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These are the user uploaded subtitles that are being translated: 1 00:00:07,584 --> 00:00:11,622 At this point, your blood is a deep purple. 2 00:00:11,655 --> 00:00:13,690 Because it's just finished dropping off oxygen 3 00:00:13,724 --> 00:00:16,193 for all the parts of your body. 4 00:00:18,495 --> 00:00:19,696 Come on, follow me. 5 00:00:19,730 --> 00:00:22,166 [kids chattering] 6 00:00:22,199 --> 00:00:23,634 Come on. 7 00:00:23,667 --> 00:00:26,203 [sighs] 8 00:00:26,237 --> 00:00:27,871 Ian. 9 00:00:27,904 --> 00:00:28,872 I have a question, 10 00:00:28,905 --> 00:00:30,707 and I need to go to the bathroom. 11 00:00:30,741 --> 00:00:32,776 Which would you like to do first? 12 00:00:32,809 --> 00:00:33,777 The question. 13 00:00:33,810 --> 00:00:35,112 Okay. 14 00:00:35,146 --> 00:00:36,180 Where's the bathroom? 15 00:00:36,213 --> 00:00:38,349 Who knows where the bathroom is? 16 00:00:38,382 --> 00:00:39,650 I do. 17 00:00:39,683 --> 00:00:41,218 Go with Ian to the bathroom. 18 00:00:41,252 --> 00:00:42,819 I don't have to go. 19 00:00:42,853 --> 00:00:43,620 We're not at school. 20 00:00:43,654 --> 00:00:44,888 Nobody goes anywhere by themselves. 21 00:00:44,921 --> 00:00:46,190 Why? 22 00:00:46,223 --> 00:00:47,358 In case you get lost. 23 00:00:47,391 --> 00:00:49,460 Or in case somebody kidnaps us. 24 00:00:49,493 --> 00:00:51,762 If somebody kidnaps Ian, they'll kidnap me too. 25 00:00:51,795 --> 00:00:52,863 I want to stay with the class. 26 00:00:52,896 --> 00:00:54,365 Michael, go with Ian-- 27 00:00:54,398 --> 00:00:55,399 [sharp gasp] Aah! 28 00:00:55,432 --> 00:00:56,667 Do you need help? 29 00:00:56,700 --> 00:00:57,768 I need you to find a grown-up. 30 00:00:57,801 --> 00:00:58,902 Is the baby coming? 31 00:00:58,935 --> 00:01:00,271 [cries in pain] 32 00:01:00,304 --> 00:01:02,306 Who should I take with me? 33 00:01:02,339 --> 00:01:03,774 You're fine. Go to the front desk, or-- 34 00:01:03,807 --> 00:01:04,808 Or find a security guard. 35 00:01:04,841 --> 00:01:06,577 I really have to pee. 36 00:01:06,610 --> 00:01:08,579 [breathes heavily] 37 00:01:08,612 --> 00:01:10,447 God. 38 00:01:10,481 --> 00:01:11,782 Is--is the baby coming? 39 00:01:11,815 --> 00:01:13,850 I don't know how to do this. 40 00:01:13,884 --> 00:01:15,886 Are you okay, Ian? 41 00:01:15,919 --> 00:01:17,254 Yeah, sure. 42 00:01:17,288 --> 00:01:19,423 [panting] 43 00:01:19,456 --> 00:01:21,024 I don't think you are. 44 00:01:24,895 --> 00:01:26,163 You're bleeding. 45 00:01:29,333 --> 00:01:31,735 Help! 46 00:01:33,270 --> 00:01:36,240 [Massive Attack's Teardrop] 47 00:01:36,273 --> 00:01:44,281 * 48 00:02:28,825 --> 00:02:29,793 20. 49 00:02:29,826 --> 00:02:31,462 Call. 50 00:02:31,495 --> 00:02:32,896 You'll call anything. 51 00:02:32,929 --> 00:02:34,798 My stack is bigger than your stack. 52 00:02:36,300 --> 00:02:37,768 You in or out? 53 00:02:37,801 --> 00:02:39,970 You know that relative to their size, 54 00:02:40,003 --> 00:02:43,707 gorillas have smaller testicles than humans. 55 00:02:43,740 --> 00:02:44,841 (Cuddy) Well, then you'd probably 56 00:02:44,875 --> 00:02:45,942 have an edge over a gorilla. 57 00:02:45,976 --> 00:02:46,943 But not over me. 58 00:02:46,977 --> 00:02:48,279 The reason is, 59 00:02:48,312 --> 00:02:49,713 primate teste size 60 00:02:49,746 --> 00:02:52,816 inversely corresponds to the fidelity of our females. 61 00:02:52,849 --> 00:02:55,519 Do you think there might be 62 00:02:55,552 --> 00:02:57,388 a better time to annoy me about my wife? 63 00:02:57,421 --> 00:02:58,522 I'm talking about poker. 64 00:02:58,555 --> 00:02:59,523 Right. 65 00:02:59,556 --> 00:03:01,358 Women are evil. You're right to drive them away. 66 00:03:01,392 --> 00:03:03,260 Call, fold, or raise. Story time can wait. 67 00:03:03,294 --> 00:03:05,729 We're smaller and better than chimps, 68 00:03:05,762 --> 00:03:08,665 bigger and worse than gorillas. 69 00:03:08,699 --> 00:03:10,033 For all our rationality, 70 00:03:10,066 --> 00:03:13,404 supposed trust and fealty to a higher power, 71 00:03:13,437 --> 00:03:17,408 our ability to create a system of rules and laws, 72 00:03:17,441 --> 00:03:20,611 our baser drives are more powerful than any of that. 73 00:03:20,644 --> 00:03:22,579 We want to control our emotions, 74 00:03:22,613 --> 00:03:23,747 but we can't. 75 00:03:23,780 --> 00:03:25,682 If we're happy, 76 00:03:25,716 --> 00:03:27,318 things don't annoy us. 77 00:03:27,351 --> 00:03:28,852 If, on the other hand, 78 00:03:28,885 --> 00:03:30,754 we're sitting on crappy hole cards, 79 00:03:30,787 --> 00:03:32,523 little tiny things 80 00:03:32,556 --> 00:03:33,924 annoy us a whole lot more. 81 00:03:38,562 --> 00:03:39,563 I raise. 82 00:03:39,596 --> 00:03:40,997 So are you going to tell me an annoying story 83 00:03:41,031 --> 00:03:41,998 every time I raise? 84 00:03:42,032 --> 00:03:43,867 God, that would be annoying. 85 00:03:45,035 --> 00:03:46,303 I call. 86 00:03:46,337 --> 00:03:47,738 Dr. Cuddy? 87 00:03:47,771 --> 00:03:49,072 Got one of your patients in the E.R. 88 00:03:49,105 --> 00:03:50,774 Ian Alston. Six years old. 89 00:03:50,807 --> 00:03:52,443 Ah... Oh, I know him. 90 00:03:52,476 --> 00:03:54,411 What's the problem? I'm all in. 91 00:03:54,445 --> 00:03:56,347 Bloody diarrhea, hemodynamically stable, 92 00:03:56,380 --> 00:03:57,948 but he's been developing some coordination problems. 93 00:03:57,981 --> 00:04:00,050 It sounds like gastroenteritis and dehydration. 94 00:04:00,083 --> 00:04:01,918 Order fluids, and I'll take it on my service. 95 00:04:01,952 --> 00:04:02,986 Bet's to you, House. 96 00:04:03,019 --> 00:04:04,721 They scan his head? 97 00:04:04,755 --> 00:04:06,323 No, why would they scan-- (Cuddy) Don't play games. 98 00:04:06,357 --> 00:04:07,458 You gonna call? 99 00:04:07,491 --> 00:04:08,559 How's the heart rate? 100 00:04:08,592 --> 00:04:09,860 Stable. 101 00:04:09,893 --> 00:04:11,695 I'm sorry. House? 102 00:04:11,728 --> 00:04:12,863 It's gastroenteritis. 103 00:04:12,896 --> 00:04:14,331 I'm not going anywhere. 104 00:04:14,365 --> 00:04:15,732 Put the order in, 105 00:04:15,766 --> 00:04:17,501 and have someone tell Alan and Sarah 106 00:04:17,534 --> 00:04:19,770 that I'll be up when I'm done. 107 00:04:19,803 --> 00:04:21,037 You in or out? 108 00:04:25,008 --> 00:04:26,042 I'm out. 109 00:04:30,681 --> 00:04:31,882 (Cuddy) Stone cold bluff. 110 00:04:31,915 --> 00:04:33,784 You might want to spend 111 00:04:33,817 --> 00:04:36,019 a little more time paying attention to your cards, 112 00:04:36,052 --> 00:04:38,755 and a little less time staring at my breasts. 113 00:04:38,789 --> 00:04:40,657 They don't match, either. 114 00:04:40,691 --> 00:04:41,992 I'm going to take some air. 115 00:05:02,913 --> 00:05:04,781 Follow my finger with your eyes. 116 00:05:10,821 --> 00:05:13,123 How much longer will Dr. Cuddy be? 117 00:05:13,156 --> 00:05:14,758 Well, given the number of Mojitos 118 00:05:14,791 --> 00:05:16,693 she's knocking back at the party, 119 00:05:16,727 --> 00:05:17,928 I'd say it's gonna be at least three hours 120 00:05:17,961 --> 00:05:20,697 before she's even conscious. 121 00:05:20,731 --> 00:05:22,766 (Sarah) Weren't you at the same party? 122 00:05:22,799 --> 00:05:25,769 I don't drink. 