00:12:11,107 --> 00:12:13,443
at the bottom of your hamper.
252
00:12:13,476 --> 00:12:15,111
Do you have to tell her
it was my fault?
253
00:12:17,147 --> 00:12:18,514
No.
254
00:12:18,548 --> 00:12:23,153
Great part of being a grownup,
you never have to do anything.
255
00:12:30,093 --> 00:12:31,962
You're releasing her?
256
00:12:31,995 --> 00:12:33,129
What happened?
What did you find out?
257
00:12:33,163 --> 00:12:35,832
Tests on your house ruled out
any environmental allergens.
258
00:12:35,866 --> 00:12:37,100
Yeah, but what caused this?
259
00:12:37,133 --> 00:12:38,568
We believe
it's highly unlikely
260
00:12:38,601 --> 00:12:40,536
that this set of circumstances
will repeat itself.
261
00:12:40,570 --> 00:12:42,906
What set of circumstances?
262
00:12:42,939 --> 00:12:45,175
It's good news.
She's healthy.
263
00:12:45,208 --> 00:12:47,077
But you might want to talk--
264
00:12:47,110 --> 00:12:48,111
Cameron!
265
00:12:48,144 --> 00:12:50,280
[alarms beeping]
266
00:12:50,313 --> 00:12:51,347
I can't breathe.
267
00:12:51,381 --> 00:12:53,316
Getting the epi.
268
00:12:55,051 --> 00:12:56,352
(Lewis)
Give her the shot!
269
00:12:56,386 --> 00:12:59,189
No murmurs,
no friction rubs.
270
00:12:59,222 --> 00:13:00,957
What are you waiting for?
Quiet.
271
00:13:00,991 --> 00:13:04,127
She's coughing up
white sputum.
272
00:13:04,160 --> 00:13:05,996
Crackling
two-thirds of the way up.
273
00:13:08,231 --> 00:13:10,934
Look at her neck.
She is vomiting.
274
00:13:10,967 --> 00:13:14,270
Would you give her the shot?
It's not an allergy.
It's her heart.
275
00:13:14,304 --> 00:13:16,072
[beeping]
276
00:13:20,310 --> 00:13:21,544
(House)
What's the good news?
277
00:13:21,577 --> 00:13:23,113
What's the bad news?
278
00:13:23,146 --> 00:13:24,414
Congestive heart failure.
279
00:13:24,447 --> 00:13:26,482
Is which?
280
00:13:26,516 --> 00:13:28,919
Good news.
Why?
281
00:13:28,952 --> 00:13:31,087
I don't know.
It just sounded like you.
282
00:13:32,288 --> 00:13:33,456
New puzzle piece.
283
00:13:33,489 --> 00:13:35,558
Always good news.
What's the bad news?
284
00:13:35,591 --> 00:13:39,029
We've got two puzzle pieces
from two different puzzles.
285
00:13:39,062 --> 00:13:40,330
Seems that way.
286
00:13:40,363 --> 00:13:43,099
What if her anaphylaxis
wasn't anaphylaxis?
287
00:13:43,133 --> 00:13:44,935
Toxicity from
the anti-rejection meds
288
00:13:44,968 --> 00:13:47,170
could cause a seizure
and then heart failure.
289
00:13:47,203 --> 00:13:49,940
And get cured by
a mommy-wielded epi pen?
290
00:13:49,973 --> 00:13:51,341
It's anaphylaxis.
What else?
291
00:13:51,374 --> 00:13:53,910
What if they really are
two puzzles?
292
00:13:53,944 --> 00:13:56,412
You think she had two unrelated
rare conditions in one week?
293
00:13:56,446 --> 00:13:58,114
We explained the anaphylaxis.
294
00:13:58,148 --> 00:13:59,582
What do you mean, we?
I did!
295
00:13:59,615 --> 00:14:02,518
At least I thought I did.
Maybe I didn't.
296
00:14:02,552 --> 00:14:03,954
Still, it was all me.
297
00:14:03,987 --> 00:14:06,056
Heart problems
aren't so rare
298
00:14:06,089 --> 00:14:08,624
for someone who's had
a heart transplant.
299
00:14:08,658 --> 00:14:11,194
I say we assume House was right
about the anaphylaxis.
300
00:14:11,227 --> 00:14:12,128
It is tempting.
301
00:14:12,162 --> 00:14:15,932
Heart failure could be
either infection,
302
00:14:15,966 --> 00:14:17,968
coronary disease,
or rejection.
303
00:14:18,001 --> 00:14:21,071
Sorry. There's a reason
they call it the white board.
304
00:14:21,104 --> 00:14:22,405
It's not my rule.
305
00:14:22,438 --> 00:14:26,109
What ties both these conditions
together?
306
00:14:35,585 --> 00:14:38,054
Okay, we can all
stare at each other,
307
00:14:38,088 --> 00:14:40,523
or we can investigate
what caused the heart failure.
308
00:14:40,556 --> 00:14:42,592
Just the heart failure.
309
00:14:42,625 --> 00:14:45,661
You wanna give me
that black marker?
310
00:14:52,268 --> 00:14:55,171
There's no fever,
so it's probably not infection.
311
00:14:55,205 --> 00:14:57,540
(Chase)
Or no fever because she's
been on immunosuppressants
312
00:14:57,573 --> 00:14:59,142
for the last six months.
313
00:14:59,175 --> 00:15:00,410
(Foreman)
Let's do a C.T.,
get a heart biopsy
314
00:15:00,443 --> 00:15:02,178
and redo the blood work.
315
00:15:03,379 --> 00:15:06,182
Anything?
Not yet.
316
00:15:06,216 --> 00:15:08,118
So I hear you don't want
teenagers having sex.
317
00:15:08,151 --> 00:15:11,054
Teen suicide rate isn't
high enough for you already?
318
00:15:11,087 --> 00:15:12,655
I just think those two
are brats.
319
00:15:12,688 --> 00:15:14,424
The girl undercuts her mother
any chance she gets.
320
00:15:14,457 --> 00:15:15,658
Yeah, it's the daughter's fault.
321
00:15:15,691 --> 00:15:17,560
Has nothing to do
with mom infantilizing her.
322
00:15:17,593 --> 00:15:18,761
Good point.
323
00:15:18,794 --> 00:15:19,662
Explains why parents
who don't pay attention
324
00:15:19,695 --> 00:15:22,165
get such nice,
well-adjusted children.
325
00:15:22,198 --> 00:15:24,667
What's this?
326
00:15:24,700 --> 00:15:26,136
Think it's vegetation?
327
00:15:26,169 --> 00:15:27,237
Yeah.
328
00:15:27,270 --> 00:15:30,106
The kind made of muscle
that opens your heart valves.
329
00:15:30,140 --> 00:15:33,576
It's nothing.
