1
00:00:16,483 --> 00:00:18,474
What do you say now?

2
00:00:18,474 --> 00:00:20,746
I don't know.

3
00:00:20,746 --> 00:00:23,584
You said your dad wouldn't be home for an hour.

4
00:00:23,584 --> 00:00:26,557
- I know, but it... you don't know...
- Don't you love me?

5
00:00:26,557 --> 00:00:29,356
- Of course. You know I...
- Then, come on. Let's do it.

6
00:00:30,430 --> 00:00:32,421
All right.

7
00:00:43,576 --> 00:00:46,841
- Where are they?
- Nightstand.

8
00:00:52,952 --> 00:00:55,819
Gentlemen, start your engines.

9
00:01:28,822 --> 00:01:30,289
Oh, my God! You're bleeding.

10
00:01:30,289 --> 00:01:32,654
Look out!

11
00:02:32,418 --> 00:02:34,352
What lie are they telling you?

12
00:02:34,352 --> 00:02:38,481
I'll check on it. Okay. Yes.

13
00:02:40,481 --> 00:02:41,441
Come on.

14
00:02:42,061 --> 00:02:45,326
Okay, thank you.

15
00:02:45,326 --> 00:02:47,696
Okay, pharmaceuticals were delivered this morning.

16
00:02:47,696 --> 00:02:50,702
But Shipping accidentally sent the box with Vicodin to Research.

17
00:02:50,702 --> 00:02:53,204
That's a tough one.

18
00:02:53,204 --> 00:02:57,334
If only we had some way to communicate with another part of the building.

19
00:02:58,745 --> 00:03:00,679
Sixteen-year-old MVA victim.

20
00:03:00,679 --> 00:03:04,046
He's been in and out of the hospital for three weeks with internal bleeding. No one can find the cause.

21
00:03:04,046 --> 00:03:07,018
Internal bleeding after a car accident. Wow, that's shocking.

22
00:03:07,018 --> 00:03:09,418
Let me talk to Shipping. I speak their language.

23
00:03:09,418 --> 00:03:13,084
- It's been three weeks...
- Your hospital doesn't have my pain medication.

24
00:03:13,084 --> 00:03:15,650
Shipping says it's going to be an hour.

25
00:03:15,650 --> 00:03:17,662
This is Dr. Cuddy. What's going on?

26
00:03:17,662 --> 00:03:20,665
- The crash didn't cause the bleed.
- Right, the bleed caused the crash.

27
00:03:20,665 --> 00:03:24,328
Blood got on the road, got all slippery... anyone here got drugs?

28
00:03:26,906 --> 00:03:30,103
She saw his blood, she got distracted, and she crashed his dad's Porsche.

29
00:03:30,103 --> 00:03:31,768
- Dad'll love that.
- He was-

30
00:03:31,768 --> 00:03:33,402
- Don't talk.
- It's gonna be an hour.

31
00:03:33,402 --> 00:03:35,606
Thank God you took control.

32
00:03:35,606 --> 00:03:38,617
- If you can't wait one hour to get-
- Kid's got hemolytic anemia.

33
00:03:38,617 --> 00:03:40,550
Kid? How old?

34
00:03:40,550 --> 00:03:44,021
He must have inherited it. He's gonna die. My condolences.

35
00:03:44,021 --> 00:03:46,854
Wasn't inherited. The problem's outside the red blood cells.

36
00:03:46,854 --> 00:03:49,588
This is impossible. A 16-year-old does not get hemolytic anemia.

37
00:03:49,588 --> 00:03:53,792
Give her back the file. You have bigger problems to tend to, like my meds.

38
00:03:53,792 --> 00:03:57,165
Elevated indirect bilirubin, low serum haptoglobin-

39
00:03:57,165 --> 00:03:59,762
- He's got meningitis.
- Uh, no.

40
00:04:02,308 --> 00:04:04,401
- Artificial heart valve.
- No.

41
00:04:10,483 --> 00:04:12,474
Get everyone in my office.

42
00:04:13,486 --> 00:04:16,046
Kid's gonna be dead in a matter of days...

43
00:04:16,046 --> 00:04:19,057
If we don't figure out why his red blood cells are disintegrating.

44
00:04:19,057 --> 00:04:21,593
- So, differential diagnosis, people.
- Well, it's not environmental.

45
00:04:21,593 --> 00:04:24,892
Dad hired a company to clean the house, maid washed all the clothes...

46
00:04:24,892 --> 00:04:26,898
And bought hypoallergenic sheets and pillows.

47
00:04:26,898 --> 00:04:28,900
- You want us to recheck?
- No.

48
00:04:28,900 --> 00:04:30,936
If it's environmental, he'll get better just from staying here.

49
00:04:30,936 --> 00:04:33,438
- It could be an infection.
- No fever. No white count.

50
00:04:33,438 --> 00:04:36,168
- Well, he's 99.2.
- Barely above normal.

51
00:04:36,168 --> 00:04:39,234
But above. His body's reacting to something.

52
00:04:39,234 --> 00:04:42,247
We could account for the lack of fever and white count if it's lupus.

53
00:04:42,247 --> 00:04:45,944
Drugs will fit just as much as lupus. Meth will cause hemolytic anemia.

54
00:04:45,944 --> 00:04:47,953
A lot of meth.

55
00:04:47,953 --> 00:04:50,080
Also doesn't exactly seem like the type.

56
00:04:50,080 --> 00:04:54,183
Because his dad drives a Porsche? Rich kids do drugs just like poor kids.

57
00:04:54,183 --> 00:04:56,194
- Didn't mean to offend you.
- Okay!

58
00:04:56,194 --> 00:04:59,129
So it's infection, lupus, drugs or cancer.

59
00:04:59,129 --> 00:05:02,599
- Cancer?
- Why not? Great meeting.

60
00:05:02,599 --> 00:05:05,866
Shouldn't we narrow it down before we finish?

61
00:05:05,866 --> 00:05:07,963
My leg gave us till 11:15.

62
00:05:07,963 --> 00:05:12,775
I'll talk to Wilson about lymphoma, ANA for lupus, radioimmunoassay for drugs,

63
00:05:12,775 --> 00:05:15,780
and you test for whatever you thought it was.

64
00:05:15,780 --> 00:05:18,316
I've got a date with the pharmacist.

65
00:05:18,316 --> 00:05:20,716
That's already done, and-

66
00:05:20,716 --> 00:05:24,154
Come on! Come on, come on, come on.

67
00:05:24,154 --> 00:05:26,214
Yeah.

68
00:05:34,834 --> 00:05:36,825
Excuse me.

69
00:05:40,206 --> 00:05:42,333
You know, there are other ways to manage pain.

70
00:05:42,333 --> 00:05:44,137
Like what? Laughter?

71
00:05:44,137 --> 00:05:47,008
Meditation? Got a guy that can fix my third chakra?

72
00:05:47,008 --> 00:05:49,173
You're addicted.

