1 00:00:02,232 --> 00:00:05,736 (FESTIVE MUSIC PLAYING) 2 00:00:06,403 --> 00:00:08,989 We are condemned to useless labor. 3 00:00:09,114 --> 00:00:10,991 WILSON: Fourth circle of hell. 4 00:00:11,116 --> 00:00:15,203 Charting goes a lot faster when you eliminate all classic poetry. 5 00:00:15,329 --> 00:00:18,290 Writing down what we already know to be read by nobody. 6 00:00:18,415 --> 00:00:21,001 I'm pretty sure Dante would agree that qualifies as useless. 7 00:00:21,126 --> 00:00:24,129 You're over two weeks behind in your charting. 8 00:00:25,547 --> 00:00:27,090 Oops. I missed. 9 00:00:27,215 --> 00:00:28,925 What are you, eight? 10 00:00:29,092 --> 00:00:30,552 Could an eight year old do this? 11 00:00:31,261 --> 00:00:34,097 CUDDY: You'd better stop, or it'll stick that way. 12 00:00:34,222 --> 00:00:36,099 You have a patient in Exam 1. 13 00:00:36,224 --> 00:00:38,852 Yeah, but, see, I'm off at 12:00, and it's already five of. 14 00:00:38,977 --> 00:00:41,647 She's been waiting for you since 11 :00. 15 00:00:45,108 --> 00:00:47,110 Melancholy without hope. 16 00:00:47,235 --> 00:00:49,446 Which circle is that? 17 00:00:55,160 --> 00:00:57,746 Hi. I'm Dr. House. 18 00:00:57,871 --> 00:00:59,122 What seems to be the problem? 19 00:00:59,247 --> 00:01:01,124 Show him your hands, Augustine. 20 00:01:09,508 --> 00:01:10,717 It looks like stigmata. 21 00:01:10,842 --> 00:01:11,802 (SHUSHING) 22 00:01:11,927 --> 00:01:12,761 Pius. 23 00:01:12,886 --> 00:01:16,056 You must be all the talk around the "holy water" cooler. 24 00:01:16,181 --> 00:01:17,974 Been washing a lot of dishes recently? 25 00:01:18,100 --> 00:01:19,309 I help out in the kitchen. 26 00:01:19,434 --> 00:01:20,435 Anything new in the kitchen? 27 00:01:20,560 --> 00:01:23,814 We just got a donation of saucepans and pots this week. 28 00:01:23,939 --> 00:01:24,898 I unpacked and washed them. 29 00:01:25,023 --> 00:01:26,858 Should have spent your time saving souls. 30 00:01:26,983 --> 00:01:28,694 It's easier on the hands. 31 00:01:28,819 --> 00:01:30,320 This is contact dermatitis. 32 00:01:30,487 --> 00:01:32,030 You're allergic to dish soap. 33 00:01:32,155 --> 00:01:34,700 Nonsense. We've always used that soap. 34 00:01:34,825 --> 00:01:36,660 Why is there a problem now? 35 00:01:36,785 --> 00:01:38,453 I've been a doctor for years. 36 00:01:38,578 --> 00:01:40,872 Why do I have to keep assuring people that I know what I'm doing? 37 00:01:40,997 --> 00:01:43,417 A person can become allergic to substances 38 00:01:43,542 --> 00:01:46,753 that they've had repeated and prolonged exposure to. 39 00:01:46,878 --> 00:01:50,257 The good news is free samples. 40 00:01:51,216 --> 00:01:53,844 Diphenhydramine. It's an antihistamine. 41 00:01:53,969 --> 00:01:56,930 It'll stop the allergic reaction. 42 00:01:57,055 --> 00:01:58,515 Take one every eight hours. 43 00:01:58,640 --> 00:02:00,016 It might make you feel a little sleepy. 44 00:02:00,142 --> 00:02:02,811 And get some of that over-the-counter cortisone cream. 45 00:02:02,936 --> 00:02:03,937 Thank you, Doctor. 46 00:02:04,062 --> 00:02:05,063 You want some water? 47 00:02:05,188 --> 00:02:06,356 SISTER AUGUSTINE: I have some tea. 48 00:02:06,481 --> 00:02:08,150 Well, you just relax for a few minutes. 49 00:02:08,275 --> 00:02:10,360 That stuff works pretty fast. 50 00:02:17,909 --> 00:02:19,619 Still out by 12:00. 51 00:02:19,745 --> 00:02:22,581 How do you solve a problem like dennatitis? 52 00:02:22,706 --> 00:02:24,750 - What? - Doctor? 53 00:02:24,875 --> 00:02:28,003 I want to thank you for your patience. 54 00:02:28,128 --> 00:02:29,838 She talking to you? 55 00:02:29,963 --> 00:02:32,340 I don't know. She's certainly looking at me. 56 00:02:32,466 --> 00:02:35,886 Oh, it's good to get a secular diagnosis. 57 00:02:36,011 --> 00:02:39,306 The sisters tend to interpret their illnesses as divine intervention. 58 00:02:39,431 --> 00:02:40,432 And you don't? 59 00:02:40,557 --> 00:02:42,267 Then you're wearing an awfully funny hat. 60 00:02:42,392 --> 00:02:44,895 Ooh, boy. Excuse me. 61 00:02:45,020 --> 00:02:48,273 If I break my leg, I believe it happened for a reason. 62 00:02:48,398 --> 00:02:50,400 I believe God wanted me to break my leg. 63 00:02:50,525 --> 00:02:53,945 I also believe He wants me to put a cast on it. 64 00:02:54,070 --> 00:02:55,739 Doctor! Something's wrong. 65 00:02:55,864 --> 00:02:58,158 (wmzeznqe) 66 00:03:05,665 --> 00:03:07,292 Lift up your chin. 67 00:03:10,003 --> 00:03:12,756 Sister, you're having an asthma attack. I need you to relax. 68 00:03:12,881 --> 00:03:14,716 Roll up her sleeve, please. 69 00:03:14,883 --> 00:03:16,718 I'm gonna give you epinephrine. 70 00:03:16,843 --> 00:03:19,763 It'll open your lungs and help you breathe. 71 00:03:33,777 --> 00:03:37,280 (WHEEZING SUBSIDES) 72 00:03:38,406 --> 00:03:39,699 SISTER EUCHARIST: What happened? 73 00:03:39,825 --> 00:03:40,784 Did she take the pill? 74 00:03:40,909 --> 00:03:41,743 SISTER PIUS: Yes. 75 00:03:41,868 --> 00:03:43,787 It's probably an allergic reaction. 76 00:03:43,912 --> 00:03:46,706 She's allergic to an anti-allergy medicine? 77 00:03:46,832 --> 00:03:49,125 You figure somebody's out to get her? 78 00:03:49,251 --> 00:03:50,669 - How are you feeling? - Better. 79 00:03:50,794 --> 00:03:53,088 I'll put you on some steroids instead. 80 00:03:53,213 --> 00:03:55,423 Is my heart supposed to be feeling so funny? 81 00:03:55,549 --> 00:03:58,844 It's called adrenaline. It makes your heart beat fast. 82 00:04:00,804 --> 00:04:02,931 But not this fast. 83 00:04:03,056 --> 00:04:04,808 Get a nurse, please. 84 00:04:07,185 --> 00:04:09,229 Help! Somebody help us! 85 00:04:12,899 --> 00:04:14,901 Somebody get in here! 86 00:04:17,153 --> 00:04:18,989 Call a code and charge up a defibrillator. 87 00:04:19,155 --> 00:04:20,991 She's got no pulse. 88 00:05:04,492 --> 00:05:07,203 (NUNS RECITING PRAYERS SOFTLY) 89 00:05:19,132 --> 00:05:22,385 You diagnosed the patient with allergies and prescribed antihistamine. 90 00:05:22,510 --> 00:05:24,971 She went into respiratory distress, 91 00:05:25,096 --> 00:05:28,850 and you injected her with epinephrine. 92 00:05:28,975 --> 00:05:30,226 Presumably 1 cc. 93 00:05:30,352 --> 00:05:33,647 0.1 cc. That is the standard dose. That is what I gave her. 94 00:05:33,772 --> 00:05:36,441 People don't go into cardiac arrest from 0.1 cc epinephrine. 95 00:05:36,566 --> 00:05:38,109 She must have a preexisting heart condition 96 00:05:38,234 --> 00:05:39,861 that got exacerbated by the epinephrine. 97 00:05:39,986 --> 00:05:42,280 It's too bad you didn't make a notation in the chart. 98 00:05:42,405 --> 00:05:43,406 I can make it up right now. 99 00:05:43,531 --> 00:05:45,325 The drawer has syringes with both dosages. 100 00:05:45,450 --> 00:05:46,785 You could've easily reached for the wrong... 101 00:05:46,910 --> 00:05:47,869 But I didn't. 102 00:05:47,994 --> 00:05:48,912 Everyone makes mistakes. 103 00:05:49,037 --> 00:05:51,873 This is why doctors pay through the nose for malpractice insurance. 104 00:05:51,998 --> 00:05:53,833 Relax. They're not gonna sue. 105 00:05:53,959 --> 00:05:56,086 The worst they'd do is whack my hand with a ruler. 106 00:05:56,211 --> 00:05:58,421 And the discipline board, are they gonna whack your hand, too? 107 00:05:58,546 --> 00:05:59,506 You're gonna report me? 108 00:05:59,631 --> 00:06:01,257 What choice do I have? 109 00:06:02,050 --> 00:06:04,052 How about not report me? 110 00:06:05,971 --> 00:06:09,808 I can justify keeping her here for a 24-hour observation. 