1 00:00:00,967 --> 00:00:02,867 He is not sick. 2 00:00:02,936 --> 00:00:05,666 Dr. Riley is throwing up. He obviously can't lecture. 3 00:00:05,739 --> 00:00:08,731 You witnessed the spew? Or you just have his word for it? 4 00:00:08,808 --> 00:00:12,437 I think I'm coming down with a little bit of the clap. I may have to go home for a few days. 5 00:00:12,512 --> 00:00:14,605 Dr. Riley doesn't have a history of lying to me. 6 00:00:14,681 --> 00:00:17,616 You said this is the fifth time he's missed a class this year. 7 00:00:17,684 --> 00:00:21,120 - Either he's dying or he's lying. - I'll give you two hours off clinic duty. 8 00:00:21,187 --> 00:00:24,020 Fine. I'll have Cameron do it. She loves inspiring the inspired. 9 00:00:24,090 --> 00:00:27,287 - You'll do it. - Why is it always me? 10 00:00:27,360 --> 00:00:30,295 Because the world hates you. Or because it's a class on diagnostics. 11 00:00:30,363 --> 00:00:32,854 Pick whichever reason feeds your narcissism better. 12 00:00:32,932 --> 00:00:34,957 I'm not doing it. 13 00:00:47,881 --> 00:00:50,111 You're supposed to stop me. Renegotiate. 14 00:00:50,183 --> 00:00:52,413 And you were supposed to keep on walking. 15 00:00:52,485 --> 00:00:55,045 Sorry. Guess we both screwed up. Go on. Do it again. 16 00:00:56,589 --> 00:00:58,819 I'll do the lecture for four hours off clinic. 17 00:00:58,892 --> 00:01:02,123 Two. I know you'd rather spend a couple of hours... 18 00:01:02,195 --> 00:01:04,891 listening to yourself than listening to patients. 19 00:01:04,964 --> 00:01:07,831 Class starts in 20 minutes. 20 00:01:10,970 --> 00:01:14,599 - Dr. House, there's a patient. - I'm outta here. Take it up with Cuddy. 21 00:01:14,674 --> 00:01:16,608 Greg. 22 00:01:22,282 --> 00:01:24,250 Hi, Stacy. 23 00:01:24,317 --> 00:01:26,785 How ya doin'? 24 00:01:26,853 --> 00:01:29,413 How am I doing? 25 00:01:30,623 --> 00:01:33,353 The last five years have been like-- 26 00:01:33,426 --> 00:01:36,190 You ever see those Girls Gone Wild videos? 27 00:01:36,262 --> 00:01:39,823 Your life's been like that? Or your life's been spent watching them? 28 00:01:44,704 --> 00:01:46,763 I have missed you. 29 00:01:48,074 --> 00:01:50,201 Is that why you're here? 30 00:01:55,014 --> 00:01:58,211 I need your help. 31 00:02:06,893 --> 00:02:10,727 Who am I looking at? My husband. 32 00:02:13,366 --> 00:02:17,962 Who is suffering abdominal pain and fainting spells. 33 00:02:18,037 --> 00:02:21,734 No sign of tumors, no vasculitis. 34 00:02:21,808 --> 00:02:24,572 Could be indigestion. 35 00:02:24,644 --> 00:02:29,741 Or maybe a kidney stone. Little one can pack a lot of wallop. 36 00:02:29,816 --> 00:02:31,716 Did you think I wasn't going to get married? 37 00:02:31,784 --> 00:02:35,618 Not to someone so poorly endowed. 38 00:02:35,688 --> 00:02:37,918 This guy's pancreas is pathetic. 39 00:02:42,462 --> 00:02:44,828 There is no kidney stone, no indigestion. 40 00:02:44,898 --> 00:02:48,334 Three hospitals, five doctors-- Not one of them found anything. 41 00:02:48,401 --> 00:02:50,392 Maybe there's nothing to be found. 42 00:02:50,470 --> 00:02:54,031 Right. You suddenly trust doctors, love puppies and long walks in the rain. 43 00:02:54,107 --> 00:02:56,098 Walks are out. 44 00:02:56,176 --> 00:02:59,543 I was around you long enough to know when something's not right. 45 00:02:59,612 --> 00:03:03,480 Mark's had personality changes. He's acting strange, disconnected. 46 00:03:03,550 --> 00:03:05,484 Interesting. 47 00:03:05,552 --> 00:03:09,215 Means there's either a neurological component, or he's having an affair. 48 00:03:09,289 --> 00:03:11,723 No affair. No nothing. He's sick. 49 00:03:13,493 --> 00:03:16,257 I know you're not too busy. You avoid work like the plague. 50 00:03:16,329 --> 00:03:18,923 Unless it actually is the plague. 51 00:03:18,998 --> 00:03:22,934 I'm asking you a favor. I'm not too busy. 52 00:03:25,038 --> 00:03:28,064 But I'm not sure I want him to live. 53 00:03:30,043 --> 00:03:32,102 It's good seeing you again. 54 00:04:23,930 --> 00:04:27,491 Three guys walk into a clinic. 55 00:04:27,567 --> 00:04:31,264 Their legs hurt. What's wrong with them? 56 00:04:33,773 --> 00:04:35,707 I'm not gonna like you, am I? 57 00:04:35,775 --> 00:04:38,869 The most likely cause of leg pain is muscle strain. 58 00:04:38,945 --> 00:04:41,709 Apply heat and rest affected areas. 59 00:04:41,781 --> 00:04:44,272 Statistically, you're right. Very good. 60 00:04:44,350 --> 00:04:47,217 My experience, over half of leg pain is musculoskeletal, 61 00:04:47,287 --> 00:04:49,414 generally from excessive exercise, 62 00:04:49,489 --> 00:04:53,357 Twelve percent is varicose veins brought on by pregnancy, 63 00:04:53,426 --> 00:04:56,589 and most of the rest is the result of vehicular accidents. 64 00:04:56,663 --> 00:04:59,632 I said three people. That's six legs. 65 00:04:59,699 --> 00:05:04,329 So you've got three hurt jogging, two in collisions, and one of the legs is pregnant. 66 00:05:04,404 --> 00:05:07,396 What were they doing when pain presented? 67 00:05:07,473 --> 00:05:10,931 - I have no idea. - You didn't ask? You didn't take a history? 68 00:05:11,010 --> 00:05:15,310 Ofcourse. But all that told us is what they said happened. 69 00:05:15,381 --> 00:05:19,283 Person "A", farmer, says he was fixing a fence. 70 00:05:22,255 --> 00:05:26,521 Tightness in the ankle, loss of muscle control. 71 00:05:26,592 --> 00:05:29,857 Person "B", volleyball practice. 72 00:05:33,733 --> 00:05:37,464 Coach figured it was a pulled muscle. 73 00:05:37,537 --> 00:05:41,303 And "C", we've got Carmen Electra golfing. 74 00:05:42,342 --> 00:05:46,210 - Yes! - Whoa. You treated the Baywatch chick? 