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1
00:00:07,675 --> 00:00:09,260
Mrs. Simms: Jessica.
2
00:00:11,971 --> 00:00:16,267
Jessica, come on. We gotta go.
3
00:00:18,603 --> 00:00:22,106
- Move it or lose it, sister.
- I don't feel good.
4
00:00:28,988 --> 00:00:31,657
- You don't feel warm.
- My stomach hurts.
5
00:00:31,782 --> 00:00:34,994
- Honey, if you don't have a fever...
- I don't want to go to school.
6
00:00:35,119 --> 00:00:37,330
I can do my work at home.
7
00:00:38,080 --> 00:00:40,291
Jessica, what's wrong?
8
00:00:42,793 --> 00:00:44,420
Everybody hates me.
9
00:00:46,714 --> 00:00:48,090
No, they don't hate you.
10
00:00:48,424 --> 00:00:51,177
They don't even know you,
because they're too ignorant to try.
11
00:00:51,302 --> 00:00:54,513
- I hate myself.
- Jessica, don't say that.
12
00:00:55,473 --> 00:00:58,517
Honey. Look at me. Look at me.
13
00:00:58,893 --> 00:01:03,689
You are a wonderful,
beautiful little girl.
14
00:01:03,940 --> 00:01:06,651
- Don't let a few bad apples...
- A few?
15
00:01:07,109 --> 00:01:08,945
Try my whole class.
16
00:01:10,112 --> 00:01:12,198
Remember the story
where the guy keeps saying
17
00:01:12,323 --> 00:01:14,033
that he hates green eggs and ham?
18
00:01:14,242 --> 00:01:16,410
And then at the end,
he realized he really loved them?
19
00:01:16,661 --> 00:01:20,998
One day, they're gonna realize
what a great kid you really are.
20
00:01:21,249 --> 00:01:25,670
You just gotta be like Sam-i-am,
and don't give up.
21
00:01:27,296 --> 00:01:28,589
Okay.
22
00:01:31,884 --> 00:01:34,887
Conroy: That's it. Keep going.
23
00:01:36,639 --> 00:01:41,310
Good. Nice. You're doing great,
Jessica. You're doing great.
24
00:01:44,230 --> 00:01:48,526
Hey. Hey, Seth. You want to spend
the rest of class sitting on the bench?
25
00:01:49,902 --> 00:01:51,737
Keep going, Jess.
You got 40 more seconds.
26
00:01:51,862 --> 00:01:54,115
- My arm hurts.
- Come on. Tough it up.
27
00:01:54,282 --> 00:01:57,451
- You can do it. You can do it.
- My chest hurts.
28
00:01:57,576 --> 00:02:01,247
- How do you think the ground feels?
- Hey, Seth. Two laps. Bye.
29
00:02:01,372 --> 00:02:05,710
Jess, it's just a stitch. Okay?
Just keep breathing. You got it.
30
00:02:05,918 --> 00:02:08,921
- I can't.
- Only 10 more seconds. You got it.
31
00:02:18,931 --> 00:02:22,184
Jessica? Jessica? Jessica?
32
00:02:28,858 --> 00:02:32,028
Oh, my god. Hey, go to the office.
Get miss Parsons. Now.
33
00:02:33,487 --> 00:02:35,281
I'm on the playground
at Finley elementary.
34
00:02:35,406 --> 00:02:37,158
One of my students is
having a heart attack.
35
00:02:37,283 --> 00:02:39,535
Yeah, she's 10.
Don't you think I know that?
36
00:02:39,660 --> 00:02:43,664
Just send the damn ambulance. Come on.
Wake up. Come on, sweetie.
37
00:03:19,742 --> 00:03:24,872
Woman on pa: Dr. Bender, 6370.
Dr. Bender, call extension 6370.
38
00:03:27,041 --> 00:03:30,378
You ever seen
an infected pierced scrotum?
39
00:03:30,669 --> 00:03:33,464
No, but I know a few people
on whom I'd like to see it happen.
40
00:03:33,589 --> 00:03:34,965
We need to talk.
41
00:03:35,091 --> 00:03:38,677
Well, if pain's what you're after,
the penis is really the way to go.
42
00:03:38,803 --> 00:03:41,389
- I'd recommend the apadravya.
- We're not talking.
43
00:03:41,514 --> 00:03:43,140
It sounded like we were.
44
00:03:43,682 --> 00:03:47,228
No, you're attempting to avoid talking
45
00:03:47,436 --> 00:03:49,522
because you know what
I want to talk about.
46
00:03:49,688 --> 00:03:50,981
Nipples?
47
00:03:51,107 --> 00:03:52,983
You need to get rid
of one of your people.
48
00:03:53,109 --> 00:03:56,195
Absolutely. As soon as I do
performance reviews.
49
00:03:56,320 --> 00:03:58,280
And then review the reviews, of course.
50
00:03:58,406 --> 00:04:01,659
A decision like this can't be made
without proper, you know, review.
51
00:04:01,867 --> 00:04:03,869
Shouldn't take longer
than a month, maybe two.
52
00:04:04,078 --> 00:04:06,580
Four at the most,
unless it gets complicated.
53
00:04:06,705 --> 00:04:08,416
There's no way out of this.
54
00:04:08,541 --> 00:04:11,502
Get it over with as fast as you can,
like ripping off a band-aid.
55
00:04:11,627 --> 00:04:14,755
Only instead of a two-cent piece
of tape and gauze, it's a human being.
56
00:04:14,964 --> 00:04:17,383
- Like you care.
- Like you don't.
57
00:04:21,011 --> 00:04:23,264
You have a week. Get it done.
58
00:04:32,273 --> 00:04:35,317
We have a referral from Dr. Lenkiewicz.
59
00:04:35,609 --> 00:04:37,695
- Don't know him.
- He knows you.
60
00:04:37,820 --> 00:04:39,697
- What's the problem?
- Heart attack.
61
00:04:40,072 --> 00:04:43,242
- Definitely don't know him.
- The patient's 10.
62
00:04:45,202 --> 00:04:48,456
Ten-year-olds do not have heart attacks.
It's gotta be a mistake.
63
00:04:48,581 --> 00:04:52,877
Right. Simplest explanation is she's a
40-year-old lying about her age.
64
00:04:53,169 --> 00:04:54,879
Maybe an actress trying to hang on.
65
00:04:55,004 --> 00:04:58,132
- I meant maybe the tests were wrong.
- That's what the er thought.
66
00:04:58,257 --> 00:04:59,758
Three ck-mbs were positive.
67
00:04:59,884 --> 00:05:03,012
The EKG shows classic signs
of st elevation. It's a heart attack.
68
00:05:03,137 --> 00:05:04,889
She's morbidly obese.
69
00:05:05,598 --> 00:05:07,641
The morbid part of that raises alarms.
70
00:05:07,766 --> 00:05:10,186
It takes decades to eat
your way into a heart attack.
71
00:05:10,311 --> 00:05:13,856
Doesn't take decades to kill yourself.
If I was that fat, I'd be pretty tempted
72
00:05:13,981 --> 00:05:17,026
- to knock back a bottle of pills.
- Cameron: It's not a drug overdose.
73
00:05:17,151 --> 00:05:19,045
The fatigue, muscle pain
and difficulty concentrating
74
00:05:19,069 --> 00:05:20,547
have been bothering her for over a year.
75
00:05:20,571 --> 00:05:22,781
That's because of her weight,
because of her depression.
76
00:05:22,907 --> 00:05:24,450
That's what five pediatricians,
77
00:05:24,575 --> 00:05:26,785
two nutritionists
and a psychologist said.
78
00:05:26,911 --> 00:05:29,389
The heart attack would seem
to indicate that they missed something.
79
00:05:29,413 --> 00:05:32,541
- It's gotta be something genetic.
- What about metabolic syndrome x?
80
00:05:32,666 --> 00:05:35,211
- Insulin resistance?
- Syndrome x could cause a stroke.
81
00:05:35,336 --> 00:05:36,754
I don't know about a heart attack.
82
00:05:36,879 --> 00:05:39,006
It could, if her blood pressure
was high enough.