111 00:06:09,933 --> 00:06:11,601 If you haven't found an underlying cause 112 00:06:11,726 --> 00:06:12,769 for the cardiac arrest by then, 113 00:06:12,894 --> 00:06:15,522 I will have to notify our attorneys. 114 00:06:21,903 --> 00:06:23,029 CAMERON: Her hands were red and swollen. 115 00:06:23,154 --> 00:06:24,781 Maybe she has a skin infection. Cellulitis? 116 00:06:24,948 --> 00:06:26,366 That could manifest with tachycardia. 117 00:06:26,491 --> 00:06:27,951 There's no history of fever. 118 00:06:28,076 --> 00:06:29,953 Results from the CBC didn't indicate an infection. 119 00:06:30,078 --> 00:06:32,080 The eosinophils are mildly elevated. Sed rate's up a bit. 120 00:06:32,205 --> 00:06:33,665 Could we be looking at a systemic allergic response? 121 00:06:33,790 --> 00:06:36,835 It's not allergic. Allergies don't cause cardiac arrest like this. 122 00:06:36,960 --> 00:06:38,211 Could be inflammation of the blood vessels. 123 00:06:38,336 --> 00:06:41,256 Vasculitis? That wouldn't give you an elevated eosinophil count. 124 00:06:41,381 --> 00:06:43,174 Churg-Strauss vasculitis would. 125 00:06:43,299 --> 00:06:45,927 The blood vessels of the heart, lungs and skin become inflamed, 126 00:06:46,052 --> 00:06:48,638 causing the asthma, rash and heart problems, 127 00:06:48,763 --> 00:06:49,973 covers all her symptoms. 128 00:06:50,098 --> 00:06:50,974 You need a biopsy to diagnose. 129 00:06:51,099 --> 00:06:52,142 Chest CT would be quicker. 130 00:06:52,267 --> 00:06:54,811 The lady just came in with a rash. 131 00:06:55,270 --> 00:06:57,272 What the hell are those? 132 00:06:57,397 --> 00:06:59,024 Candy canes. 133 00:06:59,149 --> 00:07:03,111 Candy canes? Are you mocking me? 134 00:07:03,236 --> 00:07:06,865 No. It's Christmas, and I... 135 00:07:06,990 --> 00:07:08,116 I thought... 136 00:07:08,408 --> 00:07:10,076 Relax. It's a joke. 137 00:07:10,201 --> 00:07:12,871 FOREMAN: Isn't the prognosis for Churg-Strauss a bit grim? 138 00:07:12,996 --> 00:07:17,042 Yeah. Untreated, only 33% of patients survive past a year. 139 00:07:17,167 --> 00:07:18,209 Treated, five years. 140 00:07:18,334 --> 00:07:19,961 Then I definitely suggest treatment. 141 00:07:20,086 --> 00:07:21,755 If it was any other attending doctor, 142 00:07:21,880 --> 00:07:25,175 I'd say that he made a mistake and gave her too much epinephrine. 143 00:07:25,300 --> 00:07:27,802 Saying you wouldn't say it was my mistake 144 00:07:27,927 --> 00:07:30,138 is saying it was my mistake. 145 00:07:31,014 --> 00:07:33,767 Everyone screws up. Your rule. 146 00:07:33,892 --> 00:07:35,977 I think you fit within the subset of "everyone." 147 00:07:36,102 --> 00:07:38,354 I didn't screw up. 148 00:07:38,480 --> 00:07:42,525 Order a chest CT and start the sister on prednisone, 40 milligrams TID. 149 00:07:42,650 --> 00:07:43,902 The sister? 150 00:07:44,027 --> 00:07:47,655 Oh, didn't I mention? The patient's a nun, Sister Augustine. 151 00:07:49,240 --> 00:07:50,742 I hate nuns. 152 00:07:52,243 --> 00:07:53,745 Who doesn't? 153 00:07:58,541 --> 00:08:01,544 (POP MUSIC PLAYING) 154 00:08:06,466 --> 00:08:08,093 CAMERON: Sister Augustine? 155 00:08:08,259 --> 00:08:09,886 We weren't watching. 156 00:08:10,011 --> 00:08:12,722 We were trying to see if this is the bed control. 157 00:08:12,847 --> 00:08:15,475 Oh, this one's the bed control. 158 00:08:15,600 --> 00:08:17,560 And that's the TV control. 159 00:08:18,311 --> 00:08:21,397 I'm Dr. Cameron. This is Dr. Chase and Dr. Foreman. 160 00:08:21,523 --> 00:08:24,317 I haven't seen television in over 20 years. 161 00:08:24,442 --> 00:08:25,860 Do you consider it the work of the devil, 162 00:08:25,985 --> 00:08:29,114 or do you just not get cable where you live? 163 00:08:30,532 --> 00:08:32,033 How are you feeling, Sister? 164 00:08:32,158 --> 00:08:34,577 I seem to be a little better. They gave me some medication. 165 00:08:34,702 --> 00:08:37,497 Prednisone. It's a steroid to help with the inflammation. 166 00:08:37,622 --> 00:08:40,500 Has Dr. House figured out what I have? Will I be okay? 167 00:08:40,625 --> 00:08:41,918 We're not sure what's wrong yet. 168 00:08:42,043 --> 00:08:43,461 You'll have a chest CT scan this afternoon 169 00:08:43,586 --> 00:08:44,963 that'll help with the diagnosis. 170 00:08:45,088 --> 00:08:46,589 Dr. House is giving her medication, 171 00:08:46,714 --> 00:08:48,216 and he doesn't know what she has yet? 172 00:08:48,341 --> 00:08:49,717 SISTER AUGUSTINE: Trust, Sister Pius. 173 00:08:49,843 --> 00:08:51,261 It all happens for a reason. 174 00:08:52,428 --> 00:08:53,930 FOREMAN: He doesn't know what he's doing. 175 00:08:54,055 --> 00:08:55,390 The only problem that woman has 176 00:08:55,515 --> 00:08:56,933 is that House grabbed the wrong syringe. 177 00:08:57,058 --> 00:08:58,226 CAMERON: You don't trust him? 178 00:08:58,351 --> 00:09:01,062 I don't trust a man who won't admit he might be wrong. 179 00:09:01,187 --> 00:09:03,481 I notice you weren't so quick to tell her she's got Churg-Strauss 180 00:09:03,606 --> 00:09:04,774 and only has a couple years left. 181 00:09:04,899 --> 00:09:06,609 I don't tell patients bad news unless it's conclusive. 182 00:09:06,734 --> 00:09:08,403 Because you know he might be wrong. 183 00:09:08,528 --> 00:09:10,780 About Churg-Strauss. Not about what happened in the clinic. 184 00:09:10,905 --> 00:09:14,576 (SCOFFS) What about you, Chase? You think he's infallible, too? 185 00:09:14,701 --> 00:09:16,828 All I know is, if House didn't make a mistake 186 00:09:16,953 --> 00:09:18,872 and Sister Augustine has Churg-Strauss, 187 00:09:18,997 --> 00:09:21,749 he'll be self-satisfied and our lives will be good for a few weeks. 188 00:09:21,875 --> 00:09:24,002 If House did make a mistake, he'll be upset 189 00:09:24,127 --> 00:09:25,879 and our lives will be miserable for months. 190 00:09:26,004 --> 00:09:27,046 There is that. 191 00:09:27,172 --> 00:09:29,382 If Cuddy thinks I made a mistake, the least she could do 192 00:09:29,507 --> 00:09:31,050 is suspend me from clinic duty. 193 00:09:31,176 --> 00:09:33,803 She doesn't confuse making a mistake with being incompetent. 194 00:09:33,928 --> 00:09:36,264 Oh, here we go. Lesson time. 195 00:09:37,932 --> 00:09:40,351 I recognize that confidence is not my short suit. 196 00:09:40,476 --> 00:09:43,062 I also recognize that I am human and capable of error. 197 00:09:43,188 --> 00:09:44,981 So you might have screwed this up? 198 00:09:45,106 --> 00:09:46,149 No. 199 00:09:46,274 --> 00:09:48,610 So it's merely a theoretical capacity for error. 200 00:09:48,735 --> 00:09:49,694 Good point. 201 00:09:49,819 --> 00:09:52,363 Maybe there isn't one. Maybe that's my error. 202 00:09:52,488 --> 00:09:54,199 You know, most people who think as much of themselves 203 00:09:54,324 --> 00:09:55,658 as you do like to talk about themselves. 204 00:09:55,783 --> 00:09:56,993 Most people don't like to listen. 205 00:09:57,118 --> 00:09:59,078 So, what's wrong with you? 206 00:10:07,295 --> 00:10:10,548 (SNIFFING) 207 00:10:10,673 --> 00:10:13,051 Let me guess, inflammatory bowel. 208 00:10:13,176 --> 00:10:14,135 (SIGHS) 209 00:10:14,260 --> 00:10:16,429 Wow. Yeah. Is it that bad? 210 00:10:16,554 --> 00:10:18,056 Yes. 211 00:10:18,264 --> 00:10:20,600 It's also written on your chart. 212 00:10:20,725 --> 00:10:22,810 "Bloody diarrhea, gas, pain." 213 00:10:22,936 --> 00:10:24,938 "Took sulfasalazine, but it didn't work." 214 00:10:25,063 --> 00:10:26,356 No. Then... Then I... 215 00:10:26,481 --> 00:10:27,899 "Next, tried steroid enemas." 216 00:10:28,024 --> 00:10:31,152 "Oral corticosteroids 5-ASA, 6-mercaptopurine." 217 00:10:31,277 --> 00:10:32,111 I'm impressed. 