1
00:00:46,130 --> 00:00:48,200
Let's hear it for Della Carr.

2
00:00:49,060 --> 00:00:51,550
Dude, your sister kicks serious ass.

3
00:00:51,550 --> 00:00:53,920
Competed in the boy's league this year.

4
00:00:53,920 --> 00:00:56,270
Kicked their asses too.

5
00:01:00,190 --> 00:01:01,340
Nice job, del. You--

6
00:01:01,340 --> 00:01:03,470
I went faster on the 50-50. You were right.

7
00:01:03,470 --> 00:01:05,340
All right, who wants next?

8
00:01:06,420 --> 00:01:08,440
Yeah, yeah, I'm a little biased.

9
00:01:22,020 --> 00:01:25,440
Custom decks. Start the bidding at 400 bucks.

10
00:01:25,440 --> 00:01:27,600
Trust me, the kids'll force their parents to buy them.

11
00:01:27,600 --> 00:01:29,540
You got to see this.

12
00:01:37,970 --> 00:01:40,200
You made a great event today, hon.

13
00:01:40,200 --> 00:01:41,880
Fast enough for you?

14
00:01:41,880 --> 00:01:44,620
I'm already in a wheelchair. What are you so afraid of?

15
00:01:48,390 --> 00:01:51,700
That wasn't what I meant.

16
00:01:56,590 --> 00:01:57,880
Della?

17
00:01:57,880 --> 00:01:59,030
You okay?

18
00:01:59,030 --> 00:02:01,510
Mom! Dad!

19
00:02:22,770 --> 00:02:24,570
www.gwedynn.com

20
00:02:46,930 --> 00:02:48,970
We got to stop parking like this.

21
00:02:48,970 --> 00:02:50,350
People are gonna talk.

22
00:02:51,390 --> 00:02:54,420
Well, that's why I plan on doing some talking first.

23
00:02:54,420 --> 00:02:58,630
I want us to formerly report our relationship to Human Resources.

24
00:02:58,630 --> 00:03:02,340
Okay. You get them, I'll cover everybody else.

25
00:03:02,610 --> 00:03:05,500
I would appreciate it if we could keep it quiet until we had that meeting.

26
00:03:05,500 --> 00:03:07,520
It's gonna be hard with me grabbing your ass all day.

27
00:03:07,520 --> 00:03:10,740
Grabbing stops at the threshold.

28
00:03:10,740 --> 00:03:12,520
Of the parking garage.

29
00:03:12,520 --> 00:03:15,390
Handicapped plates. I got special access.

30
00:03:19,550 --> 00:03:22,440
I just don't want our relationship affecting our jobs.

31
00:03:22,720 --> 00:03:24,780
Or the other way around.

32
00:03:29,310 --> 00:03:33,160
Why, Dr. Cuddy, how was your weekend?

33
00:03:34,160 --> 00:03:37,190
I got a call about a case for you.

34
00:03:37,190 --> 00:03:38,300
14-year-old.

35
00:03:38,300 --> 00:03:40,690
- EMTs think her heart stopped--
- Sounds great.

36
00:03:40,690 --> 00:03:42,780
You haven't seen it yet.

37
00:03:42,780 --> 00:03:45,680
I sense something fascinating about it.

38
00:03:45,680 --> 00:03:48,200
I'm gonna get us in to see HR this afternoon.

39
00:03:48,500 --> 00:03:50,170
Think you can hold your tongue till then?

40
00:03:50,170 --> 00:03:53,810
Mom... fine.

41
00:03:53,810 --> 00:03:57,610
People are gonna know soon enough. I think I can hold it till lunch.

42
00:04:09,900 --> 00:04:11,940
I'm seeing Cuddy.

43
00:04:12,280 --> 00:04:14,260
Generally, without her clothes on.

44
00:04:14,260 --> 00:04:15,820
Use your imagination.

45
00:04:15,820 --> 00:04:18,390
Hope it's got a wide-angle lens.

46
00:04:18,390 --> 00:04:20,610
You don't actually need that.

47
00:04:21,040 --> 00:04:23,160
I'm gonna check my office for whoopee cushions.

48
00:04:23,160 --> 00:04:26,580
- This is not a prank.
- This is not me walking out the door.

49
00:04:27,910 --> 00:04:30,290
Really? You and Cuddy?

50
00:04:30,290 --> 00:04:32,710
For reals. Foreman can translate.

51
00:04:32,710 --> 00:04:41,220
So junior miss everything-- skateboarder, basketballer, science clubber, seal clubber, I'm actually guessing with that last one.

52
00:04:41,220 --> 00:04:43,270
Healthy one day, heart arrhythmia the next.

53
00:04:43,270 --> 00:04:46,930
Are you sure it's a good idea to be yanking on the chain of command?

54
00:04:46,930 --> 00:04:48,490
Way to go, House.

55
00:04:48,490 --> 00:04:50,380
I'm surprised you two didn't get together sooner.

56
00:04:50,380 --> 00:04:54,510
EKG, echo and head CT are all spotless. There's nothing on her neurological exam.

57
00:04:54,510 --> 00:04:58,590
Interesting. In favor, indignant, indifferent.

58
00:04:58,590 --> 00:05:00,360
Think I'd like a female perspective.

59
00:05:00,360 --> 00:05:02,360
Or Thirteen's. Where is she?

60
00:05:02,360 --> 00:05:05,330
She's gone. She said she was taking a leave of absence.

61
00:05:05,330 --> 00:05:08,610
Wanted us to think it was for a Huntington's study in Rome.

62
00:05:08,610 --> 00:05:12,450
- They've never heard of her.
- Cell and home phone are disconnected.

63
00:05:13,640 --> 00:05:15,820
And what's with the death's head cane?

64
00:05:15,820 --> 00:05:19,630
They didn't have a death's ass cane in my size.

65
00:05:20,740 --> 00:05:22,850
Well, I guess we'll just have to wait.

66
00:05:23,140 --> 00:05:25,900
Conditions that cause intermittent heart arrhythmias. Taub.

67
00:05:25,900 --> 00:05:29,010
Three years, you've been trying to game out Thirteen, and now you don't care?

68
00:05:29,010 --> 00:05:32,980
Sorry. Not caring about Thirteen is not part of the differential for heart arrhythmia,

69
00:05:32,980 --> 00:05:34,500
but you do get a home version of the game.

70
00:05:34,500 --> 00:05:37,310
Patient's brother has severe, congenital muscular dystrophy.

71
00:05:37,310 --> 00:05:39,780
Life expectancy of about 25.

72
00:05:39,780 --> 00:05:42,550
- If she's had a latent case of it...
- Wouldn't be sudden onset.

73
00:05:42,550 --> 00:05:44,090
Foreman.

74
00:05:44,090 --> 00:05:45,920
Do you know something about Thirteen that we don't?

75
00:05:45,920 --> 00:05:47,440
She's entitled to her privacy.

76
00:05:47,440 --> 00:05:50,240
Just as I'm entitled to a diagnosis.

77
00:05:50,240 --> 00:05:55,000
And you're glossing over Thirteen's departure because you actually respect somebody's privacy?

78
00:05:55,000 --> 00:05:56,950
I agree. It's weird of me not to care.

79
00:05:56,950 --> 00:05:58,860
So either I'm a changed man because of Cuddy,

80
00:05:58,860 --> 00:06:01,890
or I'm pretending to be a changed man because I do know something about Thirteen

81
00:06:01,890 --> 00:06:05,660
and I'm trying to throw you off the scent, or I've just gone nutty bananas because I lost a patient.

