1
00:00:08,196 --> 00:00:12,034
('ZAT YOU, SANTA CLAUS? PLAYING)
2
00:00:38,143 --> 00:00:39,436
Merry Christmas.
3
00:00:40,354 --> 00:00:41,938
And a happy go to hell.
4
00:00:42,981 --> 00:00:44,983
What's he doing here?
Is he with you?
5
00:00:46,818 --> 00:00:48,445
Detective Tritter and I...
6
00:00:49,571 --> 00:00:51,406
We worked out a deal.
7
00:00:51,531 --> 00:00:53,909
Already got a lawyer.
Get out of my office.
8
00:00:56,161 --> 00:00:59,748
I told him I didn't write
those prescriptions.
9
00:01:00,207 --> 00:01:02,042
I spoke with the DA.
10
00:01:02,751 --> 00:01:06,922
He agreed to two months in a rehab
facility in exchange for a guilty plea.
11
00:01:08,632 --> 00:01:10,467
Get out of my office.
12
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No jail time.
13
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Right. So I should get
locked up in some place I don't belong
14
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in order to avoid getting locked up
in some other place I don't belong.
15
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I got you on forgery,
fraud, enough drugs to...
16
00:01:19,601 --> 00:01:21,061
No sanctions
to the medical board.
17
00:01:21,186 --> 00:01:22,521
And you get your car back
18
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and your bank accounts
and your precious tumor-ridden patients.
19
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I did this to help you.
20
00:01:27,317 --> 00:01:28,819
Next Christmas,
buy me a sweater.
21
00:01:28,944 --> 00:01:30,445
You punched out an employee!
22
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You nearly cut a little girl in half
because you were too strung out...
23
00:01:33,240 --> 00:01:34,533
I was in pain!
24
00:01:39,413 --> 00:01:41,039
You need to believe
that I've got a problem
25
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so that your betrayal
has the illusion of nobility.
26
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- But you just selfishly...
- Knock it off.
27
00:01:46,712 --> 00:01:49,798
Look, I don't care why
Dr. Wilson is doing this.
28
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And right now,
it makes no difference to you, either,
29
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'cause you need to deal with
the reality of your current situation.
30
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You want to stand on principle,
you end up in a cell.
31
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And you end up
never practicing medicine again.
32
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So you got two choices,
your principles or your life.
33
00:02:17,284 --> 00:02:19,077
Get out of my office.
34
00:02:24,541 --> 00:02:27,085
The DA put a clock
on the deal.
35
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You got three days to decide.
36
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House! Just give me a minute.
You're afraid of the pain.
37
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You're not?
38
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You can still have
pain meds in rehab.
39
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- Tramadol, gabapentin.
- Those don't work.
40
00:03:22,682 --> 00:03:24,643
They will once you're
weaned off the Vicodin.
41
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Look, there's Jesus.
Better go tell the Romans.
42
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Fine, run to Cuddy.
43
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You don't think
she's going to support me on this?
44
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Well, the stitches are healing nicely,
there's no sign of infection.
45
00:03:41,910 --> 00:03:43,078
Whoa.
46
00:03:45,205 --> 00:03:46,414
Sorry.
47
00:03:47,123 --> 00:03:49,543
Just need her
for a tiny moment.
48
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Small favor.
49
00:03:52,838 --> 00:03:54,047
Pills.
50
00:03:54,214 --> 00:03:55,382
Who's the wit?
51
00:03:55,507 --> 00:03:58,927
Doctor. Don't worry,
I'll be firing him soon.
52
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Wait in my office.
53
00:04:01,596 --> 00:04:03,974
Incision looks just big enough
for a chest tube.
54
00:04:04,099 --> 00:04:07,310
Collapsed lung?
Someone mistake you for a pifiata?
55
00:04:07,435 --> 00:04:11,314
Delightful. Usually we just get
the elf jokes this time of year.
56
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No on trauma.
57
00:04:14,234 --> 00:04:15,819
Negative PPD.
58
00:04:16,361 --> 00:04:18,113
What flavor dwarfs
are you guys?
59
00:04:18,238 --> 00:04:21,616
My daughter and I both have
cartilage-hair hypoplasia.
60
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Think you can make
a pun out of that?
61
00:04:23,368 --> 00:04:26,121
Yes. But I don't
want to be insensitive.
62
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She's got a bit
of a short fuse, doesn't she?
63
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It's a blob. Wait in my office.
64
00:04:31,626 --> 00:04:33,587
Bleb's not a diagnosis, it's an evasion.
65
00:04:33,712 --> 00:04:35,964
We'll schedule
an MRI to make sure,
66
00:04:36,089 --> 00:04:38,717
but a certain number of these cases
are idiopathic.
67
00:04:38,842 --> 00:04:41,261
Let me translate that
into Tolkien for you guys.
68
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It means Dr. Cuddy's
got no idea
69
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why your daughter's lung
suddenly popped like a balloon.
70
00:04:45,682 --> 00:04:47,183
You think you do?
71
00:04:49,311 --> 00:04:51,813
Gimme her chart. And my pills.
72
00:04:54,900 --> 00:04:56,318
Santa needs us.
73
00:04:59,821 --> 00:05:01,823
Did you get that looked at?
74
00:05:02,407 --> 00:05:03,533
I'm fine.
75
00:05:04,284 --> 00:05:07,871
Great. I just admitted
a cartilage-hair hypoplasia dwarf.
76
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- Fifteen years old...
- What are you going to do?
77
00:05:10,582 --> 00:05:14,461
I thought I'd get your theories, mock
them, then embrace my own. The usual.
78
00:05:14,586 --> 00:05:16,546
Wilson told us he ratted.
79
00:05:17,005 --> 00:05:18,673
Your choice of verb,
I take it?
80
00:05:18,798 --> 00:05:23,595
It's appropriate. He betrayed you.
And you should take the deal.
81
00:05:24,429 --> 00:05:28,141
Unexplained lung collapse and anemia.
Cuddy thinks it's idiopathic.
82
00:05:28,266 --> 00:05:31,227
"Cuddy" and "idiop" being
the relevant parts of that sentence.
83
00:05:31,353 --> 00:05:33,688
Well, I'd say TB,
but Cuddy's already ruled it out.
84
00:05:33,813 --> 00:05:35,690
Then you'd be just as big
an idiop as her.
85
00:05:35,815 --> 00:05:36,983
Don't you people know
your dwarfs?
86
00:05:37,108 --> 00:05:39,319
There are over 200 varieties
of dwarfism,
87
00:05:39,444 --> 00:05:40,987
each with different
medical complications.
88
00:05:41,112 --> 00:05:43,698
You can't expect us to be intimately
familiar with all of them?
89
00:05:43,823 --> 00:05:45,617
The sick dwarfs
sure expect you to.
90
00:05:45,742 --> 00:05:49,287
Cartilage-hair hypoplasia.
They have compromised immune systems.
91
00:05:49,412 --> 00:05:51,247
Gold star for Cameron.
92
00:05:51,414 --> 00:05:54,125
For extra credit, explain to
the special needs section of the class
93
00:05:54,250 --> 00:05:56,503
why our patient's negative
TB test is irrelevant.
94
00:05:56,628 --> 00:05:59,172
A PPD involves planting a fragment of TB
under the skin
95
00:05:59,297 --> 00:06:00,840
to see if the immune system
recognizes it.
96
00:06:00,966 --> 00:06:02,926
Because of
a compromised immune system,
97
00:06:03,051 --> 00:06:05,053
our patient could have TB
but not recognize it.
98
00:06:05,178 --> 00:06:07,389
The little people love you.
99
00:06:07,514 --> 00:06:09,265
Let's go see a dwarf
about a gallium scan.
100
00:06:13,603 --> 00:06:15,230
Gallium
is a radioactive isotope.
101
00:06:15,355 --> 00:06:16,398
It travels through your veins,
102
00:06:16,523 --> 00:06:19,776
allowing us to see any bright spots
that might indicate infection.
103
00:06:21,319 --> 00:06:24,948
I'm 4'1".
That's 1.5 canes in metric.
