1 00:00:07,630 --> 00:00:08,950 It's almost 11:00. 2 00:00:09,030 --> 00:00:11,160 She needs a lot of sleepthese days. 3 00:00:11,300 --> 00:00:13,580 Please, Mrs. Bardach. 4 00:00:14,120 --> 00:00:16,250 I haven't seen her for a week. 5 00:00:17,490 --> 00:00:18,860 I'll see how she's feeling. 6 00:00:18,920 --> 00:00:21,310 - Thank you. - You know what to do. 7 00:00:34,850 --> 00:00:37,010 All done? - Yeah. 8 00:00:37,490 --> 00:00:40,160 I, uh, scrubbed for 45 seconds, 9 00:00:40,250 --> 00:00:42,680 did the nails, all the way downthe elbows, 10 00:00:43,100 --> 00:00:44,710 the whole deal. 11 00:00:46,440 --> 00:00:47,760 - Are you sick? - No, no, no. 12 00:00:47,900 --> 00:00:50,000 - Cough, sore throat? - No, no. 13 00:00:50,080 --> 00:00:52,820 I just—Sometimes I sneeze when I look at lights. 14 00:00:53,060 --> 00:00:54,040 I always have. 15 00:00:54,120 --> 00:00:54,880 I'm sorry. You better— 16 00:00:54,960 --> 00:00:57,320 I would never get her sick. 17 00:00:57,660 --> 00:00:59,080 Please. 18 00:01:05,440 --> 00:01:06,840 A mask. 19 00:01:07,150 --> 00:01:08,490 Got me by the bouncer. 20 00:01:08,550 --> 00:01:12,110 She's crazy. She's let me out like six times in the last two months. 21 00:01:12,190 --> 00:01:14,710 Every time it's just to go to the hospital. I'm a prisoner. 22 00:01:14,810 --> 00:01:16,320 Aw, it's okay. 23 00:01:22,920 --> 00:01:25,140 - It's ugly. - No. 24 00:01:28,640 --> 00:01:31,520 I wasn't looking at the scar anyways. 25 00:01:36,610 --> 00:01:38,330 Take off your mask. 26 00:01:40,460 --> 00:01:43,380 Uh... If your mom comes in here, she— 27 00:01:43,460 --> 00:01:46,890 Hey, give me a kiss or I'll kill you. 28 00:01:53,960 --> 00:01:55,780 Your skin. 29 00:01:57,020 --> 00:01:58,640 Are you okay? 30 00:02:01,630 --> 00:02:03,280 Augh. 31 00:02:08,010 --> 00:02:09,360 Melinda, can you— 32 00:02:10,540 --> 00:02:12,490 What's wrong? What's wrong? Can you breathe? 33 00:02:14,420 --> 00:02:15,860 What's wrong? Is it your heart? 34 00:02:16,050 --> 00:02:17,350 What's wrong? 35 00:02:17,610 --> 00:02:19,600 Mrs. Bardach! 36 00:02:25,090 --> 00:02:28,630 Melinda, I don't know how to use this. I've never used one of these before. 37 00:02:45,520 --> 00:02:47,390 What did you do to her? 38 00:02:48,490 --> 00:02:52,930 2X16 - Safe 39 00:03:15,060 --> 00:03:18,490 Original Airdate (FOX): 4 APR-2006 40 00:03:48,600 --> 00:03:49,940 Cuddy called. 41 00:03:50,460 --> 00:03:52,720 I know. Saw the caller ID. 42 00:03:52,830 --> 00:03:55,260 Young girl, anaphylactic shock. 43 00:03:55,820 --> 00:03:56,920 You answered? 44 00:03:56,990 --> 00:03:59,870 Turns out that's what stops the ringing. 45 00:04:00,770 --> 00:04:02,210 It's a weird case. 46 00:04:04,650 --> 00:04:06,900 I thought you did the dishes last night. 47 00:04:06,980 --> 00:04:08,110 It was your day. 48 00:04:08,200 --> 00:04:10,110 I did. Those are new. 49 00:04:10,200 --> 00:04:11,710 Midnight snack. 50 00:04:11,800 --> 00:04:14,960 For a midnight snack, you made a pot roast. 51 00:04:15,300 --> 00:04:17,360 The same pot roast I made last night. 52 00:04:17,450 --> 00:04:20,800 Yeah. Actually, it was after midnight. 53 00:04:21,560 --> 00:04:23,240 Today is your day, right? 54 00:04:23,770 --> 00:04:25,720 You want me out of here. I get it. 55 00:04:25,950 --> 00:04:27,360 No, it's fine if you stay. 56 00:04:27,440 --> 00:04:29,950 The place I was gonna move, the guy never called. 57 00:04:30,030 --> 00:04:32,720 - Otherwise, I'll already be there. - I said it's fine if you stay. 58 00:04:32,810 --> 00:04:34,860 Yeah. That's why you're making me miserable. 59 00:04:34,950 --> 00:04:37,990 Maybe I just want to make sure you do your fair share around here. 60 00:04:38,330 --> 00:04:38,970 Tha— 61 00:04:39,050 --> 00:04:40,460 What's weird about it? 62 00:04:43,140 --> 00:04:45,210 The girl with the allergies. 63 00:04:45,390 --> 00:04:46,380 Yeah. 64 00:04:46,680 --> 00:04:49,430 - She's immunocompromised. - What are you doing? 65 00:04:49,520 --> 00:04:50,660 What? You asked me— 66 00:04:50,740 --> 00:04:52,270 You knew that I was interested. 67 00:04:52,340 --> 00:04:54,980 That gives you a valuable bargaining chip. 68 00:04:55,160 --> 00:04:57,720 You could've had me doing dishes for a week. 69 00:05:00,770 --> 00:05:01,920 Okay. 70 00:05:06,550 --> 00:05:09,570 The allergic reaction happened while she was in a clean room. 71 00:05:18,610 --> 00:05:20,240 Why does she have a clean room in her home? 72 00:05:20,320 --> 00:05:22,730 Heart transplant. Immune system's in the toilet. 73 00:05:22,810 --> 00:05:26,640 Mommy builds her little angel a John Travolta-quality bubble. 74 00:05:26,720 --> 00:05:30,130 Six months after the transplant, she doesn't need to be confined to a clean room. 75 00:05:30,240 --> 00:05:34,120 Six months without putting out, Dr. Cuddy doesn't need to wear thong panties, but 76 00:05:34,220 --> 00:05:35,350 it's not our call. 77 00:05:35,430 --> 00:05:37,610 I was wondering when you'd get around to my panties. 78 00:05:38,040 --> 00:05:39,670 She's had four days of workups. 79 00:05:39,780 --> 00:05:43,060 They've tested everyone who came anywhere near that room, everything in the room. 80 00:05:43,140 --> 00:05:45,100 It's like an Agatha Christie mystery. 81 00:05:45,200 --> 00:05:47,610 Maybe it's not what was there. It's what she was doing. 82 00:05:47,700 --> 00:05:50,290 Exercise allergy. Love it. 83 00:05:50,370 --> 00:05:56,490 What sort of exercise could a strapping young man and a nubile teenage nymphet possibly— 84 00:05:56,570 --> 00:05:58,750 Mom was in the room within seconds. 85 00:05:58,830 --> 00:06:01,950 So the boyfriend brought in an allergen and is lying about it. 86 00:06:02,030 --> 00:06:03,670 Or the girl snuck out and she's lying about that. 87 00:06:03,750 --> 00:06:06,440 Or the parents are lying about the room being clean. 88 00:06:06,660 --> 00:06:08,370 These are your big ideas? 89 00:06:08,440 --> 00:06:09,710 Somebody's lying? 90 00:06:09,890 --> 00:06:11,390 Hasn't let me down yet. 91 00:06:11,580 --> 00:06:15,420 Recheck Mom, Dad, the girl, the boy, the room, and the home. 92 00:06:18,790 --> 00:06:23,490 Any of you have a new soap, detergent, perfume? 93 00:06:23,580 --> 00:06:26,090 No. Barbara's really careful about that stuff. 94 00:06:26,180 --> 00:06:28,030 And you haven't been outside recently? 95 00:06:28,120 --> 00:06:30,150 How could I? I'm trapped up there. 96 00:06:30,230 --> 00:06:31,450 You're not trapped. It's just safe— 97 00:06:31,530 --> 00:06:33,280 They won't even tell me the alarm code. 98 00:06:33,340 --> 00:06:35,410 Just tell her I can go back to school. 