83
00:05:39,131 --> 00:05:40,966
Which is likely, considering her weight.
84
00:05:41,133 --> 00:05:43,719
Fits the symptoms. Me iikee.
85
00:05:43,844 --> 00:05:46,764
Do a hyperinsulinemic-euglycemic clamp.
86
00:05:49,141 --> 00:05:51,268
Oh, and one more thing.
87
00:05:52,436 --> 00:05:57,107
I've been told that I gotta get rid of
one of you guys by the end of the week.
88
00:05:58,234 --> 00:06:01,779
New sheriff. Belt tightening.
You know how it goes.
89
00:06:05,783 --> 00:06:07,535
Okay. Carry on.
90
00:06:12,248 --> 00:06:14,875
Some kind of game.
House's own version of punk'd.
91
00:06:15,042 --> 00:06:17,962
It's not house. It's vogler.
We can't let it get to us.
92
00:06:18,087 --> 00:06:19,755
- We've got to stick together.
- Why?
93
00:06:19,880 --> 00:06:22,161
Are you suggesting we start
slashing each other's throats?
94
00:06:22,216 --> 00:06:24,760
I'm suggesting it's a zero-sum game.
Your loss is my win.
95
00:06:25,052 --> 00:06:28,597
- That's not conducive to team play.
- Which is what house seems to want.
96
00:06:28,722 --> 00:06:30,224
Look, I'm with Cameron.
97
00:06:30,349 --> 00:06:34,937
It may be a bad strategy, but I don't
want to give house the satisfaction.
98
00:06:35,062 --> 00:06:37,398
Come on. Sick kid, remember?
99
00:06:39,316 --> 00:06:42,945
- Mrs. Simms: She's diabetic?
- Cameron: No, but it's similar.
100
00:06:43,112 --> 00:06:45,364
Msx patients
don't respond normally to Insulin,
101
00:06:45,489 --> 00:06:47,741
which causes their body
to create too much,
102
00:06:47,866 --> 00:06:51,120
and that leads
to metabolic abnormalities.
103
00:06:51,287 --> 00:06:53,890
We're going to do a test to be sure,
but there are certain dangers.
104
00:06:53,914 --> 00:06:56,875
Is this thing treatable?
105
00:06:57,042 --> 00:06:59,086
It's controllable
through proper diet and exercise.
106
00:06:59,211 --> 00:07:00,754
Wait.
107
00:07:01,380 --> 00:07:05,217
Jessica already eats right,
and she exercises every day.
108
00:07:05,342 --> 00:07:06,987
You've already seen
several nutritionists...
109
00:07:07,011 --> 00:07:08,651
We've done everything
they've recommended.
110
00:07:08,721 --> 00:07:09,721
I understand...
111
00:07:09,930 --> 00:07:13,100
Why can't any of you doctors
see past her weight?
112
00:07:15,978 --> 00:07:21,025
If diet and exercise are the treatment,
then the diagnosis is wrong.
113
00:07:21,775 --> 00:07:23,611
It might be.
114
00:07:23,944 --> 00:07:27,364
But the only way we'll know
is if you let us do this test.
115
00:07:30,284 --> 00:07:32,745
It's really bad,
especially at night.
116
00:07:32,953 --> 00:07:37,583
It's like my heart is on fire.
Like it's, oh, I don't know. Like...
117
00:07:38,751 --> 00:07:41,086
- House: Burning?
- Exactly.
118
00:07:41,754 --> 00:07:44,506
Sounds almost like heartburn.
119
00:07:44,840 --> 00:07:48,594
- So, can you give me something?
- Like a thesaurus?
120
00:07:48,719 --> 00:07:49,595
What?
121
00:07:49,720 --> 00:07:52,765
I take it you never mentioned this
during any of your prenatal visits.
122
00:07:52,890 --> 00:07:54,642
Prenatal?
123
00:07:56,060 --> 00:07:57,144
I'm not pregnant.
124
00:07:57,269 --> 00:08:00,731
You don't get to make that call unless
you have a stethoscope. Union rules.
125
00:08:00,856 --> 00:08:04,401
I know when I'm pregnant, all right?
I have six kids.
126
00:08:04,526 --> 00:08:07,780
That's why my husband
had a vasectomy, and we use condoms.
127
00:08:07,905 --> 00:08:10,699
Vasectomies can reverse themselves.
Condoms break.
128
00:08:10,824 --> 00:08:15,454
Okay. This is what a woman
is supposed to look like.
129
00:08:15,829 --> 00:08:21,835
Okay? We're not just skin and bones.
We have flesh. We have curves.
130
00:08:22,544 --> 00:08:25,047
You have little people inside you.
131
00:08:26,507 --> 00:08:29,259
Okay, okay. I'm sorry.
132
00:08:29,551 --> 00:08:32,513
I guess I must have just been
brainwashed by the media,
133
00:08:32,638 --> 00:08:35,307
- all those years of medical training.
- Damn right.
134
00:08:35,432 --> 00:08:38,977
I'll see if I can find some antacids
while the nurse gets some blood.
135
00:08:39,103 --> 00:08:42,439
- Blood? Why?
- The heartburn.
136
00:08:42,648 --> 00:08:45,025
Gotta make sure it's not spreading.
137
00:08:50,572 --> 00:08:52,408
I don't want to.
138
00:08:52,741 --> 00:08:55,369
The test involves
some pretty precise measurements.
139
00:08:55,494 --> 00:08:57,579
If we don't know exactly
how much you weigh,
140
00:08:57,705 --> 00:08:59,873
we won't get the right answers.
141
00:09:01,333 --> 00:09:03,711
Let me tell you a secret.
142
00:09:03,919 --> 00:09:06,755
When I was your age, I was heavy, too.
143
00:09:06,964 --> 00:09:08,716
Were you over 100?
144
00:09:08,841 --> 00:09:12,553
Way over. Kids in my neighborhood
used to call me rerun.
145
00:09:12,678 --> 00:09:14,972
- Rerun?
- He was a heavy guy from TV.
146
00:09:15,097 --> 00:09:17,558
I used to pretend I liked it,
but I didn't.
147
00:09:17,683 --> 00:09:21,603
- How come you're not heavy anymore?
- Ninth grade, grew five inches.
148
00:09:21,729 --> 00:09:25,566
- Everything kind of evened out.
- You think that'll happen to me?
149
00:09:25,691 --> 00:09:29,570
Well, yeah. Your mom's tall, and you
are a little short for your age.
150
00:09:29,695 --> 00:09:31,530
Probably spring right up.
151
00:09:42,082 --> 00:09:44,626
Obesity isn't something
you just grow out of.
152
00:09:44,752 --> 00:09:48,297
- I take it you've never seen a baby?
- Chase: She's not a baby. She's 10.
153
00:09:48,422 --> 00:09:51,183
And you figure making her feel like crap
would do her a world of good?
154
00:09:51,300 --> 00:09:53,260
Yeah, if it gets her off the couch.
155
00:09:53,385 --> 00:09:55,505
Cameron: I'm sure she's already
under enough pressure.
156
00:09:55,596 --> 00:09:56,805
Not from mummy.
157
00:09:56,930 --> 00:09:59,570
Everything in society tells us
we have to be thin to be successful.
158
00:09:59,600 --> 00:10:01,101
No. Society tells you,
159
00:10:01,226 --> 00:10:03,437
you have to be thin to be attractive.
And guess what?
160
00:10:03,562 --> 00:10:07,024
That's what attractive means,
that society likes looking at you.
161
00:10:07,149 --> 00:10:10,235
I think we should be telling our kids
it's fine as long as they're healthy.
162
00:10:10,444 --> 00:10:13,572
You weigh 90 pounds
because it makes you healthier?
163
00:10:13,906 --> 00:10:16,992
Forget it. He's just
cranky because he knows
164
00:10:17,117 --> 00:10:19,369
he's the one who's gonna get the axe.
165
00:10:24,291 --> 00:10:26,210
So, any thoughts?
166
00:10:26,376 --> 00:10:29,296
On what? Sharon's plan for gaza?
167
00:10:30,464 --> 00:10:31,548
Who you gonna let go?
