1 00:00:18,268 --> 00:00:19,977 What do you say now? 2 00:00:20,938 --> 00:00:22,563 I don't know. 3 00:00:23,065 --> 00:00:25,149 You said your dad wouldn't be home for an hour. 4 00:00:25,275 --> 00:00:26,442 I know, but you don't know... 5 00:00:26,568 --> 00:00:28,986 - Don't you love me? - Of course. You know I do. 6 00:00:29,113 --> 00:00:30,780 Come on. Let's do it. 7 00:00:31,990 --> 00:00:33,449 All right. 8 00:00:44,962 --> 00:00:47,171 - Where are they? - Nightstand. 9 00:00:54,012 --> 00:00:57,014 Gentlemen, start your engines. 10 00:01:02,104 --> 00:01:04,605 I so want this car! 11 00:01:29,590 --> 00:01:31,799 Oh, my God! You're bleeding. 12 00:01:32,593 --> 00:01:33,968 Look out! 13 00:02:34,279 --> 00:02:35,571 What lie are they telling you? 14 00:02:35,697 --> 00:02:38,032 I'll check on it. Okay. 15 00:02:38,826 --> 00:02:39,951 Yes. 16 00:02:41,995 --> 00:02:43,329 Come on. 17 00:02:43,872 --> 00:02:45,456 Okay, thank you. 18 00:02:46,667 --> 00:02:49,418 Okay, pharmaceuticals were delivered this morning. 19 00:02:49,545 --> 00:02:52,964 But Shipping accidentally sent the box with Vicodin to Research. 20 00:02:53,632 --> 00:02:55,049 That's a tough one. 21 00:02:55,175 --> 00:02:56,884 If only we had some way to communicate 22 00:02:57,010 --> 00:02:59,178 with another part of the building. 23 00:03:00,138 --> 00:03:01,681 16-year-old M.V.A. victim. 24 00:03:01,807 --> 00:03:04,517 He's been in and out of the hospital for three weeks with internal bleeding. 25 00:03:04,643 --> 00:03:05,601 No one can find the cause. 26 00:03:05,727 --> 00:03:08,604 Internal bleeding after a car accident. Wow, that's shocking. 27 00:03:08,730 --> 00:03:10,857 Let me talk to Shipping. I speak their language. 28 00:03:10,983 --> 00:03:11,983 It's been three weeks... 29 00:03:12,109 --> 00:03:14,151 Your hospital doesn't have my pain medication. 30 00:03:14,278 --> 00:03:16,946 Shipping says it's going to be an hour. 31 00:03:17,531 --> 00:03:18,489 This is Dr. Cuddy. What's going on? 32 00:03:18,615 --> 00:03:20,324 The crash didn't cause the bleed. 33 00:03:20,450 --> 00:03:21,826 Right. The bleed caused the crash. 34 00:03:21,952 --> 00:03:23,911 Blood got on the road, got all slippery. 35 00:03:24,037 --> 00:03:25,913 Anyone in here got drugs? 36 00:03:28,292 --> 00:03:30,835 She saw his blood, she got distracted, she crashed his dad's Porsche. 37 00:03:30,961 --> 00:03:31,919 Dad will love that. 38 00:03:32,045 --> 00:03:34,088 - He was... - Don't talk. 39 00:03:34,214 --> 00:03:35,631 It's gonna be an hour. 40 00:03:35,841 --> 00:03:36,924 Thank God you took control. 41 00:03:37,050 --> 00:03:38,426 If you can't wait one hour to... 42 00:03:38,552 --> 00:03:40,094 Kid's got hemolytic anemia. 43 00:03:40,220 --> 00:03:41,929 Kid? How old? 44 00:03:42,055 --> 00:03:43,723 He must have inherited it. 45 00:03:43,891 --> 00:03:45,308 He's gonna die. My condolences. 46 00:03:45,434 --> 00:03:46,517 Wasn't inherited. 47 00:03:46,643 --> 00:03:48,352 The problem's outside the red blood cells. 48 00:03:48,854 --> 00:03:51,689 This is impossible. A 16-year-old does not get hemolytic anemia. 49 00:03:51,815 --> 00:03:54,609 Give her back the file. You have bigger problems to tend to, like my meds. 50 00:03:54,735 --> 00:03:58,070 Elevated indirect bilirubin, low serum haptoglobin. 51 00:03:58,196 --> 00:03:59,614 He's got meningitis. 52 00:03:59,740 --> 00:04:00,740 No. 53 00:04:03,577 --> 00:04:04,619 Artificial heart valve. 54 00:04:04,745 --> 00:04:05,786 No. 55 00:04:11,835 --> 00:04:13,920 Get everyone in my office. 56 00:04:14,880 --> 00:04:16,672 Kid's going to be dead in a matter of days 57 00:04:16,798 --> 00:04:19,467 if we don't figure out why his red blood cells are disintegrating. 58 00:04:19,593 --> 00:04:21,677 So, differential diagnosis, people. 59 00:04:21,803 --> 00:04:23,095 Well, it's not environmental. 60 00:04:23,221 --> 00:04:26,057 Dad hired a company to clean the house, maid washed all the clothes, 61 00:04:26,183 --> 00:04:28,017 bought hypoallergenic sheets and pillows. 62 00:04:28,143 --> 00:04:29,101 You want us to re-check? 63 00:04:29,227 --> 00:04:32,271 No. If it's environmental, he'll get better just from staying here. 64 00:04:32,397 --> 00:04:33,397 It could be an infection. 65 00:04:33,523 --> 00:04:34,565 No fever. No white count. 66 00:04:34,691 --> 00:04:36,067 Well, he's 99.2. 67 00:04:36,234 --> 00:04:37,610 Barely above normal. 68 00:04:37,736 --> 00:04:40,321 But above. His body's reacting to something. 69 00:04:40,447 --> 00:04:42,406 We could account for the lack of fever and white count 70 00:04:42,532 --> 00:04:43,366 if it's lupus. 71 00:04:43,492 --> 00:04:45,076 Drugs will fit just as much as lupus. 72 00:04:45,202 --> 00:04:46,661 Meth will cause hemolytic anemia. 73 00:04:46,787 --> 00:04:48,412 A lot of meth. 74 00:04:48,538 --> 00:04:50,456 Also, doesn't exactly seem like the type. 75 00:04:50,582 --> 00:04:52,541 Because his dad drives a Porsche? 76 00:04:52,668 --> 00:04:55,378 Rich kids do drugs just like poor kids. 77 00:04:55,504 --> 00:04:56,671 Didn't mean to offend you. 78 00:04:56,797 --> 00:05:01,050 Okay! So it's infection, lupus, drugs or cancer. 79 00:05:01,176 --> 00:05:03,928 - Cancer? - Why not? Great meeting. 80 00:05:04,429 --> 00:05:07,181 Shouldn't we narrow it down before we finish? 81 00:05:07,307 --> 00:05:09,183 My leg gave us till 11:15. 82 00:05:09,309 --> 00:05:11,978 I'll talk to Wilson about lymphoma, ANA for lupus, 83 00:05:12,104 --> 00:05:13,896 radioimmunoassay for drugs, 84 00:05:14,022 --> 00:05:16,524 and you test for whatever you thought it was. 85 00:05:16,650 --> 00:05:19,110 I've got a date with a pharmacist. 86 00:05:19,861 --> 00:05:21,737 Those are already done. 87 00:05:23,907 --> 00:05:25,199 Come on! Come on, come on, come on. 88 00:05:25,325 --> 00:05:26,492 Yeah. 89 00:05:36,628 --> 00:05:38,087 Excuse me. 90 00:05:41,633 --> 00:05:43,884 You know, there are other ways to manage pain. 91 00:05:44,011 --> 00:05:46,929 Like what? Laughter? Meditation? 92 00:05:47,055 --> 00:05:49,557 Got a guy that can fix my third chakra? 93 00:05:49,683 --> 00:05:50,933 You're addicted. 94 00:05:51,059 --> 00:05:52,893 If the pills ran my life, I'd agree with you, 95 00:05:53,020 --> 00:05:55,479 but it's my leg that's busy calendaring what I can't do. 96 00:05:55,605 --> 00:05:56,689 You're in denial. 