75 00:05:46,279 --> 00:05:50,079 The Baywatch thespian. And no. 76 00:05:50,149 --> 00:05:52,879 I gotta disguise the identity of each of the patients, 77 00:05:52,952 --> 00:05:55,045 and I got tired of using the middle-aged man. 78 00:05:55,121 --> 00:05:58,420 Carmen seemed like a pleasant alternative. 79 00:05:58,491 --> 00:06:00,516 Also, she's apparently quite the golfer. 80 00:06:00,593 --> 00:06:04,085 In less than two hours, one of these three... 81 00:06:04,163 --> 00:06:07,690 will be tossed out of the hospital because they were faking it to score narcotics, 82 00:06:07,767 --> 00:06:12,670 and one will be very close to death. 83 00:06:12,739 --> 00:06:15,572 Any guesses on which is which? 84 00:06:17,110 --> 00:06:19,840 Okay, I say we start with the farmer. 85 00:06:21,314 --> 00:06:24,340 Did you hike to the fence, and how far? 86 00:06:24,417 --> 00:06:28,410 Yes. It's about a half a mile from my farmhouse. 87 00:06:28,488 --> 00:06:30,422 Where is the pain localized? 88 00:06:30,490 --> 00:06:33,653 It started just above my ankle, and it's radiating up. 89 00:06:33,726 --> 00:06:36,092 So, what should we do first? 90 00:06:36,162 --> 00:06:38,096 Family history? 91 00:06:38,164 --> 00:06:40,223 Indicative of leg pain? That's a very short list. 92 00:06:40,299 --> 00:06:45,100 Any history of bone cancer, osteogenesis imperfecta or multiple myeloma? 93 00:06:45,171 --> 00:06:47,071 Could be a blood issue. 94 00:06:47,140 --> 00:06:50,667 We should run a C.B.C. and a D-Dimer. And get an M.R.I. 95 00:06:50,743 --> 00:06:53,507 M.R.I. or a PET scan? If the problem's vascular, he's better off-- 96 00:06:53,579 --> 00:06:58,346 Sorry. Thanks for playin'. Patient's dead. You killed him. 97 00:07:00,620 --> 00:07:02,747 We had no time to run any tests. There was nothing we could do. 98 00:07:02,822 --> 00:07:05,382 You had time to look at the leg. 99 00:07:10,129 --> 00:07:12,393 I thought we were starting with the farmer's case first. 100 00:07:12,465 --> 00:07:16,697 We are. But if we're gonna look at a leg-- 101 00:07:16,769 --> 00:07:18,828 I need you to take off your pants. 102 00:07:47,300 --> 00:07:49,461 Puncture. 103 00:07:49,535 --> 00:07:51,400 Snakebite. That would be my guess. 104 00:07:51,471 --> 00:07:53,837 Farmer didn't know he'd been bitten by a snake? That's what he said. 105 00:07:53,906 --> 00:07:57,501 Sudden shooting pain, tall grass. Never saw a thing. 106 00:07:57,577 --> 00:08:01,741 - What kind of snake? - You want me to tell you what kind of snake it was from the shape of the hole in the leg? 107 00:08:01,814 --> 00:08:04,942 How are we to know what kind of antivenom to use if we don't know what kind of snake it is? 108 00:08:05,017 --> 00:08:07,952 Oh, there are people to find those things out. 109 00:08:08,020 --> 00:08:10,716 Shouldn't we wait for the Humane Society or something? 110 00:08:10,790 --> 00:08:14,453 Guy might only have a couple of hours. 111 00:08:20,032 --> 00:08:23,695 And while we wait for the Humane Society to show up, 112 00:08:23,769 --> 00:08:26,329 what say we check in on the volleyball player. 113 00:08:27,607 --> 00:08:30,167 You have tendinitis. 114 00:08:30,243 --> 00:08:32,302 How old is this person? 115 00:08:32,378 --> 00:08:36,041 I mean, it's not really a 40-year-old man on a girls' volleyball team, right? 116 00:08:36,115 --> 00:08:38,379 It's a leg. A leg is a leg is a leg. 117 00:08:38,451 --> 00:08:41,852 - Well, I was just worried that-- - Would you worry about her more if she was younger? 118 00:08:43,556 --> 00:08:46,821 Obviously, we should care about all our patients, no matter what age-- 119 00:08:46,893 --> 00:08:50,124 Yeah, right. I saw the way you were looking at Carmen. 120 00:08:50,196 --> 00:08:52,790 She's mine. Stay away. 121 00:08:52,865 --> 00:08:57,268 - Would you operate on your mother? - Ofcourse not. 122 00:08:57,336 --> 00:08:59,896 I'd be too nervous. Couldn't be objective. 123 00:08:59,972 --> 00:09:03,635 Then why are you so anxious to treat every patient like they're family? 124 00:09:03,709 --> 00:09:06,906 The actual patient is 16. 125 00:09:06,979 --> 00:09:09,243 Here's what happens when doctors care too much. 126 00:09:10,449 --> 00:09:12,849 I need to know everything about you. 127 00:09:14,954 --> 00:09:16,888 I went back three generations. 128 00:09:16,956 --> 00:09:19,686 No history of cancer, Parkinson's or any other degenerative condition. 129 00:09:19,759 --> 00:09:22,250 But there's this boy at school, and he's on the boys' volleyball team. 130 00:09:22,328 --> 00:09:24,489 They made out at a party, and now he won't call her back. 131 00:09:24,564 --> 00:09:28,330 And this friend of hers at school said this boy didn't like her and never did. 132 00:09:28,401 --> 00:09:30,665 You got all this from an examination of the knee? 133 00:09:30,736 --> 00:09:32,931 I think she's depressed. She doesn't have tendinitis? 134 00:09:33,005 --> 00:09:35,166 She has tendinitis. She's depressed about having tendinitis? 135 00:09:35,241 --> 00:09:37,505 She's depressed for the same reason that she has tendinitis. Not the boy? 136 00:09:37,577 --> 00:09:40,740 No, the boy's a jerk. She knows that, and yet she's depressed. 137 00:09:40,813 --> 00:09:42,906 I found a nodule. 138 00:09:42,982 --> 00:09:47,146 Ahh. Problems with the thyroid gland-- causes depressed mental state... 139 00:09:47,219 --> 00:09:49,517 can cause inflammation of the tendons. 140 00:09:49,589 --> 00:09:52,057 I'll run the tests. 141 00:09:52,124 --> 00:09:54,854 So because she took such an extreme interest, 142 00:09:54,927 --> 00:09:57,418 she found out that the person had a thyroid condition. 143 00:09:57,496 --> 00:10:01,899 No. Because she took such an interest, she discovered a tiny nodule... 144 00:10:01,968 --> 00:10:06,029 which in reality signified nothing but gave us no choice... 