1 00:00:18,373 --> 00:00:20,083 What do you say now? 2 00:00:21,043 --> 00:00:22,669 I don't know. 3 00:00:23,170 --> 00:00:25,255 You said your dad wouldn't be home for an hour. 4 00:00:25,380 --> 00:00:26,548 I know, but you don't know... 5 00:00:26,673 --> 00:00:29,092 - Don't you love me? - Of course. You know I do. 6 00:00:29,217 --> 00:00:30,886 Come on. Let's do it. 7 00:00:32,095 --> 00:00:33,555 All right. 8 00:00:45,067 --> 00:00:47,277 - Where are they? - Nightstand. 9 00:00:54,117 --> 00:00:57,120 Gentlemen, start your engines. 10 00:00:57,621 --> 00:00:59,665 (CAR ENGINE REVS) 11 00:01:02,209 --> 00:01:04,711 I so want this car! 12 00:01:04,836 --> 00:01:07,172 (WHOOPING) 13 00:01:07,297 --> 00:01:09,174 (BOTH LAUGHING) 14 00:01:09,299 --> 00:01:11,009 (WHOOPING) 15 00:01:11,134 --> 00:01:14,179 (COUGHING) 16 00:01:24,189 --> 00:01:27,275 (COUGHING CONTINUES) 17 00:01:29,695 --> 00:01:31,905 Oh, my God! You're bleeding. 18 00:01:32,698 --> 00:01:34,074 Look out! 19 00:01:34,199 --> 00:01:35,242 (TRUCK HORN BLARING) 20 00:01:35,367 --> 00:01:38,912 (SCREAMING) 21 00:01:42,958 --> 00:01:44,251 (BUS HORN BLARING) 22 00:02:34,384 --> 00:02:35,677 What lie are they telling you? 23 00:02:35,802 --> 00:02:38,138 I'll check on it. Okay. 24 00:02:38,930 --> 00:02:40,056 Yes. 25 00:02:42,100 --> 00:02:43,435 Come on. 26 00:02:43,977 --> 00:02:45,562 Okay, thank you. 27 00:02:46,772 --> 00:02:49,524 Okay, pharmaceuticals were delivered this morning. 28 00:02:49,649 --> 00:02:53,069 But Shipping accidentally sent the box with Vicodin to Research. 29 00:02:53,737 --> 00:02:55,155 That's a tough one. 30 00:02:55,280 --> 00:02:56,990 If only we had some way to communicate 31 00:02:57,115 --> 00:02:59,284 with another part of the building. 32 00:03:00,243 --> 00:03:01,787 16-year-old M.V.A. victim. 33 00:03:01,912 --> 00:03:04,623 He's been in and out of the hospital for three weeks with internal bleeding. 34 00:03:04,748 --> 00:03:05,707 No one can find the cause. 35 00:03:05,832 --> 00:03:08,710 Internal bleeding after a car accident. Wow, that's shocking. 36 00:03:08,835 --> 00:03:10,962 Let me talk to Shipping. I speak their language. 37 00:03:11,087 --> 00:03:12,088 CAMERON: It's been three weeks... 38 00:03:12,214 --> 00:03:14,257 Your hospital doesn't have my pain medication. 39 00:03:14,382 --> 00:03:17,052 Shipping says it's going to be an hour. 40 00:03:17,636 --> 00:03:18,595 This is Dr. Cuddy. What's going on? 41 00:03:18,720 --> 00:03:20,430 The crash didn't cause the bleed. 42 00:03:20,555 --> 00:03:21,932 Right. The bleed caused the crash. 43 00:03:22,057 --> 00:03:24,017 Blood got on the road, got all slippery. 44 00:03:24,142 --> 00:03:26,019 Anyone in here got drugs? 45 00:03:28,396 --> 00:03:30,941 She saw his blood, she got distracted, she crashed his dad's Porsche. 46 00:03:31,066 --> 00:03:32,025 Dad will love that. 47 00:03:32,150 --> 00:03:34,194 - He was... - Don't talk. 48 00:03:34,319 --> 00:03:35,737 It's gonna be an hour. 49 00:03:35,946 --> 00:03:37,030 Thank God you took control. 50 00:03:37,155 --> 00:03:38,532 If you can't wait one hour to... 51 00:03:38,657 --> 00:03:40,200 Kid's got hemolytic anemia. 52 00:03:40,325 --> 00:03:42,035 Kid? How old? 53 00:03:42,160 --> 00:03:43,829 He must have inherited it. 54 00:03:43,995 --> 00:03:45,413 He's gonna die. My condolences. 55 00:03:45,539 --> 00:03:46,623 Wasn't inherited. 56 00:03:46,748 --> 00:03:48,458 The problem's outside the red blood cells. 57 00:03:48,959 --> 00:03:51,795 This is impossible. A 16-year-old does not get hemolytic anemia. 58 00:03:51,920 --> 00:03:54,714 Give her back the file. You have bigger problems to tend to, like my meds. 59 00:03:54,840 --> 00:03:58,176 Elevated indirect bilirubin, low serum haptoglobin. 60 00:03:58,301 --> 00:03:59,719 He's got meningitis. 61 00:03:59,845 --> 00:04:00,846 No. 62 00:04:03,682 --> 00:04:04,724 Artificial heart valve. 63 00:04:04,850 --> 00:04:05,892 No. 64 00:04:11,940 --> 00:04:14,025 Get everyone in my office. 65 00:04:14,985 --> 00:04:16,778 HOUSE: Kid's going to be dead in a matter of days 66 00:04:16,903 --> 00:04:19,573 if we don't figure out why his red blood cells are disintegrating. 67 00:04:19,698 --> 00:04:21,783 So, differential diagnosis, people. 68 00:04:21,908 --> 00:04:23,201 Well, it's not environmental. 69 00:04:23,326 --> 00:04:26,162 Dad hired a company to clean the house, maid washed all the clothes, 70 00:04:26,288 --> 00:04:28,123 bought hypoallergenic sheets and pillows. 71 00:04:28,248 --> 00:04:29,207 You want us to re-check? 72 00:04:29,332 --> 00:04:32,377 No. If it's environmental, he'll get better just from staying here. 73 00:04:32,502 --> 00:04:33,503 It could be an infection. 74 00:04:33,628 --> 00:04:34,671 No fever. No white count. 75 00:04:34,796 --> 00:04:36,172 Well, he's 99.2. 76 00:04:36,339 --> 00:04:37,716 Barely above normal. 77 00:04:37,841 --> 00:04:40,427 FOREMAN: But above. His body's reacting to something. 78 00:04:40,552 --> 00:04:42,512 CAMERON: We could account for the lack of fever and white count 79 00:04:42,637 --> 00:04:43,471 if it's lupus. 80 00:04:43,597 --> 00:04:45,181 CHASE: Drugs will fit just as much as lupus. 81 00:04:45,307 --> 00:04:46,766 Meth will cause hemolytic anemia. 82 00:04:46,892 --> 00:04:48,518 CAMERON: A lot of meth. 83 00:04:48,643 --> 00:04:50,562 FOREMAN: Also, doesn't exactly seem like the type. 84 00:04:50,687 --> 00:04:52,647 Because his dad drives a Porsche? 85 00:04:52,772 --> 00:04:55,483 Rich kids do drugs just like poor kids. 86 00:04:55,609 --> 00:04:56,776 Didn't mean to offend you. 87 00:04:56,902 --> 00:05:01,156 Okay! So it's infection, lupus, drugs or cancer. 88 00:05:01,281 --> 00:05:04,034 - Cancer? - Why not? Great meeting. 89 00:05:04,534 --> 00:05:07,287 Shouldn't we narrow it down before we finish? 90 00:05:07,412 --> 00:05:09,289 My leg gave us till 11:15. 91 00:05:09,414 --> 00:05:12,083 I'll talk to Wilson about lymphoma, ANA for lupus, 92 00:05:12,208 --> 00:05:14,002 radioimmunoassay for drugs, 93 00:05:14,127 --> 00:05:16,630 and you test for whatever you thought it was. 94 00:05:16,755 --> 00:05:19,215 I've got a date with a pharmacist. 95 00:05:19,966 --> 00:05:21,843 Those are already done. 96 00:05:24,012 --> 00:05:25,305 Come on! Come on, come on, come on. 97 00:05:25,430 --> 00:05:26,598 Yeah. 98 00:05:36,733 --> 00:05:38,193 Excuse me. 99 00:05:41,738 --> 00:05:43,990 You know, there are other ways to manage pain. 100 00:05:44,115 --> 00:05:47,035 Like what? Laughter? Meditation? 101 00:05:47,160 --> 00:05:49,663 Got a guy that can fix my third chakra? 102 00:05:49,788 --> 00:05:51,039 You're addicted. 