1 00:00:05,045 --> 00:00:09,936 Shared by http://DJJ.HOME.SAPO.PT/ 2 00:00:05,940 --> 00:00:08,940 Downloaded From www.AllSubs.org 3 00:00:43,015 --> 00:00:43,965 Merry Christmas. 4 00:00:45,266 --> 00:00:46,466 And a happy go to hell. 5 00:00:48,028 --> 00:00:49,928 What's he doing here? Is he with you? 6 00:00:51,691 --> 00:00:53,041 Detective Tritter and I... 7 00:00:54,420 --> 00:00:55,520 we worked out a deal. 8 00:00:56,297 --> 00:00:58,547 Already got a lawyer. Get out of my office. 9 00:01:01,017 --> 00:01:03,417 I told him I didn't write those prescriptions. 10 00:01:05,120 --> 00:01:06,170 I spoke with the DA. 11 00:01:07,680 --> 00:01:11,480 He agreed to two months in a rehab facility in exchange for a guilty plea. 12 00:01:13,355 --> 00:01:14,450 Get out of my office. 13 00:01:15,513 --> 00:01:16,816 - No jail time. - Right. 14 00:01:16,929 --> 00:01:18,990 I should get locked up in some place I don't belong 15 00:01:18,996 --> 00:01:21,846 in order to avoid getting locked up in some other place I don't belong. 16 00:01:21,849 --> 00:01:24,351 I got you on forgery and fraud. Enough drugs to... 17 00:01:24,357 --> 00:01:26,021 No sanctions to the medical board. 18 00:01:26,317 --> 00:01:28,282 And you get your car back and your bank accounts 19 00:01:28,296 --> 00:01:30,200 and your precious tumor-ridden patients. 20 00:01:30,207 --> 00:01:33,453 - I did this to help you. - Next Christmas, buy me a sweater. 21 00:01:33,806 --> 00:01:35,252 You punched out an employee. 22 00:01:35,285 --> 00:01:38,073 You nearly cut a little girl in half because you were too strung out... 23 00:01:38,075 --> 00:01:39,192 I was in pain! 24 00:01:44,155 --> 00:01:45,913 You need to believe that I've got a problem 25 00:01:45,916 --> 00:01:48,560 so that your betrayal has the illusion of nobility. 26 00:01:49,095 --> 00:01:51,293 - But you just selfishly... - Knock it off. 27 00:01:51,597 --> 00:01:54,621 Look, I don't care why Dr. Wilson is doing this. 28 00:01:55,485 --> 00:01:58,151 And right now, it makes no difference to you either. 29 00:01:58,156 --> 00:02:01,252 You need to deal with the reality of your current situation. 30 00:02:01,886 --> 00:02:04,633 You want to stand on principle, you end up in a cell. 31 00:02:05,078 --> 00:02:07,522 And you end up never practicing medicine again. 32 00:02:09,736 --> 00:02:11,081 So you've got two choices. 33 00:02:11,167 --> 00:02:12,113 Your principles 34 00:02:12,337 --> 00:02:13,282 or your life. 35 00:02:22,088 --> 00:02:23,180 Get out of my office. 36 00:02:29,428 --> 00:02:31,021 The DA put a clock on the deal. 37 00:02:32,146 --> 00:02:33,793 You've got three days to decide. 38 00:02:43,748 --> 00:02:48,240 FRM - jh26 39 00:03:15,866 --> 00:03:17,493 House! Just give me a minute. 40 00:03:18,238 --> 00:03:20,431 - You're afraid of the pain. - You're not? 41 00:03:21,935 --> 00:03:23,830 You can still have pain meds in rehab. 42 00:03:23,837 --> 00:03:26,073 - Tramadol, gabapentin... - Those don't work. 43 00:03:26,075 --> 00:03:28,383 They will once you're weaned off the Vicodin. 44 00:03:28,387 --> 00:03:30,851 Look, there's Jesus. Better go tell the Romans. 45 00:03:31,356 --> 00:03:32,351 Fine, run to Cuddy. 46 00:03:33,155 --> 00:03:35,603 You don't think she's gonna support me on this? 47 00:03:40,907 --> 00:03:44,403 Well, the stitches are healing nicely. There's no sign of infection. 48 00:03:48,807 --> 00:03:49,751 Sorry. 49 00:03:50,685 --> 00:03:52,703 Just need her for a tiny moment. 50 00:03:53,726 --> 00:03:54,980 Small favor. 51 00:03:56,436 --> 00:03:57,383 Pills. 52 00:03:57,857 --> 00:03:59,631 - Who's the wit? - Doctor. 53 00:03:59,878 --> 00:04:02,173 Don't worry. I'll be firing him soon. 54 00:04:02,817 --> 00:04:03,991 Wait in my office. 55 00:04:04,995 --> 00:04:07,491 Incision looks just big enough for a chest tube. 56 00:04:07,616 --> 00:04:10,483 Collapsed lung? Someone mistake you for a piñata? 57 00:04:10,907 --> 00:04:14,402 Delightful. Usually we just get the elf jokes this time of year. 58 00:04:15,617 --> 00:04:16,590 No on trauma. 59 00:04:17,766 --> 00:04:18,950 Negative PPD. 60 00:04:19,935 --> 00:04:21,581 What flavor dwarfs are you guys? 61 00:04:21,795 --> 00:04:24,593 My daughter and I both have cartilage hair hypoplasia. 62 00:04:25,017 --> 00:04:26,901 Think you can make a pun out of that? 63 00:04:26,917 --> 00:04:29,590 Yes, but I don't want to be insensitive. 64 00:04:30,635 --> 00:04:33,021 She's got a bit of a short fuse, isn't she? 65 00:04:33,307 --> 00:04:35,191 It's a bleb. Wait in my office. 66 00:04:35,278 --> 00:04:37,322 Bleb's not a diagnosis. It's an evasion. 67 00:04:37,355 --> 00:04:39,181 We'll schedule an MRI to make sure. 68 00:04:39,656 --> 00:04:42,303 But a certain number of these cases are idiopathic. 69 00:04:42,306 --> 00:04:46,300 Let me translate that into Tolkien for you guys. Means Dr. Cuddy's got no idea 70 00:04:46,387 --> 00:04:49,151 why your daughter's lung suddenly popped like a balloon. 71 00:04:49,158 --> 00:04:50,102 You think you do? 72 00:04:52,917 --> 00:04:55,043 Give me her chart. And my pills. 73 00:04:58,286 --> 00:04:59,360 Santa needs us. 74 00:05:03,297 --> 00:05:04,693 Did you get that looked at? 75 00:05:05,956 --> 00:05:06,900 I'm fine. 76 00:05:07,787 --> 00:05:12,161 Great. I just admitted a cartilage hair hypoplasia dwarf. 15 years old... 77 00:05:12,325 --> 00:05:13,470 What are you gonna do? 78 00:05:14,038 --> 00:05:17,330 I thought I'd get your theories, mock them, then embrace my own. 79 00:05:17,395 --> 00:05:18,191 The usual. 80 00:05:18,195 --> 00:05:19,491 Wilson told us he ratted. 81 00:05:20,588 --> 00:05:22,180 Your choice of verb, I take it. 82 00:05:22,267 --> 00:05:24,011 It's appropriate. He betrayed you. 83 00:05:24,627 --> 00:05:26,640 And you should take the deal. 84 00:05:27,755 --> 00:05:31,563 Unexplained lung collapse and anemia. Cuddy thinks it's idiopathic. 85 00:05:31,816 --> 00:05:34,923 "Cuddy" and "idiop" being the relevant parts of that sentence. 86 00:05:34,926 --> 00:05:37,232 Well, I'd say TB, but Cuddy's already ruled it out. 87 00:05:37,248 --> 00:05:39,350 Then you'd be just as big an "idiop" as her. 88 00:05:39,356 --> 00:05:40,790 Don't you people know your dwarves? 89 00:05:40,795 --> 00:05:42,882 There are over 200 varieties of dwarfism, 90 00:05:42,896 --> 00:05:44,582 each with different medical complications. 