1 00:00:00,314 --> 00:00:01,773 ANNOUNCER: (ON TV) Blue Calamari is still in the lead, 2 00:00:01,898 --> 00:00:04,484 but Ample Parking is making strides, and is now in fourth, third, 3 00:00:04,610 --> 00:00:07,571 and holding second place, while Blue Calamari is at a steady speed. 4 00:00:07,696 --> 00:00:09,656 And down the stretch they come! 5 00:00:09,781 --> 00:00:13,910 Ample Parking comes from behind. And it's Ample Parking by a nose. 6 00:00:14,036 --> 00:00:15,412 (PEOPLE CHEERING) 7 00:00:15,537 --> 00:00:20,125 This is the last call for the third race. You may still wager if you hurry. 8 00:00:20,250 --> 00:00:21,918 Here's your information on the race... 9 00:00:22,044 --> 00:00:23,920 Out of the way. Cripple coming through. 10 00:00:25,297 --> 00:00:27,382 Sixth race at Golden Downs. 11 00:00:27,507 --> 00:00:32,262 I'll take the two and the four. Hey, that's my birthday. 12 00:00:32,429 --> 00:00:35,766 February 4, 1963. Do you think that's a good bet? 13 00:00:36,266 --> 00:00:37,559 What's your birthday? 14 00:00:37,684 --> 00:00:41,188 Take your time. Don't worry. There's only 30 seconds to post. 15 00:00:41,313 --> 00:00:44,399 Is there any way I can bet on the six and the three also? 16 00:00:44,524 --> 00:00:47,402 You know, for the year? All four horses. Can I do that? 17 00:00:47,861 --> 00:00:52,157 He wants a $2 exacta box, two, four, six, three. Give him $24. 18 00:00:58,538 --> 00:00:59,998 Your turn. 19 00:01:00,332 --> 00:01:03,251 The ninth at Gulfstream Park. $500 on the three horse, 20 00:01:03,377 --> 00:01:04,670 Seminole Uprising to win. 21 00:01:04,795 --> 00:01:06,630 Might as well burn your money. 22 00:01:07,047 --> 00:01:09,508 I'll burn my winnings. Bigger flame. 23 00:01:11,259 --> 00:01:13,303 Same race, Termigator to win. 24 00:01:15,305 --> 00:01:16,932 Sorry, race just closed. 25 00:01:17,057 --> 00:01:18,308 Damn it. 26 00:01:19,017 --> 00:01:20,686 She was 14-to-1, too. 27 00:01:20,811 --> 00:01:23,397 Then fatass over there just saved you money. 28 00:01:23,522 --> 00:01:24,773 No way Seminole Uprising's... 29 00:01:24,898 --> 00:01:26,983 I don't bet on the horses. I bet on the jocks. 30 00:01:27,275 --> 00:01:30,278 My rider's bulimic, purges after his weigh-ins. 31 00:01:30,737 --> 00:01:34,991 Leave a two-pound pile at the starting gate, shaves valuable time off that final eighth. 32 00:01:35,117 --> 00:01:37,244 Nice to have inside information. 33 00:01:37,828 --> 00:01:38,912 ANNOUNCER: (ON TV) ...by a length. 34 00:01:39,037 --> 00:01:40,205 The Burning Bush and on the level is Candy, 35 00:01:40,330 --> 00:01:42,541 right up on the inside is Bowfinger... 36 00:01:42,666 --> 00:01:43,792 (GLASS SHATTERING) 37 00:01:49,047 --> 00:01:50,882 And Termigator pulling up against the rail. 38 00:01:51,007 --> 00:01:53,009 ls anybody here a doctor? 39 00:01:58,557 --> 00:02:00,058 Trying to cop a feel? 40 00:02:00,183 --> 00:02:01,893 I took a CPR class at the Y. 41 00:02:02,018 --> 00:02:04,813 That would be useful if she was having a heart attack instead of a seizure. 42 00:02:04,938 --> 00:02:06,523 Seizure? Hold her tongue down? 43 00:02:06,648 --> 00:02:09,317 If you wanna get a finger bitten off. Call an ambulance. 44 00:02:09,568 --> 00:02:11,027 Methodist's three blocks down. 45 00:02:11,153 --> 00:02:13,113 - I could drive her. - Just make the call. 46 00:02:20,787 --> 00:02:23,415 - What the hell is that? - How should I know? 47 00:02:23,915 --> 00:02:26,460 Tell the paramedics to take her to Princeton-Plainsboro. 48 00:02:26,585 --> 00:02:28,128 Her doctor's name is House. 49 00:02:28,253 --> 00:02:30,964 ANNOUNCER: (ON TV) And it's Termigator, winning by two lengths. 50 00:03:06,124 --> 00:03:08,168 Since when does House hang out at OTB? 51 00:03:08,293 --> 00:03:09,419 The man's an addict. 52 00:03:09,544 --> 00:03:11,129 Right, addicted to pills, not gambling. 53 00:03:11,254 --> 00:03:14,633 It's the same thing. Drug abuse, drinking, gambling. 54 00:03:14,925 --> 00:03:17,260 They all fire up the same pleasure centers in the brain. 55 00:03:17,385 --> 00:03:18,804 An addict is an addict is an... 56 00:03:18,929 --> 00:03:20,597 Gambling doesn't take away his pain. 57 00:03:20,889 --> 00:03:22,265 It does when I win. 58 00:03:22,390 --> 00:03:26,228 Hot OTB babe has grand mal 59 00:03:26,686 --> 00:03:28,814 and inexplicable bruising. 60 00:03:29,314 --> 00:03:30,440 What up with that? 61 00:03:30,565 --> 00:03:32,734 You were just standing there, and she started to seize? 62 00:03:32,859 --> 00:03:35,278 Spend as much time around the real people as I do, 63 00:03:35,403 --> 00:03:36,404 someone gets sick. 64 00:03:36,530 --> 00:03:38,698 Her platelets are 89, she's anemic. 65 00:03:39,616 --> 00:03:41,868 And she has a blood alcohol level of 0.13. 66 00:03:41,993 --> 00:03:43,787 Hot OTB babe? 67 00:03:44,120 --> 00:03:47,207 Obviously a working girl. Probably an STD infection. 68 00:03:47,332 --> 00:03:48,917 No fever. No infection. 69 00:03:49,042 --> 00:03:50,710 Alcohol abuse explains it all. 70 00:03:51,086 --> 00:03:53,755 Causes seizures and affects her blood's ability to clot, 71 00:03:53,880 --> 00:03:54,923 which causes bruising. 72 00:03:55,048 --> 00:03:56,842 Start her on heparin, she'll be fine by morning. 73 00:03:56,967 --> 00:03:58,844 Except for the fact that the bruises are not petechial, 74 00:03:58,969 --> 00:04:00,303 which means it's not DIC. 75 00:04:00,428 --> 00:04:02,347 So the bruises were caused by trauma. 76 00:04:02,472 --> 00:04:05,183 She probably got beat up by her boyfriend. Or her pimp. 77 00:04:05,308 --> 00:04:08,687 What's that called when you judge someone before ever meeting them? 78 00:04:08,812 --> 00:04:10,689 She's a regular at OTB. 79 00:04:10,814 --> 00:04:14,734 Somehow, I don't see her holding down a 9-to-5 and going to PTA meetings. 80 00:04:14,860 --> 00:04:17,279 I was there. I have a 9-to-3 job. 81 00:04:17,404 --> 00:04:21,658 It could be SLE, familial telangiectasias, or even Cushing's. 82 00:04:21,783 --> 00:04:24,035 - Good. Start with those. - Which one? 83 00:04:24,160 --> 00:04:26,663 Cushing's. It explains the seizure and the bruising. 84 00:04:26,788 --> 00:04:27,789 Not the anemia. 85 00:04:27,914 --> 00:04:28,999 So she doesn't eat a lot of meat. 86 00:04:29,124 --> 00:04:32,002 DIC brought on by alcohol abuse is far more likely. 87 00:04:32,127 --> 00:04:36,506 Do a full workup, H and P. And lab her up, LP, MRI. 88 00:04:36,798 --> 00:04:37,674 (EXCLAIMING) 89 00:04:39,259 --> 00:04:43,263 Did you just ever so subtly order me to get her medical history? 90 00:04:44,139 --> 00:04:47,726 Cuddy put me in charge last week, so, yeah. 91 00:04:51,354 --> 00:04:56,067 It was a pretend in charge, a forlnality to get past the suits in legal. 92 00:04:56,192 --> 00:04:59,362 Right, those licensing-board folk love to play dress up and pretend. 93 00:04:59,487 --> 00:05:02,157 Hey, no worries. I'll let you keep your parking space. 94 00:05:02,282 --> 00:05:05,535 You can have it. You'll also need my handicap placard. 