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Previously on House.
2
00:00:02,168 --> 00:00:03,260
I don't know
how I got here.
3
00:00:03,370 --> 00:00:05,429
I saw a symptom
before the crash.
4
00:00:05,538 --> 00:00:06,732
Why was I taking a bus?
5
00:00:06,906 --> 00:00:10,239
Medical hypnosis can bring the
brain to a Class 2 Theta state.
6
00:00:10,343 --> 00:00:12,208
You're taxing
an already injured brain.
7
00:00:12,278 --> 00:00:14,610
Someone's dying
because I can't remember...
8
00:00:15,582 --> 00:00:16,742
It was Amber.
9
00:00:16,850 --> 00:00:18,112
She was
on the bus with me.
10
00:00:18,218 --> 00:00:19,446
She's the one who's dying.
11
00:00:22,122 --> 00:00:24,716
Her heart won't stop racing.
No idea what's causing it.
12
00:00:24,791 --> 00:00:26,782
Sure it wasn't the bus
that landed on her?
13
00:00:26,926 --> 00:00:27,824
It's not trauma.
14
00:00:27,894 --> 00:00:30,328
She was stable post-op. This
didn't start until an hour ago.
15
00:00:30,397 --> 00:00:32,865
My God. Delayed reaction to the trauma.
16
00:00:32,932 --> 00:00:34,695
She lost both kidneys in the bus crash,
17
00:00:34,768 --> 00:00:36,167
ripped up
her femoral artery.
18
00:00:36,236 --> 00:00:39,467
We fixed the artery, got her
on dialysis for the kidneys.
19
00:00:39,572 --> 00:00:41,870
Whatever's doing this to her
heart, it isn't from the crash.
20
00:00:41,941 --> 00:00:43,135
Check her potassium?
Of course.
21
00:00:43,209 --> 00:00:44,369
Why didn't
you call me?
22
00:00:44,444 --> 00:00:46,674
She's been under the
whole time. She had no ID.
23
00:00:46,746 --> 00:00:48,373
Pushed adenosine?
And verapamil.
24
00:00:48,448 --> 00:00:49,938
And floated
a Swan an hour ago.
25
00:00:50,050 --> 00:00:51,415
Coronary angiography?
26
00:00:51,484 --> 00:00:52,951
Three critical patients
ahead of her.
27
00:00:53,019 --> 00:00:55,419
We'll have her
in within the hour.
28
00:00:55,488 --> 00:00:58,082
We're fifteen minutes away from
Princeton-Plainsboro by ambulance.
29
00:00:58,158 --> 00:01:00,251
You want to move her?
Her heart rate is 130.
30
00:01:00,326 --> 00:01:02,317
She's hemodynamically
stable. We're moving her.
31
00:01:02,429 --> 00:01:04,795
You're not her doctor, you
can't make that decision.
32
00:01:07,600 --> 00:01:08,794
Her husband can.
33
00:01:11,004 --> 00:01:12,062
Right?
34
00:01:14,107 --> 00:01:15,267
Move her.
35
00:01:17,077 --> 00:01:18,567
If the trauma didn't damage her heart...
36
00:01:18,645 --> 00:01:19,942
Why was she on the bus?
37
00:01:20,013 --> 00:01:21,139
I don't know.
38
00:01:21,247 --> 00:01:22,578
If she had any
underlying condition,
39
00:01:22,649 --> 00:01:24,116
the accident could
have exacerbated it.
40
00:01:24,184 --> 00:01:25,276
Why were you with her?
41
00:01:25,351 --> 00:01:26,375
I don't know.
42
00:01:26,453 --> 00:01:28,353
I'm not hiding anything,
I just don't remember.
43
00:01:28,455 --> 00:01:30,013
What else could
damage her heart?
44
00:01:31,958 --> 00:01:33,448
Wilson. Don't get lost.
45
00:01:33,526 --> 00:01:36,017
I'm barely coherent. I
need your help right now.
46
00:01:38,431 --> 00:01:39,625
V- fib.
47
00:01:42,669 --> 00:01:43,795
Charging.
48
00:01:43,870 --> 00:01:45,030
Okay. Okay.
49
00:01:45,772 --> 00:01:47,501
Clear!
Wait. Wait! Wait!
50
00:01:48,641 --> 00:01:50,131
Protective hypothermia.
51
00:01:50,276 --> 00:01:52,267
You want to freeze her?
Her heart's not beating.
52
00:01:52,345 --> 00:01:53,676
Her heart's
already damaged.
53
00:01:53,780 --> 00:01:55,077
You restart it,
it'll keep racing,
54
00:01:55,148 --> 00:01:57,116
shoot off free radicals
and kill her brain.
55
00:01:57,183 --> 00:02:00,778
We ice her down, put her on
bypass until you've diagnosed her.
56
00:02:02,355 --> 00:02:05,153
This is not a solution. All
you're doing is pressing pause.
57
00:02:05,225 --> 00:02:07,659
It gives you more time
to find the diagnosis.
58
00:02:07,727 --> 00:02:09,194
House. This is Amber.
59
00:02:13,233 --> 00:02:14,393
Please.
60
00:02:16,102 --> 00:02:17,569
Cold saline solution.
61
00:03:30,310 --> 00:03:32,540
Core temperature
down to 90.
62
00:03:36,749 --> 00:03:38,876
Bypass circulating.
63
00:03:40,486 --> 00:03:41,817
She's stable.
64
00:03:45,758 --> 00:03:47,191
Why are
we doing this?
65
00:03:48,728 --> 00:03:50,389
Bought us time
to think.
66
00:04:00,006 --> 00:04:02,873
The trauma must have stimulated
a pre-existing heart condition.
67
00:04:02,942 --> 00:04:04,705
Auto-immune,
congenital anomaly,
68
00:04:04,777 --> 00:04:06,711
blood-clotting disorder,
lead poisoning...
69
00:04:06,779 --> 00:04:07,803
Could be anything.
70
00:04:07,880 --> 00:04:09,575
Great. Let's explore that.
71
00:04:09,682 --> 00:04:11,013
Quick, get her on panacea.
72
00:04:11,084 --> 00:04:13,746
We can narrow it down by
looking for arterial blockages.
73
00:04:13,853 --> 00:04:15,514
How? On an echo?
74
00:04:15,588 --> 00:04:17,112
Can't see wall motion
when there's no motion.