91 00:05:44,587 --> 00:05:47,393 You can't expect us to be intimately familiar with all of them. 92 00:05:47,395 --> 00:05:50,841 - The sick dwarves sure expect you to. - Cartilage hair hypoplasia. 93 00:05:50,987 --> 00:05:52,801 They have compromises immune systems. 94 00:05:52,808 --> 00:05:54,053 Gold star for Cameron. 95 00:05:54,965 --> 00:05:57,663 For extra credit, explain to the special needs section of the class 96 00:05:57,667 --> 00:06:00,062 why our patient's negative TB test is irrelevant. 97 00:06:00,066 --> 00:06:03,083 A PDD involves planting a fragment of TB under the skin to see 98 00:06:03,088 --> 00:06:06,390 if the immune system recognizes it. Because of a compromised immune system, 99 00:06:06,395 --> 00:06:08,682 our patient could have TB but not recognize it. 100 00:06:08,687 --> 00:06:10,083 The little people love you. 101 00:06:11,027 --> 00:06:13,220 Let's go see a dwarf about a gallium scan. 102 00:06:17,215 --> 00:06:20,061 Gallium is a radioactive isotope. It travels through your veins 103 00:06:20,066 --> 00:06:23,462 allowing us to see any bright spots that might indicate infection. 104 00:06:25,018 --> 00:06:28,032 I'm 4'1". That's 1.5 canes in metric. 105 00:06:29,715 --> 00:06:31,563 You don't look a day over four feet. 106 00:06:33,376 --> 00:06:35,841 I saw in the file that her dad was normal-sized. 107 00:06:35,847 --> 00:06:36,901 It's average-sized. 108 00:06:37,388 --> 00:06:39,332 Compared to you, I'm sure it was huge. 109 00:06:39,876 --> 00:06:41,010 So did he have a fetish, 110 00:06:41,015 --> 00:06:43,863 or did he just fall in love with your long-legged soul? 111 00:06:44,226 --> 00:06:47,022 He grew up in the circus. Said I reminded him of home. 112 00:06:47,875 --> 00:06:50,073 Seems like you're the one with the fetish. 113 00:06:50,305 --> 00:06:52,503 I'm certainly curious about the logistics. 114 00:06:52,878 --> 00:06:55,061 - Did you stand on a table? - House. 115 00:06:56,798 --> 00:06:59,211 Pretty much he lay flat and spin me. 116 00:06:59,808 --> 00:07:00,750 Mom! 117 00:07:01,977 --> 00:07:04,671 So, Abigail, you want to hop up on the table for me? 118 00:07:06,196 --> 00:07:07,461 That's gonna be tough. 119 00:07:08,137 --> 00:07:10,781 Oh, I'm sorry. Uh, let me give you a boost. 120 00:07:11,787 --> 00:07:13,453 Stop treating her like she's five. 121 00:07:13,456 --> 00:07:15,690 Just bring over a stool and let her climb up herself. 122 00:07:15,696 --> 00:07:16,660 Mom, it's okay. 123 00:07:17,587 --> 00:07:19,233 I was just trying to be helpful. 124 00:07:21,495 --> 00:07:22,963 She also hates Jews. 125 00:07:24,127 --> 00:07:27,823 I've dealt with worse. Being different, you get used to people's idiocy. 126 00:07:28,078 --> 00:07:30,770 Still beats the hell out of actually being an idiot. 127 00:07:33,558 --> 00:07:34,502 What? 128 00:07:35,878 --> 00:07:37,020 Care to go for a spin? 129 00:07:42,958 --> 00:07:45,700 What the hell were you thinking? You didn't think ratting out 130 00:07:45,707 --> 00:07:49,102 this hospital's best doctor merited checking with your boss first? 131 00:07:49,255 --> 00:07:51,270 I didn't rat him out. I got him a deal. 132 00:07:51,395 --> 00:07:53,642 - Which he'll never take. - He will if we... 133 00:07:53,667 --> 00:07:56,942 How long have you known House? Did you think he'd suddenly become reasonable? 134 00:07:56,947 --> 00:07:59,460 I made the deal. It's done. You can either keep yelling at me, 135 00:07:59,468 --> 00:08:01,420 or you can help me avoid a complete disaster. 136 00:08:01,427 --> 00:08:03,720 It already is gonna be a complete disaster. 137 00:08:03,875 --> 00:08:06,570 He's not gonna take the deal. He's gonna go to jail. 138 00:08:06,646 --> 00:08:09,043 Because he's a child. He's too stubborn. 139 00:08:09,148 --> 00:08:12,943 When a child misbehaves, what do you do? You take away something he loves. 140 00:08:13,335 --> 00:08:14,893 We can't take away his Vicodin. 141 00:08:14,896 --> 00:08:17,433 Not only will he be in pain, he'll start to detox. 142 00:08:17,717 --> 00:08:20,742 And we tell him the only way to get the pills back is to take the deal. 143 00:08:20,746 --> 00:08:23,132 - He won't be able to function. - That's the point. 144 00:08:23,137 --> 00:08:25,081 You gonna explain that to his patient? 145 00:08:27,037 --> 00:08:28,230 What choice do we have? 146 00:08:35,033 --> 00:08:37,196 Gallium scan shows no bright spots of any kind. 147 00:08:37,199 --> 00:08:39,170 Means it's not TB or any other infection. 148 00:08:39,176 --> 00:08:42,246 There's no bright spots because the whole thing's too bright. 149 00:08:42,249 --> 00:08:43,343 Except for the liver. 150 00:08:44,156 --> 00:08:47,000 The tech overexposed the image a bit, but it's nothing. 151 00:08:47,285 --> 00:08:48,380 The liver looks fine. 152 00:08:48,425 --> 00:08:49,523 Could be lung cancer. 153 00:08:50,197 --> 00:08:53,092 Tumor causes structural damage. Lung caves in on itself. 154 00:08:53,197 --> 00:08:54,491 Also explains the anemia. 155 00:08:54,557 --> 00:08:56,401 Doesn't explain the liver problem, though. 156 00:08:56,408 --> 00:08:58,712 Her lung collapsed. There is no liver problem. 157 00:08:58,716 --> 00:09:00,370 You guys look at the liver on this thing? 158 00:09:00,376 --> 00:09:03,132 - There's no liver problem. - Seriously, look at the liver. 159 00:09:03,138 --> 00:09:04,963 - There's nothing there. - Why not? 160 00:09:05,077 --> 00:09:06,461 - Because there's nothing wrong. 161 00:09:06,467 --> 00:09:09,572 Every organ in the scan is lit up like a 100-watt bulb. 162 00:09:10,016 --> 00:09:13,512 Except for her liver, which is hovering around 60 watts. 163 00:09:13,735 --> 00:09:16,241 And not one of them good 60-watters, but an energy saving... 164 00:09:16,248 --> 00:09:19,052 You're saying her liver's shutting down because the lighting is off? 165 00:09:19,056 --> 00:09:20,672 You just don't want a cancer diagnosis 166 00:09:20,675 --> 00:09:22,452 because then you'd have to deal with Wilson. 167 00:09:22,536 --> 00:09:26,852 Lung cancer is a lame diagnosis. Avoiding Wilson is an added bonus. 168 00:09:27,306 --> 00:09:28,502 House, we need to talk. 169 00:09:28,976 --> 00:09:31,242 Not taking the deal. Glad we talked. 170 00:09:32,028 --> 00:09:33,122 Ultrasound her liver. 