She's clean.
330
00:15:33,609 --> 00:15:36,579
(Foreman)
It's good news.
You don't show any signs
331
00:15:36,612 --> 00:15:39,015
of coronary artery disease.
332
00:15:39,049 --> 00:15:40,316
So what's next?
333
00:15:40,350 --> 00:15:43,086
Well, blood work
to rule out infection,
334
00:15:43,119 --> 00:15:46,222
and then a heart surgical
biopsy to rule out rejection.
335
00:15:46,256 --> 00:15:49,125
But you don't think you're gonna
rule out both things, do you?
336
00:15:49,159 --> 00:15:50,660
No.
337
00:15:53,829 --> 00:15:55,298
I'm gonna lose
this heart, right?
338
00:15:55,331 --> 00:15:58,168
Hopefully we'll find
the problem and fix it.
339
00:15:58,201 --> 00:15:59,402
You'll keep your heart
a long time.
340
00:15:59,435 --> 00:16:00,736
How long?
341
00:16:00,770 --> 00:16:02,172
There could be
drug breakthroughs
342
00:16:02,205 --> 00:16:04,140
that allow you to keep it
for decades more.
343
00:16:04,174 --> 00:16:06,176
[chuckles]
Yeah.
344
00:16:06,209 --> 00:16:08,511
That's the answer
my cardiologist always gives me.
345
00:16:08,544 --> 00:16:10,346
I looked it up on the web.
346
00:16:10,380 --> 00:16:13,483
It's like five
or ten years, right?
347
00:16:15,818 --> 00:16:18,521
That's about the average.
348
00:16:18,554 --> 00:16:21,657
That's why I need
to have a life.
349
00:16:21,691 --> 00:16:24,527
Why can't you convince my mom
to let me go back to school?
350
00:16:24,560 --> 00:16:27,430
Melinda, you've got
bigger worries right now
351
00:16:27,463 --> 00:16:29,832
than missing school.
352
00:16:29,865 --> 00:16:31,434
Until we figure out
what's wrong with your heart,
353
00:16:31,467 --> 00:16:35,805
the safest place for you
to be is right here.
354
00:16:56,759 --> 00:17:00,296
[Otis Redding's
Pain In My Heart]
355
00:17:00,330 --> 00:17:07,770
*
356
00:17:07,803 --> 00:17:11,874
* Pain in my heart
357
00:17:11,907 --> 00:17:16,112
* Is treating me poor
358
00:17:16,146 --> 00:17:19,682
* Where can my baby be
359
00:17:19,715 --> 00:17:23,786
* Lord, no one knows
360
00:17:25,755 --> 00:17:29,525
* Pain in my heart
361
00:17:29,559 --> 00:17:34,430
* Just won't let me sleep
362
00:17:34,464 --> 00:17:38,301
* Where can my baby be?
363
00:17:38,334 --> 00:17:42,772
* Lord, where can she be?
364
00:17:42,805 --> 00:17:46,376
* And now the days
365
00:17:46,409 --> 00:17:49,145
* Has begin to get tough
366
00:17:49,179 --> 00:17:51,181
* Said I want you
to come back *
367
00:17:51,214 --> 00:17:56,219
* Come back,
come back, baby *
368
00:17:56,252 --> 00:17:59,289
* I've had enough, oh-oh... *
369
00:18:03,693 --> 00:18:05,595
Where's...
370
00:18:07,530 --> 00:18:09,532
the hooker, I assume?
371
00:18:09,565 --> 00:18:12,202
Right up here, buddy.
372
00:18:14,804 --> 00:18:16,939
You said you'd hang
the stethoscope
373
00:18:16,972 --> 00:18:19,209
if you were having sex.
374
00:18:19,242 --> 00:18:20,643
I didn't say it had to be
with another person.
375
00:18:20,676 --> 00:18:23,313
Can you think of anything
that would tie together
376
00:18:23,346 --> 00:18:25,515
anaphylaxis and heart failure?
377
00:18:25,548 --> 00:18:26,616
No.
378
00:18:26,649 --> 00:18:29,219
I was waiting out there
for hours!
379
00:18:29,252 --> 00:18:31,587
I need a lot of foreplay.
380
00:18:31,621 --> 00:18:33,223
And then there's
the cuddling afterwards.
381
00:18:34,790 --> 00:18:36,626
Any way that anaphylaxis
isn't anaphylaxis
382
00:18:36,659 --> 00:18:38,228
even it responds to epi?
383
00:18:38,261 --> 00:18:40,530
No. Oh, no wonder
you were in the mood.
384
00:18:40,563 --> 00:18:42,832
This month's New Jersey
Journal of Cardiology.
385
00:18:42,865 --> 00:18:44,367
Have you seen the centerfold?
386
00:18:44,400 --> 00:18:47,570
There's no way
those valves are real.
387
00:18:47,603 --> 00:18:49,905
Any chance that the heart
failure could be unrelated to--
388
00:18:49,939 --> 00:18:50,906
No.
389
00:18:50,940 --> 00:18:52,542
If you need time alone to work,
390
00:18:52,575 --> 00:18:54,410
you just have to say so.
391
00:18:54,444 --> 00:18:55,711
You don't have
to lie about it.
392
00:18:55,745 --> 00:18:56,712
Lying's more fun.
393
00:18:56,746 --> 00:18:59,649
Being lied to,
not as much fun.
394
00:18:59,682 --> 00:19:00,983
Please have an answer
to this question:
395
00:19:01,016 --> 00:19:02,952
What's for dinner?
396
00:19:02,985 --> 00:19:05,388
You still haven't
done the dishes?
397
00:19:05,421 --> 00:19:06,256
You want one of these?
398
00:19:06,289 --> 00:19:08,991
I think I got
a couple of blueberries.
399
00:19:09,024 --> 00:19:12,194
Nope. Sorry. Just one.
400
00:19:13,829 --> 00:19:16,899
Oh, don't look all weepy.
401
00:19:16,932 --> 00:19:18,568
You got a problem with me,
deal with it.
402
00:19:18,601 --> 00:19:19,969
Short my sheets
or something.
403
00:19:24,774 --> 00:19:27,943
[dishes rattling,
water running]
404
00:19:27,977 --> 00:19:29,545
(Foreman)
Biopsy was negative
for rejection.
405
00:19:29,579 --> 00:19:30,613
Thank God.
406
00:19:30,646 --> 00:19:31,947
And what about
the blood tests?
407
00:19:31,981 --> 00:19:33,082
Showed no infection.
408
00:19:33,115 --> 00:19:36,619
So we still don't know
what caused her heart failure.
409
00:19:36,652 --> 00:19:38,388
Let's just be happy
she doesn't need a new heart.
