1 00:00:08,666 --> 00:00:09,981 It's almost 11:00. 2 00:00:10,065 --> 00:00:12,197 She needs a lot of sleepthese days. 3 00:00:12,339 --> 00:00:14,610 Please, Mrs. Bardach. 4 00:00:15,151 --> 00:00:17,288 I haven't seen her for a week. 5 00:00:18,521 --> 00:00:19,899 I'll see how she's feeling. 6 00:00:19,959 --> 00:00:22,344 - Thank you. - You know what to do. 7 00:00:35,882 --> 00:00:38,040 Bardach: All done? - Yeah. 8 00:00:38,525 --> 00:00:41,195 I, uh, scrubbed for 45 seconds, 9 00:00:41,280 --> 00:00:43,719 did the nails, all the way downthe elbows, 10 00:00:44,134 --> 00:00:45,747 the whole deal. 11 00:00:46,742 --> 00:00:47,263 [Sneezes] 12 00:00:47,470 --> 00:00:48,796 - Are you sick? - No, no, no. 13 00:00:48,935 --> 00:00:51,034 - Cough, sore throat? - No, no. 14 00:00:51,118 --> 00:00:53,857 I just--Sometimes I sneeze when I look at lights. 15 00:00:54,094 --> 00:00:55,072 I always have. 16 00:00:55,156 --> 00:00:55,910 I'm sorry. You better-- 17 00:00:55,994 --> 00:00:58,356 I would never get her sick. 18 00:00:58,697 --> 00:01:00,114 Please. 19 00:01:06,472 --> 00:01:07,878 A mask. 20 00:01:08,186 --> 00:01:09,523 Got me by the bouncer. 21 00:01:09,583 --> 00:01:13,140 She's crazy. She's let me out like six times in the last two months. 22 00:01:13,225 --> 00:01:15,746 Every time it's just to go to the hospital. I'm a prisoner. 23 00:01:15,840 --> 00:01:17,357 Aw, it's okay. 24 00:01:23,955 --> 00:01:26,175 - It's ugly. - No. 25 00:01:29,679 --> 00:01:32,555 I wasn't looking at the scar anyways. 26 00:01:37,647 --> 00:01:39,369 Take off your mask. 27 00:01:41,499 --> 00:01:44,410 Uh...If your mom comes in here, she-- 28 00:01:44,495 --> 00:01:47,923 Hey, give me a kiss or I'll kill you. 29 00:01:54,992 --> 00:01:56,817 Your skin. 30 00:01:58,051 --> 00:01:59,677 Are you okay? 31 00:02:00,085 --> 00:02:02,217 [Wheezes] 32 00:02:02,663 --> 00:02:04,318 Augh. 33 00:02:09,042 --> 00:02:10,398 Melinda, can you-- 34 00:02:11,577 --> 00:02:13,525 What's wrong? What's wrong? Can you breathe? 35 00:02:15,456 --> 00:02:16,895 What's wrong? Is it your heart? 36 00:02:17,084 --> 00:02:18,384 What's wrong? 37 00:02:18,648 --> 00:02:20,633 Mrs. Bardach! 38 00:02:26,120 --> 00:02:29,661 Melinda, I don't know how to use this. I've never used one of these before. 39 00:02:29,915 --> 00:02:32,348 [Choking] 40 00:02:39,232 --> 00:02:43,908 [Catches her wind] 41 00:02:46,559 --> 00:02:48,423 What did you do to her? 42 00:02:49,525 --> 00:02:53,964 2X16 - Safe 43 00:03:16,099 --> 00:03:19,521 Original Airdate (FOX): 4 APR-2006 44 00:03:50,639 --> 00:03:51,977 Cuddy called. 45 00:03:52,499 --> 00:03:54,754 I know. Saw the caller ID. 46 00:03:54,862 --> 00:03:57,298 Young girl, anaphylactic shock. 47 00:03:57,853 --> 00:03:58,952 You answered? 48 00:03:59,021 --> 00:04:01,906 Turns out that's what stops the ringing. 49 00:04:02,809 --> 00:04:04,241 It's a weird case. 50 00:04:06,689 --> 00:04:08,933 I thought you did the dishes last night. 51 00:04:09,017 --> 00:04:10,147 It was your day. 52 00:04:10,231 --> 00:04:12,146 I did. Those are new. 53 00:04:12,230 --> 00:04:13,748 Midnight snack. 54 00:04:13,833 --> 00:04:16,991 For a midnight snack, you made a pot roast. 55 00:04:17,335 --> 00:04:19,397 The same pot roast I made last night. 56 00:04:19,481 --> 00:04:22,837 Yeah. Actually, it was after midnight. 57 00:04:23,596 --> 00:04:25,270 Today is your day, right? 58 00:04:25,806 --> 00:04:27,751 You want me out of here. I get it. 59 00:04:27,985 --> 00:04:29,390 No, it's fine if you stay. 60 00:04:29,475 --> 00:04:31,982 The place I was gonna move, the guy never called. 61 00:04:32,066 --> 00:04:34,757 - Otherwise, I'll already be there. - I said it's fine if you stay. 62 00:04:34,841 --> 00:04:36,899 Yeah. That's why you're making me miserable. 63 00:04:36,983 --> 00:04:40,022 Maybe I just want to make sure you do your fair share around here. 64 00:04:40,364 --> 00:04:41,004 Tha-- 65 00:04:41,088 --> 00:04:42,498 What's weird about it? 66 00:04:45,173 --> 00:04:47,242 The girl with the allergies. 67 00:04:47,426 --> 00:04:48,412 Yeah. 68 00:04:48,714 --> 00:04:51,467 - She's immunocompromised. - What are you doing? 69 00:04:51,551 --> 00:04:52,692 What? You asked me-- 70 00:04:52,776 --> 00:04:54,308 You knew that I was interested. 71 00:04:54,377 --> 00:04:57,017 That gives you a valuable bargaining chip. 72 00:04:57,197 --> 00:04:59,754 You could've had me doing dishes for a week. 73 00:05:02,809 --> 00:05:03,956 Okay. 74 00:05:08,585 --> 00:05:11,609 The allergic reaction happened while she was in a clean room. 75 00:05:20,640 --> 00:05:22,274 Why does she have a clean room in her home? 76 00:05:22,358 --> 00:05:24,761 Heart transplant. Immune system's in the toilet. 77 00:05:24,846 --> 00:05:28,671 Mommy builds her little angel a John Travolta-quality bubble. 78 00:05:28,755 --> 00:05:32,169 Six months after the transplant, she doesn't need to be confined to a clean room. 79 00:05:32,273 --> 00:05:36,150 Six months without putting out, Dr. Cuddy doesn't need to wear thong panties, but 80 00:05:36,251 --> 00:05:37,380 it's not our call. 81 00:05:37,464 --> 00:05:39,643 I was wondering when you'd get around to my panties. 82 00:05:40,076 --> 00:05:41,703 She's had four days of workups. 83 00:05:41,813 --> 00:05:45,094 They've tested everyone who came anywhere near that room, everything in the room. 84 00:05:45,179 --> 00:05:47,130 It's like an Agatha Christie mystery. 85 00:05:47,233 --> 00:05:49,648 Maybe it's not what was there. It's what she was doing. 86 00:05:49,732 --> 00:05:52,323 Exercise allergy. Love it. 87 00:05:52,407 --> 00:05:58,524 What sort of exercise could a strapping young man and a nubile teenage nymphet possibly-- 88 00:05:58,608 --> 00:06:00,785 Mom was in the room within seconds. 89 00:06:00,869 --> 00:06:03,981 So the boyfriend brought in an allergen and is lying about it. 90 00:06:04,065 --> 00:06:05,702 Or the girl snuck out and she's lying about that. 91 00:06:05,786 --> 00:06:08,471 Or the parents are lying about the room being clean. 92 00:06:08,695 --> 00:06:10,409 These are your big ideas? 93 00:06:10,476 --> 00:06:11,747 Somebody's lying? 94 00:06:11,929 --> 00:06:13,426 Hasn't let me down yet. 95 00:06:13,614 --> 00:06:17,455 Recheck Mom, Dad, the girl, the boy, the room, and the home. 96 00:06:20,820 --> 00:06:25,527 Any of you have a new soap, detergent, perfume? 97 00:06:25,611 --> 00:06:28,128 No. Barbara's really careful about that stuff. 98 00:06:28,212 --> 00:06:30,068 And you haven't been outside recently? 99 00:06:30,152 --> 00:06:32,183 How could I? I'm trapped up there. 100 00:06:32,267 --> 00:06:33,482 You're not trapped. It's just safe-- 101 00:06:33,566 --> 00:06:35,319 They won't even tell me the alarm code. 102 00:06:35,379 --> 00:06:37,448 Just tell her I can go back to school. 