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1
00:00:16,700 --> 00:00:18,690
What do you say now?
2
00:00:18,767 --> 00:00:20,961
I don't know.
3
00:00:21,036 --> 00:00:23,799
You said your dad
wouldn't be home for an hour.
4
00:00:23,872 --> 00:00:26,772
I know, but it-You don't know-
Don't you love me?
5
00:00:26,842 --> 00:00:29,571
Of course. You know l-
Then, come on.
Let's do it.
6
00:00:30,645 --> 00:00:32,635
All right.
7
00:00:43,790 --> 00:00:47,054
Where are they?
Nightstand.
8
00:00:53,165 --> 00:00:56,031
Gentlemen, start your engines.
9
00:00:56,102 --> 00:00:58,092
[Engine Revs]
10
00:01:00,139 --> 00:01:03,801
[Both Laughing]
I so want this car!
11
00:01:03,876 --> 00:01:05,934
Whoo-hoo!
12
00:01:06,011 --> 00:01:08,410
Whoo-hoo!
[Laughing Continues]
13
00:01:08,480 --> 00:01:11,004
- Whoo-hoo.!
- [Coughing]
14
00:01:15,487 --> 00:01:18,580
[Coughing Continues]
15
00:01:20,724 --> 00:01:22,953
[Horn Honks]
16
00:01:23,027 --> 00:01:25,688
[Coughing Continues]
17
00:01:29,032 --> 00:01:30,498
Oh, my God!
You're bleeding.
18
00:01:30,566 --> 00:01:32,863
Look out!
19
00:01:32,935 --> 00:01:35,528
- [Truck Horn Blaring]
- [Screaming]
20
00:01:42,177 --> 00:01:44,667
- [Horn Blaring]
- [Screaming]
21
00:01:44,746 --> 00:01:46,144
[Crash]
22
00:02:32,623 --> 00:02:34,556
What lie are they telling you?
23
00:02:34,625 --> 00:02:38,685
I'll check on it.
Okay. Yes-
24
00:02:38,762 --> 00:02:42,197
- [Tapping On Counter]
- Come on.
25
00:02:42,265 --> 00:02:45,529
- Okay, thank you.
- [Phone Receiver Hangs Up]
26
00:02:45,602 --> 00:02:47,899
Okay, pharmaceuticals
were delivered this morning.
27
00:02:47,971 --> 00:02:50,905
But Shipping accidentally sent
the box with Vicodin to Research.
28
00:02:50,973 --> 00:02:53,406
Hmm. That's a tough one.
29
00:02:53,476 --> 00:02:57,536
If only we had some way
to communicate with
another part of the building.
30
00:02:58,948 --> 00:03:00,881
Sixteen-year-old
M.V.A. Victim.
31
00:03:00,950 --> 00:03:04,248
He's been in and out of the hospital
for three weeks with internal bleeding.
No one can find the cause.
32
00:03:04,319 --> 00:03:07,219
Internal bleeding after a car accident.
Wow, that's shocking.
33
00:03:07,288 --> 00:03:09,619
Let me talk to Shipping.
I speak their language.
34
00:03:09,691 --> 00:03:13,285
It's been three weeks-
Your hospital doesn't have
my pain medication.
35
00:03:13,361 --> 00:03:15,851
Shipping says
it's going to be an hour.
36
00:03:15,929 --> 00:03:17,862
This is Dr. Cuddy.
What's going on?
37
00:03:17,931 --> 00:03:20,865
The crash didn't cause the bleed.
Right- the bleed
caused the crash.
38
00:03:20,934 --> 00:03:24,528
Blood got on the road, got all slippery-
Anyone here got drugs?
39
00:03:27,106 --> 00:03:30,302
She saw his blood,
she got distracted,
and she crashed his dad's Porsche.
40
00:03:30,376 --> 00:03:31,967
- Dad'll love that.
- He was-
41
00:03:32,044 --> 00:03:33,601
- Don't talk.
- It's gonna be an hour.
42
00:03:33,679 --> 00:03:35,805
Thank God you took control.
43
00:03:35,882 --> 00:03:38,816
- If you can't wait one hour to get-
- Kid's got hemolytic anemia.
44
00:03:38,884 --> 00:03:40,748
Kid? How old?
45
00:03:40,819 --> 00:03:44,219
He must have inherited it.
He's gonna die. My condolences.
46
00:03:44,289 --> 00:03:47,052
Wasn't inherited. The problem's
outside the red blood cells.
47
00:03:47,125 --> 00:03:49,786
This is impossible.
A 16-year-old does not
get hemolytic anemia.
48
00:03:49,860 --> 00:03:53,989
Give her back the file.
You have bigger problems
to tend to, like my meds.
49
00:03:54,064 --> 00:03:57,362
Elevated indirect bilirubin,
low serum haptoglobin-
50
00:03:57,435 --> 00:03:59,959
- He's got meningitis.
- Uh, no.
51
00:04:02,505 --> 00:04:04,597
- Artificial heart valve.
- No.
52
00:04:10,680 --> 00:04:12,670
Get everyone in my office.
53
00:04:13,682 --> 00:04:16,241
Kid's gonna be dead
in a matter of days...
54
00:04:16,318 --> 00:04:19,252
if we don't figure out why
his red blood cells are disintegrating.
55
00:04:19,321 --> 00:04:21,788
So, differential diagnosis, people.
Well,
it's not environmental.
56
00:04:21,857 --> 00:04:25,087
Dad hired a company to clean the house,
maid washed all the clothes...
57
00:04:25,159 --> 00:04:27,092
and bought hypoallergenic
sheets and pillows.
58
00:04:27,161 --> 00:04:29,094
- You want us to recheck?
- No.
59
00:04:29,163 --> 00:04:31,130
If it's environmental,
he'll get better just from staying here.
60
00:04:31,199 --> 00:04:33,632
- It could be an infection.
- No fever. No white count.
61
00:04:33,701 --> 00:04:36,362
- Well, he's 99.2.
- Barely above normal.
62
00:04:36,437 --> 00:04:39,428
But above.
His body's reacting to something.
63
00:04:39,506 --> 00:04:42,440
[Cameron] We could account for the lack
of fever and white count if it's lupus.
64
00:04:42,509 --> 00:04:46,137
[Chase] Drugs will fit just as much as lupus.
Meth will cause hemolytic anemia.
65
00:04:46,213 --> 00:04:48,146
[Cameron]
A lot of meth.
66
00:04:48,215 --> 00:04:50,273
[Foreman]
Also doesn't exactly
seem like the type.
67
00:04:50,349 --> 00:04:54,375
Because his dad drives a Porsche?
Rich kids do drugs just like poor kids.
68
00:04:54,453 --> 00:04:56,386
Didn't mean to offend you.
Okay.!
69
00:04:56,455 --> 00:04:59,321
So it's infection, lupus,
drugs or cancer.
70
00:04:59,391 --> 00:05:02,791
- Cancer?
- Why not? Great meeting.
71
00:05:02,861 --> 00:05:06,057
Shouldn't we narrow it down
before we finish?
72
00:05:06,130 --> 00:05:08,154
My leg gave us till 11:15.
73
00:05:08,233 --> 00:05:10,564
I'll talk to Wilson about lymphoma,
A.N.A. For lupus,
74
00:05:10,635 --> 00:05:12,966
radioimmunoassay for drugs,
75
00:05:13,036 --> 00:05:15,970
and you test for
whatever you thought it was.
76
00:05:16,039 --> 00:05:18,506
I've got a date
with the pharmacist.
77
00:05:18,575 --> 00:05:20,906
That's already done, and-
78
00:05:20,978 --> 00:05:24,344
[Sighs] Come on!
