1 00:00:06,271 --> 00:00:08,535 We are condemned to useless labor. 2 00:00:08,607 --> 00:00:10,541 Fourth circle of hell. 3 00:00:10,609 --> 00:00:14,409 Charting goes a lot faster when you eliminate all classic poetry. 4 00:00:14,480 --> 00:00:17,881 Writing down what we already know to be read by nobody. 5 00:00:17,950 --> 00:00:20,783 I'm pretty sure Dante would agree that qualifies as useless. 6 00:00:20,853 --> 00:00:22,912 You're over two weeks behind in your charting. 7 00:00:24,456 --> 00:00:27,357 Oops. I missed. 8 00:00:27,426 --> 00:00:30,418 - What are you, eight? - Could an eight-year-old do this? 9 00:00:31,463 --> 00:00:34,057 You'd better stop, or it'll stick that way. 10 00:00:34,133 --> 00:00:38,570 - You have a patient in Exam One. - Yeah, but, see, I'm off at 12:00, and it's already five of. 11 00:00:38,637 --> 00:00:42,095 She's been waiting for you since 11:00. 12 00:00:44,877 --> 00:00:49,814 Melancholy without hope. Which circle is that? 13 00:00:55,054 --> 00:00:57,488 Hi. I'm Dr. House. 14 00:00:57,556 --> 00:01:01,754 What seems to be the problem? Show him your hands, Augustine. 15 00:01:08,233 --> 00:01:12,499 - It-It looks like stigmata. - Shh. Pius. 16 00:01:12,571 --> 00:01:16,166 You must be all the talk around the "holy water" cooler. 17 00:01:16,241 --> 00:01:19,404 Been washing a lot of dishes recently? I help out in the kitchen. 18 00:01:19,478 --> 00:01:23,505 - Anything new in the kitchen? - We just got a donation of saucepans and pots this week. 19 00:01:23,582 --> 00:01:28,451 - I unpacked and washed them. - Should have spent your time saving souls. It's easier on the hands. 20 00:01:28,520 --> 00:01:31,751 This is contact dermatitis. You're allergic to dish soap. 21 00:01:31,824 --> 00:01:36,420 Nonsense. We've always used that soap. Why is there a problem now? 22 00:01:36,495 --> 00:01:40,431 I've been a doctor for years. Why do I have to keep assuring people that I know what I'm doing? 23 00:01:40,499 --> 00:01:42,933 Aperson can become allergic to substances... 24 00:01:43,001 --> 00:01:45,333 that they've had repeated and prolonged exposure to. 25 00:01:46,905 --> 00:01:49,897 The good news is-- free samples. 26 00:01:51,310 --> 00:01:53,938 Diphenhydramine. It's an antihistamine. 27 00:01:54,012 --> 00:01:56,776 It'll stop the allergic reaction. 28 00:01:56,849 --> 00:02:00,376 Take one every eight hours. It might make you feel a little sleepy. 29 00:02:00,452 --> 00:02:04,013 And get some of that over-the-counter cortisone cream. Thank you, Doctor. 30 00:02:04,089 --> 00:02:06,387 You want some water? I have some tea. 31 00:02:06,458 --> 00:02:10,155 Well, you just relax for a few minutes. That stuff works pretty fast. 32 00:02:15,934 --> 00:02:19,392 Still out by 12:00. 33 00:02:19,471 --> 00:02:23,237 How do you solve a problem like dermatitis? What? 34 00:02:23,308 --> 00:02:26,835 Doctor? I want to thank you for your patience. 35 00:02:26,912 --> 00:02:31,576 She talkin' to you? I don't know. She's certainly looking at me. 36 00:02:31,650 --> 00:02:35,051 Ah, it's good to get a secular diagnosis. 37 00:02:35,120 --> 00:02:39,181 The sisters tend to interpret their illnesses as divine intervention. 38 00:02:39,258 --> 00:02:42,022 And you don't? Then you're wearing an awfully funny hat. 39 00:02:42,094 --> 00:02:44,654 Ooh, boy. Excuse me. 40 00:02:44,730 --> 00:02:48,359 If I break my leg, I believe it happened for a reason. 41 00:02:48,433 --> 00:02:50,424 I believe God wanted me to break my leg. 42 00:02:50,502 --> 00:02:53,733 I also believe he wants me to put a cast on it. 43 00:02:53,805 --> 00:02:55,739 Doctor! Something's wrong. 44 00:03:05,918 --> 00:03:09,445 Lift up your chin. 45 00:03:09,521 --> 00:03:12,547 Sister, you're having an asthma attack. I need you to relax. 46 00:03:12,624 --> 00:03:15,559 Roll up her sleeve, please. I'm gonna give you epinephrine. 47 00:03:15,627 --> 00:03:18,460 It'll open your lungs and help you breathe. 48 00:03:37,549 --> 00:03:40,575 What happened? Did she take the pill? 49 00:03:40,652 --> 00:03:43,746 - Yes. - It's probably an allergic reaction. 50 00:03:43,822 --> 00:03:46,484 She's allergic to an anti-allergy medicine? 51 00:03:46,558 --> 00:03:48,549 You figure somebody's out to get her? 52 00:03:48,627 --> 00:03:50,561 - How are you feeling? - Better. 53 00:03:50,629 --> 00:03:53,723 I'll put you on some steroids instead. 54 00:03:53,799 --> 00:03:56,666 - Is my heart supposed to be feeling so funny? - It's called adrenaline. 55 00:03:56,735 --> 00:03:59,966 It makes your heart beat fast. 56 00:04:00,038 --> 00:04:03,007 But not this fast. 57 00:04:03,075 --> 00:04:07,102 Get a nurse, please. Hold on. 58 00:04:07,179 --> 00:04:09,670 Help! Somebody help us! 59 00:04:13,018 --> 00:04:16,181 Somebody get in here! 60 00:04:17,389 --> 00:04:20,187 Call a code and charge up a defibrillator. She's got no pulse. 61 00:05:19,183 --> 00:05:22,209 You diagnosed the patient with allergies and prescribed antihistamine. 62 00:05:22,286 --> 00:05:25,255 She went into respiratory distress, 63 00:05:25,323 --> 00:05:28,121 and you injected her with epinephrine. 64 00:05:28,192 --> 00:05:30,285 Presumably 1 c.c. 65 00:05:30,361 --> 00:05:34,195 .1 c.c. That is the standard dose. That is what I gave her. 66 00:05:34,265 --> 00:05:36,290 People don't go into cardiac arrest from .1 c.c. epinephrine. 67 00:05:36,367 --> 00:05:39,632 She must have a preexisting heart condition that got exacerbated by the epinephrine. 68 00:05:39,704 --> 00:05:41,638 It's too bad you didn't make a notation in the chart. 69 00:05:41,706 --> 00:05:43,640 I can make it up right now. 70 00:05:43,708 --> 00:05:46,575 The drawer has syringes with both dosages. You could have reached for the wrong-- 71 00:05:46,644 --> 00:05:49,078 - But I didn't. - Everyone makes mistakes. 72 00:05:49,146 --> 00:05:51,205 This is why doctors pay through the nose for malpractice insurance. 73 00:05:51,282 --> 00:05:53,807 Relax. They're not gonna sue. 74 00:05:53,884 --> 00:05:56,079 The worst they'd do is whack my hand with a ruler. 75 00:05:56,153 --> 00:05:59,554 - And the discipline board-- are they gonna whack your hand too? - You're gonna report me? 76 00:05:59,623 --> 00:06:03,320 - What choice do I have? - Uh, how about not report me? 77 00:06:05,996 --> 00:06:09,955 I can justify keeping her here for a 24-hour observation. 78 00:06:10,034 --> 00:06:12,662 If you haven't found an underlying cause for the cardiac arrest by then, 79 00:06:12,737 --> 00:06:14,671 I will have to notify our attorneys. 80 00:06:21,345 --> 00:06:23,176 Her hands were red and swollen. 81 00:06:23,247 --> 00:06:26,580 Maybe she has a skin infection. Cellulitis? That could manifest with tachycardia. 