82
00:06:05,660 --> 00:06:08,800
All of which you are free to discuss after I get a diagnosis.

83
00:06:08,800 --> 00:06:13,450
If it's Long QT Syndrome, any startling stimulus in that skate park could have triggered the arrhythmia.

84
00:06:13,450 --> 00:06:14,940
Loud noise, flashing lights.

85
00:06:14,940 --> 00:06:19,640
Scare the patient to death to confirm Long QT.

86
00:06:20,930 --> 00:06:25,380
Fine. If you insist, do it in a room with one of those thingamabobs that brings people back to life.

87
00:06:26,840 --> 00:06:29,250
- Scare test is insane. 
- Scare test is legitimate.

88
00:06:29,250 --> 00:06:30,970
Simulates real world conditions.

89
00:06:30,970 --> 00:06:32,810
This fling with Cuddy is insane.

90
00:06:32,810 --> 00:06:34,460
Flare gun? Scary enough?

91
00:06:34,460 --> 00:06:37,330
How about just telling her we're planning this stupid test?

92
00:06:37,330 --> 00:06:39,430
And I'm hoping House and Cuddy are more than just a fling.

93
00:06:39,430 --> 00:06:41,690
It's clearly mellowed him out. He didn't even care about Thirteen.

94
00:06:41,690 --> 00:06:44,960
Right. The guy who ordered us to stop the patient's heart has mellowed out.

95
00:06:44,960 --> 00:06:48,990
It's gonna be horrible because it's doomed, which is just gonna make House 50 times more of a crank.

96
00:06:48,990 --> 00:06:53,140
Firecrackers. We can hide 'em under one of those covered food trays.

97
00:06:58,900 --> 00:07:01,100
Find any itching powder in your hanky?

98
00:07:01,100 --> 00:07:03,580
Any fake poo in your desk drawer?

99
00:07:03,580 --> 00:07:07,820
Yes, the lack of dime-store pranks is proof that you're actually dating Cuddy,

100
00:07:07,820 --> 00:07:10,710
and not just mocking me for being worried about you.

101
00:07:10,710 --> 00:07:12,300
What do I have to do to prove this to you?

102
00:07:12,560 --> 00:07:16,660
Tattoo a cane on her inner thigh? Tattoo her inner thigh on my cane?

103
00:07:18,090 --> 00:07:19,570
You told everybody, didn't you?

104
00:07:19,570 --> 00:07:21,010
Repeatedly.

105
00:07:21,010 --> 00:07:22,570
This one's not buying it. Need a little help.

106
00:07:22,570 --> 00:07:24,250
I'm not selling it.

107
00:07:24,250 --> 00:07:26,640
It's time for our meeting at Human Resources.

108
00:07:27,300 --> 00:07:30,460
Human Resources. Now, why would I need to go to Human Resources?

109
00:07:30,790 --> 00:07:34,430
House, you've been to Human Resources 74 times in the last six weeks.

110
00:07:34,430 --> 00:07:36,460
Never after doing this.

111
00:07:38,170 --> 00:07:39,420
Well, I'm convinced.

112
00:07:39,420 --> 00:07:42,410
Come on. One peck. Just enough to arouse him a little.

113
00:07:42,410 --> 00:07:45,780
- I--hey, I'm not even...
- I didn't mean you.

114
00:07:45,780 --> 00:07:47,900
If I confirm it, can we leave?

115
00:07:47,900 --> 00:07:48,900
Yes.

116
00:07:49,920 --> 00:07:52,360
It's true.

117
00:07:56,290 --> 00:07:57,810
I've been more passionate with my great aunt.

118
00:07:57,810 --> 00:07:59,210
Mabel?

119
00:07:59,210 --> 00:08:01,590
Up high.

120
00:08:09,240 --> 00:08:11,300
We done here?

121
00:08:19,030 --> 00:08:21,450
She didn't even ask me to cough.

122
00:08:21,450 --> 00:08:24,290
Think you straightened out my limp a little.

123
00:08:26,300 --> 00:08:30,250
How would you describe the exact nature of the relationship?

124
00:08:30,640 --> 00:08:32,160
You ever see Wild Kingdom?

125
00:08:32,160 --> 00:08:35,810
Those insects that rip their partner's heads off after copulating?

126
00:08:44,280 --> 00:08:46,500
It's a sexual relationship.

127
00:08:48,340 --> 00:08:49,790
Go slowly now.

128
00:08:49,790 --> 00:08:51,190
He's writing it down.

129
00:08:51,190 --> 00:08:55,490
I believe that I can still supervise Dr. House effectively,

130
00:08:55,490 --> 00:08:58,300
but we both want to follow hospital policy to the letter.

131
00:08:58,300 --> 00:09:04,470
Our concern is to make sure that there's no conflict of interest, no liability for the hospital.

132
00:09:04,470 --> 00:09:06,500
You think we're gonna sue if things go South?

133
00:09:06,500 --> 00:09:10,050
- Let me tell you. She actually does go--
- House.

134
00:09:10,670 --> 00:09:12,270
Let him talk.

135
00:09:12,270 --> 00:09:19,350
I, uh, know that you're not going to sue, because you are both going to sign love contracts.

136
00:09:19,350 --> 00:09:22,090
Consensual relationship agreements.

137
00:09:22,090 --> 00:09:27,120
Well, obviously outside council will have to review the crotchless undies clause.

138
00:09:29,050 --> 00:09:33,280
Uh, we'll also need to watch for any favoritism toward Dr. House.

139
00:09:33,620 --> 00:09:35,430
Does that mean she has to sleep with everyone?

140
00:09:35,430 --> 00:09:38,730
I promise not to give him a raise or a promotion of any kind.

141
00:09:38,730 --> 00:09:41,370
There's got to be a joke there about keeping up with inflation.

142
00:09:41,370 --> 00:09:44,930
Or bias against him.

143
00:09:46,770 --> 00:09:49,990
Are there any supervisory issues with Dr. House's current case load?

144
00:09:49,990 --> 00:09:53,110
No, her case is solved. Patient has Long QT.

145
00:09:53,110 --> 00:09:55,460
Gonna scare her into cardiac arrest to confirm it.

146
00:09:55,460 --> 00:09:58,090
- No, we're not.
- Okay, no, we're not.

147
00:09:59,680 --> 00:10:01,850
See? Everything's under control.

148
00:10:03,420 --> 00:10:05,610
I know you're still planning your ridiculous scare test.

149
00:10:05,610 --> 00:10:09,260
The patient is nowhere near sick enough to justify the risk.

150
00:10:09,550 --> 00:10:14,540
An angiogram and an EP study are much safer and very effective.

151
00:10:14,540 --> 00:10:15,820
Fair point.

152
00:10:15,820 --> 00:10:18,110
Not doing the scare test.

153
00:10:20,870 --> 00:10:25,100
I'd invite you to watch me not doing the test, but having not done it many times before,

154
00:10:25,100 --> 00:10:27,680
trust me, it's pretty not interesting.

155
00:10:35,060 --> 00:10:37,100
- House?
- Scare test was not approved.

156
00:10:37,100 --> 00:10:39,080
Do an angio and EP study instead.