75
00:04:17,223 --> 00:04:19,589
EKG? Nope, heart's in
the off position.
76
00:04:19,692 --> 00:04:21,523
Thallium uptake scan?
Useless on a cold heart.
77
00:04:21,594 --> 00:04:23,562
Yeah, we get it.
Her heart's not beating.
78
00:04:23,630 --> 00:04:24,892
It's gonna make it
harder to diagnose.
79
00:04:24,964 --> 00:04:27,432
On the other hand, she's not gonna
die while you're whining about it.
80
00:04:27,533 --> 00:04:28,522
What else?
81
00:04:28,601 --> 00:04:30,569
There is another way
to narrow it down.
82
00:04:30,637 --> 00:04:33,606
If you really did see a symptom
in Amber before the crash,
83
00:04:33,706 --> 00:04:36,573
physostigmine helped your memory last time.
84
00:04:36,643 --> 00:04:39,578
Why not cyanide? He's a
mess, he needs to sleep.
85
00:04:40,380 --> 00:04:41,847
I had a heart attack
this morning.
86
00:04:41,914 --> 00:04:43,541
I can't do any more
drugs till lunch.
87
00:04:43,616 --> 00:04:46,380
Get her an angiogram. It could
show damage even in a stopped heart.
88
00:04:46,452 --> 00:04:47,942
Rest of you,
search her apartment.
89
00:04:48,021 --> 00:04:49,921
Toxins,
heavy metals, drugs...
90
00:04:49,989 --> 00:04:52,321
Anything that might
make her heart race.
91
00:05:12,111 --> 00:05:13,908
I need to know if there's
anything medically relevant
92
00:05:13,980 --> 00:05:15,845
that you couldn't
share publicly.
93
00:05:17,250 --> 00:05:19,616
Is this a Philanderers
Anonymous intervention?
94
00:05:19,686 --> 00:05:21,278
You were obviously
drinking last night.
95
00:05:21,354 --> 00:05:23,288
Maybe you took
Amber to a bar?
96
00:05:23,356 --> 00:05:25,449
I left here on
my motorcycle. Alone.
97
00:05:25,525 --> 00:05:28,085
You ended up drunk
on a bus. Together.
98
00:05:28,494 --> 00:05:29,961
Maybe you met Amber
in the bar?
99
00:05:30,029 --> 00:05:31,860
I was not having
an affair with her.
100
00:05:31,931 --> 00:05:34,263
You can't really say that
if you don't remember.
101
00:05:34,334 --> 00:05:36,325
I lost four hours,
not four months.
102
00:05:36,402 --> 00:05:38,495
Maybe it was
the first time.
103
00:05:39,706 --> 00:05:43,335
If you drank together, any
chance you did any drugs?
104
00:05:48,014 --> 00:05:49,948
I'll run a tox screen.
105
00:06:06,999 --> 00:06:08,523
You coming?
106
00:06:09,469 --> 00:06:11,801
Correspondence.
Letters to patients.
107
00:06:11,871 --> 00:06:13,896
She could have caught
something from one of them.
108
00:06:13,973 --> 00:06:15,998
Copy it to a thumb drive.
Let's get out of here.
109
00:06:16,075 --> 00:06:19,101
Travel. Do you know if she's
been out of the country recently?
110
00:06:19,178 --> 00:06:22,306
It's just video clips. Maybe
she narrates where they are.
111
00:06:23,750 --> 00:06:26,082
And action!
112
00:06:26,352 --> 00:06:28,343
Looks like she didn't travel very far.
113
00:06:28,654 --> 00:06:30,485
You look beautiful.
You look nervous.
114
00:06:30,556 --> 00:06:32,854
I've never
done this before.
115
00:06:32,925 --> 00:06:35,359
I have. Trust me.
You'll love it.
116
00:06:39,232 --> 00:06:41,393
Hey.
Not even close to relevant.
117
00:06:49,842 --> 00:06:51,241
As long as we don't know what's wrong,
118
00:06:51,310 --> 00:06:52,675
we don't know
what's relevant.
119
00:06:52,745 --> 00:06:55,714
Yeah, maybe they're having
sex on a pile of asbestos.
120
00:06:55,782 --> 00:06:57,113
Go watch it.
121
00:06:57,183 --> 00:06:58,172
If we were in
a stranger's house,
122
00:06:58,251 --> 00:06:59,377
you'd be
watching the video.
123
00:06:59,452 --> 00:07:01,943
You altered your behavior
because you're friends with her.
124
00:07:02,688 --> 00:07:03,814
Are you okay?
125
00:07:03,890 --> 00:07:05,790
We shouldn't be
treating her at all.
126
00:07:07,293 --> 00:07:09,420
I'm gonna
search her bathroom.
127
00:07:33,886 --> 00:07:35,615
Are you okay?
128
00:07:37,824 --> 00:07:41,157
Can't really say "yes" when
it's a hallucination asking.
129
00:07:41,260 --> 00:07:43,421
Don't worry,
you're just dreaming.
130
00:07:44,730 --> 00:07:46,459
What symptom
did I see in you?
131
00:07:48,334 --> 00:07:50,131
A myoclonic jerk.
Boring.
132
00:07:50,903 --> 00:07:53,736
An incredibly rare
neurological symptom is boring?
133
00:07:53,806 --> 00:07:55,774
Am I in someone else's
subconscious?
134
00:07:55,842 --> 00:07:59,073
What did we do
last night?
135
00:08:10,623 --> 00:08:13,285
Was I meeting you
for a drink?
136
00:08:13,359 --> 00:08:14,690
Is that all it was?
137
00:08:17,697 --> 00:08:21,030
A man thinks
a woman is beautiful,
138
00:08:21,868 --> 00:08:24,166
admires
her intelligence,
139
00:08:24,270 --> 00:08:28,832
admires the way she has
to get whatever she wants.
140
00:08:29,842 --> 00:08:31,935
The things he likes
about himself.
141
00:08:32,845 --> 00:08:39,182
And maybe she always had
a little thing for him.
142
00:08:40,453 --> 00:08:43,820
His mind,
his blue eyes.
143
00:08:45,491 --> 00:08:48,358
But someone
gets between them.
144
00:08:49,228 --> 00:08:52,493
So they decide
to meet one night
145
00:08:52,565 --> 00:08:54,692
at an out-of-the-way
little bar...