82 00:06:26,650 --> 00:06:29,949 There's no history of fever. Results from the C.B.C. didn't indicate an infection. 83 00:06:30,020 --> 00:06:34,081 The eosinophils are mildly elevated. Sed rate's up a bit. Could we be looking at a systemic allergic response? 84 00:06:34,158 --> 00:06:36,752 It's not allergic. Allergies don't cause cardiac arrest like this. 85 00:06:36,827 --> 00:06:41,264 - Could be inflammation of the blood vessels. - Vasculitis? That wouldn't give you an elevated eosinophil count. 86 00:06:41,332 --> 00:06:43,129 Churg-Strauss vasculitis would. 87 00:06:43,200 --> 00:06:45,862 The blood vessels of the heart, lungs and skin become inflamed, 88 00:06:45,936 --> 00:06:49,872 causing the asthma, rash and heart problems-- covers all her symptoms. 89 00:06:49,940 --> 00:06:52,272 You need a biopsy to diagnose. Chest C.T. would be quicker. 90 00:06:52,343 --> 00:06:55,278 The lady just came in with a rash. 91 00:06:55,346 --> 00:06:57,280 What the hell are those? 92 00:06:57,348 --> 00:06:59,282 Candy canes. 93 00:06:59,350 --> 00:07:03,047 Candy canes? Are you mocking me? 94 00:07:03,120 --> 00:07:06,988 No. It-It's Christmas, and I-- 95 00:07:07,057 --> 00:07:10,823 I thought-- Relax. It's a joke. 96 00:07:10,895 --> 00:07:12,886 Isn't the prognosis for Churg-Strauss a bit grim? 97 00:07:12,963 --> 00:07:17,161 Yeah. Untreated, only 33% of patients survive past a year. 98 00:07:17,234 --> 00:07:20,726 Treated-- five years. Then I definitely suggest treatment. 99 00:07:20,805 --> 00:07:23,171 If it was any other attending doctor, I'd say that he made a mistake... 100 00:07:23,240 --> 00:07:25,174 and gave her too much epinephrine. 101 00:07:25,242 --> 00:07:28,040 Saying you wouldn't say it was my mistake... 102 00:07:28,112 --> 00:07:30,205 is saying it was my mistake. 103 00:07:31,282 --> 00:07:33,716 Everyone screws up. Your rule. 104 00:07:33,784 --> 00:07:36,048 I think you fit within the subset of "everyone". 105 00:07:36,120 --> 00:07:38,088 I didn't screw up. 106 00:07:38,155 --> 00:07:43,252 - Order a chest C.T. and start the sister on prednisone-- 40 milligrams T.I.D. - The sister? 107 00:07:43,327 --> 00:07:47,923 Oh, didn't I mention? The patient's a nun-- Sister Augustine. 108 00:07:47,998 --> 00:07:50,523 I hate nuns. 109 00:07:52,369 --> 00:07:54,337 Who doesn't? 110 00:08:06,317 --> 00:08:09,548 - Sister Augustine? - We weren't watching. 111 00:08:09,620 --> 00:08:13,181 We were trying to see if this is the bed control. 112 00:08:13,257 --> 00:08:15,350 Oh. Uh, this one's the bed control. 113 00:08:15,426 --> 00:08:17,917 And that's the TV control. 114 00:08:17,995 --> 00:08:21,294 I'm Dr. Cameron. This is Dr. Chase and Dr. Foreman. 115 00:08:21,365 --> 00:08:24,232 I haven't seen television in over 20 years. 116 00:08:24,301 --> 00:08:26,132 Do you consider it the work of the devil, 117 00:08:26,203 --> 00:08:28,398 or do you just not get cable where you live? 118 00:08:29,373 --> 00:08:32,069 - Um-- - How are you feeling, Sister? 119 00:08:32,142 --> 00:08:34,542 I seem to be a little better. They gave me some medication. 120 00:08:34,612 --> 00:08:37,046 Prednisone. It's a steroid to help with the inflammation. 121 00:08:37,114 --> 00:08:39,548 Has Dr. House figured out what I have? 122 00:08:39,617 --> 00:08:41,744 Will I be okay? We're not sure what's wrong yet. 123 00:08:41,819 --> 00:08:44,947 You'll have a chest C.T. scan this afternoon that'll help with the diagnosis. 124 00:08:45,022 --> 00:08:48,185 Dr. House is giving her medication, and he doesn't know what she has yet? 125 00:08:48,259 --> 00:08:51,660 Trust, Sister Pius. It all happens for a reason. 126 00:08:51,729 --> 00:08:53,754 He doesn't know what he's doing. 127 00:08:53,831 --> 00:08:56,800 The only problem that woman has is that House grabbed the wrong syringe. 128 00:08:56,867 --> 00:09:01,065 You don't trust him? I don't trust a man who won't admit he might be wrong. 129 00:09:01,138 --> 00:09:04,471 I notice you weren't so quick to tell her she's got Churg-Strauss and only has a couple years left. 130 00:09:04,542 --> 00:09:06,510 I don't tell patients bad news unless it's conclusive. 131 00:09:06,577 --> 00:09:08,511 Because you know he might be wrong. 132 00:09:08,579 --> 00:09:10,911 About Churg-Strauss. Not about what happened in the clinic. 133 00:09:10,981 --> 00:09:14,417 What about you, Chase? You think he's infallible too? 134 00:09:14,485 --> 00:09:18,649 All I know is, if House didn't make a mistake and Sister Augustine has Churg-Strauss, 135 00:09:18,722 --> 00:09:21,623 he'll be self-satisfied and our lives will be good for a few weeks. 136 00:09:21,692 --> 00:09:25,560 If House did make a mistake, he'll be upset and our lives will be miserable for months. 137 00:09:25,629 --> 00:09:27,756 There is that. 138 00:09:27,831 --> 00:09:30,891 If Cuddy thinks I made a mistake, the least she could do is suspend me from clinic duty. 139 00:09:30,968 --> 00:09:33,801 She doesn't confuse making a mistake with being incompetent. 140 00:09:33,871 --> 00:09:36,339 Oh, here we go-- lesson time. 141 00:09:37,474 --> 00:09:40,272 I recognize that confidence is not my short suit. 142 00:09:40,344 --> 00:09:43,074 I also recognize that I am human and capable of error. 143 00:09:43,147 --> 00:09:46,139 So you might have screwed this up? No. 144 00:09:46,216 --> 00:09:49,617 So it's merely a theoretical capacity for error. Good point. 145 00:09:49,687 --> 00:09:52,281 Maybe there isn't one. Maybe that's my error. 146 00:09:52,356 --> 00:09:55,587 Most people who think as much of themselves as you do like to talk about themselves. 147 00:09:55,659 --> 00:09:59,390 Most people don't like to listen. So, what's wrong with you? 148 00:10:09,707 --> 00:10:13,165 Let me guess-- inflammatory bowel. 149 00:10:13,243 --> 00:10:17,009 Wow. Yeah. Is it that bad? Yes. 150 00:10:17,081 --> 00:10:20,448 It's also written on your chart. 151 00:10:20,517 --> 00:10:22,747 "Bloody diarrhea, gas, pain. 152 00:10:22,820 --> 00:10:24,845 Took sulfasalazine, but it didn't work". 153 00:10:24,922 --> 00:10:28,016 - No. Then-Then I-- - "Next, tried steroid enemas. 154 00:10:28,092 --> 00:10:31,084 Oral corticosteroids--5-A.S.A., 6-mercaptopurine". 155 00:10:31,161 --> 00:10:33,356 - I'm impressed. - By my medical history? 156 00:10:33,430 --> 00:10:35,898 By how well your last doctor charted. 157 00:10:35,966 --> 00:10:38,332 It's one thing to have to go to the bathroom every hour, 158 00:10:38,402 --> 00:10:41,235 but when the kids sit on my lap, it's-- 159 00:10:41,305 --> 00:10:43,398 The store sent me home. They're gonna fire me. 160 00:10:43,474 --> 00:10:46,443 Can't you put me back on 5-A.S.A.? Maybe it'll work this time. Not likely. 