103 00:06:37,532 --> 00:06:38,824 Till we clear this up. 104 00:06:38,908 --> 00:06:39,720 Fine. 105 00:06:39,905 --> 00:06:42,541 Find out what I'm allergic to, and I'll stay away from it. 106 00:06:43,085 --> 00:06:46,692 Then I can go back to school, right? 107 00:06:47,953 --> 00:06:49,400 It's up to your parents. 108 00:06:49,733 --> 00:06:51,490 But medically, there's no reason-- 109 00:06:51,720 --> 00:06:52,874 Told you. 110 00:06:53,358 --> 00:06:55,606 Could I speak to you outside for a second, please? 111 00:07:01,153 --> 00:07:03,504 You know, this is hard enough without you in there giving-- 112 00:07:03,588 --> 00:07:04,223 She asked my opinion. 113 00:07:04,321 --> 00:07:06,559 She is 16 years old. Lie to her. 114 00:07:07,255 --> 00:07:08,976 When I was eight, my mom, she hated-- 115 00:07:09,032 --> 00:07:10,974 I know. I-I need to loosen up. 116 00:07:11,058 --> 00:07:13,677 I'm overprotective. I saw Finding Nemo. I get it. 117 00:07:13,761 --> 00:07:14,955 I don't need another story. 118 00:07:14,997 --> 00:07:16,590 But you're not just being overprotective. 119 00:07:16,674 --> 00:07:18,601 You're one of the most overprotective parents I've ever seen. 120 00:07:18,685 --> 00:07:20,722 She has the best private tutors. 121 00:07:20,885 --> 00:07:23,658 I let her friends visit. I'm not going to apologize. 122 00:07:23,720 --> 00:07:25,477 Just giving you my thoughts. 123 00:07:25,628 --> 00:07:28,472 She almost died three times during her childhood. 124 00:07:28,556 --> 00:07:30,792 Penicillin, bee stings, peanuts. 125 00:07:30,877 --> 00:07:31,550 I've seen her file. 126 00:07:31,634 --> 00:07:35,116 Six month ago, we leave her home alone for the first time on a weekend. 127 00:07:35,200 --> 00:07:37,686 She goes out, buys one chocolate chip cookie. 128 00:07:37,748 --> 00:07:39,182 Peanut butter in the dough. 129 00:07:39,266 --> 00:07:43,853 She's forgotten her epi pen, she drives to the hospital, passes out, has an accident. 130 00:07:43,958 --> 00:07:46,116 Steering wheel crushed her chest. 131 00:07:46,200 --> 00:07:47,996 She ended up losing her heart. 132 00:07:49,326 --> 00:07:51,099 So when you say to me 133 00:07:51,261 --> 00:07:55,344 that I'm one of the most overprotective parents you've seen, please... 134 00:07:56,078 --> 00:08:00,526 please introduce me to the ones who were more protective 135 00:08:00,611 --> 00:08:03,256 so that I can find out what they're doing right. 136 00:08:10,442 --> 00:08:13,475 She's allergic to having a sucky social life. 137 00:08:13,624 --> 00:08:16,567 Give the parents a break. They're just trying to keep her healthy. 138 00:08:16,651 --> 00:08:18,587 Everything in here's labeled "hypoallergenic." 139 00:08:18,672 --> 00:08:19,894 Check it anyway. 140 00:08:23,631 --> 00:08:24,787 Cameron. 141 00:08:27,302 --> 00:08:29,815 This place is cleaner than her hospital room. 142 00:08:31,597 --> 00:08:33,213 No alarm on this window. 143 00:08:33,466 --> 00:08:34,717 It's 20-foot drop. 144 00:08:34,799 --> 00:08:37,325 You can get to the tree from here. There's some bark scraped off. 145 00:08:37,411 --> 00:08:40,491 Sure. Heart-transplant girl swung down there on a vine. 146 00:08:40,570 --> 00:08:43,612 Maybe she was hooking up with Tarzan and Cheetah down by the elephant graveyard. 147 00:08:43,701 --> 00:08:48,665 Or...Jane stayed in the tree house and Tarzan came up. 148 00:08:52,353 --> 00:08:55,871 Okay. Um, I spent most of the night Friday. 149 00:08:55,957 --> 00:08:59,471 But if her mom finds out about that, she will totally freak. 150 00:08:59,555 --> 00:09:00,776 You guys had sex? 151 00:09:01,169 --> 00:09:05,490 Yeah, but, you know, I did everything I could to make sure she wouldn't get sick. 152 00:09:05,617 --> 00:09:06,832 A latex allergy? 153 00:09:06,917 --> 00:09:09,168 What do you mean, like a condom? We didn't-- 154 00:09:09,252 --> 00:09:10,370 You had unsafe sex? 155 00:09:10,454 --> 00:09:12,250 The whole unsafe thing didn't tell you something? 156 00:09:12,335 --> 00:09:16,038 Yeah, but we didn't like plan on it, you know? It just-- 157 00:09:16,269 --> 00:09:18,679 I don't know. We're in love. We've been dating for two years. 158 00:09:18,763 --> 00:09:19,937 Practically a lifetime. 159 00:09:20,044 --> 00:09:21,814 How about a semen allergy? 160 00:09:22,367 --> 00:09:24,497 We're gonna need a semen sample. 161 00:09:26,472 --> 00:09:28,035 You can use the bathroom over there. 162 00:09:28,077 --> 00:09:30,445 Right. Uh, how do I... 163 00:09:30,530 --> 00:09:32,017 Aim and shoot. 164 00:09:34,464 --> 00:09:36,802 No thinking about Dr. Cameron. We'll know. 165 00:09:38,393 --> 00:09:39,574 We should tell her parents. 166 00:09:39,658 --> 00:09:41,176 Why stop there? Call the cops. 167 00:09:41,260 --> 00:09:42,169 Melinda's a minor. 168 00:09:42,269 --> 00:09:46,133 And if we nip it in the bud here, teenagers will never again have sex. 169 00:09:46,218 --> 00:09:48,065 The parents will find out when they get the bill anyway. 170 00:09:48,149 --> 00:09:50,688 Oh, so you're fine with them finding out as long as you don't have to tell them personally? 171 00:09:50,772 --> 00:09:51,641 Pretty much. 172 00:09:56,634 --> 00:09:58,124 Too bad it's not you giving the sample. 173 00:09:58,269 --> 00:09:59,698 We'd be done by now. 174 00:10:02,250 --> 00:10:04,695 Test was negative. No semen allergy. 175 00:10:05,259 --> 00:10:09,073 Boyfriend sneaks in to get his freak on the night before the anaphylaxis. 176 00:10:09,157 --> 00:10:10,483 I don't buy that it's unrelated. 177 00:10:10,567 --> 00:10:13,511 He loves her. Did everything he could to make sure she wouldn't get sick. 178 00:10:13,989 --> 00:10:15,362 What does that mean? 179 00:10:15,573 --> 00:10:18,878 Love is an emotion certain people experience, similar to happiness. 180 00:10:19,255 --> 00:10:21,705 No. Maybe I should give a more relatable example. 181 00:10:21,868 --> 00:10:23,505 Oh, snap! 182 00:10:23,889 --> 00:10:26,053 What did he do to protect her? 183 00:10:26,205 --> 00:10:27,758 Brillo-pad his privates? 184 00:10:27,842 --> 00:10:30,073 - I assumed he washed and he-- - Oh, good work. 185 00:10:30,129 --> 00:10:33,120 Assumptions are so much faster than actual questions. 186 00:10:42,868 --> 00:10:44,163 House: You the boyfriend? 187 00:10:44,907 --> 00:10:46,439 Need to borrow you. 188 00:10:46,811 --> 00:10:48,106 What is going on? 189 00:10:48,296 --> 00:10:51,624 Don't worry. I'll return him in roughly the same condition. 190 00:10:58,446 --> 00:10:59,909 Do you take anything to stay healthy? 