103 00:05:51,164 --> 00:05:52,999 If the pills ran my life, I'd agree with you, 104 00:05:53,124 --> 00:05:55,585 but it's my leg that's busy calendaring what I can't do. 105 00:05:55,710 --> 00:05:56,795 You're in denial. 106 00:05:56,920 --> 00:05:59,047 Right. I never had an infarction in my leg. 107 00:05:59,172 --> 00:06:00,966 No dead muscle, no nerve damage. 108 00:06:01,591 --> 00:06:04,260 Doesn't even hurt. Actually, it kind of tickles. 109 00:06:04,594 --> 00:06:07,389 And chicks dig this better than a puppy. 110 00:06:07,514 --> 00:06:10,558 It's not just your leg. You want to get high. 111 00:06:10,684 --> 00:06:12,227 You're doing, what, 80 milligrams a day? 112 00:06:12,352 --> 00:06:14,229 No. That's way too much. 113 00:06:14,354 --> 00:06:17,273 Moderation is the key. Unless there's pain. 114 00:06:18,149 --> 00:06:20,151 It's double what you were taking when I hired you. 115 00:06:20,276 --> 00:06:22,612 'Cause you're twice as annoying. 116 00:06:22,737 --> 00:06:24,572 I can't always be here to protect you. 117 00:06:24,698 --> 00:06:26,616 Patients talk. Doctors talk. 118 00:06:26,866 --> 00:06:28,660 About how big your ass has gotten lately? 119 00:06:28,785 --> 00:06:30,036 Not me. I defend it. 120 00:06:30,161 --> 00:06:31,788 You got back. 121 00:06:34,791 --> 00:06:35,792 (ELEVATOR BELL DINGS) 122 00:06:39,963 --> 00:06:41,339 You can't go a week without the drugs. 123 00:06:41,464 --> 00:06:44,050 No, I don't want to go without the drugs. It'll hurt. 124 00:06:44,175 --> 00:06:45,969 No, you can't. 125 00:06:46,094 --> 00:06:48,138 If you're just getting off pain medication, it will hurt. 126 00:06:48,263 --> 00:06:50,849 But... You won't be having a great time, but you'll make it. 127 00:06:50,974 --> 00:06:54,019 If you're detoxing, you'll have chills, nausea. 128 00:06:54,144 --> 00:06:57,897 Your pain will magnify five, 10 times. You won't make it. 129 00:06:58,023 --> 00:07:00,066 Well, I guess we'll never know. 130 00:07:00,191 --> 00:07:02,861 I'll give you a week off clinic duty if you can go a week without narcotics. 131 00:07:02,986 --> 00:07:04,612 No way. I love the clinic. 132 00:07:04,738 --> 00:07:06,990 You love the pills. Two weeks. 133 00:07:07,115 --> 00:07:09,325 The pills don't make me high, they make me neutral. 134 00:07:09,451 --> 00:07:10,785 A month. 135 00:07:15,999 --> 00:07:17,625 You're on, mister. 136 00:07:21,838 --> 00:07:22,922 Drugs could cause this? 137 00:07:23,048 --> 00:07:25,925 Cocaine and meth are very hard on the blood system. 138 00:07:26,051 --> 00:07:28,053 Has he had any erratic behavior? 139 00:07:28,178 --> 00:07:29,763 No, but... 140 00:07:32,182 --> 00:07:34,267 She was in rehab in the ninth grade. 141 00:07:34,392 --> 00:07:36,061 She's supposedly clean now, but... 142 00:07:36,186 --> 00:07:37,437 She obviously cares for him. 143 00:07:37,562 --> 00:07:40,065 Yeah, what she cared about was the car. 144 00:07:40,190 --> 00:07:42,400 Anniversary present from my wife. 145 00:07:42,525 --> 00:07:45,695 We drove it up north to watch the leaves change. 146 00:07:46,446 --> 00:07:48,073 She was dead a year later. 147 00:07:48,281 --> 00:07:49,532 Cancer. 148 00:07:50,033 --> 00:07:51,076 I'm sorry. 149 00:07:53,328 --> 00:07:56,122 Mr. Foster, we're gonna test Keith for drugs. 150 00:07:56,414 --> 00:07:57,999 I don't do drugs. 151 00:07:58,124 --> 00:08:01,419 You know, it's not that we don't trust you, but... 152 00:08:02,045 --> 00:08:06,049 CAMERON: His hair will tell us any drugs he's taken over the past 60 days. 153 00:08:06,174 --> 00:08:08,760 It's kind of like rings on a tree. 154 00:08:16,017 --> 00:08:17,393 Negative. 155 00:08:19,521 --> 00:08:20,522 CAMERON: Have you been sick? 156 00:08:20,647 --> 00:08:21,731 No, nothing. 157 00:08:21,856 --> 00:08:22,899 Have you been out of the country? 158 00:08:23,024 --> 00:08:26,402 We went to China, but we got all our shots before we left. 159 00:08:26,528 --> 00:08:28,154 CAMERON: It could be an infection. 160 00:08:28,279 --> 00:08:30,824 We're going to give him a gallium scan just to be safe. 161 00:08:30,949 --> 00:08:33,284 We inject a radioactive isotope into his bloodstream, 162 00:08:33,409 --> 00:08:37,205 and we check to see if there's inflammation anywhere in the body. 163 00:08:37,330 --> 00:08:40,333 Has he ever complained of any joint pain? 164 00:08:40,458 --> 00:08:42,335 Sensitivity to light? Rashes? 165 00:08:42,460 --> 00:08:43,419 No, no. Nothing. 166 00:08:43,545 --> 00:08:45,880 Any relatives who've ever been diagnosed with lupus? 167 00:08:46,005 --> 00:08:47,006 I don't even know what that is. 168 00:08:47,132 --> 00:08:50,677 In simple terms, the body becomes allergic to itself. 169 00:08:50,802 --> 00:08:52,470 The immune system attacks healthy cells 170 00:08:52,595 --> 00:08:54,764 in the circulatory system and destroys them. 171 00:08:55,140 --> 00:08:57,142 Would it be treatable? 172 00:08:57,684 --> 00:08:59,435 It can be manageable. 173 00:09:00,520 --> 00:09:02,564 CAMERON: We can test for the antibodies. 174 00:09:02,689 --> 00:09:06,109 Ninety-five percent of patients with lupus have positive ANA. 175 00:09:07,110 --> 00:09:08,987 Not cloudy. Negative. 176 00:09:09,696 --> 00:09:10,989 CAMERON: What about bruising? 177 00:09:11,114 --> 00:09:15,201 Never complained of tenderness under his arms or his groin? 178 00:09:15,326 --> 00:09:18,079 I'm not sure he'd tell me if he did. 179 00:09:18,204 --> 00:09:20,874 I guess I don't really know what's going on in his life. 180 00:09:20,999 --> 00:09:23,084 - He's a teenager. - Yeah. 181 00:09:27,422 --> 00:09:30,091 What type of cancer did your wife have? 182 00:09:32,051 --> 00:09:33,553 Pancreatic. 183 00:09:34,596 --> 00:09:36,973 It's his lymph nodes we're concerned about. 184 00:09:37,098 --> 00:09:40,351 We're going to do a biopsy to check for lymphoma. 185 00:09:40,935 --> 00:09:42,979 WILSON: Can you feel this? 186 00:09:43,104 --> 00:09:43,938 No. 187 00:09:44,063 --> 00:09:45,190 Good. 188 00:09:54,032 --> 00:09:56,242 I have cancer, don't I? 189 00:09:56,367 --> 00:09:58,077 We're just testing. 190 00:10:01,206 --> 00:10:03,499 That's what they told my mom. 191 00:10:10,006 --> 00:10:11,799 Definitely not cancer. 192 00:10:13,176 --> 00:10:14,177 Nothing? 193 00:10:14,302 --> 00:10:15,136 Nothing. 194 00:10:15,261 --> 00:10:17,972 Negative for drugs. ANA was negative. Gallium scan was clear. 195 00:10:18,097 --> 00:10:19,849 Yeah, I got that from the "nothing." 196 00:10:19,974 --> 00:10:21,893 - Where's his hematocrit? - Thirteen. 197 00:10:22,018 --> 00:10:24,062 Drops any lower, he's not gonna have enough red blood cells 198 00:10:24,187 --> 00:10:25,813 to bring oxygen to his body. 199 00:10:25,939 --> 00:10:28,024 He'll suffocate with his lungs working perfectly. 