1 00:00:01,106 --> 00:00:02,482 (BIRDS CAWING) 2 00:00:08,030 --> 00:00:11,450 - It's almost 11 :00. - She needs a lot of sleep these days. 3 00:00:11,575 --> 00:00:15,996 Please, Mrs. Bardach, I haven't seen her for a week. 4 00:00:17,873 --> 00:00:19,750 - I'll see how she's feeling. - Thank you. 5 00:00:19,875 --> 00:00:21,835 You know what to do. 6 00:00:34,890 --> 00:00:36,600 - BARBARA: All done? - Yeah. 7 00:00:37,601 --> 00:00:40,479 I scrubbed for 45 seconds, 8 00:00:40,604 --> 00:00:44,358 did the nails, all the way down to the elbows, the whole deal. 9 00:00:46,777 --> 00:00:47,986 - Are you sick? - No. No, no. 10 00:00:48,111 --> 00:00:48,987 - Cough? - No. 11 00:00:49,112 --> 00:00:50,656 - Sore throat? - No, no. I just, I just... 12 00:00:50,781 --> 00:00:54,076 Sometimes I sneeze when I look at lights. I always have. 13 00:00:54,201 --> 00:00:58,455 - I'm sorry, you better... - I would never get her sick. Please. 14 00:01:02,042 --> 00:01:03,043 (KNOCK AT DOOR) 15 00:01:05,712 --> 00:01:07,255 A mask. 16 00:01:07,381 --> 00:01:09,716 - Got me by the bouncer. - She's crazy. 17 00:01:09,841 --> 00:01:12,052 She's let me out like six times in the last two months. 18 00:01:12,177 --> 00:01:14,888 Every time's just to go to the hospital. I'm a prisoner. 19 00:01:15,013 --> 00:01:16,181 It's okay. 20 00:01:23,105 --> 00:01:24,815 - It's ugly. - No. 21 00:01:28,819 --> 00:01:31,321 I wasn't looking at the scar anyways. 22 00:01:36,618 --> 00:01:38,286 Take off your mask. 23 00:01:40,706 --> 00:01:43,291 If your mom comes in here, she... 24 00:01:43,417 --> 00:01:46,420 Hey. Give me a kiss or I'll kill you. 25 00:01:53,927 --> 00:01:57,889 Your skin... Are you okay? 26 00:02:01,560 --> 00:02:03,061 (GASPING) 27 00:02:08,024 --> 00:02:10,068 Melinda, can you... 28 00:02:10,193 --> 00:02:12,988 What's wrong? What's wrong? Can you breathe? 29 00:02:14,156 --> 00:02:15,991 What's wrong? What's wrong? Is it your heart? 30 00:02:16,116 --> 00:02:18,660 What's wrong? Mrs. Bardach! 31 00:02:25,041 --> 00:02:26,877 Melinda, Melinda, I don't know how to use this. 32 00:02:27,002 --> 00:02:29,212 I've never used one of these before. 33 00:02:38,096 --> 00:02:39,639 (GASPING) 34 00:02:45,103 --> 00:02:46,938 What did you do to her? 35 00:03:49,000 --> 00:03:50,877 Cuddy called. 36 00:03:51,002 --> 00:03:53,255 I know. I saw the caller ID. 37 00:03:53,380 --> 00:03:56,174 Young girl, anaphylactic shock. 38 00:03:56,299 --> 00:03:57,467 You answered? 39 00:03:57,592 --> 00:04:00,428 Turns out, that's what stops the ringing. 40 00:04:01,346 --> 00:04:02,931 It's a weird case. 41 00:04:05,100 --> 00:04:08,603 I thought you did the dishes last night? It was your day. 42 00:04:08,728 --> 00:04:12,148 I did. Those are new. Midnight snack. 43 00:04:12,274 --> 00:04:15,861 For a midnight snack, you made a pot roast, 44 00:04:15,986 --> 00:04:17,904 the same pot roast I made last night. 45 00:04:18,029 --> 00:04:19,447 Yeah. 46 00:04:19,573 --> 00:04:23,159 Actually, it was after midnight. Today's your day, right? 47 00:04:24,244 --> 00:04:25,829 You want me out of here. I get it. 48 00:04:27,080 --> 00:04:29,207 - No, it's fine if you stay. - The place I was gonna move, 49 00:04:29,332 --> 00:04:31,418 the guy never called. Otherwise I'd already be there. 50 00:04:31,543 --> 00:04:33,420 - I said it's fine if you stay. - Yeah. 51 00:04:33,545 --> 00:04:35,130 That's why you're making me miserable. 52 00:04:35,255 --> 00:04:38,717 Maybe I just wanna make sure you do your fair share around here. 53 00:04:38,842 --> 00:04:40,927 - That... - What's weird about it? 54 00:04:43,513 --> 00:04:45,724 The girl with the allergies. 55 00:04:45,849 --> 00:04:46,975 Yeah. 56 00:04:47,100 --> 00:04:49,728 - She's immunocompromised. - What are you doing? 57 00:04:49,853 --> 00:04:52,689 - What? You asked me... - You knew that I was interested. 58 00:04:52,814 --> 00:04:55,525 That gives you a valuable bargaining chip. 59 00:04:55,650 --> 00:04:58,570 You could've had me doing dishes for a week. 60 00:05:01,156 --> 00:05:02,282 Okay- 61 00:05:06,995 --> 00:05:10,749 The allergic reaction happened while she was in a clean room. 62 00:05:19,007 --> 00:05:20,717 Why does she have a clean room in her home? 63 00:05:20,842 --> 00:05:23,053 Heart transplant. Immune system's in the toilet. 64 00:05:23,178 --> 00:05:26,765 So Mommy builds her little angel a John Travolta-quality bubble. 65 00:05:26,890 --> 00:05:28,433 Six months after the transplant. 66 00:05:28,558 --> 00:05:30,518 She doesn't need to be confined to a clean room. 67 00:05:30,644 --> 00:05:31,937 Six months without putting out, 68 00:05:32,062 --> 00:05:35,732 Dr. Cuddy doesn't need to wear thong panties, but it's not our call. 69 00:05:35,857 --> 00:05:38,360 I was wondering when you'd get around to my panties. 70 00:05:38,485 --> 00:05:39,778 She's had four days of workups. 71 00:05:39,903 --> 00:05:42,155 They've tested everyone who came anywhere near that room, 72 00:05:42,280 --> 00:05:43,490 everything in the room. 73 00:05:43,615 --> 00:05:45,408 It's like an Agatha Christie mystery. 74 00:05:45,533 --> 00:05:47,911 Maybe it's not what was there, it's what she was doing. 75 00:05:48,036 --> 00:05:50,622 Exercise allergy. Love it. 76 00:05:50,747 --> 00:05:53,708 What sort of exercise could a strapping young man 77 00:05:53,833 --> 00:05:56,753 and a nubile teenage nymphet possibly... 78 00:05:56,878 --> 00:05:58,672 Mom was in the room within seconds. 79 00:05:58,797 --> 00:06:02,300 So the boyfriend brought in an allergen and is lying about it. 80 00:06:02,425 --> 00:06:04,386 Or the girl snuck out, and she's lying about that. 81 00:06:04,511 --> 00:06:06,805 Or the parents are lying about the room being clean. 82 00:06:06,972 --> 00:06:09,933 These are your big ideas? Somebody's lying? 83 00:06:10,058 --> 00:06:11,893 Hasn't let me down yet. 84 00:06:12,018 --> 00:06:15,689 Recheck Mom, Dad, the girl, the boy, the room and the home. 85 00:06:18,942 --> 00:06:23,363 Any of you have a new soap, a detergent, perfume? 86 00:06:23,488 --> 00:06:26,157 No, no. Barbara's really careful about that stuff. 87 00:06:26,282 --> 00:06:28,243 And you haven't been outside recently? 88 00:06:28,368 --> 00:06:30,245 How could I? I'm trapped up there. 89 00:06:30,370 --> 00:06:31,871 You're not trapped. It's just safer... 90 00:06:31,997 --> 00:06:35,542 They won't even tell me the alarm code. Just tell her I can go back to school. 