1
00:00:03,191 --> 00:00:04,985
I'm okay. Let's just go home.
2
00:00:05,110 --> 00:00:06,486
You're getting checked out.
3
00:00:07,154 --> 00:00:10,741
I tripped on the ice. Eight other kids
tripped. This is embarrassing.
4
00:00:10,866 --> 00:00:13,118
You said you were just going to
hang with your friends.
5
00:00:13,577 --> 00:00:16,663
I turn around,
and you're out there on the ice.
6
00:00:17,039 --> 00:00:18,165
I'm fine.
7
00:00:18,498 --> 00:00:19,875
You don't know that.
8
00:00:20,000 --> 00:00:22,252
You fell awkwardly.
9
00:00:22,377 --> 00:00:23,629
No, I didn't.
10
00:00:23,754 --> 00:00:24,921
You don't know how to fall.
11
00:00:25,297 --> 00:00:27,174
I'm 16.
I've been falling a lot.
12
00:00:27,299 --> 00:00:30,260
I think I'm getting
the hang of it. And I checked.
13
00:00:30,427 --> 00:00:32,387
(MUSIC PLAYING ON STEREO)
14
00:00:32,512 --> 00:00:33,555
(MUSIC STOPS)
15
00:00:33,680 --> 00:00:35,223
And now the doctors
are going to check.
16
00:00:35,641 --> 00:00:38,018
You don't think that
you're overreacting?
17
00:00:38,143 --> 00:00:40,020
I don't need you
to fix every booboo.
18
00:00:40,145 --> 00:00:41,563
Then stop getting them.
19
00:00:41,688 --> 00:00:44,066
I was just playing around
with my friends. I was having fun.
20
00:00:44,191 --> 00:00:45,359
You know you can't do that.
21
00:00:45,484 --> 00:00:46,777
Oh, I can't have fun.
22
00:00:46,902 --> 00:00:50,864
You know what I mean. I'm going to have
a talk with your friends.
23
00:00:51,281 --> 00:00:52,616
- No!
- They need to stop.
24
00:00:52,741 --> 00:00:55,285
No, I don't want you
freaking them out.
25
00:00:57,913 --> 00:01:00,082
Fine.
Fine, we'll go to the hospital,
26
00:01:00,207 --> 00:01:01,083
but they're going
to tell you that I'm fine,
27
00:01:01,208 --> 00:01:03,835
and they're going to tell you
that you don't need to worry about...
28
00:01:04,836 --> 00:01:06,171
(TRUCK HORN BLARING)
Mom!
29
00:01:42,791 --> 00:01:44,042
Mom?
30
00:01:45,669 --> 00:01:46,753
Mom?
31
00:01:50,632 --> 00:01:52,008
Hello?
32
00:02:03,729 --> 00:02:08,608
Mom, you gotta wake up.
No one's coming. Mom!
33
00:02:17,284 --> 00:02:18,785
WOMAN: 911,
what's your emergency?
34
00:02:19,119 --> 00:02:22,664
We got into an accident along the Canal
Road just outside Kingston.
35
00:02:23,165 --> 00:02:24,416
My mom's unconscious.
36
00:02:25,250 --> 00:02:26,626
Are you hurt?
37
00:02:28,962 --> 00:02:30,464
I'm fine.
38
00:02:34,217 --> 00:02:36,803
Mom? Mom?
39
00:03:18,678 --> 00:03:19,679
Where's Foreman?
40
00:03:19,805 --> 00:03:21,097
He's down here somewhere.
41
00:03:21,515 --> 00:03:23,683
"Somewhere." Very helpful.
42
00:03:23,809 --> 00:03:26,686
Do you have any idea
when he's getting out tonight?
43
00:03:26,812 --> 00:03:28,146
Sometime.
44
00:03:28,271 --> 00:03:29,606
I realize you can't predict.
45
00:03:29,731 --> 00:03:33,193
I just thought you might be
able to estimate. It's Valentine's Day.
46
00:03:33,318 --> 00:03:34,820
I've planned
a surprise getaway.
47
00:03:34,945 --> 00:03:36,196
Get away.
48
00:03:38,073 --> 00:03:39,074
Get away.
49
00:03:40,575 --> 00:03:42,410
Get away.
50
00:03:47,749 --> 00:03:48,792
Is my mom okay?
51
00:03:49,334 --> 00:03:50,585
She's gone to surgery.
52
00:03:54,297 --> 00:03:58,718
Foreman, your girlfriend wants to know
if you're available for Valentine's.
53
00:03:58,844 --> 00:04:02,305
Act surprised.
What are you doing down here?
54
00:04:02,430 --> 00:04:05,559
There's a snowstorm. ER's short-staffed.
We're all supposed to be here.
55
00:04:05,684 --> 00:04:08,812
You're supposed to be here.
You're an ass. Act surprised.
56
00:04:10,605 --> 00:04:12,732
This could sting a little.
57
00:04:16,027 --> 00:04:17,737
- Can we hurry this up?
- Make sure that...
58
00:04:17,863 --> 00:04:21,199
Take your time.
What's your name?
59
00:04:22,409 --> 00:04:24,536
Hannah Morganthal.
60
00:04:25,203 --> 00:04:27,622
You have CIPA,
Hannah Morganthal.
61
00:04:28,248 --> 00:04:29,291
No, I don't.
62
00:04:29,416 --> 00:04:32,586
We have to do x-rays to make sure
you don't have internal injuries,
63
00:04:32,711 --> 00:04:34,254
blood tests to make sure
no infections.
64
00:04:34,379 --> 00:04:39,885
EEG for neurological anomalies
and biopsy a spinal nerve.
65
00:04:40,468 --> 00:04:44,681
Congenital insensitivity to pain is one
of the rarest conditions on the planet.
66
00:04:44,806 --> 00:04:46,975
There's only been
about 60 documented cases.
67
00:04:47,100 --> 00:04:51,354
Yeah, and I have seven reasons
to think that she's one of them.
68
00:04:51,479 --> 00:04:52,689
She says she's not.
69
00:04:52,814 --> 00:04:54,608
And that's reason number one.
70
00:04:54,733 --> 00:04:56,109
She knew what it was
without us telling her.
71
00:04:56,860 --> 00:05:01,615
Two, she's still wet from the snow.
She's not shivering. That's odd,
72
00:05:01,740 --> 00:05:03,992
unless she can't sweat
or feel hot and cold.
73
00:05:04,200 --> 00:05:06,036
The ambulance was warm.
74
00:05:06,161 --> 00:05:07,203
I want to see my mother.
75
00:05:07,370 --> 00:05:09,164
Three, scarring around
the lips and tongue.
76
00:05:09,831 --> 00:05:12,459
When she was a baby, she chewed
on herself without feeling it.
77
00:05:12,584 --> 00:05:13,877
I fell through a window
when I was a kid.
78
00:05:14,085 --> 00:05:15,754
Four, when you cleaned
the wound,
79
00:05:15,879 --> 00:05:18,423
she flexed into the cleaner
instead of away from it.
80
00:05:18,840 --> 00:05:21,676
It's hard to fake pain
when you've never felt it.
81
00:05:21,801 --> 00:05:24,888
It takes an imaginative leap,
Ms. Morganthal.
82
00:05:25,013 --> 00:05:26,973
That's one of them Jew names.
83
00:05:28,099 --> 00:05:30,310
Ashkenazis are a
higher-risk group.
84
00:05:30,435 --> 00:05:32,646
On the other hand,
she says she doesn't have it,
85
00:05:32,771 --> 00:05:35,231
and she'd be dead by now
if she'd never been diagnosed.
86
00:05:35,357 --> 00:05:38,693
They killed our Lord.
You're going to trust them?
87
00:05:39,945 --> 00:05:42,530
She wants to see her mom.
She admits having CIPA,
88
00:05:42,656 --> 00:05:45,700
she knows we're not letting her go
anywhere without a battery of tests.
89
00:05:45,825 --> 00:05:47,077
You said you had
seven reasons.
90
00:05:47,202 --> 00:05:48,912
I pulled a number
out of the air.
91
00:05:49,037 --> 00:05:50,330
What, five isn't enough?
92
00:05:50,455 --> 00:05:52,290
Five lame reasons aren't.
93
00:05:52,415 --> 00:05:54,459
I'm taking her to
see her mom as soon as...
94
00:05:56,753 --> 00:05:59,214
I can hit her again
if six isn't enough.
95
00:06:01,508 --> 00:06:03,510
Do the tests.
96
00:06:06,429 --> 00:06:09,015
Need to bail on the ER.
I got a case.
97
00:06:12,644 --> 00:06:13,603
Why are you wearing perfume?
