1 00:00:10,541 --> 00:00:14,897 - We are condemned to useless labor. - Fourth circle of hell. 2 00:00:15,158 --> 00:00:18,991 Charting goes a lot faster when you eliminate all classic poetry. 3 00:00:19,339 --> 00:00:22,563 Writing down what we already know to be read by nobody. 4 00:00:22,650 --> 00:00:25,524 I'm sure Dante would agree that qualifies as useless. 5 00:00:25,611 --> 00:00:28,747 You're over two weeks behind in your charting. 6 00:00:29,795 --> 00:00:32,760 - Oops. I missed. - What are you, eight? 7 00:00:33,162 --> 00:00:34,976 Could an eight-year-old do this? 8 00:00:35,674 --> 00:00:37,592 Better stop or it'll stick that way. 9 00:00:38,569 --> 00:00:40,453 You have a patient in exam one. 10 00:00:40,556 --> 00:00:43,277 Yeah, see I'm—I'm off at 12:00, and it's already five of. 11 00:00:43,347 --> 00:00:45,545 She's been waiting for you since 11:00. 12 00:00:48,859 --> 00:00:51,196 Melancholy without hope. 13 00:00:52,689 --> 00:00:54,015 Which circle is that? 14 00:00:59,526 --> 00:01:00,084 Hi. 15 00:01:00,608 --> 00:01:01,968 I'm Dr. House. 16 00:01:02,155 --> 00:01:04,806 - What seems to be the problem? - Show him your hands, Augustine. 17 00:01:13,793 --> 00:01:16,131 It looks like stigmata. 18 00:01:16,235 --> 00:01:17,142 Pius. 19 00:01:17,212 --> 00:01:19,828 You must be all the talk around the holy water cooler. 20 00:01:20,770 --> 00:01:22,410 Been washing a lot of dishes recently? 21 00:01:22,581 --> 00:01:23,802 I help out in the kitchen. 22 00:01:23,969 --> 00:01:28,015 - Anything new in the kitchen? - We just got a donation of saucepans and pots this week. 23 00:01:28,364 --> 00:01:31,608 - I unpacked and washed them. - Should've spent your time saving souls. 24 00:01:31,643 --> 00:01:32,934 It's easier on the hands. 25 00:01:33,101 --> 00:01:36,310 This is contact dermatitis. You're allergic to dish soap. 26 00:01:36,694 --> 00:01:37,601 Nonsense. 27 00:01:37,705 --> 00:01:38,961 We've always used that soap. 28 00:01:39,232 --> 00:01:40,801 Why is there a problem now? 29 00:01:40,871 --> 00:01:43,104 I've been a doctor for years. 30 00:01:43,139 --> 00:01:45,406 Why do I have to keep assuring people that I know what I'm doing 31 00:01:45,459 --> 00:01:50,637 A person can become allergic to substances that they've had repeated and prolonged exposure to. 32 00:01:51,509 --> 00:01:54,398 The good news is, free samples. 33 00:01:54,670 --> 00:01:58,159 Diphenhydramine. It's an antihistamine. 34 00:01:58,268 --> 00:02:00,393 It'll stop the allergic reaction. 35 00:02:01,429 --> 00:02:03,064 Take one every eight hours. 36 00:02:03,119 --> 00:02:07,316 It might make you feel a little sleepy. And get some of that over-the-counter cortisone cream. 37 00:02:07,460 --> 00:02:09,368 - Thank you, Doctor. - You want some water? 38 00:02:09,422 --> 00:02:10,458 I have some tea. 39 00:02:10,676 --> 00:02:14,710 Well, you just relax for a few minutes. That stuff works pretty fast. 40 00:02:22,159 --> 00:02:24,012 Still out by 12:00. 41 00:02:24,176 --> 00:02:26,737 How do you solve a problem like dermatitis? 42 00:02:27,174 --> 00:02:28,645 - What? - Doctor? 43 00:02:28,863 --> 00:02:31,643 I want to thank you for your patience. 44 00:02:32,188 --> 00:02:33,987 Is she talkin' to you? 45 00:02:34,275 --> 00:02:36,346 I don't know. She's certainly looking at me. 46 00:02:36,782 --> 00:02:40,053 Oh, it's good to get a secular diagnosis. 47 00:02:40,361 --> 00:02:43,849 The sisters tend to interpret their illnesses as divine intervention. 48 00:02:43,904 --> 00:02:46,684 And you don't? I mean, you're wearing an awfully funny hat. 49 00:02:46,918 --> 00:02:49,098 Ooh, boy. Excuse me 50 00:02:49,370 --> 00:02:52,695 If I break my leg, I believe it happened for a reason. 51 00:02:52,859 --> 00:02:54,984 I believe God wanted me to break my leg. 52 00:02:55,093 --> 00:02:58,037 I also believe he wants me to put a cast on it. 53 00:02:58,418 --> 00:03:00,053 Doctor? Something's wrong. 54 00:03:09,737 --> 00:03:11,154 Lift up your chin. 55 00:03:14,005 --> 00:03:17,057 Sister, you're having an asthma attack. I need you to relax. 56 00:03:17,221 --> 00:03:20,873 Roll up her sleeve, please. Gonna give you epinephrine. 57 00:03:21,091 --> 00:03:23,162 Open your lungs to help you breathe. 58 00:03:42,172 --> 00:03:43,861 What happened? 59 00:03:44,017 --> 00:03:45,979 - She take the pill? - Yes. 60 00:03:46,088 --> 00:03:47,941 It was probably an allergic reaction. 61 00:03:48,214 --> 00:03:50,830 She's allergic to an anti-allergy medicine? 62 00:03:50,994 --> 00:03:52,901 You figure somebody's out to get her? 63 00:03:53,174 --> 00:03:54,755 - How are you feeling? - Better. 64 00:03:54,825 --> 00:03:57,169 I'll put you on some steroids instead 65 00:03:57,714 --> 00:04:00,112 Is my heart supposed to be feeling so funny? 66 00:04:00,221 --> 00:04:02,674 It's called adrenaline. Makes your heart beat fast. 67 00:04:05,290 --> 00:04:08,997 But not this fast. Get a nurse, please. 68 00:04:09,087 --> 00:04:11,594 Lay down, come on. 69 00:04:11,703 --> 00:04:14,374 Help! Somebody help us! 70 00:04:17,481 --> 00:04:19,279 Somebody get in here! 71 00:04:21,585 --> 00:04:24,747 Call a code and charge up the defibrillator. She's got no pulse. 72 00:04:37,647 --> 00:04:43,503 House Episode 1x05 - Damned If You Do 73 00:04:44,141 --> 00:04:53,403 Transcript fourni par Raceman. Synchronisation : Silverado 74 00:04:54,255 --> 00:05:00,962 Merci à Katie. www.forom.com 75 00:05:21,395 --> 00:05:27,391 You diagnosed the patient with allergies and prescribed antihistamines. She went into respiratory distress. 76 00:05:27,527 --> 00:05:30,593 And you injected her with epinephrine. 77 00:05:31,201 --> 00:05:33,313 Presumable one cc. 78 00:05:33,382 --> 00:05:36,039 Point-one cc. That is the standard dose, that is what I gave her. 79 00:05:36,175 --> 00:05:38,832 People don't go into cardiac arrest from point-one cc epinephrine. 80 00:05:38,968 --> 00:05:42,239 She must have a pre-existing heart condition that got exacerbated by the epinephrine. 81 00:05:42,307 --> 00:05:44,351 It's too bad you didn't make a notation in the chart. 82 00:05:44,558 --> 00:05:45,920 - I can make it up right now. 83 00:05:46,057 --> 00:05:48,986 The drawer has syringes is with both dosages, you could've easily reached for the wrong... 84 00:05:49,054 --> 00:05:51,167 - But I didn't. - Everyone makes mistakes. 85 00:05:51,303 --> 00:05:53,892 This is why doctors pay through the nose for malpractice insurance. 86 00:05:54,028 --> 00:05:56,140 Relax, they're not gonna sue. 87 00:05:56,345 --> 00:05:58,525 Worst they'd do is whack my hand with a ruler. 88 00:05:58,595 --> 00:06:00,776 And the discipline board, are they gonna whack your hand too? 89 00:06:00,912 --> 00:06:03,024 - You're gonna report me? - What choice do I have? 90 00:06:03,297 --> 00:06:06,363 How about not report me? 91 00:06:07,998 --> 00:06:12,086 I can justify keeping her here for a 24-hour observation. 92 00:06:12,290 --> 00:06:17,264 If you haven't found an underlying cause for the cardiac arrest by then, I will have to notify our attorneys. 