1 00:00:07,675 --> 00:00:09,258 MRS. SIMMS: Jessica. 2 00:00:11,970 --> 00:00:16,265 Jessica, come on. We gotta go. 3 00:00:18,602 --> 00:00:22,105 - Move it or lose it, sister. - I don't feel good. 4 00:00:27,319 --> 00:00:28,861 (KISSES) 5 00:00:28,987 --> 00:00:31,656 - You don't feel warm. - My stomach hurts. 6 00:00:31,782 --> 00:00:34,992 - Honey, if you don't have a fever... - I don't want to go to school. 7 00:00:35,119 --> 00:00:37,328 I can do my work at home. 8 00:00:38,080 --> 00:00:40,289 Jessica, what's wrong? 9 00:00:42,793 --> 00:00:44,419 Everybody hates me. 10 00:00:46,714 --> 00:00:48,089 No, they don't hate you. 11 00:00:48,424 --> 00:00:51,175 They don't even know you, because they're too ignorant to try. 12 00:00:51,301 --> 00:00:54,512 - I hate myself. - Jessica, don't say that. 13 00:00:55,472 --> 00:00:58,516 Honey. Look at me. Look at me. 14 00:00:58,892 --> 00:01:03,688 You are a wonderful, beautiful little girl. 15 00:01:03,939 --> 00:01:06,649 - Don't let a few bad apples... - A few? 16 00:01:07,109 --> 00:01:08,943 Try my whole class. 17 00:01:10,112 --> 00:01:12,196 Remember the story where the guy keeps saying 18 00:01:12,322 --> 00:01:14,031 that he hates green eggs and ham? 19 00:01:14,241 --> 00:01:16,409 And then at the end, he realized he really loved them? 20 00:01:16,660 --> 00:01:20,997 One day, they're gonna realize what a great kid you really are. 21 00:01:21,248 --> 00:01:25,668 You just gotta be like Sam-l-Am, and don't give up. 22 00:01:27,296 --> 00:01:28,588 Okay. 23 00:01:31,884 --> 00:01:34,886 CONROY: That's it. Keep going. 24 00:01:36,638 --> 00:01:41,309 Good. Nice. You're doing great, Jessica. You're doing great. 25 00:01:42,227 --> 00:01:43,853 (KIDS LAUGHING) 26 00:01:44,229 --> 00:01:48,524 Hey. Hey, Seth. You want to spend the rest of class sitting on the bench? 27 00:01:48,650 --> 00:01:49,776 No. 28 00:01:49,902 --> 00:01:51,736 Keep going, Jess. You got 40 more seconds. 29 00:01:51,862 --> 00:01:54,113 - My arm hurts. - Come on. Tough it up. 30 00:01:54,281 --> 00:01:57,450 - You can do it. You can do it. - My chest hurts. 31 00:01:57,576 --> 00:02:01,245 - How do you think the ground feels? - Hey, Seth. Two laps. Bye. 32 00:02:01,371 --> 00:02:05,708 Jess, It's just a stitch. Okay? Just keep breathing. You got it. 33 00:02:05,918 --> 00:02:08,920 - I can't. - Only 10 more seconds. You got it. 34 00:02:18,931 --> 00:02:22,183 Jessica? Jessica? Jessica? 35 00:02:28,857 --> 00:02:32,026 Oh, my God. Hey, go to the office. Get Miss Parsons. Now. 36 00:02:32,152 --> 00:02:33,361 (CELL PHONE BEEPS) 37 00:02:33,487 --> 00:02:35,279 I'm on the playground at Finley Elementary. 38 00:02:35,405 --> 00:02:37,156 One of my students is having a heart attack. 39 00:02:37,282 --> 00:02:39,534 Yeah, she's 10. Don't you think I know that? 40 00:02:39,660 --> 00:02:43,663 Just send the damn ambulance. Come on. Wake up. Come on, sweetie. 41 00:03:19,741 --> 00:03:24,871 WOMAN ON PA: Dr. Bender, 6370. Dr. Bender, call extension 6370. 42 00:03:27,040 --> 00:03:30,376 You ever seen an infected pierced scrotum? 43 00:03:30,669 --> 00:03:33,462 No, but I know a few people on whom I'd like to see it happen. 44 00:03:33,589 --> 00:03:34,964 We need to talk. 45 00:03:35,090 --> 00:03:38,676 Well, if pain's what you're after, the penis is really the way to go. 46 00:03:38,802 --> 00:03:41,387 - I'd recommend the apadravya. - We're not talking. 47 00:03:41,513 --> 00:03:43,139 It sounded like we were. 48 00:03:43,682 --> 00:03:47,226 No, you're attempting to avoid talking 49 00:03:47,436 --> 00:03:49,520 because you know what I want to talk about. 50 00:03:49,688 --> 00:03:50,980 Nipples? 51 00:03:51,106 --> 00:03:52,982 You need to get rid of one of your people. 52 00:03:53,108 --> 00:03:56,193 Absolutely. As soon as I do performance reviews. 53 00:03:56,320 --> 00:03:58,279 And then review the reviews, of course. 54 00:03:58,405 --> 00:04:01,657 A decision like this can't be made without proper, you know, review. 55 00:04:01,867 --> 00:04:03,868 Shouldn't take longer than a month, maybe two. 56 00:04:04,077 --> 00:04:06,579 Four at the most, unless it gets complicated. 57 00:04:06,705 --> 00:04:08,414 There's no way out of this. 58 00:04:08,540 --> 00:04:11,500 Get it over with as fast as you can, like ripping off a band-aid. 59 00:04:11,627 --> 00:04:14,754 Only instead of a two-cent piece of tape and gauze, it's a human being. 60 00:04:14,963 --> 00:04:17,381 - Like you care. - Like you don't. 61 00:04:21,011 --> 00:04:23,262 You have a week. Get it done. 62 00:04:32,272 --> 00:04:35,316 We have a referral from Dr. Lenkiewicz. 63 00:04:35,609 --> 00:04:37,693 - Don't know him. - He knows you. 64 00:04:37,819 --> 00:04:39,695 - What's the problem? - Heart attack. 65 00:04:40,072 --> 00:04:43,240 - Definitely don't know him. - The patient's 10. 66 00:04:45,202 --> 00:04:48,454 Ten-year-olds do not have heart attacks. It's gotta be a mistake. 67 00:04:48,580 --> 00:04:52,875 Right. Simplest explanation is she's a 40-year-old lying about her age. 68 00:04:53,168 --> 00:04:54,877 Maybe an actress trying to hang on. 69 00:04:55,003 --> 00:04:58,130 - I meant maybe the tests were wrong. - That's what the ER thought. 70 00:04:58,256 --> 00:04:59,757 Three CK-MBs were positive. 71 00:04:59,883 --> 00:05:03,010 The EKG shows classic signs of ST elevation. It's a heart attack. 72 00:05:03,136 --> 00:05:04,887 She's morbidly obese. 73 00:05:05,597 --> 00:05:07,640 The morbid part of that raises alarms. 74 00:05:07,766 --> 00:05:10,184 It takes decades to eat your way into a heart attack. 75 00:05:10,310 --> 00:05:13,854 Doesn't take decades to kill yourself. If I was that fat, I'd be pretty tempted 76 00:05:13,981 --> 00:05:17,024 - to knock back a bottle of pills. - CAMERON: It's not a drug overdose. 77 00:05:17,150 --> 00:05:18,943 The fatigue, muscle pain and difficulty concentrating 78 00:05:19,069 --> 00:05:20,444 have been bothering her for over a year. 79 00:05:20,570 --> 00:05:22,780 That's because of her weight, because of her depression. 80 00:05:22,906 --> 00:05:24,448 That's what five pediatricians, 81 00:05:24,574 --> 00:05:26,784 two nutritionists and a psychologist said. 82 00:05:26,910 --> 00:05:29,286 The heart attack would seem to indicate that they missed something. 