410
00:19:38,421 --> 00:19:40,723
Mrs. Bardach, it could have
just been a one-time thing.
411
00:19:40,756 --> 00:19:42,992
So she has an allergic reaction
and heart failure,
412
00:19:43,025 --> 00:19:44,960
and neither of them
can be explained.
413
00:19:44,994 --> 00:19:47,797
Are they doing
any more tests on her?
414
00:19:47,830 --> 00:19:49,799
No.
She's not here.
415
00:19:52,001 --> 00:19:53,503
(Cuddy)
Notify local hospitals,
416
00:19:53,536 --> 00:19:54,904
cab companies,
the state troopers,
417
00:19:54,937 --> 00:19:55,971
and local cops.
418
00:19:56,005 --> 00:19:57,907
Any security officers off duty
are back on duty.
419
00:19:57,940 --> 00:19:59,409
(woman)
We're on it.
420
00:19:59,442 --> 00:20:00,976
And I'm going to need
some pictures.
421
00:20:01,010 --> 00:20:02,712
And go through those drawers.
422
00:20:02,745 --> 00:20:04,780
And I want
at least two people
423
00:20:04,814 --> 00:20:05,981
going over
the surveillance tapes.
424
00:20:06,015 --> 00:20:07,950
That work?
425
00:20:07,983 --> 00:20:09,352
Are those
all her clothes?
426
00:20:09,385 --> 00:20:10,453
Uh, yeah.
427
00:20:10,486 --> 00:20:12,655
She's obviously
still in the building.
428
00:20:12,688 --> 00:20:14,590
So where did she go?
What does she want?
429
00:20:14,624 --> 00:20:16,392
See her boyfriend?
430
00:20:16,426 --> 00:20:18,494
She didn't take her phone.
431
00:20:18,528 --> 00:20:21,297
She wants to be outside.
432
00:20:33,676 --> 00:20:35,811
If you're trying
to scare your parents,
433
00:20:35,845 --> 00:20:37,580
great job.
434
00:20:37,613 --> 00:20:39,081
[exhales]
435
00:20:39,114 --> 00:20:42,084
Can we go back now?
436
00:20:42,117 --> 00:20:43,619
I hate her.
437
00:20:45,788 --> 00:20:49,959
When I was eight years old,
I was sick.
438
00:20:49,992 --> 00:20:51,093
Not really sick,
but the point is,
439
00:20:51,126 --> 00:20:53,696
my mom, she--
She was like this before.
440
00:20:53,729 --> 00:20:55,498
Home by 9:00 every night.
441
00:20:55,531 --> 00:20:58,501
Can't go out on the weekends.
Can't do sports.
442
00:20:58,534 --> 00:21:02,037
Transplant just gave her
what she always wanted.
Melinda...
443
00:21:02,071 --> 00:21:03,806
You had heart failure.
444
00:21:03,839 --> 00:21:06,075
This is kind of
an insane time
445
00:21:06,108 --> 00:21:08,978
to be criticizing your mom
about being overprotective.
446
00:21:09,011 --> 00:21:12,915
I know. I mean, this is
what makes it even worse.
447
00:21:12,948 --> 00:21:15,985
All of her craziness,
it just...
448
00:21:18,020 --> 00:21:20,022
It makes sense now.
449
00:21:20,055 --> 00:21:22,758
Everything's
gonna be all right.
450
00:21:22,792 --> 00:21:26,996
I didn't even try
to get outside.
451
00:21:27,029 --> 00:21:28,531
I was too scared.
452
00:21:28,564 --> 00:21:29,899
Come on.
453
00:21:41,043 --> 00:21:44,614
Whoa, whoa. Melinda,
please walk back towards me.
454
00:21:44,647 --> 00:21:47,082
Why?
455
00:21:47,116 --> 00:21:48,618
Please?
456
00:21:53,656 --> 00:21:55,791
It feels kind of weird.
457
00:21:57,527 --> 00:22:00,095
It's called steppage gait.
458
00:22:00,129 --> 00:22:01,997
(Lewis)
Is it serious?
459
00:22:02,031 --> 00:22:02,898
Not necessarily.
460
00:22:02,932 --> 00:22:04,700
All right, stick your leg out,
hold it up.
461
00:22:07,970 --> 00:22:09,739
She was under anesthesia
for the biopsy.
462
00:22:09,772 --> 00:22:11,106
If she lost oxygen--
463
00:22:11,140 --> 00:22:13,409
C.T. ruled out brain damage.
464
00:22:13,443 --> 00:22:16,479
Put your leg down.
Relax.
465
00:22:19,815 --> 00:22:22,952
Why is her leg
twitching like that?
466
00:22:22,985 --> 00:22:24,520
Fasciculation.
467
00:22:24,554 --> 00:22:25,655
Is that serious?
468
00:22:25,688 --> 00:22:28,123
It's paralysis,
and it's ascending.
469
00:22:28,157 --> 00:22:31,093
She's going to lose
the use of her legs?
470
00:22:35,531 --> 00:22:36,599
To start with.
471
00:22:42,071 --> 00:22:43,205
It's ascending fast.
472
00:22:43,238 --> 00:22:44,974
She can hardly
extend her leg now.
473
00:22:45,007 --> 00:22:48,778
At this rate, it'll be up to
her lungs in a matter of days.
474
00:22:48,811 --> 00:22:53,516
So, anaphylaxis,
heart failure, paralysis.
475
00:22:53,549 --> 00:22:54,817
Couldn't put
the first two together.
476
00:22:54,850 --> 00:22:56,652
I'm guessing we can't
put all three together.
477
00:22:56,686 --> 00:22:58,220
Tick paralysis?
478
00:22:58,253 --> 00:23:01,023
Could also explain the
anaphylaxis, maybe even the--
479
00:23:01,056 --> 00:23:02,925
Penicillin allergy explains the
allergic reaction much better.
480
00:23:02,958 --> 00:23:05,227
(Chase)
Particularly
because tick paralysis
481
00:23:05,260 --> 00:23:06,996
is usually
accompanied by a tick.
482
00:23:07,029 --> 00:23:08,831
We did two comprehensive
physicals
483
00:23:08,864 --> 00:23:09,999
looking for insect bites.
484
00:23:10,032 --> 00:23:12,067
Can we put any two
of those together?
485
00:23:12,101 --> 00:23:13,869
How about we stipulate?
486
00:23:13,903 --> 00:23:15,705
You argued that
there must be something
487
00:23:15,738 --> 00:23:16,972
to connect
all three symptoms,
488
00:23:17,006 --> 00:23:18,641
you mocked us
for not figuring it out,
489
00:23:18,674 --> 00:23:20,810
and finally you let us
discuss the paralysis
490
00:23:20,843 --> 00:23:23,045
on its own because
it's what's gonna kill her.
