1 00:00:01,167 --> 00:00:02,532 ANNOUNCER: (ON TV) Blue Calamari is still in the lead, 2 00:00:02,602 --> 00:00:04,069 but Ample Parking is making strides, 3 00:00:04,137 --> 00:00:05,297 and is now in fourth, third, 4 00:00:05,372 --> 00:00:08,364 and holding second place, while Blue Calamari is at a steady speed. 5 00:00:08,475 --> 00:00:10,443 And down the stretch they come! 6 00:00:10,510 --> 00:00:14,640 Ample Parking comes from behind. And it's Ample Parking by a nose. 7 00:00:14,714 --> 00:00:16,238 (PEOPLE CHEERING) 8 00:00:16,316 --> 00:00:20,810 This is the last call for the third race. You may still wager if you hurry. 9 00:00:20,887 --> 00:00:22,650 Here's your information on the race... 10 00:00:22,722 --> 00:00:24,656 Out of the way. Cripple coming through. 11 00:00:26,159 --> 00:00:28,218 Sixth race at Golden Downs. 12 00:00:28,294 --> 00:00:33,129 I'II take the two and the four. Hey, that's my birthday. 13 00:00:33,266 --> 00:00:36,531 February 4, 1963. Do you think that's a good bet? 14 00:00:37,137 --> 00:00:38,365 What's your birthday? 15 00:00:38,438 --> 00:00:39,564 Take your time. 16 00:00:39,639 --> 00:00:41,869 Don't worry. There's only 30 seconds to post. 17 00:00:41,941 --> 00:00:45,240 Is there any way I can bet on the six and the three also? 18 00:00:45,311 --> 00:00:48,246 You know, for the year? AII four horses. Can I do that? 19 00:00:48,615 --> 00:00:53,052 He wants a $2 exacta box, two, four, six, three. Give him $24. 20 00:00:59,359 --> 00:01:00,724 Your turn. 21 00:01:01,127 --> 00:01:03,857 The ninth at Gulfstream Park. $500 on the three horse, 22 00:01:03,930 --> 00:01:05,397 Seminole Uprising to win. 23 00:01:05,465 --> 00:01:07,365 Might as well burn your money. 24 00:01:07,700 --> 00:01:10,260 I'II burn my winnings. Bigger flame. 25 00:01:11,871 --> 00:01:14,101 Same race, Termigator to win. 26 00:01:16,109 --> 00:01:17,599 Sorry, race just closed. 27 00:01:17,677 --> 00:01:18,905 Damn it. 28 00:01:19,679 --> 00:01:21,408 She was 14-to-1, too. 29 00:01:21,481 --> 00:01:24,177 Then fatass over there just saved you money. 30 00:01:24,250 --> 00:01:25,478 No way Seminole Uprising's... 31 00:01:25,552 --> 00:01:27,645 I don't bet on the horses. I bet on the jocks. 32 00:01:27,887 --> 00:01:30,879 My rider's bulimic, purges after his weigh-ins. 33 00:01:31,458 --> 00:01:35,656 Leave a two-pound pile at the starting gate, shaves valuable time off that final eighth. 34 00:01:35,728 --> 00:01:38,060 Nice to have inside information. 35 00:01:38,531 --> 00:01:39,589 ANNOUNCER: (ON TV) ...by a length. 36 00:01:39,666 --> 00:01:41,031 The Burning Bush and on the level is Candy, 37 00:01:41,101 --> 00:01:43,296 right up on the inside is Bowfinger... 38 00:01:43,369 --> 00:01:44,495 (GLASS SHATTERING) 39 00:01:49,709 --> 00:01:51,574 And Termigator pulling up against the rail. 40 00:01:51,644 --> 00:01:53,669 Is anybody here a doctor? 41 00:01:59,319 --> 00:02:00,718 T rying to cop a feel? 42 00:02:00,787 --> 00:02:02,516 I took a CPR class at the Y. 43 00:02:02,589 --> 00:02:05,456 That would be useful if she was having a heart attack instead of a seizure. 44 00:02:05,525 --> 00:02:07,220 Seizure? Hold her tongue down? 45 00:02:07,293 --> 00:02:08,885 If you wanna get a finger bitten off. 46 00:02:08,962 --> 00:02:10,054 Call an ambulance. 47 00:02:10,263 --> 00:02:11,628 Methodist's three blocks down. 48 00:02:11,698 --> 00:02:13,689 I could drive her. Just make the call. 49 00:02:21,441 --> 00:02:22,703 What the hell is that? 50 00:02:22,775 --> 00:02:24,140 How should I know? 51 00:02:24,544 --> 00:02:27,172 Tell the paramedics to take her to Princeton-PIainsboro. 52 00:02:27,280 --> 00:02:28,713 Her doctor's name is House. 53 00:02:28,781 --> 00:02:31,579 ANNOUNCER: (ON TV) And it's Termigator, winning by two lengths. 54 00:03:07,220 --> 00:03:09,245 Since when does House hang out at OTB? 55 00:03:09,322 --> 00:03:10,448 The man's an addict. 56 00:03:10,523 --> 00:03:12,218 Right, addicted to pills, not gambling. 57 00:03:12,292 --> 00:03:13,554 It's the same thing. 58 00:03:13,626 --> 00:03:15,617 Drug abuse, drinking, gambling. 59 00:03:15,862 --> 00:03:18,524 They all fire up the same pleasure centers in the brain. 60 00:03:18,598 --> 00:03:20,156 An addict is an addict is an... 61 00:03:20,233 --> 00:03:21,791 Gambling doesn't take away his pain. 62 00:03:22,235 --> 00:03:23,532 It does when I win. 63 00:03:23,603 --> 00:03:27,505 Hot OTB babe has grand mal 64 00:03:27,874 --> 00:03:29,967 and inexplicable bruising. 65 00:03:30,577 --> 00:03:31,669 What up with that? 66 00:03:31,744 --> 00:03:33,905 You were just standing there, and she started to seize? 67 00:03:33,980 --> 00:03:36,540 Spend as much time around the real people as I do, 68 00:03:36,616 --> 00:03:37,640 someone gets sick. 69 00:03:37,717 --> 00:03:40,083 Her platelets are 89, she's anemic. 70 00:03:40,820 --> 00:03:43,220 And she has a blood alcohol Ievel of 0.13. 71 00:03:43,289 --> 00:03:44,950 Hot OTB babe? 72 00:03:45,425 --> 00:03:48,485 Obviously a working girl. Probably an STD infection. 73 00:03:48,561 --> 00:03:50,256 No fever. No infection. 74 00:03:50,330 --> 00:03:52,093 AIcohol abuse explains it all. 75 00:03:52,398 --> 00:03:54,923 Causes seizures and affects her blood's ability to clot, 76 00:03:55,001 --> 00:03:56,263 which causes bruising. 77 00:03:56,336 --> 00:03:57,997 Start her on heparin, she'II be fine by morning. 78 00:03:58,071 --> 00:04:00,198 Except for the fact that the bruises are not petechial, 79 00:04:00,273 --> 00:04:01,501 which means it's not DIC. 80 00:04:01,574 --> 00:04:03,542 So the bruises were caused by trauma. 81 00:04:03,610 --> 00:04:06,408 She probably got beat up by her boyfriend. Or her pimp. 82 00:04:06,479 --> 00:04:09,812 What's that called when you judge someone before ever meeting them? 83 00:04:09,882 --> 00:04:11,816 She's a regular at OTB. 84 00:04:12,118 --> 00:04:15,849 Somehow, I don't see her holding down a 9-to-5 and going to PTA meetings. 85 00:04:15,955 --> 00:04:18,480 I was there. I have a 9-to-3 job. 86 00:04:18,591 --> 00:04:22,789 It could be SLE, familial telangiectasias, or even Cushing's. 87 00:04:22,895 --> 00:04:24,123 Good. Start with those. 88 00:04:24,197 --> 00:04:25,289 Which one? 89 00:04:25,365 --> 00:04:27,799 Cushing's. It explains the seizure and the bruising. 90 00:04:27,867 --> 00:04:28,891 Not the anemia. 91 00:04:28,968 --> 00:04:30,265 So she doesn't eat a Iot of meat. 92 00:04:30,336 --> 00:04:33,271 DIC brought on by alcohol abuse is far more Iikely. 93 00:04:33,339 --> 00:04:37,673 Do a full workup, H and P. And Iab her up, LP, MRI. 94 00:04:37,910 --> 00:04:39,002 (EXCLAIMING) 95 00:04:40,480 --> 00:04:44,473 Did you just ever so subtly order me to get her medical history? 96 00:04:45,385 --> 00:04:48,843 Cuddy put me in charge Iast week, so, yeah. 97 00:04:52,558 --> 00:04:57,325 It was a pretend in charge, a formality to get past the suits in Iegal. 98 00:04:57,397 --> 00:05:00,560 Right, those Iicensing-board folk Iove to play dress up and pretend. 99 00:05:00,633 --> 00:05:03,329 Hey, no worries. I'II Iet you keep your parking space. 100 00:05:03,403 --> 00:05:06,634 You can have it. You'II also need my handicap placard. 