1 00:00:12,365 --> 00:00:13,774 Jessica! 2 00:00:16,569 --> 00:00:20,991 Jessica, come on! We've gotta go! 3 00:00:23,300 --> 00:00:25,416 Move it or lose it, sister. 4 00:00:25,500 --> 00:00:27,041 I don't feel good. 5 00:00:32,943 --> 00:00:35,013 Oh. You don't feel warm. 6 00:00:35,418 --> 00:00:36,682 My stomach hurts. 7 00:00:36,724 --> 00:00:38,375 Honey, if you don't have a fever... 8 00:00:38,417 --> 00:00:41,507 I don't want to go to school, I can do my work at home. 9 00:00:42,742 --> 00:00:45,356 Jessica, what's wrong? 10 00:00:47,494 --> 00:00:49,542 Everybody hates me. 11 00:00:51,477 --> 00:00:52,943 Oh, they don't hate you. 12 00:00:53,158 --> 00:00:55,902 They don't even know you because they're too ignorant to try. 13 00:00:55,969 --> 00:00:57,124 I hate myself! 14 00:00:57,166 --> 00:00:58,858 Jessica, don't say that. 15 00:01:00,322 --> 00:01:02,827 Oh, honey, look at me, look at me. 16 00:01:03,624 --> 00:01:08,470 You are a wonderful, beautiful, little girl. 17 00:01:08,652 --> 00:01:10,851 - Don't let a few bad apples... - A few? 18 00:01:11,864 --> 00:01:13,896 Try my whole class. 19 00:01:14,886 --> 00:01:18,532 Remember the story where the guy keeps saying that he hates green eggs and ham, 20 00:01:18,885 --> 00:01:20,952 and then at the end he realized he really loved them? 21 00:01:21,472 --> 00:01:24,897 One day they're gonna realize what a great kid you really are. 22 00:01:25,914 --> 00:01:29,897 You've just gotta be like Sam I Am, and don't give up. 23 00:01:32,200 --> 00:01:33,002 Okay. 24 00:01:36,312 --> 00:01:40,053 - Come on, Jessica, hurry! - That's it, keep going. 25 00:01:41,397 --> 00:01:43,251 Good, nice! 26 00:01:43,409 --> 00:01:44,762 You're doing great, Jessica. 27 00:01:49,055 --> 00:01:53,038 Hey, hey Seth? You want to spend the rest of class sitting on the bench? 28 00:01:53,164 --> 00:01:53,918 No. 29 00:01:54,492 --> 00:01:56,456 Keep going, Jess, you've got 40 more seconds. 30 00:01:56,590 --> 00:01:57,633 My arm hurts. 31 00:01:57,657 --> 00:02:00,094 Come on, tough it up, you can do it. 32 00:02:01,205 --> 00:02:02,360 My chest hurts. 33 00:02:02,360 --> 00:02:03,463 How do you think the ground feels? 34 00:02:03,463 --> 00:02:05,799 Hey, Seth? Two laps, bye. 35 00:02:06,009 --> 00:02:10,168 Hey, Jess, it's just a stitch, okay? Just keep breathing, you got it. 36 00:02:10,637 --> 00:02:11,371 I can't. 37 00:02:11,413 --> 00:02:13,176 Only 10 more seconds, you got it. 38 00:02:23,675 --> 00:02:25,477 Jessica, Jessica! 39 00:02:26,096 --> 00:02:26,882 Jessica! 40 00:02:33,468 --> 00:02:36,963 Oh, my God! Hey, go to the office, get Miss Parsons. Now! 41 00:02:38,074 --> 00:02:40,038 I'm on a playground at Finley Elementary. 42 00:02:40,104 --> 00:02:41,763 One of my students is having a heart attack. 43 00:02:41,954 --> 00:02:42,881 Yeah, she's ten. 44 00:02:43,315 --> 00:02:45,657 Don't you think I know that? Just send the damn ambulance! 45 00:02:45,697 --> 00:02:48,506 Come on, wake up. Come on, sweetie. 46 00:02:52,315 --> 00:02:56,734 1X16: HEAVY 47 00:03:18,792 --> 00:03:22,260 Original Airdate on FOX: March 29, 2005 48 00:03:31,400 --> 00:03:34,067 You ever see an infected pierced scrotum? 49 00:03:34,235 --> 00:03:39,073 Um, no, but I know a few people on whom I'd like to see it happen. We need to talk. 50 00:03:39,491 --> 00:03:42,761 Well, if pain's what you're after the penis is really the way to go. 51 00:03:43,106 --> 00:03:44,656 I'd recommend the Abadirabia. (sp?) 52 00:03:44,656 --> 00:03:45,951 We're not talking. 53 00:03:45,995 --> 00:03:47,442 Oh? Sounded like we were. 54 00:03:48,117 --> 00:03:53,515 No, you're attempting to avoid talking because you know what I want to talk about. 55 00:03:54,058 --> 00:03:55,052 Nipples? 56 00:03:55,697 --> 00:03:57,385 You need to get rid of one of your people. 57 00:03:57,409 --> 00:04:00,290 Absolutely. As soon as I do performance reviews. 58 00:04:00,828 --> 00:04:02,518 And then review the reviews, of course. 59 00:04:02,560 --> 00:04:06,359 Because a decision like this can't be made without proper, you know, review. 60 00:04:06,425 --> 00:04:10,888 Shouldn't take longer than a month, maybe two. Four at the most, unless it gets complicated. 61 00:04:11,202 --> 00:04:12,425 There's no way out on this. 62 00:04:13,036 --> 00:04:15,995 You may as well get it over with as fast as you can, like ripping off a band-aid. 63 00:04:16,037 --> 00:04:19,264 Only instead of a two-cent piece of tape and gauze it's a human being. 64 00:04:19,306 --> 00:04:21,534 - Like you care. - Like you don't. 65 00:04:25,462 --> 00:04:28,255 You have a week. Get it done. 66 00:04:36,952 --> 00:04:38,853 We have a referral from Dr. Linkowitz. 67 00:04:39,967 --> 00:04:40,856 Don't know him. 68 00:04:41,055 --> 00:04:41,943 He knows you. 69 00:04:42,333 --> 00:04:43,215 What's the problem? 70 00:04:43,592 --> 00:04:44,472 Heart attack. 71 00:04:44,640 --> 00:04:45,987 Definitely don't know him. 72 00:04:46,079 --> 00:04:47,272 The patient's ten. 73 00:04:49,579 --> 00:04:51,721 Ten year olds do not have heart attacks. 74 00:04:51,763 --> 00:04:52,914 It's gotta be a mistake. 75 00:04:52,956 --> 00:04:57,308 Right. The simplest explanation is she's a forty-year-old lying about her age. 76 00:04:57,399 --> 00:04:59,397 Maybe an actress trying to hang on. 77 00:04:59,439 --> 00:05:01,048 I meant, maybe the tests were wrong. 78 00:05:01,271 --> 00:05:02,555 That's what the ER thought. 79 00:05:02,639 --> 00:05:06,673 Three CKMBs were positive, the EKG shows classic signs of ST elevation. 80 00:05:06,715 --> 00:05:07,407 It's a heart attack. 81 00:05:07,449 --> 00:05:09,377 She's morbidly obese. 82 00:05:10,059 --> 00:05:11,978 The "morbid" part of that raises alarms. 83 00:05:12,124 --> 00:05:14,591 Come on, it takes decades to eat your way into a heart attack. 84 00:05:14,633 --> 00:05:16,401 Doesn't take decades to kill yourself. 85 00:05:16,585 --> 00:05:19,662 If I was that fat, I'd be pretty tempted to knock back a bottle of pills. 86 00:05:19,704 --> 00:05:21,209 It's not a drug overdose. 87 00:05:21,251 --> 00:05:24,878 The fatigue, muscle pain, and difficulty concentrating have been bothering her for over a year. 88 00:05:24,920 --> 00:05:27,052 That's because of her weight. That's because of her depression. 89 00:05:27,233 --> 00:05:31,062 That's what five pediatricians, two nutritionists, and a psychologist said. 90 00:05:31,104 --> 00:05:33,686 The heart attack would seem to indicate that they missed something. 91 00:05:33,735 --> 00:05:35,243 It's got to be something genetic. 92 00:05:35,327 --> 00:05:36,950 What about Metabolic Syndrome X? 93 00:05:37,145 --> 00:05:38,184 Insulin resistance? 94 00:05:38,226 --> 00:05:41,195 Syndrome X could cause a stroke, but I don't know about a heart attack. 95 00:05:41,237 --> 00:05:43,442 Could, if her blood pressure was high enough. 96 00:05:43,526 --> 00:05:45,333 Which is likely, considering her weight. 