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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:45,922 --> 00:00:47,715 Hannah, you okay? 2 00:00:48,883 --> 00:00:52,094 - Still can't sleep? - I'm fine. 3 00:00:55,514 --> 00:00:56,933 Can I do anything to help you? 4 00:00:57,058 --> 00:00:59,620 Hannah: Just go back to sleep. I'm going to go get a glass of wine. 5 00:00:59,644 --> 00:01:01,830 - I can keep you company. - You have work in the morning. 6 00:01:01,854 --> 00:01:03,564 Are you sure you don't want me to? 7 00:01:03,689 --> 00:01:06,067 I'll be right back. Just sleep. 8 00:01:17,036 --> 00:01:18,329 Max: Hannah? 9 00:01:22,291 --> 00:01:23,960 Hannah? 10 00:01:35,805 --> 00:01:37,556 What did you do? 11 00:01:37,682 --> 00:01:40,059 I just wanted to sleep. 12 00:01:40,184 --> 00:01:42,186 I'm calling an ambulance. 13 00:02:34,030 --> 00:02:37,158 Cuddy: You've seen one patient in the last two hours. 14 00:02:37,283 --> 00:02:39,368 Complicated case. 15 00:02:39,493 --> 00:02:40,911 I'm a night owl. 16 00:02:41,037 --> 00:02:44,081 Wilson's an early bird. We're different species. 17 00:02:44,206 --> 00:02:45,624 Move him into his own cage. 18 00:02:45,750 --> 00:02:48,252 Who'll clean the droppings from mine? 19 00:02:49,462 --> 00:02:52,715 Twenty-five-year-old female with sleep issues. 20 00:02:52,840 --> 00:02:54,884 I'm guessing she's... 21 00:02:55,009 --> 00:02:58,220 What's the medical term? Upset! 22 00:02:58,346 --> 00:03:01,432 These 25-year-old females, they're usually completely rational. 23 00:03:01,557 --> 00:03:03,434 They're rocks, really. 24 00:03:05,019 --> 00:03:06,812 My theory seems to be supported by the fact 25 00:03:06,937 --> 00:03:08,814 that she swallowed a bottle of sleeping pills. 26 00:03:08,939 --> 00:03:11,484 Get her a shrink. I need some shut-eye. 27 00:03:12,568 --> 00:03:16,489 She's a little bit more than upset. She hasn't slept in ten days. 28 00:03:16,614 --> 00:03:18,491 She's lying. 29 00:03:18,616 --> 00:03:21,702 Without rem sleep, your neurons start regenerating. 30 00:03:21,827 --> 00:03:24,038 Your brain shuts down lobe by lobe. 31 00:03:24,163 --> 00:03:27,291 She'd be insane after five days, dead by ten. 32 00:03:27,416 --> 00:03:30,961 Give me a little credit. I know what gets you off. 33 00:03:31,087 --> 00:03:34,048 She took the pills to sleep, not to kill herself. 34 00:03:34,173 --> 00:03:36,133 - Clever alibi. - They didn't work. 35 00:03:36,258 --> 00:03:39,678 She stayed awake, even though she downed the whole bottle. 36 00:03:42,807 --> 00:03:46,977 And the longest anyone's ever survived without sleep is 11 days. 37 00:03:47,103 --> 00:03:49,647 Which gives you about 22 hours. 38 00:03:54,610 --> 00:03:56,779 - You stole my article. - I wouldn't do that. 39 00:03:56,904 --> 00:03:59,824 Cameron: I wrote up the case where we induced hypotherrnic cardiac arrest 40 00:03:59,949 --> 00:04:01,075 in the terminal cancer girl. 41 00:04:01,200 --> 00:04:02,743 I wrote my own. I didn't steal yours. 42 00:04:02,868 --> 00:04:06,163 You knew I was writing one. You gave me notes! 43 00:04:06,288 --> 00:04:07,790 Got a case. 44 00:04:08,916 --> 00:04:11,419 It can wait. You two finish. 45 00:04:11,544 --> 00:04:14,171 Five bucks says someone loses an eye. 46 00:04:15,256 --> 00:04:18,008 Fine, you're only putting off the inevitable. 47 00:04:18,134 --> 00:04:21,303 Twenty-five-year-old female hasn't slept for ten days. 48 00:04:21,429 --> 00:04:24,432 I assume the er tried giving her some sedatives. We should up the dosage. 49 00:04:24,557 --> 00:04:27,226 - Sedation isn't the same as sleep. - Thanks for your insight. 50 00:04:27,351 --> 00:04:30,104 For someone who hasn't slept in ten days, sedation is a great start. 51 00:04:30,229 --> 00:04:32,898 Sleep is an active process. Reboots the system, restores the brain. 52 00:04:33,023 --> 00:04:35,151 - Sedatives don't... - The brain is being stressed. 53 00:04:35,276 --> 00:04:36,277 We need to relieve that. 54 00:04:36,402 --> 00:04:38,821 You've had my article on your desk for the last four months. 55 00:04:38,946 --> 00:04:40,030 I'm a very slow reader. 56 00:04:40,156 --> 00:04:43,159 House: No fever, no white count, means no infection. 57 00:04:43,284 --> 00:04:44,618 Schizophrenia? 58 00:04:44,743 --> 00:04:47,621 - No delusions. - You read his. 59 00:04:47,746 --> 00:04:49,582 Signed it. Didn't read it. 60 00:04:49,707 --> 00:04:53,085 House: Aside from the sleeping pills, tox screen was clean. 61 00:04:53,210 --> 00:04:55,838 No cocaine, methamphetamines or diet pills. 62 00:04:55,963 --> 00:04:57,840 The only medication she's had recently 63 00:04:57,965 --> 00:05:01,177 are steroids for poison Ivy and ibuprofen for a knee she hurt skiing. 64 00:05:01,302 --> 00:05:03,179 Nothing that would cause sleep disturbances. 65 00:05:03,304 --> 00:05:06,599 - When did you get his article? - About three weeks ago. 66 00:05:08,309 --> 00:05:11,145 - Let's go back to the beginning. - How far back? 67 00:05:11,270 --> 00:05:12,897 Genesis. 68 00:05:13,022 --> 00:05:16,192 God said, "let there be light." 69 00:05:17,276 --> 00:05:19,528 Sleep is initially controlled by external light cues. 70 00:05:19,653 --> 00:05:21,947 And if her brain can't interpret those cues... 71 00:05:22,072 --> 00:05:23,782 Optic nerve disease. 72 00:05:24,867 --> 00:05:27,244 I'm sensing another article. 73 00:05:27,369 --> 00:05:29,246 I'll go run the tests. 74 00:05:31,582 --> 00:05:34,960 I'm injecting a dye which will allow us to take a look at your retina 75 00:05:35,085 --> 00:05:37,004 and your optic nerve. 76 00:05:37,129 --> 00:05:39,840 - Hannah: Everything's kind of blurry. - Normal, because of the dye. 77 00:05:39,965 --> 00:05:42,343 It's going to be that way the next few hours. 78 00:05:48,474 --> 00:05:50,518 - Need a hand? - No. 79 00:05:51,727 --> 00:05:53,687 Are we never going to work together again? 80 00:05:53,812 --> 00:05:57,149 I just don't see the need to make you feel better by forgiving you. 81 00:05:57,274 --> 00:06:00,110 I wasn't asking for forgiveness. I was asking if you needed help. 82 00:06:00,236 --> 00:06:02,956 It's unprofessional to be talking about this in front of the patient. 83 00:06:03,030 --> 00:06:05,282 Maybe that doesn't matter to you, but... 84 00:06:05,407 --> 00:06:08,118 Foreman: It doesn't matter. She's not listening. 85 00:06:09,328 --> 00:06:10,913 Cameron: She's asleep. 86 00:06:11,038 --> 00:06:13,290 Normal stage-one brain waves. 87 00:06:14,792 --> 00:06:16,460 Maybe she's better? 88 00:06:19,380 --> 00:06:20,965 Still blurry. 89 00:06:21,090 --> 00:06:24,093 - You fell asleep. - No, I didn't. 90 00:06:26,262 --> 00:06:28,389 Foreman: Negative for optic nerve disease. 91 00:06:28,514 --> 00:06:29,807 But she sleeps. 92 00:06:29,932 --> 00:06:33,060 For, like, ten seconds. Maximum one minute. 93 00:06:33,185 --> 00:06:36,188 We also checked the ocular pressure. It's normal. 94 00:06:36,313 --> 00:06:38,274 And she doesn't know she sleeps. 