145 00:10:06,105 --> 00:10:10,235 but to put a person with tendinitis through an expensive and painful test. 146 00:10:16,849 --> 00:10:20,046 Here's how a well-adjusted doctor handles a case. 147 00:10:26,392 --> 00:10:30,089 Can I put my pants back on now? I'd rather you didn't. 148 00:10:30,162 --> 00:10:32,653 Which Carmen Electra is this? 149 00:10:32,732 --> 00:10:35,098 The first one. The golfer. 150 00:10:35,167 --> 00:10:38,261 Then why isn't she wearing pants? 151 00:10:38,337 --> 00:10:42,137 You have decreased reflexes in your patellar tendon. 152 00:10:42,208 --> 00:10:44,506 - Anyone? - Slipped disc. 153 00:10:44,577 --> 00:10:47,410 Could be. How bad does it hurt? 154 00:10:47,480 --> 00:10:50,972 - It hurts really, really bad. - Yeah? 155 00:10:51,050 --> 00:10:53,280 It doesn't seem real. Is she the one faking? 156 00:10:53,352 --> 00:10:57,846 Oh, for God's sake. She's here to play into my fantasy, not 'cause she's Meryl Streep. 157 00:11:00,993 --> 00:11:02,654 Fine. 158 00:11:02,728 --> 00:11:05,754 What the hell is wrong with me! 159 00:11:05,831 --> 00:11:08,664 Do something! 160 00:11:08,734 --> 00:11:12,500 Too much pain to be a slipped disc. Could be herniated and impinging the nerve root. 161 00:11:12,571 --> 00:11:14,801 Or it could be referred pain from his groin. 162 00:11:14,874 --> 00:11:18,810 Sir, are you getting pain anywhere else? 163 00:11:18,878 --> 00:11:22,370 - He's curling. It's not the back. - Sir, where are you getting pain? 164 00:11:22,448 --> 00:11:26,111 - Help me! - He's not gonna tell us anything if we don't get him out of pain. 165 00:11:26,185 --> 00:11:29,518 - Give him 50 milligrams of Demerol. - We have no history. He could be allergic. 166 00:11:29,588 --> 00:11:32,352 - What do I do? - We can't diagnose him while he screams. 167 00:11:32,425 --> 00:11:35,053 Better than killing him with painkillers. That-- 168 00:11:42,835 --> 00:11:45,463 Apparently he's not allergic. 169 00:11:47,807 --> 00:11:51,140 Thank you. I feel a lot better now. 170 00:11:54,780 --> 00:11:56,714 We screwed up. 171 00:11:56,782 --> 00:11:59,717 No. You did exactly what his attending did. 172 00:11:59,785 --> 00:12:02,253 And that was the proper way to handle the case? Yeah. 173 00:12:02,321 --> 00:12:04,346 The guy used him as a dealer. 174 00:12:04,423 --> 00:12:07,221 You're gonna see a lot of drug-seeking behavior in your practice. 175 00:12:07,293 --> 00:12:09,227 There's a reason-- It works. 176 00:12:09,295 --> 00:12:13,061 Meanwhile, back on the farm-- 177 00:12:17,670 --> 00:12:20,400 Yeah. Timber rattlesnake. 178 00:12:20,473 --> 00:12:24,102 Four vials of the CroFab antivenom. 179 00:12:24,176 --> 00:12:26,371 - Hey, how ya doin'? - All right. 180 00:12:26,445 --> 00:12:30,905 Thank you. This will start making you feel better really fast. 181 00:12:38,858 --> 00:12:42,191 He's having an allergic reaction. Bag. 182 00:12:44,330 --> 00:12:45,957 Paddles and epi. 183 00:12:46,031 --> 00:12:48,363 His heart's fine. It's not gonna stay that way. 184 00:12:48,434 --> 00:12:51,597 Paddles! 185 00:12:58,344 --> 00:13:00,403 What say we take five, 186 00:13:00,479 --> 00:13:03,243 get some coffee, go pee. 187 00:13:11,357 --> 00:13:14,918 You didn't think she was gonna get married? 188 00:13:14,994 --> 00:13:17,554 She asked me the same question. 189 00:13:19,999 --> 00:13:23,196 And... what? You're not gonna treat him? 190 00:13:25,771 --> 00:13:28,331 There's probably nothing wrong with him. 191 00:13:28,407 --> 00:13:32,002 Oh, sure, that makes sense. She's just using the old sick husband routine... 192 00:13:32,077 --> 00:13:34,443 as an excuse to get back in touch with you. 193 00:13:34,513 --> 00:13:36,981 You think this is easy for her? 194 00:13:37,049 --> 00:13:39,984 The only reason she'd be anywhere near you is if she was desperate. 195 00:13:40,052 --> 00:13:42,680 So I should help her because she hates me? 196 00:13:42,755 --> 00:13:45,883 She doesn't hate you. She loves you. 197 00:13:45,958 --> 00:13:51,692 She just... can't stand to be around you. 198 00:13:54,433 --> 00:13:56,367 Uh, Dr. House? 199 00:13:56,435 --> 00:13:58,960 It's been almost six minutes. 200 00:14:06,912 --> 00:14:08,846 Found him. 201 00:14:10,249 --> 00:14:12,240 The volleyball player... 202 00:14:13,919 --> 00:14:19,221 was responding to the anti-inflammatories as you'd expect in a case of tendinitis. 203 00:14:19,291 --> 00:14:21,987 Whoa, whoa, whoa, whoa, whoa. What about the snakebite guy? 204 00:14:22,061 --> 00:14:24,427 I don't really care about the volleyball player. 205 00:14:24,496 --> 00:14:27,761 What if I told you the volleyball player had a sudden massive stroke? 206 00:14:27,833 --> 00:14:30,666 - Really? - No. 207 00:14:30,736 --> 00:14:34,365 But that would make you interested, right? What if her T-4 came back low? 208 00:14:34,440 --> 00:14:37,603 It's not quite as interesting, but it has the benefit of being true. 209 00:14:37,676 --> 00:14:40,406 You said the thyroid biopsy was a wasted test. 210 00:14:40,479 --> 00:14:45,576 No, I didn't. I said she put a person with tendinitis through an expensive and painful test. 211 00:14:45,651 --> 00:14:49,178 Apparently, the patient had tendinitis and a thyroid condition. 212 00:14:49,255 --> 00:14:53,316 We're gonna start you on thyroxine. It'll make you feel better and level your moods. 213 00:14:55,527 --> 00:14:57,461 Thank you. 214 00:15:07,273 --> 00:15:11,039 - So that's it? - You were right the first time. 215 00:15:11,110 --> 00:15:15,604 Snakebite guy's way more interesting. Gross, actually. 216 00:15:18,250 --> 00:15:22,380 The patient responded to epinephrine, and the allergic reaction was arrested. 217 00:15:22,454 --> 00:15:24,979 Unfortunately, the patient continues to deteriorate. 