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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:07,925 --> 00:00:11,344 - It's almost 11:00. - She needs a lot of sleep these days. 2 00:00:11,470 --> 00:00:15,890 Please, Mrs. Bardach, I haven't seen her for a week. 3 00:00:17,768 --> 00:00:19,644 - I'll see how she's feeling. - Thank you. 4 00:00:19,770 --> 00:00:21,729 You know what to do. 5 00:00:34,785 --> 00:00:36,494 - All done? - Yeah. 6 00:00:37,496 --> 00:00:40,373 I scrubbed for 45 seconds, 7 00:00:40,499 --> 00:00:44,252 did the nails, all the way down to the elbows, the whole deal. 8 00:00:46,672 --> 00:00:47,880 - Are you sick? - No. No, no. 9 00:00:48,006 --> 00:00:48,881 - Cough? - No. 10 00:00:49,007 --> 00:00:50,647 - Sore throat? - No, no. I just, I just... 11 00:00:50,676 --> 00:00:53,970 Sometimes I sneeze when I look at lights. I always have. 12 00:00:54,096 --> 00:00:58,349 - I'm sorry, you better... - I would never get her sick. Please. 13 00:01:05,607 --> 00:01:07,150 A mask. 14 00:01:07,276 --> 00:01:09,610 - Got me by the bouncer. - She's crazy. 15 00:01:09,737 --> 00:01:11,946 She's let me out like six times in the last two months. 16 00:01:12,072 --> 00:01:14,782 Every time's just to go to the hospital. I'm a prisoner. 17 00:01:14,908 --> 00:01:16,075 It's okay. 18 00:01:23,000 --> 00:01:24,709 - It's ugly. - No. 19 00:01:28,714 --> 00:01:31,215 I wasn't looking at the scar anyways. 20 00:01:36,513 --> 00:01:38,181 Take off your mask. 21 00:01:40,601 --> 00:01:43,186 If your mom comes in here, she... 22 00:01:43,312 --> 00:01:46,314 Hey. Give me a kiss or I'll kill you. 23 00:01:53,822 --> 00:01:57,784 Your skin... Are you okay? 24 00:02:07,920 --> 00:02:09,962 Melinda, can you... 25 00:02:10,088 --> 00:02:12,882 What's wrong? What's wrong? Can you breathe? 26 00:02:14,051 --> 00:02:15,885 What's wrong? What's wrong? Is it your heart? 27 00:02:16,011 --> 00:02:18,554 What's wrong? Mrs. Bardach! 28 00:02:24,937 --> 00:02:26,778 Melinda, Melinda, I don't know how to use this. 29 00:02:26,897 --> 00:02:29,106 I've never used one of these before. 30 00:02:44,998 --> 00:02:46,833 What did you do to her? 31 00:03:48,896 --> 00:03:50,771 Cuddy called. 32 00:03:50,898 --> 00:03:53,149 I know. I saw the caller ID. 33 00:03:53,275 --> 00:03:56,068 Young girl, anaphylactic shock. 34 00:03:56,194 --> 00:03:57,361 You answered? 35 00:03:57,487 --> 00:04:00,323 Turns out, that's what stops the ringing. 36 00:04:01,241 --> 00:04:02,825 It's a weird case. 37 00:04:04,995 --> 00:04:08,497 I thought you did the dishes last night? It was your day. 38 00:04:08,624 --> 00:04:12,043 I did. Those are new. Midnight snack. 39 00:04:12,169 --> 00:04:15,755 For a midnight snack, you made a pot roast, 40 00:04:15,881 --> 00:04:17,798 the same pot roast I made last night. 41 00:04:17,925 --> 00:04:19,342 Yeah. 42 00:04:19,468 --> 00:04:23,054 Actually, it was after midnight. Today's your day, right? 43 00:04:24,139 --> 00:04:25,723 You want me out of here. I get it. 44 00:04:26,975 --> 00:04:29,101 - No, it's fine if you stay. - The place I was gonna move, 45 00:04:29,227 --> 00:04:31,312 the guy never called. Otherwise I'd already be there. 46 00:04:31,438 --> 00:04:33,314 - I said it's fine if you stay. - Yeah. 47 00:04:33,440 --> 00:04:35,024 That's why you're making me miserable. 48 00:04:35,150 --> 00:04:38,611 Maybe I just wanna make sure you do your fair share around here. 49 00:04:38,737 --> 00:04:40,821 - That... - What's weird about it? 50 00:04:43,408 --> 00:04:45,618 The girl with the allergies. 51 00:04:45,744 --> 00:04:46,869 Yeah. 52 00:04:46,995 --> 00:04:49,622 - She's immunocompromised. - What are you doing? 53 00:04:49,748 --> 00:04:52,583 - What? You asked me... - You knew that I was interested. 54 00:04:52,709 --> 00:04:55,419 That gives you a valuable bargaining chip. 55 00:04:55,545 --> 00:04:58,464 You could've had me doing dishes for a week. 56 00:05:01,051 --> 00:05:02,176 Okay. 57 00:05:06,890 --> 00:05:10,643 The allergic reaction happened while she was in a clean room. 58 00:05:18,902 --> 00:05:20,611 Why does she have a clean room in her home? 59 00:05:20,737 --> 00:05:22,947 Heart transplant. Immune system's in the toilet. 60 00:05:23,073 --> 00:05:26,659 So Mommy builds her little angel a John Travolta-quality bubble. 61 00:05:26,785 --> 00:05:28,327 Six months after the transplant. 62 00:05:28,453 --> 00:05:30,413 She doesn't need to be confined to a clean room. 63 00:05:30,539 --> 00:05:31,831 Six months without putting out, 64 00:05:31,957 --> 00:05:35,626 Dr. Cuddy doesn't need to wear thong panties, but it's not our call. 65 00:05:35,752 --> 00:05:38,254 I was wondering when you'd get around to my panties. 66 00:05:38,380 --> 00:05:39,672 She's had four days of workups. 67 00:05:39,798 --> 00:05:42,049 They've tested everyone who came anywhere near that room, 68 00:05:42,175 --> 00:05:43,384 everything in the room. 69 00:05:43,510 --> 00:05:45,302 It's like an Agatha Christie mystery. 70 00:05:45,429 --> 00:05:47,805 Maybe it's not what was there, it's what she was doing. 71 00:05:47,931 --> 00:05:50,516 Exercise allergy. Love it. 72 00:05:50,642 --> 00:05:53,602 What sort of exercise could a strapping young man 73 00:05:53,729 --> 00:05:56,647 and a nubile teenage nymphet possibly... 74 00:05:56,773 --> 00:05:58,566 Mom was in the room within seconds. 75 00:05:58,692 --> 00:06:02,194 So the boyfriend brought in an allergen and is lying about it. 76 00:06:02,320 --> 00:06:04,280 Or the girl snuck out, and she's lying about that. 77 00:06:04,406 --> 00:06:06,699 Or the parents are lying about the room being clean. 78 00:06:06,867 --> 00:06:09,827 These are your big ideas? Somebody's lying? 79 00:06:09,953 --> 00:06:11,787 Hasn't let me down yet. 80 00:06:11,913 --> 00:06:15,583 Recheck Mom, Dad, the girl, the boy, the room and the home. 81 00:06:18,837 --> 00:06:23,257 Any of you have a new soap, a detergent, perfume? 82 00:06:23,383 --> 00:06:26,052 No, no. Barbara's really careful about that stuff. 83 00:06:26,178 --> 00:06:28,137 And you haven't been outside recently? 84 00:06:28,263 --> 00:06:30,139 How could I? I'm trapped up there. 85 00:06:30,265 --> 00:06:31,785 You're not trapped. It's just safer... 