157
00:10:39,080 --> 00:10:41,620
First of all, that's not as effective as--

158
00:10:44,620 --> 00:10:46,830
How come you're not doing the more specialized test?

159
00:10:46,830 --> 00:10:48,630
This test is virtually just as effective.

160
00:10:48,630 --> 00:10:51,890
And Dr. House puts a premium on patient safety.

161
00:10:51,890 --> 00:10:53,790
But frequently changes his mind.

162
00:10:53,790 --> 00:10:56,120
Hugo, give him a break. I'm fine.

163
00:10:56,120 --> 00:10:59,780
You should go to the bathroom before we go. We've been hydrating you for quite a while.

164
00:10:59,780 --> 00:11:01,040
I don't have to pee.

165
00:11:01,040 --> 00:11:04,310
Once we start the test, you won't be able to move for at least an hour.

166
00:11:04,700 --> 00:11:06,490
I really don't have to pee.

167
00:11:06,490 --> 00:11:08,800
How much fluid have we given her?

168
00:11:10,050 --> 00:11:11,560
2.5 liters.

169
00:11:11,560 --> 00:11:13,320
When's the last time you went to the bathroom?

170
00:11:13,320 --> 00:11:15,430
Last night, I guess.

171
00:11:15,430 --> 00:11:16,630
What does that mean?

172
00:11:16,630 --> 00:11:19,190
Your daughter's kidneys seem to be failing.

173
00:11:23,580 --> 00:11:28,670
So what could cause her heart to stop and her urine not to drop?

174
00:11:28,940 --> 00:11:33,680
House, I was expecting your relationship with Cuddy to complicate our work long-term.

175
00:11:33,680 --> 00:11:37,480
I am now concerned it might be affecting us short-term.

176
00:11:37,480 --> 00:11:39,070
All due respect.

177
00:11:39,070 --> 00:11:40,410
None taken.

178
00:11:40,410 --> 00:11:42,930
I listen to Cuddy all the time. She's my boss.

179
00:11:42,930 --> 00:11:43,820
Also yours, by the way.

180
00:11:43,820 --> 00:11:46,810
You'd listen, then tell her she's being an idiot, and do whatever you want.

181
00:11:46,810 --> 00:11:49,390
I find I can skip the idiot part when she's not being an idiot,

182
00:11:49,390 --> 00:11:53,690
and since the scare test would have led to the same dead end, she was right to stop it.

183
00:11:53,690 --> 00:11:55,840
Which means your problem's about you.

184
00:11:55,840 --> 00:11:57,730
This should be interesting.

185
00:11:57,730 --> 00:11:59,390
Losers love company.

186
00:11:59,390 --> 00:12:03,440
And if even a misanthrope like me has a chance at happiness,

187
00:12:03,440 --> 00:12:08,190
it's gonna be pretty lonely on that landfill of loserdom you call a marriage.

188
00:12:08,190 --> 00:12:09,970
Heart, kidneys, go.

189
00:12:09,970 --> 00:12:12,450
Could be Fabry disease.

190
00:12:12,450 --> 00:12:14,120
Lipid deposition in her tissues.

191
00:12:14,120 --> 00:12:16,310
- Dad's history was clean.
- What about protein deposits?

192
00:12:16,310 --> 00:12:18,770
They wouldn't show in her parents' history.

193
00:12:18,770 --> 00:12:20,880
Amyloidosis.

194
00:12:20,880 --> 00:12:22,190
Explains both the symptoms.

195
00:12:22,190 --> 00:12:25,200
Marrow transplant to treat. Brother's a match.

196
00:12:25,200 --> 00:12:27,200
Confirm and do.

197
00:12:29,920 --> 00:12:34,440
I been experiencing fatigue, and--and weakness.

198
00:12:34,440 --> 00:12:38,880
Wouldn't have anything to do with the fact that you're... 102 years old.

199
00:12:38,880 --> 00:12:41,050
Usually he's strong as an ox.

200
00:12:41,050 --> 00:12:42,390
102-year-old ox.

201
00:12:42,390 --> 00:12:45,310
He has tingling in his feet and his legs.

202
00:12:45,310 --> 00:12:47,740
I want a full battery of tests.

203
00:12:47,740 --> 00:12:51,000
- Carbon dating?
- I'll pay cash if it's not covered.

204
00:12:51,000 --> 00:12:52,590
That's nice of you to float your friend.

205
00:12:52,590 --> 00:12:54,880
He's not my friend. He's my father.

206
00:12:54,880 --> 00:12:58,190
He's 22 years older than me.

207
00:12:58,190 --> 00:13:01,420
Well, that's true, he's definitely had his jowls done.

208
00:13:01,420 --> 00:13:05,410
Statistically, if he didn't have these symptoms, he'd be like most people of his age--

209
00:13:05,410 --> 00:13:07,210
Dead for the past several decades.

210
00:13:07,210 --> 00:13:08,920
Do the tests. I'm sick.

211
00:13:08,920 --> 00:13:10,910
You have a bad case of natural causes.

212
00:13:10,910 --> 00:13:13,800
Do the damn tests.

213
00:13:15,680 --> 00:13:18,940
If the vial fills with sand, we take that as a bad sign.

214
00:13:20,560 --> 00:13:22,740
Hugo should be here. Why'd you ask him to leave?

215
00:13:22,740 --> 00:13:24,610
We wanted to be able to discuss this openly.

216
00:13:24,610 --> 00:13:26,430
But it obviously affects him.

217
00:13:26,430 --> 00:13:27,890
Honey, let the doctor finish.

218
00:13:27,890 --> 00:13:31,660
It's a standard procedure. We use general anesthesia, harvest a very small amount of--

219
00:13:31,660 --> 00:13:34,690
No. I'm not taking my brother's marrow.

220
00:13:34,690 --> 00:13:37,130
- Del, it's--
- These harvests are harmless.

221
00:13:37,130 --> 00:13:40,920
With the meds we give, there's almost no pain, almost no risk of infection.

222
00:13:40,920 --> 00:13:42,920
Almost?

223
00:13:43,140 --> 00:13:46,010
His life's hard enough as it is.

224
00:13:47,740 --> 00:13:49,510
Small problem with the treatment.

225
00:13:49,510 --> 00:13:53,010
Patient won't take marrow from steel wheels?

226
00:13:53,010 --> 00:13:55,510
We're finding another match. And how do you know?

227
00:13:55,510 --> 00:13:58,990
What other problem could there be with a problem-free procedure?

228
00:13:58,990 --> 00:14:03,150
Boy's sports, science club, she's living his life, not hers.

229
00:14:03,150 --> 00:14:05,230
Makes sense she's being a self-denying moron.

230
00:14:05,230 --> 00:14:07,800
She loves her brother. She's thinking selflessly.

231
00:14:07,800 --> 00:14:09,560
- How is that at all--
- Being moronic?

232
00:14:09,560 --> 00:14:13,290
If I can only think of a harm-free medical treatment she turned down lately.

233
00:14:13,290 --> 00:14:16,100
You're right. If everyone were more selfish, the world would be a better place.

234
00:14:16,100 --> 00:14:17,100
See?

235
00:14:18,160 --> 00:14:20,710
I can skip the idiot part when you're not being an idiot.

236
00:14:22,830 --> 00:14:26,110
Yeah, I had that same facial expression for the first 48 hours.

237
00:14:26,510 --> 00:14:29,390
Had another one too, but only for 15 seconds at a time.