93 00:06:24,165 --> 00:06:27,435 Her hands were red and swollen. Maybe she has a skin infection, cellulitis? 94 00:06:27,504 --> 00:06:29,888 That could manifest with hypo-cardio. There's no history of fever. 95 00:06:30,025 --> 00:06:32,205 Results from the CVC didn't indicate an infection. 96 00:06:32,273 --> 00:06:33,636 The centifills were mildly elevated. 97 00:06:33,758 --> 00:06:36,279 Rates up a bit. Could we be looking at a systemic allergic response? 98 00:06:36,347 --> 00:06:39,140 It's no allergic, and allergies don't cause cardiac arrest like this. 99 00:06:39,208 --> 00:06:41,457 - Could be inflammation of the blood vessels. - Vasculitis? 100 00:06:41,525 --> 00:06:43,501 That wouldn't give you an elevated eosinophil count. 101 00:06:43,639 --> 00:06:45,343 Churg Strauss Vasculitis would. 102 00:06:45,547 --> 00:06:50,248 Blood vessels of the heart, lungs, and skin become inflamed, causing the asthma, rash, and heart problems. 103 00:06:50,793 --> 00:06:53,451 Covers all her symptoms. Need a biopsy to diagnose. 104 00:06:53,519 --> 00:06:56,653 - Chest CT would be quicker. - The lady just came in with a rash. 105 00:06:57,539 --> 00:06:59,106 What the hell are those? 106 00:06:59,583 --> 00:07:00,809 Candy canes. 107 00:07:01,354 --> 00:07:03,194 Candy canes? 108 00:07:03,605 --> 00:07:05,172 Are you mocking me? 109 00:07:05,376 --> 00:07:10,486 No, I-it's Christmas, and I— I—I thought— 110 00:07:10,622 --> 00:07:12,462 Relax. It was a joke. 111 00:07:12,530 --> 00:07:15,937 - Isn't the prognosis for Churg Strauss a bit grim? - Yeah. 112 00:07:16,449 --> 00:07:20,469 Untreated, only 33% of patients survive past a year, treated, five years. 113 00:07:20,605 --> 00:07:22,308 Then I definitely suggest treatment. 114 00:07:22,377 --> 00:07:27,418 If it was any other attending doctor, I'd say that he made a mistake and gave her too much epinephrine. 115 00:07:27,489 --> 00:07:32,463 Saying you wouldn't say it was my mistake. Saying it was my mistake. 116 00:07:33,144 --> 00:07:35,597 Everyone screws up. Your rule. 117 00:07:35,869 --> 00:07:39,412 - I think you fit within the subset of everyone. - I didn't screw up. 118 00:07:40,368 --> 00:07:44,865 Order a chest CT and start the sister on Prednisone. 40 milligrams, TID. 119 00:07:45,001 --> 00:07:45,955 The sister? 120 00:07:46,091 --> 00:07:49,771 Oh, didn't I mention? Patient's a nun. Sister Augustine. 121 00:07:51,133 --> 00:07:53,109 I hate nuns. 122 00:07:54,131 --> 00:07:55,494 Who doesn't? 123 00:08:08,490 --> 00:08:10,125 Sister Augustine? 124 00:08:10,875 --> 00:08:14,963 We weren't watching. We were trying to see if this is the bed control. 125 00:08:15,088 --> 00:08:19,380 Oh, um, this one's the bed control. And that's the TV control. 126 00:08:19,857 --> 00:08:23,468 I'm Dr. Cameron. This is Dr. Chase and Dr. Forman. 127 00:08:23,605 --> 00:08:26,330 I haven't seen television in over 20 years. 128 00:08:26,466 --> 00:08:30,554 Do you consider it the work of the Devil, or do you just not get cable where you live? 129 00:08:32,464 --> 00:08:34,031 How are you feeling, Sister? 130 00:08:34,440 --> 00:08:37,029 I seem to be a little better. They gave me some medication. 131 00:08:37,165 --> 00:08:39,686 Prednisone. It's a steroid to help with the inflammation. 132 00:08:39,754 --> 00:08:42,752 Has Dr. House figured out what I have? Will I be okay? 133 00:08:42,820 --> 00:08:44,047 We're not sure what's wrong yet. 134 00:08:44,183 --> 00:08:47,385 You'll have a chest CT scan this afternoon that'll help the diagnosis. 135 00:08:47,454 --> 00:08:50,928 Dr. House was giving her medication, and he doesn't know what she has yet? 136 00:08:50,966 --> 00:08:53,759 Trust, Sister Pious. It all happens for a reason. 137 00:08:54,440 --> 00:08:56,076 He doesn't know what he's doing. 138 00:08:56,212 --> 00:08:59,074 The only problem that woman has is that House grabbed the wrong syringe. 139 00:08:59,142 --> 00:09:00,164 You don't trust him? 140 00:09:00,525 --> 00:09:03,246 I don't trust a man who won't admit he might be wrong. 141 00:09:03,341 --> 00:09:07,248 I notice you weren't so quick to tell her she's got Churg Strauss and only has a couple of years to live. 142 00:09:07,283 --> 00:09:08,783 I don't tell patients bad news unless it's conclusive. 143 00:09:08,852 --> 00:09:10,701 Because you know he might be wrong. 144 00:09:10,764 --> 00:09:13,136 About Churg Strauss, not about what happened in the clinic. 145 00:09:14,147 --> 00:09:16,484 What about you, Chase? You think he's infallible too? 146 00:09:16,896 --> 00:09:21,082 All I know is, if House didn't make a mistake, and Sister Augustine has Churg Strauss, 147 00:09:21,151 --> 00:09:23,768 he'll be self-satisfied, and our lives will be good for a few weeks. 148 00:09:23,830 --> 00:09:28,190 If House did make a mistake, he'll be upset and our lives will be miserable for months. 149 00:09:28,260 --> 00:09:29,167 There is that. 150 00:09:29,272 --> 00:09:33,144 If Cuddy thinks I made a mistake, the least she could do is suspend me from clinic duty. 151 00:09:33,276 --> 00:09:36,066 She doesn't confuse making a mistake with being incompetent. 152 00:09:36,136 --> 00:09:38,439 Oh, here we go. Lesson time. 153 00:09:39,904 --> 00:09:42,485 I recognize that confidence is not my short suit. 154 00:09:42,546 --> 00:09:45,302 I also recognize that I am human and capable of error. 155 00:09:45,442 --> 00:09:47,116 So you might've screwed this up? 156 00:09:47,535 --> 00:09:48,163 No. 157 00:09:48,329 --> 00:09:50,667 So it's merely a theoretical capacity for error. 158 00:09:50,736 --> 00:09:51,748 Good point. 159 00:09:51,923 --> 00:09:54,085 Maybe there isn't one. Maybe that's my error. 160 00:09:54,609 --> 00:09:58,097 You know, most people who think as much of themselves as you do like to talk about themselves. 161 00:09:58,124 --> 00:09:59,310 Most people don't like to listen. 162 00:09:59,415 --> 00:10:00,357 So what's wrong with you? 163 00:10:12,855 --> 00:10:13,762 Lemme guess. 164 00:10:13,867 --> 00:10:15,541 Inflammatory bowel. 165 00:10:15,655 --> 00:10:18,201 Wow, yeah. Is it that bad? 166 00:10:18,690 --> 00:10:19,283 Yes. 167 00:10:20,182 --> 00:10:22,066 It's also written on your chart. 168 00:10:22,938 --> 00:10:25,170 Bloody diarrhea, gas, pain. 169 00:10:25,205 --> 00:10:27,263 Took sulfasalazine, but it didn't work. 170 00:10:28,372 --> 00:10:33,744 Next tried steroid enemas, oral corticosteroids, 5ASA, 6-mercaptopuine. 171 00:10:33,814 --> 00:10:35,802 - I'm impressed. - By my medical history? 172 00:10:35,934 --> 00:10:38,027 By how well your last doctor charted. 173 00:10:38,341 --> 00:10:43,016 It's one thing to have to go to the bathroom every hour, but when the kids sit on my lap, it's... 174 00:10:43,748 --> 00:10:45,528 The store sent me home. They're gonna fire me. 175 00:10:45,597 --> 00:10:48,039 Can't you put me back on 5ASA? Maybe it'll work this time. 176 00:10:48,074 --> 00:10:50,376 Not likely. I'm giving you a prescription. 