86 00:06:31,892 --> 00:06:35,436 They won't even tell me the alarm code. Just tell her I can go back to school. 87 00:06:35,562 --> 00:06:37,021 Until we clear this up... 88 00:06:37,147 --> 00:06:40,983 Fine. Find out what I'm allergic to, and I'll stay away from it. 89 00:06:41,109 --> 00:06:44,153 Then I can go back to school, right? 90 00:06:45,864 --> 00:06:49,742 It's up to your parents, but, medically, there's no reason... 91 00:06:49,910 --> 00:06:51,327 Told you. 92 00:06:51,453 --> 00:06:54,705 Could I speak to you outside for a second, please? 93 00:06:59,002 --> 00:07:01,670 You know, this is hard enough without you in there... 94 00:07:01,797 --> 00:07:05,132 - She asked me my opinion. - She is 16 years old. Lie to her. 95 00:07:05,258 --> 00:07:06,926 When I was eight, my mom, she hated... 96 00:07:07,052 --> 00:07:09,845 I know. I need to loosen up. I'm overprotective. 97 00:07:09,971 --> 00:07:12,473 I saw Finding Nemo. I get it. I don't need another story. 98 00:07:12,599 --> 00:07:14,225 But you're not just being overprotective. 99 00:07:14,351 --> 00:07:16,769 You're one of the most overprotective parents I've ever seen. 100 00:07:16,895 --> 00:07:19,730 She has the best private tutors. I let her friends visit. 101 00:07:19,856 --> 00:07:21,690 I'm not going to apologize. 102 00:07:21,817 --> 00:07:23,651 Just giving you my thoughts. 103 00:07:23,777 --> 00:07:26,445 She almost died three times during her childhood. 104 00:07:26,571 --> 00:07:29,365 - Penicillin, bee stings, peanuts. - I've seen her file. 105 00:07:29,491 --> 00:07:32,785 Six months ago, we leave her home alone for the first time on a weekend. 106 00:07:32,911 --> 00:07:36,872 She goes out, buys one chocolate chip cookie. Peanut butter in the dough. 107 00:07:36,998 --> 00:07:39,667 She's forgotten her EpiPen. She drives to the hospital, 108 00:07:39,793 --> 00:07:43,838 passes out, has an accident. Steering wheel crushed her chest. 109 00:07:43,964 --> 00:07:46,173 She ended up losing her heart. 110 00:07:47,175 --> 00:07:49,385 So when you say to me that 111 00:07:49,511 --> 00:07:53,764 I'm one of the most overprotective parents you've seen, please, 112 00:07:53,890 --> 00:07:58,435 please introduce me to the ones who were more protective 113 00:07:58,562 --> 00:08:01,730 so that I can find out what they're doing right. 114 00:08:08,029 --> 00:08:11,323 She's allergic to having a sucky social life. 115 00:08:11,449 --> 00:08:14,285 Give the parents a break. They're just trying to keep her healthy. 116 00:08:14,411 --> 00:08:16,328 Everything in here's labeled "Hypoallergenic." 117 00:08:16,454 --> 00:08:17,955 Check it anyway. 118 00:08:21,501 --> 00:08:22,710 Cameron. 119 00:08:24,963 --> 00:08:27,965 This place is cleaner than her hospital room. 120 00:08:29,384 --> 00:08:31,051 No alarm on this window. 121 00:08:31,178 --> 00:08:32,261 That's a 20-foot drop. 122 00:08:32,387 --> 00:08:34,947 You can get to the tree from here. There's some bark scraped off. 123 00:08:35,056 --> 00:08:38,100 Sure, heart-transplant girl swung down there on a vine. 124 00:08:38,226 --> 00:08:41,387 Maybe she was hooking up with Tarzan and Cheetah down by the elephant graveyard. 125 00:08:41,479 --> 00:08:45,566 Or Jane stayed in the tree house, and Tarzan came up. 126 00:08:49,779 --> 00:08:53,699 Okay, I spent most of the night, Friday. 127 00:08:53,825 --> 00:08:56,911 But if her mom finds out about that, she will totally freak. 128 00:08:57,037 --> 00:08:58,662 You guys had sex? 129 00:08:58,788 --> 00:09:00,414 Yeah, but, you know, 130 00:09:00,540 --> 00:09:03,375 I did everything I could to make sure she wouldn't get sick. 131 00:09:03,501 --> 00:09:04,460 Latex allergy? 132 00:09:04,586 --> 00:09:06,754 What do you mean, like a condom? We didn't... 133 00:09:06,880 --> 00:09:09,882 You had unsafe sex? The whole "unsafe" thing didn't tell you something? 134 00:09:10,008 --> 00:09:13,844 Yeah, but, I mean, look. We didn't, like, plan on it, you know? It just... 135 00:09:13,970 --> 00:09:16,430 I don't know. We're in love. We've been dating for two years. 136 00:09:16,556 --> 00:09:19,934 Practically a lifetime. How about a semen allergy? 137 00:09:20,060 --> 00:09:22,436 We're gonna need a semen sample. 138 00:09:24,064 --> 00:09:25,689 You can use the bathroom over there. 139 00:09:25,815 --> 00:09:29,026 - Right. How do I... - Aim and shoot. 140 00:09:32,113 --> 00:09:35,157 And no thinking about Dr. Cameron. We'll know. 141 00:09:35,951 --> 00:09:38,661 - We should tell her parents. - Why stop there? Call the cops. 142 00:09:38,787 --> 00:09:39,703 Melinda's a minor. 143 00:09:39,829 --> 00:09:43,415 And if we nip it in the bud here, teenagers will never again have sex. 144 00:09:43,541 --> 00:09:45,742 The parents will find out when they get the bill anyway. 145 00:09:45,752 --> 00:09:48,545 So you're fine with them finding out as long as you don't have to tell them? 146 00:09:48,672 --> 00:09:50,130 Pretty much. 147 00:09:54,094 --> 00:09:57,763 Too bad it's not you giving the sample. We'd be done by now. 148 00:09:59,849 --> 00:10:02,643 Test was negative. No semen allergy. 149 00:10:02,769 --> 00:10:06,605 Boyfriend sneaks in to get his freak on the night before the anaphylaxis. 150 00:10:06,731 --> 00:10:08,691 - I don't buy that it's unrelated. - He loves her. 151 00:10:08,733 --> 00:10:11,485 He did everything he could to make sure she wouldn't get sick. 152 00:10:11,611 --> 00:10:13,028 What does that mean? 153 00:10:13,154 --> 00:10:16,657 Love is an emotion certain people experience, similar to happiness. 154 00:10:16,783 --> 00:10:19,285 No. Maybe I should give a more relatable example. 155 00:10:19,411 --> 00:10:21,203 Oh, snap. 156 00:10:21,329 --> 00:10:24,999 What did he do to protect her, Brillo Pad his privates? 157 00:10:25,125 --> 00:10:27,334 - I assumed he washed and he... - Oh, good work. 158 00:10:27,460 --> 00:10:30,671 Assumptions are so much faster than actual questions. 159 00:10:40,181 --> 00:10:41,724 You the boyfriend? 160 00:10:41,850 --> 00:10:45,561 - I need to borrow you. - What is going on? 161 00:10:45,687 --> 00:10:49,315 Don't worry. I'll return him in roughly the same condition. 