218 00:15:25,057 --> 00:15:27,958 Maybe the snake wrangler was wrong about the type we caught. 219 00:15:28,027 --> 00:15:32,657 He faxed us the venom test. Confirmed. It's a timber rattlesnake. 220 00:15:32,731 --> 00:15:35,564 No, it's not. Notice the volume? 221 00:15:35,634 --> 00:15:40,128 I skimmed over that and the gender and the coloring. Jumped right to the name of the snake. 222 00:15:40,205 --> 00:15:44,938 Two hundred milligrams. Our guy got bit less than four hours ago. 223 00:15:45,010 --> 00:15:48,673 There's no way a snake regenerates that much venom that quickly. 224 00:15:48,747 --> 00:15:51,910 - We're supposed to know how fast snakes make their venom? - No. 225 00:15:51,984 --> 00:15:56,944 Unless you've got a patient bit by one. Then it might be helpful. So what do we do now? 226 00:15:57,022 --> 00:16:01,459 He must have been bitten by a different snake. We go back and find it. 227 00:16:01,527 --> 00:16:04,428 Or you go online, and you find there's only three poisonous snakes common in New Jersey: 228 00:16:04,496 --> 00:16:06,964 the copperhead, timber rattler and the coral. 229 00:16:07,032 --> 00:16:11,025 Copperhead and timber rattler both respond to the antivenoms we gave the guy. 230 00:16:11,103 --> 00:16:15,335 - So we give him the antivenom for the other one? - Is that a question? 231 00:16:15,407 --> 00:16:19,309 We can't just blindly give him another antivenom, especially after the first one almost killed him. 232 00:16:19,378 --> 00:16:22,939 You said only three types of poisonous snakes commonly found in New Jersey. 233 00:16:23,015 --> 00:16:26,212 - Well, what if this is an uncommon one? - Very good. 234 00:16:26,285 --> 00:16:28,845 - We gotta find the right snake. - No need. 235 00:16:28,921 --> 00:16:32,618 Odds are by the time you get back, the autopsy results will tell you what kind of snake it was. 236 00:16:32,691 --> 00:16:35,854 - But you said-- - So we do give him the antivenom for the other one? 237 00:16:35,928 --> 00:16:40,558 Again, was that a question? I asked what you would do. 238 00:16:40,632 --> 00:16:43,328 It seems unfair for you to ask me what you would do. 239 00:16:43,402 --> 00:16:46,599 Who gives the guy the other antivenom? 240 00:16:47,740 --> 00:16:49,833 And who goes looking for the snake? 241 00:16:52,111 --> 00:16:55,080 I assume that one choice kills him, the other one saves him. 242 00:16:55,147 --> 00:16:57,980 That's usually the way it works at the leg-turning-black stage. 243 00:16:58,050 --> 00:17:02,009 So half of us killed him, and half of us saved his life. 244 00:17:02,087 --> 00:17:05,887 - Yeah. - We can't be blamed for-- 245 00:17:05,958 --> 00:17:10,918 I'm sure this goes against everything you've been taught, but right and wrong do exist. 246 00:17:10,996 --> 00:17:13,055 Just because you don't know what the right answer is-- 247 00:17:13,132 --> 00:17:15,828 maybe there's even no way you could know what the right answer is-- 248 00:17:15,901 --> 00:17:18,335 doesn't make your answer right or even okay. 249 00:17:18,404 --> 00:17:22,773 It's much simpler than that. It's just plain wrong. 250 00:17:25,477 --> 00:17:28,913 We gave the guy the antivenom. What if I'm allergic again? 251 00:17:28,981 --> 00:17:31,245 That's why these people are here. 252 00:17:31,316 --> 00:17:34,945 If you have a reaction, we're ready to do whatever's necessary... 253 00:17:35,020 --> 00:17:37,921 to ensure your airways stay open and your heart keeps beating. 254 00:17:37,990 --> 00:17:40,720 My wife's on her way in. Can't this wait? 255 00:17:40,793 --> 00:17:43,956 I'm sorry. It can't. 256 00:18:13,425 --> 00:18:17,122 It hurts again. He came back? 257 00:18:17,196 --> 00:18:20,256 On average, drug addicts are stupid. 258 00:18:22,234 --> 00:18:24,828 - I'd call the cops. - Good for you. 259 00:18:24,903 --> 00:18:27,736 A lot of doctors wouldn't risk their careers on a hunch. 260 00:18:27,806 --> 00:18:30,434 It's not a hunch. I mean, I know he wants drugs. 261 00:18:30,509 --> 00:18:32,636 Well, even drug addicts get sick. 262 00:18:32,711 --> 00:18:37,410 Actually, for some reason, they tend to get sick more often than non-drug addicts. 263 00:18:39,051 --> 00:18:42,509 Luckily, you don't have to play your hunch. 264 00:18:42,588 --> 00:18:45,113 There's a faster way. Actually, there are several. 265 00:18:45,190 --> 00:18:47,351 My preference is urine testing. 266 00:18:47,426 --> 00:18:51,260 - But you already know he has drugs in his system. - That's not what I'm testing for. 267 00:18:51,330 --> 00:18:55,926 We're gonna put this hard rubber tube up your urethra and into your bladder. 268 00:18:56,001 --> 00:19:00,267 - It may be a little uncomfortable. - Shouldn't I be getting some sort of anesthetic? 269 00:19:00,339 --> 00:19:02,807 We're concerned about allergic reactions today. 270 00:19:10,916 --> 00:19:15,683 If the guy can handle a rod in his penis for half an hour, he's really sick. 271 00:19:15,754 --> 00:19:17,813 Or he's really jonesing. 272 00:19:17,890 --> 00:19:20,051 There's easier ways to get ahold of drugs. 273 00:19:20,125 --> 00:19:22,559 Other hospitals, for example. 274 00:19:23,896 --> 00:19:26,990 The volleyball player is not responding to treatment. 275 00:19:30,302 --> 00:19:32,702 At least we think it's not working... 276 00:19:32,771 --> 00:19:35,035 on account of the fact that she's getting worse. 277 00:19:35,107 --> 00:19:37,905 - Can you still hear me? - No. 278 00:19:37,976 --> 00:19:39,910 A little! Not really! 279 00:19:41,980 --> 00:19:44,710 Well, if you can't hear me, how do you know what I asked? 280 00:19:44,783 --> 00:19:47,149 - Ow! - I'm sorry. What did I do? 281 00:19:47,219 --> 00:19:51,485 I don't know. It really hurts. I promise to be very careful. 