238
00:14:29,810 --> 00:14:32,030
I'm happy for you. You're happy for you.

239
00:14:32,030 --> 00:14:33,990
This is huge.

240
00:14:33,990 --> 00:14:36,550
- So who's gonna supervise you?
- Cuddy.

241
00:14:37,060 --> 00:14:39,740
Well, I guess maybe that can work.

242
00:14:39,740 --> 00:14:42,530
Maybe? Nothing's changed.

243
00:14:42,530 --> 00:14:44,580
You showed up for clinic hours.

244
00:14:44,580 --> 00:14:47,380
- Voluntarily.
- Fine. A little bit has changed.

245
00:14:47,380 --> 00:14:50,290
House, everything's changed. You're sleeping together.

246
00:14:50,290 --> 00:14:54,750
You want something from her besides a sign-off on scaring your patient to death.

247
00:14:54,750 --> 00:14:56,490
You talked to Taub.

248
00:14:56,490 --> 00:14:57,540
He's worried about you.

249
00:14:57,540 --> 00:14:59,750
- He's a jerk.
- I'm worried too.

250
00:14:59,750 --> 00:15:01,150
Do I need to say it?

251
00:15:01,150 --> 00:15:02,830
I want this to work.

252
00:15:02,830 --> 00:15:04,750
I'm not doing anything differently.

253
00:15:04,750 --> 00:15:07,250
She changed my mind about one diagnostic test.

254
00:15:07,250 --> 00:15:09,110
And she was right.

255
00:15:09,440 --> 00:15:12,830
Even though it's your emotional default, stop worrying.

256
00:15:13,970 --> 00:15:15,730
I can handle it.

257
00:15:16,330 --> 00:15:19,230
I hear you're a pretty fierce skateboarder.

258
00:15:19,860 --> 00:15:21,810
I do okay.

259
00:15:21,810 --> 00:15:27,800
All your activities, don't they seem like things a 16-year-old boy would do?

260
00:15:27,800 --> 00:15:32,280
Some people might think you're trying to live his life for him.

261
00:15:32,780 --> 00:15:35,080
I am. Sort of.

262
00:15:35,080 --> 00:15:41,390
Um, I got into skateboarding when some of Hugo's classmates did, and he realized he could never do it.

263
00:15:41,660 --> 00:15:43,990
It's the same with a lot of things.

264
00:15:43,990 --> 00:15:46,110
We live through it together.

265
00:15:46,470 --> 00:15:51,640
And you're not worried you're being selfless to the point of self-denial?

266
00:15:51,940 --> 00:15:54,970
You've never been inspired by someone?

267
00:15:56,260 --> 00:15:58,220
Why don't you take your pills?

268
00:16:01,440 --> 00:16:03,640
Need some help in here.

269
00:16:04,620 --> 00:16:06,660
Hemothorax. We need to bronch her now.

270
00:16:06,870 --> 00:16:09,290
- Clear an OR.
- She's drowning in her own blood.

271
00:16:09,290 --> 00:16:11,630
It's not amyloidosis.

272
00:16:19,350 --> 00:16:20,900
She's bleeding to death.

273
00:16:20,900 --> 00:16:22,850
Out of her lung.

274
00:16:22,850 --> 00:16:25,550
I want to fill a quarter of it with foam.

275
00:16:25,820 --> 00:16:28,020
That'd stop the bleeding, all right.

276
00:16:28,380 --> 00:16:30,560
Thought it made more sense than diet and exercise.

277
00:16:30,560 --> 00:16:33,530
And if she doesn't have enough lung function left, you'll have killed her.

278
00:16:33,530 --> 00:16:39,660
The only alternative is slowly suturing the lung, hoping that the bleeding stops in time and she doesn't die on her own.

279
00:16:40,020 --> 00:16:42,060
But we would walk away with clean hands.

280
00:16:42,060 --> 00:16:44,310
Except for all the blood.

281
00:16:47,430 --> 00:16:48,790
You're right.

282
00:16:48,790 --> 00:16:51,650
Faster and riskier's better. Foam the lung.

283
00:16:58,330 --> 00:17:00,230
Got a green light?

284
00:17:03,820 --> 00:17:07,120
No. Suture the lung.

285
00:17:08,330 --> 00:17:10,690
Scalpel, rib spreader.

286
00:17:14,530 --> 00:17:16,660
I can't handle it.

287
00:17:19,760 --> 00:17:20,760
What happened?

288
00:17:20,760 --> 00:17:26,240
She said "yes," and I heard "no." I didn't actually hear "no."

289
00:17:26,240 --> 00:17:29,620
But I just... was sure that's what she meant.

290
00:17:29,620 --> 00:17:33,540
Way she tilted her head and half-arched her eyebrow.

291
00:17:34,110 --> 00:17:35,650
What do I even care what she meant?

292
00:17:35,650 --> 00:17:39,330
She said yes. That's all that matters.

293
00:17:39,830 --> 00:17:42,320
I'm screwing this up.

294
00:17:42,320 --> 00:17:44,730
It's not completely bad, House.

295
00:17:44,730 --> 00:17:46,380
You care enough to pull your punches.

296
00:17:46,380 --> 00:17:47,550
That's not a bad thing.

297
00:17:47,550 --> 00:17:51,540
But you and Cuddy have got to figure out a way of avoiding this problem.

298
00:17:51,540 --> 00:17:53,530
Set some ground rules.

299
00:17:55,030 --> 00:17:59,190
Yeah. I have to avoid this problem.

300
00:18:00,130 --> 00:18:04,790
If I can restrict our interactions to places where neither of us are wearing pants...

301
00:18:04,790 --> 00:18:08,530
Yeah, that's not avoiding the problem, that's avoiding the issue.

302
00:18:09,350 --> 00:18:14,960
Since avoidance is my plan for dealing with the issue, technically, that's not avoiding it.

303
00:18:15,310 --> 00:18:17,940
- Thanks.
- No problem.

304
00:18:22,090 --> 00:18:23,380
Stitching worked.

305
00:18:23,380 --> 00:18:27,020
This time. No guarantee bowing to Cuddy will work next time.

306
00:18:27,370 --> 00:18:31,640
Heart arrhythmia, kidney failure, and now bleeding lung.

307
00:18:31,640 --> 00:18:32,940
I don't want to criticize your girlfriend, but--

308
00:18:32,940 --> 00:18:36,280
Hey, you've been on me for years to respect someone's opinion.

309
00:18:36,280 --> 00:18:38,850
Just 'cause I had to go outside this group to find one I respect.

310
00:18:38,850 --> 00:18:40,830
Multi-system involvement centered in the lung.

311
00:18:40,830 --> 00:18:43,230
- Sarcoidosis?
- Doesn't explain the hemothorax.

312
00:18:43,230 --> 00:18:45,190
TB can affect all three organs.

313
00:18:45,190 --> 00:18:47,430
- Skin test was negative.
- What about Goodpasture's?

314
00:18:47,430 --> 00:18:50,040
Affects the lungs, kidneys.

315
00:18:50,800 --> 00:18:54,290
And autoimmune explains the out of the blue arrhythmia.

316
00:18:54,290 --> 00:18:55,580
Goodpasture's it is.

317
00:18:55,580 --> 00:19:00,190
Immunosuppressants and plasmapheresis to treat, kidney biopsy to confirm.

318
00:19:09,520 --> 00:19:11,640
Dr. House.