162 00:10:55,697 --> 00:10:59,366 Did you take anything to stay healthy? Something stronger than an apple a day? 163 00:10:59,492 --> 00:11:00,701 Is he okay? 164 00:11:00,827 --> 00:11:04,872 He's just tired from being in a coma so long. What'd you take? 165 00:11:05,707 --> 00:11:08,625 - Don't worry. He can keep a secret. - Right... 166 00:11:10,545 --> 00:11:14,006 Antibiotics? Penicillin? 167 00:11:14,132 --> 00:11:16,759 Any of those names ring a bell? 168 00:11:16,885 --> 00:11:21,221 Yeah. My friend Elliot, his dad had, like, a whole bottle that 169 00:11:21,348 --> 00:11:26,727 he hadn't finished, so I swiped it and took a bunch for, like, a week. 170 00:11:26,853 --> 00:11:30,356 I mean, there's no way I was gonna risk breathing germs on Melinda. 171 00:11:30,482 --> 00:11:34,818 This is the one downside of teenage sex. You're idiots. 172 00:11:34,944 --> 00:11:38,947 You almost killed your girlfriend. She's allergic to penicillin. 173 00:11:40,700 --> 00:11:44,411 What, do you think there was still some on my lips? I brushed my teeth. 174 00:11:44,537 --> 00:11:46,538 Think lower and more fun. 175 00:11:49,334 --> 00:11:55,172 - I mean, it can go through your stuff? - Totally, dude. 176 00:11:55,298 --> 00:11:56,673 There's this administrator here, 177 00:11:56,800 --> 00:12:00,761 whenever she gets sick, she just gives me the prescription. 178 00:12:01,513 --> 00:12:03,889 But, you know, they tested Melinda. 179 00:12:04,015 --> 00:12:06,767 They said she wasn't allergic to my stuff. 180 00:12:06,893 --> 00:12:08,560 Yeah, four days later. 181 00:12:08,686 --> 00:12:13,190 By that time the penicillin was crusting up a sock at the bottom of your hamper. 182 00:12:13,316 --> 00:12:15,984 Do you have to tell her it was my fault? 183 00:12:16,861 --> 00:12:17,945 No. 184 00:12:18,488 --> 00:12:20,364 Great part of being a grownup, 185 00:12:20,490 --> 00:12:22,825 you never have to do anything. 186 00:12:29,791 --> 00:12:32,918 You're releasing her? What happened? What did you find out? 187 00:12:33,044 --> 00:12:35,546 Tests on your house ruled out any environmental allergens. 188 00:12:35,672 --> 00:12:36,880 Yeah, but what caused this? 189 00:12:37,006 --> 00:12:39,446 We believe it's highly unlikely that this set of circumstances 190 00:12:39,551 --> 00:12:42,678 - will repeat itself. - What set of circumstances? 191 00:12:42,804 --> 00:12:46,932 It's good news. She's healthy. But you might wanna talk to... 192 00:12:47,058 --> 00:12:48,976 Cameron! 193 00:12:49,102 --> 00:12:51,103 I can't breathe. 194 00:12:51,229 --> 00:12:52,771 Getting the epi. 195 00:12:55,066 --> 00:12:56,233 Give her the shot! 196 00:12:56,359 --> 00:12:58,694 No murmurs, no friction rubs... 197 00:12:58,820 --> 00:13:00,779 - What are you waiting for? - Quiet. 198 00:13:00,905 --> 00:13:03,574 She's coughing up white sputum. 199 00:13:03,700 --> 00:13:06,118 Crackling two-thirds of the way up. 200 00:13:08,121 --> 00:13:09,246 Look at her neck. 201 00:13:09,372 --> 00:13:11,498 Please, she is vomiting. Would you give her the shot? 202 00:13:11,624 --> 00:13:14,042 It's not an allergy. It's her heart. 203 00:13:19,674 --> 00:13:22,676 What's the good news? What's the bad news? 204 00:13:22,802 --> 00:13:24,636 Congestive heart failure. 205 00:13:24,762 --> 00:13:25,762 Is which? 206 00:13:25,889 --> 00:13:27,598 - Good news. - Why? 207 00:13:28,308 --> 00:13:30,934 I don't know. It just sounded like you. 208 00:13:32,145 --> 00:13:34,855 New puzzle piece, always good news. What's the bad news? 209 00:13:34,981 --> 00:13:38,192 We've got two puzzle pieces from two different puzzles. 210 00:13:38,318 --> 00:13:39,651 Seems that way. 211 00:13:39,777 --> 00:13:42,529 What if her anaphylaxis wasn't anaphylaxis? 212 00:13:42,655 --> 00:13:45,157 Toxicity from the anti-rejection meds could cause a seizure 213 00:13:45,283 --> 00:13:46,742 and then heart failure. 214 00:13:46,868 --> 00:13:50,704 And get cured by a mommy-wielded EpiPen? It's anaphylaxis. What else? 215 00:13:50,830 --> 00:13:52,664 What if they really are two puzzles? 216 00:13:52,790 --> 00:13:56,210 You think she had two unrelated rare conditions in one week? 217 00:13:56,336 --> 00:13:59,713 - We explained the anaphylaxis. - What do you mean "we"? I did. 218 00:13:59,839 --> 00:14:03,675 At least I thought I did. Maybe I didn't. Still, it was all me. 219 00:14:03,801 --> 00:14:07,846 And heart problems aren't so rare for someone who's had a heart transplant. 220 00:14:07,972 --> 00:14:10,724 I say we assume House was right about the anaphylaxis. 221 00:14:10,850 --> 00:14:12,601 It is tempting. 222 00:14:12,727 --> 00:14:17,314 Heart failure could be either infection, coronary disease, or rejection. 223 00:14:17,440 --> 00:14:18,732 Sorry. 224 00:14:18,858 --> 00:14:22,528 There's a reason they call it the whiteboard. It's not my rule. 225 00:14:22,654 --> 00:14:25,656 What ties both these conditions together? 226 00:14:34,958 --> 00:14:38,418 Okay, we can all stare at each other, or we can investigate 227 00:14:38,545 --> 00:14:41,838 what caused the heart failure. Just the heart failure. 228 00:14:42,840 --> 00:14:45,259 You wanna give me that black marker? 229 00:14:51,766 --> 00:14:53,686 There's no fever, so it's probably not infection. 230 00:14:53,810 --> 00:14:55,936 Or no fever because she's been on immunosuppressants 231 00:14:56,062 --> 00:14:57,187 for the last six months. 232 00:14:57,313 --> 00:15:00,816 Let's do a CT, get a heart biopsy, and then redo... 233 00:15:02,735 --> 00:15:05,362 - Anything? - Not yet. 234 00:15:05,488 --> 00:15:08,407 So I hear you don't want teenagers having sex. 235 00:15:08,533 --> 00:15:10,826 Teen suicide rate isn't high enough for you already? 236 00:15:10,952 --> 00:15:14,162 I think those two are brats. The girl undercuts her mom any chance she gets. 237 00:15:14,289 --> 00:15:17,749 Yeah, it's the daughter's fault. Nothing to do with Mom infantilizing her. 238 00:15:17,875 --> 00:15:20,168 Good point. Explains why parents who don't pay attention 239 00:15:20,295 --> 00:15:22,087 get such nice, well-adjusted children. 240 00:15:22,255 --> 00:15:23,797 What's this? 241 00:15:23,965 --> 00:15:26,550 - You think it's vegetation? - Yeah. 242 00:15:26,718 --> 00:15:29,428 The kind made of muscle that opens your heart valves. 243 00:15:29,554 --> 00:15:32,764 It's nothing. She's clean. 