177 00:10:50,551 --> 00:10:54,109 It's cheap, which is good, 'cause your insurance company won't pay for it. 178 00:11:02,211 --> 00:11:05,525 - Cogaritis? - Cigarettes. 179 00:11:06,013 --> 00:11:08,106 One twice a day. No more, no less. 180 00:11:08,171 --> 00:11:13,159 Studies have shown that cigarette smoking is one of the most effective ways to control inflammatory bowel. 181 00:11:13,565 --> 00:11:16,565 Plus it's been well-established that you'll look 30% cooler. 182 00:11:16,670 --> 00:11:19,879 - Are you kidding me? - About the looking cooler? Yeah. 183 00:11:19,949 --> 00:11:22,774 - The rest is true. - Isn't it addictive and dangerous? 184 00:11:23,051 --> 00:11:26,295 Pretty much all the drugs I prescribe are addictive and dangerous 185 00:11:26,435 --> 00:11:29,051 The only difference with this one is it's completely legal. 186 00:11:31,244 --> 00:11:32,360 Merry Christmas. 187 00:11:33,686 --> 00:11:35,430 I was talking to the nurse. 188 00:11:35,569 --> 00:11:37,418 Arsenio. Do you know him? 189 00:11:37,861 --> 00:11:40,826 - Not really. - He can take pictures with his phone. 190 00:11:41,209 --> 00:11:42,151 Cool. 191 00:11:42,562 --> 00:11:44,795 That woman from the lab was interesting too. 192 00:11:44,830 --> 00:11:47,725 She studied astrophysics before becoming a nurse. 193 00:11:47,865 --> 00:11:49,748 You know this stuff better than I do. 194 00:11:49,845 --> 00:11:51,625 Well, I love to hear all about people. 195 00:11:51,625 --> 00:11:53,229 You live in a monastery. 196 00:11:53,334 --> 00:11:56,055 It's where I serve our Lord and the world best. 197 00:11:56,125 --> 00:11:57,659 Our Lord, maybe. 198 00:11:58,175 --> 00:12:01,943 The rest of the world, on the other hand, would probably get more out of feeding the homeless or... 199 00:12:01,977 --> 00:12:03,094 Healing the sick? 200 00:12:03,373 --> 00:12:06,268 - As an example, yeah. - Did you always want to be a doctor? 201 00:12:07,018 --> 00:12:08,064 Always. 202 00:12:08,169 --> 00:12:09,390 You always want to be a nun 203 00:12:09,425 --> 00:12:11,413 My parents died when I was six. 204 00:12:11,483 --> 00:12:14,692 I was raised in a foster home run by the Church. 205 00:12:14,901 --> 00:12:18,808 When I was 18, I went to the monastery, where they let me take my vows. 206 00:12:19,194 --> 00:12:21,880 I've known no other life, and I haven't wanted to. 207 00:12:22,814 --> 00:12:25,814 Okay, Sister, we need you to lie as still as possible. 208 00:12:25,954 --> 00:12:27,838 If you get scared, just let us know. 209 00:12:27,942 --> 00:12:30,454 As Jonah said from inside the whale, 210 00:12:30,621 --> 00:12:34,528 "When I lost all hope, I turned my thoughts to the Lord." 211 00:12:35,470 --> 00:12:37,039 She's got God on her side. 212 00:12:37,109 --> 00:12:38,225 I don't believe it God. 213 00:12:38,322 --> 00:12:40,240 You're not even a little agnostic? 214 00:12:40,554 --> 00:12:42,194 Is it supposed to smell funny? 215 00:12:42,360 --> 00:12:45,709 Someone ralphed in there this morning. We cleaned it up, but... 216 00:12:45,988 --> 00:12:49,407 It's normal, Sister. I-it's just a few more minutes. 217 00:12:50,202 --> 00:12:55,469 I believe in a higher order, that can control what happens, but not one anthropomorphic entity called "God" 218 00:12:55,539 --> 00:12:57,806 that's concerned with the everyday workings of you and me. 219 00:12:57,869 --> 00:13:00,904 What else is there to control but the everyday workings of you and me? 220 00:13:00,973 --> 00:13:02,997 It's always about you, Foreman. 221 00:13:03,066 --> 00:13:06,380 What are you talking about? The trees, the fish? Should they be the ones that think it's all about them? 222 00:13:06,590 --> 00:13:08,718 What about you, Chase? You believe in God? 223 00:13:10,838 --> 00:13:14,012 I believe Sister Augustine has no vascular pathology. 224 00:13:14,074 --> 00:13:16,760 - Which means no Churg Strauss. - Which means House made a mistake. 225 00:13:16,794 --> 00:13:18,992 No, not necessarily. It could be something else. 226 00:13:19,027 --> 00:13:20,841 Thyrotoxicosis, or carcinoid... 227 00:13:20,903 --> 00:13:25,264 You don't believe in God, but you're willing to put complete faith in one man? 228 00:13:25,403 --> 00:13:27,566 Please... the smell. 229 00:13:27,775 --> 00:13:28,996 Let's get her out of there. 230 00:13:31,640 --> 00:13:33,035 I'm coming, Sister. 231 00:13:33,454 --> 00:13:34,814 Oh, the smell. 232 00:13:34,954 --> 00:13:36,245 I'm gonna be sick, sick. 233 00:13:36,279 --> 00:13:38,163 - There's no smell. - Oh—oh, God! 234 00:13:39,690 --> 00:13:42,621 Oh, it's Jesus. It's Jesus. 235 00:13:42,900 --> 00:13:44,818 He's coming for me! 236 00:13:44,950 --> 00:13:47,706 He's burning me with his touch! 237 00:13:47,846 --> 00:13:49,206 Let's get her on some Ativan. 238 00:13:49,241 --> 00:13:49,799 Please! 239 00:13:49,834 --> 00:13:53,462 Smells, religious visions, symptomatic type of lobe swelling. 240 00:13:53,523 --> 00:13:54,465 We don't... we don't want her to... 241 00:13:55,442 --> 00:13:56,419 She's seizing. 242 00:13:56,733 --> 00:13:57,570 Jaw block. 243 00:13:57,674 --> 00:13:58,965 Help me get her on her side. 244 00:14:01,295 --> 00:14:02,934 - Religious visions? - Yeah. 245 00:14:03,632 --> 00:14:04,992 And next comes... 246 00:14:10,769 --> 00:14:13,106 Patient tested positive for herpetic encephalitis. 247 00:14:13,217 --> 00:14:15,834 - So what's that tell us? - Her immune systemis severely compromised. 248 00:14:15,861 --> 00:14:18,931 Oh, I know. Prednisone compromises the immune system. 249 00:14:19,036 --> 00:14:21,442 Isn't that the medicinethat you gave her for that thing she doesn't have? 250 00:14:21,505 --> 00:14:24,191 Yeah, the... hey. 251 00:14:24,958 --> 00:14:26,528 I'm thinking that's a trick question. 252 00:14:26,563 --> 00:14:30,888 Her immune system is severely compromised. Two doses of Prednisone wouldn't do that. 253 00:14:30,915 --> 00:14:33,287 Are you hanging your diagnosis on an adverb? 254 00:14:33,392 --> 00:14:37,368 In 10 seconds, I'm going to announce that I gave her the wrong dose in the clinic. 255 00:14:37,396 --> 00:14:39,942 - You're gonna admit negligence? - Unless you leave the room. 256 00:14:40,151 --> 00:14:41,965 If you stay, you'll have to testify. 257 00:14:43,221 --> 00:14:48,070 Five... four... three... two... 258 00:14:48,202 --> 00:14:54,167 So there I was in the clinic, drunk. I open the drawer, close my eyes, take the first syringe I can find... 259 00:14:56,741 --> 00:15:00,020 So, what are the options for compromised immune system? 260 00:15:00,125 --> 00:15:01,939 Mixed connective tissue disease. 261 00:15:02,000 --> 00:15:04,512 It'd explain why she was feeling better on the Prednisone. 262 00:15:04,756 --> 00:15:07,860 Sure she was feeling better right up to the moment when it almost killed her. 263 00:15:07,930 --> 00:15:10,407 On the other hand, it explains the symptoms. 264 00:15:10,609 --> 00:15:14,062 Swollen hands, pulmonary problems, cardiac problems, it all fits. 265 00:15:14,132 --> 00:15:16,225 - Except her ANA was normal. - So redraw the blood. 