168
00:10:31,673 --> 00:10:33,258
I'm thinking I can convince vogler
169
00:10:33,383 --> 00:10:35,719
it would be more cost-efficient
to keep all of them.
170
00:10:35,844 --> 00:10:37,387
You should be able to pull that off.
171
00:10:37,513 --> 00:10:39,473
Most billionaires
aren't very good with numbers.
172
00:10:39,598 --> 00:10:43,060
It will be more cost-efficient
once I grab Cameron's ass,
173
00:10:43,185 --> 00:10:48,774
call foreman a spade, and chase, well,
I'll grab his ass, too.
174
00:10:49,066 --> 00:10:51,193
You are uniquely
talented in many areas,
175
00:10:51,318 --> 00:10:54,112
but office politics is not one of them.
176
00:10:54,279 --> 00:10:56,323
Don't take vogler on.
177
00:10:56,740 --> 00:10:58,951
- Separate or together?
- Together.
178
00:11:03,831 --> 00:11:06,834
Increasing glucose
to 6.9 milligrams per minute.
179
00:11:06,959 --> 00:11:08,752
- Cameron: Are you okay?
- I'm thirsty.
180
00:11:08,877 --> 00:11:10,396
Just a little longer and you'll be done.
181
00:11:10,420 --> 00:11:12,130
Like Dr. Chase.
182
00:11:12,381 --> 00:11:14,675
Want to put some money on it?
183
00:11:17,135 --> 00:11:20,264
- I said I'm thirsty.
- Just five more minutes, sweetheart.
184
00:11:20,389 --> 00:11:22,516
I'm not your sweetheart.
Don't call me that.
185
00:11:22,641 --> 00:11:24,852
- That's not nice.
- They're the ones who aren't nice.
186
00:11:24,977 --> 00:11:27,563
You're not, either.
I don't want to do this anymore.
187
00:11:27,729 --> 00:11:30,023
Jessica. Jessica,
you have to calm down.
188
00:11:30,148 --> 00:11:32,109
No. No. Let me go.
189
00:11:32,234 --> 00:11:34,954
Cameron: Check her blood sugar.
She's got to be getting hypoglycemic.
190
00:11:34,987 --> 00:11:37,197
I've never seen her like this before.
Something's wrong.
191
00:11:37,322 --> 00:11:40,075
Let go of me. Get it out of me.
192
00:11:40,242 --> 00:11:44,037
Let go, you son of a bitch.
You bastard. No.
193
00:11:44,830 --> 00:11:46,039
Help her.
194
00:11:52,004 --> 00:11:55,007
She's sedated.
Mrs. Simms, don't worry.
195
00:11:55,132 --> 00:11:57,384
Hypoglycemia can cause
temporary psychosis,
196
00:11:57,509 --> 00:12:00,470
and is a common complication
during an hec procedure.
197
00:12:00,596 --> 00:12:02,514
I never wanted it done
in the first place.
198
00:12:02,639 --> 00:12:03,891
We understand you're upset...
199
00:12:04,016 --> 00:12:06,184
You were supposed to be
monitoring her condition,
200
00:12:06,310 --> 00:12:08,190
but instead you were bickering
and placing bets.
201
00:12:08,228 --> 00:12:10,832
I apologize if we weren't devoting
our full attention to your daughter,
202
00:12:10,856 --> 00:12:12,608
- but I assure you that we...
- Oh, please.
203
00:12:12,816 --> 00:12:15,444
Save your pathetic insincerity
for your boyfriend.
204
00:12:15,569 --> 00:12:19,448
You're wrong. She is, in fact,
pathetically sincere.
205
00:12:19,740 --> 00:12:22,492
- And they didn't screw it up.
- Who are you?
206
00:12:22,659 --> 00:12:26,246
I'm from the lab. The blood tests show
your daughter was not hypoglycemic,
207
00:12:26,371 --> 00:12:29,416
which means her psychosis wasn't
caused by anything these doctors did.
208
00:12:29,583 --> 00:12:33,211
- So then what was it caused by?
- I've no idea.
209
00:12:34,087 --> 00:12:38,050
But you'll be happy to hear it cannot
be cured by diet or exercise.
210
00:12:48,602 --> 00:12:53,065
What else could cause
uncontrollable rage in a 10-year-old?
211
00:12:53,190 --> 00:12:55,817
Nothing that could
also cause a heart attack.
212
00:12:57,736 --> 00:12:59,905
I assume
I don't have to point out
213
00:13:00,030 --> 00:13:03,158
that now would be
an extremely good time
214
00:13:03,283 --> 00:13:08,872
for one of you to distinguish yourself
with a brilliant idea.
215
00:13:12,125 --> 00:13:14,628
A hypercoagulable state
can cause a blood clot.
216
00:13:14,753 --> 00:13:16,505
Blood clots can cause a heart attack.
217
00:13:16,630 --> 00:13:18,799
More likely to cause a stroke,
not the psychosis.
218
00:13:18,924 --> 00:13:22,010
No, you're wrong. If a clot made it
to the amygdala area of the brain,
219
00:13:22,135 --> 00:13:23,595
it might cause uncontrollable rage.
220
00:13:23,720 --> 00:13:25,073
Right, because anything's possible,
221
00:13:25,097 --> 00:13:27,432
but nothing's gonna cause
multiple clots in a kid this age.
222
00:13:27,557 --> 00:13:30,060
- She's fat.
- Obesity doesn't cause blood clots.
223
00:13:30,185 --> 00:13:32,854
Chase: Extremely obese patients
can get a fat embolus.
224
00:13:32,980 --> 00:13:35,375
Right, after they've had liposuction,
which she's clearly never had.
225
00:13:35,399 --> 00:13:36,233
How do you know?
226
00:13:36,358 --> 00:13:38,118
Cameron: Because we
have her medical records,
227
00:13:38,151 --> 00:13:40,195
and because no plastic surgeon
in his right mind
228
00:13:40,320 --> 00:13:42,114
is gonna give a 10-year-old liposuction.
229
00:13:42,239 --> 00:13:46,785
Have you ever met a plastic surgeon
who was in their right mind?
230
00:13:46,994 --> 00:13:49,955
- She hasn't had liposuction.
- Thank you.
231
00:13:51,289 --> 00:13:54,042
But what about some other
ridiculous obesity treatment?
232
00:13:54,459 --> 00:13:55,293
Like what?
233
00:13:55,419 --> 00:13:57,921
Diet pills can
cause heart attacks and blood clots.
234
00:13:58,046 --> 00:13:59,798
Her tox screen was negative.
235
00:13:59,923 --> 00:14:01,843
Wouldn't show over-the-counter
weight-loss drugs.
236
00:14:01,883 --> 00:14:03,361
Her mother wouldn't give her diet pills.
237
00:14:03,385 --> 00:14:07,264
She thinks her daughter's perfect
just the way she is.
238
00:14:07,681 --> 00:14:09,474
She's lying.
239
00:14:09,641 --> 00:14:13,520
You two, heparin and warfarin
to prevent further clotting.
240
00:14:13,854 --> 00:14:16,523
And you find those pills.
241
00:14:28,076 --> 00:14:30,787
Not diet pills.
242
00:14:30,912 --> 00:14:33,498
You might want to broaden
the search just a little.
243
00:14:33,623 --> 00:14:36,543
Don't just ask the mom. If she hasn't
mentioned it yet, she's not...
244
00:14:36,668 --> 00:14:39,629
If you're gonna fire someone,
go ahead and do it.
245
00:14:39,755 --> 00:14:41,173
But don't treat us like lab rats,
246
00:14:41,298 --> 00:14:44,676
testing how long it takes
to get us at one another's throats.
247
00:14:44,801 --> 00:14:47,030
- So what should I do?
- I don't give a damn what you do.
248
00:14:47,054 --> 00:14:50,974
Yes, I had noticed
your complete indifference.
249
00:14:51,266 --> 00:14:54,770
You don't even offer
a medical opinion anymore.
250
00:14:54,895 --> 00:14:56,813
Who would you fire?
251
00:14:57,314 --> 00:15:00,317
- Not my call.