171 00:09:34,146 --> 00:09:35,090 Sit down. 172 00:09:35,836 --> 00:09:36,782 Stand up. 173 00:09:37,395 --> 00:09:38,341 Your turn. 174 00:09:38,616 --> 00:09:40,011 House, you're off the case. 175 00:09:40,478 --> 00:09:43,782 Your treatment privileges are suspended until you accept Tritter's deal. 176 00:09:43,785 --> 00:09:45,631 Well, I'm obviously not gonna take the deal 177 00:09:45,635 --> 00:09:47,650 just so I can have the fun of treating a dwarf. 178 00:09:47,657 --> 00:09:49,913 So I assume there's more to this threat. 179 00:09:50,337 --> 00:09:52,080 I'm also cutting off your Vicodin. 180 00:09:52,396 --> 00:09:53,212 That could work. 181 00:09:53,226 --> 00:09:55,760 I'm taking over as attending. Get an MRI of her lungs. 182 00:09:55,768 --> 00:09:57,052 This is not lung cancer. 183 00:09:57,265 --> 00:10:00,201 We'll find out as soon as we MRI her lungs. 184 00:10:06,978 --> 00:10:09,320 You're gonna come begging me to save this girl 185 00:10:09,327 --> 00:10:11,523 long before I come begging your for pills. 186 00:10:12,408 --> 00:10:13,350 I hope not. 187 00:10:14,676 --> 00:10:15,720 For everyone's sake. 188 00:10:22,265 --> 00:10:24,301 - This is wrong. - Cutting House off? 189 00:10:24,906 --> 00:10:26,702 Might not work, but it's not wrong. 190 00:10:27,045 --> 00:10:28,343 Bone windows looks clean. 191 00:10:31,257 --> 00:10:33,401 Abigail, we need you to hold still, okay? 192 00:10:33,568 --> 00:10:34,510 Can I come out? 193 00:10:35,098 --> 00:10:37,293 Just hang in there two more minutes and we'll be done. 194 00:10:37,308 --> 00:10:38,251 Okay. 195 00:10:38,477 --> 00:10:40,322 Because it's effective doesn't make it right. 196 00:10:40,325 --> 00:10:43,603 Cuddy's bending the rules to get a patient to do the right thing. 197 00:10:44,306 --> 00:10:47,192 - Who'd work for a doctor like that? - And the ends justify the means? 198 00:10:47,195 --> 00:10:49,593 If the ends involve us keeping our jobs, sure. 199 00:10:50,368 --> 00:10:52,823 Lung parenchyma is clean. No masses. 200 00:10:53,408 --> 00:10:54,500 It's not lung cancer. 201 00:10:56,167 --> 00:10:57,283 Abigail, you okay? 202 00:11:06,375 --> 00:11:08,273 House was right. Her liver's failing. 203 00:11:08,425 --> 00:11:11,720 Endoscopy confirmed the vomiting was cause by variceal bleeding. 204 00:11:11,806 --> 00:11:14,783 Bloodwork also confirms House's hypothesis... 205 00:11:14,875 --> 00:11:17,821 I get it. House was right. It's the liver. Let's move on. 206 00:11:17,978 --> 00:11:20,623 What causes liver disease and a collapsed lung? 207 00:11:20,788 --> 00:11:23,881 - Schistosomiasis, the parasite... - There's no eosinophilia. 208 00:11:24,377 --> 00:11:26,973 - Cirrhosis could explain... - Could be a hepatoma. 209 00:11:28,098 --> 00:11:30,313 She's 15. It's not liver cancer. 210 00:11:31,297 --> 00:11:32,343 It's not unheard of. 211 00:11:33,005 --> 00:11:35,301 Cirrhosis fits better. The question is, what caused it? 212 00:11:35,307 --> 00:11:38,300 - Could be hepatitis, Budd-Chiari. - Or drugs and alcohol. 213 00:11:38,828 --> 00:11:41,681 If anyone has a reason to dull the pain, it's a teenage dwarf. 214 00:11:41,687 --> 00:11:43,101 I'll do a liver biopsy to confirm. 215 00:11:43,106 --> 00:11:45,853 I'll search the patient's home for drugs and alcohol. 216 00:11:48,185 --> 00:11:49,130 Cameron, 217 00:11:49,445 --> 00:11:50,391 you got a moment? 218 00:11:57,367 --> 00:11:59,263 What exactly is your problem with me? 219 00:12:01,175 --> 00:12:02,672 Hepatoma is a weak diagnosis. 220 00:12:03,068 --> 00:12:06,311 - So this is all about the case? - What else would it be about? 221 00:12:08,828 --> 00:12:11,383 I made this deal to help him. 222 00:12:12,078 --> 00:12:13,972 And helped yourself at the same time. 223 00:12:14,068 --> 00:12:16,960 This is not about my practice. This is not about my car. 224 00:12:17,105 --> 00:12:20,211 I gave both of them up to help House, and I would've gone on without them 225 00:12:20,215 --> 00:12:23,520 if hadn't almost maimed that little girl and if he hadn't punched out Chase. 226 00:12:23,528 --> 00:12:24,670 Was it an easy choice? 227 00:12:25,418 --> 00:12:27,572 Of course not, but it's right. 228 00:12:27,776 --> 00:12:29,023 Then why wasn't it easy? 229 00:12:30,017 --> 00:12:31,891 Because he's my friend. It's 230 00:12:32,727 --> 00:12:35,021 - obviously complicated. - It's complicated? 231 00:12:35,335 --> 00:12:38,991 When you decided to talk to Tritter, your life got a million times better. 232 00:12:38,996 --> 00:12:40,493 How do you separate that out? 233 00:12:41,385 --> 00:12:44,741 How do you pretend your windfall isn't relevant to this decision? 234 00:12:48,228 --> 00:12:50,101 It was the right thing to do. 235 00:12:50,768 --> 00:12:53,910 You pretending your motives are pure is why I have a problem. 236 00:13:07,408 --> 00:13:09,261 - Where's Cuddy? - In this drawer. 237 00:13:09,608 --> 00:13:10,750 It's a rescue mission. 238 00:13:11,107 --> 00:13:13,302 But I got it under control. You can leave. 239 00:13:15,427 --> 00:13:17,360 You were right about the liver failure. 240 00:13:17,368 --> 00:13:20,110 Patient had variceal bleeding which suggested cirrhosis, but... 241 00:13:20,116 --> 00:13:21,060 Off the clock. 242 00:13:21,615 --> 00:13:23,603 You predicted this. You obviously saw something. 243 00:13:23,606 --> 00:13:24,550 Obviously. 244 00:13:25,238 --> 00:13:27,153 Liver biopsy was negative for cirrhosis. 245 00:13:27,157 --> 00:13:29,471 But it shows sclerosing cholangitis. 246 00:13:30,158 --> 00:13:33,151 Even weirder, there's no increase in alkaline phosphatase. 247 00:13:33,378 --> 00:13:36,572 Medical mystery. Sounds like the kind of thing I'd be good at. 248 00:13:40,187 --> 00:13:43,221 Breaking and entering. Sounds like the kind of thing you'd be good at. 249 00:13:43,225 --> 00:13:46,071 I take it that's where Cuddy's been keeping your pills. 250 00:13:47,268 --> 00:13:48,733 One theory, one drawer. 251 00:13:54,788 --> 00:13:55,730 Really? 252 00:13:56,017 --> 00:13:58,762 I thought you'd be all for this "torture House plan." 253 00:13:58,765 --> 00:14:00,313 It works, therefore it's good. 254 00:14:00,315 --> 00:14:02,343 On the other hand, I don't want to talk you out 255 00:14:02,348 --> 00:14:05,793 of this deal by pointing out your hypocrisy, so patient's life at stake... 256 00:14:07,378 --> 00:14:10,811 Forget about the specific nature of the liver dysfunction. It's irrelevant. 257 00:14:10,818 --> 00:14:13,872 The dwarf's problem is global. That's why the gallium scan was bright. 