266 00:15:16,322 --> 00:15:18,485 But the treatment is corticosteroids, Prednisone. 267 00:15:18,590 --> 00:15:20,578 And we can't go there because of the encephalitis. 268 00:15:20,613 --> 00:15:24,485 Well, treat it with something that modulates the immune system, but doesn't suppress it. 269 00:15:24,652 --> 00:15:26,326 Hyperbaric oxygen chamber. 270 00:15:26,396 --> 00:15:29,849 There's no protocol for putting a patient in a high-pressure oxygen room... 271 00:15:30,016 --> 00:15:34,726 - ... to treat autoimmune problems. - Oh, you people, always with the protocols. 272 00:15:35,842 --> 00:15:37,481 Prep the nun. 273 00:15:37,760 --> 00:15:39,540 And discontinue the Prednisone. 274 00:15:45,759 --> 00:15:50,852 I am both amused and annoyed that you think I should be less stubborn than you are. 275 00:15:52,189 --> 00:15:55,014 You are aware of the Hippocratic Oath, right? 276 00:15:55,398 --> 00:15:57,909 The one that starts "First, do nor harm," 277 00:15:57,979 --> 00:16:02,758 and then goes on to tell us no abortions, no seductions, and definitely no cutting of those who labor beneath the stone? 278 00:16:02,776 --> 00:16:04,625 Yeah, I took a read once, wasn't impressed. 279 00:16:04,694 --> 00:16:08,985 Hyperbaric treatments could cause oxygen toxicity, lung and eye damage. 280 00:16:09,013 --> 00:16:10,303 Every treatment has its dangers. 281 00:16:10,338 --> 00:16:14,629 Which is why we only treat if we're convinced the patient actually needs the treatment. 282 00:16:14,664 --> 00:16:17,175 I'm convinced. You're not. 283 00:16:17,733 --> 00:16:19,757 The question is, what are you gonna do about it? 284 00:16:23,341 --> 00:16:26,585 I have an opening Thursday at 3:00. Do you have a fourth? 285 00:16:27,415 --> 00:16:28,601 Is he any good? 286 00:16:29,996 --> 00:16:32,055 Uh, can I call you right back? Okay. 287 00:16:34,343 --> 00:16:35,285 What's up? 288 00:16:39,260 --> 00:16:42,749 The pressure will force the oxygen into your system, and saturate your blood. 289 00:16:42,993 --> 00:16:45,923 It will enhance white cell activity, reduce the inflammation. 290 00:16:46,028 --> 00:16:49,551 And that will help with this mixed connective tissue disease? 291 00:16:49,613 --> 00:16:52,334 We'll be doing about 10 treatments, and then we'll reevaluate. 292 00:16:52,997 --> 00:16:56,276 The last treatment with Prednisone caused the seizures, right? 293 00:16:56,547 --> 00:16:59,128 How confident is Dr. House about this? 294 00:16:59,616 --> 00:17:04,919 That you reacted so strongly to the Prednisone let us know that you had an underlying problem with your immune system. 295 00:17:05,016 --> 00:17:06,690 Then I guess it was a blessing. 296 00:17:07,597 --> 00:17:08,783 Of sorts. 297 00:17:12,534 --> 00:17:15,046 So who's your favorite reindeer, Nurse Arnold? 298 00:17:15,325 --> 00:17:17,278 - Rudolph. - I would have thought it was Vixen. 299 00:17:17,348 --> 00:17:19,615 - What are you implying? - Nothing. 300 00:17:20,105 --> 00:17:26,071 But I saw you at the Christmas party with Dr. Miles and Dr. Jargons and Nurse Crandall. 301 00:17:26,140 --> 00:17:28,059 I was just doing some Christmas dancing. 302 00:17:28,121 --> 00:17:29,831 This is a chapel. 303 00:17:30,284 --> 00:17:31,819 A house of prayer. 304 00:17:32,621 --> 00:17:34,749 A house of prayer. Huh. 305 00:17:35,473 --> 00:17:37,078 Well, that explainsthe good reception. 306 00:17:37,287 --> 00:17:40,008 Also why nobody's ever here. 307 00:17:42,198 --> 00:17:44,047 I need to talk with you, Dr. House. 308 00:17:44,431 --> 00:17:47,187 Sister Augustine believes in things that aren't real. 309 00:17:48,791 --> 00:17:51,233 I thought that was a job requirement for you people. 310 00:17:51,958 --> 00:17:53,493 She's been known to lie. 311 00:17:54,435 --> 00:17:57,191 To get sympathy. She's a hypochondriac. 312 00:17:57,811 --> 00:18:01,962 So you're warning me that I may be treating a non-existent ailment. 313 00:18:02,067 --> 00:18:04,439 Sore throats, joint pains. 314 00:18:04,718 --> 00:18:06,009 There's always something wrong. 315 00:18:06,105 --> 00:18:07,500 And there's never a reason for it. 316 00:18:07,500 --> 00:18:09,593 Mother Superior plays right into it. 317 00:18:10,361 --> 00:18:12,454 Lets Augustine off work duties. 318 00:18:12,621 --> 00:18:15,690 Treating her as... fragile. Special. 319 00:18:15,830 --> 00:18:17,260 That must make you angry. 320 00:18:18,830 --> 00:18:19,876 It bothers me. 321 00:18:20,148 --> 00:18:22,694 It's not really in Augustine's best interest. 322 00:18:27,229 --> 00:18:28,276 Want some? 323 00:18:30,429 --> 00:18:31,580 I shouldn't. 324 00:18:37,365 --> 00:18:41,377 I guess you gotta be good at reading people to be a good infirmarian, huh? 325 00:18:43,252 --> 00:18:47,089 So we got pride, anger, envy, gluttony. 326 00:18:47,822 --> 00:18:50,752 That four out of seven deadly sins in under two minutes. 327 00:18:51,059 --> 00:18:54,512 Do you people keep records of these things? Is there a Cath-lympics? 328 00:18:56,186 --> 00:18:59,256 - They say you have a gift. - They like to talk. 329 00:18:59,353 --> 00:19:01,063 You hide behind your intelligence. 330 00:19:01,132 --> 00:19:02,388 Yeah, that's pretty stupid. 331 00:19:02,458 --> 00:19:05,249 And you make jokes because you're afraid to take anything seriously. 332 00:19:06,044 --> 00:19:08,416 Because if you take things seriously, they matter. 333 00:19:08,485 --> 00:19:11,206 - And if they matter... - Then when things go wrong, I get hurt. 334 00:19:11,416 --> 00:19:14,032 - I'm not tough, I'm vulnerable. - I barely know you. 335 00:19:14,687 --> 00:19:17,513 And I don't know if I'm right. I just hope I am. 336 00:19:18,071 --> 00:19:19,815 Because the alternative is, 337 00:19:20,652 --> 00:19:22,955 you really are as miserable as you seem to be. 338 00:19:26,155 --> 00:19:28,667 You know, from the way you're looking at me right now, 339 00:19:29,043 --> 00:19:30,857 I'd say you just hit number five. 340 00:19:32,183 --> 00:19:33,264 Lust. 341 00:19:46,296 --> 00:19:49,889 Dr. Brown, I love you too. 342 00:19:58,354 --> 00:19:59,261 How you feeling? 343 00:20:00,029 --> 00:20:02,680 - A little weak. - That's from the oxygen. 344 00:20:02,884 --> 00:20:04,175 My mouth is dry. 345 00:20:04,384 --> 00:20:07,524 Okay, well, uh, I'll get you some of your tea. 346 00:20:09,985 --> 00:20:13,229 Mixed connective tissue disease? Her ANA is barely elevated. 347 00:20:13,822 --> 00:20:16,752 Well, thanks for checking upon her. Good to know you got my back. 348 00:20:16,823 --> 00:20:20,555 O2 sats down to 83. Pulmonary problems, breathing problems... 349 00:20:20,590 --> 00:20:22,439 Irritation from the oxygen is typical. 350 00:20:22,466 --> 00:20:25,466 She comes in with a rash, and you put herinto cardiac arrest. 351 00:20:25,501 --> 00:20:27,629 That well just never runs dry, does it? 352 00:20:27,734 --> 00:20:31,257 If there was no underlying problem, why is she still having the rapid heart rate? 353 00:20:31,318 --> 00:20:34,458 Maybe from the herpetic encephalitis caused by you giving her Prednisone. 