1 00:00:45,911 --> 00:00:47,704 Hannah, you okay? 2 00:00:48,872 --> 00:00:52,083 - Still can't sleep? - I'm fine. 3 00:00:55,504 --> 00:00:56,921 Can I do anything to help you? 4 00:00:57,047 --> 00:00:59,507 Just go back to sleep. I'm going to go get a glass of wine. 5 00:00:59,633 --> 00:01:01,718 - I can keep you company. - You have work in the morning. 6 00:01:01,844 --> 00:01:03,553 Are you sure you don't want me to? 7 00:01:03,679 --> 00:01:06,055 I'll be right back. Just sleep. 8 00:01:17,025 --> 00:01:18,317 Hannah? 9 00:01:22,281 --> 00:01:23,948 Hannah? 10 00:01:35,794 --> 00:01:37,545 What did you do? 11 00:01:37,671 --> 00:01:40,047 I just wanted to sleep. 12 00:01:40,174 --> 00:01:42,175 I'm calling an ambulance. 13 00:02:34,019 --> 00:02:37,146 You've seen one patient in the last two hours. 14 00:02:37,272 --> 00:02:39,357 Complicated case. 15 00:02:39,483 --> 00:02:40,900 I'm a night owl. 16 00:02:41,026 --> 00:02:44,070 Wilson's an early bird. We're different species. 17 00:02:44,196 --> 00:02:45,613 Move him into his own cage. 18 00:02:45,739 --> 00:02:48,241 Who'll clean the droppings from mine? 19 00:02:49,451 --> 00:02:52,703 Twenty-five-year-old female with sleep issues. 20 00:02:52,830 --> 00:02:54,872 I'm guessing she's... 21 00:02:54,998 --> 00:02:58,209 What's the medical term? Upset! 22 00:02:58,335 --> 00:03:01,420 These 25-year-old females, they're usually completely rational. 23 00:03:01,547 --> 00:03:03,422 They're rocks, really. 24 00:03:05,008 --> 00:03:06,801 My theory seems to be supported by the fact 25 00:03:06,927 --> 00:03:08,803 that she swallowed a bottle of sleeping pills. 26 00:03:08,929 --> 00:03:11,472 Get her a shrink. I need some shut-eye. 27 00:03:12,558 --> 00:03:16,477 She's a little bit more than upset. She hasn't slept in ten days. 28 00:03:16,603 --> 00:03:18,479 She's lying. 29 00:03:18,605 --> 00:03:21,691 Without REM sleep, your neurons start regenerating. 30 00:03:21,817 --> 00:03:24,026 Your brain shuts down lobe by lobe. 31 00:03:24,152 --> 00:03:27,280 She'd be insane after five days, dead by ten. 32 00:03:27,406 --> 00:03:30,950 Give me a little credit. I know what gets you off. 33 00:03:31,076 --> 00:03:34,036 She took the pills to sleep, not to kill herself. 34 00:03:34,162 --> 00:03:36,122 - Clever alibi. - They didn't work. 35 00:03:36,248 --> 00:03:39,667 She stayed awake, even though she downed the whole bottle. 36 00:03:42,796 --> 00:03:46,966 And the longest anyone's ever survived without sleep is 11 days. 37 00:03:47,092 --> 00:03:49,635 Which gives you about 22 hours. 38 00:03:54,600 --> 00:03:56,767 - You stole my article. - I wouldn't do that. 39 00:03:56,894 --> 00:03:59,812 I wrote up the case where we induced hypothermic cardiac arrest 40 00:03:59,938 --> 00:04:01,063 in the terminal cancer girl. 41 00:04:01,189 --> 00:04:02,732 I wrote my own. I didn't steal yours. 42 00:04:02,858 --> 00:04:06,152 You knew I was writing one. You gave me notes! 43 00:04:06,278 --> 00:04:07,778 Got a case. 44 00:04:08,906 --> 00:04:11,407 It can wait. You two finish. 45 00:04:11,533 --> 00:04:14,160 Five bucks says someone loses an eye. 46 00:04:15,245 --> 00:04:17,997 Fine, you're only putting off the inevitable. 47 00:04:18,123 --> 00:04:21,292 Twenty-five-year-old female hasn't slept for ten days. 48 00:04:21,418 --> 00:04:22,907 I assume the ER tried giving her some sedatives. 49 00:04:22,920 --> 00:04:24,420 We should up the dosage. 50 00:04:24,546 --> 00:04:27,214 - Sedation isn't the same as sleep. - Thanks for your insight. 51 00:04:27,341 --> 00:04:30,092 For someone who hasn't slept in ten days, sedation is a great start. 52 00:04:30,218 --> 00:04:32,887 Sleep is an active process. Reboots the system, restores the brain. 53 00:04:33,013 --> 00:04:35,139 - Sedatives don't... - The brain is being stressed. 54 00:04:35,265 --> 00:04:36,265 We need to relieve that. 55 00:04:36,391 --> 00:04:38,809 You've had my article on your desk for the last four months. 56 00:04:38,936 --> 00:04:40,019 I'm a very slow reader. 57 00:04:40,145 --> 00:04:43,147 No fever, no white count, means no infection. 58 00:04:43,273 --> 00:04:44,607 Schizophrenia? 59 00:04:44,733 --> 00:04:47,610 - No delusions. - You read his. 60 00:04:47,736 --> 00:04:49,570 Signed it. Didn't read it. 61 00:04:49,696 --> 00:04:53,074 Aside from the sleeping pills, tox screen was clean. 62 00:04:53,200 --> 00:04:55,826 No cocaine, methamphetamines or diet pills. 63 00:04:55,953 --> 00:04:57,828 The only medication she's had recently 64 00:04:57,955 --> 00:05:01,165 are steroids for poison ivy and ibuprofen for a knee she hurt skiing. 65 00:05:01,291 --> 00:05:03,167 Nothing that would cause sleep disturbances. 66 00:05:03,293 --> 00:05:06,587 - When did you get his article? - About three weeks ago. 67 00:05:08,298 --> 00:05:11,133 - Let's go back to the beginning. - How far back? 68 00:05:11,259 --> 00:05:12,885 Genesis. 69 00:05:13,011 --> 00:05:16,180 God said, "Let there be light." 70 00:05:17,265 --> 00:05:19,517 Sleep is initially controlled by external light cues. 71 00:05:19,643 --> 00:05:21,936 And if her brain can't interpret those cues... 72 00:05:22,062 --> 00:05:23,771 Optic nerve disease. 73 00:05:24,856 --> 00:05:27,233 I'm sensing another article. 74 00:05:27,359 --> 00:05:29,235 I'll go run the tests. 75 00:05:31,571 --> 00:05:34,949 I'm injecting a dye which will allow us to take a look at your retina 76 00:05:35,075 --> 00:05:36,993 and your optic nerve. 77 00:05:37,119 --> 00:05:39,829 - Everything's kind of blurry. - Normal, because of the dye. 78 00:05:39,955 --> 00:05:42,331 It's going to be that way the next few hours. 79 00:05:48,463 --> 00:05:50,506 - Need a hand? - No. 80 00:05:51,717 --> 00:05:53,676 Are we never going to work together again? 81 00:05:53,802 --> 00:05:57,138 I just don't see the need to make you feel better by forgiving you. 82 00:05:57,264 --> 00:06:00,099 I wasn't asking for forgiveness. I was asking if you needed help. 83 00:06:00,225 --> 00:06:02,946 It's unprofessional to be talking about this in front of the patient. 84 00:06:03,020 --> 00:06:05,271 Maybe that doesn't matter to you, but... 85 00:06:05,397 --> 00:06:08,107 It doesn't matter. She's not listening. 86 00:06:09,317 --> 00:06:10,901 She's asleep. 87 00:06:11,028 --> 00:06:13,279 Normal stage-one brain waves. 88 00:06:14,781 --> 00:06:16,449 Maybe she's better? 89 00:06:19,369 --> 00:06:20,953 Still blurry. 90 00:06:21,079 --> 00:06:24,081 - You fell asleep. - No, I didn't. 91 00:06:26,251 --> 00:06:28,377 Negative for optic nerve disease. 92 00:06:28,503 --> 00:06:29,795 But she sleeps. 93 00:06:29,921 --> 00:06:33,049 For, like, ten seconds. Maximum one minute. 94 00:06:33,175 --> 00:06:36,177 We also checked the ocular pressure. It's normal. 95 00:06:36,303 --> 00:06:38,262 And she doesn't know she sleeps. 96 00:06:38,388 --> 00:06:40,806 The brain is often unaware of stage one sleep. 