1 00:00:06,298 --> 00:00:08,883 We are condemned to useless labor. 2 00:00:09,009 --> 00:00:10,885 Fourth circle of hell. 3 00:00:11,011 --> 00:00:15,098 Charting goes a lot faster when you eliminate all classic poetry. 4 00:00:15,224 --> 00:00:18,184 Writing down what we already know to be read by nobody. 5 00:00:18,310 --> 00:00:20,895 I'm pretty sure Dante would agree that qualifies as useless. 6 00:00:21,021 --> 00:00:24,023 You're over two weeks behind in your charting. 7 00:00:25,442 --> 00:00:26,984 Oops. I missed. 8 00:00:27,111 --> 00:00:28,820 What are you, eight? 9 00:00:28,987 --> 00:00:30,446 Could an eight year old do this? 10 00:00:31,156 --> 00:00:33,991 You'd better stop, or it'll stick that way. 11 00:00:34,118 --> 00:00:35,993 You have a patient in Exam 1. 12 00:00:36,120 --> 00:00:38,746 Yeah, but, see, I'm off at 12:00, and it's already five of. 13 00:00:38,872 --> 00:00:41,541 She's been waiting for you since 11:00. 14 00:00:45,003 --> 00:00:47,004 Melancholy without hope. 15 00:00:47,131 --> 00:00:49,340 Which circle is that? 16 00:00:55,055 --> 00:00:57,640 Hi. I'm Dr. House. 17 00:00:57,766 --> 00:00:59,016 What seems to be the problem? 18 00:00:59,143 --> 00:01:01,018 Show him your hands, Augustine. 19 00:01:09,403 --> 00:01:10,611 It looks like stigmata. 20 00:01:11,822 --> 00:01:12,655 Pius. 21 00:01:12,781 --> 00:01:15,950 You must be all the talk around the "holy water" cooler. 22 00:01:16,076 --> 00:01:17,869 Been washing a lot of dishes recently? 23 00:01:17,995 --> 00:01:19,203 I help out in the kitchen. 24 00:01:19,329 --> 00:01:20,329 Anything new in the kitchen? 25 00:01:20,456 --> 00:01:23,708 We just got a donation of saucepans and pots this week. 26 00:01:23,834 --> 00:01:24,792 I unpacked and washed them. 27 00:01:24,918 --> 00:01:26,753 Should have spent your time saving souls. 28 00:01:26,879 --> 00:01:28,588 It's easier on the hands. 29 00:01:28,714 --> 00:01:30,214 This is contact dermatitis. 30 00:01:30,382 --> 00:01:31,924 You're allergic to dish soap. 31 00:01:32,050 --> 00:01:34,594 Nonsense. We've always used that soap. 32 00:01:34,720 --> 00:01:36,554 Why is there a problem now? 33 00:01:36,680 --> 00:01:38,347 I've been a doctor for years. 34 00:01:38,474 --> 00:01:40,767 Why do I have to keep assuring people that I know what I'm doing? 35 00:01:40,893 --> 00:01:43,311 A person can become allergic to substances 36 00:01:43,437 --> 00:01:46,647 that they've had repeated and prolonged exposure to. 37 00:01:46,774 --> 00:01:50,151 The good news is free samples. 38 00:01:51,111 --> 00:01:53,738 Diphenhydramine. It's an antihistamine. 39 00:01:53,864 --> 00:01:56,824 It'll stop the allergic reaction. 40 00:01:56,950 --> 00:01:58,409 Take one every eight hours. 41 00:01:58,535 --> 00:01:59,911 It might make you feel a little sleepy. 42 00:02:00,037 --> 00:02:02,705 And get some of that over-the-counter cortisone cream. 43 00:02:02,831 --> 00:02:03,831 Thank you, Doctor. 44 00:02:03,957 --> 00:02:04,957 You want some water? 45 00:02:05,083 --> 00:02:06,250 I have some tea. 46 00:02:06,376 --> 00:02:08,044 Well, you just relax for a few minutes. 47 00:02:08,170 --> 00:02:10,254 That stuff works pretty fast. 48 00:02:17,805 --> 00:02:19,514 Still out by 12:00. 49 00:02:19,640 --> 00:02:22,475 How do you solve a problem like dermatitis? 50 00:02:22,601 --> 00:02:24,644 - What? - Doctor? 51 00:02:24,770 --> 00:02:27,897 I want to thank you for your patience. 52 00:02:28,023 --> 00:02:29,732 She talking to you? 53 00:02:29,858 --> 00:02:32,235 I don't know. She's certainly looking at me. 54 00:02:32,361 --> 00:02:35,780 Oh, it's good to get a secular diagnosis. 55 00:02:35,906 --> 00:02:39,200 The sisters tend to interpret their illnesses as divine intervention. 56 00:02:39,326 --> 00:02:40,326 And you don't? 57 00:02:40,452 --> 00:02:42,161 Then you're wearing an awfully funny hat. 58 00:02:42,287 --> 00:02:44,789 Ooh, boy. Excuse me. 59 00:02:44,915 --> 00:02:48,167 If I break my leg, I believe it happened for a reason. 60 00:02:48,293 --> 00:02:50,294 I believe God wanted me to break my leg. 61 00:02:50,420 --> 00:02:53,840 I also believe He wants me to put a cast on it. 62 00:02:53,966 --> 00:02:55,633 Doctor! Something's wrong. 63 00:03:05,561 --> 00:03:07,186 Lift up your chin. 64 00:03:09,898 --> 00:03:12,650 Sister, you're having an asthma attack. I need you to relax. 65 00:03:12,776 --> 00:03:14,610 Roll up her sleeve, please. 66 00:03:14,778 --> 00:03:16,612 I'm gonna give you epinephrine. 67 00:03:16,738 --> 00:03:19,657 It'll open your lungs and help you breathe. 68 00:03:38,302 --> 00:03:39,594 What happened? 69 00:03:39,720 --> 00:03:40,678 Did she take the pill? 70 00:03:40,804 --> 00:03:41,637 Yes. 71 00:03:41,763 --> 00:03:43,681 It's probably an allergic reaction. 72 00:03:43,807 --> 00:03:46,601 She's allergic to an anti-allergy medicine? 73 00:03:46,727 --> 00:03:49,020 You figure somebody's out to get her? 74 00:03:49,146 --> 00:03:50,563 - How are you feeling? - Better. 75 00:03:50,689 --> 00:03:52,982 I'll put you on some steroids instead. 76 00:03:53,108 --> 00:03:55,318 Is my heart supposed to be feeling so funny? 77 00:03:55,444 --> 00:03:58,738 It's called adrenaline. It makes your heart beat fast. 78 00:04:00,699 --> 00:04:02,825 But not this fast. 79 00:04:02,951 --> 00:04:04,702 Get a nurse, please. 80 00:04:07,080 --> 00:04:09,123 Help! Somebody help us! 81 00:04:12,794 --> 00:04:14,795 Somebody get in here! 82 00:04:17,049 --> 00:04:18,883 Call a code and charge up a defibrillator. 83 00:04:19,051 --> 00:04:20,885 She's got no pulse. 84 00:05:19,027 --> 00:05:22,279 You diagnosed the patient with allergies and prescribed antihistamine. 85 00:05:22,406 --> 00:05:24,865 She went into respiratory distress, 86 00:05:24,992 --> 00:05:28,744 and you injected her with epinephrine. 87 00:05:28,870 --> 00:05:30,121 Presumably 1 cc. 88 00:05:30,247 --> 00:05:33,541 0.1 cc. That is the standard dose. That is what I gave her. 89 00:05:33,667 --> 00:05:36,335 People don't go into cardiac arrest from 0.1 cc epinephrine. 90 00:05:36,461 --> 00:05:38,004 She must have a preexisting heart condition 91 00:05:38,130 --> 00:05:39,755 that got exacerbated by the epinephrine. 92 00:05:39,881 --> 00:05:42,174 It's too bad you didn't make a notation in the chart. 93 00:05:42,300 --> 00:05:43,300 I can make it up right now. 94 00:05:43,427 --> 00:05:45,219 The drawer has syringes with both dosages. 95 00:05:45,345 --> 00:05:46,679 You could've easily reached for the wrong... 96 00:05:46,805 --> 00:05:47,763 But I didn't. 97 00:05:47,889 --> 00:05:48,806 Everyone makes mistakes. 98 00:05:48,932 --> 00:05:51,767 This is why doctors pay through the nose for malpractice insurance. 99 00:05:51,893 --> 00:05:53,728 Relax. They're not gonna sue. 100 00:05:53,854 --> 00:05:55,980 The worst they'd do is whack my hand with a ruler. 101 00:05:56,106 --> 00:05:58,315 And the discipline board, are they gonna whack your hand, too? 102 00:05:58,442 --> 00:05:59,400 You're gonna report me? 103 00:05:59,526 --> 00:06:01,152 What choice do I have? 104 00:06:01,945 --> 00:06:03,946 How about not report me? 105 00:06:05,866 --> 00:06:09,702 I can justify keeping her here for a 24-hour observation. 106 00:06:09,828 --> 00:06:11,495 If you haven't found an underlying cause 107 00:06:11,621 --> 00:06:12,663 for the cardiac arrest by then, 108 00:06:12,789 --> 00:06:15,416 I will have to notify our attorneys. 109 00:06:21,798 --> 00:06:22,923 Her hands were red and swollen. 