98
00:06:14,145 --> 00:06:15,230
Is this a real case
99
00:06:15,355 --> 00:06:18,191
or one of those imaginary cases
that happen when you're bored?
100
00:06:18,316 --> 00:06:19,943
CIPA.
101
00:06:20,068 --> 00:06:21,695
CIPA is a diagnosis.
102
00:06:22,821 --> 00:06:25,615
Diagnoses happen
at the end of cases.
103
00:06:25,740 --> 00:06:27,951
She's got no idea
what's going on in her body.
104
00:06:28,076 --> 00:06:29,285
There's bound to be
something wrong.
105
00:06:29,411 --> 00:06:31,079
In other words,
she could be perfectly healthy,
106
00:06:31,204 --> 00:06:33,873
but you're curious
about someone who can't feel pain
107
00:06:33,999 --> 00:06:36,835
because you always feel pain,
so you want to go exploring.
108
00:06:37,794 --> 00:06:39,546
She was in a car accident.
109
00:06:39,671 --> 00:06:42,882
She needs x-rays, blood tests, EEG,
nerve biopsy.
110
00:06:43,008 --> 00:06:46,469
I also note that, although snow is
coming down in sheets this morning,
111
00:06:46,594 --> 00:06:49,639
you left your hat at home,
and you used eannuffs.
112
00:06:49,764 --> 00:06:51,057
Do your tests,
except for the...
113
00:06:51,182 --> 00:06:53,351
So while everyone else
was just worrying about getting in,
114
00:06:53,476 --> 00:06:55,603
you were concerned
with hat head.
115
00:06:57,605 --> 00:07:00,191
Blind dates are
never a good idea.
116
00:07:00,650 --> 00:07:04,946
Only reason to wear a scarf like that is
as a beacon to identify you in a crowd.
117
00:07:05,739 --> 00:07:07,782
Do your tests,
except for the nerve biopsy.
118
00:07:07,907 --> 00:07:09,993
- I need the nerve biopsy.
- You'd risk paralyzing her.
119
00:07:10,118 --> 00:07:11,286
It's neurological.
120
00:07:11,411 --> 00:07:13,288
You have no evidence of that.
121
00:07:13,413 --> 00:07:15,040
She tripped.
122
00:07:16,041 --> 00:07:17,917
Do you have any evidence,
other than the fact
123
00:07:18,043 --> 00:07:21,171
that a typically clumsy CIPA patient
tripped on an icy day?
124
00:07:23,715 --> 00:07:27,010
If the EEG reveals a problem,
we can talk then.
125
00:07:31,723 --> 00:07:33,308
Could have left the scarf
at home and just told him
126
00:07:33,433 --> 00:07:35,310
you'd be wearing
a look of desperation.
127
00:07:39,439 --> 00:07:41,608
Spiking on leads C-3 and 0-2.
128
00:07:41,733 --> 00:07:42,776
She could be going into
a seizure.
129
00:07:42,901 --> 00:07:45,195
HANNAH: Hello?
I think there's a simpler explanation.
130
00:07:45,320 --> 00:07:50,116
You're not going to find anything.
I'm fine! I want to see my mom!
131
00:07:51,034 --> 00:07:52,202
So sedate her.
132
00:07:52,327 --> 00:07:53,703
She won't consent.
133
00:07:53,828 --> 00:07:54,996
She's a teenager.
134
00:07:55,121 --> 00:07:56,998
No dad.
Mom's still in surgery.
135
00:07:57,123 --> 00:07:59,167
What do you want us to do?
Hold her down?
136
00:07:59,292 --> 00:08:02,170
Well, only until you inject her with a
sedative. Then you can let her go.
137
00:08:02,295 --> 00:08:03,505
We tried.
138
00:08:03,630 --> 00:08:04,631
Seriously?
139
00:08:04,756 --> 00:08:07,634
She's strong and doesn't care.
We'd have broken something
140
00:08:07,759 --> 00:08:09,636
before we can get her to sit
still enough to inject her.
141
00:08:09,761 --> 00:08:12,388
So break her arm.
She won't mind.
142
00:08:12,972 --> 00:08:15,266
- You're cranky.
- I'm in pain.
143
00:08:16,810 --> 00:08:18,978
Come on,
let's go break her arm.
144
00:08:21,731 --> 00:08:25,610
Nurse Shortie, your biznitch, how long
are you going to waste her time?
145
00:08:25,735 --> 00:08:27,403
I'm so glad
we're walking somewhere.
146
00:08:27,529 --> 00:08:29,239
Another 60 feet,
and this conversation is over.
147
00:08:29,364 --> 00:08:31,866
When you guys are out of this program,
Cameron will find somebody,
148
00:08:31,991 --> 00:08:35,578
Chase will find eight somebodies,
and you'll be alone.
149
00:08:35,703 --> 00:08:37,705
Thirty feet.
You'll date, and you'll date,
150
00:08:37,831 --> 00:08:40,542
but you're the ultimate Darwinian.
You have to fight for everything.
151
00:08:40,667 --> 00:08:42,585
- Anybody else would just slow you down.
- Yeah.
152
00:08:42,710 --> 00:08:43,670
I'm still with her, aren't I?
153
00:08:43,795 --> 00:08:44,879
Yeah.
154
00:08:45,004 --> 00:08:47,757
I can only imagine it's because she
hasn't given you an excuse to break up,
155
00:08:47,882 --> 00:08:51,344
and you don't have the guts
to recognize your own reality.
156
00:08:52,178 --> 00:08:54,681
I want to see my mother.
157
00:08:54,806 --> 00:08:55,807
Hi again.
158
00:08:56,891 --> 00:08:58,893
I'm sure I could say this
without being condescending,
159
00:08:59,018 --> 00:09:01,187
but then you'd get the false impression
that I respect you,
160
00:09:01,312 --> 00:09:05,817
so you're a kid, you're scared,
you're stalling, grow up.
161
00:09:06,109 --> 00:09:08,736
I'm not scared.
I'm never scared.
162
00:09:08,862 --> 00:09:11,322
See? How juvenile was that?
163
00:09:11,447 --> 00:09:14,492
You can't feel pain.
Nothing left but pleasure.
164
00:09:14,617 --> 00:09:16,411
Why don't you tell me
how wonderful that is?
165
00:09:16,536 --> 00:09:17,620
It sucks.
166
00:09:17,745 --> 00:09:19,122
Better than being
in pain all the time.
167
00:09:19,247 --> 00:09:20,832
Get in the chair.
168
00:09:20,957 --> 00:09:22,792
Every morning,
I have to check my eyes
169
00:09:22,917 --> 00:09:24,836
to make sure I didn't scratch a cornea
in my sleep.
170
00:09:24,961 --> 00:09:28,214
Oh, God, stop.
I'm in a pool of tears here.
171
00:09:28,548 --> 00:09:29,507
I can't cry.
172
00:09:29,632 --> 00:09:30,717
Neither can I.
173
00:09:31,759 --> 00:09:35,597
Every morning,
I check my eyes for jaundice
174
00:09:35,722 --> 00:09:37,765
in case the Vicodin's
finally shot my liver.
175
00:09:38,308 --> 00:09:40,602
I can't run anywhere
without examining all my toes
176
00:09:40,727 --> 00:09:42,687
- for swelling.
- I can't run.
177
00:09:42,812 --> 00:09:45,273
Boys can't hold me
for too long because I can overheat.
178
00:09:45,398 --> 00:09:48,109
Girls can't hold me for too long because
I only pay for an hour.
179
00:09:48,693 --> 00:09:52,405
I need an alarm on my watch
to remind me to go to the bathroom.
180
00:09:52,530 --> 00:09:54,949
Know how many humiliating
experiences before I thought of that?
181
00:09:55,074 --> 00:09:57,952
Bathroom is 50 feet
from my office. Every drink of water,
182
00:09:58,077 --> 00:09:59,329
I weigh the pros and cons.
183
00:09:59,454 --> 00:10:01,581
After everything I do,
I self-check.
184
00:10:01,706 --> 00:10:04,876
Mouth, tongue, gums for cuts, count
teeth, check temperature,
185
00:10:05,001 --> 00:10:07,921
fingers, toes and joints
for swelling, skin for bruises.
186
00:10:08,046 --> 00:10:08,922
I got shot.
187
00:10:14,677 --> 00:10:18,223
I sat on a stove when I was three.
Want to see the coil marks?
188
00:10:18,348 --> 00:10:19,849
- Yeah.
- You think I'm lying?
189
00:10:19,974 --> 00:10:21,768
You think I would just want to
check out your tuchus,
190
00:10:21,893 --> 00:10:23,770
as your people would say?