191 00:10:59,989 --> 00:11:02,144 Something stronger than an apple a day? 192 00:11:02,224 --> 00:11:03,096 Is he okay? 193 00:11:03,203 --> 00:11:06,472 He's just tired... from being in a coma so long. 194 00:11:06,557 --> 00:11:07,585 What'd you take? 195 00:11:08,228 --> 00:11:10,145 Don't worry. He can keep a secret. 196 00:11:13,055 --> 00:11:14,987 Antibiotics? 197 00:11:15,136 --> 00:11:16,853 Penicillin? 198 00:11:16,937 --> 00:11:18,692 Any of those names ring a bell? 199 00:11:19,548 --> 00:11:25,759 Yeah, uh...my friend Elliot, his dad had, like, a whole bottle that he hadn't finished, so... 200 00:11:25,835 --> 00:11:29,411 I swiped it and took a bunch for, like, a week. 201 00:11:29,562 --> 00:11:32,378 There's no way I was gonna risk breathing germs on Melinda. 202 00:11:33,057 --> 00:11:35,922 This is the one downside of teenage sex: 203 00:11:36,006 --> 00:11:37,416 You're idiots. 204 00:11:37,640 --> 00:11:39,779 You almost killed your girlfriend. 205 00:11:40,129 --> 00:11:42,800 She's allergic to penicillin. 206 00:11:43,485 --> 00:11:45,317 What, do you think there was still some on my lips? 207 00:11:45,401 --> 00:11:46,926 I brushed my teeth. 208 00:11:47,077 --> 00:11:49,913 Think lower and more fun. 209 00:11:52,193 --> 00:11:53,997 I mean, it can-- 210 00:11:54,101 --> 00:11:55,941 It can go through your stuff? 211 00:11:56,116 --> 00:11:57,990 Totally, dude. 212 00:11:58,137 --> 00:12:02,735 There's this administrator here, whenever she gets sick, she just gives me the prescription. 213 00:12:04,751 --> 00:12:09,627 But you know, they tested Melinda, they said...she wasn't allergic to my stuff. 214 00:12:09,711 --> 00:12:11,277 Yeah, four days later. 215 00:12:11,334 --> 00:12:15,402 By that time, the penicillin was crusting up a sock at the bottom of your hamper. 216 00:12:16,107 --> 00:12:17,945 Do you have to tell her it was my fault? 217 00:12:19,828 --> 00:12:20,971 No. 218 00:12:21,331 --> 00:12:25,616 Great part of being a grownup, you never have to do anything. 219 00:12:32,665 --> 00:12:34,378 You're releasing her? 220 00:12:34,543 --> 00:12:35,872 What happened? What did you find out? 221 00:12:35,956 --> 00:12:38,578 Tests on your house ruled out any environmental allergens. 222 00:12:38,662 --> 00:12:39,871 Yeah, but what caused this? 223 00:12:39,955 --> 00:12:43,226 We believe it's highly unlikely that this set of circumstances will repeat itself. 224 00:12:43,310 --> 00:12:45,411 What set of circumstances? 225 00:12:45,609 --> 00:12:48,102 It's good news. She's healthy. 226 00:12:48,186 --> 00:12:51,127 - But you might want to talk-- - Cameron! 227 00:12:53,184 --> 00:12:55,400 - I can't breathe. - Getting the epi. 228 00:12:58,446 --> 00:13:01,044 Lewis: Give her the shot! - No murmurs, no friction rubs. 229 00:13:01,651 --> 00:13:03,900 - What are you waiting for? - Quiet. 230 00:13:04,072 --> 00:13:06,022 She's coughing up white sputum. 231 00:13:06,657 --> 00:13:08,458 Crackling two-thirds of the way up. 232 00:13:11,251 --> 00:13:12,112 Look at her neck. 233 00:13:12,197 --> 00:13:14,196 Please. She is vomiting. Would you give her the shot? 234 00:13:14,281 --> 00:13:16,473 It's not an allergy. It's her heart. 235 00:13:21,524 --> 00:13:24,276 What's the good news? What's the bad news? 236 00:13:24,345 --> 00:13:26,206 Congestive heart failure. 237 00:13:26,387 --> 00:13:27,576 Is which? 238 00:13:27,784 --> 00:13:29,619 - Good news. - Why? 239 00:13:30,052 --> 00:13:32,922 I don't know. It just sounded like you. 240 00:13:33,786 --> 00:13:36,722 New puzzle piece. Always good news. What's the bad news? 241 00:13:36,806 --> 00:13:39,802 We've got two puzzle pieces from two different puzzles. 242 00:13:40,142 --> 00:13:41,548 Seems that way. 243 00:13:41,632 --> 00:13:44,292 What if her anaphylaxis wasn't anaphylaxis? 244 00:13:44,358 --> 00:13:48,433 Toxicity from the anti-rejection meds could cause a seizure and then heart failure. 245 00:13:48,531 --> 00:13:52,735 And get cured by a mommy-wielded epi pen? It's anaphylaxis. What else? 246 00:13:52,819 --> 00:13:54,647 What if they really are two puzzles? 247 00:13:54,731 --> 00:13:57,702 You think she had two unrelated rare conditions in one week? 248 00:13:57,801 --> 00:14:01,420 - We explained the anaphylaxis. - What do you mean, we? I did! 249 00:14:01,761 --> 00:14:03,758 At least I thought I did. Maybe I didn't. 250 00:14:03,863 --> 00:14:05,586 Still, it was all me. 251 00:14:05,735 --> 00:14:09,538 Heart problems aren't so rare for someone who's had a heart transplant. 252 00:14:09,892 --> 00:14:12,484 I say we assume House was right about the anaphylaxis. 253 00:14:12,568 --> 00:14:14,021 It is tempting. 254 00:14:14,527 --> 00:14:19,436 Heart failure could be either infection, coronary disease, or rejection. 255 00:14:19,478 --> 00:14:22,433 Sorry. There's a reason they call it the white board. 256 00:14:22,517 --> 00:14:23,979 It's not my rule. 257 00:14:24,570 --> 00:14:28,030 What ties both these conditions together? 258 00:14:36,840 --> 00:14:41,803 Okay, we can all stare at each other, or we can investigate what caused the heart failure. 259 00:14:41,887 --> 00:14:43,942 Just the heart failure. 260 00:14:44,646 --> 00:14:46,747 You wanna give me that black marker? 261 00:14:53,713 --> 00:14:55,809 There's no fever, so it's probably not infection. 262 00:14:55,893 --> 00:14:59,218 Or no fever because she's been on immunosuppressants for the last six months. 263 00:14:59,302 --> 00:15:03,379 Let's do a C.T., get a heart biopsy and redo the blood work. 264 00:15:04,767 --> 00:15:07,173 - Anything? - Not yet. 265 00:15:07,538 --> 00:15:10,379 So I hear you don't want teenagers having sex. 266 00:15:10,463 --> 00:15:12,478 Teen suicide rate isn't high enough for you already? 267 00:15:12,562 --> 00:15:13,939 I just think those two are brats. 268 00:15:14,007 --> 00:15:16,026 The girl undercuts her mother any chance she gets. 269 00:15:16,111 --> 00:15:19,175 Yeah, it's the daughter's fault. Has nothing to do with mom infantilizing her. 270 00:15:19,259 --> 00:15:20,050 Good point. 271 00:15:20,134 --> 00:15:23,885 Explains why parents who don't pay attention get such nice, well-adjusted children. 272 00:15:24,123 --> 00:15:25,644 What's this? 273 00:15:26,057 --> 00:15:27,359 Think it's vegetation? 274 00:15:27,466 --> 00:15:28,512 Yeah. 275 00:15:28,682 --> 00:15:31,547 The kind made of muscle that opens your heart valves. 276 00:15:31,631 --> 00:15:33,133 It's nothing. 277 00:15:33,305 --> 00:15:34,878 She's clean. 278 00:15:36,067 --> 00:15:40,174 It's good news. You don't show any signs of coronary artery disease. 279 00:15:40,393 --> 00:15:41,501 So what's next? 280 00:15:41,646 --> 00:15:44,207 Well, blood work to rule out infection, 281 00:15:44,292 --> 00:15:47,369 and then a heart surgical biopsy to rule out rejection. 