73
00:05:49,173 --> 00:05:53,685
If the pills ran my life, I'd agree with you, but it's my leg that's busy calendaring what I can't do.

74
00:05:53,685 --> 00:05:55,687
You're in denial.

75
00:05:55,687 --> 00:06:00,089
Right. I never had an infarction in my leg. No dead muscle, no nerve damage.

76
00:06:00,089 --> 00:06:02,593
Doesn't even hurt. Actually, it kinda tickles.

77
00:06:02,593 --> 00:06:04,596
And chicks dig this...

78
00:06:04,596 --> 00:06:06,598
Better than a puppy.

79
00:06:06,598 --> 00:06:09,601
It's not just your leg. You wanna get high.

80
00:06:09,601 --> 00:06:11,603
You're doing, what, 80 milligrams a day?

81
00:06:11,603 --> 00:06:13,605
No. That's way too much.

82
00:06:13,605 --> 00:06:16,608
Moderation is the key. Unless there's pain.

83
00:06:16,608 --> 00:06:19,110
It's double what you were taking when I hired you.

84
00:06:19,110 --> 00:06:21,043
'Cause you're twice as annoying.

85
00:06:21,043 --> 00:06:23,048
I can't always be here to protect you.

86
00:06:23,048 --> 00:06:25,050
Patients talk. Doctors talk.

87
00:06:25,050 --> 00:06:28,554
About how big your ass has gotten lately? Not me. I defend it.

88
00:06:28,554 --> 00:06:30,612
You got back.

89
00:06:38,398 --> 00:06:42,061
- You can't go a week without the drugs.
- No, I don't wanna go without the drugs.

90
00:06:42,061 --> 00:06:44,069
- It'll hurt.
- No, you can't.

91
00:06:44,069 --> 00:06:47,072
If you're just getting off pain medication, it will hurt.

92
00:06:47,072 --> 00:06:50,075
You won't be having a great time, but you'll make it.

93
00:06:50,075 --> 00:06:52,577
If you're detoxing, you'll have chills, nausea.

94
00:06:52,577 --> 00:06:55,239
Your pain will magnify five, ten times.

95
00:06:55,239 --> 00:06:58,249
- You won't make it.
- Well, I guess we'll never know.

96
00:06:58,249 --> 00:07:01,252
I'll give you a week off clinic duty if you can go a week without narcotics.

97
00:07:01,252 --> 00:07:03,311
No way. I love the clinic.

98
00:07:03,311 --> 00:07:05,983
You love the pills. Two weeks.

99
00:07:05,983 --> 00:07:08,891
- The pills don't make me high. They make me neutral. 
- A month.

100
00:07:13,900 --> 00:07:15,891
You're on, mister.

101
00:07:20,006 --> 00:07:24,170
- Drugs could cause this?
- Cocaine and meth are very hard on the blood system.

102
00:07:25,178 --> 00:07:28,170
- Has he had any erratic behavior?
- No, but...

103
00:07:30,716 --> 00:07:32,775
She was in rehab in the ninth grade.

104
00:07:32,775 --> 00:07:35,946
- She's supposedly clean now, but...
- She obviously cares for him.

105
00:07:35,946 --> 00:07:38,081
Yeah, what she cared about was the car.

106
00:07:38,081 --> 00:07:40,682
Anniversary present for my wife.

107
00:07:40,682 --> 00:07:44,753
We drove it up north to watch the leaves change.

108
00:07:44,753 --> 00:07:46,765
She was dead a year later.

109
00:07:46,765 --> 00:07:49,301
- Cancer.
- I'm sorry.

110
00:07:51,037 --> 00:07:54,598
Mr. Foster, we're gonna test Keith for drugs.

111
00:07:54,598 --> 00:07:56,608
I don't do drugs.

112
00:07:56,608 --> 00:07:59,406
It's not that we don't trust you, but-

113
00:08:00,546 --> 00:08:04,812
His hair will tell us any drugs he's taken over the past 60 days.

114
00:08:04,812 --> 00:08:07,876
It's kind of like rings on a tree.

115
00:08:14,460 --> 00:08:16,451
Negative.

116
00:08:17,797 --> 00:08:20,163
- Have you been sick?
- No, nothing.

117
00:08:20,163 --> 00:08:24,863
- Have you been out of the country?
- We went to China, but we got all our shots before we left.

118
00:08:24,863 --> 00:08:26,871
It could be an infection.

119
00:08:26,871 --> 00:08:29,430
We're going to give him a gallium scan just to be safe.

120
00:08:29,430 --> 00:08:32,478
We inject a radioactive isotope into his bloodstream,

121
00:08:32,478 --> 00:08:35,571
and we check to see if there's inflammation anywhere in the body.

122
00:08:35,571 --> 00:08:38,048
Has he ever complained of any joint pain?

123
00:08:38,048 --> 00:08:40,984
Sensitivity to light? Rashes?

124
00:08:40,984 --> 00:08:44,352
- No, no. Nothing.
- Any relatives who've ever been diagnosed with lupus?

125
00:08:44,352 --> 00:08:46,687
I don't even know what that is.

126
00:08:46,687 --> 00:08:49,694
In simple terms, the body becomes allergic to itself.

127
00:08:49,694 --> 00:08:52,856
The immune system attacks healthy cells in the circulatory system and destroys them.

128
00:08:52,856 --> 00:08:54,923
Would it be treatable?

129
00:08:56,102 --> 00:08:58,093
It can be manageable.

130
00:08:59,171 --> 00:09:01,105
We can test for the antibodies.

131
00:09:01,105 --> 00:09:04,768
Ninety-five percent of patients with lupus have positive ANA.

132
00:09:05,845 --> 00:09:08,279
Not cloudy. Negative.

133
00:09:08,279 --> 00:09:12,784
What about bruising? Never complained of tenderness under his arms or his groin?

134
00:09:12,784 --> 00:09:15,514
I'm not sure he'd tell me if he did.

135
00:09:15,514 --> 00:09:19,080
I guess I don't really know what's going on in his life.

136
00:09:19,080 --> 00:09:21,820
- He's a teenager.
- Yeah.

137
00:09:25,798 --> 00:09:28,790
What type of cancer did your wife have?

138
00:09:29,802 --> 00:09:31,702
Pancreatic.

139
00:09:31,702 --> 00:09:34,797
It's his lymph nodes we're concerned about.

140
00:09:34,797 --> 00:09:38,310
We're going to do a biopsy to check for lymphoma.

141
00:09:39,679 --> 00:09:41,977
- Can you feel this?
- No.

142
00:09:41,977 --> 00:09:43,227
Good.

143
00:09:52,058 --> 00:09:53,992
I have cancer, don't I?

144
00:09:53,992 --> 00:09:56,620
We're just testing.

145
00:09:58,698 --> 00:10:01,462
That's what they told my mom.

146
00:10:08,541 --> 00:10:10,702
Definitely not cancer.

147
00:10:11,711 --> 00:10:13,770
- Nothing?
- Nothing.

148
00:10:13,770 --> 00:10:16,508
Negative for drugs. ANA was negative. Gallium scan was clear.