191
00:10:31,778 --> 00:10:37,325
Put her in the chair and run the test.
If she moves again, give her nitrous.
192
00:10:37,450 --> 00:10:39,827
You weren't shot because of leg pain.
You were shot because you're a jerk.
193
00:10:39,953 --> 00:10:42,413
Some think
the two are connected.
194
00:10:43,831 --> 00:10:46,000
(WOMAN CHATTERING ON PA)
195
00:10:50,171 --> 00:10:51,547
He didn't have to do that.
196
00:10:51,673 --> 00:10:53,174
Yeah, he did.
197
00:10:53,299 --> 00:10:54,592
I'm sick?
198
00:10:54,717 --> 00:10:56,552
No, your EEG was normal.
199
00:10:56,678 --> 00:10:58,471
X-ray showed no break.
200
00:10:58,596 --> 00:11:00,515
Blood tests showed no infections.
Urine indicated no...
201
00:11:01,808 --> 00:11:02,725
Hannah?
202
00:11:04,602 --> 00:11:07,480
Call a code! Oh, God.
203
00:11:08,064 --> 00:11:09,983
Need ice packs
and cooling blankets.
204
00:11:11,526 --> 00:11:13,403
- Got saline in there?
- She's not flushed.
205
00:11:13,528 --> 00:11:14,737
She's not sweating.
You must be...
206
00:11:14,862 --> 00:11:16,072
She has a temperature of 105.
207
00:11:33,673 --> 00:11:35,508
Wow, she's actually sick.
208
00:11:35,633 --> 00:11:38,261
We got her temperature down below
boiling. It could be infection.
209
00:11:38,386 --> 00:11:41,639
No, LP showed normal proteins
and no white blood cells.
210
00:11:41,764 --> 00:11:44,017
High bilirubin.
Could be a liver problem.
211
00:11:44,142 --> 00:11:46,894
- Nope, transaminases were normal.
- Could be drugs.
212
00:11:47,020 --> 00:11:48,521
She's smoked pot
since she was 11.
213
00:11:48,646 --> 00:11:50,231
No again.
Tox screen was clean.
214
00:11:50,356 --> 00:11:51,649
We're doing
this case backwards.
215
00:11:51,774 --> 00:11:53,192
We do the tests,
and then she gets sick?
216
00:11:53,318 --> 00:11:56,279
Maybe we did something to her.
Maybe she got sick after the tests.
217
00:11:56,404 --> 00:11:58,197
We should rerun them.
218
00:11:59,073 --> 00:12:01,409
And biopsy a spinal nerve.
219
00:12:03,536 --> 00:12:05,455
You want to risk paralysis
because she's got a fever?
220
00:12:06,372 --> 00:12:09,584
I want to risk paralysis because I don't
know what's causing the fever.
221
00:12:09,709 --> 00:12:11,419
- If it's neurological...
- It's a fever.
222
00:12:11,544 --> 00:12:16,049
In a CIPA patient. Obviously things are
different in her upstairs wiring.
223
00:12:16,174 --> 00:12:18,176
And have been since
the day she was born.
224
00:12:18,343 --> 00:12:19,802
Yeah, it's much more likely
225
00:12:19,927 --> 00:12:22,513
that whatever it is was cleverly
waiting and hiding
226
00:12:22,638 --> 00:12:23,806
until you guys
were done testing.
227
00:12:24,182 --> 00:12:25,016
Where are you going?
228
00:12:25,183 --> 00:12:27,477
You're all against this,
right?
229
00:12:27,643 --> 00:12:31,606
And you're all going to stand on
principle and refuse to do it, right?
230
00:12:32,899 --> 00:12:35,443
I'm going to get
Cuddy's approval.
231
00:12:37,987 --> 00:12:41,366
CAMERON: How long are we going to keep
Hannah in the dark about her mother?
232
00:12:41,491 --> 00:12:42,992
CHASE: Long as possible.
233
00:12:43,534 --> 00:12:45,411
Side airbags
should be standard.
234
00:12:45,536 --> 00:12:47,372
I'm sure she'll agree.
235
00:12:48,998 --> 00:12:51,167
She should know
her mother's situation.
236
00:12:52,293 --> 00:12:55,630
Breaking that news
is that surgeon's problem.
237
00:12:56,506 --> 00:12:57,799
Any word from House?
238
00:12:57,924 --> 00:12:59,008
No.
239
00:12:59,217 --> 00:13:02,345
Well, maybe Cuddy will say no.
240
00:13:02,887 --> 00:13:03,888
Cuddy never says no.
241
00:13:04,013 --> 00:13:05,223
That's not true.
242
00:13:05,348 --> 00:13:08,267
Nobody ever says no.
We don't say no.
243
00:13:08,393 --> 00:13:09,519
You don't say no.
244
00:13:09,644 --> 00:13:11,687
He'll come back.
He'll browbeat us.
245
00:13:11,813 --> 00:13:13,731
He'll give us seven reasons,
and eventually we'll fold.
246
00:13:13,856 --> 00:13:15,900
We all will, not just me.
247
00:13:17,568 --> 00:13:19,987
The only way we can avoid biopsying
this kid's spine
248
00:13:20,113 --> 00:13:21,614
is to find the answer
some other way.
249
00:13:21,739 --> 00:13:23,616
All the tests were negative.
250
00:13:23,741 --> 00:13:24,867
We need a better history.
251
00:13:25,284 --> 00:13:26,661
How much more paperwork
do you need?
252
00:13:26,786 --> 00:13:29,664
We've got pediatric records,
a few dozen ER records,
253
00:13:29,789 --> 00:13:31,916
our own admission
questionnaire.
254
00:13:32,667 --> 00:13:33,584
What's the first question?
255
00:13:33,709 --> 00:13:35,545
Insurance coverage.
256
00:13:35,670 --> 00:13:36,754
Okay, second question.
257
00:13:36,879 --> 00:13:38,673
Just make your point.
258
00:13:40,049 --> 00:13:41,759
"Where does it hurt?"
259
00:13:42,135 --> 00:13:44,011
If we knew where it hurt,
we could diagnose her.
260
00:13:44,137 --> 00:13:46,347
You do know CIPA means
she can't feel pain.
261
00:13:46,472 --> 00:13:49,225
No, CIPA means she's
insensitive to pain.
262
00:13:49,350 --> 00:13:51,644
She still has scattered nerve fibers
that could conduct pain,
263
00:13:51,769 --> 00:13:53,688
but the signals don't make
it to the brain.
264
00:13:54,313 --> 00:13:58,693
What if we give her more
pain signals, a lot more pain signals?
265
00:13:58,818 --> 00:14:00,361
Maybe some of them
will make it through.
266
00:14:00,528 --> 00:14:01,654
You want to torture her?
267
00:14:01,779 --> 00:14:03,573
No.
268
00:14:04,198 --> 00:14:06,534
Yes, we do this
to anybody else, it's torture.
269
00:14:06,659 --> 00:14:09,078
Doing it to her
is no different than pricking a finger.
270
00:14:09,662 --> 00:14:11,497
We keep poking sharp sticks
into her,
271
00:14:11,622 --> 00:14:16,461
eventually we'll find the part
that's already tender.
272
00:14:18,838 --> 00:14:22,008
So what does
a Dean of Medicine do?
273
00:14:22,133 --> 00:14:24,385
Oh, can we please
not talk about that?
274
00:14:24,510 --> 00:14:27,555
I will talk about anything else.
I'm just trying to get away from work.
275
00:14:27,847 --> 00:14:32,101
Metaphorically, because geographically,
the coffee place
276
00:14:32,226 --> 00:14:33,561
around the corner from the hospital
277
00:14:33,686 --> 00:14:35,354
probably isn't the furthest you could
get.
278
00:14:35,480 --> 00:14:36,731
Well, the snow!
279
00:14:36,856 --> 00:14:37,982
The roads are clearing,
280
00:14:39,025 --> 00:14:42,153
but it's a good place
to beat a retreat from.
281
00:14:43,821 --> 00:14:46,199
You usually expect
your dates to go wrong?
282
00:14:46,324 --> 00:14:48,493
Experience has taught me
to have an escape route.
283
00:14:48,618 --> 00:14:51,037
Well, low expectations,
that's in my favor.
284
00:14:59,378 --> 00:15:02,256
Whatever happens,
I need you to understand
285
00:15:02,381 --> 00:15:06,093
that there are certain aspects to my
life I'm not happy about.
286
00:15:07,053 --> 00:15:08,888
Need a nerve biopsy.
287
00:15:09,639 --> 00:15:12,099
And you had to come here
personally to tell me that?