258 00:14:13,878 --> 00:14:16,651 And it's gonna spread throughout her entire body unless you stop it. 259 00:14:16,655 --> 00:14:19,901 If that were true, more than lungs and liver would be affected. 260 00:14:20,158 --> 00:14:21,100 They will be. 261 00:14:21,207 --> 00:14:24,453 It'll spread though the biliary tree and hit her pancreas next. 262 00:14:24,716 --> 00:14:26,922 Stop retracing your steps. Get ahead of it. 263 00:14:26,935 --> 00:14:30,181 Forget the liver and focus on the pancreas. 'Cause after that... 264 00:14:30,215 --> 00:14:32,471 Actually, after that doesn't really matter what it hits 265 00:14:32,477 --> 00:14:34,842 because pretty much all roads lead to a dead dwarf. 266 00:14:36,965 --> 00:14:39,171 I get why you don't want to go to rehab. 267 00:14:40,117 --> 00:14:42,811 But only an idiot goes to prison for being stubborn. 268 00:14:42,836 --> 00:14:45,900 Only an idiot stands between Ahab and his whale. 269 00:14:46,087 --> 00:14:47,033 Move. 270 00:14:57,656 --> 00:14:58,603 Sorry. 271 00:15:07,615 --> 00:15:08,591 Santa's got gifts. 272 00:15:09,976 --> 00:15:12,760 Olive oil wasn't in the kitchen. It was in the medicine cabinet. 273 00:15:12,766 --> 00:15:14,162 Home remedy for ear infections. 274 00:15:14,167 --> 00:15:16,551 Ear infections are fairly typical among CHH dwarfs. 275 00:15:16,556 --> 00:15:17,960 Or it's a symptom. 276 00:15:18,255 --> 00:15:20,430 Certainly wouldn't indicate a pancreatic problem. 277 00:15:20,435 --> 00:15:22,331 Or House is wrong and it's a symptom. 278 00:15:23,347 --> 00:15:24,292 Laxatives. 279 00:15:24,357 --> 00:15:26,902 I don't think they were used to maintain her girlish figure. 280 00:15:26,908 --> 00:15:28,702 Again, intestinal problems are common... 281 00:15:28,707 --> 00:15:30,202 Again, it might be a symptom. 282 00:15:30,995 --> 00:15:33,661 And glucosamine suggests chronic joint pain... 283 00:15:33,775 --> 00:15:36,473 Who ordered the Alpha-1 antitrypsin deficiency test? 284 00:15:36,745 --> 00:15:37,691 I did. 285 00:15:38,057 --> 00:15:39,690 You think the problem's in her pancreas? 286 00:15:39,697 --> 00:15:42,443 Well, I think it will be. I think we need to forget about the liver. 287 00:15:42,445 --> 00:15:45,511 We just forgot about the lungs. Now we need to forget about the liver? 288 00:15:45,517 --> 00:15:47,511 We need to stop retracing our steps and 289 00:15:47,786 --> 00:15:49,030 get ahead of this thing. 290 00:15:50,527 --> 00:15:52,521 House, you've tanned. 291 00:15:53,406 --> 00:15:55,242 You don't think I could've come up with this? 292 00:15:55,256 --> 00:15:56,200 Did you? 293 00:15:56,618 --> 00:15:59,300 You suspended House because it'd be dangerous having him in charge, 294 00:15:59,305 --> 00:16:00,332 but getting his opinion... 295 00:16:00,336 --> 00:16:01,660 I'm sure he gave you that opinion 296 00:16:01,748 --> 00:16:03,910 simply because he was worried about the patient. 297 00:16:03,916 --> 00:16:06,900 Just because House wants his pills doesn't mean his theory is wrong. 298 00:16:06,916 --> 00:16:09,762 No, the test results mean that. Your test was negative. 299 00:16:10,386 --> 00:16:12,742 And the biopsy indicated severe duct inflammation. 300 00:16:12,755 --> 00:16:15,603 Do an ERCP to check the liver for bile duct cancer. 301 00:16:15,767 --> 00:16:18,823 Just because it wasn't Alpha-1 doesn't mean the pancreas isn't next. 302 00:16:18,828 --> 00:16:20,901 You needed an organ. He needed a fix. 303 00:16:21,517 --> 00:16:25,273 He'd have made up any story for a pill. You didn't give him anything, did you? 304 00:16:25,275 --> 00:16:26,223 No. 305 00:16:35,457 --> 00:16:38,051 There's no bruise or nothing, but it really hurts. 306 00:16:38,658 --> 00:16:40,460 Unfortunately, that pain and lack of 307 00:16:40,468 --> 00:16:42,602 bruising is typical of a zygomatic break. 308 00:16:43,795 --> 00:16:44,741 That sounds bad. 309 00:16:45,507 --> 00:16:49,051 Bones are aligned properly. Which ER did you go to after the car accident? 310 00:16:49,057 --> 00:16:50,150 Princeton Plainsboro. 311 00:16:50,975 --> 00:16:52,270 Here's my discharge slip. 312 00:16:53,566 --> 00:16:54,510 Okay. 313 00:16:54,527 --> 00:16:56,923 Gonna get you some acetaminophen with codeine. 314 00:16:57,208 --> 00:16:59,380 I tried that, and it makes me nauseous. 315 00:17:00,937 --> 00:17:05,053 There's a drug called gabapentin which is good for certain kinds of pains. 316 00:17:05,185 --> 00:17:07,233 Great, 'cause I haven't slept in days. 317 00:17:07,615 --> 00:17:10,213 Gabapentin's not really gonna help with the sleep. 318 00:17:11,565 --> 00:17:13,610 Is there something else you can give me? 319 00:17:15,838 --> 00:17:18,030 Vicodin's your best bet with sleep issues. 320 00:17:18,875 --> 00:17:19,820 Thanks so much. 321 00:17:19,867 --> 00:17:23,461 Unfortunately, our policy forbids prescribing opiates to new patients. 322 00:17:24,238 --> 00:17:26,932 How can a clinic have a rule against relieving pain? 323 00:17:27,045 --> 00:17:30,073 Just with opiates. We find that it helps weed out drug seekers. 324 00:17:30,126 --> 00:17:31,410 You think I'm a drug seeker? 325 00:17:31,487 --> 00:17:33,573 - I'm not saying that. - Then give me the Vicodin. 326 00:17:33,575 --> 00:17:36,151 - I can't. - Because you think I'm a drug seeker. 327 00:17:36,188 --> 00:17:37,730 - I just said I didn't. - No, 328 00:17:37,948 --> 00:17:40,543 you said that the policy was to stop drug seeking. 329 00:17:40,718 --> 00:17:43,711 Then you said I'm not a drug seeker. Policy doesn't apply. 330 00:17:43,718 --> 00:17:45,212 I'm sorry. That's the policy. 331 00:17:46,388 --> 00:17:50,120 Gabapentin works on nerve damage. You're prescribing it for a broken face. 332 00:17:50,127 --> 00:17:52,491 Might as well hand out Band-Aids for a severed carotid. 333 00:17:52,498 --> 00:17:53,442 You're a doctor. 334 00:17:53,667 --> 00:17:54,921 Not by this clinic's definition 335 00:17:54,927 --> 00:17:57,372 since I'm neither a moron nor a mindless drone. 336 00:17:58,226 --> 00:17:59,581 - Security. - Forget it. 337 00:17:59,988 --> 00:18:01,130 I'll throw myself out. 338 00:18:06,836 --> 00:18:09,702 That tube is going all the way down to my liver? 339 00:18:10,266 --> 00:18:11,860 Don't worry. You'll be sedated. 340 00:18:12,568 --> 00:18:15,652 Sometimes doctors have to do things that make people uncomfortable 341 00:18:15,658 --> 00:18:17,632 - to help them. - But we always want 342 00:18:17,776 --> 00:18:21,470 to respect the patient's wishes and not shove things down their throats. 