244 00:15:34,642 --> 00:15:35,809 It's good news. 245 00:15:35,935 --> 00:15:39,104 You don't show any signs of coronary artery disease. 246 00:15:39,230 --> 00:15:40,397 So what's next? 247 00:15:40,523 --> 00:15:44,484 Well, blood work to rule out infection, and then a heart surgical biopsy 248 00:15:44,611 --> 00:15:45,986 to rule out rejection. 249 00:15:46,112 --> 00:15:49,531 But you don't think you're gonna rule out both things, do you? 250 00:15:49,657 --> 00:15:50,699 No. 251 00:15:53,953 --> 00:15:55,454 I'm gonna lose this heart, right? 252 00:15:55,580 --> 00:15:57,998 Hopefully we'll find the problem and fix it. 253 00:15:58,124 --> 00:16:01,043 - You'll keep your heart a long time. - How long? 254 00:16:01,169 --> 00:16:05,672 There could be drug breakthroughs that allow you to keep it for decades more. 255 00:16:05,798 --> 00:16:09,593 Yeah. That's the answer my cardiologist always gives me. 256 00:16:09,719 --> 00:16:13,639 I looked it up on the web. It's like five or 10 years, right? 257 00:16:16,225 --> 00:16:18,352 That's about the average. 258 00:16:18,478 --> 00:16:20,979 That's why I need to have a life. 259 00:16:21,814 --> 00:16:24,900 Why can't you convince my mom to let me go back to school? 260 00:16:25,026 --> 00:16:29,446 Melinda, you've got bigger worries right now than missing school. 261 00:16:29,572 --> 00:16:31,657 Until we figure out what's wrong with your heart, 262 00:16:31,783 --> 00:16:34,493 the safest place for you to be is right here. 263 00:18:03,624 --> 00:18:05,417 Where's... 264 00:18:07,545 --> 00:18:09,629 the hooker, I assume? 265 00:18:09,756 --> 00:18:11,506 Right up here, buddy. 266 00:18:14,719 --> 00:18:18,930 You said you'd hang the stethoscope if you were having sex. 267 00:18:19,056 --> 00:18:21,391 I didn't say it had to be with another person. 268 00:18:21,517 --> 00:18:25,312 Can you think of anything that would tie together anaphylaxis and heart failure? 269 00:18:25,438 --> 00:18:29,399 No. I was waiting out there for hours! 270 00:18:29,525 --> 00:18:31,401 Yeah, well, I need a lot of foreplay. 271 00:18:31,527 --> 00:18:33,820 And then there's the cuddling afterwards. 272 00:18:34,530 --> 00:18:38,450 Any way that anaphylaxis isn't anaphylaxis even if it responds to epi? 273 00:18:38,576 --> 00:18:40,494 No. Oh, no wonder you were in the mood. 274 00:18:40,620 --> 00:18:43,163 This month's New Jersey Journal of Cardiology. 275 00:18:43,289 --> 00:18:47,250 Have you seen the centerfold? There's no way those valves are real. 276 00:18:47,376 --> 00:18:49,753 Any chance that the heart failure could be unrelated to... 277 00:18:49,879 --> 00:18:54,466 No. If you need time alone to work, you just have to say so. 278 00:18:54,592 --> 00:18:56,672 - You don't have to lie about it. - Lying's more fun. 279 00:18:56,677 --> 00:18:59,262 Being lied to... Not as much fun. 280 00:18:59,388 --> 00:19:02,808 Please have an answer to this question. What's for dinner? 281 00:19:02,934 --> 00:19:05,477 You still haven't done the dishes? 282 00:19:05,645 --> 00:19:08,271 You want one of these? I think I got a couple of blueberries. 283 00:19:08,397 --> 00:19:11,274 Oh, nope. Sorry, just one. 284 00:19:14,153 --> 00:19:16,321 Well, don't look all weepy. 285 00:19:16,447 --> 00:19:20,867 You got a problem with me, deal with it. Short my sheets or something. 286 00:19:27,500 --> 00:19:29,501 Biopsy was negative for rejection. 287 00:19:29,627 --> 00:19:30,544 Thank God. 288 00:19:30,670 --> 00:19:33,296 - And what about the blood tests? - Showed no infection. 289 00:19:33,422 --> 00:19:36,508 So we still don't know what caused her heart failure. 290 00:19:36,634 --> 00:19:38,554 Let's just be happy she doesn't need a new heart. 291 00:19:38,636 --> 00:19:41,221 Mrs. Bardach, it could have just been a one-time thing. 292 00:19:41,347 --> 00:19:43,431 So she has an allergic reaction and heart failure, 293 00:19:43,558 --> 00:19:46,268 and neither of them can be explained. 294 00:19:46,394 --> 00:19:48,228 - Are they doing any more tests on her? - No. 295 00:19:48,354 --> 00:19:49,771 She's not here. 296 00:19:52,233 --> 00:19:55,902 Notify local hospitals, cab companies, the state troopers, and local cops. 297 00:19:56,028 --> 00:19:58,321 Any security officers off duty are back on duty. 298 00:19:58,447 --> 00:19:59,489 We're on it. 299 00:19:59,615 --> 00:20:02,450 And I'm gonna need some pictures. And go through those drawers. 300 00:20:02,577 --> 00:20:05,912 And I want at least two people going over the surveillance tapes. 301 00:20:06,038 --> 00:20:07,873 Will that work? 302 00:20:07,999 --> 00:20:10,458 - Are those all her clothes? - Yeah. 303 00:20:11,085 --> 00:20:13,405 She's obviously still in the building. So where did she go? 304 00:20:13,462 --> 00:20:16,798 - What does she want? - See her boyfriend? 305 00:20:16,924 --> 00:20:18,967 She didn't take her phone. 306 00:20:19,468 --> 00:20:21,344 She wants to be outside. 307 00:20:34,400 --> 00:20:37,402 If you're trying to scare your parents, great job. 308 00:20:39,322 --> 00:20:41,031 Can we go back now? 309 00:20:42,283 --> 00:20:43,491 I hate her. 310 00:20:45,703 --> 00:20:49,164 When I was eight years old, I was sick. 311 00:20:49,874 --> 00:20:52,292 Not really sick, but the point is, my mom, she could... 312 00:20:52,418 --> 00:20:55,337 She was like this before. Home by 9:00 every night. 313 00:20:55,463 --> 00:20:58,381 Can't go out on the weekends. Can't do sports. 314 00:20:58,507 --> 00:21:00,467 Transplant just gave her what she always wanted. 315 00:21:00,593 --> 00:21:03,762 Melinda, you had heart failure. 316 00:21:04,513 --> 00:21:07,807 This is kind of an insane time to be criticizing your mom 317 00:21:07,934 --> 00:21:09,267 about being overprotective. 318 00:21:09,393 --> 00:21:12,979 I know. I mean, this is what makes it even worse. 319 00:21:13,105 --> 00:21:16,274 All of her craziness, it just... 320 00:21:18,486 --> 00:21:20,403 It makes sense now. 321 00:21:20,529 --> 00:21:23,031 Everything's gonna be all right. 322 00:21:23,616 --> 00:21:26,034 I didn't even try to get outside. 323 00:21:27,578 --> 00:21:29,704 - I was too scared. - Come on. 324 00:21:41,217 --> 00:21:44,511 Whoa, whoa, Melinda. Please walk back towards me. 325 00:21:45,346 --> 00:21:46,471 Why? 326 00:21:47,390 --> 00:21:48,348 Please. 