110 00:06:23,050 --> 00:06:24,675 Maybe she has a skin infection. Cellulitis? 111 00:06:24,843 --> 00:06:26,260 That could manifest with tachycardia. 112 00:06:26,386 --> 00:06:27,845 There's no history of fever. 113 00:06:27,971 --> 00:06:29,847 Results from the CBC didn't indicate an infection. 114 00:06:29,973 --> 00:06:31,974 The eosinophils are mildly elevated. Sed rate's up a bit. 115 00:06:32,100 --> 00:06:33,559 Could we be looking at a systemic allergic response? 116 00:06:33,685 --> 00:06:36,729 It's not allergic. Allergies don't cause cardiac arrest like this. 117 00:06:36,855 --> 00:06:38,105 Could be inflammation of the blood vessels. 118 00:06:38,231 --> 00:06:41,150 Vasculitis? That wouldn't give you an elevated eosinophil count. 119 00:06:41,276 --> 00:06:43,069 Churg-Strauss vasculitis would. 120 00:06:43,195 --> 00:06:45,821 The blood vessels of the heart, lungs and skin become inflamed, 121 00:06:45,947 --> 00:06:48,532 causing the asthma, rash and heart problems, 122 00:06:48,658 --> 00:06:49,867 covers all her symptoms. 123 00:06:49,993 --> 00:06:50,868 You need a biopsy to diagnose. 124 00:06:50,994 --> 00:06:52,036 Chest CT would be quicker. 125 00:06:52,162 --> 00:06:54,705 The lady just came in with a rash. 126 00:06:55,165 --> 00:06:57,166 What the hell are those? 127 00:06:57,292 --> 00:06:58,918 Candy canes. 128 00:06:59,044 --> 00:07:03,005 Candy canes? Are you mocking me? 129 00:07:03,131 --> 00:07:06,759 No. It's Christmas, and I... 130 00:07:06,885 --> 00:07:08,010 I thought... 131 00:07:08,303 --> 00:07:09,970 Relax. It's a joke. 132 00:07:10,097 --> 00:07:12,765 Isn't the prognosis for Churg-Strauss a bit grim? 133 00:07:12,891 --> 00:07:16,936 Yeah. Untreated, only 33% of patients survive past a year. 134 00:07:17,062 --> 00:07:18,104 Treated, five years. 135 00:07:18,230 --> 00:07:19,855 Then I definitely suggest treatment. 136 00:07:19,981 --> 00:07:21,649 If it was any other attending doctor, 137 00:07:21,775 --> 00:07:25,069 I'd say that he made a mistake and gave her too much epinephrine. 138 00:07:25,195 --> 00:07:27,696 Saying you wouldn't say it was my mistake 139 00:07:27,823 --> 00:07:30,032 is saying it was my mistake. 140 00:07:30,909 --> 00:07:33,661 Everyone screws up. Your rule. 141 00:07:33,787 --> 00:07:35,871 I think you fit within the subset of "everyone." 142 00:07:35,997 --> 00:07:38,249 I didn't screw up. 143 00:07:38,375 --> 00:07:42,419 Order a chest CT and start the sister on prednisone, 40 milligrams TID. 144 00:07:42,546 --> 00:07:43,796 The sister? 145 00:07:43,922 --> 00:07:47,550 Oh, didn't I mention? The patient's a nun, Sister Augustine. 146 00:07:49,136 --> 00:07:50,636 I hate nuns. 147 00:07:52,139 --> 00:07:53,639 Who doesn't? 148 00:08:06,361 --> 00:08:07,987 Sister Augustine? 149 00:08:08,155 --> 00:08:09,780 We weren't watching. 150 00:08:09,906 --> 00:08:12,616 We were trying to see if this is the bed control. 151 00:08:12,742 --> 00:08:15,369 Oh, this one's the bed control. 152 00:08:15,495 --> 00:08:17,454 And that's the TV control. 153 00:08:18,206 --> 00:08:21,292 I'm Dr. Cameron. This is Dr. Chase and Dr. Foreman. 154 00:08:21,418 --> 00:08:24,211 I haven't seen television in over 20 years. 155 00:08:24,337 --> 00:08:25,754 Do you consider it the work of the devil, 156 00:08:25,881 --> 00:08:29,008 or do you just not get cable where you live? 157 00:08:30,427 --> 00:08:31,927 How are you feeling, Sister? 158 00:08:32,053 --> 00:08:34,471 I seem to be a little better. They gave me some medication. 159 00:08:34,598 --> 00:08:37,391 Prednisone. It's a steroid to help with the inflammation. 160 00:08:37,517 --> 00:08:40,394 Has Dr. House figured out what I have? Will I be okay? 161 00:08:40,520 --> 00:08:41,812 We're not sure what's wrong yet. 162 00:08:41,938 --> 00:08:43,355 You'll have a chest CT scan this afternoon 163 00:08:43,481 --> 00:08:44,857 that'll help with the diagnosis. 164 00:08:44,983 --> 00:08:46,483 Dr. House is giving her medication, 165 00:08:46,610 --> 00:08:48,110 and he doesn't know what she has yet? 166 00:08:48,236 --> 00:08:49,612 Trust, Sister Pius. 167 00:08:49,738 --> 00:08:51,155 It all happens for a reason. 168 00:08:52,324 --> 00:08:53,824 He doesn't know what he's doing. 169 00:08:53,950 --> 00:08:55,284 The only problem that woman has 170 00:08:55,410 --> 00:08:56,827 is that House grabbed the wrong syringe. 171 00:08:56,953 --> 00:08:58,120 You don't trust him? 172 00:08:58,246 --> 00:09:00,956 I don't trust a man who won't admit he might be wrong. 173 00:09:01,082 --> 00:09:03,375 I notice you weren't so quick to tell her she's got Churg-Strauss 174 00:09:03,501 --> 00:09:04,668 and only has a couple years left. 175 00:09:04,794 --> 00:09:06,503 I don't tell patients bad news unless it's conclusive. 176 00:09:06,630 --> 00:09:08,297 Because you know he might be wrong. 177 00:09:08,423 --> 00:09:10,674 About Churg-Strauss. Not about what happened in the clinic. 178 00:09:10,800 --> 00:09:14,470 What about you, Chase? You think he's infallible, too? 179 00:09:14,596 --> 00:09:16,722 All I know is, if House didn't make a mistake 180 00:09:16,848 --> 00:09:18,766 and Sister Augustine has Churg-Strauss, 181 00:09:18,892 --> 00:09:21,644 he'll be self-satisfied and our lives will be good for a few weeks. 182 00:09:21,770 --> 00:09:23,896 If House did make a mistake, he'll be upset 183 00:09:24,022 --> 00:09:25,773 and our lives will be miserable for months. 184 00:09:25,899 --> 00:09:26,941 There is that. 185 00:09:27,067 --> 00:09:29,276 If Cuddy thinks I made a mistake, the least she could do 186 00:09:29,402 --> 00:09:30,945 is suspend me from clinic duty. 187 00:09:31,071 --> 00:09:33,697 She doesn't confuse making a mistake with being incompetent. 188 00:09:33,823 --> 00:09:36,158 Oh, here we go. Lesson time. 189 00:09:37,827 --> 00:09:40,246 I recognize that confidence is not my short suit. 190 00:09:40,372 --> 00:09:42,957 I also recognize that I am human and capable of error. 191 00:09:43,083 --> 00:09:44,875 So you might have screwed this up? 192 00:09:45,001 --> 00:09:46,043 No. 193 00:09:46,169 --> 00:09:48,504 So it's merely a theoretical capacity for error. 194 00:09:48,630 --> 00:09:49,588 Good point. 195 00:09:49,714 --> 00:09:52,258 Maybe there isn't one. Maybe that's my error. 196 00:09:52,384 --> 00:09:54,093 You know, most people who think as much of themselves 197 00:09:54,219 --> 00:09:55,552 as you do like to talk about themselves. 198 00:09:55,679 --> 00:09:56,887 Most people don't like to listen. 199 00:09:57,013 --> 00:09:58,973 So, what's wrong with you? 200 00:10:10,568 --> 00:10:12,945 Let me guess, inflammatory bowel. 201 00:10:14,155 --> 00:10:16,323 Wow. Yeah. Is it that bad? 202 00:10:16,449 --> 00:10:17,950 Yes. 203 00:10:18,159 --> 00:10:20,494 It's also written on your chart. 204 00:10:20,620 --> 00:10:22,705 "Bloody diarrhea, gas, pain." 205 00:10:22,831 --> 00:10:24,832 "Took sulfasalazine, but it didn't work." 206 00:10:24,958 --> 00:10:26,250 No. Then... Then I... 207 00:10:26,376 --> 00:10:27,793 "Next, tried steroid enemas." 208 00:10:27,919 --> 00:10:31,046 "Oral corticosteroids 5-ASA, 6-mercaptopurine." 209 00:10:31,172 --> 00:10:32,006 I'm impressed. 210 00:10:32,132 --> 00:10:33,465 By my medical history? 211 00:10:33,591 --> 00:10:35,801 By how well your last doctor charted. 