1 00:00:45,462 --> 00:00:47,918 Hannah,you okay? 2 00:00:48,369 --> 00:00:50,725 Still can't sleep? 3 00:00:50,835 --> 00:00:52,790 I'm fine. 4 00:00:55,066 --> 00:00:56,880 Can I do anything to help you? 5 00:00:56,920 --> 00:00:59,275 Just go back to sleep.I wanna go get a glass of wine. 6 00:00:59,345 --> 00:01:00,538 I can keep you company. 7 00:01:00,578 --> 00:01:01,802 You have work in the morning. 8 00:01:01,882 --> 00:01:03,436 Are you sure,you don't want me to... 9 00:01:03,476 --> 00:01:06,482 I'll be right back.Just sleep. 10 00:01:16,727 --> 00:01:17,990 Hannah? 11 00:01:21,800 --> 00:01:23,273 Hannah? 12 00:01:35,042 --> 00:01:36,796 What'd you do? 13 00:01:37,188 --> 00:01:39,723 I just wanted to sleep. 14 00:01:40,034 --> 00:01:42,419 I'm calling an ambulance. 15 00:02:33,894 --> 00:02:37,412 You've seen one patient in the last two hours. 16 00:02:37,433 --> 00:02:39,398 Complicated case. 17 00:02:39,698 --> 00:02:40,991 I'm a night owl. 18 00:02:41,031 --> 00:02:44,550 Wilson's an early bird.We're different species. 19 00:02:44,631 --> 00:02:45,893 Then move him into his own cage. 20 00:02:45,974 --> 00:02:48,439 Who'll clean the droppings from mine? 21 00:02:49,603 --> 00:02:52,870 25-year-old female with sleep issues. 22 00:02:52,990 --> 00:02:56,700 I'm guessing she'S...oh,what's the medical term... 23 00:02:56,780 --> 00:02:58,684 upset. 24 00:02:58,754 --> 00:03:04,057 25-year-old females,they're usually completely rational,they're rocks,really. 25 00:03:05,180 --> 00:03:09,140 my theory seems to be supported by the fact that she swallowed a bottle of sleeping pills. 26 00:03:09,220 --> 00:03:12,006 Get her a shrink.I need some shut-eye. 27 00:03:12,237 --> 00:03:14,774 She's a little bit more than upset. 28 00:03:14,924 --> 00:03:17,169 She hasn't slept in ten days. 29 00:03:17,269 --> 00:03:18,301 She's lying. 30 00:03:18,372 --> 00:03:22,191 Without rem sleep your neurons stop regenerating. 31 00:03:22,261 --> 00:03:24,376 Your brain shuts down,lobe by lobe. 32 00:03:24,456 --> 00:03:27,885 She'd be insane after five days,dead by ten. 33 00:03:27,965 --> 00:03:31,283 Give me a little credit.I know what gets you off. 34 00:03:31,473 --> 00:03:34,180 She took the pills to sleep,not to kill herself. 35 00:03:34,250 --> 00:03:35,553 Clever alibi. 36 00:03:35,634 --> 00:03:36,455 They didn't work. 37 00:03:36,536 --> 00:03:40,385 She stayed awake even though she downed the whole bottle. 38 00:03:43,121 --> 00:03:47,593 And the longest anyone's ever survived without sleep is 11 days. 39 00:03:47,743 --> 00:03:50,861 Which gives you about 22 hours. 40 00:03:54,720 --> 00:03:56,274 You stole my article. 41 00:03:56,314 --> 00:03:57,537 I wouldn't do that. 42 00:03:57,577 --> 00:04:01,075 I wrote up the case where we induced hypothermic cardiac arrest in the terminal cancer girl. 43 00:04:01,155 --> 00:04:03,020 I wrote my own.I didn't steal yours. 44 00:04:03,100 --> 00:04:05,666 You knew I was writing one.You gave me notes. 45 00:04:06,428 --> 00:04:08,383 Got a case. 46 00:04:08,955 --> 00:04:11,350 It can wait.You two finish. 47 00:04:11,430 --> 00:04:14,468 Five bucks says someone loses an eye. 48 00:04:15,410 --> 00:04:18,277 Fine.You're only putting off the inevitable. 49 00:04:18,337 --> 00:04:21,846 25-year-old female,hasn't slept for ten days. 50 00:04:21,926 --> 00:04:24,983 I assume the er tried giving her some sedatives.We should up the dosage. 51 00:04:25,063 --> 00:04:26,627 Sedation isn't the same as sleep. 52 00:04:26,698 --> 00:04:27,610 Thanks for your insight. 53 00:04:27,640 --> 00:04:30,817 For someone who hasn't slept in ten days,sedation is a great start. 54 00:04:30,897 --> 00:04:32,020 Sleep is an active process-- 55 00:04:32,060 --> 00:04:34,316 reboots the system,restores the brain.Sedatives don't-- 56 00:04:34,346 --> 00:04:36,471 the brain is being stressed;we need to relieve that. 57 00:04:36,551 --> 00:04:38,807 You've had my article on your desk for the last four months. 58 00:04:38,837 --> 00:04:43,407 I'm a very slow reader.No fever,no white count means no infection. 59 00:04:43,487 --> 00:04:44,741 Schizophrenia? 60 00:04:44,862 --> 00:04:47,738 No delusions.--You read his. 61 00:04:47,868 --> 00:04:49,773 Signed it,didn't read it. 62 00:04:49,853 --> 00:04:53,241 Aside from the sleeping pills,tox screen was clean. 63 00:04:53,322 --> 00:04:56,248 No cocaine,methamphetamines,or diet pills. 64 00:04:56,328 --> 00:04:59,988 Only medications she's had recently are steroids for poison ivy 65 00:05:00,028 --> 00:05:02,453 and ibuofen for a knee she hurt skiing. 66 00:05:02,493 --> 00:05:05,742 Nothing that would cause sleep disturbances.When did you get his article? 67 00:05:05,922 --> 00:05:07,826 about three weeks ago. 68 00:05:07,907 --> 00:05:09,912 Let's go back to the beginning. 69 00:05:09,982 --> 00:05:11,275 How far back? 70 00:05:11,385 --> 00:05:12,899 Genesis. 71 00:05:12,939 --> 00:05:17,129 God said let there be light. 72 00:05:17,199 --> 00:05:19,876 Sleep is initially controlled by external light cues. 73 00:05:19,986 --> 00:05:24,527 And if her brain can't interpret those cues...optic nerve disease. 74 00:05:24,747 --> 00:05:27,505 I'm sensing another article. 75 00:05:27,605 --> 00:05:30,040 I'll go run the tests. 76 00:05:31,634 --> 00:05:37,167 I'm injecting a dye which will allow us to take a look at your retina and your optic nerve. 77 00:05:37,278 --> 00:05:38,993 Everything's kinda blurry. 78 00:05:39,063 --> 00:05:42,681 Normal,because of the dye.It's gonna be that way the next few hours. 79 00:05:48,615 --> 00:05:50,028 Need a hand? 80 00:05:50,109 --> 00:05:51,362 No. 81 00:05:51,513 --> 00:05:53,968 We're never going to work together again? 82 00:05:54,049 --> 00:05:57,277 Just don't see the need to make you feel better by forgiving you. 83 00:05:57,537 --> 00:06:00,835 I wasn't asking for forgiveness.I was asking if you needed help. 84 00:06:00,875 --> 00:06:03,271 It's unprofessional to be talking about this in front of the patient. 85 00:06:03,352 --> 00:06:05,486 Maybe that doesn't matter to you,but... 86 00:06:05,657 --> 00:06:09,326 doesn't matter.She's not listening. 87 00:06:09,747 --> 00:06:11,280 She's asleep. 88 00:06:11,431 --> 00:06:14,087 Normal stage one brain waves. 89 00:06:14,999 --> 00:06:17,656 Maybe she'S...better? 90 00:06:18,879 --> 00:06:21,425 Still blurry. 91 00:06:21,576 --> 00:06:23,309 You fell asleep. 92 00:06:23,420 --> 00:06:25,675 No,I didn'T. 93 00:06:26,777 --> 00:06:29,003 Negative for optic nerve disease. 94 00:06:29,114 --> 00:06:30,326 But she sleeps. 95 00:06:30,406 --> 00:06:33,083 For like ten seconds,maximum one minute. 96 00:06:33,243 --> 00:06:36,411 We also checked the ocular pressure.It's normal. 97 00:06:36,772 --> 00:06:38,646 And she doesn't know she sleeps. 98 00:06:38,716 --> 00:06:41,233 Brain is often unaware of stage one sleep. 