All language subtitles for House.S02E18.720p.AMZN.WEBRip.x264-GalaxyTV

[water dripping]

[clock ticking]

[radiator steaming]

[clock ticking]

[water dripping]

[clock ticking]

[radiator steaming]

Hannah, you okay?

[breathing]

Still can't sleep?

I'm fine.

Can I do anything
to help you?

Just go back
to sleep.

I wanna go get
a glass of wine.

I can keep you company.

You have work
in the morning.

Are you sure,
you don't want me to...

I'll be right back.

Just sleep.

Hannah?

Hannah?

What'd you do?

I just wanted
to sleep.

I'm calling
an ambulance.

[Massive Attack's Teardrop]

*

[snoring loudly]

[door opens]

[door slamming]

You've seen one patient

in the last two hours.

Complicated case.

I'm a night owl.

Wilson's an early bird.

We're different species.

Then move him
into his own cage.

Who'll clean the droppings
from mine?

25-year-old female
with sleep issues.

I'm guessing she's...
oh, what's the medical term...

upset.

25-year-old females,

they're usually
completely rational,

they're rocks, really.
Uh...

My theory seems
to be supported

by the fact that she swallowed
a bottle of sleeping pills.

Get her a shrink.
I need some shut-eye.

She's a little bit more
than upset.

She hasn't slept
in ten days.

She's lying.

Without REM sleep your neurons
stop regenerating.

Your brain shuts down,
lobe by lobe.

She'd be insane after five days,
dead by ten.

Give me a little credit.

I know what gets you off.

She took the pills
to sleep, not to kill herself.

Clever alibi.

They didn't work.

She stayed awake even though
she downed the whole bottle.

And the longest
anyone's ever survived

without sleep
is 11 days.

Which gives you
about 22 hours.

You stole my article.

I wouldn't do that.

I wrote up the case
where we induced

hypothermic cardiac arrest
in the terminal cancer girl.

I wrote my own.
I didn't steal yours.

You knew I was writing one.
You gave me notes.

Got a case.

It can wait.
You two finish.

Five bucks says
someone loses an eye.

Fine.

You're only putting
off the inevitable.

25-year-old female,
hasn't slept for ten days.

I assume the ER
tried giving her some sedatives.

We should
up the dosage.

Sedation isn't the same
as sleep.

Thanks for your insight.

For someone who hasn't slept
in ten days,

sedation is a great start.

Sleep is an active process--
reboots the system,

restores the brain.
Sedatives don't--

The brain is being stressed;
we need to relieve that.

You've had my article
on your desk

for the last four months.

I'm a very slow reader.

No fever, no white count
means no infection.

Schizophrenia?

No delusions.

You read his.

Signed it,
didn't read it.

Aside from the sleeping pills,
tox screen was clean.

No cocaine, methamphetamines,
or diet pills.

Only medications she's
had recently are steroids

for poison ivy and ibuprofen
for a knee she hurt skiing.

Nothing that would cause
sleep disturbances.

When did you get
his article?

Uh, about
three weeks ago.

Let's go back
to the beginning.

How far back?

Genesis.

God said
let there be light.

Sleep is initially controlled
by external light cues.

And if her brain
can't interpret those cues...

Optic nerve disease.

I'm sensing
another article.

I'll go run
the tests.

I'm injecting a dye

which will allow us
to take a look

at your retina
and your optic nerve.

Everything's
kinda blurry.

Normal,
because of the dye.

It's gonna be that way
the next few hours.

Need a hand?

No.

We're never going
to work together again?

Just don't see the need
to make you feel better

by forgiving you.

I wasn't asking
for forgiveness.

I was asking
if you needed help.

It's unprofessional
to be talking about this

in front
of the patient.

Maybe that doesn't matter
to you, but...

Doesn't matter.
She's not listening.

She's asleep.

Normal stage one
brain waves.

Maybe she's...
better?

Still blurry.

You fell asleep.

No, I didn't.