282 00:15:47,467 --> 00:15:50,741 But you don't think you're gonna rule out both things, do you? 283 00:15:51,126 --> 00:15:52,079 No. 284 00:15:55,298 --> 00:15:57,129 I'm gonna lose this heart, right? 285 00:15:57,213 --> 00:15:59,340 Hopefully we'll find the problem and fix it. 286 00:15:59,409 --> 00:16:01,259 You'll keep your heart a long time. 287 00:16:01,386 --> 00:16:02,331 How long? 288 00:16:02,438 --> 00:16:06,017 Well, there could be drug breakthroughs that allow you to keep it for decades more. 289 00:16:06,121 --> 00:16:07,787 [Chuckles] Yeah. 290 00:16:07,871 --> 00:16:10,947 That's the answer my cardiologist always gives me. 291 00:16:11,129 --> 00:16:12,755 I looked it up on the web. 292 00:16:12,816 --> 00:16:15,689 It's like five or ten years, right? 293 00:16:17,719 --> 00:16:19,611 That's about the average. 294 00:16:20,030 --> 00:16:22,648 That's why I need to have a life. 295 00:16:23,348 --> 00:16:26,267 Why can't you convince my mom to let me go back to school? 296 00:16:26,325 --> 00:16:30,980 M elinda, you've got bigger worries right now than missing school. 297 00:16:31,128 --> 00:16:36,456 Until we figure out what's wrong with your heart, the safest place for you to be is right here. 298 00:16:59,490 --> 00:17:07,778 "Pain in My Heart" by Otis's Reddings 299 00:17:09,970 --> 00:17:13,437 # Pain in my heart # 300 00:17:14,079 --> 00:17:17,754 # Is treating me poor # 301 00:17:18,660 --> 00:17:21,447 # Where can my baby be # 302 00:17:22,632 --> 00:17:25,841 # Lord, no one knows # 303 00:17:27,327 --> 00:17:30,775 # Pain in my heart # 304 00:17:31,574 --> 00:17:35,450 # Just won't let me sleep # 305 00:17:36,139 --> 00:17:39,428 # Where can my baby be? # 306 00:17:40,039 --> 00:17:43,256 # Lord, where can she be? # 307 00:17:44,502 --> 00:17:47,445 # And now the days # 308 00:17:48,351 --> 00:17:50,412 # Has begin to get tough # 309 00:17:50,706 --> 00:17:52,849 # Said I want you to come back # 310 00:17:53,000 --> 00:17:57,478 # Come back, come back, baby # 311 00:17:57,773 --> 00:18:01,318 # I've had enough, oh-oh...# 312 00:18:05,294 --> 00:18:11,180 Where's... the hooker, I assume? 313 00:18:11,545 --> 00:18:13,538 Right up here, buddy. 314 00:18:16,445 --> 00:18:20,357 You said you'd hang the stethoscope if you were having sex. 315 00:18:20,721 --> 00:18:23,123 I didn't say it had to be with another person. 316 00:18:23,207 --> 00:18:27,134 Can you think of anything that would tie together anaphylaxis and heart failure? 317 00:18:27,219 --> 00:18:28,018 No. 318 00:18:28,470 --> 00:18:31,060 I was waiting out there for hours! 319 00:18:31,144 --> 00:18:33,146 I need a lot of foreplay. 320 00:18:33,385 --> 00:18:35,719 And then there's the cuddling afterwards. 321 00:18:36,356 --> 00:18:40,053 Any way that anaphylaxis isn't anaphylaxis even it responds to epi? 322 00:18:40,137 --> 00:18:42,313 No. Oh, no wonder you were in the mood. 323 00:18:42,397 --> 00:18:44,901 This month's New Jersey Journal of Cardiology. 324 00:18:44,986 --> 00:18:46,131 Have you seen the centerfold? 325 00:18:46,239 --> 00:18:48,502 There's no way those valves are real. 326 00:18:49,448 --> 00:18:51,699 Any chance that the heart failure could be unrelated to-- 327 00:18:51,784 --> 00:18:54,329 No. If you need time alone to work, 328 00:18:54,413 --> 00:18:57,458 you just have to say so. You don't have to lie about it. 329 00:18:57,542 --> 00:19:00,950 - Lying's more fun. - Being lied to, not as much fun. 330 00:19:01,027 --> 00:19:02,664 Please have an answer to this question: 331 00:19:02,726 --> 00:19:04,310 What's for dinner? 332 00:19:04,730 --> 00:19:07,182 Wilson: You still haven't done the dishes? 333 00:19:07,594 --> 00:19:10,169 You want one of these? I think I got a couple of blueberries. 334 00:19:10,938 --> 00:19:13,772 Nope. Sorry. Just one. 335 00:19:15,941 --> 00:19:17,914 Oh, don't look all weepy. 336 00:19:18,372 --> 00:19:20,582 You got a problem with me, deal with it. 337 00:19:20,666 --> 00:19:22,461 Short my sheets or something. 338 00:19:22,887 --> 00:19:24,447 [Sighs] 339 00:19:26,678 --> 00:19:29,212 [Wilson does the dishes] 340 00:19:29,369 --> 00:19:31,449 Biopsy was negative for rejection. 341 00:19:31,635 --> 00:19:32,470 Thank God. 342 00:19:32,554 --> 00:19:33,822 And what about the blood tests? 343 00:19:33,906 --> 00:19:35,085 Showed no infection. 344 00:19:35,293 --> 00:19:37,867 So we still don't know what caused her heart failure. 345 00:19:38,596 --> 00:19:40,292 Let's just be happy she doesn't need a new heart. 346 00:19:40,377 --> 00:19:43,078 Mrs. Bardach, it could have just been a one-time thing. 347 00:19:43,162 --> 00:19:45,295 So she has an allergic reaction and heart failure, 348 00:19:45,379 --> 00:19:47,231 and neither of them can be explained. 349 00:19:48,357 --> 00:19:49,612 Are they doing any more tests on her? 350 00:19:49,697 --> 00:19:51,431 - No. - She's not here. 351 00:19:54,079 --> 00:19:58,005 Notify local hospitals, cab companies, the state troopers, and local cops. 352 00:19:58,005 --> 00:20:00,515 Any security officers off duty are back on duty. 353 00:20:00,578 --> 00:20:01,525 Woman: We're on it. 354 00:20:01,609 --> 00:20:04,623 And I'm going to need some pictures. And go through those drawers. 355 00:20:04,676 --> 00:20:08,082 And I want at least two people going over the surveillance tapes. 356 00:20:08,175 --> 00:20:09,475 That work? 357 00:20:10,002 --> 00:20:11,276 Are those all her clothes? 358 00:20:11,360 --> 00:20:12,758 Uh, yeah. 359 00:20:13,038 --> 00:20:14,714 She's obviously still in the building. 360 00:20:14,798 --> 00:20:16,603 So where did she go? What does she want? 361 00:20:16,767 --> 00:20:18,263 See her boyfriend? 362 00:20:18,897 --> 00:20:20,565 She didn't take her phone. 363 00:20:21,307 --> 00:20:23,298 She wants to be outside. 364 00:20:36,160 --> 00:20:39,917 If you're trying to scare your parents, great job. 365 00:20:41,360 --> 00:20:43,156 Can we go back now? 366 00:20:44,332 --> 00:20:46,012 I hate her. 367 00:20:47,911 --> 00:20:51,840 When I was eight years old, I was sick. 368 00:20:52,068 --> 00:20:56,433 - Not really sick, but the point is, my mom, she-- - She was like this before. 369 00:20:56,518 --> 00:21:00,374 Home by 9:00 every night. Can't go out on the weekends. Can't do sports. 370 00:21:00,742 --> 00:21:03,918 - Transplant just gave her what she always wanted. - Melinda... 371 00:21:04,002 --> 00:21:06,502 You had heart failure. 372 00:21:06,709 --> 00:21:11,531 This is kind of an insane time to be criticizing your mom about being overprotective. 373 00:21:11,653 --> 00:21:19,003 I know. I mean, this is what makes it even worse. All of her craziness, it just... 374 00:21:20,413 --> 00:21:22,584 It makes sense now. 375 00:21:22,710 --> 00:21:25,037 Everything's gonna be all right. 