95 00:06:38,399 --> 00:06:40,818 The brain is often unaware of stage one sleep. 96 00:06:40,943 --> 00:06:45,072 The ct showed no tumors, no clots, no seizure disorder. 97 00:06:45,197 --> 00:06:48,617 So she sleeps. She just can't stay asleep. 98 00:06:50,202 --> 00:06:51,412 You going somewhere with this? 99 00:06:51,537 --> 00:06:53,622 You know what keeps me awake at night? 100 00:06:53,747 --> 00:06:55,541 Monsters in the closet. 101 00:06:55,666 --> 00:06:57,835 There's no monster in the closet. We looked. 102 00:06:57,960 --> 00:07:01,171 Well, it's certainly not showing up on the scans. 103 00:07:01,297 --> 00:07:02,840 Where's Cameron? 104 00:07:03,799 --> 00:07:06,719 She felt I could deliver the news on my own. 105 00:07:08,887 --> 00:07:11,348 Oh, this is going to work out great. 106 00:07:13,350 --> 00:07:14,685 Come on. 107 00:07:17,896 --> 00:07:21,191 If you two guys can't play nice together, I'm taking away your toys. 108 00:07:21,317 --> 00:07:23,694 - I don't care whose fault this is. - If you hadn't... 109 00:07:23,819 --> 00:07:26,196 I especially don't care if it was my fault. 110 00:07:26,322 --> 00:07:29,908 Whatever this woman has, it's not showing up on our tests. 111 00:07:30,034 --> 00:07:33,829 Which means she's sick, just not sick enough for us to see it. 112 00:07:33,954 --> 00:07:36,457 - You want us to make her sicker? - House: Yes. 113 00:07:37,374 --> 00:07:40,294 I want to stress her body. Specifically her brain. 114 00:07:40,419 --> 00:07:41,920 Keep her awake. 115 00:07:42,046 --> 00:07:45,341 Depriving her of even the few minutes of sleep she does have, it's torture. 116 00:07:45,466 --> 00:07:47,301 So is cutting people with knives, 117 00:07:47,426 --> 00:07:50,030 but you can totally get away with that if you have a doctor coat on. 118 00:07:50,054 --> 00:07:52,854 Those few seconds of sleep are maybe the only reason she's still alive. 119 00:07:52,973 --> 00:07:55,535 The more symptoms we can force out of her, the more tests we can do. 120 00:07:55,559 --> 00:07:57,519 The more tests we do, the more information we get, 121 00:07:57,561 --> 00:07:59,897 the quicker we make a diagnosis. 122 00:08:00,022 --> 00:08:02,733 See how much more fun it is when you guys get along? 123 00:08:02,858 --> 00:08:05,402 You two take the first four hours. 124 00:08:11,659 --> 00:08:13,118 Hannah? 125 00:08:15,412 --> 00:08:16,705 Hannah! 126 00:08:18,499 --> 00:08:20,542 You fell asleep. 127 00:08:20,668 --> 00:08:22,211 No, I didn't. 128 00:08:22,336 --> 00:08:24,713 Your brain doesn't remember. It was just a few seconds. 129 00:08:24,838 --> 00:08:26,173 Max: Is this really necessary? 130 00:08:26,298 --> 00:08:30,427 The sooner we find out what's wrong, the sooner she can get a real night's rest. 131 00:08:30,552 --> 00:08:32,346 Hannah? 132 00:08:32,471 --> 00:08:34,807 Hannah? Hannah. 133 00:08:38,060 --> 00:08:39,228 Hannah: Ow. 134 00:08:40,062 --> 00:08:42,606 - What did you do that for? - Foreman: You fell asleep again. 135 00:08:42,731 --> 00:08:44,358 - No, I didn't. - Cameron: We're sorry. 136 00:08:44,483 --> 00:08:46,527 We have to do this. 137 00:08:46,652 --> 00:08:48,737 We don't have to be cruel. 138 00:08:48,862 --> 00:08:51,490 You know what happens when you're nice? Nothing. 139 00:08:51,615 --> 00:08:54,243 That's how you define nice? Not stealing? 140 00:08:54,368 --> 00:08:56,078 Doctors! 141 00:08:56,203 --> 00:08:58,414 Foreman: Did she fall asleep again? 142 00:09:14,638 --> 00:09:17,683 - We've got rectal bleeding. - What, all of you? 143 00:09:19,393 --> 00:09:22,896 So the monster is peeking out from under the bed. 144 00:09:23,021 --> 00:09:25,149 Which either means she has a clotting disorder 145 00:09:25,274 --> 00:09:26,859 or she has a tumor in her colon. 146 00:09:26,984 --> 00:09:30,571 - I'll do a colonoscopy. - Who's keeping her awake now? 147 00:09:30,696 --> 00:09:33,282 I figured once we found another symptom, it really didn't matter. 148 00:09:33,407 --> 00:09:36,452 - Yeah, he's got all the ideas. - Who is with her? 149 00:09:36,577 --> 00:09:39,288 Her partner's donating blood, so she's with a nurse. 150 00:09:39,413 --> 00:09:42,458 Probably singing her lullabies. I want her awake. 151 00:09:42,583 --> 00:09:44,752 You have to sedate a patient to do a colonoscopy. 152 00:09:44,877 --> 00:09:47,045 Why? Just because of the pain? 153 00:09:48,338 --> 00:09:50,591 If you find a tumor in her colon, you can knock her out. 154 00:09:50,716 --> 00:09:53,051 If you don't, she stays awake. 155 00:09:56,180 --> 00:09:58,891 Oh! God, it hurts! 156 00:09:59,016 --> 00:10:02,436 - Can't you hurry? - Trust me, you don't want me to hurry. 157 00:10:02,561 --> 00:10:05,022 God, you're killing me! 158 00:10:05,147 --> 00:10:06,482 Hold my hand. 159 00:10:08,108 --> 00:10:10,402 Keep breathing, nice and steady. 160 00:10:12,112 --> 00:10:14,490 How am I supposed to work with him? 161 00:10:15,908 --> 00:10:18,744 Maybe we shouldn't be talking about this right now? 162 00:10:18,869 --> 00:10:20,746 Think I'm overreacting? 163 00:10:22,498 --> 00:10:24,541 I need you to relax your anus. 164 00:10:26,668 --> 00:10:28,921 We're not here. We're skiing. 165 00:10:29,838 --> 00:10:31,882 It's Thanksgiving at vail. 166 00:10:32,007 --> 00:10:34,927 You want me to think about nearly killing myself on a snowboard? 167 00:10:35,052 --> 00:10:37,304 Come on, you never fell. 168 00:10:38,847 --> 00:10:40,641 You were awesome. 169 00:10:42,559 --> 00:10:46,688 Is that what you told him? I'm hysterical and I need to relax my anus? 170 00:10:47,856 --> 00:10:50,734 I told him... how many cases do we work up in a year? 171 00:10:50,859 --> 00:10:53,445 They're all weird. He could have written up any one of them. 172 00:10:54,530 --> 00:10:56,240 She's bleeding. 173 00:10:57,157 --> 00:10:59,034 I can't breathe. I can't breathe. 174 00:10:59,159 --> 00:11:00,452 Hold on. 175 00:11:08,502 --> 00:11:10,212 We packed her nose to control the bleed 176 00:11:10,337 --> 00:11:12,422 and started transfusing two units of whole blood. 177 00:11:12,548 --> 00:11:16,009 The pathology from the rectal bleed showed traces of nasal epithelium. 178 00:11:16,134 --> 00:11:18,095 So the butt bleed's just a nose bleed. 179 00:11:18,220 --> 00:11:20,639 That much blood is not a "just a" anything. 180 00:11:20,764 --> 00:11:24,434 When two people fight this much, you know what it means. 181 00:11:24,560 --> 00:11:26,395 It's gotta be a massive sinus hemorrhage 182 00:11:26,520 --> 00:11:28,520 that was draining down her throat and out the back. 183 00:11:28,605 --> 00:11:31,400 - The question isn't what, it's why. - Oh, get a room. 184 00:11:31,525 --> 00:11:33,569 Rat poison mixed with some sort of neurogenic toxin 185 00:11:33,694 --> 00:11:35,487 could cause bleeding and sleep disturbances. 186 00:11:35,612 --> 00:11:37,812 Do you have a specific type of neurogenic toxin in mind, 187 00:11:37,906 --> 00:11:40,466 or should we just start running a thousand different tox screens? 