123 00:05:25,802 --> 00:05:27,871 I want you to reach out and grab my cane. 124 00:05:34,678 --> 00:05:35,879 What's wrong? 125 00:05:35,912 --> 00:05:36,680 Your son's brain 126 00:05:36,713 --> 00:05:38,849 is losing control of his muscles. 127 00:05:38,882 --> 00:05:39,983 Dr. Cuddy's message said 128 00:05:40,016 --> 00:05:40,984 it was just dehydration 129 00:05:41,017 --> 00:05:42,185 from the diarrhea. 130 00:05:42,218 --> 00:05:44,521 She's wrong. 131 00:05:44,555 --> 00:05:46,757 Is he going to be all right? 132 00:05:50,594 --> 00:05:51,962 I don't know. 133 00:06:21,257 --> 00:06:23,794 So were you in one of those cages? 134 00:06:23,827 --> 00:06:24,861 No. 135 00:06:24,895 --> 00:06:28,231 No, no, no. Those are for tourists. 136 00:06:28,264 --> 00:06:30,601 You were in the water with a great white. 137 00:06:30,634 --> 00:06:31,702 Sure. 138 00:06:31,735 --> 00:06:32,803 It's no big deal. 139 00:06:32,836 --> 00:06:34,638 You just have to keep an eye on them. 140 00:06:34,671 --> 00:06:38,074 If they get too close, punch 'em in the nose. 141 00:06:38,108 --> 00:06:39,142 Send them on their way. 142 00:06:40,243 --> 00:06:41,211 [snickers] 143 00:06:41,244 --> 00:06:42,679 I had you going. 144 00:06:42,713 --> 00:06:44,581 You are mean. 145 00:06:44,615 --> 00:06:47,751 Hey, how's that anal fissure? 146 00:06:47,784 --> 00:06:49,720 Did it heal yet, or is it still draining? 147 00:06:49,753 --> 00:06:51,622 Oh, I'm sorry. 148 00:06:51,655 --> 00:06:52,956 I didn't realize you came back for seconds. 149 00:06:52,989 --> 00:06:54,991 I figured that after that girl in the stairwell, 150 00:06:55,025 --> 00:06:55,992 you'd be done for the night. 151 00:06:56,026 --> 00:06:57,027 He's joking. 152 00:06:57,060 --> 00:06:59,496 No Adam's apple, small hands. 153 00:06:59,530 --> 00:07:00,864 It's no surprises this time. 154 00:07:00,897 --> 00:07:03,800 I'll, uh, see you later. 155 00:07:06,870 --> 00:07:07,838 Got a case. 156 00:07:07,871 --> 00:07:08,972 Well, you could've just said that. 157 00:07:09,005 --> 00:07:10,741 You didn't have to screw with me. 158 00:07:10,774 --> 00:07:11,908 Yeah, but if I didn't screw with you, 159 00:07:11,942 --> 00:07:13,810 you'd spend the whole night thinking you might get laid. 160 00:07:13,844 --> 00:07:14,845 Which means you'd be useless. 161 00:07:14,878 --> 00:07:16,246 Better to extinguish all hope. 162 00:07:16,279 --> 00:07:18,782 Get Foreman and Cameron and meet me upstairs, stat. 163 00:07:24,588 --> 00:07:25,856 What's so urgent? 164 00:07:25,889 --> 00:07:29,526 Two cases, same symptoms. 165 00:07:29,560 --> 00:07:31,127 What do 6-year-olds 166 00:07:31,161 --> 00:07:33,129 and 70-year-olds have in common? 167 00:07:33,163 --> 00:07:34,731 Their immune systems don't work as well. 168 00:07:34,765 --> 00:07:35,766 Could be listeria. 169 00:07:35,799 --> 00:07:36,833 Already checked for that. 170 00:07:36,867 --> 00:07:38,101 Leukemia has a higher prevalence 171 00:07:38,134 --> 00:07:39,770 in both the young and old. 172 00:07:39,803 --> 00:07:41,805 So does asthma. (House) No, no, no. 173 00:07:41,838 --> 00:07:43,974 (Cameron) They can both get diabetes. 174 00:07:44,007 --> 00:07:45,542 No. 175 00:07:47,911 --> 00:07:49,913 The nearly dead and the newly bred 176 00:07:49,946 --> 00:07:51,081 have more in common with each other 177 00:07:51,114 --> 00:07:53,083 than with people in the middle. 178 00:07:53,116 --> 00:07:55,018 It's weird. 179 00:07:55,051 --> 00:07:56,853 Some kind of circle of life thing. 180 00:07:56,887 --> 00:07:57,954 This kid doesn't have kidney failure. 181 00:07:57,988 --> 00:07:58,955 He will. 182 00:07:58,989 --> 00:08:00,223 Based on this file, 183 00:08:00,256 --> 00:08:02,025 the kid just ate some bad food. 184 00:08:02,058 --> 00:08:03,059 Was the old man-- 185 00:08:03,093 --> 00:08:04,595 They were nowhere near each other 186 00:08:04,628 --> 00:08:05,829 in any of the four dimensions. 187 00:08:07,230 --> 00:08:08,899 This case is 12 years old. 188 00:08:08,932 --> 00:08:10,066 Yep. 189 00:08:10,100 --> 00:08:11,234 And th case is Cuddy's. 190 00:08:11,267 --> 00:08:12,736 She assigned it to me. 191 00:08:12,769 --> 00:08:14,204 She agrees with you 192 00:08:14,237 --> 00:08:16,573 that this is something more than gastroenteritis? 193 00:08:16,607 --> 00:08:18,074 She wouldn't have assigned it to me if she did, 194 00:08:18,108 --> 00:08:19,610 now would she? 195 00:08:19,643 --> 00:08:21,778 [exhales] 196 00:08:27,183 --> 00:08:28,952 What were we talking about? 197 00:08:28,985 --> 00:08:31,221 Two patients with two symptoms in common. 198 00:08:31,254 --> 00:08:33,790 And five symptoms not in common. 199 00:08:33,824 --> 00:08:35,025 While you were all 200 00:08:35,058 --> 00:08:36,693 wearing your "Frankie says relax" t-shirts, 201 00:08:36,727 --> 00:08:39,162 I was treating a 73-year-old woman 202 00:08:39,195 --> 00:08:41,031 who went through this progression of symptoms. 203 00:08:41,064 --> 00:08:42,699 The last of which was... 204 00:08:46,169 --> 00:08:49,039 In case any of you missed that class in med school, 205 00:08:49,072 --> 00:08:50,206 that one's untreatable. 206 00:08:50,240 --> 00:08:52,809 Kid's got the first two. 207 00:08:52,843 --> 00:08:54,044 Took Esther an hour and 20 minutes 208 00:08:54,077 --> 00:08:55,779 to go from two to three. 209 00:08:55,812 --> 00:08:58,715 And less than a day to make it all the way to the rear exit. 210 00:08:58,749 --> 00:09:00,150 This is all because a child 211 00:09:00,183 --> 00:09:01,952 has some blood in his diarrhea. 212 00:09:01,985 --> 00:09:03,620 He's got a tummy ache. 213 00:09:03,654 --> 00:09:04,888 If there was any reason to think 214 00:09:04,921 --> 00:09:05,889 it was anything worse, 215 00:09:05,922 --> 00:09:07,190 Cuddy would be all over it. 216 00:09:07,223 --> 00:09:09,325 Great. Do a colonoscopy. 217 00:09:09,359 --> 00:09:10,927 On a six-year-old kid who probably has nothing worse 218 00:09:10,961 --> 00:09:12,696 than some food poisoning? 219 00:09:12,729 --> 00:09:14,130 If you happen to find any purple papules, 220 00:09:14,164 --> 00:09:15,766 do me a favor and grab a slice. 221 00:09:15,799 --> 00:09:17,734 I want to check for Erdheim Chester. 222 00:09:17,768 --> 00:09:18,969 (Chase) A disease that there have been 223 00:09:19,002 --> 00:09:21,071 what, maybe 200 reported cases of? 224 00:09:21,104 --> 00:09:22,338 Ever? 225 00:09:22,372 --> 00:09:24,841 If Esther's family had let me do an autopsy, 226 00:09:24,875 --> 00:09:27,310 there'd be 201. 227 00:09:39,022 --> 00:09:41,992 (Foreman) See anything? 228 00:09:42,025 --> 00:09:44,260 (Chase) No, and I don't expect to. 229 00:09:44,294 --> 00:09:46,897 House usually avoids cases. 230 00:09:46,930 --> 00:09:48,765 If he's actually stealing a case from Cuddy, 231 00:09:48,799 --> 00:09:50,033 there's got to be a reason. 232 00:09:50,066 --> 00:09:53,303 It's not the first time I've seen this file. 233 00:09:53,336 --> 00:09:55,739 About a month before Cameron was hired, 234 00:09:55,772 --> 00:09:57,741 some trucker came in here with these symptoms. 235 00:09:57,774 --> 00:10:00,911 House decided he was dying. 236 00:10:00,944 --> 00:10:02,913 Two days and a spinal tap, bone marrow extraction, 237 00:10:02,946 --> 00:10:03,980 and three colonoscopies later, 238 00:10:04,014 --> 00:10:06,116 we sent the guy home with a bunch of painkillers 239 00:10:06,149 --> 00:10:08,318 and a diagnosis of a bad cheese sandwich. 