343 00:18:24,477 --> 00:18:25,421 Foreman. 344 00:18:27,688 --> 00:18:29,142 You haven't given her the sedative. 345 00:18:29,146 --> 00:18:30,090 No. 346 00:18:30,595 --> 00:18:31,543 Abigail! 347 00:18:32,656 --> 00:18:33,600 Abigail! 348 00:18:33,827 --> 00:18:34,772 She's unconscious. 349 00:18:35,696 --> 00:18:36,640 Check her airway. 350 00:18:38,785 --> 00:18:39,732 Airway's clear. 351 00:18:40,228 --> 00:18:43,322 - Her breath smells fruity. - Diabetic ketoacidosis. 352 00:18:43,987 --> 00:18:47,642 Hang an insuline drip at.1 migs per kig per hour. Pancreas is failing. 353 00:18:48,086 --> 00:18:49,533 You ready to call House yet? 354 00:18:57,965 --> 00:19:00,560 You were right. The patient's pancreas is failing. 355 00:19:01,695 --> 00:19:03,390 Told you you'd come begging me for help. 356 00:19:03,406 --> 00:19:05,850 Her insulin production is almost non-existent... 357 00:19:07,746 --> 00:19:09,842 Give me my pills or lose an arm. 358 00:19:09,995 --> 00:19:11,961 - The girl is dying. - So give me my pills. 359 00:19:11,965 --> 00:19:13,261 Take the deal and I will. 360 00:19:15,526 --> 00:19:18,132 You'd rather kill this girl than give me my pills. 361 00:19:19,518 --> 00:19:21,391 I would rather lose one patient now 362 00:19:21,906 --> 00:19:24,602 than the dozens we will lose while you're in prison. 363 00:19:27,018 --> 00:19:30,342 Well, have fun explaining that to her itsy-bitsy grieving mother. 364 00:19:35,408 --> 00:19:38,173 What if we sacrifice this girl and House still goes to jail? 365 00:19:38,178 --> 00:19:40,302 I'd feel bad. Can we get on with this? 366 00:19:40,777 --> 00:19:44,051 House correctly predicted the spread. Means we've got a global systemic 367 00:19:44,056 --> 00:19:47,672 illness affecting lungs, liver, and pancreas so far. Ideas. 368 00:19:47,785 --> 00:19:50,943 Langerhans cell histiocytosis attacks multiple organ systems. 369 00:19:51,087 --> 00:19:53,013 Histiocytosis usually starts in the brain, 370 00:19:53,016 --> 00:19:54,542 then moves to the internal organs. 371 00:19:54,548 --> 00:19:56,893 Abigail's brain is fine. Cystic fibrosis. 372 00:19:57,195 --> 00:19:59,651 Exocrine function is normal. Hodgkins lymphoma. 373 00:19:59,848 --> 00:20:02,352 It's a systemic cancer which her dwarfism predisposes her to. 374 00:20:02,356 --> 00:20:04,343 - Any ideas that aren't cancer? - Cancer fits. 375 00:20:04,348 --> 00:20:07,161 Autoimmune fits better. We should treat her with prednisone for lupus. 376 00:20:07,167 --> 00:20:09,480 That'll spike her blood sugar and put her back in a coma. 377 00:20:09,487 --> 00:20:11,713 It's much safer just to run a double-stranded DNA test. 378 00:20:11,715 --> 00:20:13,762 Not if she dies before we get the results. 379 00:20:14,245 --> 00:20:15,621 One of you is probably right. 380 00:20:15,627 --> 00:20:18,061 Why don't we hold the sniping until we find out which? 381 00:20:18,065 --> 00:20:22,313 Wilson, do an LP for lymphoma. You guys, run an antibody test for lupus. 382 00:20:28,546 --> 00:20:31,692 Because of your daughter's dwarfism, we've had to pick a higher entry point 383 00:20:31,697 --> 00:20:33,991 for the lumbar puncture, which increases the risk. 384 00:20:33,998 --> 00:20:35,930 So why not do the lupus test first? 385 00:20:36,116 --> 00:20:39,712 In the interest of time, we think it's best to proceed on both fronts. 386 00:20:40,175 --> 00:20:42,610 You have no idea what's wrong with my daughter. 387 00:20:42,617 --> 00:20:45,513 - We have several theories. - What does Dr. House think? 388 00:20:45,606 --> 00:20:47,541 He's... He had to go home sick. 389 00:20:48,076 --> 00:20:51,320 My daughter may be dying, and he's gone home with the sniffles? 390 00:20:51,478 --> 00:20:52,251 He's not... 391 00:20:52,256 --> 00:20:55,492 He was the only one who seemed to have any idea what was wrong with her. 392 00:20:55,495 --> 00:20:57,040 He better be really damn sick. 393 00:20:58,146 --> 00:20:59,090 He is. 394 00:21:03,756 --> 00:21:05,400 Unless you got Vicodin, go away. 395 00:21:07,067 --> 00:21:08,450 House, it's me. I, uh... 396 00:21:12,458 --> 00:21:13,400 Oh, God. 397 00:21:15,775 --> 00:21:17,272 - I don't have... - No pills, 398 00:21:18,315 --> 00:21:19,263 no egg nog. 399 00:21:22,267 --> 00:21:23,612 What happened to your arm? 400 00:21:25,295 --> 00:21:26,241 Cut myself. 401 00:21:31,715 --> 00:21:33,362 Wilson was wrong about lymphoma. 402 00:21:33,728 --> 00:21:36,252 Kid's not losing any weight, no night sweats. 403 00:21:36,967 --> 00:21:38,422 - Cuddy send you? - No, 404 00:21:39,046 --> 00:21:41,291 she doesn't trust me not to give you pills. 405 00:21:42,855 --> 00:21:43,801 Is she right? 406 00:21:44,468 --> 00:21:46,843 House, these cuts are straight in a row. 407 00:21:48,028 --> 00:21:49,272 You did this on purpose. 408 00:21:52,465 --> 00:21:55,802 Cutting releases endorphins. Endorphins relieve pain. 409 00:21:56,515 --> 00:21:57,963 You gonna get me some pills? 410 00:21:59,346 --> 00:22:00,290 No. 411 00:22:01,358 --> 00:22:02,373 Then you can leave. 412 00:22:03,728 --> 00:22:05,631 No constitutional symptoms means... 413 00:22:05,965 --> 00:22:09,073 Soon as the kid gets cured, Cuddy's got no pressure to fold. 414 00:22:10,148 --> 00:22:11,890 You really think she's gonna fold? 415 00:22:18,008 --> 00:22:20,233 Autoimmune fits better than cancer. 416 00:22:21,687 --> 00:22:24,902 But lupus loves kidneys, usually attacks them first. 417 00:22:25,587 --> 00:22:27,380 - Kidneys are fine, right? - Yeah. 418 00:22:30,557 --> 00:22:31,503 Take the deal. 419 00:22:31,805 --> 00:22:33,451 You can survive without Vicodin. 420 00:22:33,565 --> 00:22:36,113 After you were shot, you stayed clean for months. 421 00:22:36,856 --> 00:22:40,250 Yeah, I wonder if it had something to do with the absence of pain. 422 00:22:40,336 --> 00:22:43,582 Leave that. I want to be able to pour alcohol on it so I can distract myself. 423 00:22:43,587 --> 00:22:45,283 Then you can rip off the bandage. 424 00:22:51,598 --> 00:22:54,792 - Kid been sick lately? - There's a history of ear infections. 425 00:22:58,328 --> 00:23:00,442 Say Abigail's immune system 426 00:23:02,155 --> 00:23:03,741 is like a shy guy in a bar. 427 00:23:05,268 --> 00:23:06,463 And the ear infections, 428 00:23:06,738 --> 00:23:08,652 they come in and try to coax him to... 429 00:23:12,235 --> 00:23:13,581 To hell with the metaphor. 