288
00:15:12,225 --> 00:15:13,643
And how did you even know
I was here?
289
00:15:13,768 --> 00:15:14,727
I had to bring the file,
290
00:15:15,853 --> 00:15:19,774
and this was the most noncommittal
location in walking distance.
291
00:15:20,024 --> 00:15:23,444
You left your car keys
in your desk. Greg House.
292
00:15:24,487 --> 00:15:26,656
You two must have met online.
293
00:15:26,781 --> 00:15:28,449
Either that, or you've got a friend
who secretly hates you.
294
00:15:31,035 --> 00:15:32,537
Don Herrick.
295
00:15:33,538 --> 00:15:37,375
Yeah, we connected through
SingleBallroomDanceLovers.com.
296
00:15:41,170 --> 00:15:43,172
Why would he volunteer
that information?
297
00:15:43,631 --> 00:15:44,674
Why would I hide it?
298
00:15:44,799 --> 00:15:48,052
You didn't tell him that anything he
said would be held against you?
299
00:15:48,553 --> 00:15:49,679
So what line of work
are you in?
300
00:15:49,929 --> 00:15:53,015
Auto maintenance,
changing oil and filters.
301
00:15:53,808 --> 00:15:57,603
Great, 'cause my place overcharges.
Can't trust anything you guys say.
302
00:15:57,728 --> 00:15:58,729
Where are you located?
303
00:15:58,854 --> 00:16:01,941
In 14 states.
I own Eastern Lube.
304
00:16:07,071 --> 00:16:10,658
Most CIPA complications
are infection, and she's got a fever.
305
00:16:10,783 --> 00:16:12,660
LP? Urine?
306
00:16:12,785 --> 00:16:14,412
Clean. Normal.
307
00:16:14,537 --> 00:16:16,372
Same with
the white-blood-cell count.
308
00:16:16,497 --> 00:16:18,374
- Cancer?
- Nothing on the scan.
309
00:16:18,499 --> 00:16:20,585
I think it's her nerves
messing with the temperature control.
310
00:16:20,710 --> 00:16:23,004
Amyloid, sarcoid,
there's a lot of candidates.
311
00:16:23,546 --> 00:16:24,880
I want a biopsy.
312
00:16:25,006 --> 00:16:27,174
Fine, if that's what
you need, go get it.
313
00:16:31,846 --> 00:16:32,930
(LOUDLY) He seems a lot nicer
314
00:16:33,055 --> 00:16:36,309
than that one
from WiccaNeedsADaddyFigure.com.
315
00:16:44,358 --> 00:16:47,445
CHASE: One of these is warm,
316
00:16:47,570 --> 00:16:50,489
and the other is very hot.
317
00:16:51,490 --> 00:16:56,287
Start here. Move to the hot one.
Just a few seconds, then back.
318
00:16:56,412 --> 00:16:58,623
We're going to monitor activity
in your brain while you do it.
319
00:16:59,749 --> 00:17:04,503
If you feel any response to the heat,
it could indicate a vascular problem.
320
00:17:10,051 --> 00:17:12,053
How's my mom doing?
321
00:17:12,178 --> 00:17:14,847
She's okay.
Do you feel anything?
322
00:17:15,473 --> 00:17:16,891
No.
323
00:17:18,100 --> 00:17:19,268
What does "okay" mean?
324
00:17:19,810 --> 00:17:21,020
She's still in surgery.
325
00:17:21,145 --> 00:17:22,438
They tell me it's going okay.
326
00:17:22,563 --> 00:17:24,315
Can you take your hand out?
327
00:17:24,440 --> 00:17:25,858
And you didn't
ask anything else?
328
00:17:26,817 --> 00:17:28,277
Take your hand
out of the water.
329
00:17:28,944 --> 00:17:30,863
What's going on
with my mother?
330
00:17:33,407 --> 00:17:34,367
Hannah!
331
00:17:36,577 --> 00:17:39,080
You just got
second-degree burns.
332
00:17:40,039 --> 00:17:44,001
I'll be fine. What's going on
with my mother? Is she going to die?
333
00:17:44,126 --> 00:17:46,545
They said she's okay.
Surgery this long
334
00:17:46,671 --> 00:17:48,964
is typical when there are
internal injuries.
335
00:17:51,384 --> 00:17:53,344
FOREMAN: Naloxone and
kinase proteins in.
336
00:17:53,719 --> 00:17:55,554
And that's going to make
me feel pain?
337
00:17:55,680 --> 00:17:58,224
I didn't feel anything when you guys
screwed this thing into my head.
338
00:17:58,349 --> 00:18:01,769
It'll replace missing chemicals in your
nerves, heighten sensitivity.
339
00:18:01,894 --> 00:18:03,729
We're going to be drilling
directly into your skull.
340
00:18:04,355 --> 00:18:06,857
A response should
indicate sarcoma.
341
00:18:06,982 --> 00:18:08,526
What does it feel like?
342
00:18:08,651 --> 00:18:10,611
It hurts.
343
00:18:12,488 --> 00:18:13,906
I'm sorry.
344
00:18:16,075 --> 00:18:18,786
Bone pain is the worst
there is, so you need
345
00:18:18,911 --> 00:18:20,579
to let me know as soon
as you feel anything.
346
00:18:21,580 --> 00:18:22,790
She's ready.
347
00:18:24,041 --> 00:18:26,627
So, what, I just sit here
while you guys drill a hole in me?
348
00:18:29,296 --> 00:18:30,297
You wanna talk?
349
00:18:32,299 --> 00:18:35,803
Just you and your mom, huh?
You two must be pretty close.
350
00:18:35,928 --> 00:18:39,849
We were, until I got arrested.
Third time.
351
00:18:40,516 --> 00:18:42,017
- Drugs?
- Fights.
352
00:18:43,269 --> 00:18:44,103
You got an advantage.
353
00:18:44,520 --> 00:18:46,439
Not really.
Never know when to stop.
354
00:18:47,106 --> 00:18:51,152
You piss a lot of people off, or are you
just trying to piss off your mom?
355
00:18:51,277 --> 00:18:53,779
Those are pretty much
the only two choices you have.
356
00:18:58,576 --> 00:19:03,414
Hannah? You want us to stop?
Stop the drill! Stop the drill!
357
00:19:03,789 --> 00:19:05,750
(SCREAMING)
358
00:19:11,839 --> 00:19:14,008
It's okay. What did you feel?
359
00:19:15,384 --> 00:19:18,971
Where did you feel it? Hannah, I need to
know how it hurt.
360
00:19:26,437 --> 00:19:27,605
Hannah!
361
00:19:33,110 --> 00:19:36,071
I am so tired of this.
Did you know
362
00:19:36,197 --> 00:19:38,949
that the new nurse from Cardiology is
sleeping with that weird lawyer
363
00:19:39,074 --> 00:19:40,075
from the board?
364
00:19:40,201 --> 00:19:41,243
The guy with 11 fingers?
365
00:19:41,994 --> 00:19:43,162
He has 11 fingers?
366
00:19:44,079 --> 00:19:45,498
How do you not notice that?
367
00:19:47,333 --> 00:19:49,418
The nurse used to be a man.
368
00:19:50,294 --> 00:19:52,379
- She's not anymore?
- But we can't talk about that.
369
00:19:52,505 --> 00:19:54,298
- I thought we were.
- We were supposed to talk about that.
370
00:19:54,423 --> 00:19:57,968
I came here to talk about that, but on
the way up, I ran into Cameron.
371
00:19:58,093 --> 00:20:00,387
You've got a CIPA patient?
372
00:20:00,513 --> 00:20:02,431
Tranny nurse
is more interesting.
373
00:20:02,556 --> 00:20:05,768
Oh, it's way more interesting, but
instead I've got to be your conscience.
374
00:20:05,893 --> 00:20:08,437
I'm tired of being your conscience.
I don't enjoy being your conscience.
375
00:20:08,562 --> 00:20:10,105
- No one enjoys...
- You're studying her.
376
00:20:10,523 --> 00:20:11,357
She's actually sick.
377
00:20:11,482 --> 00:20:13,692
Which you found out
after you took her on.
378
00:20:13,818 --> 00:20:16,904
I was curious. Since I'm not a cat,
that's not dangerous.
379
00:20:17,029 --> 00:20:20,241
I don't think that metaphor was designed
to actually warn cats.
380
00:20:20,616 --> 00:20:22,493
You don't care about her illness.
You care about CIPA,
381
00:20:22,618 --> 00:20:25,913
which means your focus is going to be
on getting your answers, not hers.
382
00:20:26,038 --> 00:20:28,499
Thank you.