- I want your opinion.
252
00:15:01,026 --> 00:15:03,195
Fine, it's you.
253
00:15:03,945 --> 00:15:06,656
Either way, you're making a choice.
254
00:15:09,534 --> 00:15:11,578
Chase.
255
00:15:12,204 --> 00:15:14,414
Because he screwed up
an angio a month ago?
256
00:15:14,539 --> 00:15:18,210
- Anyone can make a mistake.
- Right. So it's the money.
257
00:15:18,543 --> 00:15:21,189
You resent it, but you're gonna tell me
that he doesn't need the job.
258
00:15:21,213 --> 00:15:22,714
He doesn't appreciate the job.
259
00:15:22,839 --> 00:15:24,879
He was ready to go three rounds
with Cameron for it.
260
00:15:24,966 --> 00:15:28,386
He wants the job.
He just doesn't appreciate it.
261
00:15:28,553 --> 00:15:30,514
There's nothing wrong
with wanting to hang out,
262
00:15:30,639 --> 00:15:33,558
but this is not the place to do it.
263
00:15:34,518 --> 00:15:37,771
- I'm surprised.
- You thought I'd pick Cameron?
264
00:15:38,438 --> 00:15:40,941
I didn't think you'd pick at all.
265
00:15:46,196 --> 00:15:49,741
Guess he's not the rise-above-the-fray
guy he'd like us to think he is.
266
00:15:49,908 --> 00:15:51,535
You practically forced it out of him.
267
00:15:51,701 --> 00:15:54,538
He's scared of losing his job,
just like everybody else.
268
00:15:54,663 --> 00:15:57,916
I've been thinking. You've made it quite
clear that you're miserable here.
269
00:15:58,041 --> 00:16:00,919
- I am not miserable.
- You're not happy.
270
00:16:01,044 --> 00:16:04,548
- And you are?
- With my job, yes.
271
00:16:04,756 --> 00:16:07,843
I am exactly where I want to be,
doing exactly what I want to do.
272
00:16:07,968 --> 00:16:10,971
Think I sense
a hint of sarcasm there.
273
00:16:11,096 --> 00:16:13,682
Why don't you pick yourself? Quit.
274
00:16:13,807 --> 00:16:15,809
Hmm, I was wrong.
275
00:16:16,268 --> 00:16:20,522
- About vogler or foreman?
- Mrs. Hernandez's pregnancy test.
276
00:16:20,647 --> 00:16:22,274
Who's Mrs. Hernandez?
277
00:16:22,399 --> 00:16:26,570
Either a woman carrying
an alien baby or your newest patient.
278
00:16:27,529 --> 00:16:30,991
So you never saw her with any pills.
She never mentioned anything?
279
00:16:31,116 --> 00:16:33,243
No, of course not.
280
00:16:33,368 --> 00:16:36,830
Would it be all right
if I talk to a couple of her friends?
281
00:16:36,955 --> 00:16:39,207
- Her friends?
- I'm not gonna interrogate them.
282
00:16:39,332 --> 00:16:41,877
I just want to ask if Jessica
ever mentioned anything.
283
00:16:42,002 --> 00:16:43,670
It's pretty important. She's very sick.
284
00:16:43,795 --> 00:16:46,214
I understand. It's just, well...
285
00:16:47,424 --> 00:16:49,759
Jessica really
doesn't have any friends.
286
00:16:49,885 --> 00:16:51,219
- Not one?
- I've tried to help,
287
00:16:51,344 --> 00:16:54,222
make the kids include her more,
but, kids can be...
288
00:16:54,347 --> 00:16:56,391
- Kids?
- I was gonna say jerks.
289
00:16:57,934 --> 00:17:00,520
All the fifth-graders are assigned
an eighth-grade buddy.
290
00:17:00,645 --> 00:17:03,148
Maybe you could talk to hers.
291
00:17:08,236 --> 00:17:10,614
What's the status on house?
292
00:17:10,739 --> 00:17:12,908
He asked for time
to complete performance reviews
293
00:17:13,033 --> 00:17:14,576
for everyone in his department.
294
00:17:14,701 --> 00:17:19,748
- You told him no and gave him how long?
- A week. He'll do it.
295
00:17:20,081 --> 00:17:24,377
Vogler: Guy's never done what he's told.
I don't see why he's gonna start now.
296
00:17:25,378 --> 00:17:27,631
Hi. Edward vogler.
297
00:17:27,756 --> 00:17:31,051
Is Dr. House claiming that I'm forcing
him to get rid of one of you?
298
00:17:31,176 --> 00:17:34,054
I assume his goal is to stir up
antagonism toward me.
299
00:17:34,179 --> 00:17:37,557
- And your goal is?
- I am forcing him.
300
00:17:38,350 --> 00:17:41,728
I'll do whatever I can to ease
the transition for whoever he chooses.
301
00:17:41,853 --> 00:17:44,773
If you're feeling guilty about your
decision, there is an easy solution.
302
00:17:44,898 --> 00:17:46,775
I don't feel guilty.
303
00:17:46,900 --> 00:17:49,069
Then why approach me
and tell me all this?
304
00:17:49,194 --> 00:17:52,489
I don't feel guilty. That doesn't mean
I don't feel bad.
305
00:17:52,614 --> 00:17:55,617
I'm rich, but I'm still human.
306
00:17:55,825 --> 00:17:57,869
I just wanted you to know that
307
00:17:57,994 --> 00:18:01,248
if there's anything I can do for you,
my door is open.
308
00:18:03,083 --> 00:18:04,793
Thank you.
309
00:18:10,715 --> 00:18:12,717
You're looking for info?
310
00:18:12,842 --> 00:18:15,136
Thought you already had house
all figured out.
311
00:18:15,262 --> 00:18:18,223
I do.
Don't know his team, though.
312
00:18:20,850 --> 00:18:23,770
Wilson: The ultrasound and biopsy
confirmed our worry.
313
00:18:23,895 --> 00:18:28,149
The tumor is extremely large,
at least 30 pounds.
314
00:18:28,275 --> 00:18:29,609
Oh, god.
315
00:18:29,734 --> 00:18:31,820
It's actually
a personal record for this clinic.
316
00:18:31,945 --> 00:18:36,032
But it's completely benign.
There's no sign of cancer at all.
317
00:18:37,784 --> 00:18:39,494
I've already spoken with Dr. Bergin,
318
00:18:39,619 --> 00:18:41,705
and he's available
first thing in the morning.
319
00:18:41,830 --> 00:18:43,331
For what?
320
00:18:44,624 --> 00:18:45,875
For the surgery.
321
00:18:46,001 --> 00:18:50,171
But if it's not cancer,
it can't kill me, right?
322
00:18:53,550 --> 00:18:56,469
- No.
- I'll have a huge scar.
323
00:18:56,594 --> 00:18:59,973
- I won't be able to wear a bikini.
- Do you wear a bikini now?
324
00:19:00,098 --> 00:19:03,435
- Yeah. You got a problem with that?
- Nope.
325
00:19:03,560 --> 00:19:05,103
But I've never gone swimming with you.
326
00:19:05,312 --> 00:19:07,647
I knew it.
That's what this is all about.
327
00:19:07,772 --> 00:19:10,775
You are trying to force me
to have cosmetic surgery.
328
00:19:10,900 --> 00:19:15,196
Yeah, that's exactly why I planted
a 30-pound tumor on your ovary.
329
00:19:15,363 --> 00:19:16,948
It's not gonna kill me.
330
00:19:17,073 --> 00:19:20,368
The only thing surgery is gonna do
is change the way I look.
331
00:19:20,493 --> 00:19:24,205
That is the definition
of cosmetic surgery.
332
00:19:24,331 --> 00:19:27,000
It would also relieve
your heartburn and discomfort.
333
00:19:27,125 --> 00:19:31,087
Yeah, right. Why give an antacid
if you can cut someone up
334
00:19:31,212 --> 00:19:34,049
and make them
a little easier on your eyes?
335
00:19:34,883 --> 00:19:38,636
My husband loves my body.