83 00:05:29,413 --> 00:05:32,540 - It's gotta be something genetic. - What about metabolic syndrome X? 84 00:05:32,666 --> 00:05:35,209 - Insulin resistance? - Syndrome X could cause a stroke. 85 00:05:35,335 --> 00:05:36,752 I don't know about a heart attack. 86 00:05:36,878 --> 00:05:39,005 It could, if her blood pressure was high enough. 87 00:05:39,131 --> 00:05:40,965 Which is likely, considering her weight. 88 00:05:41,133 --> 00:05:43,718 Fits the symptoms. Me likee. 89 00:05:43,844 --> 00:05:46,762 Do a hyperinsulinemic-euglycemic clamp. 90 00:05:49,141 --> 00:05:51,267 Oh, and one more thing. 91 00:05:52,436 --> 00:05:57,106 I've been told that I gotta get rid of one of you guys by the end of the week. 92 00:05:58,233 --> 00:06:01,777 New sheriff. Belt tightening. You know how it goes. 93 00:06:05,782 --> 00:06:07,533 Okay. Carry on. 94 00:06:12,247 --> 00:06:14,874 Some kind of game. House's own version of Punk'd. 95 00:06:15,042 --> 00:06:17,960 It's not House. It's Vogler. We can't let it get to us. 96 00:06:18,086 --> 00:06:19,754 - We've got to stick together. - Why? 97 00:06:19,880 --> 00:06:22,089 Are you suggesting we start slashing each other's throats? 98 00:06:22,215 --> 00:06:24,759 I'm suggesting it's a zero-sum game. Your loss is my win. 99 00:06:25,052 --> 00:06:28,596 - That's not conducive to team play. - Which is what House seems to want. 100 00:06:28,722 --> 00:06:30,222 Look, I'm with Cameron. 101 00:06:30,348 --> 00:06:34,935 It may be a bad strategy, but I don't want to give House the satisfaction. 102 00:06:35,062 --> 00:06:37,396 Come on. Sick kid, remember? 103 00:06:39,316 --> 00:06:42,943 - MRS. SIMMS: She's diabetic? - CAMERON: No, but it's similar. 104 00:06:43,111 --> 00:06:45,362 MSX patients don't respond normally to insulin, 105 00:06:45,489 --> 00:06:47,740 which causes their body to create too much, 106 00:06:47,866 --> 00:06:51,118 and that leads to metabolic abnormalities. 107 00:06:51,286 --> 00:06:53,788 We're going to do a test to be sure, but there are certain dangers. 108 00:06:53,914 --> 00:06:56,874 Is this thing treatable? 109 00:06:57,042 --> 00:06:59,085 It's controllable through proper diet and exercise. 110 00:06:59,211 --> 00:07:00,753 Wait. 111 00:07:01,379 --> 00:07:05,216 Jessica already eats right, and she exercises every day. 112 00:07:05,342 --> 00:07:06,884 You've already seen several nutritionists... 113 00:07:07,010 --> 00:07:08,594 We've done everything they've recommended. 114 00:07:08,720 --> 00:07:09,678 I understand... 115 00:07:09,930 --> 00:07:13,099 Why can't any of you doctors see past her weight? 116 00:07:15,977 --> 00:07:21,023 If diet and exercise are the treatment, then the diagnosis is wrong. 117 00:07:21,775 --> 00:07:23,609 It might be. 118 00:07:23,944 --> 00:07:27,363 But the only way we'll know is if you let us do this test. 119 00:07:30,283 --> 00:07:32,743 It's really bad, especially at night. 120 00:07:32,953 --> 00:07:37,581 It's like my heart is on fire. Like it's, oh, I don't know. Like... 121 00:07:38,750 --> 00:07:41,085 - HOUSE: Burning? - Exactly. 122 00:07:41,753 --> 00:07:44,505 Sounds almost like heartburn. 123 00:07:44,840 --> 00:07:48,592 - So, can you give me something? - Like a thesaurus? 124 00:07:48,718 --> 00:07:49,593 What? 125 00:07:49,719 --> 00:07:52,763 I take it you never mentioned this during any of your prenatal visits. 126 00:07:52,889 --> 00:07:54,640 Prenatal? 127 00:07:56,059 --> 00:07:57,143 I'm not pregnant. 128 00:07:57,269 --> 00:08:00,729 You don't get to make that call unless you have a stethoscope. Union rules. 129 00:08:00,856 --> 00:08:04,400 I know when I'm pregnant, all right? I have six kids. 130 00:08:04,526 --> 00:08:07,778 That's why my husband had a vasectomy, and we use condoms. 131 00:08:07,904 --> 00:08:10,698 Vasectomies can reverse themselves. Condoms break. 132 00:08:10,824 --> 00:08:15,452 Okay. This is what a woman is supposed to look like. 133 00:08:15,829 --> 00:08:21,834 Okay? We're not just skin and bones. We have flesh. We have curves. 134 00:08:22,544 --> 00:08:25,045 You have little people inside you. 135 00:08:26,506 --> 00:08:29,258 Okay, okay. I'm sorry. 136 00:08:29,551 --> 00:08:32,511 I guess I must have just been brainwashed by the media, 137 00:08:32,637 --> 00:08:35,306 - all those years of medical training. - Damn right. 138 00:08:35,432 --> 00:08:38,976 I'll see if I can find some antacids while the nurse gets some blood. 139 00:08:39,102 --> 00:08:42,438 - Blood? Why? - The heartburn. 140 00:08:42,647 --> 00:08:45,024 Gotta make sure it's not spreading. 141 00:08:50,572 --> 00:08:52,406 I don't want to. 142 00:08:52,741 --> 00:08:55,367 The test involves some pretty precise measurements. 143 00:08:55,493 --> 00:08:57,578 If we don't know exactly how much you weigh, 144 00:08:57,704 --> 00:08:59,872 we won't get the right answers. 145 00:09:01,333 --> 00:09:03,709 Let me tell you a secret. 146 00:09:03,919 --> 00:09:06,754 When I was your age, I was heavy, too. 147 00:09:06,963 --> 00:09:08,714 Were you over 100? 148 00:09:08,840 --> 00:09:12,551 Way over. Kids in my neighborhood used to call me Rerun. 149 00:09:12,677 --> 00:09:14,970 - Rerun? - He was a heavy guy from TV. 150 00:09:15,096 --> 00:09:17,556 I used to pretend I liked it, but I didn't. 151 00:09:17,682 --> 00:09:21,602 - How come you're not heavy anymore? - Ninth grade, grew five inches. 152 00:09:21,728 --> 00:09:25,564 - Everything kind of evened out. - You think that'll happen to me? 153 00:09:25,690 --> 00:09:29,568 Well, yeah. Your mom's tall, and you are a little short for your age. 154 00:09:29,694 --> 00:09:31,528 Probably spring right up. 155 00:09:42,082 --> 00:09:44,625 Obesity isn't something you just grow out of. 156 00:09:44,751 --> 00:09:48,295 - I take it you've never seen a baby? - CHASE: She's not a baby. She's 10. 157 00:09:48,421 --> 00:09:51,173 And you figure making her feel like crap would do her a world of good? 158 00:09:51,299 --> 00:09:53,259 Yeah, if it gets her off the couch. 159 00:09:53,385 --> 00:09:55,469 CAMERON: I'm sure she's already under enough pressure. 160 00:09:55,595 --> 00:09:56,804 Not from Mummy. 161 00:09:56,930 --> 00:09:59,473 Everything in society tells us we have to be thin to be successful. 