99 00:06:35,500 --> 00:06:36,790 Till we clear this up. 100 00:06:36,870 --> 00:06:37,690 Fine. 101 00:06:37,870 --> 00:06:40,510 Find out what I'm allergic to, and I'll stay away from it. 102 00:06:41,050 --> 00:06:44,660 Then I can go back to school, right? 103 00:06:45,920 --> 00:06:47,370 It's up to your parents. 104 00:06:47,700 --> 00:06:49,460 But medically, there's no reason— 105 00:06:49,690 --> 00:06:50,840 Told you. 106 00:06:51,320 --> 00:06:53,570 Could I speak to you outside for a second, please? 107 00:06:59,120 --> 00:07:01,470 You know, this is hard enough without you in there giving— 108 00:07:01,550 --> 00:07:02,190 She asked my opinion. 109 00:07:02,290 --> 00:07:04,520 She is 16 years old. Lie to her. 110 00:07:05,220 --> 00:07:06,940 When I was eight, my mom, she hated— 111 00:07:07,000 --> 00:07:08,940 I know. I-I need to loosen up. 112 00:07:09,020 --> 00:07:11,640 I'm overprotective. I saw Finding Nemo. I get it. 113 00:07:11,730 --> 00:07:12,920 I don't need another story. 114 00:07:12,960 --> 00:07:14,560 But you're not just being overprotective. 115 00:07:14,640 --> 00:07:16,570 You're one of the most overprotective parents I've ever seen. 116 00:07:16,650 --> 00:07:18,690 She has the best private tutors. 117 00:07:18,850 --> 00:07:21,620 I let her friends visit. I'm not going to apologize. 118 00:07:21,690 --> 00:07:23,440 Just giving you my thoughts. 119 00:07:23,590 --> 00:07:26,440 She almost died three times during her childhood. 120 00:07:26,520 --> 00:07:28,760 Penicillin, bee stings, peanuts. 121 00:07:28,840 --> 00:07:29,520 I've seen her file. 122 00:07:29,600 --> 00:07:33,080 Six month ago, we leave her home alone for the first time on a weekend. 123 00:07:33,170 --> 00:07:35,650 She goes out, buys one chocolate chip cookie. 124 00:07:35,710 --> 00:07:37,150 Peanut butter in the dough. 125 00:07:37,230 --> 00:07:41,820 She's forgotten her epi pen, she drives to the hospital, passes out, has an accident. 126 00:07:41,920 --> 00:07:44,080 Steering wheel crushed her chest. 127 00:07:44,170 --> 00:07:45,960 She ended up losing her heart. 128 00:07:47,290 --> 00:07:49,060 So when you say to me 129 00:07:49,230 --> 00:07:53,310 that I'm one of the most overprotective parents you've seen, please... 130 00:07:54,040 --> 00:07:58,490 please introduce me to the ones who were more protective 131 00:07:58,580 --> 00:08:01,220 so that I can find out what they're doing right. 132 00:08:08,410 --> 00:08:11,440 She's allergic to having a sucky social life. 133 00:08:11,590 --> 00:08:14,530 Give the parents a break. They're just trying to keep her healthy. 134 00:08:14,620 --> 00:08:16,550 Everything in here's labeled "hypoallergenic." 135 00:08:16,640 --> 00:08:17,860 Check it anyway. 136 00:08:21,600 --> 00:08:22,750 Cameron. 137 00:08:25,270 --> 00:08:27,780 This place is cleaner than her hospital room. 138 00:08:29,560 --> 00:08:31,180 No alarm on this window. 139 00:08:31,430 --> 00:08:32,680 It's 20-foot drop. 140 00:08:32,760 --> 00:08:35,290 You can get to the tree from here. There's some bark scraped off. 141 00:08:35,380 --> 00:08:38,460 Sure. Heart-transplant girl swung down there on a vine. 142 00:08:38,540 --> 00:08:41,580 Maybe she was hooking up with Tarzan and Cheetah down by the elephant graveyard. 143 00:08:41,670 --> 00:08:46,630 Or... Jane stayed in the tree house and Tarzan came up. 144 00:08:50,320 --> 00:08:53,840 Okay. Um, I spent most of the night Friday. 145 00:08:53,920 --> 00:08:57,440 But if her mom finds out about that, she will totally freak. 146 00:08:57,520 --> 00:08:58,740 You guys had sex? 147 00:08:59,130 --> 00:09:03,460 Yeah, but, you know, I did everything I could to make sure she wouldn't get sick. 148 00:09:03,580 --> 00:09:04,800 A latex allergy? 149 00:09:04,880 --> 00:09:07,130 What do you mean, like a condom? We didn't— 150 00:09:07,220 --> 00:09:08,340 You had unsafe sex? 151 00:09:08,420 --> 00:09:10,220 The whole unsafe thing didn't tell you something? 152 00:09:10,300 --> 00:09:14,000 Yeah, but we didn't like plan on it, you know? It just— 153 00:09:14,230 --> 00:09:16,640 I don't know. We're in love. We've been dating for two years. 154 00:09:16,730 --> 00:09:17,900 Practically a lifetime. 155 00:09:18,010 --> 00:09:19,780 How about a semen allergy? 156 00:09:20,330 --> 00:09:22,460 We're gonna need a semen sample. 157 00:09:24,440 --> 00:09:26,000 You can use the bathroom over there. 158 00:09:26,040 --> 00:09:28,410 Right. Uh, how do I... 159 00:09:28,500 --> 00:09:29,980 Aim and shoot. 160 00:09:32,430 --> 00:09:34,770 No thinking about Dr. Cameron. We'll know. 161 00:09:36,360 --> 00:09:37,540 We should tell her parents. 162 00:09:37,620 --> 00:09:39,140 Why stop there? Call the cops. 163 00:09:39,230 --> 00:09:40,130 Melinda's a minor. 164 00:09:40,230 --> 00:09:44,100 And if we nip it in the bud here, teenagers will never again have sex. 165 00:09:44,180 --> 00:09:46,030 The parents will find out when they get the bill anyway. 166 00:09:46,110 --> 00:09:48,650 Oh, so you're fine with them finding out as long as you don't have to tell them personally? 167 00:09:48,740 --> 00:09:49,610 Pretty much. 168 00:09:54,600 --> 00:09:56,090 Too bad it's not you giving the sample. 169 00:09:56,230 --> 00:09:57,660 We'd be done by now. 170 00:10:00,220 --> 00:10:02,660 Test was negative. No semen allergy. 171 00:10:03,220 --> 00:10:07,040 Boyfriend sneaks in to get his freak on the night before the anaphylaxis. 172 00:10:07,120 --> 00:10:08,450 I don't buy that it's unrelated. 173 00:10:08,530 --> 00:10:11,480 He loves her. Did everything he could to make sure she wouldn't get sick. 174 00:10:11,950 --> 00:10:13,330 What does that mean? 175 00:10:13,540 --> 00:10:16,840 Love is an emotion certain people experience, similar to happiness. 176 00:10:17,220 --> 00:10:19,670 No. Maybe I should give a more relatable example. 177 00:10:19,830 --> 00:10:21,470 Oh, snap! 178 00:10:21,850 --> 00:10:24,020 What did he do to protect her? 179 00:10:24,170 --> 00:10:25,720 Brillo-pad his privates? 180 00:10:25,810 --> 00:10:28,040 - I assumed he washed and he— - Oh, good work. 181 00:10:28,090 --> 00:10:31,090 Assumptions are so much faster than actual questions. 182 00:10:40,830 --> 00:10:42,130 You the boyfriend? 183 00:10:42,870 --> 00:10:44,400 Need to borrow you. 184 00:10:44,780 --> 00:10:46,070 What is going on? 185 00:10:46,260 --> 00:10:49,590 Don't worry. I'll return him in roughly the same condition. 