97 00:05:56,815 --> 00:05:58,941 Right. I never had an infarction in my leg. 98 00:05:59,067 --> 00:06:00,860 No dead muscle, no nerve damage. 99 00:06:01,486 --> 00:06:04,155 Doesn't even hurt. Actually, it kind of tickles. 100 00:06:04,489 --> 00:06:07,283 And chicks dig this better than a puppy. 101 00:06:07,409 --> 00:06:10,453 It's not just your leg. You want to get high. 102 00:06:10,579 --> 00:06:12,121 You're doing, what, 80 milligrams a day? 103 00:06:12,247 --> 00:06:14,123 No. That's way too much. 104 00:06:14,249 --> 00:06:17,168 Moderation is the key. Unless there's pain. 105 00:06:18,045 --> 00:06:20,046 It's double what you were taking when I hired you. 106 00:06:20,172 --> 00:06:22,506 'Cause you're twice as annoying. 107 00:06:22,632 --> 00:06:24,467 I can't always be here to protect you. 108 00:06:24,593 --> 00:06:26,510 Patients talk. Doctors talk. 109 00:06:26,762 --> 00:06:28,554 About how big your ass has gotten lately? 110 00:06:28,680 --> 00:06:29,930 Not me. I defend it. 111 00:06:30,057 --> 00:06:31,682 You got back. 112 00:06:39,858 --> 00:06:41,233 You can't go a week without the drugs. 113 00:06:41,359 --> 00:06:43,944 No, I don't want to go without the drugs. It'll hurt. 114 00:06:44,071 --> 00:06:45,863 No, you can't. 115 00:06:45,989 --> 00:06:48,032 If you're just getting off pain medication, it will hurt. 116 00:06:48,158 --> 00:06:50,743 But... You won't be having a great time, but you'll make it. 117 00:06:50,869 --> 00:06:53,913 If you're detoxing, you'll have chills, nausea. 118 00:06:54,039 --> 00:06:57,792 Your pain will magnify five, 10 times. You won't make it. 119 00:06:57,918 --> 00:06:59,960 Well, I guess we'll never know. 120 00:07:00,087 --> 00:07:02,755 I'll give you a week off clinic duty if you can go a week without narcotics. 121 00:07:02,881 --> 00:07:04,507 No way. I love the clinic. 122 00:07:04,633 --> 00:07:06,884 You love the pills. Two weeks. 123 00:07:07,010 --> 00:07:09,220 The pills don't make me high, they make me neutral. 124 00:07:09,346 --> 00:07:10,679 A month. 125 00:07:15,894 --> 00:07:17,520 You're on, mister. 126 00:07:21,733 --> 00:07:22,817 Drugs could cause this? 127 00:07:22,943 --> 00:07:25,820 Cocaine and meth are very hard on the blood system. 128 00:07:25,946 --> 00:07:27,947 Has he had any erratic behavior? 129 00:07:28,073 --> 00:07:29,657 No, but... 130 00:07:32,077 --> 00:07:34,161 She was in rehab in the ninth grade. 131 00:07:34,287 --> 00:07:35,955 She's supposedly clean now, but... 132 00:07:36,081 --> 00:07:37,331 She obviously cares for him. 133 00:07:37,457 --> 00:07:39,959 Yeah, what she cared about was the car. 134 00:07:40,085 --> 00:07:42,294 Anniversary present from my wife. 135 00:07:42,420 --> 00:07:45,589 We drove it up north to watch the leaves change. 136 00:07:46,341 --> 00:07:47,967 She was dead a year later. 137 00:07:48,176 --> 00:07:49,426 Cancer. 138 00:07:49,928 --> 00:07:50,970 I'm sorry. 139 00:07:53,223 --> 00:07:56,016 Mr. Foster, we're gonna test Keith for drugs. 140 00:07:56,309 --> 00:07:57,893 I don't do drugs. 141 00:07:58,019 --> 00:08:01,313 You know, it's not that we don't trust you, but... 142 00:08:01,940 --> 00:08:05,943 His hair will tell us any drugs he's taken over the past 60 days. 143 00:08:06,069 --> 00:08:08,654 It's kind of like rings on a tree. 144 00:08:15,912 --> 00:08:17,288 Negative. 145 00:08:19,416 --> 00:08:20,416 Have you been sick? 146 00:08:20,542 --> 00:08:21,625 No, nothing. 147 00:08:21,751 --> 00:08:22,793 Have you been out of the country? 148 00:08:22,919 --> 00:08:26,297 We went to China, but we got all our shots before we left. 149 00:08:26,423 --> 00:08:28,048 It could be an infection. 150 00:08:28,175 --> 00:08:30,718 We're going to give him a gallium scan just to be safe. 151 00:08:30,844 --> 00:08:33,179 We inject a radioactive isotope into his bloodstream, 152 00:08:33,305 --> 00:08:37,099 and we check to see if there's inflammation anywhere in the body. 153 00:08:37,225 --> 00:08:40,227 Has he ever complained of any joint pain? 154 00:08:40,353 --> 00:08:42,229 Sensitivity to light? Rashes? 155 00:08:42,355 --> 00:08:43,314 No, no. Nothing. 156 00:08:43,440 --> 00:08:45,774 Any relatives who've ever been diagnosed with lupus? 157 00:08:45,901 --> 00:08:46,901 I don't even know what that is. 158 00:08:47,027 --> 00:08:50,571 In simple terms, the body becomes allergic to itself. 159 00:08:50,697 --> 00:08:52,364 The immune system attacks healthy cells 160 00:08:52,490 --> 00:08:54,658 in the circulatory system and destroys them. 161 00:08:55,035 --> 00:08:57,036 Would it be treatable? 162 00:08:57,579 --> 00:08:59,330 It can be manageable. 163 00:09:00,415 --> 00:09:02,458 We can test for the antibodies. 164 00:09:02,584 --> 00:09:06,003 Ninety-five percent of patients with lupus have positive ANA. 165 00:09:07,005 --> 00:09:08,881 Not cloudy. Negative. 166 00:09:09,591 --> 00:09:10,883 What about bruising? 167 00:09:11,009 --> 00:09:15,095 Never complained of tenderness under his arms or his groin? 168 00:09:15,222 --> 00:09:17,973 I'm not sure he'd tell me if he did. 169 00:09:18,099 --> 00:09:20,768 I guess I don't really know what's going on in his life. 170 00:09:20,894 --> 00:09:22,978 - He's a teenager. - Yeah. 171 00:09:27,317 --> 00:09:29,985 What type of cancer did your wife have? 172 00:09:31,947 --> 00:09:33,447 Pancreatic. 173 00:09:34,491 --> 00:09:36,867 It's his lymph nodes we're concerned about. 174 00:09:36,993 --> 00:09:40,246 We're going to do a biopsy to check for lymphoma. 175 00:09:40,830 --> 00:09:42,873 Can you feel this? 176 00:09:42,999 --> 00:09:43,832 No. 177 00:09:43,959 --> 00:09:45,084 Good. 178 00:09:53,927 --> 00:09:56,136 I have cancer, don't I? 179 00:09:56,263 --> 00:09:57,972 We're just testing. 180 00:10:01,101 --> 00:10:03,394 That's what they told my mom. 181 00:10:09,901 --> 00:10:11,694 Definitely not cancer. 182 00:10:13,071 --> 00:10:14,071 Nothing? 183 00:10:14,197 --> 00:10:15,030 Nothing. 184 00:10:15,156 --> 00:10:17,866 Negative for drugs. ANA was negative. Gallium scan was clear. 185 00:10:17,993 --> 00:10:19,743 Yeah, I got that from the "nothing." 186 00:10:19,869 --> 00:10:21,787 - Where's his hematocrit? - Thirteen. 187 00:10:21,913 --> 00:10:23,956 Drops any lower, he's not gonna have enough red blood cells 188 00:10:24,082 --> 00:10:25,708 to bring oxygen to his body. 189 00:10:25,834 --> 00:10:27,918 He'll suffocate with his lungs working perfectly. 