161 00:10:46,510 --> 00:10:50,276 I'm giving you a prescription. It's cheap, which is good, 162 00:10:50,347 --> 00:10:52,281 because your insurance company won't pay for it. 163 00:10:59,957 --> 00:11:03,358 - "Cogaritis"? - Cigarettes. 164 00:11:03,427 --> 00:11:05,395 One twice a day. No more, no less. 165 00:11:05,462 --> 00:11:07,862 Studies have shown that cigarette smoking... 166 00:11:07,931 --> 00:11:10,593 is one of the most effective ways to control inflammatory bowel. 167 00:11:10,668 --> 00:11:14,035 Plus it's been well established that you look 30% cooler. 168 00:11:14,104 --> 00:11:17,562 - Are you kidding me? - About the looking cooler, yeah. 169 00:11:17,641 --> 00:11:20,405 - The rest is true. - Isn't it addictive and dangerous? 170 00:11:20,477 --> 00:11:24,208 Pretty much all the drugs I prescribe are addictive and dangerous. 171 00:11:24,281 --> 00:11:26,875 The only difference with this one is it's completely legal. 172 00:11:28,519 --> 00:11:30,987 Merry Christmas. 173 00:11:31,055 --> 00:11:34,786 I was talking to the nurse-- Arsenio. Do you know him? 174 00:11:34,858 --> 00:11:39,022 Not really. He can take pictures with his phone. 175 00:11:39,096 --> 00:11:42,554 Cool. That woman from the lab was interesting too. 176 00:11:42,633 --> 00:11:45,761 She studied astrophysics before becoming a nurse. 177 00:11:45,836 --> 00:11:49,795 You know the staff better than I do. I love to hear all about people. 178 00:11:49,873 --> 00:11:53,001 - Yet you live in a monastery. - It's where I serve our Lord and the world best. 179 00:11:53,077 --> 00:11:56,843 Our Lord maybe. The rest of the world, on the other hand, 180 00:11:56,914 --> 00:12:00,680 - would probably get more out of feeding the homeless or-- - Healing the sick? 181 00:12:00,751 --> 00:12:04,710 As an example, yeah. Did you always want to be a doctor? 182 00:12:04,788 --> 00:12:08,849 Always. You always want to be a nun? My parents died when I was six. 183 00:12:08,926 --> 00:12:12,555 I was raised in a foster home run by the Church. 184 00:12:12,629 --> 00:12:16,656 When I was 18, I went to the monastery, where they let me take my vows. 185 00:12:16,734 --> 00:12:19,931 I've known no other life, and I haven't wanted to. 186 00:12:20,003 --> 00:12:23,530 Okay, Sister. We need you to lie as still as possible. 187 00:12:23,607 --> 00:12:25,598 If you get scared, just let us know. 188 00:12:25,676 --> 00:12:28,474 As Jonah said from inside the whale, 189 00:12:28,545 --> 00:12:32,811 "When I had lost all hope, I turned my thoughts to the Lord." 190 00:12:32,883 --> 00:12:36,444 - Well, she's got God on her side. - I don't believe in God. 191 00:12:36,520 --> 00:12:39,853 You're not even a little agnostic? Is it supposed to smell funny? 192 00:12:39,923 --> 00:12:43,825 Someone ralphed in there this morning. We cleaned it up, but-- 193 00:12:43,894 --> 00:12:47,295 - It's normal, Sister. It's just a few more minutes. - Mm. 194 00:12:47,364 --> 00:12:50,492 I believe in a higher order that's in control of what happens, 195 00:12:50,567 --> 00:12:53,365 but not one, anthropomorphic entity called "God"... 196 00:12:53,437 --> 00:12:55,632 that's concerned with the everyday workings of you and me. 197 00:12:55,706 --> 00:12:58,470 What else is there to control but the everyday workings of you and me? 198 00:12:58,542 --> 00:13:00,510 It's always about you, Foreman. 199 00:13:00,577 --> 00:13:02,374 What are you talking about-- the trees, the fish? 200 00:13:02,446 --> 00:13:04,414 Should they be the ones that think it's all about them? 201 00:13:04,481 --> 00:13:06,540 What about you, Chase? Do you believe in God? 202 00:13:08,685 --> 00:13:13,054 I believe Sister Augustine has no vascular pathology, which means no Churg-Strauss. 203 00:13:13,123 --> 00:13:15,523 Which means House made a mistake. No, not necessarily. 204 00:13:15,592 --> 00:13:19,392 It could be something else-- thyrotoxicosis or a carcinoid. I don't get you. 205 00:13:19,463 --> 00:13:23,194 You don't believe in God, but you're willing to put complete faith in one man? 206 00:13:23,267 --> 00:13:26,600 Please. The smell. Let's get her out of there. 207 00:13:28,138 --> 00:13:30,106 I'm coming, Sister. I gotcha. 208 00:13:30,174 --> 00:13:32,608 Please. The smell. I'm comin'. 209 00:13:32,676 --> 00:13:34,906 I'm gonna be sick. There's no smell. 210 00:13:34,978 --> 00:13:40,245 No. God. Oh! It's Jesus. It's Jesus! 211 00:13:40,317 --> 00:13:42,751 He's coming for me! 212 00:13:42,820 --> 00:13:45,288 He's burning me with his touch! 213 00:13:45,355 --> 00:13:47,220 Let's get her on some Ativan. 214 00:13:47,291 --> 00:13:51,125 The smells, religious visions-- it's symptomatic of temporal lobe swelling. 215 00:13:51,195 --> 00:13:53,789 - We don't want her to-- - She's seizing. 216 00:13:53,864 --> 00:13:56,560 - Jaw block! - Help me get her on her side. 217 00:13:59,002 --> 00:14:02,267 - Religious visions? - Yeah. And next comes-- 218 00:14:09,413 --> 00:14:11,813 Patient tested positive for herpetic encephalitis. 219 00:14:11,882 --> 00:14:14,442 - What's that tell us? - Her immune system is severely compromised. 220 00:14:14,518 --> 00:14:18,079 Oh, I know. Prednisone compromises the immune system. 221 00:14:18,155 --> 00:14:23,422 - Isn't that the medicine that you gave her for that thing she doesn't have? - Yeah, that-- Hey. 222 00:14:23,493 --> 00:14:27,657 - I'm thinking that's a trick question. - Her immune system is severely compromised. 223 00:14:27,731 --> 00:14:32,634 - Two doses of prednisone wouldn't do that. - Are you hanging your diagnosis on an adverb? 224 00:14:32,703 --> 00:14:37,731 - In 10 seconds, I'm going to announce that I gave her the wrong dose in the clinic. - You're gonna admit negligence? 225 00:14:37,808 --> 00:14:40,800 Unless you leave the room. If you stay, you'll have to testify. 226 00:14:40,878 --> 00:14:44,405 Five, four, 227 00:14:44,481 --> 00:14:47,075 three, two-- 228 00:14:47,150 --> 00:14:49,118 So, there I was in the clinic, drunk. 229 00:14:49,186 --> 00:14:51,245 I opened the drawer, closed my eyes, 230 00:14:51,321 --> 00:14:53,482 take the first syringe I can find -- 231 00:14:55,359 --> 00:14:58,192 So, what are the options for a compromised immune system? 232 00:14:58,262 --> 00:15:03,393 Mixed connective tissue disease. It'd explain why she was feeling better on the prednisone. 233 00:15:03,467 --> 00:15:06,493 Sure. She was feeling better right up to the moment it almost killed her. 234 00:15:06,570 --> 00:15:09,266 On the other hand, it explains the symptoms-- 235 00:15:09,339 --> 00:15:11,864 swollen hands, pulmonary problems, cardiac problems. 236 00:15:11,942 --> 00:15:13,842 It all fits. Except her A.N.A. was normal. 