1 00:00:00,105 --> 00:00:01,648 (WATER DRIPPING) 2 00:00:29,051 --> 00:00:30,427 (RAPID TICKING) 3 00:00:31,720 --> 00:00:33,180 (TRAFFIC ROARING) 4 00:00:46,026 --> 00:00:47,819 Hannah, you okay? 5 00:00:48,987 --> 00:00:52,199 - Still can't sleep? - I'm fine. 6 00:00:55,619 --> 00:00:57,037 Can I do anything to help you? 7 00:00:57,162 --> 00:00:59,623 HANNAH: Just go back to sleep. I'm going to go get a glass of wine. 8 00:00:59,748 --> 00:01:01,833 - I can keep you company. - You have work in the morning. 9 00:01:01,958 --> 00:01:03,669 Are you sure you don't want me to? 10 00:01:03,794 --> 00:01:06,171 I'll be right back. Just sleep. 11 00:01:17,140 --> 00:01:18,433 MAX: Hannah? 12 00:01:22,396 --> 00:01:24,064 Hannah? 13 00:01:35,909 --> 00:01:37,661 What did you do? 14 00:01:37,786 --> 00:01:40,163 I just wanted to sleep. 15 00:01:40,288 --> 00:01:42,290 I'm calling an ambulance. 16 00:02:19,286 --> 00:02:20,579 (SNORING) 17 00:02:22,914 --> 00:02:24,291 (DOOR OPENING) 18 00:02:32,007 --> 00:02:33,258 (DOOR SLAMS) 19 00:02:34,134 --> 00:02:37,262 CUDDY: You've seen one patient in the last two hours. 20 00:02:37,387 --> 00:02:39,473 Complicated case. 21 00:02:39,598 --> 00:02:41,016 I'm a night owl. 22 00:02:41,141 --> 00:02:44,186 Wilson's an early bird. We're different species. 23 00:02:44,311 --> 00:02:45,729 Move him into his own cage. 24 00:02:45,854 --> 00:02:48,356 Who'll clean the droppings from mine? 25 00:02:49,566 --> 00:02:52,819 Twenty-five-year-old female with sleep issues. 26 00:02:52,944 --> 00:02:54,988 I'm guessing she's... 27 00:02:55,113 --> 00:02:58,325 What's the medical term? Upset! 28 00:02:58,450 --> 00:03:01,536 These 25-year-old females, they're usually completely rational. 29 00:03:01,661 --> 00:03:03,538 They're rocks, really. 30 00:03:05,123 --> 00:03:06,917 My theory seems to be supported by the fact 31 00:03:07,042 --> 00:03:08,919 that she swallowed a bottle of sleeping pills. 32 00:03:09,044 --> 00:03:11,588 Get her a shrink. I need some shut-eye. 33 00:03:12,672 --> 00:03:16,593 She's a little bit more than upset. She hasn't slept in ten days. 34 00:03:16,718 --> 00:03:18,595 She's lying. 35 00:03:18,720 --> 00:03:21,807 Without REM sleep, your neurons start regenerating. 36 00:03:21,932 --> 00:03:24,142 Your brain shuts down lobe by lobe. 37 00:03:24,267 --> 00:03:27,395 She'd be insane after five days, dead by ten. 38 00:03:27,521 --> 00:03:31,066 Give me a little credit. I know what gets you off. 39 00:03:31,191 --> 00:03:34,152 She took the pills to sleep, not to kill herself. 40 00:03:34,277 --> 00:03:36,238 - Clever alibi. - They didn't work. 41 00:03:36,363 --> 00:03:39,783 She stayed awake, even though she downed the whole bottle. 42 00:03:42,911 --> 00:03:47,082 And the longest anyone's ever survived without sleep is 11 days. 43 00:03:47,207 --> 00:03:49,751 Which gives you about 22 hours. 44 00:03:54,714 --> 00:03:56,883 - You stole my article. - I wouldn't do that. 45 00:03:57,008 --> 00:03:59,928 CAMERON: I wrote up the case where we induced hypothermic cardiac arrest 46 00:04:00,053 --> 00:04:01,179 in the terminal cancer girl. 47 00:04:01,304 --> 00:04:02,848 I wrote my own. I didn't steal yours. 48 00:04:02,973 --> 00:04:06,268 You knew I was writing one. You gave me notes! 49 00:04:06,393 --> 00:04:07,894 Got a case. 50 00:04:09,020 --> 00:04:11,523 It can wait. You two finish. 51 00:04:11,648 --> 00:04:14,276 Five bucks says someone loses an eye. 52 00:04:15,360 --> 00:04:18,113 Fine, you're only putting off the inevitable. 53 00:04:18,238 --> 00:04:21,408 Twenty-five-year-old female hasn't slept for ten days. 54 00:04:21,533 --> 00:04:24,536 I assume the ER tried giving her some sedatives. We should up the dosage. 55 00:04:24,661 --> 00:04:27,330 - Sedation isn't the same as sleep. - Thanks for your insight. 56 00:04:27,455 --> 00:04:30,208 For someone who hasn't slept in ten days, sedation is a great start. 57 00:04:30,333 --> 00:04:33,003 Sleep is an active process. Reboots the system, restores the brain. 58 00:04:33,128 --> 00:04:35,255 - Sedatives don't... - The brain is being stressed. 59 00:04:35,380 --> 00:04:36,381 We need to relieve that. 60 00:04:36,506 --> 00:04:38,925 You've had my article on your desk for the last four months. 61 00:04:39,050 --> 00:04:40,135 I'm a very slow reader. 62 00:04:40,260 --> 00:04:43,263 HOUSE: No fever, no white count, means no infection. 63 00:04:43,388 --> 00:04:44,723 Schizophrenia? 64 00:04:44,848 --> 00:04:47,726 - No delusions. - You read his. 65 00:04:47,851 --> 00:04:49,686 Signed it. Didn't read it. 66 00:04:49,811 --> 00:04:53,189 HOUSE: Aside from the sleeping pills, tox screen was clean. 67 00:04:53,315 --> 00:04:55,942 No cocaine, methamphetamines or diet pills. 68 00:04:56,067 --> 00:04:57,944 The only medication she's had recently 69 00:04:58,069 --> 00:05:01,281 are steroids for poison ivy and ibuprofen for a knee she hurt skiing. 70 00:05:01,406 --> 00:05:03,283 Nothing that would cause sleep disturbances. 71 00:05:03,408 --> 00:05:06,703 - When did you get his article? - About three weeks ago. 72 00:05:08,413 --> 00:05:11,249 - Let's go back to the beginning. - How far back? 73 00:05:11,374 --> 00:05:13,001 Genesis. 74 00:05:13,126 --> 00:05:16,296 God said, "Let there be light." 75 00:05:17,380 --> 00:05:19,633 Sleep is initially controlled by external light cues. 76 00:05:19,758 --> 00:05:22,052 And if her brain can't interpret those cues... 77 00:05:22,177 --> 00:05:23,887 Optic nerve disease. 78 00:05:24,971 --> 00:05:27,349 I'm sensing another article. 79 00:05:27,474 --> 00:05:29,351 I'll go run the tests. 80 00:05:31,686 --> 00:05:35,065 I'm injecting a dye which will allow us to take a look at your retina 81 00:05:35,190 --> 00:05:37,108 and your optic nerve. 82 00:05:37,233 --> 00:05:39,945 - HANNAH: Everything's kind of blurry. - Normal, because of the dye. 83 00:05:40,070 --> 00:05:42,447 It's going to be that way the next few hours. 84 00:05:48,578 --> 00:05:50,622 - Need a hand? - No. 85 00:05:51,831 --> 00:05:53,792 Are we never going to work together again? 86 00:05:53,917 --> 00:05:57,253 I just don't see the need to make you feel better by forgiving you. 87 00:05:57,379 --> 00:06:00,215 I wasn't asking for forgiveness. I was asking if you needed help. 88 00:06:00,340 --> 00:06:03,009 It's unprofessional to be talking about this in front of the patient. 89 00:06:03,134 --> 00:06:05,387 Maybe that doesn't matter to you, but... 90 00:06:05,512 --> 00:06:08,223 FOREMAN: it doesn't matter. She's not listening. 91 00:06:09,432 --> 00:06:11,017 CAMERON: She's asleep. 92 00:06:11,142 --> 00:06:13,395 Normal stage-one brain waves. 93 00:06:14,896 --> 00:06:16,564 Maybe she's better? 94 00:06:19,484 --> 00:06:21,069 Still blurry. 95 00:06:21,194 --> 00:06:24,197 - You fell asleep. - No, I didn't. 96 00:06:26,366 --> 00:06:28,493 FOREMAN: Negative for optic nerve disease. 97 00:06:28,618 --> 00:06:29,911 But she sleeps. 98 00:06:30,036 --> 00:06:33,164 For, like, ten seconds. Maximum one minute. 99 00:06:33,289 --> 00:06:36,292 We also checked the ocular pressure. It's normal. 