190 00:10:28,044 --> 00:10:29,420 You okay? 191 00:10:30,130 --> 00:10:33,632 Excuse me, someone? Help. Please! 192 00:10:34,634 --> 00:10:36,510 Polite for a dying kid. 193 00:10:40,265 --> 00:10:41,932 How long has it been? 194 00:10:42,058 --> 00:10:43,434 I'm fine. 195 00:10:44,311 --> 00:10:45,894 There's something in my eye, up at the top. 196 00:10:46,021 --> 00:10:47,062 Which eye? 197 00:10:47,188 --> 00:10:48,856 This one. What's happening? 198 00:10:48,982 --> 00:10:51,817 It's all right. Just look down for me. 199 00:10:53,278 --> 00:10:55,654 It's clear. There's nothing in it. 200 00:10:55,780 --> 00:10:56,780 It's getting worse. 201 00:10:56,906 --> 00:10:57,740 Is it fuzzy? 202 00:10:57,866 --> 00:10:59,533 No, it's dark. 203 00:11:01,036 --> 00:11:02,661 I can't see. 204 00:11:16,885 --> 00:11:18,761 It's a retinal clot in the left eye. 205 00:11:18,887 --> 00:11:21,055 Coumadin would dissolve the clot, fix his eyesight. 206 00:11:21,181 --> 00:11:23,682 You can't use blood thinners. He's got internal bleeding. 207 00:11:23,808 --> 00:11:25,476 Fix the eye, you'd kill everything else. 208 00:11:25,602 --> 00:11:27,644 Surgery's out for the same reason. 209 00:11:27,771 --> 00:11:28,979 We have two hours to figure this out. 210 00:11:29,105 --> 00:11:31,231 Either we restore the blood flow or he loses the eye. 211 00:11:32,776 --> 00:11:34,485 Forget the eye. 212 00:11:34,611 --> 00:11:38,322 Tell him to use the other one to look on the bright side. 213 00:11:38,448 --> 00:11:40,657 The clot tells us something. 214 00:11:40,992 --> 00:11:42,951 It could help us figure out what he has, 215 00:11:43,119 --> 00:11:45,287 which could mean he gets to live. 216 00:11:45,413 --> 00:11:47,873 Differential diagnosis, people. 217 00:11:47,999 --> 00:11:50,793 How does internal bleeding suddenly start clotting? 218 00:11:50,919 --> 00:11:53,504 It makes no sense. They're opposing processes. 219 00:11:53,630 --> 00:11:54,713 It can happen in lupus. 220 00:11:54,839 --> 00:11:56,715 Increased platelet count can cause blood clots. 221 00:11:56,841 --> 00:11:59,676 ANA was negative. It's not lupus. 222 00:11:59,803 --> 00:12:02,805 This is true. But why are you the one saying it? 223 00:12:03,681 --> 00:12:07,142 What are you doing here? I thought we ruled out cancer. 224 00:12:07,268 --> 00:12:09,019 I was lonely. 225 00:12:09,145 --> 00:12:11,355 Well, go see Cuddy. She needs a friend. 226 00:12:11,481 --> 00:12:13,357 That's funny. She said you might need one. 227 00:12:13,483 --> 00:12:14,775 That's why you're here? 228 00:12:14,901 --> 00:12:17,569 She wants you to keep an eye on me to make sure I don't cheat. 229 00:12:17,695 --> 00:12:18,904 No, I wanted to make sure you don't 230 00:12:19,030 --> 00:12:20,823 start firing shots from the clock tower. 231 00:12:20,949 --> 00:12:22,282 I'm fine. 232 00:12:23,868 --> 00:12:25,244 What's going on? 233 00:12:25,370 --> 00:12:27,830 He hasn't had Vicodin in over a day. 234 00:12:29,582 --> 00:12:30,958 Does your leg hurt? 235 00:12:31,084 --> 00:12:32,501 You ever been shot? 236 00:12:32,961 --> 00:12:34,670 There's gonna be side effects. 237 00:12:34,796 --> 00:12:36,713 Insomnia, depression, tachycardia. 238 00:12:36,840 --> 00:12:38,715 Withdrawal symptoms. Not applicable. 239 00:12:38,842 --> 00:12:40,759 The only side effects I'm gonna have are 240 00:12:40,885 --> 00:12:42,845 some pain and 30 days of freedom. 241 00:12:45,890 --> 00:12:48,058 Am I the only one who's concerned about a dying kid? 242 00:12:48,184 --> 00:12:50,561 If it's not lupus, what else? 243 00:12:50,687 --> 00:12:54,773 Most likely candidate for throwing a clot is infection or cancer. 244 00:12:54,899 --> 00:12:56,650 I checked the biopsy twice. It's not cancer. 245 00:12:56,776 --> 00:12:59,695 It's not an infection. Gallium scan didn't reveal anything. 246 00:12:59,821 --> 00:13:02,448 Okay. What hides from a gallium scan? 247 00:13:06,870 --> 00:13:07,953 Cardiac. 248 00:13:08,913 --> 00:13:11,290 Right. Clot flicks off, travels through the arteries 249 00:13:11,416 --> 00:13:13,959 and gets backed up in the eye. 250 00:13:19,841 --> 00:13:21,467 I'm sorry. I wasn't paying attention. 251 00:13:21,593 --> 00:13:22,885 What happened? 252 00:13:23,011 --> 00:13:25,554 It's an infection in his heart. 253 00:13:25,680 --> 00:13:26,930 Great. 254 00:13:28,516 --> 00:13:32,936 Echocardiogram for the heart and IV antibiotics for the infection, stat. 255 00:13:46,784 --> 00:13:48,660 Is it my birthday? 256 00:13:50,914 --> 00:13:53,540 I'm not lonely. My leg hurts. 257 00:13:53,666 --> 00:13:54,833 She's a real masseuse. 258 00:13:54,959 --> 00:13:56,877 She's $500 an hour, minimum. 259 00:13:57,003 --> 00:14:00,380 She's hot, so she's a hooker? What kind of pathetic logic is that? 260 00:14:00,507 --> 00:14:02,132 The envious, jealous, 261 00:14:02,258 --> 00:14:04,676 I-never-got-any-in-high-school kind of logic. Hello. 262 00:14:04,802 --> 00:14:07,387 She's a legitimate masseuse. 263 00:14:07,514 --> 00:14:08,847 Come on. 264 00:14:10,475 --> 00:14:12,267 God! She's beautiful. 265 00:14:12,393 --> 00:14:13,894 Because she's beautiful, I should do it? 266 00:14:14,020 --> 00:14:15,562 What kind of pathetic logic is that? 267 00:14:15,688 --> 00:14:19,650 The envious, jealous, I'm-married- and-l-can't-do-anything logic. 268 00:14:19,776 --> 00:14:20,734 Hello. 269 00:14:20,860 --> 00:14:23,028 Hi. Listen, I'm sure you're really good 270 00:14:23,154 --> 00:14:24,488 at whatever it is you do, but... 271 00:14:24,614 --> 00:14:25,781 Give me your hand. 272 00:14:25,907 --> 00:14:26,907 Huh? 273 00:14:28,159 --> 00:14:29,701 Hey, no, no. Let go of my hand. Come on. 274 00:14:29,827 --> 00:14:31,245 She doesn't speak English. 275 00:14:34,499 --> 00:14:37,417 Ow! 276 00:14:46,719 --> 00:14:47,970 Oh, my God. 277 00:14:53,309 --> 00:14:54,768 Good. 278 00:14:55,937 --> 00:14:57,813 Take off your clothes. 279 00:15:00,942 --> 00:15:03,235 Not a fan of the stroganoff? 280 00:15:04,654 --> 00:15:05,862 I'm not hungry. 281 00:15:05,989 --> 00:15:08,657 Well, the antibiotics can cause nausea. 282 00:15:08,908 --> 00:15:10,450 So can the food. 283 00:15:11,869 --> 00:15:14,538 Shouldn't you be looking at my eye? 284 00:15:14,789 --> 00:15:17,165 The blood clot isn't life-threatening. 285 00:15:17,292 --> 00:15:20,752 We're focusing on figuring out the cause of your problems. 