104
00:06:26,157 --> 00:06:28,618
You don't look
a day over four feet.
105
00:06:29,911 --> 00:06:32,205
I saw in the file that her dad
was normal-sized.
106
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It's average-sized.
107
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Compared to you,
I'm sure it was huge.
108
00:06:36,292 --> 00:06:37,669
So did he have a fetish,
109
00:06:37,794 --> 00:06:40,630
or did he just fall in love
with your long-legged soul?
110
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He grew up in the circus.
Said I reminded him of home.
111
00:06:44,384 --> 00:06:46,553
Seems like you're the one
with the fetish.
112
00:06:46,678 --> 00:06:49,347
I'm certainly curious
about the logistics.
113
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Did you stand on a table?
114
00:06:50,807 --> 00:06:51,725
House!
115
00:06:53,268 --> 00:06:55,979
Pretty much,
he'd lay flat and spin me.
116
00:06:56,104 --> 00:06:57,022
Mom.
117
00:06:58,398 --> 00:07:01,443
So, Abigail, you want to
hop up on the table for me?
118
00:07:02,736 --> 00:07:04,529
That's going to be tough.
119
00:07:04,654 --> 00:07:07,782
Oh, I'm sorry.
Let me give you a boost.
120
00:07:08,283 --> 00:07:09,909
Stop treating her
like she's five.
121
00:07:10,035 --> 00:07:12,037
Just bring over a stool
and let her climb up herself.
122
00:07:12,162 --> 00:07:13,705
Mom, it's okay.
123
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I was just trying
to be helpful.
124
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She also hates Jews.
125
00:07:20,587 --> 00:07:21,671
I've dealt with worse.
126
00:07:21,796 --> 00:07:24,507
Being different,
you get used to people's idiocy.
127
00:07:24,632 --> 00:07:27,218
Still beats the hell out of
actually being an idiot.
128
00:07:29,637 --> 00:07:30,805
What?
129
00:07:32,182 --> 00:07:33,725
Care to go for a spin?
130
00:07:39,439 --> 00:07:40,899
What the hell
were you thinking?
131
00:07:41,024 --> 00:07:43,568
You didn't think ratting out
this hospital's best doctor
132
00:07:43,693 --> 00:07:45,612
merited checking
with your boss first?
133
00:07:45,737 --> 00:07:47,781
I didn't rat him out.
I got him a deal.
134
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Which he'll never take.
135
00:07:49,074 --> 00:07:51,743
- He will if we...
- How long have you known House?
136
00:07:51,868 --> 00:07:53,536
Did you think
he'd suddenly become reasonable?
137
00:07:53,661 --> 00:07:55,789
I made the deal. It's done.
You can either keep yelling at me,
138
00:07:55,914 --> 00:07:57,582
or you can help me avoid
a complete disaster.
139
00:07:57,707 --> 00:08:00,293
It already is going to be
a complete disaster!
140
00:08:00,418 --> 00:08:03,171
He's not going to take the deal.
He's going to go to jail.
141
00:08:03,296 --> 00:08:05,423
Because he's a child,
he's too stubborn.
142
00:08:05,548 --> 00:08:07,884
When a child misbehaves,
what do you do?
143
00:08:08,009 --> 00:08:09,803
You take away something
he loves.
144
00:08:09,928 --> 00:08:11,304
We can't take away
his Vicodin.
145
00:08:11,429 --> 00:08:14,224
Not only will he be in pain,
he'll start to detox.
146
00:08:14,349 --> 00:08:17,143
And we tell him the only way to get
the pills back is to take the deal.
147
00:08:17,268 --> 00:08:18,436
He won't be able to function.
148
00:08:18,561 --> 00:08:19,604
That's the point.
149
00:08:19,729 --> 00:08:21,981
You going to explain that
to his patient?
150
00:08:23,525 --> 00:08:25,610
What choice do we have?
151
00:08:31,574 --> 00:08:33,660
Gallium scan shows
no bright spots of any kind.
152
00:08:33,785 --> 00:08:35,620
Means it's not TB
or any other infection.
153
00:08:35,745 --> 00:08:38,748
There are no bright spots
'cause the whole thing's too bright.
154
00:08:38,873 --> 00:08:40,542
Except for the liver.
155
00:08:40,667 --> 00:08:43,586
The tech over-exposed
the image a bit, but it's nothing.
156
00:08:43,711 --> 00:08:44,879
The liver looks fine.
157
00:08:45,004 --> 00:08:46,714
Could be lung cancer.
158
00:08:46,881 --> 00:08:49,634
Tumor causes structural damage.
The lung caves in on itself.
159
00:08:49,759 --> 00:08:50,969
Also explains the anemia.
160
00:08:51,094 --> 00:08:52,762
Doesn't explain
the liver problem, though.
161
00:08:52,887 --> 00:08:55,140
Her lung collapsed.
There is no liver problem.
162
00:08:55,265 --> 00:08:56,808
Did you guys look at the liver
on this thing?
163
00:08:56,933 --> 00:08:58,059
There's no liver problem.
164
00:08:58,184 --> 00:08:59,644
Seriously, look at the liver.
165
00:08:59,769 --> 00:09:00,728
There's nothing there.
166
00:09:00,854 --> 00:09:01,729
HOUSE: Why not?
167
00:09:01,855 --> 00:09:02,897
Because there's nothing wrong?
168
00:09:03,022 --> 00:09:06,526
Every organ in this scan
is lit up like a hundred-watt bulb.
169
00:09:06,651 --> 00:09:09,904
Except for her liver,
which is hovering around 60 watts.
170
00:09:10,029 --> 00:09:12,699
And not one of them good 60-watters,
but an energy saving...
171
00:09:12,824 --> 00:09:15,493
You're saying her liver's shutting down
because the lighting is off?
172
00:09:15,618 --> 00:09:17,287
You just don't want
a cancer diagnosis,
173
00:09:17,412 --> 00:09:18,872
because then you'd have
to deal with Wilson.
174
00:09:18,997 --> 00:09:21,166
Lung cancer
is a lame diagnosis.
175
00:09:21,291 --> 00:09:23,626
Avoiding Wilson
is an added bonus.
176
00:09:23,751 --> 00:09:25,378
House, we need to talk.
177
00:09:25,503 --> 00:09:28,089
Not taking the deal.
Glad we talked.
178
00:09:28,548 --> 00:09:30,383
Ultrasound her liver.
179
00:09:30,675 --> 00:09:31,843
Sit down.
180
00:09:32,218 --> 00:09:33,511
Stand up.
181
00:09:33,803 --> 00:09:34,971
Your turn.
182
00:09:35,096 --> 00:09:36,806
House, you're off the case.
183
00:09:36,931 --> 00:09:38,683
Your treatment privileges
are suspended
184
00:09:38,808 --> 00:09:40,143
until you accept
Tritter's deal.
185
00:09:40,268 --> 00:09:41,644
Well, I'm obviously
not going to take the deal
186
00:09:41,769 --> 00:09:43,938
just so I can have the fun
of treating a dwarf.
187
00:09:44,063 --> 00:09:46,691
So, I assume
there's more to this threat.
188
00:09:46,816 --> 00:09:49,444
- I'm also cutting off your Vicodin.
- That could work.
189
00:09:49,569 --> 00:09:52,113
I'm taking over as attending.
Get an MRI of her lungs.
190
00:09:52,238 --> 00:09:53,573
This is not lung cancer.
191
00:09:53,698 --> 00:09:56,743
We'll find out as soon as
we MRI her lungs.
192
00:10:03,333 --> 00:10:05,501
You're going to come begging me
to save this girl
193
00:10:05,627 --> 00:10:08,755
long before I come
begging you for pills.
194
00:10:08,880 --> 00:10:10,089
I hope not.
195
00:10:11,132 --> 00:10:12,217
For everyone's sake.
196
00:10:20,725 --> 00:10:22,060
This is wrong.
197
00:10:22,185 --> 00:10:25,480
Cutting House off?
It might not work, but it's not wrong.
198
00:10:25,605 --> 00:10:27,523
Bone windows look clean.
199
00:10:29,734 --> 00:10:31,945
Abigail, we need you
to hold still, okay?