95 00:05:05,660 --> 00:05:06,703 Bend over. 96 00:05:06,828 --> 00:05:08,204 You make a pretty convincing argument. 97 00:05:08,330 --> 00:05:10,916 Chase killed that woman. Now Foreman's in charge? 98 00:05:11,041 --> 00:05:12,751 CUDDY: Yeah, we have a pecking order here. 99 00:05:12,876 --> 00:05:14,628 If Cameron kills somebody, Chase takes over. 100 00:05:14,753 --> 00:05:16,171 There's a flow chart in the lobby. 101 00:05:16,296 --> 00:05:18,840 For the next three weeks, you answer directly to Dr. Foreman. 102 00:05:18,965 --> 00:05:21,635 And I expect you here for grand rounds at 9:00. 103 00:05:21,760 --> 00:05:23,929 By the way, I like sugar in my coffee. 104 00:05:25,764 --> 00:05:28,600 If there's a screw up, it's your screw up. 105 00:05:29,726 --> 00:05:32,729 You won't have Dr. House to fall back on. 106 00:05:36,816 --> 00:05:40,654 "Do you wear a seat belt?" Is that really relevant to a seizure? 107 00:05:40,779 --> 00:05:41,821 Skip it. 108 00:05:41,947 --> 00:05:44,324 How about, "Were you vaccinated for polio?" 109 00:05:44,449 --> 00:05:47,160 I think you gave me the form intended for FDR. 110 00:05:47,285 --> 00:05:49,120 You really like Teeny Tiny Mo in the fifth? 111 00:05:49,245 --> 00:05:51,206 I went 4-for-6 yesterday. 112 00:05:51,790 --> 00:05:54,209 You want winners? Cure me first. 113 00:05:54,751 --> 00:05:57,796 "Are you generally satisfied with your life?" 114 00:05:57,921 --> 00:05:59,839 It does not ask that. 115 00:06:05,178 --> 00:06:06,388 You know, I was gonna ask 116 00:06:06,513 --> 00:06:09,683 what a respectable doctor was doing at an OTB parlor. 117 00:06:10,058 --> 00:06:12,978 Somehow that question doesn't seem relevant anymore. 118 00:06:13,103 --> 00:06:15,480 - What's your excuse? - It turns me on. 119 00:06:15,605 --> 00:06:18,233 Yeah? What else turns you on? Drugs? 120 00:06:18,733 --> 00:06:20,860 Casual sex? Rough sex? 121 00:06:21,736 --> 00:06:23,530 Casual rough sex? 122 00:06:24,698 --> 00:06:27,283 - I'm a doctor. I need to know. - No sex. 123 00:06:27,409 --> 00:06:29,744 Just moved here. Haven't even found a job yet. 124 00:06:29,869 --> 00:06:31,037 Don't know anybody. 125 00:06:31,162 --> 00:06:32,706 Came here without a job. 126 00:06:33,873 --> 00:06:37,877 That means you didn't move here, you moved away from somewhere else. 127 00:06:40,755 --> 00:06:42,173 Does that hurt? No. 128 00:06:43,425 --> 00:06:46,052 Are you on any prescription meds'? Hormones'? Prednisone'? 129 00:06:46,177 --> 00:06:49,431 I already answered that one. I think it was question number 20-something. 130 00:06:49,556 --> 00:06:51,182 Well, yeah. And I could reach down and get it. 131 00:06:51,307 --> 00:06:53,143 But that would kind of spoil the whole cool move. 132 00:06:53,268 --> 00:06:55,103 I'm not on any medications. 133 00:06:55,228 --> 00:06:57,814 - Are you a vegetarian? - No. Why? 134 00:06:58,440 --> 00:07:00,942 Because you might have something called Cushing's syndrome, 135 00:07:01,067 --> 00:07:02,110 which basically means... 136 00:07:02,235 --> 00:07:05,822 My pituitary is overproducing ACTH, 137 00:07:05,947 --> 00:07:10,744 which is causing my adrenal glands to push too much cortisol into my bloodstream. 138 00:07:10,869 --> 00:07:13,121 What a coincidence. I'm a doctor, too. 139 00:07:13,246 --> 00:07:14,831 Yeah, I had it last year. 140 00:07:14,998 --> 00:07:19,169 They did brain surgery, removed an adenoma from my pituitary. 141 00:07:24,174 --> 00:07:25,800 (HOUSE WHISTLING) 142 00:07:30,138 --> 00:07:31,264 (EXCLAIMING) 143 00:07:31,389 --> 00:07:33,016 What did you just say? 144 00:07:33,141 --> 00:07:36,728 "You were right, House. Her pituitary tumor regrew. It is Cushing's. 145 00:07:36,853 --> 00:07:38,521 Uncanny how you do that." 146 00:07:38,646 --> 00:07:40,482 Actually, it was Cameron's idea. 147 00:07:40,607 --> 00:07:42,275 No, Cameron had three ideas. 148 00:07:42,400 --> 00:07:44,944 I chose one to encourage, to nurture... 149 00:07:45,070 --> 00:07:46,863 Yeah, you're all about the nurturing. 150 00:07:46,988 --> 00:07:48,740 Do you need a hug? 151 00:07:51,117 --> 00:07:53,119 I don't see any regrowth. 152 00:07:53,411 --> 00:07:54,913 You get her medical records faxed over? 153 00:07:55,038 --> 00:07:57,791 Work smart, not hard. That's my philosophy, boss. 154 00:07:57,916 --> 00:07:59,834 I'll take that as a no. 155 00:08:01,669 --> 00:08:04,005 FOREMAN: Anica, I need you to stay completely still. 156 00:08:04,130 --> 00:08:05,632 Sorry. 157 00:08:08,843 --> 00:08:10,720 Still don't see anything. 158 00:08:10,929 --> 00:08:13,807 Okay, so it's a microadenoma. Too small to see. 159 00:08:13,932 --> 00:08:15,266 So small, it's not even there. 160 00:08:15,391 --> 00:08:18,311 Right. It's just a coincidence that I predicted a rare condition 161 00:08:18,436 --> 00:08:19,771 that she happened to have a year ago. 162 00:08:19,896 --> 00:08:21,106 Results from her LP back yet? 163 00:08:21,231 --> 00:08:23,942 Didn't do an LP. I knew what she had. 164 00:08:26,486 --> 00:08:27,862 Go do the LP. 165 00:08:34,035 --> 00:08:37,956 Okay, I need you to roll over on your side, kiss your kneecaps. 166 00:08:38,581 --> 00:08:39,833 Party time. 167 00:08:40,875 --> 00:08:42,669 I thought it only took one doctor to do this. 168 00:08:42,794 --> 00:08:43,878 I'm observing. 169 00:08:44,003 --> 00:08:46,214 She's here to make sure I don't paralyze you. 170 00:08:47,173 --> 00:08:48,424 You've done this before, right? 171 00:08:48,550 --> 00:08:49,676 Successfully? 172 00:08:49,801 --> 00:08:51,553 He's kidding. He's an excellent doctor. 173 00:08:51,678 --> 00:08:53,805 I'm going to numb the area with some lidocaine, 174 00:08:53,930 --> 00:08:55,807 and then we're off to the races. 175 00:08:55,932 --> 00:08:57,392 See what I did there? 176 00:08:57,517 --> 00:09:00,979 I used horse-racing jargon to make the patient feel more comfortable. 177 00:09:01,855 --> 00:09:03,648 Okay, here we go. 178 00:09:04,065 --> 00:09:05,108 (GASPS) 179 00:09:05,233 --> 00:09:07,360 Felt like bone. Does that hurt? 180 00:09:07,485 --> 00:09:09,112 A little bit. What are you doing? 181 00:09:09,237 --> 00:09:10,321 (GROANING) 182 00:09:10,446 --> 00:09:11,990 Try rounding your back a bit more. 183 00:09:12,115 --> 00:09:13,783 You're perfect just the way you are. 184 00:09:14,450 --> 00:09:16,494 Oops, that was all me. 185 00:09:17,287 --> 00:09:19,122 Might want to move down one vertebra. 186 00:09:19,247 --> 00:09:21,708 This is actually much harder than I remember. 187 00:09:21,833 --> 00:09:22,709 (GROANING) 188 00:09:23,668 --> 00:09:25,420 My chest feels a little tight. 189 00:09:25,545 --> 00:09:26,921 Try taking a deep breath. 190 00:09:27,046 --> 00:09:28,715 Dr. House, maybe I should take it from here. 191 00:09:28,840 --> 00:09:29,966 Eighth time's the charm. 192 00:09:31,134 --> 00:09:32,677 You trying to piss off Foreman? 193 00:09:32,844 --> 00:09:34,470 Just let... 194 00:09:34,637 --> 00:09:36,055 CAMERON: BP's 240 over 140. 