286 00:15:20,878 --> 00:15:23,839 So the blindness will be permanent, won't it? 287 00:15:41,316 --> 00:15:42,316 Thank you. 288 00:15:42,442 --> 00:15:43,650 Bye. 289 00:15:46,404 --> 00:15:47,946 I had a massage. 290 00:15:48,615 --> 00:15:50,198 Looks like you had a masseuse. 291 00:15:50,325 --> 00:15:51,325 Help the pain? 292 00:15:51,451 --> 00:15:52,451 I'm fine. 293 00:15:52,577 --> 00:15:53,577 I know. 294 00:15:54,495 --> 00:15:57,331 Kid's echo was normal, no sign of any vegetations on heart valves. 295 00:15:57,457 --> 00:15:59,916 Never met a diagnostic study I couldn't refute. 296 00:16:00,043 --> 00:16:01,877 And the antibiotics aren't doing anything. 297 00:16:02,003 --> 00:16:05,422 So double the dosage. Seventy milligrams. 298 00:16:05,548 --> 00:16:07,591 That'll box his kidneys for sure. 299 00:16:07,717 --> 00:16:09,134 You're right. Save the kidney. 300 00:16:09,260 --> 00:16:11,845 The guy we transplant it into will be grateful. 301 00:16:11,971 --> 00:16:13,680 Also, I have an idea for his eye. 302 00:16:13,806 --> 00:16:15,849 Nothing we can do about his eye. 303 00:16:15,975 --> 00:16:17,809 - He's got a clot in the... - Put it in a memo. 304 00:16:17,935 --> 00:16:19,227 If we remove some of the liquid 305 00:16:19,354 --> 00:16:20,979 from the eye itself, the vitreous humor, 306 00:16:21,105 --> 00:16:24,733 it might make some extra room around the retinal artery. 307 00:16:25,234 --> 00:16:28,779 If the artery expands, the clot might move on its own. 308 00:16:28,905 --> 00:16:30,197 That's very creative. 309 00:16:30,323 --> 00:16:32,282 Why didn't you mention this before? 310 00:16:32,784 --> 00:16:34,576 I didn't think of it before. 311 00:16:34,702 --> 00:16:36,244 You should have. 312 00:16:55,765 --> 00:16:57,766 This is going to hurt. 313 00:16:57,892 --> 00:17:00,811 Your eye is numb. You'll only feel pressure. 314 00:17:28,256 --> 00:17:29,840 Give it a minute. 315 00:17:37,849 --> 00:17:39,307 I can see. 316 00:18:08,671 --> 00:18:09,796 I can see you. 317 00:18:09,922 --> 00:18:12,466 I heard. Congratulations. 318 00:18:12,592 --> 00:18:15,635 Don't, I haven't brushed my teeth in two days. 319 00:18:22,852 --> 00:18:25,937 I'm so scared they're not gonna find out what's wrong with you. 320 00:18:26,063 --> 00:18:28,648 No biggie. I'm fine. 321 00:18:29,567 --> 00:18:32,444 I feel so bad about all this. It's all my fault. 322 00:18:32,570 --> 00:18:35,655 No. No, it's not. 323 00:18:35,782 --> 00:18:39,075 But your father, he hates me. 324 00:18:39,660 --> 00:18:42,204 He's just pissed about his car. 325 00:18:48,461 --> 00:18:50,629 Help! Help! Help! 326 00:19:01,224 --> 00:19:02,265 What's wrong? 327 00:19:02,391 --> 00:19:04,184 AST is 859. We're getting him to the ICU. 328 00:19:04,310 --> 00:19:07,312 ALT and GGT are in the tank. Our antibiotics... 329 00:19:07,438 --> 00:19:08,772 Would not have caused this. 330 00:19:08,898 --> 00:19:09,898 She must have given him drugs! 331 00:19:10,024 --> 00:19:11,233 I wouldn't do that! 332 00:19:11,359 --> 00:19:12,776 It's not drugs! 333 00:19:13,361 --> 00:19:14,820 His liver is shutting down. 334 00:19:14,946 --> 00:19:17,405 What? What does that mean? 335 00:19:17,532 --> 00:19:19,950 It means he's all better. He's ready to go home. 336 00:19:20,076 --> 00:19:22,077 - What? - What do you think it means? 337 00:19:22,203 --> 00:19:24,371 You can't live without a liver. He's dying. 338 00:19:24,497 --> 00:19:25,664 What is your problem? 339 00:19:25,790 --> 00:19:27,165 Bum leg. What's yours? 340 00:19:27,291 --> 00:19:30,210 Hey, we don't have time for this. Let's go. 341 00:19:35,967 --> 00:19:37,884 His son's dying, and you're mocking him? 342 00:19:38,010 --> 00:19:39,511 It was a dumb question. 343 00:19:39,637 --> 00:19:41,054 No, it wasn't. 344 00:19:44,183 --> 00:19:46,184 You're right. It wasn't. 345 00:19:47,812 --> 00:19:50,522 Is proving Cuddy wrong worth all this? 346 00:20:04,871 --> 00:20:06,580 You know, House shouldn't even be here. 347 00:20:06,706 --> 00:20:09,165 Because he said something inappropriate? 348 00:20:09,292 --> 00:20:12,335 If we sent him home every time he did that, we wouldn't need this office. 349 00:20:12,461 --> 00:20:14,588 He's in pain. 350 00:20:14,714 --> 00:20:16,756 What does the man have to do to piss you off? 351 00:20:16,883 --> 00:20:18,675 He's been without pain relief for over 70 hours. 352 00:20:18,801 --> 00:20:20,635 Exactly! He's detoxing. 353 00:20:20,761 --> 00:20:22,554 Can't you see he's out of his mind? 354 00:20:22,680 --> 00:20:25,098 That's what they said about Manson. 355 00:20:27,226 --> 00:20:28,852 Do you want to continue talking about me, 356 00:20:28,978 --> 00:20:32,105 or should we discuss what the liver damage tells us? 357 00:20:33,983 --> 00:20:36,234 I was born in a log cabin in Illinois... 358 00:20:36,360 --> 00:20:38,653 Hemolytic anemia doesn't cause liver damage. 359 00:20:38,779 --> 00:20:40,572 Add the fact he's coughing blood, 360 00:20:40,698 --> 00:20:43,199 you've got three of the indicators of organ-threatening lupus. 361 00:20:43,326 --> 00:20:45,118 It's moving too fast. 362 00:20:46,579 --> 00:20:48,663 Could be hepatitis E. 363 00:20:48,789 --> 00:20:51,625 There's only been one case of hep E originating in the U.S. since... 364 00:20:51,751 --> 00:20:54,336 His history says he's been in and out of the country 365 00:20:54,462 --> 00:20:55,754 four times in the last year. 366 00:20:55,880 --> 00:20:56,963 You really think he's got hep E? 367 00:20:57,089 --> 00:20:58,131 No. 368 00:20:58,257 --> 00:21:00,008 I think lupus is way more likely. 369 00:21:00,134 --> 00:21:02,928 All right, then let's start him on IV Cytoxan and plasmapheresis. 370 00:21:03,054 --> 00:21:05,680 No, we should rule out hep E. 371 00:21:05,806 --> 00:21:07,057 You just said it wasn't hep E. 372 00:21:07,183 --> 00:21:08,850 I said lupus is way more likely, 373 00:21:08,976 --> 00:21:11,353 but if we treat for lupus and it is hep E... 374 00:21:11,479 --> 00:21:12,437 He's toast. 375 00:21:12,563 --> 00:21:13,563 Exactly. 376 00:21:13,689 --> 00:21:15,357 But there isn't a treatment for hepatitis E. 377 00:21:15,483 --> 00:21:16,650 Either he'll get better on his own 378 00:21:16,776 --> 00:21:18,818 or he'll continue to deteriorate. 379 00:21:18,945 --> 00:21:21,363 Yeah. I went to medical school, too. 380 00:21:22,114 --> 00:21:24,157 Start him on Solu-Medrol. 381 00:21:24,283 --> 00:21:26,534 If he's got hep E, that's only gonna make him worse. 