97 00:06:40,932 --> 00:06:45,061 The CT showed no tumors, no clots, no seizure disorder. 98 00:06:45,187 --> 00:06:48,606 So she sleeps. She just can't stay asleep. 99 00:06:50,192 --> 00:06:51,400 You going somewhere with this? 100 00:06:51,526 --> 00:06:53,611 You know what keeps me awake at night? 101 00:06:53,737 --> 00:06:55,529 Monsters in the closet. 102 00:06:55,655 --> 00:06:57,823 There's no monster in the closet. We looked. 103 00:06:57,949 --> 00:07:01,160 Well, it's certainly not showing up on the scans. 104 00:07:01,286 --> 00:07:02,828 Where's Cameron? 105 00:07:03,789 --> 00:07:06,707 She felt I could deliver the news on my own. 106 00:07:08,877 --> 00:07:11,337 Oh, this is going to work out great. 107 00:07:13,340 --> 00:07:14,673 Come on. 108 00:07:17,886 --> 00:07:21,180 If you two guys can't play nice together, I'm taking away your toys. 109 00:07:21,306 --> 00:07:23,682 - I don't care whose fault this is. - If you hadn't... 110 00:07:23,809 --> 00:07:26,185 I especially don't care if it was my fault. 111 00:07:26,311 --> 00:07:29,897 Whatever this woman has, it's not showing up on our tests. 112 00:07:30,023 --> 00:07:33,818 Which means she's sick, just not sick enough for us to see it. 113 00:07:33,944 --> 00:07:36,445 - You want us to make her sicker? - Yes. 114 00:07:37,364 --> 00:07:40,282 I want to stress her body. Specifically her brain. 115 00:07:40,408 --> 00:07:41,909 Keep her awake. 116 00:07:42,035 --> 00:07:45,329 Depriving her of even the few minutes of sleep she does have, it's torture. 117 00:07:45,455 --> 00:07:47,289 So is cutting people with knives, 118 00:07:47,415 --> 00:07:49,917 but you can totally get away with that if you have a doctor coat on. 119 00:07:50,043 --> 00:07:52,843 Those few seconds of sleep are maybe the only reason she's still alive. 120 00:07:52,963 --> 00:07:55,422 The more symptoms we can force out of her, the more tests we can do. 121 00:07:55,549 --> 00:07:57,509 The more tests we do, the more information we get, 122 00:07:57,551 --> 00:07:59,885 the quicker we make a diagnosis. 123 00:08:00,011 --> 00:08:02,721 See how much more fun it is when you guys get along? 124 00:08:02,848 --> 00:08:05,391 You two take the first four hours. 125 00:08:11,648 --> 00:08:13,107 Hannah? 126 00:08:15,402 --> 00:08:16,694 Hannah! 127 00:08:18,488 --> 00:08:20,531 You fell asleep. 128 00:08:20,657 --> 00:08:22,199 No, I didn't. 129 00:08:22,325 --> 00:08:24,702 Your brain doesn't remember. It was just a few seconds. 130 00:08:24,828 --> 00:08:26,162 Is this really necessary? 131 00:08:26,288 --> 00:08:30,416 The sooner we find out what's wrong, the sooner she can get a real night's rest. 132 00:08:30,542 --> 00:08:32,334 Hannah? 133 00:08:32,460 --> 00:08:34,795 Hannah? Hannah. 134 00:08:38,049 --> 00:08:39,216 Ow. 135 00:08:40,051 --> 00:08:42,595 - What did you do that for? - You fell asleep again. 136 00:08:42,721 --> 00:08:44,346 - No, I didn't. - We're sorry. 137 00:08:44,472 --> 00:08:46,515 We have to do this. 138 00:08:46,641 --> 00:08:48,726 We don't have to be cruel. 139 00:08:48,852 --> 00:08:51,478 You know what happens when you're nice? Nothing. 140 00:08:51,605 --> 00:08:54,231 That's how you define nice? Not stealing? 141 00:08:54,357 --> 00:08:56,066 Doctors! 142 00:08:56,193 --> 00:08:58,402 Did she fall asleep again? 143 00:09:14,628 --> 00:09:17,671 - We've got rectal bleeding. - What, all of you? 144 00:09:19,382 --> 00:09:22,885 So the monster is peeking out from under the bed. 145 00:09:23,011 --> 00:09:25,137 Which either means she has a clotting disorder 146 00:09:25,263 --> 00:09:26,847 or she has a tumor in her colon. 147 00:09:26,973 --> 00:09:30,559 - I'll do a colonoscopy. - Who's keeping her awake now? 148 00:09:30,685 --> 00:09:33,270 I figured once we found another symptom, it really didn't matter. 149 00:09:33,396 --> 00:09:36,440 - Yeah, he's got all the ideas. - Who is with her? 150 00:09:36,566 --> 00:09:39,276 Her partner's donating blood, so she's with a nurse. 151 00:09:39,402 --> 00:09:42,446 Probably singing her lullabies. I want her awake. 152 00:09:42,572 --> 00:09:44,740 You have to sedate a patient to do a colonoscopy. 153 00:09:44,866 --> 00:09:47,034 Why? Just because of the pain? 154 00:09:48,328 --> 00:09:50,579 If you find a tumor in her colon, you can knock her out. 155 00:09:50,705 --> 00:09:53,040 If you don't, she stays awake. 156 00:09:56,169 --> 00:09:58,879 Oh! God, it hurts! 157 00:09:59,005 --> 00:10:02,424 - Can't you hurry? - Trust me, you don't want me to hurry. 158 00:10:02,550 --> 00:10:05,010 God, you're killing me! 159 00:10:05,136 --> 00:10:06,470 Hold my hand. 160 00:10:08,098 --> 00:10:10,391 Keep breathing, nice and steady. 161 00:10:12,102 --> 00:10:14,478 How am I supposed to work with him? 162 00:10:15,897 --> 00:10:18,732 Maybe we shouldn't be talking about this right now? 163 00:10:18,858 --> 00:10:20,734 Think I'm overreacting? 164 00:10:22,487 --> 00:10:24,530 I need you to relax your anus. 165 00:10:26,658 --> 00:10:28,909 We're not here. We're skiing. 166 00:10:29,828 --> 00:10:31,870 It's Thanksgiving at Vail. 167 00:10:31,997 --> 00:10:34,915 You want me to think about nearly killing myself on a snowboard? 168 00:10:35,041 --> 00:10:37,293 Come on, you never fell. 169 00:10:38,837 --> 00:10:40,629 You were awesome. 170 00:10:42,549 --> 00:10:46,677 Is that what you told him? I'm hysterical and I need to relax my anus? 171 00:10:47,846 --> 00:10:50,723 I told him... How many cases do we work up in a year? 172 00:10:50,849 --> 00:10:53,434 They're all weird. He could have written up any one of them. 173 00:10:54,519 --> 00:10:56,228 She's bleeding. 174 00:10:57,147 --> 00:10:59,023 I can't breathe. I can't breathe. 175 00:10:59,149 --> 00:11:00,441 Hold on. 176 00:11:08,491 --> 00:11:10,200 We packed her nose to control the bleed 177 00:11:10,327 --> 00:11:12,411 and started transfusing two units of whole blood. 178 00:11:12,537 --> 00:11:15,998 The pathology from the rectal bleed showed traces of nasal epithelium. 179 00:11:16,124 --> 00:11:18,083 So the butt bleed's just a nose bleed. 180 00:11:18,209 --> 00:11:20,627 That much blood is not a "just a" anything. 181 00:11:20,754 --> 00:11:24,423 When two people fight this much, you know what it means. 182 00:11:24,549 --> 00:11:26,383 It's gotta be a massive sinus hemorrhage 183 00:11:26,509 --> 00:11:28,509 that was draining down her throat and out the back. 184 00:11:28,595 --> 00:11:31,388 - The question isn't what, it's why. - Oh, get a room. 185 00:11:31,514 --> 00:11:33,557 Rat poison mixed with some sort of neurogenic toxin 186 00:11:33,683 --> 00:11:35,476 could cause bleeding and sleep disturbances. 187 00:11:35,602 --> 00:11:37,803 Do you have a specific type of neurogenic toxin in mind, 188 00:11:37,896 --> 00:11:40,456 or should we just start running a thousand different tox screens? 189 00:11:40,565 --> 00:11:42,399 Just pretend I'm not here. I'll be reading. 