101 00:05:06,706 --> 00:05:07,764 Bend over. 102 00:05:07,840 --> 00:05:09,808 You make a pretty convincing argument. 103 00:05:09,876 --> 00:05:11,935 Chase killed that woman. Now Foreman's in charge? 104 00:05:12,045 --> 00:05:14,013 CUDDY: Yeah, we have a pecking order here. 105 00:05:14,080 --> 00:05:15,707 If Cameron kills somebody, Chase takes over. 106 00:05:15,782 --> 00:05:17,443 There's a flow chart in the Iobby. 107 00:05:17,517 --> 00:05:20,179 For the next three weeks, you answer directly to Dr. Foreman. 108 00:05:20,253 --> 00:05:22,813 And I expect you here for grand rounds at 9:00. 109 00:05:22,989 --> 00:05:25,253 By the way, I Iike sugar in my coffee. 110 00:05:26,926 --> 00:05:29,793 If there's a screw up, it's your screw up. 111 00:05:31,097 --> 00:05:33,895 You won't have Dr. House to fall back on. 112 00:05:38,171 --> 00:05:41,834 "Do you wear a seat belt?" Is that really relevant to a seizure? 113 00:05:41,908 --> 00:05:42,966 Skip it. 114 00:05:43,042 --> 00:05:45,567 How about, "Were you vaccinated for polio?" 115 00:05:45,645 --> 00:05:48,443 I think you gave me the form intended for FDR. 116 00:05:48,514 --> 00:05:50,414 You really Iike Teeny Tiny Mo in the fifth? 117 00:05:50,483 --> 00:05:52,474 I went 4-for-6 yesterday. 118 00:05:53,152 --> 00:05:55,484 You want winners? Cure me first. 119 00:05:55,922 --> 00:05:58,948 "Are you generally satisfied with your Iife?" 120 00:05:59,158 --> 00:06:00,989 It does not ask that. 121 00:06:06,399 --> 00:06:07,559 You know, I was gonna ask 122 00:06:07,633 --> 00:06:11,000 what a respectable doctor was doing at an OTB parlor. 123 00:06:11,304 --> 00:06:14,239 Somehow that question doesn't seem relevant anymore. 124 00:06:14,307 --> 00:06:15,399 What's your excuse? 125 00:06:15,475 --> 00:06:16,635 It turns me on. 126 00:06:16,709 --> 00:06:19,439 Yeah? What else turns you on? Drugs? 127 00:06:20,046 --> 00:06:22,139 Casual sex? Rough sex? 128 00:06:23,049 --> 00:06:24,676 Casual rough sex? 129 00:06:25,818 --> 00:06:27,115 I'm a doctor. I need to know. 130 00:06:27,186 --> 00:06:28,483 No sex. 131 00:06:28,588 --> 00:06:31,056 Just moved here. Haven't even found a job yet. 132 00:06:31,124 --> 00:06:32,284 Don't know anybody. 133 00:06:32,358 --> 00:06:34,019 Came here without a job. 134 00:06:34,961 --> 00:06:39,159 That means you didn't move here, you moved away from somewhere else. 135 00:06:41,868 --> 00:06:43,392 Does that hurt? No. 136 00:06:44,604 --> 00:06:47,300 Are you on any prescription meds? Hormones? Prednisone? 137 00:06:47,373 --> 00:06:50,604 I already answered that one. I think it was question number 20-something. 138 00:06:50,676 --> 00:06:52,405 Well, yeah. And I could reach down and get it. 139 00:06:52,478 --> 00:06:54,378 But that would kind of spoil the whole cool move. 140 00:06:54,447 --> 00:06:56,347 I'm not on any medications. 141 00:06:56,416 --> 00:06:57,474 Are you a vegetarian? 142 00:06:57,550 --> 00:06:59,108 No. Why? 143 00:06:59,619 --> 00:07:02,144 Because you might have something called Cushing's syndrome, 144 00:07:02,221 --> 00:07:03,279 which basically means... 145 00:07:03,356 --> 00:07:06,848 My pituitary is overproducing ACTH, 146 00:07:06,926 --> 00:07:11,795 which is causing my adrenal glands to push too much cortisol into my bloodstream. 147 00:07:11,864 --> 00:07:14,298 What a coincidence. I'm a doctor, too. 148 00:07:14,367 --> 00:07:15,857 Yeah, I had it Iast year. 149 00:07:16,202 --> 00:07:20,332 They did brain surgery, removed an adenoma from my pituitary. 150 00:07:25,344 --> 00:07:26,834 (HOUSE WHISTLING) 151 00:07:31,317 --> 00:07:32,409 (EXCLAIMING) 152 00:07:32,485 --> 00:07:34,214 What did you just say? 153 00:07:34,287 --> 00:07:37,984 "You were right, House. Her pituitary tumor regrew. It is Cushing's. 154 00:07:38,057 --> 00:07:39,615 "Uncanny how you do that." 155 00:07:39,692 --> 00:07:41,592 Actually, it was Cameron's idea. 156 00:07:41,661 --> 00:07:43,424 No, Cameron had three ideas. 157 00:07:43,496 --> 00:07:45,964 I chose one to encourage, to nurture... 158 00:07:46,032 --> 00:07:48,091 Yeah, you're all about the nurturing. 159 00:07:48,167 --> 00:07:49,998 Do you need a hug? 160 00:07:52,338 --> 00:07:54,329 I don't see any regrowth. 161 00:07:54,574 --> 00:07:56,166 You get her medical records faxed over? 162 00:07:56,242 --> 00:07:59,075 Work smart, not hard. That's my philosophy, boss. 163 00:07:59,145 --> 00:08:01,045 I'II take that as a no. 164 00:08:02,715 --> 00:08:05,183 FOREMAN: Anica, I need you to stay completely still. 165 00:08:05,251 --> 00:08:06,684 Sorry. 166 00:08:10,056 --> 00:08:11,751 Still don't see anything. 167 00:08:11,924 --> 00:08:13,653 Okay, so it's a microadenoma. 168 00:08:13,726 --> 00:08:14,818 Too small to see. 169 00:08:14,894 --> 00:08:16,384 So small, it's not even there. 170 00:08:16,462 --> 00:08:19,431 Right. It's just a coincidence that I predicted a rare condition 171 00:08:19,499 --> 00:08:20,796 that she happened to have a year ago. 172 00:08:20,867 --> 00:08:22,266 Results from her LP back yet? 173 00:08:22,335 --> 00:08:24,929 Didn't do an LP. I knew what she had. 174 00:08:27,573 --> 00:08:29,063 Go do the LP. 175 00:08:35,214 --> 00:08:39,150 Okay, I need you to roll over on your side, kiss your kneecaps. 176 00:08:39,652 --> 00:08:41,051 Party time. 177 00:08:41,888 --> 00:08:43,719 I thought it only took one doctor to do this. 178 00:08:43,789 --> 00:08:44,881 I'm observing. 179 00:08:44,957 --> 00:08:47,357 She's here to make sure I don't paralyze you. 180 00:08:48,327 --> 00:08:49,521 You've done this before, right? 181 00:08:49,595 --> 00:08:50,721 Successfully? 182 00:08:50,796 --> 00:08:52,627 He's kidding. He's an excellent doctor. 183 00:08:52,698 --> 00:08:54,825 I'm going to numb the area with some Iidocaine, 184 00:08:54,901 --> 00:08:57,028 and then we're off to the races. 185 00:08:57,136 --> 00:08:58,501 See what I did there? 186 00:08:58,571 --> 00:09:02,098 I used horse-racing jargon to make the patient feel more comfortable. 187 00:09:03,009 --> 00:09:04,636 Okay, here we go. 188 00:09:05,177 --> 00:09:06,201 (GASPS) 189 00:09:06,279 --> 00:09:08,406 Felt Iike bone. Does that hurt? 190 00:09:08,481 --> 00:09:10,210 A Iittle bit. What are you doing? 191 00:09:10,283 --> 00:09:11,375 (GROANING) 192 00:09:11,450 --> 00:09:12,917 Try rounding your back a bit more. 193 00:09:12,985 --> 00:09:14,953 You're perfect just the way you are. 194 00:09:15,588 --> 00:09:17,613 Oops, that was all me. 195 00:09:18,457 --> 00:09:20,322 Might want to move down one vertebra. 196 00:09:20,393 --> 00:09:22,793 This is actually much harder than I remember. 197 00:09:22,862 --> 00:09:23,988 (GROANING) 198 00:09:24,964 --> 00:09:26,556 My chest feels a Iittle tight. 199 00:09:26,632 --> 00:09:28,156 Try taking a deep breath. 200 00:09:28,234 --> 00:09:29,792 Dr. House, maybe I should take it from here. 201 00:09:29,869 --> 00:09:31,200 Eighth time's the charm. 202 00:09:32,338 --> 00:09:33,771 You trying to piss off Foreman? 203 00:09:34,106 --> 00:09:35,596 Just Iet... 204 00:09:35,841 --> 00:09:37,365 CAMERON: BP's 240 over 140. 