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
Can't find what you're looking for?
Get subtitles in any language from opensubtitles.com, and translate them here.