146
00:08:55,501 --> 00:08:57,401
Does that
sound familiar?
147
00:09:03,242 --> 00:09:05,073
Do I feel familiar?
148
00:09:09,382 --> 00:09:11,247
What do you feel?
149
00:09:15,221 --> 00:09:16,745
Electricity.
150
00:09:22,061 --> 00:09:23,289
Electricity.
151
00:09:23,429 --> 00:09:25,124
I know
I saw the symptom.
152
00:09:25,298 --> 00:09:28,358
I know the memory is locked in my
brain, now I know how to get it.
153
00:09:28,701 --> 00:09:29,793
No.
154
00:09:30,570 --> 00:09:31,696
You don't even know
what I'm talking about.
155
00:09:31,771 --> 00:09:33,363
You need to rest.
156
00:09:33,439 --> 00:09:37,432
I have yet to hear about any
study linking electricity and rest.
157
00:09:37,577 --> 00:09:39,238
Deep brain stimulation.
158
00:09:39,312 --> 00:09:40,279
It's been proven.
159
00:09:40,346 --> 00:09:42,507
Electrical impulses applied
directly to the hypothalamus
160
00:09:42,582 --> 00:09:43,708
can evoke
detailed memories.
161
00:09:43,783 --> 00:09:44,909
My mistake.
162
00:09:44,984 --> 00:09:45,951
Drilling a hole
163
00:09:46,018 --> 00:09:49,454
and shooting lightning bolts into an
already cracked skull is very restful.
164
00:09:49,555 --> 00:09:50,954
It's not fatal at all.
165
00:09:51,090 --> 00:09:53,081
She's right.
You need to sleep.
166
00:09:54,927 --> 00:09:56,724
Brain activity spiked.
167
00:09:57,163 --> 00:09:58,425
Amber?
168
00:09:59,398 --> 00:10:00,956
Amber? It's me.
169
00:10:01,634 --> 00:10:03,033
Random spikes
are common.
170
00:10:03,102 --> 00:10:04,262
Shut up.
171
00:10:06,606 --> 00:10:08,073
It's gonna be okay.
172
00:10:10,309 --> 00:10:11,674
I'm here with you.
173
00:10:14,013 --> 00:10:15,913
The team
has found something.
174
00:10:16,182 --> 00:10:18,343
Can you ask her
if we can be excused?
175
00:10:24,423 --> 00:10:25,515
What?
176
00:10:30,529 --> 00:10:32,087
The coronary angio
was negative.
177
00:10:32,164 --> 00:10:33,631
So was the tox screen.
178
00:10:34,333 --> 00:10:35,960
That's what you found?
Negative tests?
179
00:10:36,035 --> 00:10:38,367
I could have told you
she doesn't do drugs.
180
00:10:40,039 --> 00:10:42,633
I found these in her apartment. Sorry.
181
00:10:42,708 --> 00:10:45,939
Prescription diet pills,
SSRls, amphetamines.
182
00:10:46,012 --> 00:10:48,879
Diet pills cause structural
damage to the mitral valve,
183
00:10:48,981 --> 00:10:50,505
could explain
the tachycardia.
184
00:10:50,616 --> 00:10:53,983
She'd have to be an addict to take enough
for her to damage her heart. I'd know.
185
00:10:54,053 --> 00:10:56,351
Did you know she was
hiding them in her vitamins?
186
00:10:56,455 --> 00:10:59,686
We have to warm her back up, get her
heart beating so we can do a CT to confirm.
187
00:10:59,859 --> 00:11:01,383
No.
We've been over this.
188
00:11:01,527 --> 00:11:03,188
Starting her heart could cause brain damage,
189
00:11:03,262 --> 00:11:05,662
could burn out
the heart muscle.
190
00:11:05,898 --> 00:11:07,695
Test her heart
without starting it.
191
00:11:08,000 --> 00:11:10,628
Crack her chest open. Reach a
finger inside the pulmonary vein,
192
00:11:10,703 --> 00:11:12,330
run it across the valve.
193
00:11:12,405 --> 00:11:14,236
That's the safer course?
194
00:11:14,306 --> 00:11:15,466
It is if we're wrong.
195
00:11:15,541 --> 00:11:17,634
When did we start assuming
we're wrong?
196
00:11:19,478 --> 00:11:20,740
If this were
any other patient...
197
00:11:20,813 --> 00:11:23,077
If the valve is calcified,
that's our answer,
198
00:11:23,182 --> 00:11:24,843
that's our cure. Go.
199
00:11:30,356 --> 00:11:31,550
Thirteen.
200
00:11:34,193 --> 00:11:35,956
Who found
the diet pills?
201
00:11:36,028 --> 00:11:37,222
Kutner.
202
00:11:37,730 --> 00:11:40,198
You didn't even go in the bathroom, did you?
203
00:11:40,332 --> 00:11:43,130
You're suddenly mute
in the differentials.
204
00:11:43,302 --> 00:11:45,099
A blow-up doll
would be more useful.
205
00:11:45,171 --> 00:11:46,297
And yes,
that's the first time
206
00:11:46,372 --> 00:11:49,307
I've ever implied something
negative about a blow-up doll.
207
00:11:49,542 --> 00:11:50,736
It's Amber. I don't...
208
00:11:50,810 --> 00:11:51,902
Normally,
I'd be fascinated.
209
00:11:52,011 --> 00:11:53,478
Today, don't care.
210
00:11:53,546 --> 00:11:56,140
Get over whatever it is
and do your job.
211
00:12:09,695 --> 00:12:12,493
Wait. Look at her eye.
212
00:12:14,734 --> 00:12:15,723
She's jaundiced.
213
00:12:15,801 --> 00:12:16,995
Her liver's not working.
214
00:12:17,069 --> 00:12:19,094
Diet pills
don't kill the liver.
215
00:12:20,539 --> 00:12:22,029
Put her back in ICU.
216
00:12:25,811 --> 00:12:28,109
Liver failure means whatever
this thing is, it's spreading.
217
00:12:28,214 --> 00:12:29,579
Despite the fact
that she's frozen.
218
00:12:29,749 --> 00:12:32,616
Hepatic and heart failure could
mean anti-trypsinase deficiency.
219
00:12:32,718 --> 00:12:34,549
We can stick
a needle in her liver.