218 00:10:32,237 --> 00:10:33,571 By my medical history? 219 00:10:33,696 --> 00:10:35,907 By how well your last doctor charted. 220 00:10:36,032 --> 00:10:38,326 It's one thing to have to go to the bathroom every hour, 221 00:10:38,451 --> 00:10:41,454 but when the kids sit on my lap, it's... 222 00:10:41,579 --> 00:10:43,039 The store sent me home. They're gonna fire me. 223 00:10:43,164 --> 00:10:45,667 Can't you put me back on 5-ASA? Maybe it'll work this time. 224 00:10:45,792 --> 00:10:46,834 Not likely. 225 00:10:46,960 --> 00:10:49,629 I'm giving you a prescription. It's cheap, which is good, 226 00:10:49,754 --> 00:10:52,882 because your insurance company won't pay for it. 227 00:11:00,098 --> 00:11:01,766 "Cogaritis"? 228 00:11:01,933 --> 00:11:03,685 Cigarettes. 229 00:11:03,810 --> 00:11:05,853 One, twice a day. No more, no less. 230 00:11:05,979 --> 00:11:07,897 Studies have shown that cigarette smoking 231 00:11:08,022 --> 00:11:11,150 is one of the most effective ways to control inflammatory bowel. 232 00:11:11,276 --> 00:11:14,404 Plus it's been well established that you look 30% cooler. 233 00:11:14,529 --> 00:11:15,947 Are you kidding me? 234 00:11:16,072 --> 00:11:18,658 About the looking cooler, yeah. The rest is true. 235 00:11:18,783 --> 00:11:20,827 Isn't it addictive and dangerous? 236 00:11:20,952 --> 00:11:24,122 Pretty much all the drugs I prescribe are addictive and dangerous. 237 00:11:24,247 --> 00:11:28,126 The only difference with this one is it's completely legal. 238 00:11:29,335 --> 00:11:31,087 Merry Christmas. 239 00:11:31,671 --> 00:11:35,633 SISTER AUGUSTINE: I was talking to the nurse. Arsenic. Do you know him? 240 00:11:35,758 --> 00:11:36,718 Not really. 241 00:11:36,843 --> 00:11:38,886 He can take pictures with his phone. 242 00:11:39,012 --> 00:11:40,263 Cool. 243 00:11:40,388 --> 00:11:42,682 That woman from the lab was interesting, too. 244 00:11:42,807 --> 00:11:45,768 She studied astrophysics before becoming a nurse. 245 00:11:45,893 --> 00:11:47,437 You know the staff better than I do. 246 00:11:47,562 --> 00:11:49,355 I love to hear all about people. 247 00:11:49,480 --> 00:11:51,024 Yet you live in a monastery. 248 00:11:51,149 --> 00:11:53,693 It's where I serve our Lord and the world best. 249 00:11:53,818 --> 00:11:57,488 Our Lord, maybe. The rest of the world, on the other hand, 250 00:11:57,613 --> 00:11:59,615 would probably get more out of feeding the homeless or... 251 00:11:59,741 --> 00:12:00,950 Healing the sick? 252 00:12:01,075 --> 00:12:02,452 As an example, yeah. 253 00:12:02,577 --> 00:12:04,787 Did you always want to be a doctor? 254 00:12:04,912 --> 00:12:06,039 Always. 255 00:12:06,164 --> 00:12:07,081 You always want to be a nun? 256 00:12:07,206 --> 00:12:09,083 My parents died when I was six. 257 00:12:09,208 --> 00:12:12,712 I was raised in a foster home run by the Church. 258 00:12:12,837 --> 00:12:14,881 When I was 18, I went to the monastery, 259 00:12:15,006 --> 00:12:17,050 where they let me take my vows. 260 00:12:17,175 --> 00:12:20,094 I've known no other life, and I haven't wanted to. 261 00:12:20,678 --> 00:12:23,806 FOREMAN: Okay, Sister. We need you to lie as still as possible. 262 00:12:23,931 --> 00:12:25,808 If you get scared, just let us know. 263 00:12:25,933 --> 00:12:28,353 As Jonah said from inside the whale, 264 00:12:28,478 --> 00:12:33,191 "When I had lost all hope, I turned my thoughts to the Lord." 265 00:12:33,316 --> 00:12:34,692 Well, she's got God on her side. 266 00:12:34,817 --> 00:12:35,902 CAMERON: I don't believe in God. 267 00:12:36,027 --> 00:12:37,904 You're not even a little agnostic? 268 00:12:38,029 --> 00:12:40,031 SISTER AUGUSTINE: Is it supposed to smell funny? 269 00:12:40,156 --> 00:12:41,908 Someone ralphed in there this morning. 270 00:12:42,033 --> 00:12:44,243 We cleaned it up, but... 271 00:12:44,369 --> 00:12:47,747 It's normal, Sister. It's just a few more minutes. 272 00:12:47,872 --> 00:12:50,625 I believe in a higher order that's in control of what happens, 273 00:12:50,750 --> 00:12:53,127 but not one anthropomorphic entity called "God" 274 00:12:53,252 --> 00:12:55,713 that's concerned with the everyday workings of you and me. 275 00:12:55,838 --> 00:12:58,424 What else is there to control but the everyday workings of you and me? 276 00:12:58,549 --> 00:13:00,760 It's always about you, Foreman. 277 00:13:00,885 --> 00:13:02,470 What are you talking about? The trees, the fish? 278 00:13:02,595 --> 00:13:04,722 Should they be the ones that think it's all about them? 279 00:13:04,847 --> 00:13:07,809 What about you, Chase? Do you believe in God? 280 00:13:08,935 --> 00:13:12,063 I believe Sister Augustine has no vascular pathology, 281 00:13:12,188 --> 00:13:13,231 which means no Churg-Strauss. 282 00:13:13,356 --> 00:13:14,482 Which means House made a mistake. 283 00:13:14,607 --> 00:13:15,650 No, not necessarily. 284 00:13:15,775 --> 00:13:18,486 It could be something else, thyrotoxicosis or a carcinoid. 285 00:13:18,611 --> 00:13:20,738 I don't get you. You don't believe in God, 286 00:13:20,863 --> 00:13:23,074 but you're willing to put complete faith in one man? 287 00:13:23,199 --> 00:13:25,701 SISTER AUGUSTINE: Please. The smell. 288 00:13:25,827 --> 00:13:27,703 Let's get her out of there. 289 00:13:27,829 --> 00:13:28,788 (GASPING) 290 00:13:28,913 --> 00:13:30,081 I'm coming, Sister. I got you. 291 00:13:30,206 --> 00:13:32,792 - Please. The smell. - CAMERON: I'm coming. 292 00:13:32,917 --> 00:13:33,918 I'm gonna be sick. 293 00:13:34,043 --> 00:13:35,002 There's no smell. 294 00:13:35,128 --> 00:13:40,425 No. God. Oh! It's Jesus. It's Jesus! 295 00:13:41,092 --> 00:13:43,177 He's coming for me! 296 00:13:43,302 --> 00:13:45,430 He's burning me with his touch! 297 00:13:45,555 --> 00:13:47,515 Let's get her on some Ativan. 298 00:13:47,640 --> 00:13:49,350 The smells, religious visions, 299 00:13:49,475 --> 00:13:51,102 it's symptomatic of temporal lobe swelling. 300 00:13:51,227 --> 00:13:52,895 We don't want her to... 301 00:13:53,020 --> 00:13:55,773 She's seizing. Jaw block! 302 00:13:55,898 --> 00:13:57,275 Help me get her on her side. 303 00:13:59,110 --> 00:14:00,403 Religious visions? 304 00:14:00,528 --> 00:14:02,488 Yeah. And next comes... 305 00:14:10,204 --> 00:14:12,290 Patient tested positive for herpetic encephalitis. 306 00:14:12,415 --> 00:14:13,416 What's that tell us? 307 00:14:13,541 --> 00:14:15,001 Her immune system is severely compromised. 308 00:14:15,126 --> 00:14:18,129 Oh, I know. Prednisone compromises the immune system. 309 00:14:18,254 --> 00:14:19,547 Isn't that the medicine that you gave her 310 00:14:19,672 --> 00:14:20,840 for that thing she doesn't have? 311 00:14:20,965 --> 00:14:23,676 Yeah, that... Hey! 312 00:14:24,343 --> 00:14:25,928 I'm thinking that's a trick question. 313 00:14:26,053 --> 00:14:28,306 Her immune system is severely compromised. 314 00:14:28,431 --> 00:14:30,141 Two doses of prednisone wouldn't do that. 315 00:14:30,266 --> 00:14:32,935 Are you hanging your diagnosis on an adverb? 316 00:14:33,060 --> 00:14:34,854 In 10 seconds, I'm going to announce 317 00:14:34,979 --> 00:14:36,689 that I gave her the wrong dose in the clinic. 318 00:14:36,814 --> 00:14:38,024 You're gonna admit negligence? 319 00:14:38,149 --> 00:14:39,567 Unless you leave the room. 320 00:14:39,692 --> 00:14:41,569 If you stay, you'll have to testify. 321 00:14:42,778 --> 00:14:45,114 Five, four, 322 00:14:45,239 --> 00:14:47,617 three, two... 323 00:14:47,742 --> 00:14:49,744 So, there I was in the clinic, drunk. 