149
00:10:16,508 --> 00:10:18,516
Yeah, I got that from the "nothing."

150
00:10:18,516 --> 00:10:20,848
- Where's his hematocrit?
- Thirteen.

151
00:10:20,848 --> 00:10:25,254
Drops any lower, he's not gonna have enough red blood cells to bring oxygen to his body.

152
00:10:25,254 --> 00:10:27,519
- He'll suffocate with his lungs working perfectly.
- You okay?

153
00:10:28,995 --> 00:10:31,725
Excuse me, someone? Help. Please!

154
00:10:32,732 --> 00:10:35,292
Polite for a dying kid.

155
00:10:38,871 --> 00:10:40,862
How long has it been?

156
00:10:40,862 --> 00:10:42,874
I'm fine.

157
00:10:42,874 --> 00:10:45,467
- There's something in my eye. Up at the top.
- Which eye?

158
00:10:45,467 --> 00:10:47,671
This one. What's happening?

159
00:10:47,671 --> 00:10:49,874
It's all right. Just look down for me.

160
00:10:51,717 --> 00:10:54,379
It's clear. There's nothing in it.

161
00:10:54,379 --> 00:10:56,478
- It's getting worse.
- Is it fuzzy or-

162
00:10:56,478 --> 00:10:58,580
No, it's dark.

163
00:10:59,959 --> 00:11:01,950
I can't see.

164
00:11:15,307 --> 00:11:17,502
It's a retinal clot in the left eye.

165
00:11:17,502 --> 00:11:19,976
Coumadin would dissolve the clot, fix his eyesight.

166
00:11:19,976 --> 00:11:22,981
You can't use blood thinners. He's got internal bleeding.

167
00:11:22,981 --> 00:11:26,348
- Fix the eye, you'd kill everything else. 
- Surgery's out for the same reason.

168
00:11:26,348 --> 00:11:30,048
We have two hours to figure this out. Either we restore the blood flow, or he loses the eye.

169
00:11:31,524 --> 00:11:36,962
Forget the eye. Tell him to use the other one to look on the bright side.

170
00:11:36,962 --> 00:11:39,020
The clot tells us something.

171
00:11:40,099 --> 00:11:43,262
Could help us figure out what he has, which could mean he gets to live.

172
00:11:43,262 --> 00:11:46,566
Differential diagnosis, people.

173
00:11:46,566 --> 00:11:49,403
How does internal bleeding suddenly start clotting?

174
00:11:49,403 --> 00:11:52,706
It makes no sense. They're opposing processes.

175
00:11:52,706 --> 00:11:55,645
It can happen in lupus. Increased platelet count can cause blood clots.

176
00:11:55,645 --> 00:11:58,047
ANA was negative. It's not lupus.

177
00:11:58,047 --> 00:12:01,416
This is true. But why are you the one saying it?

178
00:12:01,416 --> 00:12:05,548
What are you doing here? I thought we'd ruled out cancer.

179
00:12:05,548 --> 00:12:07,558
I was lonely.

180
00:12:07,558 --> 00:12:09,651
Well, go see Cuddy. She needs a friend.

181
00:12:09,651 --> 00:12:12,061
That's funny. She said you might need one.

182
00:12:12,061 --> 00:12:15,999
That's why you're here. She wants you to keep an eye on me. Make sure I don't cheat.

183
00:12:15,999 --> 00:12:19,595
No, I wanted to make sure you don't start firing shots from the clock tower.

184
00:12:19,595 --> 00:12:22,106
I'm fine-

185
00:12:22,106 --> 00:12:24,108
What's going on?

186
00:12:24,108 --> 00:12:26,406
He hasn't had Vicodin in over a day.

187
00:12:27,680 --> 00:12:30,672
- Does your leg hurt?
- You ever been shot?

188
00:12:31,751 --> 00:12:35,118
There's gonna be side effects. Insomnia, depression, tachycardia.

189
00:12:35,118 --> 00:12:37,280
Withdrawal symptoms. Not applicable.

190
00:12:37,280 --> 00:12:41,349
The only side effects I'm gonna have are some pain and 30 days of freedom.

191
00:12:43,763 --> 00:12:46,789
Am I the only one who's concerned about a dying kid?

192
00:12:46,789 --> 00:12:49,198
If it's not lupus, what else?

193
00:12:49,198 --> 00:12:53,329
Most likely candidate for throwing a clot is infection or cancer.

194
00:12:53,329 --> 00:12:55,498
Checked the biopsy twice. It's not cancer.

195
00:12:55,498 --> 00:12:58,338
It's not an infection. Gallium scan didn't reveal anything.

196
00:12:58,338 --> 00:13:01,470
Okay. What hides from a Gallium scan?

197
00:13:05,417 --> 00:13:07,851
- Cardiac.
- Right.

198
00:13:07,851 --> 00:13:11,913
Clot flicks off, travels through the arteries, then gets backed up in the eye.

199
00:13:18,631 --> 00:13:21,361
I'm sorry. I wasn't paying attention. What happened?

200
00:13:21,361 --> 00:13:23,993
It's an infection in his heart.

201
00:13:23,993 --> 00:13:24,713
Great.

202
00:13:27,239 --> 00:13:31,403
Echocardiogram for the heart and IV antibiotics for the infection, stat.

203
00:13:45,457 --> 00:13:47,448
Is it my birthday?

204
00:13:49,795 --> 00:13:52,491
I'm not lonely. My leg hurts.

205
00:13:52,491 --> 00:13:55,796
- She's a real masseuse.
- She's $500 an hour, minimum.

206
00:13:55,796 --> 00:13:59,395
She's hot, so she's a hooker? What kind of pathetic logic is that?

207
00:13:59,395 --> 00:14:03,202
The envious, jealous, I-never-got-any-in-high-school kind of logic. Hello!

208
00:14:03,202 --> 00:14:05,607
She's a legitimate masseuse.

209
00:14:05,607 --> 00:14:07,669
Come on.

210
00:14:08,681 --> 00:14:10,615
God! She's beautiful.

211
00:14:10,615 --> 00:14:14,346
Because she's beautiful, I should do it? What kind of pathetic logic is that?

212
00:14:14,346 --> 00:14:18,789
The envious, jealous, I'm-married-and-I-can't-do-anything logic. Hello.

213
00:14:18,789 --> 00:14:22,021
Hi. Uh, listen, I'm sure you're really good at whatever it is you do, but-

214
00:14:22,021 --> 00:14:24,961
Deme su mano.

215
00:14:26,866 --> 00:14:29,630
- Hey, no, no. Let go of my hand.
- She doesn't speak English.

216
00:14:44,316 --> 00:14:46,307
Oh, my God.

217
00:14:51,789 --> 00:14:52,509
Bueno.

218
00:14:52,858 --> 00:14:55,292
Take off your clothes.

219
00:14:59,632 --> 00:15:01,793
Not a fan of the Stroganoff?