Forewarned is forearmed.
383
00:20:28,624 --> 00:20:30,334
What do you think
you're going to figure out?
384
00:20:30,459 --> 00:20:34,463
Do you think her lack of pain is
somehow the answer to your pain?
385
00:20:34,588 --> 00:20:37,049
I think if you'd stop
talking to Cameron,
386
00:20:37,174 --> 00:20:40,719
then right now we could be
ranking nurses in order of do-ability.
387
00:20:41,470 --> 00:20:43,138
- I need you.
- What did the nerve biopsy show?
388
00:20:43,264 --> 00:20:44,390
- Never did it.
- Well, then do it.
389
00:20:44,515 --> 00:20:45,891
- Can't.
- Why?
390
00:20:46,016 --> 00:20:47,643
She's gonna jump off
the lobby balcony.
391
00:20:48,477 --> 00:20:49,687
You think I can catch her?
392
00:20:54,483 --> 00:20:56,527
- Get away from me!
- I'm not gonna hurt you.
393
00:20:56,652 --> 00:20:59,363
Yes, you are.
You're just jealous I can do anything.
394
00:20:59,488 --> 00:21:01,407
Hannah, you're having
a paranoid delusion.
395
00:21:01,532 --> 00:21:02,408
I don't believe you.
396
00:21:02,533 --> 00:21:03,868
Did you think she would?
397
00:21:03,993 --> 00:21:07,371
This is real. You want me to be in pain.
You even said so.
398
00:21:07,496 --> 00:21:09,999
If we wanted to hurt you,
we'd let you jump.
399
00:21:10,124 --> 00:21:11,792
Just let me see my mother.
400
00:21:11,917 --> 00:21:14,545
Fine, we'll take you
to our OR observation room.
401
00:21:14,670 --> 00:21:16,547
- I don't believe you!
- Your mother is fine.
402
00:21:16,672 --> 00:21:18,757
- I just spoke to her surgeon.
- I don't believe you!
403
00:21:18,883 --> 00:21:22,511
Hannah, what do you
want from us? What do you want us to do?
404
00:21:24,054 --> 00:21:25,097
I can't feel my legs.
405
00:21:25,222 --> 00:21:27,433
You're trying to pull
the same stunt twice in 10 minutes.
406
00:21:27,558 --> 00:21:32,062
I'm not pretending. They don't hurt.
They're just... They're...
407
00:21:48,203 --> 00:21:50,539
Anything?
We're not looking for pain.
408
00:21:50,664 --> 00:21:51,957
Anything at all? Pressure?
409
00:21:52,082 --> 00:21:53,208
Nothing.
410
00:21:53,334 --> 00:21:56,921
You have six broken bones, a fever,
a concussion, erratic heart rhythms
411
00:21:57,046 --> 00:21:59,548
and a complete lack
of sensation below the waist.
412
00:21:59,673 --> 00:22:01,759
I feel fine.
413
00:22:02,718 --> 00:22:05,387
Is my mother
out of surgery yet?
414
00:22:05,512 --> 00:22:06,889
Not yet.
415
00:22:07,848 --> 00:22:10,225
This is excellent.
416
00:22:10,351 --> 00:22:12,269
The paranoia seems
to have dissipated,
417
00:22:12,394 --> 00:22:14,396
but her vitals keep getting worse.
She could be dead in hours.
418
00:22:14,813 --> 00:22:18,025
But if you're gonna die a miserable,
lingering death,
419
00:22:18,150 --> 00:22:20,235
pain-free is the way to do it.
420
00:22:20,361 --> 00:22:22,237
Are we sure the fall
didn't cause the paralysis?
421
00:22:22,363 --> 00:22:26,742
The paralysis caused the fall.
Spine's clean. No vertebral fractures
422
00:22:26,867 --> 00:22:27,910
or spinal cord compression.
423
00:22:28,285 --> 00:22:29,828
Even better.
424
00:22:29,954 --> 00:22:33,916
The nuttiness and paralysis mean there's
definitely a neurological component.
425
00:22:34,041 --> 00:22:35,209
Could be a nerve disease.
426
00:22:35,334 --> 00:22:38,087
Which is why we need to look at
the nerve that you didn't biopsy.
427
00:22:38,212 --> 00:22:39,421
There are other tests.
428
00:22:39,546 --> 00:22:41,131
HIV? Syphilis?
429
00:22:42,508 --> 00:22:46,303
She was negative for all STDs.
Vascular? No, ANA was negative.
430
00:22:46,428 --> 00:22:48,430
Cerebral clot? No, MRI was...
431
00:22:48,555 --> 00:22:49,848
Thyroid storm.
432
00:22:52,768 --> 00:22:57,064
Makes sense given her glucose reaction
was slow, and potassium's down.
433
00:22:58,190 --> 00:23:02,486
Yeah, I'll check with
an endocrinologist.
434
00:23:02,611 --> 00:23:03,487
Bennett's on call.
435
00:23:03,988 --> 00:23:05,155
Perfect.
436
00:23:06,532 --> 00:23:07,825
(KNOCKING ON DOOR)
437
00:23:18,711 --> 00:23:20,796
- No.
- Need a consult.
438
00:23:20,921 --> 00:23:23,007
I already okayed
your nerve biopsy.
439
00:23:23,132 --> 00:23:24,466
Need an endocrinologist.
440
00:23:24,591 --> 00:23:25,551
Bennett's on call.
441
00:23:25,676 --> 00:23:26,802
Won't pick up.
442
00:23:26,927 --> 00:23:27,845
His cell phone must be broken.
443
00:23:28,095 --> 00:23:29,346
Mine's working.
444
00:23:29,847 --> 00:23:31,265
Had to give you the file.
445
00:23:34,226 --> 00:23:38,480
I assume you're thinking thyroid storm.
Have you done a honnone panel?
446
00:23:38,605 --> 00:23:41,191
Normal.
TSH was on the low side.
447
00:23:42,818 --> 00:23:45,446
Is that a cheery fire
I hear crackling nearby?
448
00:23:45,571 --> 00:23:48,198
No, what about CPK enzymes?
449
00:23:48,323 --> 00:23:50,117
Elevated, 275.
450
00:23:51,160 --> 00:23:55,748
People light fires for themselves,
but then they don't deny it.
451
00:23:57,291 --> 00:23:58,208
He's here?
452
00:23:58,333 --> 00:23:59,626
CPK isn't high enough.
453
00:23:59,752 --> 00:24:03,297
Potassium's what you'd expect
because of the bronchodilators.
454
00:24:03,422 --> 00:24:06,216
Oh, my God!
You're not wearing a bra.
455
00:24:06,341 --> 00:24:07,801
It's not thyroid storm.
456
00:24:07,926 --> 00:24:08,761
You just met him.
457
00:24:09,094 --> 00:24:10,304
I like him,
458
00:24:10,429 --> 00:24:13,307
and I like sex. Do I need to stitch
a letter on my tops?
459
00:24:13,724 --> 00:24:17,269
No. Might be worth taking out
an ad in the local papers.
460
00:24:21,940 --> 00:24:24,026
Do you like me, House?
461
00:24:25,444 --> 00:24:29,198
I was on the phone with Bennett 15
minutes ago. His cell phone's working.
462
00:24:29,323 --> 00:24:32,409
Your MO is to avoid me
at all costs,
463
00:24:32,534 --> 00:24:36,538
and suddenly you need my input on every
move you make. I can only assume
464
00:24:36,663 --> 00:24:37,623
it's because I'm on a date.
465
00:24:38,207 --> 00:24:39,124
When we met, I noticed...
466
00:24:39,249 --> 00:24:41,835
You noticed he was a Shriner
because of the way he parted his hair.
467
00:24:41,960 --> 00:24:44,379
You noticed he was a mama's boy because
of the way he blinked his left eye.
468
00:24:44,505 --> 00:24:46,548
I'm not interested.
I'm not impressed.
469
00:24:47,216 --> 00:24:49,968
There are only two reasons anyone would
want to screw with me tonight.
470
00:24:50,094 --> 00:24:51,970
Either they're an
altruistic decent person
471
00:24:52,096 --> 00:24:57,059
who's worried about my well-being,
or they want me for themselves.
472
00:24:59,895 --> 00:25:01,688
You left out the third option.
473
00:25:01,814 --> 00:25:05,150
Evil bastard who just wants
to mess with other people's happiness.
474
00:25:10,197 --> 00:25:12,074
Good night, House.
475
00:25:23,043 --> 00:25:25,129
We won't be bothered again.
476
00:25:27,589 --> 00:25:30,509
It's late. I should go.