430 00:23:13,975 --> 00:23:15,272 You get the point, right? 431 00:23:15,395 --> 00:23:17,133 Nerd gets drunk. Trashes the bar. 432 00:23:17,945 --> 00:23:21,112 One of the autoimmunes triggered by a minor infection. 433 00:23:21,248 --> 00:23:23,992 Factor in her age, elevated sed-rate, anemia... 434 00:23:25,345 --> 00:23:26,602 It's Still's disease. 435 00:23:27,778 --> 00:23:30,621 You start her on prednisone, methotrexate, cyclosporin. 436 00:23:34,875 --> 00:23:35,820 Stop this. 437 00:23:37,305 --> 00:23:38,252 Please. 438 00:24:02,646 --> 00:24:03,590 What'd he say? 439 00:24:03,596 --> 00:24:05,572 Still's disease. It's chronic, but manageable. 440 00:24:05,578 --> 00:24:08,642 A diagnosis that's virtually unconfirmable. And with a treatment 441 00:24:08,648 --> 00:24:11,840 that's more dangerous than what we were considering for lupus. 442 00:24:13,537 --> 00:24:15,912 - How bad is he? - Are you asking because you care, 443 00:24:15,915 --> 00:24:18,861 or because you're wondering whether to trust his opinion? 444 00:24:19,037 --> 00:24:20,822 - Both. - He's detoxing. 445 00:24:21,616 --> 00:24:22,560 In agony. 446 00:24:23,456 --> 00:24:24,853 He started cutting himself. 447 00:24:26,537 --> 00:24:28,201 But he's still House. 448 00:24:31,427 --> 00:24:32,720 I'll order the treatment. 449 00:24:56,038 --> 00:24:57,281 Your plan isn't working. 450 00:24:57,677 --> 00:24:59,460 Two days down, one to go. 451 00:25:01,287 --> 00:25:03,733 Figured I'd show you how much it isn't working. 452 00:25:04,907 --> 00:25:07,200 Yeah, clearly the drugs have no hold on you. 453 00:25:09,348 --> 00:25:13,480 We both know that my pride far surpasses my instinct for self-preservation. 454 00:25:13,976 --> 00:25:16,122 You want to redeem yourself? Give up now. 455 00:25:16,896 --> 00:25:18,041 And you'll go to jail. 456 00:25:19,277 --> 00:25:20,523 I've done nothing wrong. 457 00:25:21,188 --> 00:25:22,332 And you'll go to jail. 458 00:25:24,546 --> 00:25:25,613 Which makes this 459 00:25:25,888 --> 00:25:29,473 your last chance to do me a kindness before ruining my life forever. 460 00:25:32,257 --> 00:25:33,651 The nausea's bad this time. 461 00:25:37,466 --> 00:25:40,813 You can write me a scrip for metoclopramide so I can stop puking. 462 00:25:43,037 --> 00:25:44,532 They'd give me that in rehab. 463 00:25:46,308 --> 00:25:47,753 Then you should go to rehab. 464 00:25:49,065 --> 00:25:50,012 I have a patient. 465 00:26:07,228 --> 00:26:08,603 I'm so sorry for your loss. 466 00:26:08,605 --> 00:26:11,303 I know it's little solace, but he went without pain. 467 00:26:17,488 --> 00:26:19,033 Well, look on the bright side. 468 00:26:19,566 --> 00:26:22,460 At least you don't have to go by Mrs. Zebalusky anymore. 469 00:26:23,657 --> 00:26:24,950 That's gotta be a relief. 470 00:26:25,595 --> 00:26:28,161 - You know this man? - I'm sorry. He's sick... 471 00:26:28,357 --> 00:26:30,350 Did you hear my diagnosis on the dwarf? 472 00:26:30,826 --> 00:26:32,003 Still's disease. 473 00:26:32,418 --> 00:26:34,420 Did you even consider those ear infections, 474 00:26:34,426 --> 00:26:36,621 or you just wrote it off as a dwarf thing? 475 00:26:37,278 --> 00:26:38,270 You sure he's dead? 476 00:26:38,598 --> 00:26:40,391 Dr. Wilson sometimes misses things. 477 00:26:40,717 --> 00:26:44,161 Trying to embarrass me in front of grieving widow crosses lines that even... 478 00:26:44,168 --> 00:26:45,691 Right! I'm pathetic. 479 00:26:47,038 --> 00:26:48,471 I'm strung out, I haven't slept, 480 00:26:48,477 --> 00:26:51,020 puking every hour, and I still out-diagnosed you. 481 00:26:51,248 --> 00:26:53,431 But I'm supposed to let you decide what's best... 482 00:26:55,745 --> 00:26:56,692 Please leave. 483 00:26:59,157 --> 00:27:00,103 Sorry. 484 00:27:01,685 --> 00:27:02,630 I'm done. 485 00:27:11,148 --> 00:27:14,840 You didn't come in here just to embar- rass me. You could do that any time. 486 00:27:17,005 --> 00:27:18,510 Stealing Oxy from a dead man. 487 00:27:19,177 --> 00:27:20,770 Yeah, you don't have a problem. 488 00:27:35,277 --> 00:27:36,223 How's the girl? 489 00:27:36,517 --> 00:27:37,463 Much better. 490 00:27:39,577 --> 00:27:40,523 House was right. 491 00:27:40,825 --> 00:27:41,770 It happens. 492 00:27:43,665 --> 00:27:45,263 I thought we could handle this. 493 00:27:45,887 --> 00:27:47,831 Still's disease never crossed my mind. 494 00:27:48,365 --> 00:27:50,811 Don't beat yourself up. I didn't get it either. 495 00:28:03,615 --> 00:28:05,693 I feel like a mob informant. 496 00:28:07,875 --> 00:28:08,921 You wanna go inside? 497 00:28:10,158 --> 00:28:11,801 Got a cafeteria in there, right? 498 00:28:12,435 --> 00:28:13,562 I can't testify. 499 00:28:16,428 --> 00:28:19,423 Drug addicts hurt the people around them with their habit. 500 00:28:19,945 --> 00:28:22,953 House has hurt plenty of people, you included. 501 00:28:23,416 --> 00:28:24,383 He saves lives. 502 00:28:25,047 --> 00:28:26,743 People that no one else can save. 503 00:28:27,416 --> 00:28:28,363 And 504 00:28:28,956 --> 00:28:30,753 no matter how much of an ass he is, 505 00:28:30,845 --> 00:28:31,792 statistically 506 00:28:32,195 --> 00:28:34,390 House is a positive force in the universe. 507 00:28:35,885 --> 00:28:37,362 The pills let him do that. 508 00:28:37,736 --> 00:28:41,172 Vicodin does not make House a genius. 509 00:28:41,308 --> 00:28:44,641 Whatever he does on the pills, he can do off. 510 00:28:45,367 --> 00:28:46,860 He's just not willing to try. 511 00:28:49,545 --> 00:28:51,801 I won't testify against him. 512 00:28:53,985 --> 00:28:55,230 Then we'll subpoena you. 513 00:28:56,428 --> 00:28:59,183 And your previous statement will be read into evidence. 514 00:28:59,197 --> 00:29:02,732 And you will be charged with interfering with an investigation. 515 00:29:04,765 --> 00:29:06,012 And you will go to jail. 516 00:29:11,996 --> 00:29:13,880 Again, statistically, 517 00:29:14,726 --> 00:29:16,131 better me than him. 518 00:29:16,336 --> 00:29:17,281 Statistically... 519 00:29:18,338 --> 00:29:19,932 the two of you will be in jail. 520 00:29:56,216 --> 00:29:59,260 Dr. Cameron, come quick. There's something wrong with Abby. 521 00:29:59,368 --> 00:30:01,652 Couldn't be too severe. Her cardiac alarm didn't go off. 522 00:30:01,656 --> 00:30:03,451 It's not her heart. She's bleeding. 523 00:30:07,036 --> 00:30:09,162 Picking up a scrip, under Zebalusky. 524 00:30:15,636 --> 00:30:17,912 This is, uh, Dr. Wilson's patient. 