Come on, come on, come on.
79
00:05:24,413 --> 00:05:26,403
Yeah.
80
00:05:35,024 --> 00:05:37,014
Excuse me.
81
00:05:40,395 --> 00:05:42,521
You know, there are other ways
to manage pain.
82
00:05:42,597 --> 00:05:44,325
Like what? Laughter?
83
00:05:44,399 --> 00:05:47,196
Meditation? Got a guy
that can fix my third chakra?
84
00:05:47,269 --> 00:05:49,361
You're addicted.
85
00:05:49,436 --> 00:05:53,872
If the pills ran my life, I'd agree with you,
but it's my leg that's busy
calendaring what I can't do.
86
00:05:53,941 --> 00:05:55,874
You're in denial.
87
00:05:55,943 --> 00:06:00,276
Right. I never had an infarction in my leg.
No dead muscle, no nerve damage.
88
00:06:00,346 --> 00:06:02,779
Doesn't even hurt.
Actually, it kinda tickles.
89
00:06:02,849 --> 00:06:04,782
And chicks dig this...
90
00:06:04,851 --> 00:06:06,784
better than a puppy.
91
00:06:06,853 --> 00:06:09,787
It's not just your leg.
You wanna get high.
92
00:06:09,856 --> 00:06:11,789
You're doing, what,
80 milligrams a day?
93
00:06:11,857 --> 00:06:13,790
No. That's way too much.
94
00:06:13,859 --> 00:06:16,793
Moderation is the key.
Unless there's pain.
95
00:06:16,862 --> 00:06:19,295
It's double what you were
taking when I hired you.
96
00:06:19,364 --> 00:06:21,228
'Cause you're twice as annoying.
97
00:06:21,300 --> 00:06:23,233
I can't always be here
to protect you.
98
00:06:23,301 --> 00:06:25,234
Patients talk.
Doctors talk.
99
00:06:25,303 --> 00:06:28,738
About how big
your ass has gotten lately?
Not me. I defend it.
100
00:06:28,806 --> 00:06:30,796
You got back.
101
00:06:32,109 --> 00:06:34,099
[Bell Dings]
102
00:06:38,582 --> 00:06:42,244
You can't go a week
without the drugs.
No, I don't wanna go without the drugs.
103
00:06:42,319 --> 00:06:44,252
It'll hurt.
No, you can't.
104
00:06:44,321 --> 00:06:47,255
If you're just getting off
pain medication, it will hurt.
105
00:06:47,323 --> 00:06:50,257
You won't be having a great time,
but you'll make it.
106
00:06:50,326 --> 00:06:52,759
If you're detoxing,
you'll have chills, nausea.
107
00:06:52,828 --> 00:06:55,421
Your pain
will magnify five, ten times.
108
00:06:55,497 --> 00:06:58,431
You won't make it.
Well, I guess we'll never know.
109
00:06:58,500 --> 00:07:01,434
I'll give you a week off clinic duty
if you can go a week without narcotics.
110
00:07:01,502 --> 00:07:03,492
No way.
I love the clinic.
111
00:07:03,571 --> 00:07:06,164
You love the pills.
Two weeks.
112
00:07:06,240 --> 00:07:09,072
The pills don't make me high.
They make me neutral.
A month.
113
00:07:14,081 --> 00:07:16,071
You're on, mister.
114
00:07:20,187 --> 00:07:24,350
Drugs could cause this?
Cocaine and meth are very hard
on the blood system.
115
00:07:25,358 --> 00:07:28,349
Has he had
any erratic behavior?
No, but-
116
00:07:30,896 --> 00:07:32,954
She was in rehab in
the ninth grade.
117
00:07:33,032 --> 00:07:36,125
She's supposedly
clean now, but-
She obviously cares for him.
118
00:07:36,201 --> 00:07:38,259
Yeah, what she cared about
was the car.
119
00:07:38,336 --> 00:07:40,860
Anniversary present for my wife.
120
00:07:40,939 --> 00:07:44,931
We drove it up north
to watch the leaves change.
121
00:07:45,010 --> 00:07:46,943
She was dead a year later.
122
00:07:47,011 --> 00:07:49,478
Cancer.
I'm sorry.
123
00:07:51,215 --> 00:07:54,775
Mr. Foster,
we're gonna test Keith for drugs.
124
00:07:54,852 --> 00:07:56,785
L- I don't do drugs.
125
00:07:56,854 --> 00:07:59,583
It's not that
we don't trust you, but-
126
00:08:00,723 --> 00:08:04,988
[Cameron]
His hair will tell us any drugs
he's taken over the past 60 days.
127
00:08:05,061 --> 00:08:08,052
It's kind oflike
rings on a tree.
128
00:08:14,636 --> 00:08:16,626
Negative.
129
00:08:17,973 --> 00:08:20,338
- Have you been sick?
- No, nothing.
130
00:08:20,409 --> 00:08:25,038
- Have you been out of the country?
- We went to China,
but we got all our shots before we left.
131
00:08:25,112 --> 00:08:27,045
[Cameron]
It could be an infection.
132
00:08:27,114 --> 00:08:29,604
We're going to give him
a gallium scan just to be safe.
133
00:08:29,684 --> 00:08:32,652
We inject a radioactive isotope
into his bloodstream,
134
00:08:32,720 --> 00:08:35,745
and we check to see if there's
inflammation anywhere in the body.
135
00:08:35,822 --> 00:08:38,221
Has he ever complained
of anyjoint pain?
136
00:08:38,291 --> 00:08:41,157
Sensitivity to light?
Rashes?
137
00:08:41,227 --> 00:08:44,525
- No, no. Nothing.
- Any relatives who've ever
been diagnosed with lupus?
138
00:08:44,597 --> 00:08:46,860
I don't even know what that is.
139
00:08:46,932 --> 00:08:49,866
In simple terms,
the body becomes allergic to itself.
140
00:08:49,935 --> 00:08:53,028
The immune system attacks
healthy cells in the circulatory system
and destroys them.
141
00:08:53,105 --> 00:08:55,095
Would it be treatable?
142
00:08:56,275 --> 00:08:58,265
It can be manageable.
143
00:08:59,343 --> 00:09:01,276
We can test for the antibodies.
144
00:09:01,345 --> 00:09:04,939
Ninety-five percent of patients
with lupus have positive A.N.A.
145
00:09:06,017 --> 00:09:08,450
Not cloudy.
Negative.
146
00:09:08,519 --> 00:09:12,955
What about bruising?
Never complained of tenderness
under his arms or his groin?
147
00:09:13,023 --> 00:09:15,684
I'm not sure he'd tell me ifhe did.
148
00:09:15,759 --> 00:09:19,250
I guess I don't really know
what's going on in his life.
149
00:09:19,329 --> 00:09:21,990
- He's a teenager.
- Yeah.
150
00:09:25,968 --> 00:09:28,959
What type of cancer
did your wife have?
151
00:09:29,972 --> 00:09:31,871
Pancreatic.
152
00:09:31,941 --> 00:09:34,966
It's his lymph nodes
we're concerned about.
153
00:09:35,043 --> 00:09:38,478
We're going to do a biopsy
to check for lymphoma.
154
00:09:39,848 --> 00:09:42,145
Can you feel this?
No.
155
00:09:42,217 --> 00:09:44,707
Good.
156
00:09:52,226 --> 00:09:54,159
I have cancer, don't I?
157
00:09:54,228 --> 00:09:56,787
We're just testing.
158
00:09:56,863 --> 00:09:58,796
[Sniffles]
159
00:09:58,865 --> 00:10:01,628
That's what they told my mom.