100 00:06:36,418 --> 00:06:38,378 And she doesn't know she sleeps. 101 00:06:38,503 --> 00:06:40,922 The brain is often unaware of stage one sleep. 102 00:06:41,047 --> 00:06:45,176 The CT showed no tumors, no clots, no seizure disorder. 103 00:06:45,301 --> 00:06:48,722 So she sleeps. She just can't stay asleep. 104 00:06:50,306 --> 00:06:51,516 You going somewhere with this? 105 00:06:51,641 --> 00:06:53,727 You know what keeps me awake at night? 106 00:06:53,852 --> 00:06:55,645 Monsters in the closet. 107 00:06:55,770 --> 00:06:57,939 There's no monster in the closet. We looked. 108 00:06:58,064 --> 00:07:01,276 Well, it's certainly not showing up on the scans. 109 00:07:01,401 --> 00:07:02,944 Where's Cameron? 110 00:07:03,903 --> 00:07:06,823 She felt I could deliver the news on my own. 111 00:07:08,992 --> 00:07:11,453 Oh, this is going to work out great. 112 00:07:13,455 --> 00:07:14,789 Come on. 113 00:07:18,001 --> 00:07:21,296 If you two guys can't play nice together, I'm taking away your toys. 114 00:07:21,421 --> 00:07:23,798 - I don't care whose fault this is. - If you hadn't... 115 00:07:23,923 --> 00:07:26,301 I especially don't care if it was my fault. 116 00:07:26,426 --> 00:07:30,013 Whatever this woman has, it's not showing up on our tests. 117 00:07:30,138 --> 00:07:33,933 Which means she's sick, just not sick enough for us to see it. 118 00:07:34,059 --> 00:07:36,561 - You want us to make her sicker? - HOUSE: Yes. 119 00:07:37,479 --> 00:07:40,398 I want to stress her body. Specifically her brain. 120 00:07:40,523 --> 00:07:42,025 Keep her awake. 121 00:07:42,150 --> 00:07:45,445 Depriving her of even the few minutes of sleep she does have, it's torture. 122 00:07:45,570 --> 00:07:47,405 So is cutting people with knives, 123 00:07:47,530 --> 00:07:50,033 but you can totally get away with that if you have a doctor coat on. 124 00:07:50,158 --> 00:07:52,952 Those few seconds of sleep are maybe the only reason she's still alive. 125 00:07:53,078 --> 00:07:55,538 The more symptoms we can force out of her, the more tests we can do. 126 00:07:55,663 --> 00:07:57,540 The more tests we do, the more information we get, 127 00:07:57,665 --> 00:08:00,001 the quicker we make a diagnosis. 128 00:08:00,126 --> 00:08:02,837 See how much more fun it is when you guys get along? 129 00:08:02,962 --> 00:08:05,507 You two take the first four hours. 130 00:08:11,763 --> 00:08:13,223 Hannah? 131 00:08:15,517 --> 00:08:16,810 Hannah! 132 00:08:18,603 --> 00:08:20,647 You fell asleep. 133 00:08:20,772 --> 00:08:22,315 No, I didn't. 134 00:08:22,440 --> 00:08:24,818 Your brain doesn't remember. It was just a few seconds. 135 00:08:24,943 --> 00:08:26,277 MAX: Is this really necessary? 136 00:08:26,402 --> 00:08:30,532 The sooner we find out what's wrong, the sooner she can get a real night's rest. 137 00:08:30,657 --> 00:08:32,450 Hannah? 138 00:08:32,575 --> 00:08:34,911 Hannah? Hannah. 139 00:08:38,164 --> 00:08:39,332 HANNAH: Ow. 140 00:08:40,166 --> 00:08:42,710 - What did you do that for? - FOREMAN: You fell asleep again. 141 00:08:42,836 --> 00:08:44,462 - No, I didn't. - CAMERON: We're sorry. 142 00:08:44,587 --> 00:08:46,631 We have to do this. 143 00:08:46,756 --> 00:08:48,842 We don't have to be cruel. 144 00:08:48,967 --> 00:08:51,594 You know what happens when you're nice? Nothing. 145 00:08:51,719 --> 00:08:54,347 That's how you define nice? Not stealing? 146 00:08:54,472 --> 00:08:56,182 Doctors! 147 00:08:56,307 --> 00:08:58,518 FOREMAN: Did she fall asleep again? 148 00:09:14,742 --> 00:09:17,787 - We've got rectal bleeding. - What, all of you? 149 00:09:19,497 --> 00:09:23,001 So the monster is peeking out from under the bed. 150 00:09:23,126 --> 00:09:25,253 Which either means she has a clotting disorder 151 00:09:25,378 --> 00:09:26,963 or she has a tumor in her colon. 152 00:09:27,088 --> 00:09:30,675 - I'll do a colonoscopy. - Who's keeping her awake now? 153 00:09:30,800 --> 00:09:33,386 I figured once we found another symptom, it really didn't matter. 154 00:09:33,511 --> 00:09:36,556 - Yeah, he's got all the ideas. - Who is with her? 155 00:09:36,681 --> 00:09:39,392 Her partner's donating blood, so she's with a nurse. 156 00:09:39,517 --> 00:09:42,562 Probably singing her lullabies. I want her awake. 157 00:09:42,687 --> 00:09:44,856 You have to sedate a patient to do a colonoscopy. 158 00:09:44,981 --> 00:09:47,150 Why? Just because of the pain? 159 00:09:48,443 --> 00:09:50,695 If you find a tumor in her colon, you can knock her out. 160 00:09:50,820 --> 00:09:53,156 If you don't, she stays awake. 161 00:09:56,284 --> 00:09:58,995 (GROANING) Oh! God, it hurts! 162 00:09:59,120 --> 00:10:02,540 - Can't you hurry? - Trust me, you don't want me to hurry. 163 00:10:02,665 --> 00:10:05,126 God, you're killing me! 164 00:10:05,251 --> 00:10:06,586 Hold my hand. 165 00:10:08,213 --> 00:10:10,506 Keep breathing, nice and steady. 166 00:10:10,632 --> 00:10:12,091 (HANNAH GROANING) 167 00:10:12,217 --> 00:10:14,594 How am I supposed to work with him? 168 00:10:14,719 --> 00:10:15,887 (GRUNTING) 169 00:10:16,012 --> 00:10:18,848 Maybe we shouldn't be talking about this right now? 170 00:10:18,973 --> 00:10:20,850 Think I'm overreacting? 171 00:10:22,602 --> 00:10:24,646 I need you to relax your anus. 172 00:10:26,773 --> 00:10:29,025 We're not here. We're skiing. 173 00:10:29,943 --> 00:10:31,986 It's Thanksgiving at Vail. 174 00:10:32,111 --> 00:10:35,031 You want me to think about nearly killing myself on a snowboard? 175 00:10:35,156 --> 00:10:37,408 Come on, you never fell. 176 00:10:37,533 --> 00:10:38,826 (sesame) 177 00:10:38,952 --> 00:10:40,745 You were awesome. 178 00:10:42,664 --> 00:10:46,793 Is that what you told him? I'm hysterical and I need to relax my anus? 179 00:10:47,961 --> 00:10:50,838 I told him... How many cases do we work up in a year? 180 00:10:50,964 --> 00:10:53,549 They're all weird. He could have written up any one of them. 181 00:10:54,634 --> 00:10:56,344 She's bleeding. 182 00:10:57,262 --> 00:10:59,138 (GASPING) I can't breathe. I can't breathe. 183 00:10:59,264 --> 00:11:00,556 Hold on. 184 00:11:08,606 --> 00:11:10,316 We packed her nose to control the bleed 185 00:11:10,441 --> 00:11:12,527 and started transfusing two units of whole blood. 186 00:11:12,652 --> 00:11:16,114 The pathology from the rectal bleed showed traces of nasal epithelium. 187 00:11:16,239 --> 00:11:18,199 So the butt Head's just a nose bleed. 188 00:11:18,324 --> 00:11:20,743 That much blood is not a "just a" anything. 189 00:11:20,868 --> 00:11:24,539 When two people fight this much, you know what it means. 190 00:11:24,664 --> 00:11:26,499 It's gotta be a massive sinus hemorrhage 191 00:11:26,624 --> 00:11:28,584 that was draining down her throat and out the back. 192 00:11:28,710 --> 00:11:31,504 - The question isn't what, it's why. - Oh, get a room. 193 00:11:31,629 --> 00:11:33,673 Rat poison mixed with some sort of neurogenic toxin 194 00:11:33,798 --> 00:11:35,591 could cause bleeding and sleep disturbances. 