195 00:09:36,181 --> 00:09:37,599 Turn that thing off, will you? 196 00:09:37,724 --> 00:09:38,850 Take the needle out. 197 00:09:38,975 --> 00:09:40,727 - Take the needle out! - Okay. 198 00:09:43,188 --> 00:09:47,400 It's a hypertensive crisis. Start her on an IV lopressor drip. 199 00:09:47,525 --> 00:09:50,278 Titrate to systolic less than 140. She'll be fine. 200 00:09:50,653 --> 00:09:52,864 Cameron. Meet me in my office. 201 00:09:53,323 --> 00:09:57,827 At the risk of sounding redundant and right, again, 202 00:09:57,994 --> 00:10:00,872 she has Cushing's. Cushing's. 203 00:10:00,997 --> 00:10:04,584 Right, the fact that you mangled her LP has nothing to do with it. 204 00:10:04,709 --> 00:10:06,711 Actually, it has everything to do with it. 205 00:10:06,836 --> 00:10:10,590 Cushing's plus stress equals hypertensive crisis. 206 00:10:11,132 --> 00:10:12,675 Smart move, sending the rookie. 207 00:10:12,800 --> 00:10:16,054 Her initial symptoms could have been caused by alcohol-induced DIC. 208 00:10:16,179 --> 00:10:17,889 She had a hypertensive crisis 209 00:10:18,014 --> 00:10:19,933 because it's been at least six hours since she had her last drink. 210 00:10:20,058 --> 00:10:21,100 She's detoxing. 211 00:10:21,226 --> 00:10:24,062 The exact same moment that I'm futilely trying to give her an LP? 212 00:10:24,187 --> 00:10:28,024 Right. An invisible tumor on her pituitary is much more likely. 213 00:10:28,149 --> 00:10:29,943 CHASE: What if the tumor is somewhere else? 214 00:10:30,068 --> 00:10:33,529 There could be an ACTH-secreting tumor on her lung or pancreas. 215 00:10:33,655 --> 00:10:34,614 It's awfully rare. 216 00:10:34,739 --> 00:10:36,157 Not as rare as an invisible tumor. 217 00:10:36,282 --> 00:10:38,785 Why didn't they put you in charge instead of Foreman? 218 00:10:38,910 --> 00:10:41,871 Oh, yeah, you're the guy that killed that woman. 219 00:10:41,996 --> 00:10:45,291 Get a pan-man scan before she dies a cortisol OD. 220 00:10:47,835 --> 00:10:49,087 (WHIMPERS) 221 00:10:50,129 --> 00:10:51,506 Fine. Do it. 222 00:10:52,257 --> 00:10:54,550 But when you don't find anything, put her on a Librium taper 223 00:10:54,676 --> 00:10:57,595 for the withdrawal and get her a bed in a rehab clinic. 224 00:11:09,148 --> 00:11:10,858 CHASE: Lungs look clean. 225 00:11:11,442 --> 00:11:13,861 Her lymph nodes are not enlarged. 226 00:11:15,655 --> 00:11:18,032 Cuddy tapped Foreman to run the department. 227 00:11:18,700 --> 00:11:20,952 - I didn't even get asked. - Neither did I. 228 00:11:21,077 --> 00:11:22,912 - You were suspended. - I was kidding. 229 00:11:23,079 --> 00:11:27,000 It's the irony of women in charge. They don't like other women in charge. 230 00:11:28,001 --> 00:11:30,670 What? You think it's something else? 231 00:11:31,421 --> 00:11:34,549 You sabotaged yourself. You went on a date with House. 232 00:11:34,674 --> 00:11:37,552 You slept with me. Putting you in charge of this department 233 00:11:37,677 --> 00:11:40,346 is like a sexual harassment suit waiting to happen. 234 00:11:40,471 --> 00:11:41,973 Yeah, they're really worried 235 00:11:42,098 --> 00:11:44,309 that I'm gonna create a hostile work environment. 236 00:11:44,434 --> 00:11:46,436 Maybe that's the problem. 237 00:11:46,978 --> 00:11:49,981 Being in charge means having to say no to House. 238 00:11:50,356 --> 00:11:52,525 Would you hire you for that? 239 00:11:55,445 --> 00:11:59,073 ANNOUNCER: (ON TV) Anderson coming out strong. What is he thinking? 240 00:11:59,198 --> 00:12:01,659 He watched what Tom Mants just did. 241 00:12:02,452 --> 00:12:05,747 You ordered MRls for the entire maternity ward? 242 00:12:06,247 --> 00:12:08,082 I was in a crazy mood. 243 00:12:08,207 --> 00:12:10,168 Good thing I got a new boss to back me up. 244 00:12:10,293 --> 00:12:12,378 Although, I think one of those is actually necessary. 245 00:12:12,503 --> 00:12:14,964 Better comb through before you cancel them all. 246 00:12:17,800 --> 00:12:21,721 What do you expect me to do, House? Quit? Cry? 247 00:12:21,888 --> 00:12:24,807 Actually, I expect you to act like what you are. 248 00:12:24,932 --> 00:12:27,435 My employee. My subordinate. 249 00:12:28,686 --> 00:12:29,771 My bitch. 250 00:12:30,396 --> 00:12:31,856 Well, since you asked nicely... 251 00:12:31,981 --> 00:12:33,024 My God. 252 00:12:33,149 --> 00:12:36,361 I can't believe I got more than a year behind on my discharge summaries. 253 00:12:36,486 --> 00:12:39,822 Got to get caught up. Oh, no, wait. 254 00:12:39,947 --> 00:12:42,950 I'm not authorized to sign these anymore. Only you are. 255 00:12:43,368 --> 00:12:45,787 Keep it coming. I'm not gonna break. 256 00:12:46,412 --> 00:12:47,455 (DOOR OPENS) 257 00:12:47,580 --> 00:12:49,957 Scan showed a mass on her pancreas. 258 00:12:50,583 --> 00:12:53,086 Looks malignant. Probably inoperable. 259 00:12:54,837 --> 00:12:56,839 I'd give her two months. 260 00:13:00,676 --> 00:13:03,638 On the bright side, it still means I was right. 261 00:13:12,855 --> 00:13:14,148 Where's Dr. House? 262 00:13:14,273 --> 00:13:16,484 Dr. Foreman's overseeing your case. 263 00:13:16,901 --> 00:13:21,614 He thought it'd be best if I spoke with you. We found a mass in your pancreas. 264 00:13:22,240 --> 00:13:23,991 It looks like cancer. 265 00:13:24,951 --> 00:13:28,371 So something in my pancreas caused me to have a seizure? 266 00:13:29,330 --> 00:13:33,084 Probably. But the bigger point is... 267 00:13:35,878 --> 00:13:39,674 A one-year survival rate for pancreatic cancer is less than 20%. 268 00:13:39,799 --> 00:13:41,342 So what's the treatment? 269 00:13:42,510 --> 00:13:47,223 We need to biopsy the mass to see what we're dealing with, 270 00:13:47,348 --> 00:13:50,768 and then we can 271 00:13:51,727 --> 00:13:53,187 recommend options from there. 272 00:13:53,563 --> 00:13:54,730 Sounds good. 273 00:13:59,735 --> 00:14:02,488 I need your consent to do the biopsy. 274 00:14:08,411 --> 00:14:09,454 Thanks. 275 00:14:09,871 --> 00:14:11,205 Wish me luck. 276 00:14:12,165 --> 00:14:13,624 Good luck. 277 00:14:16,002 --> 00:14:18,713 CAMERON: It was weird. She barely reacted at all. 278 00:14:19,213 --> 00:14:22,383 I've had people hug me and people take a swing at me. 279 00:14:22,508 --> 00:14:24,844 This was more like she didn't even hear me. 280 00:14:25,303 --> 00:14:27,013 Magnify three times. 281 00:14:31,809 --> 00:14:33,603 WILSON: House assisting. 282 00:14:34,437 --> 00:14:35,813 That is funny. 283 00:14:37,315 --> 00:14:39,734 Too bad Foreman's gonna die. 284 00:14:49,869 --> 00:14:54,373 Good afternoon, I'm Dr. House. I'm gonna be looking at your... 285 00:14:57,043 --> 00:14:58,377 Perfect. 286 00:14:59,795 --> 00:15:01,422 Excuse me. 287 00:15:05,718 --> 00:15:08,888 Need Dr. Foreman in exam room one for a consult. 288 00:15:10,515 --> 00:15:11,766 So, when did this start? 289 00:15:12,266 --> 00:15:13,684 Couple weeks ago. 290 00:15:14,018 --> 00:15:18,564 I didn't want to get pregnant. Jake's not into rubbers, so I got on the jelly. 291 00:15:19,607 --> 00:15:20,942 You think I'm allergic or something? 292 00:15:21,817 --> 00:15:23,569 You have an infection. 