1 00:00:07,779 --> 00:00:09,364 MRS. SIMMS: Jessica. 2 00:00:12,075 --> 00:00:16,371 Jessica, come on. We gotta go. 3 00:00:18,707 --> 00:00:22,210 - Move it or lose it, sister. - I don't feel good. 4 00:00:27,424 --> 00:00:28,967 (KISSES) 5 00:00:29,092 --> 00:00:31,762 - You don't feel warm. - My stomach hurts. 6 00:00:31,887 --> 00:00:35,098 - Honey, if you don't have a fever... - I don't want to go to school. 7 00:00:35,223 --> 00:00:37,434 I can do my work at home. 8 00:00:38,185 --> 00:00:40,395 Jessica, what's wrong? 9 00:00:42,898 --> 00:00:44,524 Everybody hates me. 10 00:00:46,818 --> 00:00:48,195 No, they don't hate you. 11 00:00:48,528 --> 00:00:51,281 They don't even know you, because they're too ignorant to try. 12 00:00:51,406 --> 00:00:54,618 - I hate myself. - Jessica, don't say that. 13 00:00:55,577 --> 00:00:58,622 Honey. Look at me. Look at me. 14 00:00:58,997 --> 00:01:03,794 You are a wonderful, beautiful little girl. 15 00:01:04,044 --> 00:01:06,755 - Don't let a few bad apples... - A few? 16 00:01:07,214 --> 00:01:09,049 Try my whole class. 17 00:01:10,217 --> 00:01:12,302 Remember the story where the guy keeps saying 18 00:01:12,427 --> 00:01:14,137 that he hates green eggs and ham? 19 00:01:14,346 --> 00:01:16,515 And then at the end, he realized he really loved them? 20 00:01:16,765 --> 00:01:21,103 One day, they're gonna realize what a great kid you really are. 21 00:01:21,353 --> 00:01:25,774 You just gotta be like Sam-I-Am, and don't give up. 22 00:01:27,401 --> 00:01:28,694 Okay- 23 00:01:31,988 --> 00:01:34,991 CONROY: That's it. Keep going. 24 00:01:36,743 --> 00:01:41,415 Good. Nice. You're doing great, Jessica. You're doing great. 25 00:01:42,332 --> 00:01:43,959 (KIDS LAUGHING) 26 00:01:44,334 --> 00:01:48,630 Hey. Hey, Seth. You want to spend the rest of class sitting on the bench? 27 00:01:48,755 --> 00:01:49,881 No. 28 00:01:50,006 --> 00:01:51,842 Keep going, Jess. You got 40 more seconds. 29 00:01:51,967 --> 00:01:54,219 - My arm hurls. - Come on. Tough it up. 30 00:01:54,386 --> 00:01:57,556 - You can do it. You can do it. - My chest hurts. 31 00:01:57,681 --> 00:02:01,351 - How do you think the ground feels? - Hey, Seth. Two laps. Bye. 32 00:02:01,476 --> 00:02:05,814 Jess, It's just a stitch. Okay? Just keep breathing. You got it. 33 00:02:06,022 --> 00:02:09,025 - I can't. - Only 10 more seconds. You got it. 34 00:02:19,035 --> 00:02:22,289 Jessica? Jessica? Jessica? 35 00:02:28,962 --> 00:02:32,132 Oh, my God. Hey, go to the office. Get Miss Parsons. Now. 36 00:02:32,257 --> 00:02:33,467 (CELL PHONE BEEPS) 37 00:02:33,592 --> 00:02:35,385 I'm on the playground at Finley Elementary. 38 00:02:35,510 --> 00:02:37,262 One of my students is having a heart attack. 39 00:02:37,387 --> 00:02:39,639 Yeah, she's 10. Don't you think I know that? 40 00:02:39,765 --> 00:02:43,769 Just send the damn ambulance. Come on. Wake up. Come on, sweetie. 41 00:03:19,846 --> 00:03:24,976 WOMAN ON PA: Dr. Bender, 6370. Dr. Bender, call extension 6370. 42 00:03:27,145 --> 00:03:30,482 You ever seen an infected pierced scrotum? 43 00:03:30,774 --> 00:03:33,568 No, but I know a few people on whom I'd like to see it happen. 44 00:03:33,693 --> 00:03:35,070 We need to talk. 45 00:03:35,195 --> 00:03:38,782 Well, if pain's what you're after, the penis is really the way to go. 46 00:03:38,907 --> 00:03:41,493 - I'd recommend the apadravya. - We're not talking. 47 00:03:41,618 --> 00:03:43,245 It sounded like we were. 48 00:03:43,787 --> 00:03:47,332 No, you're attempting to avoid talking 49 00:03:47,541 --> 00:03:49,626 because you know what I want to talk about. 50 00:03:49,793 --> 00:03:51,086 Nipples? 51 00:03:51,211 --> 00:03:53,088 You need to get rid of one of your people. 52 00:03:53,213 --> 00:03:56,299 Absolutely. As soon as I do performance reviews. 53 00:03:56,424 --> 00:03:58,385 And then review the reviews, of course. 54 00:03:58,510 --> 00:04:01,763 A decision like this can't be made without proper, you know, review. 55 00:04:01,972 --> 00:04:03,974 Shouldn't take longer than a month, maybe two. 56 00:04:04,182 --> 00:04:06,685 Four at the most, unless it gets complicated. 57 00:04:06,810 --> 00:04:08,520 There's no way out of this. 58 00:04:08,645 --> 00:04:11,606 Get it over with as fast as you can, like ripping off a band-aid. 59 00:04:11,731 --> 00:04:14,860 Only instead of a two-cent piece of tape and gauze, it's a human being. 60 00:04:15,068 --> 00:04:17,487 - Like you care. - Like you don't. 61 00:04:21,116 --> 00:04:23,368 You have a week. Get it done. 62 00:04:32,377 --> 00:04:35,422 We have a referral from Dr. Lenkiewicz. 63 00:04:35,714 --> 00:04:37,799 - Don't know him. - He knows you. 64 00:04:37,924 --> 00:04:39,801 - What's the problem? - Heart attack. 65 00:04:40,176 --> 00:04:43,346 - Definitely don't know him. - The patient's 10. 66 00:04:45,307 --> 00:04:48,560 Ten-year-olds do not have heart attacks. It's gotta be a mistake. 67 00:04:48,685 --> 00:04:52,981 Right. Simplest explanation is she's a 40-year-old lying about her age. 68 00:04:53,273 --> 00:04:54,983 Maybe an actress trying to hang on. 69 00:04:55,108 --> 00:04:58,236 - I meant maybe the tests were wrong. - That's what the ER thought. 70 00:04:58,361 --> 00:04:59,863 Three CK-MBs were positive. 71 00:04:59,988 --> 00:05:03,116 The EKG shows classic signs of ST elevation. It's a heart attack. 72 00:05:03,241 --> 00:05:04,993 She's morbidly obese. 73 00:05:05,702 --> 00:05:07,746 The morbid part of that raises alarms. 74 00:05:07,871 --> 00:05:10,290 It takes decades to eat your way into a heart attack. 75 00:05:10,415 --> 00:05:13,960 Doesn't take decades to kill yourself. If I was that fat, I'd be pretty tempted 76 00:05:14,085 --> 00:05:17,130 - to knock back a bottle of pills. - CAMERON: It's not a drug overdose. 77 00:05:17,255 --> 00:05:19,049 The fatigue, muscle pain and difficulty concentrating 78 00:05:19,174 --> 00:05:20,550 have been bothering her for over a year. 79 00:05:20,675 --> 00:05:22,886 That's because of her weight, because of her depression. 80 00:05:23,011 --> 00:05:24,554 That's what five pediatricians, 81 00:05:24,679 --> 00:05:26,890 two nutritionists and a psychologist said. 82 00:05:27,015 --> 00:05:29,392 The heart attack would seem to indicate that they missed something. 83 00:05:29,517 --> 00:05:32,646 - It's gotta be something genetic. - What about metabolic syndrome X? 84 00:05:32,771 --> 00:05:35,315 - Insulin resistance? - Syndrome X could cause a stroke. 85 00:05:35,440 --> 00:05:36,858 I don't know about a heart attack. 86 00:05:36,983 --> 00:05:39,110 It could, if her blood pressure was high enough. 87 00:05:39,235 --> 00:05:41,071 Which is likely, considering her weight. 88 00:05:41,237 --> 00:05:43,823 Fits the symptoms. Me likes. 