525 00:30:18,578 --> 00:30:19,520 Yeah. 526 00:30:20,175 --> 00:30:21,422 Wilson's busy right now. 527 00:30:22,146 --> 00:30:26,183 What with Mr. Zebalusky dying in agony on account of his metastic lung cancer 528 00:30:27,028 --> 00:30:29,262 and not having the pills to relieve that agony 529 00:30:29,265 --> 00:30:31,250 because of some moron pharmacist. 530 00:30:33,635 --> 00:30:34,582 Sign the book. 531 00:31:00,938 --> 00:31:04,691 Bleeding wasn't a ruptured eardrum, ear infection, or bleeding disorder. 532 00:31:05,165 --> 00:31:07,351 Her heart rate's climbing. Blood pressure's dropping. 533 00:31:07,357 --> 00:31:09,703 She's on the verge of a multi-system failure. 534 00:31:10,257 --> 00:31:13,190 Head CT was clean. Means it's not a neurological problem. 535 00:31:13,195 --> 00:31:15,911 - Basically we have nothing. - Cancer is still on the table. 536 00:31:15,917 --> 00:31:18,621 Spinal fluid was negative for lymphoma. What other... 537 00:31:18,717 --> 00:31:20,652 Leukemia. We need to do a bone marrow biopsy. 538 00:31:20,658 --> 00:31:22,462 None of the blood tests suggest leukemia. 539 00:31:22,468 --> 00:31:24,473 Cancer doesn't explain the collapsed lung. 540 00:31:24,477 --> 00:31:26,970 Unless a small clot lead to a pulmonary infarct. 541 00:31:26,975 --> 00:31:28,963 It's a long shot. Autoimmune is way more likely. 542 00:31:28,977 --> 00:31:31,051 It respond to steroids, which we've given her. 543 00:31:31,057 --> 00:31:33,282 And she got better for a while. We stopped it too soon. 544 00:31:33,286 --> 00:31:34,293 Because she crashed. 545 00:31:34,297 --> 00:31:38,041 All we're doing is bouncing back and forth between cancer and autoimmune. 546 00:31:38,885 --> 00:31:40,080 We're going in circles. 547 00:31:47,685 --> 00:31:48,783 Give me half an hour. 548 00:31:58,555 --> 00:31:59,800 Can I have a French fry? 549 00:32:01,545 --> 00:32:02,490 Get your own. 550 00:32:02,685 --> 00:32:04,003 You took the last ones. 551 00:32:06,348 --> 00:32:07,341 What's wrong with you? 552 00:32:07,346 --> 00:32:09,141 I got spinal muscular atrophy. 553 00:32:11,795 --> 00:32:13,142 Guess it's not contagious. 554 00:32:15,186 --> 00:32:16,131 Nice bear. 555 00:32:17,356 --> 00:32:18,303 It's a dog. 556 00:32:19,817 --> 00:32:22,921 It's not Still's. Steroids helped until the patient 557 00:32:23,025 --> 00:32:25,171 started bleeding from the ears and mouth. 558 00:32:26,378 --> 00:32:27,322 That's a bear. 559 00:32:27,857 --> 00:32:29,732 His name is Bill. He's a dog. 560 00:32:31,076 --> 00:32:32,691 You win. You can have Vicodin. 561 00:32:34,245 --> 00:32:36,141 Words have set meanings for a reason. 562 00:32:36,455 --> 00:32:38,962 If you see an animal like Bill and you try to play fetch, 563 00:32:38,966 --> 00:32:41,211 Bill's gonna eat you because Bill's a bear. 564 00:32:41,635 --> 00:32:42,930 Are you on something? 565 00:32:44,596 --> 00:32:46,242 You got your hands on pain meds. 566 00:32:47,187 --> 00:32:49,701 Bill has fur, four legs, and a collar. 567 00:32:50,338 --> 00:32:51,282 He's a dog. 568 00:32:51,985 --> 00:32:53,872 It's between cancer and autoimmune. 569 00:32:54,147 --> 00:32:56,440 See, that's what we call a faulty syllogism. 570 00:32:56,618 --> 00:32:59,661 Just because you call Bill a dog doesn't mean that he is... 571 00:33:02,056 --> 00:33:03,000 a dog. 572 00:33:08,887 --> 00:33:10,582 We gotta x-ray our patient's leg. 573 00:33:14,705 --> 00:33:15,741 Her leg looks fine. 574 00:33:16,458 --> 00:33:17,401 Weird, huh? 575 00:33:17,977 --> 00:33:19,222 Why aren't you detoxing? 576 00:33:19,677 --> 00:33:20,623 Will power. 577 00:33:21,516 --> 00:33:22,462 What... what... 578 00:33:22,676 --> 00:33:24,823 Normal's not normal if you're not normal. 579 00:33:25,635 --> 00:33:26,933 Did you just take a pill? 580 00:33:27,716 --> 00:33:28,663 No. 581 00:33:29,456 --> 00:33:32,442 So how does a dwarf have completely normal growth plates? 582 00:33:32,798 --> 00:33:35,443 It's impossible. We must be missing something. 583 00:33:35,976 --> 00:33:37,523 How many pills have you taken? 584 00:33:37,807 --> 00:33:41,502 Not nearly as many as I'm gonna take. Forgotten how delicious they were. 585 00:33:42,178 --> 00:33:43,511 I didn't give them to him. 586 00:33:43,517 --> 00:33:45,963 Can we forget my vices, get back to my virtues? 587 00:33:46,016 --> 00:33:47,380 We were missing the fact that 588 00:33:47,388 --> 00:33:50,632 just because we called her a dwarf doesn't mean she is a dwarf. 589 00:33:50,835 --> 00:33:52,800 Everyone assumed she was because of her mother. 590 00:33:52,808 --> 00:33:54,902 There's not test for CHH dwarfism. So 591 00:33:55,147 --> 00:33:57,542 she lost an identity, but we gained a symptom. 592 00:33:58,647 --> 00:34:01,661 If she doesn't have skeletal dwarfism, then 593 00:34:01,967 --> 00:34:05,813 her short stature must be caused by growth hormone deficiency. 594 00:34:05,948 --> 00:34:07,850 And something's wrong with her pituitary gland. 595 00:34:07,865 --> 00:34:09,910 And based on her size, it's been wrong for a while. 596 00:34:09,915 --> 00:34:12,842 So what connects a long-term pituitary issue 597 00:34:12,927 --> 00:34:15,473 with problems in the lungs, liver, and pancreas? 598 00:34:16,017 --> 00:34:17,671 Oh, you guys and your bickering. 599 00:34:18,096 --> 00:34:19,632 Cancer versus autoimmune. 600 00:34:19,907 --> 00:34:21,701 Obviously you think it's something else. 601 00:34:21,705 --> 00:34:23,463 Nope. I think it's both. 602 00:34:24,477 --> 00:34:26,572 Langerhans cell histiocytosis. 603 00:34:26,846 --> 00:34:30,470 Also known as, "you got your cancer in my autoimmune" disease. 604 00:34:31,236 --> 00:34:33,580 The immune component responded to the Still's treatment 605 00:34:33,596 --> 00:34:36,382 lead to the short-term improvement. The cancer portion didn't. 606 00:34:36,388 --> 00:34:39,422 We dismissed this earlier because there were no neurological symptoms. 607 00:34:39,426 --> 00:34:41,162 Yeah. It's not your fault. 608 00:34:41,905 --> 00:34:44,250 The only neurological symptom was her height. 609 00:34:44,687 --> 00:34:45,780 Who could've noticed? 610 00:34:56,138 --> 00:34:57,633 This is your pituitary gland. 611 00:34:57,995 --> 00:35:00,591 And this is the granuloma that's been crushing it. 612 00:35:00,796 --> 00:35:04,753 No pituitary equals no growth hormone equals about that much. 613 00:35:06,136 --> 00:35:07,092 She's not a dwarf? 