319
00:19:11,890 --> 00:19:16,080
Don't tell me, your father's hairline is receding, and he needs more tests.

320
00:19:16,080 --> 00:19:19,690
He's 102. His next test is an autopsy.

321
00:19:19,690 --> 00:19:24,110
Look, I love the old man, but I got to get him out of the damn house.

322
00:19:24,110 --> 00:19:26,390
He can't do anything without me.

323
00:19:26,390 --> 00:19:30,050
He needs to be in a care facility.

324
00:19:30,050 --> 00:19:31,800
Well, so tell him. He's a big boy now.

325
00:19:31,800 --> 00:19:33,110
I can't.

326
00:19:33,110 --> 00:19:34,670
I'm his whole life.

327
00:19:34,670 --> 00:19:38,670
But if it comes from a doctor...

328
00:19:44,130 --> 00:19:46,850
That's very generous. When you were 30.

329
00:19:50,050 --> 00:19:57,960
Pretend to run the tests, and then tell him... he can't live with me anymore.

330
00:20:07,580 --> 00:20:10,580
I didn't run into you all afternoon.

331
00:20:10,580 --> 00:20:12,370
I missed you.

332
00:20:12,370 --> 00:20:15,100
Busy day.

333
00:20:15,620 --> 00:20:18,840
Maybe we should plan on lunch tomorrow.

334
00:20:20,100 --> 00:20:25,070
Problem is, at lunch you tend to wear tops.

335
00:20:26,770 --> 00:20:28,660
This is much better.

336
00:20:40,810 --> 00:20:42,670
Cuddy and I are naked.

337
00:20:42,670 --> 00:20:45,790
So I'm having trouble focusing. Use small words.

338
00:20:45,790 --> 00:20:49,660
Kidney biopsy was clean, so we rechecked the piece of her lung from the OR.

339
00:20:49,660 --> 00:20:53,010
You lost me. Sorry, who is this calling again?

340
00:20:53,010 --> 00:20:56,190
It's not Goodpasture's. There's intimal thickening of the blood vessels.

341
00:20:56,190 --> 00:20:59,100
And lymphocytic infiltrate. We tested for LAM. It's positive.

342
00:20:59,100 --> 00:21:03,720
Plus her lung's fried. She needs a donor lung to live, which is the only treatment for LAM, anyway.

343
00:21:03,720 --> 00:21:07,140
Taub's gone to the transplant committee. They may have found a donor lung.

344
00:21:07,140 --> 00:21:09,890
So this call is purely expositional.

345
00:21:13,830 --> 00:21:15,400
I should really get dressed.

346
00:21:15,650 --> 00:21:17,470
I told the nanny I'd be home by 9:00.

347
00:21:17,700 --> 00:21:21,290
And I slipped the nanny 40 bucks, told her to stay till 10:00.

348
00:21:22,200 --> 00:21:24,590
- Really?
- Really.

349
00:21:37,410 --> 00:21:39,050
Good news.

350
00:21:44,560 --> 00:21:49,660
Surgery was uneventful, but the donor lung started failing about an hour into recovery.

351
00:21:49,660 --> 00:21:51,910
We know we're right about LAM. Tests confirmed it.

352
00:21:52,120 --> 00:21:53,610
That leaves us with two options.

353
00:21:53,610 --> 00:21:58,310
Body's rejecting the new lung or we should have rejected the new lung because it's infected.

354
00:21:58,600 --> 00:21:59,810
Let's biopsy, see which one it is.

355
00:22:00,030 --> 00:22:02,080
No guarantee we'd hit the affected spot.

356
00:22:02,300 --> 00:22:04,390
If we give steroids for rejection, it'd make an infection worse.

357
00:22:04,390 --> 00:22:07,700
If we give antibiotics for infection, it'd make rejection worse.

358
00:22:07,700 --> 00:22:09,200
Which worse is worse?

359
00:22:09,410 --> 00:22:12,000
If we treat for infection and we're wrong, she'll be dead within hours.

360
00:22:12,000 --> 00:22:13,480
And if we treat for rejection and we're wrong?

361
00:22:13,690 --> 00:22:15,620
She'll probably hang on a day or two.

362
00:22:15,620 --> 00:22:19,420
You're assuming her rejection's hyperacute. Odds are, it isn't.

363
00:22:19,700 --> 00:22:22,380
Gotta head off the worst worse first.

364
00:22:23,000 --> 00:22:24,870
I studied under Dr. Seuss.

365
00:22:25,100 --> 00:22:27,960
Start with IV methylprednisolone for hyperacute rejection.

366
00:22:27,960 --> 00:22:32,930
If that fails, we'll switch her to broad-spectrum antibiotics and hope we're not too late.

367
00:22:37,190 --> 00:22:38,720
Cat got your legs?

368
00:22:38,940 --> 00:22:42,970
We just decided to give meds that could kill the patient based on a guess.

369
00:22:43,220 --> 00:22:49,080
You need approval from Cuddy, and she'll want to take the safer course, and you're gonna fold like an origami crane, so...

370
00:22:49,080 --> 00:22:52,770
I'll just wait here till we get our actual orders.

371
00:22:53,310 --> 00:22:55,310
Fine. You do it.

372
00:22:55,600 --> 00:22:59,300
Tell her she's being an idiot for always choosing the safer course.

373
00:22:59,300 --> 00:23:04,150
She's sitting on her ample, if well-formed, bureaucratic ass while our patient's dying.

374
00:23:04,360 --> 00:23:06,090
We'll see who folds like an origami shrimp.

375
00:23:06,310 --> 00:23:09,040
You want me to get Cuddy's approval?

376
00:23:09,040 --> 00:23:10,770
I gotta be somewhere important.

377
00:23:10,990 --> 00:23:12,210
Sitting at your desk?

378
00:23:12,210 --> 00:23:13,790
I'm running late.

379
00:23:30,920 --> 00:23:32,920
Forget the tests.

380
00:23:33,180 --> 00:23:35,610
I think junior might have a few words to say about that.

381
00:23:35,830 --> 00:23:39,060
I love him, but he can't let go.

382
00:23:40,280 --> 00:23:41,820
40 bucks says he can.

383
00:23:41,820 --> 00:23:47,130
I can't do anything without him helping me like I'm senile.

384
00:23:47,130 --> 00:23:49,550
If I go back there, I'm gonna rip his throat out.

385
00:23:49,760 --> 00:23:52,530
You sure you won't warm up to him over time?

386
00:23:57,490 --> 00:23:58,980
Skip the blood work.

387
00:23:59,190 --> 00:24:01,450
Tell my son it's grim news.

388
00:24:01,450 --> 00:24:04,620
I need to be in a nursing home.

389
00:24:04,840 --> 00:24:06,440
A private room.

390
00:24:07,250 --> 00:24:09,100
Make it a suite.

391
00:24:09,390 --> 00:24:11,480
Be our little secret.

392
00:24:12,270 --> 00:24:16,320
I sit around on my bureaucratic ass?

393
00:24:16,540 --> 00:24:17,570
I was relaying your words.

394
00:24:17,570 --> 00:24:21,840
I said well-formed. I said well-formed!

395
00:24:22,340 --> 00:24:24,070
- What were you...
- I needed to be aggressive.

396
00:24:24,310 --> 00:24:24,920
You're an idiot.

397
00:24:24,920 --> 00:24:26,910
She was siding with Foreman's analysis.