89 00:05:43,949 --> 00:05:46,868 Do a hyperinsulinemic-euglycemic clamp. 90 00:05:49,245 --> 00:05:51,373 Oh, and one more thing. 91 00:05:52,540 --> 00:05:57,212 I've been told that I gotta get rid of one of you guys by the end of the week. 92 00:05:58,338 --> 00:06:01,883 New sheriff. Belt tightening. You know how it goes. 93 00:06:05,887 --> 00:06:07,639 Okay. Carry on. 94 00:06:12,352 --> 00:06:14,980 Some kind of game. House's own version of Punk'd. 95 00:06:15,146 --> 00:06:18,066 It's not House. It's Vogler. We can't let it get to us. 96 00:06:18,191 --> 00:06:19,859 - We've got to stick together. - Why? 97 00:06:19,985 --> 00:06:22,195 Are you suggesting we start slashing each other's throats? 98 00:06:22,320 --> 00:06:24,864 I'm suggesting it's a zero-sum game. Your loss is my win. 99 00:06:25,156 --> 00:06:28,702 - That's not conducive to team play. - Which is what House seems to want. 100 00:06:28,827 --> 00:06:30,328 Look, I'm with Cameron. 101 00:06:30,453 --> 00:06:35,041 It may be a bad strategy, but I don't want to give House the satisfaction. 102 00:06:35,166 --> 00:06:37,502 Come on. Sick kid, remember? 103 00:06:39,421 --> 00:06:43,049 - MRS. SIMMS: She's diabetic? - CAMERON: No, but it's similar. 104 00:06:43,216 --> 00:06:45,468 MSX patients don't respond normally to insulin, 105 00:06:45,593 --> 00:06:47,846 which causes their body to create too much, 106 00:06:47,971 --> 00:06:51,224 and that leads to metabolic abnormalities. 107 00:06:51,391 --> 00:06:53,893 We're going to do a test to be sure, but there are certain dangers. 108 00:06:54,019 --> 00:06:56,980 Is this thing treatable? 109 00:06:57,147 --> 00:06:59,190 It's controllable through proper diet and exercise. 110 00:06:59,315 --> 00:07:00,859 Wait. 111 00:07:01,484 --> 00:07:05,321 Jessica already eats right, and she exercises every day. 112 00:07:05,447 --> 00:07:06,990 You've already seen several nutritionists... 113 00:07:07,115 --> 00:07:08,700 We've done everything they've recommended. 114 00:07:08,825 --> 00:07:09,784 I understand... 115 00:07:10,035 --> 00:07:13,204 Why can't any of you doctors see past her weight? 116 00:07:16,082 --> 00:07:21,129 If diet and exercise are the treatment, then the diagnosis is wrong. 117 00:07:21,880 --> 00:07:23,715 It might be. 118 00:07:24,049 --> 00:07:27,469 But the only way we'll know is if you let us do this test. 119 00:07:30,388 --> 00:07:32,849 It's really bad, especially at night. 120 00:07:33,058 --> 00:07:37,687 It's like my heart is on fire. Like it's, oh, I don't know. Like... 121 00:07:38,855 --> 00:07:41,191 - HOUSE: Burning? - Exactly. 122 00:07:41,858 --> 00:07:44,611 Sounds almost like heartburn. 123 00:07:44,944 --> 00:07:48,698 - So, can you give me something? - Like a thesaurus? 124 00:07:48,823 --> 00:07:49,699 What? 125 00:07:49,824 --> 00:07:52,869 I take it you never mentioned this during any of your prenatal visits. 126 00:07:52,994 --> 00:07:54,746 Prenatal? 127 00:07:56,164 --> 00:07:57,248 I'm not pregnant. 128 00:07:57,373 --> 00:08:00,835 You don't get to make that call unless you have a stethoscope. Union rules. 129 00:08:00,960 --> 00:08:04,506 I know when I'm pregnant, all right? I have six kids. 130 00:08:04,631 --> 00:08:07,884 That's why my husband had a vasectomy, and we use condoms. 131 00:08:08,009 --> 00:08:10,804 Vasectomies can reverse themselves. Condoms break. 132 00:08:10,929 --> 00:08:15,558 Okay. This is what a woman is supposed to look like. 133 00:08:15,934 --> 00:08:21,940 Okay? We're not just skin and bones. We have flesh. We have curves. 134 00:08:22,649 --> 00:08:25,151 You have little people inside you. 135 00:08:26,611 --> 00:08:29,364 Okay, okay. I'm sorry. 136 00:08:29,656 --> 00:08:32,617 I guess I must have just been brainwashed by the media, 137 00:08:32,742 --> 00:08:35,411 - all those years of medical training. - Damn right. 138 00:08:35,537 --> 00:08:39,082 I'll see if I can find some antacids while the nurse gets some blood. 139 00:08:39,207 --> 00:08:42,544 - Blood? Why? - The heartburn. 140 00:08:42,752 --> 00:08:45,130 Gotta make sure it's not spreading. 141 00:08:50,677 --> 00:08:52,512 I don't want to. 142 00:08:52,846 --> 00:08:55,473 The test involves some pretty precise measurements. 143 00:08:55,598 --> 00:08:57,684 If we don't know exactly how much you weigh, 144 00:08:57,809 --> 00:08:59,978 we won't get the right answers. 145 00:09:01,437 --> 00:09:03,815 Let me tell you a secret. 146 00:09:04,023 --> 00:09:06,860 When I was your age, I was heavy, too. 147 00:09:07,068 --> 00:09:08,820 Were you over 100? 148 00:09:08,945 --> 00:09:12,657 Way over. Kids in my neighborhood used to call me Rerun. 149 00:09:12,782 --> 00:09:15,076 - Rerun? - He was a heavy guy from TV. 150 00:09:15,201 --> 00:09:17,662 I used to pretend I liked it, but I didn't. 151 00:09:17,787 --> 00:09:21,708 - How come you're not heavy anymore? - Ninth grade, grew five inches. 152 00:09:21,833 --> 00:09:25,670 - Everything kind of evened out. - You think that'll happen to me? 153 00:09:25,795 --> 00:09:29,674 Well, yeah. Your mom's tall, and you are a little short for your age. 154 00:09:29,799 --> 00:09:31,634 Probably spring right up. 155 00:09:42,187 --> 00:09:44,731 Obesity isn't something you just grow out of. 156 00:09:44,856 --> 00:09:48,401 - I take it you've never seen a baby? - CHASE: She's not a baby. She's 10. 157 00:09:48,526 --> 00:09:51,279 And you figure making her feel like crap would do her a world of good? 158 00:09:51,404 --> 00:09:53,364 Yeah, if it gets her off the couch. 159 00:09:53,489 --> 00:09:55,575 CAMERON: I'm sure she's already under enough pressure. 160 00:09:55,700 --> 00:09:56,910 Not from Mummy. 161 00:09:57,035 --> 00:09:59,579 Everything in society tells us we have to be thin to be successful. 162 00:09:59,704 --> 00:10:01,206 No. Society tells you, 163 00:10:01,331 --> 00:10:03,541 you have to be thin to be attractive. And guess what? 164 00:10:03,666 --> 00:10:07,128 That's what attractive means, that society likes looking at you. 165 00:10:07,253 --> 00:10:10,340 I think we should be telling our kids it's fine as long as they're healthy. 166 00:10:10,548 --> 00:10:13,676 You weigh 90 pounds because it makes you healthier? 167 00:10:14,010 --> 00:10:17,096 Forget it. He's just cranky because he knows 168 00:10:17,222 --> 00:10:19,474 he's the one who's gonna get the axe. 169 00:10:24,395 --> 00:10:26,314 So, any thoughts? 170 00:10:26,481 --> 00:10:29,400 On what? Sharon's plan for Gaza? 171 00:10:30,568 --> 00:10:31,653 Who you gonna let go? 172 00:10:31,778 --> 00:10:33,363 I'm thinking I can convince Vogler 173 00:10:33,488 --> 00:10:35,823 it would be more cost-efficient to keep all of them. 174 00:10:35,949 --> 00:10:37,492 You should be able to pull that off. 175 00:10:37,617 --> 00:10:39,577 Most billionaires aren't very good with numbers. 