212 00:10:35,927 --> 00:10:38,220 It's one thing to have to go to the bathroom every hour, 213 00:10:38,346 --> 00:10:41,348 but when the kids sit on my lap, it's... 214 00:10:41,474 --> 00:10:42,933 The store sent me home. They're gonna fire me. 215 00:10:43,059 --> 00:10:45,561 Can't you put me back on 5-ASA? Maybe it'll work this time. 216 00:10:45,687 --> 00:10:46,729 Not likely. 217 00:10:46,855 --> 00:10:49,523 I'm giving you a prescription. It's cheap, which is good, 218 00:10:49,649 --> 00:10:52,776 because your insurance company won't pay for it. 219 00:10:59,993 --> 00:11:01,660 "Cogaritis"? 220 00:11:01,828 --> 00:11:03,579 Cigarettes. 221 00:11:03,705 --> 00:11:05,748 One, twice a day. No more, no less. 222 00:11:05,874 --> 00:11:07,791 Studies have shown that cigarette smoking 223 00:11:07,917 --> 00:11:11,045 is one of the most effective ways to control inflammatory bowel. 224 00:11:11,171 --> 00:11:14,298 Plus it's been well established that you look 30% cooler. 225 00:11:14,424 --> 00:11:15,841 Are you kidding me? 226 00:11:15,967 --> 00:11:18,552 About the looking cooler, yeah. The rest is true. 227 00:11:18,678 --> 00:11:20,721 Isn't it addictive and dangerous? 228 00:11:20,847 --> 00:11:24,016 Pretty much all the drugs I prescribe are addictive and dangerous. 229 00:11:24,142 --> 00:11:28,020 The only difference with this one is it's completely legal. 230 00:11:29,230 --> 00:11:30,981 Merry Christmas. 231 00:11:31,566 --> 00:11:35,527 I was talking to the nurse. Arsenio. Do you know him? 232 00:11:35,653 --> 00:11:36,612 Not really. 233 00:11:36,738 --> 00:11:38,781 He can take pictures with his phone. 234 00:11:38,907 --> 00:11:40,157 Cool. 235 00:11:40,283 --> 00:11:42,576 That woman from the lab was interesting, too. 236 00:11:42,702 --> 00:11:45,662 She studied astrophysics before becoming a nurse. 237 00:11:45,789 --> 00:11:47,331 You know the staff better than I do. 238 00:11:47,457 --> 00:11:49,249 I love to hear all about people. 239 00:11:49,376 --> 00:11:50,918 Yet you live in a monastery. 240 00:11:51,044 --> 00:11:53,587 It's where I serve our Lord and the world best. 241 00:11:53,713 --> 00:11:57,383 Our Lord, maybe. The rest of the world, on the other hand, 242 00:11:57,509 --> 00:11:59,510 would probably get more out of feeding the homeless or... 243 00:11:59,636 --> 00:12:00,844 Healing the sick? 244 00:12:00,970 --> 00:12:02,346 As an example, yeah. 245 00:12:02,472 --> 00:12:04,681 Did you always want to be a doctor? 246 00:12:04,808 --> 00:12:05,933 Always. 247 00:12:06,059 --> 00:12:06,975 You always want to be a nun? 248 00:12:07,102 --> 00:12:08,977 My parents died when I was six. 249 00:12:09,104 --> 00:12:12,606 I was raised in a foster home run by the Church. 250 00:12:12,732 --> 00:12:14,775 When I was 18, I went to the monastery, 251 00:12:14,901 --> 00:12:16,944 where they let me take my vows. 252 00:12:17,070 --> 00:12:19,988 I've known no other life, and I haven't wanted to. 253 00:12:20,573 --> 00:12:23,700 Okay, Sister. We need you to lie as still as possible. 254 00:12:23,827 --> 00:12:25,702 If you get scared, just let us know. 255 00:12:25,829 --> 00:12:28,247 As Jonah said from inside the whale, 256 00:12:28,373 --> 00:12:33,085 "When I had lost all hope, I turned my thoughts to the Lord." 257 00:12:33,211 --> 00:12:34,586 Well, she's got God on her side. 258 00:12:34,712 --> 00:12:35,796 I don't believe in God. 259 00:12:35,922 --> 00:12:37,798 You're not even a little agnostic? 260 00:12:37,924 --> 00:12:39,925 Is it supposed to smell funny? 261 00:12:40,051 --> 00:12:41,802 Someone ralphed in there this morning. 262 00:12:41,928 --> 00:12:44,138 We cleaned it up, but... 263 00:12:44,264 --> 00:12:47,641 It's normal, Sister. It's just a few more minutes. 264 00:12:47,767 --> 00:12:50,519 I believe in a higher order that's in control of what happens, 265 00:12:50,645 --> 00:12:53,021 but not one anthropomorphic entity called "God" 266 00:12:53,148 --> 00:12:55,607 that's concerned with the everyday workings of you and me. 267 00:12:55,733 --> 00:12:58,318 What else is there to control but the everyday workings of you and me? 268 00:12:58,445 --> 00:13:00,654 It's always about you, Foreman. 269 00:13:00,780 --> 00:13:02,364 What are you talking about? The trees, the fish? 270 00:13:02,490 --> 00:13:04,616 Should they be the ones that think it's all about them? 271 00:13:04,742 --> 00:13:07,703 What about you, Chase? Do you believe in God? 272 00:13:08,830 --> 00:13:11,957 I believe Sister Augustine has no vascular pathology, 273 00:13:12,083 --> 00:13:13,125 which means no Churg-Strauss. 274 00:13:13,251 --> 00:13:14,376 Which means House made a mistake. 275 00:13:14,502 --> 00:13:15,544 No, not necessarily. 276 00:13:15,670 --> 00:13:18,380 It could be something else, thyrotoxicosis or a carcinoid. 277 00:13:18,506 --> 00:13:20,632 I don't get you. You don't believe in God, 278 00:13:20,758 --> 00:13:22,968 but you're willing to put complete faith in one man? 279 00:13:23,094 --> 00:13:25,596 Please. The smell. 280 00:13:25,722 --> 00:13:27,598 Let's get her out of there. 281 00:13:28,808 --> 00:13:29,975 I'm coming, Sister. I got you. 282 00:13:30,101 --> 00:13:32,686 - Please. The smell. - I'm coming. 283 00:13:32,812 --> 00:13:33,812 I'm gonna be sick. 284 00:13:33,938 --> 00:13:34,897 There's no smell. 285 00:13:35,023 --> 00:13:40,319 No. God. Oh! It's Jesus. It's Jesus! 286 00:13:40,987 --> 00:13:43,071 He's coming for me! 287 00:13:43,198 --> 00:13:45,324 He's burning me with his touch! 288 00:13:45,450 --> 00:13:47,409 Let's get her on some Ativan. 289 00:13:47,535 --> 00:13:49,244 The smells, religious visions, 290 00:13:49,370 --> 00:13:50,996 it's symptomatic of temporal lobe swelling. 291 00:13:51,122 --> 00:13:52,789 We don't want her to... 292 00:13:52,916 --> 00:13:55,667 She's seizing. Jaw block! 293 00:13:55,793 --> 00:13:57,169 Help me get her on her side. 294 00:13:59,005 --> 00:14:00,297 Religious visions? 295 00:14:00,423 --> 00:14:02,382 Yeah. And next comes... 296 00:14:10,099 --> 00:14:12,184 Patient tested positive for herpetic encephalitis. 297 00:14:12,310 --> 00:14:13,310 What's that tell us? 298 00:14:13,436 --> 00:14:14,895 Her immune system is severely compromised. 299 00:14:15,021 --> 00:14:18,023 Oh, I know. Prednisone compromises the immune system. 300 00:14:18,149 --> 00:14:19,441 Isn't that the medicine that you gave her 301 00:14:19,567 --> 00:14:20,734 for that thing she doesn't have? 302 00:14:20,860 --> 00:14:23,570 Yeah, that... Hey! 303 00:14:24,239 --> 00:14:25,822 I'm thinking that's a trick question. 304 00:14:25,949 --> 00:14:28,200 Her immune system is severely compromised. 305 00:14:28,326 --> 00:14:30,035 Two doses of prednisone wouldn't do that. 306 00:14:30,161 --> 00:14:32,829 Are you hanging your diagnosis on an adverb? 307 00:14:32,956 --> 00:14:34,748 In 10 seconds, I'm going to announce 308 00:14:34,874 --> 00:14:36,583 that I gave her the wrong dose in the clinic. 309 00:14:36,709 --> 00:14:37,918 You're gonna admit negligence? 310 00:14:38,044 --> 00:14:39,461 Unless you leave the room. 311 00:14:39,587 --> 00:14:41,463 If you stay, you'll have to testify. 312 00:14:42,674 --> 00:14:45,008 Five, four, 313 00:14:45,134 --> 00:14:47,511 three, two... 314 00:14:47,637 --> 00:14:49,638 So, there I was in the clinic, drunk. 315 00:14:49,764 --> 00:14:51,390 I opened the drawer, closed my eyes, 316 00:14:51,516 --> 00:14:54,393 take the first syringe I can find... 317 00:14:56,020 --> 00:14:59,189 So, what are the options for a compromised immune system? 318 00:14:59,315 --> 00:15:01,108 Mixed connective tissue disease. 