186 00:10:56,410 --> 00:10:57,870 Do you take anything to stay healthy? 187 00:10:57,950 --> 00:11:00,110 Something stronger than an apple a day? 188 00:11:00,190 --> 00:11:01,060 Is he okay? 189 00:11:01,170 --> 00:11:04,440 He's just tired... from being in a coma so long. 190 00:11:04,520 --> 00:11:05,550 What'd you take? 191 00:11:06,190 --> 00:11:08,110 Don't worry. He can keep a secret. 192 00:11:11,020 --> 00:11:12,950 Antibiotics? 193 00:11:13,100 --> 00:11:14,820 Penicillin? 194 00:11:14,900 --> 00:11:16,660 Any of those names ring a bell? 195 00:11:17,510 --> 00:11:23,720 Yeah, uh... my friend Elliot, his dad had, like, a whole bottle that he hadn't finished, so... 196 00:11:23,800 --> 00:11:27,380 I swiped it and took a bunch for, like, a week. 197 00:11:27,530 --> 00:11:30,340 There's no way I was gonna risk breathing germs on Melinda. 198 00:11:31,020 --> 00:11:33,890 This is the one downside of teenage sex: 199 00:11:33,970 --> 00:11:35,380 You're idiots. 200 00:11:35,610 --> 00:11:37,740 You almost killed your girlfriend. 201 00:11:38,090 --> 00:11:40,770 She's allergic to penicillin. 202 00:11:41,450 --> 00:11:43,280 What, do you think there was still some on my lips? 203 00:11:43,370 --> 00:11:44,890 I brushed my teeth. 204 00:11:45,040 --> 00:11:47,880 Think lower and more fun. 205 00:11:50,160 --> 00:11:51,960 I mean, it can— 206 00:11:52,070 --> 00:11:53,910 It can go through your stuff? 207 00:11:54,080 --> 00:11:55,960 Totally, dude. 208 00:11:56,100 --> 00:12:00,700 There's this administrator here, whenever she gets sick, she just gives me the prescription. 209 00:12:02,720 --> 00:12:07,590 But you know, they tested Melinda, they said... she wasn't allergic to my stuff. 210 00:12:07,680 --> 00:12:09,240 Yeah, four days later. 211 00:12:09,300 --> 00:12:13,370 By that time, the penicillin was crusting up a sock at the bottom of your hamper. 212 00:12:14,070 --> 00:12:15,910 Do you have to tell her it was my fault? 213 00:12:17,790 --> 00:12:18,940 No. 214 00:12:19,300 --> 00:12:23,580 Great part of being a grownup, you never have to do anything. 215 00:12:30,630 --> 00:12:32,340 You're releasing her? 216 00:12:32,510 --> 00:12:33,840 What happened? What did you find out? 217 00:12:33,920 --> 00:12:36,540 Tests on your house ruled out any environmental allergens. 218 00:12:36,630 --> 00:12:37,840 Yeah, but what caused this? 219 00:12:37,920 --> 00:12:41,190 We believe it's highly unlikely that this set of circumstances will repeat itself. 220 00:12:41,280 --> 00:12:43,380 What set of circumstances? 221 00:12:43,570 --> 00:12:46,070 It's good news. She's healthy. 222 00:12:46,150 --> 00:12:49,090 - But you might want to talk— - Cameron! 223 00:12:51,150 --> 00:12:53,370 - I can't breathe. - Getting the epi. 224 00:12:56,410 --> 00:12:59,010 Give her the shot! - No murmurs, no friction rubs. 225 00:12:59,620 --> 00:13:01,870 - What are you waiting for? - Quiet. 226 00:13:02,040 --> 00:13:03,990 She's coughing up white sputum. 227 00:13:04,620 --> 00:13:06,420 Crackling two-thirds of the way up. 228 00:13:09,220 --> 00:13:10,080 Look at her neck. 229 00:13:10,160 --> 00:13:12,160 Please. She is vomiting. Would you give her the shot? 230 00:13:12,250 --> 00:13:14,440 It's not an allergy. It's her heart. 231 00:13:19,490 --> 00:13:22,240 What's the good news? What's the bad news? 232 00:13:22,310 --> 00:13:24,170 Congestive heart failure. 233 00:13:24,350 --> 00:13:25,540 Is which? 234 00:13:25,750 --> 00:13:27,580 - Good news. - Why? 235 00:13:28,020 --> 00:13:30,890 I don't know. It just sounded like you. 236 00:13:31,750 --> 00:13:34,690 New puzzle piece. Always good news. What's the bad news? 237 00:13:34,770 --> 00:13:37,770 We've got two puzzle pieces from two different puzzles. 238 00:13:38,110 --> 00:13:39,510 Seems that way. 239 00:13:39,600 --> 00:13:42,260 What if her anaphylaxis wasn't anaphylaxis? 240 00:13:42,320 --> 00:13:46,400 Toxicity from the anti-rejection meds could cause a seizure and then heart failure. 241 00:13:46,500 --> 00:13:50,700 And get cured by a mommy-wielded epi pen? It's anaphylaxis. What else? 242 00:13:50,780 --> 00:13:52,610 What if they really are two puzzles? 243 00:13:52,700 --> 00:13:55,670 You think she had two unrelated rare conditions in one week? 244 00:13:55,770 --> 00:13:59,390 - We explained the anaphylaxis. - What do you mean, we? I did! 245 00:13:59,730 --> 00:14:01,720 At least I thought I did. Maybe I didn't. 246 00:14:01,830 --> 00:14:03,550 Still, it was all me. 247 00:14:03,700 --> 00:14:07,500 Heart problems aren't so rare for someone who's had a heart transplant. 248 00:14:07,860 --> 00:14:10,450 I say we assume House was right about the anaphylaxis. 249 00:14:10,530 --> 00:14:11,990 It is tempting. 250 00:14:12,490 --> 00:14:17,400 Heart failure could be either infection, coronary disease, or rejection. 251 00:14:17,440 --> 00:14:20,400 Sorry. There's a reason they call it the white board. 252 00:14:20,480 --> 00:14:21,940 It's not my rule. 253 00:14:22,540 --> 00:14:26,000 What ties both these conditions together? 254 00:14:34,810 --> 00:14:39,770 Okay, we can all stare at each other, or we can investigate what caused the heart failure. 255 00:14:39,850 --> 00:14:41,910 Just the heart failure. 256 00:14:42,610 --> 00:14:44,710 You wanna give me that black marker? 257 00:14:51,680 --> 00:14:53,770 There's no fever, so it's probably not infection. 258 00:14:53,860 --> 00:14:57,180 Or no fever because she's been on immunosuppressants for the last six months. 259 00:14:57,270 --> 00:15:01,340 Let's do a C.T., get a heart biopsy and redo the blood work. 260 00:15:02,730 --> 00:15:05,140 - Anything? - Not yet. 261 00:15:05,500 --> 00:15:08,340 So I hear you don't want teenagers having sex. 262 00:15:08,430 --> 00:15:10,440 Teen suicide rate isn't high enough for you already? 263 00:15:10,530 --> 00:15:11,900 I just think those two are brats. 264 00:15:11,970 --> 00:15:13,990 The girl undercuts her mother any chance she gets. 265 00:15:14,080 --> 00:15:17,140 Yeah, it's the daughter's fault. Has nothing to do with mom infantilizing her. 266 00:15:17,220 --> 00:15:18,020 Good point. 267 00:15:18,100 --> 00:15:21,850 Explains why parents who don't pay attention get such nice, well-adjusted children. 268 00:15:22,090 --> 00:15:23,610 What's this? 269 00:15:24,020 --> 00:15:25,320 Think it's vegetation? 270 00:15:25,430 --> 00:15:26,480 Yeah. 271 00:15:26,650 --> 00:15:29,510 The kind made of muscle that opens your heart valves. 