327 00:21:53,854 --> 00:21:55,730 It feels kind of weird. 328 00:21:58,025 --> 00:22:00,151 It's called steppage gait. 329 00:22:00,277 --> 00:22:02,529 - Is it serious? - Not necessarily. 330 00:22:03,364 --> 00:22:06,116 All right. Stick your leg out. Hold it up. 331 00:22:07,535 --> 00:22:10,996 She was under anesthesia for the biopsy. If she lost oxygen... 332 00:22:11,122 --> 00:22:13,123 CT ruled out brain damage. 333 00:22:13,791 --> 00:22:16,376 Put your leg down. Relax. 334 00:22:19,588 --> 00:22:21,923 Why is her leg twitching like that? 335 00:22:23,009 --> 00:22:25,802 - Fasciculation. - Is that serious? 336 00:22:25,928 --> 00:22:28,555 It's paralysis, and it's ascending. 337 00:22:29,015 --> 00:22:31,516 She's gonna lose the use of her legs? 338 00:22:35,438 --> 00:22:36,813 To start with. 339 00:22:42,445 --> 00:22:45,113 It's ascending fast. She can hardly extend her leg now. 340 00:22:45,239 --> 00:22:48,992 At this rate, it'll be up to her lungs in a matter of days. 341 00:22:49,118 --> 00:22:53,496 So, anaphylaxis, heart failure, paralysis. 342 00:22:53,622 --> 00:22:55,183 We couldn't put the first two together. 343 00:22:55,291 --> 00:22:57,083 I'm guessing we can't put all three together. 344 00:22:57,209 --> 00:23:00,545 Tick paralysis? Could also explain the anaphylaxis, maybe even the... 345 00:23:00,671 --> 00:23:03,214 Penicillin allergy explains the allergic reaction much better. 346 00:23:03,340 --> 00:23:07,260 Particularly because tick paralysis is usually accompanied by a tick. 347 00:23:07,386 --> 00:23:10,305 We did two comprehensive physicals looking for insect bites. 348 00:23:10,431 --> 00:23:12,849 Can we put any two of those together? 349 00:23:12,975 --> 00:23:14,350 How about we stipulate? 350 00:23:14,477 --> 00:23:17,353 You argued that there must be something to connect all three symptoms, 351 00:23:17,480 --> 00:23:19,147 you mocked us for not figuring it out, 352 00:23:19,273 --> 00:23:21,434 and finally you let us discuss the paralysis on its own 353 00:23:21,484 --> 00:23:23,401 because it's what's gonna kill her. 354 00:23:23,527 --> 00:23:27,155 Now, it's ascending. Her MRis are clean, so rule out stroke or aneurysm. 355 00:23:27,281 --> 00:23:29,032 - ALS, MS? - Too quick. 356 00:23:29,158 --> 00:23:31,159 - Spinal lesion from leukemia? - Too slow. 357 00:23:31,285 --> 00:23:33,995 - It's most likely Guillain Barré. - She's immunosuppressed. 358 00:23:34,121 --> 00:23:35,038 What about botulism? 359 00:23:35,164 --> 00:23:37,665 Not unless she's been walking on her hands the last couple of days. 360 00:23:37,792 --> 00:23:39,751 Botulism paralysis is descending, not ascending. 361 00:23:39,877 --> 00:23:43,004 Could be a virus. West Nile, even polio with her immune system shot. 362 00:23:43,130 --> 00:23:46,341 Get an LP and do PCRs for the viruses. 363 00:23:46,467 --> 00:23:48,676 And get an EMG to check for Guillain Barré. 364 00:23:48,803 --> 00:23:52,347 Foreman's right. We gotta find out why she's paralyzed. 365 00:23:54,016 --> 00:23:57,560 But not before staring at me dumbly for a few seconds. 366 00:24:07,947 --> 00:24:10,031 We ran more tests on your daughter. 367 00:24:10,157 --> 00:24:13,409 We took a lumbar puncture, got some spinal fluid. 368 00:24:13,536 --> 00:24:15,578 Then we brought it to the lab to look for infections 369 00:24:15,704 --> 00:24:17,956 that could be affecting her brain. 370 00:24:19,959 --> 00:24:22,377 We also did an EMG to check how her muscles and nerves 371 00:24:22,503 --> 00:24:25,255 are responding to electrical impulses. 372 00:24:25,381 --> 00:24:29,008 Unfortunately, her muscles are showing increased weakness above the knee. 373 00:24:29,135 --> 00:24:30,969 You mean she's getting worse? 374 00:24:31,095 --> 00:24:34,097 The LP and PCRs ruled out polio and West Nile. 375 00:24:34,223 --> 00:24:36,182 We think it's Guillain Barré. 376 00:24:36,308 --> 00:24:37,976 The body's immune response goes haywire 377 00:24:38,102 --> 00:24:40,103 and starts attacking the peripheral nerves. 378 00:24:40,229 --> 00:24:43,439 It causes muscle weakness and paralysis. 379 00:24:43,566 --> 00:24:44,607 How bad is it? 380 00:24:44,733 --> 00:24:49,237 It's serious, but Guillain Barré usually responds very well to plasmapheresis. 381 00:24:56,412 --> 00:24:59,038 You see, the plasma, the clear liquid 382 00:24:59,165 --> 00:25:01,624 contains most of the antibodies which are overreacting 383 00:25:01,750 --> 00:25:03,835 and attacking her nervous system. 384 00:25:03,961 --> 00:25:05,879 The machine spins her blood in a centrifuge 385 00:25:06,005 --> 00:25:08,840 and separates parts of the blood based on weight. 386 00:25:08,966 --> 00:25:11,301 White blood cells are the heaviest, then the red cells, 387 00:25:11,427 --> 00:25:13,219 then platelets and plasma. 388 00:25:13,387 --> 00:25:15,597 We discard the stuff that's causing all the trouble 389 00:25:15,723 --> 00:25:19,225 and return the good blood cells back to her body in a replacement fluid. 390 00:25:19,351 --> 00:25:22,645 If it works, we'll see results in a couple of days. 391 00:25:30,404 --> 00:25:33,281 You didn't get any messages for me last week, did you? 392 00:25:33,407 --> 00:25:34,741 Nope. 393 00:25:34,867 --> 00:25:37,035 That's funny. The guy finally called back. 394 00:25:37,161 --> 00:25:40,205 The place I lost, he said he left three voicemails. 395 00:25:40,331 --> 00:25:41,164 Gotta pee. 396 00:25:41,290 --> 00:25:45,168 Which I never got, if that wasn't clear. 397 00:25:45,294 --> 00:25:48,922 He must be lying. You wouldn't want to live with a liar. 398 00:25:49,048 --> 00:25:51,090 - You erased my messages? - Yep. 399 00:25:51,217 --> 00:25:54,719 Decided I wanted you to stay. Told you that, didn't I? 400 00:25:54,845 --> 00:25:58,848 You're miserable, and you're lonely, and you're gonna trap me here 401 00:25:58,974 --> 00:26:00,934 to keep me every bit as miserable and lonely, too. 402 00:26:01,060 --> 00:26:03,645 Yeah, and you're happy, happy, happy. 403 00:26:03,771 --> 00:26:07,315 Okay. Hey, I'm obviously going through a rough patch here. 404 00:26:07,441 --> 00:26:10,068 Wife leaves, tends to bum somebody out. 405 00:26:11,237 --> 00:26:13,529 Do you know where my pee went? 406 00:26:15,991 --> 00:26:17,617 You're missing some? 407 00:26:17,743 --> 00:26:22,121 No. Came out of me and went right into the toilet. Now, why would that be? 408 00:26:23,040 --> 00:26:25,959 You're William Tell. You could pick an apple off someone's head? 409 00:26:26,085 --> 00:26:29,170 No, it's because there was no clear plastic wrap over the toilet. 