319 00:15:01,234 --> 00:15:03,902 It'd explain why she was feeling better on the prednisone. 320 00:15:04,028 --> 00:15:07,030 Sure. She was feeling better right up to the moment it almost killed her. 321 00:15:07,156 --> 00:15:09,950 On the other hand, it explains the symptoms, 322 00:15:10,076 --> 00:15:12,911 swollen hands, pulmonary problems, cardiac problems. It all fits. 323 00:15:13,037 --> 00:15:14,788 Except her ANA was normal. 324 00:15:14,914 --> 00:15:15,872 So redraw the blood. 325 00:15:15,999 --> 00:15:17,082 But the treatment is corticosteroids, 326 00:15:17,208 --> 00:15:19,918 prednisone, and we can't go there because of the encephalitis. 327 00:15:20,044 --> 00:15:21,295 Then we'll treat it with something 328 00:15:21,421 --> 00:15:23,964 that modulates the immune system, but doesn't suppress it, 329 00:15:24,090 --> 00:15:25,632 hyperbaric oxygen chamber. 330 00:15:25,758 --> 00:15:29,219 There's no protocol for putting a patient in a high-pressure oxygen room 331 00:15:29,345 --> 00:15:30,804 to treat auto-immune problems. 332 00:15:30,930 --> 00:15:34,016 Oh, you people. Always with the protocols. 333 00:15:35,184 --> 00:15:38,937 Prep the nun and discontinue the prednisone. 334 00:15:45,111 --> 00:15:47,821 I am both amused and annoyed 335 00:15:47,947 --> 00:15:51,575 that you think I should be less stubborn than you are. 336 00:15:51,701 --> 00:15:54,786 You are aware of the Hippocratic oath, right? 337 00:15:55,204 --> 00:15:57,039 The one that starts, "First, do no harm," 338 00:15:57,165 --> 00:15:59,333 then goes on to tell us no abortions, no seductions, 339 00:15:59,459 --> 00:16:02,044 and definitely no cutting of those who labor beneath the stone? 340 00:16:02,170 --> 00:16:04,129 Yeah. I took a read once. Wasn't impressed. 341 00:16:04,255 --> 00:16:05,839 Hyperbaric treatments could cause 342 00:16:05,965 --> 00:16:08,133 oxygen toxicity, lung and eye damage. 343 00:16:08,259 --> 00:16:09,593 Every treatment has its dangers. 344 00:16:09,719 --> 00:16:10,969 Which is why we only treat 345 00:16:11,095 --> 00:16:13,805 if we're convinced the patient actually needs the treatment. 346 00:16:13,931 --> 00:16:16,266 I'm convinced. You're not. 347 00:16:17,185 --> 00:16:20,270 Question is, what are you gonna do about it? 348 00:16:22,690 --> 00:16:24,775 I have an opening Thursday at 3:00. 349 00:16:24,901 --> 00:16:26,234 Do you have a fourth? 350 00:16:26,653 --> 00:16:27,694 Is he any good? 351 00:16:29,155 --> 00:16:31,615 Can I call you right back? Okay. 352 00:16:33,660 --> 00:16:34,951 What's up? 353 00:16:38,539 --> 00:16:39,706 The pressure will force the oxygen 354 00:16:39,832 --> 00:16:41,875 into your system, saturate your blood. 355 00:16:42,001 --> 00:16:44,961 It will enhance white cell activity, reduce the inflammation. 356 00:16:45,088 --> 00:16:48,548 And that will help with this mixed connective tissue disease? 357 00:16:48,675 --> 00:16:51,968 We'll be doing about 10 treatments, and then we'll reevaluate. 358 00:16:52,136 --> 00:16:55,597 The last treatment with prednisone caused the seizures. 359 00:16:55,723 --> 00:16:58,725 How confident is Dr. House about this? 360 00:16:58,851 --> 00:17:01,353 That you reacted so strongly to the prednisone let us know 361 00:17:01,479 --> 00:17:04,022 that you had an underlying problem with your immune system. 362 00:17:04,148 --> 00:17:07,734 I guess it was a blessing, of sorts. 363 00:17:12,073 --> 00:17:14,408 So, who's your favorite reindeer, Nurse Arnold? 364 00:17:14,534 --> 00:17:15,575 Rudolph. 365 00:17:15,702 --> 00:17:16,576 I would've thought it was Vixen. 366 00:17:16,703 --> 00:17:17,786 What are you implying? 367 00:17:17,912 --> 00:17:19,121 Nothing. 368 00:17:19,247 --> 00:17:21,915 But I saw you at the Christmas party with Dr. Miles, 369 00:17:22,041 --> 00:17:25,085 and Dr. Jorkins and Nurse Crandall. 370 00:17:25,211 --> 00:17:27,045 I was just doing some Christmas dancing. 371 00:17:27,171 --> 00:17:30,549 This is a chapel, a house of prayer. 372 00:17:31,801 --> 00:17:33,552 House of prayer? 373 00:17:34,595 --> 00:17:37,097 That explains the good reception. 374 00:17:37,223 --> 00:17:39,433 Also why nobody's ever here. 375 00:17:41,269 --> 00:17:43,562 I need to talk with you, Dr. House. 376 00:17:43,688 --> 00:17:46,982 Sister Augustine believes in things that aren't real. 377 00:17:47,942 --> 00:17:51,027 I thought that was a job requirement for you people. 378 00:17:51,154 --> 00:17:54,698 She's been known to lie to get sympathy. 379 00:17:54,824 --> 00:17:56,825 She's a hypochondriac. 380 00:17:56,951 --> 00:18:00,996 So you're warning me that I may be treating a nonexistent ailment. 381 00:18:01,122 --> 00:18:03,790 Sore throats, joint pains. 382 00:18:03,916 --> 00:18:06,376 There's always something wrong, and there's never a reason for it. 383 00:18:06,502 --> 00:18:08,962 Mother Superior plays right into it, 384 00:18:09,088 --> 00:18:11,214 lets Augustine off work duties, 385 00:18:11,340 --> 00:18:14,426 treating her as fragile, special. 386 00:18:14,552 --> 00:18:16,553 That must make you angry. 387 00:18:18,097 --> 00:18:19,389 It bothers me. 388 00:18:19,515 --> 00:18:22,601 It's not really in Augustine's best interests. 389 00:18:26,856 --> 00:18:28,273 You want some? 390 00:18:29,817 --> 00:18:31,109 I shouldn't. 391 00:18:36,866 --> 00:18:40,994 I guess you gotta be good at reading people to be a good infirmarian? 392 00:18:42,455 --> 00:18:46,082 So, we've got pride, anger, envy, gluttony. 393 00:18:47,001 --> 00:18:50,253 That's four out of seven deadly sins in under two minutes. 394 00:18:50,379 --> 00:18:55,383 Do you people keep records of these things? Is there a "Cathlympics"? 395 00:18:55,510 --> 00:18:56,968 They say you have a gift. 396 00:18:57,094 --> 00:18:58,345 They like to talk. 397 00:18:58,471 --> 00:19:00,013 You hide behind your intelligence. 398 00:19:00,139 --> 00:19:01,556 Yeah. That's pretty stupid. 399 00:19:01,682 --> 00:19:05,227 And you make jokes because you're afraid to take anything seriously. 400 00:19:05,353 --> 00:19:07,646 Because if you take things seriously, they matter. 401 00:19:07,772 --> 00:19:08,772 And if they matter... 402 00:19:08,898 --> 00:19:10,690 When things go wrong, I get hurt. 403 00:19:10,817 --> 00:19:12,192 I'm not tough. I'm vulnerable. 404 00:19:12,360 --> 00:19:13,985 I barely know you. 405 00:19:14,111 --> 00:19:15,195 And I don't know if I'm right. 406 00:19:15,321 --> 00:19:17,072 I just hope I am. 407 00:19:17,365 --> 00:19:19,950 Because the alternative is 408 00:19:20,076 --> 00:19:23,119 you really are as miserable as you seem to be. 409 00:19:25,498 --> 00:19:28,208 You know, from the way you're looking at me right now, 410 00:19:28,334 --> 00:19:30,877 I'd say you just hit number five. 411 00:19:31,546 --> 00:19:32,712 Lust. 412 00:19:46,352 --> 00:19:48,854 Dr. Brown, I love you, too. 413 00:19:57,697 --> 00:19:58,989 How are you feeling? 414 00:19:59,115 --> 00:20:00,490 A little weak. 415 00:20:00,616 --> 00:20:01,992 That's from the oxygen. 416 00:20:02,118 --> 00:20:03,577 My mouth is dry. 417 00:20:03,703 --> 00:20:07,163 Okay. Well, I'll get you some of your tea. 418 00:20:09,417 --> 00:20:11,084 Mixed connective tissue disease? 419 00:20:11,210 --> 00:20:13,044 Her ANA is barely elevated. 420 00:20:13,170 --> 00:20:14,588 Thanks for checking up on her. 421 00:20:14,714 --> 00:20:15,881 Good to know you got my back. 422 00:20:16,007 --> 00:20:17,924 O2 sat's down to 83. 