160
00:10:08,707 --> 00:10:10,867
Definitely not cancer.
161
00:10:11,877 --> 00:10:13,935
- Nothing?
- Nothing.
162
00:10:14,012 --> 00:10:16,673
Negative for drugs.
A.N.A. Was negative.
Gallium scan was clear.
163
00:10:16,748 --> 00:10:18,681
Yeah, I got that from the "nothing."
164
00:10:18,750 --> 00:10:21,013
- Where's his hematocrit?
- Thirteen.
165
00:10:21,085 --> 00:10:25,418
Drops any lower, he's not gonna
have enough red blood cells
to bring oxygen to his body.
166
00:10:25,489 --> 00:10:27,683
He'll suffocate with his lungs
working perfectly.
You okay?
167
00:10:29,160 --> 00:10:31,889
Excuse me, someone?
Help. Please!
168
00:10:32,896 --> 00:10:35,455
Polite for a dying kid.
169
00:10:39,035 --> 00:10:41,025
How long has it been?
170
00:10:41,104 --> 00:10:43,037
I'm fine.
171
00:10:43,106 --> 00:10:45,630
- There's something in my eye.
Up at the top.
- Which eye?
172
00:10:45,707 --> 00:10:47,833
This one.
What's happening?
173
00:10:47,910 --> 00:10:50,036
It's all right.
Just look down for me.
174
00:10:51,880 --> 00:10:54,541
It's clear.
There's nothing in it.
175
00:10:54,616 --> 00:10:56,640
- It's getting worse.
- Is it fuzzy or-
176
00:10:56,717 --> 00:10:58,741
No, it's dark.
177
00:11:00,121 --> 00:11:02,111
I can't see.
178
00:11:15,468 --> 00:11:17,662
[Foreman]
It's a retinal clot in the left eye.
179
00:11:17,737 --> 00:11:20,136
Coumadin would dissolve the clot,
fix his eyesight.
180
00:11:20,206 --> 00:11:23,140
You can't use blood thinners.
He's got internal bleeding.
181
00:11:23,209 --> 00:11:26,507
Fix the eye,
you'd kill everything else.
Surgery's out for the same reason.
182
00:11:26,579 --> 00:11:30,207
We have two hours to figure this out.
Either we restore the blood flow,
or he loses the eye.
183
00:11:31,683 --> 00:11:37,120
Forget the eye.
Tell him to use the other one
to look on the bright side.
184
00:11:37,188 --> 00:11:39,178
The clot tells us something.
185
00:11:40,258 --> 00:11:43,420
Could help us figure out what he has,
which could mean he gets to live.
186
00:11:43,493 --> 00:11:46,723
Differential diagnosis, people.
187
00:11:46,797 --> 00:11:49,560
How does internal bleeding
suddenly start clotting?
188
00:11:49,633 --> 00:11:52,863
It makes no sense.
They're opposing processes.
189
00:11:52,936 --> 00:11:55,802
It can happen in lupus.
Increased platelet count
can cause blood clots.
190
00:11:55,872 --> 00:11:58,203
A.N.A. Was negative.
It's not lupus.
191
00:11:58,274 --> 00:12:01,572
This is true.
But why are you the one saying it?
192
00:12:01,644 --> 00:12:05,704
What are you doing here?
I thought we'd ruled out cancer.
193
00:12:05,781 --> 00:12:07,714
I was lonely.
194
00:12:07,782 --> 00:12:09,806
Well, go see Cuddy.
She needs a friend.
195
00:12:09,885 --> 00:12:12,216
That's funny.
She said you might need one.
196
00:12:12,287 --> 00:12:16,154
That's why you're here.
She wants you to keep an eye on me.
Make sure I don't cheat.
197
00:12:16,224 --> 00:12:19,750
No, I wanted to make sure you don't
start firing shots from the clock tower.
198
00:12:19,827 --> 00:12:22,260
I'm fine-
[Groans]
199
00:12:22,329 --> 00:12:24,262
What's going on?
200
00:12:24,331 --> 00:12:26,560
He hasn't had Vicodin
in over a day.
201
00:12:27,835 --> 00:12:30,826
- Does your leg hurt?
- You ever been shot?
202
00:12:31,905 --> 00:12:35,271
There's gonna be side effects.
Insomnia, depression, tachycardia.
203
00:12:35,341 --> 00:12:37,433
Withdrawal symptoms.
Not applicable.
204
00:12:37,510 --> 00:12:41,502
The only side effects
I'm gonna have are some pain
and 30 days of freedom.
205
00:12:43,916 --> 00:12:46,941
Am I the only one who's
concerned about a dying kid?
206
00:12:47,019 --> 00:12:49,350
If it's not lupus, what else?
207
00:12:49,421 --> 00:12:53,481
Most likely candidate
for throwing a clot
is infection or cancer.
208
00:12:53,557 --> 00:12:55,649
Checked the biopsy twice.
It's not cancer.
209
00:12:55,726 --> 00:12:58,489
It's not an infection.
Gallium scan didn't reveal anything.
210
00:12:58,562 --> 00:13:01,621
Okay.
What hides from a Gallium scan?
211
00:13:05,568 --> 00:13:08,001
Cardiac.
Right.
212
00:13:08,071 --> 00:13:12,063
Clot flicks off, travels through the arteries,
then gets backed up in the eye.
213
00:13:18,781 --> 00:13:21,510
I'm sorry. I wasn't paying attention.
What happened?
214
00:13:21,583 --> 00:13:24,142
It's an infection in his heart.
215
00:13:24,219 --> 00:13:26,209
Great.
216
00:13:27,389 --> 00:13:31,552
Echocardiogram for the heart
and I.V. Antibiotics for the infection, stat.
217
00:13:45,605 --> 00:13:47,595
Is it my birthday?
218
00:13:49,943 --> 00:13:52,638
I'm not lonely.
My leg hurts.
219
00:13:52,712 --> 00:13:55,942
- She's a real masseuse.
- She's $500 an hour, minimum.
220
00:13:56,015 --> 00:13:59,541
She's hot, so she's a hooker?
What kind of pathetic logic is that?
221
00:13:59,618 --> 00:14:03,348
The envious, jealous,
l-never-got-any-in-high-school
kind of logic. Hello!
222
00:14:03,422 --> 00:14:05,753
She's a legitimate masseuse.
223
00:14:05,824 --> 00:14:07,814
Come on.
224
00:14:08,827 --> 00:14:10,760
God! She's beautiful.
225
00:14:10,829 --> 00:14:14,491
Because she's beautiful, I should do it?
What kind of pathetic logic is that?
226
00:14:14,566 --> 00:14:18,934
The envious, jealous,
I'm-married-and-l-can't-do-anything
logic. Hello.
227
00:14:19,003 --> 00:14:22,165
Hi. Uh, listen,
I'm sure you're really good at
whatever it is you do, but-
228
00:14:22,239 --> 00:14:25,105
Deme su mano.
Huh?
229
00:14:27,011 --> 00:14:29,774
- Hey, no, no. Let go of my hand.
- She doesn't speak English.
230
00:14:29,846 --> 00:14:31,745
Shh.
231
00:14:33,182 --> 00:14:35,012
Ow!
232
00:14:35,084 --> 00:14:37,574
Ow-Ahh.
233
00:14:37,653 --> 00:14:41,053
Ahh.
234
00:14:44,459 --> 00:14:46,449
Oh, my God.
235
00:14:50,932 --> 00:14:52,922
Bueno.
236
00:14:53,000 --> 00:14:55,433
Take off your clothes.
237
00:14:59,774 --> 00:15:01,934
Not a fan of the Stroganoff?
238
00:15:03,444 --> 00:15:07,539
I'm not hungry.