354 00:20:34,493 --> 00:20:36,167 Her reaction is a symptom, not an error. 355 00:20:36,167 --> 00:20:38,574 - There's always an explanation, isn't there? - Yes, there is, 356 00:20:38,601 --> 00:20:39,997 and if this one doesn't work, we'll find another. 357 00:20:40,031 --> 00:20:41,531 But never one involving you screwing up. 358 00:20:41,566 --> 00:20:43,415 One that fits all the facts. 359 00:20:43,555 --> 00:20:46,799 Look, we obviously have a difference of opinion, and that's fine. 360 00:20:46,861 --> 00:20:51,117 I used up all the time I budgeted today for banging my head against a wall. 361 00:20:51,179 --> 00:20:53,865 I am gonna do you the biggest favor one doctor can do for another. 362 00:20:53,935 --> 00:20:56,586 I am gonna stop you from killing your patient. 363 00:20:56,970 --> 00:20:58,191 You're off the case. 364 00:21:17,425 --> 00:21:18,541 We're gonna treat the symptoms. 365 00:21:18,611 --> 00:21:21,158 - Not the underlying condition? - There is no underlying condition. 366 00:21:21,199 --> 00:21:22,142 What's her status? 367 00:21:22,244 --> 00:21:24,030 The sister's breathing is labored. 368 00:21:24,352 --> 00:21:28,802 Pneumonitis from the hyperbaric chamber. Put her on 40% oxygen until her O2 sats increase. 369 00:21:28,836 --> 00:21:32,577 BUN and creatinine's rising. ALT and AST twice the normal range. 370 00:21:32,600 --> 00:21:34,488 Could be from the hypotensive episode. 371 00:21:34,622 --> 00:21:36,341 Let's follow them with labs. 372 00:21:36,476 --> 00:21:39,712 She still has the rash and joint pain she came in with. 373 00:21:40,038 --> 00:21:41,690 Order a non-steroidal anti-inflammatory. 374 00:21:41,757 --> 00:21:44,521 When we were looking at the differential diagnosis with Dr. House, we were considering... 375 00:21:44,555 --> 00:21:46,679 I don't need to hear what Dr. House was considering. 376 00:21:46,836 --> 00:21:50,409 All of this woman's symptoms can be traced to Dr. House's considerations. 377 00:21:53,106 --> 00:21:54,117 Okay. 378 00:21:55,556 --> 00:21:57,477 Let's just get this patient healthy. 379 00:21:57,612 --> 00:22:00,005 I want her going out the front door and not the back. 380 00:22:02,016 --> 00:22:04,309 Hey, it's not like I betrayed him. 381 00:22:04,376 --> 00:22:06,769 Cuddy would've found out about the hyperbaric treatments eventually. 382 00:22:06,837 --> 00:22:08,691 You did what you felt you had to. 383 00:22:25,552 --> 00:22:27,035 Can't get enough of this place, huh? 384 00:22:29,620 --> 00:22:31,508 I came for my stethoscope. 385 00:22:31,677 --> 00:22:36,497 So I shouldn't read too much into the fact that you were looking for it in the drawer with the epinephrine syringes in it? 386 00:22:38,555 --> 00:22:41,892 Okay. Yeah. I'd like to cure my reputation. 387 00:22:41,959 --> 00:22:44,926 Oh, right, I forgot how much you care about what people think. 388 00:22:45,296 --> 00:22:47,454 Prescribing cigarettes for inflammatory bowel? 389 00:22:48,702 --> 00:22:50,286 They cause lung cancer, you know. 390 00:22:50,522 --> 00:22:53,017 You know why they have ribbons for breast cancer, 391 00:22:53,141 --> 00:22:56,410 colorectal cancer, prostate cancer, and not for lung cancer 392 00:22:56,916 --> 00:22:59,006 They... ran out of colors? 393 00:22:59,062 --> 00:23:01,523 It's because people blame lung cancer patients. 394 00:23:01,691 --> 00:23:05,770 They smoke, they screwed up, they deserve to die. The reason people die from lung cancer is guilt. 395 00:23:07,883 --> 00:23:10,849 Well, guilt does a lot of damage. 396 00:23:11,624 --> 00:23:13,512 You said that with great significance. 397 00:23:14,017 --> 00:23:15,635 You're not here to find your stethoscope. 398 00:23:16,062 --> 00:23:18,084 You're not here to clear your reputation. 399 00:23:18,859 --> 00:23:20,949 You're here because you're having doubts. 400 00:23:21,140 --> 00:23:22,118 You might've screwed off. 401 00:23:22,219 --> 00:23:25,051 I'm here because if I'm right, Cuddy is killing that patient. 402 00:23:25,118 --> 00:23:25,792 Okay. 403 00:23:26,129 --> 00:23:27,377 But if you're wrong? 404 00:23:30,163 --> 00:23:31,950 - Then she's saving her. - Fine. 405 00:23:32,017 --> 00:23:36,568 You're gonna have to go through every record of every patient who's been through this clinic in the last two days. 406 00:23:36,725 --> 00:23:39,489 And you're gonna have to hope that those records can be trusted. 407 00:23:39,894 --> 00:23:42,287 Which, by the way, yours can't. 408 00:23:52,813 --> 00:23:56,048 These pills'll help your kidneys function a little better, Sister. 409 00:24:03,209 --> 00:24:04,355 Get your wrist. 410 00:24:07,615 --> 00:24:08,626 What's it at? 411 00:24:09,468 --> 00:24:10,682 104. 412 00:24:11,626 --> 00:24:12,603 Is that good? 413 00:24:13,783 --> 00:24:14,457 It's fine. 414 00:24:15,974 --> 00:24:18,165 You're a lousy liar, Dr. Chase. 415 00:24:26,022 --> 00:24:28,247 I have to get this. Excuse me. 416 00:24:31,180 --> 00:24:33,034 My mother's been dead for ten years. 417 00:24:34,523 --> 00:24:36,411 But she's always with you in spirit. 418 00:24:36,771 --> 00:24:38,793 - What do you know about the nun? - Which one? 419 00:24:39,737 --> 00:24:41,726 The cute one. I think she likes me. 420 00:24:42,568 --> 00:24:44,153 The sick one, obviously. 421 00:24:44,344 --> 00:24:47,748 Her parents died when she was a child. And she's been with the Church ever since. 422 00:24:47,816 --> 00:24:49,670 - What's she lying about? - Why do you say that? 423 00:24:50,063 --> 00:24:51,041 I always say that. 424 00:24:51,412 --> 00:24:54,513 And the old nun thinks the sick nun is a big, fat nun liar. 425 00:24:54,614 --> 00:24:56,805 - You know nuns. What do you think? - I don't know nuns. 426 00:24:56,906 --> 00:24:58,322 You hate nuns. 427 00:24:58,446 --> 00:25:00,097 You can't hate someone if you don't know them. 428 00:25:00,502 --> 00:25:02,659 Know any Nazis? Maybe I hate them on principle. 429 00:25:03,603 --> 00:25:07,007 I have a theory about what makes good boys good. 430 00:25:07,131 --> 00:25:09,390 It's not because of some moral imperative. 431 00:25:09,861 --> 00:25:12,187 Good boys have the fear of God put into them. 432 00:25:12,580 --> 00:25:15,310 Catholic Church specializes in that kind of training. 433 00:25:15,984 --> 00:25:18,782 To make good boys afraid of divine retribution. 434 00:25:18,849 --> 00:25:20,805 So they'll do what their daddies tell 'em. 435 00:25:21,131 --> 00:25:24,906 Like, for example, going into medical school when it's the last thing they want to do. 436 00:25:25,749 --> 00:25:26,625 What do you think? 437 00:25:28,603 --> 00:25:31,030 I think if she did have a secret, her boss would know. 438 00:25:37,554 --> 00:25:39,913 Did you paint or put in new carpets recently? 439 00:25:39,947 --> 00:25:40,655 No. 440 00:25:40,756 --> 00:25:42,644 Any way she could've got access to drugs? 