382 00:21:26,661 --> 00:21:28,119 Not as much. 383 00:21:28,245 --> 00:21:30,163 It's Goldilocks, people. 384 00:21:30,289 --> 00:21:32,165 Won't hurt him so much that it'll kill him, 385 00:21:32,291 --> 00:21:34,501 and it won't hurt him so little that we can't tell. 386 00:21:34,627 --> 00:21:36,795 It'll hurt him just right. 387 00:21:37,797 --> 00:21:38,880 And if it does nothing... 388 00:21:39,006 --> 00:21:41,633 We'll know it's not hep E, and can start treating for the lupus. 389 00:21:41,759 --> 00:21:44,636 Now watch me do it while drinking a glass of water. 390 00:21:44,762 --> 00:21:46,262 What do we tell the dad? 391 00:21:46,389 --> 00:21:49,391 "We think your kid has lupus, so we're gonna treat him for hepatitis E. 392 00:21:49,517 --> 00:21:51,101 "And, oh, yeah, if it really is hep E, 393 00:21:51,227 --> 00:21:53,311 "we're not actually giving him hep E medication. 394 00:21:53,437 --> 00:21:55,605 "So it's gonna make him worse, not better." 395 00:21:55,731 --> 00:21:57,691 Do you think he'll go for that? 396 00:21:57,817 --> 00:21:58,775 So you want us to lie? 397 00:21:58,901 --> 00:22:01,403 No. I want you to lie. 398 00:22:01,570 --> 00:22:02,779 Why me? 399 00:22:02,905 --> 00:22:04,739 Because he trusts you. 400 00:22:08,536 --> 00:22:09,577 This is a mistake. 401 00:22:09,704 --> 00:22:10,704 This is a lawsuit. 402 00:22:10,830 --> 00:22:13,623 Hep E is possible. House always pulls these stunts, 403 00:22:13,749 --> 00:22:14,833 and he's right more often than not. 404 00:22:14,959 --> 00:22:17,210 He's delaying treatment because of a one-in-a-million chance 405 00:22:17,336 --> 00:22:18,920 that even he doesn't think is the problem. 406 00:22:19,046 --> 00:22:20,213 I don't want to lie to him. 407 00:22:20,339 --> 00:22:21,423 Then don't. 408 00:22:21,549 --> 00:22:22,549 And get fired? 409 00:22:22,675 --> 00:22:24,968 Like he's gonna fire you. He loves you. 410 00:22:25,094 --> 00:22:26,636 I've got to do something. 411 00:22:26,762 --> 00:22:28,555 Kid needs treatment. 412 00:22:28,723 --> 00:22:30,265 Treat him for lupus. 413 00:22:30,391 --> 00:22:32,392 That will get you fired. 414 00:22:33,102 --> 00:22:34,811 You really think House is losing it? 415 00:22:36,022 --> 00:22:37,188 Yeah. 416 00:22:37,857 --> 00:22:40,567 He's fine. He knows what he's doing. 417 00:23:29,408 --> 00:23:30,575 Okay. 418 00:23:41,128 --> 00:23:44,089 We're recommending a drug called Solu-Medrol. 419 00:23:44,673 --> 00:23:46,466 For hepatitis? 420 00:23:46,634 --> 00:23:48,468 Did that show up on his blood tests? 421 00:23:49,887 --> 00:23:52,806 The tests are never 100% accurate. 422 00:23:53,182 --> 00:23:55,058 Well, then, all the other tests could be wrong, too. 423 00:23:55,184 --> 00:23:58,269 This could still be an infection or cancer. 424 00:23:59,271 --> 00:24:02,232 They don't fit any of the most recent symptoms. 425 00:24:02,358 --> 00:24:04,818 Well, what, just hepatitis does? 426 00:24:05,653 --> 00:24:08,571 I know, I know, I know you can never be sure. 427 00:24:12,076 --> 00:24:15,328 When Wendy was in the hospital, 428 00:24:16,330 --> 00:24:19,457 a doctor told us there was this aggressive experimental treatment 429 00:24:19,583 --> 00:24:22,877 which might extend her life by two or three years. 430 00:24:23,671 --> 00:24:25,547 Well, we figured if there was any hope at all 431 00:24:25,673 --> 00:24:27,215 that we could have her with us a little while longer, 432 00:24:27,341 --> 00:24:29,092 it'd be worth it. 433 00:24:29,385 --> 00:24:31,845 Three weeks later, she was gone. 434 00:24:36,058 --> 00:24:38,351 I don't think it's hepatitis. 435 00:24:40,855 --> 00:24:42,772 I think your son has lupus. 436 00:24:43,440 --> 00:24:45,859 I think it's broken. 437 00:24:46,777 --> 00:24:48,278 What did you do? 438 00:24:49,363 --> 00:24:52,282 Accidentally closed the car door on it. 439 00:24:52,408 --> 00:24:54,993 No. Door would've broken the skin. 440 00:24:55,119 --> 00:24:59,289 This looks like something hard and smooth smashed it. 441 00:24:59,415 --> 00:25:00,999 I want my lawyer. 442 00:25:01,876 --> 00:25:04,002 The brain has a gating mechanism for pain. 443 00:25:04,128 --> 00:25:07,797 Registers the most severe injury and blocks out the others. 444 00:25:07,923 --> 00:25:09,340 Did it work? 445 00:25:09,508 --> 00:25:10,967 Well, my hand hurts like hell. 446 00:25:12,928 --> 00:25:14,846 Yeah. I feel much better. 447 00:25:16,849 --> 00:25:18,641 Don't splint it. 448 00:25:19,018 --> 00:25:21,269 I want to be able to bang it against the wall 449 00:25:21,437 --> 00:25:23,688 if I need to administer another dose. 450 00:25:23,814 --> 00:25:25,356 Just tape it up. 451 00:25:31,155 --> 00:25:32,780 Why did you tell Cameron to lie to Mr. Foster? 452 00:25:32,907 --> 00:25:34,365 Make it tight. 453 00:25:34,491 --> 00:25:35,783 Answer me. 454 00:25:36,744 --> 00:25:39,829 Nothing I can say is gonna change how you feel, 455 00:25:40,831 --> 00:25:42,123 and nothing can come out of your reaction 456 00:25:42,249 --> 00:25:43,750 that is gonna change what I plan to do, 457 00:25:43,876 --> 00:25:45,460 so I prefer to say nothing. 458 00:25:45,586 --> 00:25:48,087 So that was just you saying nothing. 459 00:25:48,214 --> 00:25:49,380 Uh-huh. 460 00:25:49,757 --> 00:25:51,007 The guy is furious. 461 00:25:51,133 --> 00:25:52,300 And scared. 462 00:25:52,426 --> 00:25:53,468 So what are you gonna do? 463 00:25:53,594 --> 00:25:55,678 The father's insisting on the lupus treatment. 464 00:25:55,804 --> 00:25:59,474 Yeah, Cameron told me, and I told her to tell him no. 465 00:25:59,600 --> 00:26:02,393 Well, you can't just sit back and let the kid die. 466 00:26:02,519 --> 00:26:03,686 Neither can the father. 467 00:26:03,812 --> 00:26:04,896 So that's your plan? 468 00:26:05,022 --> 00:26:06,773 You're gonna play chicken with the kid's life? 469 00:26:06,899 --> 00:26:09,817 Well, he's the dad. I should win easily. 470 00:26:10,361 --> 00:26:12,153 Take the week off. 471 00:26:12,279 --> 00:26:14,572 Why, 'cause I lied to a patient? 472 00:26:14,698 --> 00:26:17,825 I take risks. Sometimes patients die. 473 00:26:17,952 --> 00:26:20,245 But not taking risks causes more patients to die, 474 00:26:20,371 --> 00:26:21,788 so I guess my biggest problem is 475 00:26:21,914 --> 00:26:24,165 I've been cursed with the ability to do the math. 476 00:26:26,627 --> 00:26:29,379 I told him that we wouldn't treat him for the lupus until... 