200
00:10:32,070 --> 00:10:33,696
Can I come out?
201
00:10:33,821 --> 00:10:35,698
Just hang in there two more minutes,
and we'll be done.
202
00:10:35,823 --> 00:10:36,866
Okay-
203
00:10:36,991 --> 00:10:38,701
Because it's effective
doesn't make it right.
204
00:10:38,826 --> 00:10:42,747
Cuddy's bending the rules
to get a patient to do the right thing.
205
00:10:42,872 --> 00:10:45,541
- Who would work for a doctor like that?
- And the ends justify the means?
206
00:10:45,667 --> 00:10:48,503
If the ends involve
us keeping our jobs, sure.
207
00:10:48,836 --> 00:10:53,216
Lung parenchyma's clean.
No masses, it's not lung cancer.
208
00:10:53,341 --> 00:10:54,801
(ABIGAIL COUGHING)
209
00:10:54,926 --> 00:10:57,011
Abigail, you okay?
210
00:11:04,894 --> 00:11:06,896
House was right.
Her liver's failing.
211
00:11:07,021 --> 00:11:10,233
Endoscopy confirmed the vomiting
was caused by variceal bleeding.
212
00:11:10,358 --> 00:11:13,069
Blood work also confirms
House's hypothesis.
213
00:11:13,194 --> 00:11:16,364
I get it. House was right,
it's the liver. Let's move on.
214
00:11:16,489 --> 00:11:19,158
What causes liver disease
and a collapsed lung?
215
00:11:19,284 --> 00:11:21,035
Schistosomiasis,
the parasite could have...
216
00:11:21,160 --> 00:11:22,620
There's no eosinophilia.
217
00:11:22,745 --> 00:11:25,915
- Cirrhosis could explain...
- Could be a hepatoma.
218
00:11:26,541 --> 00:11:29,544
She's 15.
It's not liver cancer.
219
00:11:29,669 --> 00:11:31,212
It's not unheard of.
220
00:11:31,337 --> 00:11:33,589
Cirrhosis fits better.
The question is, what caused it?
221
00:11:33,715 --> 00:11:37,176
- Could be hepatitis, Budd-Chiari...
- Or drugs and alcohol.
222
00:11:37,302 --> 00:11:39,971
If anyone has reason to dull the pain,
it's a teenage dwarf.
223
00:11:40,096 --> 00:11:41,347
I'll do a liver biopsy
to confirm.
224
00:11:41,472 --> 00:11:45,184
And I'll search the patient's home
for drugs and alcohol.
225
00:11:46,519 --> 00:11:48,813
Cameron, got a moment?
226
00:11:55,737 --> 00:11:58,281
What exactly
is your problem with me?
227
00:11:59,782 --> 00:12:01,326
Hepatoma is a weak diagnosis.
228
00:12:01,451 --> 00:12:03,244
So this is all about the case?
229
00:12:03,369 --> 00:12:05,288
What else would it be about?
230
00:12:07,290 --> 00:12:10,335
I made this deal to help him.
231
00:12:10,460 --> 00:12:12,545
And helped yourself
at the same time.
232
00:12:12,670 --> 00:12:15,381
This is not about my practice.
This is not about my car.
233
00:12:15,506 --> 00:12:18,551
I gave both of them up to help House
and I would have gone on without them,
234
00:12:18,676 --> 00:12:21,763
if he hadn't almost maimed that little
girl and if he hadn't punched out Chase.
235
00:12:21,888 --> 00:12:23,681
Was it an easy choice?
236
00:12:23,806 --> 00:12:26,059
Of course not. But it's right.
237
00:12:26,184 --> 00:12:28,061
Then why wasn't it easy?
238
00:12:28,478 --> 00:12:30,063
Because he's my friend.
239
00:12:30,188 --> 00:12:33,566
- It's obviously complicated...
- It's complicated?
240
00:12:33,691 --> 00:12:37,362
When you decided to talk to Tritter,
your life got a million times better.
241
00:12:37,487 --> 00:12:39,739
How do you separate that out?
242
00:12:39,864 --> 00:12:43,284
How do you pretend your windfall
isn't relevant to this decision?
243
00:12:46,662 --> 00:12:48,873
It was the right thing to do.
244
00:12:49,207 --> 00:12:53,294
You pretending your motives are pure
is why I have a problem.
245
00:13:05,848 --> 00:13:07,016
Where's Cuddy?
246
00:13:07,141 --> 00:13:09,560
In this drawer. It's a rescue mission.
247
00:13:09,685 --> 00:13:11,938
I've got it under control,
you can leave.
248
00:13:13,981 --> 00:13:15,691
You were right
about the liver failure,
249
00:13:15,817 --> 00:13:18,403
the patient had variceal bleeding,
which suggested cirrhosis, but...
250
00:13:18,528 --> 00:13:20,029
Off the clock.
251
00:13:20,154 --> 00:13:21,948
You predicted this.
You obviously saw something.
252
00:13:22,073 --> 00:13:23,366
Obviously.
253
00:13:23,699 --> 00:13:28,454
Liver biopsy was negative for cirrhosis
but it showed sclerosing cholangitis.
254
00:13:28,579 --> 00:13:31,707
Even weirder, there's no increase
in alkaline phosphatase.
255
00:13:31,833 --> 00:13:35,086
Medical mystery. Sounds like
the kind of thing I'd be good at.
256
00:13:38,589 --> 00:13:41,509
Breaking and entering sounds like
the kind of thing you'd be good at.
257
00:13:41,634 --> 00:13:44,095
I take it that's where
Cuddy's been keeping your pills.
258
00:13:45,513 --> 00:13:47,390
One theory, one drawer.
259
00:13:53,229 --> 00:13:54,397
Really?
260
00:13:54,522 --> 00:13:57,108
I thought you'd be all for
this "torture House" plan.
261
00:13:57,233 --> 00:13:58,609
It works, therefore it's good.
262
00:13:58,734 --> 00:14:00,570
On the other hand, I don't want
to talk you out of this deal
263
00:14:00,695 --> 00:14:01,904
by pointing out
your hypocrisy.
264
00:14:02,029 --> 00:14:05,533
So, patient's life at stake,
blah, blah, blah, blah, blah.
265
00:14:05,867 --> 00:14:09,287
Forget about the specific nature of
the liver dysfunction, it's irrelevant.
266
00:14:09,412 --> 00:14:12,331
The dwarf's problem is global,
that's why the gallium scan was bright.
267
00:14:12,457 --> 00:14:15,042
And it's going to spread throughout
her entire body unless you stop it.
268
00:14:15,168 --> 00:14:18,337
If that were true, more than
her lungs and liver would be affected.
269
00:14:18,463 --> 00:14:19,589
It will be.
270
00:14:19,714 --> 00:14:23,259
It'll spread through the biliary tree
and hit her pancreas next.
271
00:14:23,384 --> 00:14:25,261
Stop retracing your steps,
get ahead of it.
272
00:14:25,386 --> 00:14:28,890
Forget the liver and focus
on the pancreas because after that...
273
00:14:29,015 --> 00:14:30,600
Actually, after that
it doesn't really matter what it hits
274
00:14:30,725 --> 00:14:34,228
because, pretty much,
all roads lead to a dead dwarf.
275
00:14:35,438 --> 00:14:38,149
I get why you
don't want to go to rehab.
276
00:14:38,608 --> 00:14:41,152
But only an idiot goes to prison
for being stubborn.
277
00:14:41,277 --> 00:14:45,364
Only an idiot stands between
Ahab and his whale. Move.
278
00:14:56,083 --> 00:14:57,793
Sorry.
279
00:15:05,843 --> 00:15:07,428
Santa's got gifts.
280
00:15:08,346 --> 00:15:11,140
Olive oil wasn't in the kitchen,
it was in the medicine cabinet.
281
00:15:11,265 --> 00:15:12,433
Home remedy
for ear infections.
282
00:15:12,558 --> 00:15:14,936
Ear infections are fairly typical
among CHH dwarfs.
283
00:15:15,061 --> 00:15:16,687
Or, it's a symptom.