423 00:20:18,092 --> 00:20:19,801 Pulmonary problems, breathing problems. 424 00:20:19,927 --> 00:20:21,928 Irritation from the oxygen is typical. 425 00:20:22,054 --> 00:20:24,389 She comes in with a rash, and you put her into cardiac arrest. 426 00:20:24,515 --> 00:20:27,058 That well just never runs dry, does it? 427 00:20:27,184 --> 00:20:28,935 If there was no underlying problem, 428 00:20:29,103 --> 00:20:30,645 why is she still having the rapid heart rate? 429 00:20:30,771 --> 00:20:33,273 Maybe from the herpetic encephalitis caused by you giving her prednisone. 430 00:20:33,399 --> 00:20:35,609 Her reaction is a symptom, not an error. 431 00:20:35,735 --> 00:20:36,776 There's always an explanation, isn't there? 432 00:20:36,903 --> 00:20:37,903 Yes, there is. 433 00:20:38,029 --> 00:20:39,112 And if this one doesn't work, we'll find another. 434 00:20:39,238 --> 00:20:40,822 But never one involving you screwing up. 435 00:20:40,948 --> 00:20:42,699 One that fits all the facts. 436 00:20:42,825 --> 00:20:46,161 Look, we obviously have a difference of opinion, and that's fine. 437 00:20:46,287 --> 00:20:48,747 But, unfortunately, I've used up all the time I budgeted today 438 00:20:48,873 --> 00:20:50,206 for banging my head against a wall. 439 00:20:50,333 --> 00:20:53,043 I'm gonna do you the biggest favor one doctor can do for another. 440 00:20:53,169 --> 00:20:56,254 I am gonna stop you from killing your patient. 441 00:20:56,380 --> 00:20:58,173 You're off the case. 442 00:21:17,610 --> 00:21:18,693 We're gonna treat the symptoms. 443 00:21:18,819 --> 00:21:19,819 Not the underlying condition? 444 00:21:19,946 --> 00:21:20,987 There is no underlying condition. 445 00:21:21,113 --> 00:21:22,280 What's her status? 446 00:21:22,406 --> 00:21:24,449 The sister's breathing is labored. 447 00:21:24,575 --> 00:21:26,076 Pneumonitis from the hyperbaric chamber. 448 00:21:26,202 --> 00:21:28,828 Put her on 40% oxygen until her O2 sats increase. 449 00:21:28,955 --> 00:21:30,330 BUN and creatinine's rising. 450 00:21:30,456 --> 00:21:32,499 ALT and AST twice the normal range. 451 00:21:32,625 --> 00:21:34,584 Could be from the hypotensive episode. 452 00:21:34,752 --> 00:21:36,711 Let's follow them with labs. 453 00:21:36,837 --> 00:21:39,923 She still has the rash and joint pain she came in with. 454 00:21:40,049 --> 00:21:41,174 Order a nonsteroidal anti-inflammatory. 455 00:21:41,300 --> 00:21:42,258 When we were looking 456 00:21:42,385 --> 00:21:44,636 at the differential diagnosis with Dr. House, we were considering... 457 00:21:44,762 --> 00:21:46,972 I don't need to hear what Dr. House was considering. 458 00:21:47,098 --> 00:21:51,226 All of this woman's symptoms can be traced to Dr. House's considerations. 459 00:21:53,312 --> 00:21:54,813 Okay. 460 00:21:55,856 --> 00:21:57,691 Let's just get this patient healthy. 461 00:21:57,817 --> 00:22:00,485 I want her going out the front door and not the back. 462 00:22:02,571 --> 00:22:04,447 Hey, it's not like I betrayed him. 463 00:22:04,573 --> 00:22:07,117 Cuddy would have found out about the hyperbaric treatments eventually. 464 00:22:07,243 --> 00:22:09,703 You did what you thought you had to. 465 00:22:25,970 --> 00:22:28,179 Can't get enough of this place? 466 00:22:30,099 --> 00:22:31,850 Came for my stethoscope. 467 00:22:31,976 --> 00:22:34,728 So I shouldn't read too much into the fact that you were looking for it 468 00:22:34,854 --> 00:22:37,272 in the drawer with the epinephrine syringes in it? 469 00:22:38,733 --> 00:22:42,110 Okay. Yeah, I'd like to clear my reputation. 470 00:22:42,236 --> 00:22:45,321 Oh, right. I forgot how much you care about what people think. 471 00:22:45,448 --> 00:22:48,241 Prescribing cigarettes for inflammatory bowel? 472 00:22:48,367 --> 00:22:50,702 That's... They cause lung cancer, you know. 473 00:22:50,828 --> 00:22:53,246 You know why they have ribbons for breast cancer, 474 00:22:53,372 --> 00:22:57,000 colorectal cancer, prostate cancer and not for lung cancer? 475 00:22:57,126 --> 00:22:59,169 They ran out of colors? 476 00:22:59,295 --> 00:23:01,963 It's because people blame lung cancer patients. 477 00:23:02,089 --> 00:23:03,965 They smoke. They screwed up. They deserve to die. 478 00:23:04,091 --> 00:23:06,217 The reason people die from lung cancer is guilt. 479 00:23:06,343 --> 00:23:07,635 Huh. 480 00:23:08,179 --> 00:23:11,181 Well, guilt does a lot of damage. 481 00:23:11,724 --> 00:23:13,933 You said that with great significance. 482 00:23:14,060 --> 00:23:16,102 You're not here to find your stethoscope. 483 00:23:16,228 --> 00:23:18,813 You're not here to clear your reputation. 484 00:23:18,939 --> 00:23:21,941 You're here because you're having doubts. You might have screwed up. 485 00:23:22,068 --> 00:23:23,359 I'm here because, if I'm right, 486 00:23:23,486 --> 00:23:24,736 Cuddy is killing that patient. 487 00:23:24,862 --> 00:23:27,322 Okay. But if you're wrong? 488 00:23:29,992 --> 00:23:30,950 Then she's saving her. 489 00:23:31,077 --> 00:23:31,951 Fine. 490 00:23:32,078 --> 00:23:34,037 You're gonna have to go through every record of every patient 491 00:23:34,163 --> 00:23:36,581 who's been through this clinic in the last two days. 492 00:23:36,707 --> 00:23:39,834 And you're gonna have to hope that those records can be trusted. 493 00:23:39,960 --> 00:23:42,170 Which, by the way, yours can't. 494 00:23:52,848 --> 00:23:54,474 These pills will help your kidneys 495 00:23:54,600 --> 00:23:56,643 function a little better, Sister. 496 00:24:03,192 --> 00:24:04,859 Get your wrist? 497 00:24:07,738 --> 00:24:08,947 What's that? 498 00:24:09,615 --> 00:24:10,824 104. 499 00:24:11,742 --> 00:24:13,076 Is that good? 500 00:24:13,828 --> 00:24:15,161 It's fine. 501 00:24:16,080 --> 00:24:18,248 You're a lousy liar, Dr. Chase. 502 00:24:26,006 --> 00:24:28,174 I have to get this. Excuse me. 503 00:24:31,137 --> 00:24:33,763 My mother's been dead for 10 years. 504 00:24:34,765 --> 00:24:36,891 But she's always with you in spirit. 505 00:24:37,017 --> 00:24:38,351 What do you know about the nun? 506 00:24:38,477 --> 00:24:39,811 Which one? 507 00:24:39,937 --> 00:24:42,438 The cute one. I think she likes me. 508 00:24:42,565 --> 00:24:44,149 The sick one, obviously. 509 00:24:44,316 --> 00:24:45,859 Her parents died when she was a child, 510 00:24:45,985 --> 00:24:47,277 and she's been with the Church ever since. 511 00:24:47,403 --> 00:24:48,611 What's she lying about? 512 00:24:48,737 --> 00:24:49,863 Why do you say that? 513 00:24:50,030 --> 00:24:51,322 I always say that. 514 00:24:51,448 --> 00:24:54,367 And the old nun thinks the sick nun is a big fat nun liar. 515 00:24:54,493 --> 00:24:55,618 You know nuns. What do you think? 516 00:24:55,744 --> 00:24:56,870 I don't know nuns. 517 00:24:56,996 --> 00:25:00,373 You hate nuns. You can't hate someone if you don't know them. 518 00:25:00,499 --> 00:25:03,042 Know any Nazis? Maybe I hate them on principle. 519 00:25:04,295 --> 00:25:07,088 I have a theory about what makes good boys good. 520 00:25:07,214 --> 00:25:09,757 It's not because of some moral imperative. 521 00:25:09,884 --> 00:25:12,844 Good boys have the fear of God put into them. 522 00:25:12,970 --> 00:25:15,805 Catholic Church specializes in that kind of training 523 00:25:15,931 --> 00:25:18,892 to make good boys afraid of divine retribution, 524 00:25:19,018 --> 00:25:20,935 so they'll do what their daddies tell them, 525 00:25:21,061 --> 00:25:23,479 like, for example, going into medical school 526 00:25:23,606 --> 00:25:25,815 when it's the last thing they wanna do. 527 00:25:25,941 --> 00:25:28,568 What do you think? 