491
00:23:23,078 --> 00:23:24,580
Now, it's ascending.
492
00:23:24,614 --> 00:23:26,782
Her MRIs are clean,
so rule out stroke or aneurysm.
493
00:23:26,816 --> 00:23:28,951
(Cameron)
ALS? MS?
Progression's too quick.
494
00:23:28,984 --> 00:23:30,820
Spinal lesion from leukemia?
Too slow.
495
00:23:30,853 --> 00:23:32,187
It's most likely
Guillain-Barre.
496
00:23:32,221 --> 00:23:34,690
She's immunosuppressed.
What about botulism?
497
00:23:34,724 --> 00:23:35,891
Not unless she's been
walking around on her hands
498
00:23:35,925 --> 00:23:36,959
the last couple of days.
499
00:23:36,992 --> 00:23:39,161
Botulism paralysis is
descending, not ascending.
500
00:23:39,194 --> 00:23:40,796
Could be a virus.
501
00:23:40,830 --> 00:23:42,865
West Nile, even polio
with her immune system shot.
502
00:23:42,898 --> 00:23:46,235
Get an LP and do PCRs
for the viruses.
503
00:23:46,268 --> 00:23:48,538
And get an EMG
to check for Guillain-Barre.
504
00:23:48,571 --> 00:23:50,973
Foreman's right. We gotta
find out why she's paralyzed.
505
00:23:53,042 --> 00:23:56,946
But not before staring at me
dumbly for a few seconds.
506
00:24:07,757 --> 00:24:09,859
(Foreman)
We ran more tests
on your daughter.
507
00:24:09,892 --> 00:24:12,127
We took a lumbar puncture,
got some spinal fluid.
508
00:24:12,161 --> 00:24:13,896
Then we brought her
to the lab
509
00:24:13,929 --> 00:24:16,799
to look for infections that
could be affecting her brain.
510
00:24:19,835 --> 00:24:22,271
We also did an EMG to check
how her muscles and nerves
511
00:24:22,304 --> 00:24:25,140
are responding
to electrical impulses.
512
00:24:25,174 --> 00:24:28,043
Unfortunately, her muscles
are showing increased weakness
513
00:24:28,077 --> 00:24:29,111
above the knee.
514
00:24:29,144 --> 00:24:31,046
You mean she's getting worse?
515
00:24:31,080 --> 00:24:34,116
The LP and PCRs ruled out
polio and West Nile.
516
00:24:34,149 --> 00:24:36,552
We think it's
Guillain-Barre.
517
00:24:36,586 --> 00:24:38,153
The body's immune response
goes haywire
518
00:24:38,187 --> 00:24:40,122
and starts attacking
the peripheral nerves.
519
00:24:40,155 --> 00:24:43,593
It causes muscle weakness
and paralysis.
520
00:24:43,626 --> 00:24:44,794
How bad is it?
521
00:24:44,827 --> 00:24:46,662
It's serious,
but Guillain-Barre
522
00:24:46,696 --> 00:24:49,632
usually responds very well
to plasmapheresis.
523
00:24:55,905 --> 00:24:58,073
(Foreman)
You see, the plasma,
524
00:24:58,107 --> 00:24:59,642
the clear liquid
part of her blood,
525
00:24:59,675 --> 00:25:00,910
contains
most of the antibodies,
526
00:25:00,943 --> 00:25:04,213
which are overreacting and
attacking her nervous system.
527
00:25:04,246 --> 00:25:06,148
The machine spins her blood
in a centrifuge
528
00:25:06,181 --> 00:25:08,984
and separates parts of
the blood based on weight.
529
00:25:09,018 --> 00:25:10,920
White blood cells
are the heaviest,
530
00:25:10,953 --> 00:25:13,589
then the red cells,
then platelets and plasma.
531
00:25:13,623 --> 00:25:15,625
We discard the stuff
that's causing all the trouble
532
00:25:15,658 --> 00:25:17,292
and return the good blood cells
back to her body
533
00:25:17,326 --> 00:25:18,928
in a replacement fluid.
534
00:25:18,961 --> 00:25:22,998
If it works, we'll see results
in a couple of days.
535
00:25:30,339 --> 00:25:32,274
You didn't get any messages
for me last week, did you?
536
00:25:32,307 --> 00:25:34,309
Nope.
537
00:25:34,343 --> 00:25:37,046
That's funny.
The guy finally called back.
538
00:25:37,079 --> 00:25:38,347
The place I lost?
539
00:25:38,380 --> 00:25:40,115
He said he left
three voicemails.
540
00:25:40,149 --> 00:25:41,283
Gotta pee.
541
00:25:41,316 --> 00:25:45,320
Which I never got,
if that wasn't clear.
542
00:25:45,354 --> 00:25:47,056
He must be lying.
543
00:25:47,089 --> 00:25:48,858
You wouldn't want
to live with a liar.
544
00:25:48,891 --> 00:25:50,726
You erased my messages?
545
00:25:50,760 --> 00:25:53,062
Yup. Decided
I wanted you to stay.
546
00:25:53,095 --> 00:25:54,897
Told you that, didn't I?
547
00:25:54,930 --> 00:25:57,232
You're...miserable,
and you're lonely,
548
00:25:57,266 --> 00:25:59,134
and you're gonna
trap me here
549
00:25:59,168 --> 00:26:01,804
to keep me every bit as
miserable and lonely, too.
550
00:26:01,837 --> 00:26:04,339
Yeah, and you're
happy, happy, happy.
Okay.
551
00:26:04,373 --> 00:26:07,376
Hey, I'm obviously going through
a rough patch here.
552
00:26:07,409 --> 00:26:09,879
Wife leaves,
tends to bum somebody out.
553
00:26:09,912 --> 00:26:11,413
[toilet flushing]
554
00:26:11,446 --> 00:26:14,083
Do you know where my pee went?
555
00:26:15,951 --> 00:26:16,952
You're missing some?
556
00:26:16,986 --> 00:26:20,890
No. Came out of me and
went right into the toilet.
557
00:26:20,923 --> 00:26:23,125
Now, why would that be?
558
00:26:23,158 --> 00:26:24,660
You're William Tell.
559
00:26:24,694 --> 00:26:26,228
You could pick an apple
off someone's head?
560
00:26:26,261 --> 00:26:28,163
No, it's because there was
no clear plastic wrap
561
00:26:28,197 --> 00:26:29,699
over the toilet.
562
00:26:29,732 --> 00:26:31,100
Stuff's in the kitchen.
You have plenty of time.
563
00:26:31,133 --> 00:26:32,367
All that was missing
was the will.
564
00:26:32,401 --> 00:26:34,103
This isn't a college dorm.
565
00:26:34,136 --> 00:26:36,038
It could be.