284
00:15:16,812 --> 00:15:18,814
Certainly wouldn't indicate
a pancreatic problem.
285
00:15:18,940 --> 00:15:21,025
Or House is wrong
and it's a symptom.
286
00:15:21,734 --> 00:15:25,154
Laxatives. I don't think they were used
to maintain her girlish figure.
287
00:15:25,279 --> 00:15:26,989
Again, intestinal problems
are common.
288
00:15:27,114 --> 00:15:29,283
Again, it might be a symptom.
289
00:15:29,408 --> 00:15:32,078
Glucosamine
suggests chronic joint pain.
290
00:15:32,203 --> 00:15:35,122
Who ordered
an alpha-1 antitrypsin deficiency test?
291
00:15:35,248 --> 00:15:36,332
I did.
292
00:15:36,541 --> 00:15:38,292
You think the problem's
in her pancreas?
293
00:15:38,417 --> 00:15:40,753
I think it will be. I think we need
to forget about the liver.
294
00:15:40,878 --> 00:15:43,881
We just forgot about the lungs,
now we need to forget about the liver?
295
00:15:44,006 --> 00:15:47,426
We need to stop retracing
our steps and get ahead of this thing.
296
00:15:48,928 --> 00:15:51,222
House, you've tanned.
297
00:15:51,889 --> 00:15:53,599
You don't think
I could have come up with this?
298
00:15:53,724 --> 00:15:55,059
Did you?
299
00:15:55,184 --> 00:15:57,562
You suspended House because
it'd be dangerous having him in charge,
300
00:15:57,687 --> 00:15:58,521
but getting his opinion?
301
00:15:58,646 --> 00:16:00,022
I'm sure he gave you that opinion
302
00:16:00,147 --> 00:16:02,275
simply because he was worried
about the patient?
303
00:16:02,400 --> 00:16:05,278
Just because House wants his pills,
doesn't mean his theory is wrong.
304
00:16:05,403 --> 00:16:08,823
No, the test results mean that.
Your test was negative.
305
00:16:08,948 --> 00:16:11,200
And the biopsy indicated
severe duct inflammation.
306
00:16:11,325 --> 00:16:14,161
Do an ERCP to check the liver
for bile duct cancer.
307
00:16:14,287 --> 00:16:17,331
Just because it wasn't alpha-1
doesn't mean the pancreas isn't next.
308
00:16:17,456 --> 00:16:19,959
You needed an organ,
he needed a fix.
309
00:16:20,084 --> 00:16:23,671
He'd have made up any story for a pill.
You didn't give him anything, did you?
310
00:16:23,796 --> 00:16:24,797
No.
311
00:16:31,137 --> 00:16:32,138
(EXCLAIMS)
312
00:16:33,639 --> 00:16:37,018
There's no bruise or nothing,
but it really hurts.
313
00:16:37,143 --> 00:16:39,270
Unfortunately, that pain
and lack of bruising
314
00:16:39,395 --> 00:16:41,188
is typical of a zygomatic break.
315
00:16:42,398 --> 00:16:43,608
Sounds bad.
316
00:16:44,025 --> 00:16:45,818
Bones are aligned properly.
317
00:16:45,943 --> 00:16:47,403
Which ER did you go to
after the car accident?
318
00:16:47,528 --> 00:16:51,032
Princeton Plainsboro.
Here's my discharge slip.
319
00:16:51,741 --> 00:16:53,034
Okay-
320
00:16:53,159 --> 00:16:55,494
I'm going to get you some
acetaminophen with codeine.
321
00:16:55,620 --> 00:16:58,205
I tried that,
it makes me nauseous.
322
00:16:59,081 --> 00:17:01,667
There's a drug
called gabapentin
323
00:17:01,792 --> 00:17:03,461
which is good
for certain kinds of pain.
324
00:17:03,586 --> 00:17:06,088
Great!
'Cause I haven't slept in days.
325
00:17:06,213 --> 00:17:08,257
Gabapentin's not really
going to help with the sleep.
326
00:17:08,382 --> 00:17:09,342
Oh.
327
00:17:10,092 --> 00:17:12,803
Is there something else
you can give me?
328
00:17:14,305 --> 00:17:17,266
Vicodin's your best bet
with sleep issues.
329
00:17:17,391 --> 00:17:18,225
Well, thanks so much.
330
00:17:18,351 --> 00:17:22,438
Unfortunately, our policy forbids
prescribing opiates to new patients.
331
00:17:22,605 --> 00:17:25,399
Well, how could a clinic have a rule
against relieving pain?
332
00:17:25,524 --> 00:17:28,444
Just with opiates. We find that it helps
weed out drug-seekers.
333
00:17:28,569 --> 00:17:30,946
- You think I'm a drug-seeker?
- I'm not saying that.
334
00:17:31,072 --> 00:17:33,074
- Well, then give me the Vicodin.
- I can't.
335
00:17:33,199 --> 00:17:34,533
Because you think
I'm a drug-seeker.
336
00:17:34,659 --> 00:17:35,743
I just said I didn't.
337
00:17:35,868 --> 00:17:39,246
No, you said that the policy
was to stop drug-seeking.
338
00:17:39,372 --> 00:17:42,083
Then you said I'm not a drug-seeker.
Policy doesn't apply.
339
00:17:42,208 --> 00:17:44,001
I'm sorry, that's the policy.
340
00:17:44,835 --> 00:17:46,671
Gabapentin works on
nerve damage.
341
00:17:46,796 --> 00:17:48,422
You're prescribing it
for a broken face.
342
00:17:48,547 --> 00:17:50,841
Might as well hand out Band-Aids
for a severed carotid.
343
00:17:50,966 --> 00:17:52,009
You're a doctor.
344
00:17:52,134 --> 00:17:54,470
Not by this clinic's definition,
since I'm neither a moron,
345
00:17:54,595 --> 00:17:56,180
nor a mindless drone!
346
00:17:56,681 --> 00:17:58,432
- Security.
- Forget it.
347
00:17:58,557 --> 00:18:00,393
I'll throw myself out.
348
00:18:05,231 --> 00:18:08,401
That tube is going
all the way down to my liver?
349
00:18:08,526 --> 00:18:10,820
Don't worry,
you'll be sedated.
350
00:18:11,153 --> 00:18:12,738
Sometimes doctors
have to do things
351
00:18:12,863 --> 00:18:15,074
that make people uncomfortable
to help them.
352
00:18:15,199 --> 00:18:17,702
But we always want to respect
the patient's wishes
353
00:18:17,827 --> 00:18:20,496
and not shove things down
their throats.
354
00:18:22,832 --> 00:18:24,041
Foreman.
355
00:18:25,960 --> 00:18:27,503
You haven't given
her the sedative.
356
00:18:27,628 --> 00:18:28,587
No.
357
00:18:29,171 --> 00:18:30,256
Abigail.
358
00:18:31,090 --> 00:18:33,050
Abigail.
She's unconscious.
359
00:18:34,135 --> 00:18:35,678
Check her airway.
360
00:18:37,138 --> 00:18:38,556
Airway's clear.
361
00:18:38,681 --> 00:18:40,141
Her breath smells fruity.
362
00:18:40,307 --> 00:18:42,351
Diabetic ketoacidosis.
363
00:18:42,476 --> 00:18:44,979
Hang an insulin drip
at .1 mgs per kg per hour!
364
00:18:45,104 --> 00:18:48,441
Her pancreas is failing.
You ready to call House yet?
365
00:18:49,358 --> 00:18:51,068
(SIGHS)
366
00:18:56,407 --> 00:18:59,618
You were right.
The patient's pancreas is failing.
367
00:19:00,202 --> 00:19:01,829
Told you you'd come
begging me for help.
368
00:19:01,954 --> 00:19:04,248
Her insulin production
is almost non-existent.
369
00:19:06,292 --> 00:19:08,294
Give me my pills
or lose an arm.
370
00:19:08,419 --> 00:19:10,212
- The girl is dying!
- So give me my pills.
371
00:19:10,337 --> 00:19:12,256
Take the deal and I will.
372
00:19:13,924 --> 00:19:16,886
You'd rather kill this girl
than give me my pills?