162 00:09:59,599 --> 00:10:01,100 No. Society tells you, 163 00:10:01,226 --> 00:10:03,435 you have to be thin to be attractive. And guess what? 164 00:10:03,561 --> 00:10:07,022 That's what attractive means, that society likes looking at you. 165 00:10:07,148 --> 00:10:10,234 I think we should be telling our kids it's fine as long as they're healthy. 166 00:10:10,443 --> 00:10:13,570 You weigh 90 pounds because it makes you healthier? 167 00:10:13,905 --> 00:10:16,991 Forget it. He's just cranky because he knows 168 00:10:17,117 --> 00:10:19,368 he's the one who's gonna get the axe. 169 00:10:24,291 --> 00:10:26,208 So, any thoughts? 170 00:10:26,376 --> 00:10:29,295 On what? Sharon's plan for Gaza? 171 00:10:30,463 --> 00:10:31,547 Who you gonna let go? 172 00:10:31,673 --> 00:10:33,257 I'm thinking I can convince Vogler 173 00:10:33,383 --> 00:10:35,718 it would be more cost-efficient to keep all of them. 174 00:10:35,844 --> 00:10:37,386 You should be able to pull that off. 175 00:10:37,512 --> 00:10:39,471 Most billionaires aren't very good with numbers. 176 00:10:39,597 --> 00:10:43,058 It will be more cost-efficient once I grab Cameron's ass, 177 00:10:43,184 --> 00:10:48,772 call Foreman a spade, and Chase, well, I'll grab his ass, too. 178 00:10:49,065 --> 00:10:51,191 You are uniquely talented in many areas, 179 00:10:51,318 --> 00:10:54,111 but office politics is not one of them. 180 00:10:54,279 --> 00:10:56,322 Don't take Vogler on. 181 00:10:56,740 --> 00:10:58,949 - Separate or together? - Together. 182 00:11:03,830 --> 00:11:06,832 Increasing glucose to 6.9 milligrams per minute. 183 00:11:06,958 --> 00:11:08,751 - CAMERON: Are you okay? - I'm thirsty. 184 00:11:08,877 --> 00:11:10,294 Just a little longer and you'll be done. 185 00:11:10,420 --> 00:11:12,129 Like Dr. Chase. 186 00:11:12,380 --> 00:11:14,673 Want to put some money on it? 187 00:11:17,135 --> 00:11:20,262 - I said I'm thirsty. - Just five more minutes, sweetheart. 188 00:11:20,388 --> 00:11:22,514 I'm not your sweetheart. Don't call me that. 189 00:11:22,640 --> 00:11:24,850 - That's not nice. - They're the ones who aren't nice. 190 00:11:24,976 --> 00:11:27,561 You're not, either. I don't want to do this anymore. 191 00:11:27,729 --> 00:11:30,022 Jessica. Jessica, you have to calm down. 192 00:11:30,148 --> 00:11:32,107 No. No. Let me go. 193 00:11:32,233 --> 00:11:34,860 CAMERON: Check her blood sugar. She's got to be getting hypoglycemic. 194 00:11:34,986 --> 00:11:37,196 I've never seen her like this before. Something's wrong. 195 00:11:37,322 --> 00:11:40,074 Let go of me. Get it out of me. 196 00:11:40,241 --> 00:11:44,036 Let go, you son of a bitch. You bastard. No. 197 00:11:44,829 --> 00:11:46,038 Help her. 198 00:11:46,373 --> 00:11:47,748 (SCREAMING) 199 00:11:52,003 --> 00:11:55,005 She's sedated. Mrs. Simms, don't worry. 200 00:11:55,131 --> 00:11:57,383 Hypoglycemia can cause temporary psychosis, 201 00:11:57,509 --> 00:12:00,469 and is a common complication during an HEC procedure. 202 00:12:00,595 --> 00:12:02,513 I never wanted it done in the first place. 203 00:12:02,639 --> 00:12:03,889 We understand you're upset... 204 00:12:04,015 --> 00:12:06,183 You were supposed to be monitoring her condition, 205 00:12:06,309 --> 00:12:08,102 but instead you were bickering and placing bets. 206 00:12:08,228 --> 00:12:10,729 I apologize if we weren't devoting our full attention to your daughter, 207 00:12:10,855 --> 00:12:12,606 - but I assure you that we... - Oh, please. 208 00:12:12,816 --> 00:12:15,442 Save your pathetic insincerity for your boyfriend. 209 00:12:15,568 --> 00:12:19,446 You're wrong. She is, in fact, pathetically sincere. 210 00:12:19,739 --> 00:12:22,491 - And they didn't screw it up. - Who are you? 211 00:12:22,659 --> 00:12:26,245 I'm from the lab. The blood tests show your daughter was not hypoglycemic, 212 00:12:26,371 --> 00:12:29,415 which means her psychosis wasn't caused by anything these doctors did. 213 00:12:29,582 --> 00:12:33,210 - So then what was it caused by? - I've no idea. 214 00:12:34,087 --> 00:12:38,048 But you'll be happy to hear it cannot be cured by diet or exercise. 215 00:12:48,601 --> 00:12:53,063 What else could cause uncontrollable rage in a 10-year-old? 216 00:12:53,189 --> 00:12:55,816 Nothing that could also cause a heart attack. 217 00:12:57,735 --> 00:12:59,903 I assume I don't have to point out 218 00:13:00,029 --> 00:13:03,157 that now would be an extremely good time 219 00:13:03,283 --> 00:13:08,871 for one of you to distinguish yourself with a brilliant idea. 220 00:13:12,125 --> 00:13:14,626 A hypercoagulable state can cause a blood clot. 221 00:13:14,752 --> 00:13:16,503 Blood clots can cause a heart attack. 222 00:13:16,629 --> 00:13:18,797 More likely to cause a stroke, not the psychosis. 223 00:13:18,923 --> 00:13:22,009 No, you're wrong. If a clot made it to the amygdala area of the brain, 224 00:13:22,135 --> 00:13:23,594 it might cause uncontrollable rage. 225 00:13:23,720 --> 00:13:24,970 Right, because anything's possible, 226 00:13:25,096 --> 00:13:27,431 but nothing's gonna cause multiple clots in a kid this age. 227 00:13:27,557 --> 00:13:30,058 - She's fat. - Obesity doesn't cause blood clots. 228 00:13:30,185 --> 00:13:32,853 CHASE: Extremely obese patients can get a fat embolus. 229 00:13:32,979 --> 00:13:35,272 Right, after they've had liposuction, which she's clearly never had. 230 00:13:35,398 --> 00:13:36,231 How do you know? 231 00:13:36,357 --> 00:13:38,025 CAMERON: Because we have her medical records, 232 00:13:38,151 --> 00:13:40,194 and because no plastic surgeon in his right mind 233 00:13:40,320 --> 00:13:42,112 is gonna give a 10-year-old liposuction. 234 00:13:42,238 --> 00:13:46,783 Have you ever met a plastic surgeon who was in their right mind? 235 00:13:46,993 --> 00:13:49,953 - She hasn't had liposuction. - Thank you. 236 00:13:51,289 --> 00:13:54,041 But what about some other ridiculous obesity treatment? 237 00:13:54,459 --> 00:13:55,292 Like what? 238 00:13:55,418 --> 00:13:57,920 Diet pills can cause heart attacks and blood clots. 239 00:13:58,046 --> 00:13:59,796 Her tox screen was negative. 240 00:13:59,923 --> 00:14:01,757 Wouldn't show over-the-counter weight-loss drugs. 