237 00:15:13,911 --> 00:15:16,641 - So redraw the blood. - But the treatment is corticosteroids-- 238 00:15:16,713 --> 00:15:18,943 prednisone-- and we can't go there because of the encephalitis. 239 00:15:19,016 --> 00:15:22,975 Then we'll treat it with something that modulates the immune system but doesn't suppress it-- 240 00:15:23,053 --> 00:15:25,851 hyperbaric oxygen chamber. 241 00:15:25,923 --> 00:15:30,690 There's no protocol for putting a patient in a high-pressure oxygen room to treat auto-immune problems. 242 00:15:30,761 --> 00:15:33,127 Oh, you people. Always with the protocols. 243 00:15:34,598 --> 00:15:38,329 Prep the nun and discontinue the prednisone. 244 00:15:43,907 --> 00:15:47,001 I am both amused and annoyed... 245 00:15:47,077 --> 00:15:49,568 that you think I should be less stubborn than you are. 246 00:15:51,014 --> 00:15:54,245 You are aware of the Hippocratic oath, right? 247 00:15:54,318 --> 00:15:58,584 The one that starts, "First, do no harm", then goes on to tell us no abortions, no seductions, 248 00:15:58,655 --> 00:16:01,351 and definitely no cutting of those who labor beneath the stone? 249 00:16:01,425 --> 00:16:03,359 Yeah. I took a read once. Wasn't impressed. 250 00:16:03,427 --> 00:16:07,488 Hyperbaric treatments could cause oxygen toxicity-- lung and eye damage. 251 00:16:07,564 --> 00:16:10,055 Every treatment has its dangers. Which is why we only treat... 252 00:16:10,133 --> 00:16:12,761 if we're convinced the patient actually needs the treatment. 253 00:16:12,836 --> 00:16:15,498 I'm convinced. You're not. 254 00:16:16,707 --> 00:16:19,039 Question is, what are you gonna do about it? Hmm? 255 00:16:22,112 --> 00:16:25,172 I have an opening Thursday at 3:00. Do you have a fourth? 256 00:16:26,183 --> 00:16:28,845 Is he any good? 257 00:16:28,919 --> 00:16:30,910 Can I call you right back? Okay. 258 00:16:32,823 --> 00:16:34,814 What's up? 259 00:16:37,761 --> 00:16:41,595 The pressure will force the oxygen into your system, saturate your blood. 260 00:16:41,665 --> 00:16:44,725 It will enhance white cell activity, reduce the inflammation. 261 00:16:44,801 --> 00:16:47,929 And that will help with this mixed connective tissue disease? 262 00:16:48,005 --> 00:16:51,168 We'll be doing about 10 treatments, and then we'll reevaluate. 263 00:16:51,241 --> 00:16:54,608 The last treatment with prednisone caused the seizures, right? 264 00:16:54,678 --> 00:16:58,546 How confident is Dr. House about this? 265 00:16:58,615 --> 00:17:01,379 That you reacted so strongly to the prednisone let us know... 266 00:17:01,451 --> 00:17:03,544 that you had an underlying problem with your immune system. 267 00:17:03,620 --> 00:17:07,078 I guess it was a blessing... of sorts. 268 00:17:11,495 --> 00:17:14,157 So, who's your favorite reindeer, Nurse Arnold? 269 00:17:14,231 --> 00:17:16,165 Rudolph. I would've thought it was Vixen. 270 00:17:16,233 --> 00:17:19,600 What are you implying? Nothing. 271 00:17:19,669 --> 00:17:22,297 But I saw you at the Christmas party with Dr. Riles... 272 00:17:22,372 --> 00:17:24,806 and Dr. Jorkins and Nurse Crandall. 273 00:17:24,875 --> 00:17:26,900 I was just doing some Christmas dancing. 274 00:17:26,977 --> 00:17:31,471 This is a chapel, a house of prayer. 275 00:17:31,548 --> 00:17:33,675 House of prayer? Huh. 276 00:17:33,750 --> 00:17:35,684 That explains the good reception. 277 00:17:35,752 --> 00:17:38,812 Also why nobody's ever here. 278 00:17:40,924 --> 00:17:43,017 I need to talk with you, Dr. House. 279 00:17:43,093 --> 00:17:46,221 Sister Augustine believes in things that aren't real. 280 00:17:47,531 --> 00:17:49,795 I thought that was a job requirement for you people. 281 00:17:49,866 --> 00:17:54,360 She's been known to lie to get sympathy. 282 00:17:54,438 --> 00:17:56,702 She's a hypochondriac. 283 00:17:56,773 --> 00:18:00,732 So you're warning me that I may be treating a nonexistent ailment. 284 00:18:00,811 --> 00:18:03,302 Sore throats, joint pains. 285 00:18:03,380 --> 00:18:06,247 There's always something wrong, and there's never a reason for it. 286 00:18:06,316 --> 00:18:08,341 Mother Superior plays right into it-- 287 00:18:08,418 --> 00:18:11,114 lets Augustine off work duties, 288 00:18:11,188 --> 00:18:13,952 treating her as fragile, special. 289 00:18:14,024 --> 00:18:16,822 That must make you angry. 290 00:18:16,893 --> 00:18:18,884 It bothers me. 291 00:18:18,962 --> 00:18:21,430 It's not really in Augustine's best interests. 292 00:18:25,102 --> 00:18:28,469 You want some? 293 00:18:28,538 --> 00:18:31,530 I shouldn't. 294 00:18:36,313 --> 00:18:39,373 I guess you gotta be good at reading people to be a good infirmarian, huh? 295 00:18:39,449 --> 00:18:42,475 Mm. Mm-hmm. 296 00:18:42,552 --> 00:18:45,180 So, we've got pride, anger, envy, gluttony-- 297 00:18:46,556 --> 00:18:49,753 That's four out of seven deadly sins in under two minutes. 298 00:18:49,826 --> 00:18:52,818 Do you people keep records of these things? Is there a "Cathlympics"? 299 00:18:54,998 --> 00:18:57,990 They say you have a gift. They like to talk. 300 00:18:58,068 --> 00:19:01,595 - You hide behind your intelligence. - Yeah. That's pretty stupid. 301 00:19:01,671 --> 00:19:04,663 And you make jokes because you're afraid to take anything seriously. 302 00:19:04,741 --> 00:19:07,005 Because if you take things seriously, they matter. 303 00:19:07,077 --> 00:19:10,171 And if they matter-- When things go wrong, I get hurt. 304 00:19:10,247 --> 00:19:13,341 - I'm not tough. I'm vulnerable. - I barely know you. 305 00:19:13,416 --> 00:19:16,613 And I don't know if I'm right. I just hope I am. 306 00:19:16,686 --> 00:19:19,086 Because the alternative is... 307 00:19:19,156 --> 00:19:21,624 you really are as miserable as you seem to be. 308 00:19:24,528 --> 00:19:27,656 You know, from the way you're looking at me right now, 309 00:19:27,731 --> 00:19:29,699 I'd say you just hit number five. 310 00:19:31,034 --> 00:19:33,400 Lust. 311 00:19:45,315 --> 00:19:48,580 Dr. Brown, I love you too. 312 00:19:57,127 --> 00:20:00,426 How are you feeling? A little weak. 313 00:20:00,497 --> 00:20:03,159 - That's from the oxygen. - My mouth is dry. 314 00:20:03,233 --> 00:20:06,600 Okay. Well, uh, I'll get you some of your tea. 315 00:20:08,805 --> 00:20:12,605 Mixed connective tissue disease? Her A.N.A. is barely elevated. 316 00:20:12,676 --> 00:20:15,406 Thanks for checking up on her. Good to know you got my back. 317 00:20:15,478 --> 00:20:19,141 O2 sat's down to 83. Pulmonary problems, breathing problems. 318 00:20:19,216 --> 00:20:21,241 Irritation from the oxygen is typical. 319 00:20:21,318 --> 00:20:24,219 She comes in with a rash, and you put her into cardiac arrest. 