220
00:12:34,620 --> 00:12:35,917
We see fibrosis,
she's right.
221
00:12:35,988 --> 00:12:37,455
Does Amber drink sherry?
222
00:12:38,824 --> 00:12:40,382
Nocardia
fits just as well,
223
00:12:40,459 --> 00:12:42,051
but there's no way
we can tell,
224
00:12:42,128 --> 00:12:43,720
since we can't
take her temperature.
225
00:12:43,796 --> 00:12:46,822
I had a dream she was pouring me a glass.
226
00:12:46,932 --> 00:12:50,095
And since I'm a scotch,
beer, gin and rum man...
227
00:12:50,169 --> 00:12:53,400
If we warm her back up, we should be
able to tell if she's got an infection.
228
00:12:53,472 --> 00:12:54,939
Yes, we can get
a diagnosis
229
00:12:55,007 --> 00:12:57,942
by letting the disease run
rampant until it kills her.
230
00:12:58,010 --> 00:13:00,410
If it's spreading, we need
to slow this even more.
231
00:13:00,479 --> 00:13:02,572
We've got to
cool her down further.
232
00:13:05,985 --> 00:13:09,978
I know you love her and you're
scared she's going to die.
233
00:13:10,589 --> 00:13:14,081
But just making her colder
and colder isn't a cure.
234
00:13:14,160 --> 00:13:16,685
It's not dealing
with the reality.
235
00:13:17,830 --> 00:13:19,457
Sherry means
something.
236
00:13:19,532 --> 00:13:21,227
Amber doesn't
even drink sherry.
237
00:13:21,300 --> 00:13:23,268
House, can we
get back to...
238
00:13:23,335 --> 00:13:26,168
If she did drink sherry, it would
mean nothing, but since she doesn't,
239
00:13:26,272 --> 00:13:28,763
my subconscious is obviously
trying to make some other point.
240
00:13:28,974 --> 00:13:31,772
There's a Sharrie's Bar on
Third, right off the bus route.
241
00:13:39,418 --> 00:13:42,444
Wilson's right. We need to make her colder.
242
00:13:42,621 --> 00:13:44,919
Putting more ice on her is
just delaying the diagnosis.
243
00:13:44,990 --> 00:13:48,289
Not on, in. Fill her lungs with slurry.
244
00:13:48,360 --> 00:13:49,452
Where are you going?
245
00:13:49,528 --> 00:13:51,155
Taking Wilson
out for a drink.
246
00:14:00,973 --> 00:14:02,634
Is this the place?
247
00:14:02,708 --> 00:14:03,697
Maybe.
248
00:14:03,976 --> 00:14:09,710
Hey. I assume you are here for these.
249
00:14:13,552 --> 00:14:15,952
Did you see me here with
a tall, blonde woman?
250
00:14:16,021 --> 00:14:19,787
Yeah, I think she joined you
after scotch number seven.
251
00:14:19,992 --> 00:14:21,186
Did she seem sick?
252
00:14:21,260 --> 00:14:22,659
She sneezed.
253
00:14:23,162 --> 00:14:24,493
I gave her a napkin.
254
00:14:24,563 --> 00:14:26,053
Did you see
the color of the sputum?
255
00:14:26,131 --> 00:14:27,860
I assume sputum
means snot.
256
00:14:28,200 --> 00:14:30,191
Look, I see lots of
drunk chicks in here.
257
00:14:30,302 --> 00:14:33,965
I didn't have time to stop and analyze
the color of your girlfriend's boogers.
258
00:14:34,039 --> 00:14:35,904
She's not
my girlfriend, genius.
259
00:14:36,008 --> 00:14:38,442
She was hot,
you seemed into her
260
00:14:38,510 --> 00:14:40,068
and she
bought you drinks.
261
00:14:40,179 --> 00:14:42,010
Last night,
she was your girlfriend.
262
00:14:48,487 --> 00:14:51,752
Blood in her sputum. It could
mean parasites. Any recent travel?
263
00:14:51,857 --> 00:14:53,757
You seemed into her?
264
00:14:53,859 --> 00:14:56,089
If he had a brain, he
wouldn't be tending bar.
265
00:14:56,595 --> 00:14:57,960
Sneezing's
a new symptom.
266
00:14:58,030 --> 00:15:00,521
Let's assume the runny
nose means an infection.
267
00:15:02,735 --> 00:15:04,327
What did House
have to say?
268
00:15:04,403 --> 00:15:06,428
He told me I was raised by wolves,
269
00:15:06,538 --> 00:15:09,200
and that's why I use the same
hand for my fork and knife.
270
00:15:09,775 --> 00:15:10,799
Whoa.
271
00:15:10,876 --> 00:15:13,037
Not that one.
The slurry tube.
272
00:15:17,716 --> 00:15:20,276
I know this is different.
But it's not.
273
00:15:21,120 --> 00:15:22,246
Everyone dies.
274
00:15:23,088 --> 00:15:24,214
She's not dead.
275
00:15:24,590 --> 00:15:27,354
You're reacting this way
because she might be soon.
276
00:15:27,426 --> 00:15:29,553
Yeah. I am.
Why aren't you?
277
00:15:30,296 --> 00:15:32,264
I'm an Indian guy
named Kutner.
278
00:15:33,065 --> 00:15:35,090
Ever wonder what happened to my parents?
279
00:15:35,701 --> 00:15:37,430
I'm sorry, I didn't...
I was six years old.
280
00:15:37,536 --> 00:15:40,232
I used to like helping out in
my parent's store after school.
281
00:15:40,572 --> 00:15:42,039
A guy walks in
to rob the place,
282
00:15:42,107 --> 00:15:43,574
ends up
shooting them both.
283
00:15:43,642 --> 00:15:44,802
Wasn't fair.
284
00:15:45,311 --> 00:15:49,247
Took years, but I had to accept
that's just the way it was.
285
00:15:51,116 --> 00:15:53,607
So, you gonna help me
fill her lungs up, or not?
286
00:16:04,596 --> 00:16:09,590
Tell me the liver biopsy showed
infiltrates, minor inflammation.
287
00:16:09,702 --> 00:16:11,169
Yeah. How...
288
00:16:11,236 --> 00:16:13,397
Snot on a napkin.
289
00:16:13,973 --> 00:16:15,406
Add the heart,
the infiltrates...
290
00:16:15,474 --> 00:16:16,634
Hep B.