176 00:10:39,702 --> 00:10:43,164 It will be more cost-efficient once I grab Cameron's ass, 177 00:10:43,289 --> 00:10:48,878 call Foreman a spade, and Chase, well, I'll grab his ass, too. 178 00:10:49,170 --> 00:10:51,297 You are uniquely talented in many areas, 179 00:10:51,422 --> 00:10:54,217 but office politics is not one of them. 180 00:10:54,384 --> 00:10:56,427 Don't take Vogler on. 181 00:10:56,844 --> 00:10:59,055 - Separate or together? - Together. 182 00:11:03,935 --> 00:11:06,938 Increasing glucose to 6.9 milligrams per minute. 183 00:11:07,063 --> 00:11:08,856 - CAMERON: Are you okay? - I'm thirsty. 184 00:11:08,982 --> 00:11:10,400 Just a little longer and you'll be done. 185 00:11:10,525 --> 00:11:12,235 Like Dr. Chase. 186 00:11:12,485 --> 00:11:14,779 Want to put some money on it? 187 00:11:17,240 --> 00:11:20,368 - I said I'm thirsty. - Just five more minutes, sweetheart. 188 00:11:20,493 --> 00:11:22,620 I'm not your sweetheart. Don't call me that. 189 00:11:22,745 --> 00:11:24,956 - That's not nice. - They're the ones who aren't nice. 190 00:11:25,081 --> 00:11:27,667 You're not, either. I don't want to do this anymore. 191 00:11:27,834 --> 00:11:30,128 Jessica. Jessica, you have to calm down. 192 00:11:30,253 --> 00:11:32,213 No. No. Let me go. 193 00:11:32,338 --> 00:11:34,966 CAMERON: Check her blood sugar. She's got to be getting hypoglycemic. 194 00:11:35,091 --> 00:11:37,302 I've never seen her like this before. Something's wrong. 195 00:11:37,427 --> 00:11:40,179 Let go of me. Get it out of me. 196 00:11:40,346 --> 00:11:44,142 Let go, you son of a bitch. You bastard. No. 197 00:11:44,934 --> 00:11:46,144 Help her. 198 00:11:46,477 --> 00:11:47,854 (SCREAMING) 199 00:11:52,108 --> 00:11:55,111 She's sedated. Mrs. Simms, don't worry. 200 00:11:55,236 --> 00:11:57,488 Hypoglycemia can cause temporary psychosis, 201 00:11:57,613 --> 00:12:00,575 and is a common complication during an HEC procedure. 202 00:12:00,700 --> 00:12:02,618 I never wanted it done in the first place. 203 00:12:02,744 --> 00:12:03,995 We understand you're upset... 204 00:12:04,120 --> 00:12:06,289 You were supposed to be monitoring her condition, 205 00:12:06,414 --> 00:12:08,207 but instead you were bickering and placing bets. 206 00:12:08,333 --> 00:12:10,835 I apologize if we weren't devoting our full attention to your daughter, 207 00:12:10,960 --> 00:12:12,712 - but I assure you that we... - Oh, please. 208 00:12:12,920 --> 00:12:15,548 Save your pathetic insincerity for your boyfriend. 209 00:12:15,673 --> 00:12:19,552 You're wrong. She is, in fact, pathetically sincere. 210 00:12:19,844 --> 00:12:22,597 - And they didn't screw it up. - Who are you? 211 00:12:22,764 --> 00:12:26,351 I'm from the lab. The blood tests show your daughter was not hypoglycemic, 212 00:12:26,476 --> 00:12:29,520 which means her psychosis wasn't caused by anything these doctors did. 213 00:12:29,687 --> 00:12:33,316 - So then what was it caused by? - I've no idea. 214 00:12:34,192 --> 00:12:38,154 But you'll be happy to hear it cannot be cured by diet or exercise. 215 00:12:48,706 --> 00:12:53,169 What else could cause uncontrollable rage in a 10-year-old? 216 00:12:53,294 --> 00:12:55,922 Nothing that could also cause a heart attack. 217 00:12:57,840 --> 00:13:00,009 I assume I don't have to point out 218 00:13:00,134 --> 00:13:03,262 that now would be an extremely good time 219 00:13:03,388 --> 00:13:08,976 for one of you to distinguish yourself with a brilliant idea. 220 00:13:12,230 --> 00:13:14,732 A hypercoagulable state can cause a blood clot. 221 00:13:14,857 --> 00:13:16,609 Blood clots can cause a heart attack. 222 00:13:16,734 --> 00:13:18,903 More likely to cause a stroke, not the psychosis. 223 00:13:19,028 --> 00:13:22,115 No, you're wrong. If a clot made it to the amygdala area of the brain, 224 00:13:22,240 --> 00:13:23,699 it might cause uncontrollable rage. 225 00:13:23,825 --> 00:13:25,076 Right, because anything's possible, 226 00:13:25,201 --> 00:13:27,537 but nothing's gonna cause multiple clots in a kid this age. 227 00:13:27,662 --> 00:13:30,164 - She's fat. - Obesity doesn't cause blood clots. 228 00:13:30,289 --> 00:13:32,959 CHASE: Extremely obese patients can get a fat embolus. 229 00:13:33,084 --> 00:13:35,378 Right, after they've had liposuction, which she's clearly never had. 230 00:13:35,503 --> 00:13:36,337 How do you know? 231 00:13:36,462 --> 00:13:38,131 CAMERON: Because we have her medical records, 232 00:13:38,256 --> 00:13:40,299 and because no plastic surgeon in his right mind 233 00:13:40,425 --> 00:13:42,218 is gonna give a 10-year-old liposuction. 234 00:13:42,343 --> 00:13:46,889 Have you ever met a plastic surgeon who was in their right mind? 235 00:13:47,098 --> 00:13:50,059 - She hasn't had liposuction. - Thank you. 236 00:13:51,394 --> 00:13:54,147 But what about some other ridiculous obesity treatment? 237 00:13:54,564 --> 00:13:55,398 Like what? 238 00:13:55,523 --> 00:13:58,025 Diet pills can cause heart attacks and blood clots. 239 00:13:58,151 --> 00:13:59,902 Her tox screen was negative. 240 00:14:00,027 --> 00:14:01,863 Wouldn't show over-the-counter weight-loss drugs. 241 00:14:01,988 --> 00:14:03,364 Her mother wouldn't give her diet pills. 242 00:14:03,489 --> 00:14:07,368 She thinks her daughter's perfect just the way she is. 243 00:14:07,785 --> 00:14:09,579 She's lying. 244 00:14:09,745 --> 00:14:13,624 You two, heparin and warfarin to prevent further clotting. 245 00:14:13,958 --> 00:14:16,627 And you find those pills. 246 00:14:28,181 --> 00:14:30,892 Not diet pills. 247 00:14:31,017 --> 00:14:33,603 You might want to broaden the search just a little. 248 00:14:33,728 --> 00:14:36,647 Don't just ask the mom. If she hasn't mentioned it yet, she's not... 249 00:14:36,772 --> 00:14:39,734 If you're gonna fire someone, go ahead and do it. 250 00:14:39,859 --> 00:14:41,277 But don't treat us like lab rats, 251 00:14:41,402 --> 00:14:44,780 testing how long it takes to get us at one another's throats. 252 00:14:44,906 --> 00:14:47,033 - So what should I do? - I don't give a damn what you do. 253 00:14:47,158 --> 00:14:51,078 Yes, I had noticed your complete indifference. 254 00:14:51,370 --> 00:14:54,874 You don't even offer a medical opinion anymore. 255 00:14:54,999 --> 00:14:56,918 Who would you fire? 256 00:14:57,418 --> 00:15:00,421 - Not my call. - I want your opinion. 257 00:15:01,130 --> 00:15:03,299 Fine, it's you. 258 00:15:04,050 --> 00:15:06,761 Either way, you're making a choice. 259 00:15:09,639 --> 00:15:11,682 Chase. 260 00:15:12,308 --> 00:15:14,519 Because he screwed up an angio a month ago? 261 00:15:14,644 --> 00:15:18,314 - Anyone can make a mistake. - Right. So it's the money. 