205 00:09:37,443 --> 00:09:38,808 Turn that thing off, will you? 206 00:09:38,878 --> 00:09:40,209 Take the needle out. 207 00:09:40,279 --> 00:09:41,906 Take the needle out! Okay. 208 00:09:44,417 --> 00:09:48,581 It's a hypertensive crisis. Start her on an IV Iopressor drip. 209 00:09:48,654 --> 00:09:51,487 Titrate to systolic Iess than 140. She'II be fine. 210 00:09:51,991 --> 00:09:53,959 Cameron. Meet me in my office. 211 00:09:54,527 --> 00:09:58,930 At the risk of sounding redundant and right, again, 212 00:09:59,265 --> 00:10:02,166 she has Cushing's. Cushing's. 213 00:10:02,234 --> 00:10:05,726 Right, the fact that you mangled her LP has nothing to do with it. 214 00:10:05,805 --> 00:10:07,830 Actually, it has everything to do with it. 215 00:10:07,907 --> 00:10:11,741 Cushing's plus stress equals hypertensive crisis. 216 00:10:12,378 --> 00:10:13,811 Smart move, sending the rookie. 217 00:10:13,879 --> 00:10:17,315 Her initial symptoms could have been caused by alcohol-induced DIC. 218 00:10:17,416 --> 00:10:18,974 She had a hypertensive crisis 219 00:10:19,051 --> 00:10:21,212 because it's been at Ieast six hours since she had her Iast drink. 220 00:10:21,287 --> 00:10:22,345 She's detoxing. 221 00:10:22,421 --> 00:10:25,322 The exact same moment that I'm futilely trying to give her an LP? 222 00:10:25,391 --> 00:10:29,293 Right. An invisible tumor on her pituitary is much more Iikely. 223 00:10:29,362 --> 00:10:31,227 CHASE: What if the tumor is somewhere else? 224 00:10:31,297 --> 00:10:34,698 There could be an ACTH-secreting tumor on her Iung or pancreas. 225 00:10:34,767 --> 00:10:35,756 It's awfully rare. 226 00:10:35,835 --> 00:10:37,393 Not as rare as an invisible tumor. 227 00:10:37,470 --> 00:10:40,098 Why didn't they put you in charge instead of Foreman? 228 00:10:40,172 --> 00:10:42,970 Oh, yeah, you're the guy that killed that woman. 229 00:10:43,042 --> 00:10:46,500 Get a pan-man scan before she dies a cortisol OD. 230 00:10:49,148 --> 00:10:50,342 (WHIMPERS) 231 00:10:51,384 --> 00:10:52,681 Fine. Do it. 232 00:10:53,486 --> 00:10:55,716 But when you don't find anything, put her on a Librium taper 233 00:10:55,788 --> 00:10:58,757 for the withdrawal and get her a bed in a rehab clinic. 234 00:11:10,336 --> 00:11:11,894 CHASE: Lungs Iook clean. 235 00:11:12,571 --> 00:11:15,096 Her Iymph nodes are not enlarged. 236 00:11:16,742 --> 00:11:19,233 Cuddy tapped Foreman to run the department. 237 00:11:19,779 --> 00:11:20,837 I didn't even get asked. 238 00:11:20,913 --> 00:11:21,971 Neither did I. 239 00:11:22,048 --> 00:11:23,037 You were suspended. 240 00:11:23,115 --> 00:11:24,139 I was kidding. 241 00:11:24,283 --> 00:11:28,219 It's the irony of women in charge. They don't Iike other women in charge. 242 00:11:29,221 --> 00:11:31,746 What? You think it's something else? 243 00:11:32,558 --> 00:11:35,652 You sabotaged yourself. You went on a date with House. 244 00:11:35,728 --> 00:11:38,663 You slept with me. Putting you in charge of this department 245 00:11:38,731 --> 00:11:41,495 is Iike a sexual harassment suit waiting to happen. 246 00:11:41,567 --> 00:11:43,000 Yeah, they're really worried 247 00:11:43,069 --> 00:11:45,469 that I'm gonna create a hostile work environment. 248 00:11:45,538 --> 00:11:47,563 Maybe that's the problem. 249 00:11:48,007 --> 00:11:51,204 Being in charge means having to say no to House. 250 00:11:51,510 --> 00:11:53,637 Would you hire you for that? 251 00:11:56,582 --> 00:12:00,279 ANNOUNCER: (ON TV) Anderson coming out strong. What is he thinking? 252 00:12:00,352 --> 00:12:02,684 He watched what Tom Mants just did. 253 00:12:03,522 --> 00:12:06,753 You ordered MRIs for the entire maternity ward? 254 00:12:07,359 --> 00:12:09,224 I was in a crazy mood. 255 00:12:09,328 --> 00:12:11,296 Good thing I got a new boss to back me up. 256 00:12:11,363 --> 00:12:13,456 AIthough, I think one of those is actually necessary. 257 00:12:13,532 --> 00:12:16,126 Better comb through before you cancel them all. 258 00:12:18,804 --> 00:12:22,740 What do you expect me to do, House? Quit? Cry? 259 00:12:22,875 --> 00:12:25,810 Actually, I expect you to act Iike what you are. 260 00:12:25,878 --> 00:12:28,506 My employee. My subordinate. 261 00:12:29,849 --> 00:12:31,111 My bitch. 262 00:12:31,617 --> 00:12:32,982 Well, since you asked nicely... 263 00:12:33,052 --> 00:12:34,314 My God. 264 00:12:34,386 --> 00:12:37,583 I can't believe I got more than a year behind on my discharge summaries. 265 00:12:37,656 --> 00:12:40,955 Got to get caught up. Oh, no, wait. 266 00:12:41,060 --> 00:12:44,257 I'm not authorized to sign these anymore. Only you are. 267 00:12:44,597 --> 00:12:47,122 Keep it coming. I'm not gonna break. 268 00:12:47,633 --> 00:12:48,657 (DOOR OPENS) 269 00:12:48,734 --> 00:12:51,259 Scan showed a mass on her pancreas. 270 00:12:51,771 --> 00:12:54,365 Looks malignant. Probably inoperable. 271 00:12:56,175 --> 00:12:58,166 I'd give her two months. 272 00:13:01,781 --> 00:13:04,750 On the bright side, it still means I was right. 273 00:13:14,126 --> 00:13:15,354 Where's Dr. House? 274 00:13:15,427 --> 00:13:17,622 Dr. Foreman's overseeing your case. 275 00:13:17,963 --> 00:13:22,730 He thought it'd be best if I spoke with you. We found a mass in your pancreas. 276 00:13:23,435 --> 00:13:25,232 It Iooks Iike cancer. 277 00:13:26,205 --> 00:13:29,538 So something in my pancreas caused me to have a seizure? 278 00:13:30,509 --> 00:13:34,309 Probably. But the bigger point is... 279 00:13:36,949 --> 00:13:40,783 A one-year survival rate for pancreatic cancer is Iess than 20%. 280 00:13:40,853 --> 00:13:42,514 So what's the treatment? 281 00:13:43,722 --> 00:13:48,489 We need to biopsy the mass to see what we're dealing with, 282 00:13:48,594 --> 00:13:51,927 and then we can 283 00:13:53,098 --> 00:13:54,463 recommend options from there. 284 00:13:54,767 --> 00:13:56,098 Sounds good. 285 00:14:01,040 --> 00:14:03,634 I need your consent to do the biopsy. 286 00:14:09,582 --> 00:14:10,606 Thanks. 287 00:14:11,150 --> 00:14:12,412 Wish me Iuck. 288 00:14:13,385 --> 00:14:14,750 Good Iuck. 289 00:14:17,256 --> 00:14:20,020 CAMERON: It was weird. She barely reacted at all. 290 00:14:20,426 --> 00:14:23,554 I've had people hug me and people take a swing at me. 291 00:14:23,629 --> 00:14:25,927 This was more Iike she didn't even hear me. 292 00:14:26,498 --> 00:14:28,261 Magnify three times. 293 00:14:33,205 --> 00:14:34,832 WILSON: House assisting. 294 00:14:35,708 --> 00:14:37,198 That is funny. 295 00:14:38,611 --> 00:14:40,943 Too bad Foreman's gonna die. 296 00:14:51,257 --> 00:14:55,660 Good afternoon, I'm Dr. House. I'm gonna be Iooking at your... 297 00:14:58,397 --> 00:14:59,659 Perfect. 298 00:15:01,133 --> 00:15:02,623 Excuse me. 299 00:15:07,072 --> 00:15:10,200 Need Dr. Foreman in exam room one for a consult. 300 00:15:11,710 --> 00:15:13,109 So, when did this start? 301 00:15:13,512 --> 00:15:14,843 Couple weeks ago. 302 00:15:15,314 --> 00:15:19,751 I didn't want to get pregnant. Jake's not into rubbers, so I got on the jelly. 303 00:15:20,786 --> 00:15:22,253 You think I'm allergic or something? 304 00:15:23,155 --> 00:15:24,747 You have an infection. 