324 00:14:49,869 --> 00:14:51,496 I opened the drawer, closed my eyes, 325 00:14:51,621 --> 00:14:54,499 take the first syringe I can find... 326 00:14:56,125 --> 00:14:59,295 So, what are the options for a compromised immune system? 327 00:14:59,420 --> 00:15:01,214 Mixed connective tissue disease. 328 00:15:01,339 --> 00:15:04,008 It'd explain why she was feeling better on the prednisone. 329 00:15:04,133 --> 00:15:07,136 Sure. She was feeling better right up to the moment it almost killed her. 330 00:15:07,261 --> 00:15:10,056 On the other hand, it explains the symptoms, 331 00:15:10,181 --> 00:15:13,017 swollen hands, pulmonary problems, cardiac problems. It all fits. 332 00:15:13,142 --> 00:15:14,894 Except her ANA was normal. 333 00:15:15,019 --> 00:15:15,978 So redraw the blood. 334 00:15:16,103 --> 00:15:17,188 But the treatment is corticosteroids, 335 00:15:17,313 --> 00:15:20,024 prednisone, and we can't go there because of the encephalitis. 336 00:15:20,149 --> 00:15:21,400 Then we'll treat it with something 337 00:15:21,526 --> 00:15:24,070 that modulates the immune system, but doesn't suppress it, 338 00:15:24,195 --> 00:15:25,738 hyperbaric oxygen chamber. 339 00:15:25,863 --> 00:15:29,325 There's no protocol for putting a patient in a high-pressure oxygen room 340 00:15:29,450 --> 00:15:30,910 to treat auto-immune problems. 341 00:15:31,035 --> 00:15:34,121 Oh, you people. Always with the protocols. 342 00:15:35,289 --> 00:15:39,043 Prep the nun and discontinue the prednisone. 343 00:15:45,216 --> 00:15:47,927 I am both amused and annoyed 344 00:15:48,052 --> 00:15:51,681 that you think I should be less stubborn than you are. 345 00:15:51,806 --> 00:15:54,892 You are aware of the Hippocratic oath, right? 346 00:15:55,309 --> 00:15:57,144 The one that starts, "First, do no harm," 347 00:15:57,270 --> 00:15:59,438 then goes on to tell us no abortions, no seductions, 348 00:15:59,564 --> 00:16:02,149 and definitely no cutting of those who labor beneath the stone? 349 00:16:02,275 --> 00:16:04,235 Yeah. I took a read once. Wasn't impressed. 350 00:16:04,360 --> 00:16:05,945 Hyperbaric treatments could cause 351 00:16:06,070 --> 00:16:08,239 oxygen toxicity, lung and eye damage. 352 00:16:08,364 --> 00:16:09,699 Every treatment has its dangers. 353 00:16:09,824 --> 00:16:11,075 Which is why we only treat 354 00:16:11,200 --> 00:16:13,911 if we're convinced the patient actually needs the treatment. 355 00:16:14,036 --> 00:16:16,372 I'm convinced. You're not. 356 00:16:17,290 --> 00:16:20,376 Question is, what are you gonna do about it? 357 00:16:22,795 --> 00:16:24,880 I have an opening Thursday at 3:00. 358 00:16:25,006 --> 00:16:26,340 Do you have a fourth? 359 00:16:26,757 --> 00:16:27,800 Is he any good? 360 00:16:27,925 --> 00:16:28,926 (DOOR OPENS) 361 00:16:29,260 --> 00:16:31,721 Can I call you right back? Okay. 362 00:16:33,764 --> 00:16:35,057 What's up? 363 00:16:38,644 --> 00:16:39,812 CHASE: The pressure will force the oxygen 364 00:16:39,937 --> 00:16:41,981 into your system, saturate your blood. 365 00:16:42,106 --> 00:16:45,067 It will enhance white cell activity, reduce the inflammation. 366 00:16:45,192 --> 00:16:48,654 And that will help with this mixed connective tissue disease? 367 00:16:48,779 --> 00:16:52,074 We'll be doing about 10 treatments, and then we'll reevaluate. 368 00:16:52,241 --> 00:16:55,703 SISTER AUGUSTINE: The last treatment with prednisone caused the seizures. 369 00:16:55,828 --> 00:16:58,831 How confident is Dr. House about this? 370 00:16:58,956 --> 00:17:01,459 CAMERON: That you reacted so strongly to the prednisone let us know 371 00:17:01,584 --> 00:17:04,128 that you had an underlying problem with your immune system. 372 00:17:04,253 --> 00:17:07,840 I guess it was a blessing, of sorts. 373 00:17:12,178 --> 00:17:14,513 So, who's your favorite reindeer, Nurse Arnold? 374 00:17:14,639 --> 00:17:15,681 Rudolph. 375 00:17:15,806 --> 00:17:16,682 I would've thought it was Vixen. 376 00:17:16,807 --> 00:17:17,892 What are you implying? 377 00:17:18,017 --> 00:17:19,226 Nothing. 378 00:17:19,352 --> 00:17:22,021 But I saw you at the Christmas party with Dr. Miles, 379 00:17:22,146 --> 00:17:25,191 and Dr. Jorkins and Nurse Crandall. 380 00:17:25,316 --> 00:17:27,151 NURSE ARNOLD: I was just doing some Christmas dancing. 381 00:17:27,276 --> 00:17:30,655 This is a chapel, a house of prayer. 382 00:17:31,906 --> 00:17:33,658 House of prayer? 383 00:17:34,700 --> 00:17:37,203 That explains the good reception. 384 00:17:37,328 --> 00:17:39,538 Also why nobody's ever here. 385 00:17:41,374 --> 00:17:43,668 I need to talk with you, Dr. House. 386 00:17:43,793 --> 00:17:47,088 Sister Augustine believes in things that aren't real. 387 00:17:48,047 --> 00:17:51,133 I thought that was a job requirement for you people. 388 00:17:51,258 --> 00:17:54,804 She's been known to lie to get sympathy. 389 00:17:54,929 --> 00:17:56,931 She's a hypochondriac. 390 00:17:57,056 --> 00:18:01,102 So you're warning me that I may be treating a nonexistent ailment. 391 00:18:01,227 --> 00:18:03,896 Sore throats, joint pains. 392 00:18:04,021 --> 00:18:06,482 There's always something wrong, and there's never a reason for it. 393 00:18:06,607 --> 00:18:09,068 Mother Superior plays right into it, 394 00:18:09,193 --> 00:18:11,320 lets Augustine off work duties, 395 00:18:11,445 --> 00:18:14,532 treating her as fragile, special. 396 00:18:14,657 --> 00:18:16,659 That must make you angry. 397 00:18:18,202 --> 00:18:19,495 It bothers me. 398 00:18:19,620 --> 00:18:22,707 It's not really in Augustine's best interests. 399 00:18:26,961 --> 00:18:28,379 You want some? 400 00:18:29,922 --> 00:18:31,215 I shouldn't. 401 00:18:36,971 --> 00:18:41,100 I guess you gotta be good at reading people to be a good infirmarian? 402 00:18:42,560 --> 00:18:46,188 So, we've got pride, anger, envy, gluttony. 403 00:18:47,106 --> 00:18:50,359 That's four out of seven deadly sins in under two minutes. 404 00:18:50,484 --> 00:18:55,489 Do you people keep records of these things? ls there a "Cathlympics"? 405 00:18:55,614 --> 00:18:57,074 They say you have a gift. 406 00:18:57,199 --> 00:18:58,451 They like to talk. 407 00:18:58,576 --> 00:19:00,119 You hide behind your intelligence. 408 00:19:00,244 --> 00:19:01,662 Yeah. That's pretty stupid. 409 00:19:01,787 --> 00:19:05,332 And you make jokes because you're afraid to take anything seriously. 410 00:19:05,458 --> 00:19:07,752 Because if you take things seriously, they matter. 411 00:19:07,877 --> 00:19:08,878 And if they matter... 412 00:19:09,003 --> 00:19:10,796 When things go wrong, I get hurt. 413 00:19:10,921 --> 00:19:12,298 I'm not tough. I'm vulnerable. 414 00:19:12,465 --> 00:19:14,091 I barely know you. 415 00:19:14,216 --> 00:19:15,301 And I don't know if I'm right. 416 00:19:15,426 --> 00:19:17,178 I just hope I am. 417 00:19:17,470 --> 00:19:20,055 Because the alternative is 418 00:19:20,181 --> 00:19:23,225 you really are as miserable as you seem to be. 419 00:19:25,603 --> 00:19:28,314 You know, from the way you're looking at me right now, 420 00:19:28,439 --> 00:19:30,983 I'd say you just hit number five. 421 00:19:31,650 --> 00:19:32,818 Lust 422 00:19:46,457 --> 00:19:48,959 NURSE ARNOLD: Dr. Brown, I love you, too. 423 00:19:57,802 --> 00:19:59,094 CHASE: How are you feeling? 424 00:19:59,220 --> 00:20:00,596 A little weak. 425 00:20:00,721 --> 00:20:02,097 That's from the oxygen. 426 00:20:02,223 --> 00:20:03,682 My mouth is dry. 427 00:20:03,808 --> 00:20:07,269 Okay. Well, I'll get you some of your tea. 428 00:20:09,522 --> 00:20:11,190 Mixed connective tissue disease? 429 00:20:11,315 --> 00:20:13,150 Her ANA is barely elevated. 