376 00:21:25,758 --> 00:21:28,432 I didn't even try to get outside. 377 00:21:29,886 --> 00:21:31,211 I was too scared. 378 00:21:31,295 --> 00:21:32,388 Come on. 379 00:21:43,540 --> 00:21:47,595 Whoa, whoa. Melinda, please walk back towards me. 380 00:21:47,680 --> 00:21:48,819 Why? 381 00:21:49,500 --> 00:21:50,763 Please? 382 00:21:56,276 --> 00:21:58,121 It feels kind of weird. 383 00:22:00,185 --> 00:22:02,116 It's called steppage gait. 384 00:22:02,612 --> 00:22:03,636 Lewis: Is it serious? 385 00:22:03,740 --> 00:22:05,250 No, not necessarily. 386 00:22:05,456 --> 00:22:07,842 All right, stick your leg out, hold it up. 387 00:22:09,569 --> 00:22:13,467 She was under anesthesia for the biopsy. If she lost oxygen-- 388 00:22:13,552 --> 00:22:15,704 C.T. ruled out brain damage. 389 00:22:16,141 --> 00:22:19,280 Put your leg down. Relax. 390 00:22:21,716 --> 00:22:23,840 Why is her leg twitching like that? 391 00:22:25,305 --> 00:22:26,466 Fasciculation. 392 00:22:26,550 --> 00:22:27,924 Is that serious? 393 00:22:28,300 --> 00:22:31,287 It's paralysis, and it's ascending. 394 00:22:31,371 --> 00:22:34,218 She's going to lose the use of her legs? 395 00:22:37,975 --> 00:22:40,894 To start with. 396 00:22:43,412 --> 00:22:46,085 It's ascending fast. She can hardly extend her leg now. 397 00:22:46,169 --> 00:22:48,572 At this rate, it'll be up to her lungs in a matter of days. 398 00:22:49,910 --> 00:22:54,607 So, anaphylaxis, heart failure, paralysis. 399 00:22:54,665 --> 00:22:57,985 Couldn't put the first two together. I'm guessing we can't put all three together. 400 00:22:58,050 --> 00:22:59,320 Tick paralysis? 401 00:22:59,524 --> 00:23:01,483 Could also explain the anaphylaxis, maybe even the-- 402 00:23:01,567 --> 00:23:04,333 Penicillin allergy explains the allergic reaction much better. 403 00:23:04,417 --> 00:23:08,181 Particularly because tick paralysis is usually accompanied by a tick. 404 00:23:08,279 --> 00:23:11,078 We did two comprehensive physicals looking for insect bites. 405 00:23:11,176 --> 00:23:13,666 Can we put any two of those together? 406 00:23:13,750 --> 00:23:15,461 How about we stipulate? 407 00:23:15,545 --> 00:23:18,262 You argued that there must be something to connect all three symptoms, 408 00:23:18,346 --> 00:23:21,948 you mocked us for not figuring it out, and finally you let us discuss the paralysis 409 00:23:22,033 --> 00:23:24,408 on its own because it's what's gonna kill her. 410 00:23:24,577 --> 00:23:25,573 Now, it's ascending. 411 00:23:25,676 --> 00:23:28,156 Her MRIs are clean, so rule out stroke or aneurysm. 412 00:23:28,240 --> 00:23:30,152 - ALS? MS? - Progression's too quick. 413 00:23:30,211 --> 00:23:32,373 - Spinal lesion from leukemia? - Too slow. 414 00:23:32,457 --> 00:23:33,906 It's most likely Guillain-Barre. 415 00:23:33,990 --> 00:23:36,363 She's immunosuppressed. What about botulism? 416 00:23:36,447 --> 00:23:38,557 Not unless she's been walking around on her hands the last couple of days. 417 00:23:38,641 --> 00:23:40,758 Botulism paralysis is descending, not ascending. 418 00:23:40,842 --> 00:23:41,712 Could be a virus. 419 00:23:41,780 --> 00:23:44,125 West Nile, even polio with her immune system shot. 420 00:23:44,209 --> 00:23:47,500 Get an LP and do PCRs for the viruses. 421 00:23:47,579 --> 00:23:49,904 And get an EMG to check for Guillain-Barre. 422 00:23:49,988 --> 00:23:52,719 Foreman's right. We gotta find out why she's paralyzed. 423 00:23:55,008 --> 00:23:58,231 But not before staring at me dumbly for a few seconds. 424 00:24:09,346 --> 00:24:11,642 Foreman: We ran more tests on your daughter. 425 00:24:11,746 --> 00:24:14,810 We took a lumbar puncture, got some spinal fluid. 426 00:24:14,962 --> 00:24:18,907 Then we brought her to the lab to look for infections that could be affecting her brain. 427 00:24:21,334 --> 00:24:26,619 We also did an EMG to check how her muscles and nerves are responding to electrical impulses. 428 00:24:26,840 --> 00:24:30,666 Unfortunately, her muscles are showing increased weakness above the knee. 429 00:24:30,750 --> 00:24:32,453 You mean she's getting worse? 430 00:24:32,816 --> 00:24:35,773 The LP and PCRs ruled out polio and West Nile. 431 00:24:35,838 --> 00:24:37,866 We think it's Guillain-Barre. 432 00:24:37,950 --> 00:24:41,762 The body's immune response goes haywire and starts attacking the peripheral nerves. 433 00:24:41,829 --> 00:24:44,630 It causes muscle weakness and paralysis. 434 00:24:45,224 --> 00:24:46,314 How bad is it? 435 00:24:46,398 --> 00:24:50,886 It's serious, but Guillain-Barre usually responds very well to plasmapheresis. 436 00:24:58,182 --> 00:25:01,013 Foreman: You see, the plasma, the clear liquid part of her blood, 437 00:25:01,097 --> 00:25:05,476 contains most of the antibodies, which are overreacting and attacking her nervous system. 438 00:25:05,667 --> 00:25:10,441 The machine spins her blood in a centrifuge and separates parts of the blood based on weight. 439 00:25:10,525 --> 00:25:14,896 White blood cells are the heaviest, then the red cells, then platelets and plasma. 440 00:25:14,981 --> 00:25:20,873 We discard the stuff that's causing all the trouble and return the good blood cells back to her body in a replacement fluid. 441 00:25:20,989 --> 00:25:25,303 If it works, we'll see results in a couple of days. 442 00:25:32,159 --> 00:25:34,834 You didn't get any messages for me last week, did you? 443 00:25:35,103 --> 00:25:35,856 Nope. 444 00:25:36,284 --> 00:25:37,234 That's funny. 445 00:25:37,605 --> 00:25:39,999 The guy finally called back. The place I lost? 446 00:25:40,141 --> 00:25:42,083 He said he left three voice mails. 447 00:25:42,167 --> 00:25:42,739 Gotta pee. 448 00:25:42,824 --> 00:25:46,899 Which I never got, if that wasn't clear. 449 00:25:47,051 --> 00:25:48,622 He must be lying. 450 00:25:48,690 --> 00:25:50,593 You wouldn't want to live with a liar. 451 00:25:50,701 --> 00:25:52,970 - You erased my messages? - Yup. 452 00:25:53,054 --> 00:25:55,027 Decided I wanted you to stay. 453 00:25:55,112 --> 00:25:56,324 Told you that, didn't I? 454 00:25:56,531 --> 00:26:02,981 You're...miserable, and you're lonely, and you're gonna trap me here to keep me every bit as miserable and lonely, too. 455 00:26:03,065 --> 00:26:06,117 - Yeah, and you're happy, happy, happy. - Okay. 456 00:26:06,201 --> 00:26:09,141 Hey, I'm obviously going through a rough patch here. 457 00:26:09,225 --> 00:26:11,980 Wife leaves, tends to bum somebody out. 458 00:26:13,181 --> 00:26:15,137 Do you know where my pee went? 459 00:26:17,995 --> 00:26:19,365 You're missing some? 460 00:26:19,449 --> 00:26:22,506 No. Came out of me and went right into the toilet. 