398
00:24:27,140 --> 00:24:31,520
- The odds are against it being hyperacute rejection.
- Stop.

399
00:24:32,460 --> 00:24:33,790
I agree with you.

400
00:24:33,790 --> 00:24:36,040
That was our analysis from the start.

401
00:24:36,040 --> 00:24:39,850
If you've got a problem with a team decision, you come to me.

402
00:24:40,490 --> 00:24:43,150
I'm sorry. I-I'll deal with him later.

403
00:24:44,240 --> 00:24:46,880
I said well-formed.

404
00:24:53,040 --> 00:24:58,000
People who have not seen Cuddy naked should not throw stones.

405
00:24:58,250 --> 00:25:01,040
She does have great cans.

406
00:25:02,430 --> 00:25:06,100
Cuddy has House on such a short leash, she might as well start giving him chew toys.

407
00:25:06,310 --> 00:25:08,800
Let's give the antibiotics at least another hour.

408
00:25:09,010 --> 00:25:09,760
Amazing.

409
00:25:09,970 --> 00:25:14,280
And House hasn't given you one ounce of grief for your complete lack of interest in his love life?

410
00:25:14,280 --> 00:25:19,520
Did it ever occur to you that House is just happy and could give a crap about other people's lives because of it?

411
00:25:19,520 --> 00:25:22,520
Well, that's ironic and depressing.

412
00:25:22,740 --> 00:25:27,050
And by that logic, the reason you don't give a crap is because you're happy,

413
00:25:27,050 --> 00:25:31,070
which means you've got someone new giving you chew toys.

414
00:25:31,070 --> 00:25:32,570
You're 1/4th right.

415
00:25:32,570 --> 00:25:35,490
Wait. Are you saying...

416
00:25:36,370 --> 00:25:38,930
You're dating four women?

417
00:25:44,380 --> 00:25:46,690
BP's dropping. Means the antibiotics aren't working.

418
00:25:46,690 --> 00:25:48,480
Put her in Trendelenburg.

419
00:25:48,480 --> 00:25:49,570
Can you save the lung?

420
00:25:49,570 --> 00:25:51,950
Believe it or not, we got a better chance now.

421
00:25:51,950 --> 00:25:53,640
This means it's rejection, not infection.

422
00:25:53,640 --> 00:25:56,820
Start her on IV methylprednisolone right away.

423
00:26:02,880 --> 00:26:04,510
You hate salad.

424
00:26:04,730 --> 00:26:07,040
She's really got you tied up in knots.

425
00:26:07,040 --> 00:26:10,320
I caved. Through an intermediary.

426
00:26:10,320 --> 00:26:12,340
I need a plan "C."

427
00:26:12,550 --> 00:26:17,610
What you need is a plan that you actually develop with Cuddy.

428
00:26:20,060 --> 00:26:22,680
Antibiotics didn't work and then steroids didn't work.

429
00:26:22,680 --> 00:26:25,460
The new lung's ruined, and it's not rejection or infection.

430
00:26:25,460 --> 00:26:27,160
The only two options were wrong.

431
00:26:27,160 --> 00:26:28,110
Unless it's not LAM.

432
00:26:28,110 --> 00:26:30,690
It is LAM. The tests were positive.

433
00:26:31,140 --> 00:26:32,990
Then the tests have to be wrong.

434
00:26:34,150 --> 00:26:36,090
Deep-fryer's working again.

435
00:26:36,820 --> 00:26:38,370
Still working on that?

436
00:26:38,590 --> 00:26:40,010
No, it was here when I sat down.

437
00:26:40,010 --> 00:26:41,510
I need to think.

438
00:27:10,830 --> 00:27:14,930
I want to make sure you're trying everything to save my sister.

439
00:27:14,930 --> 00:27:16,720
Everything?

440
00:27:17,340 --> 00:27:19,090
Well, that must be it.

441
00:27:19,090 --> 00:27:22,990
See, I thought you guys checked the box marked, "try every other thing."

442
00:27:23,220 --> 00:27:25,560
I'm the one that's supposed to die first.

443
00:27:25,560 --> 00:27:27,690
I'm the damaged one, not her.

444
00:27:27,950 --> 00:27:29,350
She never even gets a cold.

445
00:27:29,350 --> 00:27:31,790
Damage has a way of spreading to everyone around you.

446
00:27:31,790 --> 00:27:38,070
For example, your obvious emotional damage is now making me have a philosophical conversation instead of dealing with your sister.

447
00:27:38,070 --> 00:27:40,500
See how that might be damaging?

448
00:27:49,140 --> 00:27:50,180
Never?

449
00:27:52,510 --> 00:27:54,590
When was the last time you had a cold?

450
00:27:54,820 --> 00:27:57,740
Any minor aches, swelling, anything?

451
00:27:59,390 --> 00:28:00,840
It's been years.

452
00:28:01,060 --> 00:28:02,150
She never gets colds.

453
00:28:02,150 --> 00:28:04,600
I didn't ask when's the last time she mentioned it.

454
00:28:04,600 --> 00:28:07,500
I asked when she had one-- even a tiny one.

455
00:28:07,740 --> 00:28:08,930
It's nothing.

456
00:28:09,860 --> 00:28:12,880
Sometimes my ears ache a little.

457
00:28:13,560 --> 00:28:16,470
So now tell me the rest of the nothing.

458
00:28:16,770 --> 00:28:20,880
M-my chest... soreness.

459
00:28:21,110 --> 00:28:22,220
Some congestion.

460
00:28:22,220 --> 00:28:24,470
You never said anything about that.

461
00:28:24,690 --> 00:28:28,030
I barely noticed it until that skateboarding tournament in Denver.

462
00:28:28,030 --> 00:28:29,320
How long ago?

463
00:28:29,710 --> 00:28:31,750
A... year?

464
00:28:32,280 --> 00:28:36,110
Cold's nothing when I think of what Hugo goes through every day.

465
00:28:36,110 --> 00:28:37,510
Yeah, we get it.

466
00:28:37,510 --> 00:28:38,830
Your brother, the Saint.

467
00:28:39,050 --> 00:28:40,900
His sister, the martyr.

468
00:28:44,810 --> 00:28:46,800
Thank God you followed me.

469
00:28:46,800 --> 00:28:50,140
Now you can go back to the transplant committee while I get confirmation.

470
00:28:50,370 --> 00:28:51,210
Confirmation of what?

471
00:28:51,210 --> 00:28:54,670
What causes low-level cold symptoms for a year, can ruin two lungs,

472
00:28:54,670 --> 00:28:58,810
is immune to drug therapies, and gets worse in cities nicknamed mile-high?

473
00:28:58,810 --> 00:28:59,980
A clotting disorder?

474
00:28:59,980 --> 00:29:02,200
She has a nasty case of sickle cell trait.

475
00:29:02,200 --> 00:29:03,910
Her heart arrhythmia wasn't sudden at all.

476
00:29:03,910 --> 00:29:08,760
Screwed-up blood cells screwed up the blood vessels which gave us a screwed-up positive for LAM.

477
00:29:09,160 --> 00:29:13,450
If she'd told us about her symptoms sooner--like ever--she might not be dying.

478
00:29:13,450 --> 00:29:14,410
You were right after all.

479
00:29:14,410 --> 00:29:20,150
- I never said sickle.
- If everyone were more selfish, the world would be a better place.