291
00:16:16,909 --> 00:16:20,640
Start her on IV interferon.
I'll go tell Wilson.
292
00:16:20,746 --> 00:16:21,838
Good idea.
293
00:16:21,914 --> 00:16:24,542
And I'll go nap, because
I was concussed last night
294
00:16:24,616 --> 00:16:26,243
and had a heart attack
this morning.
295
00:16:26,318 --> 00:16:28,286
I'll tell Wilson.
You go sleep.
296
00:16:46,972 --> 00:16:49,566
Hepatitis B
is a lame diagnosis.
297
00:16:49,641 --> 00:16:52,838
Oh, God, I get less rest when I'm asleep.
298
00:16:55,080 --> 00:16:57,480
I rise from the dead
and that's reaction I get?
299
00:16:57,583 --> 00:16:58,743
I'm sorry.
If I had known,
300
00:16:58,817 --> 00:17:01,115
I would have started a breakaway Jewish sect.
301
00:17:01,186 --> 00:17:02,448
Hep B fits.
302
00:17:04,256 --> 00:17:05,883
Why are
you doing that?
303
00:17:05,958 --> 00:17:07,949
Because Hep B
doesn't fit.
304
00:17:19,338 --> 00:17:20,862
Turn her over.
305
00:17:21,206 --> 00:17:23,265
We're about to start her
second course of interferon.
306
00:17:23,342 --> 00:17:26,106
Which she might not need
once you turn her over.
307
00:17:32,551 --> 00:17:33,950
The small
of her back.
308
00:17:35,120 --> 00:17:37,247
She's bruised.
Why is that significant?
309
00:17:37,322 --> 00:17:38,721
Look closer.
310
00:17:40,526 --> 00:17:41,618
A rash.
311
00:17:41,727 --> 00:17:44,025
How'd you know what was
on the small of her back?
312
00:17:44,730 --> 00:17:48,689
Well, either I'm still asleep,
or I'm starting to remember.
313
00:17:56,175 --> 00:17:57,870
Looks like
an influenza rash.
314
00:17:57,976 --> 00:17:59,876
The flu wouldn't be killing
the organs one by one.
315
00:17:59,978 --> 00:18:01,343
Dermatomyositis.
316
00:18:01,413 --> 00:18:02,778
Wouldn't speed up
her heart.
317
00:18:02,848 --> 00:18:05,510
Maybe it's an allergic
reaction to the interferon?
318
00:18:05,584 --> 00:18:09,577
Yes, the symptom I saw on the
bus was a rare interferon allergy
319
00:18:09,688 --> 00:18:11,747
that flares up two days before you take it.
320
00:18:14,026 --> 00:18:16,290
How'd you see
the rash down there?
321
00:18:16,361 --> 00:18:18,921
I don't know.
Maybe she leaned over.
322
00:18:19,531 --> 00:18:22,261
Maybe it's not a rash at
all. Could be an abscess.
323
00:18:22,501 --> 00:18:23,798
Thirteen,
stick a needle in there.
324
00:18:23,869 --> 00:18:25,063
If there's pus,
Foreman's right.
325
00:18:25,237 --> 00:18:26,568
Ultrasound is safer.
326
00:18:26,705 --> 00:18:28,764
I'm not asking you to stick a
needle all the way through her.
327
00:18:28,874 --> 00:18:30,774
Taub, you do it.
No. Wait, I can do it.
328
00:18:30,876 --> 00:18:32,844
No, apparently,
you can't.
329
00:18:40,719 --> 00:18:42,050
It's not fluctuant.
330
00:18:44,256 --> 00:18:46,190
Clear, it's not pus.
331
00:18:46,258 --> 00:18:47,725
Means it's vesicular.
332
00:18:48,127 --> 00:18:50,027
Rocky Mountain
Spotted Fever.
333
00:18:50,729 --> 00:18:54,221
We had dinner with a friend
last week. We walked their dogs.
334
00:18:54,299 --> 00:18:56,699
I guess she could've
gotten a tick.
335
00:18:56,768 --> 00:18:58,633
It's treatable,
doxycycline.
336
00:18:58,737 --> 00:19:01,228
Allow eight hours for the
antibiotics to take effect,
337
00:19:01,306 --> 00:19:03,297
then we warm her up,
shock her heart.
338
00:19:03,408 --> 00:19:04,636
Wait a minute.
Wait a minute.
339
00:19:04,743 --> 00:19:06,711
If we're wrong, restarting
her heart could kill her.
340
00:19:06,778 --> 00:19:08,177
Run blood cultures first.
341
00:19:08,247 --> 00:19:09,737
Fastest way
to test is to treat.
342
00:19:09,848 --> 00:19:12,442
If we're wrong, still should give
us time to try something else.
343
00:19:12,551 --> 00:19:16,681
We are not starting her heart
until we're 100º/º certain.
344
00:19:16,755 --> 00:19:18,848
We're never 100º/º certain.
345
00:19:23,395 --> 00:19:24,828
Run the blood cultures.
346
00:19:24,897 --> 00:19:28,298
After we get confirmation,
we'll restart her heart.
347
00:19:30,135 --> 00:19:32,865
He's wrong. And you know he's wrong.
348
00:19:32,938 --> 00:19:36,271
You can't change your mind just
because a family member starts crying.
349
00:19:36,375 --> 00:19:37,603
They're always scared.
350
00:19:37,676 --> 00:19:40,270
I said
run the blood cultures.
351
00:19:58,263 --> 00:20:00,493
Sorry. Wide stance.
352
00:20:03,502 --> 00:20:04,628
You're right.
353
00:20:05,604 --> 00:20:07,003
I'm screwing up.
354
00:20:07,105 --> 00:20:08,572
Why are you screwing up?
355
00:20:08,640 --> 00:20:10,039
I didn't even like her.
356
00:20:10,108 --> 00:20:11,507
Did you hate her?
357
00:20:11,577 --> 00:20:13,010
Not enough
to want her dead.
358
00:20:13,078 --> 00:20:15,945
So it's not guilt.
That just leaves fear.
359
00:20:17,749 --> 00:20:19,546
A young woman dying.
360
00:20:19,618 --> 00:20:22,985
A young doctor dying, in
fact. That sound familiar?
361
00:20:27,526 --> 00:20:30,552
Yeah, I'm at risk
for Huntington's.