262 00:15:18,648 --> 00:15:21,192 You resent it, but you're gonna tell me that he doesn't need the job. 263 00:15:21,317 --> 00:15:22,818 He doesn't appreciate the job. 264 00:15:22,944 --> 00:15:24,946 He was ready to go three rounds with Cameron for it. 265 00:15:25,071 --> 00:15:28,491 He wants the job. He just doesn't appreciate it. 266 00:15:28,658 --> 00:15:30,618 There's nothing wrong with wanting to hang out, 267 00:15:30,743 --> 00:15:33,663 but this is not the place to do it. 268 00:15:34,622 --> 00:15:37,875 - I'm surprised. - You thought I'd pick Cameron? 269 00:15:38,543 --> 00:15:41,045 I didn't think you'd pick at all. 270 00:15:44,382 --> 00:15:46,050 (ELEVATOR BELL DINGS) 271 00:15:46,300 --> 00:15:49,845 Guess he's not the rise-above-the-fray guy he'd like us to think he is. 272 00:15:50,012 --> 00:15:51,639 You practically forced it out of him. 273 00:15:51,806 --> 00:15:54,642 He's scared of losing his job, just like everybody else. 274 00:15:54,767 --> 00:15:58,020 I've been thinking. You've made it quite clear that you're miserable here. 275 00:15:58,145 --> 00:16:01,023 - I am not miserable. - You're not happy. 276 00:16:01,148 --> 00:16:04,652 - And you are? - With my job, yes. 277 00:16:04,860 --> 00:16:07,947 I am exactly where I want to be, doing exactly what I want to do. 278 00:16:08,072 --> 00:16:11,075 Think I sense a hint of sarcasm there. 279 00:16:11,200 --> 00:16:13,786 Why don't you pick yourself? Quit. 280 00:16:13,911 --> 00:16:15,913 Hmm, I was wrong. 281 00:16:16,372 --> 00:16:20,626 - About Vogler or Foreman? - Mrs. Hernandez's pregnancy test. 282 00:16:20,751 --> 00:16:22,378 Who's Mrs. Hernandez? 283 00:16:22,503 --> 00:16:26,674 Either a woman carrying an alien baby or your newest patient. 284 00:16:27,633 --> 00:16:31,095 So you never saw her with any pills. She never mentioned anything? 285 00:16:31,220 --> 00:16:33,347 No, of course not. 286 00:16:33,472 --> 00:16:36,934 Would it be all right if I talk to a couple of her friends? 287 00:16:37,059 --> 00:16:39,312 - Her friends? - I'm not gonna interrogate them. 288 00:16:39,437 --> 00:16:41,981 I just want to ask if Jessica ever mentioned anything. 289 00:16:42,106 --> 00:16:43,774 It's pretty important. She's very sick. 290 00:16:43,899 --> 00:16:46,319 I understand. It's just, well... 291 00:16:47,528 --> 00:16:49,864 Jessica really doesn't have any friends. 292 00:16:49,989 --> 00:16:51,324 - Not one? - I've tried to help, 293 00:16:51,449 --> 00:16:54,327 make the kids include her more, but, kids can be... 294 00:16:54,452 --> 00:16:56,495 - Kids? - I was gonna say jerks. 295 00:16:56,621 --> 00:16:57,913 (BELL RINGS) 296 00:16:58,039 --> 00:17:00,625 All the fifth-graders are assigned an eighth-grade buddy. 297 00:17:00,750 --> 00:17:03,252 Maybe you could talk to hers. 298 00:17:08,341 --> 00:17:10,718 What's the status on House? 299 00:17:10,843 --> 00:17:13,012 He asked for time to complete performance reviews 300 00:17:13,137 --> 00:17:14,680 for everyone in his department. 301 00:17:14,805 --> 00:17:19,852 - You told him no and gave him how long? - A week. He'll do it. 302 00:17:20,186 --> 00:17:24,482 VOGLER: Guy's never done what he's told. I don't see why he's gonna start now. 303 00:17:25,483 --> 00:17:27,735 Hi. Edward Vogler. 304 00:17:27,860 --> 00:17:31,155 Is Dr. House claiming that I'm forcing him to get rid of one of you? 305 00:17:31,280 --> 00:17:34,158 I assume his goal is to stir up antagonism toward me. 306 00:17:34,283 --> 00:17:37,662 - And your goal is? - I am forcing him. 307 00:17:38,454 --> 00:17:41,832 I'll do whatever I can to ease the transition for whoever he chooses. 308 00:17:41,957 --> 00:17:44,877 If you're feeling guilty about your decision, there is an easy solution. 309 00:17:45,002 --> 00:17:46,879 I don't feel guilty. 310 00:17:47,004 --> 00:17:49,173 Then why approach me and tell me all this? 311 00:17:49,298 --> 00:17:52,593 I don't feel guilty. That doesn't mean I don't feel bad. 312 00:17:52,718 --> 00:17:55,721 I'm rich, but I'm still human. 313 00:17:55,930 --> 00:17:57,973 I just wanted you to know that 314 00:17:58,099 --> 00:18:01,352 if there's anything I can do for you, my door is open. 315 00:18:03,187 --> 00:18:04,897 Thank you. 316 00:18:10,820 --> 00:18:12,822 You're looking for info? 317 00:18:12,947 --> 00:18:15,241 Thought you already had House all figured out. 318 00:18:15,366 --> 00:18:18,327 I do. Don't know his team, though. 319 00:18:20,955 --> 00:18:23,874 WILSON: The ultrasound and biopsy confirmed our won-y. 320 00:18:23,999 --> 00:18:28,254 The tumor is extremely large, at least 30 pounds. 321 00:18:28,379 --> 00:18:29,714 Oh, God. 322 00:18:29,839 --> 00:18:31,924 It's actually a personal record for this clinic. 323 00:18:32,049 --> 00:18:36,137 But it's completely benign. There's no sign of cancer at all. 324 00:18:36,262 --> 00:18:37,763 (GASPS) 325 00:18:37,888 --> 00:18:39,598 I've already spoken with Dr. Bergin, 326 00:18:39,724 --> 00:18:41,809 and he's available first thing in the morning. 327 00:18:41,934 --> 00:18:43,436 For what? 328 00:18:44,729 --> 00:18:45,980 For the surgery. 329 00:18:46,105 --> 00:18:50,276 But if it's not cancer, it can't kill me, right? 330 00:18:53,654 --> 00:18:56,574 - No. - I'll have a huge scar. 331 00:18:56,699 --> 00:19:00,077 - I won't be able to wear a bikini. - Do you wear a bikini now? 332 00:19:00,202 --> 00:19:03,539 - Yeah. You got a problem with that? - Nope. 333 00:19:03,664 --> 00:19:05,207 But I've never gone swimming with you. 334 00:19:05,416 --> 00:19:07,752 I knew it. That's what this is all about. 335 00:19:07,877 --> 00:19:10,880 You are trying to force me to have cosmetic surgery. 336 00:19:11,005 --> 00:19:15,301 Yeah, that's exactly why I planted a 30-pound tumor on your ovary. 337 00:19:15,468 --> 00:19:17,052 It's not gonna kill me. 338 00:19:17,178 --> 00:19:20,473 The only thing surgery is gonna do is change the way I look. 339 00:19:20,598 --> 00:19:24,310 That is the definition of cosmetic surgery. 340 00:19:24,435 --> 00:19:27,104 It would also relieve your heartburn and discomfort. 341 00:19:27,229 --> 00:19:31,192 Yeah, right. Why give an antacid if you can cut someone up 342 00:19:31,317 --> 00:19:34,153 and make them a little easier on your eyes? 343 00:19:34,987 --> 00:19:38,741 My husband loves my body. 344 00:19:38,949 --> 00:19:42,286 He can't get enough of it. You think he's gonna want to touch me 345 00:19:42,411 --> 00:19:46,081 if I look like I've been gutted like a fish? 346 00:19:47,917 --> 00:19:51,128 That was unexpected. 347 00:19:51,754 --> 00:19:53,506 Yeah, it was. 348 00:19:55,257 --> 00:19:58,093 All she does during recess is run laps around the playground. 