97 00:05:45,418 --> 00:05:47,802 It fits the symptoms. Me likee. 98 00:05:48,214 --> 00:05:51,130 Do a hyperinsulinemic euglyemic clamp. 99 00:05:53,577 --> 00:05:55,457 Oh, and one more thing. 100 00:05:56,743 --> 00:06:00,581 I've been told that I've got to get rid of one of you guys by the end of the week. 101 00:06:02,697 --> 00:06:05,740 New sheriff, belt tightening, you know how it goes. 102 00:06:10,225 --> 00:06:12,199 Okay, carry on. 103 00:06:16,675 --> 00:06:19,332 It's some kind of game, House's own version of "Punk'd". 104 00:06:19,374 --> 00:06:21,036 It's not House, it's Vogler. 105 00:06:21,580 --> 00:06:23,396 We can't let it get to us, we've got to stick together. 106 00:06:23,472 --> 00:06:24,004 Why? 107 00:06:24,070 --> 00:06:26,201 What are you suggesting, we start slashing each other's throats? 108 00:06:26,243 --> 00:06:28,288 I'm suggesting it's a zero-sum game. 109 00:06:28,288 --> 00:06:31,207 Your loss is my win. That's not conducive to team play. 110 00:06:31,249 --> 00:06:33,205 Which is what House seems to want. 111 00:06:33,700 --> 00:06:34,610 Come with Cameron. 112 00:06:34,683 --> 00:06:38,054 May be a bad strategy, but I don't want to give House his satisfaction. 113 00:06:39,477 --> 00:06:41,239 Come on, sick kid, remember? 114 00:06:43,796 --> 00:06:45,458 She's diabetic? 115 00:06:45,960 --> 00:06:47,260 No, but it's similar. 116 00:06:47,655 --> 00:06:49,916 MSX patients don't respond normally to insulin, 117 00:06:49,958 --> 00:06:54,818 which causes her body to create too much, and that leads to metabolic abnormalities. 118 00:06:55,583 --> 00:06:58,319 We're going to do a test to be sure, but there are certain dangers. 119 00:06:58,361 --> 00:07:01,399 Is this thing treatable? 120 00:07:01,501 --> 00:07:03,585 It's controllable through proper diet and exercise. 121 00:07:03,711 --> 00:07:09,753 Wait. Jessica already eats right. And she exercises every day! 122 00:07:09,795 --> 00:07:11,480 I know you've already seen several nutritionists... 123 00:07:11,522 --> 00:07:13,259 And we've done everything they recommended. 124 00:07:13,259 --> 00:07:14,161 I understand, but... 125 00:07:14,161 --> 00:07:16,693 Why can't any of you doctors see past her weight? 126 00:07:20,472 --> 00:07:25,040 If diet and exercise are the treatment, then the diagnosis is wrong. 127 00:07:26,205 --> 00:07:27,288 It might be, 128 00:07:28,392 --> 00:07:31,307 but the only way we'll know is if you'll let us do this test. 129 00:07:34,747 --> 00:07:37,271 It's really bad, especially at night. 130 00:07:37,271 --> 00:07:42,549 It's like my heart is on fire, like it's, uh, oh, I don't know, like it's... 131 00:07:43,237 --> 00:07:44,947 - Burning? - Exactly! 132 00:07:45,031 --> 00:07:48,846 Hmm, sounds almost like heartburn. 133 00:07:49,154 --> 00:07:51,840 So, can you give me something? 134 00:07:52,032 --> 00:07:53,421 Like a thesaurus? 135 00:07:53,562 --> 00:07:53,993 What? 136 00:07:54,052 --> 00:07:57,079 I take it you never mentioned this during any of your prenatal visits. 137 00:07:57,260 --> 00:07:58,416 Prenatal? 138 00:08:00,541 --> 00:08:01,647 I'm not pregnant. 139 00:08:01,713 --> 00:08:05,181 Sorry, you don't get to make that call unless you have a stethoscope. Union rules. 140 00:08:05,247 --> 00:08:08,962 I know when I'm pregnant, all right? I have six kids. 141 00:08:09,004 --> 00:08:12,177 That's why my husband had a vasectomy and we use condoms. 142 00:08:12,219 --> 00:08:15,041 Vasectomies can reverse themselves, condoms break. 143 00:08:15,265 --> 00:08:16,220 Okay. 144 00:08:16,658 --> 00:08:19,960 This is what a woman is supposed to look like. 145 00:08:20,188 --> 00:08:26,689 Okay, we're not just skin and bones. We have flesh. We have curves. 146 00:08:26,877 --> 00:08:28,971 You have little people inside you. 147 00:08:30,993 --> 00:08:33,454 Okay, okay, I'm sorry. 148 00:08:34,141 --> 00:08:36,631 I guess I must have just been brainwashed by the media, 149 00:08:36,901 --> 00:08:38,852 and all those years of medical training. 150 00:08:38,918 --> 00:08:39,922 Damn right. 151 00:08:39,962 --> 00:08:43,241 Let's see if I can find some antacids while the nurse gets some blood. 152 00:08:43,514 --> 00:08:45,431 Blood, why? 153 00:08:46,003 --> 00:08:49,844 The heartburn, gotta make sure it's not spreading. 154 00:08:54,937 --> 00:08:56,202 I don't want to. 155 00:08:57,237 --> 00:08:59,897 The test involves some pretty precise measurements. 156 00:08:59,939 --> 00:09:03,633 If we don't know exactly how much you weigh, we won't get the right answers. 157 00:09:05,788 --> 00:09:07,177 Tell you a secret. 158 00:09:08,436 --> 00:09:11,012 When I was your age, I was heavy, too. 159 00:09:11,455 --> 00:09:12,701 Were you over 100? 160 00:09:13,302 --> 00:09:16,703 Way over. The kids in my neighborhood used to call me Rerun. 161 00:09:17,019 --> 00:09:17,816 Rerun? 162 00:09:17,888 --> 00:09:21,930 He was a heavy guy from TV. I used to pretend I liked it, but I didn't. 163 00:09:22,004 --> 00:09:23,765 How come you're not heavy any more? 164 00:09:24,109 --> 00:09:27,712 Ninth grade, grew five inches, everything kind of evened out. 165 00:09:28,672 --> 00:09:30,018 You think that'll happen to me? 166 00:09:30,060 --> 00:09:33,948 Well, yeah! I mean, your mom's tall, and you are a little short for your age. 167 00:09:34,143 --> 00:09:35,376 You'll probably spring right up. 168 00:09:46,476 --> 00:09:49,091 Obesity isn't something you just grow out of. 169 00:09:49,133 --> 00:09:50,624 Take it you've never seen a baby? 170 00:09:50,750 --> 00:09:52,544 She's not a baby, she's ten! 171 00:09:52,796 --> 00:09:55,678 And you figure making her feel like crap would do her a world of good? 172 00:09:55,720 --> 00:09:57,676 Yeah, if it gets her off the couch! 173 00:09:57,718 --> 00:09:59,810 I'm sure she's already under enough pressure. 174 00:09:59,894 --> 00:10:00,934 Enough from mummy. 175 00:10:01,144 --> 00:10:04,014 Everything in society tells us we have to be thin to be successful. 176 00:10:04,014 --> 00:10:07,235 No, society tells you you have to be thin to be attractive. 177 00:10:07,319 --> 00:10:11,198 And guess what, that's what attractive means: that society likes looking at you. 178 00:10:11,560 --> 00:10:14,138 I think we should be telling our kids it's fine as long as they're healthy. 179 00:10:14,180 --> 00:10:17,060 All right. You weigh 90 pounds because it makes you healthier? 180 00:10:18,430 --> 00:10:19,245 Forget it. 181 00:10:19,837 --> 00:10:23,284 He's just cranky because he knows he's the one to get the axe. 182 00:10:28,737 --> 00:10:30,189 So, any thoughts? 183 00:10:30,871 --> 00:10:34,251 On what? Sharon's plan for Gaza? 184 00:10:35,039 --> 00:10:36,115 Who you're gonna let go. 185 00:10:36,157 --> 00:10:39,936 I'm thinking I can convince Vogler it would be more cost-efficient to let me keep all of them. 186 00:10:40,084 --> 00:10:41,872 Yeah, you should be able to pull that off. 187 00:10:41,914 --> 00:10:43,804 Most billionaires aren't very good with numbers. 