195 00:11:35,717 --> 00:11:37,885 Do you have a specific type of neurogenic toxin in mind, 196 00:11:38,011 --> 00:11:40,555 or should we just start running a thousand different tox screens? 197 00:11:40,680 --> 00:11:42,515 Just pretend I'm not here. I'll be reading. 198 00:11:42,640 --> 00:11:44,267 It could also be some type of coagulopathy. 199 00:11:44,392 --> 00:11:46,686 Or it could be us. Do you have any idea what it feels like 200 00:11:46,811 --> 00:11:49,522 to have a six-foot-long hose shoved into your large intestine? 201 00:11:49,647 --> 00:11:53,026 No, but I now have a much greater respect for whichever basketball player 202 00:11:53,151 --> 00:11:54,485 you dated in college. 203 00:11:54,610 --> 00:11:58,656 (SIGHS) We've basically been torturing this girl for the last eight hours. 204 00:11:58,781 --> 00:12:00,742 We've been poking her foot, not punching her face. 205 00:12:00,867 --> 00:12:02,744 Extreme stress can cause high blood pressure, 206 00:12:02,869 --> 00:12:05,538 - which can cause bleeding. - Wouldn't keep her awake for ten days. 207 00:12:05,663 --> 00:12:09,292 What if the poison ivy wasn't poison ivy? 208 00:12:10,793 --> 00:12:13,671 She got the rash that was diagnosed as poison ivy 209 00:12:13,796 --> 00:12:15,798 around the same time the insomnia started. 210 00:12:15,923 --> 00:12:18,634 Rash plus nose bleed plus sleep disturbance 211 00:12:18,760 --> 00:12:21,137 equals Wegener's granulomatosis. 212 00:12:21,262 --> 00:12:22,930 Start corticosteroid treatment. 213 00:12:23,056 --> 00:12:26,142 - The poison ivy treatment was steroids. - Much lower dosage. 214 00:12:26,267 --> 00:12:28,603 Get her back on the juice and triple the dose. 215 00:12:28,728 --> 00:12:32,732 Get a cANCA and an upper airway biopsy to confirm the Wegenefs. 216 00:12:43,826 --> 00:12:45,370 (SPEAKING IN MANDARIN) 217 00:12:45,495 --> 00:12:47,622 She has menstrual problems. 218 00:12:47,747 --> 00:12:50,583 GIRL: They're really bad. The pain keeps her in bed all day. 219 00:12:50,708 --> 00:12:52,877 Plus, she's super depressed. 220 00:12:58,674 --> 00:13:00,676 She said, "Super depressed"? 221 00:13:00,802 --> 00:13:01,969 (SPEAKING IN MANDARIN) 222 00:13:02,095 --> 00:13:05,515 She heard that birth control pills can make her feel better. 223 00:13:05,640 --> 00:13:08,684 She wants birth control pills for her PMS. 224 00:13:08,810 --> 00:13:10,061 I guess. 225 00:13:12,021 --> 00:13:14,649 Judging by the redness around your mom's nostrils 226 00:13:14,774 --> 00:13:17,318 and the tissue she's got conveniently stashed in her wristband, 227 00:13:17,443 --> 00:13:21,406 I'd say her problem is more likely a URI than a PMS. 228 00:13:21,531 --> 00:13:22,824 A URI? 229 00:13:22,949 --> 00:13:25,952 Upper respiratory infection. A cold. 230 00:13:26,077 --> 00:13:27,662 I don't think so. 231 00:13:27,787 --> 00:13:29,747 I also think she's got a problem with a SAC. 232 00:13:29,872 --> 00:13:30,998 SAC? 233 00:13:31,124 --> 00:13:34,252 Thanks for playing. Stupid American Child. 234 00:13:35,336 --> 00:13:37,296 If you want the pill, all you have to do 235 00:13:37,422 --> 00:13:41,259 is to walk into any health clinic in Jersey, alone, and ask for it. 236 00:13:42,260 --> 00:13:44,053 What exactly was your plan? 237 00:13:44,178 --> 00:13:46,180 You're going to exchange the birth control pills 238 00:13:46,305 --> 00:13:48,141 for some over-the-counter decongestants 239 00:13:48,266 --> 00:13:50,726 and hope that your mom's cold lasts another six years? 240 00:13:50,852 --> 00:13:51,894 No. 241 00:13:53,771 --> 00:13:58,276 - Is that for a cold? - No, that's for your ovaries. 242 00:13:58,401 --> 00:14:01,737 I assume you haven't had a stroke. Have you ever had a blood clot? 243 00:14:01,863 --> 00:14:04,198 - No. - Super. 244 00:14:04,323 --> 00:14:07,660 In three months when you need a refill, take a bus to a free clinic. 245 00:14:07,785 --> 00:14:10,455 Don't wait around hoping for Mom to get another sniffle. 246 00:14:11,873 --> 00:14:15,001 Not the sharpest chopstick in the drawer, is she? 247 00:14:15,126 --> 00:14:16,919 (SPEAKING IN MANDARIN) 248 00:14:17,044 --> 00:14:18,713 Was this just one of your experiments? 249 00:14:18,838 --> 00:14:22,216 You just wanted to see how I'd react to being screwed over by Foreman? 250 00:14:23,468 --> 00:14:27,180 Nice idea, but no. This was just good old-fashioned laziness. 251 00:14:28,639 --> 00:14:30,224 I gotta hand it to Foreman, though. 252 00:14:30,349 --> 00:14:33,019 He knew that you were a suck-up and I don't give a crap. 253 00:14:33,144 --> 00:14:35,104 He successfully exploited us both. 254 00:14:35,229 --> 00:14:38,608 Right, we're both victims. A simple heads up, that's all I needed. 255 00:14:38,733 --> 00:14:40,860 Maybe between your incredibly witty remarks 256 00:14:40,985 --> 00:14:43,988 about anal sex and Cuddy's breasts, you could have tipped me off. 257 00:14:44,113 --> 00:14:46,365 Yeah, but then I'd have Foreman pissed at me. 258 00:14:46,491 --> 00:14:48,159 And as annoying as you could be, 259 00:14:48,284 --> 00:14:51,454 at least I know you're not gonna pop a cap in my ass. 260 00:14:51,579 --> 00:14:53,039 Witty, huh? 261 00:14:56,709 --> 00:15:00,004 You, on the other hand, continue to be flabbergasted 262 00:15:00,129 --> 00:15:03,799 every time someone actually acts like a human being. 263 00:15:03,925 --> 00:15:07,011 Foreman did what he did because it worked out best that way for him. 264 00:15:07,136 --> 00:15:08,804 That's what everyone does. 265 00:15:08,930 --> 00:15:11,182 That is not the definition of being human. 266 00:15:11,307 --> 00:15:13,976 It's the definition of being an ass. 267 00:15:18,940 --> 00:15:20,775 This will numb you up. 268 00:15:23,361 --> 00:15:26,364 And this will keep your tongue out of the way. 269 00:15:27,657 --> 00:15:30,701 Don't worry. You shouldn't feel anything except for a slight pulling. 270 00:15:30,826 --> 00:15:32,578 So, do you think I was out of line? 271 00:15:32,703 --> 00:15:36,165 That article would have sat on House's desk for the next six years. 272 00:15:36,290 --> 00:15:38,417 I could've told her. 273 00:15:38,543 --> 00:15:41,712 You could have written it for her, too. She knows House as well as any of us. 274 00:15:41,837 --> 00:15:43,756 She should've known she was waiting for him 275 00:15:43,881 --> 00:15:46,133 to do something he was never gonna do. 276 00:15:50,096 --> 00:15:51,305 Chase? 277 00:15:53,933 --> 00:15:55,351 Hannah? You still with us? 278 00:15:55,476 --> 00:15:58,187 - What's wrong with her eyes? - It looks like REM. 279 00:15:58,312 --> 00:15:59,897 - What's that? - Rapid Eye Movements. 280 00:16:00,022 --> 00:16:01,691 It's what your eyes do when you're sleeping. 281 00:16:01,816 --> 00:16:03,693 - But she's awake. - Hannah! 282 00:16:04,569 --> 00:16:06,529 Hannah, can you hear me? 283 00:16:07,488 --> 00:16:08,990 Yeah, of course. 284 00:16:10,908 --> 00:16:13,035 - Was she sitting up or lying down? - Sitting up. 285 00:16:13,160 --> 00:16:14,245 Then it wasn't REM. 286 00:16:14,370 --> 00:16:16,247 Chase says her eyes were moving the exact way... 287 00:16:16,372 --> 00:16:17,582 You start her on the steroids? 