99 00:06:41,273 --> 00:06:45,382 Ct showed no tumors,no clots,no seizure disorder. 100 00:06:45,462 --> 00:06:49,974 So she sleeps,she just can't stay asleep. 101 00:06:50,354 --> 00:06:52,220 You going somewhere with this? 102 00:06:52,260 --> 00:06:53,984 You know what keeps me awake at night? 103 00:06:54,214 --> 00:06:56,128 Monsters in the closet. 104 00:06:56,249 --> 00:06:58,515 There's no monster in the closet.We looked. 105 00:06:58,545 --> 00:07:01,271 Well,it's certainly not showing up on the scans. 106 00:07:01,331 --> 00:07:03,466 Where's cameron? 107 00:07:04,108 --> 00:07:07,977 She felt I could deliver the news on my own. 108 00:07:09,360 --> 00:07:11,927 Oh,this is going to work out great. 109 00:07:13,661 --> 00:07:15,295 Come on. 110 00:07:18,453 --> 00:07:21,710 If you two guys can't play nice together,I'm taking away your toys. 111 00:07:21,780 --> 00:07:23,615 I don't care whose fault this is. 112 00:07:23,686 --> 00:07:26,502 If you hadn't--especially don't care if it was my fault. 113 00:07:26,582 --> 00:07:31,725 Whatever this woman has it's not showing up on our tests,which means she's sick. 114 00:07:31,765 --> 00:07:34,482 Just not sick enough for us to see it. 115 00:07:34,592 --> 00:07:36,266 You want us to make her sicker? 116 00:07:36,356 --> 00:07:40,747 yes. I want to stress her body.Specifically her brain. 117 00:07:40,787 --> 00:07:42,441 Keep her awake. 118 00:07:42,521 --> 00:07:46,039 Depriving her of even the few minutes of sleep she does have--it's torture. 119 00:07:46,110 --> 00:07:48,205 So is cutting people with knives, 120 00:07:48,285 --> 00:07:50,660 but you can totally get away with that if you have a doctor coat on. 121 00:07:50,700 --> 00:07:53,909 House,those few seconds of sleep are maybe the only reason she's still alive. 122 00:07:53,989 --> 00:07:56,224 The more symptoms we can force out of her,the more tests we can do. 123 00:07:56,324 --> 00:08:00,434 The more tests we do,the more information we get,the quicker we make a diagnosis. 124 00:08:00,585 --> 00:08:03,161 See how much more fun it is when you guys get along? 125 00:08:03,251 --> 00:08:07,070 You two take the first four hours. 126 00:08:12,243 --> 00:08:13,917 Hannah. 127 00:08:15,721 --> 00:08:17,356 Hannah! 128 00:08:18,719 --> 00:08:20,342 You fell asleep. 129 00:08:20,463 --> 00:08:22,598 No,I didn'T. 130 00:08:22,709 --> 00:08:25,645 Your brain doesn't remember,it was just a few seconds. 131 00:08:25,755 --> 00:08:26,908 Is this really necessary? 132 00:08:26,948 --> 00:08:30,678 The sooner we find out what's wrong,the sooner she can get a real night's rest. 133 00:08:30,798 --> 00:08:32,812 Hannah? 134 00:08:32,893 --> 00:08:34,306 Hannah? 135 00:08:34,396 --> 00:08:36,191 Hannah? 136 00:08:40,521 --> 00:08:42,206 What did you do that for? 137 00:08:42,276 --> 00:08:43,478 You fell asleep again. 138 00:08:43,559 --> 00:08:44,581 No,I didn'T. 139 00:08:44,651 --> 00:08:47,178 we're sorry.We have to do this. 140 00:08:47,258 --> 00:08:49,503 We don't have to be cruel. 141 00:08:49,583 --> 00:08:52,299 You know what happens when you're nice.Nothing. 142 00:08:52,410 --> 00:08:54,966 That's how you define nice?Not stealing? 143 00:08:55,047 --> 00:08:56,039 Doctors? 144 00:08:56,139 --> 00:08:59,147 she fall asleep again? 145 00:09:14,934 --> 00:09:16,990 We've got rectal bleeding. 146 00:09:17,030 --> 00:09:18,553 What,all of you? 147 00:09:19,766 --> 00:09:23,315 So the monster is peeking out from under the bed. 148 00:09:23,395 --> 00:09:27,705 Which either means she has a clotting disorder or she has a tumor in her colon. 149 00:09:27,785 --> 00:09:29,380 we'll do a colonoscopy. 150 00:09:29,460 --> 00:09:31,445 Who's keeping her awake now? 151 00:09:31,475 --> 00:09:34,642 We figured once we found another symptom,it really didn't matter. 152 00:09:34,682 --> 00:09:36,246 Yeah,he's got all the ideas. 153 00:09:36,327 --> 00:09:37,359 Who is with her? 154 00:09:37,439 --> 00:09:40,025 Her partner's donating blood,so she's with a nurse. 155 00:09:40,105 --> 00:09:43,534 Probably singing her lullabies.I want her awake. 156 00:09:43,614 --> 00:09:45,899 You have to sedate a patient to do a colonoscopy. 157 00:09:45,969 --> 00:09:48,235 Why? Just because of the pain? 158 00:09:48,576 --> 00:09:52,385 You find a tumor in her colon,you can knock her out.If you don't, 159 00:09:52,485 --> 00:09:54,571 she stays awake. 160 00:09:57,016 --> 00:09:59,813 Oh,god!It hurts! 161 00:09:59,894 --> 00:10:00,786 Can't you hurry? 162 00:10:00,906 --> 00:10:03,131 Trust me,you don't want me to hurry. 163 00:10:03,361 --> 00:10:05,978 God,you're killing me. 164 00:10:06,039 --> 00:10:08,003 Hold my hand. 165 00:10:08,534 --> 00:10:11,562 Keep breathing,nice and steady. 166 00:10:12,534 --> 00:10:15,361 How am I supposed to work with him? 167 00:10:16,403 --> 00:10:19,621 Maybe we shouldn't be talking about this right now? 168 00:10:19,781 --> 00:10:21,886 You think i'm overreacting? 169 00:10:22,848 --> 00:10:26,287 I need you to relax your anus. 170 00:10:27,309 --> 00:10:30,508 We're not here.We're skiing. 171 00:10:30,698 --> 00:10:33,063 It's thanksgiving,at vail. 172 00:10:33,134 --> 00:10:35,951 You want me to think about nearly killing myself on a snowboard? 173 00:10:36,031 --> 00:10:38,888 Come on,you never fell. 174 00:10:39,840 --> 00:10:42,016 You were awesome. 175 00:10:43,359 --> 00:10:47,548 Is that what you told him?I'm hysterical,and I need to relax my anus? 176 00:10:48,311 --> 00:10:52,240 I told him--how many cases do we work up in a year? 177 00:10:52,300 --> 00:10:54,927 They're all weird;he could've written up any one of them. 178 00:10:55,518 --> 00:10:57,011 She's bleeding. 179 00:10:58,435 --> 00:10:59,617 I can't breathe.I can't breathe! 180 00:10:59,687 --> 00:11:01,442 Hold on. 181 00:11:07,708 --> 00:11:11,205 to control the bleed and started transfusing two units of whole blood. 182 00:11:11,235 --> 00:11:14,784 The pathology from the rectal bleed showed traces of nasal epithelium. 183 00:11:14,865 --> 00:11:16,889 So,the butt bleed's just a nose bleed. 184 00:11:16,929 --> 00:11:19,306 That much blood is not a "just a" anything. 185 00:11:19,386 --> 00:11:23,305 When two people fight this much,you know what it means. 186 00:11:23,385 --> 00:11:27,255 It's gotta be a massive sinus hemorrhage that was draining down her throat and out the back. 187 00:11:27,375 --> 00:11:29,009 The question isn't what,it's why. 188 00:11:29,089 --> 00:11:30,353 Oh,get a room. 189 00:11:30,423 --> 00:11:34,642 Rat poison mixed with some sort of neurogenic toxin could cause bleeding and sleep disturbances. 190 00:11:34,682 --> 00:11:36,477 Do you have a specific type of neurogenic toxin in mind, 191 00:11:36,497 --> 00:11:39,073 or should we just start running a thousand different tox screens? 192 00:11:39,143 --> 00:11:41,018 Just pretend I'm not here.I'll be reading. 