188 00:10:43,846 --> 00:10:50,949 It will be more cost-efficient once I've grabbed Cameron's ass, called Foreman a spade, and Chase... 189 00:10:51,075 --> 00:10:52,557 well, I can grab his ass, too. 190 00:10:53,550 --> 00:10:57,976 You are uniquely talented in many areas, but office politics is not one of them. 191 00:10:58,763 --> 00:11:00,102 Don't take Vogler on. 192 00:11:01,278 --> 00:11:02,290 Separate or together? 193 00:11:02,440 --> 00:11:03,171 Together. 194 00:11:08,203 --> 00:11:10,967 Increasing glucose to 6.9 milligrams per minute. 195 00:11:11,240 --> 00:11:12,153 Are you okay? 196 00:11:12,195 --> 00:11:12,993 I'm thirsty. 197 00:11:13,119 --> 00:11:14,648 Just a little bit longer, and you'll be done. 198 00:11:14,690 --> 00:11:16,015 Like Dr. Chase. 199 00:11:16,857 --> 00:11:18,084 Wanna put some money on it? 200 00:11:21,790 --> 00:11:22,888 I said I'm thirsty. 201 00:11:22,888 --> 00:11:24,619 Just five more minutes, okay, sweetheart? 202 00:11:24,800 --> 00:11:26,707 I'm not your sweetheart, don't call me that. 203 00:11:26,707 --> 00:11:28,253 Jessica, that's not nice. 204 00:11:28,253 --> 00:11:29,827 - You're the ones who aren't nice. - Jessica... 205 00:11:29,869 --> 00:11:32,018 You're not either! I don't want to do this anymore! 206 00:11:32,060 --> 00:11:34,716 Jessica! Jessica, you have to calm down! 207 00:11:34,758 --> 00:11:36,785 No! Let me go! 208 00:11:36,869 --> 00:11:38,993 She's gotta be getting hypoglycemic. 209 00:11:38,993 --> 00:11:41,339 Never seen her like this before. What's wrong? 210 00:11:41,339 --> 00:11:42,309 Hey, calm down! 211 00:11:42,309 --> 00:11:50,069 Let go of me! Get it out of me, you son of a bitch! Bastards! 212 00:11:54,103 --> 00:11:57,078 She's sedated. Mrs. Simms, don't worry. 213 00:11:57,120 --> 00:12:02,444 Hypoglycemia can cause temporary psychosis and it's a common complication during a HEC procedure. 214 00:12:02,499 --> 00:12:04,509 I never wanted it done in the first place. 215 00:12:04,738 --> 00:12:06,139 We understand you're upset, but... 216 00:12:06,181 --> 00:12:08,101 You were supposed to be monitoring her condition. 217 00:12:08,143 --> 00:12:10,034 But instead you were bickering and placing bets. 218 00:12:10,076 --> 00:12:14,165 I apologize if we weren't paying full attention to your daughter, but I assure you that... 219 00:12:14,201 --> 00:12:17,451 Oh, please. Save your pathetic insincerity for your boyfriend. 220 00:12:17,671 --> 00:12:22,938 You're wrong. She is, in fact, pathetically sincere. And they didn't screw it up. 221 00:12:23,057 --> 00:12:24,013 Who are you? 222 00:12:24,877 --> 00:12:26,024 I'm from the lab. 223 00:12:26,362 --> 00:12:28,563 The blood tests showed your daughter wasn't hypoglycemic, 224 00:12:28,605 --> 00:12:31,464 which means her psychosis wasn't caused by anything these doctors did. 225 00:12:31,572 --> 00:12:33,562 So then what was it caused by? 226 00:12:34,611 --> 00:12:35,610 I have no idea, 227 00:12:36,108 --> 00:12:39,301 but you'll be happy to hear it can't be cured by diet or exercise. 228 00:12:50,810 --> 00:12:55,195 What else could cause uncontrollable rage in a ten-year-old? 229 00:12:55,481 --> 00:12:57,492 Nothing that could also cause a heart attack. 230 00:12:59,711 --> 00:13:02,114 I assume I don't have to point out 231 00:13:02,409 --> 00:13:09,421 that now would be an extremely good time for one of you to distinguish yourself with a brilliant idea. 232 00:13:14,401 --> 00:13:16,834 A hypocoaguable state could cause a blood clot. 233 00:13:16,900 --> 00:13:18,556 Blood clots can cause a heart attack. 234 00:13:18,766 --> 00:13:20,961 More likely to cause a stroke, not the psychosis. 235 00:13:21,003 --> 00:13:21,815 No, you're wrong. 236 00:13:22,080 --> 00:13:25,583 If the clot made it to the amicdal area of the brain, it might cause uncontrollable rage. 237 00:13:25,625 --> 00:13:27,058 Right, because anything's possible, 238 00:13:27,100 --> 00:13:29,482 but nothing's going to cause multiple clots in a kid this age. 239 00:13:29,524 --> 00:13:30,444 She's fat! 240 00:13:30,486 --> 00:13:32,296 Obesity doesn't cause blood clots. 241 00:13:32,338 --> 00:13:35,060 Extremely obese patients can get a fat embolus. 242 00:13:35,102 --> 00:13:37,665 Right, after they get liposuction which she's clearly never had. 243 00:13:37,707 --> 00:13:38,326 How do you know? 244 00:13:38,368 --> 00:13:40,237 Because we have her medical records. 245 00:13:40,279 --> 00:13:44,349 And because no plastic surgeon in his right mind is going to give a ten-year-old liposuction! 246 00:13:44,391 --> 00:13:47,209 Have you ever met a plastic surgeon who was in their right mind? 247 00:13:49,064 --> 00:13:50,802 She hasn't had liposuction. 248 00:13:50,886 --> 00:13:52,338 Thank you. 249 00:13:53,386 --> 00:13:56,471 But what about some other ridiculous obesity treatment? 250 00:13:56,513 --> 00:13:57,355 Like what? 251 00:13:57,397 --> 00:14:00,133 Diet pills can cause heart attacks and blood clots. 252 00:14:00,175 --> 00:14:01,602 Her tox screen was negative. 253 00:14:01,957 --> 00:14:03,864 Wouldn't show over-the-counter weight loss drugs. 254 00:14:03,906 --> 00:14:05,359 Her mother wouldn't give her diet pills. 255 00:14:05,401 --> 00:14:08,366 Yeah, she thinks her daughter's perfect just the way she is. 256 00:14:09,768 --> 00:14:10,739 She's lying. 257 00:14:11,929 --> 00:14:15,359 Okay, you two, heparin and warfarin to prevent further clotting. 258 00:14:15,938 --> 00:14:18,703 And you, find those pills. 259 00:14:30,191 --> 00:14:31,591 Not diet pills. 260 00:14:33,123 --> 00:14:35,312 You might want to broade the search just a little. 261 00:14:35,762 --> 00:14:38,737 And don't just ask the mom, if she hasn't mentioned yet, she's not gonna... 262 00:14:38,779 --> 00:14:41,506 If you're gonna fire someone, go ahead and do it, 263 00:14:41,882 --> 00:14:46,405 but don't treat us like lab rats, testing how long it takes us to get us at one another's throats. 264 00:14:46,686 --> 00:14:47,680 So what should I do? 265 00:14:47,680 --> 00:14:49,078 I don't give a damn what you do. 266 00:14:49,192 --> 00:14:52,583 Yes, I had noticed your complete indifference. 267 00:14:53,374 --> 00:14:55,692 You don't even offer a medical opinion any more. 268 00:14:56,956 --> 00:14:58,029 Who would you fire? 269 00:14:59,457 --> 00:15:00,225 Not my call. 270 00:15:00,267 --> 00:15:01,505 I want your opinion. 271 00:15:03,226 --> 00:15:04,386 Fine, it's you. 272 00:15:05,909 --> 00:15:07,907 Either way, you're making a choice. 273 00:15:11,702 --> 00:15:12,812 Chase. 274 00:15:14,068 --> 00:15:16,393 Wh- Because he screwed up an angio a month ago? 275 00:15:16,435 --> 00:15:17,913 Anyone can make a mistake. 276 00:15:18,263 --> 00:15:19,965 Right, it's the money. 