461 00:26:22,591 --> 00:26:24,253 Now, why would that be? 462 00:26:25,055 --> 00:26:26,272 You're William Tell. 463 00:26:26,356 --> 00:26:28,069 You could pick an apple off someone's head? 464 00:26:28,153 --> 00:26:31,104 No, it's because there was no clear plastic wrap over the toilet. 465 00:26:31,193 --> 00:26:34,195 Stuff's in the kitchen. You have plenty of time. All that was missing was the will. 466 00:26:34,279 --> 00:26:36,122 This isn't a college dorm. 467 00:26:36,232 --> 00:26:37,441 It could be. 468 00:26:37,625 --> 00:26:39,340 We're not 18! 469 00:26:39,439 --> 00:26:40,559 So what? 470 00:26:40,643 --> 00:26:41,711 What did I do to you? 471 00:26:41,795 --> 00:26:45,154 I scammed you into doing the dishes, I made you sit on the steps. 472 00:26:45,238 --> 00:26:47,240 I didn't kill your puppy. 473 00:26:47,461 --> 00:26:49,314 I did not make you miserable. 474 00:26:49,398 --> 00:26:51,331 Oh, so this is therapy? 475 00:26:51,415 --> 00:26:55,589 No. It's just... makes me smile. 476 00:26:56,129 --> 00:26:58,148 All right, I'm finding a new place tomorrow. 477 00:26:58,232 --> 00:27:00,639 Right, but not tonight. [Pops cork] 478 00:27:00,701 --> 00:27:03,654 Well, I figure you wanna shave my eyebrows while I'm asleep. 479 00:27:03,743 --> 00:27:05,894 I wouldn't wanna deprive you of that last smile. 480 00:27:05,999 --> 00:27:07,488 You're not going anywhere. 481 00:27:07,572 --> 00:27:09,148 You're gonna sit on my couch, 482 00:27:09,260 --> 00:27:12,770 and depress us both, because you just can't admit that it's over with your wife. 483 00:27:12,861 --> 00:27:14,469 That's right. I'm here on vacation. 484 00:27:14,553 --> 00:27:16,060 Have you gotten a lawyer yet? 485 00:27:17,393 --> 00:27:22,012 - That's--That's not... - You even called one? 486 00:27:23,419 --> 00:27:26,526 As long as you're here, it's just a fight. 487 00:27:26,588 --> 00:27:31,126 As soon as you get a place, then it's a divorce. 488 00:27:35,642 --> 00:27:37,728 Everything sucks. 489 00:27:38,412 --> 00:27:41,510 Might as well find something to smile about. 490 00:27:52,629 --> 00:27:54,490 Reflexes are marginally weaker. 491 00:27:54,661 --> 00:27:56,066 The paralysis is getting worse? 492 00:27:56,150 --> 00:27:59,270 Sometimes it takes a few treatments for the plasmapheresis to work. 493 00:27:59,601 --> 00:28:02,647 Why do these things keep happening to me? 494 00:28:04,734 --> 00:28:06,194 Dan's back. 495 00:28:06,531 --> 00:28:09,232 Hey, baby, did you hear that? Dan's here. 496 00:28:10,785 --> 00:28:12,433 I don't want to see him. 497 00:28:16,519 --> 00:28:17,843 I'll tell him to come back later. 498 00:28:17,952 --> 00:28:18,745 No. 499 00:28:19,841 --> 00:28:22,637 Mommy, stay here, please. 500 00:28:24,036 --> 00:28:25,637 Of course. 501 00:28:45,697 --> 00:28:47,126 ... 502 00:28:59,760 --> 00:29:00,831 Is she okay? 503 00:29:00,932 --> 00:29:02,002 She's sleeping. 504 00:29:02,100 --> 00:29:03,855 I'm sure she's exhausted. 505 00:29:03,959 --> 00:29:06,665 Mood swings are common with the anti-rejection meds. 506 00:29:06,770 --> 00:29:10,633 No. She's had mood swings. This isn't it. This is-- 507 00:29:11,959 --> 00:29:14,065 She's given up. 508 00:29:15,421 --> 00:29:17,282 I know you think I'm-- 509 00:29:19,654 --> 00:29:21,987 This isn't what I wanted. 510 00:29:24,020 --> 00:29:26,206 She's always fought with me. 511 00:29:27,063 --> 00:29:31,096 Ever since she was a baby, she was so damn stubborn. 512 00:29:31,369 --> 00:29:34,134 But I never wanted her like this. 513 00:29:35,846 --> 00:29:38,542 I just wanted her safe. 514 00:29:38,977 --> 00:29:42,060 Doctor! Doctor! [Beeping] 515 00:29:43,803 --> 00:29:45,174 She can't breathe! 516 00:29:45,276 --> 00:29:47,003 She couldn't get a whole sentence out. 517 00:29:50,131 --> 00:29:51,537 She's using accessory muscles. 518 00:29:51,621 --> 00:29:53,524 - 02 sat's down to 90. Lungs clear? - Yeah. 519 00:29:53,609 --> 00:29:55,194 Does your tongue feel swollen? Is it itchy? 520 00:29:55,278 --> 00:29:56,349 No hives. 521 00:29:56,763 --> 00:29:57,981 It's not an allergy. 522 00:29:58,065 --> 00:30:00,191 Lips are cyanotic. We got to intubate. 523 00:30:00,454 --> 00:30:01,905 What are you doing? 524 00:30:01,989 --> 00:30:03,551 Pushing lorazepam. 525 00:30:03,804 --> 00:30:06,816 She's not getting enough oxygen. We've got to assist her breathing. 526 00:30:17,198 --> 00:30:19,871 What was that? Was that a reaction to the treatment? 527 00:30:19,955 --> 00:30:21,510 It's the paralysis. 528 00:30:21,595 --> 00:30:22,949 It's reaching her lungs. 529 00:30:30,433 --> 00:30:31,834 Chase: Melinda's dying. 530 00:30:32,338 --> 00:30:34,090 We're all dying. 531 00:30:34,174 --> 00:30:35,428 How fast? 532 00:30:35,611 --> 00:30:37,319 Too fast for Guillain-Barre. 533 00:30:37,403 --> 00:30:40,299 Cuddy wants to get her an MRI to rule out a spinal lesion. 534 00:30:40,361 --> 00:30:43,773 Cuddy? What's shedoing on this? 535 00:30:44,073 --> 00:30:46,042 The family lost confidence in us. 536 00:30:46,127 --> 00:30:47,717 I don't blame them. 537 00:30:48,059 --> 00:30:49,669 I'll be right in. 538 00:31:03,699 --> 00:31:06,141 It's like she got poisoned with a nerve agent. 539 00:31:06,198 --> 00:31:08,420 Glue inhalation. Would explain why she hasn't admitted it. 540 00:31:08,505 --> 00:31:09,914 Tox screen was clear for pot. 541 00:31:10,011 --> 00:31:13,053 Middle-class heart transplant patient's gonna huff glue? 542 00:31:13,376 --> 00:31:14,325 Pesticides? 543 00:31:14,410 --> 00:31:15,932 Cameron: This time of year, they're not spraying. 544 00:31:16,016 --> 00:31:17,490 This girl's tough. 545 00:31:17,838 --> 00:31:19,794 She gets what she wants. 546 00:31:19,902 --> 00:31:23,836 She's deprived of human contact, she gets herself a backdoor man. 547 00:31:23,920 --> 00:31:27,293 Or in her case, a side window boy. What else has she been deprived of? 548 00:31:27,377 --> 00:31:29,311 She's on a special diet because of her allergies. 549 00:31:29,423 --> 00:31:34,174 The boyfriend brings the hot beef. He also brings a side dish: botulism. 550 00:31:34,258 --> 00:31:36,294 This is paralysis is ascending, remember? 551 00:31:36,379 --> 00:31:38,776 Not if the heart problem's really a paralytic problem. 552 00:31:38,860 --> 00:31:40,748 Why would she admit the sex and not the food? 553 00:31:40,832 --> 00:31:42,888 She didn't admit anything. 554 00:31:42,972 --> 00:31:45,821 He admitted the sex, and we didn't ask him about food. 555 00:31:45,905 --> 00:31:46,894 Get me a rat. 556 00:31:46,979 --> 00:31:48,811 - You have a rat. - What? 557 00:31:48,995 --> 00:31:50,994 I'm not gonna kill Steve. 