Well, the antibiotics
can cause nausea.
239
00:15:07,614 --> 00:15:09,604
So can the food.
240
00:15:10,784 --> 00:15:13,718
Shouldn't you
be looking at my eye?
241
00:15:13,787 --> 00:15:15,754
The blood clot
isn't life-threatening.
242
00:15:15,821 --> 00:15:18,550
We're focusing on figuring out
the cause of your problems.
243
00:15:18,624 --> 00:15:22,457
So the- So the blindness
will be permanent, won't it?
244
00:15:40,243 --> 00:15:42,403
Thank you.
Bye.
245
00:15:45,082 --> 00:15:47,015
I had a massage.
246
00:15:47,084 --> 00:15:50,519
Looks like you had a masseuse.
Help the pain?
247
00:15:50,587 --> 00:15:53,020
I'm fine.
I know.
248
00:15:53,089 --> 00:15:56,353
Kid's echo was normal.
No signs of any vegetations
on heart valves.
249
00:15:56,425 --> 00:15:59,188
Never met a diagnostic study
I couldn't refute.
250
00:15:59,261 --> 00:16:01,194
And the antibiotics
aren't doing anything.
251
00:16:01,263 --> 00:16:04,197
So double the dosage.
70 milligrams.
252
00:16:04,265 --> 00:16:06,198
That'll box his kidneys
for sure.
253
00:16:06,267 --> 00:16:08,200
Oh, you're right.
Save the kidney.
254
00:16:08,269 --> 00:16:11,203
The guy we transplant it into
will be grateful.
255
00:16:11,272 --> 00:16:14,206
Also, I have an idea
for his eye.
Nothing we can do about his eye.
256
00:16:14,275 --> 00:16:16,640
He's got a clot in the retina-
Put it in a memo.
257
00:16:16,710 --> 00:16:19,644
If we remove some of the liquid
from the eye itself,
the vitreous humour,
258
00:16:19,713 --> 00:16:22,704
it might make some extra room
around the retinal artery.
259
00:16:24,218 --> 00:16:28,449
If the artery expands,
the clot might move on its own.
That's very creative.
260
00:16:28,521 --> 00:16:30,954
Why didn't you mention this
before?
261
00:16:31,023 --> 00:16:33,013
I didn't think of it before.
262
00:16:33,092 --> 00:16:35,423
You should've.
263
00:16:43,735 --> 00:16:45,725
[Sighs]
264
00:16:53,978 --> 00:16:55,911
This is going to hurt.
265
00:16:55,980 --> 00:16:59,415
Your eye is numb.
You'll only feel pressure.
266
00:17:25,840 --> 00:17:27,830
Give it a minute.
267
00:17:35,950 --> 00:17:37,883
I can see.
268
00:17:37,951 --> 00:17:39,577
[Laughs]
269
00:18:06,444 --> 00:18:08,377
I can see you.
270
00:18:08,446 --> 00:18:10,879
I heard.
Congratulations.
271
00:18:10,949 --> 00:18:13,974
Don't. I haven't
brushed my teeth in two days.
272
00:18:19,022 --> 00:18:21,455
[Sighs]
273
00:18:21,525 --> 00:18:24,584
I'm so scared
they're not gonna find out
what's wrong with you.
274
00:18:24,660 --> 00:18:27,457
No biggie.
I'm fine.
275
00:18:27,530 --> 00:18:31,590
I feel so bad about all this.
It's all my fault.
276
00:18:31,667 --> 00:18:33,896
No. No, it's not.
277
00:18:33,970 --> 00:18:37,928
But your father- he hates me.
278
00:18:38,006 --> 00:18:40,599
He's just pissed about his car.
279
00:18:45,647 --> 00:18:47,477
[Retches]
[Gasps]
280
00:18:47,549 --> 00:18:50,016
Help! Help! Help!
281
00:18:50,084 --> 00:18:53,075
[Coughing]
282
00:18:59,026 --> 00:19:01,323
What's wrong?
283
00:19:01,394 --> 00:19:03,918
A.S.T. Is 859.
We're getting him to the I.C.U.
284
00:19:03,997 --> 00:19:05,964
A.L.T. And G.G.T. Are in the tank.
Our antibiotics-
285
00:19:06,032 --> 00:19:08,693
[House]
Would not have caused this.
She must have given him drugs!
286
00:19:08,768 --> 00:19:11,600
- I wouldn't do that!
- It's not drugs!
287
00:19:11,671 --> 00:19:14,298
His liver is shutting down.
What?
288
00:19:14,373 --> 00:19:18,035
What does that mean?
It means he's all better.
He's ready to go home.
289
00:19:18,110 --> 00:19:20,600
What?
What do you think it means?
290
00:19:20,679 --> 00:19:23,146
You can't live without a liver.
He's dying.
291
00:19:23,215 --> 00:19:25,842
What is your problem?
Bum leg.
What's yours?
292
00:19:25,916 --> 00:19:28,406
Hey, we don't have time for this.
Let's go.
293
00:19:33,591 --> 00:19:35,888
His son's dying,
and you're mocking him?
294
00:19:35,959 --> 00:19:38,222
It was a dumb question.
295
00:19:38,295 --> 00:19:39,818
No, it wasn't.
296
00:19:42,165 --> 00:19:44,155
You're right. It wasn't.
297
00:19:45,969 --> 00:19:48,334
Is proving Cuddy wrong
worth all this?
298
00:20:04,018 --> 00:20:07,783
- You know, House shouldn't even be here.
- Because he said something inappropriate?
299
00:20:07,855 --> 00:20:11,449
If we sent him home
every time he did that,
we wouldn't need this office.
300
00:20:11,525 --> 00:20:15,893
- He's in pain.
- [Scoffs] What does the man
have to do to piss you off?
301
00:20:15,962 --> 00:20:18,828
- He's been without pain relief
for over 70 hours.
- Exactly!
302
00:20:18,899 --> 00:20:21,389
He's detoxing.
Can't you see
he's out of his mind?
303
00:20:21,468 --> 00:20:23,458
[House]
That's what they said about Manson.
304
00:20:26,105 --> 00:20:28,038
Do you wanna continue
talking about me,
305
00:20:28,107 --> 00:20:30,574
or should we discuss
what the liver damage tells us?
306
00:20:33,212 --> 00:20:35,736
I was born in a log cabin in Illinois-
307
00:20:35,814 --> 00:20:37,747
Hemolytic anemia
doesn't cause liver damage.
308
00:20:37,816 --> 00:20:39,680
Add the fact he's coughing blood,
309
00:20:39,751 --> 00:20:42,378
you've got three of the indicators
of organ-threatening lupus.
310
00:20:42,454 --> 00:20:44,148
It's moving too fast.
311
00:20:45,690 --> 00:20:47,748
Could be hepatitis "E."
312
00:20:47,825 --> 00:20:50,520
There's only been one case of hep "E"
originating in the U.S. Since-
313
00:20:50,594 --> 00:20:54,654
His history says he's been
in and out of the country
four times in the last year.
314
00:20:54,732 --> 00:20:56,494
You really think he's got hep "E"?
315
00:20:56,567 --> 00:20:59,160
No.
I think lupus is way more likely.
316
00:20:59,235 --> 00:21:02,032
All right, then let's start him
on I.V. Cytoxan and plasmapheresis.
317
00:21:02,105 --> 00:21:04,868
No, we should rule out hep "E."
318
00:21:04,941 --> 00:21:06,874
You just said it wasn't hep "E."
319
00:21:06,943 --> 00:21:09,934
I said lupus is way more likely,
but if we treat for lupus
and it is hep "E"-
320
00:21:10,012 --> 00:21:12,707
He's toast.