320 00:20:24,287 --> 00:20:26,448 That well just never runs dry, does it? 321 00:20:26,523 --> 00:20:30,015 If there was no underlying problem, why is she still having the rapid heart rate? 322 00:20:30,093 --> 00:20:32,721 Maybe from the herpetic encephalitis caused by you giving her prednisone. 323 00:20:32,796 --> 00:20:34,991 Her reaction is a symptom, not an error. 324 00:20:35,065 --> 00:20:37,226 There's always an explanation, isn't there? Yes, there is. 325 00:20:37,300 --> 00:20:40,235 And if this one doesn't work, we'll find another. But never one involving you screwing up. 326 00:20:40,303 --> 00:20:42,294 One that fits all the facts. 327 00:20:42,372 --> 00:20:45,671 Look, we obviously have a difference of opinion, and that's fine. 328 00:20:45,742 --> 00:20:49,337 But, unfortunately, I've used up all the time I budgeted today for banging my head against a wall. 329 00:20:49,412 --> 00:20:52,848 I'm gonna do you the biggest favor one doctor can do for another. 330 00:20:52,916 --> 00:20:55,714 I am gonna stop you from killing your patient. 331 00:20:55,785 --> 00:20:58,185 You're off the case. 332 00:21:17,473 --> 00:21:19,668 We're gonna treat the symptoms. Not the underlying condition? 333 00:21:19,742 --> 00:21:22,267 There is no underlying condition. What's her status? 334 00:21:22,344 --> 00:21:24,403 The sister's breathing is labored. 335 00:21:24,480 --> 00:21:26,880 Pneumonitis from the hyperbaric chamber. 336 00:21:26,949 --> 00:21:30,316 Put her on 40% oxygen until her O2 sats increase. B.U.N. and creatinine's rising. 337 00:21:30,386 --> 00:21:32,946 A.L.T. and A.S.T. twice the normal range. 338 00:21:33,022 --> 00:21:36,617 Could be from the hypotensive episode. Let's follow them with labs. 339 00:21:36,692 --> 00:21:40,355 She still has the rash and joint pain she came in with. 340 00:21:40,429 --> 00:21:43,956 Order a nonsteroidal anti-inflammatory. When we were looking at the differential diagnosis with Dr. House, 341 00:21:44,033 --> 00:21:46,934 we were considering-- I don't need to hear what Dr. House was considering. 342 00:21:47,002 --> 00:21:50,438 All of this woman's symptoms can be traced to Dr. House's considerations. 343 00:21:53,108 --> 00:21:55,042 Okay. 344 00:21:55,110 --> 00:21:57,601 Let's just get this patient healthy. 345 00:21:57,680 --> 00:22:00,410 I want her going out the front door and not the back. 346 00:22:02,418 --> 00:22:04,352 Hey, it's not like I betrayed him. 347 00:22:04,420 --> 00:22:06,888 Cuddy would have found out about the hyperbaric treatments eventually. 348 00:22:06,955 --> 00:22:09,116 You did what you thought you had to. 349 00:22:25,574 --> 00:22:27,508 Can't get enough of this place, huh? 350 00:22:29,311 --> 00:22:31,245 Came for my stethoscope. 351 00:22:31,313 --> 00:22:34,339 So I shouldn't read too much into the fact that you were looking for it... 352 00:22:34,416 --> 00:22:36,407 in the drawer with the epinephrine syringes in it? 353 00:22:38,520 --> 00:22:41,580 Okay. Yeah, I'd like to clear my reputation. 354 00:22:41,657 --> 00:22:45,218 Oh, right. I forgot how much you care about what people think. 355 00:22:45,294 --> 00:22:48,127 Prescribing cigarettes for inflammatory bowel? 356 00:22:48,197 --> 00:22:50,290 That's, uh-- They cause lung cancer, you know. 357 00:22:50,366 --> 00:22:53,130 You know why they have ribbons for breast cancer, 358 00:22:53,202 --> 00:22:56,968 colorectal cancer, prostate cancer-- and not for lung cancer? 359 00:22:57,039 --> 00:22:59,007 They ran out of colors? 360 00:22:59,074 --> 00:23:01,634 It's because people blame lung cancer patients. 361 00:23:01,710 --> 00:23:03,644 They smoke. They screwed up. They deserve to die. 362 00:23:03,712 --> 00:23:06,806 The reason people die from lung cancer is guilt. 363 00:23:06,882 --> 00:23:09,715 Huh. Well, guilt does a lot of damage. 364 00:23:11,687 --> 00:23:14,053 You said that with great significance. 365 00:23:14,123 --> 00:23:17,957 You're not here to find your stethoscope. You're not here to clear your reputation. 366 00:23:18,026 --> 00:23:22,190 You're here because you're having doubts. You might have screwed up. 367 00:23:22,264 --> 00:23:24,858 I'm here because, if I'm right, Cuddy is killing that patient. 368 00:23:24,933 --> 00:23:27,299 Okay. But if you're wrong? 369 00:23:29,772 --> 00:23:31,706 Then she's saving her. Fine. 370 00:23:31,774 --> 00:23:34,174 You're gonna have to go through every record of every patient... 371 00:23:34,243 --> 00:23:36,734 who's been through this clinic in the last two days. 372 00:23:36,812 --> 00:23:39,975 And you're gonna have to hope that those records can be trusted. 373 00:23:40,048 --> 00:23:42,243 Which, by the way, yours can't. 374 00:23:52,961 --> 00:23:56,089 These pills will help your kidneys function a little better, Sister. 375 00:24:03,105 --> 00:24:05,039 Get your wrist? 376 00:24:06,842 --> 00:24:09,242 What's that? 377 00:24:09,311 --> 00:24:11,677 104. 378 00:24:11,747 --> 00:24:14,739 Is that good? It's fine. 379 00:24:16,018 --> 00:24:19,954 You're a lousy liar, Dr. Chase. 380 00:24:25,861 --> 00:24:28,694 I have to get this. Excuse me. 381 00:24:31,300 --> 00:24:33,530 My mother's been dead for 10 years. 382 00:24:34,670 --> 00:24:36,638 But she's always with you in spirit. 383 00:24:36,705 --> 00:24:38,798 What do you know about the nun? Which one? 384 00:24:38,874 --> 00:24:42,310 The cute one. I think she likes me. 385 00:24:42,377 --> 00:24:46,108 - The sick one, obviously. - Her parents died when she was a child. 386 00:24:46,181 --> 00:24:48,775 She's been with the Church ever since. What's she lying about? 387 00:24:48,851 --> 00:24:51,319 - Why do you say that? - I always say that. 388 00:24:51,386 --> 00:24:54,082 And the old nun thinks the sick nun is a big fat nun liar. 389 00:24:54,156 --> 00:24:56,920 You know nuns. What do you think? I don't know nuns. 390 00:24:56,992 --> 00:24:59,984 You hate nuns. You can't hate someone if you don't know them. 391 00:25:00,062 --> 00:25:02,622 Know any Nazis? Maybe I hate them on principle. 392 00:25:04,199 --> 00:25:06,895 I have a theory about what makes good boys good. 393 00:25:06,969 --> 00:25:10,302 It's not because of some moral imperative. 394 00:25:10,372 --> 00:25:12,704 Good boys have the fear of God put into them. 395 00:25:12,774 --> 00:25:15,834 Catholic Church specializes in that kind of training-- 396 00:25:15,911 --> 00:25:18,903 to make good boys afraid of divine retribution, 397 00:25:18,981 --> 00:25:21,108 so they'll do what their daddies tell them-- 398 00:25:21,183 --> 00:25:25,085 like, for example, going into medical school when it's the last thing they wanna do. 399 00:25:25,153 --> 00:25:27,087 What do you think? 