240 00:10:08,351 --> 00:10:10,754 One of the guys who worked here before me 241 00:10:10,787 --> 00:10:12,923 said House tried to cure Esther 242 00:10:12,956 --> 00:10:13,890 at least three other times. 243 00:10:15,759 --> 00:10:17,828 You know how people see the Virgin Mary 244 00:10:17,861 --> 00:10:20,897 in Danishes and stuff? 245 00:10:20,931 --> 00:10:23,099 Someone died 12 years ago, and House doesn't know why. 246 00:10:23,133 --> 00:10:24,868 House sees that case now 247 00:10:24,901 --> 00:10:28,772 in paint peeling, in clouds, 248 00:10:28,805 --> 00:10:31,374 and now in this poor kid. 249 00:10:31,407 --> 00:10:32,776 Erdheim Chester is an abnormal growth 250 00:10:32,809 --> 00:10:34,010 of some of the cells that fight infection. 251 00:10:34,044 --> 00:10:35,011 Is that cancer? 252 00:10:35,045 --> 00:10:36,446 'Cause he seems okay now. 253 00:10:36,479 --> 00:10:38,348 Yeah, the other doctor kind of scared us about that. 254 00:10:38,381 --> 00:10:39,916 He shouldn't have. 255 00:10:39,950 --> 00:10:41,284 We're just testing. It'll probably be negative. 256 00:10:41,317 --> 00:10:42,886 (Alan) I don't understand. 257 00:10:42,919 --> 00:10:43,754 You don't think that's what it is, but you want to-- 258 00:10:43,787 --> 00:10:45,488 you want to do this thing to him anyway? 259 00:10:45,521 --> 00:10:46,757 We need to be sure. 260 00:10:46,790 --> 00:10:48,158 Isn't there any other way? 261 00:10:48,191 --> 00:10:49,826 It shouldn't take long. 262 00:10:52,929 --> 00:10:54,865 Those ridges look a lot like purple papules. 263 00:10:54,898 --> 00:10:56,366 They're not purple, they're red. 264 00:10:56,399 --> 00:10:57,801 They're probably just blood blisters. 265 00:11:01,137 --> 00:11:02,973 Give me the biopsy needle. 266 00:11:12,816 --> 00:11:14,450 How long is this going to take? 267 00:11:14,484 --> 00:11:15,351 Forget it, Chase. 268 00:11:15,385 --> 00:11:16,987 Your punching-out-the-shark story's good, 269 00:11:17,020 --> 00:11:20,023 but she's not waiting for you. 270 00:11:20,056 --> 00:11:21,324 So? 271 00:11:21,357 --> 00:11:22,893 We couldn't confirm the source of the bleeding. 272 00:11:22,926 --> 00:11:23,894 But we did biopsy some-- 273 00:11:23,927 --> 00:11:24,928 Blood blisters. 274 00:11:24,961 --> 00:11:26,062 You mean papules. 275 00:11:26,096 --> 00:11:28,331 Come on, Cameron. Who's right? 276 00:11:30,801 --> 00:11:31,902 Chase is. 277 00:11:31,935 --> 00:11:33,236 Negative for Erdheim Chester. 278 00:11:33,269 --> 00:11:34,304 Let me see. 279 00:11:42,913 --> 00:11:44,180 If it's not Erdheim Chester-- 280 00:11:44,214 --> 00:11:45,916 It's exactly what we said before. 281 00:11:45,949 --> 00:11:47,918 Garden variety viral gastroenteritis. 282 00:11:47,951 --> 00:11:49,219 Can we go back to the party? 283 00:11:49,252 --> 00:11:50,921 Do a kidney biopsy. 284 00:11:51,955 --> 00:11:54,224 Esther's shut down in exactly-- 285 00:11:54,257 --> 00:11:55,525 (Chase) This kid is not Esther. 286 00:11:55,558 --> 00:11:57,460 You screwed up, she died. I'm sorry. 287 00:11:57,493 --> 00:11:59,462 But that does not mean this kid is dying as well. 288 00:11:59,495 --> 00:12:00,831 Jeez. 289 00:12:00,864 --> 00:12:02,432 You get testy when you don't get any fuzz. 290 00:12:02,465 --> 00:12:03,466 Come on. 291 00:12:18,114 --> 00:12:19,916 What did the test say? 292 00:12:19,950 --> 00:12:20,984 (Chase) Colonoscopy was clean. 293 00:12:21,017 --> 00:12:22,418 And the biopsy was negative 294 00:12:22,452 --> 00:12:23,954 for Erdheim Chester. 295 00:12:23,987 --> 00:12:24,955 (Alan) So Ian's going to be all right. 296 00:12:24,988 --> 00:12:26,823 It was just some sort of virus. 297 00:12:26,857 --> 00:12:28,191 What's that? 298 00:12:28,224 --> 00:12:30,861 Urine. 299 00:12:30,894 --> 00:12:32,095 But it's brown. 300 00:12:33,329 --> 00:12:35,165 Ian's kidneys are shutting down. 301 00:12:35,198 --> 00:12:37,533 Still think it's not the same case? 302 00:12:54,350 --> 00:12:56,252 (House) So, what can cause 303 00:12:56,286 --> 00:12:58,554 bloody diarrhea, ataxia, 304 00:12:58,588 --> 00:13:00,390 and kidney failure? 305 00:13:00,423 --> 00:13:01,491 I'll go do a biopsy. 306 00:13:01,524 --> 00:13:02,893 (House) Forget it. 307 00:13:02,926 --> 00:13:03,994 That battle's over. 308 00:13:04,027 --> 00:13:05,128 His rising creatinine 309 00:13:05,161 --> 00:13:06,429 is his kidneys' way of saying, 310 00:13:06,462 --> 00:13:08,498 "Go on without me." 311 00:13:08,531 --> 00:13:11,301 What explains everything? 312 00:13:11,334 --> 00:13:16,106 E. Coli HO:157 causes bloody diarrhea 313 00:13:16,139 --> 00:13:18,441 and leads to hemolytic uremic syndrome. 314 00:13:18,474 --> 00:13:20,911 Toxins from the bacteria cause his kidneys to shut down. 315 00:13:20,944 --> 00:13:22,612 We should start him on plasmaphoresis. 316 00:13:22,645 --> 00:13:26,382 Clear, concise, and completely plausible. 317 00:13:26,416 --> 00:13:28,284 And exactly what I did last time. 318 00:13:28,318 --> 00:13:29,352 Didn't work. 319 00:13:29,385 --> 00:13:31,254 What else? 320 00:13:31,287 --> 00:13:32,923 Good Pasture's syndrome. 321 00:13:32,956 --> 00:13:34,290 Circulating antibodies cause kidney failure and bleeding. 322 00:13:34,324 --> 00:13:35,926 But not the purple papules. 323 00:13:35,959 --> 00:13:37,627 (Foreman) If you throw in Esther's next symptom-- 324 00:13:37,660 --> 00:13:40,263 brain--makes me think heavy metal toxicity. 325 00:13:40,296 --> 00:13:41,932 His hematocrit would have to be low. 326 00:13:41,965 --> 00:13:43,633 It's at 44, and Esther's never dropped below... 327 00:13:43,666 --> 00:13:45,435 42. 328 00:13:45,468 --> 00:13:46,602 You have the file memorized? 329 00:13:46,636 --> 00:13:47,503 It's my lucky number. 330 00:13:47,537 --> 00:13:48,638 What about lymphoma? 331 00:13:48,671 --> 00:13:51,274 Causes kidney failure, GI bleed, 332 00:13:51,307 --> 00:13:54,510 and can infiltrate the base of the brain. 333 00:13:54,544 --> 00:13:56,146 You check Esther for that? 334 00:13:56,179 --> 00:14:00,083 She never showed any signs of... 335 00:14:00,116 --> 00:14:02,285 If he has lymphoma this far advanced, 336 00:14:02,318 --> 00:14:04,554 we should be able to see it in his blood and brain. 337 00:14:04,587 --> 00:14:06,256 Chase, run a blood smear and immunochemistries. 338 00:14:06,289 --> 00:14:07,958 Foreman, get an MRI. 339 00:14:09,525 --> 00:14:10,560 I'll page Cuddy. 340 00:14:10,593 --> 00:14:11,627 No, you won't. 341 00:14:11,661 --> 00:14:13,496 She thinks the kid has a stomach ache. 342 00:14:13,529 --> 00:14:15,498 She'll come right up here and do one of two things. 343 00:14:15,531 --> 00:14:17,233 If she agrees with me, I don't need her. 344 00:14:17,267 --> 00:14:18,568 If she disagrees, I don't want her. 345 00:14:18,601 --> 00:14:20,070 Can't handle people disagreeing with you? 346 00:14:20,103 --> 00:14:22,372 She might have a different take on this. 347 00:14:22,405 --> 00:14:24,207 Subordinates can disagree with me all they want. 348 00:14:24,240 --> 00:14:25,208 It's healthy. 349 00:14:25,241 --> 00:14:28,478 People who can shut me down, on the other hand... 350 00:14:28,511 --> 00:14:29,479 Forget Cuddy. 351 00:14:29,512 --> 00:14:30,646 I'll have Wilson keep her busy. 352 00:14:30,680 --> 00:14:32,915 [cell phone rings] 353 00:14:37,053 --> 00:14:40,256 Keep your answers short and discreet. 