336
00:19:38,845 --> 00:19:42,182
He can't get enough of it. You think
he's gonna want to touch me
337
00:19:42,307 --> 00:19:45,977
if I look like I've been gutted
like a fish?
338
00:19:47,812 --> 00:19:51,024
That was unexpected.
339
00:19:51,649 --> 00:19:53,401
Yeah, it was.
340
00:19:55,153 --> 00:19:57,989
All she does during recess
is run laps around the playground.
341
00:19:58,114 --> 00:20:00,742
She says she's exercising, but
everyone knows it's just because
342
00:20:00,867 --> 00:20:02,243
no one wants to play with her.
343
00:20:02,369 --> 00:20:05,705
I mean, I am only her buddy
because Ms. Ayers assigned her to me.
344
00:20:05,830 --> 00:20:08,166
That does not mean I am her friend.
345
00:20:09,334 --> 00:20:12,045
I'll make sure her doctors
are all clear on that.
346
00:20:12,170 --> 00:20:13,713
Thanks.
347
00:20:14,005 --> 00:20:17,342
So, has she ever said anything
to you about diet pills?
348
00:20:17,509 --> 00:20:20,261
- She told you that, too?
- What do you mean?
349
00:20:20,512 --> 00:20:23,848
I busted her for taking drugs one day.
She totally lied,
350
00:20:23,973 --> 00:20:26,813
said that they were diet pills her mom
had given her. Come on. Get real.
351
00:20:26,851 --> 00:20:30,647
No way a girl like that
is taking diet pills.
352
00:20:30,772 --> 00:20:33,441
I didn't give her diet pills.
I would never do that.
353
00:20:33,566 --> 00:20:35,276
Right. So it was her imaginary mom.
354
00:20:35,402 --> 00:20:37,612
She didn't take any pills.
The girl was lying.
355
00:20:37,737 --> 00:20:38,822
Foreman: Why would she lie?
356
00:20:38,947 --> 00:20:41,032
Because she's another mean little jerk.
357
00:20:41,157 --> 00:20:44,369
- Mom.
- I'm sorry, honey.
358
00:20:45,245 --> 00:20:47,038
Clemmie didn't lie.
359
00:20:49,958 --> 00:20:53,169
I did. I took the pills.
360
00:20:54,295 --> 00:20:58,007
I told her you gave them to me
because I didn't want to get in trouble.
361
00:20:58,133 --> 00:21:02,220
- Foreman: Where did you get them?
- I took them from the store.
362
00:21:03,638 --> 00:21:08,309
- Why? Why would you do that?
- I didn't want to be ugly anymore.
363
00:21:08,560 --> 00:21:12,397
- Oh, baby. You're not ugly.
- Yes, I am.
364
00:21:12,897 --> 00:21:15,233
I know you don't think so,
but I am. I'm disgusting.
365
00:21:15,358 --> 00:21:18,319
Jessica, please don't say that.
366
00:21:18,903 --> 00:21:24,826
I just wanted to fit in.
You know, have friends.
367
00:21:25,368 --> 00:21:28,997
Or at least have one person
my age be nice to me.
368
00:21:35,128 --> 00:21:36,963
Listen, the...
369
00:21:37,130 --> 00:21:41,301
The pills cause blood clots,
heart attacks and insomnia.
370
00:21:41,509 --> 00:21:44,596
It explains everything. We'll keep
her overnight to make sure,
371
00:21:44,721 --> 00:21:46,931
but she'll be fine.
372
00:21:47,390 --> 00:21:48,892
Thank you.
373
00:21:51,561 --> 00:21:53,080
Cameron: I can't believe
she was that desperate.
374
00:21:53,104 --> 00:21:55,773
House: Yeah, I'm sure
that if everyone I knew hated me
375
00:21:55,899 --> 00:21:59,277
and couldn't bear to look at me,
I wouldn't go so far as to shoplift.
376
00:21:59,402 --> 00:22:01,029
I'm not talking about the shoplifting.
377
00:22:01,154 --> 00:22:03,364
I'm sure she didn't even know
they were dangerous.
378
00:22:03,490 --> 00:22:06,409
She probably saw them advertised
on TV or over the Internet.
379
00:22:06,534 --> 00:22:10,371
Right. So I guess it's the media
and pharmaceutical companies' fault now,
380
00:22:10,497 --> 00:22:13,500
not the fact that she can't stop
shoveling food down her throat.
381
00:22:13,625 --> 00:22:15,043
No one forced her to get fat.
382
00:22:15,168 --> 00:22:16,928
No one forced a cancer patient
to get cancer.
383
00:22:17,045 --> 00:22:19,631
- It's not a disease.
- Have you seen the latest research?
384
00:22:19,756 --> 00:22:21,257
Chase: Yes, I have.
385
00:22:21,382 --> 00:22:25,345
What I haven't seen lately is a kid
eating an apple or riding a bike.
386
00:22:25,470 --> 00:22:26,864
You Americans can't even compete with
387
00:22:26,888 --> 00:22:28,608
the rest of the world
in basketball anymore,
388
00:22:28,723 --> 00:22:30,850
unless, of course,
it's the type you play
389
00:22:30,975 --> 00:22:34,187
with a remote control
on a big-screen TV.
390
00:22:34,312 --> 00:22:35,563
Right.
391
00:22:35,688 --> 00:22:38,566
- Wait, wait, wait.
- Are you gonna let him say that?
392
00:22:38,691 --> 00:22:41,027
He insulted our basketball teams.
393
00:22:52,497 --> 00:22:54,207
Jessica: Oh, my god.
394
00:22:54,791 --> 00:22:57,752
- It hurts so bad. Please.
- What happened?
395
00:22:57,877 --> 00:22:59,837
- She's bleeding.
- From where?
396
00:22:59,963 --> 00:23:03,049
Oh, my gosh.
397
00:23:03,258 --> 00:23:06,010
Just please stop it. Please. God.
398
00:23:13,685 --> 00:23:15,603
Diet pills don't cause skin necrosis.
399
00:23:15,728 --> 00:23:17,522
Could be something
related to the pills.
400
00:23:17,647 --> 00:23:20,400
- Or not.
- Or both.
401
00:23:20,650 --> 00:23:24,153
Diet pills brought her to us.
We gave her the sores.
402
00:23:24,362 --> 00:23:26,562
You think she got a staph infection
from something here?
403
00:23:26,656 --> 00:23:28,467
I'm not saying the hospital
gave her the sores.
404
00:23:28,491 --> 00:23:32,745
We did, by treating her.
Warfarin-induced skin necrosis.
405
00:23:32,912 --> 00:23:36,165
Highly unlikely. We started her
on heparin before the warfarin.
406
00:23:36,291 --> 00:23:39,502
- Who gave her the heparin?
- I did warfarin. She did heparin.
407
00:23:39,627 --> 00:23:41,187
Sure you didn't both give her warfarin?
408
00:23:41,212 --> 00:23:43,881
Yes. I did not screw up.
409
00:23:44,340 --> 00:23:48,344
Did you actually see her prepare
and administer the heparin?
410
00:23:53,433 --> 00:23:56,394
- Enough said.
- You were standing right there.
411
00:23:56,894 --> 00:23:59,647
- I was preparing my own dose.
- Yeah, right.
412
00:23:59,981 --> 00:24:02,984
- There's gotta be some other cause.
- None that I can think of.
413
00:24:03,109 --> 00:24:06,195
Let's fix the mistake. Give her
unfractionated iv heparin
414
00:24:06,321 --> 00:24:10,366
and low-molecular-weight heparin
by subcutaneous injection, stat.
415
00:24:15,246 --> 00:24:17,248
Making me look bad
is not gonna save your job.
416
00:24:17,373 --> 00:24:19,375
You think you're incapable
of making a mistake?
417
00:24:19,584 --> 00:24:22,354
You think that I am that weak that
I'm gonna just roll over and take this?
418
00:24:22,378 --> 00:24:25,256
House isn't gonna protect you
just because you kiss his ass.
419
00:24:25,381 --> 00:24:27,175
Vogler wants to know
what he can do for me.
420
00:24:27,467 --> 00:24:32,513
Stop worrying about your asses
and start worrying about the patient's.