293 00:15:23,819 --> 00:15:24,654 I'm gonna need a sample. 294 00:15:24,779 --> 00:15:26,197 I brought the jar. 295 00:15:26,405 --> 00:15:28,574 No, I meant a sample of your... 296 00:15:35,331 --> 00:15:38,417 Okay. We have a neurological problem here. 297 00:15:38,543 --> 00:15:40,044 There's something wrong with my brain? 298 00:15:41,212 --> 00:15:42,588 Oh, yeah. 299 00:15:43,089 --> 00:15:45,633 Cover yourself up. Got what I need. 300 00:15:48,427 --> 00:15:49,554 What's up? 301 00:15:49,679 --> 00:15:50,513 Smell this. 302 00:15:52,473 --> 00:15:56,394 Smells like vaginosis, but it's not really my call. 303 00:15:56,519 --> 00:16:00,273 Great. I'll be sure to put a gold star by your name on the board. 304 00:16:00,690 --> 00:16:04,277 Anica's biopsy for pancreatic cancer was negative. 305 00:16:10,575 --> 00:16:12,535 Okay, I'm gonna give you some antibiotics 306 00:16:12,660 --> 00:16:14,620 and you probably shouldn't have sex for a while. 307 00:16:14,745 --> 00:16:15,580 How long? 308 00:16:15,705 --> 00:16:18,749 On an evolutionary basis, I'd recommend forever. 309 00:16:20,126 --> 00:16:24,171 The mass in the pancreas is benign. It's probably just scar tissue. 310 00:16:24,297 --> 00:16:27,466 Good news. She's not sick at all. Other than being an alcoholic. 311 00:16:27,592 --> 00:16:32,346 The labs you sent yesterday put her ACTH at 64 picograms per milliliter. 312 00:16:32,471 --> 00:16:34,599 She's got Cushing's. Something set it off. 313 00:16:34,724 --> 00:16:38,477 It's gotta be in her brain. Set her up for a venous sampling. 314 00:16:38,603 --> 00:16:39,812 There is another possibility. 315 00:16:39,937 --> 00:16:41,022 Chase, hold on. 316 00:16:41,439 --> 00:16:44,609 How'd you get him trained so fast? Electronic collar? 317 00:16:44,734 --> 00:16:45,943 Got treats in your pocket? 318 00:16:46,068 --> 00:16:48,821 She didn't even read the consent form for the pancreatic biopsy. 319 00:16:48,946 --> 00:16:49,989 Who reads those things? 320 00:16:50,114 --> 00:16:53,409 Maybe she didn't read it because she knew that there was nothing wrong with her. 321 00:16:53,534 --> 00:16:55,202 There is another explanation for the Cushing's. 322 00:16:55,328 --> 00:16:59,540 Maybe she injected herself with the ACTH. Her behavior suggests Munchausen's. 323 00:16:59,665 --> 00:17:02,376 She's had four hospitalizations in the last four months. 324 00:17:02,501 --> 00:17:06,547 Well, being hospitalized a lot certainly points to nothing being wrong with you. 325 00:17:06,797 --> 00:17:09,550 She's had zero symptoms since she got here. 326 00:17:09,675 --> 00:17:10,676 The scarring on her pancreas 327 00:17:10,801 --> 00:17:12,595 could be caused from injecting herself with the benzene 328 00:17:12,720 --> 00:17:14,013 and setting off the seizures. 329 00:17:14,138 --> 00:17:15,556 HOUSE: She's had brain surgery. 330 00:17:15,890 --> 00:17:18,517 You can fake a stomachache. You can't fake a brain tumor. 331 00:17:18,643 --> 00:17:20,645 You can fake an invisible one. 332 00:17:22,688 --> 00:17:25,483 We should check her apartment. Look for medications, syringes... 333 00:17:25,608 --> 00:17:27,652 - Venous sampling's easier. - And more dangerous. 334 00:17:27,777 --> 00:17:31,697 - Not if you get caught breaking in. - So don't get caught, House. 335 00:17:33,699 --> 00:17:35,660 Why do you think Cuddy picked Foreman over me? 336 00:17:35,785 --> 00:17:37,912 Have I done something wrong or is there... 337 00:17:38,037 --> 00:17:40,289 Will it make you shut up if I told you she wanted someone black? 338 00:17:40,414 --> 00:17:42,667 How would you describe my leadership skills? 339 00:17:42,792 --> 00:17:45,252 Nonexistent. Otherwise excellent. 340 00:17:45,378 --> 00:17:48,047 There's more to being a leader than being a jerk. 341 00:17:48,172 --> 00:17:50,257 The world will never know. 342 00:17:52,301 --> 00:17:53,719 (MOTOR REVVING) 343 00:17:54,303 --> 00:17:57,014 No. No way. It just snowed. 344 00:17:57,139 --> 00:17:58,641 Yesterday. The streets are clear. 345 00:18:00,142 --> 00:18:02,019 My car is right there. 346 00:18:02,478 --> 00:18:05,731 There's construction on Elm. Bike will be faster. 347 00:18:26,711 --> 00:18:29,338 CAMERON: There's even books in the bathroom. 348 00:18:30,047 --> 00:18:33,676 Well, either she's very smart or she has a severe fiber deficiency. 349 00:18:39,473 --> 00:18:42,810 She's got an appointment with her ophthalmologist on Tuesday 350 00:18:42,935 --> 00:18:45,563 and an appointment with her gynecologist on Thursday. 351 00:18:46,105 --> 00:18:48,649 Multiple appointments with multiple doctors. 352 00:18:48,774 --> 00:18:50,359 Symptom of Munchausen's. 353 00:18:50,484 --> 00:18:53,779 Or, just thinking outside the box here, 354 00:18:53,904 --> 00:18:56,657 she has a vagina and trouble reading. 355 00:18:57,700 --> 00:19:00,995 There's three pairs of reading glasses, each with different prescriptions. 356 00:19:01,120 --> 00:19:03,873 Which would be explained by a tumor pressing on the optic nerve. 357 00:19:03,998 --> 00:19:05,624 Because you're looking for her to have a tumor. 358 00:19:05,750 --> 00:19:07,626 And you're looking for... 359 00:19:07,835 --> 00:19:11,172 A person with Munchausen's syndrome drinks battery acid. 360 00:19:11,297 --> 00:19:13,799 But they don't go to an ophthalmologist to get their pupils dilated. 361 00:19:13,924 --> 00:19:17,219 An ophthalmologist is a doctor. Attention is attention. 362 00:19:17,344 --> 00:19:20,890 How many hospitals have you contacted? Has one doctor said she's crazy? 363 00:19:21,015 --> 00:19:23,726 - It's not Munchausen's. - It's not your call. 364 00:19:26,896 --> 00:19:28,105 If you think she's got Munchausen's, 365 00:19:28,230 --> 00:19:29,774 then obviously you got something to show the man. 366 00:19:30,483 --> 00:19:32,693 A syringe in her apartment. A bottle of ACTH. 367 00:19:32,818 --> 00:19:34,987 Munchausen's patients are good at covering their tracks. 368 00:19:35,112 --> 00:19:37,615 Right. So, the fact that we found nothing proves there's something. 369 00:19:37,740 --> 00:19:40,493 Look at the pathology reports from the surgery she had in Chicago. 370 00:19:40,618 --> 00:19:43,412 They removed 30% of her pituitary. They found no tumor. 371 00:19:43,537 --> 00:19:45,414 It's possible the surgeons just missed it. 372 00:19:45,539 --> 00:19:47,666 In that kind of surgery, you're just cutting and hoping... 373 00:19:47,792 --> 00:19:49,502 Of course, we're both right. 374 00:19:49,627 --> 00:19:52,087 Excellent solution, everybody's happy. 375 00:19:52,213 --> 00:19:53,631 Come on, step up, Foreman. 376 00:19:53,756 --> 00:19:56,509 If you think I'm right, order me to stick a needle in her brain. 377 00:19:56,634 --> 00:19:58,803 If you think Cameron's right, send the patient home. 378 00:19:58,928 --> 00:20:01,639 Either she'll be fine, or she'll die. 379 00:20:02,097 --> 00:20:04,809 Do the venous sampling. Get her consent. 