362
00:20:30,929 --> 00:20:31,987
I've dealt with it.
363
00:20:32,064 --> 00:20:33,588
By not getting tested.
364
00:20:33,999 --> 00:20:36,331
Dealing with it
by not dealing with it.
365
00:20:36,401 --> 00:20:37,766
It's clearly
working beautifully.
366
00:20:37,836 --> 00:20:40,361
You're the champion of not
dealing with your problems.
367
00:20:40,472 --> 00:20:42,497
My grandson gave me
a mug that says that.
368
00:20:43,675 --> 00:20:45,643
Okay. Enough hand-holding.
369
00:20:45,777 --> 00:20:48,803
Deal with it, get back in
there, or pack up your stuff.
370
00:20:49,414 --> 00:20:51,473
You're screwing up this case worse than I am.
371
00:21:54,980 --> 00:21:56,675
House is gonna
kill the patient.
372
00:22:03,822 --> 00:22:05,483
What are you...
What are you doing?
373
00:22:06,325 --> 00:22:07,519
She's up to
80 degrees.
374
00:22:07,592 --> 00:22:08,923
We're gonna
restart her heart.
375
00:22:09,027 --> 00:22:10,016
No, you're not.
376
00:22:10,095 --> 00:22:12,529
There's still time to undo
this. Cool her back down.
377
00:22:12,597 --> 00:22:13,928
You weren't taking
the safe approach.
378
00:22:14,032 --> 00:22:16,023
We've got to know if the
antibiotics are working.
379
00:22:16,101 --> 00:22:17,693
Her EEG's slowed.
380
00:22:18,570 --> 00:22:19,730
Amber.
381
00:22:21,206 --> 00:22:22,332
Amber.
382
00:22:25,310 --> 00:22:26,368
Well done.
383
00:22:26,445 --> 00:22:27,503
We still don't know
what it is,
384
00:22:27,579 --> 00:22:29,444
but you've just let it
spread to her brain!
385
00:22:32,517 --> 00:22:35,350
This is exactly what I said would
happen. It's in her brain now.
386
00:22:35,420 --> 00:22:37,354
The brain involvement
gives us a new symptom.
387
00:22:37,422 --> 00:22:39,185
That wouldn't be there if you hadn't...
388
00:22:39,257 --> 00:22:40,656
It's where
the disease was going.
389
00:22:40,726 --> 00:22:41,715
We needed to know that.
390
00:22:41,793 --> 00:22:43,090
This was not
your decision to make!
391
00:22:43,195 --> 00:22:45,322
You went behind my back.
You went behind House's back.
392
00:22:45,397 --> 00:22:46,864
Inside voices.
393
00:22:46,932 --> 00:22:48,297
House wanted to
warm her up.
394
00:22:48,367 --> 00:22:51,336
You just guilted him
into changing his mind.
395
00:22:53,505 --> 00:22:56,269
Heart, liver, rash
and now her brain.
396
00:22:57,876 --> 00:23:00,936
Auto-immune fits best. Crash
trauma could've set it off.
397
00:23:01,046 --> 00:23:04,209
Start her on prednisone,
then we'll warm her up again.
398
00:23:04,282 --> 00:23:06,682
House, if this is
some other infection,
399
00:23:06,752 --> 00:23:09,687
the steroids will
trash her immune system.
400
00:23:13,692 --> 00:23:16,024
He's the attending.
You're the family.
401
00:23:16,094 --> 00:23:18,028
Go spend more time
with the patient.
402
00:23:26,805 --> 00:23:28,739
You can't do this.
403
00:23:29,207 --> 00:23:31,141
That's not
a good argument.
404
00:23:31,243 --> 00:23:34,041
It's not an argument at all. I'm sorry.
405
00:24:00,672 --> 00:24:04,301
Cuddy's right. I was afraid to do anything.
406
00:24:04,409 --> 00:24:08,072
I thought if everything just
stopped, it would be okay.
407
00:24:09,147 --> 00:24:10,273
And it's gonna be.
408
00:24:10,348 --> 00:24:12,077
Taub's starting treatment,
we're doing everything...
409
00:24:12,150 --> 00:24:13,310
Not everything.
410
00:24:15,787 --> 00:24:17,482
Before you warm her up...
411
00:24:18,023 --> 00:24:21,959
You said you wanted to
try deep brain stimulation.
412
00:24:22,027 --> 00:24:23,255
But there's no reason.
413
00:24:23,595 --> 00:24:24,823
We know the symptom.
We know what I saw.
414
00:24:24,930 --> 00:24:26,090
What if it's
not the rash?
415
00:24:26,164 --> 00:24:28,359
What if you saw the rash
in the ambulance,
416
00:24:28,433 --> 00:24:29,991
or when we were
putting her on bypass?
417
00:24:30,101 --> 00:24:33,969
What if there is still something
else stuck inside your head?
418
00:24:40,312 --> 00:24:44,681
You think I should risk
my life to save Amber's.
419
00:25:17,883 --> 00:25:21,649
I'm inserting the IPG probe
into your ventral hypothalamus.
420
00:25:22,821 --> 00:25:24,015
Give me 3 volts.
421
00:25:33,031 --> 00:25:35,056
I can't hear him.
Can't hear who?
422
00:25:35,400 --> 00:25:37,095
Everything's in
black and white.
423
00:25:37,202 --> 00:25:38,931
Who was talking?
Is Amber there?
424
00:25:39,037 --> 00:25:42,438
You're supposed to be jolting
my hypothalamus. Not petting it.
425
00:25:42,541 --> 00:25:43,701
We don't want to
overload it.
426
00:25:43,775 --> 00:25:44,901
As long as
I'm risking my life,
427
00:25:44,976 --> 00:25:46,705
I might as well
be watching a talkie.
428
00:25:50,015 --> 00:25:52,040
Increasing from
3 to 5 volts.
429
00:25:52,584 --> 00:25:54,051
Sending impulse.
430
00:25:57,622 --> 00:25:59,055
You're not
getting them back.
431
00:26:08,867 --> 00:26:11,961
Hey! You take my keys, you
gotta give me a phone call.
432
00:26:21,646 --> 00:26:23,409
Who are you calling?
433
00:26:29,588 --> 00:26:30,782
Dial-a-Wilson.
434
00:26:31,823 --> 00:26:33,256
I was on call.