410 00:26:29,296 --> 00:26:31,297 The stuff's in the kitchen. You had plenty of time. 411 00:26:31,423 --> 00:26:34,175 - All that was missing was the will. - This isn't a college dorm. 412 00:26:34,301 --> 00:26:37,262 - It could be. - We're not 18! 413 00:26:37,388 --> 00:26:41,683 So what? What did I do to you? I scammed you into doing the dishes, 414 00:26:41,809 --> 00:26:45,228 I made you sit on the steps. I didn't kill your puppy. 415 00:26:45,354 --> 00:26:49,399 - I did not make you miserable. - Oh, so this is therapy? 416 00:26:49,525 --> 00:26:52,652 No, it just makes me smile. 417 00:26:54,196 --> 00:26:56,072 All right. I'm finding a new place tomorrow. 418 00:26:56,198 --> 00:26:58,074 Right. But not tonight. 419 00:26:58,867 --> 00:27:01,536 Well, I figure you wanna shave my eyebrows while I'm asleep. 420 00:27:01,662 --> 00:27:03,997 I wouldn't wanna deprive you of that last smile. 421 00:27:04,123 --> 00:27:05,373 You're not going anywhere. 422 00:27:05,499 --> 00:27:08,501 You're gonna sit on my couch and depress us both 423 00:27:08,627 --> 00:27:10,947 because you just can't admit that it's over with your wife. 424 00:27:11,046 --> 00:27:14,007 - That's right. I'm here on vacation. - Have you gotten a lawyer yet? 425 00:27:16,051 --> 00:27:19,137 - That... That's not... - Have you even called one? 426 00:27:21,432 --> 00:27:24,475 As long as you're here, it's just a fight. 427 00:27:24,601 --> 00:27:28,354 But as soon as you get a place, then it's a divorce. 428 00:27:33,527 --> 00:27:35,069 Everything sucks. 429 00:27:36,405 --> 00:27:39,324 Might as well find something to smile about. 430 00:27:50,419 --> 00:27:52,253 Reflexes are marginally weaker. 431 00:27:52,379 --> 00:27:53,921 The paralysis is getting worse? 432 00:27:54,048 --> 00:27:57,258 Sometimes it takes a few treatments for the plasmapheresis to work. 433 00:27:57,384 --> 00:28:00,219 Why do these things keep happening to me? 434 00:28:02,765 --> 00:28:04,432 Dan's back. 435 00:28:04,558 --> 00:28:07,226 Hey, baby, did you hear that? Dan's here. 436 00:28:08,812 --> 00:28:10,646 I don't wanna see him. 437 00:28:14,485 --> 00:28:17,070 - I'll tell him to come back later. - No. 438 00:28:17,821 --> 00:28:19,822 Mommy, stay here, please. 439 00:28:22,076 --> 00:28:23,201 Of course. 440 00:28:57,277 --> 00:28:59,695 - Is she doing okay? - She's sleeping. 441 00:28:59,822 --> 00:29:01,656 I'm sure she's exhausted. 442 00:29:01,782 --> 00:29:04,325 Mood swings are common with the anti-rejection meds. 443 00:29:04,451 --> 00:29:06,744 No. She's had mood swings. This isn't it. 444 00:29:06,870 --> 00:29:10,832 This is... She's given up. 445 00:29:13,210 --> 00:29:15,044 I know you think I'm... 446 00:29:17,214 --> 00:29:19,215 This isn't what I wanted. 447 00:29:21,885 --> 00:29:23,970 She's always fought with me. 448 00:29:24,972 --> 00:29:28,141 Ever since she was a baby, she was so damn stubborn. 449 00:29:28,934 --> 00:29:31,477 But I never wanted her like this. 450 00:29:33,564 --> 00:29:35,440 I just wanted her safe. 451 00:29:36,859 --> 00:29:38,526 Doctor! 452 00:29:41,321 --> 00:29:44,907 She can't breathe. She can't even get a whole sentence out. 453 00:29:47,494 --> 00:29:48,953 She's using the accessory muscles. 454 00:29:49,079 --> 00:29:50,955 - O2 sat's down to 90. Lungs clear? - Yeah. 455 00:29:51,081 --> 00:29:52,957 Does your tongue feel swollen? Is it itchy? 456 00:29:53,083 --> 00:29:55,460 - No hives. - It's not an allergy. 457 00:29:55,586 --> 00:29:57,628 Lips are cyanotic. We've got to intubate. 458 00:29:57,754 --> 00:29:59,255 What are you doing? 459 00:29:59,381 --> 00:30:00,965 Pushing lorazepam. 460 00:30:01,508 --> 00:30:05,386 She's not getting enough oxygen. We've gotta assist her breathing. 461 00:30:15,063 --> 00:30:17,273 What was that? Was that a reaction to the treatment? 462 00:30:17,399 --> 00:30:20,318 It's the paralysis. It's reached her lungs. 463 00:30:29,411 --> 00:30:30,870 Melinda's dying. 464 00:30:30,996 --> 00:30:34,582 We're all dying. How fast? 465 00:30:34,708 --> 00:30:36,292 Too fast for Guillain Barré. 466 00:30:36,418 --> 00:30:39,337 Cuddy wants to get her an MRI to rule out a spinal lesion. 467 00:30:39,463 --> 00:30:41,923 Cuddy? What's she doing on this? 468 00:30:42,925 --> 00:30:44,926 The family lost confidence in us. 469 00:30:45,052 --> 00:30:48,054 I don't blame them. I'll be right in. 470 00:31:02,653 --> 00:31:04,862 It's like she got poisoned with a nerve agent. 471 00:31:04,988 --> 00:31:07,281 Glue inhalation. Would explain why she hasn't admitted it. 472 00:31:07,407 --> 00:31:08,866 Tox screen was clear for pot. 473 00:31:08,992 --> 00:31:12,286 Middle-class heart transplant patient's gonna huff glue? 474 00:31:12,412 --> 00:31:14,747 - Pesticides? - They're not spraying. 475 00:31:14,873 --> 00:31:18,251 This girl's tough. She gets what she wants. 476 00:31:19,002 --> 00:31:22,755 She's deprived of human contact. She gets herself a backdoor man. 477 00:31:22,881 --> 00:31:25,967 Or in her case, a side-window boy. What else has she been deprived of? 478 00:31:26,093 --> 00:31:28,302 She's on a special diet because of her allergies. 479 00:31:28,428 --> 00:31:32,807 The boyfriend brings the hot beef. He also brings a side dish, botulism. 480 00:31:32,933 --> 00:31:35,142 This paralysis is ascending, remember? 481 00:31:35,269 --> 00:31:37,562 Not if the heart problem's really a paralytic problem. 482 00:31:37,688 --> 00:31:39,605 Why would she admit the sex and not the food? 483 00:31:39,731 --> 00:31:41,941 She didn't admit anything. 484 00:31:42,067 --> 00:31:44,652 He admitted the sex, and we didn't ask him about food. 485 00:31:44,778 --> 00:31:46,946 - Get me a rat. - You have a rat. 486 00:31:47,072 --> 00:31:49,824 What? I'm not gonna kill Steve. 