380 00:20:06,644 --> 00:20:07,770 (SIGHS) 381 00:20:10,523 --> 00:20:13,567 Nice move, boss. Way to cover your ass. 382 00:20:14,443 --> 00:20:15,528 I just agreed with you. 383 00:20:15,653 --> 00:20:17,279 Not because you think I'm right, 384 00:20:17,404 --> 00:20:20,616 you're just taking the safe route. You're a wuss. 385 00:20:21,283 --> 00:20:23,994 Don't worry, your secret's safe with me. 386 00:20:26,747 --> 00:20:29,667 Hey, Wilson, guess what Foreman just did! 387 00:20:30,501 --> 00:20:31,669 (SIGHS) 388 00:20:36,590 --> 00:20:38,217 Hi. 389 00:20:39,844 --> 00:20:43,222 This is a consent form to stick a wire into your brain. 390 00:20:43,347 --> 00:20:45,558 It's important for hospitals to get these signed for procedures 391 00:20:45,683 --> 00:20:48,060 that are completely unnecessary. 392 00:20:49,228 --> 00:20:51,981 - Then why are you doing it? - Because you're mentally ill. 393 00:20:52,982 --> 00:20:57,486 You injected yourself with ACTH to induce Cushing's to get attention from doctors. 394 00:20:57,611 --> 00:20:58,737 And so far, it's worked. 395 00:20:59,697 --> 00:21:01,240 I'd like to see another doctor. 396 00:21:01,866 --> 00:21:05,202 - I'm not giving you what you want? - I don't want a bitch. 397 00:21:05,327 --> 00:21:07,621 Just sign the forms, okay? And I'll get out of here. 398 00:21:08,247 --> 00:21:10,791 Hopefully for you, whatever you injected yourself with won't wear off 399 00:21:10,916 --> 00:21:14,879 before you get the fun of a caring and concerned doctor cutting into your head. 400 00:21:30,269 --> 00:21:32,646 You chose me to make House miserable, didn't you? 401 00:21:32,771 --> 00:21:36,609 Apparently, he's making you miserable. That's impressive. 402 00:21:36,901 --> 00:21:37,985 Find someone else. 403 00:21:38,110 --> 00:21:39,111 No. 404 00:21:39,778 --> 00:21:41,238 For the first time in six years, 405 00:21:41,363 --> 00:21:44,366 I'm getting copied on all experimental tests and procedures. 406 00:21:44,491 --> 00:21:47,578 Clinic hours have been logged and completed. 407 00:21:47,703 --> 00:21:49,914 You've given me four months of House's dictations 408 00:21:50,039 --> 00:21:52,082 so I can finally bill insurance companies. 409 00:21:52,207 --> 00:21:55,336 I only did that stuff to prove he couldn't make me miserable. 410 00:21:55,461 --> 00:21:56,962 Well, way to go. 411 00:21:57,087 --> 00:21:59,673 Now everybody's getting what they need, even House. 412 00:21:59,798 --> 00:22:04,178 He gets to play mad scientist, and this department runs smoothly. 413 00:22:04,303 --> 00:22:07,097 So I'm stuck with this for the next three weeks. 414 00:22:07,264 --> 00:22:09,350 Maybe longer. 415 00:22:10,309 --> 00:22:13,103 Would you be interested if this wasn't just pretend? 416 00:22:15,439 --> 00:22:18,067 What did Mommy say? I don't get any candy in my stocking? 417 00:22:18,192 --> 00:22:19,735 Patient being prepped for the venous sampling? 418 00:22:19,860 --> 00:22:23,322 Yeah, a mentally ill patient is right on track for a pointless procedure. 419 00:22:23,447 --> 00:22:25,366 Yeah, we get your objection. 420 00:22:25,491 --> 00:22:26,533 (PHONE RINGING) 421 00:22:31,914 --> 00:22:34,625 Foreman. Are you sure? 422 00:22:36,001 --> 00:22:38,420 That doesn't make any sense. Check it again. 423 00:22:39,630 --> 00:22:41,256 We gotta delay the venous sampling. 424 00:22:41,382 --> 00:22:43,342 Why? Her urine turning orange? 425 00:22:46,053 --> 00:22:47,721 How would you know that? 426 00:22:47,846 --> 00:22:49,473 Because that's what rifampin does. 427 00:22:49,598 --> 00:22:51,308 She's not on antibiotics. 428 00:22:51,433 --> 00:22:55,020 But if a Munchausen's patient thinks she's about to get busted, 429 00:22:55,145 --> 00:22:57,648 she sees pills labeled "Dangerous, might cause seizures", 430 00:22:57,773 --> 00:22:59,191 she might grab a couple. 431 00:22:59,316 --> 00:23:02,653 And if that label were accidentally on a bottle of antibiotics, 432 00:23:02,778 --> 00:23:05,072 and if that bottle were accidentally left in her room... 433 00:23:05,197 --> 00:23:08,242 - You set her up? - Might have. It's Munchausen's. 434 00:23:09,159 --> 00:23:11,453 All this, she did to herself. 435 00:23:30,014 --> 00:23:33,142 I don't know what the hell you're talking about. 436 00:23:33,350 --> 00:23:36,520 I had a seizure. I'm sick. I need your help. 437 00:23:36,645 --> 00:23:38,272 Not from this department. 438 00:23:38,397 --> 00:23:40,232 The half-life of rifampin is three hours. 439 00:23:40,357 --> 00:23:43,444 After that, you'll get your psych referral and your discharge papers. 440 00:23:43,569 --> 00:23:45,779 You know, just because you stick your fingers down your throat 441 00:23:45,904 --> 00:23:48,532 doesn't mean the rest of us are screwed up. 442 00:23:48,699 --> 00:23:52,453 I guess when cooperation fails, you move on to hostility. 443 00:23:52,578 --> 00:23:54,663 I didn't do this to myself. 444 00:24:06,508 --> 00:24:09,845 100% commitment. Sign of a good liar. 445 00:24:09,970 --> 00:24:12,181 Also the sign of a sociopath. 446 00:24:12,973 --> 00:24:14,266 What are you doing? 447 00:24:14,391 --> 00:24:16,060 Correcting your last note. 448 00:24:16,477 --> 00:24:18,896 We can't discharge her if she's sick. 449 00:24:19,354 --> 00:24:21,148 Anybody ever tell you, you write like a girl? 450 00:24:21,273 --> 00:24:24,526 What? You got some other explanation for orange urine? 451 00:24:24,651 --> 00:24:27,071 - It's Munchausen's. - Correct, but not complete. 452 00:24:27,196 --> 00:24:29,323 You just don't want to admit that she skunked you. 453 00:24:29,448 --> 00:24:33,452 At the end of The Boy Who Cried Wolfl the wolf really does come. 454 00:24:33,994 --> 00:24:36,497 Then he eats the sheep, and the boy, and his parents. 455 00:24:36,622 --> 00:24:38,582 - The wolf doesn't eat the parents. - He does when I tell it. 456 00:24:38,707 --> 00:24:41,293 You're not telling the story now. I am. 457 00:24:42,294 --> 00:24:44,213 Look, I checked her records. 458 00:24:44,338 --> 00:24:46,590 All her hospitalizations were for different things. 459 00:24:46,715 --> 00:24:49,384 Brain tumor, fainting spells, skin rashes, seizures. 460 00:24:49,510 --> 00:24:51,095 She's had every blood test known to man 461 00:24:51,220 --> 00:24:52,304 and the results are all over the map. 462 00:24:52,429 --> 00:24:55,182 There's only one constant, low HCT. 463 00:24:55,724 --> 00:24:57,726 - The anemia's real. - There's a million things 464 00:24:57,851 --> 00:24:59,103 she could have taken to have done that. 465 00:24:59,228 --> 00:25:00,896 True, it could just be her MO. 466 00:25:01,021 --> 00:25:04,233 She self-induces two illnesses. One always changes, one never does. 467 00:25:04,358 --> 00:25:07,402 Or maybe she has Munchausen's and aplastic anemia, 468 00:25:07,528 --> 00:25:09,363 which would mean, without proper treatment, 469 00:25:09,488 --> 00:25:10,906 she'll continue to get sicker, weaker, 470 00:25:11,031 --> 00:25:13,450 eventually she'll start bleeding internally and die. 471 00:25:13,575 --> 00:25:15,494 - She's not getting sicker. - She will. 472 00:25:15,619 --> 00:25:18,956 If her bone marrow was dying, the entire blood panel would be affected. 