Exactly.
321
00:21:12,781 --> 00:21:14,714
But there isn't a treatment
for hepatitis "E."
322
00:21:14,783 --> 00:21:17,444
Either he'll get better on his own
or he'll continue to deteriorate.
323
00:21:17,519 --> 00:21:21,045
Yeah. I went to medical school too.
324
00:21:21,123 --> 00:21:23,113
Start him on solumedrol.
325
00:21:23,190 --> 00:21:27,125
- If he's got hep "E,"
that's only gonna make him worse.
- Not as much.
326
00:21:27,194 --> 00:21:29,127
It's Goldilocks, people.
327
00:21:29,196 --> 00:21:33,655
Won't hurt him so much
that it'll kill him, and it won't hurt him
so little that we can't tell.
328
00:21:33,734 --> 00:21:35,928
It'll hurt him... just right.
329
00:21:36,002 --> 00:21:37,935
And if it does nothing-
330
00:21:38,004 --> 00:21:41,461
We'll know it's not hep "E"
and can start treating for lupus.
331
00:21:41,541 --> 00:21:44,065
Now watch me do it
while drinking a glass of water.
332
00:21:44,144 --> 00:21:48,375
What do we tell the dad?
"We think your kid has lupus,
so we're gonna treat him for hepatitis 'E.'
333
00:21:48,447 --> 00:21:52,780
And, oh, yeah, if it really is hep 'E,'
we're not actually giving him
hep 'E ' medication.
334
00:21:52,851 --> 00:21:55,614
So it's gonna make him worse,
not better."
Think he'll go for that?
335
00:21:56,789 --> 00:21:59,154
- So you want us to lie?
- No.
336
00:21:59,223 --> 00:22:02,123
- I want you to lie.
- Why me?
337
00:22:02,193 --> 00:22:04,183
Because he trusts you.
338
00:22:06,831 --> 00:22:09,765
- This is a mistake.
- This is a lawsuit.
339
00:22:09,833 --> 00:22:11,766
Hep "E" is possible.
340
00:22:11,835 --> 00:22:14,268
House always pulls these stunts,
and he's right more often-
341
00:22:14,337 --> 00:22:18,136
He's delaying treatment because
of a one-in-a-million chance that
even he doesn't think is the problem.
342
00:22:18,208 --> 00:22:20,141
I don't wanna lie to him.
Then don't.
343
00:22:20,210 --> 00:22:23,144
And get fired?
Oh, like he's gonna fire you.
He loves you.
344
00:22:23,212 --> 00:22:25,475
[Bell Dings]
I've gotta do something.
345
00:22:25,548 --> 00:22:28,482
- Kid needs treatment.
- Treat him for lupus.
346
00:22:28,551 --> 00:22:30,643
That will get you fired.
347
00:22:31,787 --> 00:22:33,777
You really think House
is losing it?
348
00:22:33,855 --> 00:22:36,015
[Scoffs]
Yeah.
349
00:22:36,958 --> 00:22:38,948
He's fine.
He knows what he's doing.
350
00:23:09,621 --> 00:23:12,612
[Exhaling]
351
00:23:22,399 --> 00:23:24,127
[Yells]
352
00:23:24,201 --> 00:23:26,134
[Sighs]
353
00:23:26,203 --> 00:23:28,432
[Chuckles]
354
00:23:28,506 --> 00:23:31,838
[Murmurs]
Okay. [Exhales]
355
00:23:40,216 --> 00:23:43,480
We're recommending
a drug called solumedrol.
356
00:23:43,553 --> 00:23:48,114
For hepatitis?
Did that show up
on his blood tests?
357
00:23:49,124 --> 00:23:52,559
The tests
are never 100% accurate.
358
00:23:52,628 --> 00:23:55,357
Well, then all the other tests
could be wrong too.
359
00:23:55,430 --> 00:23:58,364
This could still be an infection
or cancer.
Um-
360
00:23:58,432 --> 00:24:01,366
They don't fit any of
the most recent symptoms.
361
00:24:01,435 --> 00:24:04,232
Well, what, just hepatitis does?
362
00:24:04,305 --> 00:24:07,967
I know, I know, I know-
you can never be sure.
363
00:24:10,944 --> 00:24:13,935
When Wendy was in the hospital,
364
00:24:15,348 --> 00:24:18,214
a doctor told us
there was this aggressive
experimental treatment...
365
00:24:18,285 --> 00:24:21,685
which might extend her life
by two or three years.
366
00:24:22,755 --> 00:24:27,248
Well, we figured if there was any hope
at all that we could have her with us
a little while longer, it'd be worth it.
367
00:24:28,427 --> 00:24:31,418
Three weeks later, she was gone.
368
00:24:34,866 --> 00:24:36,856
I don't think it's hepatitis.
369
00:24:39,370 --> 00:24:41,530
I think your son has lupus.
370
00:24:42,540 --> 00:24:45,474
I think it's broken.
371
00:24:45,542 --> 00:24:47,532
What did you do?
372
00:24:48,545 --> 00:24:51,479
Accidentally
closed the car door on it.
373
00:24:51,548 --> 00:24:53,742
No.
Door would've broken the skin.
374
00:24:53,817 --> 00:24:58,412
This looks like something
hard and smooth smashed it.
375
00:24:58,487 --> 00:25:00,420
I want my lawyer.
376
00:25:00,489 --> 00:25:03,423
The brain has
a gating mechanism for pain.
377
00:25:03,492 --> 00:25:07,052
Registers the most severe injury
and blocks out the others.
378
00:25:07,128 --> 00:25:10,460
Did it work?
Well, my hand hurts like hell.
379
00:25:12,133 --> 00:25:15,067
Yeah. I feel much better.
Huh.
380
00:25:16,137 --> 00:25:18,070
Don't splint it.
381
00:25:18,139 --> 00:25:22,575
I want to be able to
bang it against the wall if I need to
administer another dose.
382
00:25:22,643 --> 00:25:25,338
Just tape it up.
383
00:25:29,583 --> 00:25:32,016
Why did you tell Cameron
to lie to Mr. Foster?
384
00:25:32,085 --> 00:25:34,245
Make it tight.
Answer me.
385
00:25:34,320 --> 00:25:36,253
[Sighs]
386
00:25:36,322 --> 00:25:39,290
Nothing I can say
is gonna change how you feel,
387
00:25:39,359 --> 00:25:42,293
and nothing can come out of
your reaction that is gonna change
what I plan to do,
388
00:25:42,361 --> 00:25:44,294
so I prefer to say nothing.
389
00:25:44,363 --> 00:25:46,796
So that was just you
saying nothing.
390
00:25:46,865 --> 00:25:48,798
Uh-huh.
391
00:25:48,867 --> 00:25:51,926
- The guy is furious.
- And scared.
392
00:25:52,004 --> 00:25:54,938
So what are you gonna do?
The father's insisting
on the lupus treatment.
393
00:25:55,006 --> 00:25:58,372
Yeah, Cameron told me,
and I told her to tell him no.
394
00:25:58,442 --> 00:26:01,376
Well, you can't just sit back
and let the kid die.
395
00:26:01,445 --> 00:26:03,605
Neither can the father.
So that's your plan?
396
00:26:03,681 --> 00:26:05,705
You're gonna play chicken
with the kid's life?
397
00:26:05,783 --> 00:26:08,615
Well, he's the dad.
I should win easily.
398
00:26:08,685 --> 00:26:11,050
Take the week off.
399
00:26:11,121 --> 00:26:13,554
Why, 'cause I lied to a patient?
400
00:26:13,623 --> 00:26:16,056
I take risks.
Sometimes patients die.