Negative
for optic nerve disease.

But she sleeps.

For like ten seconds,
maximum one minute.

We also checked
the ocular pressure.

It's normal.

And she doesn't know
she sleeps.

Brain is often unaware
of stage one sleep.

CT showed no tumors,
no clots, no seizure disorder.

So she sleeps,
she just can't stay asleep.

You going somewhere
with this?

You know what keeps me awake
at night?

Monsters in the closet.

There's no monster
in the closet.

We looked.

Well, it's certainly
not showing up on the scans.

Where's Cameron?

She felt I could
deliver the news on my own.

Oh, this is going
to work out great.

Come on.

If you two guys
can't play nice together,

I'm taking away
your toys.

I don't care whose fault
this is.

If you hadn't--

Especially don't care
if it was my fault.

Whatever this woman has
it's not showing up

on our tests,

which means
she's sick.

Just not sick enough
for us to see it.

You want us
to make her sicker?

(House)
Yes. I want
to stress her body.

Specifically her brain.

Keep her awake.

Depriving her
of even the few minutes of sleep

she does have--
it's torture.

So is cutting people
with knives,

but you can totally
get away with that

if you have
a doctor coat on.

House, those few seconds
of sleep are maybe

the only reason
she's still alive.

The more symptoms we can force
out of her,

the more tests we can do.

The more tests we do,
the more information we get,

the quicker we make
a diagnosis.

See how much more fun it is
when you guys get along?

You two take
the first four hours.

Hannah.

Hannah!

You fell asleep.

No, I didn't.

Your brain doesn't remember,
it was just a few seconds.

Is this really necessary?

The sooner we find out
what's wrong,

the sooner she can get
a real night's rest.

Hannah?

Hannah?

Hannah?

Ow.

What did you
do that for?

You fell asleep
again.

No, I didn't.

(Cameron)
We're sorry.

We have to do this.

[whispers]
We don't have
to be cruel.

You know what happens
when you're nice.

Nothing.

That's how you
define nice?

Not stealing?

Doctors?

(Foreman)
She fall asleep again?

We've got
rectal bleeding.

What, all of you?

So the monster is peeking out
from under the bed.

Which either means
she has a clotting disorder

or she has a tumor
in her colon.

(Chase)
We'll do a colonoscopy.

Who's keeping her
awake now?

We figured once we found
another symptom,

it really didn't matter.

Yeah, he's got
all the ideas.

Who is with her?

Her partner's donating blood,
so she's with a nurse.

Probably singing
her lullabies.

I want her awake.

You have to sedate a patient
to do a colonoscopy.

Why? Just because
of the pain?

You find a tumor in her colon,
you can knock her out.

If you don't,
she stays awake.

Oh, God!
It hurts!

Can't you hurry?

Trust me, you don't want me
to hurry.

God, you're killing me.
[moaning]

Hold my hand.

Keep breathing,
nice and steady.

How am I supposed
to work with him?

[moaning]

Maybe we shouldn't be talking
about this right now?

You think
I'm overreacting?

Um, I need you
to relax your anus.

[crying]

We're not here.

We're skiing.

It's Thanksgiving,
at Vail.

You want me to think about
nearly killing myself

on a snowboard?

Come on,
you never fell.

[groaning]

You were awesome.

Is that what you told him?

I'm hysterical, and I need
to relax my anus?

I told him--how many cases
do we work up in a year?

They're all weird;
he could've written up

any one of them.

She's bleeding.

I can't breathe.
I can't breathe!

Hold on.

We packed her nose
to control the bleed

and started transfusing
two units of whole blood.

The pathology
from the rectal bleed

showed traces
of nasal epithelium.

So, the butt bleed's
just a nose bleed.

That much blood is not
a "just a" anything.

When two people fight
this much,

you know what it means.

It's gotta be
a massive sinus hemorrhage

that was draining down
her throat and out the back.

The question isn't
what, it's why.

Oh, get a room.