400 00:25:28,557 --> 00:25:31,287 I think, if she did have a secret, her boss would know. 401 00:25:36,865 --> 00:25:40,357 Did you paint or put in new carpets recently? No. 402 00:25:40,435 --> 00:25:42,630 Any way she could have got access to drugs? 403 00:25:42,704 --> 00:25:46,765 We lock all our medications in the infirmary, and we don't keep prescription drugs here. 404 00:25:46,842 --> 00:25:51,108 Why haven't you asked Sister Augustine about these things directly? 405 00:25:51,179 --> 00:25:54,114 I've found that when you want to know the truth about someone, 406 00:25:54,182 --> 00:25:56,946 that someone is probably the last person you should ask. 407 00:25:57,019 --> 00:25:59,647 Ah. And have you been speaking to Sister Eucharist? 408 00:25:59,721 --> 00:26:03,350 She ratted out her fellow sister pretty quickly. Oh. 409 00:26:03,425 --> 00:26:05,655 If I were you, I'd have her repeat a year of nun school. 410 00:26:05,727 --> 00:26:09,060 Well, becoming a nun doesn't make you a saint. 411 00:26:09,131 --> 00:26:11,565 Becoming a doctor doesn't make you a healer. 412 00:26:11,633 --> 00:26:15,467 And just because we live in a monastery, and we spend most of our time in prayer, 413 00:26:15,537 --> 00:26:18,404 doesn't mean we don't find time for drama. 414 00:26:18,473 --> 00:26:20,338 So, what is the sick one's drama? 415 00:26:20,409 --> 00:26:25,142 Sister Augustine lived in Catholic foster care until she came to us. 416 00:26:27,215 --> 00:26:29,911 - Tea? - Sure. 417 00:26:33,088 --> 00:26:35,716 Do all of you lie? 418 00:26:35,791 --> 00:26:38,316 It's a good strategy; it's simpler when you all tell the same lie. 419 00:26:38,393 --> 00:26:41,362 She has not spent her entire life as a good Catholic. 420 00:26:41,430 --> 00:26:45,366 When she had a cardiac arrest, I had to open her blouse to do C.P.R. 421 00:26:45,434 --> 00:26:48,426 And I learned two things: nuns can have nice breasts, 422 00:26:48,503 --> 00:26:52,997 and she has a tattoo on her shoulder-- of a skunk. 423 00:26:53,075 --> 00:26:57,171 Now, maybe it's the sacred skunk of Joseph, 424 00:26:57,245 --> 00:27:00,510 but, as far as I know, Catholic foster care and monasteries... 425 00:27:00,582 --> 00:27:03,380 do not keep tattoo parlors in their refectories. 426 00:27:03,452 --> 00:27:06,148 We consider that our life begins... 427 00:27:06,221 --> 00:27:08,746 when we put on our habits and take our vows. 428 00:27:10,459 --> 00:27:14,418 - What happens before then-- - Is irrelevant to you, but it's relevant to me. 429 00:27:18,567 --> 00:27:21,866 Sister Augustine went into foster care when she was six years old, 430 00:27:21,937 --> 00:27:24,531 but she left when she was 12. 431 00:27:24,606 --> 00:27:27,473 She lived on the streets. She got into drugs. 432 00:27:28,844 --> 00:27:30,937 When she was 15, she became pregnant. 433 00:27:31,013 --> 00:27:32,947 Tried to self-abort. 434 00:27:33,015 --> 00:27:35,950 She lost the child. She became ill. 435 00:27:36,018 --> 00:27:37,952 We took her in when she came back. 436 00:27:38,020 --> 00:27:42,548 If we had thought it was medically relevant, we would have told you. 437 00:27:44,626 --> 00:27:46,651 It's not. 438 00:27:54,770 --> 00:27:58,570 This tea is delicious. Local herbs? 439 00:27:59,574 --> 00:28:02,839 Any change with the medication? Yes. She's getting worse. 440 00:28:02,911 --> 00:28:06,210 Lung function's deteriorating. B.U.N. and creatinine continuing to rise. 441 00:28:06,281 --> 00:28:08,772 She's starting to run a fever, and the rash is spreading. 442 00:28:08,850 --> 00:28:11,080 At this rate, she's not gonna make Christmas. Maybe House is right. 443 00:28:11,153 --> 00:28:13,485 Maybe there is an underlying condition that explains the symptoms. 444 00:28:13,555 --> 00:28:16,149 Something we haven't considered. Like what? 445 00:28:16,224 --> 00:28:18,351 It could be a metabolic disorder. Specifically? 446 00:28:18,427 --> 00:28:20,361 Might be genetic. Specifically? 447 00:28:20,429 --> 00:28:22,761 I'm just saying-- You're just saying you think House is right. 448 00:28:22,831 --> 00:28:25,356 Might be right. Ofcourse he might be right. 449 00:28:25,434 --> 00:28:28,267 It might be the hand of God at work. Don't say it's something else... 450 00:28:28,336 --> 00:28:30,634 unless you've got something concrete to offer. 451 00:28:32,941 --> 00:28:35,136 What's this, hemlock? 452 00:28:35,210 --> 00:28:38,509 I'm gonna do you the biggest favor one doctor can do another. 453 00:28:38,580 --> 00:28:40,514 I'm gonna stop you from killing your patient. 454 00:28:41,883 --> 00:28:45,876 It's figwort tea-- great for that little pick-me-up we're all looking for in the morning. 455 00:28:45,954 --> 00:28:49,549 Opens the lungs, increases the blood pressure, stimulates the heart. 456 00:28:49,624 --> 00:28:53,526 Unfortunately, if you then get injected with even .1 c.c. of epinephrine-- 457 00:28:53,595 --> 00:28:56,155 instant cardiac arrest. 458 00:28:57,232 --> 00:28:59,496 - Still, what the hell, it tastes great. - Sister Augustine-- 459 00:28:59,568 --> 00:29:02,059 Has been drinking it religiously, so to speak. 460 00:29:02,137 --> 00:29:05,129 And if you take the cardiac arrest out of the equation-- 461 00:29:05,207 --> 00:29:09,405 All the rest of the symptoms can be explained by a severe long-term allergic reaction. 462 00:29:09,478 --> 00:29:11,639 Well, that's what Cameron said in the beginning. 463 00:29:11,713 --> 00:29:15,308 Yes, she did. Well done. 464 00:29:15,383 --> 00:29:20,582 But your unwillingness to stick by your diagnosis almost killed this woman. 465 00:29:20,655 --> 00:29:23,215 Take a lesson from Foreman-- stand up for what you believe. 466 00:29:24,760 --> 00:29:28,924 Okay. Let's go figure out how to save a nun. 467 00:29:28,997 --> 00:29:31,022 Damned if you do, damned if you don't. 468 00:29:32,501 --> 00:29:34,435 Because it's been untreated for so long, 469 00:29:34,503 --> 00:29:37,028 it's gone from a simple "watery eyes, scratchy throat" allergy... 470 00:29:37,105 --> 00:29:39,437 to a whopping "I'm gonna kick your ass" allergy-- 471 00:29:39,508 --> 00:29:43,501 compromising her immune system, diminishing her ability to heal and breaking down her organ systems. 472 00:29:43,578 --> 00:29:47,014 So, what's the source? The dish soap. 473 00:29:47,082 --> 00:29:50,108 No. The symptoms persisted days after the dish-washing episode. 474 00:29:50,185 --> 00:29:53,382 It's gotta be something she's been exposed to here in the hospital as well as the monastery. 475 00:29:53,455 --> 00:29:55,616 What about the tea? It caused her arrhythmia. 476 00:29:55,690 --> 00:29:57,624 Could be, but it's not definitive. 477 00:29:57,692 --> 00:30:00,490 We'll skin-test for allergens. Not yet. She's too reactive. 