558 00:31:51,094 --> 00:31:52,829 Only way to confirm this... 559 00:31:52,892 --> 00:31:57,860 inject the rat with her blood and wait for it to get all botulistic on your ass. 560 00:31:57,944 --> 00:32:02,905 In the meantime, I'm going downstairs to browbeat a scared, dying teenage girl until she... 561 00:32:03,632 --> 00:32:06,463 breaks down like a scared, dying teenage girl. 562 00:32:11,010 --> 00:32:13,224 - You're up early. - Cuddy needed a consult. 563 00:32:13,308 --> 00:32:16,024 We're checking for spinal lesions from leukemia. 564 00:32:16,108 --> 00:32:18,671 Yeah, I know. Fits perfectly. 565 00:32:18,818 --> 00:32:21,826 Unless this is the patient with the anaphylaxis, the heart failure, 566 00:32:21,911 --> 00:32:24,148 and the paralysis, in which case, you're wasting your time. 567 00:32:24,233 --> 00:32:25,499 We wanted a second opinion. 568 00:32:25,582 --> 00:32:27,585 Second? We must have given you at least eight. 569 00:32:27,706 --> 00:32:29,562 Okay, well here's nine. 570 00:32:31,300 --> 00:32:32,712 Botulism. 571 00:32:33,128 --> 00:32:35,268 Listen to me. Have you eaten anything abnormal? 572 00:32:35,352 --> 00:32:37,102 - Any canned foods? - No. 573 00:32:37,186 --> 00:32:42,803 You sure? Lying to your parents is usually the right thing to do, but there is an impending death exception. 574 00:32:42,887 --> 00:32:44,133 Don't talk to her like that. 575 00:32:44,217 --> 00:32:47,118 You're right. She never lies. I was being rude. 576 00:32:47,202 --> 00:32:49,303 When your boyfriend snuck in on Friday night-- 577 00:32:49,913 --> 00:32:50,989 surprise-- 578 00:32:51,074 --> 00:32:53,865 perhaps he got you some sexy little treats, huh? 579 00:32:53,949 --> 00:32:59,163 Some honey or some edible underwear, some massage oils. Come on, anything. 580 00:32:59,247 --> 00:33:00,871 [Gags] We didn't-- 581 00:33:00,955 --> 00:33:02,888 Yeah, yeah, we know about the sex. 582 00:33:02,992 --> 00:33:05,646 Turns out that Danny's little Danny is full of penicillin. 583 00:33:05,730 --> 00:33:07,804 That's what caused your anaphylactic shock. 584 00:33:07,888 --> 00:33:09,372 You didn't tell us that's what-- 585 00:33:11,710 --> 00:33:15,275 It was-- He took clindamycin. What I use. 586 00:33:17,850 --> 00:33:19,618 He said he was on penicillin. 587 00:33:19,720 --> 00:33:20,911 I saw the bottle. 588 00:33:21,014 --> 00:33:23,082 It's a non-penicillin antibiotic. 589 00:33:23,667 --> 00:33:25,845 If the antibiotics didn't cause the anaphylaxis... 590 00:33:25,930 --> 00:33:27,508 It's still on the table. 591 00:33:27,803 --> 00:33:29,172 Everything is connected. 592 00:33:29,256 --> 00:33:31,130 What did we discuss? What was the differential? 593 00:33:31,196 --> 00:33:32,816 Cameron said... 594 00:33:35,695 --> 00:33:39,055 When Dan came to your house that night, did he go through any tall grass? 595 00:33:39,125 --> 00:33:41,057 Climbed a fence. 596 00:33:46,897 --> 00:33:47,842 What are you doing? 597 00:33:47,927 --> 00:33:50,051 Your daughter had two visitors on Friday night. 598 00:33:50,191 --> 00:33:51,882 One of them is still in the room. 599 00:33:52,634 --> 00:33:54,682 She has tick paralysis. 600 00:33:55,970 --> 00:33:58,903 Dan tracked a tick onto his jeans, 601 00:33:58,987 --> 00:34:01,280 which wouldn't be a problem. But being a teenager, 602 00:34:01,365 --> 00:34:03,548 Dan couldn't keep his tick in his pants. 603 00:34:03,646 --> 00:34:05,481 Foreman: We already checked her. 604 00:34:06,352 --> 00:34:07,456 Now I'm checking her. 605 00:34:07,540 --> 00:34:10,125 Tick bites don't ordinarily cause anaphylactic shock. 606 00:34:10,209 --> 00:34:12,121 This girl's allergies are not ordinary. 607 00:34:12,224 --> 00:34:15,631 House, get out of here. We have to re-intubate her, get her into the MRI. 608 00:34:15,715 --> 00:34:17,321 The time course is perfect. 609 00:34:17,405 --> 00:34:19,544 The bite itself sets off an allergic reaction. 610 00:34:19,629 --> 00:34:23,660 Venom takes four days to kick in, heart's vulnerable, hits that first, 611 00:34:23,745 --> 00:34:25,811 and a day later sets off the ascending paralysis. 612 00:34:25,895 --> 00:34:27,825 Except that ticks aren't usually invisible. 613 00:34:27,909 --> 00:34:29,589 They are until you find them. 614 00:34:31,726 --> 00:34:35,456 Oh no, that's dandruff. That wasn't nearly as dramatic as I'd hoped. 615 00:34:35,588 --> 00:34:37,646 Just means the next time it'll be even better. 616 00:34:38,098 --> 00:34:40,198 [Monitors start beeping] 617 00:34:41,073 --> 00:34:41,825 What's happening? 618 00:34:41,909 --> 00:34:43,631 That's the tick venom ascending. 619 00:34:43,715 --> 00:34:46,965 That or you stressed her into heart failure. BP's dropping. 620 00:34:47,134 --> 00:34:49,622 - Heart rate, 47. - I'm administering atropine. 621 00:34:49,807 --> 00:34:52,173 She's going to need a transvenous pacing wire. 622 00:34:52,273 --> 00:34:54,332 Okay, magical tick hunt is over. 623 00:34:54,416 --> 00:34:56,054 Only real doctor stuff now. 624 00:34:56,155 --> 00:34:57,964 This is just gonna get worse. 625 00:34:58,229 --> 00:35:00,986 Ticks produce more toxins the longer they feed. 626 00:35:01,070 --> 00:35:04,287 She's gonna be dead in an hour even if you pump her heartfull of jet fuel, 627 00:35:04,387 --> 00:35:06,027 unless you let me find the tick. 628 00:35:06,112 --> 00:35:06,875 Could he be right? 629 00:35:06,978 --> 00:35:11,536 The only thing I know for sure is that your daughter's heart won't last another 20 minutes without treatment. 630 00:35:11,630 --> 00:35:13,429 Okay, I just need one final instruction. 631 00:35:13,481 --> 00:35:16,168 When I find the tick on the autopsy, do you want to know? 632 00:35:16,336 --> 00:35:18,628 I'm thinking not. Probably make the coping easier. 633 00:35:18,737 --> 00:35:20,200 Stop talking to them! 634 00:35:20,281 --> 00:35:22,945 Page Borsisky in cardiology. Get her team down here stat. 635 00:35:23,029 --> 00:35:24,514 Get them out of here. Get House out of here, too. 636 00:35:24,598 --> 00:35:26,387 Dr. Wilson, I could use your help. 637 00:35:28,285 --> 00:35:30,218 Well, I don't know if the dopamine's enough. 638 00:35:30,388 --> 00:35:32,075 She may need inamrinone lactate. 639 00:35:32,159 --> 00:35:33,604 Why? What's that? She doesn't-- 640 00:35:33,689 --> 00:35:36,487 She might need stronger pressors. They don't have any in radiology. 641 00:35:36,571 --> 00:35:39,836 Inamrinone can cause arrhythmia and thrombocytopenia. 642 00:35:39,920 --> 00:35:42,820 Not inamrinone could cause death. Death's worse. 643 00:35:43,581 --> 00:35:45,459 We have to get her up to the ICU. 644 00:36:00,144 --> 00:36:02,054 Sorry. Little crowded here. 645 00:36:02,138 --> 00:36:03,550 House, get out of the elevator. 