193 00:11:41,068 --> 00:11:43,003 It could also be some type of coagulopathy. 194 00:11:43,083 --> 00:11:45,489 Or it could be us.Do you have any idea what it feels like 195 00:11:45,569 --> 00:11:48,126 to have a six-foot-long hose shoved into your large intestine? 196 00:11:48,206 --> 00:11:50,872 No,but I now have a much greater respect for 197 00:11:50,912 --> 00:11:53,869 whichever basketball player you dated in college. 198 00:11:54,139 --> 00:11:57,117 We've basically been torturing this girl for the last eight hours. 199 00:11:57,197 --> 00:11:59,442 We've been poking her foot,not punching her face. 200 00:11:59,522 --> 00:12:02,761 Extreme stress can cause high blood pressure,which can cause bleeding. 201 00:12:02,801 --> 00:12:04,324 Wouldn't keep her awake for ten days. 202 00:12:04,394 --> 00:12:08,264 What if the poison ivy wasn poison ivy? 203 00:12:08,344 --> 00:12:10,569 She got the rash 204 00:12:10,639 --> 00:12:14,509 that was diagnosed as poison ivy around the same time the insomnia started. 205 00:12:14,549 --> 00:12:19,571 Rash,plus nose bleed,plus sleep disturbance equals wegener's granulomatosis. 206 00:12:19,652 --> 00:12:21,917 Start corticosteroid treatment. 207 00:12:21,957 --> 00:12:23,791 The poison ivy treatment was steroids. 208 00:12:23,871 --> 00:12:26,999 Much lower dosage.Get her back on the juice,triple the dose. 209 00:12:27,079 --> 00:12:32,092 Get a c-anca and an upper airway biopsy to confirm the wegener'S. 210 00:12:44,181 --> 00:12:49,183 She has,menstrual problems.They're really bad,the pain keeps her in bed all day. 211 00:12:49,243 --> 00:12:52,611 Plus,she's super depressed. 212 00:12:57,042 --> 00:12:59,487 She said super depressed? 213 00:12:59,528 --> 00:13:03,758 She heard that birth control pills can make her feel better. 214 00:13:03,798 --> 00:13:07,888 She wants birth control pills for her pms? 215 00:13:07,928 --> 00:13:09,382 I guess. 216 00:13:10,484 --> 00:13:13,532 Judging by the redness around your mom's nostrils, 217 00:13:13,662 --> 00:13:16,358 and the tissue she's got conveniently stashed inside her wrist band, 218 00:13:16,399 --> 00:13:20,318 I'd say her problem is more likely a uri than a pms. 219 00:13:20,399 --> 00:13:21,732 Uri? 220 00:13:21,842 --> 00:13:24,538 Upper respiratory infection.A cold. 221 00:13:24,648 --> 00:13:26,403 I don't think so. 222 00:13:26,483 --> 00:13:28,859 I also think she's got a problem with sac. 223 00:13:28,939 --> 00:13:29,931 Sac? 224 00:13:30,011 --> 00:13:33,721 Thanks for playing.Stupid american child. 225 00:13:33,861 --> 00:13:35,414 If you want the pill, 226 00:13:35,535 --> 00:13:40,347 all you have to do is to walk into any health clinic in jersey alone and ask for it. 227 00:13:40,838 --> 00:13:42,962 What exactly was your plan? 228 00:13:43,043 --> 00:13:45,459 Were you going to exchange the birth control pills for some 229 00:13:45,539 --> 00:13:49,770 over-the-counter decongestants and hope that your mom's cold lasts another six years? 230 00:13:49,830 --> 00:13:51,013 No. 231 00:13:52,466 --> 00:13:54,320 That for her cold? 232 00:13:54,440 --> 00:13:56,857 No,that's for your ovaries. 233 00:13:57,087 --> 00:14:00,435 I assume you haven't had a stroke.Have you ever had a blood clot? 234 00:14:00,535 --> 00:14:01,759 No. 235 00:14:01,869 --> 00:14:02,992 Super. 236 00:14:03,072 --> 00:14:06,219 In three months when you need a refill,take a bus to a free clinic. 237 00:14:06,329 --> 00:14:09,688 Don't wait around hoping for mom to get another sniffle. 238 00:14:10,229 --> 00:14:14,490 Not the sharpest chopstick in the drawer,is she? 239 00:14:15,983 --> 00:14:17,837 Was this just one of your experiments? 240 00:14:17,917 --> 00:14:20,975 You just wanted to see how I'd react to being screwed over by foreman? 241 00:14:21,967 --> 00:14:23,721 Nice idea,but no. 242 00:14:23,802 --> 00:14:26,940 This was just good old-fashioned laziness. 243 00:14:27,260 --> 00:14:29,114 Gotta hand it to foreman,though. 244 00:14:29,225 --> 00:14:31,741 He knew that you're a suck-up and I don't give a crap. 245 00:14:31,822 --> 00:14:34,047 He successfully exploited us both. 246 00:14:34,127 --> 00:14:35,961 Right.We're both victims. 247 00:14:35,991 --> 00:14:38,057 A simple heads up,that's all I needed. 248 00:14:38,127 --> 00:14:41,795 Maybe between your incredibly witty remarks about anal sex and cuddy's breasts, 249 00:14:41,835 --> 00:14:43,198 you could've tipped me off. 250 00:14:43,369 --> 00:14:45,254 Then I'd have foreman pissed at me, 251 00:14:45,334 --> 00:14:47,168 and as annoying as you could be, 252 00:14:47,228 --> 00:14:50,006 at least I know you're not gonna pop a cap in my ass. 253 00:14:50,086 --> 00:14:52,231 Witty,huh? 254 00:14:55,137 --> 00:14:56,992 You,on the other hand, 255 00:14:57,072 --> 00:15:02,416 continue to be flabbergasted every time someone actually acts like a human being. 256 00:15:02,646 --> 00:15:05,843 Foreman did what he did because it worked out best that way for him. 257 00:15:05,883 --> 00:15:07,849 That's what everyone does. 258 00:15:07,889 --> 00:15:09,944 That is not the definition of being human. 259 00:15:10,024 --> 00:15:13,010 That's the definition of being an ass. 260 00:15:17,441 --> 00:15:19,115 This will numb you up. 261 00:15:21,953 --> 00:15:25,230 And this will keep your tongue out of the way. 262 00:15:26,323 --> 00:15:29,581 Don't worry,you shouldn't feel anything except for a slight pulling. 263 00:15:29,661 --> 00:15:31,395 So you think I was out of line? 264 00:15:31,475 --> 00:15:35,014 That article would've sat on house's desk for the next six years. 265 00:15:35,054 --> 00:15:36,888 I could've told her. 266 00:15:37,269 --> 00:15:39,355 You could've written it for her too. 267 00:15:39,425 --> 00:15:41,419 She knows house as well as any of us. 268 00:15:41,490 --> 00:15:45,359 She should've known she was waiting for him to do something he was never gonna do. 269 00:15:48,927 --> 00:15:50,482 Chase? 270 00:15:52,627 --> 00:15:54,701 Hannah?You still with us? 271 00:15:54,741 --> 00:15:57,028 What's wrong with her eyes?--Looks like rem. 272 00:15:57,108 --> 00:15:58,401 What's that? 273 00:15:58,481 --> 00:16:00,856 Rapid eye movements.It's what your eyes do when you're sleeping. 274 00:16:00,886 --> 00:16:02,301 But she's awake. 275 00:16:02,311 --> 00:16:03,162 Hannah. 276 00:16:03,273 --> 00:16:05,187 Hannah,can you hear me? 277 00:16:05,297 --> 00:16:08,596 Yeah,of course. 278 00:16:09,297 --> 00:16:11,362 Was she sitting up or lying down? 279 00:16:11,432 --> 00:16:13,497 Sitting up.--Then it wasn't rem. 280 00:16:13,617 --> 00:16:15,713 Chase says her eyes were moving the exact way-- 281 00:16:15,783 --> 00:16:17,066 did you start her on the steroids? 