220
00:15:03,302 --> 00:15:07,398
- I'm not hungry.
- Well, the antibiotics can cause nausea.

221
00:15:07,398 --> 00:15:09,464
So can the food.

222
00:15:10,643 --> 00:15:13,578
Shouldn't you be looking at my eye?

223
00:15:13,578 --> 00:15:15,614
The blood clot isn't life-threatening.

224
00:15:15,614 --> 00:15:18,411
We're focusing on figuring out the cause of your problems.

225
00:15:18,411 --> 00:15:22,318
So the- so the blindness will be permanent, won't it?

226
00:15:40,105 --> 00:15:42,266
- Thank you.
- Bye.

227
00:15:44,944 --> 00:15:46,878
I had a massage.

228
00:15:46,878 --> 00:15:50,382
Looks like you had a masseuse. Help the pain?

229
00:15:50,382 --> 00:15:52,883
- I'm fine.
- I know.

230
00:15:52,883 --> 00:15:56,217
Kid's echo was normal. No signs of any vegetations on heart valves.

231
00:15:56,217 --> 00:15:59,052
Never met a diagnostic study I couldn't refute.

232
00:15:59,052 --> 00:16:01,058
And the antibiotics aren't doing anything.

233
00:16:01,058 --> 00:16:04,061
So double the dosage. 70 milligrams.

234
00:16:04,061 --> 00:16:06,063
That'll box his kidneys for sure.

235
00:16:06,063 --> 00:16:08,065
Oh, you're right. Save the kidney.

236
00:16:08,065 --> 00:16:11,068
The guy we transplant it into will be grateful.

237
00:16:11,068 --> 00:16:14,071
- Also, I have an idea for his eye. 
- Nothing we can do about his eye.

238
00:16:14,071 --> 00:16:16,505
- He's got a clot in the retina...
- Put it in a memo.

239
00:16:16,505 --> 00:16:19,510
If we remove some of the liquid from the eye itself, the vitreous humour,

240
00:16:19,510 --> 00:16:22,570
it might make some extra room around the retinal artery.

241
00:16:24,083 --> 00:16:28,315
If the artery expands, the clot might move on its own. That's very creative.

242
00:16:28,315 --> 00:16:30,821
Why didn't you mention this before?

243
00:16:30,821 --> 00:16:32,880
I didn't think of it before.

244
00:16:32,880 --> 00:16:35,290
You should've.

245
00:16:53,846 --> 00:16:55,780
This is going to hurt.

246
00:16:55,780 --> 00:16:59,284
Your eye is numb. You'll only feel pressure.

247
00:17:25,711 --> 00:17:27,702
Give it a minute.

248
00:17:35,821 --> 00:17:37,755
I can see.

249
00:18:06,318 --> 00:18:08,252
I can see you.

250
00:18:08,252 --> 00:18:10,754
I heard. Congratulations.

251
00:18:10,754 --> 00:18:13,849
Don't. I haven't brushed my teeth in two days.

252
00:18:21,400 --> 00:18:24,460
I'm so scared they're not gonna find out what's wrong with you.

253
00:18:24,460 --> 00:18:27,334
No biggie. I'm fine.

254
00:18:27,334 --> 00:18:31,467
I feel so bad about all this. It's all my fault.

255
00:18:31,467 --> 00:18:33,773
No. No, it's not.

256
00:18:33,773 --> 00:18:37,805
But your father- he hates me.

257
00:18:37,805 --> 00:18:40,477
He's just pissed about his car.

258
00:18:47,426 --> 00:18:49,894
Help! Help! Help!

259
00:18:58,904 --> 00:19:01,202
What's wrong?

260
00:19:01,202 --> 00:19:03,798
AST is 859. We're getting him to the ICU.

261
00:19:03,798 --> 00:19:05,844
ALT And GGT are in the tank. Our antibiotics-

262
00:19:05,844 --> 00:19:08,573
- Would not have caused this. 
- She must have given him drugs!

263
00:19:08,573 --> 00:19:11,480
- I wouldn't do that!
- It's not drugs!

264
00:19:11,480 --> 00:19:14,178
- His liver is shutting down.
- What?

265
00:19:14,178 --> 00:19:17,916
- What does that mean?
- It means he's all better. He's ready to go home.

266
00:19:17,916 --> 00:19:20,481
- What?
- What do you think it means?

267
00:19:20,481 --> 00:19:23,027
You can't live without a liver. He's dying.

268
00:19:23,027 --> 00:19:25,723
- What is your problem?
- Bum leg. What's yours?

269
00:19:25,723 --> 00:19:28,288
Hey, we don't have time for this. Let's go.

270
00:19:33,472 --> 00:19:35,770
His son's dying, and you're mocking him?

271
00:19:35,770 --> 00:19:38,105
It was a dumb question.

272
00:19:38,105 --> 00:19:39,701
No, it wasn't.

273
00:19:42,047 --> 00:19:44,038
You're right. It wasn't.

274
00:19:45,851 --> 00:19:48,217
Is proving Cuddy wrong worth all this?

275
00:20:03,902 --> 00:20:07,668
- You know, House shouldn't even be here.
- Because he said something inappropriate?

276
00:20:07,668 --> 00:20:11,334
If we sent him home every time he did that, we wouldn't need this office.

277
00:20:11,334 --> 00:20:15,779
- He's in pain.
- What does the man have to do to piss you off?

278
00:20:15,779 --> 00:20:18,714
- He's been without pain relief for over 70 hours.
- Exactly!

279
00:20:18,714 --> 00:20:21,275
He's detoxing. Can't you see he's out of his mind?

280
00:20:21,275 --> 00:20:23,344
That's what they said about Manson.

281
00:20:25,991 --> 00:20:30,461
Do you wanna continue talking about me, or should we discuss what the liver damage tells us?

282
00:20:33,098 --> 00:20:35,623
I was born in a log cabin in Illinois-

283
00:20:35,623 --> 00:20:37,635
Hemolytic anemia doesn't cause liver damage.

284
00:20:37,635 --> 00:20:42,266
Add the fact he's coughing blood, you've got three of the indicators of organ-threatening lupus.

285
00:20:42,266 --> 00:20:44,036
It's moving too fast.

286
00:20:45,577 --> 00:20:47,636
Could be hepatitis E.

287
00:20:47,636 --> 00:20:50,409
There's only been one case of hep E originating in the US since-

288
00:20:50,409 --> 00:20:54,543
His history says he's been in and out of the country four times in the last year.

289
00:20:54,543 --> 00:20:56,383
You really think he's got hep E?

290
00:20:56,383 --> 00:20:59,049
No. I think lupus is way more likely.

291
00:20:59,049 --> 00:21:01,922
All right, then let's start him on IV cytoxan and plasmapheresis.

292
00:21:01,922 --> 00:21:04,758
No, we should rule out hep E.

293
00:21:04,758 --> 00:21:06,764
You just said it wasn't hep E.

294
00:21:06,764 --> 00:21:09,824
I said lupus is way more likely, but if we treat for lupus and it is hep E...