646 00:36:03,616 --> 00:36:05,184 You're welcome to wait for the next one. 647 00:36:05,370 --> 00:36:06,086 You got her? 648 00:36:06,170 --> 00:36:07,239 Got her. 649 00:36:13,534 --> 00:36:16,791 [Stops the elevator] [Alarm goes off] 650 00:36:18,827 --> 00:36:22,191 Well, as long as we're stuck here, this might be a good time to look for that tick. 651 00:36:22,276 --> 00:36:23,644 Turn the elevator back on. 652 00:36:23,728 --> 00:36:25,185 Just be a minute, honey. 653 00:36:31,556 --> 00:36:34,101 [Beeping] [Chokes] 654 00:36:34,186 --> 00:36:35,635 Atropine's wearing off. 655 00:36:35,719 --> 00:36:37,542 - So inject her again. - That's just temporary. 656 00:36:37,626 --> 00:36:40,031 Temporary's fine. We're not hanging wallpaper. 657 00:36:40,116 --> 00:36:42,558 We've got to get her upstairs and put her on norepinephrine. 658 00:36:42,643 --> 00:36:43,970 It wasn't penicillin. 659 00:36:44,054 --> 00:36:45,539 You still think the symptoms are unconnected? 660 00:36:45,623 --> 00:36:46,953 We've got to take care of her heart before-- 661 00:36:47,037 --> 00:36:50,101 You wake up in the morning, your paint's peeling, your curtains are gone, 662 00:36:50,184 --> 00:36:52,553 and the water's boiling. Which problem do you deal with first? 663 00:36:52,637 --> 00:36:55,043 - House-- - None of them! The building's on fire! 664 00:36:55,117 --> 00:36:56,492 We treat her symptoms, she dies. 665 00:36:56,577 --> 00:36:57,975 We find the cause, she lives. 666 00:36:58,053 --> 00:37:01,699 That tick is an I.V. drip of poison. We unhook it, she'll be fine. 667 00:37:10,553 --> 00:37:12,530 It's my last atropine. 668 00:37:12,741 --> 00:37:14,506 Last us about three minutes. 669 00:37:15,058 --> 00:37:16,508 Let's get her gown up. 670 00:37:20,091 --> 00:37:22,964 [Starts breathing] 671 00:37:25,515 --> 00:37:29,125 Her heart rate falls below 35, we're getting her to the ICU. 672 00:37:29,251 --> 00:37:30,924 I'm not gonna let her die in this elevator. 673 00:37:31,009 --> 00:37:32,270 [Elevator dings] 674 00:37:36,975 --> 00:37:38,121 Where are they? 675 00:37:38,694 --> 00:37:41,035 Get maintenance up here right away. 676 00:37:42,106 --> 00:37:43,181 Ear canal's clean. 677 00:37:43,245 --> 00:37:44,701 Left foot's clean. 678 00:37:44,786 --> 00:37:46,346 If it's not here, we've only got-- 679 00:37:46,430 --> 00:37:49,564 [Beeping] - Heart rate's 46. - It's here. 680 00:37:49,648 --> 00:37:52,375 Looks like a mole or a freckle. Something we missed. 681 00:37:52,803 --> 00:37:54,100 Check the armpits. 682 00:37:57,088 --> 00:37:58,739 [Wheezes] 683 00:37:58,865 --> 00:38:01,617 Dr. Foreman's an excellent doctor. He'll be able to handle it. 684 00:38:01,617 --> 00:38:03,148 Yeah? You know that from experience? 685 00:38:03,358 --> 00:38:04,826 You lose a lot of patients on elevators? 686 00:38:04,909 --> 00:38:08,823 The maintenance guy said it didn't just stop on its own, that they hit the emergency stop button. 687 00:38:09,971 --> 00:38:11,950 Well, I'm sure he must be mistaken. 688 00:38:14,245 --> 00:38:16,417 - Perineum. - We checked it. 689 00:38:16,502 --> 00:38:19,333 - If we get her upstairs-- - Maxilla. - Checked. 690 00:38:22,207 --> 00:38:24,348 Down to 38. We don't have a lot of time. 691 00:38:24,431 --> 00:38:27,174 Eyebrows, eardrums, pubic hair. 692 00:38:27,258 --> 00:38:29,532 Checked, checked, checked. We checked everywhere! 693 00:38:29,617 --> 00:38:32,088 It's not-- [beeping] 694 00:38:32,825 --> 00:38:35,113 35. We got to get her to the ICU. 695 00:38:35,197 --> 00:38:36,665 We haven't found the tick yet. 696 00:38:36,749 --> 00:38:38,741 We already kidnapped her! You want to add murder? 697 00:38:39,108 --> 00:38:41,629 We've looked over every inch of skin on her body, House! 698 00:38:42,127 --> 00:38:43,504 It's over. 699 00:38:51,753 --> 00:38:54,664 Hey, is that the first time you had sex? 700 00:38:57,144 --> 00:39:00,207 With all the other stuff going on down there, she might not have realized. 701 00:39:00,509 --> 00:39:01,823 Oh... 702 00:39:08,178 --> 00:39:09,860 [Elevator dings] 703 00:39:14,660 --> 00:39:16,342 You sick, miserable-- 704 00:39:16,342 --> 00:39:18,410 - What are you doing? - Oh, my God! 705 00:39:18,474 --> 00:39:19,585 Whoa, whoa, whoa! 706 00:39:21,059 --> 00:39:24,368 See? Told you it'd be even more dramatic. 707 00:39:28,402 --> 00:39:33,578 Push norepinephrine. Get her heart back to normal. She'll be completely cured by tomorrow. 708 00:39:35,612 --> 00:39:37,999 Foreman, let's get her into the ICU. 709 00:39:52,547 --> 00:39:55,528 Inamrinone was a stupid idea, 710 00:39:56,190 --> 00:39:58,468 unless you wanted me to get that girl on the elevator. 711 00:39:58,618 --> 00:39:59,970 Oh, I wouldn't do that. 712 00:40:00,034 --> 00:40:01,676 Wouldn't respect you if you did. 713 00:40:09,645 --> 00:40:16,582 Wow. Looks like somebody filed halfway through your cane while you were sleeping. 714 00:40:43,118 --> 00:40:46,754 Reflexes back to normal. Heart's looking good, too. 715 00:40:46,901 --> 00:40:51,492 I'll send in the nurse, we'll get you transferred out of ICU, you'll be discharged in the morning. 716 00:40:52,024 --> 00:40:54,782 Thank God. I just want to get home. 717 00:40:55,053 --> 00:40:57,282 And back to school on Monday. 718 00:40:59,241 --> 00:41:01,016 I'm-I'm not ready. 719 00:41:01,584 --> 00:41:03,227 You're ready. 720 00:41:03,638 --> 00:41:05,525 I'm sick, Mom. 721 00:41:05,858 --> 00:41:07,562 You're not sick. 722 00:41:07,773 --> 00:41:09,961 You're gonna go to class, 723 00:41:10,378 --> 00:41:13,644 and you're gonna see your friends and your boyfriend. 724 00:41:20,608 --> 00:41:22,833 [James Stewart on TV] What's this doohickey? 725 00:41:24,799 --> 00:41:26,473 Barbara Bel Geddes: It's a brassiere. 726 00:41:26,557 --> 00:41:29,813 Bel Geddes: You know about those things. You're a big boy now. 727 00:41:29,813 --> 00:41:32,222 James: Well, I've never across one like that. 728 00:41:32,500 --> 00:41:36,864 Bel Geddes: It's brand new. Revolutionary uplift. I've explained to you-- 729 00:41:36,949 --> 00:41:42,393 Stewart: I know, I know. I have acrophobia, which gives me vertigo. And I get dizzy. 730 00:41:43,488 --> 00:41:46,362 Stewart: What a moment to find out I had it. 731 00:41:46,428 --> 00:41:50,701 Bel Geddes: You've got it, and there's no losing it. And there's no one to blame. So why quit? 732 00:41:50,702 --> 00:41:53,485 Stewart: You mean, and sit behind a desk, chair-borne? 733 00:41:53,486 --> 00:41:55,251 Bel Geddes: Where you belong. 734 00:41:55,251 --> 00:41:56,928 Stewart: What about my acrophobia? 735 00:41:56,952 --> 00:41:59,152 I called a divorce lawyer today. 736 00:42:01,156 --> 00:42:03,109 Does that mean you're leaving? 737 00:42:03,895 --> 00:42:05,584 At some point. 738 00:42:09,279 --> 00:42:14,571 You might not wanna sit exactly there.