566
00:26:36,071 --> 00:26:37,707
We're not 18!
567
00:26:37,740 --> 00:26:38,908
So what?
568
00:26:38,941 --> 00:26:40,009
What did I do to you?
569
00:26:40,042 --> 00:26:42,011
I scammed you
into doing the dishes,
570
00:26:42,044 --> 00:26:43,012
I made you sit on the steps.
571
00:26:43,045 --> 00:26:45,781
I didn't kill your puppy.
572
00:26:45,815 --> 00:26:47,082
I did not make you miserable.
573
00:26:47,116 --> 00:26:49,018
Oh, so this is therapy?
574
00:26:49,051 --> 00:26:51,854
No. It's just...
575
00:26:51,887 --> 00:26:52,855
makes me smile.
576
00:26:52,888 --> 00:26:56,692
All right, I'm finding
a new place tomorrow.
577
00:26:56,726 --> 00:26:57,960
Right, but not tonight.
[pops cork]
578
00:26:57,993 --> 00:27:01,797
Well, I figure you wanna shave
my eyebrows while I'm asleep.
579
00:27:01,831 --> 00:27:03,833
I wouldn't wanna deprive you
of that last smile.
580
00:27:03,866 --> 00:27:05,367
You're not going anywhere.
581
00:27:05,400 --> 00:27:08,738
You're gonna sit on my couch,
and depress us both,
582
00:27:08,771 --> 00:27:10,906
because you just can't admit
that it's over with your wife.
583
00:27:10,940 --> 00:27:12,708
That's right.
I'm here on vacation.
584
00:27:12,742 --> 00:27:14,109
Have you gotten a lawyer yet?
585
00:27:16,278 --> 00:27:17,947
That's--
That's not...
586
00:27:17,980 --> 00:27:20,916
You even called one?
587
00:27:20,950 --> 00:27:24,787
As long as you're here,
it's just a fight.
588
00:27:24,820 --> 00:27:29,058
As soon as you get a place,
then it's a divorce.
589
00:27:32,962 --> 00:27:36,498
Everything sucks.
590
00:27:36,531 --> 00:27:40,102
Might as well find
something to smile about.
591
00:27:49,945 --> 00:27:52,481
Reflexes are
marginally weaker.
592
00:27:52,514 --> 00:27:54,016
The paralysis
is getting worse?
593
00:27:54,049 --> 00:27:55,350
Sometimes it takes
a few treatments
594
00:27:55,384 --> 00:27:56,919
for the plasmapheresis
to work.
595
00:27:56,952 --> 00:28:00,222
Why do these things
keep happening to me?
596
00:28:01,957 --> 00:28:03,926
Dan's back.
597
00:28:03,959 --> 00:28:06,762
Hey, baby, did you hear that?
Dan's here.
598
00:28:08,998 --> 00:28:10,265
I don't want to see him.
599
00:28:13,903 --> 00:28:15,304
I'll tell him
to come back later.
600
00:28:15,337 --> 00:28:17,272
No.
601
00:28:17,306 --> 00:28:20,910
Mommy, stay here, please.
602
00:28:21,977 --> 00:28:23,078
Of course.
603
00:28:57,479 --> 00:28:59,481
Is she okay?
She's sleeping.
604
00:28:59,514 --> 00:29:01,516
I'm sure
she's exhausted.
605
00:29:01,550 --> 00:29:04,987
Mood swings are common
with the anti-rejection meds.
606
00:29:05,020 --> 00:29:09,558
No. She's had mood swings.
This isn't it. This is--
607
00:29:09,591 --> 00:29:10,993
She's given up.
608
00:29:13,228 --> 00:29:15,564
I know you think I'm--
609
00:29:17,299 --> 00:29:19,801
This isn't what I wanted.
610
00:29:22,104 --> 00:29:24,907
She's always fought with me.
611
00:29:24,940 --> 00:29:29,011
Ever since she was a baby,
she was so damn stubborn.
612
00:29:29,044 --> 00:29:31,947
But I never wanted her
like this.
613
00:29:33,648 --> 00:29:36,151
I just wanted her safe.
614
00:29:37,119 --> 00:29:40,022
Doctor! Doctor!
[beeping]
615
00:29:41,456 --> 00:29:43,092
She can't breathe!
616
00:29:43,125 --> 00:29:45,127
She couldn't get
a whole sentence out.
617
00:29:47,930 --> 00:29:49,164
She's using accessory muscles.
618
00:29:49,198 --> 00:29:50,900
02 sat's down to 90.
Lungs clear?
619
00:29:50,933 --> 00:29:52,067
Yeah.
Does your tongue
feel swollen?
620
00:29:52,101 --> 00:29:53,035
Is it itchy?
621
00:29:53,068 --> 00:29:54,169
No hives.
622
00:29:54,203 --> 00:29:55,370
It's not an allergy.
623
00:29:55,404 --> 00:29:58,007
Lips are cyanotic.
We got to intubate.
624
00:29:58,040 --> 00:30:00,075
What are you doing?
625
00:30:00,109 --> 00:30:01,076
Pushing lorazepam.
626
00:30:01,110 --> 00:30:02,244
She's not getting
enough oxygen.
627
00:30:02,277 --> 00:30:04,346
We've got to assist
her breathing.
628
00:30:14,689 --> 00:30:15,557
What was that?
629
00:30:15,590 --> 00:30:17,392
Was that a reaction
to the treatment?
630
00:30:17,426 --> 00:30:18,393
It's the paralysis.
631
00:30:18,427 --> 00:30:20,629
It's reaching her lungs.
632
00:30:29,271 --> 00:30:30,505
(Chase)
Melinda's dying.
633
00:30:30,539 --> 00:30:32,975
We're all dying.
634
00:30:33,008 --> 00:30:34,543
How fast?
635
00:30:34,576 --> 00:30:35,744
Too fast for Guillain-Barre.
636
00:30:35,777 --> 00:30:39,081
Cuddy wants to get her an MRI
to rule out a spinal lesion.
637
00:30:39,114 --> 00:30:42,151
Cuddy? What's she
doing on this?
638
00:30:42,184 --> 00:30:44,653
The family
lost confidence in us.
639
00:30:44,686 --> 00:30:47,022
I don't blame them.
640
00:30:47,056 --> 00:30:48,958
I'll be right in.
641
00:31:02,471 --> 00:31:05,240
It's like she got poisoned
with a nerve agent.
642
00:31:05,274 --> 00:31:07,642
Glue inhalation. Would explain
why she hasn't admitted it.
643
00:31:07,676 --> 00:31:09,511
Tox screen was clear for pot.
644
00:31:09,544 --> 00:31:12,714
Middle-class heart transplant
patient's gonna huff glue?
Pesticides?
645
00:31:12,747 --> 00:31:14,649
(Cameron)
This time of year,
they're not spraying.