282 00:16:17,136 --> 00:16:18,479 Not yet,we were still doing the-- 283 00:16:18,549 --> 00:16:19,922 then she wasn't sleeping. --How do you know? 284 00:16:20,022 --> 00:16:21,727 'Cause we haven't done anything yet. 285 00:16:21,848 --> 00:16:23,782 She may be able to sleep with her eyes open 286 00:16:23,822 --> 00:16:27,281 but unless you also discovered she's got two extra teats and hooves for feet 287 00:16:27,321 --> 00:16:31,220 there's no way she'd be able to maintain enough muscle tensity during rem sleep to sit upright. 288 00:16:31,300 --> 00:16:35,019 It's a movement disorder,which rules out wegener'S. 289 00:16:35,130 --> 00:16:36,883 Where's foreman? 290 00:16:36,964 --> 00:16:38,417 Keeping her awake. 291 00:16:38,487 --> 00:16:39,160 Good. 292 00:16:39,200 --> 00:16:42,998 Rabies could cause muscle spasms,malaise,anxiety,and wakefulness. 293 00:16:43,078 --> 00:16:45,284 Pretty unlikely she'd forget being bitten by a crazed animal. 294 00:16:45,375 --> 00:16:46,948 She could've been exposed through an open wound. 295 00:16:46,988 --> 00:16:48,091 She have a dog? 296 00:16:48,131 --> 00:16:51,149 For less than a week.She had an allergic reaction,so they had to give it away. 297 00:16:51,259 --> 00:16:51,860 Allergies. 298 00:16:51,900 --> 00:16:54,697 Animal allergies seemed unlikely but it's possible that-- 299 00:16:54,807 --> 00:16:56,661 when? --When what? 300 00:16:57,033 --> 00:16:58,486 When did she get rid of the dog? 301 00:16:58,566 --> 00:17:01,924 About a month ago.Her girlfriend gave it to her for her birthday. 302 00:17:02,054 --> 00:17:04,441 Well,then it's not allergies. 303 00:17:04,551 --> 00:17:07,157 She's just leaving her girlfriend. 304 00:17:08,530 --> 00:17:11,728 You...spoke to the dog? 305 00:17:11,808 --> 00:17:15,918 If her birthday was a month ago,she would've still been on steroids for the poison ivy. 306 00:17:15,999 --> 00:17:18,965 Those meds would've suppressed any reaction she might've had to the dog. 307 00:17:19,005 --> 00:17:21,081 Which means she lied about being allergic. 308 00:17:21,201 --> 00:17:22,043 Dog's a commitment. 309 00:17:22,164 --> 00:17:25,070 You pretend to be allergic because you don't want to tell your girlfriend 310 00:17:25,140 --> 00:17:27,116 that you're not planning on being around that long. 311 00:17:27,186 --> 00:17:29,742 So I tnk we can move on to options other than allergies. 312 00:17:29,822 --> 00:17:33,170 We should still do a scratch test.If she's allergic to one thing-- 313 00:17:33,210 --> 00:17:35,305 she is not allergic. 314 00:17:35,385 --> 00:17:38,623 Okay,well,we could either base our diagnosis on 315 00:17:38,663 --> 00:17:40,909 your admittedly keen understanding of lesbian relationships, 316 00:17:40,949 --> 00:17:44,156 or we could do a scratch test. 317 00:17:46,252 --> 00:17:48,557 Do a scratch test. 318 00:17:53,509 --> 00:17:55,704 You still feeling a lot of blood in your throat? 319 00:17:55,784 --> 00:17:57,650 No,it's actually getting a little better. 320 00:17:57,730 --> 00:18:00,356 Good,maybe things are just starting to improve on their own. 321 00:18:00,436 --> 00:18:02,490 Just a few more. 322 00:18:03,132 --> 00:18:04,726 You want some water to wash out your mouth? 323 00:18:04,767 --> 00:18:05,558 No,I'm okay. 324 00:18:05,639 --> 00:18:08,254 Come on,that can't taste good.I'm going to get you a soda-- 325 00:18:08,335 --> 00:18:10,180 it's okay,isn't it? 326 00:18:14,840 --> 00:18:17,798 You and max seem to have a really nice relationship. 327 00:18:18,940 --> 00:18:21,236 She's very supportive. 328 00:18:24,284 --> 00:18:29,316 When max got you the dog,did you lie about having an allergic reaction? 329 00:18:30,739 --> 00:18:34,889 No. Why? 330 00:18:35,000 --> 00:18:37,385 If you have pre-existing conditions,it's important we know. 331 00:18:37,465 --> 00:18:40,523 But if you don't,it's just as important. 332 00:18:40,794 --> 00:18:45,204 If I'm wasting my time --you're not going to tell her,are you? 333 00:18:46,427 --> 00:18:48,362 It's none of my business. 334 00:18:48,432 --> 00:18:50,156 She's a good person. 335 00:18:50,226 --> 00:18:53,134 We've just been together so long,I... 336 00:18:55,759 --> 00:18:58,266 I'm tired of her. 337 00:19:01,934 --> 00:19:05,113 Sounds terrible,doesn't it? 338 00:19:05,924 --> 00:19:08,390 I guess it happens sometimes. 339 00:19:09,492 --> 00:19:11,628 My back hurts. 340 00:19:17,543 --> 00:19:19,297 Hannah,can you turn over? 341 00:19:19,367 --> 00:19:20,670 What's wrong? 342 00:19:20,740 --> 00:19:22,876 I'm not sure. 343 00:19:27,636 --> 00:19:29,582 Oh,my God. 344 00:19:31,446 --> 00:19:33,360 She has massive internal bleeding. 345 00:19:33,390 --> 00:19:34,764 Did she have access to aspirin? 346 00:19:34,845 --> 00:19:36,168 She'd have to take a hell of a lot. 347 00:19:36,198 --> 00:19:38,864 Why not,considering her current mental state. 348 00:19:39,014 --> 00:19:41,390 What about her mental state? 349 00:19:41,701 --> 00:19:44,377 You were right about her wanting to break up. 350 00:19:44,447 --> 00:19:46,954 That just means I was right,doesn't mean she's suicidal. 351 00:19:46,994 --> 00:19:49,389 Bottle of pills is what landed her here in the first place. 352 00:19:49,510 --> 00:19:50,762 Sleeping pills. 353 00:19:50,843 --> 00:19:53,329 God knows why she'd want them. 354 00:19:53,500 --> 00:19:57,228 What else can cause sleep disorder and internal bleeding? 355 00:19:57,338 --> 00:19:59,935 Drugs or alcohol can mess with the sleeping and compromise the liver. 356 00:20:00,015 --> 00:20:03,102 What are you doing here?Who's keeping her awake? 357 00:20:03,172 --> 00:20:04,285 Doesn't matter. 358 00:20:04,315 --> 00:20:06,611 Liver function tests are through the sky. 359 00:20:06,681 --> 00:20:09,227 Liver's not compromised,it's dead. 360 00:20:09,608 --> 00:20:12,926 She doesn't need a diagnosis,she needs a new liver. 361 00:20:13,247 --> 00:20:16,946 She's not getting a new liver unless we can figure out what's wrong with her. 362 00:20:16,987 --> 00:20:20,885 Test for cirrhosis: 12 hours.Test for hepatitis: 8.Her liver's not gonna last another six. 363 00:20:20,966 --> 00:20:23,101 So your advice is we just give up. 364 00:20:23,322 --> 00:20:25,878 My advice is that we narrow our focus to conditions that 365 00:20:25,958 --> 00:20:29,477 we can diagnose,treat,and cure in less than six hours. 366 00:20:29,908 --> 00:20:32,413 And there's nothing on that list. 367 00:20:33,877 --> 00:20:36,804 The girlfriend donated blood,right? 368 00:20:36,884 --> 00:20:38,488 Yeah,so? 369 00:20:38,598 --> 00:20:41,215 It means that they're the same type. 370 00:20:41,746 --> 00:20:45,595 You can't ask the person she's about to dump to donate half her liver. 371 00:20:45,745 --> 00:20:48,272 It does seem tacky,doesn't it? 372 00:20:56,632 --> 00:21:01,704 I'm dr. House.I'm in charge of your case. 373 00:21:01,985 --> 00:21:03,488 What's going on? 374 00:21:03,559 --> 00:21:05,965 How come no one is keeping her awake anymore? 375 00:21:06,035 --> 00:21:09,122 You're in acute liver failure. 