288 00:16:17,707 --> 00:16:20,042 - Not yet. We were still doing... - Then she wasn't sleeping. 289 00:16:20,167 --> 00:16:22,962 - How do you know? - Because we haven't done anything yet. 290 00:16:23,087 --> 00:16:25,881 She may be able to sleep with her eyes open, but unless you also discover 291 00:16:26,007 --> 00:16:28,217 she's got two extra teats and hooves for feet, 292 00:16:28,342 --> 00:16:30,720 there's no way she'd be able to maintain enough muscle tensity 293 00:16:30,845 --> 00:16:32,638 during REM sleep to sit upright. 294 00:16:32,763 --> 00:16:36,684 It's a movement disorder, which rules out Wegener's. 295 00:16:36,809 --> 00:16:38,060 Where's Foreman? 296 00:16:38,185 --> 00:16:39,979 - Keeping her awake. - Good. 297 00:16:40,104 --> 00:16:43,357 Rabies could cause muscle spasms, malaise, anxiety and wakefulness. 298 00:16:43,482 --> 00:16:45,860 Pretty unlikely she'd forget being bitten by a crazed animal. 299 00:16:45,985 --> 00:16:47,862 She could've been exposed through an open wound. 300 00:16:47,987 --> 00:16:49,614 - Does she have a dog? - For less than a week. 301 00:16:49,739 --> 00:16:51,907 She had an allergic reaction, so they had to give it away. 302 00:16:52,033 --> 00:16:53,034 Allergies. 303 00:16:53,159 --> 00:16:55,536 Animal allergies seems unlikely, but it's possible that... 304 00:16:55,661 --> 00:16:57,663 - When? - When what? 305 00:16:57,788 --> 00:17:00,166 - When did she get rid of the dog? - About a month ago. 306 00:17:00,291 --> 00:17:03,169 Her girlfriend gave it to her for her birthday. 307 00:17:03,294 --> 00:17:05,671 Well, then, it's not allergies. 308 00:17:05,796 --> 00:17:07,798 She's just leaving her girlfriend. 309 00:17:10,009 --> 00:17:12,511 You... spoke to the dog? 310 00:17:12,637 --> 00:17:14,221 If her birthday was a month ago, 311 00:17:14,347 --> 00:17:16,641 she would have still been on steroids for the poison ivy. 312 00:17:16,766 --> 00:17:18,643 Those meds would have suppressed any reaction 313 00:17:18,768 --> 00:17:19,935 she might have had to the dog, 314 00:17:20,061 --> 00:17:22,688 which means she lied about being allergic. A dog's a commitment. 315 00:17:22,813 --> 00:17:25,608 You pretend to be allergic because you don't want to tell your girlfriend 316 00:17:25,733 --> 00:17:27,943 that you're not planning on being around that long. 317 00:17:28,069 --> 00:17:30,655 So, I think we can move on to options other than allergies. 318 00:17:30,780 --> 00:17:32,448 CHASE: We should still do a scratch test. 319 00:17:32,573 --> 00:17:36,077 - If she's allergic to one thing... - She is not allergic. 320 00:17:36,202 --> 00:17:39,038 Okay. Well, we could either base our diagnosis 321 00:17:39,163 --> 00:17:41,707 on your admittedly keen understanding of lesbian relationships, 322 00:17:41,832 --> 00:17:44,168 or we could do a scratch test. 323 00:17:47,380 --> 00:17:49,215 Do a scratch test. 324 00:17:54,178 --> 00:17:56,138 Are you still feeling a lot of blood in your throat? 325 00:17:56,263 --> 00:17:58,099 No, it's actually getting a little better. 326 00:17:58,224 --> 00:18:01,268 Good, maybe things are just starting to improve on their own. 327 00:18:01,394 --> 00:18:02,895 Just a few more. 328 00:18:03,688 --> 00:18:06,232 - Want some water to wash your mouth? - No, I'm okay. 329 00:18:06,357 --> 00:18:08,901 Come on, that can't taste good. I'm gonna get you a soda. 330 00:18:09,026 --> 00:18:10,736 It's okay, isn't it? 331 00:18:15,825 --> 00:18:18,661 You and Max seem to have a really nice relationship. 332 00:18:18,786 --> 00:18:21,038 - Yeah. - She's very supportive. 333 00:18:25,042 --> 00:18:26,794 When Max got you the dog, 334 00:18:26,919 --> 00:18:29,964 did you lie about having an allergic reaction? 335 00:18:31,465 --> 00:18:32,550 No. 336 00:18:34,552 --> 00:18:36,762 - Why? - If you have preexisting conditions, 337 00:18:36,887 --> 00:18:40,683 it's important we know, but if you don't, it's just as important. 338 00:18:41,767 --> 00:18:43,352 If I'm wasting my time doing this... 339 00:18:43,477 --> 00:18:45,521 You're not going to tell her, are you? 340 00:18:47,481 --> 00:18:48,733 It's none of my business. 341 00:18:48,858 --> 00:18:52,862 She's a good person, and we've just been together so long, I... 342 00:18:56,824 --> 00:18:58,367 I'm tired of her. 343 00:19:02,747 --> 00:19:04,915 It sounds terrible, doesn't it? 344 00:19:06,792 --> 00:19:09,044 I guess it happens sometimes. 345 00:19:10,254 --> 00:19:11,839 My back hurts. 346 00:19:18,179 --> 00:19:19,805 Hannah, can you turn over? 347 00:19:19,930 --> 00:19:22,767 - What's wrong? - I'm not sure. 348 00:19:28,105 --> 00:19:29,565 Oh, my God. 349 00:19:31,901 --> 00:19:34,653 - She has massive internal bleeding. - Did she have access to aspirin? 350 00:19:34,779 --> 00:19:36,071 She'd have to take a hell of a lot. 351 00:19:36,197 --> 00:19:39,492 Why not? Considering her current mental state. 352 00:19:39,617 --> 00:19:41,911 What about her mental state? 353 00:19:42,036 --> 00:19:44,580 You were right about her wanting to break up. 354 00:19:44,705 --> 00:19:46,957 That just means I was right. Doesn't mean she's suicidal. 355 00:19:47,082 --> 00:19:49,418 A bottle of pills is what landed her here in the first place. 356 00:19:49,543 --> 00:19:52,797 Sleeping pills. God knows why she'd want them. 357 00:19:54,131 --> 00:19:57,176 What else could cause sleep disorder and internal bleeding? 358 00:19:57,301 --> 00:20:00,930 Drugs or alcohol could mess with the sleeping and compromise the liver. 359 00:20:01,055 --> 00:20:03,349 What are you doing here? Who's keeping her awake? 360 00:20:03,474 --> 00:20:06,894 Doesn't matter. Liver function tests are through the sky. 361 00:20:07,019 --> 00:20:09,855 Liver's not compromised. It's dead. 362 00:20:09,980 --> 00:20:12,817 She doesn't need a diagnosis. She needs a new liver. 363 00:20:13,984 --> 00:20:16,987 She's not getting a new liver unless we can figure out what's wrong with her. 364 00:20:17,112 --> 00:20:19,365 Test for cirrhosis, 12 hours. Test for hepatitis, eight. 365 00:20:19,490 --> 00:20:21,116 Her liver's not gonna last another six. 366 00:20:21,242 --> 00:20:23,619 So your advice is we just give up? 367 00:20:23,744 --> 00:20:26,789 My advice is that we narrow our focus to conditions that we can diagnose, 368 00:20:26,914 --> 00:20:29,124 treat and cure in less than six hours. 369 00:20:30,376 --> 00:20:32,419 And there's nothing on that list. 370 00:20:34,755 --> 00:20:37,174 The girlfriend donated blood, right? 371 00:20:37,299 --> 00:20:38,926 Yeah, so? 372 00:20:39,051 --> 00:20:40,970 It means they're the same type. 373 00:20:41,887 --> 00:20:45,975 You can't ask the person she's about to dump to donate half her liver. 374 00:20:46,100 --> 00:20:48,269 It does seem tacky, doesn't it? 375 00:20:57,027 --> 00:20:59,154 I'm Dr House. 376 00:20:59,280 --> 00:21:01,532 I'm in charge of your case. 377 00:21:02,408 --> 00:21:03,576 What's going on? 378 00:21:03,701 --> 00:21:06,662 How come no one is keeping her awake anymore? 