430 00:20:13,275 --> 00:20:14,693 Thanks for checking up on her. 431 00:20:14,819 --> 00:20:15,986 Good to know you got my back. 432 00:20:16,111 --> 00:20:18,030 O2 sat's down to 83. 433 00:20:18,197 --> 00:20:19,907 Pulmonary problems, breathing problems. 434 00:20:20,032 --> 00:20:22,034 Irritation from the oxygen is typical. 435 00:20:22,159 --> 00:20:24,495 She comes in with a rash, and you put her into cardiac arrest. 436 00:20:24,620 --> 00:20:27,164 That well just never runs dry, does it? 437 00:20:27,289 --> 00:20:29,041 If there was no underlying problem, 438 00:20:29,208 --> 00:20:30,751 why is she still having the rapid heart rate? 439 00:20:30,876 --> 00:20:33,379 Maybe from the herpetic encephalitis caused by you giving her prednisone. 440 00:20:33,504 --> 00:20:35,714 Her reaction is a symptom, not an error. 441 00:20:35,840 --> 00:20:36,882 There's always an explanation, isn't there? 442 00:20:37,007 --> 00:20:38,008 Yes, there is. 443 00:20:38,133 --> 00:20:39,218 And if this one doesn't work, we'll find another. 444 00:20:39,343 --> 00:20:40,928 But never one involving you screwing up. 445 00:20:41,053 --> 00:20:42,805 One that fits all the facts. 446 00:20:42,930 --> 00:20:46,267 Look, we obviously have a difference of opinion, and that's fine. 447 00:20:46,392 --> 00:20:48,853 But, unfortunately, I've used up all the time I budgeted today 448 00:20:48,978 --> 00:20:50,312 for banging my head against a wall. 449 00:20:50,437 --> 00:20:53,148 I'm gonna do you the biggest favor one doctor can do for another. 450 00:20:53,274 --> 00:20:56,360 I am gonna stop you from killing your patient. 451 00:20:56,485 --> 00:20:58,279 You're off the case. 452 00:21:17,715 --> 00:21:18,799 We're gonna treat the symptoms. 453 00:21:18,924 --> 00:21:19,925 Not the underlying condition? 454 00:21:20,050 --> 00:21:21,093 There is no underlying condition. 455 00:21:21,218 --> 00:21:22,386 What's her status? 456 00:21:22,511 --> 00:21:24,555 The sister's breathing is labored. 457 00:21:24,680 --> 00:21:26,181 Pneumonitis from the hyperbaric chamber. 458 00:21:26,307 --> 00:21:28,934 Put her on 40% oxygen until her O2 sats increase. 459 00:21:29,059 --> 00:21:30,436 BUN and creatinine's rising. 460 00:21:30,561 --> 00:21:32,605 ALT and AST twice the normal range. 461 00:21:32,730 --> 00:21:34,690 Could be from the hypotensive episode. 462 00:21:34,857 --> 00:21:36,817 Let's follow them with labs. 463 00:21:36,942 --> 00:21:40,029 She still has the rash and joint pain she came in with. 464 00:21:40,154 --> 00:21:41,280 Order a nonsteroidal anti-inflammatory. 465 00:21:41,405 --> 00:21:42,364 When we were looking 466 00:21:42,489 --> 00:21:44,742 at the differential diagnosis with Dr. House, we were considering... 467 00:21:44,867 --> 00:21:47,077 I don't need to hear what Dr. House was considering. 468 00:21:47,202 --> 00:21:51,332 All of this woman's symptoms can be traced to Dr. House's considerations. 469 00:21:53,417 --> 00:21:54,919 CUDDY: Okay. 470 00:21:55,961 --> 00:21:57,796 Let's just get this patient healthy. 471 00:21:57,922 --> 00:22:00,591 I want her going out the front door and not the back. 472 00:22:02,676 --> 00:22:04,553 Hey, it's not like I betrayed him. 473 00:22:04,678 --> 00:22:07,222 Cuddy would have found out about the hyperbaric treatments eventually. 474 00:22:07,348 --> 00:22:09,808 You did what you thought you had to. 475 00:22:26,075 --> 00:22:28,285 WILSON: Can't get enough of this place? 476 00:22:30,204 --> 00:22:31,956 Came for my stethoscope. 477 00:22:32,081 --> 00:22:34,833 So I shouldn't read too much into the fact that you were looking for it 478 00:22:34,959 --> 00:22:37,378 in the drawer with the epinephrine syringes in it? 479 00:22:38,837 --> 00:22:42,216 Okay. Yeah, I'd like to clear my reputation. 480 00:22:42,341 --> 00:22:45,427 Oh, right. I forgot how much you care about what people think. 481 00:22:45,552 --> 00:22:48,347 Prescribing cigarettes for inflammatory bowel? 482 00:22:48,472 --> 00:22:50,808 That's... They cause lung cancer, you know. 483 00:22:50,933 --> 00:22:53,352 You know why they have ribbons for breast cancer, 484 00:22:53,477 --> 00:22:57,106 colorectal cancer, prostate cancer and not for lung cancer? 485 00:22:57,231 --> 00:22:59,274 They ran out of colors? 486 00:22:59,400 --> 00:23:02,069 It's because people blame lung cancer patients. 487 00:23:02,194 --> 00:23:04,071 They smoke. They screwed up. They deserve to die. 488 00:23:04,196 --> 00:23:06,323 The reason people die from lung cancer is guilt. 489 00:23:06,448 --> 00:23:07,741 Huh. 490 00:23:08,283 --> 00:23:11,286 Well, guilt does a lot of damage. 491 00:23:11,829 --> 00:23:14,039 You said that with great significance. 492 00:23:14,164 --> 00:23:16,208 You're not here to find your stethoscope. 493 00:23:16,333 --> 00:23:18,919 You're not here to clear your reputation. 494 00:23:19,044 --> 00:23:22,047 You're here because you're having doubts. You might have screwed up. 495 00:23:22,172 --> 00:23:23,465 I'm here because, if I'm right, 496 00:23:23,590 --> 00:23:24,842 Cuddy is killing that patient. 497 00:23:24,967 --> 00:23:27,428 Okay. But if you're wrong? 498 00:23:30,097 --> 00:23:31,056 Then she's saving her. 499 00:23:31,181 --> 00:23:32,057 Fine. 500 00:23:32,182 --> 00:23:34,143 You're gonna have to go through every record of every patient 501 00:23:34,268 --> 00:23:36,687 who's been through this clinic in the last two days. 502 00:23:36,812 --> 00:23:39,940 And you're gonna have to hope that those records can be trusted. 503 00:23:40,065 --> 00:23:42,276 Which, by the way, yours can't. 504 00:23:48,699 --> 00:23:50,075 (SIGHS) 505 00:23:52,953 --> 00:23:54,580 CHASE: These pills will help your kidneys 506 00:23:54,705 --> 00:23:56,749 function a little better, Sister. 507 00:24:03,297 --> 00:24:04,965 Get your wrist? 508 00:24:07,843 --> 00:24:09,053 What's that? 509 00:24:09,720 --> 00:24:10,929 104. 510 00:24:11,847 --> 00:24:13,182 Is that good? 511 00:24:13,932 --> 00:24:15,267 It's fine. 512 00:24:16,185 --> 00:24:18,353 You're a lousy liar, Dr. Chase. 513 00:24:18,479 --> 00:24:20,355 (PAGER BEEPING) 514 00:24:26,111 --> 00:24:28,280 I have to get this. Excuse me. 515 00:24:31,241 --> 00:24:33,869 My mother's been dead for 10 years. 516 00:24:34,870 --> 00:24:36,997 But she's always with you in spirit. 517 00:24:37,122 --> 00:24:38,457 What do you know about the nun? 518 00:24:38,582 --> 00:24:39,917 Which one? 519 00:24:40,042 --> 00:24:42,544 The cute one. I think she likes me. 520 00:24:42,669 --> 00:24:44,254 The sick one, obviously. 521 00:24:44,421 --> 00:24:45,964 Her parents died when she was a child, 522 00:24:46,090 --> 00:24:47,382 and she's been with the Church ever since. 523 00:24:47,508 --> 00:24:48,717 What's she lying about? 524 00:24:48,842 --> 00:24:49,968 Why do you say that? 525 00:24:50,135 --> 00:24:51,428 I always say that. 526 00:24:51,553 --> 00:24:54,473 And the old nun thinks the sick nun is a big fat nun liar. 527 00:24:54,598 --> 00:24:55,724 You know nuns. What do you think? 528 00:24:55,849 --> 00:24:56,975 I don't know nuns. 529 00:24:57,101 --> 00:25:00,479 You hate nuns. You can't hate someone if you don't know them. 530 00:25:00,604 --> 00:25:03,148 Know any Nazis? Maybe I hate them on principle. 531 00:25:04,399 --> 00:25:07,194 I have a theory about what makes good boys good. 532 00:25:07,319 --> 00:25:09,863 It's not because of some moral imperative. 