349 00:19:58,219 --> 00:20:00,846 She says she's exercising, but everyone knows it's just because 350 00:20:00,971 --> 00:20:02,348 no one wants to play with her. 351 00:20:02,473 --> 00:20:05,810 I mean, I am only her buddy because Ms. Ayers assigned her to me. 352 00:20:05,935 --> 00:20:08,270 That does not mean I am her friend. 353 00:20:09,438 --> 00:20:12,149 I'll make sure her doctors are all clear on that. 354 00:20:12,274 --> 00:20:13,818 Thanks. 355 00:20:14,109 --> 00:20:17,446 So, has she ever said anything to you about diet pills? 356 00:20:17,613 --> 00:20:20,366 - She told you that, too? - What do you mean? 357 00:20:20,616 --> 00:20:23,953 I busted her for taking drugs one day. She totally lied, 358 00:20:24,078 --> 00:20:26,831 said that they were diet pills her mom had given her. Come on. Get real. 359 00:20:26,956 --> 00:20:30,751 No way a girl like that is taking diet pills. 360 00:20:30,876 --> 00:20:33,546 I didn't give her diet pills. I would never do that. 361 00:20:33,671 --> 00:20:35,381 Right. So it was her imaginary mom. 362 00:20:35,506 --> 00:20:37,716 She didn't take any pills. The girl was lying. 363 00:20:37,842 --> 00:20:38,926 FOREMAN: Why would she lie? 364 00:20:39,051 --> 00:20:41,136 Because she's another mean little jerk. 365 00:20:41,262 --> 00:20:44,473 - Mom. - I'm sorry, honey. 366 00:20:45,349 --> 00:20:47,142 Clemmie didn't lie. 367 00:20:50,062 --> 00:20:53,274 I did. I took the pills. 368 00:20:54,400 --> 00:20:58,112 I told her you gave them to me because I didn't want to get in trouble. 369 00:20:58,237 --> 00:21:02,324 - FOREMAN: Where did you get them? - I took them from the store. 370 00:21:03,742 --> 00:21:08,414 - Why? Why would you do that? - I didn't want to be ugly anymore. 371 00:21:08,664 --> 00:21:12,501 - Oh, baby. You're not ugly. - Yes, I am. 372 00:21:13,002 --> 00:21:15,337 I know you don't think so, but I am. I'm disgusting. 373 00:21:15,462 --> 00:21:18,424 Jessica, please don't say that. (SNIFFLING) 374 00:21:19,008 --> 00:21:24,930 I just wanted to fit in. You know, have friends. 375 00:21:25,472 --> 00:21:29,101 Or at least have one person my age be nice to me. 376 00:21:29,685 --> 00:21:30,936 (SNIFFLES) 377 00:21:35,232 --> 00:21:37,067 Listen, the... 378 00:21:37,234 --> 00:21:41,405 The pills cause blood clots, heart attacks and insomnia. 379 00:21:41,614 --> 00:21:44,700 It explains everything. We'll keep her overnight to make sure, 380 00:21:44,825 --> 00:21:47,036 but she'll be fine. 381 00:21:47,494 --> 00:21:48,996 Thank you. 382 00:21:51,665 --> 00:21:53,042 CAMERON: I can't believe she was that desperate. 383 00:21:53,208 --> 00:21:55,878 HOUSE: Yeah, I'm sure that if everyone I knew hated me 384 00:21:56,003 --> 00:21:59,381 and couldn't bear to look at me, I wouldn't go so far as to shoplift. 385 00:21:59,506 --> 00:22:01,133 I'm not talking about the shoplifting. 386 00:22:01,258 --> 00:22:03,469 I'm sure she didn't even know they were dangerous. 387 00:22:03,594 --> 00:22:06,513 She probably saw them advertised on TV or over the Internet. 388 00:22:06,639 --> 00:22:10,476 Right. So I guess it's the media and pharmaceutical companies' fault now, 389 00:22:10,601 --> 00:22:13,604 not the fact that she can't stop shoveling food down her throat. 390 00:22:13,729 --> 00:22:15,147 No one forced her to get fat. 391 00:22:15,272 --> 00:22:17,024 No one forced a cancer patient to get cancer. 392 00:22:17,149 --> 00:22:19,735 - It's not a disease. - Have you seen the latest research? 393 00:22:19,860 --> 00:22:21,362 CHASE: Yes, I have. 394 00:22:21,487 --> 00:22:25,449 What I haven't seen lately is a kid eating an apple or riding a bike. 395 00:22:25,574 --> 00:22:26,867 You Americans can't even compete with 396 00:22:26,992 --> 00:22:28,702 the rest of the world in basketball anymore, 397 00:22:28,827 --> 00:22:30,955 unless, of course, it's the type you play 398 00:22:31,080 --> 00:22:34,291 with a remote control on a big-screen TV. 399 00:22:34,416 --> 00:22:35,668 Right. 400 00:22:35,793 --> 00:22:38,671 - Wait, wait, wait. - Are you gonna let him say that? 401 00:22:38,796 --> 00:22:41,131 He insulted our basketball teams. 402 00:22:41,840 --> 00:22:44,051 (PAGER BEEPS) 403 00:22:45,678 --> 00:22:47,972 (PAGER BEEPS) 404 00:22:48,764 --> 00:22:50,599 (PAGER BEEPS) 405 00:22:52,601 --> 00:22:54,311 JESSICA: Oh, my God. 406 00:22:54,895 --> 00:22:57,856 - It hurts so bad. Please. - What happened? 407 00:22:57,982 --> 00:22:59,942 - She's bleeding. - From where? 408 00:23:00,067 --> 00:23:03,153 On, my gosh. (sesame) 409 00:23:03,362 --> 00:23:06,115 Just please stop it. Please. God. 410 00:23:13,789 --> 00:23:15,708 Diet pills don't cause skin necrosis. 411 00:23:15,833 --> 00:23:17,626 Could be something related to the pills. 412 00:23:17,751 --> 00:23:20,504 - Or not. - Or both. 413 00:23:20,754 --> 00:23:24,258 Diet pills brought her to us. We gave her the sores. 414 00:23:24,466 --> 00:23:26,635 You think she got a staph infection from something here? 415 00:23:26,760 --> 00:23:28,470 I'm not saying the hospital gave her the sores. 416 00:23:28,595 --> 00:23:32,850 We did, by treating her. Warfarin-induced skin necrosis. 417 00:23:33,017 --> 00:23:36,270 Highly unlikely. We started her on heparin before the warfarin. 418 00:23:36,395 --> 00:23:39,606 - Who gave her the heparin? - I did warfarin. She did heparin. 419 00:23:39,732 --> 00:23:41,191 Sure you didn't both give her warfarin? 420 00:23:41,316 --> 00:23:43,986 Yes. I did not screw up. 421 00:23:44,445 --> 00:23:48,449 Did you actually see her prepare and administer the heparin? 422 00:23:51,452 --> 00:23:52,911 (SIGHS) 423 00:23:53,537 --> 00:23:56,498 - Enough said. - You were standing right there. 424 00:23:56,999 --> 00:23:59,752 - I was preparing my own dose. - Yeah, right. 425 00:24:00,085 --> 00:24:03,088 - There's gotta be some other cause. - None that I can think of. 426 00:24:03,213 --> 00:24:06,300 Let's fix the mistake. Give her unfractionated IV heparin 427 00:24:06,425 --> 00:24:10,471 and low-molecular-weight heparin by subcutaneous injection, stat. 428 00:24:15,350 --> 00:24:17,352 Making me look bad is not gonna save your job. 429 00:24:17,478 --> 00:24:19,480 You think you're incapable of making a mistake? 430 00:24:19,688 --> 00:24:22,357 You think that I am that weak that I'm gonna just roll over and take this? 431 00:24:22,483 --> 00:24:25,360 House isn't gonna protect you just because you kiss his ass. 432 00:24:25,486 --> 00:24:27,279 Vogler wants to know what he can do for me. 433 00:24:27,571 --> 00:24:32,618 Stop worrying about your asses and start worrying about the patient's. 434 00:24:35,621 --> 00:24:37,414 (MONITOR BEEPING) 435 00:24:51,887 --> 00:24:53,430 She sleeping? 