376 00:21:09,433 --> 00:21:13,272 We can continue the transfusions and the lactulose, 377 00:21:13,353 --> 00:21:15,257 but it's only a stopgap. 378 00:21:15,818 --> 00:21:20,780 There's really nothing we can do to stop the toxins from building up in your bloodstream. 379 00:21:20,971 --> 00:21:23,778 Which means that in a few hours 380 00:21:24,169 --> 00:21:26,725 you will lapse into a coma... 381 00:21:27,827 --> 00:21:30,484 and you won't wake up. 382 00:21:35,206 --> 00:21:37,170 I'm sorry. 383 00:21:39,034 --> 00:21:41,782 That's it?You're giving up? 384 00:21:41,892 --> 00:21:44,869 You're not going to try to figure out what's doing this to her? 385 00:21:45,099 --> 00:21:49,260 Even with the right diagnosis,any treatment'sgonna take longer than the time she has left. 386 00:21:49,330 --> 00:21:52,036 If it's her liver,can't she get a transplant? 387 00:21:52,116 --> 00:21:54,703 Wouldn't work without a diagnosis. 388 00:21:54,773 --> 00:21:58,020 Whatever killed the first liver would do the same to the second. 389 00:21:58,090 --> 00:22:04,386 But it would give you more time to make the diagnosis,to get her better. 390 00:22:05,740 --> 00:22:08,887 Well,it might give us an extra day or two,but... 391 00:22:09,127 --> 00:22:13,458 no procurement agency is going to let a liver go to a patient with an undiagnosed,pre-existing-- 392 00:22:13,538 --> 00:22:16,635 hannah and I have the samelood type. 393 00:22:16,826 --> 00:22:19,613 Couldn't I be the donor? 394 00:22:26,129 --> 00:22:30,259 It is medically possible for us to take a part of your-- 395 00:22:30,319 --> 00:22:33,586 please,I don't care about the risks. 396 00:22:42,869 --> 00:22:46,357 You're very lucky to have such a devoted partner. 397 00:23:00,472 --> 00:23:04,391 i just bought us 36 hours.Differential diagnosis: 398 00:23:04,471 --> 00:23:08,812 Which monster eats your liver,screws up your sleep,and causes bleeding. 399 00:23:08,892 --> 00:23:10,385 Does max know hannah plans to leave her? 400 00:23:10,466 --> 00:23:12,371 Didn't come up.So I guess...no. 401 00:23:12,411 --> 00:23:14,466 If she knew,there's no way she'd go through with this. 402 00:23:14,546 --> 00:23:18,125 And if you didn't have pathological need to create a close personal relationship 403 00:23:18,205 --> 00:23:21,262 with every dying person you meet,we would be blissfully ignorant of 404 00:23:21,302 --> 00:23:24,200 any ethical dilemmas and might be able to actually concentrate on the differential. 405 00:23:24,270 --> 00:23:25,523 Scratch test was negative.-- 406 00:23:25,603 --> 00:23:29,762 It's rare,but any of the hepatitis viruses could cause sleep disturbances and liver failure. 407 00:23:29,842 --> 00:23:32,439 No,pcrs were normal.--We have an ethical dilemma. 408 00:23:32,469 --> 00:23:33,622 No,we don'T. 409 00:23:33,652 --> 00:23:35,185 Continue. 410 00:23:35,265 --> 00:23:39,586 what about splenic cancer or non-hodgkin's lymphoma?She's the right age. 411 00:23:39,666 --> 00:23:41,230 Could explain the bleeding. 412 00:23:41,280 --> 00:23:42,564 Maybe the liver failure. 413 00:23:42,604 --> 00:23:45,801 We're withholding information relevant to her decision to risk her life. 414 00:23:45,881 --> 00:23:48,066 How is that not an ethical dilemma? 415 00:23:48,147 --> 00:23:49,821 It's not medical information. 416 00:23:49,901 --> 00:23:51,615 Who cares?--The ama. 417 00:23:51,655 --> 00:23:55,054 Wilson's disease could explain the liver and neurological symptoms. 418 00:23:55,124 --> 00:23:56,698 It also causes eeding disorders. 419 00:23:56,778 --> 00:23:58,612 No kayser-fleischer rings in her eyes. 420 00:23:58,682 --> 00:24:00,858 Rings don't have to be there if there's neurological symptoms. 421 00:24:00,938 --> 00:24:02,031 This is immoral. 422 00:24:02,061 --> 00:24:03,474 Look,let's say you're right. 423 00:24:03,544 --> 00:24:07,675 We tell,she changes her mind,our patient dies.How is that moral? 424 00:24:08,376 --> 00:24:09,438 What else? 425 00:24:09,519 --> 00:24:13,900 Poison mushrooms can cause liver failure,sleep disturbances,and internal bleeding. 426 00:24:13,980 --> 00:24:16,265 She's not 'shrooming;she's a sport's nut. 427 00:24:16,335 --> 00:24:18,229 Right.Skiers never party. 428 00:24:18,269 --> 00:24:20,716 She's doing this out of love,and max doesn't know-- 429 00:24:20,786 --> 00:24:23,552 it's only moral to save a person if they love you? 430 00:24:23,653 --> 00:24:26,370 It's kind of a selfish way of looking at life. 431 00:24:26,450 --> 00:24:29,988 I like wilson's disease,like cancer,love mushrooms. 432 00:24:30,068 --> 00:24:31,963 Yeah,but we don't have the time to test for any of it. 433 00:24:32,003 --> 00:24:35,551 Before she can get the transplant,we need to do about 80 procedures. 434 00:24:35,622 --> 00:24:37,978 So do those tests and my tests at the same time. 435 00:24:38,058 --> 00:24:41,867 Use the pet to look for cancer and wilson's while you endoscope her bile ducts, 436 00:24:41,907 --> 00:24:44,844 scrape her stomach for mushroom spores.One of you ct her liver, 437 00:24:44,924 --> 00:24:49,335 while the other two check proteins ca-125 and ca-19.5. 438 00:24:49,416 --> 00:24:54,487 Oh yeah,anyone says anything to max,they're fired. 439 00:24:54,879 --> 00:24:56,082 We have to. 440 00:24:56,192 --> 00:24:58,056 We have to not. 441 00:24:58,206 --> 00:24:59,469 Because she's not our patient. 442 00:24:59,509 --> 00:25:03,008 She's getting surgery,she's someone's patient. 443 00:25:05,143 --> 00:25:07,620 Calvin and sam.Great,thank you. 444 00:25:07,700 --> 00:25:09,454 Need a little help. 445 00:25:09,534 --> 00:25:13,123 Inexplicable rash on a patient's scrotum you need me to look at? 446 00:25:13,183 --> 00:25:17,473 27-year-old female wants to donate half her liver to her dying girlfriend. 447 00:25:17,533 --> 00:25:18,676 That's very generous. 448 00:25:18,756 --> 00:25:21,463 This is sleepless girl?What's she got? 449 00:25:21,503 --> 00:25:22,886 Liver failure. 450 00:25:22,946 --> 00:25:26,325 Sort of figured that out when you said she needed a new liver. 451 00:25:28,630 --> 00:25:30,504 You don't have a diagnosis. 452 00:25:30,544 --> 00:25:32,530 Transplant buys me time. 453 00:25:32,600 --> 00:25:35,256 Let's just skip the part where I say this is insane. 454 00:25:35,296 --> 00:25:38,865 It was her idea. --If she wants to be an idiot,it's her call.You don't need me. 455 00:25:39,055 --> 00:25:41,481 Just have one of your team walk her through the process. 456 00:25:41,561 --> 00:25:44,840 The donor and the donee sort of have opposing interests,right? 457 00:25:44,930 --> 00:25:46,383 You can't really advise them both. 458 00:25:46,463 --> 00:25:49,631 You're concerned about the ethics of this? 459 00:25:49,902 --> 00:25:52,187 What's going on?What do you know? 460 00:25:52,257 --> 00:25:53,951 Nothing medically relevant. 461 00:25:54,031 --> 00:25:57,009 But you know something,and it is relevant. 