373
00:19:18,012 --> 00:19:20,389
I would rather lose
one patient now
374
00:19:20,514 --> 00:19:23,100
than the dozens we will lose
while you're in prison.
375
00:19:25,394 --> 00:19:29,565
Well, have fun explaining that
to her itsy-bitsy grieving mother.
376
00:19:35,613 --> 00:19:38,240
What if we sacrifice this girl
and House still goes to jail?
377
00:19:38,365 --> 00:19:40,826
I'd feel bad.
Can we get on with this?
378
00:19:40,951 --> 00:19:42,703
House correctly predicted
the spread,
379
00:19:42,828 --> 00:19:44,497
means we've got
a global systemic illness
380
00:19:44,622 --> 00:19:47,833
affecting lungs, liver and pancreas.
So far. Ideas?
381
00:19:47,958 --> 00:19:51,086
Langerhans cell histiocytosis
attacks multiple organ systems.
382
00:19:51,212 --> 00:19:53,130
Histiocytosis usually
starts in the brain,
383
00:19:53,255 --> 00:19:54,548
then moves to the internal organs.
384
00:19:54,673 --> 00:19:57,259
Abigail's brain is fine.
Cystic fibrosis.
385
00:19:57,384 --> 00:19:58,677
Exocrine function's normal.
386
00:19:58,803 --> 00:20:00,888
Hodgkin's lymphoma.
It's a systemic cancer,
387
00:20:01,013 --> 00:20:02,389
which her dwarfism predisposes her to.
388
00:20:02,515 --> 00:20:04,642
- You have any ideas that aren't cancer?
- Cancer fits.
389
00:20:04,767 --> 00:20:05,768
Autoimmune fits better.
390
00:20:05,893 --> 00:20:07,144
We should treat her
with prednisone for lupus.
391
00:20:07,269 --> 00:20:09,355
That'll spike her blood sugar
and put her back in a coma.
392
00:20:09,480 --> 00:20:11,398
It's much safer just to run
a double-stranded DNA test.
393
00:20:11,524 --> 00:20:14,193
Not if she dies before
we get the results.
394
00:20:14,318 --> 00:20:15,611
One of you is probably right.
395
00:20:15,736 --> 00:20:17,905
Why don't we hold the sniping
until we find out which?
396
00:20:18,030 --> 00:20:22,493
Wilson, do an LP for lymphoma,
you guys run an antibody test for lupus.
397
00:20:28,624 --> 00:20:31,877
Because of your daughter's dwarfism,
we've had to pick a higher entry point
398
00:20:32,002 --> 00:20:34,004
for the lumbar puncture,
which increases the risk.
399
00:20:34,129 --> 00:20:36,173
So, why not do
the lupus test first?
400
00:20:36,298 --> 00:20:40,177
In the interest of time, we think
it's best to proceed on both fronts.
401
00:20:40,302 --> 00:20:42,638
You have no idea
what's wrong with my daughter.
402
00:20:42,763 --> 00:20:45,683
- We have several theories.
- What does Dr. House think?
403
00:20:45,808 --> 00:20:48,102
He's... He had to
go home sick.
404
00:20:48,227 --> 00:20:49,812
My daughter may be dying
405
00:20:49,937 --> 00:20:52,231
- and he's gone home with the sniffles?
- Well, he's not...
406
00:20:52,356 --> 00:20:55,568
He was the only one who seemed to have
any idea what was wrong with her.
407
00:20:55,693 --> 00:20:57,903
He better be
really damn sick.
408
00:20:58,028 --> 00:20:59,196
He is.
409
00:21:03,868 --> 00:21:06,287
HOUSE: Unless you've got Vicodin,
go away.
410
00:21:07,162 --> 00:21:09,415
House, it's me, I...
411
00:21:12,459 --> 00:21:13,752
Oh, God.
412
00:21:15,838 --> 00:21:17,923
- I don't have...
- No pills?
413
00:21:18,632 --> 00:21:19,967
No eggrl09-
414
00:21:22,261 --> 00:21:24,305
What happened to your arm?
415
00:21:25,264 --> 00:21:26,682
Cut myself.
416
00:21:31,854 --> 00:21:33,814
Wilson was wrong
about lymphoma.
417
00:21:33,939 --> 00:21:37,109
Kid's not losing any weight,
no night sweats.
418
00:21:37,234 --> 00:21:39,069
- Cuddy sent you?
- No.
419
00:21:39,194 --> 00:21:41,739
She doesn't trust me
not to give you pills.
420
00:21:43,032 --> 00:21:44,199
Is she right?
421
00:21:44,325 --> 00:21:47,328
House, these cuts
are straight, in a row.
422
00:21:48,037 --> 00:21:50,039
You did this on purpose.
423
00:21:52,666 --> 00:21:56,128
Cutting releases endorphins,
endorphins relieve pain.
424
00:21:56,587 --> 00:21:58,839
You going to get me
some pills?
425
00:21:59,381 --> 00:22:00,966
No.
426
00:22:01,508 --> 00:22:03,260
Well, then you can leave.
427
00:22:03,886 --> 00:22:06,055
No constitutional
symptoms means...
428
00:22:06,180 --> 00:22:09,850
As soon as the kid gets cured,
(Buddy's got no pressure to fold.
429
00:22:10,392 --> 00:22:12,603
You really think
she's going to fold?
430
00:22:18,025 --> 00:22:20,819
Autoimmune fits better
than cancer.
431
00:22:21,779 --> 00:22:25,282
But lupus loves kidneys.
Usually attacks them first.
432
00:22:25,824 --> 00:22:26,992
Kidneys are fine, right?
433
00:22:27,117 --> 00:22:28,243
Yeah.
434
00:22:28,535 --> 00:22:29,745
House,
435
00:22:30,829 --> 00:22:31,956
take the deal.
436
00:22:32,081 --> 00:22:33,624
You can survive
without Vicodin.
437
00:22:33,749 --> 00:22:36,669
After you were shot,
you stayed clean for months.
438
00:22:36,794 --> 00:22:37,753
Yeah.
439
00:22:37,878 --> 00:22:40,172
I wonder if it had something
to do with the absence of pain.
440
00:22:40,297 --> 00:22:43,634
Leave that. I want to be able to pour
alcohol on it so I can distract myself.
441
00:22:43,759 --> 00:22:46,261
Then you can rip off
the bandage.
442
00:22:51,767 --> 00:22:53,143
Kid been sick lately?
443
00:22:53,268 --> 00:22:55,187
There's a history
of ear infections.
444
00:22:58,315 --> 00:23:00,776
See, Abigail's immune system
445
00:23:02,277 --> 00:23:04,071
is like a shy guy in a bar.
446
00:23:05,322 --> 00:23:08,993
The ear infections, they come in
and they try to coax him to...
447
00:23:12,454 --> 00:23:13,998
To hell with the metaphor.
448
00:23:14,123 --> 00:23:15,374
You get the point, right?
449
00:23:15,499 --> 00:23:18,043
Nerd gets drunk,
trashes the bar.
450
00:23:18,168 --> 00:23:21,213
One of the autoimmunes
triggered by a minor infection?
451
00:23:21,338 --> 00:23:24,383
Factor in her age,
elevated sed rate, anemia...
452
00:23:25,551 --> 00:23:27,511
It's Still's disease.
453
00:23:28,012 --> 00:23:31,181
We start her on prednisone,
methotrexate, cyclosporin.
454
00:23:32,725 --> 00:23:33,934
House.
455
00:23:34,935 --> 00:23:36,353
Stop this.
456
00:23:37,354 --> 00:23:38,605
Please.
457
00:24:02,796 --> 00:24:04,631
- What'd he say?
- Still's disease.
458
00:24:04,757 --> 00:24:05,632
It's chronic,
but manageable...
459
00:24:05,758 --> 00:24:07,968
A diagnosis
that's virtually unconfirmable
460
00:24:08,093 --> 00:24:09,386
and with a treatment
that's more dangerous
461
00:24:09,511 --> 00:24:12,681
than what we were considering for lupus.