436 00:24:53,555 --> 00:24:55,724 As a result of the sedatives, yeah. 437 00:24:55,849 --> 00:24:58,560 We can't let her wake up. Too much pain. 438 00:25:00,604 --> 00:25:05,692 Warfarin-induced skin necrosis. 439 00:25:06,235 --> 00:25:08,737 I have no idea what that means. 440 00:25:09,154 --> 00:25:12,783 But it says here we gave her the warfarin. 441 00:25:12,991 --> 00:25:15,577 And I do know what induced means. 442 00:25:16,078 --> 00:25:17,621 We did this? 443 00:25:18,330 --> 00:25:21,875 At this point, it's not exactly clear. 444 00:25:22,376 --> 00:25:24,461 You should probably talk to Dr. House. 445 00:25:24,586 --> 00:25:28,048 Oh. You two need time to get your story straight. 446 00:25:28,173 --> 00:25:29,716 He doesn't tell me what to do. 447 00:25:29,842 --> 00:25:34,221 So you don't just blindly follow his commands. You're your own man. 448 00:25:34,638 --> 00:25:38,350 And yet here you are, working for a guy you can't stand. 449 00:25:38,475 --> 00:25:40,894 - I respect him. - What exactly is it you respect? 450 00:25:41,019 --> 00:25:45,232 His attitude toward humanity? He thinks we're all idiots and liars. 451 00:25:45,357 --> 00:25:47,067 How about his attitude toward you? 452 00:25:47,192 --> 00:25:49,027 Plays with you like a cat with a ball of string. 453 00:25:49,153 --> 00:25:50,112 What do you want? 454 00:25:50,237 --> 00:25:52,072 I want to know if you want to keep your job. 455 00:25:52,322 --> 00:25:54,449 If he chooses to let me go, I can live with that. 456 00:25:54,575 --> 00:25:57,077 - That's not an answer. - Are you offering to protect me? 457 00:25:57,202 --> 00:25:59,788 - Still not an answer. - I want my job. 458 00:26:05,586 --> 00:26:07,004 Dr. Chase. 459 00:26:07,129 --> 00:26:08,422 CHASE: Boss. 460 00:26:12,134 --> 00:26:13,760 What was that about? 461 00:26:13,886 --> 00:26:17,097 He wanted to know what warfarin is. I don't know. 462 00:26:41,997 --> 00:26:43,081 (SHUDDERS) 463 00:26:43,415 --> 00:26:45,125 WY ' 464 00:26:46,752 --> 00:26:50,422 I'll definitely think twice before correcting one of your mistakes again. 465 00:26:50,547 --> 00:26:51,673 Correct all you want. 466 00:26:51,882 --> 00:26:54,551 Of course, it's a bit more productive if there's an actual mistake. 467 00:26:54,676 --> 00:26:57,554 Right. I always forget that part. 468 00:26:58,096 --> 00:26:59,181 I gave her the heparin, 469 00:26:59,306 --> 00:27:01,934 which means the necrosis is not a reaction to the warfarin, 470 00:27:02,059 --> 00:27:05,145 which is probably why she's not responding to your treatment. 471 00:27:05,354 --> 00:27:06,563 Yet. 472 00:27:10,359 --> 00:27:13,237 If you didn't screw up, then what is it? 473 00:27:14,947 --> 00:27:17,407 - You don't have an answer. - Yet. 474 00:27:18,200 --> 00:27:20,035 When you come up with something, let me know. 475 00:27:20,160 --> 00:27:23,789 I'll be in the clinic, warming up. 476 00:27:24,414 --> 00:27:27,125 I'm the only one who's always stood behind you when you've screwed up. 477 00:27:27,251 --> 00:27:30,337 Why? Why would you support someone who screws up? 478 00:27:30,504 --> 00:27:32,130 Because I'm not insanely insecure, 479 00:27:32,256 --> 00:27:34,299 and because I can actually trust in another human being, 480 00:27:34,424 --> 00:27:36,760 and I am not an angry, misanthropic son of a bitch. 481 00:27:36,885 --> 00:27:39,554 I'm sorry. You said you weren't angry. 482 00:27:42,307 --> 00:27:44,226 Who would you fire? 483 00:27:47,145 --> 00:27:49,856 - No one. - Not an option. 484 00:27:50,399 --> 00:27:52,526 If everyone took a pay cut and put in a few more hours, 485 00:27:52,651 --> 00:27:54,486 we could all stay for the same amount of money. 486 00:27:54,611 --> 00:27:58,115 Figures you'd try and come up with a solution where no one gets hurt. 487 00:27:58,240 --> 00:28:02,160 The problem is, the world doesn't work that way just 'cause you want it to. 488 00:28:02,286 --> 00:28:04,871 Figures you'd stall and refuse to deal with the issue. 489 00:28:04,997 --> 00:28:09,293 Problem is, the world doesn't go away just because you want it to. 490 00:28:25,726 --> 00:28:27,769 Excuse me. Dr. House? 491 00:28:28,103 --> 00:28:30,856 My wife saw you yesterday. Lucille Hernandez? 492 00:28:30,981 --> 00:28:35,444 - He's not in today. - My wife said he walked with a cane. 493 00:28:35,694 --> 00:28:40,532 He's also got a bit of a drug problem, sometimes doesn't show up for weeks. 494 00:28:41,325 --> 00:28:44,036 CUDDY: The MRls are rented, but... 495 00:28:45,203 --> 00:28:48,707 - Did you make a decision? - He's not gonna fire anybody. 496 00:28:49,291 --> 00:28:52,252 I'm gonna cut the pay of all four of us. 497 00:28:52,377 --> 00:28:54,212 Seventeen percent across the board 498 00:28:54,338 --> 00:28:56,882 will allow you to keep us all for the same amount of money. 499 00:28:57,007 --> 00:28:59,885 I believe it's what you suits call win-win. 500 00:29:00,761 --> 00:29:03,180 - CUDDY: All right, if you... - No. 501 00:29:03,430 --> 00:29:06,725 If he can work it so we keep the current staff for the same amount of money, 502 00:29:06,850 --> 00:29:09,269 what difference does it make? 503 00:29:12,314 --> 00:29:14,358 It's not about the money. 504 00:29:14,483 --> 00:29:17,361 This is not a negotiation. It never was. 505 00:29:18,695 --> 00:29:21,198 I need to know that whatever I ask you to do, 506 00:29:21,323 --> 00:29:23,867 however distasteful you find it, you'll do it. 507 00:29:23,992 --> 00:29:26,995 And just as importantly, you need to know that. 508 00:29:29,247 --> 00:29:30,499 (SIGHS) 509 00:29:38,757 --> 00:29:41,009 What's going on with my wife? 510 00:29:41,218 --> 00:29:44,846 Even if I was Dr. House, physician-patient confidentiality 511 00:29:44,971 --> 00:29:46,973 protects me from annoying conversations. 512 00:29:47,099 --> 00:29:48,475 She told me about the tumor. 513 00:29:48,600 --> 00:29:51,561 Yeah? She also tell you why she's refusing to have it removed? 514 00:29:51,686 --> 00:29:55,649 I don't care about a scar. And she can always gain the weight back. 515 00:29:55,816 --> 00:29:58,151 You want her to regain the weight? 516 00:29:58,276 --> 00:30:01,321 Yeah. I mean, only if she wants to. 517 00:30:01,488 --> 00:30:03,198 Why? 518 00:30:03,740 --> 00:30:06,493 I've always thought she looked sexiest when she was pregnant. 519 00:30:06,618 --> 00:30:08,703 Something about knowing she's a mother just makes me want... 520 00:30:08,829 --> 00:30:13,041 - Tell her that and leave me alone. - I did. You gotta talk to her. 521 00:30:13,166 --> 00:30:14,709 I couldn't bear it if something happened to her. 522 00:30:14,835 --> 00:30:18,755 The tumor is benign. Nothing's gonna happen, except maybe some heartburn. 523 00:30:19,798 --> 00:30:22,092 What if it gets even bigger, or it changes? 524 00:30:22,217 --> 00:30:25,804 You know where to find us. Building's not going anywhere. 