305 00:15:24,957 --> 00:15:26,015 I'm gonna need a sample. 306 00:15:26,091 --> 00:15:27,456 I brought the jar. 307 00:15:27,626 --> 00:15:29,753 No, I meant a sample of your... 308 00:15:36,568 --> 00:15:39,628 Okay. We have a neurological problem here. 309 00:15:39,705 --> 00:15:41,332 There's something wrong with my brain? 310 00:15:42,474 --> 00:15:43,771 Oh, yeah. 311 00:15:44,376 --> 00:15:46,810 Cover yourself up. Got what I need. 312 00:15:49,848 --> 00:15:50,940 What's up? 313 00:15:51,016 --> 00:15:52,108 Smell this. 314 00:15:54,086 --> 00:15:58,022 Smells Iike vaginosis, but it's not really my call. 315 00:15:58,123 --> 00:16:01,650 Great. I'II be sure to put a gold star by your name on the board. 316 00:16:02,194 --> 00:16:05,652 Anica's biopsy for pancreatic cancer was negative. 317 00:16:12,104 --> 00:16:14,072 Okay, I'm gonna give you some antibiotics 318 00:16:14,139 --> 00:16:15,936 and you probably shouldn't have sex for a while. 319 00:16:16,008 --> 00:16:17,032 How Iong? 320 00:16:17,109 --> 00:16:20,237 On an evolutionary basis, I'd recommend forever. 321 00:16:21,547 --> 00:16:25,574 The mass in the pancreas is benign. It's probably just scar tissue. 322 00:16:25,651 --> 00:16:29,018 Good news. She's not sick at all. Other than being an alcoholic. 323 00:16:29,088 --> 00:16:33,718 The Iabs you sent yesterday put her ACTH at 64 picograms per milliliter. 324 00:16:33,826 --> 00:16:36,124 She's got Cushing's. Something set it off. 325 00:16:36,195 --> 00:16:40,029 It's gotta be in her brain. Set her up for a venous sampling. 326 00:16:40,132 --> 00:16:41,292 There is another possibility. 327 00:16:41,367 --> 00:16:42,459 Chase, hold on. 328 00:16:43,002 --> 00:16:46,130 How'd you get him trained so fast? EIectronic collar? 329 00:16:46,205 --> 00:16:47,399 Got treats in your pocket? 330 00:16:47,473 --> 00:16:50,306 She didn't even read the consent form for the pancreatic biopsy. 331 00:16:50,376 --> 00:16:51,434 Who reads those things? 332 00:16:51,510 --> 00:16:54,775 Maybe she didn't read it because she knew that there was nothing wrong with her. 333 00:16:54,847 --> 00:16:56,610 There is another explanation for the Cushing's. 334 00:16:56,682 --> 00:17:01,016 Maybe she injected herself with the ACTH. Her behavior suggests Munchausen's. 335 00:17:01,086 --> 00:17:03,680 She's had four hospitalizations in the Iast four months. 336 00:17:03,756 --> 00:17:07,817 Well, being hospitalized a Iot certainly points to nothing being wrong with you. 337 00:17:08,227 --> 00:17:10,821 She's had zero symptoms since she got here. 338 00:17:10,963 --> 00:17:12,123 The scarring on her pancreas 339 00:17:12,197 --> 00:17:14,062 could be caused from injecting herself with the benzene 340 00:17:14,133 --> 00:17:15,395 and setting off the seizures. 341 00:17:15,467 --> 00:17:17,025 HOUSE: She's had brain surgery. 342 00:17:17,302 --> 00:17:19,793 You can fake a stomachache. You can't fake a brain tumor. 343 00:17:19,872 --> 00:17:22,102 You can fake an invisible one. 344 00:17:23,942 --> 00:17:26,775 We should check her apartment. Look for medications, syringes... 345 00:17:26,845 --> 00:17:27,937 Venous sampling's easier. 346 00:17:28,013 --> 00:17:29,105 And more dangerous. 347 00:17:29,181 --> 00:17:30,671 Not if you get caught breaking in. 348 00:17:30,749 --> 00:17:33,149 So don't get caught, House. 349 00:17:35,154 --> 00:17:37,122 Why do you think Cuddy picked Foreman over me? 350 00:17:37,189 --> 00:17:38,213 Have I done something wrong? 351 00:17:38,290 --> 00:17:39,723 Or if there's something I needed to improve on... 352 00:17:39,792 --> 00:17:40,816 Will it make you shut up 353 00:17:40,893 --> 00:17:42,258 if I told you she wanted someone black? 354 00:17:42,327 --> 00:17:44,124 How would you describe my Ieadership skills? 355 00:17:44,196 --> 00:17:46,596 Nonexistent. Otherwise excellent. 356 00:17:46,665 --> 00:17:49,429 There's more to being a Ieader than being a jerk. 357 00:17:49,535 --> 00:17:51,594 The world will never know. 358 00:17:53,639 --> 00:17:54,970 (MOTOR REVVING) 359 00:17:55,641 --> 00:17:58,405 No. No way. It just snowed. 360 00:17:58,477 --> 00:18:00,104 Yesterday. The streets are clear. 361 00:18:01,513 --> 00:18:03,413 My car is right there. 362 00:18:03,982 --> 00:18:07,179 There's construction on EIm. Bike will be faster. 363 00:18:28,173 --> 00:18:30,664 CAMERON: There's even books in the bathroom. 364 00:18:31,443 --> 00:18:35,140 Well, either she's very smart or she has a severe fiber deficiency. 365 00:18:40,986 --> 00:18:44,251 She's got an appointment with her ophthalmologist on Tuesday 366 00:18:44,323 --> 00:18:46,848 and an appointment with her gynecologist on Thursday. 367 00:18:47,493 --> 00:18:49,927 Multiple appointments with multiple doctors. 368 00:18:50,028 --> 00:18:51,689 Symptom of Munchausen's. 369 00:18:51,997 --> 00:18:55,228 Or, just thinking outside the box here, 370 00:18:55,300 --> 00:18:58,133 she has a vagina and trouble reading. 371 00:18:59,171 --> 00:19:02,334 There's three pairs of reading glasses, each with different prescriptions. 372 00:19:02,407 --> 00:19:05,240 Which would be explained by a tumor pressing on the optic nerve. 373 00:19:05,310 --> 00:19:07,039 Because you're Iooking for her to have a tumor. 374 00:19:07,112 --> 00:19:08,841 And you're Iooking for... 375 00:19:09,214 --> 00:19:12,479 A person with Munchausen's syndrome drinks battery acid. 376 00:19:12,551 --> 00:19:15,179 But they don't go to an ophthalmologist to get their pupils dilated. 377 00:19:15,254 --> 00:19:18,519 An ophthalmologist is a doctor. Attention is attention. 378 00:19:18,590 --> 00:19:22,253 How many hospitals have you contacted? Has one doctor said she's crazy? 379 00:19:22,327 --> 00:19:23,487 It's not Munchausen's. 380 00:19:23,562 --> 00:19:25,120 It's not your call. 381 00:19:28,333 --> 00:19:29,493 If you think she's got Munchausen's, 382 00:19:29,568 --> 00:19:31,229 then obviously you got something to show the man. 383 00:19:31,803 --> 00:19:34,169 A syringe in her apartment. A bottle of ACTH. 384 00:19:34,239 --> 00:19:36,400 Munchausen's patients are good at covering their tracks. 385 00:19:36,475 --> 00:19:39,103 Right. So, the fact that we found nothing proves there's something. 386 00:19:39,178 --> 00:19:42,011 Look at the pathology reports from the surgery she had in Chicago. 387 00:19:42,080 --> 00:19:44,742 They removed 30% of her pituitary. They found no tumor. 388 00:19:44,816 --> 00:19:46,750 It's possible the surgeons just missed it. 389 00:19:46,818 --> 00:19:48,945 In that kind of surgery, you're just cutting and hoping... 390 00:19:49,021 --> 00:19:50,818 Of course, we're both right. 391 00:19:50,889 --> 00:19:53,483 Excellent solution, everybody's happy. 392 00:19:53,559 --> 00:19:55,117 Come on, step up, Foreman. 393 00:19:55,194 --> 00:19:58,027 If you think I'm right, order me to stick a needle in her brain. 394 00:19:58,096 --> 00:20:00,257 If you think Cameron's right, send the patient home. 395 00:20:00,332 --> 00:20:02,926 Either she'II be fine, or she'II die. 396 00:20:03,502 --> 00:20:06,266 Do the venous sampling. Get her consent. 