477
00:25:30,634 --> 00:25:32,010
Why?
478
00:25:33,428 --> 00:25:35,973
I part my hair on the left,
and I'm a Shriner?
479
00:25:36,098 --> 00:25:37,975
You heard the conversation?
480
00:25:38,767 --> 00:25:39,977
I'm not interested in him.
481
00:25:40,519 --> 00:25:41,728
I don't blame you.
482
00:25:41,854 --> 00:25:45,107
I only said those things
so that he wouldn't come back.
483
00:25:48,402 --> 00:25:51,697
I don't really care
about my job. I do it well.
484
00:25:51,822 --> 00:25:55,200
I provide a service, but my goal
was always to make enough money
485
00:25:55,325 --> 00:25:59,830
to do the things I really like.
Music, travel...
486
00:25:59,955 --> 00:26:02,124
I like those things, too.
487
00:26:02,249 --> 00:26:05,335
You like them, but they're not
really important to you.
488
00:26:06,003 --> 00:26:11,008
I don't know whether it's House, your
job, or if you just thrive on conflict,
489
00:26:11,133 --> 00:26:15,095
but you should hear yourself
when you're talking to him.
490
00:26:17,055 --> 00:26:23,228
Nothing else in the world's going on.
You're focused, confident, compelling.
491
00:26:26,273 --> 00:26:32,237
Don't take this the wrong way,
but I'd like to go out with that woman.
492
00:26:34,698 --> 00:26:36,867
I can get her on the phone.
493
00:26:49,796 --> 00:26:51,673
Where did you go?
She's getting worse.
494
00:26:51,798 --> 00:26:54,635
It's not thyroid storm.
Give me a spinal nerve.
495
00:26:54,760 --> 00:26:56,178
There are still other tests.
496
00:26:56,303 --> 00:26:57,763
She just said
the girl is getting worse.
497
00:26:57,888 --> 00:26:59,848
You really want to wait?
498
00:27:07,314 --> 00:27:09,566
CAMERON: We'll be risking infection,
maybe make the paralysis worse.
499
00:27:09,691 --> 00:27:13,070
It is worse, and we're making it worse
than worse? Do the biopsy.
500
00:27:13,195 --> 00:27:15,530
We could paralyze her
and get no useful information.
501
00:27:15,656 --> 00:27:17,074
Do the biopsy.
502
00:27:17,199 --> 00:27:18,367
If you're thinking
peripheral neuropathy,
503
00:27:18,492 --> 00:27:20,160
we should take a nerve a little further
away from the spine.
504
00:27:20,285 --> 00:27:22,955
A little further from the truth.
We're talking paralysis.
505
00:27:23,080 --> 00:27:25,207
There's a good chance
the spine is relevant.
506
00:27:25,332 --> 00:27:28,252
If this thing is progressing,
it could kill her in hours.
507
00:27:29,378 --> 00:27:31,630
Give me back my papers.
508
00:27:31,755 --> 00:27:32,965
Is he asking
for a spinal nerve?
509
00:27:34,675 --> 00:27:36,009
How did you know?
510
00:27:36,134 --> 00:27:37,177
Give us a minute.
511
00:27:43,642 --> 00:27:47,437
Did you know they recently found a
protein that speeds up nerve growth?
512
00:27:47,562 --> 00:27:50,190
Fascinating stuff.
If you put that protein
513
00:27:50,315 --> 00:27:52,150
with the insulation
from a spinal nerve,
514
00:27:52,276 --> 00:27:55,070
you could grow your own little garden.
If that spinal nerve...
515
00:27:55,195 --> 00:27:58,198
Yeah, yeah, yeah, if it happened to come
from a person with CIPA,
516
00:27:58,323 --> 00:28:02,452
I can grow pain-free nerves and graft
them into my own leg. What an evil plan!
517
00:28:02,744 --> 00:28:05,080
You'd have to be
on immunosuppressors for life.
518
00:28:05,205 --> 00:28:06,999
Risk of infection,
shorter lifespan...
519
00:28:07,124 --> 00:28:08,834
Shorter but normal.
520
00:28:09,960 --> 00:28:14,548
Usually jealousy expresses itself by
trying to destroy what someone has.
521
00:28:14,673 --> 00:28:18,302
You're more ambitious. You actually
want to change medical fact
522
00:28:18,427 --> 00:28:19,511
to get this thing...
523
00:28:19,636 --> 00:28:21,138
Medical fact
changes all the time.
524
00:28:21,263 --> 00:28:22,639
You're risking
your patient's life.
525
00:28:22,764 --> 00:28:24,474
That's how medical fact
changes.
526
00:28:24,599 --> 00:28:25,600
A doctor risks...
527
00:28:25,726 --> 00:28:29,146
To serve their
patient's health, not their own.
528
00:28:29,271 --> 00:28:30,314
This is medically justified.
529
00:28:30,439 --> 00:28:36,069
Are you sure? Are you sure that you're
the right one to be making this call?
530
00:28:47,497 --> 00:28:51,209
Biopsy whatever nerve you figure you
could safely get at.
531
00:28:51,877 --> 00:28:53,712
God, Wilson's annoying.
532
00:28:57,007 --> 00:28:59,176
Past 3:00 a.m.
on Valentine's Day night.
533
00:28:59,509 --> 00:29:02,179
I assume you had
a date with Wendy.
534
00:29:02,304 --> 00:29:04,222
She'll survive.
She knows the deal.
535
00:29:04,348 --> 00:29:06,224
- You're lucky.
- I know.
536
00:29:07,059 --> 00:29:10,896
Someday, when there's time, I would like
to actually have a social life.
537
00:29:11,021 --> 00:29:13,148
Someday? Come on.
538
00:29:13,273 --> 00:29:16,068
If there's one thing a good-looking
woman can have whenever she wants,
539
00:29:16,193 --> 00:29:17,194
it's a social life.
540
00:29:17,319 --> 00:29:19,029
You mean a sex life.
541
00:29:19,154 --> 00:29:21,031
There's nothing wrong
with a little companionship
542
00:29:21,156 --> 00:29:22,532
until the real thing
comes along.
543
00:29:22,657 --> 00:29:23,909
I had the real thing.
544
00:29:24,034 --> 00:29:26,328
Forgive me
if I don't want to settle.
545
00:29:26,453 --> 00:29:29,122
- Right.
- What does that mean?
546
00:29:29,664 --> 00:29:30,665
Nothing.
547
00:29:30,791 --> 00:29:32,751
You think I didn't have
the real thing?
548
00:29:32,876 --> 00:29:35,253
I have no idea what you had.
549
00:29:35,379 --> 00:29:36,755
And yet you're judging it.
550
00:29:39,174 --> 00:29:41,593
It's late. I'm cranky. Sorry.
551
00:29:41,718 --> 00:29:43,136
I didn't have the real thing.
552
00:29:43,261 --> 00:29:44,513
How could you even know?
553
00:29:44,638 --> 00:29:46,515
You married a dying man.
554
00:29:47,307 --> 00:29:50,811
You thought, "Six months, a year,
it'll be tough,
555
00:29:50,936 --> 00:29:53,146
"but then I'll recover,
and I'll have the rest of my life."
556
00:29:53,355 --> 00:29:57,359
It's like willingly getting the flu or
joining the Peace Corps, short-term.
557
00:29:57,484 --> 00:30:01,947
Wow, you nailed it. It's basically like
a wasted weekend.
558
00:30:02,072 --> 00:30:04,157
The sacrifices you made were huge,
559
00:30:04,783 --> 00:30:07,202
but they were at the height of your love
for him.
560
00:30:07,619 --> 00:30:11,623
Commitment is only commitment
because it has no expiration date.
561
00:30:11,748 --> 00:30:16,294
You stand next to someone and watch them
floss for 30 years like my parents have,
562
00:30:16,420 --> 00:30:19,923
then ask for sacrifices. That's how you
know the real thing.
563
00:30:29,766 --> 00:30:33,061
Cameron, I wasn't
criticizing you.
564
00:30:34,729 --> 00:30:39,192
People who avoid commitment are people
who know what a big thing it is.
565
00:30:47,200 --> 00:30:48,743
This isn't right.
566
00:30:53,331 --> 00:30:55,417
CIPA can't cause
this much degeneration.
567
00:30:55,542 --> 00:30:58,795
A few nerve fibers we teased out of the
center have some insulation left,
568
00:30:58,920 --> 00:31:01,506
but the insulation around the bundles
has been stripped bare.
569
00:31:01,631 --> 00:31:03,633
Means the damage must be coming
from the outside in.