354 00:14:40,290 --> 00:14:42,158 Is Cuddy still playing? 355 00:14:42,192 --> 00:14:44,294 The chicken... 356 00:14:44,327 --> 00:14:45,595 is still in Piccadilly Square. 357 00:14:45,628 --> 00:14:47,130 Brilliant. 358 00:14:47,163 --> 00:14:49,099 She'll never suspect that Normandy is our target. 359 00:14:49,132 --> 00:14:50,967 Is that House? 360 00:14:51,001 --> 00:14:52,668 Tell him that the blinds just went to 20/40, 361 00:14:52,702 --> 00:14:54,104 and he's running out of chips. 362 00:14:54,137 --> 00:14:55,371 (House on phone) How's she doing? 363 00:14:55,405 --> 00:14:56,339 Well, what's going on? 364 00:14:56,372 --> 00:14:57,740 The way you took off, something's obviously-- 365 00:14:57,773 --> 00:14:58,608 (House) Love to chat. 366 00:14:58,641 --> 00:15:01,011 But got a game to play. How's she doing? 367 00:15:01,044 --> 00:15:03,046 The patient is on life support. 368 00:15:03,079 --> 00:15:04,114 We're about to pull the plug. 369 00:15:04,147 --> 00:15:05,215 Are you talking about me? 370 00:15:05,248 --> 00:15:06,682 What have you got? 371 00:15:06,716 --> 00:15:09,585 (Wilson on phone) Those sound like high-dose cardio meds. 372 00:15:09,619 --> 00:15:11,587 Two hearts. 373 00:15:11,621 --> 00:15:12,388 You got the flush? 374 00:15:12,422 --> 00:15:14,257 Still waiting on the final labs. 375 00:15:14,290 --> 00:15:16,592 She drinking her seltzer? 376 00:15:16,626 --> 00:15:17,593 No. 377 00:15:17,627 --> 00:15:19,229 Hydration is not a problem. 378 00:15:19,262 --> 00:15:20,463 (House) Means she's bluffing. 379 00:15:20,496 --> 00:15:21,597 Push her all in. 380 00:15:24,067 --> 00:15:25,635 Call. 381 00:15:25,668 --> 00:15:27,570 Two pair. 382 00:15:27,603 --> 00:15:28,604 Show me your hearts. 383 00:15:33,676 --> 00:15:35,711 Seven of clubs. 384 00:15:35,745 --> 00:15:38,581 Oh, dear. Sounds like I messed up. 385 00:15:38,614 --> 00:15:41,017 You're gonna be stuck with her for a while. 386 00:15:41,051 --> 00:15:42,485 Talk to you soon. 387 00:15:42,518 --> 00:15:43,686 [Cuddy laughs] 388 00:15:43,719 --> 00:15:45,188 Yes. 389 00:15:48,691 --> 00:15:50,693 [MRI scanner thumping] 390 00:16:00,736 --> 00:16:02,672 Why are you taking a picture of his head? 391 00:16:02,705 --> 00:16:04,340 We're looking for lymphoma, but-- 392 00:16:04,374 --> 00:16:06,142 So it's not Erdheim something. 393 00:16:06,176 --> 00:16:08,578 And it's not his kidneys. 394 00:16:08,611 --> 00:16:09,679 But his kidneys are failing. 395 00:16:09,712 --> 00:16:10,746 What-- where's Dr. Cuddy? 396 00:16:10,780 --> 00:16:12,648 Dr. House mentioned another case. 397 00:16:12,682 --> 00:16:13,316 Is there another patient with the same-- 398 00:16:13,349 --> 00:16:14,650 same thing that Ian has? 399 00:16:14,684 --> 00:16:16,319 Not...exactly. 400 00:16:16,352 --> 00:16:17,153 What does that mean? 401 00:16:17,187 --> 00:16:19,589 Dr. House had a patient a while back 402 00:16:19,622 --> 00:16:22,292 who exhibited the same symptoms as your son. 403 00:16:22,325 --> 00:16:23,526 Then you know what's wrong? 404 00:16:23,559 --> 00:16:25,228 No. 405 00:16:25,261 --> 00:16:26,596 So what do you know? 406 00:16:26,629 --> 00:16:28,531 We know the likely course the disease will take. 407 00:16:28,564 --> 00:16:30,566 (Alan) Which is? 408 00:16:30,600 --> 00:16:32,335 She had multiple system failures-- 409 00:16:32,368 --> 00:16:33,703 What happened to her? 410 00:16:38,241 --> 00:16:41,377 She died 24 hours after her admission. 411 00:16:48,718 --> 00:16:49,752 Mr. or Mrs. Alston, 412 00:16:49,785 --> 00:16:52,688 would you mind giving me a hand? 413 00:16:52,722 --> 00:16:56,226 (Foreman) He's having trouble sitting still. 414 00:16:56,259 --> 00:16:57,660 It's impossible to get the detail we need. 415 00:16:57,693 --> 00:16:59,495 So I figured he might feel more comfortable 416 00:16:59,529 --> 00:17:00,530 hearing your voices. 417 00:17:06,736 --> 00:17:07,737 Ian, honey? 418 00:17:09,672 --> 00:17:10,706 Just sit still. 419 00:17:10,740 --> 00:17:12,508 You'll be done in a moment. 420 00:17:12,542 --> 00:17:13,876 We're here with you. 421 00:17:13,909 --> 00:17:15,811 I'm scared. 422 00:17:15,845 --> 00:17:19,182 It's okay, honey. It's... 423 00:17:19,215 --> 00:17:21,251 It's only a big camera. 424 00:17:21,284 --> 00:17:23,819 It's going to take a picture of your head. 425 00:17:23,853 --> 00:17:26,689 You love it when I take your picture at home, don't you? 426 00:17:26,722 --> 00:17:27,723 Yeah. 427 00:17:27,757 --> 00:17:31,594 And you have to hold still for that too, right? 428 00:17:31,627 --> 00:17:34,630 But this isn't like that. 429 00:17:36,632 --> 00:17:38,768 I know it's scary, Ian. 430 00:17:38,801 --> 00:17:41,571 But you can do it. 431 00:17:41,604 --> 00:17:43,639 You're getting to be so grown up. 432 00:17:45,808 --> 00:17:47,577 So just... 433 00:17:47,610 --> 00:17:49,812 hold perfectly still. 434 00:17:49,845 --> 00:17:51,381 Just for a little bit. 435 00:17:51,414 --> 00:17:54,484 Mommy, are you crying? 436 00:17:54,517 --> 00:17:57,587 No. No, honey. 437 00:17:57,620 --> 00:17:59,855 I'm just tired. 438 00:17:59,889 --> 00:18:03,193 Okay. I'll try. 439 00:18:31,421 --> 00:18:32,588 The base of his brain 440 00:18:32,622 --> 00:18:33,789 has been infiltrated by a small mass. 441 00:18:33,823 --> 00:18:34,924 We think-- 442 00:18:34,957 --> 00:18:36,626 Pituitary? Looks that way. 443 00:18:36,659 --> 00:18:38,261 Explains the low blood pressure. 444 00:18:40,263 --> 00:18:43,433 Pretty much confirms the lymphoma. 445 00:18:48,638 --> 00:18:50,573 If we'd started Esther on prednisone... 446 00:18:50,606 --> 00:18:53,243 Uh, did anyone see the lymphoma? 447 00:18:53,276 --> 00:18:54,710 (Cameron) No, we saw a mass. 448 00:18:54,744 --> 00:18:56,512 The location was consistent with-- 449 00:18:56,546 --> 00:18:57,680 Didn't see any in the blood, either. 450 00:18:57,713 --> 00:18:59,615 White blood cells show no spindling 451 00:18:59,649 --> 00:19:00,916 or abnormal nuclei. 452 00:19:00,950 --> 00:19:02,752 Nothing on immunochemistries, either. 453 00:19:02,785 --> 00:19:03,786 It's not lymphoma. 454 00:19:36,952 --> 00:19:38,554 (Foreman) House. 455 00:19:38,588 --> 00:19:39,755 [smashing lock] 456 00:19:39,789 --> 00:19:42,458 It's a train. 457 00:19:42,492 --> 00:19:43,726 We don't know what kind of train. 458 00:19:43,759 --> 00:19:45,461 Whoa, whoa, whoa. I'm thirsty. 459 00:19:45,495 --> 00:19:46,762 It's closed. 460 00:19:50,766 --> 00:19:52,902 It's not now. 461 00:19:59,041 --> 00:20:00,443 We got one advantage. 462 00:20:00,476 --> 00:20:02,812 We know where the tracks are going. 463 00:20:02,845 --> 00:20:04,647 The fact that the end of the line is death... 464 00:20:04,680 --> 00:20:06,015 is an advantage? 465 00:20:06,048 --> 00:20:08,484 The fact that we know is an advantage. 466 00:20:08,518 --> 00:20:10,953 Means maybe we can get ahead of it. 467 00:20:10,986 --> 00:20:13,589 Next station is the liver. We've got... 468 00:20:13,623 --> 00:20:15,558 About 90 minutes before it gets there. 469 00:20:15,591 --> 00:20:17,727 Maybe we can cut down a tree across the line 470 00:20:17,760 --> 00:20:18,661 just outside of town. 471 00:20:18,694 --> 00:20:20,730 I'll do an ultrasound. 472 00:20:20,763 --> 00:20:22,031 No, treatment will tell us more, faster. 