646
00:31:14,683 --> 00:31:16,451
This girl's tough.
647
00:31:16,485 --> 00:31:18,453
She gets what she wants.
648
00:31:18,487 --> 00:31:20,289
She's deprived
of human contact,
649
00:31:20,322 --> 00:31:22,557
she gets herself
a backdoor man.
650
00:31:22,591 --> 00:31:24,559
Or in her case,
a side window boy.
651
00:31:24,593 --> 00:31:26,161
What else has she
been deprived of?
652
00:31:26,195 --> 00:31:28,163
She's on a special diet
because of her allergies.
653
00:31:28,197 --> 00:31:30,132
The boyfriend brings
the hot beef.
654
00:31:30,165 --> 00:31:33,035
He also brings a side dish:
botulism.
655
00:31:33,068 --> 00:31:35,070
This is paralysis is
ascending, remember?
656
00:31:35,104 --> 00:31:37,572
Not if the heart problem's
really a paralytic problem.
657
00:31:37,606 --> 00:31:39,474
Why would she admit the sex
and not the food?
658
00:31:39,508 --> 00:31:41,676
She didn't admit anything.
659
00:31:41,710 --> 00:31:44,446
He admitted the sex, and
we didn't ask him about food.
660
00:31:44,479 --> 00:31:45,614
Get me a rat.
661
00:31:45,647 --> 00:31:47,282
You have a rat.
What?
662
00:31:47,316 --> 00:31:49,985
I'm not gonna kill Steve.
663
00:31:50,019 --> 00:31:51,120
Only way to confirm this...
664
00:31:51,153 --> 00:31:53,622
inject the rat with her blood
665
00:31:53,655 --> 00:31:56,625
and wait for it to get all
botulistic on your ass.
666
00:31:56,658 --> 00:31:57,759
In the meantime,
I'm going downstairs
667
00:31:57,792 --> 00:32:02,231
to browbeat a scared,
dying teenage girl until she...
668
00:32:02,264 --> 00:32:05,067
breaks down like a scared,
dying teenage girl.
669
00:32:09,038 --> 00:32:10,472
You're up early.
670
00:32:10,505 --> 00:32:11,606
Cuddy needed a consult.
671
00:32:11,640 --> 00:32:14,676
We're checking for
spinal lesions from leukemia.
672
00:32:14,709 --> 00:32:17,146
Yeah, I know.
Fits perfectly.
673
00:32:17,179 --> 00:32:19,348
Unless this is the patient
with the anaphylaxis,
674
00:32:19,381 --> 00:32:21,050
the heart failure,
and the paralysis,
675
00:32:21,083 --> 00:32:23,052
in which case,
you're wasting your time.
676
00:32:23,085 --> 00:32:24,719
We wanted a second opinion.
677
00:32:24,753 --> 00:32:26,355
Second? We must have
given you at least eight.
678
00:32:26,388 --> 00:32:27,489
Okay, well here's nine.
679
00:32:30,059 --> 00:32:31,260
Botulism.
680
00:32:31,293 --> 00:32:34,029
Listen to me. Have you
eaten anything abnormal?
681
00:32:34,063 --> 00:32:35,564
Any canned foods?
No.
682
00:32:35,597 --> 00:32:37,432
You sure?
Lying to your parents
683
00:32:37,466 --> 00:32:39,334
is usually
the right thing to do,
684
00:32:39,368 --> 00:32:41,336
but there is an impending
death exception.
685
00:32:41,370 --> 00:32:42,704
Don't talk to her like that.
686
00:32:42,737 --> 00:32:45,574
You're right. She never lies.
I was being rude.
687
00:32:45,607 --> 00:32:49,111
When your boyfriend snuck in
on Friday night--surprise--
688
00:32:49,144 --> 00:32:52,281
perhaps he got you some
sexy little treats, huh?
689
00:32:52,314 --> 00:32:54,483
Some honey
or some edible underwear,
690
00:32:54,516 --> 00:32:56,185
some massage oils.
691
00:32:56,218 --> 00:32:57,686
Come on, anything.
692
00:32:57,719 --> 00:32:59,588
[gags]
We didn't--
693
00:32:59,621 --> 00:33:01,223
Yeah, yeah,
we know about the sex.
694
00:33:01,256 --> 00:33:04,259
Turns out that Danny's little
Danny is full of penicillin.
695
00:33:04,293 --> 00:33:05,760
That's what caused
your anaphylactic shock.
696
00:33:05,794 --> 00:33:07,529
You didn't tell us
that's what--
697
00:33:08,863 --> 00:33:10,832
No. It was--
698
00:33:10,865 --> 00:33:13,168
He took clindamycin.
What I use.
699
00:33:15,170 --> 00:33:17,439
He said he was
on penicillin.
700
00:33:17,472 --> 00:33:19,341
I saw the bottle.
701
00:33:19,374 --> 00:33:22,244
It's a non-penicillin
antibiotic.
702
00:33:22,277 --> 00:33:24,246
If the antibiotics didn't
cause the anaphylaxis...
703
00:33:24,279 --> 00:33:25,814
It's still on the table.
704
00:33:25,847 --> 00:33:27,449
Everything is connected.
705
00:33:27,482 --> 00:33:29,551
What did we discuss?
What was the differential?
706
00:33:29,584 --> 00:33:30,619
Cameron said...
707
00:33:33,855 --> 00:33:36,258
When Dan came
to your house that night,
708
00:33:36,291 --> 00:33:37,259
did he go through
any tall grass?
709
00:33:37,292 --> 00:33:39,794
Climbed a fence.
710
00:33:44,799 --> 00:33:45,767
What are you doing?
711
00:33:45,800 --> 00:33:47,869
Your daughter had two visitors
on Friday night.
712
00:33:47,902 --> 00:33:50,205
One of them
is still in the room.
713
00:33:50,239 --> 00:33:53,775
She has tick paralysis.
714
00:33:53,808 --> 00:33:57,279
Dan tracked a tick
onto his jeans,
715
00:33:57,312 --> 00:33:58,447
which wouldn't be a problem.
716
00:33:58,480 --> 00:34:00,182
But being a teenager,
717
00:34:00,215 --> 00:34:01,716
Dan couldn't keep
his tick in his pants.
718
00:34:01,750 --> 00:34:04,753
(Foreman)
We already checked her.
719
00:34:04,786 --> 00:34:06,588
Now I'm checking her.
720
00:34:06,621 --> 00:34:08,590
Tick bites don't ordinarily
cause anaphylactic shock.
721
00:34:08,623 --> 00:34:10,659
This girl's allergies
are not ordinary.
722
00:34:10,692 --> 00:34:12,861
House, get out of here.