421
00:24:51,783 --> 00:24:53,326
She sleeping?
422
00:24:53,451 --> 00:24:55,620
As a result of the sedatives, yeah.
423
00:24:55,745 --> 00:24:58,456
We can't let her wake up.
Too much pain.
424
00:25:00,500 --> 00:25:05,588
Warfarin-induced skin necrosis.
425
00:25:06,130 --> 00:25:08,633
I have no idea what that means.
426
00:25:09,050 --> 00:25:12,679
But it says here we
gave her the warfarin.
427
00:25:12,887 --> 00:25:15,473
And I do know
what induced means.
428
00:25:15,973 --> 00:25:17,517
We did this?
429
00:25:18,226 --> 00:25:21,771
At this point, it's not exactly clear.
430
00:25:22,271 --> 00:25:24,357
You should probably talk
to Dr. House.
431
00:25:24,482 --> 00:25:27,944
Oh. You two need time
to get your story straight.
432
00:25:28,069 --> 00:25:29,612
He doesn't tell me what to do.
433
00:25:29,737 --> 00:25:34,117
So you don't just blindly follow
his commands. You're your own man.
434
00:25:34,534 --> 00:25:38,246
And yet here you are,
working for a guy you can't stand.
435
00:25:38,371 --> 00:25:40,790
- I respect him.
- What exactly is it you respect?
436
00:25:40,915 --> 00:25:45,128
His attitude toward humanity?
He thinks we're all idiots and liars.
437
00:25:45,253 --> 00:25:46,963
How about his attitude toward you?
438
00:25:47,088 --> 00:25:48,968
Plays with you like a cat
with a ball of string.
439
00:25:49,048 --> 00:25:50,048
What do you want?
440
00:25:50,133 --> 00:25:51,968
I want to know if you
want to keep your job.
441
00:25:52,218 --> 00:25:54,345
If he chooses to let me go,
I can live with that.
442
00:25:54,470 --> 00:25:56,973
- That's not an answer.
- Are you offering to protect me?
443
00:25:57,098 --> 00:25:59,684
- Still not an answer.
- I want my job.
444
00:26:05,481 --> 00:26:06,899
Dr. Chase.
445
00:26:07,024 --> 00:26:08,317
Chase: Boss.
446
00:26:12,029 --> 00:26:13,656
What was that about?
447
00:26:13,781 --> 00:26:16,993
He wanted to know what warfarin is.
I don't know.
448
00:26:43,311 --> 00:26:45,021
Icy.
449
00:26:46,647 --> 00:26:50,318
I'll definitely think twice before
correcting one of your mistakes again.
450
00:26:50,443 --> 00:26:51,569
Correct all you want.
451
00:26:51,778 --> 00:26:54,447
Of course, it's a bit more productive
if there's an actual mistake.
452
00:26:54,572 --> 00:26:57,450
Right. I always forget that part.
453
00:26:57,992 --> 00:26:59,076
I gave her the heparin,
454
00:26:59,202 --> 00:27:01,829
which means the necrosis
is not a reaction to the warfarin,
455
00:27:01,954 --> 00:27:05,041
which is probably why
she's not responding to your treatment.
456
00:27:05,249 --> 00:27:06,459
Yet.
457
00:27:10,254 --> 00:27:13,132
If you didn't screw up,
then what is it?
458
00:27:14,842 --> 00:27:17,303
- You don't have an answer.
- Yet.
459
00:27:18,095 --> 00:27:19,931
When you come up with something,
let me know.
460
00:27:20,056 --> 00:27:23,684
I'll be in the clinic, warming up.
461
00:27:24,310 --> 00:27:27,071
I'm the only one who's always stood
behind you when you've screwed up.
462
00:27:27,146 --> 00:27:30,233
Why? Why would you support
someone who screws up?
463
00:27:30,399 --> 00:27:32,026
Because I'm not insanely insecure,
464
00:27:32,151 --> 00:27:34,296
and because I can actually trust
in another human being,
465
00:27:34,320 --> 00:27:36,656
and I am not an angry,
misanthropic son of a bitch.
466
00:27:36,781 --> 00:27:39,450
I'm sorry.
You said you weren't angry.
467
00:27:42,203 --> 00:27:44,121
Who would you fire?
468
00:27:47,041 --> 00:27:49,752
- No one.
- Not an option.
469
00:27:50,294 --> 00:27:52,454
If everyone took a pay cut
and put in a few more hours,
470
00:27:52,547 --> 00:27:54,387
we could all stay
for the same amount of money.
471
00:27:54,507 --> 00:27:58,010
Figures you'd try and come up
with a solution where no one gets hurt.
472
00:27:58,135 --> 00:28:02,056
The problem is, the world doesn't work
that way just 'cause you want it to.
473
00:28:02,181 --> 00:28:04,767
Figures you'd stall
and refuse to deal with the issue.
474
00:28:04,892 --> 00:28:09,188
Problem is, the world doesn't
go away just because you want it to.
475
00:28:25,621 --> 00:28:27,665
Excuse me. Dr. House?
476
00:28:27,999 --> 00:28:30,751
My wife saw you yesterday.
Lucille Hernandez?
477
00:28:30,877 --> 00:28:35,339
- He's not in today.
- My wife said he walked with a cane.
478
00:28:35,590 --> 00:28:40,428
He's also got a bit of a drug problem,
sometimes doesn't show up for weeks.
479
00:28:41,220 --> 00:28:43,931
Cuddy: The mris are rented, but...
480
00:28:45,099 --> 00:28:48,603
- Did you make a decision?
- He's not gonna fire anybody.
481
00:28:49,186 --> 00:28:52,148
I'm gonna cut
the pay of all four of us.
482
00:28:52,273 --> 00:28:54,108
Seventeen percent across the board
483
00:28:54,233 --> 00:28:56,777
will allow you to keep us all
for the same amount of money.
484
00:28:56,903 --> 00:28:59,780
I believe it's what
you suits call win-win.
485
00:29:00,656 --> 00:29:03,075
- Cuddy: All right, if you...
- No.
486
00:29:03,326 --> 00:29:06,621
If he can work it so we keep the current
staff for the same amount of money,
487
00:29:06,746 --> 00:29:09,165
what difference does it make?
488
00:29:12,209 --> 00:29:14,253
It's not about the money.
489
00:29:14,378 --> 00:29:17,256
This is not a negotiation.
It never was.
490
00:29:18,591 --> 00:29:21,093
I need to know that whatever
I ask you to do,
491
00:29:21,218 --> 00:29:23,763
however distasteful
you find it, you'll do it.
492
00:29:23,888 --> 00:29:26,891
And just as importantly,
you need to know that.
493
00:29:38,653 --> 00:29:40,905
What's going on with my wife?
494
00:29:41,113 --> 00:29:44,742
Even if I was Dr. House,
physician-patient confidentiality
495
00:29:44,867 --> 00:29:46,869
protects me
from annoying conversations.
496
00:29:46,994 --> 00:29:48,371
She told me about the tumor.
497
00:29:48,496 --> 00:29:51,457
Yeah? She also tell you
why she's refusing to have it removed?
498
00:29:51,582 --> 00:29:55,544
I don't care about a scar. And
she can always gain the weight back.
499
00:29:55,711 --> 00:29:58,047
You want her to regain the weight?
500
00:29:58,172 --> 00:30:01,217
Yeah. I mean, only if she wants to.
501
00:30:01,384 --> 00:30:03,094
Why?
502
00:30:03,636 --> 00:30:06,389
I've always thought she looked
sexiest when she was pregnant.
503
00:30:06,514 --> 00:30:08,700
Something about knowing
she's a motherjust makes me want...
504
00:30:08,724 --> 00:30:12,937
- Tell her that and leave me alone.
- I did. You gotta talk to her.
505
00:30:13,062 --> 00:30:14,706
I couldn't bear it
if something happened to her.
506
00:30:14,730 --> 00:30:18,651
The tumor is benign. Nothing's gonna
happen, except maybe some heartburn.
507
00:30:19,694 --> 00:30:21,988
What if it gets even bigger,
or it changes?
508
00:30:22,113 --> 00:30:25,700
You know where to find us.