480
00:29:20,790 --> 00:29:22,810
So she's gonna die.

481
00:29:25,720 --> 00:29:28,150
- Unless we can find... 
- She burned through one donor lung.

482
00:29:28,150 --> 00:29:30,960
Transplant committee's never gonna give her a second one.

483
00:29:31,970 --> 00:29:33,980
Well, then I guess you're right again.

484
00:29:38,510 --> 00:29:41,170
Unless we don't need their approval.

485
00:29:50,300 --> 00:29:56,260
You can't advise your patient's parents to take marrow and half a lung from their son!

486
00:29:56,470 --> 00:29:59,020
I guess I can just chat with them about the weather.

487
00:29:59,600 --> 00:30:02,080
Blood tests just confirmed sickle cell trait.

488
00:30:02,080 --> 00:30:05,480
So they might be curious about the only treatment option.

489
00:30:05,980 --> 00:30:07,910
Though we are having weird weather lately.

490
00:30:07,910 --> 00:30:11,790
There is a huge reason not to take lungs from living patients.

491
00:30:11,790 --> 00:30:14,970
- So their siblings can die?
- Their son has CMD.

492
00:30:14,970 --> 00:30:17,850
As it is, he's gonna die of respiratory failure by 25.

493
00:30:17,850 --> 00:30:19,820
We could cut whatever time he has left in half.

494
00:30:20,050 --> 00:30:22,460
That qualifies as a bad reason for them to reject the idea.

495
00:30:22,460 --> 00:30:24,690
It's a much worse reason for them not to get the choice.

496
00:30:24,690 --> 00:30:26,920
It's coercive to tell them!

497
00:30:26,920 --> 00:30:28,490
You ever hear of "do no harm"?

498
00:30:28,700 --> 00:30:29,980
That was second year, right?

499
00:30:30,210 --> 00:30:32,330
- 'Cause I had mono all that fall.
- Their son's not even our patient.

500
00:30:32,330 --> 00:30:35,470
Why don't we just take half a lung from some guy in the clinic with a toothache?

501
00:30:35,680 --> 00:30:37,780
That's a great idea. Now we can give the parents two options.

502
00:30:37,780 --> 00:30:40,750
We don't compromise one life for another.

503
00:30:45,650 --> 00:30:46,950
Okay.

504
00:30:50,970 --> 00:30:54,780
Okay? Seriously.

505
00:30:55,820 --> 00:30:57,200
You made an argument.

506
00:30:57,200 --> 00:30:59,820
If you don't want me to defer to you, why make it at all?

507
00:31:00,210 --> 00:31:05,300
But are you deferring to me just because we're seeing each other?

508
00:31:08,180 --> 00:31:09,530
Maybe.

509
00:31:11,930 --> 00:31:13,720
Yeah. I think so.

510
00:31:14,340 --> 00:31:15,790
This is screwing me up.

511
00:31:16,020 --> 00:31:18,000
Why is it not screwing you up?

512
00:31:20,000 --> 00:31:21,300
It is.

513
00:31:23,750 --> 00:31:26,480
I don't know why I okayed you foaming that lung.

514
00:31:26,700 --> 00:31:29,050
I realized it was wrong as soon as I said it.

515
00:31:29,260 --> 00:31:31,600
I knew it! I knew 'cause you tilted your head.

516
00:31:31,880 --> 00:31:36,100
House... we are screwing this up.

517
00:31:36,620 --> 00:31:43,100
I'm gonna call HR, find someone else to supervise you as soon as I can.

518
00:31:58,110 --> 00:32:02,690
I've got your... test results.

519
00:32:04,270 --> 00:32:09,170
You have the metabolism, blood counts, liver and kidney function of a 92-year-old.

520
00:32:09,380 --> 00:32:10,850
Which is great, 'cause you're 102.

521
00:32:10,850 --> 00:32:14,350
What's not so great is the average life expectancy is 78.

522
00:32:14,560 --> 00:32:18,800
It is my recommendation that you move into a home with round-the-clock care.

523
00:32:19,440 --> 00:32:21,960
I can't believe it!

524
00:32:22,250 --> 00:32:25,180
Can't my son give me round-the-clock care?

525
00:32:25,400 --> 00:32:29,700
Not unless you've done your two-year certification in Tiburon swab technology.

526
00:32:29,700 --> 00:32:31,440
There must be some other way.

527
00:32:31,440 --> 00:32:37,400
Just because he has a little tingling and some trouble feeling hot and cold and some difficulty--

528
00:32:37,400 --> 00:32:38,630
You can't feel hot and cold?

529
00:32:38,840 --> 00:32:43,340
- Not lately. But at my age...
- Show me your teeth.

530
00:32:46,650 --> 00:32:48,930
Dentures. Fairly worn.

531
00:32:48,930 --> 00:32:51,100
I'm guessing ten years old.

532
00:32:52,150 --> 00:32:54,430
Show me your denture cream.

533
00:32:54,730 --> 00:32:56,780
Why would he carry denture cream?

534
00:32:57,000 --> 00:33:03,550
Because... he has... zinc poisoning.

535
00:33:03,780 --> 00:33:06,100
But to get it from denture cream, he'd have to take so much of it

536
00:33:06,100 --> 00:33:07,810
trust me, he never leaves home without it.

537
00:33:07,810 --> 00:33:09,580
How much do you use, pop?

538
00:33:09,580 --> 00:33:11,160
About a tube a day.

539
00:33:11,400 --> 00:33:12,760
I buy it online.

540
00:33:12,760 --> 00:33:13,790
So what does this mean?

541
00:33:14,000 --> 00:33:16,870
Bizarrely, it explains all your symptoms.

542
00:33:16,870 --> 00:33:19,050
Better-fitting dentures, you'll be fine.

543
00:33:19,050 --> 00:33:21,560
Medically, there's no reason to go anywhere.

544
00:33:31,980 --> 00:33:33,630
Hospital rebate.

545
00:33:34,440 --> 00:33:37,910
You might wanna... put it towards couples therapy.

546
00:33:54,180 --> 00:33:58,320
The transplant committee's... never gonna give my daughter another lung, are they?

547
00:33:58,320 --> 00:34:01,940
- No.
- Are there any other options?

548
00:34:02,810 --> 00:34:04,640
We're looking into it.

549
00:34:06,560 --> 00:34:08,490
Looking into what?

550
00:34:11,180 --> 00:34:14,590
Please. Tell me.

551
00:34:14,590 --> 00:34:16,380
Give me some kind of hope.

552
00:34:16,590 --> 00:34:17,670
I'm afraid I can't do that.

553
00:34:17,900 --> 00:34:19,400
We're talking about my daughter's life.

554
00:34:19,400 --> 00:34:22,000
What can't you tell me?

555
00:34:24,040 --> 00:34:31,880
If there's any... chance you can save her, anything you can try...

556
00:34:38,390 --> 00:34:42,260
We can take marrow and half a lung from your son.

557
00:34:43,950 --> 00:34:47,580
It would likely shorten his life significantly.

558
00:34:50,150 --> 00:34:53,370
He'd never be able to go on a respirator if he needed to.

559
00:34:53,370 --> 00:34:58,100
Most people with CMD need to as their respiratory function declines.

560
00:35:06,830 --> 00:35:11,510
How long... do we have to decide?

561
00:35:11,510 --> 00:35:14,040
Morning at the latest.

562
00:35:19,460 --> 00:35:21,120
Thank you.