190 00:11:42,525 --> 00:11:44,205 It could also be some type of coagulopathy. 191 00:11:44,277 --> 00:11:46,570 Or it could be us. Do you have any idea what it feels like 192 00:11:46,696 --> 00:11:49,406 to have a six-foot-long hose shoved into your large intestine? 193 00:11:49,532 --> 00:11:52,910 No, but I now have a much greater respect for whichever basketball player 194 00:11:53,036 --> 00:11:54,370 you dated in college. 195 00:11:54,496 --> 00:11:58,540 We've basically been torturing this girl for the last eight hours. 196 00:11:58,666 --> 00:12:00,626 We've been poking her foot, not punching her face. 197 00:12:00,752 --> 00:12:02,628 Extreme stress can cause high blood pressure, 198 00:12:02,754 --> 00:12:05,422 - which can cause bleeding. - Wouldn't keep her awake for ten days. 199 00:12:05,548 --> 00:12:09,176 What if the poison ivy wasn't poison ivy? 200 00:12:10,678 --> 00:12:13,555 She got the rash that was diagnosed as poison ivy 201 00:12:13,681 --> 00:12:15,682 around the same time the insomnia started. 202 00:12:15,809 --> 00:12:18,519 Rash plus nose bleed plus sleep disturbance 203 00:12:18,645 --> 00:12:21,021 equals Wegener's granulomatosis. 204 00:12:21,147 --> 00:12:22,815 Start corticosteroid treatment. 205 00:12:22,941 --> 00:12:26,026 - The poison ivy treatment was steroids. - Much lower dosage. 206 00:12:26,152 --> 00:12:28,487 Get her back on the juice and triple the dose. 207 00:12:28,613 --> 00:12:32,616 Get a cANCA and an upper airway biopsy to confirm the Wegener's. 208 00:12:45,380 --> 00:12:47,506 She has menstrual problems. 209 00:12:47,632 --> 00:12:50,467 They're really bad. The pain keeps her in bed all day. 210 00:12:50,593 --> 00:12:52,761 Plus, she's super depressed. 211 00:12:58,560 --> 00:13:00,561 She said, "Super depressed"? 212 00:13:01,980 --> 00:13:05,399 She heard that birth control pills can make her feel better. 213 00:13:05,525 --> 00:13:08,569 She wants birth control pills for her PMS. 214 00:13:08,695 --> 00:13:09,945 I guess. 215 00:13:11,906 --> 00:13:14,533 Judging by the redness around your mom's nostrils 216 00:13:14,659 --> 00:13:17,202 and the tissue she's got conveniently stashed in her wristband, 217 00:13:17,328 --> 00:13:21,290 I'd say her problem is more likely a URI than a PMS. 218 00:13:21,416 --> 00:13:22,708 A URI? 219 00:13:22,834 --> 00:13:25,836 Upper respiratory infection. A cold. 220 00:13:25,962 --> 00:13:27,546 I don't think so. 221 00:13:27,672 --> 00:13:29,631 I also think she's got a problem with a SAC. 222 00:13:29,757 --> 00:13:30,883 SAC? 223 00:13:31,009 --> 00:13:34,136 Thanks for playing. Stupid American Child. 224 00:13:35,221 --> 00:13:37,181 If you want the pill, all you have to do 225 00:13:37,307 --> 00:13:41,143 is to walk into any health clinic in Jersey, alone, and ask for it. 226 00:13:42,145 --> 00:13:43,937 What exactly was your plan? 227 00:13:44,063 --> 00:13:46,064 You're going to exchange the birth control pills 228 00:13:46,191 --> 00:13:48,025 for some over-the-counter decongestants 229 00:13:48,151 --> 00:13:50,611 and hope that your mom's cold lasts another six years? 230 00:13:50,737 --> 00:13:51,778 No. 231 00:13:53,656 --> 00:13:58,160 - Is that for a cold? - No, that's for your ovaries. 232 00:13:58,286 --> 00:14:01,622 I assume you haven't had a stroke. Have you ever had a blood clot? 233 00:14:01,748 --> 00:14:04,082 - No. - Super. 234 00:14:04,209 --> 00:14:07,544 In three months when you need a refill, take a bus to a free clinic. 235 00:14:07,670 --> 00:14:10,339 Don't wait around hoping for Mom to get another sniffle. 236 00:14:11,758 --> 00:14:14,885 Not the sharpest chopstick in the drawer, is she? 237 00:14:16,930 --> 00:14:18,597 Was this just one of your experiments? 238 00:14:18,723 --> 00:14:22,100 You just wanted to see how I'd react to being screwed over by Foreman? 239 00:14:23,353 --> 00:14:27,064 Nice idea, but no. This was just good old-fashioned laziness. 240 00:14:28,525 --> 00:14:30,108 I gotta hand it to Foreman, though. 241 00:14:30,235 --> 00:14:32,903 He knew that you were a suck-up and I don't give a crap. 242 00:14:33,029 --> 00:14:34,988 He successfully exploited us both. 243 00:14:35,114 --> 00:14:38,492 Right, we're both victims. A simple heads up, that's all I needed. 244 00:14:38,618 --> 00:14:40,744 Maybe between your incredibly witty remarks 245 00:14:40,870 --> 00:14:43,872 about anal sex and Cuddy's breasts, you could have tipped me off. 246 00:14:43,998 --> 00:14:46,250 Yeah, but then I'd have Foreman pissed at me. 247 00:14:46,376 --> 00:14:48,043 And as annoying as you could be, 248 00:14:48,169 --> 00:14:51,338 at least I know you're not gonna pop a cap in my ass. 249 00:14:51,464 --> 00:14:52,923 Witty, huh? 250 00:14:56,594 --> 00:14:59,888 You, on the other hand, continue to be flabbergasted 251 00:15:00,014 --> 00:15:03,684 every time someone actually acts like a human being. 252 00:15:03,810 --> 00:15:06,895 Foreman did what he did because it worked out best that way for him. 253 00:15:07,021 --> 00:15:08,689 That's what everyone does. 254 00:15:08,815 --> 00:15:11,066 That is not the definition of being human. 255 00:15:11,192 --> 00:15:13,860 It's the definition of being an ass. 256 00:15:18,825 --> 00:15:20,659 This will numb you up. 257 00:15:23,246 --> 00:15:26,248 And this will keep your tongue out of the way. 258 00:15:27,542 --> 00:15:30,586 Don't worry. You shouldn't feel anything except for a slight pulling. 259 00:15:30,712 --> 00:15:32,462 So, do you think I was out of line? 260 00:15:32,589 --> 00:15:36,049 That article would have sat on House's desk for the next six years. 261 00:15:36,175 --> 00:15:38,302 I could've told her. 262 00:15:38,428 --> 00:15:41,597 You could have written it for her, too. She knows House as well as any of us. 263 00:15:41,723 --> 00:15:43,640 She should've known she was waiting for him 264 00:15:43,766 --> 00:15:46,018 to do something he was never gonna do. 265 00:15:49,981 --> 00:15:51,189 Chase? 266 00:15:53,818 --> 00:15:55,235 Hannah? You still with us? 267 00:15:55,361 --> 00:15:58,071 - What's wrong with her eyes? - It looks like REM. 268 00:15:58,197 --> 00:15:59,781 - What's that? - Rapid Eye Movements. 269 00:15:59,907 --> 00:16:01,627 It's what your eyes do when you're sleeping. 270 00:16:01,701 --> 00:16:03,577 - But she's awake. - Hannah! 271 00:16:04,454 --> 00:16:06,413 Hannah, can you hear me? 272 00:16:07,373 --> 00:16:08,874 Yeah, of course. 273 00:16:10,793 --> 00:16:12,919 - Was she sitting up or lying down? - Sitting up. 274 00:16:13,046 --> 00:16:14,129 Then it wasn't REM. 275 00:16:14,255 --> 00:16:16,135 Chase says her eyes were moving the exact way... 276 00:16:16,257 --> 00:16:17,466 You start her on the steroids? 277 00:16:17,592 --> 00:16:19,992 - Not yet. We were still doing... - Then she wasn't sleeping. 