Rat poison mixed with some sort
of neurogenic toxin

could cause bleeding
and sleep disturbances.

Do you have a specific type
of neurogenic toxin in mind,

or should we
just start running

a thousand different
tox screens?

Just pretend
I'm not here.

I'll be reading.

It could also be some type
of coagulopathy.

Or it could be us.

Do you have any idea
what it feels like

to have
a six-foot-long hose

shoved
into your large intestine?

No, but I now have
a much greater respect

for whichever basketball player
you dated in college.

We've basically
been torturing this girl

for the last eight hours.

We've been poking her foot,
not punching her face.

Extreme stress can cause
high blood pressure,

which can cause
bleeding.

Wouldn't keep her awake
for ten days.

What if the poison ivy
wasn't poison ivy?

She got the rash
that was diagnosed

as poison ivy
around the same time

the insomnia started.

Rash, plus nose bleed,
plus sleep disturbance

equals
Wegener's Granulomatosis.

Start
corticosteroid treatment.

The poison ivy treatment
was steroids.

Much lower dosage.

Get her back on the juice,
triple the dose.

Get a c-ANCA and
an upper airway biopsy

to confirm
the Wegener's.

[speaking Mandarin]

She has, uh,
menstrual problems.

They're really bad, the pain
keeps her in bed all day.

Plus, she's
super depressed.

She said
super depressed?

[speaking Mandarin]

She heard that
birth control pills

can make her
feel better.

She wants
birth control pills

for her PMS?

I guess.

Judging by the redness
around your mom's nostrils,

and the tissue she's got
conveniently stashed

inside her wrist band,
I'd say her problem

is more likely a URI
than a PMS.

URI?

Upper Respiratory Infection.

A cold.

I don't think so.

I also think she's got a problem
with SAC.

SAC?

Thanks for playing.

Stupid American Child.

If you want the pill,
all you have to do is to walk

into any health clinic
in Jersey alone and ask for it.

What exactly was
your plan?

Were you going to exchange
the birth control pills

for some over-the-counter
decongestants

and hope that your mom's cold
lasts another six years?

No.

That for her cold?

No, that's
for your ovaries.

I assume you haven't had
a stroke.

Have you ever
had a blood clot?

No.

Super.

In three months
when you need a refill,

take a bus
to a free clinic.

Don't wait around hoping
for Mom to get another sniffle.

Not the sharpest chopstick
in the drawer, is she?

[speaking Mandarin]

Was this just
one of your experiments?

You just wanted
to see how I'd react

to being screwed over
by Foreman?

Nice idea,
but no.

This was just
good old-fashioned laziness.

Gotta hand it
to Foreman, though.

He knew that you're a suck-up
and I don't give a crap.

He successfully exploited
us both.

Right.
We're both victims.

A simple heads up,
that's all I needed.

Maybe between your
incredibly witty remarks

about anal sex
and Cuddy's breasts,

you could've
tipped me off.

Then I'd have Foreman
pissed at me,

and as annoying
as you could be,

at least I know you're
not gonna pop a cap in my ass.

Witty, huh?

You, on the other hand,
continue to be flabbergasted

every time someone actually acts
like a human being.

Foreman did what he did
because it worked out best

that way for him.

That's what everyone does.

That is not the definition
of being human.

That's the definition
of being an ass.

This will numb you up.

And this will keep your tongue
out of the way.

Don't worry, you shouldn't
feel anything except

for a slight pulling.

So you think I was
out of line?

That article would've sat
on House's desk

for the next six years.

I could've told her.

You could've written it
for her too.

She knows House
as well as any of us.

She should've known
she was waiting

for him to do something
he was never gonna do.

Chase?

Hannah?

You still with us?

What's wrong
with her eyes?

Looks like REM.

What's that?

Rapid Eye Movements.

It's what your eyes do
when you're sleeping.

But she's awake.

Hannah.

Hannah,
can you hear me?

Yeah, of course.

Was she sitting up
or lying down?