91 00:06:35,667 --> 00:06:37,127 Until we clear this up... 92 00:06:37,252 --> 00:06:41,089 Fine. Find out what I'm allergic to, and I'll stay away from it. 93 00:06:41,214 --> 00:06:44,259 Then I can go back to school, right? 94 00:06:45,969 --> 00:06:49,848 It's up to your parents, but, medically, there's no reason... 95 00:06:50,015 --> 00:06:51,433 Told you. 96 00:06:51,558 --> 00:06:54,811 Could I speak to you outside for a second, please? 97 00:06:59,107 --> 00:07:01,776 You know, this is hard enough without you in there... 98 00:07:01,901 --> 00:07:05,238 - She asked me my opinion. - She is 16 years old. Lie to her. 99 00:07:05,363 --> 00:07:07,032 When I was eight, my mom, she hated... 100 00:07:07,157 --> 00:07:09,951 I know. I need to loosen up. I'm overprotective. 101 00:07:10,076 --> 00:07:12,579 I saw Finding Nemo. I get it. I don't need another story. 102 00:07:12,704 --> 00:07:14,330 But you're not just being overprotective. 103 00:07:14,456 --> 00:07:16,875 You're one of the most overprotective parents I've ever seen. 104 00:07:17,000 --> 00:07:19,836 She has the best private tutors. I let her friends visit. 105 00:07:19,961 --> 00:07:21,796 I'm not going to apologize. 106 00:07:21,921 --> 00:07:23,757 Just giving you my thoughts. 107 00:07:23,882 --> 00:07:26,551 She almost died three times during her childhood. 108 00:07:26,676 --> 00:07:29,471 - Penicillin, bee stings, peanuts. - I've seen her file. 109 00:07:29,596 --> 00:07:32,891 Six months ago, we leave her home alone for the first time on a weekend. 110 00:07:33,016 --> 00:07:36,978 She goes out, buys one chocolate chip cookie. Peanut butter in the dough. 111 00:07:37,103 --> 00:07:39,773 She's forgotten her EpiPen. She drives to the hospital, 112 00:07:39,898 --> 00:07:43,943 passes out, has an accident. Steering wheel crushed her chest. 113 00:07:44,069 --> 00:07:46,279 She ended up losing her heart. 114 00:07:47,280 --> 00:07:49,491 So when you say to me that 115 00:07:49,616 --> 00:07:53,870 I'm one of the most overprotective parents you've seen, please, 116 00:07:53,995 --> 00:07:58,541 please introduce me to the ones who were more protective 117 00:07:58,666 --> 00:08:01,836 so that I can find out what they're doing right. 118 00:08:08,134 --> 00:08:11,429 She's allergic to having a sucky social life. 119 00:08:11,554 --> 00:08:14,390 Give the parents a break. They're just trying to keep her healthy. 120 00:08:14,516 --> 00:08:16,434 Everything in here's labeled "Hypoallergenic." 121 00:08:16,559 --> 00:08:18,061 Check it anyway. 122 00:08:21,606 --> 00:08:22,816 Cameron. 123 00:08:25,068 --> 00:08:28,071 This place is cleaner than her hospital room. 124 00:08:29,489 --> 00:08:31,157 No alarm on this window. 125 00:08:31,282 --> 00:08:32,367 That's a 20-foot drop. 126 00:08:32,492 --> 00:08:35,036 You can get to the tree from here. There's some bark scraped off. 127 00:08:35,161 --> 00:08:38,206 Sure, heart-transplant girl swung down there on a vine. 128 00:08:38,331 --> 00:08:41,459 Maybe she was hooking up with Tarzan and Cheetah down by the elephant graveyard. 129 00:08:41,584 --> 00:08:45,672 Or Jane stayed in the tree house, and Tarzan came up. 130 00:08:49,884 --> 00:08:53,805 Okay, I spent most of the night, Friday. 131 00:08:53,930 --> 00:08:57,016 But if her mom finds out about that, she will totally freak. 132 00:08:57,142 --> 00:08:58,768 You guys had sex? 133 00:08:58,893 --> 00:09:00,520 Yeah, but, you know, 134 00:09:00,645 --> 00:09:03,481 I did everything I could to make sure she wouldn't get sick. 135 00:09:03,606 --> 00:09:04,566 Latex allergy? 136 00:09:04,691 --> 00:09:06,860 What do you mean, like a condom? We didn't... 137 00:09:06,985 --> 00:09:09,988 You had unsafe sex? The whole "unsafe" thing didn't tell you something? 138 00:09:10,113 --> 00:09:13,950 Yeah, but, I mean, look. We didn't, like, plan on it, you know? It just... 139 00:09:14,075 --> 00:09:16,536 I don't know. We're in love. We've been dating for two years. 140 00:09:16,661 --> 00:09:20,039 Practically a lifetime. How about a semen allergy? 141 00:09:20,165 --> 00:09:22,542 We're gonna need a semen sample. 142 00:09:24,169 --> 00:09:25,795 You can use the bathroom over there. 143 00:09:25,920 --> 00:09:29,132 - Right. How do I... - Aim and shoot. 144 00:09:32,218 --> 00:09:35,263 And no thinking about Dr. Cameron. We'll know. 145 00:09:36,055 --> 00:09:38,766 - We should tell her parents. - Why stop there? Call the cops. 146 00:09:38,892 --> 00:09:39,809 Melinda's a minor. 147 00:09:39,934 --> 00:09:43,521 And if we nip it in the bud here, teenagers will never again have sex. 148 00:09:43,646 --> 00:09:45,732 The parents will find out when they get the bill anyway. 149 00:09:45,857 --> 00:09:48,651 So you're fine with them finding out as long as you don't have to tell them? 150 00:09:48,776 --> 00:09:50,236 Pretty much. 151 00:09:50,361 --> 00:09:53,531 (WOMAN CHATTERING ON P.A. SYSTEM) 152 00:09:54,199 --> 00:09:57,869 Too bad it's not you giving the sample. We'd be done by now. 153 00:09:59,954 --> 00:10:02,749 Test was negative. No semen allergy. 154 00:10:02,874 --> 00:10:06,711 Boyfriend sneaks in to get his freak on the night before the anaphylaxis. 155 00:10:06,836 --> 00:10:08,713 - I don't buy that it's unrelated. - He loves her. 156 00:10:08,838 --> 00:10:11,591 He did everything he could to make sure she wouldn't get sick. 157 00:10:11,716 --> 00:10:13,134 What does that mean? 158 00:10:13,259 --> 00:10:16,763 Love is an emotion certain people experience, similar to happiness. 159 00:10:16,888 --> 00:10:19,390 No. Maybe I should give a more relatable example. 160 00:10:19,515 --> 00:10:21,309 Oh, snap. 161 00:10:21,434 --> 00:10:25,104 What did he do to protect her, Brillo Pad his privates? 162 00:10:25,230 --> 00:10:27,440 - I assumed he washed and he... - Oh, good work. 163 00:10:27,565 --> 00:10:30,777 Assumptions are so much faster than actual questions. 164 00:10:40,286 --> 00:10:41,829 HOUSE: You the boyfriend? 165 00:10:41,955 --> 00:10:45,667 - I need to borrow you. - What is going on? 166 00:10:45,792 --> 00:10:49,420 Don't worry. I'll return him in roughly the same condition. 167 00:10:55,802 --> 00:10:59,472 Did you take anything to stay healthy? Something stronger than an apple a day? 168 00:10:59,597 --> 00:11:00,807 Is he okay? 169 00:11:00,932 --> 00:11:04,978 He's just tired from being in a coma so long. What'd you take? 170 00:11:05,812 --> 00:11:08,731 - Don't worry. He can keep a secret. - Right... 