241 00:14:01,883 --> 00:14:03,258 Her mother wouldn't give her diet pills. 242 00:14:03,384 --> 00:14:07,262 She thinks her daughter's perfect just the way she is. 243 00:14:07,680 --> 00:14:09,473 She's lying. 244 00:14:09,641 --> 00:14:13,519 You two, heparin and warfarin to prevent further clotting. 245 00:14:13,853 --> 00:14:16,522 And you find those pills. 246 00:14:28,076 --> 00:14:30,786 Not diet pills. 247 00:14:30,912 --> 00:14:33,497 You might want to broaden the search just a little. 248 00:14:33,623 --> 00:14:36,542 Don't just ask the mom. If she hasn't mentioned it yet, she's not... 249 00:14:36,668 --> 00:14:39,628 If you're gonna fire someone, go ahead and do it. 250 00:14:39,754 --> 00:14:41,171 But don't treat us like lab rats, 251 00:14:41,297 --> 00:14:44,675 testing how long it takes to get us at one another's throats. 252 00:14:44,801 --> 00:14:46,927 - So what should I do? - I don't give a damn what you do. 253 00:14:47,053 --> 00:14:50,973 Yes, I had noticed your complete indifference. 254 00:14:51,266 --> 00:14:54,768 You don't even offer a medical opinion anymore. 255 00:14:54,894 --> 00:14:56,812 Who would you fire? 256 00:14:57,313 --> 00:15:00,315 - Not my call. - I want your opinion. 257 00:15:01,025 --> 00:15:03,193 Fine, it's you. 258 00:15:03,945 --> 00:15:06,655 Either way, you're making a choice. 259 00:15:09,534 --> 00:15:11,577 Chase. 260 00:15:12,203 --> 00:15:14,413 Because he screwed up an angio a month ago? 261 00:15:14,539 --> 00:15:18,208 - Anyone can make a mistake. - Right. So it's the money. 262 00:15:18,543 --> 00:15:21,086 You resent it, but you're gonna tell me that he doesn't need the job. 263 00:15:21,212 --> 00:15:22,713 He doesn't appreciate the job. 264 00:15:22,839 --> 00:15:24,840 He was ready to go three rounds with Cameron for it. 265 00:15:24,966 --> 00:15:28,385 He wants the job. He just doesn't appreciate it. 266 00:15:28,553 --> 00:15:30,512 There's nothing wrong with wanting to hang out, 267 00:15:30,638 --> 00:15:33,557 but this is not the place to do it. 268 00:15:34,517 --> 00:15:37,769 - I'm surprised. - You thought I'd pick Cameron? 269 00:15:38,438 --> 00:15:40,939 I didn't think you'd pick at all. 270 00:15:44,277 --> 00:15:45,944 (ELEVATOR BELL DINGS) 271 00:15:46,195 --> 00:15:49,740 Guess he's not the rise-above-the-fray guy he'd like us to think he is. 272 00:15:49,907 --> 00:15:51,533 You practically forced it out of him. 273 00:15:51,701 --> 00:15:54,536 He's scared of losing his job, just like everybody else. 274 00:15:54,662 --> 00:15:57,914 I've been thinking. You've made it quite clear that you're miserable here. 275 00:15:58,041 --> 00:16:00,917 - I am not miserable. - You're not happy. 276 00:16:01,044 --> 00:16:04,546 - And you are? - With my job, yes. 277 00:16:04,756 --> 00:16:07,841 I am exactly where I want to be, doing exactly what I want to do. 278 00:16:07,967 --> 00:16:10,969 Think I sense a hint of sarcasm there. 279 00:16:11,095 --> 00:16:13,680 Why don't you pick yourself? Quit. 280 00:16:13,806 --> 00:16:15,807 Hmm, I was wrong. 281 00:16:16,267 --> 00:16:20,520 - About Vogler or Foreman? - Mrs. Hernandez's pregnancy test. 282 00:16:20,647 --> 00:16:22,272 Who's Mrs. Hernandez? 283 00:16:22,398 --> 00:16:26,568 Either a woman carrying an alien baby or your newest patient. 284 00:16:27,528 --> 00:16:30,989 So you never saw her with any pills. She never mentioned anything? 285 00:16:31,115 --> 00:16:33,241 No, of course not. 286 00:16:33,368 --> 00:16:36,828 Would it be all right if I talk to a couple of her friends? 287 00:16:36,954 --> 00:16:39,206 - Her friends? - I'm not gonna interrogate them. 288 00:16:39,332 --> 00:16:41,875 I just want to ask if Jessica ever mentioned anything. 289 00:16:42,001 --> 00:16:43,669 It's pretty important. She's very sick. 290 00:16:43,795 --> 00:16:46,213 I understand. It's just, well... 291 00:16:47,423 --> 00:16:49,758 Jessica really doesn't have any friends. 292 00:16:49,884 --> 00:16:51,218 - Not one? - I've tried to help, 293 00:16:51,344 --> 00:16:54,221 make the kids include her more, but, kids can be... 294 00:16:54,347 --> 00:16:56,390 - Kids? - I was gonna say jerks. 295 00:16:56,516 --> 00:16:57,808 (BELL RINGS) 296 00:16:57,934 --> 00:17:00,519 All the fifth-graders are assigned an eighth-grade buddy. 297 00:17:00,645 --> 00:17:03,146 Maybe you could talk to hers. 298 00:17:08,236 --> 00:17:10,612 What's the status on House? 299 00:17:10,738 --> 00:17:12,906 He asked for time to complete performance reviews 300 00:17:13,032 --> 00:17:14,574 for everyone in his department. 301 00:17:14,701 --> 00:17:19,746 - You told him no and gave him how long? - A week. He'll do it. 302 00:17:20,081 --> 00:17:24,376 VOGLER: Guy's never done what he's told. I don't see why he's gonna start now. 303 00:17:25,378 --> 00:17:27,629 Hi. Edward Vogler. 304 00:17:27,755 --> 00:17:31,049 Is Dr. House claiming that I'm forcing him to get rid of one of you? 305 00:17:31,175 --> 00:17:34,052 I assume his goal is to stir up antagonism toward me. 306 00:17:34,178 --> 00:17:37,556 - And your goal is? - I am forcing him. 307 00:17:38,349 --> 00:17:41,727 I'll do whatever I can to ease the transition for whoever he chooses. 308 00:17:41,853 --> 00:17:44,771 If you're feeling guilty about your decision, there is an easy solution. 309 00:17:44,897 --> 00:17:46,773 I don't feel guilty. 310 00:17:46,899 --> 00:17:49,067 Then why approach me and tell me all this? 311 00:17:49,193 --> 00:17:52,487 I don't feel guilty. That doesn't mean I don't feel bad. 312 00:17:52,613 --> 00:17:55,615 I'm rich, but I'm still human. 313 00:17:55,825 --> 00:17:57,868 I just wanted you to know that 314 00:17:57,994 --> 00:18:01,246 if there's anything I can do for you, my door is open. 315 00:18:03,082 --> 00:18:04,791 Thank you. 316 00:18:10,715 --> 00:18:12,716 You're looking for info? 317 00:18:12,842 --> 00:18:15,135 Thought you already had House all figured out. 318 00:18:15,261 --> 00:18:18,221 I do. Don't know his team, though. 319 00:18:20,850 --> 00:18:23,769 WILSON: The ultrasound and biopsy confirmed our worry. 320 00:18:23,895 --> 00:18:28,148 The tumor is extremely large, at least 30 pounds. 321 00:18:28,274 --> 00:18:29,608 Oh, God. 322 00:18:29,734 --> 00:18:31,818 It's actually a personal record for this clinic. 