528 00:25:28,694 --> 00:25:32,113 I think, if she did have a secret, her boss would know. 529 00:25:37,494 --> 00:25:39,621 Did you paint or put in new carpets recently? 530 00:25:39,747 --> 00:25:40,788 No. 531 00:25:40,915 --> 00:25:42,582 Any way she could have got access to drugs? 532 00:25:42,708 --> 00:25:44,959 We lock all our medications in the infirmary, 533 00:25:45,085 --> 00:25:47,337 and we don't keep prescription drugs here. 534 00:25:47,463 --> 00:25:51,799 Why haven't you asked Sister Augustine about these things directly? 535 00:25:51,926 --> 00:25:54,010 I've found that when you want to know the truth about someone, 536 00:25:54,136 --> 00:25:56,763 that someone is probably the last person you should ask. 537 00:25:56,889 --> 00:25:57,847 Ah. 538 00:25:57,973 --> 00:26:00,767 And have you been speaking to Sister Eucharist? 539 00:26:00,893 --> 00:26:03,478 She ratted out her fellow sister pretty quickly. 540 00:26:03,604 --> 00:26:05,813 If I were you, I'd have her repeat a year of nun school. 541 00:26:05,940 --> 00:26:09,108 Well, becoming a nun doesn't make you a saint. 542 00:26:09,235 --> 00:26:10,735 Becoming a doctor doesn't make you a healer. 543 00:26:11,987 --> 00:26:13,446 And just because we live in a monastery, 544 00:26:13,572 --> 00:26:15,073 and we spend most of our time in prayer, 545 00:26:15,199 --> 00:26:17,742 doesn't mean we don't find time for drama. 546 00:26:17,868 --> 00:26:20,870 So, what is the sick one's drama? 547 00:26:20,996 --> 00:26:24,082 Sister Augustine lived in Catholic foster care 548 00:26:24,208 --> 00:26:26,417 until she came to us. 549 00:26:27,920 --> 00:26:29,087 Tea? 550 00:26:29,213 --> 00:26:30,380 Sure. 551 00:26:33,175 --> 00:26:35,677 Do all of you lie? 552 00:26:35,803 --> 00:26:38,554 It's a good strategy, it's simpler when you all tell the same lie. 553 00:26:38,681 --> 00:26:41,724 She has not spent her entire life as a good Catholic. 554 00:26:41,850 --> 00:26:43,059 When she had a cardiac arrest, 555 00:26:43,185 --> 00:26:45,228 I had to open her blouse to do CPR. 556 00:26:45,354 --> 00:26:48,940 And I learned two things, nuns can have nice breasts, 557 00:26:49,066 --> 00:26:52,902 and she has a tattoo on her shoulder of a skunk. 558 00:26:54,321 --> 00:26:57,031 Now, maybe it's the sacred skunk of Joseph, 559 00:26:57,157 --> 00:27:00,785 but as far as I know, Catholic foster care and monasteries 560 00:27:00,911 --> 00:27:03,538 do not keep tattoo parlors in their refectories. 561 00:27:03,664 --> 00:27:06,082 We consider that our life begins 562 00:27:06,208 --> 00:27:09,168 when we put on our habits and take our vows. 563 00:27:10,462 --> 00:27:11,671 What happens before then... 564 00:27:11,797 --> 00:27:14,215 Is irrelevant to you, but it's relevant to me. 565 00:27:18,554 --> 00:27:21,848 Sister Augustine went into foster care when she was six years old, 566 00:27:21,974 --> 00:27:24,684 but she left when she was 12. 567 00:27:24,810 --> 00:27:27,770 She lived on the streets. She got into drugs. 568 00:27:28,772 --> 00:27:31,024 When she was 15, she became pregnant. 569 00:27:31,150 --> 00:27:33,151 Tried to self-abort. 570 00:27:33,277 --> 00:27:35,903 She lost the child. She became ill. 571 00:27:36,030 --> 00:27:38,031 We took her in when she came back. 572 00:27:38,157 --> 00:27:42,410 If we had thought it was medically relevant, we would have told you. 573 00:27:44,371 --> 00:27:45,705 It's not. 574 00:27:54,506 --> 00:27:58,426 This tea is delicious. Local herbs? 575 00:27:59,720 --> 00:28:00,845 Any change with the medication? 576 00:28:00,971 --> 00:28:02,555 Yes. She's getting worse. 577 00:28:02,681 --> 00:28:04,140 Lung function's deteriorating. 578 00:28:04,266 --> 00:28:06,017 BUN and creatinine continuing to rise. 579 00:28:06,143 --> 00:28:08,519 She's starting to run a fever, and the rash is spreading. 580 00:28:08,645 --> 00:28:09,812 At this rate, she's not gonna make Christmas. 581 00:28:09,938 --> 00:28:10,938 Maybe House is right. 582 00:28:11,065 --> 00:28:13,232 Maybe there is an underlying condition that explains the symptoms. 583 00:28:13,359 --> 00:28:14,567 Something we haven't considered. 584 00:28:14,693 --> 00:28:15,610 Like what? 585 00:28:15,736 --> 00:28:16,944 It could be a metabolic disorder. 586 00:28:17,071 --> 00:28:19,113 - Specifically? - Might be genetic. 587 00:28:19,239 --> 00:28:20,114 Specifically? 588 00:28:20,240 --> 00:28:21,115 I'm just saying... 589 00:28:21,241 --> 00:28:22,617 You're just saying you think House is right. 590 00:28:22,743 --> 00:28:23,868 Might be right. 591 00:28:23,994 --> 00:28:25,036 Of course he might be right. 592 00:28:25,162 --> 00:28:27,580 It might be the hand of God at work. Don't say it's something else 593 00:28:27,706 --> 00:28:30,708 unless you've got something concrete to offer. 594 00:28:33,670 --> 00:28:34,670 What's this, hemlock? 595 00:28:34,797 --> 00:28:38,216 I'm gonna do you the biggest favor one doctor can do another. 596 00:28:38,342 --> 00:28:40,676 I'm gonna stop you from killing your patient. 597 00:28:41,428 --> 00:28:43,137 It's figwort tea, 598 00:28:43,263 --> 00:28:45,598 great for that little pick-me-up we're all looking for in the morning. 599 00:28:45,724 --> 00:28:48,935 Opens the lungs, increases the blood pressure, stimulates the heart. 600 00:28:49,061 --> 00:28:51,187 Unfortunately, if you then get injected 601 00:28:51,313 --> 00:28:54,148 with even 0.1 cc of epinephrine, 602 00:28:54,274 --> 00:28:56,609 instant cardiac arrest. 603 00:28:56,735 --> 00:28:57,985 Still, what the hell, it tastes great. 604 00:28:58,112 --> 00:28:59,529 Sister Augustine... 605 00:28:59,655 --> 00:29:02,698 Has been drinking it religiously, so to speak. 606 00:29:02,825 --> 00:29:04,992 And if you take the cardiac arrest out of the equation... 607 00:29:05,119 --> 00:29:06,619 All the rest of the symptoms can be explained 608 00:29:06,745 --> 00:29:09,163 by a severe long-term allergic reaction. 609 00:29:09,289 --> 00:29:11,541 Well, that's what Cameron said in the beginning. 610 00:29:11,667 --> 00:29:14,919 Yes, she did. Well done. 611 00:29:16,171 --> 00:29:18,756 But your unwillingness to stick by your diagnosis 612 00:29:18,882 --> 00:29:20,591 almost killed this woman. 613 00:29:20,717 --> 00:29:21,926 Take a lesson from Foreman. 614 00:29:22,052 --> 00:29:23,886 Stand up for what you believe. 615 00:29:24,763 --> 00:29:27,723 Okay. Let's go figure out how to save a nun. 616 00:29:28,809 --> 00:29:31,436 Damned if you do, damned if you don't. 617 00:29:32,479 --> 00:29:34,147 Because it's been untreated for so long, 618 00:29:34,273 --> 00:29:36,941 it's gone from a simple "watery eyes, scratchy throat" allergy 619 00:29:37,067 --> 00:29:39,235 to a whopping "I'm gonna kick your ass" allergy, 620 00:29:39,361 --> 00:29:41,946 compromising her immune system, diminishing her ability to heal 621 00:29:42,072 --> 00:29:43,448 and breaking down her organ systems. 622 00:29:43,574 --> 00:29:44,866 So, what's the source? 623 00:29:44,992 --> 00:29:46,742 The dish soap. 624 00:29:46,869 --> 00:29:49,954 No. The symptoms persisted days after the dish-washing episode. 625 00:29:50,080 --> 00:29:51,289 It's gotta be something she's been exposed to 626 00:29:51,415 --> 00:29:53,207 here in the hospital as well as the monastery. 