272 00:15:29,600 --> 00:15:31,100 It's nothing. 273 00:15:31,270 --> 00:15:32,840 She's clean. 274 00:15:34,030 --> 00:15:38,140 It's good news. You don't show any signs of coronary artery disease. 275 00:15:38,360 --> 00:15:39,470 So what's next? 276 00:15:39,610 --> 00:15:42,170 Well, blood work to rule out infection, 277 00:15:42,260 --> 00:15:45,330 and then a heart surgical biopsy to rule out rejection. 278 00:15:45,430 --> 00:15:48,710 But you don't think you're gonna rule out both things, do you? 279 00:15:49,090 --> 00:15:50,040 No. 280 00:15:53,260 --> 00:15:55,090 I'm gonna lose this heart, right? 281 00:15:55,180 --> 00:15:57,310 Hopefully we'll find the problem and fix it. 282 00:15:57,370 --> 00:15:59,220 You'll keep your heart a long time. 283 00:15:59,350 --> 00:16:00,300 How long? 284 00:16:00,400 --> 00:16:03,980 Well, there could be drug breakthroughs that allow you to keep it for decades more. 285 00:16:04,090 --> 00:16:05,750 Yeah. 286 00:16:05,840 --> 00:16:08,910 That's the answer my cardiologist always gives me. 287 00:16:09,090 --> 00:16:10,720 I looked it up on the web. 288 00:16:10,780 --> 00:16:13,650 It's like five or ten years, right? 289 00:16:15,680 --> 00:16:17,580 That's about the average. 290 00:16:18,000 --> 00:16:20,610 That's why I need to have a life. 291 00:16:21,310 --> 00:16:24,230 Why can't you convince my mom to let me go back to school? 292 00:16:24,290 --> 00:16:28,950 M elinda, you've got bigger worries right now than missing school. 293 00:16:29,090 --> 00:16:34,420 Until we figure out what's wrong with your heart, the safest place for you to be is right here. 294 00:16:57,460 --> 00:17:05,740 "Pain in My Heart" by Otis's Reddings 295 00:18:03,260 --> 00:18:09,150 Where's... the hooker, I assume? 296 00:18:09,510 --> 00:18:11,500 Right up here, buddy. 297 00:18:14,410 --> 00:18:18,320 You said you'd hang the stethoscope if you were having sex. 298 00:18:18,690 --> 00:18:21,090 I didn't say it had to be with another person. 299 00:18:21,170 --> 00:18:25,100 Can you think of anything that would tie together anaphylaxis and heart failure? 300 00:18:25,180 --> 00:18:25,980 No. 301 00:18:26,440 --> 00:18:29,030 I was waiting out there for hours! 302 00:18:29,110 --> 00:18:31,110 I need a lot of foreplay. 303 00:18:31,350 --> 00:18:33,680 And then there's the cuddling afterwards. 304 00:18:34,320 --> 00:18:38,020 Any way that anaphylaxis isn't anaphylaxis even it responds to epi? 305 00:18:38,100 --> 00:18:40,280 No. Oh, no wonder you were in the mood. 306 00:18:40,360 --> 00:18:42,870 This month's New Jersey Journal of Cardiology. 307 00:18:42,950 --> 00:18:44,100 Have you seen the centerfold? 308 00:18:44,200 --> 00:18:46,470 There's no way those valves are real. 309 00:18:47,410 --> 00:18:49,660 Any chance that the heart failure could be unrelated to— 310 00:18:49,750 --> 00:18:52,290 No. If you need time alone to work, 311 00:18:52,380 --> 00:18:55,420 you just have to say so. You don't have to lie about it. 312 00:18:55,510 --> 00:18:58,920 - Lying's more fun. - Being lied to, not as much fun. 313 00:18:58,990 --> 00:19:00,630 Please have an answer to this question: 314 00:19:00,690 --> 00:19:02,280 What's for dinner? 315 00:19:02,700 --> 00:19:05,150 You still haven't done the dishes? 316 00:19:05,560 --> 00:19:08,130 You want one of these? I think I got a couple of blueberries. 317 00:19:08,900 --> 00:19:11,740 Nope. Sorry. Just one. 318 00:19:13,910 --> 00:19:15,880 Oh, don't look all weepy. 319 00:19:16,340 --> 00:19:18,550 You got a problem with me, deal with it. 320 00:19:18,630 --> 00:19:20,430 Short my sheets or something. 321 00:19:27,330 --> 00:19:29,410 Biopsy was negative for rejection. 322 00:19:29,600 --> 00:19:30,440 Thank God. 323 00:19:30,520 --> 00:19:31,790 And what about the blood tests? 324 00:19:31,870 --> 00:19:33,050 Showed no infection. 325 00:19:33,260 --> 00:19:35,830 So we still don't know what caused her heart failure. 326 00:19:36,560 --> 00:19:38,260 Let's just be happy she doesn't need a new heart. 327 00:19:38,340 --> 00:19:41,040 Mrs. Bardach, it could have just been a one-time thing. 328 00:19:41,130 --> 00:19:43,260 So she has an allergic reaction and heart failure, 329 00:19:43,340 --> 00:19:45,200 and neither of them can be explained. 330 00:19:46,320 --> 00:19:47,580 Are they doing any more tests on her? 331 00:19:47,660 --> 00:19:49,400 - No. - She's not here. 332 00:19:52,040 --> 00:19:55,970 Notify local hospitals, cab companies, the state troopers, and local cops. 333 00:19:55,970 --> 00:19:58,480 Any security officers off duty are back on duty. 334 00:19:58,540 --> 00:19:59,490 We're on it. 335 00:19:59,570 --> 00:20:02,590 And I'm going to need some pictures. And go through those drawers. 336 00:20:02,640 --> 00:20:06,050 And I want at least two people going over the surveillance tapes. 337 00:20:06,140 --> 00:20:07,440 That work? 338 00:20:07,970 --> 00:20:09,240 Are those all her clothes? 339 00:20:09,330 --> 00:20:10,720 Uh, yeah. 340 00:20:11,000 --> 00:20:12,680 She's obviously still in the building. 341 00:20:12,760 --> 00:20:14,570 So where did she go? What does she want? 342 00:20:14,730 --> 00:20:16,230 See her boyfriend? 343 00:20:16,860 --> 00:20:18,530 She didn't take her phone. 344 00:20:19,270 --> 00:20:21,260 She wants to be outside. 345 00:20:34,130 --> 00:20:37,880 If you're trying to scare your parents, great job. 346 00:20:39,330 --> 00:20:41,120 Can we go back now? 347 00:20:42,300 --> 00:20:43,980 I hate her. 348 00:20:45,880 --> 00:20:49,810 When I was eight years old, I was sick. 349 00:20:50,030 --> 00:20:54,400 - Not really sick, but the point is, my mom, she— - She was like this before. 350 00:20:54,480 --> 00:20:58,340 Home by 9:00 every night. Can't go out on the weekends. Can't do sports. 351 00:20:58,710 --> 00:21:01,880 - Transplant just gave her what she always wanted. - Melinda... 352 00:21:01,970 --> 00:21:04,470 You had heart failure. 353 00:21:04,670 --> 00:21:09,500 This is kind of an insane time to be criticizing your mom about being overprotective. 354 00:21:09,620 --> 00:21:16,970 I know. I mean, this is what makes it even worse. All of her craziness, it just... 355 00:21:18,380 --> 00:21:20,550 It makes sense now. 356 00:21:20,680 --> 00:21:23,000 Everything's gonna be all right. 357 00:21:23,720 --> 00:21:26,400 I didn't even try to get outside. 358 00:21:27,850 --> 00:21:29,180 I was too scared. 359 00:21:29,260 --> 00:21:30,350 Come on. 360 00:21:41,510 --> 00:21:45,560 Whoa, whoa. Melinda, please walk back towards me. 361 00:21:45,650 --> 00:21:46,780 Why? 362 00:21:47,470 --> 00:21:48,730 Please? 