533 00:25:09,988 --> 00:25:12,950 Good boys have the fear of God put into them. 534 00:25:13,075 --> 00:25:15,911 Catholic Church specializes in that kind of training 535 00:25:16,036 --> 00:25:18,997 to make good boys afraid of divine retribution, 536 00:25:19,123 --> 00:25:21,041 so they'll do what their daddies tell them, 537 00:25:21,166 --> 00:25:23,585 like, for example, going into medical school 538 00:25:23,710 --> 00:25:25,921 when it's the last thing they wanna do. 539 00:25:26,046 --> 00:25:28,674 What do you think? 540 00:25:28,799 --> 00:25:32,219 I think, if she did have a secret, her boss would know. 541 00:25:37,599 --> 00:25:39,726 Did you paint or put in new carpets recently? 542 00:25:39,852 --> 00:25:40,894 No. 543 00:25:41,019 --> 00:25:42,688 Any way she could have got access to drugs? 544 00:25:42,813 --> 00:25:45,065 We lock all our medications in the infirmary, 545 00:25:45,190 --> 00:25:47,442 and we don't keep prescription drugs here. 546 00:25:47,568 --> 00:25:51,905 Why haven't you asked Sister Augustine about these things directly? 547 00:25:52,030 --> 00:25:54,116 HOUSE: I've found that when you want to know the truth about someone, 548 00:25:54,241 --> 00:25:56,869 that someone is probably the last person you should ask. 549 00:25:56,994 --> 00:25:57,953 Ah. 550 00:25:58,078 --> 00:26:00,873 And have you been speaking to Sister Eucharist? 551 00:26:00,998 --> 00:26:03,584 She ratted out her fellow sister pretty quickly. 552 00:26:03,709 --> 00:26:05,919 HOUSE: If I were you, I'd have her repeat a year of nun school. 553 00:26:06,044 --> 00:26:09,214 (LAUGHING) Well, becoming a nun doesn't make you a saint. 554 00:26:09,339 --> 00:26:10,841 HOUSE: Becoming a doctor doesn't make you a healer. 555 00:26:10,966 --> 00:26:11,967 (CHUCKLES) 556 00:26:12,092 --> 00:26:13,552 And just because we live in a monastery, 557 00:26:13,677 --> 00:26:15,179 and we spend most of our time in prayer, 558 00:26:15,304 --> 00:26:17,848 doesn't mean we don't find time for drama. 559 00:26:17,973 --> 00:26:20,976 So, what is the sick one's drama? 560 00:26:21,101 --> 00:26:24,188 Sister Augustine lived in Catholic foster care 561 00:26:24,313 --> 00:26:26,523 until she came to us. 562 00:26:28,025 --> 00:26:29,193 Tea? 563 00:26:29,318 --> 00:26:30,485 Sure. 564 00:26:33,280 --> 00:26:35,782 Do all of you lie? 565 00:26:35,908 --> 00:26:38,660 It's a good strategy, it's simpler when you all tell the same lie. 566 00:26:38,785 --> 00:26:41,830 She has not spent her entire life as a good Catholic. 567 00:26:41,955 --> 00:26:43,165 When she had a cardiac arrest, 568 00:26:43,290 --> 00:26:45,334 I had to open her blouse to do CPR. 569 00:26:45,459 --> 00:26:49,046 And I learned two things, nuns can have nice breasts, 570 00:26:49,171 --> 00:26:53,008 and she has a tattoo on her shoulder of a skunk. 571 00:26:54,426 --> 00:26:57,137 Now, maybe it's the sacred skunk of Joseph, 572 00:26:57,262 --> 00:27:00,891 but as far as I know, Catholic foster care and monasteries 573 00:27:01,016 --> 00:27:03,644 do not keep tattoo parlors in their refectories. 574 00:27:03,769 --> 00:27:06,188 We consider that our life begins 575 00:27:06,313 --> 00:27:09,274 when we put on our habits and take our vows. 576 00:27:10,567 --> 00:27:11,777 What happens before then... 577 00:27:11,902 --> 00:27:14,321 ls irrelevant to you, but it's relevant to me. 578 00:27:18,659 --> 00:27:21,954 Sister Augustine went into foster care when she was six years old, 579 00:27:22,079 --> 00:27:24,790 but she left when she was 12. 580 00:27:24,915 --> 00:27:27,876 She lived on the streets. She got into drugs. 581 00:27:28,877 --> 00:27:31,129 When she was 15, she became pregnant. 582 00:27:31,255 --> 00:27:33,257 Tried to self-abort. 583 00:27:33,382 --> 00:27:36,009 She lost the child. She became ill. 584 00:27:36,134 --> 00:27:38,136 We took her in when she came back. 585 00:27:38,262 --> 00:27:42,516 If we had thought it was medically relevant, we would have told you. 586 00:27:44,476 --> 00:27:45,811 It's not. 587 00:27:54,611 --> 00:27:58,532 This tea is delicious. Local herbs? 588 00:27:59,825 --> 00:28:00,951 Any change with the medication? 589 00:28:01,076 --> 00:28:02,661 Yes. She's getting worse. 590 00:28:02,786 --> 00:28:04,246 Lung function's deteriorating. 591 00:28:04,371 --> 00:28:06,123 BUN and creatinine continuing to rise. 592 00:28:06,248 --> 00:28:08,625 She's starting to run a fever, and the rash is spreading. 593 00:28:08,750 --> 00:28:09,918 At this rate, she's not gonna make Christmas. 594 00:28:10,043 --> 00:28:11,044 Maybe House is right. 595 00:28:11,169 --> 00:28:13,338 Maybe there is an underlying condition that explains the symptoms. 596 00:28:13,463 --> 00:28:14,673 Something we haven't considered. 597 00:28:14,798 --> 00:28:15,716 Like what? 598 00:28:15,841 --> 00:28:17,050 It could be a metabolic disorder. 599 00:28:17,175 --> 00:28:19,219 - Specifically? - Might be genetic. 600 00:28:19,344 --> 00:28:20,220 Specifically? 601 00:28:20,345 --> 00:28:21,221 I'm just saying... 602 00:28:21,346 --> 00:28:22,723 You're just saying you think House is right. 603 00:28:22,848 --> 00:28:23,974 Might be right. 604 00:28:24,099 --> 00:28:25,142 Of course he might be right. 605 00:28:25,267 --> 00:28:27,686 It might be the hand of God at work. Don't say it's something else 606 00:28:27,811 --> 00:28:30,814 unless you've got something concrete to offer. 607 00:28:33,775 --> 00:28:34,776 What's this, hemlock? 608 00:28:34,901 --> 00:28:38,322 I'm gonna do you the biggest favor one doctor can do another. 609 00:28:38,447 --> 00:28:40,782 I'm gonna stop you from killing your patient. 610 00:28:41,533 --> 00:28:43,243 It's figwort tea, 611 00:28:43,368 --> 00:28:45,704 great for that little pick-me-up we're all looking for in the morning. 612 00:28:45,829 --> 00:28:49,041 Opens the lungs, increases the blood pressure, stimulates the heart. 613 00:28:49,166 --> 00:28:51,293 Unfortunately, if you then get injected 614 00:28:51,418 --> 00:28:54,254 with even 0.1 cc of epinephrine, 615 00:28:54,379 --> 00:28:56,715 instant cardiac arrest. 616 00:28:56,840 --> 00:28:58,091 Still, what the hell, it tastes great. 617 00:28:58,216 --> 00:28:59,634 Sister Augustine... 618 00:28:59,760 --> 00:29:02,804 Has been drinking it religiously, so to speak. 619 00:29:02,929 --> 00:29:05,098 And if you take the cardiac arrest out of the equation... 620 00:29:05,223 --> 00:29:06,725 All the rest of the symptoms can be explained 621 00:29:06,850 --> 00:29:09,269 by a severe long-term allergic reaction. 622 00:29:09,394 --> 00:29:11,646 Well, that's what Cameron said in the beginning. 623 00:29:11,772 --> 00:29:15,025 Yes, she did. Well done. 624 00:29:16,276 --> 00:29:18,862 But your unwillingness to stick by your diagnosis 625 00:29:18,987 --> 00:29:20,697 almost killed this woman. 626 00:29:20,822 --> 00:29:22,032 Take a lesson from Foreman. 627 00:29:22,157 --> 00:29:23,992 Stand up for what you believe. 628 00:29:24,868 --> 00:29:27,829 Okay. Let's go figure out how to save a nun. 629 00:29:28,914 --> 00:29:31,541 Damned if you do, damned if you don't. 630 00:29:32,584 --> 00:29:34,252 HOUSE: Because it's been untreated for so long, 631 00:29:34,378 --> 00:29:37,047 it's gone from a simple "watery eyes, scratchy throat" allergy 632 00:29:37,172 --> 00:29:39,341 to a whopping "I'm gonna kick your ass" allergy, 633 00:29:39,466 --> 00:29:42,052 compromising her immune system, diminishing her ability to heal 634 00:29:42,177 --> 00:29:43,553 and breaking down her organ systems. 635 00:29:43,678 --> 00:29:44,971 So, what's the source? 636 00:29:45,097 --> 00:29:46,848 CHASE: The dish soap. 637 00:29:46,973 --> 00:29:50,060 No. The symptoms persisted days after the dish-washing episode. 