614 00:35:07,925 --> 00:35:09,512 Just hormonally challenged. 615 00:35:10,627 --> 00:35:11,573 What about my mom? 616 00:35:11,968 --> 00:35:13,261 Your mom's the real deal. 617 00:35:13,595 --> 00:35:15,442 But you're just a tiny little poser. 618 00:35:16,027 --> 00:35:18,462 Your recent ear infections caused your body to release 619 00:35:18,467 --> 00:35:20,901 a cascade of the same cells that made the granuloma. 620 00:35:20,905 --> 00:35:23,181 They attacked your lungs, moved down to your liver, 621 00:35:23,186 --> 00:35:25,081 then hitched a ride over to your pancreas. 622 00:35:25,207 --> 00:35:27,953 We can nuke them with a mild course of chemo and then 623 00:35:27,956 --> 00:35:29,131 remove the granuloma. 624 00:35:29,555 --> 00:35:31,850 And then what? What will happen to her then? 625 00:35:33,676 --> 00:35:35,520 Let me see if I can make this clear. 626 00:35:36,626 --> 00:35:38,420 This pill represents... 627 00:35:39,658 --> 00:35:40,600 a pill. 628 00:35:40,868 --> 00:35:43,881 And my mouth represents your daughter's mouth. 629 00:35:45,546 --> 00:35:47,422 We deposit the pill in the month. 630 00:35:53,546 --> 00:35:55,872 You may never be tall enough to play in the WNBA, 631 00:35:55,878 --> 00:35:58,473 but you'll be able to post up your mom no problem. 632 00:35:59,855 --> 00:36:01,451 What if I don't take the pills? 633 00:36:02,466 --> 00:36:04,463 What if you remove the thing in my head 634 00:36:04,516 --> 00:36:06,820 and give me the chemo, but not the pills? 635 00:36:07,338 --> 00:36:08,632 Would I still get better? 636 00:36:08,735 --> 00:36:11,783 Your body needs growth hormone from lots of things. Like... 637 00:36:12,727 --> 00:36:13,810 to grow. 638 00:36:14,415 --> 00:36:15,640 I like who I am now. 639 00:36:16,538 --> 00:36:18,722 Nobody your age likes who they are now. 640 00:36:19,025 --> 00:36:19,972 I do. 641 00:36:22,687 --> 00:36:25,293 You like needing help when you want something off a high shelf? 642 00:36:25,295 --> 00:36:27,931 Not being able to press an elevator button above the eighth floor? 643 00:36:27,937 --> 00:36:30,483 Having to smell ass every time you stand in line? 644 00:36:30,685 --> 00:36:35,082 You don't need growth hormone. It's just your ticket out of the freak show. 645 00:36:49,398 --> 00:36:51,020 Can't you deliver a diagnosis 646 00:36:51,107 --> 00:36:53,553 without making her feel that her life isn't worth living? 647 00:36:53,558 --> 00:36:54,750 I'm trying to help her. 648 00:36:55,085 --> 00:36:58,372 - You're trying to make her taller. - Not too tall. 649 00:36:59,235 --> 00:37:01,181 Just tall enough to wipe her own butt. 650 00:37:05,688 --> 00:37:07,572 - Are you high? - Higher than you. 651 00:37:08,468 --> 00:37:12,302 If my daughter doesn't want to choose the easy path, I won't force her to. 652 00:37:12,688 --> 00:37:13,952 Then you're a lousy mom. 653 00:37:14,858 --> 00:37:17,902 - You want your daughter to be a freak. - We're not freaks. 654 00:37:18,648 --> 00:37:21,333 - You want her to overcome adversity. - Yes. 655 00:37:21,425 --> 00:37:22,672 Then why stop at height? 656 00:37:23,115 --> 00:37:26,411 Poke a stick in her eye. Imagine how interesting she'll be then. 657 00:37:26,465 --> 00:37:28,310 Being little is not the same as... 658 00:37:28,366 --> 00:37:32,521 You and I have found out that being normal sucks 'cause we're freaks. 659 00:37:33,978 --> 00:37:36,922 The advantage of being a freak is it makes your stronger. 660 00:37:37,476 --> 00:37:40,221 Now, how strong do you really want her to have to be? 661 00:37:43,137 --> 00:37:44,933 Tell her what you have to tell her. 662 00:37:45,866 --> 00:37:47,082 Tell her you lied. 663 00:37:49,728 --> 00:37:50,721 Even if you didn't. 664 00:37:58,765 --> 00:38:00,611 This is who you were supposed to be. 665 00:38:01,656 --> 00:38:02,771 You hate normal. 666 00:38:04,676 --> 00:38:05,772 It's not that simple. 667 00:38:06,806 --> 00:38:09,730 If I grow, I'll fade into the background. 668 00:38:10,187 --> 00:38:11,131 I'll be boring. 669 00:38:15,328 --> 00:38:16,672 We'll get you a funny hat. 670 00:38:21,196 --> 00:38:22,540 You could never be boring. 671 00:38:24,757 --> 00:38:26,700 You want me to be like everybody else? 672 00:38:31,996 --> 00:38:33,640 I want you to have what I can't. 673 00:38:52,748 --> 00:38:53,693 Abigail agreed... 674 00:38:54,697 --> 00:38:56,642 Abigail agreed to take growth hormone. 675 00:38:57,527 --> 00:38:58,473 Who's Abigail? 676 00:38:59,526 --> 00:39:01,250 Your non-dwarf dwarf patient. 677 00:39:01,968 --> 00:39:02,912 Oh, good. 678 00:39:04,675 --> 00:39:06,520 Then the growth hormone makes sense. 679 00:39:08,686 --> 00:39:10,650 - Christmas Eve. - Yeah, I know. 680 00:39:11,967 --> 00:39:13,112 Deal expires tomorrow. 681 00:39:14,377 --> 00:39:15,773 You have plans for tonight? 682 00:39:16,175 --> 00:39:18,473 You worried I'm gonna be popping more pills? 683 00:39:20,028 --> 00:39:22,270 Thought you might prefer people over pills. 684 00:39:51,928 --> 00:39:52,871 Hey, Mom. 685 00:39:54,528 --> 00:39:57,151 I guess you guys are already up at Aunt Sarah's. 686 00:39:59,618 --> 00:40:01,110 I'm sure Dad's in the egg nog 687 00:40:01,348 --> 00:40:04,591 and you're probably suffering through another dried out turkey. 688 00:40:12,507 --> 00:40:14,303 Just wanted to say Merry Christmas. 689 00:40:45,397 --> 00:40:46,341 Are you okay? 690 00:40:46,495 --> 00:40:47,591 I called three times. 691 00:42:02,237 --> 00:42:03,632 I'm ready to take the deal. 692 00:42:05,796 --> 00:42:07,190 Well, that's off the table. 693 00:42:09,746 --> 00:42:12,543 - The clock doesn't expire until... - Got new evidence. 694 00:42:13,078 --> 00:42:14,572 We don't need Wilson anymore. 695 00:42:15,846 --> 00:42:17,563 The thing about addicts is, uh... 696 00:42:19,895 --> 00:42:21,390 no matter how smart they are, 697 00:42:22,595 --> 00:42:25,020 they are dumb when it comes to drugs. 698 00:42:25,936 --> 00:42:28,712 So, uh, I've been keeping an eye on the pharmacy log. 699 00:42:29,537 --> 00:42:32,763 Seems some patient of Wilson's named Zebalusky 700 00:42:33,508 --> 00:42:34,452 managed to 701 00:42:35,368 --> 00:42:36,841 pick up his Oxy prescription 702 00:42:37,386 --> 00:42:38,330 after he died. 703 00:42:46,675 --> 00:42:47,762 Jesus walks, huh? 704 00:42:56,377 --> 00:42:57,322 Merry Christmas. 705 00:42:58,322 --> 00:43:08,322 Downloaded From www.AllSubs.org