477 00:26:29,505 --> 00:26:31,005 What did he say? 478 00:26:31,131 --> 00:26:33,299 He said he wanted to transfer Keith to another hospital. 479 00:26:33,425 --> 00:26:35,218 He's not stable enough. He'd never make it through the door. 480 00:26:35,344 --> 00:26:36,511 That's what I told him. 481 00:26:36,637 --> 00:26:38,638 And that's when he caved. 482 00:26:38,764 --> 00:26:42,433 Yeah. He agreed to do it your way. 483 00:26:43,310 --> 00:26:45,353 Two plus two equals four. 484 00:26:49,900 --> 00:26:52,694 If it is hepatitis E, we should see a marked decline 485 00:26:52,820 --> 00:26:54,570 in liver function tests within the hour. 486 00:26:54,697 --> 00:26:55,780 Why bother explaining it to me? 487 00:26:55,906 --> 00:26:57,532 It's not like I have any choice in the matter. 488 00:26:57,658 --> 00:27:00,368 If there's no hep E, we'll start treatment for lupus immediately. 489 00:27:00,494 --> 00:27:01,703 Ouch! 490 00:27:01,829 --> 00:27:03,121 Keith? What's wrong? 491 00:27:03,289 --> 00:27:04,539 What's happening? 492 00:27:04,665 --> 00:27:06,291 No, get off. 493 00:27:06,417 --> 00:27:08,543 Keith, it's Dr. Chase. Where does it hurt? 494 00:27:08,669 --> 00:27:09,627 Jules, no! 495 00:27:09,753 --> 00:27:10,753 He's hallucinating. 496 00:27:10,879 --> 00:27:11,838 Is this from the medicine? 497 00:27:11,964 --> 00:27:13,089 We haven't started the medicine. 498 00:27:13,257 --> 00:27:14,340 Keith, you're in the hospital. 499 00:27:14,466 --> 00:27:16,009 Keith, there's nothing on you. 500 00:27:16,135 --> 00:27:19,053 Keith! Keith! Keith! 501 00:27:19,179 --> 00:27:21,973 Hey. You okay, buddy? 502 00:27:28,230 --> 00:27:30,106 I think I wet the bed. 503 00:27:30,941 --> 00:27:34,235 Don't worry about it. It's fine. Let's get you up. 504 00:27:36,405 --> 00:27:37,405 Oh, God! 505 00:27:37,531 --> 00:27:38,614 He's had a major bleed. 506 00:27:38,741 --> 00:27:39,949 Bright red blood, per rectum. 507 00:27:40,075 --> 00:27:42,660 I didn't mean to. I'm sorry. 508 00:27:42,786 --> 00:27:44,829 He's going into hypovolemic shock. 509 00:27:44,955 --> 00:27:46,664 Pressure's 60, heart rate's 140. 510 00:27:46,790 --> 00:27:48,958 We need an angiography, stat! 511 00:27:58,761 --> 00:28:01,304 Angiography revealed major upper and lower GI bleeding, 512 00:28:01,430 --> 00:28:04,223 severe hemodynamic compromise and liver failure. 513 00:28:04,350 --> 00:28:05,850 He's also hallucinating. 514 00:28:05,976 --> 00:28:08,311 Thinks he's being tortured by someone named Jules. 515 00:28:08,437 --> 00:28:10,146 Hallucinations are a symptom of psychosis, 516 00:28:10,272 --> 00:28:11,898 which is the fourth diagnostic criteria. 517 00:28:12,024 --> 00:28:14,442 It's official. This is lupus. 518 00:28:14,902 --> 00:28:16,444 Who's Jules? 519 00:28:17,821 --> 00:28:19,113 Any mention of her in the medical history? 520 00:28:19,239 --> 00:28:21,115 It doesn't matter what he's hallucinating about, 521 00:28:21,241 --> 00:28:23,659 it matters why! It's lupus. 522 00:28:23,786 --> 00:28:26,329 There's no need to get snippy. 523 00:28:26,455 --> 00:28:27,789 This kind of lupus takes years to get to this point. 524 00:28:27,915 --> 00:28:30,041 - It's been a week. - Yeah. 525 00:28:30,167 --> 00:28:31,876 And a 16-year-old kid shouldn't have hemolytic anemia 526 00:28:32,002 --> 00:28:34,670 or be bleeding out of every orifice, but he is. 527 00:28:34,797 --> 00:28:36,339 We had an opportunity to treat this. 528 00:28:36,465 --> 00:28:39,133 Instead, we diddled around with hepatitis E, and now it's too late. 529 00:28:39,259 --> 00:28:42,053 He needs a new liver. We screwed up. 530 00:28:43,555 --> 00:28:45,723 You're saying I screwed up. 531 00:28:46,767 --> 00:28:47,600 Yes. 532 00:28:47,726 --> 00:28:49,227 Then why don't you just say that? 533 00:28:50,896 --> 00:28:52,021 You gonna blame this on her? 534 00:28:52,147 --> 00:28:54,649 Did you agree with my recommendation to treat for hep E? 535 00:28:54,775 --> 00:28:55,733 No, I didn't. 536 00:28:55,859 --> 00:28:57,402 And she made herself quite clear. 537 00:28:57,528 --> 00:28:59,946 And then she went and lied to the father. That's why you're angry. 538 00:29:00,072 --> 00:29:01,322 Yeah. I trusted you. 539 00:29:01,448 --> 00:29:04,367 You always trust me. That's a big mistake. 540 00:29:05,369 --> 00:29:06,869 Lupus is a bad diagnosis. 541 00:29:06,995 --> 00:29:08,663 It's the best diagnosis we've got. 542 00:29:08,789 --> 00:29:09,872 That doesn't make it good. 543 00:29:09,998 --> 00:29:13,418 No. It just makes it this kid's only chance to live. 544 00:29:17,714 --> 00:29:19,757 Put him on the transplant list. 545 00:29:20,759 --> 00:29:22,301 And make sure Cuddy knows. 546 00:29:22,428 --> 00:29:25,805 See if she can do anything to get him close to the top. 547 00:29:49,788 --> 00:29:51,456 Cafeteria. 548 00:29:51,582 --> 00:29:53,624 Stay away from the sushi. 549 00:29:54,543 --> 00:29:56,961 And what happened to your hand? 550 00:29:57,087 --> 00:29:58,963 Got stuck in a drawer. 551 00:29:59,089 --> 00:30:00,423 Yeah, right. 552 00:30:00,549 --> 00:30:01,841 You're going through withdrawal. 553 00:30:01,967 --> 00:30:04,552 No, I am going through pain. 554 00:30:05,554 --> 00:30:07,221 Pain causes nausea. 555 00:30:09,057 --> 00:30:12,560 I took this job to work with you, not cover your ass. 556 00:30:13,604 --> 00:30:14,979 Your Vicodin. 557 00:30:18,859 --> 00:30:21,652 And your solution is to give me drugs? 558 00:30:21,778 --> 00:30:23,988 - That's interesting. - No. 559 00:30:24,114 --> 00:30:26,115 Now I'm covering my ass. 560 00:30:27,534 --> 00:30:30,328 Take your pills before you kill this kid. 561 00:31:09,868 --> 00:31:12,620 Lupus is normally treated with medication. 562 00:31:12,746 --> 00:31:14,830 But in Keith's case, the disease is too advanced. 563 00:31:14,957 --> 00:31:16,499 Because you lied. 564 00:31:17,000 --> 00:31:19,835 Because House wanted to play games with my son's life. 565 00:31:19,962 --> 00:31:21,087 There's no way to really tell 566 00:31:21,213 --> 00:31:22,588 what progression the disease may have taken. 567 00:31:22,714 --> 00:31:24,090 You're right. 568 00:31:26,343 --> 00:31:27,760 And I'm sorry. 569 00:31:30,430 --> 00:31:32,014 So what do we do? 570 00:31:32,391 --> 00:31:34,183 He needs a new liver. 