487 00:31:49,950 --> 00:31:53,661 Only way to confirm this, inject a rat with her blood 488 00:31:53,787 --> 00:31:56,664 and wait for it to get all botulistic on your ass. 489 00:31:56,790 --> 00:32:00,835 In the meantime, I'm going downstairs to browbeat a scared dying teenage girl 490 00:32:00,961 --> 00:32:05,089 until she breaks down like a scared dying teenage girl. 491 00:32:09,970 --> 00:32:11,929 - You're up early. - Cuddy needed a consult. 492 00:32:12,055 --> 00:32:14,682 We're checking for spinal lesions from leukemia. 493 00:32:14,808 --> 00:32:17,184 Yeah, I know. Fits perfectly. 494 00:32:17,311 --> 00:32:20,438 Unless this is the patient with the anaphylaxis, the heart failure, 495 00:32:20,564 --> 00:32:22,898 and the paralysis, in which case, you're wasting your time. 496 00:32:23,025 --> 00:32:24,191 We wanted a second opinion. 497 00:32:24,318 --> 00:32:26,277 Second? We must have given you at least eight. 498 00:32:26,403 --> 00:32:30,948 Okay, well, here's nine. Botulism. 499 00:32:31,783 --> 00:32:33,784 Listen to me, have you eaten anything abnormal? 500 00:32:33,910 --> 00:32:35,828 - Any canned foods? - No. 501 00:32:35,954 --> 00:32:36,954 You sure? 502 00:32:37,080 --> 00:32:39,373 Lying to your parents is usually the right thing to do, 503 00:32:39,499 --> 00:32:41,584 but there is an impending death exception. 504 00:32:41,710 --> 00:32:42,835 Don't talk to her like that. 505 00:32:42,961 --> 00:32:45,713 You're right. She never lies. I was being rude. 506 00:32:45,839 --> 00:32:49,634 When your boyfriend snuck in on Friday night... Surprise. 507 00:32:49,760 --> 00:32:52,261 Perhaps he got you some sexy little treats, huh? 508 00:32:52,387 --> 00:32:57,224 Some honey or some edible underwear, some massage oils. Come on, anything. 509 00:32:58,477 --> 00:33:01,687 - We didn't... - Yeah, yeah. We know about the sex. 510 00:33:01,813 --> 00:33:04,190 Turns out that Danny's little Danny is full of penicillin. 511 00:33:04,316 --> 00:33:06,108 That's what caused your anaphylactic shock. 512 00:33:06,234 --> 00:33:09,195 You didn't tell us that was what... 513 00:33:09,321 --> 00:33:13,199 No. It was... He took clindamycin, what I use... 514 00:33:16,411 --> 00:33:18,329 He said he was on penicillin. 515 00:33:18,455 --> 00:33:21,916 - I saw the bottle. - That's a non-penicillin antibiotic. 516 00:33:22,042 --> 00:33:24,377 If the antibiotics didn't cause the anaphylaxis... 517 00:33:24,503 --> 00:33:26,337 It's still on the table. 518 00:33:26,463 --> 00:33:27,880 Everything is connected. 519 00:33:28,006 --> 00:33:29,924 What did we discuss? What was the differential? 520 00:33:30,050 --> 00:33:31,509 Cameron said... 521 00:33:34,262 --> 00:33:37,807 When Dan came to your house that night, he go through any tall grass? 522 00:33:37,933 --> 00:33:39,433 Climbed a fence. 523 00:33:45,273 --> 00:33:46,524 What are you doing? 524 00:33:46,650 --> 00:33:48,693 Your daughter had two visitors on Friday night. 525 00:33:48,819 --> 00:33:53,364 One of them is still in the room. She has tick paralysis. 526 00:33:54,491 --> 00:33:58,536 Dan tracked a tick onto his jeans, which wouldn't be a problem. 527 00:33:58,662 --> 00:34:02,039 But being a teenager, Dan couldn't keep his tick in his pants. 528 00:34:02,165 --> 00:34:04,041 We already checked her. 529 00:34:04,876 --> 00:34:05,835 Now I'm checking her. 530 00:34:05,961 --> 00:34:08,546 Tick bites don't ordinarily cause anaphylactic shock. 531 00:34:08,672 --> 00:34:10,673 This girl's allergies are not ordinary. 532 00:34:10,799 --> 00:34:14,009 House, get out of here. We have to re-intubate her, get her into the MRI. 533 00:34:14,136 --> 00:34:15,886 The time course is perfect. 534 00:34:16,012 --> 00:34:17,888 The bite itself sets off an allergic reaction. 535 00:34:18,014 --> 00:34:20,182 Venom takes four days to kick in. 536 00:34:20,308 --> 00:34:21,934 Heart's vulnerable, hits that first, 537 00:34:22,060 --> 00:34:24,020 then a day later sets off the ascending paralysis. 538 00:34:24,146 --> 00:34:26,105 Except that ticks aren't usually invisible. 539 00:34:26,231 --> 00:34:28,023 They are until you find them. 540 00:34:30,068 --> 00:34:31,318 Oh, no. That's dandruff. 541 00:34:31,445 --> 00:34:33,738 Okay, well, that wasn't nearly as dramatic as I'd hoped. 542 00:34:33,864 --> 00:34:36,824 It just means the next time will be even better. 543 00:34:39,369 --> 00:34:41,746 - What's happening? - That's the tick venom ascending. 544 00:34:41,872 --> 00:34:45,291 Either that or you stressed her into heart failure. BP's dropping. 545 00:34:45,417 --> 00:34:48,085 - Heart rate, 47. - I'm administering atropine. 546 00:34:48,211 --> 00:34:50,337 She's gonna need a transvenous pacing wire. 547 00:34:50,464 --> 00:34:54,467 Okay, magical tick hunt is over. Only real doctor stuff now. 548 00:34:54,593 --> 00:34:56,177 This is just gonna get worse. 549 00:34:56,303 --> 00:34:59,263 Ticks produce more toxins the longer they feed. 550 00:34:59,389 --> 00:35:02,808 She's gonna be dead in an hour even if you pump her heart full of jet fuel, 551 00:35:02,934 --> 00:35:05,227 - unless you let me find the tick. - Could he be right? 552 00:35:05,353 --> 00:35:08,153 The only thing I know for sure is that your daughter's heart won't last 553 00:35:08,273 --> 00:35:09,899 another 20 minutes without treatment. 554 00:35:10,025 --> 00:35:13,277 Okay, I just need one final instruction. When I find the tick on the autopsy, 555 00:35:13,403 --> 00:35:16,947 do you want to know? I'm thinking not, probably make the coping easier. 556 00:35:17,073 --> 00:35:18,574 Stop talking to them! 557 00:35:18,700 --> 00:35:21,035 Page Borsisky in cardiology. Get her team down here stat. 558 00:35:21,161 --> 00:35:22,787 Get them out of here. Get House out, too. 559 00:35:22,913 --> 00:35:25,414 Dr. Wilson, I could use your help. 560 00:35:26,666 --> 00:35:30,169 Well, I don't know if the dopamine's enough. She may need inamrinone lactate. 561 00:35:30,295 --> 00:35:31,712 Why? What's that? She doesn't... 562 00:35:31,838 --> 00:35:34,632 She might need stronger pressors. They don't have any in radiology. 563 00:35:34,758 --> 00:35:37,968 Inamrinone can cause arrhythmia and thrombocytopenia. 564 00:35:38,094 --> 00:35:41,096 Not inamrinone could cause death. Death's worse. 565 00:35:41,765 --> 00:35:44,016 We have to get her up to the ICU. 566 00:35:50,774 --> 00:35:54,777 Cardiac team to ICU stat. Cardiac team to ICU stat. 567 00:35:58,281 --> 00:36:01,742 - Sorry, a little crowded here. - House, get out of the elevator. 