171 00:11:10,650 --> 00:11:14,112 Antibiotics? Penicillin? 172 00:11:14,237 --> 00:11:16,864 Any of those names ring a bell? 173 00:11:16,990 --> 00:11:21,327 Yeah. My friend Elliot, his dad had, like, a whole bottle that 174 00:11:21,452 --> 00:11:26,833 he hadn't finished, so I swiped it and took a bunch for, like, a week. 175 00:11:26,958 --> 00:11:30,461 I mean, there's no way I was gonna risk breathing germs on Melinda. 176 00:11:30,586 --> 00:11:34,924 This is the one downside of teenage sex. You're idiots. 177 00:11:35,049 --> 00:11:39,053 You almost killed your girlfriend. She's allergic to penicillin. 178 00:11:40,805 --> 00:11:44,517 What, do you think there was still some on my lips? I brushed my teeth. 179 00:11:44,642 --> 00:11:46,644 Think lower and more fun. 180 00:11:49,439 --> 00:11:55,278 - I mean, it can go through your stuff? - Totally, dude. 181 00:11:55,403 --> 00:11:56,779 There's this administrator here, 182 00:11:56,904 --> 00:12:00,867 whenever she gets sick, she just gives me the prescription. 183 00:12:01,617 --> 00:12:03,995 But, you know, they tested Melinda. 184 00:12:04,120 --> 00:12:06,873 They said she wasn't allergic to my stuff. 185 00:12:06,998 --> 00:12:08,666 Yeah, four days later. 186 00:12:08,791 --> 00:12:13,296 By that time the penicillin was crusting up a sock at the bottom of your hamper. 187 00:12:13,421 --> 00:12:16,090 Do you have to tell her it was my fault? 188 00:12:16,966 --> 00:12:18,051 No. 189 00:12:18,593 --> 00:12:20,470 Great part of being a grownup, 190 00:12:20,595 --> 00:12:22,930 you never have to do anything. 191 00:12:29,896 --> 00:12:33,024 You're releasing her? What happened? What did you find out? 192 00:12:33,149 --> 00:12:35,651 Tests on your house ruled out any environmental allergens. 193 00:12:35,777 --> 00:12:36,986 Yeah, but what caused this? 194 00:12:37,111 --> 00:12:39,530 We believe it's highly unlikely that this set of circumstances 195 00:12:39,655 --> 00:12:42,784 - will repeat itself. - What set of circumstances? 196 00:12:42,909 --> 00:12:47,038 It's good news. She's healthy. But you might wanna talk to... 197 00:12:47,163 --> 00:12:49,082 (MONITOR BEEPING RAPIDLY) Cameron! 198 00:12:49,207 --> 00:12:51,209 I can't breathe. 199 00:12:51,334 --> 00:12:52,877 Getting the epi. 200 00:12:55,171 --> 00:12:56,339 LEWIS: Give her the shot! 201 00:12:56,464 --> 00:12:58,800 No murmurs, no friction rubs... 202 00:12:58,925 --> 00:13:00,885 - What are you waiting for? - Quiet. 203 00:13:01,010 --> 00:13:03,679 CAMERON: She's coughing up white sputum. 204 00:13:03,805 --> 00:13:06,224 Crackling two-thirds of the way up. 205 00:13:08,226 --> 00:13:09,352 Look at her neck. 206 00:13:09,477 --> 00:13:11,604 Please, she is vomiting. Would you give her the shot? 207 00:13:11,729 --> 00:13:14,148 It's not an allergy. It's her heart. 208 00:13:19,779 --> 00:13:22,782 What's the good news? What's the bad news? 209 00:13:22,907 --> 00:13:24,742 Congestive heart failure. 210 00:13:24,867 --> 00:13:25,868 Is which? 211 00:13:25,993 --> 00:13:27,703 - Good news. - Why? 212 00:13:28,413 --> 00:13:31,040 I don't know. It just sounded like you. 213 00:13:32,250 --> 00:13:34,961 New puzzle piece, always good news. What's the bad news? 214 00:13:35,086 --> 00:13:38,297 We've got two puzzle pieces from two different puzzles. 215 00:13:38,423 --> 00:13:39,757 Seems that way. 216 00:13:39,882 --> 00:13:42,635 What if her anaphylaxis wasn't anaphylaxis? 217 00:13:42,760 --> 00:13:45,263 Toxicity from the anti-rejection meds could cause a seizure 218 00:13:45,388 --> 00:13:46,848 and then heart failure. 219 00:13:46,973 --> 00:13:50,810 And get cured by a mommy-wielded EpiPen? It's anaphylaxis. What else? 220 00:13:50,935 --> 00:13:52,770 What if they really are two puzzles? 221 00:13:52,895 --> 00:13:56,315 You think she had two unrelated rare conditions in one week? 222 00:13:56,441 --> 00:13:59,819 - We explained the anaphylaxis. - What do you mean "we"? I did. 223 00:13:59,944 --> 00:14:03,781 At least I thought I did. Maybe I didn't. Still, it was all me. 224 00:14:03,906 --> 00:14:07,952 And heart problems aren't so rare for someone who's had a heart transplant. 225 00:14:08,077 --> 00:14:10,830 I say we assume House was right about the anaphylaxis. 226 00:14:10,955 --> 00:14:12,707 It is tempting. 227 00:14:12,832 --> 00:14:17,420 Heart failure could be either infection, coronary disease, or rejection. 228 00:14:17,545 --> 00:14:18,838 Sorry. 229 00:14:18,963 --> 00:14:22,633 There's a reason they call it the whiteboard. It's not my rule. 230 00:14:22,758 --> 00:14:25,761 What ties both these conditions together? 231 00:14:28,139 --> 00:14:29,140 (SIGHS) 232 00:14:35,062 --> 00:14:38,524 Okay, we can all stare at each other, or we can investigate 233 00:14:38,649 --> 00:14:41,944 what caused the heart failure. Just the heart failure. 234 00:14:42,945 --> 00:14:45,364 You wanna give me that black marker? 235 00:14:51,871 --> 00:14:53,789 There's no fever, so it's probably not infection. 236 00:14:53,915 --> 00:14:56,042 Or no fever because she's been on immunosuppressants 237 00:14:56,167 --> 00:14:57,293 for the last six months. 238 00:14:57,418 --> 00:15:00,922 FOREMAN: Let's do a CT, get a heart biopsy, and then redo... 239 00:15:02,840 --> 00:15:05,468 - CAMERON: Anything? - FOREMAN: Not yet. 240 00:15:05,593 --> 00:15:08,513 So I hear you don't want teenagers having sex. 241 00:15:08,638 --> 00:15:10,932 Teen suicide rate isn't high enough for you already? 242 00:15:11,057 --> 00:15:14,268 I think those two are brats. The girl undercuts her mom any chance she gets. 243 00:15:14,393 --> 00:15:17,855 Yeah, it's the daughter's fault. Nothing to do with Mom infantilizing her. 244 00:15:17,980 --> 00:15:20,274 Good point. Explains why parents who don't pay attention 245 00:15:20,399 --> 00:15:22,193 get such nice, well-adjusted children. 246 00:15:22,360 --> 00:15:23,903 What's this? 247 00:15:24,070 --> 00:15:26,656 - You think it's vegetation? - Yeah. 248 00:15:26,822 --> 00:15:29,534 The kind made of muscle that opens your heart valves. 249 00:15:29,659 --> 00:15:32,870 It's nothing. She's clean. 250 00:15:34,747 --> 00:15:35,915 FOREMAN: It's good news. 251 00:15:36,040 --> 00:15:39,210 You don't show any signs of coronary artery disease. 