397 00:20:08,140 --> 00:20:09,232 (SIGHS) 398 00:20:12,044 --> 00:20:14,877 Nice move, boss. Way to cover your ass. 399 00:20:15,781 --> 00:20:17,043 I just agreed with you. 400 00:20:17,115 --> 00:20:18,639 Not because you think I'm right, 401 00:20:18,717 --> 00:20:21,914 you're just taking the safe route. You're a wuss. 402 00:20:22,654 --> 00:20:25,418 Don't worry, your secret's safe with me. 403 00:20:28,227 --> 00:20:30,957 Hey, Wilson, guess what Foreman just did! 404 00:20:32,030 --> 00:20:33,156 (SIGHS) 405 00:20:38,103 --> 00:20:39,593 Hi. 406 00:20:41,306 --> 00:20:44,605 This is a consent form to stick a wire into your brain. 407 00:20:44,676 --> 00:20:47,076 It's important for hospitals to get these signed for procedures 408 00:20:47,145 --> 00:20:49,477 that are completely unnecessary. 409 00:20:50,616 --> 00:20:51,947 Then why are you doing it? 410 00:20:52,017 --> 00:20:53,416 Because you're mentally ill. 411 00:20:54,419 --> 00:20:58,822 You injected yourself with ACTH to induce Cushing's to get attention from doctors. 412 00:20:58,924 --> 00:21:00,221 And so far, it's worked. 413 00:21:01,126 --> 00:21:02,559 I'd Iike to see another doctor. 414 00:21:03,262 --> 00:21:04,923 I'm not giving you what you want? 415 00:21:04,997 --> 00:21:06,521 I don't want a bitch. 416 00:21:06,598 --> 00:21:09,066 Just sign the forms, okay? And I'II get out of here. 417 00:21:09,568 --> 00:21:12,196 Hopefully for you, whatever you injected yourself with won't wear off 418 00:21:12,271 --> 00:21:16,264 before you get the fun of a caring and concerned doctor cutting into your head. 419 00:21:31,590 --> 00:21:33,888 You chose me to make House miserable, didn't you? 420 00:21:33,959 --> 00:21:37,861 Apparently, he's making you miserable. That's impressive. 421 00:21:38,297 --> 00:21:39,355 Find someone else. 422 00:21:39,431 --> 00:21:40,455 No. 423 00:21:40,999 --> 00:21:42,557 For the first time in six years, 424 00:21:42,634 --> 00:21:45,660 I'm getting copied on all experimental tests and procedures. 425 00:21:45,737 --> 00:21:48,831 CIinic hours have been Iogged and completed. 426 00:21:48,907 --> 00:21:51,307 You've given me four months of House's dictations 427 00:21:51,376 --> 00:21:53,435 so I can finally bill insurance companies. 428 00:21:53,512 --> 00:21:56,640 I only did that stuff to prove he couldn't make me miserable. 429 00:21:56,748 --> 00:21:58,443 Well, way to go. 430 00:21:58,517 --> 00:22:01,145 Now everybody's getting what they need, even House. 431 00:22:01,219 --> 00:22:05,553 He gets to play mad scientist, and this department runs smoothly. 432 00:22:05,624 --> 00:22:08,491 So I'm stuck with this for the next three weeks. 433 00:22:08,627 --> 00:22:10,686 Maybe Ionger. 434 00:22:11,663 --> 00:22:14,496 Would you be interested if this wasn't just pretend? 435 00:22:16,935 --> 00:22:19,631 What did Mommy say? I don't get any candy in my stocking? 436 00:22:19,705 --> 00:22:21,366 Patient being prepped for the venous sampling? 437 00:22:21,440 --> 00:22:24,841 Yeah, a mentally ill patient is right on track for a pointless procedure. 438 00:22:24,910 --> 00:22:27,071 Yeah, we get your objection. 439 00:22:27,145 --> 00:22:28,203 (PHONE RINGING) 440 00:22:33,518 --> 00:22:36,112 Foreman. Are you sure? 441 00:22:37,556 --> 00:22:40,081 That doesn't make any sense. Check it again. 442 00:22:41,259 --> 00:22:42,749 We gotta delay the venous sampling. 443 00:22:42,828 --> 00:22:44,819 Why? Her urine turning orange? 444 00:22:47,599 --> 00:22:49,328 How would you know that? 445 00:22:49,401 --> 00:22:51,130 Because that's what rifampin does. 446 00:22:51,203 --> 00:22:52,795 She's not on antibiotics. 447 00:22:52,871 --> 00:22:56,568 But if a Munchausen's patient thinks she's about to get busted, 448 00:22:56,641 --> 00:22:59,269 she sees pills Iabeled "Dangerous, might cause seizures," 449 00:22:59,344 --> 00:23:00,709 she might grab a couple. 450 00:23:00,779 --> 00:23:04,215 And if that Iabel were accidentally on a bottle of antibiotics, 451 00:23:04,282 --> 00:23:06,546 and if that bottle were accidentally Ieft in her room... 452 00:23:06,618 --> 00:23:07,607 You set her up? 453 00:23:07,686 --> 00:23:09,677 Might have. It's Munchausen's. 454 00:23:10,622 --> 00:23:12,852 AII this, she did to herself. 455 00:23:31,643 --> 00:23:34,737 I don't know what the hell you're talking about. 456 00:23:34,913 --> 00:23:38,246 I had a seizure. I'm sick. I need your help. 457 00:23:38,316 --> 00:23:40,045 Not from this department. 458 00:23:40,118 --> 00:23:42,018 The half-Iife of rifampin is three hours. 459 00:23:42,087 --> 00:23:44,988 After that, you'II get your psych referral and your discharge papers. 460 00:23:45,056 --> 00:23:47,456 You know, just because you stick your fingers down your throat 461 00:23:47,526 --> 00:23:50,256 doesn't mean the rest of us are screwed up. 462 00:23:50,395 --> 00:23:53,990 I guess when cooperation fails, you move on to hostility. 463 00:23:54,266 --> 00:23:56,359 I didn't do this to myself. 464 00:24:08,180 --> 00:24:11,445 100% commitment. Sign of a good Iiar. 465 00:24:11,516 --> 00:24:13,711 AIso the sign of a sociopath. 466 00:24:14,553 --> 00:24:15,781 What are you doing? 467 00:24:15,854 --> 00:24:17,617 Correcting your Iast note. 468 00:24:17,956 --> 00:24:20,481 We can't discharge her if she's sick. 469 00:24:21,059 --> 00:24:22,890 Anybody ever tell you, you write Iike a girl? 470 00:24:22,961 --> 00:24:24,019 What? 471 00:24:24,095 --> 00:24:26,188 You got some other explanation for orange urine? 472 00:24:26,264 --> 00:24:27,253 It's Munchausen's. 473 00:24:27,332 --> 00:24:28,629 Correct, but not complete. 474 00:24:28,700 --> 00:24:30,827 You just don't want to admit that she skunked you. 475 00:24:30,902 --> 00:24:34,929 At the end of The Boy Who Cried Wolf, the wolf really does come. 476 00:24:35,574 --> 00:24:37,974 Then he eats the sheep, and the boy, and his parents. 477 00:24:38,043 --> 00:24:39,135 The wolf doesn't eat the parents. 478 00:24:39,211 --> 00:24:40,235 He does when I tell it. 479 00:24:40,312 --> 00:24:43,008 You're not telling the story now. I am. 480 00:24:43,915 --> 00:24:46,042 Look, I checked her records. 481 00:24:46,117 --> 00:24:48,347 AII her hospitalizations were for different things. 482 00:24:48,420 --> 00:24:51,184 Brain tumor, fainting spells, skin rashes, seizures. 483 00:24:51,256 --> 00:24:52,746 She's had every blood test known to man 484 00:24:52,824 --> 00:24:54,121 and the results are all over the map. 485 00:24:54,192 --> 00:24:56,820 There's only one constant, Iow HCT. 486 00:24:57,462 --> 00:24:59,453 The anemia's real. There's a million things 487 00:24:59,531 --> 00:25:00,759 she could have taken to have done that. 488 00:25:00,832 --> 00:25:02,527 True, it could just be her MO. 489 00:25:02,601 --> 00:25:05,798 She self-induces two illnesses. One always changes, one never does. 490 00:25:05,871 --> 00:25:09,136 Or maybe she has Munchausen's and aplastic anemia, 491 00:25:09,207 --> 00:25:10,902 which would mean, without proper treatment, 492 00:25:10,976 --> 00:25:12,534 she'II continue to get sicker, weaker, 493 00:25:12,611 --> 00:25:15,171 eventually she'II start bleeding internally and die. 494 00:25:15,247 --> 00:25:17,215 She's not getting sicker. She will. 495 00:25:17,315 --> 00:25:20,580 If her bone marrow was dying, the entire blood panel would be affected. 