435
00:26:40,498 --> 00:26:42,227
Amber was home.
436
00:26:42,400 --> 00:26:46,496
I told her to find you,
have you pick me up.
437
00:27:04,122 --> 00:27:05,589
I said to find Wilson.
438
00:27:05,657 --> 00:27:06,749
He's working.
439
00:27:06,825 --> 00:27:09,350
And I'm willing to suffer
this indignity on his behalf.
440
00:27:09,427 --> 00:27:11,657
Does she seem sick?
441
00:27:13,198 --> 00:27:14,358
Not yet.
442
00:27:14,466 --> 00:27:15,592
Come on, time to go.
443
00:27:15,667 --> 00:27:21,606
Need another round and a drink for
what passes for a lady around here.
444
00:27:22,307 --> 00:27:24,502
What's your poison?
Nothing. We're leaving.
445
00:27:24,609 --> 00:27:28,272
We're leaving, leaving,
leaving. Cosmos.
446
00:27:28,480 --> 00:27:31,005
I remember Wilson
buying cranberry juice.
447
00:27:31,983 --> 00:27:34,144
I'll have another, and
she'll have a Cosmopolitan.
448
00:27:34,219 --> 00:27:36,346
The obstinate drunk thing
is not flattering.
449
00:27:36,454 --> 00:27:37,785
Come on, you called
for a ride.
450
00:27:39,224 --> 00:27:42,853
Drink your drink,
or I'll drink them both.
451
00:27:44,195 --> 00:27:48,655
One, and you leave
voluntarily.
452
00:27:56,775 --> 00:27:57,764
Let's go.
453
00:27:57,842 --> 00:27:59,969
Hey! Need another Cosmo, here.
454
00:28:02,414 --> 00:28:03,676
She sneezed.
455
00:28:04,649 --> 00:28:05,673
What color is it?
456
00:28:05,850 --> 00:28:07,477
Thanks.
457
00:28:12,190 --> 00:28:16,422
Looks like snot.
Seems like a cold.
458
00:28:18,363 --> 00:28:19,830
Nothing else?
459
00:28:21,366 --> 00:28:22,560
No.
460
00:28:31,543 --> 00:28:33,238
Where are
you going?
461
00:28:33,311 --> 00:28:34,710
You think I paid?
462
00:28:34,779 --> 00:28:37,441
House, what are you doing?
You can barely walk.
463
00:28:37,916 --> 00:28:40,043
Go home.
I'll take the bus.
464
00:28:40,118 --> 00:28:43,679
Hey, someone's
gotta pay for this.
465
00:28:49,928 --> 00:28:51,122
Hi.
466
00:28:54,466 --> 00:28:56,127
You forgot something.
467
00:28:58,203 --> 00:28:59,636
Boy, you don't
give up, do you?
468
00:28:59,704 --> 00:29:01,638
Yeah, I'm an idiot
that way.
469
00:29:03,374 --> 00:29:05,433
You doing this for me,
or for Wilson?
470
00:29:05,510 --> 00:29:06,875
For Wilson.
471
00:29:08,413 --> 00:29:10,381
Well, then, it's even more impressive.
472
00:29:15,987 --> 00:29:17,784
Damn. Do you have
a Kleenex?
473
00:29:17,856 --> 00:29:19,221
I got a sleeve.
474
00:29:19,758 --> 00:29:20,782
I got two, actually.
475
00:29:20,892 --> 00:29:24,293
Gonna need more than that.
I'm getting that nasty flu.
476
00:29:28,333 --> 00:29:31,928
Is that it? The flu? Is
there any rare complication?
477
00:29:33,838 --> 00:29:37,171
No. It'll explain the rash, but nothing else.
478
00:29:38,910 --> 00:29:40,104
Unless...
479
00:29:40,779 --> 00:29:41,939
What?
480
00:29:53,792 --> 00:29:55,157
Don't do it.
481
00:30:03,268 --> 00:30:04,963
It wasn't the flu.
482
00:30:05,303 --> 00:30:09,501
It's what she did for it.
She has amantadine poisoning.
483
00:30:11,176 --> 00:30:12,803
The crash destroyed her kidneys,
484
00:30:12,877 --> 00:30:14,469
her body couldn't
filter the drugs,
485
00:30:14,546 --> 00:30:18,107
she ODs on amantadine,
explains the heart, the liver...
486
00:30:18,183 --> 00:30:21,778
We just need to start on her
dialysis and flush the drugs out.
487
00:30:23,822 --> 00:30:25,687
What? What's wrong?
488
00:30:28,827 --> 00:30:31,455
Amantadine binds
with proteins.
489
00:30:31,529 --> 00:30:34,054
Dialysis can't clear it out of the blood.
490
00:30:39,237 --> 00:30:40,898
There's nothing
we can do.
491
00:30:45,710 --> 00:30:47,075
I'm so sorry.
492
00:30:55,720 --> 00:30:56,846
Amber.
493
00:31:03,261 --> 00:31:04,387
Amber.
494
00:31:07,565 --> 00:31:10,193
He's seizing. Wilson! I need help, here.
495
00:31:13,605 --> 00:31:16,540
House suffered
a complex partial seizure.
496
00:31:17,342 --> 00:31:21,540
The violent shaking widened his
skull fracture, causing a brain bleed.
497
00:31:21,646 --> 00:31:24,137
We won't know if there's
any cognitive impairment
498
00:31:24,215 --> 00:31:25,682
until he's out
of the coma.
499
00:31:26,951 --> 00:31:28,851
He was right about
the amantadine.
500
00:31:30,021 --> 00:31:31,989
Amber's body
couldn't filter it out.
501
00:31:32,724 --> 00:31:35,818
That's what caused her heart
to beat too fast for too long.
502
00:31:36,494 --> 00:31:38,724
It caused irreparable
structural damage.
503
00:31:39,898 --> 00:31:43,026
Didn't matter if they
shocked her or froze her or...
504
00:31:44,202 --> 00:31:47,467
Her heart was dead once it
stopped in that ambulance.
505
00:31:48,006 --> 00:31:50,497
What about a new heart?
Transplant?
506
00:31:51,209 --> 00:31:54,804
All of her organs are
damaged. She can't qualify.
507
00:31:56,014 --> 00:31:59,575
There's nothing we can do.
Nothing we could have done.
508
00:32:10,061 --> 00:32:11,722
We should call
time of death.