571 00:31:35,352 --> 00:31:38,604 There are over 15,000 patients on the transplant list. 572 00:31:38,730 --> 00:31:41,607 But how many are about to bleed to death unless they get a new liver? 573 00:31:41,733 --> 00:31:43,818 In Jersey? I'd say 20. 574 00:31:44,736 --> 00:31:47,780 Two thousand patients die each year because a donor liver can't be found. 575 00:31:47,906 --> 00:31:48,948 That's almost five a day. 576 00:31:49,074 --> 00:31:50,866 So he's screwed. 577 00:31:52,160 --> 00:31:54,078 I'll see what I can do. 578 00:31:55,205 --> 00:31:56,956 Could I donate part of my liver? 579 00:31:57,082 --> 00:31:59,083 Sorry. You're a different blood type. 580 00:31:59,459 --> 00:32:00,501 So we just wait? 581 00:32:00,627 --> 00:32:01,794 I'm afraid so. 582 00:32:02,588 --> 00:32:04,797 And hope for someone to die. 583 00:32:07,217 --> 00:32:08,759 Who's Jules? 584 00:32:10,512 --> 00:32:11,887 Dr. House, you should get back to your office. 585 00:32:12,014 --> 00:32:14,807 Jules. There's no Jules in the history. 586 00:32:14,933 --> 00:32:15,933 It was a hallucination. 587 00:32:16,059 --> 00:32:17,059 Of what? 588 00:32:17,185 --> 00:32:19,103 Our cat. Does this matter? 589 00:32:19,229 --> 00:32:20,271 No. I'm sorry. 590 00:32:20,397 --> 00:32:21,606 We'll continue the transfusions 591 00:32:21,732 --> 00:32:23,441 and the treatment for the anemia and liver failure 592 00:32:23,567 --> 00:32:24,609 while we're waiting for a donor. 593 00:32:24,735 --> 00:32:25,860 How long can he wait? 594 00:32:26,153 --> 00:32:27,320 Not long. 595 00:32:27,988 --> 00:32:29,196 I don't think this is lupus. 596 00:32:29,323 --> 00:32:30,489 It's lupus. Come on, let's just... 597 00:32:30,616 --> 00:32:34,327 Your fourth diagnostic criterion for lupus is psychosis. 598 00:32:34,453 --> 00:32:35,703 This is just a kid missing his cat. 599 00:32:35,829 --> 00:32:38,080 He was being attacked by an animal that wasn't in the room. 600 00:32:38,206 --> 00:32:39,498 That's psychosis. 601 00:32:39,625 --> 00:32:41,876 There's a difference between psychosis and hallucination. 602 00:32:42,002 --> 00:32:44,086 So if he was imagining a fake cat, it'd be lupus, 603 00:32:44,212 --> 00:32:45,755 but since it was a real cat, it's not? 604 00:32:45,881 --> 00:32:46,881 Take your damn pills. 605 00:32:47,007 --> 00:32:48,007 Psychosis requires... 606 00:32:48,133 --> 00:32:49,925 There's no cat. 607 00:32:51,094 --> 00:32:52,762 Jules is dead. 608 00:32:55,807 --> 00:32:59,685 You have a dead family pet and you never mentioned it? 609 00:33:00,687 --> 00:33:01,646 Nice family history. 610 00:33:01,772 --> 00:33:03,606 Family history is asking about family members, 611 00:33:03,732 --> 00:33:05,608 meaning people related to the patient. Let's go. 612 00:33:05,734 --> 00:33:06,901 How did the cat die? 613 00:33:07,027 --> 00:33:08,194 Can you get him out of here? 614 00:33:08,320 --> 00:33:09,445 Dr. House, come on. 615 00:33:09,571 --> 00:33:11,530 What happened to the cat? 616 00:33:13,033 --> 00:33:14,617 Old age. 617 00:33:14,743 --> 00:33:16,327 She was 15 years old. 618 00:33:16,453 --> 00:33:17,495 When? 619 00:33:17,746 --> 00:33:18,746 About a month ago. 620 00:33:18,872 --> 00:33:19,872 Does this have anything to do with... 621 00:33:19,998 --> 00:33:22,041 Where'd she sleep? With Keith. 622 00:33:22,167 --> 00:33:23,709 This is not a cat allergy. 623 00:33:23,835 --> 00:33:25,586 It's not lupus. 624 00:33:26,129 --> 00:33:27,838 Where is Jules? 625 00:33:32,969 --> 00:33:36,764 Four years of college, four at med school, 626 00:33:36,890 --> 00:33:38,683 two years' residency, 627 00:33:38,809 --> 00:33:41,936 another four of subspecialty training, and where do I end up? 628 00:33:43,313 --> 00:33:45,439 Talking instead of digging. 629 00:33:45,565 --> 00:33:47,983 Come on. The ground's frozen solid. 630 00:33:58,370 --> 00:33:59,912 What's that? 631 00:34:50,422 --> 00:34:51,881 Out of the way! 632 00:34:53,717 --> 00:34:56,051 We have the liver. Prep OR 4. 633 00:35:21,995 --> 00:35:25,247 All right, Keith, start counting backward from 10. 634 00:35:26,291 --> 00:35:27,416 Ten, 635 00:35:29,377 --> 00:35:30,544 nine, 636 00:35:31,338 --> 00:35:32,505 eight... 637 00:35:34,966 --> 00:35:36,300 Scalpel. 638 00:35:42,057 --> 00:35:43,182 Stop the gases. 639 00:35:43,308 --> 00:35:44,892 What the hell are you doing, House? 640 00:35:45,018 --> 00:35:48,729 Saving a 16-year-old kid from a lifetime of immunosuppressant drugs 641 00:35:48,855 --> 00:35:50,731 and a very nasty scar. 642 00:35:50,857 --> 00:35:53,067 This kid doesn't have lupoid hepatitis. 643 00:35:53,193 --> 00:35:55,027 He has acute naphthalene toxicity. 644 00:35:55,153 --> 00:35:56,153 Naphthalene? 645 00:35:56,279 --> 00:35:58,489 (STAMMERING) You're talking about mothballs. 646 00:35:58,615 --> 00:36:00,491 Nope. Termites. 647 00:36:00,784 --> 00:36:03,619 They create naphthalene to protect their nests, 648 00:36:03,745 --> 00:36:05,788 which I'm assuming is rather large 649 00:36:05,914 --> 00:36:08,874 and inside all four walls of his bedroom at home. 650 00:36:10,043 --> 00:36:12,711 And your assumption is based on what? 651 00:36:12,838 --> 00:36:15,881 The autopsy I just conducted on his pet cat. 652 00:36:16,007 --> 00:36:17,633 Call Cuddy, and security. 653 00:36:17,759 --> 00:36:19,260 You are not removing that kid's liver. 654 00:36:19,386 --> 00:36:20,511 Now! 655 00:36:25,767 --> 00:36:27,643 Have you completely lost your mind? 656 00:36:27,769 --> 00:36:30,437 No, but I have been feeling a little sick lately. 657 00:36:34,359 --> 00:36:37,570 There's no way we can do this surgery now. 658 00:36:37,696 --> 00:36:38,654 You think? 659 00:36:38,780 --> 00:36:41,323 You've already cost him his liver. Don't kill him, too. 660 00:36:41,449 --> 00:36:43,659 Why are you so eager to cut into a healthy kid? 661 00:36:43,785 --> 00:36:45,452 Healthy? He's in the toilet. 662 00:36:45,579 --> 00:36:47,580 He just needs some chicken soup. 663 00:36:47,706 --> 00:36:48,914 I'm telling Hourani to re-scrub. 664 00:36:49,040 --> 00:36:50,457 We're doing this transplant. 665 00:36:50,584 --> 00:36:51,542 No, you're not. 666 00:36:51,668 --> 00:36:52,668 You said it. 667 00:36:52,794 --> 00:36:54,336 If Keith's symptoms had an environmental cause, 668 00:36:54,462 --> 00:36:56,088 they would have disappeared as soon as he got here. 669 00:36:56,214 --> 00:36:57,214 They've only gotten worse. 