401
00:26:16,126 --> 00:26:19,060
But not taking risks
causes more patients to die,
402
00:26:19,128 --> 00:26:22,324
so I guess my biggest problem is
I've been cursed
with the ability to do the math.
403
00:26:24,433 --> 00:26:28,493
[Sighs]
I told him that we wouldn't
treat him for the lupus until-
404
00:26:28,570 --> 00:26:32,164
- What'd he say?
- He said he wanted to transfer Keith
to another hospital.
405
00:26:32,240 --> 00:26:35,208
He's not stable enough.
He'd never make it through the door.
That's what I told him.
406
00:26:35,276 --> 00:26:37,903
And that's when he caved.
407
00:26:37,979 --> 00:26:41,141
Yeah.
He agreed to do it your way.
408
00:26:42,215 --> 00:26:43,977
Two plus two equals four.
409
00:26:49,790 --> 00:26:53,384
If it is hepatitis "E,"
we should see a marked decline
in liver function tests within the hour.
410
00:26:53,459 --> 00:26:56,393
Why bother explaining it to me?
It's not like I have any choice
in the matter.
411
00:26:56,462 --> 00:26:59,157
If there's no hep "E,"
we'll start treatment for lupus immediately.
412
00:26:59,231 --> 00:27:01,164
Ouch.
413
00:27:01,233 --> 00:27:03,223
- Keith? What's wrong?
- What's happening?
414
00:27:03,302 --> 00:27:05,235
No, get off.
415
00:27:05,303 --> 00:27:08,760
Keith, it's Dr. Chase.
Where does it hurt?
Jules, no!
416
00:27:08,840 --> 00:27:10,932
- He's hallucinating.
- Is this from the medicine?
417
00:27:11,009 --> 00:27:14,500
- We haven't started the medicine.
- Keith, you're in the hospital.
Keith, there's nothing on you.
418
00:27:14,579 --> 00:27:17,945
- Hey. Hey. Keith.
- Keith! Keith! Keith!
419
00:27:18,015 --> 00:27:20,539
Hey. You okay, buddy?
420
00:27:20,617 --> 00:27:23,346
[Panting]
421
00:27:26,490 --> 00:27:29,014
Um, I think I wet the bed.
422
00:27:29,092 --> 00:27:33,084
Oh-
Don't worry about it.
It's fine. Let's get you up.
423
00:27:35,465 --> 00:27:37,728
- [Foster] Oh, God.!
- He's had a major bleed.
424
00:27:37,800 --> 00:27:41,565
- Bright red blood per rectum.
- I didn't- I didn't mean to. I'm sorry.
425
00:27:41,636 --> 00:27:43,603
[Monitor Alarm Beeping]
He's going into
hypovolemic shock.
426
00:27:43,672 --> 00:27:47,732
- Pressure's 60, heart rate's 140.
- We need an angiography, stat!
427
00:27:53,114 --> 00:27:55,604
[Monitor Beeping]
428
00:27:57,685 --> 00:28:00,619
Angiography revealed
major upper and lower G.I. Bleeding,
429
00:28:00,688 --> 00:28:03,451
severe hemodynamic
compromise and liver failure.
430
00:28:03,524 --> 00:28:07,015
He's also hallucinating.
Thinks he's being tortured by
someone named Jules.
431
00:28:07,093 --> 00:28:09,026
Hallucinations
are a symptom of psychosis,
432
00:28:09,095 --> 00:28:11,528
which is the fourth
diagnostic criterion.
433
00:28:11,598 --> 00:28:13,531
It's official. This is lupus.
434
00:28:13,600 --> 00:28:16,534
Who's Jules?
435
00:28:16,602 --> 00:28:18,933
Any mention of her
in the medical history?
436
00:28:19,004 --> 00:28:22,461
It doesn't matter
what he's hallucinating about,
it matters why.! It's lupus.
437
00:28:22,541 --> 00:28:24,474
Well, there's no need
to get snippy.
438
00:28:24,543 --> 00:28:27,102
This kind oflupus takes years
to get to this point.
439
00:28:27,179 --> 00:28:28,577
It's been a week.
Yeah.
440
00:28:28,646 --> 00:28:32,775
And a 16-year-old kid
shouldn't have hemolytic anemia
or be bleeding out of every orifice, but he is.
441
00:28:32,850 --> 00:28:37,786
We had an opportunity to treat this.
Instead, we diddled around
with hepatitis "E,"and now it's too late.
442
00:28:37,855 --> 00:28:40,618
He needs a new liver.
We screwed up.
443
00:28:41,691 --> 00:28:43,590
You're saying I screwed up.
444
00:28:45,395 --> 00:28:47,760
- Yes.
- Then why don't you just say that?
445
00:28:49,966 --> 00:28:52,957
- You gonna blame this on her?
- Did you agree with my recommendation
to treat for hep "E"?
446
00:28:53,035 --> 00:28:56,265
- No, I didn't.
- And she made herself quite clear.
447
00:28:56,338 --> 00:29:00,103
- And then she went and lied to the father.
That's why you're angry.
- Yeah. I trusted you.
448
00:29:00,176 --> 00:29:03,736
You always trust me.
That's a big mistake.
449
00:29:03,812 --> 00:29:05,836
Lupus is a bad diagnosis.
450
00:29:05,914 --> 00:29:08,507
- It's the best diagnosis we've got.
- That doesn't make it good.
451
00:29:08,583 --> 00:29:12,018
No. Itjust makes it
this kid's only chance to live.
452
00:29:16,490 --> 00:29:19,083
Put him on the transplant list.
453
00:29:19,159 --> 00:29:21,353
And make sure Cuddy knows.
454
00:29:21,428 --> 00:29:24,419
See if she can do anything
to get him close to the top.
455
00:29:37,276 --> 00:29:39,266
[Vomiting]
456
00:29:43,148 --> 00:29:46,275
[Panting]
457
00:29:48,119 --> 00:29:50,052
Cafeteria.
458
00:29:50,121 --> 00:29:52,054
Stay away from the sushi.
459
00:29:52,122 --> 00:29:54,146
And what happened to your hand?
460
00:29:55,960 --> 00:29:58,484
Got stuck in a drawer.
461
00:29:58,562 --> 00:30:01,052
Yeah, right.
You're going through withdrawal.
462
00:30:01,131 --> 00:30:04,827
No, I am going through pain.
463
00:30:04,901 --> 00:30:07,835
Pain causes nausea.
[Sighs]
464
00:30:07,904 --> 00:30:11,999
I took this job to work with you,
not cover your ass.
465
00:30:12,942 --> 00:30:14,966
Your Vicodin.
466
00:30:17,412 --> 00:30:20,642
And your solution
is to give me drugs.
467
00:30:20,716 --> 00:30:22,649
That's interesting.
No.
468
00:30:22,718 --> 00:30:26,050
Now I'm covering my ass.
469
00:30:26,120 --> 00:30:28,747
Take your pills
before you kill this kid.
470
00:30:35,396 --> 00:30:37,386
[Door Opens]
471
00:30:39,332 --> 00:30:41,322
[Door Closes]
472
00:30:53,379 --> 00:30:55,369
[Sighs]
473
00:31:08,593 --> 00:31:11,026
Lupus is normally treated
with medication.
474
00:31:11,095 --> 00:31:13,756
But in Keith's case,
the disease is too advanced.
475
00:31:13,830 --> 00:31:18,789
Because you lied.
Because House wanted to
play games with my son's life.
476
00:31:18,869 --> 00:31:22,065
There's no way to really tell what
progression the disease may have taken-
You're right.
477
00:31:24,141 --> 00:31:26,734
And I'm sorry.