473 00:20:22,064 --> 00:20:23,366 How can we start treatment if we have no idea 474 00:20:23,399 --> 00:20:24,300 what we're treating for? 475 00:20:24,334 --> 00:20:26,402 Treat him for everything. [dishes clatter] 476 00:20:26,436 --> 00:20:29,038 Give him acetylcysteine. And interferon. 477 00:20:29,071 --> 00:20:30,340 And silymarin. 478 00:20:30,373 --> 00:20:31,474 And whatever else you can think of 479 00:20:31,507 --> 00:20:32,508 to protect the liver. 480 00:20:41,651 --> 00:20:42,685 [cell phone rings] 481 00:20:46,756 --> 00:20:48,023 What's going on? 482 00:20:48,057 --> 00:20:50,793 Oh, just catching up on some TV. 483 00:20:50,826 --> 00:20:52,562 How are you doing? 484 00:20:52,595 --> 00:20:53,663 Well, thanks to your last consult, 485 00:20:53,696 --> 00:20:55,598 the patient has improved dramatically. 486 00:20:55,631 --> 00:20:57,600 Tell House the patient is about to kill the doctor. 487 00:20:57,633 --> 00:20:58,734 She says the pa-- 488 00:20:58,768 --> 00:21:00,002 I heard. What d'ya got? 489 00:21:00,035 --> 00:21:02,405 Well, Cuddy just raised, and, uh... 490 00:21:02,438 --> 00:21:03,506 You're paired. What? 491 00:21:03,539 --> 00:21:04,540 Nines? 492 00:21:06,776 --> 00:21:08,077 How do you know? 493 00:21:08,110 --> 00:21:11,481 Anything lower, you wouldn't sound so excited. 494 00:21:11,514 --> 00:21:13,649 Jacks or higher, your voice sounds like 495 00:21:13,683 --> 00:21:16,118 Debbie from accounting is sitting in your lap. 496 00:21:16,151 --> 00:21:18,388 Ask Cuddy if she can beat a pair of threes. 497 00:21:18,421 --> 00:21:19,389 Wait, what's-- What's going on? 498 00:21:19,422 --> 00:21:20,590 If you're going to mess with me, 499 00:21:20,623 --> 00:21:21,991 wouldn't it be more fun to do it in person? 500 00:21:22,024 --> 00:21:22,792 Yes, it would. 501 00:21:22,825 --> 00:21:26,696 Um, can you beat a pair of threes? 502 00:21:27,697 --> 00:21:28,798 (House) What did she do? 503 00:21:28,831 --> 00:21:30,600 I left orders for PO fluids, doctor. 504 00:21:30,633 --> 00:21:33,135 Enough with the codes. She obviously knows it's me. 505 00:21:33,168 --> 00:21:35,705 She's drinking her seltzer. 506 00:21:35,738 --> 00:21:36,706 Did she stop? 507 00:21:36,739 --> 00:21:37,607 Yes. 508 00:21:37,640 --> 00:21:38,774 Go all in. 509 00:21:38,808 --> 00:21:40,510 Um...but... 510 00:21:40,543 --> 00:21:42,011 Just do it. 511 00:21:42,044 --> 00:21:44,013 You couldn't care less about this charity event. 512 00:21:44,046 --> 00:21:45,748 You claim not to be messing with me. 513 00:21:45,781 --> 00:21:47,850 Obviously, you're either trying to keep me-- 514 00:21:47,883 --> 00:21:49,519 Shut up. 515 00:21:49,552 --> 00:21:50,520 Look, last time, 516 00:21:50,553 --> 00:21:51,754 I wanted the game to go on. 517 00:21:51,787 --> 00:21:52,688 I still do. 518 00:21:52,722 --> 00:21:54,156 That means that this time, you get to win. 519 00:21:54,189 --> 00:21:55,725 Hold on. 520 00:22:01,631 --> 00:22:03,733 I fold. 521 00:22:06,802 --> 00:22:08,037 Ho, ho, ho. 522 00:22:12,174 --> 00:22:15,878 (Wilson) House, are you sure you're okay? 523 00:22:15,911 --> 00:22:16,946 [closes phone] 524 00:22:46,742 --> 00:22:47,977 Meds seem to be working. 525 00:22:48,010 --> 00:22:50,145 Liver's holding its own. 526 00:22:50,179 --> 00:22:51,180 Good. 527 00:22:51,213 --> 00:22:52,948 But the platelets are dropping. 528 00:22:52,982 --> 00:22:53,949 Even better. 529 00:22:53,983 --> 00:22:55,017 Why? 530 00:22:55,050 --> 00:22:56,652 It means he's getting sicker. 531 00:22:56,686 --> 00:22:59,054 It's new. New is good. 532 00:22:59,088 --> 00:23:01,991 Because old ended in death. 533 00:23:04,126 --> 00:23:05,828 I can't breathe. 534 00:23:05,861 --> 00:23:07,830 Chase! 535 00:23:10,232 --> 00:23:11,433 [gasping] 536 00:23:50,706 --> 00:23:52,742 crash! 537 00:24:18,634 --> 00:24:20,670 (Foreman) We had to put him on a ventilator. 538 00:24:20,703 --> 00:24:23,706 He's back on Esther's path. 539 00:24:23,739 --> 00:24:25,274 And we managed to make the train 540 00:24:25,307 --> 00:24:26,709 skip a few stations. 541 00:24:26,742 --> 00:24:28,310 Which means that instead of 12 hours, 542 00:24:28,343 --> 00:24:30,580 he's probably got less than two. 543 00:24:30,613 --> 00:24:32,548 Which begs the question, why? 544 00:24:32,582 --> 00:24:33,482 What did we do? 545 00:24:33,515 --> 00:24:35,585 Acetylcysteine could mess with the lungs. 546 00:24:35,618 --> 00:24:36,385 Mess with them. 547 00:24:36,418 --> 00:24:37,953 Not shut them down in 20 minutes. 548 00:24:37,987 --> 00:24:39,855 Interferon modulates the immune system. 549 00:24:39,889 --> 00:24:41,857 It could affect a cancer of the blood, 550 00:24:41,891 --> 00:24:43,158 like one of the leukemias. 551 00:24:43,192 --> 00:24:45,294 It doesn't speed them up, it slows them down. 552 00:24:45,327 --> 00:24:48,197 It slows down all 500 of them? 553 00:24:48,230 --> 00:24:51,767 Anybody know where we can find an oncologist at this hour? 554 00:24:54,604 --> 00:24:58,774 What effects would interferon have on leukemia? 555 00:24:58,808 --> 00:25:00,175 Depends on what type. 556 00:25:00,209 --> 00:25:01,677 Could make it better, could make it worse. 557 00:25:01,711 --> 00:25:03,613 Four-year fellowship to learn that. 558 00:25:03,646 --> 00:25:05,715 (Cuddy) Tell House if he wants to play cards, 559 00:25:05,748 --> 00:25:08,217 he should get his ass back down here and play. 560 00:25:08,250 --> 00:25:09,251 You hear that? 561 00:25:09,284 --> 00:25:10,319 She wants me off the phone. 562 00:25:10,352 --> 00:25:11,353 Means she's vulnerable. 563 00:25:11,386 --> 00:25:12,487 Go all in. 564 00:25:12,521 --> 00:25:16,291 But, um, the party's over in less than three hours. 565 00:25:16,325 --> 00:25:18,661 (Cuddy) It's over in less than two hours. 566 00:25:18,694 --> 00:25:21,931 Which means you either have three of a kind, 567 00:25:21,964 --> 00:25:24,099 or just 3s. 568 00:25:24,133 --> 00:25:27,002 I'm guessing 3s. 569 00:25:27,036 --> 00:25:29,772 I bet 500. 570 00:25:31,106 --> 00:25:32,274 Go all in. 571 00:25:32,307 --> 00:25:34,009 You obviously want to bust me. 572 00:25:34,043 --> 00:25:35,110 Why would you-- 573 00:25:35,144 --> 00:25:36,278 Either you go all in, 574 00:25:36,311 --> 00:25:37,680 or I tell everybody in the building 575 00:25:37,713 --> 00:25:39,014 that you wear toenail polish. 576 00:25:40,415 --> 00:25:41,617 I'm all in. 577 00:25:43,953 --> 00:25:45,988 I'll call. 578 00:25:46,021 --> 00:25:47,823 I'm betting you have a pair of threes, 579 00:25:47,857 --> 00:25:52,294 but even if you have three... 580 00:25:52,327 --> 00:25:53,663 it's not going to beat 581 00:25:53,696 --> 00:25:55,765 trip nines. 582 00:25:58,033 --> 00:25:59,168 Oh. Oh, oh no. 583 00:25:59,201 --> 00:26:00,836 Oh, no. 584 00:26:00,870 --> 00:26:02,638 Oh, oh. 585 00:26:02,672 --> 00:26:03,739 That's gotta hurt. 586 00:26:03,773 --> 00:26:04,674 What happened? 587 00:26:04,707 --> 00:26:06,275 I just killed two birds with one straight. 588 00:26:06,308 --> 00:26:07,276 Good-bye. 589 00:26:07,309 --> 00:26:09,712 Fine. Keep playing. 590 00:26:09,745 --> 00:26:11,647 But I need you to recommend a good oncologist. 591 00:26:11,681 --> 00:26:14,049 Because if I don't get one up here in the next few minutes, 592 00:26:14,083 --> 00:26:15,117 I got a dead six-year-old. 593 00:26:18,020 --> 00:26:19,288 (Wilson) If you need help, ask. 594 00:26:19,321 --> 00:26:22,157 These games are insane. 