627 00:29:53,333 --> 00:29:55,710 What about the tea? It caused her arrhythmia. 628 00:29:55,836 --> 00:29:57,170 Could be, but it's not definitive. 629 00:29:57,296 --> 00:29:58,629 We'll skin-test for allergens. 630 00:29:58,755 --> 00:30:00,214 Not yet. She's too reactive. 631 00:30:00,340 --> 00:30:02,300 She tests positive to everything. We need to stabilize her, 632 00:30:02,426 --> 00:30:05,303 isolate her from all possible allergens, give her system a rest. 633 00:30:05,429 --> 00:30:06,429 Get her in a clean room. 634 00:30:06,555 --> 00:30:07,555 Okay. 635 00:30:07,681 --> 00:30:09,974 Then gradually introduce allergens and see how she responds. 636 00:30:10,100 --> 00:30:13,769 When she reacts to something, we'll know that's what's killing her. 637 00:30:14,480 --> 00:30:17,064 There you go. No television, no books. 638 00:30:17,191 --> 00:30:18,232 Not even my Bible? 639 00:30:18,358 --> 00:30:19,317 I'm afraid not. 640 00:30:19,443 --> 00:30:21,694 This room has filtered air, filtered water. 641 00:30:21,820 --> 00:30:23,154 You even have silk sheets. 642 00:30:23,280 --> 00:30:25,239 Very decadent and hypoallergenic. 643 00:30:25,908 --> 00:30:28,451 You should be feeling better here. 644 00:30:31,830 --> 00:30:34,707 We'll be back to check on you in a little while. 645 00:30:34,833 --> 00:30:37,877 Can the other sisters come in and pray with me? 646 00:30:39,379 --> 00:30:42,089 It'd be better if you don't have any visitors. 647 00:30:42,216 --> 00:30:44,091 Once we isolate what's causing your allergy, 648 00:30:44,218 --> 00:30:46,761 then we can be a little more lax. 649 00:30:57,898 --> 00:30:59,690 I can pray with you. 650 00:31:00,817 --> 00:31:02,527 I don't wanna die. 651 00:31:03,779 --> 00:31:05,738 Why has He left me? 652 00:31:15,832 --> 00:31:17,833 I was in seminary school. 653 00:31:19,670 --> 00:31:22,213 They asked us once what our favorite passage was. 654 00:31:22,339 --> 00:31:25,550 I chose First Peter, chapter one, verse seven. 655 00:31:27,386 --> 00:31:29,971 "These trials only test your faith to see whether or not 656 00:31:30,097 --> 00:31:31,764 "it is strong and pure." 657 00:31:31,890 --> 00:31:36,602 "Your faith is being tested, as fire tests gold and purifies it." 658 00:31:36,728 --> 00:31:39,939 "And your faith is far more precious to the Lord than mere gold." 659 00:31:40,065 --> 00:31:42,567 "So if your faith remains strong after being tested, 660 00:31:42,693 --> 00:31:47,238 "it will bring you much praise and glory and honor 661 00:31:48,907 --> 00:31:50,866 "on the day of his return." 662 00:31:51,743 --> 00:31:53,452 He hasn't left you. 663 00:31:56,957 --> 00:31:59,917 The only thing in the way of you knowing He's there is your fear. 664 00:32:00,043 --> 00:32:02,878 You have a choice, faith or fear. 665 00:32:04,590 --> 00:32:05,715 That's the test. 666 00:32:05,841 --> 00:32:07,800 Choosing faith doesn't mean I won't die. 667 00:32:07,926 --> 00:32:11,220 But it will affect how you experience your death, 668 00:32:11,346 --> 00:32:14,724 and, therefore, your life. It's up to you. 669 00:32:14,850 --> 00:32:17,393 Why did you leave seminary school? 670 00:32:19,479 --> 00:32:20,896 That test. 671 00:32:22,065 --> 00:32:24,817 You passed. I didn't. 672 00:32:26,320 --> 00:32:27,820 We'll call you if anything changes. 673 00:32:27,946 --> 00:32:29,363 Will she be all right? 674 00:32:29,573 --> 00:32:31,115 As long as she's not exposed to anything 675 00:32:31,241 --> 00:32:33,534 that can aggravate her allergy, she'll be fine. 676 00:32:34,745 --> 00:32:36,746 I need some help in here! 677 00:32:42,294 --> 00:32:44,337 Screw the procedure! She's in anaphylactic shock! 678 00:32:44,463 --> 00:32:45,546 No way. She's in a damn clean room. 679 00:32:45,672 --> 00:32:46,672 You kidding me? 680 00:32:46,798 --> 00:32:48,090 Get in here! 681 00:32:50,135 --> 00:32:51,719 0.1 cc of epi. 682 00:32:51,845 --> 00:32:53,512 We've got to intubate. 683 00:32:53,639 --> 00:32:55,931 I got it. Get the ambu bag. 684 00:33:08,695 --> 00:33:09,779 I'm in. 685 00:33:22,668 --> 00:33:24,585 Breathing's stabilized. 686 00:33:26,463 --> 00:33:28,089 It's a clean room. 687 00:33:36,598 --> 00:33:39,809 How do you get an allergic reaction in a clean room? 688 00:33:41,019 --> 00:33:43,104 Maybe it was the preservatives in the IV. 689 00:33:43,230 --> 00:33:45,022 Checked that. 690 00:33:45,148 --> 00:33:46,107 Latex tubing? 691 00:33:46,233 --> 00:33:48,526 Checked that. Checked everything. 692 00:33:48,652 --> 00:33:50,820 Well, it could be mast cell leukemia. 693 00:33:50,946 --> 00:33:52,530 It can cause anaphylaxis. 694 00:33:52,656 --> 00:33:54,532 I checked the blood levels, 695 00:33:54,658 --> 00:33:58,786 and it's not eosinophilia or idiopathic anaphylaxis. 696 00:33:58,912 --> 00:34:00,913 Maybe it's just divine will. 697 00:34:02,416 --> 00:34:03,999 It's not my will. 698 00:34:08,088 --> 00:34:11,298 You do realize, if you're wrong 699 00:34:11,425 --> 00:34:12,925 about the big picture, that is, 700 00:34:13,051 --> 00:34:14,885 you're going to burn, right? 701 00:34:15,011 --> 00:34:17,054 What do you want me to do, just accept it, pack it in? 702 00:34:17,180 --> 00:34:18,764 Yeah. I want you to accept that 703 00:34:18,890 --> 00:34:20,891 sometimes patients die against all reason, 704 00:34:21,017 --> 00:34:22,727 and sometimes they get better against all reason. 705 00:34:22,853 --> 00:34:25,229 No, they don't. We just don't know the reason. 706 00:34:25,355 --> 00:34:27,982 I think the nuns would agree with you on that. 707 00:34:37,159 --> 00:34:38,701 I just wanted to say that 708 00:34:38,827 --> 00:34:40,077 I know that you did everything you could. 709 00:34:40,203 --> 00:34:43,581 I don't need verification from you to know that I'm doing my job well. 710 00:34:43,707 --> 00:34:45,166 That's your problem, not mine. 711 00:34:45,292 --> 00:34:46,667 I was just being nice. 712 00:34:46,793 --> 00:34:49,754 Yeah, well, you don't need to always do that. 713 00:34:51,882 --> 00:34:53,632 Merry Christmas. 714 00:35:04,686 --> 00:35:07,062 Sister Augustine's been extubated. 715 00:35:08,690 --> 00:35:09,690 Good. 716 00:35:09,816 --> 00:35:12,485 She's requested to check out, against medical advice. 717 00:35:12,611 --> 00:35:14,195 She wants to go back to the monastery. 718 00:35:14,321 --> 00:35:16,655 Well, talk her out of it. 719 00:35:17,616 --> 00:35:20,201 I think I may have talked her into it. 720 00:35:36,927 --> 00:35:39,094 Room's paid up for the rest of the week. 721 00:35:40,722 --> 00:35:42,515 Might as well stick around. 722 00:35:42,641 --> 00:35:45,893 This illness is a test of my faith. 723 00:35:46,937 --> 00:35:51,482 If it's His will to take me, it doesn't matter where I am. 724 00:35:51,608 --> 00:35:53,192 I can accept that. 725 00:35:54,027 --> 00:35:56,779 Does anybody believe anything you say? 726 00:35:58,365 --> 00:36:00,115 You're not accepting. 727 00:36:01,868 --> 00:36:03,702 You're running away. 728 00:36:03,829 --> 00:36:06,038 Just like you always do. 729 00:36:06,164 --> 00:36:09,083 You ran away from the monastery to get laid. 730 00:36:10,210 --> 00:36:11,836 You ran away from the real world 731 00:36:11,962 --> 00:36:13,796 when getting laid didn't work out so good. 732 00:36:14,130 --> 00:36:17,925 Now things aren't working out again, so off you go. 733 00:36:18,051 --> 00:36:21,929 Why is it so difficult for you to believe in God? 734 00:36:22,055 --> 00:36:26,267 What I have difficulty with is the whole concept of belief. 