188 00:11:40,576 --> 00:11:42,411 Just pretend I'm not here. I'll be reading. 189 00:11:42,536 --> 00:11:44,216 It could also be some type of coagulopathy. 190 00:11:44,288 --> 00:11:46,582 Or it could be us. Do you have any idea what it feels like 191 00:11:46,707 --> 00:11:49,418 to have a six-foot-long hose shoved into your large intestine? 192 00:11:49,543 --> 00:11:52,921 No, but I now have a much greater respect for whichever basketball player 193 00:11:53,046 --> 00:11:54,381 you dated in college. 194 00:11:54,506 --> 00:11:58,552 We've basically been torturing this girl for the last eight hours. 195 00:11:58,677 --> 00:12:00,637 We've been poking her foot, not punching her face. 196 00:12:00,762 --> 00:12:02,639 Extreme stress can cause high blood pressure, 197 00:12:02,764 --> 00:12:05,434 - which can cause bleeding. - Wouldn't keep her awake for ten days. 198 00:12:05,559 --> 00:12:09,187 What if the poison Ivy wasn't poison Ivy? 199 00:12:10,689 --> 00:12:13,567 She got the rash that was diagnosed as poison Ivy 200 00:12:13,692 --> 00:12:15,694 around the same time the insomnia started. 201 00:12:15,819 --> 00:12:18,530 Rash plus nose bleed plus sleep disturbance 202 00:12:18,655 --> 00:12:21,033 equals wegener's granulomatosis. 203 00:12:21,158 --> 00:12:22,826 Start corticosteroid treatment. 204 00:12:22,951 --> 00:12:26,038 - The poison Ivy treatment was steroids. - Much lower dosage. 205 00:12:26,163 --> 00:12:28,498 Get her back on the juice and triple the dose. 206 00:12:28,624 --> 00:12:32,628 Get a canca and an upper ainlvay biopsy to confirm the wegener's. 207 00:12:45,390 --> 00:12:47,517 She has menstrual problems. 208 00:12:47,643 --> 00:12:50,479 Girl: They're really bad. The pain keeps her in bed all day. 209 00:12:50,604 --> 00:12:52,773 Plus, she's super depressed. 210 00:12:58,570 --> 00:13:00,572 She said, "super depressed"? 211 00:13:01,990 --> 00:13:05,410 She heard that birth control pills can make her feel better. 212 00:13:05,535 --> 00:13:08,580 She wants birth control pills for her pms. 213 00:13:08,705 --> 00:13:09,957 I guess. 214 00:13:11,917 --> 00:13:14,544 Judging by the redness around your mom's nostrils 215 00:13:14,670 --> 00:13:17,214 and the tissue she's got conveniently stashed in her wristband, 216 00:13:17,339 --> 00:13:21,301 I'd say her problem is more likely a uri than a pms. 217 00:13:21,426 --> 00:13:22,719 A uri? 218 00:13:22,844 --> 00:13:25,847 Upper respiratory infection. A cold. 219 00:13:25,973 --> 00:13:27,557 I don't think so. 220 00:13:27,683 --> 00:13:29,643 I also think she's got a problem with a sac. 221 00:13:31,019 --> 00:13:34,147 Thanks for playing. Stupid American child. 222 00:13:35,232 --> 00:13:37,192 If you want the pill, all you have to do 223 00:13:37,317 --> 00:13:41,154 is to walk into any health clinic in Jersey, alone, and ask for it. 224 00:13:42,155 --> 00:13:43,949 What exactly was your plan? 225 00:13:44,074 --> 00:13:46,076 You're going to exchange the birth control pills 226 00:13:46,201 --> 00:13:48,036 for some over-the-counter decongestants 227 00:13:48,161 --> 00:13:50,622 and hope that your mom's cold lasts another six years? 228 00:13:53,667 --> 00:13:58,171 - Is that for a cold? - No, that's for your ovaries. 229 00:13:58,296 --> 00:14:01,633 I assume you haven't had a stroke. Have you ever had a blood clot? 230 00:14:01,758 --> 00:14:04,094 - Super. 231 00:14:04,219 --> 00:14:07,556 In three months when you need a refill, take a bus to a free clinic. 232 00:14:07,681 --> 00:14:10,350 Don't wait around hoping for mom to get another sniffle. 233 00:14:11,768 --> 00:14:14,896 Not the sharpest chopstick in the drawer, is she? 234 00:14:16,940 --> 00:14:18,608 Was this just one of your experiments? 235 00:14:18,734 --> 00:14:22,112 You just wanted to see how I'd react to being screwed over by foreman? 236 00:14:23,363 --> 00:14:27,075 Nice idea, but no. This was just good old-fashioned laziness. 237 00:14:28,535 --> 00:14:30,120 I gotta hand it to foreman, though. 238 00:14:30,245 --> 00:14:32,914 He knew that you were a suck-up and I don't give a crap. 239 00:14:33,040 --> 00:14:35,000 He successfully exploited us both. 240 00:14:35,125 --> 00:14:38,503 Right, we're both victims. A simple heads up, that's all I needed. 241 00:14:38,628 --> 00:14:40,756 Maybe between your incredibly witty remarks 242 00:14:40,881 --> 00:14:43,884 about anal sex and cuddy's breasts, you could have tipped me off. 243 00:14:44,009 --> 00:14:46,261 Yeah, but then I'd have foreman pissed at me. 244 00:14:46,386 --> 00:14:48,055 And as annoying as you could be, 245 00:14:48,180 --> 00:14:51,349 at least I know you're not gonna pop a cap in my ass. 246 00:14:51,475 --> 00:14:52,934 Witty, huh? 247 00:14:56,605 --> 00:14:59,900 You, on the other hand, continue to be flabbergasted 248 00:15:00,025 --> 00:15:03,695 every time someone actually acts like a human being. 249 00:15:03,820 --> 00:15:06,907 Foreman did what he did because it worked out best that way for him. 250 00:15:07,032 --> 00:15:08,700 That's what everyone does. 251 00:15:08,825 --> 00:15:11,078 That is not the definition of being human. 252 00:15:11,203 --> 00:15:13,872 It's the definition of being an ass. 253 00:15:18,835 --> 00:15:20,670 This will numb you up. 254 00:15:23,256 --> 00:15:26,259 And this will keep your tongue out of the way. 255 00:15:27,552 --> 00:15:30,597 Don't worry. You shouldn't feel anything except for a slight pulling. 256 00:15:30,722 --> 00:15:32,474 So, do you think I was out of line? 257 00:15:32,599 --> 00:15:36,061 That article would have sat on house's desk for the next six years. 258 00:15:36,186 --> 00:15:38,313 I could've told her. 259 00:15:38,438 --> 00:15:41,608 You could have written it for her, too. She knows house as well as any of us. 260 00:15:41,733 --> 00:15:43,652 She should've known she was waiting for him 261 00:15:43,777 --> 00:15:46,029 to do something he was never gonna do. 262 00:15:49,991 --> 00:15:51,201 Chase? 263 00:15:53,829 --> 00:15:55,247 Hannah? You still with us? 264 00:15:55,372 --> 00:15:58,083 - What's wrong with her eyes? - It looks like rem. 265 00:15:58,208 --> 00:15:59,793 - What's that? - Rapid eye movements. 266 00:15:59,918 --> 00:16:01,638 It's what your eyes do when you're sleeping. 267 00:16:01,711 --> 00:16:03,588 - But she's awake. - Hannah! 268 00:16:04,464 --> 00:16:06,424 Hannah, can you hear me? 269 00:16:07,384 --> 00:16:08,885 Yeah, of course. 270 00:16:10,804 --> 00:16:12,931 - Was she sitting up or lying down? - Sitting up. 271 00:16:13,056 --> 00:16:14,141 Then it wasn't rem. 272 00:16:14,266 --> 00:16:16,146 Chase says her eyes were moving the exact way... 273 00:16:16,268 --> 00:16:17,477 You start her on the steroids? 274 00:16:17,602 --> 00:16:20,002 - Not yet. We were still doing... - Then she wasn't sleeping. 