282 00:19:51,557 --> 00:19:54,219 - Susan-- - Not her real name. 283 00:19:54,293 --> 00:19:58,093 Susan, I barely touched you. 284 00:19:58,163 --> 00:20:02,224 It hurts so much! I'm sorry. I have to get this blood. Just hold on. 285 00:20:02,301 --> 00:20:04,064 Hypersensitivity to touch. 286 00:20:04,136 --> 00:20:06,661 - Her calcium up? - Lab over 16. 287 00:20:06,738 --> 00:20:10,401 - Question is why. Likely suspects. - Parathyroid adenoma. 288 00:20:10,475 --> 00:20:12,568 - Kidney problems. - Vit "D" intoxication. - Hyperthyroid. 289 00:20:12,644 --> 00:20:14,202 - Caused by our treatment? - Whoa, whoa. 290 00:20:14,279 --> 00:20:15,940 Can you please slow down? 291 00:20:20,018 --> 00:20:23,715 The adenoma is most likely. 292 00:20:23,789 --> 00:20:27,122 Check her P.T.H., phosphorus... 293 00:20:27,192 --> 00:20:29,854 and ionized calcium. 294 00:20:29,928 --> 00:20:32,123 And do a technetium sestamibi. 295 00:20:32,197 --> 00:20:35,860 Okay, that's enough about the volleyball player. 296 00:20:35,934 --> 00:20:39,233 - What's up with the farmer? - What farmer? 297 00:20:39,304 --> 00:20:41,204 Snakebite guy. 298 00:20:41,273 --> 00:20:44,037 Oh, right. You guys don't know about him. 299 00:20:44,109 --> 00:20:47,875 He doesn't get bitten until three months after we treat the volleyball player. 300 00:20:47,946 --> 00:20:51,245 Luckily, it's been well established that time is not a fixed construct. 301 00:20:51,316 --> 00:20:54,752 His condition is not improving. Double the dosage. 302 00:20:54,820 --> 00:20:57,152 - Already did. - There's another antivenom. 303 00:20:57,222 --> 00:20:59,281 - It's not as effective, but-- - Already tried it. 304 00:20:59,358 --> 00:21:02,384 - The first stuff, the stuff he was allergic to. - Gave it to him with high-dose steroids. 305 00:21:02,461 --> 00:21:05,487 - Nothing's working. - What does it all mean? 306 00:21:05,564 --> 00:21:09,330 - Wrong snake? - We tried every other antivenom we had. 307 00:21:09,401 --> 00:21:13,804 - We're too late? - Yep. He's dying. His wife's here. 308 00:21:13,872 --> 00:21:17,603 Finally found a babysitter. Who wants to let 'em know? 309 00:21:19,344 --> 00:21:21,778 - Actually, I'm kidding. - He's not dying? 310 00:21:21,847 --> 00:21:25,146 Oh, yeah, he's dying. But there's no wife and kid. 311 00:21:25,217 --> 00:21:27,151 Which is great. 312 00:21:27,219 --> 00:21:31,178 Makes the breaking-the-news thing way easier. 313 00:21:31,256 --> 00:21:33,622 Oh, yeah. One more piece of news. 314 00:21:38,964 --> 00:21:43,196 The drug addict is peeing blood. 315 00:21:47,439 --> 00:21:50,875 How do they teach you how to tell someone that they're dying? 316 00:21:54,813 --> 00:21:59,443 It's kind of like teaching architects how to explain why their building fell down. 317 00:21:59,518 --> 00:22:01,748 Do you role-play and stuff? 318 00:22:01,820 --> 00:22:06,257 Yeah. One of us gives the bad news, and one of us gets the bad news. 319 00:22:06,325 --> 00:22:09,817 What do you have to do to get an "A" in You're Dying 101? 320 00:22:09,895 --> 00:22:13,626 They grade you on gentleness and supportiveness? 321 00:22:13,699 --> 00:22:18,193 Is there a scale for measuring compassion? 322 00:22:19,504 --> 00:22:21,438 This buddy of mine-- 323 00:22:21,506 --> 00:22:24,964 I gotta give him 10 bucks every time someone says thank you. 324 00:22:25,043 --> 00:22:28,843 Imagine that. This guy's so good, 325 00:22:28,914 --> 00:22:32,475 people thank him for telling 'em that they're dying. 326 00:22:36,855 --> 00:22:38,846 Needs brown. 327 00:22:38,924 --> 00:22:42,018 I don't get thanked that often. 328 00:22:42,094 --> 00:22:43,994 You're dying. 329 00:22:45,931 --> 00:22:48,024 In a few hours. 330 00:22:49,968 --> 00:22:53,199 There's nothing we can do except deal with the pain. 331 00:22:53,271 --> 00:22:55,671 Well, I need to go home. 332 00:22:55,741 --> 00:22:57,675 You're not going home. 333 00:22:59,811 --> 00:23:04,510 But my dog. What will happen to my dog? 334 00:23:10,021 --> 00:23:12,489 Her neck looks clean. No adenoma. 335 00:23:12,557 --> 00:23:16,425 Wait, wait, wait. The guy's dying, and all he cares about is his dog? 336 00:23:18,263 --> 00:23:22,723 Any of you guys go the dog route in your improv sessions? 337 00:23:24,636 --> 00:23:29,300 It's a basic truth of the human condition that everybody lies. 338 00:23:30,575 --> 00:23:33,772 The only variable is about what. 339 00:23:33,845 --> 00:23:36,109 The great thing about telling someone they're dying... 340 00:23:36,181 --> 00:23:39,446 is that it tends to focus their priorities. 341 00:23:39,518 --> 00:23:42,419 You find out what matters to them. 342 00:23:42,487 --> 00:23:45,479 What they're willing to die for. 343 00:23:47,626 --> 00:23:49,560 What they're willing to lie for. 344 00:23:49,628 --> 00:23:53,189 You must have a neighbor who-- Neighbors don't like him. 345 00:23:54,766 --> 00:23:58,600 So the Humane Society will take him in and find him a home. No, they won't. 346 00:24:00,539 --> 00:24:04,202 Yeah, but maybe my aunt-- 347 00:24:04,276 --> 00:24:06,267 It wasn't a snakebite, was it? 348 00:24:08,780 --> 00:24:10,714 I said I don't remember bein' bit. 349 00:24:10,782 --> 00:24:13,307 Sure you do. Just not by a snake. 350 00:24:13,385 --> 00:24:18,084 I assume that Cujo bit one of your neighbors a while back. 351 00:24:18,156 --> 00:24:21,592 You tell me that he bit you, and I gotta report it. 352 00:24:21,660 --> 00:24:24,254 Cujo's got a record. He gets the chair. 353 00:24:27,666 --> 00:24:32,467 The good news is you might just live. The bad news is your dog's gonna die. 354 00:24:32,537 --> 00:24:36,064 Guy risked his life to save this thing? 355 00:24:38,510 --> 00:24:41,638 I'll hold him. You swab the mouth. 