462
00:24:13,474 --> 00:24:14,558
How bad is he?
463
00:24:14,683 --> 00:24:15,809
Are you asking
because you care
464
00:24:15,934 --> 00:24:19,021
or because you're wondering
whether to trust his opinion?
465
00:24:19,146 --> 00:24:20,064
Both.
466
00:24:20,189 --> 00:24:22,733
He's detoxing. In agony.
467
00:24:23,484 --> 00:24:25,611
He's started cutting himself.
468
00:24:26,528 --> 00:24:29,490
But he's still House.
469
00:24:31,533 --> 00:24:34,078
I'll order the treatment.
470
00:24:47,633 --> 00:24:50,636
(WOMAN ON PA)
471
00:24:54,473 --> 00:24:56,058
(CLEARS THROAT)
472
00:24:56,183 --> 00:24:57,726
Your plan isn't working.
473
00:24:57,851 --> 00:25:00,020
Two days down, one to go.
474
00:25:01,438 --> 00:25:04,024
Figured I'd show you
how much it isn't working.
475
00:25:05,109 --> 00:25:07,528
Yeah. Clearly, the drugs
have no hold on you.
476
00:25:09,321 --> 00:25:10,989
We both know that my pride
477
00:25:11,115 --> 00:25:14,034
far surpasses my instinct
for self-preservation.
478
00:25:14,159 --> 00:25:16,995
You want to redeem yourself?
Give up now.
479
00:25:17,121 --> 00:25:18,956
And you'll go to jail.
480
00:25:19,373 --> 00:25:21,250
I've done nothing wrong.
481
00:25:21,375 --> 00:25:23,252
And you'll go to jail.
482
00:25:25,045 --> 00:25:27,881
Which makes this your last chance
to do me a kindness
483
00:25:28,006 --> 00:25:30,342
before ruining my life
forever.
484
00:25:32,427 --> 00:25:34,680
Nausea's bad this time.
485
00:25:37,724 --> 00:25:42,604
You can write me a scrip
for metoclopramide so I can stop puking.
486
00:25:43,063 --> 00:25:44,857
They'd give me that in rehab.
487
00:25:46,525 --> 00:25:48,694
Then you should go to rehab.
488
00:25:49,194 --> 00:25:50,529
I have a patient.
489
00:26:07,296 --> 00:26:11,592
I'm so sorry, I know it's little
solace, but he went without pain...
490
00:26:15,679 --> 00:26:16,847
House?
491
00:26:17,681 --> 00:26:19,683
Well, look on the bright side.
492
00:26:19,808 --> 00:26:23,103
At least you don't have to go
by Mrs. Zebalusky anymore.
493
00:26:23,854 --> 00:26:25,856
That's got to be a relief.
494
00:26:25,981 --> 00:26:28,400
- You know this man?
- I'm sorry, he's sick...
495
00:26:28,525 --> 00:26:32,404
You hear my diagnosis on the dwarf?
Still's disease.
496
00:26:32,779 --> 00:26:34,489
Did you even consider
those ear infections,
497
00:26:34,615 --> 00:26:37,367
or you just wrote it off
as a dwarf thing?
498
00:26:37,492 --> 00:26:38,660
Are you sure he's dead?
499
00:26:38,785 --> 00:26:40,746
Because Dr. Wilson
sometimes misses things.
500
00:26:40,871 --> 00:26:43,081
Trying to embarrass me
in front of a grieving widow
501
00:26:43,207 --> 00:26:45,918
- crosses lines that even...
- Right. I'm pathetic.
502
00:26:47,085 --> 00:26:49,504
I'm strung out, I haven't slept,
puking every hour,
503
00:26:49,630 --> 00:26:51,340
and I still out-diagnosed you.
504
00:26:51,465 --> 00:26:52,758
But I'm supposed to let you
decide what's best...
505
00:26:52,883 --> 00:26:53,884
Please.
506
00:26:55,886 --> 00:26:57,304
Please leave.
507
00:26:59,306 --> 00:27:00,599
Sorry.
508
00:27:01,892 --> 00:27:03,018
I'm done.
509
00:27:05,562 --> 00:27:06,855
House!
510
00:27:11,360 --> 00:27:12,778
You didn't come in here
just to embarrass me,
511
00:27:12,903 --> 00:27:14,613
you can do that any time.
512
00:27:17,241 --> 00:27:20,953
Stealing Oxy from a dead man.
Yeah. You don't have a problem.
513
00:27:30,170 --> 00:27:31,630
(DOOR OPENING)
514
00:27:35,509 --> 00:27:36,635
How's the girl?
515
00:27:36,760 --> 00:27:37,970
Much better.
516
00:27:39,846 --> 00:27:40,973
House was right.
517
00:27:41,098 --> 00:27:42,474
It happens.
518
00:27:43,850 --> 00:27:45,978
I thought
we could handle this.
519
00:27:46,103 --> 00:27:48,438
Still's disease
never crossed my mind.
520
00:27:48,563 --> 00:27:50,857
Don't beat yourself up,
I didn't get it, either.
521
00:28:02,619 --> 00:28:03,704
(CHUCKLES)
522
00:28:03,829 --> 00:28:06,415
I feel like a mob informant.
523
00:28:08,041 --> 00:28:11,878
You want to go inside?
Got a cafeteria in there, right?
524
00:28:12,754 --> 00:28:14,256
I can't testify.
525
00:28:16,717 --> 00:28:20,012
Drug addicts hurt the people
around them with their habit.
526
00:28:20,137 --> 00:28:23,640
House has hurt plenty of people.
You included.
527
00:28:23,765 --> 00:28:26,977
He saves lives.
People that no one else can save.
528
00:28:27,686 --> 00:28:30,856
And, no matter how much
of an ass he is,
529
00:28:31,023 --> 00:28:34,609
statistically, House
is a positive force in the universe.
530
00:28:35,986 --> 00:28:37,863
Pills let him do that.
531
00:28:37,988 --> 00:28:41,408
Vicodin does not make House
a genius.
532
00:28:41,533 --> 00:28:45,078
Whatever he does on the pills,
he can do off.
533
00:28:45,620 --> 00:28:47,914
He is just not willing to try.
534
00:28:49,875 --> 00:28:52,127
I won't testify against him.
535
00:28:54,046 --> 00:28:56,089
Then we'll subpoena you.
536
00:28:56,882 --> 00:28:59,343
Your previous statement
will be read into evidence
537
00:28:59,468 --> 00:29:03,263
and you'll be charged with
interfering with an investigation.
538
00:29:05,098 --> 00:29:06,516
And you will go to jail.
539
00:29:12,022 --> 00:29:14,274
Again, statistically,
540
00:29:14,900 --> 00:29:16,318
better me than him.
541
00:29:16,443 --> 00:29:20,030
Statistically, the two of you
will be in jail.
542
00:29:56,316 --> 00:29:57,275
Dr. Cameron?
543
00:29:57,401 --> 00:29:59,486
Come quick,
there's something wrong with Abby.
544
00:29:59,611 --> 00:30:01,738
It can't be too severe,
her cardiac alarm didn't go off.
545
00:30:01,863 --> 00:30:04,199
It's not her heart.
She's bleeding.
546
00:30:07,119 --> 00:30:09,830
Picking up a scrip
under Zebalusky.
547
00:30:15,794 --> 00:30:18,755
This is Dr. Wilson's patient.
548
00:30:18,880 --> 00:30:22,217
Yeah. Wilson's busy right now.
549
00:30:22,342 --> 00:30:27,139
What with Mr. Zebalusky dying in agony
on account of his metastatic lung cancer
550
00:30:27,264 --> 00:30:29,266
and not having the pills
to relieve that agony
551
00:30:29,391 --> 00:30:32,102
because of some
moron pharmacist.
552
00:30:33,645 --> 00:30:35,105
Sign the book.
553
00:31:03,091 --> 00:31:07,053
The bleeding wasn't a ruptured eardrum,
ear infection or bleeding disorder.
554
00:31:07,179 --> 00:31:09,181
Her heart rate's climbing,
blood pressure's dropping,
555
00:31:09,306 --> 00:31:12,100
she's on the verge
of a multi-system failure.