We have to re-intubate her,
723
00:34:12,894 --> 00:34:14,129
get her into the MRI.
724
00:34:14,163 --> 00:34:15,497
The time course is perfect.
725
00:34:15,530 --> 00:34:17,766
The bite itself sets off
an allergic reaction.
726
00:34:17,799 --> 00:34:19,801
Venom takes four days
to kick in,
727
00:34:19,834 --> 00:34:21,670
heart's vulnerable,
hits that first,
728
00:34:21,703 --> 00:34:24,839
and a day later sets off
the ascending paralysis.
729
00:34:24,873 --> 00:34:25,840
Except that ticks
aren't usually invisible.
730
00:34:25,874 --> 00:34:27,342
They are until you find them.
731
00:34:29,411 --> 00:34:31,246
Oh no, that's dandruff.
732
00:34:31,280 --> 00:34:33,715
That wasn't nearly as dramatic
as I'd hoped.
733
00:34:33,748 --> 00:34:35,450
Just means the next time
it'll be even better.
734
00:34:36,851 --> 00:34:38,887
[beeping]
735
00:34:38,920 --> 00:34:40,155
What's happening?
736
00:34:40,189 --> 00:34:41,556
That's the tick venom
ascending.
737
00:34:41,590 --> 00:34:44,326
Either that or you stressed her
into heart failure.
738
00:34:44,359 --> 00:34:46,395
BP's dropping.
Heart rate, 47.
739
00:34:46,428 --> 00:34:48,197
I'm administering atropine.
740
00:34:48,230 --> 00:34:50,832
She's going to need
a transvenous pacing wire.
741
00:34:50,865 --> 00:34:52,567
Okay, magical tick hunt
is over.
742
00:34:52,601 --> 00:34:54,403
Only real doctor stuff now.
743
00:34:54,436 --> 00:34:56,438
This is just gonna get worse.
744
00:34:56,471 --> 00:34:58,840
Ticks produce more toxins
the longer they feed.
745
00:34:58,873 --> 00:35:00,275
She's gonna be dead in an hour
746
00:35:00,309 --> 00:35:02,611
even if you pump her heart
full of jet fuel,
747
00:35:02,644 --> 00:35:05,280
unless you let me
find the tick.
Could he be right?
748
00:35:05,314 --> 00:35:07,416
The only thing I know for sure
is that your daughter's heart
749
00:35:07,449 --> 00:35:09,384
won't last another 20 minutes
without treatment.
750
00:35:09,418 --> 00:35:10,852
Okay, I just need
one final instruction.
751
00:35:10,885 --> 00:35:13,822
When I find the tick on the
autopsy, do you want to know?
752
00:35:13,855 --> 00:35:17,326
I'm thinking not.
Probably make the coping easier.
753
00:35:17,359 --> 00:35:18,527
Stop talking to them!
754
00:35:18,560 --> 00:35:20,895
Page Borsisky in cardiology.
Get her team down here stat.
755
00:35:20,929 --> 00:35:22,797
Get them out of here.
Get House out of here, too.
756
00:35:22,831 --> 00:35:24,366
Dr. Wilson,
I could use your help.
757
00:35:26,501 --> 00:35:28,270
Well, I don't know
if the dopamine's enough.
758
00:35:28,303 --> 00:35:29,904
She may need
inamrinone lactate.
759
00:35:29,938 --> 00:35:31,740
Why? What's that?
She doesn't--
760
00:35:31,773 --> 00:35:32,974
She might need
stronger pressors.
761
00:35:33,007 --> 00:35:34,543
They don't have any
in radiology.
762
00:35:34,576 --> 00:35:37,879
Inamrinone can cause arrhythmia
and thrombocytopenia.
763
00:35:37,912 --> 00:35:39,714
Not inamrinone
could cause death.
764
00:35:39,748 --> 00:35:41,550
Death's worse.
765
00:35:41,583 --> 00:35:43,552
We have to get her
up to the ICU.
766
00:35:57,832 --> 00:35:59,901
Sorry.
Little crowded here.
767
00:35:59,934 --> 00:36:01,770
House, get out
of the elevator.
768
00:36:01,803 --> 00:36:02,737
You're welcome to wait
for the next one.
769
00:36:02,771 --> 00:36:03,905
You got her?
770
00:36:03,938 --> 00:36:05,774
Got her.
771
00:36:12,514 --> 00:36:15,417
[bell ringing]
772
00:36:15,450 --> 00:36:18,019
Well, as long
as we're stuck here,
773
00:36:18,052 --> 00:36:19,888
this might be a good time
to look for that tick.
774
00:36:19,921 --> 00:36:21,756
Turn the elevator back on.
775
00:36:21,790 --> 00:36:23,892
Just be a minute, honey.
776
00:36:30,599 --> 00:36:32,434
[beeping]
[wheezing]
777
00:36:32,467 --> 00:36:33,568
Atropine's wearing off.
778
00:36:33,602 --> 00:36:34,669
So inject her again.
779
00:36:34,703 --> 00:36:35,670
That's just temporary.
780
00:36:35,704 --> 00:36:36,671
Temporary's fine.
781
00:36:36,705 --> 00:36:37,939
We're not hanging wallpaper.
782
00:36:37,972 --> 00:36:40,442
We've got to get her upstairs
and put her on norepinephrine.
783
00:36:40,475 --> 00:36:41,910
It wasn't penicillin.
784
00:36:41,943 --> 00:36:43,745
You still think the symptoms
are unconnected?
785
00:36:43,778 --> 00:36:45,314
We've got to take care
of her heart before--
786
00:36:45,347 --> 00:36:46,748
You wake up in the morning,
your paint's peeling,
787
00:36:46,781 --> 00:36:48,850
your curtains are gone,
and the water's boiling.
788
00:36:48,883 --> 00:36:50,419
Which problem
do you deal with first?
789
00:36:50,452 --> 00:36:51,686
House--
None of them!
790
00:36:51,720 --> 00:36:52,787
The building's on fire!
791
00:36:52,821 --> 00:36:54,389
We treat her symptoms,
she dies.
792
00:36:54,423 --> 00:36:55,857
We find the cause,
she lives.
793
00:36:55,890 --> 00:36:57,759
That tick is
an I.V. drip of poison.
794
00:36:57,792 --> 00:36:59,361
We unhook it, she'll be fine.
795
00:37:01,963 --> 00:37:03,898
[beeping]
796
00:37:04,899 --> 00:37:06,535
[ringing]
797
00:37:08,637 --> 00:37:09,771
It's my last atropine.
798
00:37:09,804 --> 00:37:12,006
Last us about three minutes.
799
00:37:12,040 --> 00:37:13,975
Let's get her gown up.
800
00:37:17,879 --> 00:37:20,582
[gasps]
801
00:37:23,685 --> 00:37:26,988
Her heart rate falls below 35,
we're getting her to the ICU.