735 00:36:26,393 --> 00:36:28,853 Faith isn't based on logic and experience. 736 00:36:28,979 --> 00:36:32,815 I experience God on a daily basis 737 00:36:32,941 --> 00:36:35,401 and the miracle of life all around, 738 00:36:36,152 --> 00:36:39,947 the miracle of birth, the miracle of love. 739 00:36:40,782 --> 00:36:42,825 He is always with me. 740 00:36:42,951 --> 00:36:47,705 Where is the miracle in delivering a crack-addicted baby? 741 00:36:49,791 --> 00:36:53,544 Then watching her mother abandon her 'cause she needs another score? 742 00:36:53,670 --> 00:36:54,920 Miracle of love. 743 00:36:55,046 --> 00:36:58,257 You're over twice as likely to be killed 744 00:36:58,383 --> 00:37:01,760 by the person you love than by a stranger. 745 00:37:01,887 --> 00:37:04,597 Are you trying to talk me out of my faith? 746 00:37:04,723 --> 00:37:08,642 You can have all the faith you want in spirits and the afterlife, 747 00:37:08,768 --> 00:37:11,312 heaven and hell. 748 00:37:11,438 --> 00:37:15,190 But when it comes to this world, don't be an idiot. 749 00:37:15,317 --> 00:37:17,359 'Cause you can tell me that you put your faith in God 750 00:37:17,485 --> 00:37:18,944 to get you through the day, 751 00:37:19,070 --> 00:37:21,906 but when it comes time to cross the road, I know you look both ways. 752 00:37:22,032 --> 00:37:26,702 I don't believe He is inside me and is going to save me. 753 00:37:26,828 --> 00:37:31,457 I believe He is inside me whether I live or die. 754 00:37:31,583 --> 00:37:33,792 Then you might as well live. 755 00:37:35,545 --> 00:37:38,047 You got a better shot betting on me than on Him. 756 00:37:39,841 --> 00:37:41,300 When I was 15, 757 00:37:42,552 --> 00:37:46,931 I was on every kind of birth control known to man 758 00:37:47,057 --> 00:37:49,099 and I still got pregnant. 759 00:37:50,518 --> 00:37:52,394 I blamed God. 760 00:37:52,520 --> 00:37:55,022 I hated Him for ruining my life. 761 00:37:55,482 --> 00:37:57,775 But then I realized something. 762 00:37:57,901 --> 00:38:03,238 You can't be angry with God and not believe in Him at the same time. 763 00:38:03,365 --> 00:38:06,909 No one can. Not even you, Dr. House. 764 00:38:12,123 --> 00:38:13,666 How'd it go? 765 00:38:13,792 --> 00:38:15,709 She has God inside her. 766 00:38:16,169 --> 00:38:19,338 It would have been easier to deal with a tumor. 767 00:38:19,464 --> 00:38:21,757 Maybe she's allergic to God. 768 00:38:26,763 --> 00:38:28,305 We've looked everywhere for an allergen 769 00:38:28,431 --> 00:38:29,723 that could be causing this reaction, 770 00:38:29,849 --> 00:38:31,433 except one place, inside her. 771 00:38:31,559 --> 00:38:33,602 On her medical history, she didn't mention any surgery. 772 00:38:33,728 --> 00:38:34,770 She had one. 773 00:38:34,896 --> 00:38:36,480 Can we get her records? What hospital was it at? 774 00:38:36,606 --> 00:38:38,524 She didn't have it at a hospital. 775 00:38:38,650 --> 00:38:39,984 Order a full body scan. 776 00:38:40,110 --> 00:38:41,568 What if she refuses? 777 00:38:41,695 --> 00:38:44,154 Tell her I'm looking for a miracle. 778 00:38:46,324 --> 00:38:49,201 No piercings. No fillings. 779 00:38:49,327 --> 00:38:52,788 No surgical pins in the arm. No implants. 780 00:38:52,914 --> 00:38:54,581 It's clean as a whistle. 781 00:38:54,708 --> 00:38:56,208 What's House looking for? 782 00:38:58,044 --> 00:38:59,628 What is that? 783 00:38:59,796 --> 00:39:01,171 Don't know. 784 00:39:01,297 --> 00:39:03,841 Lock on it. Get a 3-D representation. 785 00:39:09,764 --> 00:39:11,056 Oh, my God. 786 00:39:14,686 --> 00:39:19,648 The copper cross, form of birth control pulled off the market in the '80s. 787 00:39:19,774 --> 00:39:21,442 So she's allergic to copper. 788 00:39:21,818 --> 00:39:23,235 Rare, but it happens. 789 00:39:23,361 --> 00:39:25,195 Wouldn't she know she had an IUD? 790 00:39:25,321 --> 00:39:27,614 She had an abortion. IUD must have been left in, 791 00:39:27,741 --> 00:39:30,909 embedded in the endometrial tissue where it couldn't be detected. 792 00:39:31,494 --> 00:39:33,871 So, all we have to do is remove the IUD. 793 00:39:33,997 --> 00:39:36,290 Then the symptoms should subside. 794 00:39:36,416 --> 00:39:38,709 I got this IUD when I was 15. 795 00:39:38,960 --> 00:39:40,919 It's been more than 20 years. 796 00:39:41,046 --> 00:39:44,214 Prolonged exposure to an allergen with minimal symptoms. 797 00:39:44,340 --> 00:39:46,884 But at some point, all it takes is one last contact 798 00:39:47,010 --> 00:39:48,677 to cause a full-blown reaction. 799 00:39:48,803 --> 00:39:53,098 Just like a balloon filled with air, one last breath, it explodes. 800 00:39:53,224 --> 00:39:56,894 The first time I got the rash was when I was washing the copper cookware. 801 00:39:57,020 --> 00:40:01,565 And all your subsequent symptoms came from ingesting food prepared in it. 802 00:40:01,775 --> 00:40:04,151 Dr. House found his miracle. 803 00:40:04,277 --> 00:40:06,195 I doubt he'll interpret it that way. 804 00:40:08,531 --> 00:40:10,824 You told me your favorite passage. 805 00:40:10,950 --> 00:40:13,160 Would you like to hear mine? 806 00:40:14,746 --> 00:40:16,789 "Celebrate and be glad, 807 00:40:16,915 --> 00:40:19,708 "because your brother was dead and is alive again." 808 00:40:19,834 --> 00:40:21,627 The prodigal son. 809 00:40:23,129 --> 00:40:25,964 He'll be waiting for you when you're ready. 810 00:40:28,134 --> 00:40:30,844 We'll schedule your surgery for tomorrow. 811 00:40:37,477 --> 00:40:39,311 The sixth circle of hell. 812 00:40:39,437 --> 00:40:41,605 Confined in a sweat box with a bloody nose, 813 00:40:41,731 --> 00:40:43,107 and all the tissues are soggy. 814 00:40:43,233 --> 00:40:44,316 I think that's the seventh. 815 00:40:44,442 --> 00:40:45,484 No. The seventh is... 816 00:40:45,610 --> 00:40:47,236 God, you must be fun at parties. 817 00:40:47,362 --> 00:40:49,488 I think we both know the flaw in that theory. 818 00:40:49,614 --> 00:40:50,697 How's the sister? 819 00:40:50,824 --> 00:40:52,991 Heart rate is normal, kidneys functioning. 820 00:40:53,118 --> 00:40:54,076 You know how it is with nuns. 821 00:40:54,202 --> 00:40:56,453 You take out their IUDs, they just bounce right back. 822 00:40:56,579 --> 00:40:57,704 Great. 823 00:40:57,831 --> 00:40:58,872 Told you I didn't screw up. 824 00:41:00,583 --> 00:41:01,458 You screwed up. 825 00:41:01,584 --> 00:41:03,669 I gave her 0.1cc of epinephrine. 826 00:41:03,795 --> 00:41:07,381 Yeah, and if Cuddy hadn't taken you off the case, you would have killed her. 827 00:41:08,883 --> 00:41:11,802 You wanna come over for Christmas dinner? 828 00:41:11,928 --> 00:41:13,720 You're Jewish. 829 00:41:13,888 --> 00:41:15,472 Yeah. Hanukkah dinner. 830 00:41:15,598 --> 00:41:17,391 What do you care? It's food. It's people. 831 00:41:17,517 --> 00:41:19,184 No, thanks. 832 00:41:20,478 --> 00:41:22,771 Maybe I'll come to your place. 833 00:41:22,897 --> 00:41:24,815 Your wife doesn't mind being alone at Christmas? 834 00:41:24,941 --> 00:41:27,860 I'm a doctor. She's used to being alone. 835 00:41:29,737 --> 00:41:32,197 - I don't wanna talk about it. - Neither do I. 836 00:41:36,202 --> 00:41:38,245 You did good with the nun. 837 00:41:38,830 --> 00:41:40,539 Congratulations. 838 00:41:41,624 --> 00:41:42,875 Thank you. 839 00:41:43,501 --> 00:41:46,795 Merry Christmas, Dr. House. Dr. Wilson. 840 00:41:48,590 --> 00:41:49,840 Good night. 841 00:41:52,177 --> 00:41:53,844 That was sweet.