595 00:26:22,191 --> 00:26:24,193 Games have a higher success rate. 596 00:26:24,226 --> 00:26:26,128 (Wilson) Well, I don't see anything that looks like leukemia. 597 00:26:26,161 --> 00:26:27,697 You do a bone marrow biopsy? 598 00:26:27,730 --> 00:26:29,098 No time. 599 00:26:29,131 --> 00:26:30,866 (Wilson) Even if there is an occult blood cancer, 600 00:26:30,900 --> 00:26:33,669 you wouldn't expect interferon to make it worse. 601 00:26:33,703 --> 00:26:34,904 Certainly not this fast. 602 00:26:34,937 --> 00:26:36,772 What would move this fast? 603 00:26:36,806 --> 00:26:37,707 (Cameron) Autoimmune diseases. 604 00:26:37,740 --> 00:26:38,941 If his body's own defenses 605 00:26:38,974 --> 00:26:40,409 are attacking him, then beefing them up 606 00:26:40,442 --> 00:26:42,011 is just going to put fuel on the fire. 607 00:26:42,044 --> 00:26:43,779 Sarcoidosis could be in his brain and lungs. 608 00:26:43,813 --> 00:26:45,347 No, no enlarged hilar lymph nodes 609 00:26:45,380 --> 00:26:47,717 on his chest x-ray. 610 00:26:47,750 --> 00:26:49,785 The systemic nature suggests Juvenile Rheumatoid Arthritis. 611 00:26:49,819 --> 00:26:50,953 Or Kawasaki's disease. 612 00:26:50,986 --> 00:26:52,454 Can't be Kawasaki's. 613 00:26:52,487 --> 00:26:53,789 Doesn't affect the elderly. 614 00:26:53,823 --> 00:26:57,092 Uh, these... This is a kid's x-ray. 615 00:26:57,126 --> 00:26:58,894 House had another patient... 616 00:27:00,830 --> 00:27:03,265 Who may or may not have had Kawasaki's. 617 00:27:03,298 --> 00:27:04,399 This kid, on the other hand... 618 00:27:04,433 --> 00:27:05,868 He makes antibodies 619 00:27:05,901 --> 00:27:08,704 that are eating the inside of his arteries. 620 00:27:08,738 --> 00:27:11,473 Choking off blood to his major organs one by one. 621 00:27:11,506 --> 00:27:13,175 First the GI tract, then the kidneys, 622 00:27:13,208 --> 00:27:16,478 then the brain, now the lungs. 623 00:27:16,511 --> 00:27:17,947 Can anyone think of a reason 624 00:27:17,980 --> 00:27:20,249 why Kawasaki's can't affect the elderly? 625 00:27:20,282 --> 00:27:22,351 Other than that it doesn't? 626 00:27:24,854 --> 00:27:27,056 Nice. 627 00:27:27,089 --> 00:27:28,824 (Foreman) We can confirm with blood work. 628 00:27:28,858 --> 00:27:30,092 We need an ANA, sed rate-- 629 00:27:30,125 --> 00:27:31,426 Labs will take two hours. 630 00:27:31,460 --> 00:27:33,195 What was the old lady's sed rate? 631 00:27:33,228 --> 00:27:36,365 (House) Elevated. 98. 632 00:27:36,398 --> 00:27:38,033 You can't use another patient's labs 633 00:27:38,067 --> 00:27:39,234 to diagnose Kawasaki's disease. 634 00:27:39,268 --> 00:27:40,770 Is that like a dare or something? 635 00:27:40,803 --> 00:27:42,371 You don't have time to be wrong. 636 00:27:42,404 --> 00:27:43,505 Fine. 637 00:27:43,538 --> 00:27:45,374 We'll look for Kawasaki where he lives. 638 00:27:45,407 --> 00:27:47,376 Ian's coronary arteries. 639 00:27:53,515 --> 00:27:55,350 This other patient. 640 00:27:56,518 --> 00:28:00,255 The old lady. Esther? 641 00:28:03,492 --> 00:28:06,161 Have you read Moby Dick? 642 00:28:06,195 --> 00:28:07,362 It was a book? 643 00:28:07,396 --> 00:28:08,530 It was ten years ago. 644 00:28:08,563 --> 00:28:10,332 12. 645 00:28:10,365 --> 00:28:11,433 Obsession is dangerous. 646 00:28:11,466 --> 00:28:13,068 Only if you're on a wooden ship 647 00:28:13,102 --> 00:28:14,469 and your obsession is a whale. 648 00:28:14,503 --> 00:28:15,838 I think I'm in the clear. 649 00:28:15,871 --> 00:28:17,773 You do realize it's a metaphor? 650 00:28:17,807 --> 00:28:19,108 You do realize that the point of metaphors 651 00:28:19,141 --> 00:28:20,342 is to scare people from doing things 652 00:28:20,375 --> 00:28:22,912 by telling them that something much scarier is going to happen 653 00:28:22,945 --> 00:28:24,546 than what will really happen. 654 00:28:24,579 --> 00:28:28,450 God, I wish I had a metaphor to explain that better. 655 00:28:28,483 --> 00:28:29,518 Go back to the game. 656 00:28:29,551 --> 00:28:30,986 Don't worry. 657 00:28:31,020 --> 00:28:32,321 I'm not going to get eaten by witches. 658 00:28:37,492 --> 00:28:39,128 (Chase) Coronary arteries clear. 659 00:28:39,161 --> 00:28:40,529 No aneurysms. 660 00:28:40,562 --> 00:28:42,264 Flip the mode. Let's see the flow. 661 00:28:46,101 --> 00:28:49,404 (Sarah) How did that other woman die? 662 00:28:49,438 --> 00:28:51,907 She went into respiratory distress. 663 00:28:51,941 --> 00:28:54,576 Her heart and liver were already com-- 664 00:28:54,609 --> 00:28:56,478 No. 665 00:28:56,511 --> 00:28:59,148 Did she suffer? 666 00:28:59,181 --> 00:29:00,983 Was she in pain? 667 00:29:01,016 --> 00:29:02,952 I don't know. 668 00:29:06,555 --> 00:29:07,589 Laminar flow. 669 00:29:07,622 --> 00:29:10,325 No blood clots, no ragged edges. 670 00:29:10,359 --> 00:29:11,493 (Cameron) Damn. 671 00:29:11,526 --> 00:29:12,527 Shut it down. 672 00:29:12,561 --> 00:29:13,863 We're just wasting time. 673 00:29:19,501 --> 00:29:21,536 Look at the right atrium. 674 00:29:21,570 --> 00:29:22,537 That's not Kawasaki's. 675 00:29:22,571 --> 00:29:24,039 No. 676 00:29:24,073 --> 00:29:25,474 (Chase) It's small. 677 00:29:25,507 --> 00:29:26,375 But it's there. 678 00:29:26,408 --> 00:29:28,243 Esther didn't have a mass in her heart. 679 00:29:28,277 --> 00:29:29,879 Ian's younger. 680 00:29:29,912 --> 00:29:30,946 He can take more of a pounding. 681 00:29:30,980 --> 00:29:33,515 Esther died before the disease reached her heart. 682 00:29:33,548 --> 00:29:35,484 The disease made a mass and made it fast. 683 00:29:35,517 --> 00:29:36,551 Could be bacteria. 684 00:29:36,585 --> 00:29:38,921 Muscle. (Chase) Connective tissue. 685 00:29:38,954 --> 00:29:40,222 (House) The kid can't take any more theories. 686 00:29:40,255 --> 00:29:42,091 Only thing we know is that whatever that mass is, 687 00:29:42,124 --> 00:29:43,325 that's what he's got. 688 00:29:43,358 --> 00:29:45,995 We need a piece of it. 689 00:29:46,028 --> 00:29:47,296 I'm doing a biopsy. 690 00:30:01,576 --> 00:30:03,078 I'll shut the blinds. 691 00:30:03,112 --> 00:30:04,513 No, let them watch. 692 00:30:04,546 --> 00:30:07,349 I do my best work on the big stage. 693 00:30:08,617 --> 00:30:11,086 Passing through the superior vena cava. 694 00:30:11,120 --> 00:30:12,354 [alarm beeps] 695 00:30:12,387 --> 00:30:14,323 You're in the atrium. Pull back. 696 00:30:14,356 --> 00:30:16,091 [alarm beeps] 697 00:30:16,125 --> 00:30:17,426 Hit the wall of the heart. 698 00:30:17,459 --> 00:30:20,329 These procedures would be so much simpler 699 00:30:20,362 --> 00:30:21,630 if we could do them on healthy people. 700 00:30:21,663 --> 00:30:23,498 [alarm beeps] 701 00:30:23,532 --> 00:30:25,234 And out again. 702 00:30:26,568 --> 00:30:27,502 [cardiac monitor beeps] 703 00:30:27,536 --> 00:30:28,603 V. Fib. 704 00:30:28,637 --> 00:30:31,273 Cardiac arrest. Call it. 705 00:30:31,306 --> 00:30:32,942 Come on. Paddles. 706 00:30:34,643 --> 00:30:36,211 Come on. 707 00:30:36,245 --> 00:30:37,312 [machine beeping] 708 00:30:37,346 --> 00:30:38,580 Clear. 709 00:30:39,581 --> 00:30:42,317 [alarm sounding] 710 00:30:45,520 --> 00:30:46,588 And again. 711 00:30:50,092 --> 00:30:51,060 Nothing. 712 00:30:51,093 --> 00:30:52,094 Again. 713 00:31:07,576 --> 00:31:08,510 (House) Have you got a clock on this? 714 00:31:08,543 --> 00:31:10,445 How much longer you going to keep doing this? 715 00:31:11,646 --> 00:31:12,514 Clear. 