277 00:15:20,547 --> 00:15:23,198 You resent it, but you're going to tell me he doesn't need the job. 278 00:15:23,240 --> 00:15:24,707 He doesn't appreciate the job. 279 00:15:24,749 --> 00:15:26,906 He was ready to go three rounds with Cameron for it. 280 00:15:26,948 --> 00:15:30,509 He wants the job. He just doesn't appreciate it. 281 00:15:30,635 --> 00:15:34,990 There's nothing wrong with just wanting to hang out, but this is not the place to do it. 282 00:15:36,636 --> 00:15:38,017 I'm surprised. 283 00:15:38,880 --> 00:15:40,277 You thought I'd pick Cameron? 284 00:15:40,417 --> 00:15:42,081 I didn't think you'd pick at all. 285 00:15:48,100 --> 00:15:51,829 I guess he's not the "rise above the fray" guy he likes to think he is. 286 00:15:51,871 --> 00:15:53,511 You practically forced it out of him. 287 00:15:53,595 --> 00:15:56,258 He's scared of losing his job, just like everyone else. 288 00:15:56,629 --> 00:15:59,914 I've been thinking. You've made it quite clear that you're miserable here... 289 00:15:59,956 --> 00:16:01,525 I am not miserable. 290 00:16:01,861 --> 00:16:03,056 You're not happy. 291 00:16:03,098 --> 00:16:04,240 And you are? 292 00:16:04,707 --> 00:16:06,585 With... my job, yes. 293 00:16:06,627 --> 00:16:09,751 I am exactly where I want to be doing exactly what I want to do. 294 00:16:09,877 --> 00:16:11,846 I think I sense a hint of sarcasm there. 295 00:16:13,059 --> 00:16:15,845 Why don't you pick yourself? Quit? 296 00:16:15,887 --> 00:16:17,924 Hmmm... I was wrong. 297 00:16:18,443 --> 00:16:19,899 About Vogler or Foreman? 298 00:16:20,242 --> 00:16:22,469 Mrs. Hernandez's pregnancy tests. 299 00:16:22,805 --> 00:16:24,158 Who's Mrs. Hernandez? 300 00:16:24,416 --> 00:16:27,982 Either a woman carrying an alien baby or your newest patient. 301 00:16:29,824 --> 00:16:33,053 So, you never saw her with any pills? She never mentioned anything? 302 00:16:33,134 --> 00:16:34,559 No, of course not. 303 00:16:35,410 --> 00:16:38,262 Would it be all right if I talked to a couple of her friends? 304 00:16:39,035 --> 00:16:39,498 Her friends? 305 00:16:39,624 --> 00:16:41,070 Well, I'm not going to interrogate them, 306 00:16:41,147 --> 00:16:43,882 but I just want to ask if Jessica ever mentioned anything. 307 00:16:43,882 --> 00:16:45,802 It's pretty important, she's very sick. 308 00:16:45,802 --> 00:16:48,189 I understand, it's just, well, 309 00:16:49,635 --> 00:16:51,520 Jessica really doesn't have any friends. 310 00:16:51,788 --> 00:16:52,407 Not one? 311 00:16:52,407 --> 00:16:56,315 I've tried to help, make the kids include her more, but kids can be... 312 00:16:56,339 --> 00:16:56,894 Kids? 313 00:16:57,054 --> 00:16:58,526 Heh, I was going to say jerks. 314 00:16:59,854 --> 00:17:02,617 All the fifth-graders are assigned an eighth-grade buddy. 315 00:17:02,657 --> 00:17:03,999 Maybe you could talk to her's. 316 00:17:10,272 --> 00:17:11,662 What's the status on House? 317 00:17:12,818 --> 00:17:16,558 He asked for time to complete performance reviews on everyone in his department. 318 00:17:16,600 --> 00:17:18,364 And you told him no and gave him how long? 319 00:17:18,786 --> 00:17:21,591 A week. He'll do it. 320 00:17:22,185 --> 00:17:23,795 Guy's never done what he's told. 321 00:17:23,917 --> 00:17:25,624 Don't see why he's going to start now. 322 00:17:27,547 --> 00:17:29,465 Hi! Edward Vogler. 323 00:17:29,734 --> 00:17:32,887 Is Dr. House claiming that I'm forcing him to get rid of one of you? 324 00:17:33,214 --> 00:17:35,993 I assume his goal is to stir up antagonism toward me. 325 00:17:36,220 --> 00:17:37,651 And your goal is? 326 00:17:38,089 --> 00:17:39,291 I am forcing him. 327 00:17:40,439 --> 00:17:43,515 I'll do whatever I can to ease the transition for whoever he chooses. 328 00:17:43,833 --> 00:17:46,917 If you're feeling guilty about your decision, there is an easy solution. 329 00:17:46,941 --> 00:17:48,140 I don't feel guilty. 330 00:17:48,935 --> 00:17:51,169 Then why approach me and tell me all this? 331 00:17:51,211 --> 00:17:53,742 I don't feel guilty, that doesn't mean I don't feel bad. 332 00:17:54,663 --> 00:17:56,278 I'm rich, but I'm still human. 333 00:17:57,864 --> 00:18:03,441 I just wanted you to know that if there's anything I can do for you, my door's open. 334 00:18:05,171 --> 00:18:06,048 Thank you. 335 00:18:12,716 --> 00:18:14,490 You looking for info? 336 00:18:14,710 --> 00:18:17,103 I thought you already had House all figured out? 337 00:18:17,127 --> 00:18:17,860 I do. 338 00:18:18,657 --> 00:18:19,995 Don't know his team, though. 339 00:18:22,816 --> 00:18:25,466 The ultrasound and biopsy confirmed our worry. 340 00:18:25,923 --> 00:18:30,153 The tumor is extremely large, at least thirty pounds. 341 00:18:30,323 --> 00:18:31,333 Oh, God. 342 00:18:31,822 --> 00:18:34,009 It's actually a personal record for this clinic. 343 00:18:34,133 --> 00:18:37,899 But it's completely benign, there's no sign of cancer at all. 344 00:18:39,722 --> 00:18:43,100 I've already spoken with Dr. Bergin, and he's available first thing in the morning. 345 00:18:43,892 --> 00:18:44,735 For what? 346 00:18:46,710 --> 00:18:48,056 For the surgery. 347 00:18:48,056 --> 00:18:52,074 But if it's not cancer, it can't kill me, right? 348 00:18:55,750 --> 00:18:56,432 No. 349 00:18:56,474 --> 00:19:00,523 I'll have a huge scar! I won't be able to wear a bikini! 350 00:19:00,957 --> 00:19:02,123 You wear a bikini now? 351 00:19:02,123 --> 00:19:04,007 Yeah, you got a problem with that? 352 00:19:04,689 --> 00:19:07,187 Nope, but I've never gone swimming with you. 353 00:19:07,355 --> 00:19:09,778 I knew it. That's what this is all about! 354 00:19:09,844 --> 00:19:12,900 You are trying to force me to have cosmetic surgery! 355 00:19:12,942 --> 00:19:17,287 Yeah, that's exactly why I planted a thirty pound tumor on your ovary. 356 00:19:17,329 --> 00:19:18,988 It's not gonna kill me. 357 00:19:19,196 --> 00:19:22,360 The only thing surgery is going to do is change the way I look. 358 00:19:22,581 --> 00:19:26,294 That is the definition of "cosmetic surgery". 359 00:19:26,419 --> 00:19:29,155 Uh, it would also relieve your heartburn and discomfort. 360 00:19:29,155 --> 00:19:30,929 Yeah, right. 361 00:19:31,224 --> 00:19:35,612 Why give an antacid when you can cut someone up and make them look a little easier on your eyes? 362 00:19:37,093 --> 00:19:40,877 My husband loves my body. 363 00:19:41,138 --> 00:19:42,791 He can't get enough of it. 364 00:19:42,971 --> 00:19:46,807 you think he's gonna want to touch me if I look like I've been gutted like a fish? 365 00:19:49,981 --> 00:19:51,905 That was unexpected. 366 00:19:53,723 --> 00:19:55,411 Yeah, it was. 367 00:19:57,439 --> 00:20:00,006 All she does during recess is run laps around the playground. 