356 00:24:41,713 --> 00:24:45,274 I think I've got a better grip here. You go for the mouth. 357 00:24:45,350 --> 00:24:47,944 All right. I'm odds. 358 00:24:48,019 --> 00:24:50,487 You serious? One, two, three! 359 00:24:50,555 --> 00:24:52,955 Damn. 360 00:24:53,024 --> 00:24:56,255 I don't care if he's scratching your nads off, you don't let go. 361 00:24:56,328 --> 00:24:57,761 Just do it! 362 00:24:59,831 --> 00:25:02,265 I say we let the guy die. 363 00:25:02,334 --> 00:25:05,326 - I got his head. Just do it. - Got it. 364 00:25:10,075 --> 00:25:12,942 What would you call that? 365 00:25:13,011 --> 00:25:16,174 It's tea-colored, right? 366 00:25:16,248 --> 00:25:19,979 The guy we thought was just after the drugs-- 367 00:25:20,051 --> 00:25:24,579 What's the differential diagnosis for urine that's tea-colored? 368 00:25:24,656 --> 00:25:27,181 Kidney stone. 369 00:25:27,259 --> 00:25:29,853 Kidney stones would cause what? 370 00:25:29,928 --> 00:25:32,624 - Blood in urine. - What color is your pee? 371 00:25:32,697 --> 00:25:34,631 - Yellow. - What color is your blood? 372 00:25:34,699 --> 00:25:36,724 - Red. - What colors did I use? 373 00:25:36,801 --> 00:25:39,827 Red, yellow and brown. 374 00:25:39,905 --> 00:25:42,874 - And brown. What causes brown? - Waste. 375 00:25:42,941 --> 00:25:45,375 - Which means the kidneys are shutting down. Why? - Trauma. 376 00:25:45,443 --> 00:25:49,072 - None that his history would indicate. - Could be damage done by the self-injection of the Demerol. 377 00:25:49,147 --> 00:25:51,308 - Treatment? - Heat and rest-- 378 00:25:51,383 --> 00:25:53,715 - Other possible causes? - Infection. 379 00:25:53,785 --> 00:25:56,015 Start him on antibiotics. What else? 380 00:25:56,087 --> 00:25:59,523 Come on! Come on! I-I don't know. 381 00:25:59,591 --> 00:26:02,924 You're useless. But at least you know it. 382 00:26:02,994 --> 00:26:05,554 Blood tests show elevated creatine kinase. 383 00:26:05,630 --> 00:26:07,757 - What does that tell you? - The trauma diagnosis was right. 384 00:26:07,832 --> 00:26:10,392 - He takes it easy for a few days, he'll be fine. - You sure? 385 00:26:10,468 --> 00:26:13,904 - The elevated C.K. rules out infection-- - You know what's worse than useless? 386 00:26:13,972 --> 00:26:17,066 Useless and oblivious. 387 00:26:17,142 --> 00:26:19,906 What are they missing? 388 00:26:19,978 --> 00:26:22,242 It's kind of hard to think when you're in our face like-- 389 00:26:22,314 --> 00:26:26,410 Yeah? You think it's gonna be easier when you got a real patient really dying? 390 00:26:26,484 --> 00:26:28,418 What are you missing? 391 00:26:28,486 --> 00:26:30,681 Muscle death. 392 00:26:33,858 --> 00:26:38,795 - Not your case. - Nothing wrong with a consult. 393 00:26:38,863 --> 00:26:43,630 Dying muscle leaks myoglobin. It's toxic to the kidneys. 394 00:26:43,702 --> 00:26:46,466 Brilliant. 395 00:26:46,538 --> 00:26:49,996 M.R.I. his leg. See what's killing it. 396 00:26:57,015 --> 00:27:00,075 - Why is the girl getting the M.R.I.? - Because the neck scan revealed nothing, 397 00:27:00,151 --> 00:27:04,087 and her doctor's way more obsessive than she thinks she is. 398 00:27:04,155 --> 00:27:07,556 - But you said the guy needed the M.R.I. - Because Dr. Cameron back there said muscle death. 399 00:27:07,626 --> 00:27:10,925 Not one of you said it. Not one of this guy's doctors said it. 400 00:27:10,996 --> 00:27:15,456 They gave him bed rest and antibiotics, just like you guys would have. 401 00:27:15,533 --> 00:27:18,229 - Did he get better? - No. 402 00:27:18,303 --> 00:27:21,067 - How long-- - Three days. 403 00:27:21,139 --> 00:27:25,303 It is in the nature of medicine that you are gonna screw up. 404 00:27:25,377 --> 00:27:27,311 You are gonna kill someone. 405 00:27:27,379 --> 00:27:31,645 If you can't handle that reality, pick another profession. 406 00:27:31,716 --> 00:27:35,311 Or finish medical school and teach. 407 00:27:35,387 --> 00:27:38,356 Three days before they thought it might have been muscle death? 408 00:27:38,423 --> 00:27:42,917 No, three days before the patient suggested it might have been muscle death. 409 00:27:46,231 --> 00:27:50,429 The M.R.I. revealed an osteosarcoma. 410 00:27:50,502 --> 00:27:56,031 A cancerous tumor on your femur. It needs to be removed surgically. 411 00:27:56,107 --> 00:27:58,871 With chemo, she has an excellent chance of survival. 412 00:27:58,943 --> 00:28:04,472 But I have to warn you-- depending on how large the tumor is and how ingrained it is, 413 00:28:06,951 --> 00:28:09,852 the surgeon may need to amputate your leg. 414 00:28:11,690 --> 00:28:13,681 I'm sorry. 415 00:28:13,758 --> 00:28:16,522 It's okay. 416 00:28:21,833 --> 00:28:23,767 Dogs' mouths are pretty filthy, 417 00:28:23,835 --> 00:28:27,032 but they have natural antibodies to fight off most of the stuff. 418 00:28:27,105 --> 00:28:29,630 We don't. That's why dog bites can be so nasty. 419 00:28:29,708 --> 00:28:33,542 Lab tests of your dog's saliva revealed a type of strep bacteria. 420 00:28:33,611 --> 00:28:36,774 It's commonly known as the flesh-eating disease. 421 00:28:36,848 --> 00:28:40,306 We need to operate immediately to remove the damaged tissue. 422 00:28:40,385 --> 00:28:43,183 We may need to remove the leg. 423 00:28:51,262 --> 00:28:54,527 The M.R.I. revealed a problem. No kidding. 424 00:28:54,599 --> 00:28:57,591 I'm sorry none of your doctors found it earlier. 425 00:28:57,669 --> 00:29:01,765 I am personally gonna oversee your treatment from now on. You're gonna cut me open, aren't you? 426 00:29:04,275 --> 00:29:06,675 We may need to remove the leg. 427 00:29:16,955 --> 00:29:22,791 His M.R.I. showed that the leg pain wasn't caused by the self-injection. 