295
00:21:09,824 --> 00:21:12,597
- He's toast.
- Exactly.

296
00:21:12,597 --> 00:21:14,605
But there isn't a treatment for hepatitis E.

297
00:21:14,605 --> 00:21:17,335
Either he'll get better on his own or he'll continue to deteriorate.

298
00:21:17,335 --> 00:21:20,936
Yeah. I went to medical school too.

299
00:21:20,936 --> 00:21:23,004
Start him on solumedrol.

300
00:21:23,004 --> 00:21:27,017
- If he's got hep E, that's only gonna make him worse.
- Not as much.

301
00:21:27,017 --> 00:21:29,019
It's Goldilocks, people.

302
00:21:29,019 --> 00:21:33,547
Won't hurt him so much that it'll kill him, and it won't hurt him so little that we can't tell.

303
00:21:33,547 --> 00:21:35,820
It'll hurt him... just right.

304
00:21:35,820 --> 00:21:37,828
And if it does nothing-

305
00:21:37,828 --> 00:21:41,354
We'll know it's not hep E and can start treating for lupus.

306
00:21:41,354 --> 00:21:43,958
Now watch me do it while drinking a glass of water.

307
00:21:43,958 --> 00:21:48,268
What do we tell the dad? "We think your kid has lupus, so we're gonna treat him for hepatitis E.”

308
00:21:48,268 --> 00:21:52,674
“And, oh, yeah, if it really is hep E, we're not actually giving him hep E medication.”

309
00:21:52,674 --> 00:21:55,508
- “So it's gonna make him worse, not better." 
- Think he'll go for that?

310
00:21:56,682 --> 00:21:59,048
- So you want us to lie?
- No.

311
00:21:59,048 --> 00:22:02,018
- I want you to lie.
- Why me?

312
00:22:02,018 --> 00:22:04,078
Because he trusts you.

313
00:22:06,725 --> 00:22:09,660
- This is a mistake.
- This is a lawsuit.

314
00:22:09,660 --> 00:22:11,662
Hep E is possible.

315
00:22:11,662 --> 00:22:14,164
House always pulls these stunts, and he's right more often-

316
00:22:14,164 --> 00:22:18,032
He's delaying treatment because of a one-in-a-million chance that even he doesn't think is the problem.

317
00:22:18,032 --> 00:22:20,037
- I don't wanna lie to him.
- Then don't.

318
00:22:20,037 --> 00:22:23,040
- And get fired?
- Oh, like he's gonna fire you. He loves you.

319
00:22:23,040 --> 00:22:25,372
I've gotta do something.

320
00:22:25,372 --> 00:22:28,379
- Kid needs treatment.
- Treat him for lupus.

321
00:22:28,379 --> 00:22:30,540
That will get you fired.

322
00:22:31,683 --> 00:22:33,674
You really think House is losing it?

323
00:22:33,674 --> 00:22:35,913
Yeah.

324
00:22:36,855 --> 00:22:38,846
He's fine. He knows what he's doing.

325
00:23:28,407 --> 00:23:29,657
Okay.

326
00:23:40,118 --> 00:23:43,383
We're recommending a drug called solumedrol.

327
00:23:43,383 --> 00:23:48,017
For hepatitis? Did that show up on his blood tests?

328
00:23:49,027 --> 00:23:52,463
The tests are never 100% accurate.

329
00:23:52,463 --> 00:23:55,261
Well, then all the other tests could be wrong too.

330
00:23:55,261 --> 00:23:58,268
This could still be an infection or cancer.

331
00:23:58,268 --> 00:24:01,271
They don't fit any of the most recent symptoms.

332
00:24:01,271 --> 00:24:04,137
Well, what, just hepatitis does?

333
00:24:04,137 --> 00:24:07,872
I know, I know, I know- you can never be sure.

334
00:24:10,849 --> 00:24:13,841
When Wendy was in the hospital,

335
00:24:15,253 --> 00:24:18,120
a doctor told us there was this aggressive experimental treatment...

336
00:24:18,120 --> 00:24:21,591
Which might extend her life by two or three years.

337
00:24:22,661 --> 00:24:27,155
Well, we figured if there was any hope at all that we could have her with us a little while longer, it'd be worth it.

338
00:24:28,333 --> 00:24:31,325
Three weeks later, she was gone.

339
00:24:34,773 --> 00:24:36,764
I don't think it's hepatitis.

340
00:24:39,277 --> 00:24:41,438
I think your son has lupus.

341
00:24:42,447 --> 00:24:45,382
I think it's broken.

342
00:24:45,382 --> 00:24:47,441
What did you do?

343
00:24:48,453 --> 00:24:51,388
Accidentally closed the car door on it.

344
00:24:51,388 --> 00:24:53,651
No. Door would've broken the skin.

345
00:24:53,651 --> 00:24:58,321
This looks like something hard and smooth smashed it.

346
00:24:58,321 --> 00:25:00,330
I want my lawyer.

347
00:25:00,330 --> 00:25:03,333
The brain has a gating mechanism for pain.

348
00:25:03,333 --> 00:25:06,962
Registers the most severe injury and blocks out the others.

349
00:25:06,962 --> 00:25:10,371
- Did it work? 
- Well, my hand hurts like hell.

350
00:25:12,043 --> 00:25:14,978
Yeah. I feel much better.

351
00:25:16,047 --> 00:25:17,981
Don't splint it.

352
00:25:17,981 --> 00:25:22,486
I want to be able to bang it against the wall if I need to administer another dose.

353
00:25:22,486 --> 00:25:25,250
Just tape it up.

354
00:25:29,494 --> 00:25:31,928
Why did you tell Cameron to lie to Mr. Foster?

355
00:25:31,928 --> 00:25:34,158
- Make it tight.
- Answer me.

356
00:25:36,234 --> 00:25:39,203
Nothing I can say is gonna change how you feel,

357
00:25:39,203 --> 00:25:42,206
and nothing can come out of your reaction that is gonna change what I plan to do,

358
00:25:42,206 --> 00:25:44,208
so I prefer to say nothing.

359
00:25:44,208 --> 00:25:46,710
So that was just you saying nothing.

360
00:25:48,780 --> 00:25:51,840
- The guy is furious.
- And scared.

361
00:25:51,840 --> 00:25:54,852
So what are you gonna do? The father's insisting on the lupus treatment.

362
00:25:54,852 --> 00:25:58,287
Yeah, Cameron told me, and I told her to tell him no.

363
00:25:58,287 --> 00:26:01,291
Well, you can't just sit back and let the kid die.

364
00:26:01,291 --> 00:26:03,520
- Neither can the father. 
- So that's your plan?

365
00:26:03,520 --> 00:26:05,620
You're gonna play chicken with the kid's life?

366
00:26:05,620 --> 00:26:08,530
Well, he's the dad. I should win easily.

367
00:26:08,530 --> 00:26:10,966
Take the week off.

368
00:26:10,966 --> 00:26:13,470
Why, 'cause I lied to a patient?