368 00:20:00,245 --> 00:20:04,254 She says she's exercising, but everyone knows it's just because no one wants to play with her. 369 00:20:04,480 --> 00:20:07,745 I mean, I'm only her buddy because Ms. Ayers assigned her to me. 370 00:20:07,866 --> 00:20:09,657 That does not mean I am her friend. 371 00:20:11,412 --> 00:20:13,913 I'll make sure her doctors are all clear on that. 372 00:20:14,334 --> 00:20:14,936 Thanks. 373 00:20:16,057 --> 00:20:19,524 So, has she ever said anything to you about diet pills? 374 00:20:19,665 --> 00:20:21,420 Heh, she told you that, too. 375 00:20:21,814 --> 00:20:22,521 What do you mean? 376 00:20:22,563 --> 00:20:24,747 I totally busted her for taking drugs one day. 377 00:20:24,985 --> 00:20:27,987 She totally lied, said they were diet pills her mom had given her. 378 00:20:28,071 --> 00:20:31,519 Come on, get real. No way a girl like that is taking diet pills. 379 00:20:32,725 --> 00:20:35,628 I didn't give her diet pills, I would never do that! 380 00:20:35,670 --> 00:20:37,483 Right, so it was her imaginary mom. 381 00:20:37,525 --> 00:20:39,726 She didn't take any pills, the girl's lying! 382 00:20:39,726 --> 00:20:40,779 Why would she lie? 383 00:20:40,967 --> 00:20:43,270 Because she's another mean little jerk? 384 00:20:43,270 --> 00:20:44,124 Mom. 385 00:20:45,152 --> 00:20:46,952 I'm sorry, honey. 386 00:20:47,411 --> 00:20:48,651 Clemmie didn't lie. 387 00:20:52,061 --> 00:20:55,584 I did. I took the pills. 388 00:20:56,475 --> 00:20:59,388 I told her you gave them to me 'cause I didn't want to get in trouble. 389 00:21:00,153 --> 00:21:01,345 Where did you get them? 390 00:21:02,357 --> 00:21:05,001 I took them. From the store. 391 00:21:05,788 --> 00:21:08,589 Why? Why would you do that? 392 00:21:08,631 --> 00:21:10,606 Because I didn't want to be ugly anymore. 393 00:21:10,690 --> 00:21:13,408 Oh, baby. You're not ugly. 394 00:21:13,450 --> 00:21:17,290 Yes, I am! I know you don't think so, but I am! I'm disgusting. 395 00:21:17,332 --> 00:21:19,233 Jessica, please, don't say that. 396 00:21:21,071 --> 00:21:27,487 I just, just wanted to fit in. You know, have friends? 397 00:21:27,682 --> 00:21:32,543 Or at least have one person my age be nice to me. 398 00:21:37,281 --> 00:21:43,381 Listen, the pills cause blood clots, heart attacks, and insomnia. 399 00:21:43,544 --> 00:21:44,853 It explains everything. 400 00:21:45,058 --> 00:21:49,431 We'll keep her overnight to make sure, but she'll be fine. 401 00:21:49,524 --> 00:21:50,519 Thank you. 402 00:21:53,618 --> 00:21:55,093 I can't believe she was that desperate. 403 00:21:55,177 --> 00:21:57,822 Yeah, I'm sure that if everyone I knew hated me, 404 00:21:57,864 --> 00:22:01,310 I couldn't bear to look at me. I wouldn't go so far as to shoplift. 405 00:22:01,352 --> 00:22:03,146 I'm not talking about the shoplifting. 406 00:22:03,188 --> 00:22:05,308 I'm sure she didn't even know they were dangerous. 407 00:22:05,332 --> 00:22:08,454 She probably saw them advertised on TV or over the internet. 408 00:22:08,538 --> 00:22:12,444 Right, so I guess it's the media and pharmaceutical companies' fault now? 409 00:22:12,486 --> 00:22:15,283 Not the fact that she can't stop shoving food down her throat. 410 00:22:15,740 --> 00:22:16,964 No one forced her to get fat. 411 00:22:17,006 --> 00:22:18,965 No one forced a cancer patient to get cancer. 412 00:22:18,965 --> 00:22:20,585 Give me a break, it's not a disease. 413 00:22:20,585 --> 00:22:21,818 Have you seen the latest research? 414 00:22:21,818 --> 00:22:23,289 Yes, I have. 415 00:22:23,416 --> 00:22:26,840 What I haven't seen lately is a kid eating an apple or riding a bike. 416 00:22:27,554 --> 00:22:31,255 You Americans can't even compete with the rest of the world in basketball anymore, unless, 417 00:22:31,447 --> 00:22:35,440 of course, it's the type you play with a remote control on a big screen TV. 418 00:22:36,327 --> 00:22:37,329 Right. 419 00:22:37,794 --> 00:22:40,539 Wait! Are you going to let him say that? 420 00:22:40,665 --> 00:22:43,240 He insulted our basketball teams! 421 00:22:54,516 --> 00:22:58,434 Oh, my God! Mommy, they hurt so bad! 422 00:22:58,476 --> 00:22:58,972 What happened? 423 00:22:59,014 --> 00:22:59,867 Please help me! 424 00:23:00,057 --> 00:23:00,795 She's bleeding! 425 00:23:00,795 --> 00:23:01,674 From where? 426 00:23:02,005 --> 00:23:03,775 Oh, my god! 427 00:23:05,200 --> 00:23:07,844 Just please stop it, please! 428 00:23:13,814 --> 00:23:15,537 Diet pills don't cause skin necrosis. 429 00:23:15,579 --> 00:23:17,323 Could be something related to the pills. 430 00:23:17,616 --> 00:23:18,310 Or not. 431 00:23:18,352 --> 00:23:24,317 Or both. Diet pills brought her to us, we gave her the sores. 432 00:23:24,438 --> 00:23:26,516 You think she got a staff infection from something here? 433 00:23:26,558 --> 00:23:29,315 I'm not saying the hospital gave the sores, I'm saying we did. 434 00:23:29,357 --> 00:23:32,980 By treating her. Warfarin-induced skin necrosis. 435 00:23:33,046 --> 00:23:36,277 Highly unlikely. We started her on heparin before the warfarin. 436 00:23:36,313 --> 00:23:37,400 Who gave her the heparin? 437 00:23:37,400 --> 00:23:39,195 I gave warfarin, she gave heparin. 438 00:23:39,588 --> 00:23:41,150 Sure you didn't both give her warfarin? 439 00:23:41,150 --> 00:23:42,761 Yes, I did not screw up. 440 00:23:44,420 --> 00:23:47,801 Did you actually see her prepare and administer the heparin? 441 00:23:53,540 --> 00:23:54,286 Enough said. 442 00:23:54,286 --> 00:23:55,534 You were standing right there. 443 00:23:57,048 --> 00:23:58,394 I was preparing my own dose. 444 00:23:58,436 --> 00:24:01,468 Yeah, right. There's gotta be some other cause. 445 00:24:01,720 --> 00:24:04,336 None that I can think of. Let's fix the mistake. 446 00:24:04,378 --> 00:24:09,552 Give her unfractionated IV heparin and low molecular weight heparin by subcutaneous injection stat. 447 00:24:15,372 --> 00:24:17,522 Making me look bad is not going to save your job. 448 00:24:17,565 --> 00:24:19,420 You think you're incapable of making a mistake? 449 00:24:19,462 --> 00:24:22,229 You think that I am that weak that I am just going to roll over and take this? 450 00:24:22,271 --> 00:24:24,912 House isn't just going to protect you just because you kiss his ass! 451 00:24:25,406 --> 00:24:26,890 Vogler wants to know what he can do for me. 452 00:24:26,914 --> 00:24:27,767 Hey! 453 00:24:28,711 --> 00:24:32,178 Stop worrying about your asses and start worrying about the patient's. 454 00:24:51,859 --> 00:24:52,787 She sleeping? 455 00:24:53,429 --> 00:24:55,387 As a result of the sedatives, yeah. 456 00:24:55,797 --> 00:24:57,872 Can't let her wake up, too much pain. 457 00:25:00,641 --> 00:25:05,403 "Warfarin-induced skin necrosis". 458 00:25:06,355 --> 00:25:09,017 I have no idea what that means. 459 00:25:09,191 --> 00:25:12,264 But it says here we gave her the warfarin, 460 00:25:12,982 --> 00:25:14,907 and I do know what "induced" means... 