275 00:16:20,063 --> 00:16:22,858 - How do you know? - Because we haven't done anything yet. 276 00:16:22,983 --> 00:16:25,863 She may be able to sleep with her eyes open, but unless you also discover 277 00:16:25,902 --> 00:16:28,113 she's got two extra teats and hooves for feet, 278 00:16:28,238 --> 00:16:30,678 there's no way she'd be able to maintain enough muscle tensity 279 00:16:30,740 --> 00:16:32,534 during rem sleep to sit upright. 280 00:16:32,659 --> 00:16:36,580 It's a movement disorder, which rules out wegener's. 281 00:16:36,705 --> 00:16:37,956 Where's foreman? 282 00:16:38,081 --> 00:16:39,875 - Keeping her awake. - Good. 283 00:16:40,000 --> 00:16:43,253 Rabies could cause muscle spasms, malaise, anxiety and wakefulness. 284 00:16:43,378 --> 00:16:45,778 Pretty unlikely she'd forget being bitten by a crazed animal. 285 00:16:45,881 --> 00:16:47,761 She could've been exposed through an open wound. 286 00:16:47,883 --> 00:16:49,610 - Does she have a dog? - For less than a week. 287 00:16:49,634 --> 00:16:51,904 She had an allergic reaction, so they had to give it away. 288 00:16:51,928 --> 00:16:52,929 Allergies. 289 00:16:53,054 --> 00:16:55,432 Animal allergies seems unlikely, but it's possible that... 290 00:16:55,557 --> 00:16:57,559 - When? - When what? 291 00:16:57,684 --> 00:17:00,061 - When did she get rid of the dog? - About a month ago. 292 00:17:00,187 --> 00:17:03,064 Her girlfriend gave it to her for her birthday. 293 00:17:03,190 --> 00:17:05,567 Well, then, it's not allergies. 294 00:17:05,692 --> 00:17:07,694 She's just leaving her girlfriend. 295 00:17:09,905 --> 00:17:12,407 You... spoke to the dog? 296 00:17:12,532 --> 00:17:14,117 If her birthday was a month ago, 297 00:17:14,242 --> 00:17:16,536 she would have still been on steroids for the poison Ivy. 298 00:17:16,661 --> 00:17:18,538 Those meds would have suppressed any reaction 299 00:17:18,663 --> 00:17:19,863 she might have had to the dog, 300 00:17:19,956 --> 00:17:22,584 which means she lied about being allergic. A dog's a commitment. 301 00:17:22,709 --> 00:17:25,589 You pretend to be allergic because you don't want to tell your girlfriend 302 00:17:25,629 --> 00:17:27,839 that you're not planning on being around that long. 303 00:17:27,964 --> 00:17:30,550 So, I think we can move on to options other than allergies. 304 00:17:30,675 --> 00:17:32,344 Chase: We should still do a scratch test. 305 00:17:32,469 --> 00:17:35,972 - If she's allergic to one thing... - She is not allergic. 306 00:17:36,097 --> 00:17:38,934 Okay. Well, we could either base our diagnosis 307 00:17:39,059 --> 00:17:41,603 on your admittedly keen understanding of lesbian relationships, 308 00:17:41,728 --> 00:17:44,064 or we could do a scratch test. 309 00:17:47,275 --> 00:17:49,110 Do a scratch test. 310 00:17:54,074 --> 00:17:56,114 Are you still feeling a lot of blood in your throat? 311 00:17:56,159 --> 00:17:57,994 No, it's actually getting a little better. 312 00:17:58,119 --> 00:18:01,164 Good, maybe things are just starting to improve on their own. 313 00:18:01,289 --> 00:18:02,791 Just a few more. 314 00:18:03,583 --> 00:18:06,127 - Want some water to wash your mouth? - No, I'm okay. 315 00:18:06,253 --> 00:18:08,797 Come on, that can't taste good. I'm gonna get you a soda. 316 00:18:08,922 --> 00:18:10,632 It's okay, isn't it? 317 00:18:15,720 --> 00:18:18,556 You and Max seem to have a really nice relationship. 318 00:18:18,682 --> 00:18:20,934 - Yeah. - She's very supportive. 319 00:18:24,938 --> 00:18:26,690 When Max got you the dog, 320 00:18:26,815 --> 00:18:29,859 did you lie about having an allergic reaction? 321 00:18:34,447 --> 00:18:36,658 - Why? - If you have preexisting conditions, 322 00:18:36,783 --> 00:18:40,578 it's important we know, but if you don't, it's just as important. 323 00:18:41,663 --> 00:18:43,248 If I'm wasting my time doing this... 324 00:18:43,373 --> 00:18:45,417 You're not going to tell her, are you? 325 00:18:47,377 --> 00:18:48,628 It's none of my business. 326 00:18:48,753 --> 00:18:52,757 She's a good person, and we've just been together so long, I... 327 00:18:56,720 --> 00:18:58,263 I'm tired of her. 328 00:19:02,642 --> 00:19:04,811 It sounds terrible, doesn't it? 329 00:19:06,688 --> 00:19:08,940 I guess it happens sometimes. 330 00:19:10,150 --> 00:19:11,735 My back hurts. 331 00:19:18,074 --> 00:19:19,701 Hannah, can you turn over? 332 00:19:19,826 --> 00:19:22,662 - What's wrong? - I'm not sure. 333 00:19:28,001 --> 00:19:29,461 Oh, my god. 334 00:19:31,796 --> 00:19:34,557 - She has massive internal bleeding. - Did she have access to aspirin? 335 00:19:34,674 --> 00:19:36,068 She'd have to take a hell of a lot. 336 00:19:36,092 --> 00:19:39,387 Why not? Considering her current mental state. 337 00:19:39,512 --> 00:19:41,806 What about her mental state? 338 00:19:41,931 --> 00:19:44,476 You were right about her wanting to break up. 339 00:19:44,601 --> 00:19:46,853 That just means I was right. Doesn't mean she's suicidal. 340 00:19:46,978 --> 00:19:49,378 A bottle of pills is what landed her here in the first place. 341 00:19:49,439 --> 00:19:52,692 Sleeping pills. God knows why she'd want them. 342 00:19:54,027 --> 00:19:57,072 What else could cause sleep disorder and internal bleeding? 343 00:19:57,197 --> 00:20:00,825 Drugs or alcohol could mess with the sleeping and compromise the liver. 344 00:20:00,950 --> 00:20:03,244 What are you doing here? Who's keeping her awake? 345 00:20:03,370 --> 00:20:06,790 Doesn't matter. Liver function tests are through the sky. 346 00:20:06,915 --> 00:20:09,751 Liver's not compromised. It's dead. 347 00:20:09,876 --> 00:20:12,712 She doesn't need a diagnosis. She needs a new liver. 348 00:20:13,880 --> 00:20:16,920 She's not getting a new liver unless we can figure out what's wrong with her. 349 00:20:17,008 --> 00:20:19,260 Test for cirrhosis, 12 hours. Test for hepatitis, eight. 350 00:20:19,386 --> 00:20:21,012 Her liver's not gonna last another six. 351 00:20:21,137 --> 00:20:23,515 So your advice is we just give up? 352 00:20:23,640 --> 00:20:26,684 My advice is that we narrow our focus to conditions that we can diagnose, 353 00:20:26,810 --> 00:20:29,020 treat and cure in less than six hours. 354 00:20:30,271 --> 00:20:32,315 And there's nothing on that list. 355 00:20:34,651 --> 00:20:37,070 The girlfriend donated blood, right? 356 00:20:37,195 --> 00:20:38,822 Yeah, so? 357 00:20:38,947 --> 00:20:40,865 It means they're the same type. 358 00:20:41,783 --> 00:20:45,870 You can't ask the person she's about to dump to donate half her liver. 359 00:20:45,995 --> 00:20:48,164 It does seem tacky, doesn't it? 360 00:20:56,923 --> 00:20:59,050 I'm dr house. 361 00:20:59,175 --> 00:21:01,428 I'm in charge of your case. 362 00:21:02,303 --> 00:21:03,471 What's going on? 363 00:21:03,596 --> 00:21:06,558 How come no one is keeping her awake anymore? 364 00:21:06,683 --> 00:21:08,726 You're in acute liver failure. 