Sitting up.

Then it wasn't REM.

Chase says her eyes were
moving the exact way--

Did you start her
on the steroids?

Not yet, we were
still doing the--

Then she wasn't sleeping.

How do you know?

'Cause we haven't
done anything yet.

She may be able to sleep
with her eyes open

but unless you also discovered
she's got two extra teats

and hooves for feet

there's no way she'd
be able to maintain

enough muscle tensity
during REM sleep

to sit upright.

It's a movement disorder,
which rules out Wegener's.

Where's Foreman?

Keeping her awake.

Good.

Rabies could cause
muscle spasms,

malaise, anxiety,
and wakefulness.

Pretty unlikely she'd forget
being bitten by a crazed animal.

She could've been exposed
through an open wound.

She have a dog?

For less
than a week.

She had an allergic reaction,
so they had to give it away.

Allergies.

Animal allergies
seemed unlikely

but it's possible that--

When?

When what?

When did she get rid
of the dog?

About a month ago.

Her girlfriend gave it
to her for her birthday.

Well, then
it's not allergies.

She's just leaving
her girlfriend.

You...spoke
to the dog?

If her birthday was
a month ago,

she would've still been
on steroids for the poison ivy.

Those meds would've suppressed
any reaction she might've had

to the dog.

Which means she lied
about being allergic.

Dog's a commitment.

You pretend to be allergic
because you don't want to tell

your girlfriend
that you're not planning

on being around
that long.

So I think we can move on
to options other than allergies.

We should still do
a scratch test.

If she's allergic
to one thing--

She is not allergic.

Okay, well, we could either base
our diagnosis

on your
admittedly keen understanding

of lesbian relationships,
or we could do a scratch test.

Do a scratch test.

[coughing]

You still feeling
a lot of blood in your throat?

No, it's actually getting
a little better.

Good, maybe things are
just starting to improve

on their own.

Just a few more.

[coughing]

You want some water
to wash out your mouth?

No, I'm okay.

Come on,
that can't taste good.

I'm going to get you a soda--
it's okay, isn't it?

Mm-hmm.

You and Max seem to have
a really nice relationship.

Yeah.

She's very supportive.

Uh-huh.

When Max got you the dog,
did you lie about having

an allergic reaction?

No. Why?

If you have
pre-existing conditions,

it's important we know.

But if you don't,
it's just as important.

If I'm wasting my time
doing this allergy test--

You're not going
to tell her, are you?

It's none
of my business.

She's a good person.

We've just been together
so long, I...

I'm tired of her.

Sounds terrible,
doesn't it?

I guess it happens
sometimes.

My back hurts.

Hannah, can you
turn over?

What's wrong?

I'm not sure.

Oh, my God.

She has massive
internal bleeding.

Did she have access
to aspirin?

She'd have to take
a hell of a lot.

Why not, considering
her current mental state.

What about
her mental state?

You were right
about her wanting to break up.

That just means I was right,
doesn't mean she's suicidal.

Bottle of pills
is what landed her here

in the first place.

Sleeping pills.

God knows why
she'd want them.

What else can cause
sleep disorder

and internal bleeding?

Drugs or alcohol can mess
with the sleeping

and compromise the liver.

What are you doing here?

Who's keeping her awake?

Doesn't matter.

Liver function tests
are through the sky.

Liver's not compromised,
it's dead.

She doesn't need a diagnosis,
she needs a new liver.

She's not getting
a new liver

unless we can figure out
what's wrong with her.

Test for cirrhosis: 12 hours.
Test for hepatitis: 8.

Her liver's not gonna last
another six.

So your advice is
we just give up.

My advice is that we narrow
our focus to conditions that

we can diagnose, treat, and cure
in less than six hours.

And there's nothing
on that list.

The girlfriend
donated blood, right?

Yeah, so?

It means that
they're the same type.

You can't ask the person
she's about to dump

to donate half her liver.

It does seem tacky,
doesn't it?