278 00:16:20,053 --> 00:16:22,846 - How do you know? - Because we haven't done anything yet. 279 00:16:22,972 --> 00:16:25,852 She may be able to sleep with her eyes open, but unless you also discover 280 00:16:25,892 --> 00:16:28,101 she's got two extra teats and hooves for feet, 281 00:16:28,227 --> 00:16:30,667 there's no way she'd be able to maintain enough muscle tensity 282 00:16:30,730 --> 00:16:32,522 during REM sleep to sit upright. 283 00:16:32,649 --> 00:16:36,568 It's a movement disorder, which rules out Wegener's. 284 00:16:36,694 --> 00:16:37,944 Where's Foreman? 285 00:16:38,071 --> 00:16:39,863 - Keeping her awake. - Good. 286 00:16:39,989 --> 00:16:43,241 Rabies could cause muscle spasms, malaise, anxiety and wakefulness. 287 00:16:43,368 --> 00:16:45,768 Pretty unlikely she'd forget being bitten by a crazed animal. 288 00:16:45,870 --> 00:16:47,750 She could've been exposed through an open wound. 289 00:16:47,872 --> 00:16:49,498 - Does she have a dog? - For less than a week. 290 00:16:49,624 --> 00:16:51,905 She had an allergic reaction, so they had to give it away. 291 00:16:51,918 --> 00:16:52,918 Allergies. 292 00:16:53,044 --> 00:16:55,420 Animal allergies seems unlikely, but it's possible that... 293 00:16:55,546 --> 00:16:57,547 - When? - When what? 294 00:16:57,674 --> 00:17:00,050 - When did she get rid of the dog? - About a month ago. 295 00:17:00,176 --> 00:17:03,053 Her girlfriend gave it to her for her birthday. 296 00:17:03,179 --> 00:17:05,555 Well, then, it's not allergies. 297 00:17:05,682 --> 00:17:07,683 She's just leaving her girlfriend. 298 00:17:09,894 --> 00:17:12,396 You... spoke to the dog? 299 00:17:12,522 --> 00:17:14,106 If her birthday was a month ago, 300 00:17:14,232 --> 00:17:16,525 she would have still been on steroids for the poison ivy. 301 00:17:16,651 --> 00:17:18,527 Those meds would have suppressed any reaction 302 00:17:18,653 --> 00:17:19,853 she might have had to the dog, 303 00:17:19,946 --> 00:17:22,572 which means she lied about being allergic. A dog's a commitment. 304 00:17:22,699 --> 00:17:25,579 You pretend to be allergic because you don't want to tell your girlfriend 305 00:17:25,618 --> 00:17:27,828 that you're not planning on being around that long. 306 00:17:27,954 --> 00:17:30,539 So, I think we can move on to options other than allergies. 307 00:17:30,665 --> 00:17:32,332 We should still do a scratch test. 308 00:17:32,458 --> 00:17:35,961 - If she's allergic to one thing... - She is not allergic. 309 00:17:36,087 --> 00:17:38,922 Okay. Well, we could either base our diagnosis 310 00:17:39,048 --> 00:17:41,591 on your admittedly keen understanding of lesbian relationships, 311 00:17:41,718 --> 00:17:44,052 or we could do a scratch test. 312 00:17:47,265 --> 00:17:49,099 Do a scratch test. 313 00:17:54,063 --> 00:17:56,103 Are you still feeling a lot of blood in your throat? 314 00:17:56,149 --> 00:17:57,983 No, it's actually getting a little better. 315 00:17:58,109 --> 00:18:01,153 Good, maybe things are just starting to improve on their own. 316 00:18:01,279 --> 00:18:02,779 Just a few more. 317 00:18:03,573 --> 00:18:06,116 - Want some water to wash your mouth? - No, I'm okay. 318 00:18:06,242 --> 00:18:08,785 Come on, that can't taste good. I'm gonna get you a soda. 319 00:18:08,911 --> 00:18:10,620 It's okay, isn't it? 320 00:18:15,710 --> 00:18:18,545 You and Max seem to have a really nice relationship. 321 00:18:18,671 --> 00:18:20,922 - Yeah. - She's very supportive. 322 00:18:24,927 --> 00:18:26,678 When Max got you the dog, 323 00:18:26,804 --> 00:18:29,848 did you lie about having an allergic reaction? 324 00:18:31,350 --> 00:18:32,434 No. 325 00:18:34,437 --> 00:18:36,646 - Why? - If you have preexisting conditions, 326 00:18:36,773 --> 00:18:40,567 it's important we know, but if you don't, it's just as important. 327 00:18:41,652 --> 00:18:43,236 If I'm wasting my time doing this... 328 00:18:43,362 --> 00:18:45,405 You're not going to tell her, are you? 329 00:18:47,366 --> 00:18:48,617 It's none of my business. 330 00:18:48,743 --> 00:18:52,746 She's a good person, and we've just been together so long, I... 331 00:18:56,709 --> 00:18:58,251 I'm tired of her. 332 00:19:02,632 --> 00:19:04,800 It sounds terrible, doesn't it? 333 00:19:06,677 --> 00:19:08,929 I guess it happens sometimes. 334 00:19:10,139 --> 00:19:11,723 My back hurts. 335 00:19:18,064 --> 00:19:19,689 Hannah, can you turn over? 336 00:19:19,816 --> 00:19:22,651 - What's wrong? - I'm not sure. 337 00:19:27,990 --> 00:19:29,449 Oh, my God. 338 00:19:31,786 --> 00:19:34,547 - She has massive internal bleeding. - Did she have access to aspirin? 339 00:19:34,664 --> 00:19:36,064 She'd have to take a hell of a lot. 340 00:19:36,082 --> 00:19:39,376 Why not? Considering her current mental state. 341 00:19:39,502 --> 00:19:41,795 What about her mental state? 342 00:19:41,921 --> 00:19:44,464 You were right about her wanting to break up. 343 00:19:44,590 --> 00:19:46,842 That just means I was right. Doesn't mean she's suicidal. 344 00:19:46,968 --> 00:19:49,368 A bottle of pills is what landed her here in the first place. 345 00:19:49,428 --> 00:19:52,681 Sleeping pills. God knows why she'd want them. 346 00:19:54,016 --> 00:19:57,060 What else could cause sleep disorder and internal bleeding? 347 00:19:57,186 --> 00:20:00,814 Drugs or alcohol could mess with the sleeping and compromise the liver. 348 00:20:00,940 --> 00:20:03,233 What are you doing here? Who's keeping her awake? 349 00:20:03,359 --> 00:20:06,778 Doesn't matter. Liver function tests are through the sky. 350 00:20:06,904 --> 00:20:09,739 Liver's not compromised. It's dead. 351 00:20:09,866 --> 00:20:12,701 She doesn't need a diagnosis. She needs a new liver. 352 00:20:13,870 --> 00:20:16,910 She's not getting a new liver unless we can figure out what's wrong with her. 353 00:20:16,998 --> 00:20:19,249 Test for cirrhosis, 12 hours. Test for hepatitis, eight. 354 00:20:19,375 --> 00:20:21,001 Her liver's not gonna last another six. 355 00:20:21,127 --> 00:20:23,503 So your advice is we just give up? 356 00:20:23,629 --> 00:20:26,673 My advice is that we narrow our focus to conditions that we can diagnose, 357 00:20:26,799 --> 00:20:29,009 treat and cure in less than six hours. 358 00:20:30,261 --> 00:20:32,304 And there's nothing on that list. 359 00:20:34,640 --> 00:20:37,058 The girlfriend donated blood, right? 360 00:20:37,184 --> 00:20:38,810 Yeah, so? 361 00:20:38,936 --> 00:20:40,854 It means they're the same type. 362 00:20:41,772 --> 00:20:45,859 You can't ask the person she's about to dump to donate half her liver. 363 00:20:45,985 --> 00:20:48,153 It does seem tacky, doesn't it? 364 00:20:56,913 --> 00:20:59,039 I'm Dr House. 365 00:20:59,165 --> 00:21:01,416 I'm in charge of your case. 366 00:21:02,293 --> 00:21:03,460 What's going on? 367 00:21:03,586 --> 00:21:06,546 How come no one is keeping her awake anymore? 368 00:21:06,672 --> 00:21:08,715 You're in acute liver failure. 