365 00:21:10,228 --> 00:21:13,189 We can continue the transfusions and the iactulose, 366 00:21:13,314 --> 00:21:15,150 but it's only a stopgap. 367 00:21:16,234 --> 00:21:18,234 There's really nothing we can do to stop the toxins 368 00:21:18,278 --> 00:21:21,030 from building up in your bloodstream, 369 00:21:21,156 --> 00:21:24,325 which means that, in a few hours, 370 00:21:24,451 --> 00:21:26,453 you will lapse into a coma... 371 00:21:28,246 --> 00:21:30,081 And you won't wake up. 372 00:21:35,962 --> 00:21:37,172 I'm sorry. 373 00:21:39,299 --> 00:21:41,050 That's it? You're giving up? 374 00:21:41,176 --> 00:21:44,721 You're not going to try to figure out what's doing this to her? 375 00:21:44,846 --> 00:21:46,598 Well, even with the right diagnosis, 376 00:21:46,723 --> 00:21:49,123 any treatment's gonna take longer than the time she has left. 377 00:21:49,225 --> 00:21:52,437 If it's her liver, can't she get a transplant? 378 00:21:52,562 --> 00:21:54,814 Wouldn't work without a diagnosis. 379 00:21:54,939 --> 00:21:58,193 Whatever killed the first liver would do the same to the second. 380 00:21:58,318 --> 00:22:03,239 But it would give you more time to make the diagnosis to get her better. 381 00:22:05,950 --> 00:22:09,412 Well, it might give us an extra day or two, 382 00:22:09,537 --> 00:22:12,373 but no procurement agency is gonna let a liver go to a patient 383 00:22:12,499 --> 00:22:14,292 with an undiagnosed, preexisting... 384 00:22:14,417 --> 00:22:16,794 Hannah and I have the same blood type. 385 00:22:16,920 --> 00:22:18,880 Couldn't I be the donor? 386 00:22:26,471 --> 00:22:29,849 Well, it is medically possible for us to take a part of your... 387 00:22:29,974 --> 00:22:32,727 Please, I don't care about the risks. 388 00:22:43,029 --> 00:22:46,032 You're very lucky to have such a devoted partner. 389 00:23:01,089 --> 00:23:03,466 I just bought us 36 hours. 390 00:23:03,591 --> 00:23:07,136 Differential diagnosis. Which monster eats your liver, 391 00:23:07,262 --> 00:23:09,055 screws up your sleep and causes bleeding? 392 00:23:09,180 --> 00:23:10,765 Does Max know Hannah plans to leave her? 393 00:23:10,890 --> 00:23:12,642 Didn't come up, so I guess no. 394 00:23:12,767 --> 00:23:14,912 If she knew, there's no way she'd go through with this. 395 00:23:14,936 --> 00:23:16,854 And if you didn't have a pathological need 396 00:23:16,980 --> 00:23:19,941 to create a close, personal relationship with every dying person you meet, 397 00:23:20,066 --> 00:23:22,318 we would be blissfully ignorant of any ethical dilemmas 398 00:23:22,443 --> 00:23:24,946 and might actually be able to concentrate on the differential. 399 00:23:25,071 --> 00:23:26,364 The scratch test was negative. 400 00:23:26,489 --> 00:23:29,409 It's rare, but any of the hepatitis viruses could cause sleep disturbances 401 00:23:29,534 --> 00:23:31,254 - and liver failure. - No, pcrs were normal. 402 00:23:31,369 --> 00:23:35,707 - We have an ethical dilemma. - No, we don't. Continue. 403 00:23:35,832 --> 00:23:39,002 Chase: What about splenic cancer or non-hodgkin's lymphoma? 404 00:23:39,127 --> 00:23:40,295 She's the right age. 405 00:23:40,420 --> 00:23:42,964 It could explain the bleeding, maybe the liver failure. 406 00:23:43,089 --> 00:23:46,676 We're withholding information relevant to her decision to risk her life. 407 00:23:46,801 --> 00:23:49,929 - How is that not an ethical dilemma? - It's not medical information. 408 00:23:50,054 --> 00:23:51,931 - Who cares? - The ama. 409 00:23:52,056 --> 00:23:55,310 Foreman: Wilson's disease could explain the liver and neurological symptoms. 410 00:23:55,435 --> 00:23:56,853 It also causes bleeding disorders. 411 00:23:56,978 --> 00:23:58,813 No kayser-fleischer rings in her eyes. 412 00:23:58,938 --> 00:24:01,378 Rings don't have to be there if there's neurological symptoms. 413 00:24:01,482 --> 00:24:03,943 - This is immoral. - Look, let's say you're right! 414 00:24:04,068 --> 00:24:07,822 We tell, she changes her mind, our patient dies. How is that moral? 415 00:24:09,073 --> 00:24:10,158 What else? 416 00:24:10,283 --> 00:24:12,160 Poisoned mushrooms can cause liver failure, 417 00:24:12,285 --> 00:24:13,995 sleep disturbances and internal bleeding. 418 00:24:14,120 --> 00:24:16,497 She's not shrooming. She's a sports nut. 419 00:24:16,623 --> 00:24:18,625 Right, skiers never party. 420 00:24:18,750 --> 00:24:21,044 She's doing this out of love, and Max doesn't know... 421 00:24:21,169 --> 00:24:24,422 It's only moral to save a person if they love you? 422 00:24:24,547 --> 00:24:27,133 That's kind of a selfish way of looking at life. 423 00:24:27,258 --> 00:24:30,053 I like Wilson's disease, like cancer, love mushrooms. 424 00:24:30,178 --> 00:24:32,388 Yeah, but we don't have the time to test for any of it. 425 00:24:32,513 --> 00:24:36,017 Before she can get the transplant, we need to do about 80 procedures. 426 00:24:36,142 --> 00:24:38,436 So, do those tests and my tests at the same time. 427 00:24:38,561 --> 00:24:40,647 Use the pet to look for cancer and Wilson's. 428 00:24:40,772 --> 00:24:43,941 While you endoscope her bile ducts, scrape her stomach for mushroom spores. 429 00:24:44,067 --> 00:24:45,568 One of you ct her liver, 430 00:24:45,693 --> 00:24:49,822 while the other two check protein ca-125 and ca-19.5. 431 00:24:49,989 --> 00:24:53,868 Oh, yeah, anyone says anything to Max, they're fired. 432 00:24:55,161 --> 00:24:56,371 We have to. 433 00:24:56,496 --> 00:24:59,791 We have to not, because she's not our patient. 434 00:24:59,916 --> 00:25:03,086 She's getting surgery. She's someone's patient. 435 00:25:05,922 --> 00:25:08,341 I think that's it. Great, thank you. 436 00:25:08,466 --> 00:25:09,884 I need a little help. 437 00:25:10,009 --> 00:25:13,429 Inexplicable rash on a patient's scrotum you need me to look at? 438 00:25:13,554 --> 00:25:16,099 Twenty-seven-year-old female wants to donate half her liver 439 00:25:16,224 --> 00:25:19,227 - to her dying girlfriend. - That's very generous. 440 00:25:19,352 --> 00:25:22,063 This the sleepless girl? What's she got? 441 00:25:22,188 --> 00:25:23,398 Liver failure. 442 00:25:23,523 --> 00:25:26,693 Sort of figured that out when you said she needed a new liver. 443 00:25:29,278 --> 00:25:32,907 - You don't have a diagnosis? - The transplant buys me time. 444 00:25:33,074 --> 00:25:35,159 Let's just skip the part where I say this is insane. 445 00:25:35,284 --> 00:25:36,452 It was her idea. 446 00:25:36,577 --> 00:25:39,288 If she wants to be an idiot, it's her call. You don't need me. 447 00:25:39,414 --> 00:25:41,624 Have one of your team walk her through the process. 448 00:25:41,749 --> 00:25:44,877 The donor and the donee sort of have opposing interests, right? 449 00:25:45,002 --> 00:25:46,879 We can't really advise them both. 450 00:25:47,004 --> 00:25:49,882 You're concerned about the ethics of this? 451 00:25:50,007 --> 00:25:51,384 What's going on? 452 00:25:51,509 --> 00:25:54,137 - What do you know? - Nothing medically relevant. 