369
00:26:13,470 --> 00:26:15,972
I take risks. Sometimes patients die.

370
00:26:15,972 --> 00:26:18,976
But not taking risks causes more patients to die,

371
00:26:18,976 --> 00:26:23,241
so I guess my biggest problem is I've been cursed with the ability to do the math.

372
00:26:24,349 --> 00:26:28,410
I told him that we wouldn't treat him for the lupus until-

373
00:26:28,410 --> 00:26:32,081
- What'd he say?
- He said he wanted to transfer Keith to another hospital.

374
00:26:32,081 --> 00:26:35,126
- He's not stable enough. He'd never make it through the door.
- That's what I told him.

375
00:26:35,126 --> 00:26:37,821
And that's when he caved.

376
00:26:37,821 --> 00:26:41,059
Yeah. He agreed to do it your way.

377
00:26:42,133 --> 00:26:43,896
Two plus two equals four.

378
00:26:49,708 --> 00:26:53,303
If it is hepatitis E, we should see a marked decline in liver function tests within the hour.

379
00:26:53,303 --> 00:26:56,313
Why bother explaining it to me? It's not like I have any choice in the matter.

380
00:26:56,313 --> 00:26:59,077
If there's no hep E, we'll start treatment for lupus immediately.

381
00:27:01,152 --> 00:27:03,143
- Keith? What's wrong?
- What's happening?

382
00:27:03,143 --> 00:27:05,155
No, get off.

383
00:27:05,155 --> 00:27:08,681
- Keith, it's Dr. Chase. Where does it hurt?
- Jules, no!

384
00:27:08,681 --> 00:27:10,853
- He's hallucinating.
- Is this from the medicine?

385
00:27:10,853 --> 00:27:14,421
- We haven't started the medicine.
- Keith, you're in the hospital. Keith, there's nothing on you.

386
00:27:14,421 --> 00:27:17,866
- Hey. Hey. Keith.
- Keith! Keith! Keith!

387
00:27:17,866 --> 00:27:20,461
Hey. You okay, buddy?

388
00:27:26,411 --> 00:27:28,936
Um, I think I wet the bed.

389
00:27:28,936 --> 00:27:33,007
Don't worry about it. It's fine. Let's get you up.

390
00:27:35,387 --> 00:27:37,651
- Oh, God!
- He's had a major bleed.

391
00:27:37,651 --> 00:27:41,488
- Bright red blood per rectum.
- I didn't- I didn't mean to. I'm sorry.

392
00:27:41,488 --> 00:27:43,527
He's going into hypovolemic shock.

393
00:27:43,527 --> 00:27:47,656
- Pressure's 60, heart rate's 140.
- We need an angiography, stat!

394
00:27:57,609 --> 00:28:03,376
Angiography revealed major upper and lower GI bleeding, severe hemodynamic compromise and liver failure.

395
00:28:03,376 --> 00:28:06,940
He's also hallucinating. Thinks he's being tortured by someone named Jules.

396
00:28:06,940 --> 00:28:11,454
Hallucinations are a symptom of psychosis, which is the fourth diagnostic criterion.

397
00:28:11,454 --> 00:28:13,457
It's official. This is lupus.

398
00:28:13,457 --> 00:28:16,460
Who's Jules?

399
00:28:16,460 --> 00:28:18,860
Any mention of her in the medical history?

400
00:28:18,860 --> 00:28:22,388
It doesn't matter what he's hallucinating about, it matters why! It's lupus.

401
00:28:22,388 --> 00:28:24,401
Well, there's no need to get snippy.

402
00:28:24,401 --> 00:28:27,029
This kind of lupus takes years to get to this point.

403
00:28:27,029 --> 00:28:28,504
- It's been a week.
- Yeah.

404
00:28:28,504 --> 00:28:32,703
And a 16-year-old kid shouldn't have hemolytic anemia or be bleeding out of every orifice, but he is.

405
00:28:32,703 --> 00:28:37,714
We had an opportunity to treat this. Instead, we diddled around with hepatitis E, and now it's too late.

406
00:28:37,714 --> 00:28:40,546
He needs a new liver. We screwed up.

407
00:28:41,619 --> 00:28:43,519
You're saying I screwed up.

408
00:28:45,323 --> 00:28:47,689
- Yes.
- Then why don't you just say that?

409
00:28:49,894 --> 00:28:52,886
- You gonna blame this on her?
- Did you agree with my recommendation to treat for hep E?

410
00:28:52,886 --> 00:28:56,195
- No, I didn't.
- And she made herself quite clear.

411
00:28:56,195 --> 00:29:00,033
- And then she went and lied to the father. That's why you're angry.
- Yeah. I trusted you.

412
00:29:00,033 --> 00:29:03,666
You always trust me. That's a big mistake.

413
00:29:03,666 --> 00:29:05,767
Lupus is a bad diagnosis.

414
00:29:05,767 --> 00:29:08,438
- It's the best diagnosis we've got.
- That doesn't make it good.

415
00:29:08,438 --> 00:29:11,949
No. It just makes it this kid's only chance to live.

416
00:29:16,421 --> 00:29:19,015
Put him on the transplant list.

417
00:29:19,015 --> 00:29:21,285
And make sure Cuddy knows.

418
00:29:21,285 --> 00:29:24,351
See if she can do anything to get him close to the top.

419
00:29:48,052 --> 00:29:49,986
Cafeteria.

420
00:29:49,986 --> 00:29:51,988
Stay away from the sushi.

421
00:29:51,988 --> 00:29:54,081
And what happened to your hand?

422
00:29:55,894 --> 00:29:58,419
Got stuck in a drawer.

423
00:29:58,419 --> 00:30:00,987
Yeah, right. You're going through withdrawal.

424
00:30:00,987 --> 00:30:04,762
No, I am going through pain.

425
00:30:04,762 --> 00:30:07,771
Pain causes nausea.

426
00:30:07,771 --> 00:30:11,935
I took this job to work with you, not cover your ass.

427
00:30:12,877 --> 00:30:14,902
Your Vicodin.

428
00:30:17,348 --> 00:30:20,579
And your solution is to give me drugs.

429
00:30:20,579 --> 00:30:22,586
- That's interesting.
- No.

430
00:30:22,586 --> 00:30:25,987
Now I'm covering my ass.

431
00:30:25,987 --> 00:30:28,685
Take your pills before you kill this kid.

432
00:31:08,533 --> 00:31:10,967
Lupus is normally treated with medication.

433
00:31:10,967 --> 00:31:13,697
But in Keith's case, the disease is too advanced.

434
00:31:13,697 --> 00:31:18,731
Because you lied. Because House wanted to play games with my son's life.

435
00:31:18,731 --> 00:31:22,007
- There's no way to really tell what progression the disease may have taken-
- You're right.

436
00:31:24,082 --> 00:31:26,676
And I'm sorry.

437
00:31:28,820 --> 00:31:30,583
So what do we do?

438
00:31:30,583 --> 00:31:32,589
He needs a new liver.