323 00:18:31,944 --> 00:18:36,031 But it's completely benign. There's no sign of cancer at all. 324 00:18:36,157 --> 00:18:37,657 (GASPS) 325 00:18:37,784 --> 00:18:39,493 I've already spoken with Dr. Bergin, 326 00:18:39,619 --> 00:18:41,703 and he's available first thing in the morning. 327 00:18:41,829 --> 00:18:43,330 For what? 328 00:18:44,624 --> 00:18:45,874 For the surgery. 329 00:18:46,000 --> 00:18:50,170 But if it's not cancer, it can't kill me, right? 330 00:18:53,549 --> 00:18:56,468 - No. - I'll have a huge scar. 331 00:18:56,594 --> 00:18:59,971 - I won't be able to wear a bikini. - Do you wear a bikini now? 332 00:19:00,097 --> 00:19:03,433 - Yeah. You got a problem with that? - Nope. 333 00:19:03,559 --> 00:19:05,101 But I've never gone swimming with you. 334 00:19:05,311 --> 00:19:07,646 I knew it. That's what this is all about. 335 00:19:07,772 --> 00:19:10,774 You are trying to force me to have cosmetic surgery. 336 00:19:10,900 --> 00:19:15,195 Yeah, that's exactly why I planted a 30-pound tumor on your ovary. 337 00:19:15,363 --> 00:19:16,947 It's not gonna kill me. 338 00:19:17,073 --> 00:19:20,367 The only thing surgery is gonna do is change the way I look. 339 00:19:20,493 --> 00:19:24,204 That is the definition of cosmetic surgery. 340 00:19:24,330 --> 00:19:26,998 It would also relieve your heartburn and discomfort. 341 00:19:27,124 --> 00:19:31,086 Yeah, right. Why give an antacid if you can cut someone up 342 00:19:31,212 --> 00:19:34,047 and make them a little easier on your eyes? 343 00:19:34,882 --> 00:19:38,635 My husband loves my body. 344 00:19:38,845 --> 00:19:42,180 He can't get enough of it. You think he's gonna want to touch me 345 00:19:42,306 --> 00:19:45,976 if I look like I've been gutted like a fish? 346 00:19:47,812 --> 00:19:51,022 That was unexpected. 347 00:19:51,649 --> 00:19:53,400 Yeah, it was. 348 00:19:55,152 --> 00:19:57,988 All she does during recess is run laps around the playground. 349 00:19:58,114 --> 00:20:00,740 She says she's exercising, but everyone knows it's just because 350 00:20:00,867 --> 00:20:02,242 no one wants to play with her. 351 00:20:02,368 --> 00:20:05,704 I mean, I am only her buddy because Ms. Ayers assigned her to me. 352 00:20:05,830 --> 00:20:08,164 That does not mean I am her friend. 353 00:20:09,333 --> 00:20:12,043 I'll make sure her doctors are all clear on that. 354 00:20:12,169 --> 00:20:13,712 Thanks. 355 00:20:14,005 --> 00:20:17,340 So, has she ever said anything to you about diet pills? 356 00:20:17,508 --> 00:20:20,260 - She told you that, too? - What do you mean? 357 00:20:20,511 --> 00:20:23,847 I busted her for taking drugs one day. She totally lied, 358 00:20:23,973 --> 00:20:26,725 said that they were diet pills her mom had given her. Come on. Get real. 359 00:20:26,851 --> 00:20:30,645 No way a girl like that is taking diet pills. 360 00:20:30,771 --> 00:20:33,440 I didn't give her diet pills. I would never do that. 361 00:20:33,566 --> 00:20:35,275 Right. So it was her imaginary mom. 362 00:20:35,401 --> 00:20:37,611 She didn't take any pills. The girl was lying. 363 00:20:37,737 --> 00:20:38,820 FOREMAN: Why would she lie? 364 00:20:38,946 --> 00:20:41,031 Because she's another mean little jerk. 365 00:20:41,157 --> 00:20:44,367 - Mom. - I'm sorry, honey. 366 00:20:45,244 --> 00:20:47,037 Clemmie didn't lie. 367 00:20:49,957 --> 00:20:53,168 I did. I took the pills. 368 00:20:54,295 --> 00:20:58,006 I told her you gave them to me because I didn't want to get in trouble. 369 00:20:58,132 --> 00:21:02,218 - FOREMAN: Where did you get them? - I took them from the store. 370 00:21:03,638 --> 00:21:08,308 - Why? Why would you do that? - I didn't want to be ugly anymore. 371 00:21:08,559 --> 00:21:12,395 - Oh, baby. You're not ugly. - Yes, I am. 372 00:21:12,897 --> 00:21:15,231 I know you don't think so, but I am. I'm disgusting. 373 00:21:15,358 --> 00:21:18,318 Jessica, please don't say that. (SNIFFLING) 374 00:21:18,903 --> 00:21:24,824 I just wanted to fit in. You know, have friends. 375 00:21:25,368 --> 00:21:28,995 Or at least have one person my age be nice to me. 376 00:21:29,580 --> 00:21:30,830 (SNIFFLES) 377 00:21:35,127 --> 00:21:36,962 Listen, the... 378 00:21:37,129 --> 00:21:41,299 The pills cause blood clots, heart attacks and insomnia. 379 00:21:41,509 --> 00:21:44,594 It explains everything. We'll keep her overnight to make sure, 380 00:21:44,720 --> 00:21:46,930 but she'll be fine. 381 00:21:47,390 --> 00:21:48,890 Thank you. 382 00:21:51,560 --> 00:21:52,936 CAMERON: I can't believe she was that desperate. 383 00:21:53,104 --> 00:21:55,772 HOUSE: Yeah, I'm sure that if everyone I knew hated me 384 00:21:55,898 --> 00:21:59,275 and couldn't bear to look at me, I wouldn't go so far as to shoplift. 385 00:21:59,402 --> 00:22:01,027 I'm not talking about the shoplifting. 386 00:22:01,153 --> 00:22:03,363 I'm sure she didn't even know they were dangerous. 387 00:22:03,489 --> 00:22:06,408 She probably saw them advertised on TV or over the Internet. 388 00:22:06,534 --> 00:22:10,370 Right. So I guess it's the media and pharmaceutical companies' fault now, 389 00:22:10,496 --> 00:22:13,498 not the fact that she can't stop shoveling food down her throat. 390 00:22:13,624 --> 00:22:15,041 No one forced her to get fat. 391 00:22:15,167 --> 00:22:16,918 No one forced a cancer patient to get cancer. 392 00:22:17,044 --> 00:22:19,629 - It's not a disease. - Have you seen the latest research? 393 00:22:19,755 --> 00:22:21,256 CHASE: Yes, I have. 394 00:22:21,382 --> 00:22:25,343 What I haven't seen lately is a kid eating an apple or riding a bike. 395 00:22:25,469 --> 00:22:26,761 You Americans can't even compete with 396 00:22:26,887 --> 00:22:28,596 the rest of the world in basketball anymore, 397 00:22:28,723 --> 00:22:30,849 unless, of course, it's the type you play 398 00:22:30,975 --> 00:22:34,185 with a remote control on a big-screen TV. 399 00:22:34,311 --> 00:22:35,562 Right. 400 00:22:35,688 --> 00:22:38,565 - Wait, wait, wait. - Are you gonna let him say that? 401 00:22:38,691 --> 00:22:41,026 He insulted our basketball teams. 402 00:22:41,736 --> 00:22:50,493 (PAGER BEEPS) 403 00:22:52,496 --> 00:22:54,205 JESSICA: Oh, my God. 404 00:22:54,790 --> 00:22:57,751 - It hurts so bad. Please. - What happened? 