200 00:10:28,149 --> 00:10:29,525 You Okay? 201 00:10:30,235 --> 00:10:33,738 Excuse me, someone? Help. Please! 202 00:10:34,739 --> 00:10:36,616 Polite for a dying kid. 203 00:10:40,370 --> 00:10:42,038 How long has it been? 204 00:10:42,163 --> 00:10:43,539 I'm fine. 205 00:10:44,415 --> 00:10:46,000 There's something in my eye, up at the top. 206 00:10:46,125 --> 00:10:47,168 Which eye? 207 00:10:47,293 --> 00:10:48,962 This one. What's happening? 208 00:10:49,087 --> 00:10:51,923 It's all right. Just look down for me. 209 00:10:53,383 --> 00:10:55,760 It's clear. There's nothing in it. 210 00:10:55,885 --> 00:10:56,886 It's getting worse. 211 00:10:57,011 --> 00:10:57,845 Is it fuzzy? 212 00:10:57,971 --> 00:10:59,639 No, it's dark. 213 00:11:01,140 --> 00:11:02,767 I can't see. 214 00:11:16,990 --> 00:11:18,866 FOREMAN: It's a retinal clot in the left eye. 215 00:11:18,992 --> 00:11:21,160 Coumadin would dissolve the clot, fix his eyesight. 216 00:11:21,286 --> 00:11:23,788 You can't use blood thinners. He's got internal bleeding. 217 00:11:23,913 --> 00:11:25,581 Fix the eye, you'd kill everything else. 218 00:11:25,707 --> 00:11:27,750 Surgery's out for the same reason. 219 00:11:27,875 --> 00:11:29,085 We have two hours to figure this out. 220 00:11:29,210 --> 00:11:31,337 Either we restore the blood flow or he loses the eye. 221 00:11:31,462 --> 00:11:32,755 (DOOR OPENS) 222 00:11:32,880 --> 00:11:34,590 Forget the eye. 223 00:11:34,716 --> 00:11:38,428 Tell him to use the other one to look on the bright side. 224 00:11:38,553 --> 00:11:40,763 The clot tells us something. 225 00:11:41,097 --> 00:11:43,057 It could help us figure out what he has, 226 00:11:43,224 --> 00:11:45,393 which could mean he gets to live. 227 00:11:45,518 --> 00:11:47,979 Differential diagnosis, people. 228 00:11:48,104 --> 00:11:50,898 How does internal bleeding suddenly start clotting? 229 00:11:51,024 --> 00:11:53,609 It makes no sense. They're opposing processes. 230 00:11:53,735 --> 00:11:54,819 It can happen in lupus. 231 00:11:54,944 --> 00:11:56,821 Increased platelet count can cause blood clots. 232 00:11:56,946 --> 00:11:59,782 ANA was negative. It's not lupus. 233 00:11:59,907 --> 00:12:02,910 This is true. But why are you the one saying it? 234 00:12:03,786 --> 00:12:07,248 What are you doing here? I thought we ruled out cancer. 235 00:12:07,373 --> 00:12:09,125 I was lonely. 236 00:12:09,250 --> 00:12:11,461 Well, go see Cuddy. She needs a friend. 237 00:12:11,586 --> 00:12:13,463 That's funny. She said you might need one. 238 00:12:13,588 --> 00:12:14,881 That's why you're here? 239 00:12:15,006 --> 00:12:17,675 She wants you to keep an eye on me to make sure I don't cheat. 240 00:12:17,800 --> 00:12:19,010 No, I wanted to make sure you don't 241 00:12:19,135 --> 00:12:20,928 start firing shots from the clock tower. 242 00:12:21,054 --> 00:12:22,388 I'm fine. 243 00:12:22,513 --> 00:12:23,848 (LAUGHS) 244 00:12:23,973 --> 00:12:25,350 What's going on? 245 00:12:25,475 --> 00:12:27,935 He hasn't had Vicodin in over a day. 246 00:12:29,687 --> 00:12:31,064 Does your leg hurt? 247 00:12:31,189 --> 00:12:32,607 You ever been shot? 248 00:12:33,066 --> 00:12:34,776 There's gonna be side effects. 249 00:12:34,901 --> 00:12:36,819 Insomnia, depression, tachycardia. 250 00:12:36,944 --> 00:12:38,821 Withdrawal symptoms. Not applicable. 251 00:12:38,946 --> 00:12:40,865 The only side effects I'm gonna have are 252 00:12:40,990 --> 00:12:42,950 some pain and 30 days of freedom. 253 00:12:45,995 --> 00:12:48,164 Am I the only one who's concerned about a dying kid? 254 00:12:48,289 --> 00:12:50,666 If it's not lupus, what else? 255 00:12:50,792 --> 00:12:54,879 Most likely candidate for throwing a clot is infection or cancer. 256 00:12:55,004 --> 00:12:56,756 I checked the biopsy twice. It's not cancer. 257 00:12:56,881 --> 00:12:59,801 It's not an infection. Gallium scan didn't reveal anything. 258 00:12:59,926 --> 00:13:02,553 Okay. What hides from a gallium scan? 259 00:13:06,974 --> 00:13:08,059 Cardiac. 260 00:13:09,018 --> 00:13:11,396 Right. Clot flicks off, travels through the arteries 261 00:13:11,521 --> 00:13:14,065 and gets backed up in the eye. 262 00:13:19,946 --> 00:13:21,572 I'm sorry. I wasn't paying attention. 263 00:13:21,697 --> 00:13:22,990 What happened? 264 00:13:23,116 --> 00:13:25,660 It's an infection in his heart. 265 00:13:25,785 --> 00:13:27,036 Great. 266 00:13:28,621 --> 00:13:33,042 Echocardiogram for the heart and IV antibiotics for the infection, stat. 267 00:13:46,889 --> 00:13:48,766 Is it my birthday? 268 00:13:51,018 --> 00:13:53,646 I'm not lonely. My leg hurts. 269 00:13:53,771 --> 00:13:54,939 She's a real masseuse. 270 00:13:55,064 --> 00:13:56,983 She's $500 an hour, minimum. 271 00:13:57,108 --> 00:14:00,486 She's hot, so she's a hooker? What kind of pathetic logic is that? 272 00:14:00,611 --> 00:14:02,238 The envious, jealous, 273 00:14:02,363 --> 00:14:04,782 I-never-got-any-in-high-school kind of logic. Hello. 274 00:14:04,907 --> 00:14:07,493 She's a legitimate masseuse. 275 00:14:07,618 --> 00:14:08,953 Come on. 276 00:14:10,580 --> 00:14:12,373 God! She's beautiful. 277 00:14:12,498 --> 00:14:14,000 Because she's beautiful, I should do it? 278 00:14:14,125 --> 00:14:15,668 What kind of pathetic logic is that? 279 00:14:15,793 --> 00:14:19,755 The envious, jealous, I'm-married- and-I-can't-do-anything logic. 280 00:14:19,881 --> 00:14:20,840 Hello. 281 00:14:20,965 --> 00:14:23,134 Hi. Listen, I'm sure you're really good 282 00:14:23,259 --> 00:14:24,594 at whatever it is you do, but... 283 00:14:24,719 --> 00:14:25,887 Give me your hand. 284 00:14:26,012 --> 00:14:27,013 Huh? 285 00:14:28,264 --> 00:14:29,807 Hey, no, no. Let go of my hand. Come on. 286 00:14:29,932 --> 00:14:31,350 She doesn't speak English. 287 00:14:31,476 --> 00:14:33,728 (SHUSHING) 288 00:14:34,604 --> 00:14:35,563 0w! 289 00:14:36,439 --> 00:14:37,523 0w! 290 00:14:37,732 --> 00:14:40,943 (SIGHS) 291 00:14:46,824 --> 00:14:48,075 Oh, my God. 292 00:14:53,414 --> 00:14:54,874 Good. 293 00:14:56,042 --> 00:14:57,919 Take off your clothes. 294 00:15:01,047 --> 00:15:03,341 Not a fan of the stroganoff? 295 00:15:04,759 --> 00:15:05,968 I'm not hungry. 296 00:15:06,093 --> 00:15:08,763 Well, the antibiotics can cause nausea. 297 00:15:09,013 --> 00:15:10,556 So can the food. 298 00:15:11,974 --> 00:15:14,644 Shouldn't you be looking at my eye? 299 00:15:14,894 --> 00:15:17,271 The blood clot isn't life-threatening. 