556
00:31:12,225 --> 00:31:15,020
Head CT was clean, means it's not
a neurological problem.
557
00:31:15,145 --> 00:31:16,104
Basically we have nothing.
558
00:31:16,229 --> 00:31:17,856
The cancer's
still on the table.
559
00:31:17,981 --> 00:31:20,025
Spinal fluid
was negative for lymphoma.
560
00:31:20,150 --> 00:31:21,067
- What other...
- Leukemia.
561
00:31:21,193 --> 00:31:22,486
We need to do
a bone marrow biopsy.
562
00:31:22,611 --> 00:31:24,404
None of the blood tests
suggest leukemia.
563
00:31:24,529 --> 00:31:26,281
Cancer doesn't explain
the collapsed lung.
564
00:31:26,406 --> 00:31:28,867
Unless a small clot
led to a pulmonary infarct.
565
00:31:28,992 --> 00:31:30,827
It's a long shot.
Autoimmune is way more likely.
566
00:31:30,952 --> 00:31:32,954
Autoimmune diseases respond to steroids,
which we've given her.
567
00:31:33,079 --> 00:31:34,998
And she got better for a while,
we stopped the treatment too soon.
568
00:31:35,123 --> 00:31:35,999
Because she crashed.
569
00:31:36,124 --> 00:31:40,670
All we're doing is bouncing back
and forth between cancer and autoimmune.
570
00:31:40,795 --> 00:31:43,131
We're going in circles.
571
00:31:49,596 --> 00:31:51,264
Give me half an hour.
572
00:31:53,016 --> 00:31:54,809
(SANTA CLAUS LAUGHING)
573
00:31:56,436 --> 00:31:58,396
(CHILDREN CHATTERING)
574
00:32:00,357 --> 00:32:01,816
Can I have a French fry?
575
00:32:03,527 --> 00:32:04,611
Get your own.
576
00:32:04,736 --> 00:32:06,863
You took the last ones.
577
00:32:08,156 --> 00:32:09,241
What's wrong with you?
578
00:32:09,366 --> 00:32:11,660
I've got spinal
muscular atrophy.
579
00:32:13,662 --> 00:32:15,830
I guess it's not contagious.
580
00:32:17,207 --> 00:32:18,625
Nice bear.
581
00:32:19,251 --> 00:32:20,252
It's a dog.
582
00:32:20,377 --> 00:32:22,921
House, it's not Still's.
583
00:32:23,547 --> 00:32:24,422
Steroids helped
584
00:32:24,548 --> 00:32:27,551
until the patient started bleeding
from the ears and mouth.
585
00:32:28,343 --> 00:32:29,678
It's a bear.
586
00:32:29,970 --> 00:32:32,138
His name is Bill. He's a dog.
587
00:32:33,014 --> 00:32:35,308
You win, you can have Vicodin.
588
00:32:36,184 --> 00:32:38,395
Words have set meanings
for a reason.
589
00:32:38,520 --> 00:32:40,772
If you see an animal like Bill
and you try to play fetch,
590
00:32:40,897 --> 00:32:42,065
Bill's going to eat you.
591
00:32:42,190 --> 00:32:43,400
Because Bill's a bear.
592
00:32:43,525 --> 00:32:45,068
Are you on something?
593
00:32:46,528 --> 00:32:48,780
You got your hands
on pain meds.
594
00:32:49,072 --> 00:32:51,908
Bill has fur,
four legs, and a collar.
595
00:32:52,617 --> 00:32:53,868
He's a dog.
596
00:32:53,994 --> 00:32:55,912
It's between cancer
and autoimmune.
597
00:32:56,037 --> 00:32:58,498
See, that's what we call
a faulty syllogism.
598
00:32:58,623 --> 00:33:02,043
Just because you call Bill
a dog, doesn't mean that he is
599
00:33:03,795 --> 00:33:05,046
a dog.
600
00:33:10,802 --> 00:33:13,138
We got to x-ray
our patient's leg.
601
00:33:16,683 --> 00:33:18,268
Her leg looks fine.
602
00:33:18,393 --> 00:33:19,811
Weird, huh?
603
00:33:19,936 --> 00:33:21,438
Why aren't you detoxing?
604
00:33:21,563 --> 00:33:22,981
Willpower.
605
00:33:23,523 --> 00:33:24,566
What... What...
606
00:33:24,691 --> 00:33:27,527
Normal's not normal
if you're not nonnal.
607
00:33:27,652 --> 00:33:29,487
Did you just take a pill?
608
00:33:29,613 --> 00:33:30,864
No.
609
00:33:31,239 --> 00:33:34,701
So how does a dwarf have
completely normal growth plates?
610
00:33:34,826 --> 00:33:37,621
It's impossible.
We must be missing something.
611
00:33:37,871 --> 00:33:39,623
How many pills have you taken?
612
00:33:39,748 --> 00:33:41,416
Not nearly as many
as I'm going to take.
613
00:33:41,541 --> 00:33:44,044
I'd forgotten how delicious
they were.
614
00:33:44,169 --> 00:33:45,420
I didn't give them to him.
615
00:33:45,545 --> 00:33:47,964
Can we forget my vices,
get back to my virtues?
616
00:33:48,089 --> 00:33:49,341
We were missing the fact that
617
00:33:49,466 --> 00:33:52,636
just because we called her
a dwarf doesn't mean she is a dwarf.
618
00:33:52,761 --> 00:33:54,679
Everyone assumed she was,
because of her mother.
619
00:33:54,804 --> 00:33:56,556
There's no test
for CHH dwarfism,
620
00:33:56,681 --> 00:34:00,060
so she lost an identity,
but we gained a symptom.
621
00:34:00,477 --> 00:34:03,229
If she doesn't have
skeletal dwarfism,
622
00:34:03,355 --> 00:34:07,942
then her short stature must be
caused by a growth hormone deficiency.
623
00:34:08,068 --> 00:34:09,736
And something's wrong
with her pituitary gland
624
00:34:09,861 --> 00:34:11,696
and based on her size,
it's been wrong for a while.
625
00:34:11,821 --> 00:34:14,824
So what connects
a long-term pituitary issue
626
00:34:14,949 --> 00:34:17,994
with problems in the lungs,
liver and pancreas?
627
00:34:18,119 --> 00:34:21,748
You guys and your bickering.
Cancer versus autoimmune.
628
00:34:21,873 --> 00:34:23,541
Obviously, you think
it's something else.
629
00:34:23,667 --> 00:34:26,336
Nope. I think it's both.
630
00:34:26,461 --> 00:34:28,797
Langerhans cell histiocytosis.
631
00:34:28,922 --> 00:34:30,048
Also known as,
632
00:34:30,173 --> 00:34:33,134
"You got your cancer
in my autoimmune" disease.
633
00:34:33,259 --> 00:34:35,428
The immune component responded
to the Still's treatment,
634
00:34:35,553 --> 00:34:38,264
led to the short-term improvement.
The cancer portion didn't.
635
00:34:38,390 --> 00:34:41,142
We dismissed this earlier, because
there were no neurological symptoms.
636
00:34:41,267 --> 00:34:43,687
Yeah. It's not your fault.
637
00:34:43,812 --> 00:34:46,564
The only neurological symptom
was her height.
638
00:34:46,690 --> 00:34:48,149
Who could have noticed?
639
00:34:58,076 --> 00:34:59,994
This is your pituitary gland.
640
00:35:00,120 --> 00:35:02,706
This is the granuloma
that's been crushing it.
641
00:35:02,831 --> 00:35:07,168
No pituitary equals no growth hormone,
equals about that much.
642
00:35:08,002 --> 00:35:09,796
She's not a dwarf?
643
00:35:09,921 --> 00:35:12,006
Just hormonally challenged.
644
00:35:12,632 --> 00:35:13,967
What about my mom?
645
00:35:14,092 --> 00:35:17,846
Your mom's the real deal.
But you're just a tiny little poseur.
646
00:35:18,012 --> 00:35:20,306
Your recent ear infections
caused your body to release
647
00:35:20,432 --> 00:35:22,892
a cascade of the same cells
that made the granuloma.