441 00:25:42,745 --> 00:25:47,161 Well, we lock all our medications in the infirmary, and we don't keep prescription drugs here. 442 00:25:47,379 --> 00:25:50,749 Why haven't you asked Sister Augustine about these things directly? 443 00:25:51,929 --> 00:25:57,053 I found that when you want to know the truth about someone, that someone is probably the last person you should ask. 444 00:25:57,849 --> 00:26:00,309 And have you been speaking to Sister Eucharist? 445 00:26:00,747 --> 00:26:03,208 She ratted out her fellow sister pretty quickly. 446 00:26:03,511 --> 00:26:06,276 If I were you, I'd have her repeat a year of nun school. 447 00:26:06,747 --> 00:26:09,040 Becoming a nun doesn't make you a saint. 448 00:26:09,187 --> 00:26:11,007 Becoming a doctor doesn't make you a healer. 449 00:26:11,715 --> 00:26:17,243 And just because we live in a monastery and we spend most of our time in prayer doesn't mean we don't find time for drama. 450 00:26:17,547 --> 00:26:20,277 So what is the sick one's drama? 451 00:26:20,805 --> 00:26:24,143 Sister Augustine lived in Catholic foster care... 452 00:26:24,210 --> 00:26:25,760 until she came to us. 453 00:26:27,683 --> 00:26:28,525 Tea? 454 00:26:28,964 --> 00:26:29,705 Sure. 455 00:26:33,211 --> 00:26:34,728 Do all of you lie? 456 00:26:35,469 --> 00:26:36,716 It's a good strategy. 457 00:26:36,795 --> 00:26:38,615 It's simpler when you tell the same lie. 458 00:26:38,682 --> 00:26:41,649 But she does not spend her entire life as a good Catholic. 459 00:26:41,772 --> 00:26:45,244 When she had a cardiac arrest, I had to open her blouse to do CPR. 460 00:26:45,312 --> 00:26:46,761 And I learned two things. 461 00:26:46,829 --> 00:26:48,649 Nuns can have nice breasts. 462 00:26:48,806 --> 00:26:50,896 And she has a tattoo on her shoulder. 463 00:26:51,098 --> 00:26:52,379 Of a skunk. 464 00:26:54,166 --> 00:26:56,627 Now, maybe this was the sacred skunk of Joseph, 465 00:26:56,683 --> 00:26:58,368 but as far as I know, 466 00:26:58,807 --> 00:27:03,256 Catholic foster care and monasteries do not keep tattoo parlors in their refectories. 467 00:27:03,447 --> 00:27:05,739 We consider that our life begins... 468 00:27:05,942 --> 00:27:08,335 when we put on our habits and take our vows. 469 00:27:10,256 --> 00:27:11,638 What happens before then... 470 00:27:11,694 --> 00:27:14,525 It's irrelevant to you. But it's relevant to me. 471 00:27:18,289 --> 00:27:21,829 Sister Augustine went into foster care when she was six years old. 472 00:27:21,896 --> 00:27:23,952 But she left when she was 12. 473 00:27:24,683 --> 00:27:27,245 She lived on the streets, she got into drugs. 474 00:27:28,627 --> 00:27:30,885 When she was 15, she became pregnant. 475 00:27:31,121 --> 00:27:32,503 Tried to self-abort. 476 00:27:33,166 --> 00:27:35,694 She lost the child, she became ill. 477 00:27:35,930 --> 00:27:37,784 We took her in when she came back. 478 00:27:38,189 --> 00:27:41,661 If we had thought that it was medically relevant, we would have told you. 479 00:27:44,178 --> 00:27:45,593 It's not. 480 00:27:54,670 --> 00:27:56,288 This tea is delicious. 481 00:27:57,504 --> 00:27:58,616 Local herbs? 482 00:27:59,863 --> 00:28:01,178 Any change with the medication? 483 00:28:01,234 --> 00:28:04,403 Yeah, she's getting worse. Lung functions deteriorating, 484 00:28:04,437 --> 00:28:06,324 BUN and creatinine continuing to rise. 485 00:28:06,392 --> 00:28:08,482 She's starting to run a fever, and the rash is spreading. 486 00:28:08,840 --> 00:28:11,166 - At this rate, she's not gonna make Christmas. - Maybe House was right. 487 00:28:11,301 --> 00:28:13,391 Maybe there is an underlying condition that explains the symptoms. 488 00:28:13,458 --> 00:28:14,941 Something we haven't considered. 489 00:28:15,009 --> 00:28:15,582 Like what? 490 00:28:15,919 --> 00:28:17,503 It could be a metabolic disorder. 491 00:28:17,560 --> 00:28:19,110 - Specifically? - Might be genetic. 492 00:28:19,144 --> 00:28:20,560 Specifically? 493 00:28:20,627 --> 00:28:22,784 - I'm just saying that... - You're just saying you think House is right. 494 00:28:22,976 --> 00:28:24,257 Might be right. 495 00:28:24,324 --> 00:28:26,818 Of course he might be right. It might be the hand of God at work. 496 00:28:26,886 --> 00:28:29,717 Don't say it's something else unless you've got something concrete to offer. 497 00:28:33,910 --> 00:28:34,854 What's this? Hemlock? 498 00:28:34,955 --> 00:28:38,191 I'm gonna do you the biggest favor one doctor can do another. 499 00:28:38,427 --> 00:28:40,651 I'm gonna stop you from killing your patient. 500 00:28:41,494 --> 00:28:43,281 It's figwort tea. 501 00:28:43,448 --> 00:28:45,807 Great for that little pick-me-up we're all looking for in the morning. 502 00:28:45,864 --> 00:28:49,066 Opens the lungs, increases the blood pressure, stimulates the heart. 503 00:28:49,201 --> 00:28:54,089 Unfortunately, if you then get injected with even point-one cc of epinephrine, 504 00:28:54,415 --> 00:28:56,269 instant cardiac arrest. 505 00:28:56,808 --> 00:28:58,392 Still, what the hell, it tastes great. 506 00:28:58,729 --> 00:29:01,999 - Sister Augustine... - ... has been drinking it religiously, so to speak. 507 00:29:03,213 --> 00:29:05,202 And if you take the cardiac arrest out of the equation... 508 00:29:05,236 --> 00:29:09,247 all the rest of the symptoms can be explained by a severe long-term allergic reaction. 509 00:29:09,348 --> 00:29:11,606 Well, that's what Cameron said in the beginning. 510 00:29:11,741 --> 00:29:13,157 Yes. She did. 511 00:29:14,403 --> 00:29:15,549 Well done. 512 00:29:16,257 --> 00:29:20,201 But your unwillingness to stick by your diagnosis almost killed this woman. 513 00:29:20,909 --> 00:29:23,470 Take a lesson from Foreman and stand up for what you believe. 514 00:29:24,764 --> 00:29:27,798 Okay. Let's go figure out how to save a nun. 515 00:29:28,472 --> 00:29:31,135 Damned if you do, damned if you don't. 516 00:29:32,617 --> 00:29:39,426 'Cause it's been untreated for so long, it's gone from a simple watery eyes, scratchy throat allergy to a whopping I'm-gonna-kick-your-ass allergy. 517 00:29:39,482 --> 00:29:43,494 Compromising her immune system, diminishing her ability to heal, and breaking down her organ systems. 518 00:29:43,561 --> 00:29:45,280 So what's the source? 519 00:29:45,617 --> 00:29:46,595 The dish soap. 520 00:29:46,887 --> 00:29:50,224 No, symptoms persisted days after the dish washing episode. 521 00:29:50,258 --> 00:29:53,258 It's gotta be something she's been exposed to here in the hospital, as well as the monastery. 522 00:29:53,314 --> 00:29:57,393 - Well, what about the tea? It caused her arrhythmia. - Aah, could be, but it's not definitive. 523 00:29:57,494 --> 00:30:00,325 - We'll skin test for allergies. - Not yet, she's too reactive. 524 00:30:00,416 --> 00:30:02,640 She'll test positiveto everything. We need to stabilize her, 525 00:30:02,708 --> 00:30:05,607 isolate her from all possible allergens and give her system a rest. 526 00:30:05,640 --> 00:30:06,719 Get her in the clean room. 527 00:30:06,808 --> 00:30:10,213 Okay, then we'll gradually introduce allergens to see how she responds. 