I'm Dr. House.

I'm in charge
of your case.

What's going on?

How come no one
is keeping her awake anymore?

You're in
acute liver failure.

We can continue the
transfusions and the lactulose,

but it's only a stopgap.

There's really nothing
we can do to stop the toxins

from building up
in your bloodstream.

Which means that
in a few hours

you will lapse
into a coma...

and you won't wake up.

I'm sorry.

That's it?

You're giving up?

You're not going
to try to figure out

what's doing this
to her?

Even with the right diagnosis,
any treatment's

gonna take longer
than the time she has left.

If it's her liver,
can't she get a transplant?

Wouldn't work without
a diagnosis.

Whatever killed the first liver
would do the same to the second.

But it would give you
more time

to make the diagnosis,
to get her better.

Well, it might give us
an extra day or two, but...

no procurement agency is going
to let a liver go to a patient

with an undiagnosed,
pre-existing--

Hannah and I have
the same blood type.

Couldn't I be
the donor?

It is medically possible
for us to take a part of your--

Please, I don't care
about the risks.

You're very lucky
to have such a devoted partner.

I just bought us
36 hours.

Differential diagnosis:
which monster eats your liver,

screws up your sleep,
and causes bleeding.

Does Max know
Hannah plans to leave her?

Didn't come up.

So I guess...no.

If she knew, there's no way
she'd go through with this.

And if you didn't have
a pathological need

to create a close,
personal relationship

with every dying person
you meet,

we would be blissfully ignorant
of any ethical dilemmas

and might be able
to actually concentrate

on the differential.

Scratch test
was negative.

It's rare, but any
of the hepatitis viruses

could cause sleep disturbances
and liver failure.

No, PCRs were normal.

We have
an ethical dilemma.

No, we don't.
Continue.

(Chase)
What about splenic cancer
or non-Hodgkin's lymphoma?

She's the right age.

Could explain the bleeding.

Maybe the liver failure.

We're withholding information
relevant to her decision

to risk her life.

How is that not
an ethical dilemma?

It's not medical information.

Who cares?

The AMA.

Wilson's disease could explain
the liver

and neurological symptoms.

It also causes
bleeding disorders.

No Kayser-Fleischer rings
in her eyes.

Rings don't have to be there if
there's neurological symptoms.

This is immoral.

Look, let's say
you're right.

We tell, she changes her mind,
our patient dies.

How is that moral?

What else?

Poison mushrooms can cause
liver failure,

sleep disturbances,
and internal bleeding.

She's not 'shrooming;
she's a sport's nut.

Right.
Skiers never party.

She's doing this out of love,
and Max doesn't know--

It's only moral to save a person
if they love you?

It's kind of a selfish way
of looking at life.

I like Wilson's disease,
like cancer, love mushrooms.

Yeah, but we don't have the time
to test for any of it.

Before she can get
the transplant,

we need to do
about 80 procedures.

So do those tests
and my tests at the same time.

Use the PET to look
for cancer and Wilson's

while you endoscope
her bile ducts,

scrape her stomach
for mushroom spores.

One of you CT her liver,
while the other two

check proteins
CA-125 and CA-19.5.

Oh yeah,
anyone says anything to Max,

they're fired.

We have to.

We have to not.

Because she's
not our patient.

She's getting surgery,
she's someone's patient.

Calvin and Sam.
Great, thank you.

Need a little help.

Inexplicable rash
on a patient's scrotum

you need me to look at?

27-year-old female wants
to donate half her liver

to her dying girlfriend.

That's very generous.

This is sleepless girl?

What's she got?

Liver failure.

Sort of figured that out
when you said she needed

a new liver.

You don't have
a diagnosis.

Transplant buys me time.

Let's just skip the part
where I say this is insane.

It was her idea.

If she wants to be an idiot,
it's her call.

You don't need me.

Just have one of your team
walk her through the process.

The donor and the donee sort of
have opposing interests, right?

You can't really
advise them both.