496 00:25:20,652 --> 00:25:22,415 Her white count's normal. HOUSE: So far. 497 00:25:22,487 --> 00:25:23,920 We need to do a bone marrow biopsy. 498 00:25:23,989 --> 00:25:25,013 No. No more tests. 499 00:25:25,090 --> 00:25:27,923 Look, you kick her to the curb with a Munchausen's diagnosis 500 00:25:27,993 --> 00:25:30,655 you're guaranteeing that no doctor will ever Iisten to her again. 501 00:25:30,729 --> 00:25:33,459 We do more tests, we'II only be feeding her psychosis. 502 00:25:33,532 --> 00:25:36,126 The more attention we give her, the more she'II want. 503 00:25:37,669 --> 00:25:39,933 What if she doesn't know we're testing her? 504 00:25:40,005 --> 00:25:42,565 House, you were wrong. Live with it. 505 00:25:42,741 --> 00:25:45,301 There's probably some blood Ieft over from previous tests. 506 00:25:45,377 --> 00:25:47,777 BIood tests alone can't confirm aplastic anemia. 507 00:25:47,846 --> 00:25:50,974 Yes, I know. That's why I want to do a bone marrow biopsy. 508 00:25:51,082 --> 00:25:52,947 But blood tests could show a systemic disease. 509 00:25:53,018 --> 00:25:55,452 A virus or a toxin could be the cause. Fine. 510 00:25:55,520 --> 00:25:57,613 You want to test the extra blood? Knock yourself out. 511 00:25:57,689 --> 00:25:59,316 But the patient is off-Iimits. 512 00:25:59,391 --> 00:26:02,588 And if the results are positive, I get my biopsy? 513 00:26:05,096 --> 00:26:07,064 It's the safe way to go. 514 00:26:23,481 --> 00:26:27,815 I need all of these tests and a PCR done on this sample. 515 00:26:29,020 --> 00:26:30,248 You're gonna need more blood. 516 00:26:30,555 --> 00:26:31,886 Patient's empty. 517 00:26:31,957 --> 00:26:33,720 Then I can't do it. 518 00:26:35,126 --> 00:26:36,218 You can try. 519 00:26:36,294 --> 00:26:40,731 I can try to Iook Iike Salma Hayek, that's not gonna make it happen. 520 00:26:45,036 --> 00:26:49,336 You may not have Salma's ass, but she doesn't have your eyes. 521 00:26:50,508 --> 00:26:51,941 Yeah, right. 522 00:26:57,682 --> 00:26:59,513 How soon you need it? 523 00:26:59,684 --> 00:27:00,776 (KNOCKING ON DOOR) 524 00:27:00,852 --> 00:27:03,286 Dr. Wilson, can I talk to you about something in confidence? 525 00:27:03,355 --> 00:27:05,255 Of course. It's about House. 526 00:27:05,323 --> 00:27:06,813 Oh, then no. 527 00:27:06,891 --> 00:27:09,416 Fine. I won't say anything. 528 00:27:12,230 --> 00:27:16,599 Do you think there's any way House would take me seriously as his boss? 529 00:27:17,902 --> 00:27:21,133 Where is this coming from? Did Cuddy say something? 530 00:27:21,239 --> 00:27:23,264 We talked. She intimated. 531 00:27:24,542 --> 00:27:26,806 And you want my advice on how to usurp him? 532 00:27:26,878 --> 00:27:30,678 It's very ancient Rome, you'II need a toga, of course, a sword. 533 00:27:30,749 --> 00:27:34,742 It's not a coup. I just want to figure out some way we can work together. 534 00:27:34,953 --> 00:27:37,854 I mean, I keep the team running from an administrative point of view, 535 00:27:37,922 --> 00:27:40,322 House doesn't have to deal with the red tape. It's a win-win. 536 00:27:40,392 --> 00:27:42,155 I'm sure he'II see it that way. 537 00:27:43,395 --> 00:27:45,329 Do you have any advice on how to approach him? 538 00:27:45,397 --> 00:27:46,591 How to deal the guy? 539 00:27:46,665 --> 00:27:47,825 No. 540 00:27:51,803 --> 00:27:53,202 But you won't tell him we talked? 541 00:27:53,972 --> 00:27:55,303 No. 542 00:27:56,908 --> 00:28:00,105 There is no way this is going to happen. 543 00:28:07,118 --> 00:28:09,211 (SINGING VARIATION ON AIN'T SHE SWEET) 544 00:28:16,594 --> 00:28:18,755 Epstein-Barr titers are through the roof, 545 00:28:18,830 --> 00:28:21,958 the most common viral cause of aplastic anemia. 546 00:28:23,068 --> 00:28:25,093 So what I'm saying is... 547 00:28:25,236 --> 00:28:27,602 (CONTINUES SINGING VARIATION ON AIN'T SHE SWEET) 548 00:28:32,977 --> 00:28:35,537 Fetal hemoglobin's also elevated. Just a wee bit. 549 00:28:35,613 --> 00:28:36,602 Could indicate... 550 00:28:36,681 --> 00:28:38,171 You see that in sickle cell. 551 00:28:38,249 --> 00:28:40,376 Not all sickle cell patients are black. 552 00:28:40,452 --> 00:28:43,580 None of her other blood panels showed any sign of sickle cell, which means 553 00:28:43,655 --> 00:28:48,354 either something's changed drastically since yesterday, or this isn't her blood. 554 00:28:48,426 --> 00:28:50,018 Of course it is. 555 00:28:51,129 --> 00:28:52,687 Metaphorically. 556 00:28:54,399 --> 00:28:56,390 Look, I couldn't do the tests. 557 00:28:56,468 --> 00:28:59,403 I tried, but there wasn't enough blood Ieft over. 558 00:28:59,704 --> 00:29:02,036 If you'd just Iet me do the biopsy. 559 00:29:03,608 --> 00:29:04,700 CHASE: No way. 560 00:29:04,776 --> 00:29:06,334 I just got back from a suspension. 561 00:29:06,411 --> 00:29:09,278 And if it wasn't for me, you would've been fired. 562 00:29:09,347 --> 00:29:11,508 Why don't you just get the sample yourself? 563 00:29:11,583 --> 00:29:13,244 Since when have you cared what your boss said? 564 00:29:13,318 --> 00:29:15,878 I don't care what anybody says, I care what they do. 565 00:29:15,954 --> 00:29:19,253 Right now BIackpoleon BIackaparte has got the nurses on red alert. 566 00:29:19,324 --> 00:29:21,315 I can't get into the patient's room. 567 00:29:21,392 --> 00:29:24,327 So, come on, I'II draw the enemy fire, you outflank them 568 00:29:24,395 --> 00:29:25,862 get in there, get the bone marrow sample. 569 00:29:25,930 --> 00:29:27,090 Can't. 570 00:29:28,666 --> 00:29:30,566 Who you more afraid of? 571 00:29:34,105 --> 00:29:37,768 I'm not afraid of Foreman, I agree with him. AII the tests back him up. 572 00:29:37,842 --> 00:29:40,242 AII the tests have not been done. 573 00:29:41,379 --> 00:29:44,314 You do realize that BIackaparte's reign is only temporary. 574 00:29:44,382 --> 00:29:48,409 I also realize that no matter what I do, you're still gonna treat me Iike crap. 575 00:29:48,853 --> 00:29:50,821 "Crap" is a relative term. 576 00:30:00,031 --> 00:30:01,623 I never even made it to the room. 577 00:30:01,699 --> 00:30:04,793 Nurses called the attending as soon as a trocar was ordered. 578 00:30:05,136 --> 00:30:07,036 You used her real name? 579 00:30:07,272 --> 00:30:10,207 I just processed your patient's discharge papers. 580 00:30:10,275 --> 00:30:12,573 She's on her way out right now. 581 00:30:15,213 --> 00:30:16,475 (EXCLAIMING) 582 00:30:17,048 --> 00:30:18,310 Wait up. 583 00:30:18,950 --> 00:30:20,611 It's all right, she's gonna stay. 584 00:30:20,685 --> 00:30:22,676 Wonderful. Oh, bite me. 585 00:30:23,621 --> 00:30:25,748 I don't need to hear the riot act again. 