252 00:15:39,335 --> 00:15:40,503 So what's next? 253 00:15:40,628 --> 00:15:44,590 Well, blood work to rule out infection, and then a heart surgical biopsy 254 00:15:44,715 --> 00:15:46,092 to rule out rejection. 255 00:15:46,217 --> 00:15:49,637 But you don't think you're gonna rule out both things, do you? 256 00:15:49,762 --> 00:15:50,805 No. 257 00:15:54,058 --> 00:15:55,560 I'm gonna lose this heart, right? 258 00:15:55,685 --> 00:15:58,104 Hopefully we'll find the problem and fix it. 259 00:15:58,229 --> 00:16:01,148 - You'll keep your heart a long time. - How long? 260 00:16:01,274 --> 00:16:05,778 There could be drug breakthroughs that allow you to keep it for decades more. 261 00:16:05,903 --> 00:16:09,699 Yeah. That's the answer my cardiologist always gives me. 262 00:16:09,824 --> 00:16:13,744 I looked it up on the web. It's like five or 10 years, right? 263 00:16:16,330 --> 00:16:18,457 That's about the average. 264 00:16:18,583 --> 00:16:21,085 That's why I need to have a life. 265 00:16:21,919 --> 00:16:25,006 Why can't you convince my mom to let me go back to school? 266 00:16:25,131 --> 00:16:29,552 Melinda, you've got bigger worries right now than missing school. 267 00:16:29,677 --> 00:16:31,762 Until we figure out what's wrong with your heart, 268 00:16:31,887 --> 00:16:34,599 the safest place for you to be is right here. 269 00:18:03,729 --> 00:18:05,523 Where's... 270 00:18:07,650 --> 00:18:09,735 ...the hooker, I assume? 271 00:18:09,860 --> 00:18:11,612 Right up here, buddy. 272 00:18:14,824 --> 00:18:19,036 You said you'd hang the stethoscope if you were having sex. 273 00:18:19,161 --> 00:18:21,497 I didn't say it had to be with another person. 274 00:18:21,622 --> 00:18:25,418 Can you think of anything that would tie together anaphylaxis and heart failure? 275 00:18:25,543 --> 00:18:29,505 No. I was waiting out there for hours! 276 00:18:29,630 --> 00:18:31,507 Yeah, well, I need a lot of foreplay. 277 00:18:31,632 --> 00:18:33,926 And then there's the cuddling afterwards. 278 00:18:34,635 --> 00:18:38,556 Any way that anaphylaxis isn't anaphylaxis even if it responds to epi? 279 00:18:38,681 --> 00:18:40,599 No. Oh, no wonder you were in the mood. 280 00:18:40,725 --> 00:18:43,269 This month's New Jersey Journal of Cardiology. 281 00:18:43,394 --> 00:18:47,356 Have you seen the centerfold? There's no way those valves are real. 282 00:18:47,481 --> 00:18:49,859 Any chance that the heart failure could be unrelated to... 283 00:18:49,984 --> 00:18:54,572 No. If you need time alone to work, you just have to say so. 284 00:18:54,697 --> 00:18:56,657 - You don't have to lie about it. - Lying's more fun. 285 00:18:56,782 --> 00:18:59,368 Being lied to... Not as much fun. 286 00:18:59,493 --> 00:19:02,913 Please have an answer to this question. What's for dinner? 287 00:19:03,038 --> 00:19:05,583 You still haven't done the dishes? 288 00:19:05,750 --> 00:19:08,377 You want one of these? I think I got a couple of blueberries. 289 00:19:08,502 --> 00:19:11,380 Oh, nope. Sorry, just one. 290 00:19:14,258 --> 00:19:16,427 Well, don't look all weepy. 291 00:19:16,552 --> 00:19:20,973 You got a problem with me, deal with it. Short my sheets or something. 292 00:19:21,098 --> 00:19:22,099 (SIGHS) 293 00:19:24,852 --> 00:19:27,480 (CUTLERY CLANKING) 294 00:19:27,605 --> 00:19:29,607 FOREMAN: Biopsy was negative for rejection. 295 00:19:29,732 --> 00:19:30,649 Thank God. 296 00:19:30,775 --> 00:19:33,402 - And what about the blood tests? - Showed no infection. 297 00:19:33,527 --> 00:19:36,614 So we still don't know what caused her heart failure. 298 00:19:36,739 --> 00:19:38,616 Let's just be happy she doesn't need a new heart. 299 00:19:38,741 --> 00:19:41,327 Mrs. Bardach, it could have just been a one-time thing. 300 00:19:41,452 --> 00:19:43,537 So she has an allergic reaction and heart failure, 301 00:19:43,662 --> 00:19:46,373 and neither of them can be explained. 302 00:19:46,499 --> 00:19:48,334 - Are they doing any more tests on her? - No. 303 00:19:48,459 --> 00:19:49,877 She's not here. 304 00:19:52,338 --> 00:19:56,008 Notify local hospitals, cab companies, the state troopers, and local cops. 305 00:19:56,133 --> 00:19:58,427 Any security officers off duty are back on duty. 306 00:19:58,552 --> 00:19:59,595 WOMAN: We're on it. 307 00:19:59,720 --> 00:20:02,556 And I'm gonna need some pictures. And go through those drawers. 308 00:20:02,681 --> 00:20:06,018 And I want at least two people going over the surveillance tapes. 309 00:20:06,143 --> 00:20:07,978 Will that work? 310 00:20:08,103 --> 00:20:10,564 - Are those all her clothes? - Yeah. 311 00:20:11,190 --> 00:20:13,442 She's obviously still in the building. So where did she go? 312 00:20:13,567 --> 00:20:16,904 - What does she want? - See her boyfriend? 313 00:20:17,029 --> 00:20:19,073 She didn't take her phone. 314 00:20:19,573 --> 00:20:21,450 She wants to be outside. 315 00:20:32,962 --> 00:20:34,380 (PANTING) 316 00:20:34,505 --> 00:20:37,508 If you're trying to scare your parents, great job. 317 00:20:39,426 --> 00:20:41,136 Can we go back now? 318 00:20:42,388 --> 00:20:43,597 I hate her. 319 00:20:45,808 --> 00:20:49,270 When I was eight years old, I was sick. 320 00:20:49,979 --> 00:20:52,398 Not really sick, but the point is, my mom, she could... 321 00:20:52,523 --> 00:20:55,442 She was like this before. Home by 9:00 every night. 322 00:20:55,568 --> 00:20:58,487 Can't go out on the weekends. Can't do sports. 323 00:20:58,612 --> 00:21:00,573 Transplant just gave her what she always wanted. 324 00:21:00,698 --> 00:21:03,868 Melinda, you had heart failure. 325 00:21:04,618 --> 00:21:07,913 This is kind of an insane time to be criticizing your mom 326 00:21:08,038 --> 00:21:09,373 about being overprotective. 327 00:21:09,498 --> 00:21:13,085 I know. I mean, this is what makes it even worse. 328 00:21:13,210 --> 00:21:16,380 (STUTTERING) All of her craziness, it just... 329 00:21:18,591 --> 00:21:20,509 It makes sense now. 330 00:21:20,634 --> 00:21:23,137 Everything's gonna be all right. 331 00:21:23,721 --> 00:21:26,140 I didn't even try to get outside. 332 00:21:27,683 --> 00:21:29,810 - I was too scared. - Come on. 333 00:21:41,322 --> 00:21:44,617 Whoa, whoa, Melinda. Please walk back towards me. 334 00:21:45,451 --> 00:21:46,577 Why? 335 00:21:47,494 --> 00:21:48,454 Please. 336 00:21:53,959 --> 00:21:55,836 It feels kind of weird. 