528 00:30:10,246 --> 00:30:12,437 When she reacts to something, we'll know that's what's killing her. 529 00:30:14,516 --> 00:30:17,078 There you go. No television, no books. 530 00:30:17,246 --> 00:30:18,359 Not even my Bible? 531 00:30:18,460 --> 00:30:21,662 I'm afraid not. This room has filtered air, filtered water. 532 00:30:22,033 --> 00:30:23,314 You even have silk sheets. 533 00:30:23,438 --> 00:30:25,595 Very decadent and hypoallergenic. 534 00:30:26,033 --> 00:30:27,516 You should be feeling better her 535 00:30:31,754 --> 00:30:34,316 We'll be back to check on you in a little while. 536 00:30:34,417 --> 00:30:38,260 Can the other sisters come in and pray with me? 537 00:30:39,494 --> 00:30:41,854 It'd be better if you don't have any visitors. 538 00:30:42,450 --> 00:30:46,798 Once we isolate what's causing your allergy, then we can be a little more relax. 539 00:30:57,977 --> 00:30:59,494 I-I can pray with you. 540 00:31:00,674 --> 00:31:02,089 I don't want to die. 541 00:31:03,476 --> 00:31:05,633 Why has He left me? 542 00:31:15,785 --> 00:31:17,302 I was in seminary school. 543 00:31:19,527 --> 00:31:22,089 They asked us once what our favorite passage was. 544 00:31:22,358 --> 00:31:25,291 I chose First Peter 1:7. 545 00:31:27,484 --> 00:31:31,630 "These trials only test your faith "to see whether or notit is strong and pure. 546 00:31:32,034 --> 00:31:33,753 "Your faith is being tested. 547 00:31:34,495 --> 00:31:36,652 "As fire tests gold and purifies it. 548 00:31:36,843 --> 00:31:39,810 "And your faith is far more precious "to the Lord than mere gold. 549 00:31:40,147 --> 00:31:44,158 "So if your faith remains strong "after being tested, it will bring you 550 00:31:44,282 --> 00:31:47,383 "much praise and glory and honor 551 00:31:48,799 --> 00:31:50,383 "on the day of His return." 552 00:31:51,557 --> 00:31:52,838 He hasn't left you. 553 00:31:56,512 --> 00:32:00,018 The only thing in the way of you knowing He's there is your fear. 554 00:32:00,187 --> 00:32:03,086 You have a choice. Faith or fear. 555 00:32:04,540 --> 00:32:05,551 That's the test. 556 00:32:05,652 --> 00:32:07,978 Choosing faith doesn't mean I won't die. 557 00:32:08,079 --> 00:32:10,540 But it will affect how you will experience your death. 558 00:32:11,349 --> 00:32:13,000 And therefore your life. 559 00:32:13,135 --> 00:32:14,079 It's up to you. 560 00:32:14,911 --> 00:32:17,304 Why did you leave seminary school? 561 00:32:19,293 --> 00:32:20,371 That test... 562 00:32:22,046 --> 00:32:23,158 you passed, 563 00:32:23,933 --> 00:32:24,844 I didn't. 564 00:32:26,259 --> 00:32:27,877 We'll call you if anything changes. 565 00:32:27,934 --> 00:32:29,451 Will she be all right? 566 00:32:29,552 --> 00:32:33,496 As long as she's not exposed to anything that can aggravate her allergy, she'll be fine. 567 00:32:34,799 --> 00:32:36,046 Need some help in here. 568 00:32:42,406 --> 00:32:44,664 Screw the procedure. She's in anaphylactic shock. 569 00:32:44,732 --> 00:32:46,754 No way, she's in the damn clean room! Are you kidding me? 570 00:32:46,889 --> 00:32:47,698 Get in here! 571 00:32:50,327 --> 00:32:51,675 Point-one cc of epi. 572 00:32:52,170 --> 00:32:53,519 We've got to intubate. 573 00:32:53,552 --> 00:32:55,238 I got it. Get the ambu bag. 574 00:33:08,541 --> 00:33:09,418 I'm in. 575 00:33:22,737 --> 00:33:23,984 Breathing stabilized. 576 00:33:26,486 --> 00:33:27,868 It's a clean room. 577 00:33:36,403 --> 00:33:39,470 How do you get an allergic reaction in a clean room? 578 00:33:41,358 --> 00:33:44,493 - Maybe it was the preservatives in the IV. - Checked that. 579 00:33:45,418 --> 00:33:48,115 - Latex tubing? - Checked that. Checked everything. 580 00:33:48,946 --> 00:33:52,823 Well, it could bemast cell leukemia. It can cause anaphylaxis. 581 00:33:52,958 --> 00:33:54,205 We checked the blood levels. 582 00:33:54,261 --> 00:33:58,711 And it's not eosinophilia odiopathic anaphylaxis. 583 00:33:59,115 --> 00:34:01,306 Maybe it's just divine will. 584 00:34:02,621 --> 00:34:04,778 It's not my will. 585 00:34:08,440 --> 00:34:11,609 You do realize, if you're wrong... 586 00:34:11,665 --> 00:34:13,350 about the big picture, that is... 587 00:34:13,452 --> 00:34:14,800 you're going to burn, right? 588 00:34:15,002 --> 00:34:17,429 What do you want me to do? Just accept it, pack it in? 589 00:34:17,519 --> 00:34:21,261 Yeah, I want you to accept that sometimes patients die against all reason. 590 00:34:21,328 --> 00:34:25,103 - And sometimes they get better against all reason. - No, they don't. We just don't know the reason. 591 00:34:25,227 --> 00:34:27,621 I think the nuns would agree with you on that. 592 00:34:37,364 --> 00:34:40,431 I just wanted to say that I know you did everything you could. 593 00:34:40,566 --> 00:34:43,566 I don't need verification from you to know that I'm doing my job well. 594 00:34:43,879 --> 00:34:45,329 That's your problem, not mine. 595 00:34:45,497 --> 00:34:46,846 I was just being nice. 596 00:34:46,913 --> 00:34:49,205 Yeah, well, you don't need to always do that. 597 00:34:52,083 --> 00:34:53,297 Merry Christmas. 598 00:35:04,853 --> 00:35:06,976 Sister Augustine's been extubated. 599 00:35:09,167 --> 00:35:09,774 Good. 600 00:35:09,992 --> 00:35:12,621 She's requested to check out against medical advice. 601 00:35:12,789 --> 00:35:14,441 She wants to go back to the monastery. 602 00:35:15,250 --> 00:35:16,497 Well, talk her out of it. 603 00:35:17,700 --> 00:35:19,688 I think I may have talked her into it. 604 00:35:37,017 --> 00:35:39,039 Room's paid up for the rest of the week. 605 00:35:40,657 --> 00:35:42,208 Might as well stick around. 606 00:35:42,781 --> 00:35:46,421 This illness is a test of my faith. 607 00:35:47,083 --> 00:35:49,240 If it's His will to take me, 608 00:35:49,577 --> 00:35:51,397 it doesn't matter where I am. 609 00:35:51,599 --> 00:35:53,083 I can accept that. 610 00:35:54,116 --> 00:35:56,746 Does anybody believe anything you say? 611 00:35:58,566 --> 00:36:00,049 You're not accepting. 612 00:36:02,026 --> 00:36:03,509 You're running away. 613 00:36:03,677 --> 00:36:05,397 Just like you always do. 614 00:36:06,374 --> 00:36:09,138 You ran away from the monastery to get laid. 615 00:36:10,138 --> 00:36:13,813 You ran away from the real world when getting laid didn't work out so good. 616 00:36:14,284 --> 00:36:17,318 Now things aren't working out again, so off you go. 617 00:36:18,015 --> 00:36:20,846 Why is it so difficult for you to believe in God? 618 00:36:22,116 --> 00:36:25,858 What I have difficulty with is the whole concept of belief. 619 00:36:26,397 --> 00:36:28,892 Faith isn't based on logic and experience. 620 00:36:29,060 --> 00:36:32,094 I experience God on a daily basis. 621 00:36:33,056 --> 00:36:35,483 And the miracle of life all around. 622 00:36:35,955 --> 00:36:37,640 The miracle of birth. 