379 00:21:06,787 --> 00:21:08,831 You're in acute liver failure. 380 00:21:10,332 --> 00:21:13,294 We can continue the transfusions and the lactulose, 381 00:21:13,419 --> 00:21:15,254 but it's only a stopgap. 382 00:21:16,338 --> 00:21:18,257 There's really nothing we can do to stop the toxins 383 00:21:18,382 --> 00:21:21,135 from building up in your bloodstream, 384 00:21:21,260 --> 00:21:24,430 which means that, in a few hours, 385 00:21:24,555 --> 00:21:26,557 you will lapse into a coma... 386 00:21:28,350 --> 00:21:30,185 ...and you won't wake up. 387 00:21:36,066 --> 00:21:37,276 I'm sorry. 388 00:21:39,403 --> 00:21:41,155 That's it? You're giving up? 389 00:21:41,280 --> 00:21:44,825 You're not going to try to figure out what's doing this to her? 390 00:21:44,950 --> 00:21:46,702 Well, even with the right diagnosis, 391 00:21:46,827 --> 00:21:49,204 any treatment's gonna take longer than the time she has left. 392 00:21:49,330 --> 00:21:52,541 If it's her liver, can't she get a transplant? 393 00:21:52,666 --> 00:21:54,919 Wouldn't work without a diagnosis. 394 00:21:55,044 --> 00:21:58,297 Whatever killed the first liver would do the same to the second. 395 00:21:58,422 --> 00:22:03,344 But it would give you more time to make the diagnosis to get her better. 396 00:22:06,055 --> 00:22:09,516 Well, it might give us an extra day or two, 397 00:22:09,642 --> 00:22:12,478 but no procurement agency is gonna let a liver go to a patient 398 00:22:12,603 --> 00:22:14,396 with an undiagnosed, preexisting... 399 00:22:14,521 --> 00:22:16,899 Hannah and I have the same blood type. 400 00:22:17,024 --> 00:22:18,984 Couldn't I be the donor? 401 00:22:26,575 --> 00:22:29,954 Well, it is medically possible for us to take a part of your... 402 00:22:30,079 --> 00:22:32,831 Please, I don't care about the risks. 403 00:22:43,133 --> 00:22:46,136 You're very lucky to have such a devoted partner. 404 00:23:01,193 --> 00:23:03,570 I just bought us 36 hours. 405 00:23:03,696 --> 00:23:07,241 Differential diagnosis. Which monster eats your liver, 406 00:23:07,366 --> 00:23:09,159 screws up your sleep and causes bleeding? 407 00:23:09,284 --> 00:23:10,869 Does Max know Hannah plans to leave her? 408 00:23:10,995 --> 00:23:12,746 Didn't come up, so I guess no. 409 00:23:12,871 --> 00:23:14,915 If she knew, there's no way she'd go through with this. 410 00:23:15,040 --> 00:23:16,959 And if you didn't have a pathological need 411 00:23:17,084 --> 00:23:20,045 to create a close, personal relationship with every dying person you meet, 412 00:23:20,170 --> 00:23:22,423 we would be blissfully ignorant of any ethical dilemmas 413 00:23:22,548 --> 00:23:25,050 and might actually be able to concentrate on the differential. 414 00:23:25,175 --> 00:23:26,468 The scratch test was negative. 415 00:23:26,593 --> 00:23:29,513 It's rare, but any of the hepatitis viruses could cause sleep disturbances 416 00:23:29,638 --> 00:23:31,348 - and liver failure. - No, PCRs were normal. 417 00:23:31,473 --> 00:23:35,811 - We have an ethical dilemma. - No, we don't. Continue. 418 00:23:35,936 --> 00:23:39,106 CHASE: What about splenic cancer or Non-Hodgkin's lymphoma? 419 00:23:39,231 --> 00:23:40,399 She's the right age. 420 00:23:40,524 --> 00:23:43,068 It could explain the bleeding, maybe the liver failure. 421 00:23:43,193 --> 00:23:46,780 We're withholding information relevant to her decision to risk her life. 422 00:23:46,905 --> 00:23:50,034 - How is that not an ethical dilemma? - It's not medical information. 423 00:23:50,159 --> 00:23:52,036 - Who cares? - The AMA. 424 00:23:52,161 --> 00:23:55,414 FOREMAN: Wilson's disease could explain the liver and neurological symptoms. 425 00:23:55,539 --> 00:23:56,957 It also causes bleeding disorders. 426 00:23:57,082 --> 00:23:58,917 No Kayser-Fleischer rings in her eyes. 427 00:23:59,043 --> 00:24:01,462 Rings don't have to be there if there's neurological symptoms. 428 00:24:01,587 --> 00:24:04,048 - This is immoral. - Look, let's say you're right! 429 00:24:04,173 --> 00:24:07,926 We tell, she changes her mind, our patient dies. How is that moral? 430 00:24:09,178 --> 00:24:10,262 What else? 431 00:24:10,387 --> 00:24:12,264 Poisoned mushrooms can cause liver failure, 432 00:24:12,389 --> 00:24:14,099 sleep disturbances and internal bleeding. 433 00:24:14,224 --> 00:24:16,602 She's not shrooming. She's a sports nut. 434 00:24:16,727 --> 00:24:18,729 Right, skiers never party. 435 00:24:18,854 --> 00:24:21,148 She's doing this out of love, and Max doesn't know... 436 00:24:21,273 --> 00:24:24,526 It's only moral to save a person if they love you? 437 00:24:24,651 --> 00:24:27,237 That's kind of a selfish way of looking at life. 438 00:24:27,362 --> 00:24:30,157 I like Wilson's disease, like cancer, love mushrooms. 439 00:24:30,282 --> 00:24:32,493 Yeah, but we don't have the time to test for any of it. 440 00:24:32,618 --> 00:24:36,121 Before she can get the transplant, we need to do about 80 procedures. 441 00:24:36,246 --> 00:24:38,540 So, do those tests and my tests at the same time. 442 00:24:38,665 --> 00:24:40,751 Use the PET to look for cancer and Wilson's. 443 00:24:40,876 --> 00:24:44,046 While you endoscope her bile ducts, scrape her stomach for mushroom spores. 444 00:24:44,171 --> 00:24:45,672 One of you CT her liver, 445 00:24:45,798 --> 00:24:49,927 while the other two check protein CA-125 and CA-19.5. 446 00:24:50,094 --> 00:24:53,972 Oh, yeah, anyone says anything to Max, they're fired. 447 00:24:55,265 --> 00:24:56,475 We have to. 448 00:24:56,600 --> 00:24:59,895 We have to not, because she's not our patient. 449 00:25:00,020 --> 00:25:03,190 She's getting surgery. She's someone's patient. 450 00:25:06,026 --> 00:25:08,445 I think that's it. Great, thank you. 451 00:25:08,570 --> 00:25:09,988 I need a little help. 452 00:25:10,114 --> 00:25:13,534 Inexplicable rash on a patient's scrotum you need me to look at? 453 00:25:13,659 --> 00:25:16,203 Twenty-seven-year-old female wants to donate half her liver 454 00:25:16,328 --> 00:25:19,331 - to her dying girlfriend. - That's very generous. 455 00:25:19,456 --> 00:25:22,167 This the sleepless girl? What's she got? 456 00:25:22,292 --> 00:25:23,502 Liver failure. 457 00:25:23,627 --> 00:25:26,797 Sort of figured that out when you said she needed a new liver. 458 00:25:29,383 --> 00:25:33,011 - You don't have a diagnosis? - The transplant buys me time. 459 00:25:33,178 --> 00:25:35,264 Let's just skip the part where I say this is insane. 460 00:25:35,389 --> 00:25:36,557 It was her idea. 461 00:25:36,682 --> 00:25:39,393 If she wants to be an idiot, it's her call. You don't need me. 462 00:25:39,518 --> 00:25:41,728 Have one of your team walk her through the process. 463 00:25:41,854 --> 00:25:44,982 The donor and the donee sort of have opposing interests, right? 464 00:25:45,107 --> 00:25:46,984 We can't really advise them both. 465 00:25:47,109 --> 00:25:49,987 You're concerned about the ethics of this? 466 00:25:50,112 --> 00:25:51,488 What's going on? 467 00:25:51,613 --> 00:25:54,241 - What do you know? - Nothing medically relevant. 