363 00:21:54,240 --> 00:21:56,090 It feels kind of weird. 364 00:21:58,150 --> 00:22:00,080 It's called steppage gait. 365 00:22:00,580 --> 00:22:01,600 Is it serious? 366 00:22:01,710 --> 00:22:03,220 No, not necessarily. 367 00:22:03,420 --> 00:22:05,810 All right, stick your leg out, hold it up. 368 00:22:07,530 --> 00:22:11,430 She was under anesthesia for the biopsy. If she lost oxygen— 369 00:22:11,520 --> 00:22:13,670 C.T. ruled out brain damage. 370 00:22:14,110 --> 00:22:17,250 Put your leg down. Relax. 371 00:22:19,680 --> 00:22:21,810 Why is her leg twitching like that? 372 00:22:23,270 --> 00:22:24,430 Fasciculation. 373 00:22:24,520 --> 00:22:25,890 Is that serious? 374 00:22:26,270 --> 00:22:29,250 It's paralysis, and it's ascending. 375 00:22:29,340 --> 00:22:32,180 She's going to lose the use of her legs? 376 00:22:35,940 --> 00:22:38,860 To start with. 377 00:22:41,380 --> 00:22:44,050 It's ascending fast. She can hardly extend her leg now. 378 00:22:44,130 --> 00:22:46,540 At this rate, it'll be up to her lungs in a matter of days. 379 00:22:47,880 --> 00:22:52,570 So, anaphylaxis, heart failure, paralysis. 380 00:22:52,630 --> 00:22:55,950 Couldn't put the first two together. I'm guessing we can't put all three together. 381 00:22:56,020 --> 00:22:57,290 Tick paralysis? 382 00:22:57,490 --> 00:22:59,450 Could also explain the anaphylaxis, maybe even the— 383 00:22:59,530 --> 00:23:02,300 Penicillin allergy explains the allergic reaction much better. 384 00:23:02,380 --> 00:23:06,150 Particularly because tick paralysis is usually accompanied by a tick. 385 00:23:06,240 --> 00:23:09,040 We did two comprehensive physicals looking for insect bites. 386 00:23:09,140 --> 00:23:11,630 Can we put any two of those together? 387 00:23:11,720 --> 00:23:13,430 How about we stipulate? 388 00:23:13,510 --> 00:23:16,230 You argued that there must be something to connect all three symptoms, 389 00:23:16,310 --> 00:23:19,910 you mocked us for not figuring it out, and finally you let us discuss the paralysis 390 00:23:20,000 --> 00:23:22,370 on its own because it's what's gonna kill her. 391 00:23:22,540 --> 00:23:23,540 Now, it's ascending. 392 00:23:23,640 --> 00:23:26,120 Her MRIs are clean, so rule out stroke or aneurysm. 393 00:23:26,210 --> 00:23:28,120 - ALS? MS? - Progression's too quick. 394 00:23:28,180 --> 00:23:30,340 - Spinal lesion from leukemia? - Too slow. 395 00:23:30,420 --> 00:23:31,870 It's most likely Guillain-Barre. 396 00:23:31,960 --> 00:23:34,330 She's immunosuppressed. What about botulism? 397 00:23:34,410 --> 00:23:36,520 Not unless she's been walking around on her hands the last couple of days. 398 00:23:36,610 --> 00:23:38,720 Botulism paralysis is descending, not ascending. 399 00:23:38,810 --> 00:23:39,680 Could be a virus. 400 00:23:39,750 --> 00:23:42,090 West Nile, even polio with her immune system shot. 401 00:23:42,170 --> 00:23:45,470 Get an LP and do PCRs for the viruses. 402 00:23:45,540 --> 00:23:47,870 And get an EMG to check for Guillain-Barre. 403 00:23:47,950 --> 00:23:50,680 Foreman's right. We gotta find out why she's paralyzed. 404 00:23:52,970 --> 00:23:56,200 But not before staring at me dumbly for a few seconds. 405 00:24:07,310 --> 00:24:09,610 We ran more tests on your daughter. 406 00:24:09,710 --> 00:24:12,780 We took a lumbar puncture, got some spinal fluid. 407 00:24:12,930 --> 00:24:16,870 Then we brought her to the lab to look for infections that could be affecting her brain. 408 00:24:19,300 --> 00:24:24,580 We also did an EMG to check how her muscles and nerves are responding to electrical impulses. 409 00:24:24,810 --> 00:24:28,630 Unfortunately, her muscles are showing increased weakness above the knee. 410 00:24:28,720 --> 00:24:30,420 You mean she's getting worse? 411 00:24:30,780 --> 00:24:33,740 The LP and PCRs ruled out polio and West Nile. 412 00:24:33,800 --> 00:24:35,830 We think it's Guillain-Barre. 413 00:24:35,920 --> 00:24:39,730 The body's immune response goes haywire and starts attacking the peripheral nerves. 414 00:24:39,790 --> 00:24:42,600 It causes muscle weakness and paralysis. 415 00:24:43,190 --> 00:24:44,280 How bad is it? 416 00:24:44,360 --> 00:24:48,850 It's serious, but Guillain-Barre usually responds very well to plasmapheresis. 417 00:24:56,150 --> 00:24:58,980 You see, the plasma, the clear liquid part of her blood, 418 00:24:59,060 --> 00:25:03,440 contains most of the antibodies, which are overreacting and attacking her nervous system. 419 00:25:03,630 --> 00:25:08,410 The machine spins her blood in a centrifuge and separates parts of the blood based on weight. 420 00:25:08,490 --> 00:25:12,860 White blood cells are the heaviest, then the red cells, then platelets and plasma. 421 00:25:12,950 --> 00:25:18,840 We discard the stuff that's causing all the trouble and return the good blood cells back to her body in a replacement fluid. 422 00:25:18,950 --> 00:25:23,270 If it works, we'll see results in a couple of days. 423 00:25:30,120 --> 00:25:32,800 You didn't get any messages for me last week, did you? 424 00:25:33,070 --> 00:25:33,820 Nope. 425 00:25:34,250 --> 00:25:35,200 That's funny. 426 00:25:35,570 --> 00:25:37,960 The guy finally called back. The place I lost? 427 00:25:38,110 --> 00:25:40,050 He said he left three voice mails. 428 00:25:40,130 --> 00:25:40,700 Gotta pee. 429 00:25:40,790 --> 00:25:44,860 Which I never got, if that wasn't clear. 430 00:25:45,020 --> 00:25:46,590 He must be lying. 431 00:25:46,660 --> 00:25:48,560 You wouldn't want to live with a liar. 432 00:25:48,670 --> 00:25:50,940 - You erased my messages? - Yup. 433 00:25:51,020 --> 00:25:52,990 Decided I wanted you to stay. 434 00:25:53,080 --> 00:25:54,290 Told you that, didn't I? 435 00:25:54,500 --> 00:26:00,950 You're... miserable, and you're lonely, and you're gonna trap me here to keep me every bit as miserable and lonely, too. 436 00:26:01,030 --> 00:26:04,080 - Yeah, and you're happy, happy, happy. - Okay. 437 00:26:04,170 --> 00:26:07,110 Hey, I'm obviously going through a rough patch here. 438 00:26:07,190 --> 00:26:09,950 Wife leaves, tends to bum somebody out. 439 00:26:11,150 --> 00:26:13,100 Do you know where my pee went? 440 00:26:15,960 --> 00:26:17,330 You're missing some? 441 00:26:17,410 --> 00:26:20,470 No. Came out of me and went right into the toilet. 