337 00:21:58,130 --> 00:22:00,257 FOREMAN: It's called stoppage gait. 338 00:22:00,382 --> 00:22:02,635 - LEWIS: Is it serious? - Not necessarily. 339 00:22:03,469 --> 00:22:06,221 All right. Stick your leg out. Hold it up. 340 00:22:07,640 --> 00:22:11,101 She was under anesthesia for the biopsy. If she lost oxygen... 341 00:22:11,226 --> 00:22:13,228 CT ruled out brain damage. 342 00:22:13,896 --> 00:22:16,482 Put your leg down. Relax. 343 00:22:19,693 --> 00:22:22,029 Why is her leg twitching like that? 344 00:22:23,113 --> 00:22:25,908 - Fasciculation. - Is that serious? 345 00:22:26,033 --> 00:22:28,661 It's paralysis, and it's ascending. 346 00:22:29,119 --> 00:22:31,622 She's gonna lose the use of her legs? 347 00:22:35,542 --> 00:22:36,919 To start with. 348 00:22:42,549 --> 00:22:45,219 It's ascending fast. She can hardly extend her leg now. 349 00:22:45,344 --> 00:22:49,098 At this rate, it'll be up to her lungs in a matter of days. 350 00:22:49,223 --> 00:22:53,602 So, anaphylaxis, heart failure, paralysis. 351 00:22:53,727 --> 00:22:55,270 We couldn't put the first two together. 352 00:22:55,396 --> 00:22:57,189 I'm guessing we can't put all three together. 353 00:22:57,314 --> 00:23:00,651 Tick paralysis? Could also explain the anaphylaxis, maybe even the... 354 00:23:00,776 --> 00:23:03,320 Penicillin allergy explains the allergic reaction much better. 355 00:23:03,445 --> 00:23:07,366 Particularly because tick paralysis is usually accompanied by a tick. 356 00:23:07,491 --> 00:23:10,411 We did two comprehensive physicals looking for insect bites. 357 00:23:10,536 --> 00:23:12,955 Can we put any two of those together? 358 00:23:13,080 --> 00:23:14,456 How about we stipulate? 359 00:23:14,581 --> 00:23:17,459 You argued that there must be something to connect all three symptoms, 360 00:23:17,584 --> 00:23:19,253 you mocked us for not figuring it out, 361 00:23:19,378 --> 00:23:21,463 and finally you let us discuss the paralysis on its own 362 00:23:21,588 --> 00:23:23,507 because it's what's gonna kill her. 363 00:23:23,632 --> 00:23:27,261 Now, it's ascending. Her MRls are clean, so rule out stroke or aneurysm. 364 00:23:27,386 --> 00:23:29,138 - CAMERON: ALS, MS? - FOREMAN: Too quick. 365 00:23:29,263 --> 00:23:31,265 - Spinal lesion from leukemia? - Too slow. 366 00:23:31,390 --> 00:23:34,101 - It's most likely Guillain Barré. - CHASE: She's immunosuppressed. 367 00:23:34,226 --> 00:23:35,144 What about botulism? 368 00:23:35,269 --> 00:23:37,771 Not unless she's been walking on her hands the last couple of days. 369 00:23:37,896 --> 00:23:39,857 Botulism paralysis is descending, not ascending. 370 00:23:39,982 --> 00:23:43,110 Could be a virus. West Nile, even polio with her immune system shot. 371 00:23:43,235 --> 00:23:46,447 Get an LP and do PCRs for the viruses. 372 00:23:46,572 --> 00:23:48,782 And get an EMG to check for Guillain Barré. 373 00:23:48,907 --> 00:23:52,453 Foreman's right. We gotta find out why she's paralyzed. 374 00:23:54,121 --> 00:23:57,666 But not before staring at me dumbly for a few seconds. 375 00:24:08,052 --> 00:24:10,137 FOREMAN: We ran more tests on your daughter. 376 00:24:10,262 --> 00:24:13,515 We took a lumbar puncture, got some spinal fluid. 377 00:24:13,640 --> 00:24:15,684 Then we brought it to the lab to look for infections 378 00:24:15,809 --> 00:24:18,062 that could be affecting her brain. 379 00:24:20,064 --> 00:24:22,483 We also did an EMG to check how her muscles and nerves 380 00:24:22,608 --> 00:24:25,360 are responding to electrical impulses. 381 00:24:25,486 --> 00:24:29,114 Unfortunately, her muscles are showing increased weakness above the knee. 382 00:24:29,239 --> 00:24:31,075 You mean she's getting worse? 383 00:24:31,200 --> 00:24:34,203 The LP and PCRs ruled out polio and West Nile. 384 00:24:34,328 --> 00:24:36,288 We think it's Guillain Barré. 385 00:24:36,413 --> 00:24:38,082 The body's immune response goes haywire 386 00:24:38,207 --> 00:24:40,209 and starts attacking the peripheral nerves. 387 00:24:40,334 --> 00:24:43,545 It causes muscle weakness and paralysis. 388 00:24:43,670 --> 00:24:44,713 How bad is it? 389 00:24:44,838 --> 00:24:49,343 It's serious, but Guillain Barré usually responds very well to plasmapheresis. 390 00:24:56,517 --> 00:24:59,144 FOREMAN: You see, the plasma, the clear liquid 391 00:24:59,269 --> 00:25:01,730 contains most of the antibodies which are overreacting 392 00:25:01,855 --> 00:25:03,941 and attacking her nervous system. 393 00:25:04,066 --> 00:25:05,984 The machine spins her blood in a centrifuge 394 00:25:06,110 --> 00:25:08,946 and separates parts of the blood based on weight. 395 00:25:09,071 --> 00:25:11,406 White blood cells are the heaviest, then the red cells, 396 00:25:11,532 --> 00:25:13,325 then platelets and plasma. 397 00:25:13,492 --> 00:25:15,702 We discard the stuff that's causing all the trouble 398 00:25:15,828 --> 00:25:19,331 and return the good blood cells back to her body in a replacement fluid. 399 00:25:19,456 --> 00:25:22,751 If it works, we'll see results in a couple of days. 400 00:25:30,509 --> 00:25:33,387 You didn't get any messages for me last week, did you? 401 00:25:33,512 --> 00:25:34,847 Nope. 402 00:25:34,972 --> 00:25:37,141 That's funny. The guy finally called back. 403 00:25:37,266 --> 00:25:40,310 The place I lost, he said he left three voicemails. 404 00:25:40,435 --> 00:25:41,270 Gotta pee. 405 00:25:41,395 --> 00:25:45,274 Which I never got, if that wasn't clear. 406 00:25:45,399 --> 00:25:49,027 He must be lying. You wouldn't want to live with a liar. 407 00:25:49,153 --> 00:25:51,196 - You erased my messages? - Yep. 408 00:25:51,321 --> 00:25:54,825 Decided I wanted you to stay. Told you that, didn't I? 409 00:25:54,950 --> 00:25:58,954 You're miserable, and you're lonely, and you're gonna trap me here 410 00:25:59,079 --> 00:26:01,039 to keep me every bit as miserable and lonely, too. 411 00:26:01,165 --> 00:26:03,750 Yeah, and you're happy, happy, happy. 412 00:26:03,876 --> 00:26:07,421 Okay. Hey, I'm obviously going through a rough patch here. 413 00:26:07,546 --> 00:26:10,174 Wife leaves, tends to bum somebody out. 414 00:26:11,341 --> 00:26:13,635 Do you know where my pee went? 415 00:26:16,096 --> 00:26:17,723 You're missing some? 416 00:26:17,848 --> 00:26:22,227 No. Came out of me and went right into the toilet. Now, why would that be? 417 00:26:23,145 --> 00:26:26,064 You're William Tell. You could pick an apple off someone's head? 418 00:26:26,190 --> 00:26:29,276 No, it's because there was no clear plastic wrap over the toilet. 