716 00:31:16,518 --> 00:31:18,420 Wait. Got something. 717 00:31:20,555 --> 00:31:22,591 He's back. 718 00:31:30,265 --> 00:31:31,733 (Chase) What are you doing? 719 00:31:31,766 --> 00:31:33,468 I'm doing what we came here to do. 720 00:31:33,502 --> 00:31:34,503 It almost killed him. 721 00:31:34,536 --> 00:31:35,570 I know. I was right here. 722 00:31:35,604 --> 00:31:37,239 Give me a vacutainer. 723 00:31:37,272 --> 00:31:38,607 His brain's been oxygen-deprived 724 00:31:38,640 --> 00:31:39,708 for over eight minutes. 725 00:31:39,741 --> 00:31:41,276 There might be nothing left. 726 00:31:41,310 --> 00:31:42,978 You might be-- You should tell the parents. 727 00:31:43,012 --> 00:31:44,313 Where the hell is that vacutainer? 728 00:31:57,492 --> 00:31:58,627 So. 729 00:31:58,660 --> 00:31:59,661 What's he got? 730 00:31:59,694 --> 00:32:00,562 Brain damage. 731 00:32:00,595 --> 00:32:01,363 Good chance. 732 00:32:01,396 --> 00:32:03,132 I was talking about before that. 733 00:32:03,165 --> 00:32:04,233 You're not worried about-- 734 00:32:04,266 --> 00:32:05,700 Things I can't do anything about? 735 00:32:05,734 --> 00:32:07,336 I try not to. 736 00:32:07,369 --> 00:32:08,570 Things just roll off you 737 00:32:08,603 --> 00:32:09,538 like water off a duck. 738 00:32:09,571 --> 00:32:11,240 Histiocytosis. 739 00:32:11,273 --> 00:32:13,275 Very unlikely in a 73-year-old. 740 00:32:13,308 --> 00:32:15,644 Whatever this is, is very unlikely. 741 00:32:15,677 --> 00:32:17,612 Come on, more ideas. Let's go, people. 742 00:32:17,646 --> 00:32:19,248 Genetic disorders 743 00:32:19,281 --> 00:32:20,449 could cause masses everywhere. 744 00:32:20,482 --> 00:32:22,351 Tuberous sclerosis. 745 00:32:22,384 --> 00:32:24,053 If it's genetic, he's had it all his life. 746 00:32:24,086 --> 00:32:25,287 Why now? I don't know. 747 00:32:25,320 --> 00:32:26,488 It sure fits nice enough. 748 00:32:26,521 --> 00:32:28,523 We haven't ruled out leukemia yet. 749 00:32:28,557 --> 00:32:30,025 Or sarcoma. 750 00:32:30,059 --> 00:32:31,360 He could have multiple soft tissue tumors. 751 00:32:31,393 --> 00:32:32,627 (Foreman) Or sarcoidosis. 752 00:32:32,661 --> 00:32:34,296 Multiple neurofibromatosis. 753 00:32:34,329 --> 00:32:35,497 (Foreman) Chondrocytomas. 754 00:32:38,333 --> 00:32:39,634 How's it going? Win? 755 00:32:39,668 --> 00:32:41,070 I got called away 756 00:32:41,103 --> 00:32:43,105 by the angry parents of a patient. 757 00:32:43,138 --> 00:32:44,005 There are three of you here. 758 00:32:44,039 --> 00:32:45,507 None of you had the sense to stop him. 759 00:32:45,540 --> 00:32:47,109 To pick up a phone and call me. 760 00:32:47,142 --> 00:32:48,543 (House) I told them you'd signed off. 761 00:32:48,577 --> 00:32:49,678 The parents are mad 762 00:32:49,711 --> 00:32:51,180 because their kid is dying. 763 00:32:51,213 --> 00:32:52,214 It's understandable. 764 00:32:52,247 --> 00:32:53,282 But if he doesn't die, 765 00:32:53,315 --> 00:32:54,449 they won't be mad anymore. 766 00:32:54,483 --> 00:32:55,584 If he's brain-damaged, 767 00:32:55,617 --> 00:32:56,651 they might still be a little ticked. 768 00:32:56,685 --> 00:32:58,453 I had to do it to save him. 769 00:32:58,487 --> 00:33:00,122 You had to do it to diagnose Esther. 770 00:33:00,155 --> 00:33:02,591 You may have killed a six-year-old 771 00:33:02,624 --> 00:33:04,126 because you're obsessed 772 00:33:04,159 --> 00:33:06,061 with a woman who's been dead for 12 years. 773 00:33:06,095 --> 00:33:07,196 Sometimes you lose, House. 774 00:33:07,229 --> 00:33:08,197 You're not God. 775 00:33:08,230 --> 00:33:09,531 He's not dead yet. 776 00:33:09,564 --> 00:33:10,599 No, but you're done with him. 777 00:33:10,632 --> 00:33:11,800 It's my case now. Go home. 778 00:33:11,833 --> 00:33:13,168 Go ride your motorcycle. 779 00:33:13,202 --> 00:33:14,536 Go brood in a dark room. 780 00:33:14,569 --> 00:33:16,605 Just don't go near Ian again. 781 00:33:24,146 --> 00:33:25,614 So, anything else? 782 00:33:25,647 --> 00:33:27,116 Or is it just these seven? 783 00:33:27,149 --> 00:33:28,550 Drop it, House. She's right. 784 00:33:28,583 --> 00:33:30,552 No, she's not. 785 00:33:30,585 --> 00:33:32,221 You know she's not. 786 00:33:32,254 --> 00:33:33,455 We should have called her. 787 00:33:33,488 --> 00:33:34,589 I'm surprised you didn't. 788 00:33:34,623 --> 00:33:36,458 (Cameron) You're going to have to 789 00:33:36,491 --> 00:33:38,293 find a way to let this go-- we can't go near Ian. 790 00:33:38,327 --> 00:33:40,662 We don't need to go near him. 791 00:33:40,695 --> 00:33:42,797 We have his tumor. 792 00:33:42,831 --> 00:33:46,235 Cuddy may be right that we screwed up the protocol. 793 00:33:46,268 --> 00:33:47,769 She may be right about my screwed-up obsession. 794 00:33:47,802 --> 00:33:50,572 But I am right about the medicine. 795 00:33:50,605 --> 00:33:52,241 How many tests can we do with that? 796 00:33:52,274 --> 00:33:53,408 [deep sigh] 797 00:33:53,442 --> 00:33:54,509 Look, we cure the kid, 798 00:33:54,543 --> 00:33:55,544 we solve everybody's problems. 799 00:33:55,577 --> 00:33:56,578 How many? 800 00:33:59,781 --> 00:34:01,416 Maybe two good pieces. 801 00:34:01,450 --> 00:34:02,751 How many okay pieces? 802 00:34:02,784 --> 00:34:05,287 Three would be pushing it. 803 00:34:07,922 --> 00:34:11,526 Three tests, seven choices. 804 00:34:11,560 --> 00:34:12,861 Okay, what's first? 805 00:34:12,894 --> 00:34:15,797 Uh...sarcoidosis seems most likely. 806 00:34:15,830 --> 00:34:16,665 Yeah, so likely that Cuddy's 807 00:34:16,698 --> 00:34:18,567 going to think of that all on her own. 808 00:34:18,600 --> 00:34:20,802 She's got the kid's whole body to play with. 809 00:34:20,835 --> 00:34:22,704 Let her do that test. 810 00:34:22,737 --> 00:34:24,339 What's next? 811 00:34:24,373 --> 00:34:26,175 It's moving too fast to be spreading. 812 00:34:26,208 --> 00:34:28,677 It has to be growing from something that's already-- 813 00:34:28,710 --> 00:34:31,380 Genetic disorder-- Tuberous sclerosis. 814 00:34:31,413 --> 00:34:33,182 Or it's his immune system. Histiocytosis. 815 00:34:33,215 --> 00:34:36,485 There are more documented cases of histio 816 00:34:36,518 --> 00:34:38,587 amongst older people than tuberous sclerosis. 817 00:34:38,620 --> 00:34:40,722 Let's start with that. 818 00:34:45,327 --> 00:34:47,662 Wing or drumstick? 819 00:34:50,399 --> 00:34:51,233 Gonna need a little more than that. 820 00:34:51,266 --> 00:34:52,901 A little more is more than a third. 821 00:34:52,934 --> 00:34:54,636 If we have to repeat this test 822 00:34:54,669 --> 00:34:56,605 because you didn't cut us enough... 823 00:35:02,577 --> 00:35:04,179 (Chase) I'm adding one microliter 824 00:35:04,213 --> 00:35:05,180 of the immunoperoxidase. 825 00:35:05,214 --> 00:35:06,348 Make it two. 826 00:35:06,381 --> 00:35:07,916 I don't want House biting off our heads 827 00:35:07,949 --> 00:35:09,718 because we weren't sure if it turned red or not. 828 00:35:16,691 --> 00:35:18,360 (Cameron) That's definitely not red. 829 00:35:22,864 --> 00:35:25,400 (Chase) Your problem could still be 830 00:35:25,434 --> 00:35:27,536 an abnormal cell growth, but a different cell line. 831 00:35:27,569 --> 00:35:28,437 (Foreman) Sarcoma? 832 00:35:28,470 --> 00:35:29,871 Muscle cells are throughout his body. 833 00:35:29,904 --> 00:35:31,273 Would explain the geography. 