461 00:25:16,321 --> 00:25:17,162 we did this? 462 00:25:18,307 --> 00:25:20,613 At this point it's not exactly clear. 463 00:25:22,412 --> 00:25:24,369 You know, I should probably talk to Dr. House. 464 00:25:24,621 --> 00:25:27,846 Oh, you two need time to get your story straight. 465 00:25:28,214 --> 00:25:29,514 He doesn't tell me what to do. 466 00:25:29,742 --> 00:25:31,868 So you don't just blindly follow his commands. 467 00:25:31,910 --> 00:25:33,319 You're your own man. 468 00:25:34,551 --> 00:25:37,894 And yet, here you are working for a man you can't stand. 469 00:25:38,363 --> 00:25:39,211 I respect him. 470 00:25:39,253 --> 00:25:42,510 What exactly is it you respect? His attitude toward humanity? 471 00:25:42,762 --> 00:25:44,731 He thinks we're all idiots and liars. 472 00:25:45,457 --> 00:25:47,230 How 'bout his attitude toward you, 473 00:25:47,315 --> 00:25:49,208 plays with you like a cat with a ball of string... 474 00:25:49,250 --> 00:25:52,088 - What do you want? - I want to know if you want to keep your job. 475 00:25:52,289 --> 00:25:54,553 If he chooses to let me go, I can live with that. 476 00:25:54,553 --> 00:25:55,667 That's not an answer. 477 00:25:55,819 --> 00:25:57,165 You offering to protect me? 478 00:25:57,207 --> 00:25:58,323 Still not an answer. 479 00:25:58,723 --> 00:25:59,830 I want my job. 480 00:26:05,478 --> 00:26:06,440 Dr. Chase. 481 00:26:07,076 --> 00:26:07,957 Boss. 482 00:26:12,178 --> 00:26:13,251 What was that about? 483 00:26:13,785 --> 00:26:16,965 Wanted to know what warfarin is. I don't know. 484 00:26:41,863 --> 00:26:44,582 Brrrr. Icy. 485 00:26:46,770 --> 00:26:50,310 Definitely think twice before correcting one of your mistakes again. 486 00:26:50,310 --> 00:26:51,659 Correct all you want. 487 00:26:51,701 --> 00:26:54,630 Of course, it's a bit more productive if there's an actual mistake. 488 00:26:54,648 --> 00:26:57,230 Right, I always forget that part. 489 00:26:58,169 --> 00:27:02,087 I gave her the heparin, which means the necrosis is not a reaction to the warfarin, 490 00:27:02,087 --> 00:27:04,400 which is probably why she's not responding to your treatment. 491 00:27:05,347 --> 00:27:06,156 Yet. 492 00:27:10,218 --> 00:27:12,501 If you didn't screw up, then what is it? 493 00:27:15,023 --> 00:27:16,196 You don't have an answer. 494 00:27:16,322 --> 00:27:17,324 Yet. 495 00:27:18,187 --> 00:27:19,847 When you come up with something, let me know. 496 00:27:19,997 --> 00:27:23,080 I'll be in the clinic, warming up. 497 00:27:24,431 --> 00:27:27,047 I'm the only one who's always stood behind you when you've screwed up. 498 00:27:27,208 --> 00:27:30,284 Why? Why would you support someone who screws up? 499 00:27:30,382 --> 00:27:32,004 Because I'm not insanely insecure. 500 00:27:32,150 --> 00:27:36,727 And because I can actually trust in another human being and I am not an angry, misanthropic son of a bitch. 501 00:27:36,769 --> 00:27:38,700 I'm sorry, you said you weren't angry. 502 00:27:41,991 --> 00:27:43,215 Who would you fire? 503 00:27:47,123 --> 00:27:47,959 No one. 504 00:27:48,624 --> 00:27:49,853 Not an option. 505 00:27:50,383 --> 00:27:54,362 If everyone took a paycut and put in a few more hours we could all stay for the same amount of money. 506 00:27:54,452 --> 00:27:57,676 Figures you'd try and come up with a solution where no one gets hurt. 507 00:27:58,097 --> 00:28:01,562 The problem is, the world doesn't work that way just 'cause you want it to. 508 00:28:02,088 --> 00:28:04,771 Figures you'd stall and refuse to deal with the issue. 509 00:28:04,818 --> 00:28:07,808 Problem is, the world doesn't go away just because you want it to. 510 00:28:25,619 --> 00:28:27,221 Excuse me, Dr. House? 511 00:28:28,047 --> 00:28:30,694 My wife saw you yesterday, Lucille Hernandez? 512 00:28:30,970 --> 00:28:32,672 Uh, he's not in today. 513 00:28:33,380 --> 00:28:35,067 My wife said he walked with a cane. 514 00:28:35,530 --> 00:28:39,560 He's also got a bit of a drug problem. Sometimes doesn't show up for weeks. 515 00:28:41,218 --> 00:28:46,475 The MRIs are rented, but... Did you make a decision? 516 00:28:46,567 --> 00:28:48,766 - He's not gonna fire anybody. - Yes. 517 00:28:49,279 --> 00:28:51,505 I'm going to cut the pay of all four of us. 518 00:28:52,303 --> 00:28:56,646 17% across the board will allow you to keep us all for the same amount of money. 519 00:28:56,851 --> 00:28:59,609 I believe it's what you suits call "win-win". 520 00:29:00,705 --> 00:29:02,976 - All right, if you can... - No. 521 00:29:03,404 --> 00:29:08,356 If he can work it so we can keep the current staff for the same amount of money, what difference does it make? 522 00:29:12,233 --> 00:29:13,803 It's not about the money. 523 00:29:14,394 --> 00:29:17,386 This is not a negotiation, it never was. 524 00:29:18,626 --> 00:29:23,629 I need to know that whatever I ask you to do, no matter how distasteful you find it, you'll do it. 525 00:29:23,629 --> 00:29:27,159 And just as importantly, you need to know that. 526 00:29:38,550 --> 00:29:39,932 What's going on with my wife? 527 00:29:41,149 --> 00:29:46,681 Even if I was Dr. House, physician-patient confidentiality protects me from annoying conversations. 528 00:29:46,807 --> 00:29:48,396 But she told me about the tumor. 529 00:29:48,480 --> 00:29:51,470 Yeah? She also tell you why she's refusing to have it removed? 530 00:29:51,547 --> 00:29:54,846 I don't care about a scar. And she can always gain the weight back. 531 00:29:55,838 --> 00:29:57,336 You want her to regain the weight? 532 00:29:58,093 --> 00:30:01,097 Yeah. I mean, only if she wants to. 533 00:30:01,308 --> 00:30:01,969 Why? 534 00:30:03,548 --> 00:30:06,084 I've always thought she's looked sexiest when she was pregnant. 535 00:30:06,604 --> 00:30:08,406 Something 'bout knowing she's a mother makes me want to... 536 00:30:08,448 --> 00:30:09,919 Yeah, tell her that and leave me alone. 537 00:30:10,157 --> 00:30:12,703 I did. You gotta talk to her, 538 00:30:13,246 --> 00:30:14,575 I couldn't bear it if something happened to her... 539 00:30:14,617 --> 00:30:18,734 The tumor is benign, nothing's gonna happen. Except maybe some more heartburn. 540 00:30:19,822 --> 00:30:22,035 What if it gets even bigger? Or if it changes? 541 00:30:22,077 --> 00:30:25,085 You know where to find us. Building's not going anywhere. 542 00:30:25,723 --> 00:30:26,906 Tell her it's cancer. 543 00:30:27,361 --> 00:30:29,146 You obviously don't have a problem with lying. 544 00:30:29,865 --> 00:30:31,394 Oh, way to win me over. 545 00:30:31,828 --> 00:30:33,099 We have six kids. 546 00:30:33,771 --> 00:30:35,070 She can't afford to take a chance. 547 00:30:35,112 --> 00:30:37,804 You have kids! How novel! That changes everything. 