419 00:26:29,401 --> 00:26:31,403 The stuffs in the kitchen. You had plenty of time. 420 00:26:31,528 --> 00:26:34,281 - All that was missing was the will. - This isn't a college dorm. 421 00:26:34,406 --> 00:26:37,367 - It could be. - We're not 18! 422 00:26:37,492 --> 00:26:41,788 So what? What did I do to you? I scammed you into doing the dishes, 423 00:26:41,914 --> 00:26:45,334 I made you sit on the steps. I didn't kill your puppy. 424 00:26:45,459 --> 00:26:49,504 - I did not make you miserable. - Oh, so this is therapy? 425 00:26:49,630 --> 00:26:52,758 No, it just makes me smile. 426 00:26:54,301 --> 00:26:56,178 All right. I'm finding a new place tomorrow. 427 00:26:56,303 --> 00:26:58,180 Right. But not tonight. 428 00:26:58,972 --> 00:27:01,642 Well, I figure you wanna shave my eyebrows while I'm asleep. 429 00:27:01,767 --> 00:27:04,102 I wouldn't wanna deprive you of that last smile. 430 00:27:04,228 --> 00:27:05,479 You're not going anywhere. 431 00:27:05,604 --> 00:27:08,607 You're gonna sit on my couch and depress us both 432 00:27:08,732 --> 00:27:11,026 because you just can't admit that it's over with your wife. 433 00:27:11,151 --> 00:27:14,112 - That's right. I'm here on vacation. - Have you gotten a lawyer yet? 434 00:27:16,156 --> 00:27:19,243 - That... That's not... - Have you even called one? 435 00:27:21,536 --> 00:27:24,581 As long as you're here, it's just a fight. 436 00:27:24,706 --> 00:27:28,460 But as soon as you get a place, then it's a divorce. 437 00:27:33,632 --> 00:27:35,175 Everything sucks. 438 00:27:36,510 --> 00:27:39,429 Might as well find something to smile about. 439 00:27:50,524 --> 00:27:52,359 FOREMAN: Reflexes are marginally weaker. 440 00:27:52,484 --> 00:27:54,027 The paralysis is getting worse? 441 00:27:54,152 --> 00:27:57,364 Sometimes it takes a few treatments for the plasmapheresis to work. 442 00:27:57,489 --> 00:28:00,325 Why do these things keep happening to me? 443 00:28:02,869 --> 00:28:04,538 Dan's back. 444 00:28:04,663 --> 00:28:07,332 Hey, baby, did you hear that? Dan's here. 445 00:28:08,917 --> 00:28:10,752 I don't wanna see him. 446 00:28:14,589 --> 00:28:17,175 - I'll tell him to come back later. - No. 447 00:28:17,926 --> 00:28:19,928 Mommy, stay here, please. 448 00:28:22,180 --> 00:28:23,307 Of course. 449 00:28:56,089 --> 00:28:57,257 (SIGHS) 450 00:28:57,382 --> 00:28:59,801 - Is she doing okay? - She's sleeping. 451 00:28:59,926 --> 00:29:01,762 I'm sure she's exhausted. 452 00:29:01,887 --> 00:29:04,431 Mood swings are common with the anti-rejection meds. 453 00:29:04,556 --> 00:29:06,850 No. She's had mood swings. This isn't it. 454 00:29:06,975 --> 00:29:10,937 This is... She's given up. 455 00:29:13,315 --> 00:29:15,150 I know you think I'm... 456 00:29:17,319 --> 00:29:19,321 This isn't what I wanted. 457 00:29:21,990 --> 00:29:24,076 She's always fought with me. 458 00:29:25,077 --> 00:29:28,246 Ever since she was a baby, she was so damn stubborn. 459 00:29:29,039 --> 00:29:31,583 But I never wanted her like this. 460 00:29:33,668 --> 00:29:35,545 I just wanted her safe. 461 00:29:36,963 --> 00:29:38,632 (MACHINE BEEPING) LEWIS: Doctor! 462 00:29:41,426 --> 00:29:45,013 She can't breathe. She can't even get a whole sentence out. 463 00:29:45,138 --> 00:29:47,474 (GASPING) 464 00:29:47,599 --> 00:29:49,059 She's using the accessory muscles. 465 00:29:49,184 --> 00:29:51,061 - O2 sat's down to 90. Lungs clear? - Yeah. 466 00:29:51,186 --> 00:29:53,063 Does your tongue feel swollen? Is it itchy? 467 00:29:53,188 --> 00:29:55,565 - FOREMAN: No hives. - It's not an allergy. 468 00:29:55,690 --> 00:29:57,734 Lips are cyanotic. We've got to intubate. 469 00:29:57,859 --> 00:29:59,361 What are you doing? 470 00:29:59,486 --> 00:30:01,071 Pushing lorazepam. 471 00:30:01,613 --> 00:30:05,492 She's not getting enough oxygen. We've gotta assist her breathing. 472 00:30:15,168 --> 00:30:17,379 What was that? Was that a reaction to the treatment? 473 00:30:17,504 --> 00:30:20,424 It's the paralysis. It's reached her lungs. 474 00:30:29,516 --> 00:30:30,976 CHASE: Melinda's dying. 475 00:30:31,101 --> 00:30:34,688 We're all dying. How fast? 476 00:30:34,813 --> 00:30:36,398 Too fast for Guillain Barré. 477 00:30:36,523 --> 00:30:39,443 Cuddy wants to get her an MRI to rule out a spinal lesion. 478 00:30:39,568 --> 00:30:42,028 Cuddy? What's she doing on this? 479 00:30:43,029 --> 00:30:45,031 The family lost confidence in us. 480 00:30:45,157 --> 00:30:48,160 I don't blame them. I'll be right in. 481 00:31:02,757 --> 00:31:04,968 It's like she got poisoned with a nerve agent. 482 00:31:05,093 --> 00:31:07,387 Glue inhalation. Would explain why she hasn't admitted it. 483 00:31:07,512 --> 00:31:08,972 FOREMAN: Tox screen was clear for pot. 484 00:31:09,097 --> 00:31:12,392 Middle-class heart transplant patient's gonna huff glue? 485 00:31:12,517 --> 00:31:14,853 - Pesticides? - CAMERON: They're not spraying. 486 00:31:14,978 --> 00:31:18,356 This girl's tough. She gets what she wants. 487 00:31:19,107 --> 00:31:22,861 She's deprived of human contact. She gets herself a backdoor man. 488 00:31:22,986 --> 00:31:26,072 Or in her case, a side-window boy. What else has she been deprived of? 489 00:31:26,198 --> 00:31:28,408 She's on a special diet because of her allergies. 490 00:31:28,533 --> 00:31:32,913 The boyfriend brings the hot beef. He also brings a side dish, botulism. 491 00:31:33,038 --> 00:31:35,248 This paralysis is ascending, remember? 492 00:31:35,373 --> 00:31:37,667 Not if the heart problem's really a paralytic problem. 493 00:31:37,792 --> 00:31:39,711 Why would she admit the sex and not the food? 494 00:31:39,836 --> 00:31:42,047 She didn't admit anything. 495 00:31:42,172 --> 00:31:44,758 He admitted the sex, and we didn't ask him about food. 496 00:31:44,883 --> 00:31:47,052 - Get me a rat. - You have a rat. 497 00:31:47,177 --> 00:31:49,930 What? I'm not gonna kill Steve. 498 00:31:50,055 --> 00:31:53,767 Only way to confirm this, inject a rat with her blood 499 00:31:53,892 --> 00:31:56,770 and wait for it to get all botulistic on your ass. 500 00:31:56,895 --> 00:32:00,941 In the meantime, I'm going downstairs to browbeat a scared dying teenage girl 501 00:32:01,066 --> 00:32:05,195 until she breaks down like a scared dying teenage girl. 502 00:32:10,075 --> 00:32:12,035 - You're up early. - Cuddy needed a consult. 