405 00:22:57,877 --> 00:22:59,836 - She's bleeding. - From where? 406 00:22:59,962 --> 00:23:03,048 Oh, my gosh. (SOBBING) 407 00:23:03,257 --> 00:23:06,009 Just please stop it. Please. God. 408 00:23:13,684 --> 00:23:15,602 Diet pills don't cause skin necrosis. 409 00:23:15,728 --> 00:23:17,520 Could be something related to the pills. 410 00:23:17,646 --> 00:23:20,398 - Or not. - Or both. 411 00:23:20,649 --> 00:23:24,152 Diet pills brought her to us. We gave her the sores. 412 00:23:24,361 --> 00:23:26,529 You think she got a staph infection from something here? 413 00:23:26,655 --> 00:23:28,364 I'm not saying the hospital gave her the sores. 414 00:23:28,491 --> 00:23:32,744 We did, by treating her. Warfarin-induced skin necrosis. 415 00:23:32,912 --> 00:23:36,164 Highly unlikely. We started her on heparin before the warfarin. 416 00:23:36,290 --> 00:23:39,501 - Who gave her the heparin? - I did warfarin. She did heparin. 417 00:23:39,627 --> 00:23:41,086 Sure you didn't both give her warfarin? 418 00:23:41,212 --> 00:23:43,880 Yes. I did not screw up. 419 00:23:44,340 --> 00:23:48,343 Did you actually see her prepare and administer the heparin? 420 00:23:51,347 --> 00:23:52,806 (SIGHS) 421 00:23:53,432 --> 00:23:56,392 - Enough said. - You were standing right there. 422 00:23:56,894 --> 00:23:59,646 - I was preparing my own dose. - Yeah, right. 423 00:23:59,980 --> 00:24:02,982 - There's gotta be some other cause. - None that I can think of. 424 00:24:03,109 --> 00:24:06,194 Let's fix the mistake. Give her unfractionated IV heparin 425 00:24:06,320 --> 00:24:10,365 and low-molecular-weight heparin by subcutaneous injection, stat. 426 00:24:15,246 --> 00:24:17,247 Making me look bad is not gonna save your job. 427 00:24:17,373 --> 00:24:19,374 You think you're incapable of making a mistake? 428 00:24:19,583 --> 00:24:22,252 You think that I am that weak that I'm gonna just roll over and take this? 429 00:24:22,378 --> 00:24:25,255 House isn't gonna protect you just because you kiss his ass. 430 00:24:25,381 --> 00:24:27,173 Vogler wants to know what he can do for me. 431 00:24:27,466 --> 00:24:32,512 Stop worrying about your asses and start worrying about the patient's. 432 00:24:35,516 --> 00:24:37,308 (MONITOR BEEPING) 433 00:24:51,782 --> 00:24:53,324 She sleeping? 434 00:24:53,450 --> 00:24:55,618 As a result of the sedatives, yeah. 435 00:24:55,744 --> 00:24:58,454 We can't let her wake up. Too much pain. 436 00:25:00,499 --> 00:25:05,587 Warfarin-induced skin necrosis. 437 00:25:06,130 --> 00:25:08,631 I have no idea what that means. 438 00:25:09,049 --> 00:25:12,677 But it says here we gave her the warfarin. 439 00:25:12,887 --> 00:25:15,471 And I do know what induced means. 440 00:25:15,973 --> 00:25:17,515 We did this? 441 00:25:18,225 --> 00:25:21,769 At this point, it's not exactly clear. 442 00:25:22,271 --> 00:25:24,355 You should probably talk to Dr. House. 443 00:25:24,481 --> 00:25:27,942 Oh. You two need time to get your story straight. 444 00:25:28,068 --> 00:25:29,611 He doesn't tell me what to do. 445 00:25:29,737 --> 00:25:34,115 So you don't just blindly follow his commands. You're your own man. 446 00:25:34,533 --> 00:25:38,244 And yet here you are, working for a guy you can't stand. 447 00:25:38,370 --> 00:25:40,788 - I respect him. - What exactly is it you respect? 448 00:25:40,915 --> 00:25:45,126 His attitude toward humanity? He thinks we're all idiots and liars. 449 00:25:45,252 --> 00:25:46,961 How about his attitude toward you? 450 00:25:47,087 --> 00:25:48,922 Plays with you like a cat with a ball of string. 451 00:25:49,048 --> 00:25:50,006 What do you want? 452 00:25:50,132 --> 00:25:51,966 I want to know if you want to keep your job. 453 00:25:52,218 --> 00:25:54,344 If he chooses to let me go, I can live with that. 454 00:25:54,470 --> 00:25:56,971 - That's not an answer. - Are you offering to protect me? 455 00:25:57,097 --> 00:25:59,682 - Still not an answer. - I want my job. 456 00:26:05,481 --> 00:26:06,898 Dr. Chase. 457 00:26:07,024 --> 00:26:08,316 CHASE: Boss. 458 00:26:12,029 --> 00:26:13,655 What was that about? 459 00:26:13,781 --> 00:26:16,991 He wanted to know what warfarin is. I don't know. 460 00:26:41,892 --> 00:26:42,976 (SHUDDERS) 461 00:26:43,310 --> 00:26:45,019 Icy. 462 00:26:46,647 --> 00:26:50,316 I'll definitely think twice before correcting one of your mistakes again. 463 00:26:50,442 --> 00:26:51,567 Correct all you want. 464 00:26:51,777 --> 00:26:54,445 Of course, it's a bit more productive if there's an actual mistake. 465 00:26:54,571 --> 00:26:57,448 Right. I always forget that part. 466 00:26:57,992 --> 00:26:59,075 I gave her the heparin, 467 00:26:59,201 --> 00:27:01,828 which means the necrosis is not a reaction to the warfarin, 468 00:27:01,954 --> 00:27:05,039 which is probably why she's not responding to your treatment. 469 00:27:05,249 --> 00:27:06,457 Yet. 470 00:27:10,254 --> 00:27:13,131 If you didn't screw up, then what is it? 471 00:27:14,842 --> 00:27:17,302 - You don't have an answer. - Yet. 472 00:27:18,095 --> 00:27:19,929 When you come up with something, let me know. 473 00:27:20,055 --> 00:27:23,683 I'll be in the clinic, warming up. 474 00:27:24,310 --> 00:27:27,020 I'm the only one who's always stood behind you when you've screwed up. 475 00:27:27,146 --> 00:27:30,231 Why? Why would you support someone who screws up? 476 00:27:30,399 --> 00:27:32,025 Because I'm not insanely insecure, 477 00:27:32,151 --> 00:27:34,193 and because I can actually trust in another human being, 478 00:27:34,320 --> 00:27:36,654 and I am not an angry, misanthropic son of a bitch. 479 00:27:36,780 --> 00:27:39,449 I'm sorry. You said you weren't angry. 480 00:27:42,202 --> 00:27:44,120 Who would you fire? 481 00:27:47,041 --> 00:27:49,751 - No one. - Not an option. 482 00:27:50,294 --> 00:27:52,420 If everyone took a pay cut and put in a few more hours, 483 00:27:52,546 --> 00:27:54,380 we could all stay for the same amount of money. 484 00:27:54,506 --> 00:27:58,009 Figures you'd try and come up with a solution where no one gets hurt. 485 00:27:58,135 --> 00:28:02,055 The problem is, the world doesn't work that way just 'cause you want it to. 486 00:28:02,181 --> 00:28:04,766 Figures you'd stall and refuse to deal with the issue. 