802
00:37:27,021 --> 00:37:28,857
I'm not gonna let her die
in this elevator.
803
00:37:34,363 --> 00:37:35,196
Where are they?
804
00:37:35,229 --> 00:37:38,066
Get maintenance up here
right away.
805
00:37:39,968 --> 00:37:40,835
Ear canal's clean.
806
00:37:40,869 --> 00:37:42,837
Left foot's clean.
807
00:37:42,871 --> 00:37:44,373
If it's not here,
we've only got--
808
00:37:44,406 --> 00:37:46,541
[beeping]
Heart rate's 46.
809
00:37:46,575 --> 00:37:47,542
It's here.
810
00:37:47,576 --> 00:37:48,777
Looks like a mole or a freckle.
811
00:37:48,810 --> 00:37:51,413
Something we missed.
Check the armpits.
812
00:37:56,885 --> 00:37:58,052
Dr. Foreman's
an excellent doctor.
813
00:37:58,086 --> 00:37:59,120
He'll be able to handle it.
814
00:37:59,153 --> 00:38:01,022
Yeah? You know that
from experience?
815
00:38:01,055 --> 00:38:02,824
You lose a lot of patients
on elevators?
816
00:38:02,857 --> 00:38:04,826
The maintenance guy said it
didn't just stop on its own,
817
00:38:04,859 --> 00:38:06,828
that they hit
the emergency stop button.
818
00:38:06,861 --> 00:38:09,398
Well, I'm sure
he must be mistaken.
819
00:38:11,900 --> 00:38:14,002
Perineum.
We checked it.
820
00:38:14,035 --> 00:38:15,136
If we get her upstairs--
821
00:38:15,169 --> 00:38:16,471
Maxilla.
Checked.
822
00:38:20,041 --> 00:38:22,076
Down to 38.
We don't have a lot of time.
823
00:38:22,110 --> 00:38:24,546
Eyebrows, eardrums,
pubic hair.
824
00:38:24,579 --> 00:38:27,549
Checked, checked, checked.
We checked everywhere!
825
00:38:27,582 --> 00:38:28,817
It's not--
[beeping]
826
00:38:30,785 --> 00:38:33,422
35. We got to get her
to the ICU.
827
00:38:33,455 --> 00:38:34,756
We haven't found
the tick yet.
828
00:38:34,789 --> 00:38:36,425
We already kidnapped her!
You want to add murder?
829
00:38:36,458 --> 00:38:39,828
We've looked over every inch
of skin on her body, House!
830
00:38:39,861 --> 00:38:41,062
It's over.
831
00:38:49,904 --> 00:38:51,873
Hey, is that the first time
you had sex?
832
00:38:54,909 --> 00:38:56,478
With all the other stuff
going on down there,
833
00:38:56,511 --> 00:38:57,846
she might not have realized.
834
00:38:57,879 --> 00:38:59,548
Oh...
835
00:39:05,787 --> 00:39:07,856
[ding]
836
00:39:12,060 --> 00:39:14,529
You sick, miserable--
837
00:39:14,563 --> 00:39:16,030
What are you doing?
Oh, my God!
838
00:39:16,064 --> 00:39:17,566
Whoa, whoa!
839
00:39:18,800 --> 00:39:21,836
See? Told you it'd be
even more dramatic.
840
00:39:25,874 --> 00:39:28,810
Push norepinephrine.
Get her heart back to normal.
841
00:39:28,843 --> 00:39:30,845
She'll be completely cured
by tomorrow.
842
00:39:33,482 --> 00:39:34,983
Foreman, let's get her
into the ICU.
843
00:39:49,964 --> 00:39:53,702
Inamrinone was a stupid idea,
844
00:39:53,735 --> 00:39:56,037
unless you wanted me to get
that girl on the elevator.
845
00:39:56,070 --> 00:39:57,606
Oh, I wouldn't do that.
846
00:39:57,639 --> 00:39:59,774
Wouldn't respect you
if you did.
847
00:40:06,581 --> 00:40:08,082
Wow.
848
00:40:08,116 --> 00:40:11,920
Looks like somebody filed
halfway through your cane
849
00:40:11,953 --> 00:40:13,121
while you were sleeping.
850
00:40:40,649 --> 00:40:42,617
Reflexes back to normal.
851
00:40:42,651 --> 00:40:43,718
Heart's looking good, too.
852
00:40:43,752 --> 00:40:44,819
I'll send in the nurse,
853
00:40:44,853 --> 00:40:46,921
we'll get you
transferred out of ICU,
854
00:40:46,955 --> 00:40:48,222
you'll be discharged
in the morning.
855
00:40:48,256 --> 00:40:50,258
Thank God.
856
00:40:50,291 --> 00:40:52,226
I just want to get home.
857
00:40:52,260 --> 00:40:54,996
And back to school
on Monday.
858
00:40:56,765 --> 00:40:58,967
I'm not ready.
859
00:40:59,000 --> 00:41:00,101
You're ready.
860
00:41:00,134 --> 00:41:02,804
I'm sick, Mom.
861
00:41:02,837 --> 00:41:04,973
You're not sick.
862
00:41:05,006 --> 00:41:07,842
You're gonna go to class,
863
00:41:07,876 --> 00:41:10,679
and you're gonna see your
friends and your boyfriend.
864
00:41:17,919 --> 00:41:21,623
(James Stewart on TV)
What's this doohickey?
865
00:41:21,656 --> 00:41:23,257
(Barbara Bel Geddes)
It's a brassiere.
866
00:41:23,291 --> 00:41:25,259
You know about
those things.
867
00:41:25,293 --> 00:41:26,995
You're a big boy now.
868
00:41:27,028 --> 00:41:28,963
(Stewart)
Well, I've never
run across one like that.
869
00:41:28,997 --> 00:41:30,799
(Bel Geddes)
It's brand new.
870
00:41:30,832 --> 00:41:32,801
Revolutionary uplift.
871
00:41:32,834 --> 00:41:33,802
I've explained to you--
872
00:41:33,835 --> 00:41:34,869
(Stewart)
I know, I know.
873
00:41:34,903 --> 00:41:35,870
[keys clanging]
874
00:41:35,904 --> 00:41:38,139
I have acrophobia,
which gives me vertigo.
875
00:41:38,172 --> 00:41:39,173
And I get dizzy.
876
00:41:53,254 --> 00:41:57,592
I called
a divorce lawyer today.
877
00:41:57,626 --> 00:42:00,228
Does that mean
you're leaving?
878
00:42:00,261 --> 00:42:02,897
At some point.
879
00:42:06,400 --> 00:42:10,772
You might not want
to sit exactly there.
880
00:42:30,091 --> 00:42:33,094
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