478
00:31:26,809 --> 00:31:28,799
[Inhales]
479
00:31:28,878 --> 00:31:30,640
So what do we do?
480
00:31:30,713 --> 00:31:32,646
He needs a new liver.
481
00:31:33,716 --> 00:31:37,151
There are over 15,000 patients
on the transplant list.
482
00:31:37,218 --> 00:31:40,084
But how many
are about to bleed to death
unless they get a new liver?
483
00:31:40,155 --> 00:31:42,622
In Jersey? I'd say, uh, 20.
484
00:31:43,758 --> 00:31:47,284
Two thousand patients die each year
because a donor liver can't be found.
That's almost five a day.
485
00:31:47,362 --> 00:31:49,056
So he's screwed.
486
00:31:51,031 --> 00:31:52,895
I'll see what I can do.
487
00:31:54,702 --> 00:31:58,296
- Could I donate part of my liver?
- Sorry. You're a different blood type.
488
00:31:58,372 --> 00:32:00,498
So we just wait?
I'm afraid so.
489
00:32:00,574 --> 00:32:02,837
And hope for someone to die.
490
00:32:05,011 --> 00:32:07,001
Who's Jules?
491
00:32:08,881 --> 00:32:11,576
Dr. House, you should
get back to your office-
Jules.
492
00:32:11,651 --> 00:32:15,017
- There's noJules in the history.
- It was a hallucination.
493
00:32:15,087 --> 00:32:17,020
Of what?
Our cat.
494
00:32:17,089 --> 00:32:19,522
Does this matter?
[Foreman]
No. I'm sorry.
495
00:32:19,591 --> 00:32:23,617
We'll continue the transfusions and
the treatment for the anemia and liver failure
while we're waiting for a donor.
496
00:32:23,695 --> 00:32:26,959
- How long can he wait?
- Not long.
497
00:32:27,031 --> 00:32:29,260
- I don't think this is lupus.
- It's lupus. Come on, let's just go-
498
00:32:29,333 --> 00:32:32,267
Your fourth diagnostic criterion
for lupus is psychosis.
499
00:32:32,336 --> 00:32:34,667
This is just a kid
missing his cat.
500
00:32:34,739 --> 00:32:38,003
He was being attacked by an animal
that wasn't in the room.
501
00:32:38,074 --> 00:32:41,270
That's psychosis.
There's a difference between
psychosis and hallucination.
502
00:32:41,344 --> 00:32:44,779
So if he was imagining a fake cat,
it'd be lupus, but since it
was a real cat, it's not?
503
00:32:44,848 --> 00:32:46,872
- Take your damn pills.
- Psychosis requires-
504
00:32:46,950 --> 00:32:49,008
There is no cat.
505
00:32:50,052 --> 00:32:52,315
Jules is dead.
506
00:32:54,523 --> 00:32:58,049
You have a dead family pet
and you never mentioned it?
507
00:32:58,127 --> 00:33:00,117
Nice family history.
508
00:33:00,194 --> 00:33:04,323
Family history's
asking about family members,
meaning people related to the patient.
509
00:33:04,399 --> 00:33:07,162
How did the cat die?
Can you get him outta here?
510
00:33:07,235 --> 00:33:10,795
- Dr. House, come on, let's-
- What happened to the cat?
511
00:33:12,005 --> 00:33:14,029
Old age.
512
00:33:14,107 --> 00:33:16,006
- She was 15 years old.
- When?
513
00:33:16,076 --> 00:33:17,804
About a month ago.
514
00:33:17,878 --> 00:33:20,175
- Does this have anything to do with-
- Where'd she sleep?
515
00:33:20,247 --> 00:33:22,077
With Keith.
This is not a cat allergy.
516
00:33:22,149 --> 00:33:24,013
And it's not lupus.
517
00:33:24,083 --> 00:33:26,050
Where is Jules?
518
00:33:29,221 --> 00:33:31,552
[Sighs]
519
00:33:31,624 --> 00:33:33,557
Four years of college,
520
00:33:33,626 --> 00:33:35,559
four at med school,
521
00:33:35,627 --> 00:33:37,560
two years of residency,
522
00:33:37,629 --> 00:33:40,563
another four
of subspecialty training,
and where do I end up?
523
00:33:42,267 --> 00:33:44,200
Talking instead of digging.
524
00:33:44,269 --> 00:33:46,429
Come on.
The ground's frozen solid.
525
00:33:54,111 --> 00:33:56,704
[Thumping]
[Sighs]
526
00:33:56,780 --> 00:33:58,610
[Foreman]
What's that?
527
00:34:47,126 --> 00:34:49,059
[Elevator Bell Dings]
528
00:34:49,128 --> 00:34:51,061
Out of the way!
529
00:34:52,064 --> 00:34:54,964
We have the liver.
Prep O.R. Four.
530
00:35:17,420 --> 00:35:19,785
[Monitors Beeping]
531
00:35:21,024 --> 00:35:24,652
All right, Keith,
start counting backward from ten.
532
00:35:24,727 --> 00:35:26,717
Ten,
533
00:35:27,730 --> 00:35:29,663
nine,
534
00:35:29,732 --> 00:35:32,359
eight-
535
00:35:32,434 --> 00:35:34,731
Scalpel.
536
00:35:40,008 --> 00:35:42,271
- [Door Slides Open]
- Stop the gases.
537
00:35:42,343 --> 00:35:43,809
What the hell are you doing,
House?
538
00:35:43,878 --> 00:35:49,144
Saving a 16-year-old kid from a lifetime
of immunosuppressant drugs
and a very nasty scar.
539
00:35:49,216 --> 00:35:51,809
This kid doesn't have
lupoid hepatitis.
540
00:35:51,885 --> 00:35:53,875
He has acute naphthalene toxicity.
541
00:35:53,954 --> 00:35:57,150
Naphthalene?
Y-Y-You're talking about mothballs.
542
00:35:57,223 --> 00:35:58,951
Nope. Termites.
543
00:36:00,226 --> 00:36:02,159
They create naphthalene
to protect their nests,
544
00:36:02,228 --> 00:36:07,358
which I'm assuming is rather large
and inside all four walls of his bedroom at home.
545
00:36:08,967 --> 00:36:10,900
And your assumption
is based on what?
546
00:36:10,969 --> 00:36:14,165
The autopsy I just conducted
on his pet cat.
547
00:36:14,239 --> 00:36:18,004
- Call Cuddy. And Security.
- You are not removing that kid's liver.
548
00:36:18,076 --> 00:36:19,838
Now!
549
00:36:20,911 --> 00:36:23,003
[Hawks, Spits]
550
00:36:23,080 --> 00:36:26,674
[Yells]
Have you completely lost your mind?
551
00:36:26,750 --> 00:36:29,479
No, but I have been feeling
a little sick lately.
552
00:36:29,553 --> 00:36:32,043
Ah-choo!
[Sighs]
553
00:36:33,990 --> 00:36:37,254
There's no way
we can do this surgery now.
Ya think?
554
00:36:37,327 --> 00:36:40,193
You've already cost him his liver.
Don't kill him too.
555
00:36:40,263 --> 00:36:43,197
Why are you so eager
to cut into a healthy kid?
556
00:36:43,266 --> 00:36:46,200
Healthy? He's in the toilet.
He just needs
some chicken soup.
557
00:36:46,268 --> 00:36:50,226
- I'm telling Hourani to re-scrub.
We're doing this transplant.
- No, you're not.
558
00:36:50,305 --> 00:36:54,673
You said it. If Keith's symptoms had
an environmental cause, they would have
disappeared as soon as he got here.
559
00:36:54,743 --> 00:36:56,232
They've only gotten worse.