428 00:29:22,861 --> 00:29:25,352 It wasn't caused by an infection. 429 00:29:26,831 --> 00:29:30,164 It was an aneurysm that clotted... 430 00:29:30,235 --> 00:29:33,466 leading to an infarction. 431 00:29:33,538 --> 00:29:36,530 My God, you were right. It's House. 432 00:29:38,076 --> 00:29:40,567 We have to do the surgery. 433 00:29:40,645 --> 00:29:43,910 The necrotic tissue has to be removed. If there's too much-- 434 00:29:43,982 --> 00:29:46,075 I don't care what you find. 435 00:29:46,151 --> 00:29:48,210 It may become necessary in order to save your life. 436 00:29:48,286 --> 00:29:50,914 I like my leg. 437 00:29:50,989 --> 00:29:53,924 I've had it for as long as I can remember. 438 00:29:53,992 --> 00:29:58,622 Greg, I love your leg as much as you do. They're not cutting it off. 439 00:30:01,266 --> 00:30:04,201 The patient made the right choice. 440 00:30:04,269 --> 00:30:07,534 Tell a surgeon that it's okay to cut a leg off, 441 00:30:07,605 --> 00:30:10,403 and he's gonna spend the night polishing his good hacksaw. 442 00:30:10,475 --> 00:30:13,740 Right. Surgeons could care less about saving limbs. 443 00:30:13,812 --> 00:30:17,908 Ofcourse they care about their patients. They just care about themselves more, 444 00:30:17,982 --> 00:30:20,746 which is not an unreasonable position. 445 00:30:20,819 --> 00:30:22,946 Trying to maximize the tissue you save... 446 00:30:23,021 --> 00:30:26,081 also maximizes the chances of something going wrong, 447 00:30:26,157 --> 00:30:29,888 which means you've gotta be extra careful, which is such a pain in the ass. 448 00:30:31,963 --> 00:30:35,592 Amazing advances have been made. Kids with prosthetic legs... 449 00:30:35,667 --> 00:30:37,862 are running the hundred-meter dash in 12 seconds. 450 00:30:37,936 --> 00:30:40,404 Yeah, they're just not as pretty. 451 00:30:41,706 --> 00:30:44,573 Do a bypass. Restore the circulation. 452 00:30:44,642 --> 00:30:47,042 - Amputation is safer. - For you or me? 453 00:30:47,111 --> 00:30:50,911 - The blockage of blood flow-- - Four-day blockage. 454 00:30:50,982 --> 00:30:53,041 Yes. It caused muscle cell death. 455 00:30:53,117 --> 00:30:55,711 When those cells die, they release cytokines and potassium. 456 00:30:55,787 --> 00:30:58,813 And if you restore the blood flow instead of just lopping it all off, 457 00:30:58,890 --> 00:31:01,222 then all that crap gets washed back into my system. 458 00:31:01,292 --> 00:31:05,126 The cytokines could cause organ failure. The potassium could cause cardiac arrest. 459 00:31:05,196 --> 00:31:08,063 On the other hand, I may just get the use of my leg back. 460 00:31:09,601 --> 00:31:12,069 The postoperative pain alone will-- I'll get through it. 461 00:31:12,136 --> 00:31:15,902 I understand the risks. You're in the clear. Go schedule an O.R. 462 00:31:22,780 --> 00:31:27,479 - God, you're an idiot. - I think I'm more of a jerk. 463 00:31:27,552 --> 00:31:30,112 I'm not being glib, and I'm not being cute. 464 00:31:30,188 --> 00:31:33,021 I don't want you to kill yourself. 465 00:31:33,091 --> 00:31:35,184 I'm not gonna die. 466 00:31:35,260 --> 00:31:38,457 Oh, I feel completely reassured. 467 00:32:07,258 --> 00:32:09,453 More suction. 468 00:32:53,571 --> 00:32:55,505 Inserting now. 469 00:33:19,163 --> 00:33:23,463 They gotta up the morphine. 470 00:33:23,534 --> 00:33:28,767 - Doctors say they can't. - Doctors recommended bed rest and antibiotics. 471 00:33:28,840 --> 00:33:32,207 - They screwed up. It doesn't mean they're wrong this time. - Sure doesn't mean they're right. 472 00:33:32,276 --> 00:33:34,574 - Morphine will kill you. - I can handle it. 473 00:33:34,645 --> 00:33:38,445 - You're in pain. You're not thinking right. - That's why I need the damn morphine! 474 00:33:38,516 --> 00:33:41,041 I'll talk to them. 475 00:33:43,554 --> 00:33:46,614 Oh, my God. How much longer is the pain gonna last? 476 00:33:46,691 --> 00:33:49,091 It depends on how much muscle cell death there was. 477 00:33:49,160 --> 00:33:52,823 He could be right. He could come out of this with almost full use of his leg. 478 00:33:52,897 --> 00:33:54,125 Or? 479 00:33:54,198 --> 00:33:57,133 He could be in pain for the rest of his life. 480 00:34:00,204 --> 00:34:03,731 There's a third option... surgically. 481 00:34:03,808 --> 00:34:06,777 A middle ground between what we did and amputation. 482 00:34:10,481 --> 00:34:13,348 He's not big on middle ground. 483 00:34:13,418 --> 00:34:15,682 Yeah. 484 00:34:39,610 --> 00:34:43,478 Nurse? Nurse! 485 00:34:43,548 --> 00:34:46,608 - I need more calcium gluconate. - You just had five m.l.'s. 486 00:34:46,684 --> 00:34:49,778 The Q.R.S. is getting wider. My potassium is rising. 487 00:34:49,854 --> 00:34:52,049 - I'll talk to your doctor. - Well, you better make it fast, 488 00:34:52,123 --> 00:34:54,148 'cause I'm about to go into cardiac arrest. 489 00:34:54,225 --> 00:34:58,662 You give me the dose, or I go into wide complex tachycardia. 490 00:34:58,729 --> 00:35:00,526 - I could get in trouble-- - Listen, it's not a narcotic! 491 00:35:00,598 --> 00:35:03,863 I'm not looking for a buzz. You got about 20 seconds. 492 00:35:10,241 --> 00:35:13,404 I was wrong. 493 00:35:18,382 --> 00:35:21,408 What do you got? Wide complex tachycardia. 494 00:35:21,486 --> 00:35:22,919 You diagnosed-- He did. 495 00:35:22,987 --> 00:35:24,682 Defibrillator. Paddles. 496 00:35:25,790 --> 00:35:27,223 Charge. Clear. 497 00:35:32,630 --> 00:35:36,191 The patient was technically dead for over a minute. 498 00:36:09,634 --> 00:36:12,660 He's back. 499 00:36:19,043 --> 00:36:21,443 Do you think he was dead? 500 00:36:21,512 --> 00:36:23,309 Do you think those experiences were real? 501 00:36:25,216 --> 00:36:29,619 Define "real". They were real experiences. 