300 00:15:17,396 --> 00:15:20,858 We're focusing on figuring out the cause of your problems. 301 00:15:20,983 --> 00:15:23,945 So the blindness will be permanent, won't it? 302 00:15:41,420 --> 00:15:42,421 Thank you. 303 00:15:42,547 --> 00:15:43,756 Bye. 304 00:15:46,509 --> 00:15:48,052 I had a massage. 305 00:15:48,719 --> 00:15:50,304 Looks like you had a masseuse. 306 00:15:50,429 --> 00:15:51,430 He") the pain? 307 00:15:51,556 --> 00:15:52,557 I'm fine. 308 00:15:52,682 --> 00:15:53,683 I know. 309 00:15:54,600 --> 00:15:57,436 Kid's echo was normal, no sign of any vegetations on heart valves. 310 00:15:57,562 --> 00:16:00,022 Never met a diagnostic study I couldn't refute. 311 00:16:00,147 --> 00:16:01,983 And the antibiotics aren't doing anything. 312 00:16:02,108 --> 00:16:05,528 So double the dosage. Seventy milligrams. 313 00:16:05,653 --> 00:16:07,697 That'll box his kidneys for sure. 314 00:16:07,822 --> 00:16:09,240 You're right. Save the kidney. 315 00:16:09,365 --> 00:16:11,951 The guy we transplant it into will be grateful. 316 00:16:12,076 --> 00:16:13,786 Also, I have an idea for his eye. 317 00:16:13,911 --> 00:16:15,955 Nothing we can do about his eye. 318 00:16:16,080 --> 00:16:17,915 - He's got a clot in the... - Put it in a memo. 319 00:16:18,040 --> 00:16:19,333 If we remove some of the liquid 320 00:16:19,458 --> 00:16:21,085 from the eye itself, the vitreous humor, 321 00:16:21,210 --> 00:16:24,839 it might make some extra room around the retinal artery. 322 00:16:25,339 --> 00:16:28,884 If the artery expands, the clot might move on its own. 323 00:16:29,010 --> 00:16:30,303 That's very creative. 324 00:16:30,428 --> 00:16:32,388 Why didn't you mention this before? 325 00:16:32,888 --> 00:16:34,682 I didn't think of it before. 326 00:16:34,807 --> 00:16:36,350 You should have. 327 00:16:55,870 --> 00:16:57,872 This is going to hurt. 328 00:16:57,997 --> 00:17:00,916 Your eye is numb. You'll only feel pressure. 329 00:17:28,361 --> 00:17:29,945 CHASE: Give it a minute. 330 00:17:37,953 --> 00:17:39,413 I can see. 331 00:18:08,776 --> 00:18:09,902 I can see you. 332 00:18:10,027 --> 00:18:12,571 I heard. Congratulations. 333 00:18:12,697 --> 00:18:15,741 Don't, I haven't brushed my teeth in two days. 334 00:18:21,997 --> 00:18:22,832 (SIGHS) 335 00:18:22,957 --> 00:18:26,043 I'm so scared they're not gonna find out what's wrong with you. 336 00:18:26,168 --> 00:18:28,754 No biggie. I'm fine. 337 00:18:29,672 --> 00:18:32,550 I feel so bad about all this. It's all my fault. 338 00:18:32,675 --> 00:18:35,761 No. No, it's not. 339 00:18:35,886 --> 00:18:39,181 But your father, he hates me. 340 00:18:39,765 --> 00:18:42,309 He's just pissed about his car. 341 00:18:48,566 --> 00:18:50,735 Help! Help! Help! 342 00:19:01,328 --> 00:19:02,371 What's wrong? 343 00:19:02,496 --> 00:19:04,290 AST is 859. We're getting him to the ICU. 344 00:19:04,415 --> 00:19:07,418 ALT and GGT are in the tank. Our antibiotics... 345 00:19:07,543 --> 00:19:08,878 HOUSE: Would not have caused this. 346 00:19:09,003 --> 00:19:10,004 She must have given him drugs! 347 00:19:10,129 --> 00:19:11,338 I wouldn't do that! 348 00:19:11,464 --> 00:19:12,882 It's not drugs! 349 00:19:13,466 --> 00:19:14,925 HOUSE: His liver is shutting down. 350 00:19:15,050 --> 00:19:17,511 What? What does that mean? 351 00:19:17,636 --> 00:19:20,055 It means he's all better. He's ready to go home. 352 00:19:20,181 --> 00:19:22,183 - What? - What do you think it means? 353 00:19:22,308 --> 00:19:24,477 You can't live without a liver. He's dying. 354 00:19:24,602 --> 00:19:25,770 What is your problem? 355 00:19:25,895 --> 00:19:27,271 Bum leg. What's yours? 356 00:19:27,396 --> 00:19:30,316 Hey, we don't have time for this. Let's go. 357 00:19:36,071 --> 00:19:37,990 His son's dying, and you're mocking him? 358 00:19:38,115 --> 00:19:39,617 It was a dumb question. 359 00:19:39,742 --> 00:19:41,160 No, it wasn't. 360 00:19:44,288 --> 00:19:46,290 You're right. It wasn't. 361 00:19:47,917 --> 00:19:50,628 Is proving Cuddy wrong worth all this? 362 00:20:04,975 --> 00:20:06,685 You know, House shouldn't even be here. 363 00:20:06,811 --> 00:20:09,271 Because he said something inappropriate? 364 00:20:09,396 --> 00:20:12,441 If we sent him home every time he did that, we wouldn't need this office. 365 00:20:12,566 --> 00:20:14,693 He's in pain. 366 00:20:14,819 --> 00:20:16,862 What does the man have to do to piss you off? 367 00:20:16,987 --> 00:20:18,781 He's been without pain relief for over 70 hours. 368 00:20:18,906 --> 00:20:20,741 Exactly! He's detoxing. 369 00:20:20,866 --> 00:20:22,660 Can't you see he's out of his mind? 370 00:20:22,785 --> 00:20:25,204 That's what they said about Manson. 371 00:20:27,331 --> 00:20:28,958 Do you want to continue talking about me, 372 00:20:29,083 --> 00:20:32,211 or should we discuss what the liver damage tells us? 373 00:20:34,088 --> 00:20:36,340 I was born in a log cabin in Illinois... 374 00:20:36,465 --> 00:20:38,759 Hemolytic anemia doesn't cause liver damage. 375 00:20:38,884 --> 00:20:40,678 Add the fact he's coughing blood, 376 00:20:40,803 --> 00:20:43,305 you've got three of the indicators of organ-threatening lupus. 377 00:20:43,430 --> 00:20:45,224 It's moving too fast. 378 00:20:46,684 --> 00:20:48,769 Could be hepatitis E. 379 00:20:48,894 --> 00:20:51,730 There's only been one case of hep E originating in the U.S. since... 380 00:20:51,856 --> 00:20:54,441 His history says he's been in and out of the country 381 00:20:54,567 --> 00:20:55,860 four times in the last year. 382 00:20:55,985 --> 00:20:57,069 You really think he's got hep E? 383 00:20:57,194 --> 00:20:58,237 No. 384 00:20:58,362 --> 00:21:00,114 I think lupus is way more likely. 385 00:21:00,239 --> 00:21:03,033 All right, then let's start him on IV Cytoxan and plasmapheresis. 386 00:21:03,158 --> 00:21:05,786 No, we should rule out hep E. 387 00:21:05,911 --> 00:21:07,162 You just said it wasn't hep E. 388 00:21:07,288 --> 00:21:08,956 I said lupus is way more likely, 389 00:21:09,081 --> 00:21:11,458 but if we treat for lupus and it is hep E... 390 00:21:11,584 --> 00:21:12,543 He's toast. 391 00:21:12,668 --> 00:21:13,669 HOUSE: Exactly. 392 00:21:13,794 --> 00:21:15,462 But there isn't a treatment for hepatitis E. 393 00:21:15,588 --> 00:21:16,755 Either he'll get better on his own 394 00:21:16,881 --> 00:21:18,924 or he'll continue to deteriorate. 395 00:21:19,049 --> 00:21:21,468 Yeah. I went to medical school, too. 396 00:21:22,219 --> 00:21:24,263 Start him on Solu-Medrol. 397 00:21:24,388 --> 00:21:26,640 If he's got hep E, that's only gonna make him worse. 