560
00:36:56,310 --> 00:36:59,836
If the food here wasn't
one step below Riker's Island,
he would've gotten better.
561
00:36:59,914 --> 00:37:02,541
- He's lost 14 pounds-
- Sure. This is nothing but a dietary thing.
562
00:37:02,617 --> 00:37:05,244
Naphthalene is a gas,
a fat-soluble gas.
563
00:37:05,319 --> 00:37:08,253
Kid breathes it in,
it gets stored in his fat cells.
564
00:37:08,321 --> 00:37:11,619
Outside the hospital, his body
burned protein and carbs for energy.
565
00:37:11,691 --> 00:37:13,453
And the naphthalene
stayed in fat.
566
00:37:13,526 --> 00:37:18,292
But once the car accident
put him in the hospital
and he started losing weight,
567
00:37:18,365 --> 00:37:20,662
his body had to get its energy
somewhere else.
568
00:37:20,733 --> 00:37:23,326
It started to burn fat.
569
00:37:23,402 --> 00:37:24,333
The floodgates opened.
570
00:37:24,403 --> 00:37:27,462
The poison poured into his system.
571
00:37:27,539 --> 00:37:29,972
So getting away from the poison
is what poisoned him?
572
00:37:30,042 --> 00:37:32,976
Getting away from his dad's meat loaf
is what's killing him.
573
00:37:33,044 --> 00:37:35,705
You wanna explain to me
why you stopped the surgery?
574
00:37:35,780 --> 00:37:37,770
Oh, my God!
My God.
575
00:37:39,784 --> 00:37:42,274
- I want him locked up!
- [Chase] Hey.!
576
00:37:42,353 --> 00:37:44,445
Take it easy.
577
00:37:55,165 --> 00:37:58,156
Your cat did not die of old age.
578
00:38:01,270 --> 00:38:04,761
It died of massive internal bleeding
and acute liver failure...
579
00:38:04,840 --> 00:38:06,932
caused by naphthalene poisoning.
580
00:38:08,209 --> 00:38:10,836
The exact same thing
your son has.
581
00:38:10,912 --> 00:38:14,506
You lie to me,
you mess up my son's surgery,
and now you expect me to trust you?
582
00:38:14,582 --> 00:38:18,017
Give me 24 hours.
We'll pump your son full of calories-
583
00:38:18,086 --> 00:38:21,179
- That liver is going to somebody right now.
- We're doing that surgery.
584
00:38:21,255 --> 00:38:25,122
You do the surgery,
you'll be killing a mother of four.
585
00:38:25,192 --> 00:38:26,954
Father of three.
586
00:38:27,027 --> 00:38:29,790
- I was guessing.
- Like you are now?
587
00:38:31,230 --> 00:38:35,427
Naphthalene poisoning
is the best explanation we have
for what's wrong with your son.
588
00:38:36,502 --> 00:38:39,834
It explains the internal bleeding,
the hemolytic anemia,
the liver failure.
589
00:38:39,906 --> 00:38:42,305
It also predicts what'll happen next.
590
00:38:42,375 --> 00:38:46,435
If you do the surgery,
he's gonna lay on that table
for 14 hours...
591
00:38:46,511 --> 00:38:50,276
while his body continues to burn fat
and release poison into his system.
592
00:38:50,349 --> 00:38:53,010
Either way, I did you a favor.
593
00:38:53,085 --> 00:38:56,110
He's awake now.
You've got a chance to say good-bye.
594
00:39:03,694 --> 00:39:05,684
I think you should trust Dr. House.
595
00:39:18,907 --> 00:39:21,238
Give the liver to the other guy.
596
00:39:35,757 --> 00:39:37,621
Watch out.
597
00:39:59,078 --> 00:40:02,444
I.N.R.'s down
and his red count is climbing.
598
00:40:04,917 --> 00:40:07,407
Means you made the right call.
599
00:40:07,485 --> 00:40:10,180
His liver is healing.
He's gonna be just fine.
600
00:40:10,255 --> 00:40:12,347
[Sobbing]
601
00:40:27,704 --> 00:40:29,637
You made it a week.
602
00:40:29,705 --> 00:40:31,638
And won my prize.
603
00:40:31,707 --> 00:40:33,640
Congratulations.
Cuddy's a sucker.
604
00:40:33,709 --> 00:40:36,142
I would've done it
for two weeks off.
605
00:40:36,212 --> 00:40:38,145
Yeah, it was a piece of cake.
606
00:40:38,214 --> 00:40:39,646
You learn anything?
607
00:40:40,982 --> 00:40:42,573
Yeah.
608
00:40:42,651 --> 00:40:44,641
I'm an addict.
609
00:40:54,295 --> 00:40:56,285
Uh-
610
00:40:57,465 --> 00:40:59,295
Okay.
611
00:40:59,366 --> 00:41:01,856
I'm not stopping.
612
00:41:04,371 --> 00:41:06,304
There are programs.
613
00:41:06,372 --> 00:41:08,305
Cuddy would give you the time.
614
00:41:08,374 --> 00:41:11,501
You could get on a different
pain management regimen.
I don't need to stop.
615
00:41:12,812 --> 00:41:14,779
You just said-
616
00:41:14,848 --> 00:41:18,908
I said I was an addict.
I didn't say I had a problem.
617
00:41:18,984 --> 00:41:21,076
I pay my bills. I make my meals.
I function.
618
00:41:22,921 --> 00:41:26,185
Is that all you want?
You have no relationships.
619
00:41:26,258 --> 00:41:28,623
I don't want any relationships.
620
00:41:28,693 --> 00:41:32,128
- You alienate people.
- I've been alienating people
since I was three.
621
00:41:32,196 --> 00:41:34,629
Oh, come on!
Drop it.
622
00:41:34,699 --> 00:41:37,166
You don't think you've changed
in the last few years?
623
00:41:37,235 --> 00:41:40,465
Well, of course I have.
I've- I've gotten older,
my hair's got thinner.
624
00:41:40,537 --> 00:41:44,438
Sometimes I'm bored.
Sometimes I'm lonely.
Sometimes I wonder what it all means.
625
00:41:44,508 --> 00:41:45,872
No, I was there.
626
00:41:45,942 --> 00:41:48,603
You are not just a regular guy
who's getting older.
627
00:41:48,678 --> 00:41:51,544
You've changed. You're miserable,
and you're afraid to face yourself.
628
00:41:51,615 --> 00:41:54,276
Of course I've changed!
629
00:42:01,323 --> 00:42:03,882
And everything's the leg?
630
00:42:03,958 --> 00:42:06,949
Nothing's the pills?
They haven't done a thing to you?
631
00:42:08,596 --> 00:42:11,462
They let me do my job.
632
00:42:11,533 --> 00:42:14,160
And they take away my pain.
633
00:42:29,682 --> 00:42:31,672
[Door Closes]
634
00:42:45,630 --> 00:42:48,063
How'd it go?
635
00:42:48,133 --> 00:42:50,566
He admitted
he's addicted to the narcotics.
636
00:42:50,635 --> 00:42:54,126
Well, admitting you
have a problem is the first-
And he says it's not a problem.
637
00:42:55,472 --> 00:42:57,405
Maybe it's not.
638
00:42:57,474 --> 00:42:59,407
What do I know?
639
00:42:59,476 --> 00:43:02,740
What are you gonna do?
Nothing.
Done enough damage.
640
00:43:02,813 --> 00:43:06,748
Better hope he never finds out
that that was your idea.
He'd never believe it.
641
00:44:01,000 --> 00:44:02,261
That's some bad hat, Harry.
9999
00:00:0,500 --> 00:00:2,00
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