468 00:25:54,366 --> 00:25:56,827 But you know something, and it is relevant. 469 00:25:57,911 --> 00:26:00,247 If I can't tell her, I can't really tell you, can I? 470 00:26:00,372 --> 00:26:02,332 I mean, if you're advising her. 471 00:26:03,333 --> 00:26:05,669 I assume this information is in the medical file. 472 00:26:05,794 --> 00:26:09,339 - In my patient's confidential file. - This hospital's file. 473 00:26:12,342 --> 00:26:15,721 You can either satisfy your curiosity, or you can remain ignorant, 474 00:26:15,846 --> 00:26:20,184 do nothing ethically wrong, and my patient doesn't die in three hours. 475 00:26:27,232 --> 00:26:30,444 These tests and the counseling 476 00:26:30,569 --> 00:26:34,323 normally happen over weeks, sometimes months. 477 00:26:35,324 --> 00:26:36,491 It's okay. 478 00:26:37,743 --> 00:26:40,287 Well, the most important part we're skipping is time. 479 00:26:40,412 --> 00:26:42,998 Time for you to change your mind. 480 00:26:43,123 --> 00:26:45,250 I don't wanna change my mind. 481 00:26:45,375 --> 00:26:50,756 Not now, but, with time and perspective, maybe we learn things... 482 00:26:50,881 --> 00:26:53,050 If we had the time, we'd take the time, but we don't. 483 00:26:53,175 --> 00:26:55,219 So can you get this over with? 484 00:26:57,846 --> 00:27:01,391 Either I sign off on this, or it doesn't happen. 485 00:27:02,226 --> 00:27:04,603 So I need you to listen to me, 486 00:27:04,728 --> 00:27:08,565 because there's a chance that you will die on that table. 487 00:27:16,365 --> 00:27:20,869 I just want me and Hannah to be able to lie in bed together 488 00:27:20,994 --> 00:27:23,622 as old ladies, 489 00:27:23,747 --> 00:27:25,457 compare scars. 490 00:27:33,924 --> 00:27:37,302 I need you to lie on your side and hold your knees. 491 00:27:41,848 --> 00:27:43,892 I'm going to check for vascular abnormalities 492 00:27:44,017 --> 00:27:46,395 that might prevent us from doing the transplant. 493 00:27:46,520 --> 00:27:48,855 At the same time, I'm also checking for mushroom spores 494 00:27:48,981 --> 00:27:51,275 - to see if that's the underlying... - I don't do mushrooms. 495 00:27:51,400 --> 00:27:54,611 If you lie about your love life, maybe you lie about drugs. Open. 496 00:27:58,323 --> 00:28:01,243 Aren't you at all concerned about what Max is going through right now? 497 00:28:01,368 --> 00:28:03,120 They're shoving a tube up her rectum, 498 00:28:03,245 --> 00:28:05,539 then they're going to swab her stomach just like I'm doing. 499 00:28:05,664 --> 00:28:08,000 It's going to hurt just like this hurts. 500 00:28:08,125 --> 00:28:12,504 Which is nothing at all like the risk she's taking on the table. 501 00:28:12,629 --> 00:28:14,172 (GROANING) 502 00:28:15,799 --> 00:28:17,801 And you don't love her, do you? 503 00:28:17,926 --> 00:28:19,553 I'm not leaving her because I don't... 504 00:28:19,678 --> 00:28:23,056 I'm not talking about the leaving. I'm talking about this. 505 00:28:23,181 --> 00:28:26,101 If you care for her at all, you won't let her do this blind. 506 00:28:30,605 --> 00:28:32,649 - You'd really tell? - Yeah. 507 00:28:35,110 --> 00:28:36,278 You'd die? 508 00:28:45,620 --> 00:28:47,748 I take it you've seen that. 509 00:28:50,459 --> 00:28:54,713 Seen it, digested it, watched it blow up my entire department. 510 00:28:54,838 --> 00:28:57,758 - Did you read Cameron's version? - I didn't read either. 511 00:28:57,883 --> 00:28:59,217 It was good. 512 00:28:59,343 --> 00:29:02,179 - Better than Foreman's? - Maybe. 513 00:29:02,304 --> 00:29:06,058 He was more analytical about the diagnostic procedures. 514 00:29:06,183 --> 00:29:09,394 She concentrated more on the ethical dilemmas of informed consent. 515 00:29:09,519 --> 00:29:12,022 How any patient can really be informed without a medical degree. 516 00:29:12,147 --> 00:29:13,982 Same old party lines. 517 00:29:14,775 --> 00:29:18,612 - Foreman should have told her. - Oh, shoulda, woulda, coulda. 518 00:29:18,737 --> 00:29:20,697 If you allow this sort of thing in your department, 519 00:29:20,822 --> 00:29:22,366 you're basically saying it's okay. 520 00:29:22,491 --> 00:29:24,826 No, I'm saying that I don't care what they do 521 00:29:24,951 --> 00:29:28,372 as long as my life isn't interrupted by pointless conversations like this one. 522 00:29:28,497 --> 00:29:30,957 They won't trust each other, and they won't trust you. 523 00:29:31,083 --> 00:29:32,626 They shouldn't. 524 00:29:32,751 --> 00:29:35,212 Deception like this is just one step removed 525 00:29:35,337 --> 00:29:38,465 from actively sabotaging one another. 526 00:29:38,590 --> 00:29:39,841 Then what would you do? 527 00:29:39,966 --> 00:29:43,345 I could be the kindest, gentlest boss in the world, 528 00:29:43,470 --> 00:29:46,515 and Foreman would still have done what he did, because that's who he is. 529 00:29:46,640 --> 00:29:50,227 We can only hope that Cameron has learned something. 530 00:29:50,352 --> 00:29:53,688 Right, because you're all about the teaching. 531 00:29:54,689 --> 00:29:56,733 Our children are the future. 532 00:30:02,823 --> 00:30:04,116 FOREMAN: Hey. 533 00:30:04,241 --> 00:30:06,618 Cuddy cleared Max for surgery. She's okay to go. 534 00:30:06,743 --> 00:30:08,870 - How's our patient? - She's also cleared. 535 00:30:08,995 --> 00:30:12,082 I don't care about the prep. I care about the diagnostic tests. 536 00:30:12,207 --> 00:30:14,793 Looks negative for Wilson's disease. We'll know for sure in an hour. 537 00:30:14,918 --> 00:30:17,212 - Blood proteins are normal. It's not... - Where's Cameron? 538 00:30:17,337 --> 00:30:19,089 Taking a sample of the bile duct. 539 00:30:20,090 --> 00:30:22,217 Surgeries are supposed to start in about 15 minutes. 540 00:30:22,342 --> 00:30:23,635 She had a chance to get one last... 541 00:30:23,760 --> 00:30:25,262 Hannah and Max will be in the same room. 542 00:30:25,387 --> 00:30:27,305 You wanted us to do as much as we can before... 543 00:30:27,431 --> 00:30:29,850 They're both awake with Cameron. 544 00:30:35,147 --> 00:30:39,234 Maybe we should give these two a minute together before the surgery. 545 00:30:39,359 --> 00:30:41,153 You ready, honey? 546 00:30:44,114 --> 00:30:47,284 - Max. - It's okay, I'm right here. 547 00:30:48,618 --> 00:30:51,163 - I need you to know something. - I know. 548 00:30:52,122 --> 00:30:53,790 I love you, too. 549 00:30:55,208 --> 00:30:57,502 - I don't know how to say this. - Good Lord! 550 00:30:57,627 --> 00:31:01,423 - You can tell me anything. - HOUSE: She hasn't slept in 11 days! 551 00:31:01,548 --> 00:31:03,884 You people trying to torture her? 552 00:31:08,430 --> 00:31:10,182 Ding, ding, let's go. 553 00:31:15,103 --> 00:31:17,397 - I told you... - I didn't say a word to Max. 554 00:31:17,522 --> 00:31:19,983 This is exactly why you got screwed with Foreman. 555 00:31:20,108 --> 00:31:22,235 You're looking for people to do the right thing. 556 00:31:22,360 --> 00:31:24,154 She hasn't slept. Her judgment is compromised 557 00:31:24,279 --> 00:31:26,114 due to inactivity in her prefrontal cortex. 