834 00:35:31,306 --> 00:35:32,140 (Cameron) Genetic disorder 835 00:35:32,173 --> 00:35:33,408 is far more likely in a six-year-old. 836 00:35:33,442 --> 00:35:35,277 Tuberous sclerosis. 837 00:35:35,310 --> 00:35:36,711 Pretty unlikely to cause a GI bleed. 838 00:35:36,745 --> 00:35:37,646 The time course fits. 839 00:35:37,679 --> 00:35:39,648 So, Foreman, you agree with both of them. 840 00:35:39,681 --> 00:35:40,515 Thanks for playing. 841 00:35:40,549 --> 00:35:41,983 If we have enough tissue for two tests, 842 00:35:42,016 --> 00:35:43,318 why not do both? 843 00:35:43,352 --> 00:35:44,619 Then we don't have to think as hard. 844 00:35:44,653 --> 00:35:46,455 Taking the pressure off the choice 845 00:35:46,488 --> 00:35:48,623 makes us less likely to think critically. 846 00:35:48,657 --> 00:35:50,859 Sarcoma is more likely to hit a 6- and a 70-year-old. 847 00:35:50,892 --> 00:35:52,527 Tuberous sclerosis it is. 848 00:35:52,561 --> 00:35:54,229 You think sarcoma is less likely? 849 00:35:54,263 --> 00:35:55,029 It's more likely. 850 00:35:55,063 --> 00:35:56,631 The test for it, on the other hand, 851 00:35:56,665 --> 00:35:57,966 is less reliable. 852 00:36:10,645 --> 00:36:11,913 (Cameron) Nestin's negative. 853 00:36:11,946 --> 00:36:13,348 Well, that's okay. 854 00:36:13,382 --> 00:36:15,517 If the tumor cells haven't matured, 855 00:36:15,550 --> 00:36:16,918 the Ki-67 protein wouldn't have turned off. 856 00:36:18,487 --> 00:36:20,922 What happens if we don't solve this? 857 00:36:20,955 --> 00:36:21,990 The kid dies. 858 00:36:22,023 --> 00:36:23,792 I mean for the next 12 years. 859 00:36:25,460 --> 00:36:27,462 Ki-67's negative. 860 00:36:30,832 --> 00:36:33,602 And PCH antigen is negative. 861 00:36:38,907 --> 00:36:40,909 [pill rattling] 862 00:36:44,713 --> 00:36:47,616 Mighty Casey's down to his last strike. 863 00:36:47,649 --> 00:36:49,718 Mighty Casey struck out. 864 00:36:49,751 --> 00:36:50,585 Thanks a lot. 865 00:36:50,619 --> 00:36:52,454 I was going to read that this weekend. 866 00:36:52,487 --> 00:36:53,455 (Cameron) Chondrocytoma. 867 00:36:53,488 --> 00:36:54,489 Connective tissue 868 00:36:54,523 --> 00:36:55,790 has been in all the places we've been looking. 869 00:36:55,824 --> 00:36:57,292 The kid is too sick for that. 870 00:36:57,326 --> 00:36:58,427 We're better off testing for sarcoma. 871 00:36:58,460 --> 00:36:59,794 (Cameron) We would have seen signs of that 872 00:36:59,828 --> 00:37:01,062 when we tested for tuberous sclerosis. 873 00:37:01,095 --> 00:37:02,864 Tumor cells look like muscle 874 00:37:02,897 --> 00:37:04,633 under the microscope. 875 00:37:04,666 --> 00:37:06,701 No, they didn't. They looked like fat. 876 00:37:06,735 --> 00:37:09,671 I vote for neurofibromatosis. 877 00:37:09,704 --> 00:37:11,540 Why? 878 00:37:11,573 --> 00:37:13,408 Because the other choices suck worse. 879 00:37:21,683 --> 00:37:24,285 Give me a minute. 880 00:37:53,715 --> 00:37:55,350 You want me out of here? 881 00:37:57,619 --> 00:37:59,053 You come up with anything? 882 00:38:01,756 --> 00:38:03,358 No. 883 00:38:29,884 --> 00:38:30,852 Hey. 884 00:38:30,885 --> 00:38:32,887 We can talk about it tomorrow. 885 00:38:40,629 --> 00:38:43,064 I, um... 886 00:38:43,097 --> 00:38:45,634 I won the poker tournament. 887 00:38:47,669 --> 00:38:50,572 I totally played this guy Berman from business affairs. 888 00:38:50,605 --> 00:38:51,706 I got great cards. 889 00:38:51,740 --> 00:38:52,941 But I don't bet. 890 00:38:52,974 --> 00:38:55,644 Just call, no raises. 891 00:38:55,677 --> 00:38:56,945 Berman pairs his King on the flop. 892 00:38:56,978 --> 00:38:57,979 I keep calling, 893 00:38:58,012 --> 00:38:59,581 the river turns, 894 00:38:59,614 --> 00:39:01,416 I check. 895 00:39:01,450 --> 00:39:02,951 He can't stand it. 896 00:39:02,984 --> 00:39:04,653 He goes all in. 897 00:39:04,686 --> 00:39:05,654 He's sure he's won. 898 00:39:07,689 --> 00:39:08,657 I call, 899 00:39:08,690 --> 00:39:09,991 I flip 'em. 900 00:39:10,024 --> 00:39:10,992 Pow! 901 00:39:11,025 --> 00:39:12,961 Pocket aces. 902 00:39:12,994 --> 00:39:14,829 I nailed his ass. 903 00:39:23,605 --> 00:39:26,508 The aces were hiding all along. 904 00:39:34,483 --> 00:39:36,150 Test him for Erdheim Chester disease. 905 00:39:36,184 --> 00:39:37,752 Erdheim Chester? 906 00:39:37,786 --> 00:39:39,053 That's not even on the list. 907 00:39:39,087 --> 00:39:40,989 Because we already did it. 908 00:39:41,022 --> 00:39:42,090 He tested negative. 909 00:39:42,123 --> 00:39:43,191 So did Esther. 910 00:39:43,224 --> 00:39:44,859 The disease lied. 911 00:39:44,893 --> 00:39:46,561 (Cameron) Yeah, the tumor's got it in for you. 912 00:39:46,595 --> 00:39:47,596 Diseases don't lie. 913 00:39:47,629 --> 00:39:48,697 Fine, it didn't lie. 914 00:39:48,730 --> 00:39:49,698 It slow played us. 915 00:39:49,731 --> 00:39:51,232 We biopsied the colon, 916 00:39:51,265 --> 00:39:53,902 but it hadn't reached the GI tract yet. 917 00:39:53,935 --> 00:39:55,537 It's there now. 918 00:39:55,570 --> 00:39:56,638 It's in his liver, his lungs... 919 00:39:56,671 --> 00:39:58,006 You want it to be there. 920 00:39:58,039 --> 00:40:00,742 Because then you didn't screw up 12 years ago. 921 00:40:00,775 --> 00:40:02,477 We can't waste our one test 922 00:40:02,511 --> 00:40:04,513 on the one disease we know it's not. 923 00:40:07,181 --> 00:40:08,717 Run the test. 924 00:40:20,829 --> 00:40:21,796 You sure about this? 925 00:40:21,830 --> 00:40:23,898 Wait, let me think about that. 926 00:40:23,932 --> 00:40:25,166 Don't pressure me. 927 00:40:25,199 --> 00:40:27,201 Just run the damn test. 928 00:40:29,938 --> 00:40:32,240 (Cameron) Cells look like macrophages. 929 00:40:32,273 --> 00:40:33,775 That's a good start. 930 00:40:40,281 --> 00:40:43,051 Take your time and say it loud. 931 00:40:52,794 --> 00:40:54,128 CD 68 positive. 932 00:40:54,162 --> 00:40:55,530 [bangs cane loudly] 933 00:41:06,307 --> 00:41:08,710 Start the treatment. 934 00:41:15,717 --> 00:41:18,687 [calming piano music] 935 00:41:18,720 --> 00:41:26,795 * 936 00:42:07,636 --> 00:42:10,238 So Esther can rest peaceful now, huh? 937 00:42:10,271 --> 00:42:11,806 Yeah. 938 00:42:17,779 --> 00:42:19,280 40. 939 00:42:24,953 --> 00:42:25,987 You got lucky. 940 00:42:27,689 --> 00:42:28,790 You gonna call? 941 00:42:28,823 --> 00:42:30,692 What I do... 942 00:42:31,826 --> 00:42:34,095 is not just based on the flip of a card. 943 00:42:34,128 --> 00:42:35,664 You guessed. 944 00:42:35,697 --> 00:42:37,198 You got lucky. 945 00:42:37,231 --> 00:42:38,767 It fit. 946 00:42:38,800 --> 00:42:40,334 It could just as easily have been sarcoma 947 00:42:40,368 --> 00:42:42,003 or tuberous sclerosis. 948 00:42:42,036 --> 00:42:44,072 No, not just as easily. 949 00:42:44,105 --> 00:42:45,339 Maybe not. 950 00:42:45,373 --> 00:42:46,941 But it wasn't impossible. 951 00:42:49,911 --> 00:42:53,347 Are you going to call? 952 00:42:53,381 --> 00:42:54,683 You know, 953 00:42:54,716 --> 00:42:56,417 relative to its size, 954 00:42:56,450 --> 00:42:59,721 the barnacle has the largest penis of any animal. 955 00:42:59,754 --> 00:43:01,756 [laughs] 956 00:43:07,696 --> 00:43:10,999 Captioning by Courtney at CaptionMax www.captionmax.com 64362

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