638 00:29:50,185 --> 00:29:51,395 It's gotta be something she's been exposed to 639 00:29:51,520 --> 00:29:53,313 here in the hospital as well as the monastery. 640 00:29:53,438 --> 00:29:55,816 What about the tea? It caused her arrhythmia. 641 00:29:55,941 --> 00:29:57,275 Could be, but it's not definitive. 642 00:29:57,401 --> 00:29:58,735 We'll skin-test for allergens. 643 00:29:58,860 --> 00:30:00,320 Not yet. She's too reactive. 644 00:30:00,445 --> 00:30:02,406 She tests positive to everything. We need to stabilize her, 645 00:30:02,531 --> 00:30:05,409 isolate her from all possible allergens, give her system a rest. 646 00:30:05,534 --> 00:30:06,535 Get her in a clean room. 647 00:30:06,660 --> 00:30:07,661 Okay- 648 00:30:07,786 --> 00:30:10,080 Then gradually introduce allergens and see how she responds. 649 00:30:10,205 --> 00:30:13,875 When she reacts to something, we'll know that's what's killing her. 650 00:30:14,584 --> 00:30:17,170 There you go. No television, no books. 651 00:30:17,295 --> 00:30:18,338 Not even my Bible? 652 00:30:18,463 --> 00:30:19,423 I'm afraid not. 653 00:30:19,548 --> 00:30:21,800 This room has filtered air, filtered water. 654 00:30:21,925 --> 00:30:23,260 You even have silk sheets. 655 00:30:23,385 --> 00:30:25,345 Very decadent and hypoallergenic. 656 00:30:26,012 --> 00:30:28,557 You should be feeling better here. 657 00:30:31,935 --> 00:30:34,813 We'll be back to check on you in a little while. 658 00:30:34,938 --> 00:30:37,983 Can the other sisters come in and pray with me? 659 00:30:39,484 --> 00:30:42,195 It'd be better if you don't have any visitors. 660 00:30:42,320 --> 00:30:44,197 Once we isolate what's causing your allergy, 661 00:30:44,322 --> 00:30:46,867 then we can be a little more lax. 662 00:30:50,871 --> 00:30:53,707 (CRYING) 663 00:30:58,003 --> 00:30:59,796 I can pray with you. 664 00:31:00,922 --> 00:31:02,632 I don't wanna die. 665 00:31:03,884 --> 00:31:05,844 Why has He left me? 666 00:31:15,937 --> 00:31:17,939 I was in seminary school. 667 00:31:19,774 --> 00:31:22,319 They asked us once what our favorite passage was. 668 00:31:22,444 --> 00:31:25,655 I chose First Peter, chapter one, verse seven. 669 00:31:27,491 --> 00:31:30,076 "These trials only test your faith to see whether or not 670 00:31:30,202 --> 00:31:31,870 "it is strong and pure." 671 00:31:31,995 --> 00:31:36,708 "Your faith is being tested, as fire tests gold and purifies it." 672 00:31:36,833 --> 00:31:40,045 "And your faith is far more precious to the Lord than mere gold." 673 00:31:40,170 --> 00:31:42,672 "So if your faith remains strong after being tested, 674 00:31:42,797 --> 00:31:47,344 "it will bring you much praise and glory and honor 675 00:31:49,012 --> 00:31:50,972 "on the day of his return." 676 00:31:51,848 --> 00:31:53,558 He hasn't left you. 677 00:31:57,062 --> 00:32:00,023 The only thing in the way of you knowing He's there is your fear. 678 00:32:00,148 --> 00:32:02,984 You have a choice, faith or fear. 679 00:32:04,694 --> 00:32:05,820 That's the test. 680 00:32:05,946 --> 00:32:07,906 Choosing faith doesn't mean I won't die. 681 00:32:08,031 --> 00:32:11,326 But it will affect how you experience your death, 682 00:32:11,451 --> 00:32:14,829 and, therefore, your life. It's up to you. 683 00:32:14,955 --> 00:32:17,499 Why did you leave seminary school? 684 00:32:19,584 --> 00:32:21,002 That test. 685 00:32:22,170 --> 00:32:24,923 You passed. I didn't. 686 00:32:26,424 --> 00:32:27,926 We'll call you if anything changes. 687 00:32:28,051 --> 00:32:29,469 Will she be all right? 688 00:32:29,678 --> 00:32:31,221 As long as she's not exposed to anything 689 00:32:31,346 --> 00:32:33,640 that can aggravate her allergy, she'll be fine. 690 00:32:34,849 --> 00:32:36,851 I need some help in here! 691 00:32:36,977 --> 00:32:39,896 (GASPING) 692 00:32:42,399 --> 00:32:44,442 Screw the procedure! She's in anaphylactic shock! 693 00:32:44,568 --> 00:32:45,652 No way. She's in a damn clean room. 694 00:32:45,777 --> 00:32:46,778 You kidding me? 695 00:32:46,903 --> 00:32:48,196 Get in here! 696 00:32:50,240 --> 00:32:51,825 0.1 cc of epi. 697 00:32:51,950 --> 00:32:53,618 FOREMAN: We've got to intubate. 698 00:32:53,743 --> 00:32:56,037 CAMERON: I got it. Get the ambu bag. 699 00:33:08,800 --> 00:33:09,884 I'm in. 700 00:33:22,772 --> 00:33:24,691 Breathing's stabilized. 701 00:33:26,568 --> 00:33:28,194 It's a clean room. 702 00:33:36,703 --> 00:33:39,914 HOUSE: How do you get an allergic reaction in a clean room? 703 00:33:41,124 --> 00:33:43,209 Maybe it was the preservatives in the IV. 704 00:33:43,335 --> 00:33:45,128 Checked that. 705 00:33:45,253 --> 00:33:46,212 Latex tubing? 706 00:33:46,338 --> 00:33:48,632 Checked that. Checked everything. 707 00:33:48,757 --> 00:33:50,925 Well, it could be mast cell leukemia. 708 00:33:51,051 --> 00:33:52,636 It can cause anaphylaxis. 709 00:33:52,761 --> 00:33:54,638 I checked the blood levels, 710 00:33:54,763 --> 00:33:58,892 and it's not eosinophilia or idiopathic anaphylaxis. 711 00:33:59,017 --> 00:34:01,019 Maybe it's just divine will. 712 00:34:02,520 --> 00:34:04,105 It's not my will. 713 00:34:08,193 --> 00:34:11,404 You do realize, if you're wrong 714 00:34:11,529 --> 00:34:13,031 about the big picture, that is, 715 00:34:13,156 --> 00:34:14,991 you're going to burn, right? 716 00:34:15,116 --> 00:34:17,160 What do you want me to do, just accept it, pack it in? 717 00:34:17,285 --> 00:34:18,870 Yeah. I want you to accept that 718 00:34:18,995 --> 00:34:20,997 sometimes patients die against all reason, 719 00:34:21,122 --> 00:34:22,832 and sometimes they get better against all reason. 720 00:34:22,957 --> 00:34:25,335 No, they don't. We just don't know the reason. 721 00:34:25,460 --> 00:34:28,088 I think the nuns would agree with you on that. 722 00:34:37,263 --> 00:34:38,807 I just wanted to say that 723 00:34:38,932 --> 00:34:40,183 I know that you did everything you could. 724 00:34:40,308 --> 00:34:43,687 I don't need verification from you to know that I'm doing my job well. 725 00:34:43,812 --> 00:34:45,271 That's your problem, not mine. 726 00:34:45,397 --> 00:34:46,773 I was just being nice. 727 00:34:46,898 --> 00:34:49,859 Yeah, well, you don't need to always do that. 728 00:34:51,986 --> 00:34:53,738 Merry Christmas. 729 00:35:04,791 --> 00:35:07,168 Sister Augustine's been extubated. 730 00:35:08,795 --> 00:35:09,796 Good. 731 00:35:09,921 --> 00:35:12,590 She's requested to check out, against medical advice. 732 00:35:12,716 --> 00:35:14,300 She wants to go back to the monastery. 733 00:35:14,426 --> 00:35:16,761 Well, talk her out of it. 734 00:35:17,721 --> 00:35:20,306 I think I may have talked her into it. 735 00:35:37,031 --> 00:35:39,200 Room's paid up for the rest of the week. 736 00:35:40,827 --> 00:35:42,620 Might as well stick around. 737 00:35:42,746 --> 00:35:45,999 This illness is a test of my faith. 738 00:35:47,041 --> 00:35:51,588 If it's His will to take me, it doesn't matter where I am. 739 00:35:51,713 --> 00:35:53,298 I can accept that. 740 00:35:54,132 --> 00:35:56,885 Does anybody believe anything you say? 741 00:35:58,470 --> 00:36:00,221 You're not accepting. 742 00:36:01,973 --> 00:36:03,808 You're running away. 743 00:36:03,933 --> 00:36:06,144 Just like you always do. 744 00:36:06,269 --> 00:36:09,189 You ran away from the monastery to get laid. 745 00:36:10,315 --> 00:36:11,941 You ran away from the real world 746 00:36:12,066 --> 00:36:13,902 when getting laid didn't work out so good. 747 00:36:14,235 --> 00:36:18,031 Now things aren't working out again, so off you go. 748 00:36:18,156 --> 00:36:22,035 Why is it so difficult for you to believe in God? 749 00:36:22,160 --> 00:36:26,372 What I have difficulty with is the whole concept of belief. 