398 00:21:26,765 --> 00:21:28,225 Not as much. 399 00:21:28,350 --> 00:21:30,269 It's Goldilocks, people. 400 00:21:30,394 --> 00:21:32,271 Won't hurt him so much that it'll kill him, 401 00:21:32,396 --> 00:21:34,607 and it won't hurt him so little that we can't tell. 402 00:21:34,732 --> 00:21:36,901 It'll hurt him just right. 403 00:21:37,902 --> 00:21:38,986 And if it does nothing... 404 00:21:39,111 --> 00:21:41,739 We'll know it's not hep E, and can start treating for the lupus. 405 00:21:41,864 --> 00:21:44,742 Now watch me do it while drinking a glass of water. 406 00:21:44,867 --> 00:21:46,368 What do we tell the dad? 407 00:21:46,493 --> 00:21:49,496 "We think your kid has lupus, so we're gonna treat him for hepatitis E. 408 00:21:49,622 --> 00:21:51,206 "And, oh, yeah, if it really is hep E, 409 00:21:51,332 --> 00:21:53,417 "we're not actually giving him hep E medication. 410 00:21:53,542 --> 00:21:55,711 "So it's gonna make him worse, not better." 411 00:21:55,836 --> 00:21:57,796 Do you think he'll go for that? 412 00:21:57,922 --> 00:21:58,881 So you want us to lie? 413 00:21:59,006 --> 00:22:01,508 No. I want you to lie. 414 00:22:01,675 --> 00:22:02,885 Why me? 415 00:22:03,010 --> 00:22:04,845 Because he trusts you. 416 00:22:08,641 --> 00:22:09,683 This is a mistake. 417 00:22:09,808 --> 00:22:10,809 This is a lawsuit. 418 00:22:10,935 --> 00:22:13,729 Hep E is possible. House always pulls these stunts, 419 00:22:13,854 --> 00:22:14,939 and he's right more often than not. 420 00:22:15,064 --> 00:22:17,316 He's delaying treatment because of a one-in-a-million chance 421 00:22:17,441 --> 00:22:19,026 that even he doesn't think is the problem. 422 00:22:19,151 --> 00:22:20,319 I don't want to lie to him. 423 00:22:20,444 --> 00:22:21,528 Then don't. 424 00:22:21,654 --> 00:22:22,655 And get fired? 425 00:22:22,780 --> 00:22:25,074 Like he's gonna fire you. He loves you. 426 00:22:25,199 --> 00:22:26,742 I've got to do something. 427 00:22:26,867 --> 00:22:28,661 Kid needs treatment. 428 00:22:28,827 --> 00:22:30,371 Treat him for lupus. 429 00:22:30,496 --> 00:22:32,498 That will get you fired. 430 00:22:33,207 --> 00:22:34,917 You really think House is losing it? 431 00:22:35,042 --> 00:22:36,001 (SCOFFS) 432 00:22:36,126 --> 00:22:37,294 Yeah. 433 00:22:37,962 --> 00:22:40,673 He's fine. He knows what he's doing. 434 00:22:53,227 --> 00:22:55,396 (EXHALING) 435 00:23:23,882 --> 00:23:25,426 (GROANING) 436 00:23:29,513 --> 00:23:30,681 Okay- 437 00:23:41,233 --> 00:23:44,194 We're recommending a drug called Solu-Medrol. 438 00:23:44,778 --> 00:23:46,572 For hepatitis? 439 00:23:46,739 --> 00:23:48,574 Did that show up on his blood tests? 440 00:23:49,992 --> 00:23:52,911 The tests are never 100% accurate. 441 00:23:53,287 --> 00:23:55,164 Well, then, all the other tests could be wrong, too. 442 00:23:55,289 --> 00:23:58,375 This could still be an infection or cancer. 443 00:23:59,376 --> 00:24:02,337 They don't fit any of the most recent symptoms. 444 00:24:02,463 --> 00:24:04,923 Well, what, just hepatitis does? 445 00:24:05,758 --> 00:24:08,677 I know, I know, I know you can never be sure. 446 00:24:12,181 --> 00:24:15,434 When Wendy was in the hospital, 447 00:24:16,435 --> 00:24:19,563 a doctor told us there was this aggressive experimental treatment 448 00:24:19,688 --> 00:24:22,983 which might extend her life by two or three years. 449 00:24:23,776 --> 00:24:25,652 Well, we figured if there was any hope at all 450 00:24:25,778 --> 00:24:27,321 that we could have her with us a little while longer, 451 00:24:27,446 --> 00:24:29,198 it'd be worth it. 452 00:24:29,490 --> 00:24:31,950 Three weeks later, she was gone. 453 00:24:36,163 --> 00:24:38,457 I don't think it's hepatitis. 454 00:24:40,959 --> 00:24:42,878 I think your son has lupus. 455 00:24:43,545 --> 00:24:45,964 I think it's broken. 456 00:24:46,882 --> 00:24:48,383 What did you do? 457 00:24:49,468 --> 00:24:52,387 Accidentally closed the car door on it. 458 00:24:52,513 --> 00:24:55,099 No. Door would've broken the skin. 459 00:24:55,224 --> 00:24:59,394 This looks like something hard and smooth smashed it. 460 00:24:59,520 --> 00:25:01,105 I want my lawyer. 461 00:25:01,980 --> 00:25:04,108 The brain has a gating mechanism for pain. 462 00:25:04,233 --> 00:25:07,903 Registers the most severe injury and blocks out the others. 463 00:25:08,028 --> 00:25:09,446 Did it work? 464 00:25:09,613 --> 00:25:11,073 Well, my hand hurts like hell. 465 00:25:13,033 --> 00:25:14,952 Yeah. I feel much better. 466 00:25:16,954 --> 00:25:18,747 Don't splint it. 467 00:25:19,123 --> 00:25:21,375 I want to be able to bang it against the wall 468 00:25:21,542 --> 00:25:23,794 if I need to administer another dose. 469 00:25:23,919 --> 00:25:25,462 Just tape it up. 470 00:25:26,213 --> 00:25:27,422 (DOOR OPENS) 471 00:25:31,260 --> 00:25:32,886 Why did you tell Cameron to lie to Mr. Foster? 472 00:25:33,011 --> 00:25:34,471 Make it tight. 473 00:25:34,596 --> 00:25:35,889 Answer me. 474 00:25:36,849 --> 00:25:39,935 Nothing I can say is gonna change how you feel, 475 00:25:40,936 --> 00:25:42,229 and nothing can come out of your reaction 476 00:25:42,354 --> 00:25:43,856 that is gonna change what I plan to do, 477 00:25:43,981 --> 00:25:45,566 so I prefer to say nothing. 478 00:25:45,691 --> 00:25:48,193 So that was just you saying nothing. 479 00:25:48,318 --> 00:25:49,486 Uh-huh. 480 00:25:49,862 --> 00:25:51,113 The guy is furious. 481 00:25:51,238 --> 00:25:52,406 And scared. 482 00:25:52,531 --> 00:25:53,574 So what are you gonna do? 483 00:25:53,699 --> 00:25:55,784 The father's insisting on the lupus treatment. 484 00:25:55,909 --> 00:25:59,580 Yeah, Cameron told me, and I told her to tell him no. 485 00:25:59,705 --> 00:26:02,499 Well, you can't just sit back and let the kid die. 486 00:26:02,624 --> 00:26:03,792 Neither can the father. 487 00:26:03,917 --> 00:26:05,002 So that's your plan? 488 00:26:05,127 --> 00:26:06,879 You're gonna play chicken with the kid's life? 489 00:26:07,004 --> 00:26:09,923 Well, he's the dad. I should win easily. 490 00:26:10,465 --> 00:26:12,259 Take the week off. 491 00:26:12,384 --> 00:26:14,678 Why, 'cause I lied to a patient? 492 00:26:14,803 --> 00:26:17,931 I take risks. Sometimes patients die. 493 00:26:18,056 --> 00:26:20,350 But not taking risks causes more patients to die, 494 00:26:20,475 --> 00:26:21,894 so I guess my biggest problem is 495 00:26:22,019 --> 00:26:24,271 I've been cursed with the ability to do the math. 496 00:26:25,439 --> 00:26:26,607 (SIGHS) 497 00:26:26,732 --> 00:26:29,484 I told him that we wouldn't treat him for the lupus until... 