570
00:31:03,758 --> 00:31:05,677
Which means it's secondary
demyelination,
571
00:31:05,802 --> 00:31:07,637
which means
the source is somewhere else,
572
00:31:07,762 --> 00:31:09,306
which tells us it's not
a nerve disease.
573
00:31:09,431 --> 00:31:12,642
It's something systemic
that's affecting the nerves,
574
00:31:12,767 --> 00:31:15,479
which means that we need to...
575
00:31:15,604 --> 00:31:17,272
Where are you going?
576
00:31:17,397 --> 00:31:19,191
Kid's mom is
finally out of surgery.
577
00:31:21,193 --> 00:31:22,944
I'll be right back.
578
00:31:26,364 --> 00:31:27,491
So what?
579
00:31:27,616 --> 00:31:29,075
Hannah should see her.
580
00:31:29,201 --> 00:31:33,288
Yes, immediately after we're done
chatting about saving her life.
581
00:31:33,413 --> 00:31:35,749
Most likely causes
are metabolic.
582
00:31:35,874 --> 00:31:38,752
They found brain swelling. They're
prepping her mother for another surgery.
583
00:31:38,877 --> 00:31:42,631
Again, so what?
Get a nurse to take the kid.
584
00:31:43,256 --> 00:31:45,258
There are more than 60 different
metabolic conditions
585
00:31:45,383 --> 00:31:47,844
that could account for what she's got.
There's only three of you guys.
586
00:31:47,969 --> 00:31:50,347
- She's scared.
- She should be.
587
00:31:50,472 --> 00:31:52,349
She'll die if
we don't diagnose her.
588
00:31:52,474 --> 00:31:54,059
So diagnose her.
589
00:32:05,237 --> 00:32:06,363
Mom?
590
00:32:25,549 --> 00:32:29,636
How bad is it? Are you okay?
591
00:32:30,679 --> 00:32:32,639
I'm okay, Mom.
592
00:32:33,640 --> 00:32:36,017
I'll get better.
I always get better.
593
00:32:36,142 --> 00:32:39,229
Are you checking yourself,
your temperature?
594
00:32:41,398 --> 00:32:46,319
Mom, could you just let it go?
You shouldn't be worrying.
595
00:32:47,237 --> 00:32:50,156
Baby, I'm sorry.
596
00:32:50,532 --> 00:32:52,826
I should have seen
that car coming.
597
00:32:53,034 --> 00:32:57,163
No, Mom, I did this
to myself. I screwed up.
598
00:32:58,582 --> 00:33:02,377
You were right. You were right,
and I was wrong.
599
00:33:02,502 --> 00:33:05,171
No. No.
600
00:33:05,297 --> 00:33:10,427
I shouldn't have gone out on the ice.
I shouldn't have fallen down,
601
00:33:12,220 --> 00:33:14,264
and I shouldn't have made you
rush me to an ER
602
00:33:14,389 --> 00:33:15,932
for the 10th time this year.
603
00:33:20,979 --> 00:33:22,188
(MONITOR BEEPING)
604
00:33:22,314 --> 00:33:23,773
Mom?
605
00:33:27,736 --> 00:33:29,779
' YOU okay?
606
00:33:30,655 --> 00:33:32,282
They have to take her
back to surgery.
607
00:33:32,407 --> 00:33:36,036
Hannah, your BP is way up.
We need to get you some rest.
608
00:33:38,455 --> 00:33:40,457
My hand's wet.
609
00:33:41,124 --> 00:33:43,168
You're crying.
610
00:33:43,293 --> 00:33:44,461
I can't cry.
611
00:33:51,384 --> 00:33:53,511
My head's killing me.
612
00:34:01,811 --> 00:34:04,648
So what does the pain tell us?
613
00:34:04,773 --> 00:34:06,483
No tingling or itching,
so we can rule out...
614
00:34:06,608 --> 00:34:09,486
it tells us nothing. it wasn't physical
pain. it was emotional.
615
00:34:09,611 --> 00:34:12,864
Exactly. What were they doing
when she got the headache?
616
00:34:12,989 --> 00:34:14,032
Saying goodbye.
617
00:34:14,157 --> 00:34:15,700
You said they were arguing.
618
00:34:15,825 --> 00:34:17,661
They weren't really arguing.
She was just frustrated.
619
00:34:17,786 --> 00:34:19,329
What were they arguing about?
620
00:34:19,454 --> 00:34:20,872
Whose fault it was.
621
00:34:22,666 --> 00:34:27,003
Peripheral neuropathy, fever
and intermittent paranoia.
622
00:34:27,128 --> 00:34:29,714
Lots of metabolic conditions
can explain those things.
623
00:34:29,839 --> 00:34:31,591
What if we add guilt?
624
00:34:32,801 --> 00:34:35,303
Guilt? As a symptom?
625
00:34:35,428 --> 00:34:38,598
Alzheimer's can
cause euphoria, pain causes depression,
626
00:34:38,723 --> 00:34:43,103
and B12 deficiency causes guilt,
along with all that other stuff.
627
00:34:43,228 --> 00:34:46,147
If she felt guilty, she wouldn't be
making her mother's life miserable.
628
00:34:46,272 --> 00:34:48,024
She wouldn't be getting
in fights, getting arrested.
629
00:34:48,149 --> 00:34:50,360
Maybe she's fighting
because she feels guilty.
630
00:34:50,485 --> 00:34:52,821
She's showing her mom she can take
stupid risks and still be safe.
631
00:34:52,946 --> 00:34:53,988
Means mom can let go.
632
00:34:54,114 --> 00:34:55,407
CHASE: Which is rational.
633
00:34:55,532 --> 00:34:57,534
If guilt is a symptom,
it's caused by the illness,
634
00:34:57,659 --> 00:34:59,828
not by a thought process,
and it would have to be new.
635
00:34:59,953 --> 00:35:01,496
Couple years ago,
she was a model student.
636
00:35:01,621 --> 00:35:03,498
This is pointless.
If the headache was caused by guilt,
637
00:35:03,623 --> 00:35:04,874
she has a B12 deficiency.
638
00:35:04,999 --> 00:35:06,960
If it's just because
she was sad, it's meaningless.
639
00:35:07,085 --> 00:35:08,378
How the hell do we
test for that?
640
00:35:08,503 --> 00:35:09,629
We don't.
641
00:35:09,754 --> 00:35:13,717
Give her a shot of B12.
When she gets better, I was right.
642
00:35:13,842 --> 00:35:17,721
We already did.
ER gave her B12 when she was admitted,
643
00:35:17,846 --> 00:35:22,684
part of a multivitamin
supplement. Apparently, she's just sad.
644
00:35:28,440 --> 00:35:30,191
Why are you still here?
645
00:35:30,316 --> 00:35:33,737
Trying to get a couple pages into a drug
trial. Paperwork's due tomorrow.
646
00:35:33,862 --> 00:35:34,946
Why are you here?
647
00:35:35,071 --> 00:35:36,990
Still haven't figured out why.
648
00:35:37,115 --> 00:35:39,534
No, I meant here,
in my office.
649
00:35:39,659 --> 00:35:44,164
Just dumped a cool B12 theory.
Moved on to leukemia.
650
00:35:45,582 --> 00:35:47,000
Very pedestrian.
651
00:35:47,125 --> 00:35:48,668
I'm not haPPY-
652
00:35:49,669 --> 00:35:51,629
Her white-blood-cell
count was low.
653
00:35:51,755 --> 00:35:55,717
The ones she's got,
it's just a lot of eosinophils.
654
00:35:55,842 --> 00:35:57,927
The immunoglobulin
E-level's borderline.
655
00:35:58,052 --> 00:36:00,680
If you want to be 100% sure,
check the bone marrow.
656
00:36:00,805 --> 00:36:03,183
The team's doing
a biopsy right now.
657
00:36:05,602 --> 00:36:09,189
It turns out the
weird lawyer knew
658
00:36:09,314 --> 00:36:10,648
that she used to be a man.
659
00:36:10,774 --> 00:36:11,983
And he's cool with that?
660
00:36:12,108 --> 00:36:15,820
Turns out that his previous girlfriend
also used to be a man.
661
00:36:17,447 --> 00:36:19,491
Yeah.
662
00:36:24,329 --> 00:36:27,540
Is it possible for you
to just watch me eat,
663
00:36:28,708 --> 00:36:32,337
or do you get some primeval thrill out
of beating the other hunters
664
00:36:32,462 --> 00:36:33,797
to the food?
665
00:36:42,514 --> 00:36:43,890
See you later.
666
00:36:44,849 --> 00:36:47,268
You still haven't figured out
that I don't need sedation?
667
00:36:47,894 --> 00:36:50,772
It's so you don't move
during the procedure.