503 00:32:12,160 --> 00:32:14,788 We're checking for spinal lesions from leukemia. 504 00:32:14,913 --> 00:32:17,290 Yeah, I know. Fits perfectly. 505 00:32:17,415 --> 00:32:20,544 Unless this is the patient with the anaphylaxis, the heart failure, 506 00:32:20,669 --> 00:32:23,004 and the paralysis, in which case, you're wasting your time. 507 00:32:23,129 --> 00:32:24,297 We wanted a second opinion. 508 00:32:24,422 --> 00:32:26,383 Second? We must have given you at least eight. 509 00:32:26,508 --> 00:32:31,054 Okay, well, here's nine. Botulism. 510 00:32:31,888 --> 00:32:33,890 Listen to me, have you eaten anything abnormal? 511 00:32:34,015 --> 00:32:35,934 - Any canned foods? - No. 512 00:32:36,059 --> 00:32:37,060 You sure? 513 00:32:37,185 --> 00:32:39,479 Lying to your parents is usually the right thing to do, 514 00:32:39,604 --> 00:32:41,690 but there is an impending death exception. 515 00:32:41,815 --> 00:32:42,941 Don't talk to her like that. 516 00:32:43,066 --> 00:32:45,819 You're right. She never lies. I was being rude. 517 00:32:45,944 --> 00:32:49,739 When your boyfriend snuck in on Friday night... Surprise. 518 00:32:49,864 --> 00:32:52,367 Perhaps he got you some sexy little treats, huh? 519 00:32:52,492 --> 00:32:57,330 Some honey or some edible underwear, some massage oils. Come on, anything. 520 00:32:58,582 --> 00:33:01,793 - We didn't... - Yeah, yeah. We know about the sex. 521 00:33:01,918 --> 00:33:04,296 Turns out that Danny's little Danny is full of penicillin. 522 00:33:04,421 --> 00:33:06,214 That's what caused your anaphylactic shock. 523 00:33:06,339 --> 00:33:09,301 You didn't tell us that was what... 524 00:33:09,426 --> 00:33:13,305 No. It was... He took clindamycin, what I use... 525 00:33:16,516 --> 00:33:18,435 He said he was on penicillin. 526 00:33:18,560 --> 00:33:22,022 - I saw the bottle. - That's a non-penicillin antibiotic. 527 00:33:22,147 --> 00:33:24,482 If the antibiotics didn't cause the anaphylaxis... 528 00:33:24,608 --> 00:33:26,443 It's still on the table. 529 00:33:26,568 --> 00:33:27,986 Everything is connected. 530 00:33:28,111 --> 00:33:30,030 What did we discuss? What was the differential? 531 00:33:30,155 --> 00:33:31,615 Cameron said... 532 00:33:34,367 --> 00:33:37,912 When Dan came to your house that night, he go through any tall grass? 533 00:33:38,038 --> 00:33:39,539 Climbed a fence. 534 00:33:45,378 --> 00:33:46,630 What are you doing? 535 00:33:46,755 --> 00:33:48,798 Your daughter had two visitors on Friday night. 536 00:33:48,923 --> 00:33:53,470 One of them is still in the room. She has tick paralysis. 537 00:33:54,596 --> 00:33:58,642 Dan tracked a tick onto his jeans, which wouldn't be a problem. 538 00:33:58,767 --> 00:34:02,145 But being a teenager, Dan couldn't keep his tick in his pants. 539 00:34:02,270 --> 00:34:04,147 We already checked her. 540 00:34:04,981 --> 00:34:05,940 Now I'm checking her. 541 00:34:06,066 --> 00:34:08,652 Tick bites don't ordinarily cause anaphylactic shock. 542 00:34:08,777 --> 00:34:10,779 This girl's allergies are not ordinary. 543 00:34:10,904 --> 00:34:14,115 House, get out of here. We have to re-intubate her, get her into the MRI. 544 00:34:14,240 --> 00:34:15,992 The time course is perfect. 545 00:34:16,117 --> 00:34:17,994 The bite itself sets off an allergic reaction. 546 00:34:18,119 --> 00:34:20,288 Venom takes four days to kick in. 547 00:34:20,413 --> 00:34:22,040 Heart's vulnerable, hits that first, 548 00:34:22,165 --> 00:34:24,125 then a day later sets off the ascending paralysis. 549 00:34:24,250 --> 00:34:26,211 Except that ticks aren't usually invisible. 550 00:34:26,336 --> 00:34:28,129 They are until you find them. 551 00:34:30,173 --> 00:34:31,424 Oh, no. That's dandruff. 552 00:34:31,549 --> 00:34:33,843 Okay, well, that wasn't nearly as dramatic as I'd hoped. 553 00:34:33,968 --> 00:34:36,930 It just means the next time will be even better. 554 00:34:37,055 --> 00:34:39,349 (MONITOR BEEPING RAPIDLY) 555 00:34:39,474 --> 00:34:41,851 - LEWIS: What's happening? - That's the tick venom ascending. 556 00:34:41,976 --> 00:34:45,397 Either that or you stressed her into heart failure. BP's dropping. 557 00:34:45,522 --> 00:34:48,191 - Heart rate, 47. - I'm administering atropine. 558 00:34:48,316 --> 00:34:50,443 She's gonna need a transvenous pacing wire. 559 00:34:50,568 --> 00:34:54,572 Okay, magical tick hunt is over. Only real doctor stuff now. 560 00:34:54,698 --> 00:34:56,282 This is just gonna get worse. 561 00:34:56,408 --> 00:34:59,369 Ticks produce more toxins the longer they feed. 562 00:34:59,494 --> 00:35:02,914 She's gonna be dead in an hour even if you pump her heart full of jet fuel, 563 00:35:03,039 --> 00:35:05,333 - unless you let me find the tick. - Could he be right? 564 00:35:05,458 --> 00:35:08,253 The only thing I know for sure is that your daughter's heart won't last 565 00:35:08,378 --> 00:35:10,004 another 20 minutes without treatment. 566 00:35:10,130 --> 00:35:13,383 Okay, I just need one final instruction. When I find the tick on the autopsy, 567 00:35:13,508 --> 00:35:17,053 do you want to know? I'm thinking not, probably make the coping easier. 568 00:35:17,178 --> 00:35:18,680 Stop talking to them! 569 00:35:18,805 --> 00:35:21,141 Page Borsisky in cardiology. Get her team down here stat. 570 00:35:21,266 --> 00:35:22,892 Get them out of here. Get House out, too. 571 00:35:23,017 --> 00:35:25,520 Dr. Wilson, I could use your help. 572 00:35:26,771 --> 00:35:30,275 Well, I don't know if the dopamine's enough. She may need inamrinone lactate. 573 00:35:30,400 --> 00:35:31,818 Why? What's that? She doesn't... 574 00:35:31,943 --> 00:35:34,738 She might need stronger pressors. They don't have any in radiology. 575 00:35:34,863 --> 00:35:38,074 Inamrinone can cause arrhythmia and thrombocytopenia. 576 00:35:38,199 --> 00:35:41,202 Not inamrinone could cause death. Death's worse. 577 00:35:41,870 --> 00:35:44,122 We have to get her up to the ICU. 578 00:35:50,879 --> 00:35:54,883 WOMAN ON P.A. SYSTEM: Cardiac team to ICU stat. Cardiac team to ICU stat. 579 00:35:55,049 --> 00:35:58,261 (DINGING) 580 00:35:58,386 --> 00:36:01,848 - Sorry, a little crowded here. - House, get out of the elevator. 