558 00:31:26,239 --> 00:31:30,035 Oh, she could have the best prefrontal cortex in the history of mankind, 559 00:31:30,160 --> 00:31:31,745 but given the choice of life versus death, 560 00:31:31,870 --> 00:31:34,956 those bad, bad people are going to choose life. 561 00:31:35,081 --> 00:31:38,001 Then why'd you sedate her? If she wasn't going to tell, 562 00:31:38,126 --> 00:31:41,379 if she was never going to do the right thing, why bother knocking her out? 563 00:31:42,797 --> 00:31:46,092 This isn't about them. If she talks, if she does the decent thing, 564 00:31:46,218 --> 00:31:49,429 then you don't get to solve your puzzle, your game's over, you lose. 565 00:31:49,554 --> 00:31:52,474 Yeah, I wanna save her. I'm morally bankrupt. 566 00:32:14,955 --> 00:32:16,081 How's it going? 567 00:32:16,206 --> 00:32:18,291 They're about to remove Hannah's liver. 568 00:32:22,587 --> 00:32:25,382 All right, I'm good to go. 569 00:32:25,507 --> 00:32:27,926 You can start removing Max's liver. 570 00:32:29,302 --> 00:32:32,639 CUDDY: You wanna let me in on what the big secret is between these two? 571 00:32:32,764 --> 00:32:34,683 You read Foreman's article? 572 00:32:36,476 --> 00:32:38,019 It was good. 573 00:32:39,563 --> 00:32:41,856 He basically stole it from me. 574 00:32:43,191 --> 00:32:46,361 - So? - You're on his side? 575 00:32:46,486 --> 00:32:48,989 Sides? No, this isn't dodgeball. 576 00:32:50,156 --> 00:32:52,826 What am I supposed to do, just sit back and take it? 577 00:32:52,951 --> 00:32:54,661 No, write another article. 578 00:32:54,786 --> 00:32:57,455 Kick ass until you're sitting behind some big, expensive desk, 579 00:32:57,581 --> 00:33:00,208 and someone from Johns Hopkins calls and says, 580 00:33:00,333 --> 00:33:04,212 "We're thinking about hiring Eric Foreman as our head of Neurology." 581 00:33:04,337 --> 00:33:06,881 And you can say whatever you want. 582 00:33:07,007 --> 00:33:11,177 Lovely. Revenge as motive for success. 583 00:33:11,303 --> 00:33:14,848 Well, it doesn't have to be the motive, but it sure tastes good. 584 00:33:16,308 --> 00:33:18,935 - She's in VF. I've got no pulse. - She's arresting. 585 00:33:19,060 --> 00:33:20,979 (MACHINES BEEPING) 586 00:33:22,564 --> 00:33:25,275 HOUSE: I am so relieved you two are here. 587 00:33:25,400 --> 00:33:27,861 Without you looking out, they'd be playing foosball down there. 588 00:33:27,986 --> 00:33:31,072 - Max's heart stopped. - Your patient is on the other side. 589 00:33:31,197 --> 00:33:33,658 Now get yourself upstairs and figure out what Hannah has, 590 00:33:33,783 --> 00:33:36,411 or Max has risked her life for nothing. 591 00:33:39,247 --> 00:33:40,915 ANESTHESIOLOGIST: Charging. 592 00:33:42,083 --> 00:33:43,501 Clear. 593 00:33:48,423 --> 00:33:49,674 We're okay. 594 00:33:55,221 --> 00:33:59,643 CHASE: Max's cardiac arrest was caused by hypoxia from hypoventilation. 595 00:33:59,768 --> 00:34:01,061 They restarted her heart, 596 00:34:01,186 --> 00:34:04,939 and the right lobe of her liver was successfully transplanted into Hannah. 597 00:34:05,065 --> 00:34:06,900 Now, where were we 598 00:34:07,025 --> 00:34:09,778 before we were so rudely interrupted by the liver transplant? 599 00:34:09,903 --> 00:34:11,988 Dopa decarboxylase was processed normally, 600 00:34:12,113 --> 00:34:14,240 and the ceruloplasmin and copper levels were normal. 601 00:34:14,366 --> 00:34:15,450 So, no Wilson's disease. 602 00:34:15,575 --> 00:34:18,620 Gastric content was negative for spores, so no mushroom toxicity. 603 00:34:18,745 --> 00:34:20,997 And initial tests were negative for cancer. 604 00:34:21,122 --> 00:34:22,999 - Which cancer were you looking for? - Any of them. 605 00:34:23,124 --> 00:34:25,502 We ran blood tests for ovarian, lung and lymphomas. 606 00:34:25,627 --> 00:34:26,711 Not gonna tell you much. 607 00:34:26,836 --> 00:34:29,339 Her blood was taken after she was given immunosuppressants. 608 00:34:29,464 --> 00:34:31,216 They fight rejection. 609 00:34:31,341 --> 00:34:34,052 They also mess up our ability to get any clear readings. 610 00:34:35,637 --> 00:34:38,348 Great battles kick up a lot of dirt. 611 00:34:39,557 --> 00:34:43,353 Obscure the battlefield so generals can't see what's going on. 612 00:34:44,479 --> 00:34:47,148 So, what are your orders, General House? 613 00:34:49,109 --> 00:34:50,694 Sound the retreat. 614 00:34:53,655 --> 00:34:55,740 How you feeling? 615 00:34:55,865 --> 00:34:57,033 Is Max okay? 616 00:34:57,158 --> 00:34:59,869 She's still unconscious, but her vitals look good. 617 00:35:00,995 --> 00:35:04,124 We need to stop all the immunosuppressant drugs 618 00:35:04,249 --> 00:35:06,376 which are protecting your new liver. 619 00:35:08,336 --> 00:35:11,423 But if you stop the drugs, I'll die. 620 00:35:11,548 --> 00:35:14,676 You're dead anyway if we don't figure out what caused all this. 621 00:35:16,177 --> 00:35:18,221 By removing any outside influences, 622 00:35:18,346 --> 00:35:20,724 it'll help us see what's really going on with your body. 623 00:35:20,849 --> 00:35:22,892 So you did all this to buy me a couple of days, 624 00:35:23,017 --> 00:35:25,145 and now you're taking one back? 625 00:35:29,315 --> 00:35:30,900 Will it hurt? 626 00:35:32,444 --> 00:35:34,612 As your body goes into acute organ rejection, 627 00:35:34,738 --> 00:35:38,158 your liver will begin to swell, and that'll put pressure on... 628 00:35:39,784 --> 00:35:42,203 Yeah, it'll hurt. 629 00:35:42,328 --> 00:35:44,080 But we can knock you out. 630 00:35:45,123 --> 00:35:48,418 No, if Max wakes up, I want to talk to her. 631 00:35:54,340 --> 00:35:56,134 (SPEAKING IN MANDARIN) 632 00:35:56,259 --> 00:35:58,970 She's been taking the decongestants, but she's not getting better. 633 00:35:59,095 --> 00:36:02,015 - She also says... - What? 634 00:36:03,600 --> 00:36:05,351 Her boobs are bigger. 635 00:36:11,900 --> 00:36:13,735 (SCOFFING) 636 00:36:13,860 --> 00:36:15,779 How could you get them mixed up? 637 00:36:15,904 --> 00:36:19,115 They come in a little wheel. They don't look anything like decongestants. 638 00:36:19,240 --> 00:36:21,284 Oh, God. The cashier put them both in the same bag. 639 00:36:21,409 --> 00:36:23,369 I thought I gave her the right ones. 640 00:36:23,495 --> 00:36:25,246 (SPEAKING IN MANDARIN) 641 00:36:28,374 --> 00:36:31,169 (SPEAKING IN MANDARIN) 642 00:36:31,294 --> 00:36:34,297 No, you gave her the wrong pills. 643 00:36:34,422 --> 00:36:37,133 You speak Mandarin? 644 00:36:37,258 --> 00:36:41,179 I can count to ten, ask to go to the bathroom and... 645 00:36:41,304 --> 00:36:42,931 (SPEAKING IN MANDARIN) 646 00:36:45,558 --> 00:36:48,478 I'm not pregnant. We haven't even done it yet! 647 00:36:48,603 --> 00:36:51,856 (BOTH SPEAKING IN MANDARIN) 648 00:36:51,981 --> 00:36:54,234 Okay, I'm going to leave you two alone now. 649 00:36:54,359 --> 00:36:56,528 I'm sure you got a lot to talk about. 650 00:36:56,653 --> 00:36:59,280 (BOTH SPEAKING IN MANDARIN) 651 00:37:03,284 --> 00:37:06,120 Fever is 106. She's in full rejection mode. 652 00:37:06,246 --> 00:37:08,081 Is that supposed to surprise me? 653 00:37:08,206 --> 00:37:10,124 Her white count is normal. 