586 00:30:25,824 --> 00:30:28,384 How'd you Iike another medical test? 587 00:30:28,793 --> 00:30:30,192 What? Sit. 588 00:30:31,262 --> 00:30:32,388 Why? 589 00:30:33,064 --> 00:30:36,192 So you don't crack your skull when you pass out. 590 00:30:36,835 --> 00:30:38,200 Just do it. 591 00:30:40,572 --> 00:30:41,834 You know what colchicine is? 592 00:30:41,906 --> 00:30:42,964 No. 593 00:30:43,041 --> 00:30:45,305 Well, don't feel bad. It's for gout. 594 00:30:45,376 --> 00:30:48,243 It's got nothing to do with anything you've ever pretended to have. 595 00:30:48,313 --> 00:30:49,371 I'm not pretending to... 596 00:30:49,447 --> 00:30:50,812 Shut up. 597 00:30:51,649 --> 00:30:54,379 Colchicine decimates your white blood cells. 598 00:30:54,452 --> 00:30:55,885 Leaves almost no trace. 599 00:30:55,954 --> 00:30:57,785 It's great for faking your way into hospitals. 600 00:30:57,856 --> 00:30:59,983 I didn't fake my way... Shut up. 601 00:31:01,159 --> 00:31:03,593 You've been doing this for years. 602 00:31:03,995 --> 00:31:06,828 Don't worry, it's probably not your fault. 603 00:31:07,365 --> 00:31:09,356 When you were a kid, you had a close relative 604 00:31:09,434 --> 00:31:12,198 who had a chronic disease, probably your sister. 605 00:31:13,638 --> 00:31:17,734 And you saw all the attention she got while you were Ieft alone, ignored. 606 00:31:18,076 --> 00:31:20,601 And it really, seriously screwed you up. 607 00:31:21,512 --> 00:31:23,707 I do not have a relative... Shut up! 608 00:31:23,781 --> 00:31:26,375 I'm trying to give you what you want. 609 00:31:28,987 --> 00:31:30,852 And save your Iife. 610 00:31:33,391 --> 00:31:35,018 You have aplastic anemia. 611 00:31:35,593 --> 00:31:37,993 What, are you trying to scare me now? 612 00:31:39,097 --> 00:31:41,725 It means you're not just sick in the head. 613 00:31:41,866 --> 00:31:43,834 Problem is, the rest of you appears well. 614 00:31:43,902 --> 00:31:46,336 So I gotta make you seem as sick as you're supposed to be 615 00:31:46,404 --> 00:31:48,065 by injecting you with a drug 616 00:31:48,139 --> 00:31:50,664 that simulates the symptoms that you actually have. 617 00:31:54,445 --> 00:31:58,541 AII you need to know is, you've hit the Munchausen's jackpot. 618 00:31:59,117 --> 00:32:03,349 I'm gonna give you a cocktail of insulin for seizure and colchicine 619 00:32:03,588 --> 00:32:05,078 to kill your white count. 620 00:32:05,156 --> 00:32:08,717 This will absolutely confirm my diagnosis of aplastic anemia. 621 00:32:08,793 --> 00:32:11,626 There is one small catch. 622 00:32:12,096 --> 00:32:15,691 If you've actually done something to yourself to cause the anemia, 623 00:32:15,767 --> 00:32:17,291 then I'm wrong. 624 00:32:17,769 --> 00:32:20,033 And if I do what I plan to do, 625 00:32:20,571 --> 00:32:23,404 then the treatment will kill you instead of saving you. 626 00:32:24,075 --> 00:32:25,770 So I need to know. 627 00:32:26,144 --> 00:32:29,807 Have you been taking anything besides the insulin, the ACTH, 628 00:32:29,981 --> 00:32:32,745 and the pills Cameron Ieft in your room? 629 00:32:38,723 --> 00:32:39,781 No. 630 00:32:41,392 --> 00:32:44,293 Good. Give me your arm. 631 00:32:55,440 --> 00:32:56,964 It was my mom. 632 00:32:57,976 --> 00:32:59,341 She had MS. 633 00:33:00,144 --> 00:33:02,669 She was in and out of hospitals all the time. 634 00:33:03,181 --> 00:33:06,344 People were always trying to do things for her. 635 00:33:07,585 --> 00:33:11,385 Bring her food, or brush her hair, or make her happy. 636 00:33:13,124 --> 00:33:14,523 People cared. 637 00:33:18,496 --> 00:33:20,396 She died when I was 16. 638 00:33:24,569 --> 00:33:26,434 Then there was no one. 639 00:33:29,774 --> 00:33:31,264 Boo-hoo. 640 00:33:34,012 --> 00:33:35,775 Where are you going? 641 00:33:37,715 --> 00:33:39,808 I obviously can't be around when it happens. 642 00:33:39,884 --> 00:33:42,216 Well, what are you gonna do, you're just gonna... 643 00:33:42,286 --> 00:33:44,311 Relax, you know the drill. 644 00:33:44,956 --> 00:33:47,424 People walk by here all the time, you'II be fine. 645 00:33:58,836 --> 00:34:00,064 (THUDDING) 646 00:34:13,151 --> 00:34:15,779 So, barely out the door and she has another seizure. 647 00:34:15,853 --> 00:34:18,185 She must have somehow grabbed insulin on the way out. 648 00:34:18,256 --> 00:34:20,383 FOREMAN: Once she's stable, we need to get her out of here 649 00:34:20,458 --> 00:34:22,119 before she does more damage to herself. 650 00:34:22,427 --> 00:34:23,519 We can't. 651 00:34:23,961 --> 00:34:25,861 Her white count's down. 652 00:34:27,065 --> 00:34:28,657 Sorry, I missed that. 653 00:34:29,300 --> 00:34:31,359 Hearing's been off since the Ricky Martin concert, 654 00:34:31,436 --> 00:34:33,631 some cholo kicked me in the head. 655 00:34:33,704 --> 00:34:36,673 White count, hematocrit, and platelets are all off. 656 00:34:36,741 --> 00:34:39,574 Her bone marrow's shutting down. She actually has aplastic anemia. 657 00:34:39,644 --> 00:34:40,736 Say what? 658 00:34:40,812 --> 00:34:43,212 AII her other Iabs show nothing that would... 659 00:34:43,281 --> 00:34:47,308 Labs, shmabs. A good diagnostician reads between the Iabs. 660 00:34:48,286 --> 00:34:49,275 You were right. 661 00:34:49,353 --> 00:34:52,322 Hey, we're not here to play the blame game. 662 00:34:52,590 --> 00:34:54,080 These things happen. 663 00:34:54,158 --> 00:34:57,286 Sometimes doctors send people out on the street to die 664 00:34:57,361 --> 00:34:59,261 after other doctors have warned them 665 00:34:59,330 --> 00:35:01,389 that they're sending people out on the street to die. 666 00:35:01,466 --> 00:35:03,957 There's no way you could know. 667 00:35:04,368 --> 00:35:06,393 I'II go give her the news. 668 00:35:14,178 --> 00:35:15,475 ANICA: Who are you? 669 00:35:15,713 --> 00:35:18,773 I'm Dr. Foreman. I'm in charge of your case. 670 00:35:21,085 --> 00:35:23,076 You have aplastic anemia, 671 00:35:23,387 --> 00:35:25,821 which means your bone marrow has shut down. 672 00:35:25,890 --> 00:35:28,620 Your body can't make new blood anymore. 673 00:35:29,660 --> 00:35:30,820 Are you sure? 674 00:35:30,895 --> 00:35:34,456 I went back and checked your old records. It makes sense. 675 00:35:35,333 --> 00:35:39,064 The aplastic anemia's apparently been developing for months. 676 00:35:39,904 --> 00:35:42,566 I'm sorry, we should have caught it earlier. 677 00:35:42,640 --> 00:35:43,800 So 678 00:35:44,242 --> 00:35:48,406 it's not just the Iatest white count that's Ieading you to feel this... 679 00:35:51,549 --> 00:35:53,346 I know this is scary. 680 00:35:53,951 --> 00:35:56,511 But a bone marrow transplant could cure you. 681 00:35:56,621 --> 00:35:59,055 A marrow transplant could kill me. 682 00:35:59,190 --> 00:36:02,182 The other option is weekly blood transfusions, 683 00:36:02,493 --> 00:36:04,484 injections of GCSF. 684 00:36:05,429 --> 00:36:06,862 It's a Iifelong regimen. 685 00:36:06,931 --> 00:36:08,694 Yeah, I don't want that. 686 00:36:08,833 --> 00:36:10,323 You sure? 687 00:36:12,904 --> 00:36:14,565 I don't want to be cruel here, 688 00:36:14,639 --> 00:36:18,700 but you've jumped through a Iot of hoops to get this sort of attention. 689 00:36:19,644 --> 00:36:21,669 I just want to be healthy. 690 00:36:23,481 --> 00:36:26,541 It's not so much fun when you're actually sick. 691 00:36:28,719 --> 00:36:29,845 No. 692 00:36:33,891 --> 00:36:37,759 We'II check the registry. See if there's a donor match. 