668
00:36:51,064 --> 00:36:54,776
Is that nitrous?
What, are you trying to kill her?
669
00:36:55,485 --> 00:36:57,821
We gave her nitrous
during the EEG.
670
00:36:57,946 --> 00:36:59,155
That's what made this thing
rear its ugly...
671
00:36:59,280 --> 00:37:00,532
What thing?
672
00:37:00,657 --> 00:37:01,866
B12 deficiency.
673
00:37:01,991 --> 00:37:02,867
I-Q
Are you having deja vu?
674
00:37:02,992 --> 00:37:06,079
We've had this conversation. She was
given B12. She didn't get better.
675
00:37:06,204 --> 00:37:09,833
Because someone else ate it.
Get an abdominal MRI.
676
00:37:09,958 --> 00:37:14,087
What? What are you doing?
Don't touch me!
677
00:37:14,295 --> 00:37:15,964
- Don't touch me!
- See? There's she goes.
678
00:37:16,089 --> 00:37:18,299
- Don't touch me!
- Another paranoid delusion.
679
00:37:19,342 --> 00:37:22,929
At the rate she's going downhill, forget
the MRI. We need an OR.
680
00:37:23,054 --> 00:37:24,097
Leave me alone!
681
00:37:25,849 --> 00:37:26,724
Occupied!
682
00:37:26,850 --> 00:37:28,017
Her hernia can wait.
683
00:37:28,142 --> 00:37:29,769
Help! They're trying
to kill me!
684
00:37:29,894 --> 00:37:33,314
Okay, you can either believe
that we really are trying to kill her,
685
00:37:33,439 --> 00:37:35,942
or you can assume she's suffering from
a medical condition.
686
00:37:36,067 --> 00:37:38,778
Seeing as this is a hospital,
and we're all dressed like doctors,
687
00:37:38,903 --> 00:37:40,697
and there are easier ways
to kill somebody...
688
00:37:40,822 --> 00:37:42,866
- Bev, help them.
- I'm gonna need iodine,
689
00:37:42,991 --> 00:37:46,953
scalpel numbers 10 and 15,
forceps and a largish salad bowl.
690
00:37:48,580 --> 00:37:50,373
Okay, hold her down.
691
00:37:51,708 --> 00:37:54,043
Come on, weenie,
she's in a cast.
692
00:37:54,836 --> 00:37:56,296
Swab.
693
00:37:59,924 --> 00:38:00,758
Fifteen.
694
00:38:01,050 --> 00:38:02,468
You're not gonna
anesthetize her?
695
00:38:02,927 --> 00:38:05,221
Relax.
It's just a magic trick.
696
00:38:06,514 --> 00:38:08,516
(SCREAMING)
697
00:38:09,684 --> 00:38:12,854
She's faking it.
We're not falling for it this time.
698
00:38:14,856 --> 00:38:16,816
Okay, keep that retracted.
699
00:38:22,655 --> 00:38:23,740
Forceps.
700
00:38:37,712 --> 00:38:42,759
Lake fishing can be fun. It can bring
the generations together.
701
00:38:42,884 --> 00:38:46,262
But if you don't cook
that trout or perch well,
702
00:38:46,554 --> 00:38:49,557
you'll be giving
room and board to this fellow,
703
00:38:50,224 --> 00:38:53,436
and by "free board,"
I mean all the B12 you can take in.
704
00:38:53,811 --> 00:38:55,688
I could have a tapeworm in me?
705
00:38:55,813 --> 00:38:58,191
Not likely.
You'd be in a lot of pain.
706
00:39:05,907 --> 00:39:07,450
It's gotta be 25 feet long.
707
00:39:07,575 --> 00:39:10,495
Damn it.
World record's over 60.
708
00:39:19,379 --> 00:39:23,800
Hannah, wake up.
Somebody here to see you.
709
00:39:25,927 --> 00:39:28,805
She's got limited motion
on her left side.
710
00:39:29,389 --> 00:39:32,225
You might have
to take care of her for a while.
711
00:39:35,937 --> 00:39:39,607
You don't feel it, but you're about to
rip your stitches out.
712
00:39:39,732 --> 00:39:42,860
Take care of yourself.
Then you can take care of her.
713
00:39:53,871 --> 00:39:55,498
You haven't gone home.
714
00:39:55,623 --> 00:39:57,750
Sorry I screwed up
Valentine's day.
715
00:39:57,875 --> 00:40:03,297
I'm dating a doctor.
I'd be an idiot to expect anything else.
716
00:40:03,423 --> 00:40:07,510
I did get you a gift. MGH.
717
00:40:08,886 --> 00:40:11,222
Best teaching hospital
in Boston.
718
00:40:11,347 --> 00:40:15,184
You want to be a nurse practitioner?
That's as good as it gets.
719
00:40:16,019 --> 00:40:19,397
I made a few calls,
and you're in if you want in.
720
00:40:19,647 --> 00:40:23,693
This is why you've been helping me get
my surgical hours for accreditation.
721
00:40:23,818 --> 00:40:25,903
- I thought you wanted...
- Stupid.
722
00:40:29,741 --> 00:40:32,285
You've got 10 feet of
personal space around you.
723
00:40:32,452 --> 00:40:34,746
I step forward, you step back.
724
00:40:34,871 --> 00:40:36,748
I've shared
a lot of things with you.
725
00:40:36,873 --> 00:40:38,791
Which is why
you're breaking up with me.
726
00:40:41,544 --> 00:40:42,879
You can't stand to be close.
727
00:40:43,004 --> 00:40:46,591
Wendy, you think I'll stay with you
because you're angry with me?
728
00:40:46,716 --> 00:40:48,509
I'm upset
729
00:40:50,011 --> 00:40:51,888
because I care.
730
00:40:53,556 --> 00:40:56,059
Only you'd expect
an argument to be rational,
731
00:40:57,727 --> 00:40:59,771
you and that
ass boss of yours.
732
00:41:23,669 --> 00:41:26,923
Well, you could ask her
for the spinal nerve.
733
00:41:27,048 --> 00:41:29,634
She's got no reason
to give it.
734
00:41:29,759 --> 00:41:30,760
She owes you.
735
00:41:32,011 --> 00:41:34,514
The hospital will
send her a bill.
736
00:41:35,473 --> 00:41:39,519
I'm just saying, if you want to do it,
do it while her B12 is still low.
737
00:41:40,686 --> 00:41:42,730
Guilt can be your friend.
738
00:41:47,819 --> 00:41:49,821
Breakfast?
739
00:41:50,530 --> 00:41:52,281
Yeah.
740
00:41:56,744 --> 00:41:58,663
Happy Valentine's Day.
741
00:41:58,788 --> 00:42:01,374
Holiday that only applies
to people who are already paired up.
742
00:42:01,499 --> 00:42:03,501
For everyone else,
it's Wednesday.
743
00:42:03,626 --> 00:42:06,712
Wow, thank you for
that dash of cold water.
744
00:42:06,838 --> 00:42:09,173
Don't get me wrong. I still think true
love's out there.
745
00:42:09,298 --> 00:42:12,760
It's just very far away,
possibly in another galaxy.
746
00:42:12,885 --> 00:42:14,846
We may need to develop
faster-than-lig ht travel
747
00:42:14,971 --> 00:42:17,056
before we can make contact.
748
00:42:19,183 --> 00:42:21,811
So I'm thinking
we should have sex.
749
00:42:23,146 --> 00:42:25,523
That makes sense.
750
00:42:25,648 --> 00:42:26,732
Despite the wisdom
of pop songs,
751
00:42:26,858 --> 00:42:29,819
there's no point putting our lives
on hold until love comes along.
752
00:42:29,944 --> 00:42:34,907
We're both healthy and busy people.
We work together so it's convenient.
753
00:42:35,032 --> 00:42:36,325
Like microwave pizza.
754
00:42:36,576 --> 00:42:37,743
And of all the people
I work with,
755
00:42:37,869 --> 00:42:40,580
you're the one I'm least likely
to fall in love with.
756
00:42:40,705 --> 00:42:42,915
Like microwave pizza.
757
00:42:43,040 --> 00:42:46,794
The point here is to make things
simpler, not more complicated.
758
00:42:46,919 --> 00:42:49,380
Someday, there'll be time
to get serious about someone.
759
00:42:49,505 --> 00:42:52,925
Meanwhile, we already had sex once
and didn't get weird about it, so...
760
00:42:53,050 --> 00:42:58,431
I get it. I get it. So what if
I'm offended by yourjudgment?
761
00:43:00,057 --> 00:43:02,810
Then you're not the man
I'm looking for.