581 00:36:01,973 --> 00:36:03,808 You're welcome to wait for the next one. 582 00:36:03,933 --> 00:36:05,685 - You got her? - Got her. 583 00:36:12,609 --> 00:36:14,611 (ELEVATOR ALARM BELL RINGING) 584 00:36:17,155 --> 00:36:20,408 As long as we're stuck here, this might be a good time to look for that tick. 585 00:36:20,533 --> 00:36:24,037 - Turn the elevator back on. - Just be a minute, honey. 586 00:36:29,709 --> 00:36:31,211 (BEEPING) 587 00:36:32,295 --> 00:36:34,672 - Atropine's wearing off. - So inject her again. 588 00:36:34,798 --> 00:36:36,758 - That's just temporary. - Temporary's fine. 589 00:36:36,883 --> 00:36:38,092 We're not hanging wallpaper. 590 00:36:38,218 --> 00:36:40,595 We've gotta get her upstairs and put her on norepinephrine. 591 00:36:40,720 --> 00:36:43,515 It wasn't penicillin. You still think the symptoms are unconnected? 592 00:36:43,640 --> 00:36:45,350 We've gotta take care of her heart before... 593 00:36:45,475 --> 00:36:47,352 You wake up in the morning, your paint's peeling, 594 00:36:47,477 --> 00:36:49,395 your curtains are gone, and the water's boiling. 595 00:36:49,521 --> 00:36:51,439 - Which problem do you deal with first? - House. 596 00:36:51,564 --> 00:36:54,651 None of them. The building's on fire! We treat her symptoms, she dies. 597 00:36:54,776 --> 00:36:57,946 We find the cause, she lives. That tick is an IV drip of poison. 598 00:36:58,071 --> 00:37:00,156 We unhook it, she'll be fine. 599 00:37:08,832 --> 00:37:12,877 This is my last atropine. Last us about three minutes. 600 00:37:13,002 --> 00:37:15,088 Let's get her gown up. 601 00:37:18,174 --> 00:37:19,175 (GASPING) 602 00:37:23,930 --> 00:37:27,350 Her heart rate falls below 35, we're getting her to the ICU. 603 00:37:27,475 --> 00:37:30,311 I'm not gonna let her die in this elevator. 604 00:37:35,108 --> 00:37:36,568 Where are they? 605 00:37:36,693 --> 00:37:39,112 Get maintenance up here, right away. 606 00:37:40,113 --> 00:37:42,740 - FOREMAN: Ear canal's clean. - HOUSE: Left foot's clean. 607 00:37:42,866 --> 00:37:46,786 If it's not here, we've only got... Heart rate's 46. 608 00:37:46,911 --> 00:37:50,707 It's here. Looks like a mole or a freckle, something we missed. 609 00:37:50,832 --> 00:37:52,417 Check the armpits. 610 00:37:55,587 --> 00:37:56,754 (GASPING) 611 00:37:56,880 --> 00:37:59,257 Dr. Foreman's an excellent doctor. He'll be able to handle it. 612 00:37:59,382 --> 00:38:02,427 Yeah? You know that from experience? You lose a lot of patients on elevators? 613 00:38:02,552 --> 00:38:04,637 The maintenance guy said it didn't just stop on its own, 614 00:38:04,762 --> 00:38:07,223 that they hit the emergency stop button. 615 00:38:07,348 --> 00:38:09,976 Well, I'm sure he must be mistaken. 616 00:38:12,729 --> 00:38:14,272 - Perineum. - We checked it. 617 00:38:14,397 --> 00:38:16,232 - If we get her upstairs, we still... - Maxilla. 618 00:38:16,357 --> 00:38:17,567 Checked. 619 00:38:19,903 --> 00:38:22,196 Down to 38. We don't have a lot of time. We can still... 620 00:38:22,322 --> 00:38:24,908 Eyebrows, eardrums, pubic hair. 621 00:38:25,033 --> 00:38:28,828 Checked, checked, checked. We checked everywhere! It's not... 622 00:38:30,830 --> 00:38:31,915 Thirty-five. 623 00:38:32,040 --> 00:38:34,584 - We gotta get her to the ICU. - We haven't found the tick yet. 624 00:38:34,709 --> 00:38:36,878 We already kidnapped her! You wanna add murder? 625 00:38:37,003 --> 00:38:41,132 We've looked over every inch of skin on her body, House! It's over. 626 00:38:49,474 --> 00:38:52,101 Hey, is that the first time you had sex? 627 00:38:54,979 --> 00:38:58,066 With all the other stuff going on down there, she might not have realized. 628 00:39:12,622 --> 00:39:14,874 - You sick, miserable... - CUDDY: What are you doing? 629 00:39:14,999 --> 00:39:16,334 BARBARA: Oh, my God! 630 00:39:19,087 --> 00:39:21,839 See? Told you it'd be even more dramatic. 631 00:39:26,344 --> 00:39:28,888 Push norepinephrine. Get her heart back to normal. 632 00:39:29,013 --> 00:39:31,891 She'll be completely cured by tomorrow. 633 00:39:33,059 --> 00:39:35,853 Foreman, let's get her into the ICU. 634 00:39:50,368 --> 00:39:53,788 Inamrinone was a stupid idea 635 00:39:53,913 --> 00:39:56,165 unless you wanted me to get that girl in the elevator. 636 00:39:56,290 --> 00:40:00,003 - Oh, I wouldn't do that. - Wouldn't respect you if you did. 637 00:40:02,005 --> 00:40:05,216 (STAFF MURMURING) 638 00:40:07,427 --> 00:40:12,432 Wow, looks like somebody filed halfway through your cane 639 00:40:12,557 --> 00:40:14,600 while you were sleeping. 640 00:40:40,626 --> 00:40:42,420 Reflexes back to normal. 641 00:40:42,545 --> 00:40:44,088 Heart's looking good, too. 642 00:40:44,213 --> 00:40:46,924 I'll send in the nurse, we'll get you transferred out of ICU. 643 00:40:47,050 --> 00:40:49,677 You'll be discharged in the morning. 644 00:40:49,802 --> 00:40:52,055 Thank God. I just wanna get home. 645 00:40:52,805 --> 00:40:55,058 And back to school on Monday. 646 00:40:56,976 --> 00:40:58,352 I'm not ready. 647 00:40:59,103 --> 00:41:00,772 You're ready. 648 00:41:01,439 --> 00:41:05,026 - I'm sick, Mom. - You're not sick. 649 00:41:05,151 --> 00:41:07,820 You're gonna go to class, 650 00:41:07,945 --> 00:41:11,157 and you're gonna see your friends and your boyfriend. 651 00:41:17,997 --> 00:41:19,957 MAN ON TN .: What's this doohickey? 652 00:41:22,293 --> 00:41:25,421 WOMAN: A brassiere. You know about those things. 653 00:41:25,546 --> 00:41:27,507 WOMAN: You're a big boy now. 654 00:41:27,632 --> 00:41:29,884 MAN: Well, I've never run across one like that. 655 00:41:30,009 --> 00:41:33,012 WOMAN: It's brand new. Revolutionary uplift. 656 00:41:33,137 --> 00:41:36,432 - WOMAN: Itk explained to you. - MAN: I know. I know. 657 00:41:36,557 --> 00:41:42,146 MAN: I have acrophobia, which gives me vertigo and I get dizzy. 658 00:41:42,271 --> 00:41:43,731 MAN: What a moment to find out I had it. 659 00:41:43,856 --> 00:41:45,316 WOMAN: Well, you've got it. 660 00:41:45,441 --> 00:41:47,860 WOMAN: There's no one to blame. Why quit? 661 00:41:47,985 --> 00:41:50,822 MAN: You mean and sit behind a desk? Chair-borne. 662 00:41:50,947 --> 00:41:54,117 - WOMAN: Itk where you belong. - MAN: What about my acrophobia? 663 00:41:54,242 --> 00:41:56,661 I called a divorce lawyer today. 664 00:41:58,496 --> 00:42:00,331 Does that mean you're leaving? 665 00:42:01,415 --> 00:42:02,959 At some point. 666 00:42:06,712 --> 00:42:10,716 You might not want to sit exactly there.