487 00:28:04,892 --> 00:28:09,187 Problem is, the world doesn't go away just because you want it to. 488 00:28:25,621 --> 00:28:27,663 Excuse me. Dr. House? 489 00:28:27,998 --> 00:28:30,750 My wife saw you yesterday. Lucille Hernandez? 490 00:28:30,876 --> 00:28:35,338 - He's not in today. - My wife said he walked with a cane. 491 00:28:35,589 --> 00:28:40,426 He's also got a bit of a drug problem, sometimes doesn't show up for weeks. 492 00:28:41,220 --> 00:28:43,930 CUDDY: The MRIs are rented, but... 493 00:28:45,099 --> 00:28:48,601 - Did you make a decision? - He's not gonna fire anybody. 494 00:28:49,186 --> 00:28:52,146 I'm gonna cut the pay of all four of us. 495 00:28:52,272 --> 00:28:54,107 Seventeen percent across the board 496 00:28:54,233 --> 00:28:56,776 will allow you to keep us all for the same amount of money. 497 00:28:56,902 --> 00:28:59,779 I believe it's what you suits call win-win. 498 00:29:00,656 --> 00:29:03,074 - CUDDY: All right, if you... - No. 499 00:29:03,325 --> 00:29:06,619 If he can work it so we keep the current staff for the same amount of money, 500 00:29:06,745 --> 00:29:09,163 what difference does it make? 501 00:29:12,209 --> 00:29:14,252 It's not about the money. 502 00:29:14,378 --> 00:29:17,255 This is not a negotiation. It never was. 503 00:29:18,590 --> 00:29:21,092 I need to know that whatever I ask you to do, 504 00:29:21,218 --> 00:29:23,761 however distasteful you find it, you'll do it. 505 00:29:23,887 --> 00:29:26,889 And just as importantly, you need to know that. 506 00:29:29,143 --> 00:29:30,393 (SIGHS) 507 00:29:38,652 --> 00:29:40,903 What's going on with my wife? 508 00:29:41,113 --> 00:29:44,740 Even if I was Dr. House, physician-patient confidentiality 509 00:29:44,867 --> 00:29:46,868 protects me from annoying conversations. 510 00:29:46,994 --> 00:29:48,369 She told me about the tumor. 511 00:29:48,495 --> 00:29:51,456 Yeah? She also tell you why she's refusing to have it removed? 512 00:29:51,582 --> 00:29:55,543 I don't care about a scar. And she can always gain the weight back. 513 00:29:55,711 --> 00:29:58,045 You want her to regain the weight? 514 00:29:58,172 --> 00:30:01,215 Yeah. I mean, only if she wants to. 515 00:30:01,383 --> 00:30:03,092 Why? 516 00:30:03,635 --> 00:30:06,387 I've always thought she looked sexiest when she was pregnant. 517 00:30:06,513 --> 00:30:08,598 Something about knowing she's a mother just makes me want... 518 00:30:08,724 --> 00:30:12,935 - Tell her that and leave me alone. - I did. You gotta talk to her. 519 00:30:13,061 --> 00:30:14,604 I couldn't bear it if something happened to her. 520 00:30:14,730 --> 00:30:18,649 The tumor is benign. Nothing's gonna happen, except maybe some heartburn. 521 00:30:19,693 --> 00:30:21,986 What if it gets even bigger, or it changes? 522 00:30:22,112 --> 00:30:25,698 You know where to find us. Building's not going anywhere. 523 00:30:25,824 --> 00:30:29,744 Tell her it's cancer. You obviously don't have a problem with lying. 524 00:30:29,870 --> 00:30:33,414 - Oh. Way to win me over. - We've got six kids. 525 00:30:33,540 --> 00:30:35,208 She can't afford to take a chance. 526 00:30:35,334 --> 00:30:37,752 You have kids. How novel. That changes everything. 527 00:30:37,878 --> 00:30:41,130 So if Mommy gets heartburn, one of them might catch on fire. 528 00:30:41,256 --> 00:30:44,342 Please. I don't know what we'd do. 529 00:30:50,599 --> 00:30:52,517 They are cute. 530 00:30:53,060 --> 00:30:55,811 - Have her come back in. - What? 531 00:30:55,938 --> 00:30:59,482 Your plight has moved me. Tell your wife to come back. 532 00:31:05,447 --> 00:31:06,864 The necrosis is getting worse. 533 00:31:06,990 --> 00:31:09,992 Maybe because we're treating her for the wrong thing. 534 00:31:11,119 --> 00:31:13,454 Have you found the right thing? 535 00:31:13,580 --> 00:31:14,622 No. 536 00:31:14,748 --> 00:31:16,624 Then we continue the treatment, 537 00:31:16,750 --> 00:31:18,501 hope it's just taking longer than it should. 538 00:31:18,627 --> 00:31:20,962 At this point, it doesn't matter what caused the necrosis. 539 00:31:21,088 --> 00:31:22,255 HOUSE: Or who. 540 00:31:22,381 --> 00:31:25,132 If we don't stop it from spreading, it will kill her before the end of the day. 541 00:31:25,259 --> 00:31:26,801 - What else can we do? - WILSON: Get rid of it. 542 00:31:26,927 --> 00:31:30,805 Remove the dying flesh before it penetrates the abdominal wall. 543 00:31:32,349 --> 00:31:33,224 Do it. 544 00:31:34,184 --> 00:31:37,395 There's still a chance the heparin treatment could start to take effect. 545 00:31:37,563 --> 00:31:39,522 We're gonna wait as long as we can, 546 00:31:39,648 --> 00:31:42,108 but if there's no change in the next few hours, 547 00:31:42,317 --> 00:31:44,068 we're gonna have to treat the symptoms directly. 548 00:31:44,194 --> 00:31:47,655 - So you can get rid of the sores? - Through surgery. 549 00:31:48,031 --> 00:31:50,533 Technically, it's an amputation. 550 00:31:50,784 --> 00:31:53,119 Amputation? But the sores are... 551 00:31:53,245 --> 00:31:58,082 Warfarin-induced necrosis attacks fatty tissue, mainly in the breasts. 552 00:31:59,042 --> 00:32:03,754 Wait. Are you talking about cutting off my daughter's breasts? 553 00:32:08,510 --> 00:32:10,177 She's 10 years old. 554 00:32:10,304 --> 00:32:14,223 A radical mastectomy may be her only chance for survival. 555 00:32:15,684 --> 00:32:19,312 I'm sorry, but I'm gonna have to ask you to sign this. 556 00:32:35,996 --> 00:32:38,456 Could we talk? 557 00:32:39,458 --> 00:32:42,460 What, no roses, no chocolates? 558 00:32:42,794 --> 00:32:46,422 - If you're here to apologize... - I'm not here to apologize. 559 00:32:46,673 --> 00:32:48,299 Uh-oh. 560 00:32:49,009 --> 00:32:51,969 That means you're here for something more complicated. 561 00:32:53,347 --> 00:32:56,098 Do you want to fire me? 562 00:32:56,516 --> 00:33:01,187 Yes. Just waiting for an excuse. Thank God Vogler came along. 563 00:33:01,480 --> 00:33:02,688 It's the only reason I can think of 564 00:33:02,814 --> 00:33:04,732 why you're insisting that I made a mistake. 565 00:33:04,858 --> 00:33:08,444 Really? Because there is another explanation. 