Building's not going anywhere.
509
00:30:25,825 --> 00:30:29,745
Tell her it's cancer. You obviously
don't have a problem with lying.
510
00:30:29,870 --> 00:30:33,416
- Oh. Way to win me over.
- We've got six kids.
511
00:30:33,541 --> 00:30:35,209
She can't afford to take a chance.
512
00:30:35,334 --> 00:30:37,753
You have kids. How novel.
That changes everything.
513
00:30:37,878 --> 00:30:41,132
So if mommy gets heartburn,
one of them might catch on fire.
514
00:30:41,257 --> 00:30:44,343
Please. I don't know what we'd do.
515
00:30:50,599 --> 00:30:52,518
They are cute.
516
00:30:53,060 --> 00:30:55,813
- Have her come back in.
- What?
517
00:30:55,938 --> 00:30:59,483
Your plight has moved me.
Tell your wife to come back.
518
00:31:05,448 --> 00:31:06,866
The necrosis is getting worse.
519
00:31:06,991 --> 00:31:09,994
Maybe because we're treating her
for the wrong thing.
520
00:31:11,120 --> 00:31:13,456
Have you found the right thing?
521
00:31:14,749 --> 00:31:16,625
Then we continue the treatment,
522
00:31:16,751 --> 00:31:18,502
hope it's just taking
longer than it should.
523
00:31:18,627 --> 00:31:20,963
At this point, it doesn't matter
what caused the necrosis.
524
00:31:21,088 --> 00:31:22,256
House: Or who.
525
00:31:22,381 --> 00:31:25,235
If we don't stop it from spreading, it
will kill her before the end of the day.
526
00:31:25,259 --> 00:31:26,903
- What else can we do?
- Wilson: Get rid of it.
527
00:31:26,927 --> 00:31:30,806
Remove the dying flesh before
it penetrates the abdominal wall.
528
00:31:32,349 --> 00:31:33,349
Do it.
529
00:31:34,185 --> 00:31:37,396
There's still a chance the heparin
treatment could start to take effect.
530
00:31:37,563 --> 00:31:39,523
We're gonna wait as long as we can,
531
00:31:39,648 --> 00:31:42,109
but if there's no change
in the next few hours,
532
00:31:42,318 --> 00:31:44,171
we're gonna have to treat
the symptoms directly.
533
00:31:44,195 --> 00:31:47,656
- So you can get rid of the sores?
- Through surgery.
534
00:31:48,032 --> 00:31:50,534
Technically, it's an amputation.
535
00:31:50,785 --> 00:31:53,120
Amputation? But the sores are...
536
00:31:53,245 --> 00:31:58,084
Warfarin-induced necrosis attacks
fatty tissue, mainly in the breasts.
537
00:31:59,043 --> 00:32:03,756
Wait. Are you talking
about cutting off my daughter's breasts?
538
00:32:08,511 --> 00:32:10,179
She's 10 years old.
539
00:32:10,304 --> 00:32:14,225
A radical mastectomy may be
her only chance for survival.
540
00:32:15,684 --> 00:32:19,313
I'm sorry, but I'm gonna have
to ask you to sign this.
541
00:32:35,996 --> 00:32:38,457
Could we talk?
542
00:32:39,458 --> 00:32:42,461
What, no roses, no chocolates?
543
00:32:42,795 --> 00:32:46,423
- If you're here to apologize...
- I'm not here to apologize.
544
00:32:46,674 --> 00:32:48,300
Uh-oh.
545
00:32:49,009 --> 00:32:51,971
That means you're here
for something more complicated.
546
00:32:53,347 --> 00:32:56,100
Do you want to fire me?
547
00:32:56,517 --> 00:33:01,188
Yes. Just waiting for an excuse.
Thank god vogler came along.
548
00:33:01,480 --> 00:33:02,791
It's the only reason I can think of
549
00:33:02,815 --> 00:33:04,733
why you're insisting
that I made a mistake.
550
00:33:04,859 --> 00:33:08,445
Really? Because there is
another explanation.
551
00:33:08,654 --> 00:33:11,824
Perhaps not as much fun
as your freudian analysis,
552
00:33:12,199 --> 00:33:13,718
but maybe you actually made a mistake.
553
00:33:13,742 --> 00:33:17,872
You're doing this because you can't deal
with your feelings for me.
554
00:33:22,209 --> 00:33:26,005
I believe that you were the only one
to express feelings.
555
00:33:26,505 --> 00:33:29,067
If we're gonna look at this
from a first-year psych point of view,
556
00:33:29,091 --> 00:33:32,261
maybe you want me to fire you.
Maybe that's why you're acting weird.
557
00:33:32,386 --> 00:33:33,762
You're the one being different.
558
00:33:33,888 --> 00:33:36,116
You're always pushing things,
pushing the rules, pushing us.
559
00:33:36,140 --> 00:33:38,601
But not this time. You jumped
on this idea like a life raft.
560
00:33:38,726 --> 00:33:40,486
Not one question
about what else it could be.
561
00:33:40,561 --> 00:33:42,313
No riding us for other answers.
562
00:33:42,438 --> 00:33:44,523
I have the answer.
563
00:33:45,524 --> 00:33:48,903
Then why aren't you watching TV
or playing your damn game boy,
564
00:33:49,028 --> 00:33:52,448
or whatever else you have
so much fun doing by yourself?
565
00:33:56,493 --> 00:34:00,539
Maybe I should just quit.
Make it easy for everyone.
566
00:34:03,125 --> 00:34:04,835
Maybe you should.
567
00:34:10,507 --> 00:34:14,386
- House: Men are pigs.
- You called me in to tell me...
568
00:34:14,511 --> 00:34:17,723
I should've realized
the vasectomy and condoms was overkill,
569
00:34:17,848 --> 00:34:19,516
but this was too obvious to miss.
570
00:34:21,352 --> 00:34:23,938
Cute kids.
571
00:34:24,146 --> 00:34:27,942
Love her green eyes
and his baby blues.
572
00:34:28,108 --> 00:34:30,653
Of course, since both you
and your husband have brown eyes...
573
00:34:30,778 --> 00:34:31,987
Where'd you get that?
574
00:34:32,112 --> 00:34:37,117
From the father of three,
maximum four, of your six children.
575
00:34:37,451 --> 00:34:39,620
I'm thinking maybe the reason
you don't want surgery
576
00:34:39,745 --> 00:34:42,349
is that while your husband will find
you attractive no matter what,
577
00:34:42,373 --> 00:34:46,877
all the other men you're sleeping
with might not be so open-minded.
578
00:34:47,002 --> 00:34:50,965
Which brings me back
to my original thesis, men are pigs.
579
00:34:51,257 --> 00:34:53,717
You got nothing to worry about.
580
00:34:54,009 --> 00:34:56,178
They'll pretty much
have sex with anyone,
581
00:34:56,303 --> 00:35:01,225
fat, skinny, married, single,
complete strangers, relatives.
582
00:35:01,392 --> 00:35:03,727
You are sick.
583
00:35:03,936 --> 00:35:05,521
So are you.
584
00:35:05,646 --> 00:35:08,107
And I'm sure there are
web sites full of men
585
00:35:08,232 --> 00:35:11,568
looking for married women
with surgical scars.
586
00:35:12,861 --> 00:35:16,198
So have the surgery. Please?
587
00:35:18,742 --> 00:35:20,119
Okay.
588
00:35:25,124 --> 00:35:26,500
Thanks.
589
00:35:30,963 --> 00:35:32,548
Why have you been talking to Cameron?
590
00:35:32,673 --> 00:35:36,302
If house picks you, I'll be needing
a new source in that room.
591
00:35:36,427 --> 00:35:38,178
If he picks me?
592
00:35:38,304 --> 00:35:42,474
Sure. Foreman's smarter.
House has got a thing for Cameron.
593
00:35:42,599 --> 00:35:45,144
I've been feeding you information
so you'll protect me.
594
00:35:45,269 --> 00:35:47,438
And I will protect you,
as long as I need you.
595
00:35:47,563 --> 00:35:50,482
And you will feed me information
as long as you need me.