648
00:35:23,017 --> 00:35:24,936
They attacked your lungs,
moved on to your liver,
649
00:35:25,061 --> 00:35:27,147
then hitched a ride over
to your pancreas.
650
00:35:27,272 --> 00:35:29,023
We can nuke them
with a mild course of chemo
651
00:35:29,149 --> 00:35:31,443
and then remove the granuloma.
652
00:35:31,568 --> 00:35:33,820
And then what?
What will happen to her then?
653
00:35:35,572 --> 00:35:38,324
Well, let me see
if I can make this clear.
654
00:35:38,450 --> 00:35:40,744
This pill represents
655
00:35:41,661 --> 00:35:42,954
a pill.
656
00:35:43,079 --> 00:35:45,957
And my mouth represents
your daughter's mouth.
657
00:35:47,292 --> 00:35:49,586
We deposit the pill
in the mouth.
658
00:35:55,508 --> 00:35:57,719
You may never be tall enough
to play in the WNBA,
659
00:35:57,844 --> 00:36:01,181
but you should be able to
post up your mom, no problem.
660
00:36:01,765 --> 00:36:03,641
What if I
don't take the pills?
661
00:36:04,392 --> 00:36:07,645
What if you remove the thing in my head
and give me the chemo,
662
00:36:07,771 --> 00:36:10,648
but not the pills?
Would I still get better?
663
00:36:10,774 --> 00:36:13,276
Your body needs growth hormone
for lots of things.
664
00:36:13,401 --> 00:36:14,694
Like
665
00:36:14,819 --> 00:36:15,945
to grow.
666
00:36:16,446 --> 00:36:17,822
I like who I am now.
667
00:36:18,573 --> 00:36:20,742
Nobody your age
likes who they are now.
668
00:36:20,867 --> 00:36:21,826
I do.
669
00:36:24,621 --> 00:36:27,165
You like needing help when
you want something off a high shelf?
670
00:36:27,290 --> 00:36:29,667
Not being able to press an
elevator button above the eighth floor?
671
00:36:29,793 --> 00:36:32,545
Having to smell ass
every time you stand in line?
672
00:36:32,670 --> 00:36:34,464
You don't need growth hormone.
673
00:36:34,589 --> 00:36:37,592
It's just your ticket
out of the freak show.
674
00:36:51,231 --> 00:36:52,982
Can't you deliver a diagnosis
675
00:36:53,107 --> 00:36:55,443
without making her feel
that her life isn't worth living?
676
00:36:55,568 --> 00:36:56,945
I'm trying to help her.
677
00:36:57,070 --> 00:36:59,531
You're trying
to make her taller.
678
00:36:59,656 --> 00:37:01,074
Not too tall.
679
00:37:01,407 --> 00:37:03,910
Just tall enough
to wipe her own butt.
680
00:37:07,580 --> 00:37:08,623
Are you high?
681
00:37:08,748 --> 00:37:10,291
Higher than you.
682
00:37:10,416 --> 00:37:13,461
If my daughter doesn't want
to choose the easy path,
683
00:37:13,586 --> 00:37:14,587
I won't force her to.
684
00:37:14,712 --> 00:37:16,756
Then you're a lousy mom.
685
00:37:16,881 --> 00:37:18,383
You want your daughter
to be a freak.
686
00:37:18,508 --> 00:37:20,218
We're not freaks.
687
00:37:20,510 --> 00:37:22,720
You want her to overcome
adversity.
688
00:37:22,846 --> 00:37:24,973
- Yes.
- Then why stop at height?
689
00:37:25,098 --> 00:37:28,351
Poke a stick in her eye.
Imagine how interesting she'll be then.
690
00:37:28,476 --> 00:37:30,061
Being little
is not the same as...
691
00:37:30,186 --> 00:37:33,356
You and I have found out
that being normal sucks.
692
00:37:33,481 --> 00:37:35,567
Because we're freaks.
693
00:37:35,984 --> 00:37:39,529
The advantage of being a freak
is it makes you stronger.
694
00:37:39,654 --> 00:37:42,866
Now, how strong
do you really want her to have to be?
695
00:37:45,076 --> 00:37:47,829
You told her
what you had to tell her.
696
00:37:47,954 --> 00:37:49,747
Now you tell her you lied.
697
00:37:51,833 --> 00:37:53,710
Even if you didn't.
698
00:38:00,466 --> 00:38:03,261
This is who
you were supposed to be.
699
00:38:03,595 --> 00:38:04,929
You hate normal.
700
00:38:06,514 --> 00:38:08,016
It's not that simple.
701
00:38:08,725 --> 00:38:12,061
If I grow,
I'll fade into the background.
702
00:38:12,186 --> 00:38:13,563
I'll be boring.
703
00:38:17,358 --> 00:38:18,693
We'll get you a funny hat.
704
00:38:23,156 --> 00:38:24,824
You could never be boring.
705
00:38:26,701 --> 00:38:28,661
You want me
to be like everybody else?
706
00:38:33,833 --> 00:38:36,252
I want you to have
what I can't.
707
00:38:54,646 --> 00:38:56,064
Abigail agreed...
708
00:38:56,648 --> 00:38:59,233
Abigail agreed
to take growth hormone.
709
00:38:59,442 --> 00:39:00,985
Who's Abigail?
710
00:39:01,527 --> 00:39:03,613
Your non-dwarf dwarf patient.
711
00:39:03,738 --> 00:39:04,822
Good.
712
00:39:06,407 --> 00:39:09,410
Then the growth hormone
makes sense.
713
00:39:10,620 --> 00:39:11,788
Christmas Eve.
714
00:39:11,913 --> 00:39:13,331
Yeah, I know.
715
00:39:13,831 --> 00:39:15,708
Deal expires tomorrow.
716
00:39:16,334 --> 00:39:17,919
You have plans for tonight?
717
00:39:18,044 --> 00:39:20,296
You worried I'm going to be
popping more pills?
718
00:39:21,923 --> 00:39:24,592
Thought you might prefer
people over pills.
719
00:39:53,788 --> 00:39:55,123
Hey, Mom.
720
00:39:56,499 --> 00:39:59,627
I guess you guys are already up
at Aunt Sarah's.
721
00:40:01,546 --> 00:40:02,797
I'm sure Dad's in the eggnog
722
00:40:02,922 --> 00:40:06,884
and you're probably suffering
through another dried-out turkey.
723
00:40:14,392 --> 00:40:17,395
I just wanted to say,
"Merry Christmas."
724
00:40:42,295 --> 00:40:43,880
(KNOCKING ON DOOR)
725
00:40:45,048 --> 00:40:46,340
WILSON: House?
726
00:40:47,175 --> 00:40:50,094
Are you okay?
I called three times.
727
00:41:40,436 --> 00:41:41,771
(DOOR CLOSING)
728
00:41:48,069 --> 00:41:52,657
(HAVE YOURSELF A MERRY
LITTLE CHRISTMAS PLAYING)
729
00:42:04,252 --> 00:42:06,629
I'm ready to take the deal.
730
00:42:07,755 --> 00:42:09,465
Well, that's off the table.
731
00:42:11,676 --> 00:42:15,012
- The clock doesn't expire until...
- Got new evidence.
732
00:42:15,138 --> 00:42:17,223
We don't need Wilson anymore.
733
00:42:17,807 --> 00:42:20,226
Thing about addicts is,
734
00:42:21,853 --> 00:42:24,063
no matter how smart they are,
735
00:42:24,522 --> 00:42:27,400
they are dumb
when it comes to drugs.
736
00:42:27,942 --> 00:42:30,820
So, I've been keeping an eye
on the pharmacy log.
737
00:42:31,529 --> 00:42:35,074
Seems some patient of Wilson's
named Zebalusky,
738
00:42:35,533 --> 00:42:40,496
managed to pick up his Oxy prescription
after he died.
739
00:42:43,624 --> 00:42:45,042
(CHUCKLES)
740
00:42:48,588 --> 00:42:50,006
Jesus walks, huh?
741
00:42:58,264 --> 00:42:59,849
Merry Christmas.