563
00:35:59,100 --> 00:36:01,130
Where are my parents?

564
00:36:01,440 --> 00:36:04,630
They're probably dealing with committee issues or something.

565
00:36:04,850 --> 00:36:06,520
They were arguing.

566
00:36:06,980 --> 00:36:08,660
I saw my mom crying.

567
00:36:08,880 --> 00:36:11,420
Looked like my dad was yelling at her.

568
00:36:11,870 --> 00:36:14,340
They care about you a lot.

569
00:36:22,460 --> 00:36:25,200
Hugo was a marrow match?

570
00:36:26,120 --> 00:36:28,810
We're way past that now.

571
00:36:29,790 --> 00:36:32,530
They want a lung from him too.

572
00:36:32,800 --> 00:36:34,930
Is that what this is about?

573
00:36:37,490 --> 00:36:40,550
No. It's nothing you need to worry about.

574
00:36:40,760 --> 00:36:44,700
Everybody's working on getting you the best care possible.

575
00:37:00,220 --> 00:37:03,490
How do they expect us to go on from here?

576
00:37:06,380 --> 00:37:10,560
We make a choice... and we live with it.

577
00:37:11,500 --> 00:37:13,480
There's no living with it.

578
00:37:13,480 --> 00:37:15,700
No matter what we decide.

579
00:37:35,830 --> 00:37:38,700
Still cold and clammy. She had a respiratory arrest.

580
00:37:39,180 --> 00:37:40,200
Oh, my God!

581
00:37:40,490 --> 00:37:42,010
What is she doing here?

582
00:37:43,150 --> 00:37:44,490
She figured out what was going on.

583
00:37:44,490 --> 00:37:45,460
She's pinking up.

584
00:37:45,680 --> 00:37:48,110
She must have yanked off her IVs and oxygen.

585
00:37:49,330 --> 00:37:51,290
Came here to die.

586
00:37:59,980 --> 00:38:01,910
By unhooking herself from everything,

587
00:38:01,910 --> 00:38:07,970
she delivered a hypoxic insult to her body that started a downward spiral.

588
00:38:08,220 --> 00:38:11,730
If you're gonna make a decision, you're running out of time.

589
00:38:20,620 --> 00:38:23,210
HR can't find you a new supervisor.

590
00:38:23,210 --> 00:38:24,280
How come?

591
00:38:24,490 --> 00:38:26,710
Because you're unsupervisable, House.

592
00:38:26,920 --> 00:38:28,570
Two department chairs threatened to quit.

593
00:38:28,570 --> 00:38:31,060
Well, I guess we're stuck with each other.

594
00:38:33,590 --> 00:38:39,060
I have no idea why I'm making this call or if it's the right call to make.

595
00:38:39,060 --> 00:38:46,840
But if you feel strongly about presenting the parents your treatment option, you can do it.

596
00:38:47,350 --> 00:38:49,220
Thank you, I will.

597
00:38:49,590 --> 00:38:51,900
Several hours ago.

598
00:38:52,750 --> 00:38:57,260
- You told them?
- I told him. He came to my office.

599
00:39:01,120 --> 00:39:02,660
I'm sorry.

600
00:39:06,030 --> 00:39:10,690
Well... I should probably be more mad at you.

601
00:39:11,470 --> 00:39:13,120
Yeah.

602
00:39:15,070 --> 00:39:20,350
Dr. House? We've decided.

603
00:39:21,080 --> 00:39:23,640
We're not gonna take the lung from my son.

604
00:39:26,370 --> 00:39:28,270
She's still on the waiting list.

605
00:39:28,270 --> 00:39:33,810
- We're gonna do whatever we can do find her another...
- What ginormous crack pipe have you people been sucking on?

606
00:39:33,810 --> 00:39:37,550
- House! 
- Are you gonna pretend that you're not choosing your own daughter's death?

607
00:39:37,550 --> 00:39:39,430
Our daughter doesn't want it.

608
00:39:39,650 --> 00:39:40,860
Probably doesn't wanna floss her teeth either.

609
00:39:40,860 --> 00:39:43,560
- She's a mindless teenybopper.
- Don't put this on them.

610
00:39:43,790 --> 00:39:45,220
What do you mean, put it on? It is on them!

611
00:39:45,220 --> 00:39:48,900
- As much as they may wanna pass the lung here!
- Of course they do!

612
00:39:48,900 --> 00:39:50,910
You're handing them an impossible choice.

613
00:39:50,910 --> 00:39:55,160
Life has handed them a crappy choice, and they're picking the crappier option--

614
00:39:55,160 --> 00:39:59,920
Trading who knows how many healthy decades for four or five years in which roller boy will be a limp rag.

615
00:39:59,920 --> 00:40:01,650
Not everything is a math equation.

616
00:40:01,860 --> 00:40:03,390
Do you need me to explain the difference between decade and year?

617
00:40:03,390 --> 00:40:07,660
Their son is a human being. You know what they are, right? Intrinsic value.

618
00:40:07,660 --> 00:40:10,070
- We don't get to decide...
- And we do it every day.

619
00:40:10,070 --> 00:40:13,240
- If the two of them needed the same lung...
- He needs to keep the one he's got.

620
00:40:13,470 --> 00:40:18,460
- You don't get to play God by ripping out.
- That train left the station when we learned to do transplants.

621
00:40:18,690 --> 00:40:19,700
The rest is just paper-pushing.

622
00:40:19,700 --> 00:40:22,410
Of course, now we're on to your real area of expertise.

623
00:40:22,630 --> 00:40:30,390
Oh, I thought we were moving on to yours bullying your patients into embracing your own lack of a moral.

624
00:40:32,520 --> 00:40:34,280
Hugo. Honey.

625
00:40:34,280 --> 00:40:36,700
We didn't mean for you to hear any of this.

626
00:40:36,700 --> 00:40:38,610
Hugo, please!

627
00:40:54,480 --> 00:40:57,590
I want you to take half my lung.

628
00:40:57,880 --> 00:41:02,320
No. I'm not.

629
00:41:05,120 --> 00:41:08,320
You do so many great things.

630
00:41:08,550 --> 00:41:10,650
I just watch.

631
00:41:11,530 --> 00:41:15,850
I get to watch and coach and cheer.

632
00:41:16,380 --> 00:41:18,680
But that's not me out there.

633
00:41:19,520 --> 00:41:21,770
It never will be.

634
00:41:23,710 --> 00:41:29,210
If you take this piece of me, carry it with you...

635
00:41:29,210 --> 00:41:33,430
Then I really can share in everything you do.

636
00:41:34,240 --> 00:41:40,080
This is the great thing I can do with my life.

637
00:41:40,930 --> 00:41:44,260
Don't make me live without you.

638
00:42:18,870 --> 00:42:20,370
We got lucky.

639
00:42:25,240 --> 00:42:28,300
I did give them an impossible choice.

640
00:42:28,300 --> 00:42:30,380
The kid took it away from them.

641
00:42:30,590 --> 00:42:32,070
That fight...

642
00:42:34,070 --> 00:42:39,600
Was the first honest interaction you and I have had since we came back to work.

643
00:42:41,380 --> 00:42:48,320
If we are painfully, brutally honest with each other, maybe we'll get lucky again.

644
00:42:51,470 --> 00:42:53,880
You've got a big ass.

645
00:43:05,020 --> 00:43:08,820
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