462 00:25:57,340 --> 00:26:02,332 If I can't tell her,I can't really tell you,can I?Not ifou're advising her. 463 00:26:02,522 --> 00:26:05,389 I assume this information is in the medical file. 464 00:26:05,459 --> 00:26:07,283 My patient's confidential file. 465 00:26:07,363 --> 00:26:09,609 This hospital's file. 466 00:26:11,524 --> 00:26:15,444 You can either satisfy your curiosity,or you can remain ignorant, 467 00:26:15,514 --> 00:26:20,596 do nothing ethically wrong,and my patient doesn't die in three hours. 468 00:26:26,701 --> 00:26:32,445 These tests and the counseling normally happen over weeks. 469 00:26:32,525 --> 00:26:34,509 Sometimes months. 470 00:26:34,620 --> 00:26:36,334 It's okay. 471 00:26:36,755 --> 00:26:40,033 The most important part we're skipping is time-- 472 00:26:40,103 --> 00:26:42,358 time for you to change your mind. 473 00:26:42,468 --> 00:26:44,564 I don't want to change my mind. 474 00:26:44,644 --> 00:26:50,549 Not now,but with time and perspective,maybe we learn things-- 475 00:26:50,589 --> 00:26:52,693 if we had the time,we'd take the time,but we don'T. 476 00:26:52,764 --> 00:26:55,249 So can you get this over with? 477 00:26:57,024 --> 00:27:01,595 Either I sign off on this,or it doesn't happen. 478 00:27:01,755 --> 00:27:04,021 So I need you to listen to me. 479 00:27:04,091 --> 00:27:08,632 Because there's a chance that you will die on that table. 480 00:27:15,719 --> 00:27:19,538 I just want me and hannah to be able to lie in bed together, 481 00:27:20,221 --> 00:27:25,282 as old ladies.Compare scars. 482 00:27:33,573 --> 00:27:37,161 I need you to lie on your side,and hold your knees. 483 00:27:41,251 --> 00:27:45,902 I'm gonna check for vascular abnormalities that might prevent us from doing the transplant. 484 00:27:46,083 --> 00:27:50,312 At the same time i'm also checking for mushroom spores to see if that's the underlying-- 485 00:27:50,383 --> 00:27:51,265 I don't do mushrooms. 486 00:27:51,336 --> 00:27:54,523 You lie about your love life,maybe you lie about drugs.Open. 487 00:27:57,952 --> 00:28:00,748 Aren't you at all concerned about what max is going through right now? 488 00:28:00,828 --> 00:28:02,683 They're shoving a tube up her rectum. 489 00:28:02,763 --> 00:28:05,029 They're gonna swab her stomach,just like I'm doing. 490 00:28:05,099 --> 00:28:07,364 It's going to hurt,just like this hurts. 491 00:28:07,564 --> 00:28:12,867 Which is nothing at all like the risk she's taking on the table. 492 00:28:14,993 --> 00:28:17,509 You really don't love her,do you? 493 00:28:17,619 --> 00:28:19,804 I'm not leaving her because I don't-- 494 00:28:19,884 --> 00:28:22,240 I'm not talking about the leaving.I'm talking about this. 495 00:28:22,320 --> 00:28:26,059 If you care for her at all,you won't let her do this blind. 496 00:28:29,838 --> 00:28:32,264 You'd really tell. 497 00:28:34,530 --> 00:28:36,815 You'd die. 498 00:28:45,356 --> 00:28:47,411 Take it you've seen that. 499 00:28:49,987 --> 00:28:54,749 Seen it,digested it,watched it blow up my entire department. 500 00:28:54,819 --> 00:28:56,533 You read cameron's version? 501 00:28:56,603 --> 00:28:57,636 Didn't read either. 502 00:28:57,716 --> 00:28:59,089 It was good. 503 00:28:59,170 --> 00:29:00,693 Better than foreman's? 504 00:29:00,803 --> 00:29:05,395 Maybe.He was more analytical about the diagnostic procedures. 505 00:29:05,735 --> 00:29:09,334 She concentrated more on the ethical dilemmas of informed consent. 506 00:29:09,445 --> 00:29:12,081 How any patient can really be informed without a medical degree. 507 00:29:12,191 --> 00:29:14,225 Same old party lines. 508 00:29:14,576 --> 00:29:16,101 Foreman should've told her. 509 00:29:16,181 --> 00:29:18,055 Oh,shoulda woulda coulda. 510 00:29:18,155 --> 00:29:22,306 If you allow this sort of thing in your department,you're basically saying it's okay. 511 00:29:22,386 --> 00:29:24,811 No,I'm saying that I don't care at they do 512 00:29:24,881 --> 00:29:28,410 as long as my life isn't interrupted by pointless conversations like this one. 513 00:29:28,491 --> 00:29:30,896 They won't trust each other,and they won't trust you. 514 00:29:30,966 --> 00:29:32,550 They shouldn'T. 515 00:29:32,780 --> 00:29:38,574 Deception like this is just one step removed from actively sabotaging one another. 516 00:29:38,655 --> 00:29:40,239 Then what would you do? 517 00:29:40,309 --> 00:29:43,476 I could be the kindest,gentlest boss in the world 518 00:29:43,516 --> 00:29:46,564 and foreman would've still done what he did because that's who he is. 519 00:29:46,604 --> 00:29:49,772 We can only hope that cameron has learned something. 520 00:29:50,573 --> 00:29:53,962 Right,because you're all about the teaching. 521 00:29:54,062 --> 00:29:57,420 Our children are the future. 522 00:30:04,197 --> 00:30:07,084 Cuddy cleared max for surgery.She's okay to go. 523 00:30:07,164 --> 00:30:08,236 How's our patient? 524 00:30:08,276 --> 00:30:09,329 She's also cleared. 525 00:30:09,399 --> 00:30:12,537 I don't care about the prep.I care about the diagnostic tests. 526 00:30:12,617 --> 00:30:15,123 Well,it looks negative for wilson's disease,we'll know for sure in an hour. 527 00:30:15,203 --> 00:30:17,319 Blood proteins are normal,it's not--where's cameron? 528 00:30:17,439 --> 00:30:19,624 Taking a sample of the bile duct. 529 00:30:20,275 --> 00:30:22,822 Surgeries are supposed to start in about 15 minutes. 530 00:30:22,922 --> 00:30:24,446 She had a chance to get one last-- 531 00:30:24,526 --> 00:30:25,949 hannah and max will be in the same room. 532 00:30:26,029 --> 00:30:28,015 You wanted us to do as much as we can before-- 533 00:30:28,055 --> 00:30:31,503 they're both awake.With cameron. 534 00:30:35,513 --> 00:30:38,790 Maybe we should give these two a minute together before the surgery. 535 00:30:39,722 --> 00:30:41,437 You ready,honey? 536 00:30:43,682 --> 00:30:46,459 Max.It's okay. 537 00:30:46,570 --> 00:30:48,213 I'm right here. 538 00:30:48,253 --> 00:30:50,478 I need you to know something. 539 00:30:50,559 --> 00:30:53,957 I know.I love you,too. 540 00:30:55,110 --> 00:30:57,054 I don't know how to say this. 541 00:30:57,124 --> 00:30:57,896 Good lord. 542 00:30:57,967 --> 00:30:59,491 You can tell me anything. 543 00:30:59,571 --> 00:31:01,365 She hasn't slept in eleven days, 544 00:31:01,445 --> 00:31:03,841 you people trying to torture her? 545 00:31:08,121 --> 00:31:10,908 Ding,ding,let's go. 546 00:31:15,158 --> 00:31:17,865 I told you not--I didn't say a word to max. 547 00:31:17,935 --> 00:31:20,451 This is exactly why you got screwed with foreman. 548 00:31:20,531 --> 00:31:22,617 You're looking for people to do the right thing. 549 00:31:22,727 --> 00:31:26,536 She hasn't slept,her judgment's compromised due to inactivity in her prefrontal cortex. 550 00:31:26,576 --> 00:31:30,566 Oh,she could have the best prefrontal cortex in the history of mankind. 