473 00:25:19,081 --> 00:25:20,749 - Her white count's normal. - HOUSE: So far. 474 00:25:20,874 --> 00:25:23,252 - We need to do a bone marrow biopsy. - No. No more tests. 475 00:25:23,377 --> 00:25:26,380 Look, you kick her to the curb with a Munchausen's diagnosis 476 00:25:26,505 --> 00:25:29,049 you're guaranteeing that no doctor will ever listen to her again. 477 00:25:29,174 --> 00:25:31,802 We do more tests, we'll only be feeding her psychosis. 478 00:25:31,927 --> 00:25:34,388 The more attention we give her, the more she'll want. 479 00:25:35,931 --> 00:25:38,267 What if she doesn't know we're testing her? 480 00:25:38,392 --> 00:25:40,811 House, you were wrong. Live with it. 481 00:25:41,019 --> 00:25:43,480 There's probably some blood left over from previous tests. 482 00:25:43,605 --> 00:25:46,066 Blood tests alone can't confirm aplastic anemia. 483 00:25:46,191 --> 00:25:49,319 Yes, I know. That's why I want to do a bone marrow biopsy. 484 00:25:49,444 --> 00:25:51,280 But blood tests could show a systemic disease. 485 00:25:51,405 --> 00:25:53,657 - A virus or a toxin could be the cause. - Fine. 486 00:25:53,782 --> 00:25:55,868 You want to test the extra blood? Knock yourself out. 487 00:25:55,993 --> 00:25:57,494 But the patient is off-limits. 488 00:25:57,619 --> 00:26:00,914 And if the results are positive, I get my biopsy? 489 00:26:03,292 --> 00:26:05,252 It's the safe way to go. 490 00:26:21,768 --> 00:26:26,190 I need all of these tests and a PCR done on this sample. 491 00:26:27,191 --> 00:26:28,483 You're gonna need more blood. 492 00:26:28,859 --> 00:26:30,277 Patient's empty. 493 00:26:30,402 --> 00:26:32,070 Then I can't do it. 494 00:26:33,322 --> 00:26:34,448 You can try. 495 00:26:34,573 --> 00:26:39,077 I can try to look like Salma Hayek, that's not gonna make it happen. 496 00:26:43,207 --> 00:26:47,586 You may not have Salma's ass, but she doesn't have your eyes. 497 00:26:48,795 --> 00:26:50,339 Yeah, right. 498 00:26:56,011 --> 00:26:57,804 How soon you need it? 499 00:26:58,013 --> 00:26:58,931 (KNOCKING ON DOOR) 500 00:26:59,056 --> 00:27:01,391 Dr. Wilson, can I talk to you about something in confidence? 501 00:27:01,516 --> 00:27:03,352 - Of course. - It's about House. 502 00:27:03,477 --> 00:27:05,062 Oh, then no. 503 00:27:05,187 --> 00:27:07,564 Fine. I won't say anything. 504 00:27:10,525 --> 00:27:14,988 Do you think there's any way House would take me seriously as his boss? 505 00:27:16,365 --> 00:27:19,409 Where is this coming from? Did Cuddy say something? 506 00:27:19,534 --> 00:27:21,578 We talked. She intimated. 507 00:27:22,913 --> 00:27:25,249 And you want my advice on how to usurp him? 508 00:27:25,374 --> 00:27:29,086 It's very ancient Rome, you'll need a toga, of course, a sword. 509 00:27:29,211 --> 00:27:33,173 It's not a coup. I just want to figure out some way we can work together. 510 00:27:33,423 --> 00:27:36,301 I mean, I keep the team running from an administrative point of view, 511 00:27:36,426 --> 00:27:38,637 House doesn't have to deal with the red tape. It's a win-win. 512 00:27:38,762 --> 00:27:40,430 I'm sure he'll see it that way. 513 00:27:41,723 --> 00:27:43,642 Do you have any advice on how to approach him? 514 00:27:43,767 --> 00:27:46,270 - How to deal the guy? - No. 515 00:27:50,232 --> 00:27:51,483 But you won't tell him we talked? 516 00:27:52,442 --> 00:27:53,610 No. 517 00:27:55,362 --> 00:27:58,365 There is no way this is going to happen. 518 00:28:05,956 --> 00:28:07,582 (SINGING VARIATION ON AIN'T SHE SWEET) 519 00:28:15,048 --> 00:28:17,259 Epstein-Barr titers are through the roof, 520 00:28:17,384 --> 00:28:20,262 the most common viral cause of aplastic anemia. 521 00:28:21,388 --> 00:28:23,432 So what I'm saying is... 522 00:28:23,807 --> 00:28:26,268 (CONTINUES SINGING VARIATION ON AIN'T SHE SWEET) 523 00:28:31,273 --> 00:28:33,984 - Fetal hemoglobin's also elevated. - Just a wee bit. 524 00:28:34,109 --> 00:28:35,068 Could indicate... 525 00:28:35,193 --> 00:28:36,528 You see that in sickle cell. 526 00:28:36,653 --> 00:28:38,780 Not all sickle cell patients are black. 527 00:28:38,905 --> 00:28:42,034 None of her other blood panels showed any sign of sickle cell, which means 528 00:28:42,159 --> 00:28:46,747 either something's changed drastically since yesterday, or this isn't her blood. 529 00:28:46,872 --> 00:28:48,332 Of course it is. 530 00:28:49,458 --> 00:28:51,168 Metaphorically. 531 00:28:52,794 --> 00:28:54,796 Look, I couldn't do the tests. 532 00:28:54,921 --> 00:28:57,799 I tried, but there wasn't enough blood left over. 533 00:28:58,175 --> 00:29:00,427 If you'd just let me do the biopsy. 534 00:29:02,137 --> 00:29:03,263 CHASE: No way. 535 00:29:03,388 --> 00:29:04,806 I just got back from a suspension. 536 00:29:04,931 --> 00:29:07,726 And if it wasn't for me, you would've been fired. 537 00:29:07,851 --> 00:29:10,020 Why don't you just get the sample yourself? 538 00:29:10,145 --> 00:29:11,688 Since when have you cared what your boss said? 539 00:29:11,813 --> 00:29:14,066 I don't care what anybody says, I care what they do. 540 00:29:14,191 --> 00:29:17,277 Right now Blackpoleon Blackaparte has got the nurses on red alert. 541 00:29:17,402 --> 00:29:19,363 I can't get into the patient's room. 542 00:29:19,488 --> 00:29:22,366 So, come on, I'll draw the enemy fire, you outflank them 543 00:29:22,491 --> 00:29:24,034 get in there, get the bone marrow sample. 544 00:29:24,159 --> 00:29:25,077 Can't. 545 00:29:26,912 --> 00:29:28,789 Who you more afraid of? 546 00:29:32,209 --> 00:29:36,046 I'm not afraid of Foreman, I agree with him. All the tests back him up. 547 00:29:36,171 --> 00:29:38,382 All the tests have not been done. 548 00:29:39,549 --> 00:29:42,469 You do realize that Blackaparte's reign is only temporary. 549 00:29:42,594 --> 00:29:46,598 I also realize that no matter what I do, you're still gonna treat me like crap. 550 00:29:47,140 --> 00:29:49,101 "Crap" is a relative term. 551 00:29:58,110 --> 00:29:59,861 I never even made it to the room. 552 00:29:59,986 --> 00:30:03,073 Nurses called the attending as soon as a trocar was ordered. 553 00:30:03,240 --> 00:30:05,117 You used her real name? 554 00:30:05,409 --> 00:30:08,328 I just processed your patient's discharge papers. 555 00:30:08,453 --> 00:30:10,789 She's on her way out right now. 556 00:30:13,333 --> 00:30:14,668 (EXCLAIMING) 557 00:30:15,127 --> 00:30:16,461 Wait up. 558 00:30:17,254 --> 00:30:18,839 It's all right, she's gonna stay. 559 00:30:18,964 --> 00:30:20,924 - Wonderful. - Oh, bite me. 560 00:30:21,842 --> 00:30:24,010 I don't need to hear the riot act again. 561 00:30:24,136 --> 00:30:26,555 How'd you like another medical test? 562 00:30:27,055 --> 00:30:28,306 - What? - Sit. 563 00:30:29,391 --> 00:30:30,559 Why? 564 00:30:31,268 --> 00:30:34,438 So you don't crack your skull when you pass out. 565 00:30:35,230 --> 00:30:36,440 Just do it. 566 00:30:38,900 --> 00:30:40,235 You know what colchicine is? 567 00:30:40,360 --> 00:30:41,403 No. 568 00:30:41,528 --> 00:30:43,572 Well, don't feel bad. It's for gout. 569 00:30:43,697 --> 00:30:46,491 It's got nothing to do with anything you've ever pretended to have. 570 00:30:46,616 --> 00:30:49,202 - I'm not pretending to... - Shut up. 571 00:30:49,870 --> 00:30:52,539 Colchicine decimates your white blood cells. 