525 00:30:25,929 --> 00:30:29,850 Tell her it's cancer. You obviously don't have a problem with lying. 526 00:30:29,975 --> 00:30:33,520 - Oh. Way to win me over. - We've got six kids. 527 00:30:33,645 --> 00:30:35,313 She can't afford to take a chance. 528 00:30:35,439 --> 00:30:37,858 You have kids. How novel. That changes everything. 529 00:30:37,983 --> 00:30:41,236 So if Mommy gets heartburn, one of them might catch on fire. 530 00:30:41,361 --> 00:30:44,448 Please. I don't know what we'd do. 531 00:30:50,704 --> 00:30:52,622 They are cute. 532 00:30:53,165 --> 00:30:55,917 - Have her come back in. - What? 533 00:30:56,042 --> 00:30:59,588 Your plight has moved me. Tell your wife to come back. 534 00:31:05,552 --> 00:31:06,970 The necrosis is getting worse. 535 00:31:07,095 --> 00:31:10,098 Maybe because we're treating her for the wrong thing. 536 00:31:11,224 --> 00:31:13,560 Have you found the right thing? 537 00:31:13,685 --> 00:31:14,728 No. 538 00:31:14,853 --> 00:31:16,730 Then we continue the treatment, 539 00:31:16,855 --> 00:31:18,607 hope it's just taking longer than it should. 540 00:31:18,732 --> 00:31:21,067 At this point, it doesn't matter what caused the necrosis. 541 00:31:21,193 --> 00:31:22,360 HOUSE: Or who. 542 00:31:22,486 --> 00:31:25,238 If we don't stop it from spreading, it will kill her before the end of the day. 543 00:31:25,363 --> 00:31:26,907 - What else can we do? - WILSON: Get rid of it. 544 00:31:27,032 --> 00:31:30,911 Remove the dying flesh before it penetrates the abdominal wall. 545 00:31:32,454 --> 00:31:33,330 Do it. 546 00:31:34,289 --> 00:31:37,501 There's still a chance the heparin treatment could start to take effect. 547 00:31:37,667 --> 00:31:39,628 We're gonna wait as long as we can, 548 00:31:39,753 --> 00:31:42,214 but if there's no change in the next few hours, 549 00:31:42,422 --> 00:31:44,174 we're gonna have to treat the symptoms directly. 550 00:31:44,299 --> 00:31:47,761 - So you can get rid of the sores? - Through surgery. 551 00:31:48,136 --> 00:31:50,639 Technically, it's an amputation. 552 00:31:50,889 --> 00:31:53,225 Amputation? But the sores are... 553 00:31:53,350 --> 00:31:58,188 Warfarin-induced necrosis attacks fatty tissue, mainly in the breasts. 554 00:31:59,147 --> 00:32:03,860 Wait. Are you talking about cutting off my daughter's breasts? 555 00:32:08,615 --> 00:32:10,283 She's 10 years old. 556 00:32:10,408 --> 00:32:14,329 A radical mastectomy may be her only chance for survival. 557 00:32:15,789 --> 00:32:19,417 I'm sorry, but I'm gonna have to ask you to sign this. 558 00:32:36,101 --> 00:32:38,562 Could we talk? 559 00:32:39,563 --> 00:32:42,566 What, no roses, no chocolates? 560 00:32:42,899 --> 00:32:46,528 - If you're here to apologize... - I'm not here to apologize. 561 00:32:46,778 --> 00:32:48,405 Uh-oh. 562 00:32:49,114 --> 00:32:52,075 That means you're here for something more complicated. 563 00:32:53,451 --> 00:32:56,204 Do you want to fire me? 564 00:32:56,621 --> 00:33:01,293 Yes. Just waiting for an excuse. Thank God Vogler came along. 565 00:33:01,585 --> 00:33:02,794 It's the only reason I can think of 566 00:33:02,919 --> 00:33:04,838 why you're insisting that I made a mistake. 567 00:33:04,963 --> 00:33:08,550 Really? Because there is another explanation. 568 00:33:08,758 --> 00:33:11,928 Perhaps not as much fun as your Freudian analysis, 569 00:33:12,304 --> 00:33:13,722 but maybe you actually made a mistake. 570 00:33:13,847 --> 00:33:17,976 You're doing this because you can't deal with your feelings for me. 571 00:33:22,314 --> 00:33:26,109 I believe that you were the only one to express feelings. 572 00:33:26,610 --> 00:33:29,070 If we're gonna look at this from a first-year psych point of view, 573 00:33:29,195 --> 00:33:32,365 maybe you want me to fire you. Maybe that's why you're acting weird. 574 00:33:32,490 --> 00:33:33,867 You're the one being different. 575 00:33:33,992 --> 00:33:36,119 You're always pushing things, pushing the rules, pushing us. 576 00:33:36,244 --> 00:33:38,705 But not this time. You jumped on this idea like a life raft. 577 00:33:38,830 --> 00:33:40,540 Not one question about what else it could be. 578 00:33:40,665 --> 00:33:42,417 No riding us for other answers. 579 00:33:42,542 --> 00:33:44,628 I have the answer. 580 00:33:45,629 --> 00:33:49,007 Then why aren't you watching TV or playing your damn Game Boy, 581 00:33:49,132 --> 00:33:52,552 or whatever else you have so much fun doing by yourself? 582 00:33:56,598 --> 00:34:00,644 Maybe I should just quit. Make it easy for everyone. 583 00:34:03,229 --> 00:34:04,939 Maybe you should. 584 00:34:10,612 --> 00:34:14,491 - HOUSE: Men are pigs. - You called me in to tell me... 585 00:34:14,616 --> 00:34:17,827 I should've realized the vasectomy and condoms was overkill, 586 00:34:17,952 --> 00:34:19,621 but this was too obvious to miss. 587 00:34:21,456 --> 00:34:24,042 Cute kids. 588 00:34:24,250 --> 00:34:28,046 Love her green eyes and his baby blues. 589 00:34:28,213 --> 00:34:30,757 Of course, since both you and your husband have brown eyes... 590 00:34:30,882 --> 00:34:32,092 Where'd you get that? 591 00:34:32,217 --> 00:34:37,222 From the father of three, maximum four, of your six children. 592 00:34:37,555 --> 00:34:39,724 I'm thinking maybe the reason you don't want surgery 593 00:34:39,849 --> 00:34:42,352 is that while your husband will find you attractive no matter what, 594 00:34:42,477 --> 00:34:46,981 all the other men you're sleeping with might not be so open-minded. 595 00:34:47,107 --> 00:34:51,069 Which brings me back to my original thesis, men are pigs. 596 00:34:51,361 --> 00:34:53,822 You got nothing to worry about. 597 00:34:54,114 --> 00:34:56,282 They'll pretty much have sex with anyone, 598 00:34:56,408 --> 00:35:01,329 fat, skinny, married, single, complete strangers, relatives. 599 00:35:01,496 --> 00:35:03,832 You are sick. 600 00:35:04,040 --> 00:35:05,625 So are you. 601 00:35:05,750 --> 00:35:08,211 And I'm sure there are web sites full of men 602 00:35:08,336 --> 00:35:11,673 looking for married women with surgical scars. 603 00:35:12,966 --> 00:35:16,302 So have the surgery. Please? 604 00:35:18,847 --> 00:35:20,223 Okay- 605 00:35:25,228 --> 00:35:26,604 Thanks. 606 00:35:31,067 --> 00:35:32,652 Why have you been talking to Cameron? 607 00:35:32,777 --> 00:35:36,406 If House picks you, I'll be needing a new source in that room. 608 00:35:36,531 --> 00:35:38,283 If he picks me? 609 00:35:38,408 --> 00:35:42,579 Sure. Foreman's smarter. House has got a thing for Cameron. 