509
00:32:13,231 --> 00:32:15,791
Technically,
she's still alive.
510
00:32:15,867 --> 00:32:18,597
Could probably survive
a few more hours on bypass.
511
00:32:20,505 --> 00:32:22,564
We could wean her off
anesthesia. Wake her up.
512
00:32:22,674 --> 00:32:23,663
Give you a chance to...
513
00:32:23,741 --> 00:32:25,538
It'd be cruel.
Don't...
514
00:32:27,545 --> 00:32:30,912
Wake Amber up.
See her again.
515
00:32:32,617 --> 00:32:34,608
Tell her what
she means to you.
516
00:32:34,719 --> 00:32:37,779
Wake her up to tell her that she's...
517
00:32:43,728 --> 00:32:47,789
You are waking her up so that you
can both say goodbye to each other.
518
00:32:49,067 --> 00:32:50,398
She would want it.
519
00:33:42,186 --> 00:33:43,380
Hey.
520
00:33:43,454 --> 00:33:44,512
Hey.
521
00:33:48,126 --> 00:33:49,491
You're in the hospital.
522
00:33:55,166 --> 00:33:56,656
I'm on bypass.
523
00:33:58,102 --> 00:33:59,126
Yeah.
524
00:34:00,538 --> 00:34:02,733
Do you remember
what happened?
525
00:34:02,874 --> 00:34:04,501
I got on the bus.
526
00:34:12,650 --> 00:34:14,117
I shouldn't have
gotten on the bus.
527
00:34:14,185 --> 00:34:16,881
No. No.
It's not your fault.
528
00:34:18,289 --> 00:34:19,517
It's not your fault.
529
00:34:19,590 --> 00:34:20,784
How bad?
530
00:34:22,794 --> 00:34:27,493
You had tachycardia, complicated
by complete renal failure.
531
00:34:29,634 --> 00:34:36,039
The tachycardia degenerated into
V- fib, followed by hepatic failure.
532
00:34:50,421 --> 00:34:51,718
The flu pills...
533
00:34:54,926 --> 00:34:56,086
Yeah.
534
00:35:01,099 --> 00:35:02,259
I'm dead.
535
00:35:06,370 --> 00:35:07,564
I love you.
536
00:35:10,108 --> 00:35:12,076
I love you, too.
537
00:35:27,658 --> 00:35:29,421
We should say goodbye.
538
00:35:29,927 --> 00:35:31,758
She didn't
even like us.
539
00:35:31,829 --> 00:35:32,921
We liked her.
540
00:35:33,831 --> 00:35:35,059
Did we?
541
00:35:35,666 --> 00:35:37,395
We do now.
542
00:35:39,971 --> 00:35:40,995
What do we say?
543
00:35:41,072 --> 00:35:43,267
We don't need to
say anything.
544
00:36:26,384 --> 00:36:27,681
I'm tired.
545
00:36:32,290 --> 00:36:35,555
I think it's time
to go to sleep.
546
00:36:36,961 --> 00:36:38,485
Just a little longer.
547
00:36:40,331 --> 00:36:44,825
We're always gonna want
just a little longer.
548
00:36:48,472 --> 00:36:49,996
I don't think
I can do it.
549
00:36:55,746 --> 00:36:56,838
It's okay.
550
00:36:56,914 --> 00:36:57,938
It's not okay.
551
00:36:58,015 --> 00:37:01,246
Why is it okay with you?
Why aren't you angry?
552
00:37:05,323 --> 00:37:09,919
That's not
the last feeling
553
00:37:10,995 --> 00:37:13,156
I want to experience.
554
00:38:07,952 --> 00:38:09,283
BP stable.
555
00:38:09,787 --> 00:38:11,516
Still non-responsive.
556
00:38:11,722 --> 00:38:13,587
Pupils are equal,
round and reactive.
557
00:38:13,658 --> 00:38:15,819
Heart rate's normal.
558
00:38:18,262 --> 00:38:21,629
Respiratory rate
is...
559
00:38:38,949 --> 00:38:40,143
You're dead.
560
00:38:41,052 --> 00:38:42,383
Everybody dies.
561
00:38:44,121 --> 00:38:45,247
Am I dead?
562
00:38:51,462 --> 00:38:52,588
Not yet.
563
00:38:54,265 --> 00:38:55,289
I should be.
564
00:38:55,399 --> 00:38:56,388
Why?
565
00:38:56,467 --> 00:38:58,799
Because life
shouldn't be random.
566
00:38:59,303 --> 00:39:03,433
Because lonely, misanthropic drug
addicts should die in bus crashes,
567
00:39:03,507 --> 00:39:07,170
and young do-gooders in love who
get dragged out of their apartment
568
00:39:07,278 --> 00:39:09,803
in the middle of the night
should walk away clean.
569
00:39:10,514 --> 00:39:12,482
Self-pity
isn't like you.
570
00:39:13,617 --> 00:39:16,916
I'm branching out from
self-loathing and self-destruction.
571
00:39:19,457 --> 00:39:21,152
Wilson is going to hate me.
572
00:39:23,527 --> 00:39:25,154
You kind of deserve it.
573
00:39:30,634 --> 00:39:31,999
He's my best friend.
574
00:39:32,069 --> 00:39:33,263
I know.
575
00:39:36,173 --> 00:39:37,640
What now?
576
00:39:39,343 --> 00:39:40,708
I stay here with you.
577
00:39:41,312 --> 00:39:42,609
Get off the bus.
578
00:39:46,183 --> 00:39:47,912
I can't.
Why not?
579
00:39:48,152 --> 00:39:50,052
Because...
580
00:39:56,060 --> 00:39:57,960
Because it doesn't
hurt here.
581
00:40:02,166 --> 00:40:03,394
I lied.
582
00:40:03,901 --> 00:40:08,031
I don't want to be in pain and
I don't want to be miserable.
583
00:40:10,141 --> 00:40:12,166
And I don't want him
to hate me.
584
00:40:15,946 --> 00:40:19,677
Well... You can't always get what you want.
585
00:40:52,650 --> 00:40:55,881
Hey. I'm here.
586
00:40:57,988 --> 00:40:59,751
Blink if you can hear me.
587
00:41:04,228 --> 00:41:06,219
No.
Don't try to talk.
588
00:41:07,164 --> 00:41:08,426
Just rest.