369 00:21:10,217 --> 00:21:13,178 We can continue the transfusions and the lactulose, 370 00:21:13,304 --> 00:21:15,138 but it's only a stopgap. 371 00:21:16,223 --> 00:21:18,223 There's really nothing we can do to stop the toxins 372 00:21:18,267 --> 00:21:21,019 from building up in your bloodstream, 373 00:21:21,145 --> 00:21:24,314 which means that, in a few hours, 374 00:21:24,440 --> 00:21:26,441 you will lapse into a coma... 375 00:21:28,235 --> 00:21:30,070 and you won't wake up. 376 00:21:35,952 --> 00:21:37,160 I'm sorry. 377 00:21:39,288 --> 00:21:41,039 That's it? You're giving up? 378 00:21:41,165 --> 00:21:44,709 You're not going to try to figure out what's doing this to her? 379 00:21:44,835 --> 00:21:46,586 Well, even with the right diagnosis, 380 00:21:46,712 --> 00:21:49,112 any treatment's gonna take longer than the time she has left. 381 00:21:49,215 --> 00:21:52,425 If it's her liver, can't she get a transplant? 382 00:21:52,551 --> 00:21:54,803 Wouldn't work without a diagnosis. 383 00:21:54,929 --> 00:21:58,181 Whatever killed the first liver would do the same to the second. 384 00:21:58,307 --> 00:22:03,228 But it would give you more time to make the diagnosis to get her better. 385 00:22:05,940 --> 00:22:09,401 Well, it might give us an extra day or two, 386 00:22:09,527 --> 00:22:12,362 but no procurement agency is gonna let a liver go to a patient 387 00:22:12,488 --> 00:22:14,280 with an undiagnosed, preexisting... 388 00:22:14,407 --> 00:22:16,783 Hannah and I have the same blood type. 389 00:22:16,909 --> 00:22:18,868 Couldn't I be the donor? 390 00:22:26,460 --> 00:22:29,838 Well, it is medically possible for us to take a part of your... 391 00:22:29,964 --> 00:22:32,716 Please, I don't care about the risks. 392 00:22:43,019 --> 00:22:46,021 You're very lucky to have such a devoted partner. 393 00:23:01,078 --> 00:23:03,455 I just bought us 36 hours. 394 00:23:03,581 --> 00:23:07,125 Differential diagnosis. Which monster eats your liver, 395 00:23:07,251 --> 00:23:09,044 screws up your sleep and causes bleeding? 396 00:23:09,170 --> 00:23:10,754 Does Max know Hannah plans to leave her? 397 00:23:10,880 --> 00:23:12,630 Didn't come up, so I guess no. 398 00:23:12,757 --> 00:23:14,918 If she knew, there's no way she'd go through with this. 399 00:23:14,925 --> 00:23:16,843 And if you didn't have a pathological need 400 00:23:16,969 --> 00:23:19,929 to create a close, personal relationship with every dying person you meet, 401 00:23:20,056 --> 00:23:22,307 we would be blissfully ignorant of any ethical dilemmas 402 00:23:22,433 --> 00:23:24,934 and might actually be able to concentrate on the differential. 403 00:23:25,061 --> 00:23:26,352 The scratch test was negative. 404 00:23:26,479 --> 00:23:29,399 It's rare, but any of the hepatitis viruses could cause sleep disturbances 405 00:23:29,523 --> 00:23:31,243 - and liver failure. - No, PCRs were normal. 406 00:23:31,358 --> 00:23:35,695 - We have an ethical dilemma. - No, we don't. Continue. 407 00:23:35,821 --> 00:23:38,990 What about splenic cancer or Non-Hodgkin's lymphoma? 408 00:23:39,116 --> 00:23:40,283 She's the right age. 409 00:23:40,409 --> 00:23:42,952 It could explain the bleeding, maybe the liver failure. 410 00:23:43,079 --> 00:23:46,664 We're withholding information relevant to her decision to risk her life. 411 00:23:46,791 --> 00:23:49,918 - How is that not an ethical dilemma? - It's not medical information. 412 00:23:50,044 --> 00:23:51,920 - Who cares? - The AMA. 413 00:23:52,046 --> 00:23:55,298 Wilson's disease could explain the liver and neurological symptoms. 414 00:23:55,424 --> 00:23:56,841 It also causes bleeding disorders. 415 00:23:56,967 --> 00:23:58,802 No Kayser-Fleischer rings in her eyes. 416 00:23:58,928 --> 00:24:01,368 Rings don't have to be there if there's neurological symptoms. 417 00:24:01,472 --> 00:24:03,932 - This is immoral. - Look, let's say you're right! 418 00:24:04,058 --> 00:24:07,811 We tell, she changes her mind, our patient dies. How is that moral? 419 00:24:09,063 --> 00:24:10,146 What else? 420 00:24:10,272 --> 00:24:12,148 Poisoned mushrooms can cause liver failure, 421 00:24:12,274 --> 00:24:13,983 sleep disturbances and internal bleeding. 422 00:24:14,110 --> 00:24:16,486 She's not shrooming. She's a sports nut. 423 00:24:16,612 --> 00:24:18,613 Right, skiers never party. 424 00:24:18,739 --> 00:24:21,032 She's doing this out of love, and Max doesn't know... 425 00:24:21,158 --> 00:24:24,410 It's only moral to save a person if they love you? 426 00:24:24,537 --> 00:24:27,122 That's kind of a selfish way of looking at life. 427 00:24:27,248 --> 00:24:30,041 I like Wilson's disease, like cancer, love mushrooms. 428 00:24:30,167 --> 00:24:32,377 Yeah, but we don't have the time to test for any of it. 429 00:24:32,503 --> 00:24:36,005 Before she can get the transplant, we need to do about 80 procedures. 430 00:24:36,132 --> 00:24:38,424 So, do those tests and my tests at the same time. 431 00:24:38,551 --> 00:24:40,635 Use the PET to look for cancer and Wilson's. 432 00:24:40,761 --> 00:24:43,930 While you endoscope her bile ducts, scrape her stomach for mushroom spores. 433 00:24:44,056 --> 00:24:45,557 One of you CT her liver, 434 00:24:45,683 --> 00:24:49,811 while the other two check protein CA-125 and CA-19.5. 435 00:24:49,979 --> 00:24:53,857 Oh, yeah, anyone says anything to Max, they're fired. 436 00:24:55,151 --> 00:24:56,359 We have to. 437 00:24:56,485 --> 00:24:59,779 We have to not, because she's not our patient. 438 00:24:59,905 --> 00:25:03,074 She's getting surgery. She's someone's patient. 439 00:25:05,911 --> 00:25:08,329 I think that's it. Great, thank you. 440 00:25:08,455 --> 00:25:09,873 I need a little help. 441 00:25:09,999 --> 00:25:13,418 Inexplicable rash on a patient's scrotum you need me to look at? 442 00:25:13,544 --> 00:25:16,087 Twenty-seven-year-old female wants to donate half her liver 443 00:25:16,213 --> 00:25:19,215 - to her dying girlfriend. - That's very generous. 444 00:25:19,341 --> 00:25:22,051 This the sleepless girl? What's she got? 445 00:25:22,178 --> 00:25:23,386 Liver failure. 446 00:25:23,512 --> 00:25:26,681 Sort of figured that out when you said she needed a new liver. 447 00:25:29,268 --> 00:25:32,896 - You don't have a diagnosis? - The transplant buys me time. 448 00:25:33,063 --> 00:25:35,148 Let's just skip the part where I say this is insane. 449 00:25:35,274 --> 00:25:36,441 It was her idea. 450 00:25:36,567 --> 00:25:39,277 If she wants to be an idiot, it's her call. You don't need me. 451 00:25:39,403 --> 00:25:41,613 Have one of your team walk her through the process. 452 00:25:41,739 --> 00:25:44,866 The donor and the donee sort of have opposing interests, right? 453 00:25:44,992 --> 00:25:46,868 We can't really advise them both. 454 00:25:46,994 --> 00:25:49,871 You're concerned about the ethics of this? 455 00:25:49,997 --> 00:25:51,372 What's going on? 456 00:25:51,498 --> 00:25:54,125 - What do you know? - Nothing medically relevant. 