498 00:26:29,610 --> 00:26:31,111 What did he say? 499 00:26:31,236 --> 00:26:33,405 He said he wanted to transfer Keith to another hospital. 500 00:26:33,530 --> 00:26:35,324 He's not stable enough. He'd never make it through the door. 501 00:26:35,449 --> 00:26:36,617 That's what I told him. 502 00:26:36,742 --> 00:26:38,744 And that's when he caved. 503 00:26:38,869 --> 00:26:42,539 Yeah. He agreed to do it your way. 504 00:26:43,415 --> 00:26:45,459 Two plus two equals four. 505 00:26:50,005 --> 00:26:52,799 If it is hepatitis E, we should see a marked decline 506 00:26:52,925 --> 00:26:54,676 in liver function tests within the hour. 507 00:26:54,801 --> 00:26:55,886 Why bother explaining it to me? 508 00:26:56,011 --> 00:26:57,638 It's not like I have any choice in the matter. 509 00:26:57,763 --> 00:27:00,474 If there's no hep E, we'll start treatment for lupus immediately. 510 00:27:00,599 --> 00:27:01,808 Ouch! 511 00:27:01,934 --> 00:27:03,227 Keith? What's wrong? 512 00:27:03,393 --> 00:27:04,645 What's happening? 513 00:27:04,770 --> 00:27:06,396 No, get off. 514 00:27:06,521 --> 00:27:08,649 Keith, it's Dr. Chase. Where does it hurt? 515 00:27:08,774 --> 00:27:09,733 Jules, no! 516 00:27:09,858 --> 00:27:10,859 He's hallucinating. 517 00:27:10,984 --> 00:27:11,944 Is this from the medicine? 518 00:27:12,069 --> 00:27:13,195 We haven't started the medicine. 519 00:27:13,362 --> 00:27:14,446 Keith, you're in the hospital. 520 00:27:14,571 --> 00:27:16,114 Keith, there's nothing on you. 521 00:27:16,240 --> 00:27:17,658 Keith! Keith! Keith! 522 00:27:17,783 --> 00:27:19,159 Keith! Keith! Keith! 523 00:27:19,284 --> 00:27:22,079 Hey. You okay, buddy? 524 00:27:22,537 --> 00:27:25,332 (PANTING) 525 00:27:28,335 --> 00:27:30,212 I think I wet the bed. 526 00:27:31,046 --> 00:27:34,341 Don't worry about it. It's fine. Let's get you up. 527 00:27:36,510 --> 00:27:37,511 FOSTER: Oh, God! 528 00:27:37,636 --> 00:27:38,720 He's had a major bleed. 529 00:27:38,845 --> 00:27:40,055 Bright red blood, per rectum. 530 00:27:40,180 --> 00:27:42,766 I didn't mean to. I'm sorry. 531 00:27:42,891 --> 00:27:44,935 He's going into hypovolemic shock. 532 00:27:45,060 --> 00:27:46,770 Pressure's 60, heart rate's 140. 533 00:27:46,895 --> 00:27:49,064 We need an angiography, stat! 534 00:27:58,865 --> 00:28:01,410 FOREMAN: Angiography revealed major upper and lower GI bleeding, 535 00:28:01,535 --> 00:28:04,329 severe hemodynamic compromise and liver failure. 536 00:28:04,454 --> 00:28:05,956 CHASE: He's also hallucinating. 537 00:28:06,081 --> 00:28:08,417 Thinks he's being tortured by someone named Jules. 538 00:28:08,542 --> 00:28:10,252 Hallucinations are a symptom of psychosis, 539 00:28:10,377 --> 00:28:12,004 which is the fourth diagnostic criteria. 540 00:28:12,129 --> 00:28:14,548 It's official. This is lupus. 541 00:28:15,007 --> 00:28:16,550 Who's Jules? 542 00:28:17,926 --> 00:28:19,219 Any mention of her in the medical history? 543 00:28:19,344 --> 00:28:21,221 It doesn't matter what he's hallucinating about, 544 00:28:21,346 --> 00:28:23,765 it matters why! It's lupus. 545 00:28:23,890 --> 00:28:26,435 There's no need to get snippy. 546 00:28:26,560 --> 00:28:27,894 This kind of lupus takes years to get to this point. 547 00:28:28,020 --> 00:28:30,147 - It's been a week. - Yeah. 548 00:28:30,272 --> 00:28:31,982 And a 16-year-old kid shouldn't have hemolytic anemia 549 00:28:32,107 --> 00:28:34,776 or be bleeding out of every orifice, but he is. 550 00:28:34,901 --> 00:28:36,445 We had an opportunity to treat this. 551 00:28:36,570 --> 00:28:39,239 Instead, we diddled around with hepatitis E, and now it's too late. 552 00:28:39,364 --> 00:28:42,159 He needs a new liver. We screwed up. 553 00:28:43,660 --> 00:28:45,829 You're saying I screwed up. 554 00:28:46,872 --> 00:28:47,706 Yes. 555 00:28:47,831 --> 00:28:49,333 Then why don't you just say that? 556 00:28:51,001 --> 00:28:52,127 You gonna blame this on her? 557 00:28:52,252 --> 00:28:54,755 Did you agree with my recommendation to treat for hep E? 558 00:28:54,880 --> 00:28:55,839 No, I didn't. 559 00:28:55,964 --> 00:28:57,507 And she made herself quite clear. 560 00:28:57,632 --> 00:29:00,052 And then she went and lied to the father. That's why you're angry. 561 00:29:00,177 --> 00:29:01,428 Yeah. I trusted you. 562 00:29:01,553 --> 00:29:04,473 You always trust me. That's a big mistake. 563 00:29:05,474 --> 00:29:06,975 Lupus is a bad diagnosis. 564 00:29:07,100 --> 00:29:08,769 It's the best diagnosis we've got. 565 00:29:08,894 --> 00:29:09,978 That doesn't make it good. 566 00:29:10,103 --> 00:29:13,523 No. It just makes it this kid's only chance to live. 567 00:29:17,819 --> 00:29:19,863 Put him on the transplant list. 568 00:29:20,864 --> 00:29:22,407 And make sure Cuddy knows. 569 00:29:22,532 --> 00:29:25,911 See if she can do anything to get him close to the top. 570 00:29:28,955 --> 00:29:29,956 (DOOR OPENS) 571 00:29:31,416 --> 00:29:32,417 (DOOR CLOSES) 572 00:29:38,632 --> 00:29:40,801 (VOMITING) 573 00:29:44,137 --> 00:29:46,515 (PANTING) 574 00:29:49,893 --> 00:29:51,561 Cafeteria. 575 00:29:51,686 --> 00:29:53,730 Stay away from the sushi. 576 00:29:54,648 --> 00:29:57,067 And what happened to your hand? 577 00:29:57,192 --> 00:29:59,069 Got stuck in a drawer. 578 00:29:59,194 --> 00:30:00,529 Yeah, right. 579 00:30:00,654 --> 00:30:01,947 You're going through withdrawal. 580 00:30:02,072 --> 00:30:04,658 No, I am going through pain. 581 00:30:05,659 --> 00:30:07,327 Pain causes nausea. 582 00:30:07,452 --> 00:30:08,453 (SIGHS) 583 00:30:09,162 --> 00:30:12,666 I took this job to work with you, not cover your ass. 584 00:30:13,708 --> 00:30:15,085 Your Vicodin. 585 00:30:18,964 --> 00:30:21,758 And your solution is to give me drugs? 586 00:30:21,883 --> 00:30:24,094 - That's interesting. - No. 587 00:30:24,219 --> 00:30:26,221 Now I'm covering my ass. 588 00:30:27,639 --> 00:30:30,434 Take your pills before you kill this kid. 589 00:31:09,973 --> 00:31:12,726 Lupus is normally treated with medication. 590 00:31:12,851 --> 00:31:14,936 But in Keith's case, the disease is too advanced. 591 00:31:15,061 --> 00:31:16,605 Because you lied. 592 00:31:17,105 --> 00:31:19,941 Because House wanted to play games with my son's life. 593 00:31:20,066 --> 00:31:21,193 There's no way to really tell 594 00:31:21,318 --> 00:31:22,694 what progression the disease may have taken. 595 00:31:22,819 --> 00:31:24,196 You're right. 596 00:31:26,448 --> 00:31:27,866 And I'm sorry. 597 00:31:28,241 --> 00:31:29,242 (SCOFFS) 598 00:31:30,535 --> 00:31:32,120 So what do we do? 599 00:31:32,496 --> 00:31:34,289 He needs a new liver. 