610 00:35:42,704 --> 00:35:45,248 I've been feeding you information so you'll protect me. 611 00:35:45,373 --> 00:35:47,542 And I will protect you, as long as I need you. 612 00:35:47,667 --> 00:35:50,587 And you will feed me information as long as you need me. 613 00:35:50,712 --> 00:35:54,716 I spoke with Cameron because if I have alternatives, 614 00:35:54,841 --> 00:35:56,676 I don't need you. 615 00:35:59,429 --> 00:36:02,056 She's not gonna rat on House. 616 00:36:02,265 --> 00:36:05,810 Foreman never said anything about talking to me? 617 00:36:07,771 --> 00:36:09,647 Interesting, huh? 618 00:36:13,443 --> 00:36:14,986 (MONITOR BEEPING) 619 00:36:28,583 --> 00:36:33,296 It's been almost three hours. Still no change in her condition. 620 00:36:33,505 --> 00:36:36,966 I think we should get her into surgery. 621 00:36:37,342 --> 00:36:39,427 So what do you want to do? 622 00:36:41,054 --> 00:36:44,390 Assume that Cameron didn't screw up. 623 00:36:46,309 --> 00:36:47,727 What if it's not the warfarin? 624 00:36:47,852 --> 00:36:50,230 It has to be. The sores presented right after we administered it. 625 00:36:50,355 --> 00:36:53,441 Right, right, right. But let's just say it's not. 626 00:36:53,650 --> 00:36:54,776 Come on. What do you got? 627 00:36:54,901 --> 00:36:56,611 - Can I have a second to think? - There's no time to think. 628 00:36:56,736 --> 00:36:58,905 Just say the first thing that comes into your head. 629 00:36:59,030 --> 00:37:00,532 - She's fat. - Enough already. 630 00:37:00,657 --> 00:37:03,201 - We got it. You hate fat people. - That's not what I meant. 631 00:37:03,326 --> 00:37:05,286 We already considered obesity as a cause. 632 00:37:05,411 --> 00:37:08,206 - FOREMAN: So did all her other doctors. - I mean, what if it's not a cause? 633 00:37:08,331 --> 00:37:10,250 What if it's a symptom? 634 00:37:10,375 --> 00:37:15,755 So, what could cause obesity and skin necrosis? 635 00:37:18,132 --> 00:37:20,552 I don't care if it makes sense. Just give me something. 636 00:37:20,677 --> 00:37:24,180 - Ulcers secondary to vasculitis. - No, that's just sores, not obesity. 637 00:37:24,305 --> 00:37:26,850 - Pyoderma gangrenosum. - More sores. 638 00:37:27,267 --> 00:37:30,478 Let's look at it from the other side. What has obesity as a symptom? 639 00:37:30,603 --> 00:37:33,606 - Hypothyroidism? - Genetics are more likely. 640 00:37:33,731 --> 00:37:35,483 Her mom's heavy, too. 641 00:37:39,279 --> 00:37:42,532 She's not just heavy, she's tall. 642 00:37:44,492 --> 00:37:47,245 - We have any history on the dad? - Yeah. 643 00:37:49,789 --> 00:37:52,000 S' 1" . 644 00:37:54,711 --> 00:37:56,504 Kid's short. 645 00:37:56,629 --> 00:38:01,301 We got stunted growth, high blood pressure, blood clots, obesity. 646 00:38:02,635 --> 00:38:05,763 - It's Cushing's. - No. Necrosis doesn't present... 647 00:38:05,889 --> 00:38:08,641 In rare cases, Cushing's can cause hypercalcemia, 648 00:38:08,766 --> 00:38:11,436 which can lead to the same skin necrosis as warfarin. 649 00:38:11,561 --> 00:38:14,814 - It's perfect. It explains everything. - Except it's not Cushing's. 650 00:38:14,939 --> 00:38:18,276 She's had multiple blood tests, and none show abnormal cortisol levels. 651 00:38:18,401 --> 00:38:21,571 The hypercortisolism could be cyclical. We didn't catch it in the right phase. 652 00:38:21,696 --> 00:38:24,532 - We'll have to do another UFC. - There's no time. 653 00:38:24,657 --> 00:38:26,284 We've got less than an hour to make a call. 654 00:38:26,409 --> 00:38:28,578 If we treat for Cushing's and we're wrong, she's dead. 655 00:38:28,703 --> 00:38:32,749 If we assume it's not Cushing's, she'll lose her breasts and may still be sick. 656 00:38:35,585 --> 00:38:36,669 Do an MRI. 657 00:38:36,794 --> 00:38:38,922 You want us to look for hypercortisolism with an MRI? 658 00:38:39,047 --> 00:38:43,384 I want you to look for what could cause hypercortisolism with an MRI. 659 00:39:03,905 --> 00:39:05,615 FOREMAN: Nothing on the adrenals. 660 00:39:08,326 --> 00:39:13,081 - Heard Cameron went home. Is she sick? - Go back to the pituitary views. 661 00:39:13,206 --> 00:39:14,374 She seemed okay. 662 00:39:14,499 --> 00:39:16,250 Think she's got another reason for leaving? 663 00:39:16,376 --> 00:39:21,172 I hope so. Wait, stop. There. What's that? 664 00:39:25,593 --> 00:39:27,762 A tumor. 665 00:39:28,513 --> 00:39:30,181 It's Cushing's. 666 00:39:30,431 --> 00:39:32,517 The tumor causes Cushing's. 667 00:39:32,642 --> 00:39:35,311 And Cushing's messes with hormone production. 668 00:39:35,436 --> 00:39:37,772 Hormones control everything, growth, weight. 669 00:39:37,897 --> 00:39:39,691 Can you fix it? 670 00:39:39,857 --> 00:39:41,818 She'll need surgery to remove the tumor. 671 00:39:42,151 --> 00:39:45,196 Once ifs gone, everything will get normal very fast. 672 00:39:45,321 --> 00:39:47,532 - No mastectomy? - No. 673 00:39:48,658 --> 00:39:51,035 - Thank God. - The surgery is dangerous. 674 00:39:51,160 --> 00:39:53,746 The pituitary's located between the cavernous sinuses, 675 00:39:53,871 --> 00:39:55,415 basically right between the eyes. 676 00:39:55,540 --> 00:39:58,001 The area contains the nerves that control eye movement 677 00:39:58,126 --> 00:39:59,794 and the major arteries that feed the brain. 678 00:39:59,919 --> 00:40:00,920 Oh, my God. 679 00:40:01,045 --> 00:40:05,049 The surgeon will approach the gland transsphenoidally. 680 00:40:05,258 --> 00:40:07,135 An incision will be made under the lip, 681 00:40:07,260 --> 00:40:09,929 through which he'll insert a fiber-optic microscope. 682 00:40:10,054 --> 00:40:12,473 Once the tumor's found, he'll cut it into small pieces 683 00:40:12,598 --> 00:40:14,809 and remove it through the same hole under the lip. 684 00:40:14,934 --> 00:40:16,894 The whole procedure should take about three hours, 685 00:40:17,020 --> 00:40:19,188 and your daughter should be able to go home in a few days. 686 00:40:19,313 --> 00:40:23,359 The sores will go away, as well as her fatigue and the muscle pain. 687 00:40:23,609 --> 00:40:26,404 She'll even start losing weight. 688 00:41:15,328 --> 00:41:17,371 - FOREMAN: Jessica. - Hi. 689 00:41:17,497 --> 00:41:20,166 - Is that really you? - Yep, it's me. 690 00:41:20,291 --> 00:41:23,169 You look fantastic. 691 00:41:24,462 --> 00:41:27,298 She always looked fantastic. 692 00:41:27,465 --> 00:41:29,258 Yeah. 693 00:41:55,785 --> 00:41:58,746 - It's been a week. - Actually, it's over a week. 694 00:41:58,955 --> 00:42:01,124 How have you guys been? 695 00:42:02,083 --> 00:42:04,001 Who is it? 696 00:42:08,422 --> 00:42:09,966 Chase. 697 00:42:10,091 --> 00:42:11,717 No, Chase stays. 698 00:42:13,928 --> 00:42:16,597 - Pick someone else. - The deal was... 699 00:42:16,722 --> 00:42:18,975 The deal's changed. 700 00:42:19,308 --> 00:42:21,394 Pick someone else. 701 00:42:22,061 --> 00:42:23,312 No. 702 00:42:32,905 --> 00:42:36,701 Pick someone else, or it'll be the whole department.