You're concerned
about the ethics of this?

What's going on?

What do you know?

Nothing medically relevant.

But you know something,
and it is relevant.

If I can't tell her,
I can't really tell you, can I?

Not if you're advising her.

I assume this information
is in the medical file.

My patient's
confidential file.

This hospital's file.

You can either
satisfy your curiosity,

or you can remain ignorant,
do nothing ethically wrong,

and my patient doesn't die
in three hours.

These tests and the counseling
normally happen over weeks.

Sometimes months.

It's okay.

The most important part
we're skipping is time--

time for you
to change your mind.

I don't want
to change my mind.

Not now, but
with time and perspective,

maybe we learn things--

If we had the time,
we'd take the time,

but we don't.

So can you get this
over with?

Either I sign off
on this,

or it doesn't happen.

So I need you
to listen to me.

Because there's a chance
that you will die

on that table.

I just want me and Hannah
to be able

to lie in bed together,
as old ladies.

Compare scars.

I need you
to lie on your side,

and hold your knees.

I'm gonna check
for vascular abnormalities

that might prevent us
from doing the transplant.

At the same time
I'm also checking

for mushroom spores to see
if that's the underlying--

I don't do mushrooms.

You lie about your love life,
maybe you lie about drugs.

Open.

Aren't you at all concerned
about what Max is going through

right now?

They're shoving a tube
up her rectum.

They're gonna swab her stomach,
just like I'm doing.

It's going to hurt,
just like this hurts.

Which is nothing
at all

like the risk she's taking
on the table.

You really don't love her,
do you?

I'm not leaving her
because I don't--

I'm not talking
about the leaving.

I'm talking about this.

If you care for her at all,
you won't let her do this blind.

You'd really tell.

Yeah.

You'd die.

[loud thump]

Take it you've seen that.

Seen it,
digested it,

watched it blow up
my entire department.

You read Cameron's version?

Didn't read either.

It was good.

Better than Foreman's?

Maybe.

He was more analytical
about the diagnostic procedures.

She concentrated more
on the ethical dilemmas

of informed consent.

How any patient

can really be informed
without a medical degree.

Same old party lines.

Foreman should've told her.

Oh, shoulda woulda coulda.

If you allow this sort
of thing in your department,

you're basically saying
it's okay.

No, I'm saying that I don't care
what they do

as long as my life
isn't interrupted

by pointless conversations
like this one.

They won't trust each other,
and they won't trust you.

They shouldn't.

Deception like this
is just one step removed

from actively sabotaging
one another.

Then what would
you do?

I could be the kindest,
gentlest boss in the world

and Foreman
would've still done

what he did
because that's who he is.

We can only hope that Cameron
has learned something.

Right, because you're
all about the teaching.

Our children
are the future.

Hey.

Cuddy cleared Max
for surgery.

She's okay to go.

How's our patient?

She's also cleared.

I don't care
about the prep.

I care about
the diagnostic tests.

Well, it looks negative
for Wilson's disease,

we'll know for sure
in an hour.

Blood proteins are normal,
it's not--

Where's Cameron?

Taking a sample
of the bile duct.

Surgeries are supposed
to start in about 15 minutes.

She had a chance
to get one last--

Hannah and Max will be
in the same room.

You wanted us to do
as much as we can before--

They're both awake.

With Cameron.

Maybe we should give these two
a minute together

before the surgery.

You ready, honey?

Max.

It's okay.

I'm right here.

I need you
to know something.

I know.
I love you, too.

I don't know how
to say this.

Good lord.

You can
tell me anything.

She hasn't slept
in eleven days,

you people trying
to torture her?

Ding, ding,
let's go.

I told you not--

I didn't say a word
to Max.

This is exactly why
you got screwed with Foreman.

You're looking for people
to do the right thing.

She hasn't slept,
her judgment's compromised

due to inactivity
in her prefrontal cortex.

Oh, she could have
the best prefrontal cortex

in the history
of mankind.