457 00:25:54,251 --> 00:25:56,711 But you know something, and it is relevant. 458 00:25:57,796 --> 00:26:00,131 If I can't tell her, I can't really tell you, can I? 459 00:26:00,257 --> 00:26:02,217 I mean, if you're advising her. 460 00:26:03,219 --> 00:26:05,553 I assume this information is in the medical file. 461 00:26:05,679 --> 00:26:09,224 - In my patient's confidential file. - This hospital's file. 462 00:26:12,228 --> 00:26:15,605 You can either satisfy your curiosity, or you can remain ignorant, 463 00:26:15,731 --> 00:26:20,068 do nothing ethically wrong, and my patient doesn't die in three hours. 464 00:26:27,117 --> 00:26:30,328 These tests and the counseling 465 00:26:30,454 --> 00:26:34,207 normally happen over weeks, sometimes months. 466 00:26:35,209 --> 00:26:36,376 It's okay. 467 00:26:37,628 --> 00:26:40,171 Well, the most important part we're skipping is time. 468 00:26:40,297 --> 00:26:42,882 Time for you to change your mind. 469 00:26:43,008 --> 00:26:45,134 I don't wanna change my mind. 470 00:26:45,261 --> 00:26:50,640 Not now, but, with time and perspective, maybe we learn things... 471 00:26:50,766 --> 00:26:52,934 If we had the time, we'd take the time, but we don't. 472 00:26:53,060 --> 00:26:55,103 So can you get this over with? 473 00:26:57,731 --> 00:27:01,276 Either I sign off on this, or it doesn't happen. 474 00:27:02,111 --> 00:27:04,487 So I need you to listen to me, 475 00:27:04,613 --> 00:27:08,449 because there's a chance that you will die on that table. 476 00:27:16,250 --> 00:27:20,753 I just want me and Hannah to be able to lie in bed together 477 00:27:20,879 --> 00:27:23,506 as old ladies, 478 00:27:23,632 --> 00:27:25,341 compare scars. 479 00:27:33,809 --> 00:27:37,186 I need you to lie on your side and hold your knees. 480 00:27:41,734 --> 00:27:43,776 I'm going to check for vascular abnormalities 481 00:27:43,902 --> 00:27:46,279 that might prevent us from doing the transplant. 482 00:27:46,405 --> 00:27:48,740 At the same time, I'm also checking for mushroom spores 483 00:27:48,866 --> 00:27:51,226 - to see if that's the underlying... - I don't do mushrooms. 484 00:27:51,285 --> 00:27:54,495 If you lie about your love life, maybe you lie about drugs. Open. 485 00:27:58,208 --> 00:28:01,127 Aren't you at all concerned about what Max is going through right now? 486 00:28:01,253 --> 00:28:03,004 They're shoving a tube up her rectum, 487 00:28:03,130 --> 00:28:05,450 then they're going to swab her stomach just like I'm doing. 488 00:28:05,549 --> 00:28:07,884 It's going to hurt just like this hurts. 489 00:28:08,010 --> 00:28:12,388 Which is nothing at all like the risk she's taking on the table. 490 00:28:15,684 --> 00:28:17,685 And you don't love her, do you? 491 00:28:17,811 --> 00:28:19,437 I'm not leaving her because I don't... 492 00:28:19,563 --> 00:28:22,940 I'm not talking about the leaving. I'm talking about this. 493 00:28:23,067 --> 00:28:25,985 If you care for her at all, you won't let her do this blind. 494 00:28:30,491 --> 00:28:32,533 - You'd really tell? - Yeah. 495 00:28:34,995 --> 00:28:36,162 You'd die? 496 00:28:45,506 --> 00:28:47,632 I take it you've seen that. 497 00:28:50,344 --> 00:28:54,597 Seen it, digested it, watched it blow up my entire department. 498 00:28:54,723 --> 00:28:57,642 - Did you read Cameron's version? - I didn't read either. 499 00:28:57,768 --> 00:28:59,102 It was good. 500 00:28:59,228 --> 00:29:02,063 - Better than Foreman's? - Maybe. 501 00:29:02,189 --> 00:29:05,942 He was more analytical about the diagnostic procedures. 502 00:29:06,068 --> 00:29:09,278 She concentrated more on the ethical dilemmas of informed consent. 503 00:29:09,405 --> 00:29:11,925 How any patient can really be informed without a medical degree. 504 00:29:12,032 --> 00:29:13,866 Same old party lines. 505 00:29:14,660 --> 00:29:18,496 - Foreman should have told her. - Oh, shoulda, woulda, coulda. 506 00:29:18,622 --> 00:29:20,622 If you allow this sort of thing in your department, 507 00:29:20,707 --> 00:29:22,250 you're basically saying it's okay. 508 00:29:22,376 --> 00:29:24,710 No, I'm saying that I don't care what they do 509 00:29:24,837 --> 00:29:28,256 as long as my life isn't interrupted by pointless conversations like this one. 510 00:29:28,382 --> 00:29:30,842 They won't trust each other, and they won't trust you. 511 00:29:30,968 --> 00:29:32,510 They shouldn't. 512 00:29:32,636 --> 00:29:35,096 Deception like this is just one step removed 513 00:29:35,222 --> 00:29:38,349 from actively sabotaging one another. 514 00:29:38,475 --> 00:29:39,725 Then what would you do? 515 00:29:39,852 --> 00:29:43,229 I could be the kindest, gentlest boss in the world, 516 00:29:43,355 --> 00:29:46,399 and Foreman would still have done what he did, because that's who he is. 517 00:29:46,525 --> 00:29:50,111 We can only hope that Cameron has learned something. 518 00:29:50,237 --> 00:29:53,573 Right, because you're all about the teaching. 519 00:29:54,575 --> 00:29:56,617 Our children are the future. 520 00:30:02,708 --> 00:30:04,000 Hey. 521 00:30:04,126 --> 00:30:06,502 Cuddy cleared Max for surgery. She's okay to go. 522 00:30:06,628 --> 00:30:08,754 - How's our patient? - She's also cleared. 523 00:30:08,881 --> 00:30:11,966 I don't care about the prep. I care about the diagnostic tests. 524 00:30:12,092 --> 00:30:14,773 Looks negative for Wilson's disease. We'll know for sure in an hour. 525 00:30:14,803 --> 00:30:17,123 - Blood proteins are normal. It's not... - Where's Cameron? 526 00:30:17,222 --> 00:30:18,973 Taking a sample of the bile duct. 527 00:30:19,975 --> 00:30:22,101 Surgeries are supposed to start in about 15 minutes. 528 00:30:22,227 --> 00:30:23,627 She had a chance to get one last... 529 00:30:23,645 --> 00:30:25,206 Hannah and Max will be in the same room. 530 00:30:25,272 --> 00:30:27,190 You wanted us to do as much as we can before... 531 00:30:27,316 --> 00:30:29,734 They're both awake with Cameron. 532 00:30:35,032 --> 00:30:39,118 Maybe we should give these two a minute together before the surgery. 533 00:30:39,244 --> 00:30:41,037 You ready, honey? 534 00:30:43,999 --> 00:30:47,168 - Max. - It's okay, I'm right here. 535 00:30:48,504 --> 00:30:51,047 - I need you to know something. - I know. 536 00:30:52,007 --> 00:30:53,674 I love you, too. 537 00:30:55,093 --> 00:30:57,386 - I don't know how to say this. - Good Lord! 538 00:30:57,513 --> 00:31:01,307 - You can tell me anything. - She hasn't slept in 11 days! 539 00:31:01,433 --> 00:31:03,768 You people trying to torture her? 540 00:31:08,315 --> 00:31:10,066 Ding, ding, let's go. 541 00:31:14,988 --> 00:31:17,281 - I told you... - I didn't say a word to Max. 542 00:31:17,407 --> 00:31:19,867 This is exactly why you got screwed with Foreman. 543 00:31:19,993 --> 00:31:22,119 You're looking for people to do the right thing. 