572 00:30:52,664 --> 00:30:54,166 Leaves almost no trace. 573 00:30:54,291 --> 00:30:56,042 It's great for faking your way into hospitals. 574 00:30:56,168 --> 00:30:58,295 - I didn't fake my way... - Shut up. 575 00:30:59,337 --> 00:31:01,882 You've been doing this for years. 576 00:31:02,132 --> 00:31:05,177 Don't worry, it's probably not your fault. 577 00:31:05,594 --> 00:31:07,596 When you were a kid, you had a close relative 578 00:31:07,721 --> 00:31:10,390 who had a chronic disease, probably your sister. 579 00:31:11,933 --> 00:31:16,062 And you saw all the attention she got while you were left alone, ignored. 580 00:31:16,229 --> 00:31:18,899 And it really, seriously screwed you up. 581 00:31:19,774 --> 00:31:22,027 - I do not have a relative... - Shut up! 582 00:31:22,152 --> 00:31:24,613 I'm trying to give you what you want. 583 00:31:27,365 --> 00:31:29,201 And save your life. 584 00:31:31,620 --> 00:31:33,163 You have aplastic anemia. 585 00:31:33,872 --> 00:31:36,374 What, are you trying to scare me now? 586 00:31:37,250 --> 00:31:40,045 It means you're not just sick in the head. 587 00:31:40,212 --> 00:31:42,172 Problem is, the rest of you appears well. 588 00:31:42,297 --> 00:31:44,549 So I gotta make you seem as sick as you're supposed to be 589 00:31:44,674 --> 00:31:46,218 by injecting you with a drug 590 00:31:46,343 --> 00:31:48,970 that simulates the symptoms that you actually have. 591 00:31:52,682 --> 00:31:56,811 All you need to know is, you've hit the Munchausefls jackpot. 592 00:31:57,270 --> 00:32:01,650 I'm gonna give you a cocktail of insulin for seizure and colchicine 593 00:32:01,942 --> 00:32:03,318 to kill your white count. 594 00:32:03,443 --> 00:32:07,113 This will absolutely confirm my diagnosis of aplastic anemia. 595 00:32:07,239 --> 00:32:09,991 There is one small catch. 596 00:32:10,325 --> 00:32:14,079 If you've actually done something to yourself to cause the anemia, 597 00:32:14,204 --> 00:32:15,580 then I'm wrong. 598 00:32:16,164 --> 00:32:18,250 And if I do what I plan to do, 599 00:32:18,917 --> 00:32:21,711 then the treatment will kill you instead of saving you. 600 00:32:22,295 --> 00:32:24,172 So I need to know. 601 00:32:24,381 --> 00:32:28,218 Have you been taking anything besides the insulin, the ACTH, 602 00:32:28,426 --> 00:32:31,137 and the pills Cameron left in your room? 603 00:32:37,102 --> 00:32:38,186 No. 604 00:32:39,688 --> 00:32:42,566 Good. Give me your arm. 605 00:32:53,743 --> 00:32:55,412 It was my mom. 606 00:32:56,413 --> 00:32:57,622 She had MS. 607 00:32:58,373 --> 00:33:01,126 She was in and out of hospitals all the time. 608 00:33:01,501 --> 00:33:04,713 People were always trying to do things for her. 609 00:33:06,006 --> 00:33:09,759 Bring her food, or brush her hair, or make her happy. 610 00:33:11,428 --> 00:33:12,929 People cared. 611 00:33:16,891 --> 00:33:18,768 She died when I was 16. 612 00:33:22,981 --> 00:33:24,816 Then there was no one. 613 00:33:28,236 --> 00:33:29,613 Boo-hoe. 614 00:33:32,282 --> 00:33:34,242 Where are you going? 615 00:33:36,161 --> 00:33:38,288 I obviously can't be around when it happens. 616 00:33:38,413 --> 00:33:40,540 Well, what are you gonna do, you're just gonna... 617 00:33:40,665 --> 00:33:42,667 Relax, you know the drill. 618 00:33:43,460 --> 00:33:45,795 People walk by here all the time, you'll be fine. 619 00:33:57,307 --> 00:33:58,350 (THUDDING) 620 00:34:11,488 --> 00:34:14,324 So, barely out the door and she has another seizure. 621 00:34:14,449 --> 00:34:16,576 She must have somehow grabbed insulin on the way out. 622 00:34:16,701 --> 00:34:18,828 FOREMAN: Once she's stable, we need to get her out of here 623 00:34:18,953 --> 00:34:20,497 before she does more damage to herself. 624 00:34:20,872 --> 00:34:21,998 We can't. 625 00:34:22,540 --> 00:34:24,417 Her white count's down. 626 00:34:25,418 --> 00:34:27,170 Sorry, I missed that. 627 00:34:27,712 --> 00:34:29,798 Hearing's been off since the Ricky Martin concert, 628 00:34:29,923 --> 00:34:32,133 some cholo kicked me in the head. 629 00:34:32,258 --> 00:34:35,178 White count, hematocrit, and platelets are all off. 630 00:34:35,303 --> 00:34:38,056 Her bone marrow's shutting down. She actually has aplastic anemia. 631 00:34:38,181 --> 00:34:39,265 Say what? 632 00:34:39,391 --> 00:34:41,601 All her other labs show nothing that would... 633 00:34:41,726 --> 00:34:45,730 Labs, shmabs. A good diagnostician reads between the labs. 634 00:34:46,690 --> 00:34:47,691 You were right. 635 00:34:47,816 --> 00:34:50,735 Hey, we're not here to play the blame game. 636 00:34:51,069 --> 00:34:52,445 These things happen. 637 00:34:52,570 --> 00:34:55,699 Sometimes doctors send people out on the street to die 638 00:34:55,824 --> 00:34:57,659 after other doctors have warned them 639 00:34:57,784 --> 00:34:59,911 that they're sending people out on the street to die. 640 00:35:00,036 --> 00:35:02,372 There's no way you could know. 641 00:35:02,872 --> 00:35:04,916 I'll go give her the news. 642 00:35:12,632 --> 00:35:14,008 ANICA: Who are you? 643 00:35:14,300 --> 00:35:17,387 I'm Dr. Foreman. I'm in charge of your case. 644 00:35:19,514 --> 00:35:21,516 You have aplastic anemia, 645 00:35:21,891 --> 00:35:24,436 which means your bone marrow has shut down. 646 00:35:24,561 --> 00:35:27,188 Your body can't make new blood anymore. 647 00:35:28,231 --> 00:35:29,441 Are you sure? 648 00:35:29,566 --> 00:35:32,986 I went back and checked your old records. It makes sense. 649 00:35:33,820 --> 00:35:37,490 The aplastic anemia's apparently been developing for months. 650 00:35:38,533 --> 00:35:41,119 I'm sorry, we should have caught it earlier. 651 00:35:41,244 --> 00:35:42,412 So 652 00:35:42,704 --> 00:35:46,916 it's not just the latest white count that's leading you to feel this... 653 00:35:50,086 --> 00:35:51,838 I know this is scary. 654 00:35:52,589 --> 00:35:55,049 But a bone marrow transplant could cure you. 655 00:35:55,175 --> 00:35:57,469 A marrow transplant could kill me. 656 00:35:57,635 --> 00:36:00,722 The other option is weekly blood transfusions, 657 00:36:01,097 --> 00:36:03,099 injections of GCSF. 658 00:36:04,017 --> 00:36:07,353 - It's a lifelong regimen. - Yeah, I don't want that. 659 00:36:07,520 --> 00:36:08,897 You sure? 660 00:36:11,608 --> 00:36:13,193 I don't want to be cruel here, 661 00:36:13,318 --> 00:36:17,363 but you've jumped through a lot of hoops to get this sort of attention. 662 00:36:18,281 --> 00:36:20,325 I just want to be healthy. 663 00:36:21,951 --> 00:36:25,038 It's not so much fun when you're actually sick. 664 00:36:27,248 --> 00:36:28,416 No. 665 00:36:32,462 --> 00:36:36,299 We'll check the registry. See if there's a donor match. 666 00:36:40,345 --> 00:36:41,763 Thank you. 667 00:36:48,102 --> 00:36:51,523 We have to kill all the old bone marrow before we give you the new stuff. 