453 00:25:54,262 --> 00:25:56,723 But you know something, and it is relevant. 454 00:25:57,807 --> 00:26:00,143 If I can't tell her, I can't really tell you, can I? 455 00:26:00,268 --> 00:26:02,228 I mean, if you're advising her. 456 00:26:03,229 --> 00:26:05,565 I assume this information is in the medical file. 457 00:26:05,690 --> 00:26:09,235 - In my patient's confidential file. - This hospital's file. 458 00:26:12,238 --> 00:26:15,616 You can either satisfy your curiosity, or you can remain ignorant, 459 00:26:15,742 --> 00:26:20,079 do nothing ethically wrong, and my patient doesn't die in three hours. 460 00:26:27,128 --> 00:26:30,339 These tests and the counseling 461 00:26:30,465 --> 00:26:34,218 normally happen over weeks, sometimes months. 462 00:26:35,219 --> 00:26:36,387 It's okay. 463 00:26:37,638 --> 00:26:40,183 Well, the most important part we're skipping is time. 464 00:26:40,308 --> 00:26:42,894 Time for you to change your mind. 465 00:26:43,019 --> 00:26:45,146 I don't wanna change my mind. 466 00:26:45,271 --> 00:26:50,651 Not now, but, with time and perspective, maybe we learn things... 467 00:26:50,777 --> 00:26:52,945 If we had the time, we'd take the time, but we don't. 468 00:26:53,070 --> 00:26:55,114 So can you get this over with? 469 00:26:57,742 --> 00:27:01,287 Either I sign off on this, or it doesn't happen. 470 00:27:02,121 --> 00:27:04,499 So I need you to listen to me, 471 00:27:04,624 --> 00:27:08,461 because there's a chance that you will die on that table. 472 00:27:16,260 --> 00:27:20,765 I just want me and Hannah to be able to lie in bed together 473 00:27:20,890 --> 00:27:23,518 as old ladies, 474 00:27:23,643 --> 00:27:25,353 compare scars. 475 00:27:33,820 --> 00:27:37,198 I need you to lie on your side and hold your knees. 476 00:27:41,744 --> 00:27:43,788 I'm going to check for vascular abnormalities 477 00:27:43,913 --> 00:27:46,290 that might prevent us from doing the transplant. 478 00:27:46,415 --> 00:27:48,751 At the same time, I'm also checking for mushroom spores 479 00:27:48,876 --> 00:27:51,236 - to see if that's the underlying... - I don't do mushrooms. 480 00:27:51,295 --> 00:27:54,507 If you lie about your love life, maybe you lie about drugs. Open. 481 00:27:58,219 --> 00:28:01,138 Aren't you at all concerned about what Max is going through right now? 482 00:28:01,264 --> 00:28:03,015 They're shoving a tube up her rectum, 483 00:28:03,140 --> 00:28:05,460 then they're going to swab her stomach just like I'm doing. 484 00:28:05,560 --> 00:28:07,895 It's going to hurtjust like this hurts. 485 00:28:08,020 --> 00:28:12,400 Which is nothing at all like the risk she's taking on the table. 486 00:28:15,695 --> 00:28:17,697 And you don't love her, do you? 487 00:28:17,822 --> 00:28:19,448 I'm not leaving her because I don't... 488 00:28:19,574 --> 00:28:22,952 I'm not talking about the leaving. I'm talking about this. 489 00:28:23,077 --> 00:28:25,997 If you care for her at all, you won't let her do this blind. 490 00:28:30,501 --> 00:28:32,545 - You'd really tell? - Yeah. 491 00:28:35,006 --> 00:28:36,173 You'd die? 492 00:28:45,516 --> 00:28:47,643 I take it you've seen that. 493 00:28:50,354 --> 00:28:54,609 Seen it, digested it, watched it blow up my entire department. 494 00:28:54,734 --> 00:28:57,653 - Did you read Cameron's version? - I didn't read either. 495 00:28:57,778 --> 00:28:59,113 It was good. 496 00:28:59,238 --> 00:29:02,074 - Better than foreman's? - Maybe. 497 00:29:02,199 --> 00:29:05,953 He was more analytical about the diagnostic procedures. 498 00:29:06,078 --> 00:29:09,290 She concentrated more on the ethical dilemmas of informed consent. 499 00:29:09,415 --> 00:29:11,935 How any patient can really be informed without a medical degree. 500 00:29:12,043 --> 00:29:13,878 Same old party lines. 501 00:29:14,670 --> 00:29:18,507 - Foreman should have told her. - Oh, shoulda, woulda, coulda. 502 00:29:18,633 --> 00:29:20,633 If you allow this sort of thing in your department, 503 00:29:20,718 --> 00:29:22,261 you're basically saying it's okay. 504 00:29:22,386 --> 00:29:24,722 No, I'm saying that I don't care what they do 505 00:29:24,847 --> 00:29:28,267 as long as my life isn't interrupted by pointless conversations like this one. 506 00:29:28,392 --> 00:29:30,853 They won't trust each other, and they won't trust you. 507 00:29:30,978 --> 00:29:32,521 They shouldn't. 508 00:29:32,647 --> 00:29:35,107 Deception like this is just one step removed 509 00:29:35,232 --> 00:29:38,361 from actively sabotaging one another. 510 00:29:38,486 --> 00:29:39,737 Then what would you do? 511 00:29:39,862 --> 00:29:43,240 I could be the kindest, gentlest boss in the world, 512 00:29:43,366 --> 00:29:46,410 and foreman would still have done what he did, because that's who he is. 513 00:29:46,535 --> 00:29:50,122 We can only hope that Cameron has learned something. 514 00:29:50,247 --> 00:29:53,584 Right, because you're all about the teaching. 515 00:29:54,585 --> 00:29:56,629 Our children are the future. 516 00:30:02,718 --> 00:30:04,011 Foreman: Hey. 517 00:30:04,136 --> 00:30:06,514 Cuddy cleared Max for surgery. She's okay to go. 518 00:30:06,639 --> 00:30:08,766 - How's our patient? - She's also cleared. 519 00:30:08,891 --> 00:30:11,978 I don't care about the prep. I care about the diagnostic tests. 520 00:30:12,103 --> 00:30:14,783 Looks negative for Wilson's disease. We'll know for sure in an hour. 521 00:30:14,814 --> 00:30:17,134 - Blood proteins are normal. It's not... - Where's Cameron? 522 00:30:17,233 --> 00:30:18,985 Taking a sample of the bile duct. 523 00:30:19,986 --> 00:30:22,113 Surgeries are supposed to start in about 15 minutes. 524 00:30:22,238 --> 00:30:23,632 She had a chance to get one last... 525 00:30:23,656 --> 00:30:25,216 Hannah and Max will be in the same room. 526 00:30:25,282 --> 00:30:27,201 You wanted us to do as much as we can before... 527 00:30:27,326 --> 00:30:29,745 They're both awake with Cameron. 528 00:30:35,042 --> 00:30:39,130 Maybe we should give these two a minute together before the surgery. 529 00:30:39,255 --> 00:30:41,048 You ready, honey? 530 00:30:44,010 --> 00:30:47,179 - Max. - It's okay, I'm right here. 531 00:30:48,514 --> 00:30:51,058 - I need you to know something. - I know. 532 00:30:52,018 --> 00:30:53,686 I love you, too. 533 00:30:55,104 --> 00:30:57,398 - I don't know how to say this. - Good lord! 534 00:30:57,523 --> 00:31:01,318 - You can tell me anything. - House: She hasn't slept in 11 days! 535 00:31:01,444 --> 00:31:03,779 You people trying to torture her? 536 00:31:08,325 --> 00:31:10,077 Ding, ding, let's go. 537 00:31:14,999 --> 00:31:17,293 - I told you... - I didn't say a word to Max. 538 00:31:17,418 --> 00:31:19,879 This is exactly why you got screwed with foreman. 539 00:31:20,004 --> 00:31:22,131 You're looking for people to do the right thing. 