478 00:30:00,562 --> 00:30:02,496 She tests positive to everything. We need to stabilize her-- 479 00:30:02,564 --> 00:30:05,658 isolate her from all possible allergens-- give her system a rest. 480 00:30:05,734 --> 00:30:07,668 Get her in a clean room. Okay. 481 00:30:07,736 --> 00:30:09,863 Then gradually introduce allergens and see how she responds. 482 00:30:09,938 --> 00:30:12,805 When she reacts to something, we'll know that's what's killing her. 483 00:30:14,276 --> 00:30:17,211 There you go. No television, no books. 484 00:30:17,279 --> 00:30:19,543 - Not even my Bible? - I'm afraid not. 485 00:30:19,614 --> 00:30:21,980 This room has filtered air, filtered water. 486 00:30:22,050 --> 00:30:25,918 You even have silk sheets-- very decadent and hypoallergenic. 487 00:30:25,987 --> 00:30:28,455 You should be feeling better here. 488 00:30:30,959 --> 00:30:34,122 We'll be back to check on you in a little while. 489 00:30:34,196 --> 00:30:38,394 Can the other sisters come in and pray with me? 490 00:30:39,668 --> 00:30:42,432 It'd be better if you don't have any visitors. 491 00:30:42,504 --> 00:30:45,098 Once we isolate what's causing your allergy, 492 00:30:45,173 --> 00:30:47,107 then we can be a little more lax. 493 00:30:56,885 --> 00:31:00,753 I-I can pray with you. 494 00:31:00,822 --> 00:31:03,552 I don't wanna die. 495 00:31:03,625 --> 00:31:05,786 Why has he left me? 496 00:31:15,770 --> 00:31:17,795 I was in seminary school. 497 00:31:19,875 --> 00:31:22,139 They asked us once what our favorite passage was. 498 00:31:22,210 --> 00:31:25,373 I chose First Peter, chapter one, verse seven. 499 00:31:27,616 --> 00:31:31,450 "These trials only test your faith to see whether or not it is strong and pure. 500 00:31:31,519 --> 00:31:36,821 Your faith is being tested, as fire tests gold and purifies it". 501 00:31:36,892 --> 00:31:40,293 "And your faith is far more precious to the Lord than mere gold. 502 00:31:40,362 --> 00:31:42,694 "So if your faith remains strong after being tested, 503 00:31:42,764 --> 00:31:47,394 "it will bring you much praise and glory and honor... 504 00:31:48,870 --> 00:31:50,804 on the day of his return". 505 00:31:50,872 --> 00:31:52,999 He hasn't left you. 506 00:31:57,045 --> 00:32:00,071 The only thing in the way of you knowing he's there is your fear. 507 00:32:00,148 --> 00:32:05,848 You have a choice-- faith or fear. That's the test. 508 00:32:05,921 --> 00:32:08,082 Choosing faith doesn't mean I won't die. 509 00:32:08,156 --> 00:32:10,317 But it will affect how you experience your death... 510 00:32:10,392 --> 00:32:12,986 and, therefore, your life. 511 00:32:13,061 --> 00:32:14,824 It's up to you. 512 00:32:14,896 --> 00:32:17,888 Why did you leave seminary school? 513 00:32:19,634 --> 00:32:22,228 That test. 514 00:32:22,304 --> 00:32:24,898 You passed. I didn't. 515 00:32:26,308 --> 00:32:29,539 We'll call you if anything changes. Will she be all right? 516 00:32:29,611 --> 00:32:33,547 As long as she's not exposed to anything that can aggravate her allergy, she'll be fine. 517 00:32:34,983 --> 00:32:38,942 I need some help in here! 518 00:32:41,523 --> 00:32:44,583 Screw the procedure! She's in anaphylactic shock! 519 00:32:44,659 --> 00:32:46,889 No way. She's in a damn clean room. You kidding me? 520 00:32:46,962 --> 00:32:48,896 Get in here! 521 00:32:48,964 --> 00:32:53,594 . 1 c.c. of epi. We've got to intubate. 522 00:32:53,668 --> 00:32:56,102 I got it. Get the ambu bag. 523 00:33:07,849 --> 00:33:10,317 I'm in. 524 00:33:22,464 --> 00:33:24,955 Breathing's stabilized. 525 00:33:26,334 --> 00:33:28,802 It's a clean room. 526 00:33:36,711 --> 00:33:39,179 How do you get an allergic reaction in a clean room? 527 00:33:41,116 --> 00:33:45,143 Maybe it was the preservatives in the I.V.? Checked that. 528 00:33:45,220 --> 00:33:47,780 Latex tubing? Checked that. Checked everything. 529 00:33:47,856 --> 00:33:52,555 Well, it could be mast cell leukemia. It can cause anaphylaxis. 530 00:33:52,627 --> 00:33:58,122 I checked the blood levels, and it's not eosinophilia or idiopathic anaphylaxis. 531 00:33:58,199 --> 00:34:01,327 Maybe it's just divine will. 532 00:34:01,403 --> 00:34:03,894 It's not my will. 533 00:34:08,109 --> 00:34:12,876 You do realize, if you're wrong-- about the big picture, that is-- 534 00:34:12,947 --> 00:34:14,881 you're going to burn, right? 535 00:34:14,949 --> 00:34:17,110 What do you want me to do-- just accept it, pack it in? 536 00:34:17,185 --> 00:34:20,643 Yeah. I want you to accept that sometimes patients die against all reason, 537 00:34:20,722 --> 00:34:22,656 and sometimes they get better against all reason. 538 00:34:22,724 --> 00:34:25,215 No, they don't. We just don't know the reason. 539 00:34:25,293 --> 00:34:27,989 I think the nuns would agree with you on that. 540 00:34:37,172 --> 00:34:40,141 I just wanted to say that I know that you did everything you could. 541 00:34:40,208 --> 00:34:43,541 I don't need verification from you to know that I'm doing my job well. 542 00:34:43,611 --> 00:34:46,512 That's your problem, not mine. I was just being nice. 543 00:34:46,581 --> 00:34:49,345 Yeah, well, you don't need to always do that. 544 00:34:51,820 --> 00:34:53,685 Merry Christmas. 545 00:35:03,298 --> 00:35:06,665 Sister Augustine's been extubated. 546 00:35:08,970 --> 00:35:12,201 Good. She's requested to check out, against medical advice. 547 00:35:12,273 --> 00:35:14,207 She wants to go back to the monastery. 548 00:35:14,275 --> 00:35:16,539 Well, talk her out of it. 549 00:35:16,611 --> 00:35:19,910 I think I may have talked her into it. 550 00:35:36,764 --> 00:35:39,096 Room's paid up for the rest of the week. 551 00:35:40,602 --> 00:35:42,536 Might as well stick around. 552 00:35:42,604 --> 00:35:46,870 This illness... is a test of my faith. 553 00:35:46,941 --> 00:35:51,139 If it's his will to take me, it doesn't matter where I am. 554 00:35:51,212 --> 00:35:53,942 I can accept that. 555 00:35:54,015 --> 00:35:56,415 Does anybody believe anything you say? 556 00:35:58,319 --> 00:36:00,253 You're not accepting. 557 00:36:01,723 --> 00:36:03,657 You're running away. 558 00:36:03,725 --> 00:36:05,886 Just like you always do. 559 00:36:05,960 --> 00:36:08,793 You ran away from the monastery to get laid. 560 00:36:10,064 --> 00:36:13,864 You ran away from the real world when getting laid didn't work out so good. 561 00:36:13,935 --> 00:36:17,735 Now things aren't working out again, so off you go. 562 00:36:17,805 --> 00:36:21,741 Why is it so difficult for you to believe in God? 563 00:36:21,809 --> 00:36:26,143 What I have difficulty with is the whole concept of belief. 564 00:36:26,214 --> 00:36:28,682 Faith isn't based on logic and experience. 