693 00:36:41,999 --> 00:36:43,330 Thank you. 694 00:36:49,607 --> 00:36:52,940 We have to kill all the old bone marrow before we give you the new stuff. 695 00:36:53,010 --> 00:36:54,705 You'II have no immune system. 696 00:36:55,146 --> 00:36:56,875 We'II keep you in a sterile room for two weeks 697 00:36:56,948 --> 00:37:00,145 to make sure everything's dead, then we'II give you the donor marrow. 698 00:37:00,218 --> 00:37:03,312 It'II take another couple weeks until it takes hold. 699 00:37:03,387 --> 00:37:04,979 You won't feel a thing. 700 00:37:05,056 --> 00:37:08,287 If you get uncomfortable for any reason and need to talk, don't yell. 701 00:37:08,359 --> 00:37:10,793 Walls are four inches thick, Iead. 702 00:37:11,195 --> 00:37:14,358 Use the microphone. Are you ready? 703 00:37:15,866 --> 00:37:16,958 Okay. 704 00:37:20,805 --> 00:37:22,500 Where's Dr. House? 705 00:37:50,768 --> 00:37:51,996 (SNIFFING) 706 00:38:06,817 --> 00:38:08,182 (SNIFFING) 707 00:38:13,424 --> 00:38:14,857 Turn it off! 708 00:38:15,192 --> 00:38:16,216 (DEVICE BEEPING) 709 00:38:16,294 --> 00:38:17,283 Now what? 710 00:38:17,361 --> 00:38:18,385 How Iong has she been in there? 711 00:38:18,462 --> 00:38:19,952 Three minutes. What's going on? 712 00:38:20,031 --> 00:38:22,226 She doesn't have aplastic anemia. 713 00:38:22,433 --> 00:38:24,492 She has an infection. No. 714 00:38:24,568 --> 00:38:27,560 Her white count would be through the roof. Hers is on the floor. 715 00:38:27,638 --> 00:38:29,469 Well, body does crazy things. 716 00:38:29,540 --> 00:38:31,132 "Body does crazy things." 717 00:38:31,442 --> 00:38:32,431 That explains everything! 718 00:38:32,510 --> 00:38:33,602 She had no fever. 719 00:38:33,678 --> 00:38:36,875 'Cause her self-inflicted Cushing's suppressed her immune system. 720 00:38:37,315 --> 00:38:39,909 Stopped her from having a fever, hid the infection. 721 00:38:41,952 --> 00:38:44,750 Clostridium perfringens could cause the bruises, 722 00:38:44,822 --> 00:38:46,050 the schistocytes, the anemia. 723 00:38:46,123 --> 00:38:48,557 Explains everything except the white count. 724 00:38:48,993 --> 00:38:52,520 Augmentin is a Iot safer than destroying her immune system. 725 00:38:52,596 --> 00:38:54,086 Why don't we try that? 726 00:38:57,368 --> 00:39:00,462 You're taking the safe course? What's going on? 727 00:39:01,772 --> 00:39:04,434 There's Iots of explanations for a Iow white count. 728 00:39:04,675 --> 00:39:06,802 Name one that fits her case. 729 00:39:10,715 --> 00:39:12,114 Colchicine. 730 00:39:16,554 --> 00:39:20,752 I figure that she'd gotten her hands on it and self-medicated. 731 00:39:21,525 --> 00:39:23,493 That's brilliant of her. 732 00:39:24,862 --> 00:39:28,593 Take the exact medication that would confirm your diagnosis. 733 00:39:30,067 --> 00:39:32,001 People do crazy things. 734 00:39:32,069 --> 00:39:34,867 You injected her against her will just so you could be right? 735 00:39:34,939 --> 00:39:37,339 She consented. She's mentally ill! 736 00:39:37,408 --> 00:39:39,501 But she smells oh-so-sweet. 737 00:39:42,313 --> 00:39:44,907 She would've gotten sicker when I said she was gonna get sicker 738 00:39:44,982 --> 00:39:46,677 except Cameron dosed her with antibiotics. 739 00:39:46,751 --> 00:39:48,742 Just hold this. Is everything okay? 740 00:39:48,853 --> 00:39:50,411 Pull my finger. 741 00:39:51,055 --> 00:39:52,147 (GASPS) 742 00:39:52,656 --> 00:39:53,953 (SNIFFING) 743 00:39:54,692 --> 00:39:55,920 Grapey. 744 00:39:56,627 --> 00:39:58,754 You have a bacterium. It's on all of us. 745 00:39:58,829 --> 00:40:02,595 But the bruises you gave yourself with the Cushing's made a Iovely home. 746 00:40:02,933 --> 00:40:06,061 Bacteria moved in, parked their cars on the Iawn. 747 00:40:06,137 --> 00:40:07,570 There goes the neighborhood. 748 00:40:07,638 --> 00:40:10,266 By neighborhood, I mean, your internal organs. 749 00:40:11,275 --> 00:40:13,641 So, should we put her on the Augmentin, boss? 750 00:40:13,711 --> 00:40:16,009 Or do you think she injected herself with grapes? 751 00:40:16,080 --> 00:40:17,069 (SNIFFING) 752 00:40:18,549 --> 00:40:20,779 I Iove the smell of pus in the morning. 753 00:40:20,918 --> 00:40:24,046 Smells Iike...victory. 754 00:40:29,293 --> 00:40:33,195 If you were serious about the offer, I'm serious about accepting. 755 00:40:34,365 --> 00:40:38,768 I'd Iike to run the department. And you said it yourself, things run smooth. 756 00:40:39,770 --> 00:40:41,965 Except for the part where House went behind your back 757 00:40:42,039 --> 00:40:45,475 and KO'd the patient with insulin and colchicine. 758 00:40:45,543 --> 00:40:47,875 There was no reason to suspect an infection. 759 00:40:48,112 --> 00:40:50,512 Even House didn't think it was an infection. 760 00:40:51,048 --> 00:40:52,515 You would have done the same thing I did. 761 00:40:52,583 --> 00:40:54,517 And I'd be just as wrong. 762 00:40:55,219 --> 00:40:58,017 What House did was insane. But he saved her Iife. 763 00:40:58,088 --> 00:40:59,077 He got Iucky. 764 00:40:59,156 --> 00:41:00,987 He got her to admit she's got a problem. 765 00:41:01,091 --> 00:41:04,720 She's agreed to outpatient treatment. He gets Iucky a Iot. 766 00:41:09,767 --> 00:41:12,395 Did you ever really intend to give me this job, 767 00:41:12,470 --> 00:41:15,166 or were you just trying to stop me from stepping down? 768 00:41:15,239 --> 00:41:17,764 Well, you've got two more weeks in charge. 769 00:41:18,209 --> 00:41:20,939 Hopefully the next case will go better. 770 00:41:27,551 --> 00:41:31,351 She should've died. House is not a hero. 771 00:41:32,690 --> 00:41:35,215 A person who has the guts to break a bad rule, 772 00:41:35,426 --> 00:41:36,984 they're a hero. 773 00:41:37,328 --> 00:41:39,762 House doesn't break rules, he ignores them. 774 00:41:40,297 --> 00:41:43,733 He's not Rosa Parks, he's an anarchist. 775 00:41:44,702 --> 00:41:47,899 AII he stands for is the right for everyone to grab whatever they want 776 00:41:47,972 --> 00:41:49,735 whenever they want. 777 00:41:50,074 --> 00:41:52,167 You tell doctors that's okay, 778 00:41:52,610 --> 00:41:55,909 your mortality rate is gonna go through the roof. 779 00:42:00,017 --> 00:42:03,282 Kind of digging this whole Foreman-in-charge thing. 780 00:42:04,522 --> 00:42:05,511 Give me those. 781 00:42:07,191 --> 00:42:09,455 Frees me up to watch my soaps, 782 00:42:09,860 --> 00:42:13,023 catch a movie in the afternoon, have Iunch with you. 783 00:42:13,397 --> 00:42:15,126 Yeah, that's a big change for you. 784 00:42:15,199 --> 00:42:18,259 Now Cuddy's on Foreman's ass, not mine. 785 00:42:25,209 --> 00:42:28,110 You couldn't Iive with Foreman as your boss. 786 00:42:28,245 --> 00:42:29,473 Why not? 787 00:42:30,281 --> 00:42:32,408 People can change, you know. 788 00:42:43,761 --> 00:42:45,956 Your white count is way down. 789 00:42:46,030 --> 00:42:48,498 We're going to need to admit you, just to run a few more tests. 790 00:42:48,566 --> 00:42:50,659 Whatever you think is best. 791 00:42:52,202 --> 00:42:53,931 (MAN CHATTERING ON TV) 792 00:43:01,278 --> 00:43:04,076 Last race at Belmont. Put it all on the five 793 00:43:04,148 --> 00:43:05,342 to win.