540 00:31:22,256 --> 00:31:24,050 She hasn't slept. Herjudgment is compromised 541 00:31:24,175 --> 00:31:26,010 due to inactivity in her prefrontal cortex. 542 00:31:26,135 --> 00:31:29,930 Oh, she could have the best prefrontal cortex in the history of mankind, 543 00:31:30,056 --> 00:31:31,696 but given the choice of life versus death, 544 00:31:31,766 --> 00:31:34,852 those bad, bad people are going to choose life. 545 00:31:34,977 --> 00:31:37,897 Then why'd you sedate her? If she wasn't going to tell, 546 00:31:38,022 --> 00:31:41,275 if she was never going to do the right thing, why bother knocking her out? 547 00:31:42,693 --> 00:31:45,988 This isn't about them. If she talks, if she does the decent thing, 548 00:31:46,113 --> 00:31:49,325 then you don't get to solve your puzzle, your game's over, you lose. 549 00:31:49,450 --> 00:31:52,369 Yeah, I wanna save her. I'm morally bankrupt. 550 00:32:14,850 --> 00:32:15,976 How's it going? 551 00:32:16,102 --> 00:32:18,187 They're about to remove Hannah's liver. 552 00:32:22,483 --> 00:32:25,277 All right, I'm good to go. 553 00:32:25,402 --> 00:32:27,822 You can start removing Max's liver. 554 00:32:29,198 --> 00:32:32,535 Cuddy: You wanna let me in on what the big secret is between these two? 555 00:32:32,660 --> 00:32:34,578 You read foreman's article? 556 00:32:36,372 --> 00:32:37,915 It was good. 557 00:32:39,458 --> 00:32:41,752 He basically stole it from me. 558 00:32:43,087 --> 00:32:46,257 - So? - You're on his side? 559 00:32:46,382 --> 00:32:48,884 Sides? No, this isn't dodgeball. 560 00:32:50,052 --> 00:32:52,721 What am I supposed to do, just sit back and take it? 561 00:32:52,847 --> 00:32:54,557 No, write another article. 562 00:32:54,682 --> 00:32:57,351 Kick ass until you're sitting behind some big, expensive desk, 563 00:32:57,476 --> 00:33:00,104 and someone from Johns Hopkins calls and says, 564 00:33:00,229 --> 00:33:04,108 "we're thinking about hiring Eric foreman as our head of neurology." 565 00:33:04,233 --> 00:33:06,777 And you can say whatever you want. 566 00:33:06,902 --> 00:33:11,073 Lovely. Revenge as motive for success. 567 00:33:11,198 --> 00:33:14,743 Well, it doesn't have to be the motive, but it sure tastes good. 568 00:33:16,203 --> 00:33:18,831 - She's in vf. I've got no pulse. - She's arresting. 569 00:33:22,459 --> 00:33:25,171 House: I am so relieved you two are here. 570 00:33:25,296 --> 00:33:27,776 Without you looking out, they'd be playing foosball down there. 571 00:33:27,882 --> 00:33:30,968 - Max's heart stopped. - Your patient is on the other side. 572 00:33:31,093 --> 00:33:33,554 Now get yourself upstairs and figure out what Hannah has, 573 00:33:33,679 --> 00:33:36,307 or Max has risked her life for nothing. 574 00:33:39,143 --> 00:33:40,811 Anesthesiologist: Charging. 575 00:33:41,979 --> 00:33:43,397 Clear. 576 00:33:48,319 --> 00:33:49,570 We're okay. 577 00:33:55,117 --> 00:33:59,538 Chase: Max's cardiac arrest was caused by hypoxia from hypoventilation. 578 00:33:59,663 --> 00:34:00,956 They restarted her heart, 579 00:34:01,081 --> 00:34:04,835 and the right lobe of her liver was successfully transplanted into Hannah. 580 00:34:04,960 --> 00:34:06,795 Now, where were we 581 00:34:06,921 --> 00:34:09,673 before we were so rudely interrupted by the liver transplant? 582 00:34:09,798 --> 00:34:11,884 Dopa decarboxylase was processed normally, 583 00:34:12,009 --> 00:34:14,136 and the ceruloplasmin and copper levels were normal. 584 00:34:14,261 --> 00:34:15,346 So, no Wilson's disease. 585 00:34:15,471 --> 00:34:18,515 Gastric content was negative for spores, so no mushroom toxicity. 586 00:34:18,641 --> 00:34:20,893 And initial tests were negative for cancer. 587 00:34:21,018 --> 00:34:22,996 - Which cancer were you looking for? - Any of them. 588 00:34:23,020 --> 00:34:25,397 We ran blood tests for ovarian, lung and lymphomas. 589 00:34:25,522 --> 00:34:26,607 Not gonna tell you much. 590 00:34:26,732 --> 00:34:29,235 Her blood was taken after she was given immunosuppressants. 591 00:34:29,360 --> 00:34:31,111 They fight rejection. 592 00:34:31,237 --> 00:34:33,948 They also mess up our ability to get any clear readings. 593 00:34:35,532 --> 00:34:38,244 Great battles kick up a lot of dirt. 594 00:34:39,453 --> 00:34:43,249 Obscure the battlefield so generals can't see what's going on. 595 00:34:44,375 --> 00:34:47,044 So, what are your orders, general house? 596 00:34:49,004 --> 00:34:50,589 Sound the retreat. 597 00:34:53,550 --> 00:34:55,636 How you feeling? 598 00:34:55,761 --> 00:34:56,929 Is Max okay? 599 00:34:57,054 --> 00:34:59,765 She's still unconscious, but her vitals look good. 600 00:35:00,891 --> 00:35:04,019 We need to stop all the immunosuppressant drugs 601 00:35:04,144 --> 00:35:06,272 which are protecting your new liver. 602 00:35:08,232 --> 00:35:11,318 But if you stop the drugs, I'll die. 603 00:35:11,443 --> 00:35:14,571 You're dead anyway if we don't figure out what caused all this. 604 00:35:16,073 --> 00:35:18,117 By removing any outside influences, 605 00:35:18,242 --> 00:35:20,619 it'll help us see what's really going on with your body. 606 00:35:20,744 --> 00:35:22,788 So you did all this to buy me a couple of days, 607 00:35:22,913 --> 00:35:25,040 and now you're taking one back? 608 00:35:29,211 --> 00:35:30,796 Will it hurt? 609 00:35:32,339 --> 00:35:34,508 As your body goes into acute organ rejection, 610 00:35:34,633 --> 00:35:38,053 your liver will begin to swell, and that'll put pressure on... 611 00:35:39,680 --> 00:35:42,099 Yeah, it'll hurt. 612 00:35:42,224 --> 00:35:43,976 But we can knock you out. 613 00:35:45,019 --> 00:35:48,314 No, if Max wakes up, I want to talk to her. 614 00:35:56,155 --> 00:35:58,866 She's been taking the decongestants, but she's not getting better. 615 00:35:58,991 --> 00:36:01,910 - She also says... - What? 616 00:36:03,495 --> 00:36:05,247 Her boobs are bigger. 617 00:36:13,756 --> 00:36:15,674 How could you get them mixed up? 618 00:36:15,799 --> 00:36:19,011 They come in a little wheel. They don't look anything like decongestants. 619 00:36:19,136 --> 00:36:21,180 Oh, god. The cashier put them both in the same bag. 620 00:36:21,305 --> 00:36:23,265 I thought I gave her the right ones. 621 00:36:31,190 --> 00:36:34,193 No, you gave her the wrong pills. 622 00:36:34,318 --> 00:36:37,029 You speak mandarin? 623 00:36:37,154 --> 00:36:41,075 I can count to ten, ask to go to the bathroom and... 624 00:36:45,454 --> 00:36:48,374 I'm not pregnant. We haven't even done it yet! 625 00:36:51,877 --> 00:36:54,129 Okay, I'm going to leave you two alone now. 626 00:36:54,254 --> 00:36:56,423 I'm sure you got a lot to talk about. 627 00:37:03,180 --> 00:37:06,016 Fever is 106. She's in full rejection mode. 628 00:37:06,141 --> 00:37:07,976 Is that supposed to surprise me? 629 00:37:08,102 --> 00:37:10,020 Her white count is normal. 630 00:37:11,188 --> 00:37:14,274 Normal is not normal. She's been on steroids. 