544 00:31:22,246 --> 00:31:24,038 She hasn't slept. Her judgment is compromised 545 00:31:24,164 --> 00:31:25,998 due to inactivity in her prefrontal cortex. 546 00:31:26,124 --> 00:31:29,919 Oh, she could have the best prefrontal cortex in the history of mankind, 547 00:31:30,045 --> 00:31:31,685 but given the choice of life versus death, 548 00:31:31,755 --> 00:31:34,840 those bad, bad people are going to choose life. 549 00:31:34,967 --> 00:31:37,885 Then why'd you sedate her? If she wasn't going to tell, 550 00:31:38,011 --> 00:31:41,264 if she was never going to do the right thing, why bother knocking her out? 551 00:31:42,683 --> 00:31:45,977 This isn't about them. If she talks, if she does the decent thing, 552 00:31:46,103 --> 00:31:49,313 then you don't get to solve your puzzle, your game's over, you lose. 553 00:31:49,439 --> 00:31:52,358 Yeah, I wanna save her. I'm morally bankrupt. 554 00:32:14,840 --> 00:32:15,965 How's it going? 555 00:32:16,091 --> 00:32:18,175 They're about to remove Hannah's liver. 556 00:32:22,472 --> 00:32:25,266 All right, I'm good to go. 557 00:32:25,392 --> 00:32:27,810 You can start removing Max's liver. 558 00:32:29,187 --> 00:32:32,523 You wanna let me in on what the big secret is between these two? 559 00:32:32,649 --> 00:32:34,567 You read Foreman's article? 560 00:32:36,361 --> 00:32:37,903 It was good. 561 00:32:39,448 --> 00:32:41,741 He basically stole it from me. 562 00:32:43,076 --> 00:32:46,245 - So? - You're on his side? 563 00:32:46,371 --> 00:32:48,873 Sides? No, this isn't dodgeball. 564 00:32:50,042 --> 00:32:52,710 What am I supposed to do, just sit back and take it? 565 00:32:52,836 --> 00:32:54,545 No, write another article. 566 00:32:54,671 --> 00:32:57,340 Kick ass until you're sitting behind some big, expensive desk, 567 00:32:57,466 --> 00:33:00,092 and someone from Johns Hopkins calls and says, 568 00:33:00,218 --> 00:33:04,096 "We're thinking about hiring Eric Foreman as our head of Neurology." 569 00:33:04,222 --> 00:33:06,766 And you can say whatever you want. 570 00:33:06,892 --> 00:33:11,062 Lovely. Revenge as motive for success. 571 00:33:11,188 --> 00:33:14,732 Well, it doesn't have to be the motive, but it sure tastes good. 572 00:33:16,193 --> 00:33:18,819 - She's in VF. I've got no pulse. - She's arresting. 573 00:33:22,449 --> 00:33:25,159 I am so relieved you two are here. 574 00:33:25,285 --> 00:33:27,765 Without you looking out, they'd be playing foosball down there. 575 00:33:27,871 --> 00:33:30,956 - Max's heart stopped. - Your patient is on the other side. 576 00:33:31,083 --> 00:33:33,542 Now get yourself upstairs and figure out what Hannah has, 577 00:33:33,669 --> 00:33:36,295 or Max has risked her life for nothing. 578 00:33:39,132 --> 00:33:40,800 Charging. 579 00:33:41,968 --> 00:33:43,386 Clear. 580 00:33:48,308 --> 00:33:49,558 We're okay. 581 00:33:55,107 --> 00:33:59,527 Max's cardiac arrest was caused by hypoxia from hypoventilation. 582 00:33:59,653 --> 00:34:00,945 They restarted her heart, 583 00:34:01,071 --> 00:34:04,824 and the right lobe of her liver was successfully transplanted into Hannah. 584 00:34:04,950 --> 00:34:06,784 Now, where were we 585 00:34:06,910 --> 00:34:09,662 before we were so rudely interrupted by the liver transplant? 586 00:34:09,788 --> 00:34:11,872 Dopa decarboxylase was processed normally, 587 00:34:11,998 --> 00:34:14,125 and the ceruloplasmin and copper levels were normal. 588 00:34:14,251 --> 00:34:15,334 So, no Wilson's disease. 589 00:34:15,460 --> 00:34:18,504 Gastric content was negative for spores, so no mushroom toxicity. 590 00:34:18,630 --> 00:34:20,881 And initial tests were negative for cancer. 591 00:34:21,007 --> 00:34:23,007 - Which cancer were you looking for? - Any of them. 592 00:34:23,009 --> 00:34:25,386 We ran blood tests for ovarian, lung and lymphomas. 593 00:34:25,512 --> 00:34:26,595 Not gonna tell you much. 594 00:34:26,722 --> 00:34:29,223 Her blood was taken after she was given immunosuppressants. 595 00:34:29,349 --> 00:34:31,100 They fight rejection. 596 00:34:31,226 --> 00:34:33,936 They also mess up our ability to get any clear readings. 597 00:34:35,522 --> 00:34:38,232 Great battles kick up a lot of dirt. 598 00:34:39,443 --> 00:34:43,237 Obscure the battlefield so generals can't see what's going on. 599 00:34:44,364 --> 00:34:47,032 So, what are your orders, General House? 600 00:34:48,994 --> 00:34:50,578 Sound the retreat. 601 00:34:53,540 --> 00:34:55,624 How you feeling? 602 00:34:55,751 --> 00:34:56,917 Is Max okay? 603 00:34:57,043 --> 00:34:59,754 She's still unconscious, but her vitals look good. 604 00:35:00,881 --> 00:35:04,008 We need to stop all the immunosuppressant drugs 605 00:35:04,134 --> 00:35:06,260 which are protecting your new liver. 606 00:35:08,221 --> 00:35:11,307 But if you stop the drugs, I'll die. 607 00:35:11,433 --> 00:35:14,560 You're dead anyway if we don't figure out what caused all this. 608 00:35:16,062 --> 00:35:18,105 By removing any outside influences, 609 00:35:18,231 --> 00:35:20,608 it'll help us see what's really going on with your body. 610 00:35:20,734 --> 00:35:22,777 So you did all this to buy me a couple of days, 611 00:35:22,903 --> 00:35:25,029 and now you're taking one back? 612 00:35:29,201 --> 00:35:30,785 Will it hurt? 613 00:35:32,329 --> 00:35:34,497 As your body goes into acute organ rejection, 614 00:35:34,623 --> 00:35:38,042 your liver will begin to swell, and that'll put pressure on... 615 00:35:39,669 --> 00:35:42,087 Yeah, it'll hurt. 616 00:35:42,214 --> 00:35:43,964 But we can knock you out. 617 00:35:45,008 --> 00:35:48,302 No, if Max wakes up, I want to talk to her. 618 00:35:56,144 --> 00:35:58,854 She's been taking the decongestants, but she's not getting better. 619 00:35:58,980 --> 00:36:01,899 - She also says... - What? 620 00:36:03,485 --> 00:36:05,236 Her boobs are bigger. 621 00:36:13,745 --> 00:36:15,663 How could you get them mixed up? 622 00:36:15,789 --> 00:36:18,999 They come in a little wheel. They don't look anything like decongestants. 623 00:36:19,125 --> 00:36:21,168 Oh, God. The cashier put them both in the same bag. 624 00:36:21,294 --> 00:36:23,254 I thought I gave her the right ones. 625 00:36:31,179 --> 00:36:34,181 No, you gave her the wrong pills. 626 00:36:34,307 --> 00:36:37,017 You speak Mandarin? 627 00:36:37,143 --> 00:36:41,063 I can count to ten, ask to go to the bathroom and... 628 00:36:45,443 --> 00:36:48,362 I'm not pregnant. We haven't even done it yet! 629 00:36:51,867 --> 00:36:54,118 Okay, I'm going to leave you two alone now. 630 00:36:54,244 --> 00:36:56,412 I'm sure you got a lot to talk about. 631 00:37:03,169 --> 00:37:06,005 Fever is 106. She's in full rejection mode. 632 00:37:06,131 --> 00:37:07,965 Is that supposed to surprise me? 633 00:37:08,091 --> 00:37:10,009 Her white count is normal. 