But given the choice
of life versus death,

those bad, bad people
are going to choose life.

Then why'd you
sedate her?

If she wasn't gonna tell,

if she was never gonna
do the right thing,

why bother
knocking her out?

This isn't about them.

If she talks,
if she does the decent thing,

then you don't get
to solve your puzzle,

your game's over,
you lose.

Yeah, I want to save her;
I'm morally bankrupt.

How's it going?

They're about
to remove Hannah's liver.

All right, I'm good to go.

You can start removing
Max's liver.

(Cuddy)
You want to let me in

on what the big secret is
between these two?

You read Foreman's article?

It was good.

He basically stole it
from me.

So?

You're on his side?

Sides?
No, this isn't dodgeball.

What am I supposed
to do?

Just sit back
and take it?

No, write another article.

Kick ass, until you're sitting
behind some big expensive desk,

and someone from Johns Hopkins
calls and says,

"We're thinking about
hiring Eric Foreman

as our Head of Neurology,"

and you can say
whatever you want.

Lovely. Revenge
as motive for success.

Well, it doesn't have
to be the motive.

But it sure
tastes good.

She's in VF.
I've got no pulse!

She's arresting.

Paddles.

Ugh!

I am so relieved
you two are here.

Without you looking out, they'd
be playing foosball down there.

Max's heart stopped.

Your patient is
on the other side.

Get yourself upstairs
and figure out what Hannah has,

or Max has risked her life
for nothing.

Charging.

Clear.

[heart monitor beeps]

We're okay.

(Chase)
Max's cardiac arrest

was caused by hypoxia
from hypoventilation.

They restarted her heart
and the right lobe of her liver

was successfully transplanted
into Hannah.

Now, where were we before
we were so rudely interrupted

by the liver transplant?

DOPA decarboxylase
was processed normally

and the cerolo-plasma
and copper levels were normal.

So no Wilson's disease.

Gastric content was negative
for spores,

so no mushroom toxicity.

And the initial tests
were negative for cancer.

Which cancer were you
looking for?

Any of them.

We ran blood tests for ovarian,
lung, and lymphomas.

It's not gonna
tell you much.

Her blood was taken after she
was given immunosuppressants.

They fight rejection.

They also mess up our ability
to get any clear readings.

Great battles kick up
a lot of dirt.

Obscure the battlefield
so generals can't see

what's going on.

So what are your orders,
General House?

Sound the retreat.

How ya feeling?

Is Max okay?

She's still unconscious,
but her vitals look good.

We need to stop all
the immunosuppressant drugs

which are protecting
your new liver.

But if you stop the drugs,
I'll die.

You're dead anyway
if we don't figure out

what caused all this.

By removing
any outside influences,

it'll help us see what's
really going on with your body.

So you did all this to buy me
a couple of days,

and now you're
taking 'em back?

Will it hurt?

As your body goes
into acute organ rejection,

your liver will begin
to swell,

it'll put pressure on--

Yeah.
It'll hurt.

We can knock you out.

Mm, no. If Max wakes up,
I want to talk to her.

[speaking Mandarin]

She's been taking
the decongestants,

but she's
not getting better.

She also says...

What?

Her boobs are bigger.

Ugh. How could you
get them mixed up?

They come
in a little wheel,

they don't look anything
like decongestants.

Oh, God! The cashier
put them both in the same bag.

I thought I gave her
the right ones.

[speaking Mandarin]

[speaking Mandarin]

No, y gave her
the wrong pills.

You speak Mandarin?

I can count to ten, ask to go
to the bathroom, and...

[speaking Mandarin]

I'm not pregnant!

We--we haven't even
done it yet.

[speaking Mandarin]

[speaking Mandarin]

Okay, I'm going
to leave you two alone now.

I'm sure you got
a lot to talk about.

[arguing in Mandarin]

Fever's 106,
she's in full rejection mode.

Is that supposed
to surprise me?

Her white count
is normal.

Normal is not normal.