548 00:30:37,846 --> 00:30:40,696 So if Mommy has heartburn, one of them might catch on fire. 549 00:30:41,275 --> 00:30:42,025 Please, 550 00:30:43,332 --> 00:30:44,864 I don't know what we'd do. 551 00:30:50,635 --> 00:30:51,681 They are cute. 552 00:30:53,471 --> 00:30:54,847 Have her come back in. 553 00:30:55,107 --> 00:30:55,841 What? 554 00:30:56,009 --> 00:30:57,597 Your plight has moved me. 555 00:30:57,639 --> 00:30:59,095 Tell your wife to come back. 556 00:31:05,423 --> 00:31:06,982 Her necrosis is getting worse. 557 00:31:07,024 --> 00:31:09,321 Maybe because we're treating her for the wrong thing. 558 00:31:11,013 --> 00:31:12,621 Have you found the right thing? 559 00:31:13,665 --> 00:31:14,390 No. 560 00:31:14,802 --> 00:31:16,457 Then we continue the treatment. 561 00:31:16,644 --> 00:31:18,408 Hope it's just taking longer than it should. 562 00:31:18,450 --> 00:31:21,073 At this point it doesn't matter what caused the necrosis. 563 00:31:21,073 --> 00:31:22,135 Or who. 564 00:31:22,367 --> 00:31:25,196 If we don't stop it from spreading it will kill her before the end of the day. 565 00:31:25,238 --> 00:31:25,893 What else can we do? 566 00:31:25,935 --> 00:31:26,786 Get rid of it. 567 00:31:26,819 --> 00:31:29,778 Remove the dying flesh before it penetrates the abdominal wall. 568 00:31:32,617 --> 00:31:33,466 Do it. 569 00:31:34,323 --> 00:31:37,549 There's still a chance that the heparin treatment could start to take effect. 570 00:31:37,657 --> 00:31:39,450 We're gonna wait as long as we can, 571 00:31:39,714 --> 00:31:42,207 but if there's no change in the next few hours, 572 00:31:42,476 --> 00:31:44,139 we're gonna have to treat the symptoms directly. 573 00:31:44,181 --> 00:31:45,948 So you can get rid of the sores. 574 00:31:45,990 --> 00:31:50,296 Through surgery. Technically, it's an amputation. 575 00:31:51,026 --> 00:31:53,335 Amputation? But the sores are... 576 00:31:53,377 --> 00:31:58,393 Warfarin-induced necrosis attacks fatty tissue, mainly in the breasts. 577 00:31:59,121 --> 00:32:04,498 Wait, are you talking about cutting off my daughter's breasts? 578 00:32:08,893 --> 00:32:10,305 She's ten years old! 579 00:32:10,347 --> 00:32:13,441 A radical mastectomy may be her only chance of survival. 580 00:32:15,746 --> 00:32:19,214 I'm sorry, but I'm gonna have to ask you to sign this. 581 00:32:33,450 --> 00:32:34,498 Can we talk? 582 00:32:36,918 --> 00:32:39,446 What, no roses, no chocolates? 583 00:32:40,344 --> 00:32:42,803 - If you're here to apologize... - I'm not here to apologize. 584 00:32:44,186 --> 00:32:44,765 Uh-oh, 585 00:32:46,605 --> 00:32:49,711 that means you're here for something more complicated. 586 00:32:50,816 --> 00:32:52,156 Do you want to fire me? 587 00:32:53,963 --> 00:32:56,564 Yes. I was just waiting for an excuse. 588 00:32:56,606 --> 00:32:58,743 Thank God Vogler came along. Phew! 589 00:32:58,743 --> 00:33:01,991 It's the only reason I can think of that you're insisting that I made a mistake. 590 00:33:02,033 --> 00:33:05,881 Really? Because there is another explanation. 591 00:33:06,041 --> 00:33:09,105 Perhaps not as much fun as your Freudian analysis, but 592 00:33:09,603 --> 00:33:11,026 maybe you actually made a mistake. 593 00:33:11,068 --> 00:33:13,685 You're doing this because you can't deal with your feelings for me. 594 00:33:19,545 --> 00:33:23,465 I believe that you are the only one to express feelings. 595 00:33:23,853 --> 00:33:28,089 And if we're going to look at this from a first-year psych point-of-view, maybe you want me to fire you. 596 00:33:28,194 --> 00:33:29,666 Maybe that's why you're acting weird. You... 597 00:33:29,708 --> 00:33:31,132 You're the one being different! 598 00:33:31,180 --> 00:33:34,195 You're always pushing things, pushing the rules, pushing us, but not this time. 599 00:33:34,237 --> 00:33:36,064 You just jumped on this idea like a life raft. 600 00:33:36,101 --> 00:33:39,749 Not one question about what else it could be, no riding us for other answers. 601 00:33:39,833 --> 00:33:41,286 I have the answer. 602 00:33:42,801 --> 00:33:44,341 Then why aren't you watching TV? 603 00:33:44,981 --> 00:33:49,968 Or playing your damn Game Boy, or whatever else you have fun doing by yourself? 604 00:33:53,905 --> 00:33:55,376 Maybe I should just quit. 605 00:33:56,137 --> 00:33:58,018 Make it easy for everyone. 606 00:34:00,411 --> 00:34:01,706 Maybe you should. 607 00:34:07,870 --> 00:34:09,363 Men are pigs. 608 00:34:09,405 --> 00:34:11,662 You call me in to tell me... 609 00:34:11,704 --> 00:34:16,903 I should have realized the vasectomy and condoms was overkill, but this was too obvious to miss. 610 00:34:18,690 --> 00:34:19,722 Cute kids. 611 00:34:21,656 --> 00:34:25,405 Love her green eyes. And his baby blues. 612 00:34:25,474 --> 00:34:28,097 Of course, since you and your husband have brown eyes... 613 00:34:28,121 --> 00:34:29,054 Where'd you get that? 614 00:34:29,280 --> 00:34:33,850 From the father of three, maximum four of your six children. 615 00:34:34,915 --> 00:34:37,219 So I'm thinking maybe the reason you don't want surgery is, 616 00:34:37,340 --> 00:34:39,525 while your husband may find you attractive no matter what, 617 00:34:39,567 --> 00:34:43,611 all the other men you're sleeping with might not be so open-minded. 618 00:34:44,358 --> 00:34:47,882 Which brings me back to my original thesis: men are pigs. 619 00:34:48,708 --> 00:34:50,008 You got nothing to worry about. 620 00:34:51,368 --> 00:34:58,739 You know, pretty much have sex with anyone, fat, skinny, married, single, complete strangers, relatives... 621 00:34:58,781 --> 00:35:01,438 You? You're sick. 622 00:35:01,480 --> 00:35:02,486 So are you. 623 00:35:02,964 --> 00:35:08,302 I'm sure there are websites full of men looking for married women with surgical scars. 624 00:35:10,260 --> 00:35:11,609 So have the surgery. 625 00:35:12,799 --> 00:35:13,599 Please? 626 00:35:16,013 --> 00:35:17,163 Okay. 627 00:35:28,394 --> 00:35:29,682 Why have you been talking to Cameron? 628 00:35:29,724 --> 00:35:32,613 Well, if House picks you I'll be needing a new source in that room. 629 00:35:33,669 --> 00:35:34,819 If he picks me? 630 00:35:35,615 --> 00:35:36,543 Sure. 631 00:35:37,126 --> 00:35:39,951 Foreman's smarter, House has got a thing for Cameron. 632 00:35:39,993 --> 00:35:42,297 I've been feeding you information so you'll protect me. 633 00:35:42,297 --> 00:35:44,291 I will protect you as long as I need you. 634 00:35:44,863 --> 00:35:47,540 And you will feed me information as long as you need me. 635 00:35:47,929 --> 00:35:50,552 I spoke with Cameron because if I have alternatives, 636 00:35:52,157 --> 00:35:53,128 I don't need you. 637 00:35:56,703 --> 00:35:58,420 She's not gonna rat on House. 638 00:35:59,519 --> 00:36:01,469 Foreman ever said anything about talking to me? 639 00:36:05,074 --> 00:36:06,220 Interesting, huh? 640 00:36:25,805 --> 00:36:30,390 It's been almost three hours, still no change in her condition. 641 00:36:30,896 --> 00:36:33,147 I think we should get her into surgery. 