623 00:36:38,315 --> 00:36:40,202 The miracle of love. 624 00:36:40,910 --> 00:36:42,663 He is always with me. 625 00:36:42,993 --> 00:36:47,139 Where is the miracle in delivering a crack-addicted baby? 626 00:36:49,555 --> 00:36:53,196 And watching her mother abandon her 'cause she needs another score. 627 00:36:53,726 --> 00:36:54,838 Miracle of love. 628 00:36:55,883 --> 00:37:01,074 You are over twice as likely to be killed by the person you love than by a stranger. 629 00:37:01,917 --> 00:37:04,175 Are you trying to talk me out of my faith? 630 00:37:04,600 --> 00:37:08,644 You can have all the faith you want in spirits and the afterlife. 631 00:37:08,836 --> 00:37:10,285 And heaven and hell. 632 00:37:11,499 --> 00:37:14,263 But when it comes to this world, don't be an idiot. 633 00:37:15,364 --> 00:37:18,802 'Cause you can tell me that you put your faith in God to get you through the day. 634 00:37:18,971 --> 00:37:22,004 But when it comes time to cross the road, I know you look both ways. 635 00:37:22,095 --> 00:37:26,477 I don't believe He is inside me and is going to save me. 636 00:37:26,847 --> 00:37:31,668 I believe He is inside me whether I live or die. 637 00:37:31,724 --> 00:37:33,443 Then you might as well live. 638 00:37:35,634 --> 00:37:38,061 You got a better shot betting on me than on Him. 639 00:37:39,803 --> 00:37:41,421 When I was 15, 640 00:37:42,196 --> 00:37:45,601 I was on every kind of birth control known to man. 641 00:37:46,870 --> 00:37:48,792 And I still got pregnant. 642 00:37:50,545 --> 00:37:52,028 I blamed God. 643 00:37:52,455 --> 00:37:55,253 I hated Him for ruining my life. 644 00:37:55,354 --> 00:37:57,376 But then I realized something. 645 00:37:57,870 --> 00:38:02,724 You can't be angry with God and not believe in Him at the same time. 646 00:38:02,926 --> 00:38:04,409 No one can. 647 00:38:04,915 --> 00:38:06,904 Not even you, Dr. House. 648 00:38:12,178 --> 00:38:13,223 How'd it go? 649 00:38:13,594 --> 00:38:16,054 She has God inside her. 650 00:38:16,252 --> 00:38:18,376 Would've been easier to deal with a tumor. 651 00:38:19,488 --> 00:38:21,207 Maybe she's allergic to God. 652 00:38:26,619 --> 00:38:30,934 We've looked everywhere for an allergen that could be causing this reaction except one place. 653 00:38:30,994 --> 00:38:31,972 Inside her. 654 00:38:32,039 --> 00:38:34,264 On her medical history, she didn't mention any surgery. 655 00:38:34,320 --> 00:38:35,163 She had one. 656 00:38:35,231 --> 00:38:38,332 - Can we get her records? What hospital was it at? - She didn't have it at a hospital. 657 00:38:38,972 --> 00:38:40,422 Order a full body scan. 658 00:38:40,489 --> 00:38:41,972 What if she refuses? 659 00:38:42,107 --> 00:38:43,792 Tell her I'm looking for a miracle. 660 00:38:46,579 --> 00:38:49,141 No piercings. No fillings. 661 00:38:49,815 --> 00:38:52,242 No surgical pins in the arm. 662 00:38:52,568 --> 00:38:54,793 - No implants. - It's clean as a whistle. 663 00:38:54,961 --> 00:38:56,478 What's House looking for? 664 00:38:58,366 --> 00:38:59,613 What is that? 665 00:39:00,545 --> 00:39:01,421 Don't know. 666 00:39:01,758 --> 00:39:04,522 Lock on it. Get a 3-D representation. 667 00:39:10,015 --> 00:39:11,027 Oh, my God. 668 00:39:15,253 --> 00:39:16,702 The copper cross. 669 00:39:16,871 --> 00:39:19,669 A form of birth control pulled off the market in the '80s. 670 00:39:19,972 --> 00:39:21,860 So she's allergic to copper? 671 00:39:22,017 --> 00:39:23,669 Rare, but it happens. 672 00:39:23,736 --> 00:39:25,456 Didn't she knowshe had an IUD? 673 00:39:25,624 --> 00:39:26,635 She had an abortion. 674 00:39:26,793 --> 00:39:30,737 IUD must have been left in, embedded in the endometrial tissue where it couldn't be detected. 675 00:39:31,849 --> 00:39:34,411 So all we have to do is remove the IUD. 676 00:39:34,478 --> 00:39:36,130 Then the symptoms should subside. 677 00:39:36,759 --> 00:39:39,287 I got this IUD when I was 15. 678 00:39:39,422 --> 00:39:41,613 I-it's been more than 20 years. 679 00:39:41,681 --> 00:39:44,310 Well, prolonged exposure to an allergen with minimal symptoms. 680 00:39:44,771 --> 00:39:49,119 But at some point, all it takes is one last contact to cause a full-blown reaction. 681 00:39:49,378 --> 00:39:52,647 It's like a balloon filled with air. One last breath, it explodes. 682 00:39:53,557 --> 00:39:57,569 The first time I got the rash was when I was washing the copper cookware. 683 00:39:57,557 --> 00:40:00,860 And all your subsequent symptoms came from ingesting food prepared in it. 684 00:40:01,838 --> 00:40:03,961 Dr. House found his miracle. 685 00:40:04,669 --> 00:40:06,456 I doubt he'll interpret it that way. 686 00:40:08,838 --> 00:40:10,961 You told me your favorite passage. 687 00:40:11,298 --> 00:40:13,085 Would you like to hear mine? 688 00:40:14,759 --> 00:40:17,119 "Celebrate and be glad, 689 00:40:17,254 --> 00:40:20,119 "because your brother was dead and is alive again." 690 00:40:20,263 --> 00:40:21,274 The prodigal son. 691 00:40:23,465 --> 00:40:25,993 He'll be waiting for you when you're ready. 692 00:40:28,420 --> 00:40:30,510 We'll schedule your surgery for tomorrow. 693 00:40:37,598 --> 00:40:39,755 The sixth circle of hell. 694 00:40:39,861 --> 00:40:43,536 Confined in a sweat box with a bloody nose, and all the tissues are soggy. 695 00:40:43,603 --> 00:40:45,221 I think that's the seventh. 696 00:40:45,255 --> 00:40:47,580 - No, the seventh is... - God, you must be fun at parties. 697 00:40:47,671 --> 00:40:49,626 I think we both know the flawin that theory. 698 00:40:49,693 --> 00:40:53,232 - How's the sister? - Heart rate is normal, kidney is functioning. 699 00:40:53,536 --> 00:40:56,772 You know how it is with nuns, you take out their IUDs, they just bounce right back. 700 00:40:56,962 --> 00:40:59,288 - Great. - Told you I didn't screw up. 701 00:41:00,973 --> 00:41:01,748 You screwed up. 702 00:41:01,872 --> 00:41:04,198 I gave her point-one cc of epinephrine. 703 00:41:04,265 --> 00:41:06,794 Yeah, and if Cuddy hadn't taken you off the case, you would've killed her. 704 00:41:09,187 --> 00:41:10,839 You wanna come over for Christmas dinner? 705 00:41:12,277 --> 00:41:13,625 You're Jewish. 706 00:41:14,266 --> 00:41:17,738 Yeah, Hanukkah dinner. Wh-what do you care? It's food, it's people. 707 00:41:17,805 --> 00:41:18,749 No thanks. 708 00:41:20,625 --> 00:41:22,142 Maybe I'll come to your place. 709 00:41:22,951 --> 00:41:25,243 Your wife doesn't mind being alone at Christmas? 710 00:41:25,311 --> 00:41:27,333 I'm a doctor, she's used to being alone. 711 00:41:29,918 --> 00:41:31,805 - I don't want to talk about it. - Neither do I. 712 00:41:36,628 --> 00:41:38,348 You did good. With the nun. 713 00:41:39,055 --> 00:41:40,471 Congratulations. 714 00:41:41,921 --> 00:41:42,628 Thank you. 715 00:41:43,775 --> 00:41:45,359 Merry Christmas, Dr. House. 716 00:41:46,143 --> 00:41:47,222 Dr. Wilson. 717 00:41:48,792 --> 00:41:49,702 Good night. 718 00:41:52,365 --> 00:41:53,511 That was sweet.