442 00:26:20,560 --> 00:26:22,220 Now, why would that be? 443 00:26:23,020 --> 00:26:24,240 You're William Tell. 444 00:26:24,320 --> 00:26:26,030 You could pick an apple off someone's head? 445 00:26:26,120 --> 00:26:29,070 No, it's because there was no clear plastic wrap over the toilet. 446 00:26:29,160 --> 00:26:32,160 Stuff's in the kitchen. You have plenty of time. All that was missing was the will. 447 00:26:32,240 --> 00:26:34,090 This isn't a college dorm. 448 00:26:34,200 --> 00:26:35,410 It could be. 449 00:26:35,590 --> 00:26:37,310 We're not 18! 450 00:26:37,400 --> 00:26:38,520 So what? 451 00:26:38,610 --> 00:26:39,680 What did I do to you? 452 00:26:39,760 --> 00:26:43,120 I scammed you into doing the dishes, I made you sit on the steps. 453 00:26:43,200 --> 00:26:45,210 I didn't kill your puppy. 454 00:26:45,430 --> 00:26:47,280 I did not make you miserable. 455 00:26:47,360 --> 00:26:49,300 Oh, so this is therapy? 456 00:26:49,380 --> 00:26:53,550 No. It's just... makes me smile. 457 00:26:54,090 --> 00:26:56,110 All right, I'm finding a new place tomorrow. 458 00:26:56,200 --> 00:26:58,600 Right, but not tonight. 459 00:26:58,670 --> 00:27:01,620 Well, I figure you wanna shave my eyebrows while I'm asleep. 460 00:27:01,710 --> 00:27:03,860 I wouldn't wanna deprive you of that last smile. 461 00:27:03,960 --> 00:27:05,450 You're not going anywhere. 462 00:27:05,540 --> 00:27:07,110 You're gonna sit on my couch, 463 00:27:07,230 --> 00:27:10,740 and depress us both, because you just can't admit that it's over with your wife. 464 00:27:10,830 --> 00:27:12,430 That's right. I'm here on vacation. 465 00:27:12,520 --> 00:27:14,030 Have you gotten a lawyer yet? 466 00:27:15,360 --> 00:27:19,980 - That's—That's not... - You even called one? 467 00:27:21,380 --> 00:27:24,490 As long as you're here, it's just a fight. 468 00:27:24,550 --> 00:27:29,090 As soon as you get a place, then it's a divorce. 469 00:27:33,610 --> 00:27:35,690 Everything sucks. 470 00:27:36,380 --> 00:27:39,480 Might as well find something to smile about. 471 00:27:50,590 --> 00:27:52,460 Reflexes are marginally weaker. 472 00:27:52,630 --> 00:27:54,030 The paralysis is getting worse? 473 00:27:54,120 --> 00:27:57,240 Sometimes it takes a few treatments for the plasmapheresis to work. 474 00:27:57,570 --> 00:28:00,610 Why do these things keep happening to me? 475 00:28:02,700 --> 00:28:04,160 Dan's back. 476 00:28:04,500 --> 00:28:07,200 Hey, baby, did you hear that? Dan's here. 477 00:28:08,750 --> 00:28:10,400 I don't want to see him. 478 00:28:14,480 --> 00:28:15,810 I'll tell him to come back later. 479 00:28:15,920 --> 00:28:16,710 No. 480 00:28:17,810 --> 00:28:20,600 Mommy, stay here, please. 481 00:28:22,000 --> 00:28:23,600 Of course. 482 00:28:57,730 --> 00:28:58,800 Is she okay? 483 00:28:58,900 --> 00:28:59,970 She's sleeping. 484 00:29:00,070 --> 00:29:01,820 I'm sure she's exhausted. 485 00:29:01,920 --> 00:29:04,630 Mood swings are common with the anti-rejection meds. 486 00:29:04,740 --> 00:29:08,600 No. She's had mood swings. This isn't it. This is— 487 00:29:09,920 --> 00:29:12,030 She's given up. 488 00:29:13,390 --> 00:29:15,250 I know you think I'm— 489 00:29:17,620 --> 00:29:19,950 This isn't what I wanted. 490 00:29:21,990 --> 00:29:24,170 She's always fought with me. 491 00:29:25,030 --> 00:29:29,060 Ever since she was a baby, she was so damn stubborn. 492 00:29:29,330 --> 00:29:32,100 But I never wanted her like this. 493 00:29:33,810 --> 00:29:36,510 I just wanted her safe. 494 00:29:36,940 --> 00:29:40,030 Doctor! Doctor! 495 00:29:41,770 --> 00:29:43,140 She can't breathe! 496 00:29:43,240 --> 00:29:44,970 She couldn't get a whole sentence out. 497 00:29:48,100 --> 00:29:49,500 She's using accessory muscles. 498 00:29:49,590 --> 00:29:51,490 - 02 sat's down to 90. Lungs clear? - Yeah. 499 00:29:51,570 --> 00:29:53,160 Does your tongue feel swollen? Is it itchy? 500 00:29:53,240 --> 00:29:54,310 No hives. 501 00:29:54,730 --> 00:29:55,950 It's not an allergy. 502 00:29:56,030 --> 00:29:58,160 Lips are cyanotic. We got to intubate. 503 00:29:58,420 --> 00:29:59,870 What are you doing? 504 00:29:59,950 --> 00:30:01,520 Pushing lorazepam. 505 00:30:01,770 --> 00:30:04,780 She's not getting enough oxygen. We've got to assist her breathing. 506 00:30:15,160 --> 00:30:17,840 What was that? Was that a reaction to the treatment? 507 00:30:17,920 --> 00:30:19,480 It's the paralysis. 508 00:30:19,560 --> 00:30:20,910 It's reaching her lungs. 509 00:30:28,400 --> 00:30:29,800 Melinda's dying. 510 00:30:30,300 --> 00:30:32,060 We're all dying. 511 00:30:32,140 --> 00:30:33,390 How fast? 512 00:30:33,580 --> 00:30:35,280 Too fast for Guillain-Barre. 513 00:30:35,370 --> 00:30:38,260 Cuddy wants to get her an MRI to rule out a spinal lesion. 514 00:30:38,330 --> 00:30:41,740 Cuddy? What's shedoing on this? 515 00:30:42,040 --> 00:30:44,010 The family lost confidence in us. 516 00:30:44,090 --> 00:30:45,680 I don't blame them. 517 00:30:46,020 --> 00:30:47,630 I'll be right in. 518 00:31:01,660 --> 00:31:04,110 It's like she got poisoned with a nerve agent. 519 00:31:04,160 --> 00:31:06,390 Glue inhalation. Would explain why she hasn't admitted it. 520 00:31:06,470 --> 00:31:07,880 Tox screen was clear for pot. 521 00:31:07,980 --> 00:31:11,020 Middle-class heart transplant patient's gonna huff glue? 522 00:31:11,340 --> 00:31:12,290 Pesticides? 523 00:31:12,380 --> 00:31:13,900 This time of year, they're not spraying. 524 00:31:13,980 --> 00:31:15,460 This girl's tough. 525 00:31:15,800 --> 00:31:17,760 She gets what she wants. 526 00:31:17,870 --> 00:31:21,800 She's deprived of human contact, she gets herself a backdoor man. 527 00:31:21,890 --> 00:31:25,260 Or in her case, a side window boy. What else has she been deprived of? 528 00:31:25,340 --> 00:31:27,280 She's on a special diet because of her allergies. 529 00:31:27,390 --> 00:31:32,140 The boyfriend brings the hot beef. He also brings a side dish: botulism. 530 00:31:32,220 --> 00:31:34,260 This is paralysis is ascending, remember? 531 00:31:34,340 --> 00:31:36,740 Not if the heart problem's really a paralytic problem. 532 00:31:36,830 --> 00:31:38,710 Why would she admit the sex and not the food? 533 00:31:38,800 --> 00:31:40,850 She didn't admit anything. 534 00:31:40,940 --> 00:31:43,790 He admitted the sex, and we didn't ask him about food. 535 00:31:43,870 --> 00:31:44,860 Get me a rat. 536 00:31:44,940 --> 00:31:46,780 - You have a rat. - What? 537 00:31:46,960 --> 00:31:48,960 I'm not gonna kill Steve. 