642 00:36:34,577 --> 00:36:35,928 So what do you want to do? 643 00:36:38,331 --> 00:36:40,943 Assume that Cameron didn't screw up. 644 00:36:43,734 --> 00:36:44,872 What if it's not the warfarin? 645 00:36:44,914 --> 00:36:47,299 It has to be. The sores presented right after we... 646 00:36:47,341 --> 00:36:49,394 Right, right, right, but let's just say it's not. 647 00:36:51,093 --> 00:36:51,971 Come on, come on, what have you got? 648 00:36:52,013 --> 00:36:52,782 Can I have a second to think? 649 00:36:52,824 --> 00:36:55,748 No, there's no time to think! Just say the first thing that comes to you head. 650 00:36:56,203 --> 00:36:57,154 She's fat. 651 00:36:57,196 --> 00:36:59,504 Enough already, okay? We've got it, you hate fat people. 652 00:36:59,546 --> 00:37:00,500 That's not what I meant. 653 00:37:00,542 --> 00:37:02,508 We already considered obesity as a cause. 654 00:37:02,550 --> 00:37:03,691 So did all her other doctors. 655 00:37:03,733 --> 00:37:05,365 No, what if it's not a cause? 656 00:37:05,365 --> 00:37:06,588 What if it's a symptom? 657 00:37:07,503 --> 00:37:13,170 Okay, so what could cause obesity and skin necrosis? 658 00:37:15,454 --> 00:37:17,768 Listen, I don't care if it makes sense, just give me something. 659 00:37:17,817 --> 00:37:19,612 Ulcers secondary to vaculitis. 660 00:37:19,654 --> 00:37:21,627 No, that's just sores, not obesity. 661 00:37:21,651 --> 00:37:23,121 Pyoderma gangrenosum? 662 00:37:23,289 --> 00:37:26,180 More sores. Okay, let's look at it from the other side. 663 00:37:26,222 --> 00:37:27,678 What has obesity as a symptom? 664 00:37:27,720 --> 00:37:29,228 Hypothyroidism? 665 00:37:29,465 --> 00:37:32,073 Genetics are more likely. Her mom's heavy, too. 666 00:37:36,470 --> 00:37:39,818 She's not just heavy. She's tall. 667 00:37:41,784 --> 00:37:43,186 We have any history on the dad? 668 00:37:43,186 --> 00:37:43,773 Yeah. 669 00:37:47,118 --> 00:37:48,159 6'1". 670 00:37:51,945 --> 00:37:53,145 Kid's short. 671 00:37:53,907 --> 00:37:57,826 We've got stunted growth, high blood pressure, blood clots, obesity... 672 00:37:59,917 --> 00:38:00,922 it's Cushing's. 673 00:38:01,106 --> 00:38:02,992 No, necrosis doesn't present in... 674 00:38:03,034 --> 00:38:05,819 In rare cases Cushing's can cause hypercalcemia, 675 00:38:05,861 --> 00:38:08,557 which can lead to the same skin necrosis as warfarin. 676 00:38:08,665 --> 00:38:10,564 It's perfect. It explains everyting. 677 00:38:10,606 --> 00:38:12,143 Except it's not Cushing's. 678 00:38:12,185 --> 00:38:15,547 She's had multiple blood tests and none show abnormal cortisol levels. 679 00:38:15,589 --> 00:38:18,807 The hypercortisolism could be cyclical, we just didn't catch it in the right phase. 680 00:38:18,849 --> 00:38:21,471 - We'll have to do another UFC. - There's no time! 681 00:38:21,976 --> 00:38:23,490 We've got less than an hour to make the call. 682 00:38:23,532 --> 00:38:25,760 If we treat for Cushing's and we're wrong, she's dead. 683 00:38:25,760 --> 00:38:29,249 If we assume it's not Cushing's, she'll lose her breasts and may still be sick. 684 00:38:32,774 --> 00:38:33,772 Do an MRI. 685 00:38:33,772 --> 00:38:36,039 You want us to look for hypercortisolism with an MRI? 686 00:38:36,081 --> 00:38:40,094 No, I want you to look for what could cause hypercortisolism with an MRI. 687 00:39:01,286 --> 00:39:02,942 Nothing on the adrenals. 688 00:39:05,585 --> 00:39:07,585 Heard Cameron went home. Is she sick? 689 00:39:07,627 --> 00:39:09,477 Go back to the pituitary views. 690 00:39:10,523 --> 00:39:11,432 She seemed okay. 691 00:39:11,474 --> 00:39:13,575 Think she's got another reason for leaving? 692 00:39:13,617 --> 00:39:14,432 I hope so. 693 00:39:15,355 --> 00:39:17,728 Wait, stop. There. 694 00:39:18,022 --> 00:39:18,910 What's that? 695 00:39:22,790 --> 00:39:23,901 A tumor. 696 00:39:25,814 --> 00:39:27,192 It's Cushing's. 697 00:39:27,799 --> 00:39:32,358 The tumor causes Cushing's. Cushing's messes with hormone production. 698 00:39:32,730 --> 00:39:35,204 Hormones control everything: growth, weight... 699 00:39:35,246 --> 00:39:36,523 Can you fix it? 700 00:39:37,122 --> 00:39:39,367 She'll need surgery to remove the tumor. 701 00:39:39,451 --> 00:39:42,497 Once it's gone, everything will get normal very fast. 702 00:39:42,539 --> 00:39:43,921 No mastectomy? 703 00:39:44,089 --> 00:39:44,828 No. 704 00:39:45,703 --> 00:39:46,577 Thank God. 705 00:39:46,619 --> 00:39:48,049 The surgery's dangerous. 706 00:39:48,423 --> 00:39:52,601 The pituitary is located between the caverns of the sinuses, basically right between the eyes. 707 00:39:52,685 --> 00:39:56,853 The area contains the nerves that control eye movement and the major arteries that feed the brain. 708 00:39:56,895 --> 00:39:57,904 Oh, my God. 709 00:39:58,230 --> 00:40:00,888 Your surgeon will approach the gland transphenoidally. 710 00:40:02,424 --> 00:40:06,861 An incision will be made under the lip in which he'll insert a fiberoptic microscope. 711 00:40:07,135 --> 00:40:11,974 Once the tumor's found, he'll cut it into small pieces and remove it from the same hole under the lip. 712 00:40:12,016 --> 00:40:16,196 The whole procedure should take about three hours and your daughter should be able to go home in a few days. 713 00:40:16,417 --> 00:40:19,578 The sores will go away, as well as her fatigue and her muscle pain. 714 00:40:20,919 --> 00:40:22,668 She'll even start losing weight. 715 00:41:12,629 --> 00:41:13,351 Jessica. 716 00:41:13,393 --> 00:41:14,264 Hi. 717 00:41:14,696 --> 00:41:15,847 Is that really you? 718 00:41:16,428 --> 00:41:17,429 Yeah, it's me. 719 00:41:17,590 --> 00:41:19,150 You look fantastic! 720 00:41:21,770 --> 00:41:24,181 She always looked fantastic. 721 00:41:24,716 --> 00:41:25,803 Yeah. 722 00:41:52,986 --> 00:41:54,068 It's been a week. 723 00:41:54,230 --> 00:41:58,077 Actually, it's over a week. Where have you guys been? 724 00:41:59,298 --> 00:42:00,291 Who is it? 725 00:42:05,751 --> 00:42:06,743 Chase. 726 00:42:07,464 --> 00:42:09,236 No, Chase stays. 727 00:42:11,263 --> 00:42:12,294 Pick someone else. 728 00:42:13,142 --> 00:42:15,643 - The deal was... - Deal's changed. 729 00:42:16,714 --> 00:42:17,745 Pick someone else. 730 00:42:19,382 --> 00:42:20,036 No. 731 00:42:30,201 --> 00:42:32,927 Pick someone else or it'll be the whole department. 732 00:42:45,211 --> 00:42:47,599 Got to be more careful. 733 00:42:49,108 --> 00:42:52,022 When you walk the streets alone. 734 00:42:57,219 --> 00:43:00,011 Hiding in the shadows 735 00:43:00,455 --> 00:43:04,076 devil that you don't know. 736 00:43:08,202 --> 00:43:13,422 Then now you got to be more careful, people. 737 00:43:14,579 --> 00:43:19,095 Well now you got to be more careful, now. 738 00:43:20,557 --> 00:43:25,511 And we got to be more careful. 739 00:43:27,691 --> 00:43:31,073 Got to be more careful, yo!