631 00:37:14,400 --> 00:37:17,027 The transplant team gave her a cocktail of immunosuppressants. 632 00:37:17,152 --> 00:37:20,155 She hasn't slept in over a week. Her white count should be in the tank. 633 00:37:20,280 --> 00:37:22,241 Looks like the problem is some sort of infection. 634 00:37:22,366 --> 00:37:24,868 Foreman: Probably caused the hypotension, shocked the liver. 635 00:37:24,993 --> 00:37:27,121 We should start broad-spectrum antibiotics. 636 00:37:27,246 --> 00:37:29,540 Yeah, you might want to add some chicken soup. 637 00:37:29,665 --> 00:37:32,418 It'd be just as useless, but it's got chicken. 638 00:37:32,543 --> 00:37:35,170 We need to know exactly what kind of infection we're dealing with. 639 00:37:35,295 --> 00:37:38,340 What infection causes sleep disturbance, bleeding, a movement disorder, 640 00:37:38,465 --> 00:37:40,884 organ failure and an abnormally normal white count. 641 00:37:41,009 --> 00:37:42,761 - What about tularemia? - Chest was clear. 642 00:37:42,886 --> 00:37:44,680 Tularemia doesn't cause movement disorders. 643 00:37:44,805 --> 00:37:48,725 - It would if she developed meningitis. - There was no ulcerations on the skin. 644 00:37:48,851 --> 00:37:51,145 With the bleeding, it looks more like ieptospirosis. 645 00:37:51,270 --> 00:37:53,439 Without conjunctivitis and elevated creatinine? 646 00:37:53,564 --> 00:37:55,649 What about typhoid or some kind of relapsing fever? 647 00:37:55,774 --> 00:37:57,254 Makes sense, if we were in the Sudan. 648 00:37:57,359 --> 00:37:59,239 Are you sure she hasn't been out of the country? 649 00:37:59,319 --> 00:38:02,173 She hasn't even been out of the state in at least a year. Neither has Max. 650 00:38:02,197 --> 00:38:03,949 Maybe she lied. 651 00:38:04,074 --> 00:38:07,161 - You talk to her friends, neighbors? - You don't know? 652 00:38:07,286 --> 00:38:09,288 Come on, if you don't stay up-to-date on my notes, 653 00:38:09,413 --> 00:38:11,665 where's your next article gonna come from? 654 00:38:11,790 --> 00:38:13,417 Talked to the dog? 655 00:38:13,542 --> 00:38:16,003 We're not as up on foreign languages as you are. 656 00:38:17,087 --> 00:38:19,923 - Has the dog been traveling? - It came from a breeder. 657 00:38:20,048 --> 00:38:22,759 - Where? - I don't know. 658 00:38:24,219 --> 00:38:25,929 Place called blue barrel kennels. 659 00:38:26,054 --> 00:38:27,848 They only had the thing for, like, two days. 660 00:38:27,973 --> 00:38:30,934 Blue barrel is a kind of cactus. 661 00:38:31,059 --> 00:38:33,353 You see many cacti in Jersey? 662 00:38:42,196 --> 00:38:44,198 Wanna see a magic trick? 663 00:38:50,037 --> 00:38:52,915 Oh, no. Where'd it go? Where'd it go? 664 00:38:53,040 --> 00:38:54,291 Is it here? 665 00:38:55,792 --> 00:38:58,045 No. What about here? 666 00:39:00,255 --> 00:39:01,882 There it is. 667 00:39:02,966 --> 00:39:06,178 Oh, that doesn't look anything like a nose. 668 00:39:07,179 --> 00:39:09,264 Cameron: That wasn't there this morning. 669 00:39:23,862 --> 00:39:27,908 - Get that to the lab and call the CDC. - Tell them what? 670 00:39:28,033 --> 00:39:30,953 That we have a patient with the plague. 671 00:39:32,037 --> 00:39:36,333 - The black plague? - Looks that way. 672 00:39:36,458 --> 00:39:38,293 Plague is carried by rodents, not dogs. 673 00:39:38,418 --> 00:39:42,047 Where there's dogs, there's fleas. If they hail from the southwest, 674 00:39:42,172 --> 00:39:44,091 then those fleas can't tell the difference 675 00:39:44,216 --> 00:39:46,802 between prairie dogs and puppy dogs. 676 00:39:46,927 --> 00:39:50,973 A small percentage of plague cases present with sleep disturbance. 677 00:39:52,432 --> 00:39:55,686 Imagine an idyllic river of bacteria. 678 00:39:57,187 --> 00:39:59,648 Okay, it's not idyllic for her, but it serves my purposes. 679 00:39:59,773 --> 00:40:01,358 The steroids and immunosuppressants 680 00:40:01,483 --> 00:40:04,778 acted like a big honking dam across the river. Physics 101. 681 00:40:04,903 --> 00:40:07,864 Put a dam up in front of a raging river, the river rises. 682 00:40:07,990 --> 00:40:10,659 By stopping the immunosuppressants, we blew up the dam, 683 00:40:10,784 --> 00:40:13,912 and a 100-foot wall of bacteria flooded her lymph nodes. 684 00:40:14,037 --> 00:40:15,998 We better find out where that dog is now. 685 00:40:16,123 --> 00:40:18,125 After you restart the immunosuppressants, 686 00:40:18,250 --> 00:40:19,960 and fill her up to the eyeballs 687 00:40:20,085 --> 00:40:22,713 with streptomycin sulfate, gentamicin and tetracycline. 688 00:40:22,838 --> 00:40:24,464 Use a garden hose if we've got one. 689 00:40:24,590 --> 00:40:27,634 Get yourselves some prophylactic treatments as well. 690 00:40:29,386 --> 00:40:31,096 I've got the plague? 691 00:40:32,264 --> 00:40:34,725 Don't worry, it's treatable. 692 00:40:34,850 --> 00:40:38,770 Being a bitch, though, nothing we can do about that. 693 00:40:46,695 --> 00:40:48,697 You weren't in your room. 694 00:40:48,822 --> 00:40:51,908 The surgeon said I'd heal faster if I walk. 695 00:40:52,034 --> 00:40:54,077 I got this far, needed a rest. 696 00:40:55,245 --> 00:40:57,914 What you did was crazy, but it was pretty amazing, too. 697 00:40:58,040 --> 00:41:00,417 Yeah. I'm a hero. 698 00:41:03,462 --> 00:41:06,089 She's been planning to leave me. 699 00:41:09,176 --> 00:41:10,969 Really? 700 00:41:11,094 --> 00:41:14,097 She told a friend. The friend let it slip. 701 00:41:17,267 --> 00:41:20,228 You knew, and you gave up half your liver anyway? 702 00:41:23,315 --> 00:41:25,192 She can't leave me now. 703 00:41:29,905 --> 00:41:31,657 You really want her to stay out of guilt? 704 00:41:31,782 --> 00:41:34,034 That's not gonna make either of you happy. 705 00:41:34,159 --> 00:41:36,119 You don't know that. 706 00:41:36,244 --> 00:41:37,704 I love her. 707 00:41:40,332 --> 00:41:42,334 I just want her to stay. 708 00:41:59,476 --> 00:42:01,603 I don't own house's cases. 709 00:42:03,230 --> 00:42:06,233 You had just as much right as I did to write it up. 710 00:42:06,358 --> 00:42:10,362 You should have told me, but I should have handled it better, too. 711 00:42:12,989 --> 00:42:16,034 If we want this not to get in the way of our friendship, 712 00:42:16,159 --> 00:42:20,664 I think we both have to apologize and put it behind us. 713 00:42:24,084 --> 00:42:26,086 I like you, really. 714 00:42:26,211 --> 00:42:28,880 We have a good time working together. 715 00:42:29,005 --> 00:42:31,049 But 10 years from now, 716 00:42:31,174 --> 00:42:34,219 we're not gonna be hanging out and having dinners. 717 00:42:34,344 --> 00:42:36,763 Maybe we'll exchange Christmas cards, say hi, 718 00:42:36,888 --> 00:42:39,808 give a hug if we're at the same conference. 719 00:42:42,060 --> 00:42:44,980 We're not friends. We're colleagues. 720 00:42:48,024 --> 00:42:50,902 And I don't have anything to apologize for. 56873

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