538 00:31:49,060 --> 00:31:50,790 Only way to confirm this... 539 00:31:50,860 --> 00:31:55,830 inject the rat with her blood and wait for it to get all botulistic on your ass. 540 00:31:55,910 --> 00:32:00,870 In the meantime, I'm going downstairs to browbeat a scared, dying teenage girl until she... 541 00:32:01,600 --> 00:32:04,430 breaks down like a scared, dying teenage girl. 542 00:32:08,980 --> 00:32:11,190 - You're up early. - Cuddy needed a consult. 543 00:32:11,270 --> 00:32:13,990 We're checking for spinal lesions from leukemia. 544 00:32:14,070 --> 00:32:16,640 Yeah, I know. Fits perfectly. 545 00:32:16,780 --> 00:32:19,790 Unless this is the patient with the anaphylaxis, the heart failure, 546 00:32:19,880 --> 00:32:22,110 and the paralysis, in which case, you're wasting your time. 547 00:32:22,200 --> 00:32:23,460 We wanted a second opinion. 548 00:32:23,550 --> 00:32:25,550 Second? We must have given you at least eight. 549 00:32:25,670 --> 00:32:27,530 Okay, well here's nine. 550 00:32:29,270 --> 00:32:30,680 Botulism. 551 00:32:31,090 --> 00:32:33,230 Listen to me. Have you eaten anything abnormal? 552 00:32:33,320 --> 00:32:35,070 - Any canned foods? - No. 553 00:32:35,150 --> 00:32:40,770 You sure? Lying to your parents is usually the right thing to do, but there is an impending death exception. 554 00:32:40,850 --> 00:32:42,100 Don't talk to her like that. 555 00:32:42,180 --> 00:32:45,080 You're right. She never lies. I was being rude. 556 00:32:45,170 --> 00:32:47,270 When your boyfriend snuck in on Friday night— 557 00:32:47,880 --> 00:32:48,950 surprise— 558 00:32:49,040 --> 00:32:51,830 perhaps he got you some sexy little treats, huh? 559 00:32:51,910 --> 00:32:57,130 Some honey or some edible underwear, some massage oils. Come on, anything. 560 00:32:57,210 --> 00:32:58,840 We didn't— 561 00:32:58,920 --> 00:33:00,850 Yeah, yeah, we know about the sex. 562 00:33:00,960 --> 00:33:03,610 Turns out that Danny's little Danny is full of penicillin. 563 00:33:03,700 --> 00:33:05,770 That's what caused your anaphylactic shock. 564 00:33:05,850 --> 00:33:07,340 You didn't tell us that's what— 565 00:33:09,680 --> 00:33:13,240 It was— He took clindamycin. What I use. 566 00:33:15,820 --> 00:33:17,580 He said he was on penicillin. 567 00:33:17,690 --> 00:33:18,880 I saw the bottle. 568 00:33:18,980 --> 00:33:21,050 It's a non-penicillin antibiotic. 569 00:33:21,630 --> 00:33:23,810 If the antibiotics didn't cause the anaphylaxis... 570 00:33:23,900 --> 00:33:25,470 It's still on the table. 571 00:33:25,770 --> 00:33:27,140 Everything is connected. 572 00:33:27,220 --> 00:33:29,100 What did we discuss? What was the differential? 573 00:33:29,160 --> 00:33:30,780 Cameron said... 574 00:33:33,660 --> 00:33:37,020 When Dan came to your house that night, did he go through any tall grass? 575 00:33:37,090 --> 00:33:39,020 Climbed a fence. 576 00:33:44,860 --> 00:33:45,810 What are you doing? 577 00:33:45,890 --> 00:33:48,020 Your daughter had two visitors on Friday night. 578 00:33:48,160 --> 00:33:49,850 One of them is still in the room. 579 00:33:50,600 --> 00:33:52,650 She has tick paralysis. 580 00:33:53,940 --> 00:33:56,870 Dan tracked a tick onto his jeans, 581 00:33:56,950 --> 00:33:59,250 which wouldn't be a problem. But being a teenager, 582 00:33:59,330 --> 00:34:01,510 Dan couldn't keep his tick in his pants. 583 00:34:01,610 --> 00:34:03,450 We already checked her. 584 00:34:04,320 --> 00:34:05,420 Now I'm checking her. 585 00:34:05,510 --> 00:34:08,090 Tick bites don't ordinarily cause anaphylactic shock. 586 00:34:08,170 --> 00:34:10,090 This girl's allergies are not ordinary. 587 00:34:10,190 --> 00:34:13,600 House, get out of here. We have to re-intubate her, get her into the MRI. 588 00:34:13,680 --> 00:34:15,290 The time course is perfect. 589 00:34:15,370 --> 00:34:17,510 The bite itself sets off an allergic reaction. 590 00:34:17,590 --> 00:34:21,630 Venom takes four days to kick in, heart's vulnerable, hits that first, 591 00:34:21,710 --> 00:34:23,780 and a day later sets off the ascending paralysis. 592 00:34:23,860 --> 00:34:25,790 Except that ticks aren't usually invisible. 593 00:34:25,870 --> 00:34:27,550 They are until you find them. 594 00:34:29,690 --> 00:34:33,420 Oh no, that's dandruff. That wasn't nearly as dramatic as I'd hoped. 595 00:34:33,550 --> 00:34:35,610 Just means the next time it'll be even better. 596 00:34:39,040 --> 00:34:39,790 What's happening? 597 00:34:39,870 --> 00:34:41,600 That's the tick venom ascending. 598 00:34:41,680 --> 00:34:44,930 That or you stressed her into heart failure. BP's dropping. 599 00:34:45,100 --> 00:34:47,590 - Heart rate, 47. - I'm administering atropine. 600 00:34:47,770 --> 00:34:50,140 She's going to need a transvenous pacing wire. 601 00:34:50,240 --> 00:34:52,300 Okay, magical tick hunt is over. 602 00:34:52,380 --> 00:34:54,020 Only real doctor stuff now. 603 00:34:54,120 --> 00:34:55,930 This is just gonna get worse. 604 00:34:56,190 --> 00:34:58,950 Ticks produce more toxins the longer they feed. 605 00:34:59,040 --> 00:35:02,250 She's gonna be dead in an hour even if you pump her heartfull of jet fuel, 606 00:35:02,350 --> 00:35:03,990 unless you let me find the tick. 607 00:35:04,080 --> 00:35:04,840 Could he be right? 608 00:35:04,940 --> 00:35:09,500 The only thing I know for sure is that your daughter's heart won't last another 20 minutes without treatment. 609 00:35:09,600 --> 00:35:11,390 Okay, I just need one final instruction. 610 00:35:11,450 --> 00:35:14,130 When I find the tick on the autopsy, do you want to know? 611 00:35:14,300 --> 00:35:16,590 I'm thinking not. Probably make the coping easier. 612 00:35:16,700 --> 00:35:18,170 Stop talking to them! 613 00:35:18,250 --> 00:35:20,910 Page Borsisky in cardiology. Get her team down here stat. 614 00:35:20,990 --> 00:35:22,480 Get them out of here. Get House out of here, too. 615 00:35:22,560 --> 00:35:24,350 Dr. Wilson, I could use your help. 616 00:35:26,250 --> 00:35:28,180 Well, I don't know if the dopamine's enough. 617 00:35:28,350 --> 00:35:30,040 She may need inamrinone lactate. 618 00:35:30,120 --> 00:35:31,570 Why? What's that? She doesn't— 619 00:35:31,650 --> 00:35:34,450 She might need stronger pressors. They don't have any in radiology. 620 00:35:34,540 --> 00:35:37,800 Inamrinone can cause arrhythmia and thrombocytopenia. 621 00:35:37,890 --> 00:35:40,790 Not inamrinone could cause death. Death's worse. 622 00:35:41,550 --> 00:35:43,420 We have to get her up to the ICU. 623 00:35:58,110 --> 00:36:00,020 Sorry. Little crowded here. 624 00:36:00,100 --> 00:36:01,520 House, get out of the elevator. 