634 00:37:11,177 --> 00:37:14,263 Normal is not normal. She's been on steroids. 635 00:37:14,389 --> 00:37:17,016 The transplant team gave her a cocktail of immunosuppressants. 636 00:37:17,142 --> 00:37:20,144 She hasn't slept in over a week. Her white count should be in the tank. 637 00:37:20,270 --> 00:37:22,229 Looks like the problem is some sort of infection. 638 00:37:22,355 --> 00:37:24,857 Probably caused the hypotension, shocked the liver. 639 00:37:24,983 --> 00:37:27,109 We should start broad-spectrum antibiotics. 640 00:37:27,235 --> 00:37:29,528 Yeah, you might want to add some chicken soup. 641 00:37:29,654 --> 00:37:32,406 It'd be just as useless, but it's got chicken. 642 00:37:32,532 --> 00:37:35,159 We need to know exactly what kind of infection we're dealing with. 643 00:37:35,285 --> 00:37:38,329 What infection causes sleep disturbance, bleeding, a movement disorder, 644 00:37:38,455 --> 00:37:40,873 organ failure and an abnormally normal white count. 645 00:37:40,999 --> 00:37:42,750 - What about tularemia? - Chest was clear. 646 00:37:42,876 --> 00:37:44,668 Tularemia doesn't cause movement disorders. 647 00:37:44,794 --> 00:37:48,714 - It would if she developed meningitis. - There was no ulcerations on the skin. 648 00:37:48,840 --> 00:37:51,133 With the bleeding, it looks more like leptospirosis. 649 00:37:51,259 --> 00:37:53,427 Without conjunctivitis and elevated creatinine? 650 00:37:53,553 --> 00:37:55,638 What about typhoid or some kind of relapsing fever? 651 00:37:55,764 --> 00:37:57,244 Makes sense, if we were in the Sudan. 652 00:37:57,349 --> 00:37:59,229 Are you sure she hasn't been out of the country? 653 00:37:59,309 --> 00:38:02,061 She hasn't even been out of the state in at least a year. Neither has Max. 654 00:38:02,187 --> 00:38:03,938 Maybe she lied. 655 00:38:04,064 --> 00:38:07,149 - You talk to her friends, neighbors? - You don't know? 656 00:38:07,275 --> 00:38:09,276 Come on, if you don't stay up-to-date on my notes, 657 00:38:09,402 --> 00:38:11,654 where's your next article gonna come from? 658 00:38:11,780 --> 00:38:13,405 Talked to the dog? 659 00:38:13,531 --> 00:38:15,991 We're not as up on foreign languages as you are. 660 00:38:17,077 --> 00:38:19,912 - Has the dog been traveling? - It came from a breeder. 661 00:38:20,038 --> 00:38:22,748 - Where? - I don't know. 662 00:38:24,209 --> 00:38:25,918 Place called Blue Barrel Kennels. 663 00:38:26,044 --> 00:38:27,836 They only had the thing for, like, two days. 664 00:38:27,963 --> 00:38:30,923 Blue barrel is a kind of cactus. 665 00:38:31,049 --> 00:38:33,342 You see many cacti in Jersey? 666 00:38:42,185 --> 00:38:44,186 Wanna see a magic trick? 667 00:38:50,026 --> 00:38:52,903 Oh, no. Where'd it go? Where'd it go? 668 00:38:53,029 --> 00:38:54,279 Is it here? 669 00:38:55,782 --> 00:38:58,033 No. What about here? 670 00:39:00,245 --> 00:39:01,870 There it is. 671 00:39:02,956 --> 00:39:06,166 Oh, that doesn't look anything like a nose. 672 00:39:07,168 --> 00:39:09,253 That wasn't there this morning. 673 00:39:23,852 --> 00:39:27,896 - Get that to the lab and call the CDC. - Tell them what? 674 00:39:28,023 --> 00:39:30,941 That we have a patient with the plague. 675 00:39:32,027 --> 00:39:36,321 - The black plague? - Looks that way. 676 00:39:36,448 --> 00:39:38,282 Plague is carried by rodents, not dogs. 677 00:39:38,408 --> 00:39:42,036 Where there's dogs, there's fleas. If they hail from the Southwest, 678 00:39:42,162 --> 00:39:44,079 then those fleas can't tell the difference 679 00:39:44,205 --> 00:39:46,790 between prairie dogs and puppy dogs. 680 00:39:46,916 --> 00:39:50,961 A small percentage of plague cases present with sleep disturbance. 681 00:39:52,422 --> 00:39:55,674 Imagine an idyllic river of bacteria. 682 00:39:57,177 --> 00:39:59,636 Okay, it's not idyllic for her, but it serves my purposes. 683 00:39:59,763 --> 00:40:01,346 The steroids and immunosuppressants 684 00:40:01,473 --> 00:40:04,767 acted like a big honking dam across the river. Physics 101. 685 00:40:04,893 --> 00:40:07,853 Put a dam up in front of a raging river, the river rises. 686 00:40:07,979 --> 00:40:10,647 By stopping the immunosuppressants, we blew up the dam, 687 00:40:10,774 --> 00:40:13,901 and a 100-foot wall of bacteria flooded her lymph nodes. 688 00:40:14,027 --> 00:40:15,986 We better find out where that dog is now. 689 00:40:16,112 --> 00:40:18,113 After you restart the immunosuppressants, 690 00:40:18,239 --> 00:40:19,948 and fill her up to the eyeballs 691 00:40:20,075 --> 00:40:22,701 with streptomycin sulfate, gentamicin and tetracycline. 692 00:40:22,827 --> 00:40:24,453 Use a garden hose if we've got one. 693 00:40:24,579 --> 00:40:27,623 Get yourselves some prophylactic treatments as well. 694 00:40:29,375 --> 00:40:31,085 I've got the plague? 695 00:40:32,253 --> 00:40:34,713 Don't worry, it's treatable. 696 00:40:34,839 --> 00:40:38,759 Being a bitch, though, nothing we can do about that. 697 00:40:46,684 --> 00:40:48,685 You weren't in your room. 698 00:40:48,812 --> 00:40:51,897 The surgeon said I'd heal faster if I walk. 699 00:40:52,023 --> 00:40:54,066 I got this far, needed a rest. 700 00:40:55,235 --> 00:40:57,903 What you did was crazy, but it was pretty amazing, too. 701 00:40:58,029 --> 00:41:00,405 Yeah. I'm a hero. 702 00:41:03,451 --> 00:41:06,078 She's been planning to leave me. 703 00:41:09,165 --> 00:41:10,958 Really? 704 00:41:11,084 --> 00:41:14,086 She told a friend. The friend let it slip. 705 00:41:17,257 --> 00:41:20,217 You knew, and you gave up half your liver anyway? 706 00:41:23,304 --> 00:41:25,180 She can't leave me now. 707 00:41:29,894 --> 00:41:31,645 You really want her to stay out of guilt? 708 00:41:31,771 --> 00:41:34,022 That's not gonna make either of you happy. 709 00:41:34,149 --> 00:41:36,108 You don't know that. 710 00:41:36,234 --> 00:41:37,693 I love her. 711 00:41:40,321 --> 00:41:42,322 I just want her to stay. 712 00:41:59,465 --> 00:42:01,592 I don't own House's cases. 713 00:42:03,219 --> 00:42:06,221 You had just as much right as I did to write it up. 714 00:42:06,347 --> 00:42:10,350 You should have told me, but I should have handled it better, too. 715 00:42:12,979 --> 00:42:16,023 If we want this not to get in the way of our friendship, 716 00:42:16,149 --> 00:42:20,652 I think we both have to apologize and put it behind us. 717 00:42:24,073 --> 00:42:26,074 I like you, really. 718 00:42:26,201 --> 00:42:28,869 We have a good time working together. 719 00:42:28,995 --> 00:42:31,038 But 10 years from now, 720 00:42:31,164 --> 00:42:34,208 we're not gonna be hanging out and having dinners. 721 00:42:34,334 --> 00:42:36,752 Maybe we'll exchange Christmas cards, say hi, 722 00:42:36,878 --> 00:42:39,796 give a hug if we're at the same conference. 723 00:42:42,050 --> 00:42:44,968 We're not friends. We're colleagues. 724 00:42:48,014 --> 00:42:50,891 And I don't have anything to apologize for.