568 00:36:01,868 --> 00:36:03,702 You're welcome to wait for the next one. 569 00:36:03,829 --> 00:36:05,579 - You got her? - Got her. 570 00:36:17,050 --> 00:36:20,302 As long as we're stuck here, this might be a good time to look for that tick. 571 00:36:20,428 --> 00:36:23,931 - Turn the elevator back on. - Just be a minute, honey. 572 00:36:32,190 --> 00:36:34,567 - Atropine's wearing off. - So inject her again. 573 00:36:34,693 --> 00:36:36,652 - That's just temporary. - Temporary's fine. 574 00:36:36,778 --> 00:36:37,987 We're not hanging wallpaper. 575 00:36:38,113 --> 00:36:40,489 We've gotta get her upstairs and put her on norepinephrine. 576 00:36:40,615 --> 00:36:43,409 It wasn't penicillin. You still think the symptoms are unconnected? 577 00:36:43,535 --> 00:36:45,255 We've gotta take care of her heart before... 578 00:36:45,370 --> 00:36:47,290 You wake up in the morning, your paint's peeling, 579 00:36:47,372 --> 00:36:49,290 your curtains are gone, and the water's boiling. 580 00:36:49,416 --> 00:36:51,333 - Which problem do you deal with first? - House. 581 00:36:51,459 --> 00:36:54,545 None of them. The building's on fire! We treat her symptoms, she dies. 582 00:36:54,671 --> 00:36:57,840 We find the cause, she lives. That tick is an IV drip of poison. 583 00:36:57,966 --> 00:37:00,050 We unhook it, she'll be fine. 584 00:37:08,727 --> 00:37:12,771 This is my last atropine. Last us about three minutes. 585 00:37:12,898 --> 00:37:14,982 Let's get her gown up. 586 00:37:23,825 --> 00:37:27,244 Her heart rate falls below 35, we're getting her to the ICU. 587 00:37:27,370 --> 00:37:30,205 I'm not gonna let her die in this elevator. 588 00:37:35,003 --> 00:37:36,462 Where are they? 589 00:37:36,588 --> 00:37:39,006 Get maintenance up here, right away. 590 00:37:40,008 --> 00:37:42,635 - Ear canal's clean. - Left foot's clean. 591 00:37:42,761 --> 00:37:46,680 If it's not here, we've only got... Heart rate's 46. 592 00:37:46,806 --> 00:37:50,601 It's here. Looks like a mole or a freckle, something we missed. 593 00:37:50,727 --> 00:37:52,311 Check the armpits. 594 00:37:56,775 --> 00:37:59,215 Dr. Foreman's an excellent doctor. He'll be able to handle it. 595 00:37:59,277 --> 00:38:02,321 Yeah? You know that from experience? You lose a lot of patients on elevators? 596 00:38:02,447 --> 00:38:04,648 The maintenance guy said it didn't just stop on its own, 597 00:38:04,658 --> 00:38:07,117 that they hit the emergency stop button. 598 00:38:07,243 --> 00:38:09,870 Well, I'm sure he must be mistaken. 599 00:38:12,624 --> 00:38:14,166 - Perineum. - We checked it. 600 00:38:14,292 --> 00:38:16,172 - If we get her upstairs, we still... - Maxilla. 601 00:38:16,252 --> 00:38:17,461 Checked. 602 00:38:19,798 --> 00:38:22,091 Down to 38. We don't have a lot of time. We can still... 603 00:38:22,217 --> 00:38:24,802 Eyebrows, eardrums, pubic hair. 604 00:38:24,928 --> 00:38:28,722 Checked, checked, checked. We checked everywhere! It's not... 605 00:38:30,725 --> 00:38:31,809 Thirty-five. 606 00:38:31,935 --> 00:38:34,478 - We gotta get her to the ICU. - We haven't found the tick yet. 607 00:38:34,604 --> 00:38:36,772 We already kidnapped her! You wanna add murder? 608 00:38:36,898 --> 00:38:41,026 We've looked over every inch of skin on her body, House! It's over. 609 00:38:49,369 --> 00:38:51,996 Hey, is that the first time you had sex? 610 00:38:54,874 --> 00:38:57,960 With all the other stuff going on down there, she might not have realized. 611 00:39:12,517 --> 00:39:14,768 - You sick, miserable... - What are you doing? 612 00:39:14,894 --> 00:39:16,228 Oh, my God! 613 00:39:18,982 --> 00:39:21,734 See? Told you it'd be even more dramatic. 614 00:39:26,239 --> 00:39:28,782 Push norepinephrine. Get her heart back to normal. 615 00:39:28,908 --> 00:39:31,785 She'll be completely cured by tomorrow. 616 00:39:32,954 --> 00:39:35,748 Foreman, let's get her into the ICU. 617 00:39:50,263 --> 00:39:53,682 Inamrinone was a stupid idea 618 00:39:53,808 --> 00:39:56,060 unless you wanted me to get that girl in the elevator. 619 00:39:56,186 --> 00:39:59,897 - Oh, I wouldn't do that. - Wouldn't respect you if you did. 620 00:40:07,322 --> 00:40:12,326 Wow, looks like somebody filed halfway through your cane 621 00:40:12,452 --> 00:40:14,495 while you were sleeping. 622 00:40:40,522 --> 00:40:42,314 Reflexes back to normal. 623 00:40:42,440 --> 00:40:43,982 Heart's looking good, too. 624 00:40:44,109 --> 00:40:46,819 I'll send in the nurse, we'll get you transferred out of ICU. 625 00:40:46,945 --> 00:40:49,571 You'll be discharged in the morning. 626 00:40:49,697 --> 00:40:51,949 Thank God. I just wanna get home. 627 00:40:52,700 --> 00:40:54,952 And back to school on Monday. 628 00:40:56,871 --> 00:40:58,247 I'm not ready. 629 00:40:58,998 --> 00:41:00,666 You're ready. 630 00:41:01,334 --> 00:41:04,920 - I'm sick, Mom. - You're not sick. 631 00:41:05,046 --> 00:41:07,714 You're gonna go to class, 632 00:41:07,841 --> 00:41:11,051 and you're gonna see your friends and your boyfriend. 633 00:41:17,892 --> 00:41:19,852 What's this doohickey? 634 00:41:22,188 --> 00:41:25,315 A brassiere. You know about those things. 635 00:41:25,441 --> 00:41:27,401 You're a big boy now. 636 00:41:27,527 --> 00:41:29,778 Well, I've never run across one like that. 637 00:41:29,904 --> 00:41:32,906 It's brand new. Revolutionary uplift. 638 00:41:33,032 --> 00:41:36,326 - It's explained to you. - I know. I know. 639 00:41:36,452 --> 00:41:42,040 I have acrophobia, which gives me vertigo and I get dizzy. 640 00:41:42,167 --> 00:41:43,625 What a moment to find out I had it. 641 00:41:43,751 --> 00:41:45,210 Well, you've got it. 642 00:41:45,336 --> 00:41:47,754 There's no one to blame. Why quit? 643 00:41:47,881 --> 00:41:50,716 You mean and sit behind a desk? Chair-borne. 644 00:41:50,842 --> 00:41:54,011 - It's where you belong. - What about my acrophobia? 645 00:41:54,137 --> 00:41:56,555 I called a divorce lawyer today. 646 00:41:58,391 --> 00:42:00,225 Does that mean you're leaving? 647 00:42:01,311 --> 00:42:02,853 At some point. 648 00:42:06,608 --> 00:42:10,611 You might not want to sit exactly there. 53987

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