670 00:36:57,340 --> 00:36:59,258 If the food here wasn't one step below Rikers Island, 671 00:36:59,384 --> 00:37:01,302 he would've gotten better. He's lost 14 pounds. 672 00:37:01,428 --> 00:37:03,762 Yeah, sure. This is nothing but a dietary thing. 673 00:37:03,889 --> 00:37:06,724 Naphthalene is a gas, a fat-soluble gas. 674 00:37:06,850 --> 00:37:09,602 Kid breathes it in, it gets stored in his fat cells. 675 00:37:09,728 --> 00:37:12,897 Outside the hospital, his body burned protein and carbs for energy, 676 00:37:13,023 --> 00:37:15,107 and the naphthalene stayed in fat. 677 00:37:15,233 --> 00:37:17,192 But once the car accident put him in the hospital 678 00:37:17,319 --> 00:37:19,612 and he started losing weight, 679 00:37:19,738 --> 00:37:21,488 his body had to get its energy somewhere else. 680 00:37:21,615 --> 00:37:23,532 It started to burn fat. 681 00:37:24,659 --> 00:37:28,662 The floodgates opened. The poison poured into his system. 682 00:37:28,788 --> 00:37:31,040 So getting away from the poison is what poisoned him? 683 00:37:31,166 --> 00:37:33,792 Getting away from his dad's meatloaf is what's killing him. 684 00:37:33,919 --> 00:37:36,837 You want to explain to me why you stopped the surgery? 685 00:37:36,963 --> 00:37:39,298 Oh, my God! My God. 686 00:37:40,800 --> 00:37:42,092 I want him locked up! 687 00:37:43,720 --> 00:37:45,346 Take it easy. 688 00:37:56,358 --> 00:37:59,401 Your cat did not die of old age. 689 00:38:02,322 --> 00:38:05,741 It died of massive internal bleeding and acute liver failure 690 00:38:05,867 --> 00:38:08,327 caused by naphthalene poisoning. 691 00:38:09,287 --> 00:38:11,246 The exact same thing your son has. 692 00:38:11,373 --> 00:38:12,539 You lie to me, 693 00:38:12,666 --> 00:38:15,751 you mess up my son's surgery, and now you expect me to trust you? 694 00:38:15,877 --> 00:38:18,837 Give me 24 hours. We'll pump your son full of calories. 695 00:38:18,964 --> 00:38:20,965 That liver is going to somebody right now. 696 00:38:21,091 --> 00:38:22,466 We're doing that surgery. 697 00:38:22,592 --> 00:38:24,510 You do the surgery, 698 00:38:24,886 --> 00:38:27,179 you'll be killing a mother of four. 699 00:38:27,305 --> 00:38:28,597 Father of three. 700 00:38:28,723 --> 00:38:29,682 I was guessing. 701 00:38:29,808 --> 00:38:31,016 Like you are now? 702 00:38:32,769 --> 00:38:35,187 Naphthalene poisoning is the best explanation we have 703 00:38:35,313 --> 00:38:37,314 for what's wrong with your son. 704 00:38:37,440 --> 00:38:39,149 It explains the internal bleeding, 705 00:38:39,275 --> 00:38:40,901 the hemolytic anemia, the liver failure. 706 00:38:41,027 --> 00:38:43,779 It also predicts what'll happen next. 707 00:38:43,905 --> 00:38:46,699 If you do the surgery, he's gonna lay on that table for 14 hours 708 00:38:46,825 --> 00:38:48,659 while his body continues to burn fat 709 00:38:48,785 --> 00:38:50,953 and release poison into his system. 710 00:38:52,664 --> 00:38:55,457 Either way, I did you a favor. He's awake now. 711 00:38:55,583 --> 00:38:58,043 You've got a chance to say good-bye. 712 00:39:05,218 --> 00:39:07,886 I think you should trust Dr. House. 713 00:39:20,734 --> 00:39:22,901 Give the liver to the other guy. 714 00:39:37,333 --> 00:39:38,792 Watch out. 715 00:40:00,648 --> 00:40:03,817 INR's down and his red count is climbing. 716 00:40:06,446 --> 00:40:08,447 Means you made the right call. 717 00:40:08,573 --> 00:40:11,617 His liver's healing. He's gonna be just fine. 718 00:40:29,177 --> 00:40:30,469 You made it a week. 719 00:40:30,595 --> 00:40:32,221 And won my prize. 720 00:40:32,388 --> 00:40:33,597 Congratulations. 721 00:40:33,723 --> 00:40:35,099 Cuddy's a sucker. 722 00:40:35,225 --> 00:40:36,767 I would've done it for two weeks off. 723 00:40:36,893 --> 00:40:38,852 Yeah, it was a piece of cake. 724 00:40:38,978 --> 00:40:40,938 You learn anything? 725 00:40:41,940 --> 00:40:43,107 Yeah. 726 00:40:43,900 --> 00:40:45,567 I'm an addict. 727 00:40:58,790 --> 00:40:59,790 Okay. 728 00:41:00,750 --> 00:41:02,668 I'm not stopping. 729 00:41:05,713 --> 00:41:07,339 There are programs. 730 00:41:07,465 --> 00:41:09,675 Cuddy would give you the time. 731 00:41:09,801 --> 00:41:11,552 You could get on a different pain-management regimen. 732 00:41:11,678 --> 00:41:13,804 I don't need to stop. 733 00:41:13,930 --> 00:41:15,097 You just said... 734 00:41:15,223 --> 00:41:18,892 I said I was an addict. I didn't say I had a problem. 735 00:41:19,894 --> 00:41:22,855 I pay my bills. I make my meals. I function. 736 00:41:24,065 --> 00:41:25,858 Is that all you want? 737 00:41:26,818 --> 00:41:29,736 - You have no relationships. - I don't want any relationships. 738 00:41:29,863 --> 00:41:31,155 You alienate people. 739 00:41:31,281 --> 00:41:33,198 I've been alienating people since I was three. 740 00:41:33,324 --> 00:41:35,492 Come on! Drop it. 741 00:41:36,452 --> 00:41:38,453 You don't think you've changed in the last few years? 742 00:41:38,580 --> 00:41:39,997 Well, of course I have. 743 00:41:40,165 --> 00:41:41,832 I've gotten older, my hair's gotten thinner. 744 00:41:41,958 --> 00:41:43,584 Sometimes I'm bored. Sometimes I'm lonely. 745 00:41:43,710 --> 00:41:45,294 Sometimes I wonder what it all means. 746 00:41:45,420 --> 00:41:46,879 No, I was there. 747 00:41:47,005 --> 00:41:49,840 You are not just a regular guy who is getting older. 748 00:41:49,966 --> 00:41:53,302 You've changed. You're miserable, and you're afraid to face yourself. 749 00:41:53,428 --> 00:41:55,345 Of course I've changed! 750 00:42:02,854 --> 00:42:04,938 And everything's the leg? 751 00:42:05,064 --> 00:42:06,732 Nothing's the pills? 752 00:42:06,858 --> 00:42:08,442 They haven't done a thing to you? 753 00:42:09,944 --> 00:42:11,820 They let me do my job. 754 00:42:12,697 --> 00:42:14,865 And they take away my pain. 755 00:42:46,731 --> 00:42:48,273 How'd it go? 756 00:42:49,317 --> 00:42:51,109 He admitted he's addicted to the narcotics. 757 00:42:51,236 --> 00:42:52,611 Well, admitting you have a problem is the... 758 00:42:52,737 --> 00:42:54,863 And he says it's not a problem. 759 00:42:56,699 --> 00:42:58,158 Maybe it's not. 760 00:42:58,826 --> 00:43:00,285 What do I know? 761 00:43:00,411 --> 00:43:01,828 What are you gonna do? 762 00:43:01,955 --> 00:43:03,830 Nothing. Done enough damage. 763 00:43:03,957 --> 00:43:06,416 Better hope he never finds out that that was your idea. 764 00:43:06,542 --> 00:43:08,418 He'd never believe it.