439
00:31:33,658 --> 00:31:37,094
There are over 15,000 patients on the transplant list.

440
00:31:37,094 --> 00:31:40,028
But how many are about to bleed to death unless they get a new liver?

441
00:31:40,028 --> 00:31:42,566
In Jersey? I'd say, uh, 20.

442
00:31:43,701 --> 00:31:47,228
Two thousand patients die each year because a donor liver can't be found. That's almost five a day.

443
00:31:47,228 --> 00:31:49,000
So he's screwed.

444
00:31:50,975 --> 00:31:52,840
I'll see what I can do.

445
00:31:54,646 --> 00:31:58,241
- Could I donate part of my liver?
- Sorry. You're a different blood type.

446
00:31:58,241 --> 00:32:00,443
- So we just wait?
- I'm afraid so.

447
00:32:00,443 --> 00:32:02,782
And hope for someone to die.

448
00:32:04,956 --> 00:32:06,947
Who's Jules?

449
00:32:08,826 --> 00:32:11,522
- Dr. House, you should get back to your office...
- Jules.

450
00:32:11,522 --> 00:32:14,963
- There's no Jules in the history.
- It was a hallucination.

451
00:32:14,963 --> 00:32:16,967
- Of what?
- Our cat.

452
00:32:16,967 --> 00:32:19,469
- Does this matter?
- No. I'm sorry.

453
00:32:19,469 --> 00:32:23,564
We'll continue the transfusions and the treatment for the anemia and liver failure while we're waiting for a donor.

454
00:32:23,564 --> 00:32:26,906
- How long can he wait?
- Not long.

455
00:32:26,906 --> 00:32:29,208
- I don't think this is lupus.
- It's lupus. Come on, let's just go-

456
00:32:29,208 --> 00:32:32,215
Your fourth diagnostic criterion for lupus is psychosis.

457
00:32:32,215 --> 00:32:34,615
This is just a kid missing his cat.

458
00:32:34,615 --> 00:32:37,951
He was being attacked by an animal that wasn't in the room.

459
00:32:37,951 --> 00:32:41,219
- That's psychosis. 
- There's a difference between psychosis and hallucination.

460
00:32:41,219 --> 00:32:44,728
So if he was imagining a fake cat, it'd be lupus, but since it was a real cat, it's not?

461
00:32:44,728 --> 00:32:46,821
- Take your damn pills.
- Psychosis requires-

462
00:32:46,821 --> 00:32:48,957
There is no cat.

463
00:32:50,001 --> 00:32:52,265
Jules is dead.

464
00:32:54,472 --> 00:32:57,999
You have a dead family pet and you never mentioned it?

465
00:32:57,999 --> 00:33:00,067
Nice family history.

466
00:33:00,067 --> 00:33:04,274
Family history's asking about family members, meaning people related to the patient.

467
00:33:04,274 --> 00:33:07,113
- How did the cat die?
- Can you get him outta here?

468
00:33:07,113 --> 00:33:10,746
- Dr. House, come on, let's-
- What happened to the cat?

469
00:33:11,956 --> 00:33:13,981
Old age.

470
00:33:13,981 --> 00:33:15,958
- She was 15 years old.
- When?

471
00:33:15,958 --> 00:33:17,756
About a month ago.

472
00:33:17,756 --> 00:33:20,127
- Does this have anything to do with-
- Where'd she sleep?

473
00:33:20,127 --> 00:33:22,029
- With Keith.
- This is not a cat allergy.

474
00:33:22,029 --> 00:33:23,965
And it's not lupus.

475
00:33:23,965 --> 00:33:26,003
Where is Jules?

476
00:33:31,576 --> 00:33:37,514
Four years of college, four at med school, two years of residency,

477
00:33:37,514 --> 00:33:40,517
another four of subspecialty training, and where do I end up?

478
00:33:42,220 --> 00:33:44,154
Talking instead of digging.

479
00:33:44,154 --> 00:33:46,383
Come on. The ground's frozen solid.

480
00:33:56,734 --> 00:33:58,565
What's that?

481
00:34:49,087 --> 00:34:51,021
Out of the way!

482
00:34:52,023 --> 00:34:54,924
We have the liver. Prep OR four.

483
00:35:20,985 --> 00:35:24,614
All right, Keith, start counting backward from ten.

484
00:35:24,614 --> 00:35:25,614
Ten,

485
00:35:27,692 --> 00:35:29,626
nine,

486
00:35:29,626 --> 00:35:30,346
eight-

487
00:35:32,396 --> 00:35:34,694
Scalpel.

488
00:35:39,971 --> 00:35:42,235
Stop the gases.

489
00:35:42,235 --> 00:35:43,773
What the hell are you doing, House?

490
00:35:43,773 --> 00:35:49,108
Saving a 16-year-old kid from a lifetime of immunosuppressant drugs and a very nasty scar.

491
00:35:49,108 --> 00:35:51,774
This kid doesn't have lupoid hepatitis.

492
00:35:51,774 --> 00:35:53,840
He has acute naphthalene toxicity.

493
00:35:53,840 --> 00:35:57,115
Naphthalene? Y-y-you're talking about mothballs.

494
00:35:57,115 --> 00:35:58,917
Nope. Termites.

495
00:36:00,191 --> 00:36:02,125
They create naphthalene to protect their nests,

496
00:36:02,125 --> 00:36:07,324
which I'm assuming is rather large and inside all four walls of his bedroom at home.

497
00:36:08,933 --> 00:36:10,867
And your assumption is based on what?

498
00:36:10,867 --> 00:36:14,132
The autopsy I just conducted on his pet cat.

499
00:36:14,132 --> 00:36:17,971
- Call Cuddy. And Security.
- You are not removing that kid's liver.

500
00:36:17,971 --> 00:36:18,971
Now!

501
00:36:23,047 --> 00:36:26,642
Have you completely lost your mind?

502
00:36:26,642 --> 00:36:29,447
No, but I have been feeling a little sick lately.

503
00:36:33,958 --> 00:36:37,223
- There's no way we can do this surgery now.
- Ya think?

504
00:36:37,223 --> 00:36:40,162
You've already cost him his liver. Don't kill him too.

505
00:36:40,162 --> 00:36:43,166
Why are you so eager to cut into a healthy kid?

506
00:36:43,166 --> 00:36:46,169
- Healthy? He's in the toilet. 
- He just needs some chicken soup.

507
00:36:46,169 --> 00:36:50,196
- I'm telling Hourani to re-scrub. We're doing this transplant.
- No, you're not.

508
00:36:50,196 --> 00:36:54,643
You said it. If Keith's symptoms had an environmental cause, they would have disappeared as soon as he got here.

509
00:36:54,643 --> 00:36:56,202
They've only gotten worse.

510
00:36:56,202 --> 00:36:59,807
If the food here wasn't one step below Riker's Island, he would've gotten better.

511
00:36:59,807 --> 00:37:02,512
- He's lost 14 pounds-
- Sure. This is nothing but a dietary thing.