551 00:31:30,606 --> 00:31:35,578 But given the choice of life versus death,those bad,bad people are going to choose life. 552 00:31:35,658 --> 00:31:37,743 Then why'd you sedate her? 553 00:31:37,853 --> 00:31:42,414 If she wasn't gonna tell,if she was never gonna do the right thing,why bother knocking her out? 554 00:31:42,715 --> 00:31:46,625 This isn't about them.If she talks,if she does the decent thing, 555 00:31:46,695 --> 00:31:49,742 then you don't get to solve your puzzle,your game's over,you lose. 556 00:31:49,822 --> 00:31:54,033 Yeah,I want to save her;I'm morally bankrupt. 557 00:32:15,324 --> 00:32:16,336 How's it going? 558 00:32:16,416 --> 00:32:19,003 They're about to remove hannah's liver. 559 00:32:22,641 --> 00:32:25,649 All right,I'm good to go. 560 00:32:25,759 --> 00:32:28,656 You can start removing max's liver. 561 00:32:29,639 --> 00:32:32,836 you want to let me in on what the big secret is between these two? 562 00:32:32,956 --> 00:32:35,433 You read foreman's article? 563 00:32:36,576 --> 00:32:39,101 It was good. 564 00:32:39,642 --> 00:32:42,630 He basically stole it from me. 565 00:32:43,562 --> 00:32:44,915 So? 566 00:32:44,996 --> 00:32:46,629 You're on his side? 567 00:32:46,709 --> 00:32:49,938 Sides?No,this isn't dodgeball. 568 00:32:50,329 --> 00:32:53,256 What am I supposed to do?Just sit back and take it? 569 00:32:53,336 --> 00:32:55,461 No,write another article. 570 00:32:55,541 --> 00:32:58,288 Kick ass,until you're sitting behind some big expensive desk, 571 00:32:58,368 --> 00:33:00,654 and someone from johns hopkins calls and says, 572 00:33:00,694 --> 00:33:04,873 "we're thinking about hiring eric foreman as our head of neurology," 573 00:33:05,135 --> 00:33:07,420 and you can say whatever you want. 574 00:33:07,500 --> 00:33:11,540 Lovely. Revenge as motive for success. 575 00:33:11,621 --> 00:33:13,896 Well,it doesn't have to be the motive. 576 00:33:13,966 --> 00:33:16,441 But it sure tastes good. 577 00:33:17,023 --> 00:33:18,898 She's in vf.I've got no pulse! 578 00:33:18,968 --> 00:33:20,161 She's arresting. 579 00:33:21,123 --> 00:33:22,576 Paddles. 580 00:33:22,737 --> 00:33:25,895 I am so relieved you two are here. 581 00:33:26,005 --> 00:33:28,661 Without you looking out,they'd be playing foosball down there. 582 00:33:28,731 --> 00:33:29,704 Max's heart stopped. 583 00:33:29,774 --> 00:33:31,609 Your patient is on the other side. 584 00:33:31,689 --> 00:33:37,453 Get yourself upstairs and figure out what hannah has,or max has risked her life for nothing. 585 00:33:39,778 --> 00:33:43,588 Charging.Clear. 586 00:33:48,820 --> 00:33:50,224 We're okay. 587 00:33:55,005 --> 00:33:59,877 max's cardiac arrest was caused by hypoxia from hypoventilation. 588 00:33:59,907 --> 00:34:01,421 They restarted her heart 589 00:34:01,501 --> 00:34:04,979 and the right lobe of her liver was successfully transplanted into hannah. 590 00:34:05,049 --> 00:34:10,202 Now,where were we before we were so rudely interrupted by the liver transplant? 591 00:34:10,272 --> 00:34:12,438 Dopa decarboxylase was processed normally 592 00:34:12,488 --> 00:34:16,036 and the cerolo-plasma and copper levels were normal.So no wilson's disease. 593 00:34:16,116 --> 00:34:19,154 Gastric content was negative for spores,so no mushroom toxicity. 594 00:34:19,224 --> 00:34:21,259 And the initial tests were negative for cancer. 595 00:34:21,339 --> 00:34:22,752 Which cancer were you looking for? 596 00:34:22,822 --> 00:34:23,283 Any of them. 597 00:34:23,363 --> 00:34:26,261 We ran blood tests for ovarian,lung,and lymphomas. 598 00:34:26,301 --> 00:34:27,012 It's not gonna tell you much. 599 00:34:27,093 --> 00:34:29,538 Her blood was taken after she was given immunosuppressants. 600 00:34:29,608 --> 00:34:31,173 They fight rejection. 601 00:34:31,253 --> 00:34:34,781 They also mess up our ability to get any clear readings. 602 00:34:35,463 --> 00:34:39,082 Great battles kick up a lot of dirt. 603 00:34:39,573 --> 00:34:44,244 Obscure the battlefield so generals can't see what's going on. 604 00:34:44,365 --> 00:34:48,124 So what are your orders,general house? 605 00:34:49,076 --> 00:34:51,883 Sound the retreat. 606 00:34:53,647 --> 00:34:55,321 How ya feeling? 607 00:34:55,632 --> 00:34:57,466 Is max okay? 608 00:34:57,506 --> 00:35:00,093 She's still unconscious,but her vitals look good. 609 00:35:00,173 --> 00:35:06,849 We need to stop all the immunosuppressant drugs which are protecting your new liver. 610 00:35:08,272 --> 00:35:10,818 But if you stop the drugs,I'll die. 611 00:35:10,898 --> 00:35:15,369 You're dead anyway if we don't figure out what caused all this. 612 00:35:16,131 --> 00:35:18,568 By removing any outside influences, 613 00:35:18,648 --> 00:35:21,133 it'll help us see what's really going on with your body. 614 00:35:21,244 --> 00:35:25,805 So you did all this to buy me a couple of days,and now you're taking 'em back? 615 00:35:29,764 --> 00:35:31,589 Will it hurt? 616 00:35:32,050 --> 00:35:36,621 As your body goes into acute organ rejection,your liver will begin to swell, 617 00:35:36,682 --> 00:35:38,676 it'll put pressure on-- 618 00:35:40,590 --> 00:35:44,300 It'll hurt.We can knock you out. 619 00:35:44,931 --> 00:35:49,823 Mm,no. If max wakes up,I want to talk to her. 620 00:35:56,650 --> 00:36:01,642 She's been taking the decongestants,but she' not getting better.She also says... 621 00:36:01,712 --> 00:36:03,265 what? 622 00:36:03,656 --> 00:36:06,162 Her boobs are bigger. 623 00:36:13,771 --> 00:36:16,227 How could you get them mixed up? 624 00:36:16,297 --> 00:36:19,545 They come in a little wheel,they don't look anything like decongestants. 625 00:36:19,615 --> 00:36:23,845 Oh,god! The cashier put them both in the same bag.I thought I gave her the right ones. 626 00:36:23,925 --> 00:36:26,091 (Ëû˵ʲô²»¶Ô¾¢°¡£¿) 627 00:36:28,406 --> 00:36:31,254 £¨Ëû˵Ëû¿ªÁË´íÒ©¸øÄ㣩 628 00:36:31,324 --> 00:36:34,371 No,you gave her the wrong pills. 629 00:36:34,441 --> 00:36:37,058 You speak mandarin? 630 00:36:37,228 --> 00:36:44,345 I can count to ten,ask to go to the bathroom,and...(¹§Ï²Äã¿ìµ±×æĸÁË£¡) 631 00:36:44,876 --> 00:36:49,187 I'm not pregnant!We--we haven't even done it yet. 632 00:36:49,257 --> 00:36:50,971 (ËûÔÚ½²Ê²Ã´) 633 00:36:51,051 --> 00:36:51,853 £¨²»ÖªµÀ£© 634 00:36:51,933 --> 00:36:52,955 £¨ÄãÊDz»ÊÇ£©£¨ÎÒ²»ÊÇ¡­¡­£© 635 00:36:53,036 --> 00:36:55,061 Okay,I'm going to leave you two alone now. 636 00:36:55,131 --> 00:36:57,497 I'm sure you got a lot to talk about. 637 00:37:03,501 --> 00:37:06,247 Fever's 106,she's in full rejection mode. 638 00:37:06,328 --> 00:37:08,433 Is that supposed to surprise me? 639 00:37:08,544 --> 00:37:10,688 Her white count is normal. 640 00:37:10,759 --> 00:37:13,476 Normal is not normal. 