596
00:35:50,607 --> 00:35:54,611
I spoke with Cameron
because if I have alternatives,
597
00:35:54,737 --> 00:35:56,572
I don't need you.
598
00:35:59,325 --> 00:36:01,952
She's not gonna rat on house.
599
00:36:02,161 --> 00:36:05,706
Foreman never said anything
about talking to me?
600
00:36:07,666 --> 00:36:09,543
Interesting, huh?
601
00:36:28,479 --> 00:36:33,192
It's been almost three hours.
Still no change in her condition.
602
00:36:33,400 --> 00:36:36,862
I think we should
get her into surgery.
603
00:36:37,237 --> 00:36:39,323
So what do you want to do?
604
00:36:40,949 --> 00:36:44,286
Assume that Cameron didn't screw up.
605
00:36:46,205 --> 00:36:47,623
What if it's not the warfarin?
606
00:36:47,748 --> 00:36:50,226
It has to be. The sores presented
right after we administered it.
607
00:36:50,250 --> 00:36:53,337
Right, right, right.
But let's just say it's not.
608
00:36:53,545 --> 00:36:54,671
Come on. What do you got?
609
00:36:54,797 --> 00:36:56,608
- Can I have a second to think?
- There's no time to think.
610
00:36:56,632 --> 00:36:58,801
Just say the first thing
that comes into your head.
611
00:36:58,926 --> 00:37:00,427
- She's fat.
- Enough already.
612
00:37:00,552 --> 00:37:03,097
- We got it. You hate fat people.
- That's not what I meant.
613
00:37:03,222 --> 00:37:05,182
We already considered
obesity as a cause.
614
00:37:05,307 --> 00:37:08,203
- Foreman: So did all her other doctors.
- I mean, what if it's not a cause?
615
00:37:08,227 --> 00:37:10,145
What if it's a symptom?
616
00:37:10,270 --> 00:37:15,651
So, what could cause obesity
and skin necrosis?
617
00:37:18,028 --> 00:37:20,447
I don't care if it makes sense.
Just give me something.
618
00:37:20,572 --> 00:37:24,076
- Ulcers secondary to vasculitis.
- No, that's just sores, not obesity.
619
00:37:24,201 --> 00:37:26,745
- Pyoderrna gangrenosum.
- More sores.
620
00:37:27,162 --> 00:37:30,374
Let's look at it from the other side.
What has obesity as a symptom?
621
00:37:30,499 --> 00:37:33,502
- Hypothyroidism?
- Genetics are more likely.
622
00:37:33,627 --> 00:37:35,379
Her mom's heavy, too.
623
00:37:39,174 --> 00:37:42,428
She's not just heavy, she's tall.
624
00:37:44,388 --> 00:37:47,141
- We have any history on the dad?
- Yeah.
625
00:37:54,606 --> 00:37:56,400
Kid's short.
626
00:37:56,525 --> 00:38:01,196
We got stunted growth, high
blood pressure, blood clots, obesity.
627
00:38:02,531 --> 00:38:05,659
- It's cushing's.
- No. Necrosis doesn't present...
628
00:38:05,784 --> 00:38:08,537
In rare cases,
cushing's can cause hypercalcemia,
629
00:38:08,662 --> 00:38:11,331
which can lead to the same
skin necrosis as warfarin.
630
00:38:11,457 --> 00:38:14,710
- It's perfect. It explains everything.
- Except it's not cushing's.
631
00:38:14,835 --> 00:38:18,172
She's had multiple blood tests, and
none show abnormal cortisol levels.
632
00:38:18,297 --> 00:38:21,467
The hypercortisolism could be cyclical.
We didn't catch it in the right phase.
633
00:38:21,592 --> 00:38:24,428
- We'll have to do another ufc.
- There's no time.
634
00:38:24,553 --> 00:38:26,233
We've got less than
an hour to make a call.
635
00:38:26,305 --> 00:38:28,474
If we treat for cushing's
and we're wrong, she's dead.
636
00:38:28,599 --> 00:38:32,644
If we assume it's not cushing's, she'll
lose her breasts and may still be sick.
637
00:38:35,481 --> 00:38:36,565
Do an mri.
638
00:38:36,690 --> 00:38:38,817
You want us to look
for hypercortisolism with an mri?
639
00:38:38,942 --> 00:38:43,280
I want you to look for what could cause
hypercortisolism with an mri.
640
00:39:03,800 --> 00:39:05,511
Foreman: Nothing on the adrenals.
641
00:39:08,222 --> 00:39:12,976
- Heard Cameron went home. Is she sick?
- Go back to the pituitary views.
642
00:39:13,101 --> 00:39:14,269
She seemed okay.
643
00:39:14,394 --> 00:39:16,146
Think she's got
another reason for leaving?
644
00:39:16,271 --> 00:39:21,068
I hope so. Wait, stop.
There. What's that?
645
00:39:25,489 --> 00:39:27,658
A tumor.
646
00:39:28,408 --> 00:39:30,077
It's cushing's.
647
00:39:30,327 --> 00:39:32,412
The tumor causes cushing's.
648
00:39:32,538 --> 00:39:35,207
And cushing's messes
with hormone production.
649
00:39:35,332 --> 00:39:37,668
Hormones control everything,
growth, weight.
650
00:39:37,793 --> 00:39:39,586
Can you fix it?
651
00:39:39,753 --> 00:39:41,713
She'll need surgery
to remove the tumor.
652
00:39:42,047 --> 00:39:45,092
Once it's gone, everything
will get normal very fast.
653
00:39:45,217 --> 00:39:47,427
- No mastectomy?
- No.
654
00:39:48,554 --> 00:39:50,931
- Thank god.
- The surgery is dangerous.
655
00:39:51,056 --> 00:39:53,642
The pituitary's located
between the cavernous sinuses,
656
00:39:53,767 --> 00:39:55,310
basically right between the eyes.
657
00:39:55,435 --> 00:39:57,896
The area contains the nerves
that control eye movement
658
00:39:58,021 --> 00:39:59,701
and the major arteries
that feed the brain.
659
00:39:59,815 --> 00:40:00,816
Oh, my god.
660
00:40:00,941 --> 00:40:04,945
The surgeon will approach
the gland transsphenoidally.
661
00:40:05,153 --> 00:40:07,030
An incision will be made under the lip,
662
00:40:07,155 --> 00:40:09,825
through which he'll insert
a fiber-optic microscope.
663
00:40:09,950 --> 00:40:12,369
Once the tumor's found,
he'll cut it into small pieces
664
00:40:12,494 --> 00:40:14,705
and remove it through
the same hole under the lip.
665
00:40:14,830 --> 00:40:16,790
The whole procedure
should take about three hours,
666
00:40:16,915 --> 00:40:19,185
and your daughter should be able
to go home in a few days.
667
00:40:19,209 --> 00:40:23,255
The sores will go away, as well
as her fatigue and the muscle pain.
668
00:40:23,505 --> 00:40:26,300
She'll even start losing weight.
669
00:41:15,223 --> 00:41:17,267
- Foreman: Jessica.
- Hi.
670
00:41:17,392 --> 00:41:20,062
- Is that really you?
- Yep, it's me.
671
00:41:20,187 --> 00:41:23,065
You look fantastic.
672
00:41:24,358 --> 00:41:27,194
She always looked fantastic.
673
00:41:27,361 --> 00:41:29,154
Yeah.
674
00:41:55,681 --> 00:41:58,642
- It's been a week.
- Actually, it's over a week.
675
00:41:58,850 --> 00:42:01,019
How have you guys been?
676
00:42:01,978 --> 00:42:03,897
Who is it?
677
00:42:08,318 --> 00:42:09,861
Chase.
678
00:42:09,986 --> 00:42:11,613
No, chase stays.
679
00:42:13,824 --> 00:42:16,493
- Pick someone else.
- The deal was...
680
00:42:16,618 --> 00:42:18,870
The deal's changed.
681
00:42:19,204 --> 00:42:21,289
Pick someone else.
682
00:42:32,801 --> 00:42:36,596
Pick someone else, or it'll be
the whole department.
54676
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