654 00:37:11,292 --> 00:37:14,379 Normal is not normal. She's been on steroids. 655 00:37:14,504 --> 00:37:17,131 The transplant team gave her a cocktail of immunosuppressants. 656 00:37:17,257 --> 00:37:20,260 She hasn't slept in over a week. Her white count should be in the tank. 657 00:37:20,385 --> 00:37:22,345 Looks like the problem is some sort of infection. 658 00:37:22,470 --> 00:37:24,973 FOREMAN: Probably caused the hypotension, shocked the liver. 659 00:37:25,098 --> 00:37:27,225 We should start broad-spectrum antibiotics. 660 00:37:27,350 --> 00:37:29,644 Yeah, you might want to add some chicken soup. 661 00:37:29,769 --> 00:37:32,522 It'd be just as useless, but it's got chicken. 662 00:37:32,647 --> 00:37:35,275 We need to know exactly what kind of infection we're dealing with. 663 00:37:35,400 --> 00:37:38,444 What infection causes sleep disturbance, bleeding, a movement disorder, 664 00:37:38,570 --> 00:37:40,989 organ failure and an abnormally normal white count. 665 00:37:41,114 --> 00:37:42,866 - What about tularemia? - Chest was clear. 666 00:37:42,991 --> 00:37:44,784 Tularemia doesn't cause movement disorders. 667 00:37:44,909 --> 00:37:48,830 - It would if she developed meningitis. - There was no ulcerations on the skin. 668 00:37:48,955 --> 00:37:51,249 With the bleeding, it looks more like leptospirosis. 669 00:37:51,374 --> 00:37:53,543 Without conjunctivitis and elevated creatinine? 670 00:37:53,668 --> 00:37:55,753 What about typhoid or some kind of relapsing fever? 671 00:37:55,879 --> 00:37:57,338 Makes sense, if we were in the Sudan. 672 00:37:57,463 --> 00:37:59,299 Are you sure she hasn't been out of the country? 673 00:37:59,424 --> 00:38:02,176 She hasn't even been out of the state in at least a year. Neither has Max. 674 00:38:02,302 --> 00:38:04,053 Maybe she lied. 675 00:38:04,178 --> 00:38:07,265 - You talk to her friends, neighbors? - You don't know? 676 00:38:07,390 --> 00:38:09,392 Come on, if you don't stay up-to-date on my notes, 677 00:38:09,517 --> 00:38:11,769 where's your next article gonna come from? 678 00:38:11,895 --> 00:38:13,521 Talked to the dog? 679 00:38:13,646 --> 00:38:16,107 We're not as up on foreign languages as you are. 680 00:38:17,191 --> 00:38:20,028 - Has the dog been traveling? - It came from a breeder. 681 00:38:20,153 --> 00:38:22,864 - Where? - I don't know. 682 00:38:24,324 --> 00:38:26,034 Place called Blue Barrel Kennels. 683 00:38:26,159 --> 00:38:27,952 They only had the thing for, like, two days. 684 00:38:28,077 --> 00:38:31,039 Blue barrel is a kind of cactus. 685 00:38:31,164 --> 00:38:33,458 You see many cacti in Jersey? 686 00:38:42,300 --> 00:38:44,302 Wanna see a magic trick? 687 00:38:50,141 --> 00:38:53,019 Oh, no. Where'd it go? Where'd it go? 688 00:38:53,144 --> 00:38:54,395 Is it here? 689 00:38:55,897 --> 00:38:58,149 No. What about here? 690 00:39:00,360 --> 00:39:01,986 There it is. 691 00:39:03,071 --> 00:39:06,282 Oh, that doesn't look anything like a nose. 692 00:39:07,283 --> 00:39:09,369 CAMERON: That wasn't there this morning. 693 00:39:23,967 --> 00:39:28,012 - Get that to the lab and call the CDC. - Tell them what? 694 00:39:28,137 --> 00:39:31,057 That we have a patient with the plague. 695 00:39:32,141 --> 00:39:36,437 - The black plague? - Looks that way. 696 00:39:36,562 --> 00:39:38,398 Plague is carried by rodents, not dogs. 697 00:39:38,523 --> 00:39:42,151 Where there's dogs, there's fleas. If they hail from the Southwest, 698 00:39:42,276 --> 00:39:44,195 then those fleas can't tell the difference 699 00:39:44,320 --> 00:39:46,906 between prairie dogs and puppy dogs. 700 00:39:47,031 --> 00:39:51,077 A small percentage of plague cases present with sleep disturbance. 701 00:39:52,537 --> 00:39:55,790 Imagine an idyllic river of bacteria. 702 00:39:57,291 --> 00:39:59,752 Okay, it's not idyllic for her, but it serves my purposes. 703 00:39:59,877 --> 00:40:01,462 The steroids and immunosuppressants 704 00:40:01,587 --> 00:40:04,882 acted like a big honking dam across the river. Physics 101. 705 00:40:05,008 --> 00:40:07,969 Put a dam up in front of a raging river, the river rises. 706 00:40:08,094 --> 00:40:10,763 By stopping the immunosuppressants, we blew up the dam, 707 00:40:10,888 --> 00:40:14,017 and a 100-foot wall of bacteria flooded her lymph nodes. 708 00:40:14,142 --> 00:40:16,102 We better find out where that dog is now. 709 00:40:16,227 --> 00:40:18,229 After you restart the immunosuppressants, 710 00:40:18,354 --> 00:40:20,064 and fill her up to the eyeballs 711 00:40:20,189 --> 00:40:22,817 with streptomycin sulfate, gentamicin and tetracycline. 712 00:40:22,942 --> 00:40:24,569 Use a garden hose if we've got one. 713 00:40:24,694 --> 00:40:27,739 Get yourselves some prophylactic treatments as well. 714 00:40:29,490 --> 00:40:31,200 I've got the plague? 715 00:40:32,368 --> 00:40:34,829 Don't worry, it's treatable. 716 00:40:34,954 --> 00:40:38,875 Being a bitch, though, nothing we can do about that. 717 00:40:46,799 --> 00:40:48,801 You weren't in your room. 718 00:40:48,926 --> 00:40:52,013 The surgeon said I'd heal faster if I walk. 719 00:40:52,138 --> 00:40:54,182 I got this far, needed a rest. 720 00:40:55,349 --> 00:40:58,019 What you did was crazy, but it was pretty amazing, too. 721 00:40:58,144 --> 00:41:00,521 Yeah. I'm a hero. 722 00:41:03,566 --> 00:41:06,194 She's been planning to leave me. 723 00:41:09,280 --> 00:41:11,074 Really? 724 00:41:11,199 --> 00:41:14,202 She told a friend. The friend let it slip. 725 00:41:17,371 --> 00:41:20,333 You knew, and you gave up half your liver anyway? 726 00:41:23,419 --> 00:41:25,296 She can't leave me now. 727 00:41:30,009 --> 00:41:31,761 You really want her to stay out of guilt? 728 00:41:31,886 --> 00:41:34,138 That's not gonna make either of you happy. 729 00:41:34,263 --> 00:41:36,224 You don't know that. 730 00:41:36,349 --> 00:41:37,809 I love her. 731 00:41:40,436 --> 00:41:42,438 I just want her to stay. 732 00:41:59,580 --> 00:42:01,707 I don't own House's cases. 733 00:42:03,334 --> 00:42:06,337 You had just as much right as I did to write it up. 734 00:42:06,462 --> 00:42:10,466 You should have told me, but I should have handled it better, too. 735 00:42:13,094 --> 00:42:16,139 If we want this not to get in the way of our friendship, 736 00:42:16,264 --> 00:42:20,768 I think we both have to apologize and put it behind us. 737 00:42:24,188 --> 00:42:26,190 I like you, really. 738 00:42:26,315 --> 00:42:28,985 We have a good time working together. 739 00:42:29,110 --> 00:42:31,154 But 10 years from now, 740 00:42:31,279 --> 00:42:34,323 we're not gonna be hanging out and having dinners. 741 00:42:34,448 --> 00:42:36,868 Maybe we'll exchange Christmas cards, say hi, 742 00:42:36,993 --> 00:42:39,912 give a hug if we're at the same conference. 743 00:42:42,165 --> 00:42:45,084 We're not friends. We're colleagues. 744 00:42:48,129 --> 00:42:51,007 And I don't have anything to apologize for. 745 00:43:04,228 --> 00:43:06,272 (SNORING)