668 00:36:51,648 --> 00:36:53,233 You'll have no immune system. 669 00:36:53,525 --> 00:36:55,443 We'll keep you in a sterile room for two weeks 670 00:36:55,568 --> 00:36:58,530 to make sure everything's dead, then we'll give you the donor marrow. 671 00:36:58,655 --> 00:37:01,825 It'll take another couple weeks until it takes hold. 672 00:37:01,950 --> 00:37:03,409 You won't feel a thing. 673 00:37:03,535 --> 00:37:06,788 If you get uncomfortable for any reason and need to talk, don't yell. 674 00:37:06,913 --> 00:37:09,415 Walls are four inches thick, lead. 675 00:37:09,666 --> 00:37:12,877 Use the microphone. Are you ready? 676 00:37:14,504 --> 00:37:15,380 Okay- 677 00:37:19,425 --> 00:37:21,052 Where's Dr. House? 678 00:37:49,372 --> 00:37:50,415 (SNIFFING) 679 00:38:05,513 --> 00:38:06,723 (SNIFFING) 680 00:38:12,020 --> 00:38:13,563 Turn it off! 681 00:38:13,730 --> 00:38:14,772 (DEVICE BEEPING) 682 00:38:14,898 --> 00:38:16,983 - Now what? - How long has she been in there? 683 00:38:17,108 --> 00:38:18,443 Three minutes. What's going on? 684 00:38:18,568 --> 00:38:20,778 She doesn't have aplastic anemia. 685 00:38:21,029 --> 00:38:23,114 - She has an infection. - No. 686 00:38:23,239 --> 00:38:26,200 Her white count would be through the roof. Hers is on the floor. 687 00:38:26,326 --> 00:38:28,077 Well, body does crazy things. 688 00:38:28,202 --> 00:38:31,039 "Body does crazy things." That explains everything! 689 00:38:31,164 --> 00:38:32,248 She had no fever. 690 00:38:32,373 --> 00:38:35,585 'Cause her self-inflicted Cushing's suppressed her immune system. 691 00:38:35,877 --> 00:38:38,630 Stopped her from having a fever, hid the infection. 692 00:38:40,423 --> 00:38:43,176 Clostridium perfringens could cause the bruises, 693 00:38:43,301 --> 00:38:44,302 the schistocytes, the anemia. 694 00:38:44,427 --> 00:38:46,930 Explains everything except the white count. 695 00:38:47,221 --> 00:38:50,892 Augmentin is a lot safer than destroying her immune system. 696 00:38:51,017 --> 00:38:52,352 Why don't we try that? 697 00:38:55,688 --> 00:38:58,816 You're taking the safe course? What's going on? 698 00:39:00,276 --> 00:39:02,862 There's lots of explanations for a low white count. 699 00:39:03,154 --> 00:39:05,323 Name one that fits her case. 700 00:39:09,202 --> 00:39:10,453 Colchicine. 701 00:39:14,999 --> 00:39:19,253 I figure that she'd gotten her hands on it and self-medicated. 702 00:39:19,963 --> 00:39:21,923 That's brilliant of her. 703 00:39:23,383 --> 00:39:27,053 Take the exact medication that would confirm your diagnosis. 704 00:39:28,388 --> 00:39:30,306 People do crazy things. 705 00:39:30,431 --> 00:39:33,393 You injected her against her will just so you could be right? 706 00:39:33,518 --> 00:39:35,728 - She consented. - She's mentally ill! 707 00:39:35,853 --> 00:39:37,939 But she smells oh-so-sweet. 708 00:39:40,692 --> 00:39:43,444 She would've gotten sicker when I said she was gonna get sicker 709 00:39:43,569 --> 00:39:45,154 except Cameron dosed her with antibiotics. 710 00:39:45,279 --> 00:39:47,240 - Just hold this. - ls everything okay? 711 00:39:47,365 --> 00:39:48,825 Pull my finger. 712 00:39:49,367 --> 00:39:50,493 (GASPS) 713 00:39:51,119 --> 00:39:52,495 (SNIFFING) 714 00:39:53,162 --> 00:39:54,455 Grape)!- 715 00:39:55,081 --> 00:39:57,250 You have a bacterium. It's on all of us. 716 00:39:57,375 --> 00:40:01,045 But the bruises you gave yourself with the Cushing's made a lovely home. 717 00:40:01,462 --> 00:40:04,382 Bacteria moved in, parked their cars on the lawn. 718 00:40:04,507 --> 00:40:06,009 There goes the neighborhood. 719 00:40:06,134 --> 00:40:08,636 By neighborhood, I mean, your internal organs. 720 00:40:09,637 --> 00:40:12,098 So, should we put her on the Augmentin, boss? 721 00:40:12,223 --> 00:40:14,308 Or do you think she injected herself with grapes? 722 00:40:14,434 --> 00:40:15,393 (SNIFFING) 723 00:40:16,978 --> 00:40:19,272 I love the smell of pus in the morning. 724 00:40:19,439 --> 00:40:22,358 Smells like...victory. 725 00:40:27,655 --> 00:40:31,534 If you were serious about the offer, I'm serious about accepting. 726 00:40:32,744 --> 00:40:37,248 I'd like to run the department. And you said it yourself, things run smooth. 727 00:40:38,249 --> 00:40:40,501 Except for the part where House went behind your back 728 00:40:40,626 --> 00:40:43,880 and KO'd the patient with insulin and colchicine. 729 00:40:44,005 --> 00:40:46,382 There was no reason to suspect an infection. 730 00:40:46,507 --> 00:40:48,926 Even House didn't think it was an infection. 731 00:40:49,343 --> 00:40:50,928 You would have done the same thing I did. 732 00:40:51,054 --> 00:40:52,930 And I'd be just as wrong. 733 00:40:53,556 --> 00:40:56,559 What House did was insane. But he saved her life. 734 00:40:56,684 --> 00:40:57,518 He got lucky. 735 00:40:57,643 --> 00:40:59,520 He got her to admit she's got a problem. 736 00:40:59,645 --> 00:41:03,274 She's agreed to outpatient treatment. He gets lucky a lot. 737 00:41:08,321 --> 00:41:10,865 Did you ever really intend to give me this job, 738 00:41:10,990 --> 00:41:13,576 or were you just trying to stop me from stepping down? 739 00:41:13,701 --> 00:41:16,329 Well, you've got two more weeks in charge. 740 00:41:16,621 --> 00:41:19,540 Hopefully the next case will go better. 741 00:41:26,047 --> 00:41:29,801 She should've died. House is not a hero. 742 00:41:31,219 --> 00:41:33,638 A person who has the guts to break a bad rule, 743 00:41:33,888 --> 00:41:35,598 they're a hero. 744 00:41:35,765 --> 00:41:38,309 House doesn't break rules, he ignores them. 745 00:41:38,726 --> 00:41:42,271 He's not Rosa Parks, he's an anarchist. 746 00:41:43,231 --> 00:41:46,484 All he stands for is the right for everyone to grab whatever they want 747 00:41:46,609 --> 00:41:48,277 whenever they want. 748 00:41:48,444 --> 00:41:50,571 You tell doctors that's okay, 749 00:41:51,114 --> 00:41:54,492 your mortality rate is gonna go through the roof. 750 00:41:58,412 --> 00:42:01,582 Kind of digging this whole Foreman-in-charge thing. 751 00:42:02,875 --> 00:42:03,876 Give me those. 752 00:42:05,461 --> 00:42:07,797 Frees me up to watch my soaps, 753 00:42:08,297 --> 00:42:11,259 catch a movie in the afternoon, have lunch with you. 754 00:42:11,717 --> 00:42:13,386 Yeah, that's a big change for you. 755 00:42:13,511 --> 00:42:16,556 Now Cuddy's on Foreman's ass, not mine. 756 00:42:23,479 --> 00:42:26,357 You couldn't live with Foreman as your boss. 757 00:42:26,524 --> 00:42:27,817 Why not? 758 00:42:28,568 --> 00:42:30,736 People can change, you know. 759 00:42:42,165 --> 00:42:44,417 Your white count is way down. 760 00:42:44,542 --> 00:42:46,836 We're going to need to admit you, just to run a few more tests. 761 00:42:46,961 --> 00:42:49,046 Whatever you think is best. 762 00:42:50,464 --> 00:42:52,383 (MAN CHATTERING ON TV) 763 00:42:59,640 --> 00:43:02,393 Last race at Belmont. Put it all on the five 764 00:43:02,518 --> 00:43:03,728 to win.