She's been on steroids,
transplant team gave her

a cocktail
of immunosuppressants,

she hasn't slept
in over a week.

Her white count
should be in the tank.

Looks like the problem is
some sort of infection.

Probably caused a hypotension,
shocked the liver.

We should start
broad spectrum antibiotics.

Yeah, you might want to add
some chicken soup.

It'd be just as useless,
but it's got chicken.

We need to know exactly
what kind of infection

we're dealing with.

What infection causes
sleep disturbance, bleeding,

movement disorder,
organ failure,

and an abnormally normal
white count.

What about tularemia?

Chest was clear.

Tularemia doesn't cause
movement disorders.

It would if she developed
meningitis.

There was no ulcerations
on the skin.

With the bleeding, it looks more
like leptospirosis.

Without conjunctivitis
and elevated creatinine?

What about typhoid
or some kind of relapsing fever?

Makes sense,
if we were in the Sudan.

We sure she hasn't been
out of the country?

She hasn't even been out of
the state in at least a year.

Neither has Max.

Maybe she lied.

You talk to her friends,
neighbors?

You don't know?

Come on, if you don't stay
up to date on my notes,

where's your next article
going to come from?

You talk
to the dog?

We're not as up
on foreign languages as you are.

Ha!
Has the dog been traveling?

It came
from a breeder.

Where?

I don't know.

A place called
Blue Barrel Kennels.

They only had the thing
for like two days.

Blue Barrel is a kind
of cactus.

You see many cacti
in Jersey?

Want to see
a magic trick?

Oh, no!
Where'd it go? Where'd it go?

Is it here?

No.

What about here?

[gasp]

There it is.

Aw, that doesn't look anything
like a nose.

(Cameron)
That wasn't there this morning.

Get that to the lab
and call CDC.

And tell them what?

That we have a patient
with the plague.

The black plague?

Looks that way.

Plague is carried by rodents,
not dogs.

Where there's dogs,
there's fleas.

And if they hail
from the Southwest,

and those fleas can't tell
the difference

between prairie dogs
and puppy dogs...

A small percentage of plague
cases present

with sleep disturbance.

Imagine an idyllic river
of bacteria.

Okay, it's not idyllic for her,
but it serves my purposes.

The steroids and
immunosuppressants acted

like a big, honkin' dam
across the river--Physics 101.

Put a dam up in front
of a raging river,

the river rises.

By stopping
the immunosuppressants,

we blew up the dam
and a 100-foot wall of bacteria

flooded her lymph nodes.

We better find out
where that dog is now.

After we start
the immunosuppressants

and fill her up to the eyeballs
with streptomycin sulfate

gentamicin and tetracycline.

Use a garden hose
if you've got one.

Get yourselves some
prophylactic treatments as well.

I've got the plague?

Don't worry,
it's treatable.

Being a bitch, though,
nothing we can do about that.

You weren't
in your room.

The surgeon said I'd heal faster
if I walk.

Got this far,
needed a rest.

What you did was crazy,
but it was pretty amazing too.

Yeah,
I'm a hero.

She's been planning
to leave me.

Really?

She told a friend;
the friend let it slip.

You knew and you gave up
half your liver anyway?

She can't leave me now.

You really want her to stay
out of guilt?

That's not gonna make
either of you happy.

You don't know that.

I love her.

I just want her
to stay.

I don't own House's cases.

You had just as much right
as I did to write it up.

You shoulda told me, but
I shoulda handled it better too.

If we want this not to get
in the way of our friendship,

I think we both have
to apologize,

and put it behind us.

I like you,
really.

We have a good time
working together.

But ten years from now,
we're not gonna be hanging out,

having dinners.

Maybe we'll exchange
Christmas cards, say hi,

give a hug if we're
at the same conference.

[exhale]
We're not friends.

We're colleagues.

And I don't have anything
to apologize for.

Captioning by Elizabeth
at CaptionMax
www.captionmax.com

[snoring]