600 00:31:35,457 --> 00:31:38,710 There are over 15,000 patients on the transplant list. 601 00:31:38,835 --> 00:31:41,713 But how many are about to bleed to death unless they get a new liver? 602 00:31:41,838 --> 00:31:43,924 In Jersey? I'd say 20. 603 00:31:44,841 --> 00:31:47,886 Two thousand patients die each year because a donor liver can't be found. 604 00:31:48,011 --> 00:31:49,054 That's almost five a day. 605 00:31:49,179 --> 00:31:50,972 So he's screwed. 606 00:31:52,265 --> 00:31:54,184 I'll see what I can do. 607 00:31:55,310 --> 00:31:57,062 Could I donate part of my liver? 608 00:31:57,187 --> 00:31:59,189 Sorry. You're a different blood type. 609 00:31:59,564 --> 00:32:00,607 So we just wait? 610 00:32:00,732 --> 00:32:01,900 I'm afraid so. 611 00:32:02,692 --> 00:32:04,903 And hope for someone to die. 612 00:32:07,322 --> 00:32:08,865 Who's Jules? 613 00:32:10,617 --> 00:32:11,993 Dr. House, you should get back to your office. 614 00:32:12,118 --> 00:32:14,913 Jules. There's no Jules in the history. 615 00:32:15,038 --> 00:32:16,039 It was a hallucination. 616 00:32:16,164 --> 00:32:17,165 Of what? 617 00:32:17,290 --> 00:32:19,209 Our cat. Does this matter? 618 00:32:19,334 --> 00:32:20,377 FOREMAN: No. I'm sorry. 619 00:32:20,502 --> 00:32:21,711 We'll continue the transfusions 620 00:32:21,836 --> 00:32:23,547 and the treatment for the anemia and liver failure 621 00:32:23,672 --> 00:32:24,714 while we're waiting for a donor. 622 00:32:24,839 --> 00:32:25,966 How long can he wait? 623 00:32:26,258 --> 00:32:27,425 Not long. 624 00:32:28,093 --> 00:32:29,302 I don't think this is lupus. 625 00:32:29,427 --> 00:32:30,595 It's lupus. Come on, let's just... 626 00:32:30,720 --> 00:32:34,432 Your fourth diagnostic criterion for lupus is psychosis. 627 00:32:34,558 --> 00:32:35,809 This is just a kid missing his cat. 628 00:32:35,934 --> 00:32:38,186 He was being attacked by an animal that wasn't in the room. 629 00:32:38,311 --> 00:32:39,604 That's psychosis. 630 00:32:39,729 --> 00:32:41,982 There's a difference between psychosis and hallucination. 631 00:32:42,107 --> 00:32:44,192 So if he was imagining a fake cat, it'd be lupus, 632 00:32:44,317 --> 00:32:45,860 but since it was a real cat, it's not? 633 00:32:45,986 --> 00:32:46,987 Take your damn pills. 634 00:32:47,112 --> 00:32:48,113 Psychosis requires... 635 00:32:48,238 --> 00:32:50,031 There's no cat. 636 00:32:51,199 --> 00:32:52,867 Jules is dead. 637 00:32:55,912 --> 00:32:59,791 You have a dead family pet and you never mentioned it? 638 00:33:00,792 --> 00:33:01,751 Nice family history. 639 00:33:01,876 --> 00:33:03,712 Family history is asking about family members, 640 00:33:03,837 --> 00:33:05,714 meaning people related to the patient. Let's go. 641 00:33:05,839 --> 00:33:07,007 How did the cat die? 642 00:33:07,132 --> 00:33:08,300 Can you get him out of here? 643 00:33:08,425 --> 00:33:09,551 CAMERON: Dr. House, come on. 644 00:33:09,676 --> 00:33:11,636 What happened to the cat? 645 00:33:13,138 --> 00:33:14,723 Old age. 646 00:33:14,848 --> 00:33:16,433 She was 15 years old. 647 00:33:16,558 --> 00:33:17,601 When? 648 00:33:17,851 --> 00:33:18,852 About a month ago. 649 00:33:18,977 --> 00:33:19,978 Does this have anything to do with... 650 00:33:20,103 --> 00:33:22,147 Where'd she sleep? With Keith. 651 00:33:22,272 --> 00:33:23,815 This is not a cat allergy. 652 00:33:23,940 --> 00:33:25,692 It's not lupus. 653 00:33:26,234 --> 00:33:27,944 Where is Jules? 654 00:33:33,074 --> 00:33:36,870 Four years of college, four at med school, 655 00:33:36,995 --> 00:33:38,788 two years' residency, 656 00:33:38,913 --> 00:33:42,042 another four of subspecialty training, and where do I end up? 657 00:33:42,167 --> 00:33:43,293 (PANTING) 658 00:33:43,418 --> 00:33:45,545 Talking instead of digging. 659 00:33:45,670 --> 00:33:48,089 Come on. The ground's frozen solid. 660 00:33:55,889 --> 00:33:58,016 (THUMPING) 661 00:33:58,475 --> 00:34:00,018 FOREMAN: What's that? 662 00:34:50,527 --> 00:34:51,986 Out of the way! 663 00:34:53,822 --> 00:34:56,157 CUDDY: We have the liver. Prep OR 4. 664 00:35:22,100 --> 00:35:25,353 All right, Keith, start counting backward from 10. 665 00:35:26,396 --> 00:35:27,522 Ten, 666 00:35:29,482 --> 00:35:30,650 nine, 667 00:35:31,443 --> 00:35:32,610 eight... 668 00:35:35,071 --> 00:35:36,406 Scalpel. 669 00:35:40,744 --> 00:35:42,036 (DOOR OPENS) 670 00:35:42,162 --> 00:35:43,288 Stop the gases. 671 00:35:43,413 --> 00:35:44,998 What the hell are you doing, House? 672 00:35:45,123 --> 00:35:48,835 Saving a 16-year-old kid from a lifetime of immunosuppressant drugs 673 00:35:48,960 --> 00:35:50,837 and a very nasty scar. 674 00:35:50,962 --> 00:35:53,173 This kid doesn't have lupoid hepatitis. 675 00:35:53,298 --> 00:35:55,133 He has acute naphthalene toxicity. 676 00:35:55,258 --> 00:35:56,259 Naphthalene? 677 00:35:56,384 --> 00:35:58,595 (STAMMERING) You're talking about mothballs. 678 00:35:58,720 --> 00:36:00,597 Nope. Termites. 679 00:36:00,889 --> 00:36:03,725 They create naphthalene to protect their nests, 680 00:36:03,850 --> 00:36:05,894 which I'm assuming is rather large 681 00:36:06,019 --> 00:36:08,980 and inside all four walls of his bedroom at home. 682 00:36:10,148 --> 00:36:12,817 And your assumption is based on what? 683 00:36:12,942 --> 00:36:15,987 The autopsy I just conducted on his pet cat. 684 00:36:16,112 --> 00:36:17,739 Call Cuddy, and security. 685 00:36:17,864 --> 00:36:19,365 You are not removing that kid's liver. 686 00:36:19,491 --> 00:36:20,617 Now! 687 00:36:22,535 --> 00:36:23,870 (COUGHS) 688 00:36:23,995 --> 00:36:24,996 (YELLS) 689 00:36:25,872 --> 00:36:27,749 Have you completely lost your mind? 690 00:36:27,874 --> 00:36:30,543 No, but I have been feeling a little sick lately. 691 00:36:30,668 --> 00:36:32,462 (SNEEZES) 692 00:36:34,464 --> 00:36:37,675 There's no way we can do this surgery now. 693 00:36:37,801 --> 00:36:38,760 You think? 694 00:36:38,885 --> 00:36:41,429 FOREMAN: You've already cost him his liver. Don't kill him, too. 695 00:36:41,554 --> 00:36:43,765 Why are you so eager to cut into a healthy kid? 696 00:36:43,890 --> 00:36:45,558 Healthy? He's in the toilet. 697 00:36:45,683 --> 00:36:47,685 He just needs some chicken soup. 698 00:36:47,811 --> 00:36:49,020 I'm telling Hourani to re-scrub. 699 00:36:49,145 --> 00:36:50,563 We're doing this transplant. 700 00:36:50,688 --> 00:36:51,648 No, you're not. 701 00:36:51,773 --> 00:36:52,774 You said it. 702 00:36:52,899 --> 00:36:54,442 If Keith's symptoms had an environmental cause, 703 00:36:54,567 --> 00:36:56,194 they would have disappeared as soon as he got here. 704 00:36:56,319 --> 00:36:57,320 They've only gotten worse. 