565 00:36:28,750 --> 00:36:32,186 I experience God on a daily basis... 566 00:36:32,253 --> 00:36:36,087 and the miracle of life all around-- 567 00:36:36,157 --> 00:36:40,025 the miracle of birth, the miracle of love. 568 00:36:40,094 --> 00:36:42,824 He is always with me. 569 00:36:42,897 --> 00:36:47,129 Where is the miracle in delivering a crack-addicted baby? 570 00:36:47,202 --> 00:36:49,534 Hmm? 571 00:36:49,604 --> 00:36:53,040 Then watching her mother abandon her 'cause she needs another score. 572 00:36:53,107 --> 00:36:55,234 Miracle of love. 573 00:36:55,310 --> 00:36:58,108 You're over twice as likely to be killed... 574 00:36:58,179 --> 00:37:01,148 by the person you love than by a stranger. 575 00:37:01,216 --> 00:37:04,413 Are you trying to talk me out of my faith? 576 00:37:04,485 --> 00:37:08,319 You can have all the faith you want in spirits and the afterlife... 577 00:37:08,389 --> 00:37:11,187 and heaven and hell. 578 00:37:11,259 --> 00:37:13,989 But when it comes to this world, don't be an idiot. 579 00:37:15,163 --> 00:37:18,599 'Cause you can tell me that you put your faith in God to get you through the day, 580 00:37:18,666 --> 00:37:21,692 but when it comes time to cross the road, I know you look both ways. 581 00:37:21,769 --> 00:37:26,536 I don't believe he is inside me and is going to save me. 582 00:37:26,608 --> 00:37:31,341 I believe he is inside me whether I live or die. 583 00:37:31,412 --> 00:37:33,403 Then you might as well live. 584 00:37:35,350 --> 00:37:37,750 You got a better shot betting on me than on him. 585 00:37:39,621 --> 00:37:42,317 When I was 15, 586 00:37:42,390 --> 00:37:46,884 I was on every kind of birth control known to man-- 587 00:37:46,961 --> 00:37:50,294 and I still got pregnant. 588 00:37:50,365 --> 00:37:55,268 I blamed God. I hated him for ruining my life. 589 00:37:55,336 --> 00:37:57,270 But then I realized something. 590 00:37:57,338 --> 00:38:02,970 You can't be angry with God and not believe in him at the same time. 591 00:38:03,044 --> 00:38:06,775 No one can. Not even you, Dr. House. 592 00:38:11,953 --> 00:38:15,912 How'd it go? She has God inside her. 593 00:38:15,990 --> 00:38:19,187 It would have been easier to deal with a tumor. 594 00:38:19,260 --> 00:38:21,490 Maybe she's allergic to God? 595 00:38:26,501 --> 00:38:29,436 We've looked everywhere for an allergen that could be causing this reaction... 596 00:38:29,504 --> 00:38:31,597 except one place-- inside her. 597 00:38:31,673 --> 00:38:35,040 On her medical history, she didn't mention any surgery. She had one. 598 00:38:35,109 --> 00:38:38,545 Can we get her records? What hospital was it at? She didn't have it at a hospital. 599 00:38:38,613 --> 00:38:41,707 Order a full body scan. What if she refuses? 600 00:38:41,783 --> 00:38:45,310 Tell her I'm looking for a miracle. 601 00:38:46,454 --> 00:38:49,423 No piercings. No fillings. 602 00:38:49,490 --> 00:38:53,153 No surgical pins in the arm. No implants. 603 00:38:53,227 --> 00:38:56,025 It's clean as a whistle. What's House looking for? 604 00:38:57,598 --> 00:39:01,261 - What is that? - Don't know. 605 00:39:01,336 --> 00:39:03,930 Lock on it. Get a 3-D representation. 606 00:39:09,110 --> 00:39:11,943 Oh, my God. 607 00:39:14,882 --> 00:39:19,444 The copper cross-- a form of birth control pulled off the market in the '80s. 608 00:39:19,520 --> 00:39:23,217 - So she's allergic to copper. - Rare, but it happens. 609 00:39:23,291 --> 00:39:25,122 Wouldn't she know she had an I.U.D.? 610 00:39:25,193 --> 00:39:27,684 She had an abortion. I.U.D. must have been left in, 611 00:39:27,762 --> 00:39:30,856 embedded in the endometrial tissue where it couldn't be detected. 612 00:39:30,932 --> 00:39:34,060 So, all we have to do is remove the I.U.D. 613 00:39:34,135 --> 00:39:36,433 Then the symptoms should subside. 614 00:39:36,504 --> 00:39:41,203 I got this I.U.D. when I was 15. It-It's been more than 20 years. 615 00:39:41,275 --> 00:39:44,369 Prolonged exposure to an allergen with minimal symptoms. 616 00:39:44,445 --> 00:39:48,939 But at some point. all it takes is one last contact to cause a full-blown reaction. 617 00:39:49,016 --> 00:39:52,349 Just like a balloon filled with air-- one last breath, it explodes. 618 00:39:53,354 --> 00:39:56,721 The first time I got the rash was when I was washing the copper cookware. 619 00:39:56,791 --> 00:40:01,751 And all your subsequent symptoms came from ingesting food prepared in it. 620 00:40:01,829 --> 00:40:04,320 Dr. House found his miracle. 621 00:40:04,399 --> 00:40:06,333 I doubt he'll interpret it that way. 622 00:40:08,636 --> 00:40:10,661 You told me your favorite passage. 623 00:40:10,738 --> 00:40:12,729 Would you like to hear mine? 624 00:40:14,976 --> 00:40:17,035 "Celebrate and be glad, 625 00:40:17,111 --> 00:40:20,046 because your brother was dead and is alive again". 626 00:40:20,114 --> 00:40:23,083 The prodigal son. 627 00:40:23,151 --> 00:40:26,450 He'll be waiting for you when you're ready. 628 00:40:28,289 --> 00:40:30,519 We'll schedule your surgery for tomorrow. 629 00:40:37,565 --> 00:40:39,499 The sixth circle of hell. 630 00:40:39,567 --> 00:40:43,298 Confined in a sweat box with a bloody nose, and all the tissues are soggy. 631 00:40:43,371 --> 00:40:45,635 I think that's the seventh. No. The seventh is-- 632 00:40:45,706 --> 00:40:49,642 God, you must be fun at parties. I think we both know the flaw in that theory. 633 00:40:49,710 --> 00:40:53,202 How's the sister? Heart rate is normal, kidneys functioning. 634 00:40:53,281 --> 00:40:56,614 You know how it is with nuns. You take out their I.U.D.'s, they just bounce right back. 635 00:40:56,684 --> 00:40:59,050 Great. Told you I didn't screw up. 636 00:41:00,688 --> 00:41:03,885 You screwed up. I gave her .1 c.c. of epinephrine. 637 00:41:03,958 --> 00:41:06,552 Yeah, and if Cuddy hadn't taken you off the case, you would have killed her. 638 00:41:09,030 --> 00:41:11,999 You wanna come over for Christmas dinner? 639 00:41:12,066 --> 00:41:15,502 You're Jewish. Yeah. Hanukkah dinner. 640 00:41:15,570 --> 00:41:18,334 What do you care? It's food. It's people. No, thanks. 641 00:41:20,508 --> 00:41:24,945 Maybe I'll come to your place. Your wife doesn't mind being alone at Christmas? 642 00:41:25,012 --> 00:41:27,776 I'm a doctor. She's used to being alone. 643 00:41:29,217 --> 00:41:31,276 I don't wanna talk about it. Neither do I. 644 00:41:36,290 --> 00:41:38,315 You did good with the nun. 645 00:41:38,392 --> 00:41:43,125 - Congratulations. - Thank you. 646 00:41:43,197 --> 00:41:47,327 Merry Christmas, Dr. House. Dr. Wilson. 647 00:41:48,636 --> 00:41:50,604 Good night. 648 00:41:52,273 --> 00:41:54,798 That was sweet.