750 00:36:26,498 --> 00:36:28,958 Faith isn't based on logic and experience. 751 00:36:29,083 --> 00:36:32,921 I experience God on a daily basis 752 00:36:33,046 --> 00:36:35,507 and the miracle of life all around, 753 00:36:36,257 --> 00:36:40,053 the miracle of birth, the miracle of love. 754 00:36:40,887 --> 00:36:42,931 He is always with me. 755 00:36:43,056 --> 00:36:47,811 Where is the miracle in delivering a crack-addicted baby? 756 00:36:49,896 --> 00:36:53,650 Then watching her mother abandon her 'cause she needs another score? 757 00:36:53,775 --> 00:36:55,026 Miracle of love. 758 00:36:55,151 --> 00:36:58,363 You're over twice as likely to be killed 759 00:36:58,488 --> 00:37:01,866 by the person you love than by a stranger. 760 00:37:01,991 --> 00:37:04,702 Are you trying to talk me out of my faith? 761 00:37:04,828 --> 00:37:08,748 You can have all the faith you want in spirits and the afterlife, 762 00:37:08,873 --> 00:37:11,417 heaven and hell. 763 00:37:11,543 --> 00:37:15,296 But when it comes to this world, don't be an idiot. 764 00:37:15,421 --> 00:37:17,465 'Cause you can tell me that you put your faith in God 765 00:37:17,590 --> 00:37:19,050 to get you through the day, 766 00:37:19,175 --> 00:37:22,011 but when it comes time to cross the road, I know you look both ways. 767 00:37:22,136 --> 00:37:26,808 I don't believe He is inside me and is going to save me. 768 00:37:26,933 --> 00:37:31,563 I believe He is inside me whether I live or die. 769 00:37:31,688 --> 00:37:33,898 Then you might as well live. 770 00:37:35,650 --> 00:37:38,152 You got a better shot betting on me than on Him. 771 00:37:39,946 --> 00:37:41,406 When I was 15, 772 00:37:42,657 --> 00:37:47,036 I was on every kind of birth control known to man 773 00:37:47,161 --> 00:37:49,205 and I still got pregnant. 774 00:37:50,623 --> 00:37:52,500 I blamed God. 775 00:37:52,625 --> 00:37:55,128 I hated Him for ruining my life. 776 00:37:55,587 --> 00:37:57,881 But then I realized something. 777 00:37:58,006 --> 00:38:03,344 You can't be angry with God and not believe in Him at the same time. 778 00:38:03,469 --> 00:38:07,015 No one can. Not even you, Dr. House. 779 00:38:12,228 --> 00:38:13,771 How'd it go? 780 00:38:13,897 --> 00:38:15,815 She has God inside her. 781 00:38:16,274 --> 00:38:19,444 It would have been easier to deal with a tumor. 782 00:38:19,569 --> 00:38:21,863 Maybe she's allergic to God. 783 00:38:26,868 --> 00:38:28,411 We've looked everywhere for an allergen 784 00:38:28,536 --> 00:38:29,829 that could be causing this reaction, 785 00:38:29,954 --> 00:38:31,539 except one place, inside her. 786 00:38:31,664 --> 00:38:33,708 On her medical history, she didn't mention any surgery. 787 00:38:33,833 --> 00:38:34,876 She had one. 788 00:38:35,001 --> 00:38:36,586 Can we get her records? What hospital was it at? 789 00:38:36,711 --> 00:38:38,630 She didn't have it at a hospital. 790 00:38:38,755 --> 00:38:40,089 Order a full body scan. 791 00:38:40,214 --> 00:38:41,674 What if she refuses? 792 00:38:41,799 --> 00:38:44,260 Tell her I'm looking for a miracle. 793 00:38:46,429 --> 00:38:49,307 No piercings. No fillings. 794 00:38:49,432 --> 00:38:52,894 No surgical pins in the arm. No implants. 795 00:38:53,019 --> 00:38:54,687 It's clean as a whistle. 796 00:38:54,812 --> 00:38:56,314 What's House looking for? 797 00:38:58,149 --> 00:38:59,734 What is that? 798 00:38:59,901 --> 00:39:01,277 Don't know. 799 00:39:01,402 --> 00:39:03,947 Lock on it. Get a 3-D representation. 800 00:39:09,869 --> 00:39:11,162 Oh, my God. 801 00:39:14,791 --> 00:39:19,754 The copper cross, form of birth control pulled off the market in the '80s. 802 00:39:19,879 --> 00:39:21,547 So she's allergic to copper. 803 00:39:21,923 --> 00:39:23,341 Rare, but it happens. 804 00:39:23,466 --> 00:39:25,301 Wouldn't she know she had an IUD? 805 00:39:25,426 --> 00:39:27,720 She had an abortion. IUD must have been left in, 806 00:39:27,845 --> 00:39:31,015 embedded in the endometrial tissue where it couldn't be detected. 807 00:39:31,599 --> 00:39:33,977 So, all we have to do is remove the IUD. 808 00:39:34,102 --> 00:39:36,396 FOREMAN: Then the symptoms should subside. 809 00:39:36,521 --> 00:39:38,815 I got this IUD when I was 15. 810 00:39:39,065 --> 00:39:41,025 It's been more than 20 years. 811 00:39:41,150 --> 00:39:44,320 Prolonged exposure to an allergen with minimal symptoms. 812 00:39:44,445 --> 00:39:46,990 But at some point, all it takes is one last contact 813 00:39:47,115 --> 00:39:48,783 to cause a full-blown reaction. 814 00:39:48,908 --> 00:39:53,204 Just like a balloon filled with air, one last breath, it explodes. 815 00:39:53,329 --> 00:39:57,000 The first time I got the rash was when I was washing the copper cookware. 816 00:39:57,125 --> 00:40:01,671 And all your subsequent symptoms came from ingesting food prepared in it. 817 00:40:01,879 --> 00:40:04,257 Dr. House found his miracle. 818 00:40:04,382 --> 00:40:06,300 I doubt he'll interpret it that way. 819 00:40:08,636 --> 00:40:10,930 You told me your favorite passage. 820 00:40:11,055 --> 00:40:13,266 Would you like to hear mine? 821 00:40:14,851 --> 00:40:16,894 "Celebrate and be glad, 822 00:40:17,020 --> 00:40:19,814 "because your brother was dead and is alive again." 823 00:40:19,939 --> 00:40:21,733 The prodigal son. 824 00:40:23,234 --> 00:40:26,070 He'll be waiting for you when you're ready. 825 00:40:28,239 --> 00:40:30,950 We'll schedule your surgery for tomorrow. 826 00:40:37,582 --> 00:40:39,417 The sixth circle of hell. 827 00:40:39,542 --> 00:40:41,711 Confined in a sweat box with a bloody nose, 828 00:40:41,836 --> 00:40:43,212 and all the tissues are soggy. 829 00:40:43,337 --> 00:40:44,422 I think that's the seventh. 830 00:40:44,547 --> 00:40:45,590 No. The seventh is... 831 00:40:45,715 --> 00:40:47,341 God, you must be fun at parties. 832 00:40:47,467 --> 00:40:49,594 I think we both know the flaw in that theory. 833 00:40:49,719 --> 00:40:50,803 How's the sister? 834 00:40:50,928 --> 00:40:53,097 Heart rate is normal, kidneys functioning. 835 00:40:53,222 --> 00:40:54,182 You know how it is with nuns. 836 00:40:54,307 --> 00:40:56,559 You take out their lUDs, they just bounce right back. 837 00:40:56,684 --> 00:40:57,810 Great. 838 00:40:57,935 --> 00:40:58,978 Told you I didn't screw up. 839 00:41:00,688 --> 00:41:01,564 You screwed up. 840 00:41:01,689 --> 00:41:03,775 I gave her 0.1 cc of epinephrine. 841 00:41:03,900 --> 00:41:07,487 Yeah, and if Cuddy hadn't taken you off the case, you would have killed her. 842 00:41:08,988 --> 00:41:11,908 You wanna come over for Christmas dinner? 843 00:41:12,033 --> 00:41:13,826 You're Jewish. 844 00:41:13,993 --> 00:41:15,578 Yeah. Hanukkah dinner. 845 00:41:15,703 --> 00:41:17,497 What do you care? It's food. It's people. 846 00:41:17,622 --> 00:41:19,290 No, thanks. 847 00:41:20,583 --> 00:41:22,877 Maybe I'll come to your place. 848 00:41:23,002 --> 00:41:24,921 Your wife doesn't mind being alone at Christmas? 849 00:41:25,046 --> 00:41:27,965 I'm a doctor. She's used to being alone. 850 00:41:29,842 --> 00:41:32,303 - I don't wanna talk about it. - Neither do I. 851 00:41:36,307 --> 00:41:38,351 You did good with the nun. 852 00:41:38,935 --> 00:41:40,645 Congratulations. 853 00:41:41,729 --> 00:41:42,980 Thank you. 854 00:41:43,606 --> 00:41:46,901 Merry Christmas, Dr. House. Dr. Wilson. 855 00:41:48,694 --> 00:41:49,946 Good night. 856 00:41:52,281 --> 00:41:53,950 That was sweet. 857 00:41:55,034 --> 00:41:57,870 (FESTIVE MUSIC PLAYING)