502 00:36:29,687 --> 00:36:32,918 What they meant-- 503 00:36:32,990 --> 00:36:36,289 Personally, I choose to believe that the white light people sometimes see, 504 00:36:36,360 --> 00:36:39,386 the visions this patient saw, 505 00:36:39,463 --> 00:36:43,422 they're all just chemical reactions that take place while the brain shuts down. 506 00:36:45,036 --> 00:36:48,665 - You choose to believe that? - There's no conclusive science. 507 00:36:48,739 --> 00:36:52,732 My choice has no practical relevance to my life. 508 00:36:52,810 --> 00:36:55,244 I choose the outcome I find more comforting. 509 00:36:55,313 --> 00:36:58,180 You find it more comforting to believe that this is it? 510 00:36:59,317 --> 00:37:04,220 I find it more comforting to believe that this... isn't simply a test. 511 00:37:08,492 --> 00:37:12,929 How bad is the pain right now? 512 00:37:12,997 --> 00:37:15,966 It's bad. 513 00:37:16,033 --> 00:37:19,696 It's not getting any better. If you were right, the pain would be subsiding. 514 00:37:19,770 --> 00:37:22,568 You'd be getting better. It's just taking longer. 515 00:37:22,640 --> 00:37:24,608 No, it's not. 516 00:37:24,675 --> 00:37:27,542 We've gotta let 'em cut the leg off. 517 00:37:30,481 --> 00:37:34,781 It's my leg. It's my life. 518 00:37:34,852 --> 00:37:37,480 Would you give up your leg to save my life? 519 00:37:37,555 --> 00:37:39,682 Ofcourse I would. 520 00:37:39,757 --> 00:37:41,987 Why do you think your life is worth less than mine? 521 00:37:44,195 --> 00:37:47,392 If this were any other patient, what would you tell them to do? 522 00:37:52,169 --> 00:37:55,605 I would say it's their choice. Not a chance. 523 00:37:55,673 --> 00:37:59,666 You'd browbeat them until they made the choice you knew was right. 524 00:37:59,744 --> 00:38:03,703 You'd shove it in their face that it's just a damn leg. 525 00:38:05,416 --> 00:38:08,180 You don't think you deserve to live? 526 00:38:08,252 --> 00:38:11,415 You don't think you deserve to be happy? 527 00:38:13,391 --> 00:38:15,882 Now let them cut off your leg. 528 00:38:15,960 --> 00:38:21,660 I can't. I can't. 529 00:38:21,732 --> 00:38:23,666 I'm sorry. 530 00:38:31,642 --> 00:38:34,611 The pain alone is gonna kill you. 531 00:38:34,679 --> 00:38:38,080 I know. I know. 532 00:38:41,752 --> 00:38:44,721 I need you to talk to the doctor. 533 00:38:52,930 --> 00:38:54,864 He change his mind? 534 00:38:54,932 --> 00:38:56,593 No. 535 00:38:58,536 --> 00:39:01,198 He's asked to be put in a chemically induced coma... 536 00:39:01,272 --> 00:39:04,105 so that he can sleep through the worst part of the pain. 537 00:39:06,077 --> 00:39:08,875 We can do that. 538 00:39:10,247 --> 00:39:13,045 What happens after he's in the coma? 539 00:39:13,117 --> 00:39:15,608 We'll obviously monitor his condition closely, 540 00:39:15,686 --> 00:39:19,645 and if he can get through the next 48 hours without another cardiac incident-- 541 00:39:19,724 --> 00:39:24,593 I meant, I'm his health care proxy. I get to make medical decisions for him if he's not able to. 542 00:39:27,365 --> 00:39:30,163 You should talk to him about what he wants to do. 543 00:39:30,234 --> 00:39:33,601 I know what he wants. But if he's out, it's my call, right? 544 00:39:50,821 --> 00:39:52,914 You'll be out in less than a minute. 545 00:39:57,661 --> 00:39:59,595 Thank you. 546 00:40:03,768 --> 00:40:07,033 - Hey. - Hey. 547 00:40:07,104 --> 00:40:09,004 I'll see you when I wake up. 548 00:40:10,741 --> 00:40:14,802 We'll go golfing. 549 00:40:16,947 --> 00:40:18,972 I love you. 550 00:40:20,885 --> 00:40:22,819 I love you too. 551 00:40:26,123 --> 00:40:28,057 I'm sorry. 552 00:40:31,929 --> 00:40:34,124 You've got nothing to be sorry about. 553 00:40:52,783 --> 00:40:55,843 The middle ground you were talking about-- 554 00:40:55,920 --> 00:40:58,388 We go in, take out the dead muscle. 555 00:40:58,456 --> 00:41:00,924 There's still some risk of reperfusion injury, but-- 556 00:41:00,991 --> 00:41:03,152 Give me the forms you need signed. 557 00:41:07,131 --> 00:41:09,622 You're saving his life. 558 00:41:09,700 --> 00:41:12,601 He won't see it that way. 559 00:41:31,021 --> 00:41:35,151 Because of the extent of the muscle removed, 560 00:41:35,226 --> 00:41:39,390 the utility of the patient's leg was severely compromised. 561 00:41:39,463 --> 00:41:43,263 Because of the time delay in making the diagnosis, 562 00:41:43,334 --> 00:41:46,565 the patient continues to experience chronic pain. 563 00:41:53,310 --> 00:41:55,301 She had no right to do that. 564 00:41:55,379 --> 00:41:57,779 - She had the proxy. - She knew he didn't want the surgery. 565 00:41:57,848 --> 00:42:00,578 - She saved his life. - We don't know that. Maybe he would've been fine. 566 00:42:00,651 --> 00:42:04,212 - It doesn't matter. It's the patient's call. - The patient's an idiot. 567 00:42:05,890 --> 00:42:08,256 They usually are. 568 00:42:08,325 --> 00:42:12,125 Do you have a buzzer or something? What time does this class end? 569 00:42:12,196 --> 00:42:14,460 Twenty minutes ago. 570 00:42:19,904 --> 00:42:22,270 I'm not doing this again. 571 00:42:22,339 --> 00:42:26,275 And this guy is not the world's greatest dad. Not even ranked. 572 00:42:26,343 --> 00:42:31,076 Who the hell lets their kids play with lead-based paint? That's why he's always sick. 573 00:42:31,148 --> 00:42:34,640 Find him some plastic cups, and the class is all his again. 574 00:43:02,780 --> 00:43:05,078 Stacy, it's Greg. 575 00:43:05,149 --> 00:43:08,846 I've got an opening in my calendar for 10:00 tomorrow morning. 576 00:43:08,919 --> 00:43:11,513 Make sure your husband isn't late. 577 00:43:58,902 --> 00:44:00,164 Ripped by phaelox for divxstation.com 9999 00:00:0,500 --> 00:00:2,00 www.tvsubtitles.net