705 00:36:57,445 --> 00:36:59,364 If the food here wasn't one step below Rikers Island, 706 00:36:59,489 --> 00:37:01,407 he would've gotten better. He's lost 14 pounds. 707 00:37:01,533 --> 00:37:03,868 Yeah, sure. This is nothing but a dietary thing. 708 00:37:03,993 --> 00:37:06,830 Naphthalene is a gas, a fat-soluble gas. 709 00:37:06,955 --> 00:37:09,707 Kid breathes it in, it gets stored in his fat cells. 710 00:37:09,833 --> 00:37:13,002 Outside the hospital, his body burned protein and carbs for energy, 711 00:37:13,127 --> 00:37:15,213 and the naphthalene stayed in fat. 712 00:37:15,338 --> 00:37:17,298 But once the car accident put him in the hospital 713 00:37:17,423 --> 00:37:19,717 and he started losing weight, 714 00:37:19,843 --> 00:37:21,594 his body had to get its energy somewhere else. 715 00:37:21,719 --> 00:37:23,638 It started to burn fat. 716 00:37:24,764 --> 00:37:28,768 The floodgates opened. The poison poured into his system. 717 00:37:28,893 --> 00:37:31,145 So getting away from the poison is what poisoned him? 718 00:37:31,271 --> 00:37:33,898 Getting away from his dad's meatloaf is what's killing him. 719 00:37:34,023 --> 00:37:36,943 You want to explain to me why you stopped the surgery? 720 00:37:37,068 --> 00:37:39,404 On, my God! My God. 721 00:37:40,905 --> 00:37:42,198 I want him locked up! 722 00:37:42,323 --> 00:37:43,700 (SHOUTS) 723 00:37:43,825 --> 00:37:45,451 Take it easy. 724 00:37:56,462 --> 00:37:59,507 Your cat did not die of old age. 725 00:38:02,427 --> 00:38:05,847 It died of massive internal bleeding and acute liver failure 726 00:38:05,972 --> 00:38:08,433 caused by naphthalene poisoning. 727 00:38:09,392 --> 00:38:11,352 The exact same thing your son has. 728 00:38:11,477 --> 00:38:12,645 You lie to me, 729 00:38:12,770 --> 00:38:15,857 you mess up my son's surgery, and now you expect me to trust you? 730 00:38:15,982 --> 00:38:18,943 Give me 24 hours. We'll pump your son full of calories. 731 00:38:19,068 --> 00:38:21,070 That liver is going to somebody right now. 732 00:38:21,195 --> 00:38:22,572 We're doing that surgery. 733 00:38:22,697 --> 00:38:24,616 You do the surgery, 734 00:38:24,991 --> 00:38:27,285 you'll be killing a mother of four. 735 00:38:27,410 --> 00:38:28,703 Father of three. 736 00:38:28,828 --> 00:38:29,787 I was guessing. 737 00:38:29,913 --> 00:38:31,122 Like you are now? 738 00:38:32,874 --> 00:38:35,293 Naphthalene poisoning is the best explanation we have 739 00:38:35,418 --> 00:38:37,420 for what's wrong with your son. 740 00:38:37,545 --> 00:38:39,255 It explains the internal bleeding, 741 00:38:39,380 --> 00:38:41,007 the hemolytic anemia, the liver failure. 742 00:38:41,132 --> 00:38:43,885 It also predicts what'll happen next. 743 00:38:44,010 --> 00:38:46,804 If you do the surgery, he's gonna lay on that table for 14 hours 744 00:38:46,930 --> 00:38:48,765 while his body continues to burn fat 745 00:38:48,890 --> 00:38:51,059 and release poison into his system. 746 00:38:52,769 --> 00:38:55,563 Either way, I did you a favor. He's awake now. 747 00:38:55,688 --> 00:38:58,149 You've got a chance to say good-bye. 748 00:39:05,323 --> 00:39:07,992 I think you should trust Dr. House. 749 00:39:20,838 --> 00:39:23,007 Give the liver to the other guy. 750 00:39:37,438 --> 00:39:38,898 Watch out. 751 00:40:00,753 --> 00:40:03,923 LNR's down and his red count is climbing. 752 00:40:06,551 --> 00:40:08,553 Means you made the right call. 753 00:40:08,678 --> 00:40:11,723 His liver's healing. He's gonna be just fine. 754 00:40:29,282 --> 00:40:30,575 You made it a week. 755 00:40:30,700 --> 00:40:32,326 And won my prize. 756 00:40:32,493 --> 00:40:33,703 Congratulations. 757 00:40:33,828 --> 00:40:35,204 Cuddy's a sucker. 758 00:40:35,329 --> 00:40:36,873 I would've done it for two weeks off. 759 00:40:36,998 --> 00:40:38,958 Yeah, it was a piece of cake. 760 00:40:39,083 --> 00:40:41,044 You learn anything? 761 00:40:42,045 --> 00:40:43,212 Yeah. 762 00:40:44,005 --> 00:40:45,673 I'm an addict. 763 00:40:58,895 --> 00:40:59,896 Okay- 764 00:41:00,855 --> 00:41:02,774 I'm not stopping. 765 00:41:05,818 --> 00:41:07,445 There are programs. 766 00:41:07,570 --> 00:41:09,781 Cuddy would give you the time. 767 00:41:09,906 --> 00:41:11,657 You could get on a different pain-management regimen. 768 00:41:11,783 --> 00:41:13,910 I don't need to stop. 769 00:41:14,035 --> 00:41:15,203 You just said... 770 00:41:15,328 --> 00:41:18,998 I said I was an addict. I didn't say I had a problem. 771 00:41:19,999 --> 00:41:22,960 I pay my bills. I make my meals. I function. 772 00:41:24,170 --> 00:41:25,963 Is that all you want? 773 00:41:26,923 --> 00:41:29,842 - You have no relationships. - I don't want any relationships. 774 00:41:29,967 --> 00:41:31,260 You alienate people. 775 00:41:31,385 --> 00:41:33,304 I've been alienating people since I was three. 776 00:41:33,429 --> 00:41:35,598 Come on! Drop it. 777 00:41:36,557 --> 00:41:38,559 You don't think you've changed in the last few years? 778 00:41:38,684 --> 00:41:40,103 Well, of course I have. 779 00:41:40,269 --> 00:41:41,938 I've gotten older, my hair's gotten thinner. 780 00:41:42,063 --> 00:41:43,689 Sometimes I'm bored. Sometimes I'm lonely. 781 00:41:43,815 --> 00:41:45,399 Sometimes I wonder what it all means. 782 00:41:45,525 --> 00:41:46,984 No, I was there. 783 00:41:47,110 --> 00:41:49,946 You are not just a regular guy who is getting older. 784 00:41:50,071 --> 00:41:53,407 You've changed. You're miserable, and you're afraid to face yourself. 785 00:41:53,533 --> 00:41:55,451 Of course I've changed! 786 00:42:02,959 --> 00:42:05,044 And everything's the leg? 787 00:42:05,169 --> 00:42:06,838 Nothing's the pills? 788 00:42:06,963 --> 00:42:08,548 They haven't done a thing to you? 789 00:42:10,049 --> 00:42:11,926 They let me do my job. 790 00:42:12,802 --> 00:42:14,971 And they take away my pain. 791 00:42:31,445 --> 00:42:32,697 (DOOR CLOSES) 792 00:42:46,836 --> 00:42:48,379 How'd it go? 793 00:42:49,422 --> 00:42:51,215 He admitted he's addicted to the narcotics. 794 00:42:51,340 --> 00:42:52,717 Well, admitting you have a problem is the... 795 00:42:52,842 --> 00:42:54,969 And he says it's not a problem. 796 00:42:56,804 --> 00:42:58,264 Maybe it's not. 797 00:42:58,931 --> 00:43:00,391 What do I know? 798 00:43:00,516 --> 00:43:01,934 What are you gonna do? 799 00:43:02,059 --> 00:43:03,936 Nothing. Done enough damage. 800 00:43:04,061 --> 00:43:06,522 Better hope he never finds out that that was your idea. 801 00:43:06,647 --> 00:43:08,524 He'd never believe it.