625 00:36:01,580 --> 00:36:03,150 You're welcome to wait for the next one. 626 00:36:03,340 --> 00:36:04,050 You got her? 627 00:36:04,140 --> 00:36:05,200 Got her. 628 00:36:16,790 --> 00:36:20,160 Well, as long as we're stuck here, this might be a good time to look for that tick. 629 00:36:20,240 --> 00:36:21,610 Turn the elevator back on. 630 00:36:21,690 --> 00:36:23,150 Just be a minute, honey. 631 00:36:32,150 --> 00:36:33,600 Atropine's wearing off. 632 00:36:33,680 --> 00:36:35,510 - So inject her again. - That's just temporary. 633 00:36:35,590 --> 00:36:38,000 Temporary's fine. We're not hanging wallpaper. 634 00:36:38,080 --> 00:36:40,520 We've got to get her upstairs and put her on norepinephrine. 635 00:36:40,610 --> 00:36:41,940 It wasn't penicillin. 636 00:36:42,020 --> 00:36:43,500 You still think the symptoms are unconnected? 637 00:36:43,590 --> 00:36:44,920 We've got to take care of her heart before— 638 00:36:45,000 --> 00:36:48,070 You wake up in the morning, your paint's peeling, your curtains are gone, 639 00:36:48,150 --> 00:36:50,520 and the water's boiling. Which problem do you deal with first? 640 00:36:50,600 --> 00:36:53,010 - House— - None of them! The building's on fire! 641 00:36:53,080 --> 00:36:54,460 We treat her symptoms, she dies. 642 00:36:54,540 --> 00:36:55,940 We find the cause, she lives. 643 00:36:56,020 --> 00:36:59,660 That tick is an I.V. drip of poison. We unhook it, she'll be fine. 644 00:37:08,520 --> 00:37:10,500 It's my last atropine. 645 00:37:10,710 --> 00:37:12,470 Last us about three minutes. 646 00:37:13,020 --> 00:37:14,470 Let's get her gown up. 647 00:37:23,480 --> 00:37:27,090 Her heart rate falls below 35, we're getting her to the ICU. 648 00:37:27,220 --> 00:37:28,890 I'm not gonna let her die in this elevator. 649 00:37:34,940 --> 00:37:36,090 Where are they? 650 00:37:36,660 --> 00:37:39,000 Get maintenance up here right away. 651 00:37:40,070 --> 00:37:41,150 Ear canal's clean. 652 00:37:41,210 --> 00:37:42,670 Left foot's clean. 653 00:37:42,750 --> 00:37:44,310 If it's not here, we've only got— 654 00:37:44,400 --> 00:37:47,530 - Heart rate's 46. - It's here. 655 00:37:47,610 --> 00:37:50,340 Looks like a mole or a freckle. Something we missed. 656 00:37:50,770 --> 00:37:52,070 Check the armpits. 657 00:37:56,830 --> 00:37:59,580 Dr. Foreman's an excellent doctor. He'll be able to handle it. 658 00:37:59,580 --> 00:38:01,110 Yeah? You know that from experience? 659 00:38:01,320 --> 00:38:02,790 You lose a lot of patients on elevators? 660 00:38:02,870 --> 00:38:06,790 The maintenance guy said it didn't just stop on its own, that they hit the emergency stop button. 661 00:38:07,940 --> 00:38:09,920 Well, I'm sure he must be mistaken. 662 00:38:12,210 --> 00:38:14,380 - Perineum. - We checked it. 663 00:38:14,470 --> 00:38:17,300 - If we get her upstairs— - Maxilla. - Checked. 664 00:38:20,170 --> 00:38:22,310 Down to 38. We don't have a lot of time. 665 00:38:22,400 --> 00:38:25,140 Eyebrows, eardrums, pubic hair. 666 00:38:25,220 --> 00:38:27,500 Checked, checked, checked. We checked everywhere! 667 00:38:27,580 --> 00:38:30,050 It's not— 668 00:38:30,790 --> 00:38:33,080 35. We got to get her to the ICU. 669 00:38:33,160 --> 00:38:34,630 We haven't found the tick yet. 670 00:38:34,710 --> 00:38:36,710 We already kidnapped her! You want to add murder? 671 00:38:37,070 --> 00:38:39,590 We've looked over every inch of skin on her body, House! 672 00:38:40,090 --> 00:38:41,470 It's over. 673 00:38:49,720 --> 00:38:52,630 Hey, is that the first time you had sex? 674 00:38:55,110 --> 00:38:58,170 With all the other stuff going on down there, she might not have realized. 675 00:38:58,470 --> 00:38:59,790 Oh... 676 00:39:12,630 --> 00:39:14,310 You sick, miserable— 677 00:39:14,310 --> 00:39:16,380 - What are you doing? - Oh, my God! 678 00:39:16,440 --> 00:39:17,550 Whoa, whoa, whoa! 679 00:39:19,020 --> 00:39:22,330 See? Told you it'd be even more dramatic. 680 00:39:26,370 --> 00:39:31,540 Push norepinephrine. Get her heart back to normal. She'll be completely cured by tomorrow. 681 00:39:33,580 --> 00:39:35,960 Foreman, let's get her into the ICU. 682 00:39:50,510 --> 00:39:53,490 Inamrinone was a stupid idea, 683 00:39:54,160 --> 00:39:56,430 unless you wanted me to get that girl on the elevator. 684 00:39:56,580 --> 00:39:57,940 Oh, I wouldn't do that. 685 00:39:58,000 --> 00:39:59,640 Wouldn't respect you if you did. 686 00:40:07,610 --> 00:40:14,550 Wow. Looks like somebody filed halfway through your cane while you were sleeping. 687 00:40:41,080 --> 00:40:44,720 Reflexes back to normal. Heart's looking good, too. 688 00:40:44,870 --> 00:40:49,460 I'll send in the nurse, we'll get you transferred out of ICU, you'll be discharged in the morning. 689 00:40:49,990 --> 00:40:52,750 Thank God. I just want to get home. 690 00:40:53,020 --> 00:40:55,250 And back to school on Monday. 691 00:40:57,210 --> 00:40:58,980 I'm-I'm not ready. 692 00:40:59,550 --> 00:41:01,190 You're ready. 693 00:41:01,600 --> 00:41:03,490 I'm sick, Mom. 694 00:41:03,820 --> 00:41:05,530 You're not sick. 695 00:41:05,740 --> 00:41:07,930 You're gonna go to class, 696 00:41:08,340 --> 00:41:11,610 and you're gonna see your friends and your boyfriend. 697 00:41:18,570 --> 00:41:20,800 What's this doohickey? 698 00:41:22,760 --> 00:41:24,440 Barbara Bel Geddes: It's a brassiere. 699 00:41:24,520 --> 00:41:27,780 Bel Geddes: You know about those things. You're a big boy now. 700 00:41:27,780 --> 00:41:30,190 Well, I've never across one like that. 701 00:41:30,470 --> 00:41:34,830 Bel Geddes: It's brand new. Revolutionary uplift. I've explained to you— 702 00:41:34,910 --> 00:41:40,360 I know, I know. I have acrophobia, which gives me vertigo. And I get dizzy. 703 00:41:41,450 --> 00:41:44,330 What a moment to find out I had it. 704 00:41:44,390 --> 00:41:48,670 Bel Geddes: You've got it, and there's no losing it. And there's no one to blame. So why quit? 705 00:41:48,670 --> 00:41:51,450 You mean, and sit behind a desk, chair-borne? 706 00:41:51,450 --> 00:41:53,220 Bel Geddes: Where you belong. 707 00:41:53,220 --> 00:41:54,890 What about my acrophobia? 708 00:41:54,920 --> 00:41:57,120 I called a divorce lawyer today. 709 00:41:59,120 --> 00:42:01,070 Does that mean you're leaving? 710 00:42:01,860 --> 00:42:03,550 At some point. 711 00:42:07,240 --> 00:42:12,540 You might not wanna sit exactly there.