512
00:37:02,512 --> 00:37:05,215
Naphthalene is a gas, a fat-soluble gas.

513
00:37:05,215 --> 00:37:08,224
Kid breathes it in, it gets stored in his fat cells.

514
00:37:08,224 --> 00:37:11,591
Outside the hospital, his body burned protein and carbs for energy.

515
00:37:11,591 --> 00:37:13,425
And the naphthalene stayed in fat.

516
00:37:13,425 --> 00:37:18,264
But once the car accident put him in the hospital and he started losing weight,

517
00:37:18,264 --> 00:37:20,634
his body had to get its energy somewhere else.

518
00:37:20,634 --> 00:37:23,299
It started to burn fat.

519
00:37:23,299 --> 00:37:24,306
The floodgates opened.

520
00:37:24,306 --> 00:37:27,435
The poison poured into his system.

521
00:37:27,435 --> 00:37:29,945
So getting away from the poison is what poisoned him?

522
00:37:29,945 --> 00:37:32,949
Getting away from his dad's meat loaf is what's killing him.

523
00:37:32,949 --> 00:37:35,679
You wanna explain to me why you stopped the surgery?

524
00:37:35,679 --> 00:37:37,744
Oh, my God! My God.

525
00:37:39,757 --> 00:37:42,248
- I want him locked up!
- Hey!

526
00:37:42,248 --> 00:37:44,419
Take it easy.

527
00:37:55,139 --> 00:37:58,131
Your cat did not die of old age.

528
00:38:01,245 --> 00:38:04,737
It died of massive internal bleeding and acute liver failure...

529
00:38:04,737 --> 00:38:06,908
Caused by naphthalene poisoning.

530
00:38:08,185 --> 00:38:10,813
The exact same thing your son has.

531
00:38:10,813 --> 00:38:14,483
You lie to me, you mess up my son's surgery, and now you expect me to trust you?

532
00:38:14,483 --> 00:38:17,994
Give me 24 hours. We'll pump your son full of calories-

533
00:38:17,994 --> 00:38:21,156
- That liver is going to somebody right now.
- We're doing that surgery.

534
00:38:21,156 --> 00:38:25,100
You do the surgery, you'll be killing a mother of four.

535
00:38:25,100 --> 00:38:26,932
Father of three.

536
00:38:26,932 --> 00:38:29,768
- I was guessing.
- Like you are now?

537
00:38:31,208 --> 00:38:35,406
Naphthalene poisoning is the best explanation we have for what's wrong with your son.

538
00:38:36,480 --> 00:38:39,813
It explains the internal bleeding, the hemolytic anemia, the liver failure.

539
00:38:39,813 --> 00:38:42,284
It also predicts what'll happen next.

540
00:38:42,284 --> 00:38:46,414
If you do the surgery, he's gonna lay on that table for 14 hours...

541
00:38:46,414 --> 00:38:50,256
While his body continues to burn fat and release poison into his system.

542
00:38:50,256 --> 00:38:52,990
Either way, I did you a favor.

543
00:38:52,990 --> 00:38:56,090
He's awake now. You've got a chance to say good-bye.

544
00:39:03,674 --> 00:39:05,665
I think you should trust Dr. House.

545
00:39:18,889 --> 00:39:21,221
Give the liver to the other guy.

546
00:39:35,740 --> 00:39:37,605
Watch out.

547
00:39:59,063 --> 00:40:02,430
INR's down and his red count is climbing.

548
00:40:04,902 --> 00:40:07,393
Means you made the right call.

549
00:40:07,393 --> 00:40:10,167
His liver is healing. He's gonna be just fine.

550
00:40:27,691 --> 00:40:29,625
You made it a week.

551
00:40:29,625 --> 00:40:31,627
And won my prize.

552
00:40:31,627 --> 00:40:33,629
- Congratulations. 
- Cuddy's a sucker.

553
00:40:33,629 --> 00:40:36,131
I would've done it for two weeks off.

554
00:40:36,131 --> 00:40:38,134
Yeah, it was a piece of cake.

555
00:40:38,134 --> 00:40:39,635
You learn anything?

556
00:40:40,971 --> 00:40:42,563
Yeah.

557
00:40:42,563 --> 00:40:44,631
I'm an addict.

558
00:40:57,455 --> 00:40:59,286
Okay.

559
00:40:59,286 --> 00:41:01,847
I'm not stopping.

560
00:41:04,361 --> 00:41:06,295
There are programs.

561
00:41:06,295 --> 00:41:08,297
Cuddy would give you the time.

562
00:41:08,297 --> 00:41:11,493
- You could get on a different pain management regimen.
- I don't need to stop.

563
00:41:12,803 --> 00:41:14,771
You just said-

564
00:41:14,771 --> 00:41:18,900
I said I was an addict. I didn't say I had a problem.

565
00:41:18,900 --> 00:41:21,069
I pay my bills. I make my meals. I function.

566
00:41:22,913 --> 00:41:26,178
Is that all you want? You have no relationships.

567
00:41:26,178 --> 00:41:28,616
I don't want any relationships.

568
00:41:28,616 --> 00:41:32,122
- You alienate people.
- I've been alienating people since I was three.

569
00:41:32,122 --> 00:41:34,623
Oh, come on! Drop it.

570
00:41:34,623 --> 00:41:37,160
You don't think you've changed in the last few years?

571
00:41:37,160 --> 00:41:40,459
Well, of course I have. I've- I've gotten older, my hair's got thinner.

572
00:41:40,459 --> 00:41:44,433
Sometimes I'm bored. Sometimes I'm lonely. Sometimes I wonder what it all means.

573
00:41:44,433 --> 00:41:45,867
No, I was there.

574
00:41:45,867 --> 00:41:48,598
You are not just a regular guy who's getting older.

575
00:41:48,598 --> 00:41:51,539
You've changed. You're miserable, and you're afraid to face yourself.

576
00:41:51,539 --> 00:41:54,271
Of course I've changed!

577
00:42:01,318 --> 00:42:03,878
And everything's the leg?

578
00:42:03,878 --> 00:42:06,946
Nothing's the pills? They haven't done a thing to you?

579
00:42:08,592 --> 00:42:11,459
They let me do my job.

580
00:42:11,459 --> 00:42:14,157
And they take away my pain.

581
00:42:45,629 --> 00:42:48,063
How'd it go?

582
00:42:48,063 --> 00:42:50,566
He admitted he's addicted to the narcotics.

583
00:42:50,566 --> 00:42:54,126
- Well, admitting you have a problem is the first-
- And he says it's not a problem.

584
00:42:55,472 --> 00:42:57,406
Maybe it's not.

585
00:42:57,406 --> 00:42:59,408
What do I know?

586
00:42:59,408 --> 00:43:02,741
- What are you gonna do?
- Nothing. Done enough damage.

587
00:43:02,741 --> 00:43:06,749
- Better hope he never finds out that that was your idea.
- He'd never believe it.

588
00:43:26,005 --> 00:43:31,805
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