641 00:37:13,556 --> 00:37:17,705 She's been on steroids,transplant team gave her a cocktail of immunosuppressants, 642 00:37:17,785 --> 00:37:19,741 she hasn't slept in over a week. 643 00:37:19,851 --> 00:37:21,154 Her white count should be in the tank. 644 00:37:21,234 --> 00:37:23,179 Looks like the problem is some sort of infection. 645 00:37:23,209 --> 00:37:25,385 Probably caused a hypotension,shockethe liver. 646 00:37:25,425 --> 00:37:27,750 We should start broad spectrum antibiotics. 647 00:37:27,830 --> 00:37:30,266 Yeah,you might want to add some chicken soup. 648 00:37:30,346 --> 00:37:33,283 It'd be just as useless,but it's got chicken. 649 00:37:33,474 --> 00:37:35,979 We need to know exactly what kind of infection we're dealing with. 650 00:37:36,060 --> 00:37:38,246 What infection causes sleep disturbance,bleeding, 651 00:37:38,326 --> 00:37:41,834 movement disorder,organ failure,and an abnormally normal white count. 652 00:37:41,864 --> 00:37:43,829 What about tularemia?--Chest was clear. 653 00:37:43,899 --> 00:37:45,733 Tularemia doesn't cause movement disorders. 654 00:37:45,814 --> 00:37:46,866 It would if she developed meningitis. 655 00:37:46,946 --> 00:37:49,201 There was no ulcerations on the skin. 656 00:37:49,301 --> 00:37:52,069 With the bleeding,it looks more like leptospirosis. 657 00:37:52,149 --> 00:37:54,344 Without conjunctivitis and elevated creinine? 658 00:37:54,414 --> 00:37:57,011 What about typhoid or some kind of relapsing fever? 659 00:37:57,091 --> 00:37:58,765 Makes sense,if we were in the sudan. 660 00:37:58,845 --> 00:38:00,338 We sure she hasn't been out of the country? 661 00:38:00,418 --> 00:38:03,196 She hasn't even been out of the state in at least a year.Neither has max. 662 00:38:03,236 --> 00:38:04,789 Maybe she lied. 663 00:38:05,170 --> 00:38:06,964 You talk to her friends,neighbors? 664 00:38:07,044 --> 00:38:08,368 You don't know? 665 00:38:08,449 --> 00:38:10,203 Come on,if you don't stay up to date on my notes, 666 00:38:10,243 --> 00:38:12,688 where's your next article going to come from? 667 00:38:12,959 --> 00:38:14,393 You talk to the dog? 668 00:38:14,503 --> 00:38:17,560 We're not as up on foreign languages as you are. 669 00:38:17,710 --> 00:38:19,725 Has the dog been traveling? 670 00:38:19,806 --> 00:38:21,380 It came from a breeder. 671 00:38:21,460 --> 00:38:22,542 Where? 672 00:38:22,773 --> 00:38:24,547 I don't know. 673 00:38:25,579 --> 00:38:29,198 A place called blue barrel kennels.They only had the thing for like two days. 674 00:38:29,309 --> 00:38:32,106 Blue barrel is a kind of cactus. 675 00:38:32,336 --> 00:38:35,303 You see many cacti in jersey? 676 00:38:42,931 --> 00:38:45,618 Want to see a magic trick? 677 00:38:50,731 --> 00:38:53,848 Oh,no!Where'd it go? Where'd it go? 678 00:38:53,978 --> 00:38:55,953 Is it here? 679 00:38:56,685 --> 00:38:58,519 No. 680 00:38:58,600 --> 00:39:00,163 What about here? 681 00:39:01,005 --> 00:39:03,592 There it is. 682 00:39:04,163 --> 00:39:08,042 that doesn't look anything like a nose. 683 00:39:08,122 --> 00:39:10,639 that wasn't there this morning. 684 00:39:24,743 --> 00:39:27,981 Get that to the lab and call cdc. 685 00:39:28,181 --> 00:39:29,354 And tell them what? 686 00:39:29,424 --> 00:39:32,713 That we have a patient with the plague. 687 00:39:33,284 --> 00:39:36,281 The black plague? 688 00:39:36,601 --> 00:39:37,764 Looks that way. 689 00:39:37,844 --> 00:39:39,699 Plague is carried by rodents,not dogs. 690 00:39:39,779 --> 00:39:42,035 Where there's dogs,there's fleas. 691 00:39:42,275 --> 00:39:45,443 And if they hail from the southwest,and those fleas can't tell the difference 692 00:39:45,523 --> 00:39:47,748 between prairie dogs and puppy dogs... 693 00:39:47,829 --> 00:39:52,831 a small percentage of plague cases present with sleep disturbance. 694 00:39:53,633 --> 00:39:58,054 Imagine an idyllic river of bacteria. 695 00:39:58,595 --> 00:40:00,880 Okay,it's not idyllic for her,but it serves my purposes. 696 00:40:00,960 --> 00:40:06,223 The steroids and immunosuppressants acted like a big,honkin' dam across the river-physics 101. 697 00:40:06,303 --> 00:40:08,680 Put a dam up in front of a raging river,the river rises. 698 00:40:08,760 --> 00:40:12,067 By stopping the immunosuppressants,we blew up the dam 699 00:40:12,187 --> 00:40:15,506 and a 100-foot wall of bacteria flooded her lymph nodes. 700 00:40:15,586 --> 00:40:17,240 We better find out where that dog is now. 701 00:40:17,320 --> 00:40:19,766 After we start the immunosuppressants 702 00:40:19,846 --> 00:40:24,076 and fill her up to the eyeballs with streptomycin sulfate gentamicin and tetracycline. 703 00:40:24,177 --> 00:40:25,961 Use a garden hose if you've got one. 704 00:40:26,071 --> 00:40:29,279 Get yourselves some prophylactic treatments as well. 705 00:40:30,632 --> 00:40:32,817 I've got the plague? 706 00:40:33,550 --> 00:40:35,684 Don't worry,it's treatable. 707 00:40:35,795 --> 00:40:38,250 Being a bitch,though, 708 00:40:38,330 --> 00:40:41,228 nothing we can do about that. 709 00:40:47,754 --> 00:40:49,848 You weren't in your room. 710 00:40:49,999 --> 00:40:52,986 The surgeon said I'd heal faster if I walk. 711 00:40:53,057 --> 00:40:56,093 Got this far,needed a rest. 712 00:40:56,164 --> 00:40:59,272 What you did was crazy,but it was pretty amazing too. 713 00:40:59,382 --> 00:41:02,830 Yeah,I'm a hero. 714 00:41:05,036 --> 00:41:08,664 She's been planning to leave me. 715 00:41:10,419 --> 00:41:11,712 Really? 716 00:41:11,822 --> 00:41:16,062 She told a friend;the friend let it slip. 717 00:41:18,037 --> 00:41:22,498 You knew and you gave up half your liver anyway? 718 00:41:24,432 --> 00:41:26,657 She can't leave me now. 719 00:41:30,928 --> 00:41:34,948 You really want her to stay out of guilt?That's not gonna make either of you happy. 720 00:41:35,028 --> 00:41:37,233 You don't know that. 721 00:41:37,353 --> 00:41:39,178 I love her. 722 00:41:41,143 --> 00:41:44,029 I just want her to stay. 723 00:42:00,610 --> 00:42:03,456 I don't own house's cases. 724 00:42:04,299 --> 00:42:07,416 You had just as much right as I did to write it up. 725 00:42:07,496 --> 00:42:09,100 You shoulda told me,but 726 00:42:09,391 --> 00:42:12,218 i shoulda handled it better too. 727 00:42:14,583 --> 00:42:20,217 If we want this not to get in the way of our friendship,I think we both have to apologize, 728 00:42:20,337 --> 00:42:23,696 and put it behind us. 729 00:42:25,450 --> 00:42:27,525 I like you,really. 730 00:42:27,565 --> 00:42:30,322 We have a good time working together. 731 00:42:30,402 --> 00:42:35,665 But ten years from now,we're not gonna be hanging out,having dinners. 732 00:42:35,775 --> 00:42:41,379 Maybe we'll exchange christmas cards,say hi,give a hug if we're at the same conference. 733 00:42:43,163 --> 00:42:47,343 We're not friends.We're colleagues. 734 00:42:49,027 --> 00:42:53,859 And I don't have anything to apologize for.