566 00:33:08,654 --> 00:33:11,822 Perhaps not as much fun as your Freudian analysis, 567 00:33:12,199 --> 00:33:13,616 but maybe you actually made a mistake. 568 00:33:13,742 --> 00:33:17,870 You're doing this because you can't deal with your feelings for me. 569 00:33:22,209 --> 00:33:26,003 I believe that you were the only one to express feelings. 570 00:33:26,505 --> 00:33:28,964 If we're gonna look at this from a first-year psych point of view, 571 00:33:29,091 --> 00:33:32,259 maybe you want me to fire you. Maybe that's why you're acting weird. 572 00:33:32,386 --> 00:33:33,761 You're the one being different. 573 00:33:33,887 --> 00:33:36,013 You're always pushing things, pushing the rules, pushing us. 574 00:33:36,139 --> 00:33:38,599 But not this time. You jumped on this idea like a life raft. 575 00:33:38,725 --> 00:33:40,434 Not one question about what else it could be. 576 00:33:40,560 --> 00:33:42,311 No riding us for other answers. 577 00:33:42,437 --> 00:33:44,522 I have the answer. 578 00:33:45,524 --> 00:33:48,901 Then why aren't you watching TV or playing your damn Game Boy, 579 00:33:49,027 --> 00:33:52,446 or whatever else you have so much fun doing by yourself? 580 00:33:56,493 --> 00:34:00,538 Maybe I should just quit. Make it easy for everyone. 581 00:34:03,125 --> 00:34:04,834 Maybe you should. 582 00:34:10,507 --> 00:34:14,385 - HOUSE: Men are pigs. - You called me in to tell me... 583 00:34:14,511 --> 00:34:17,722 I should've realized the vasectomy and condoms was overkill, 584 00:34:17,848 --> 00:34:19,515 but this was too obvious to miss. 585 00:34:21,351 --> 00:34:23,936 Cute kids. 586 00:34:24,146 --> 00:34:27,940 Love her green eyes and his baby blues. 587 00:34:28,108 --> 00:34:30,651 Of course, since both you and your husband have brown eyes... 588 00:34:30,777 --> 00:34:31,986 Where'd you get that? 589 00:34:32,112 --> 00:34:37,116 From the father of three, maximum four, of your six children. 590 00:34:37,451 --> 00:34:39,618 I'm thinking maybe the reason you don't want surgery 591 00:34:39,745 --> 00:34:42,246 is that while your husband will find you attractive no matter what, 592 00:34:42,372 --> 00:34:46,876 all the other men you're sleeping with might not be so open-minded. 593 00:34:47,002 --> 00:34:50,963 Which brings me back to my original thesis, men are pigs. 594 00:34:51,256 --> 00:34:53,716 You got nothing to worry about. 595 00:34:54,009 --> 00:34:56,177 They'll pretty much have sex with anyone, 596 00:34:56,303 --> 00:35:01,223 fat, skinny, married, single, complete strangers, relatives. 597 00:35:01,391 --> 00:35:03,726 You are sick. 598 00:35:03,935 --> 00:35:05,519 So are you. 599 00:35:05,645 --> 00:35:08,105 And I'm sure there are web sites full of men 600 00:35:08,231 --> 00:35:11,567 looking for married women with surgical scars. 601 00:35:12,861 --> 00:35:16,197 So have the surgery. Please? 602 00:35:18,742 --> 00:35:20,117 Okay. 603 00:35:25,123 --> 00:35:26,499 Thanks. 604 00:35:30,962 --> 00:35:32,546 Why have you been talking to Cameron? 605 00:35:32,672 --> 00:35:36,300 If House picks you, I'll be needing a new source in that room. 606 00:35:36,426 --> 00:35:38,177 If he picks me? 607 00:35:38,303 --> 00:35:42,473 Sure. Foreman's smarter. House has got a thing for Cameron. 608 00:35:42,599 --> 00:35:45,142 I've been feeding you information so you'll protect me. 609 00:35:45,268 --> 00:35:47,436 And I will protect you, as long as I need you. 610 00:35:47,562 --> 00:35:50,481 And you will feed me information as long as you need me. 611 00:35:50,607 --> 00:35:54,610 I spoke with Cameron because if I have alternatives, 612 00:35:54,736 --> 00:35:56,570 I don't need you. 613 00:35:59,324 --> 00:36:01,951 She's not gonna rat on House. 614 00:36:02,160 --> 00:36:05,704 Foreman never said anything about talking to me? 615 00:36:07,666 --> 00:36:09,542 Interesting, huh? 616 00:36:13,338 --> 00:36:14,880 (MONITOR BEEPING) 617 00:36:28,478 --> 00:36:33,190 It's been almost three hours. Still no change in her condition. 618 00:36:33,400 --> 00:36:36,861 I think we should get her into surgery. 619 00:36:37,237 --> 00:36:39,321 So what do you want to do? 620 00:36:40,949 --> 00:36:44,285 Assume that Cameron didn't screw up. 621 00:36:46,204 --> 00:36:47,621 What if it's not the warfarin? 622 00:36:47,747 --> 00:36:50,124 It has to be. The sores presented right after we administered it. 623 00:36:50,250 --> 00:36:53,335 Right, right, right. But let's just say it's not. 624 00:36:53,545 --> 00:36:54,670 Come on. What do you got? 625 00:36:54,796 --> 00:36:56,505 - Can I have a second to think? - There's no time to think. 626 00:36:56,631 --> 00:36:58,799 Just say the first thing that comes into your head. 627 00:36:58,925 --> 00:37:00,426 - She's fat. - Enough already. 628 00:37:00,552 --> 00:37:03,095 - We got it. You hate fat people. - That's not what I meant. 629 00:37:03,221 --> 00:37:05,180 We already considered obesity as a cause. 630 00:37:05,307 --> 00:37:08,100 - FOREMAN: So did all her other doctors. - I mean, what if it's not a cause? 631 00:37:08,226 --> 00:37:10,144 What if it's a symptom? 632 00:37:10,270 --> 00:37:15,649 So, what could cause obesity and skin necrosis? 633 00:37:18,028 --> 00:37:20,446 I don't care if it makes sense. Just give me something. 634 00:37:20,572 --> 00:37:24,074 - Ulcers secondary to vasculitis. - No, that's just sores, not obesity. 635 00:37:24,200 --> 00:37:26,744 - Pyoderma gangrenosum. - More sores. 636 00:37:27,162 --> 00:37:30,372 Let's look at it from the other side. What has obesity as a symptom? 637 00:37:30,498 --> 00:37:33,500 - Hypothyroidism? - Genetics are more likely. 638 00:37:33,627 --> 00:37:35,377 Her mom's heavy, too. 639 00:37:39,174 --> 00:37:42,426 She's not just heavy, she's tall. 640 00:37:44,387 --> 00:37:47,139 - We have any history on the dad? - Yeah. 641 00:37:49,684 --> 00:37:51,894 6'1". 642 00:37:54,606 --> 00:37:56,398 Kid's short. 643 00:37:56,524 --> 00:38:01,195 We got stunted growth, high blood pressure, blood clots, obesity. 644 00:38:02,530 --> 00:38:05,658 - It's Cushing's. - No. Necrosis doesn't present... 645 00:38:05,784 --> 00:38:08,535 In rare cases, Cushing's can cause hypercalcemia, 646 00:38:08,662 --> 00:38:11,330 which can lead to the same skin necrosis as warfarin. 647 00:38:11,456 --> 00:38:14,708 - It's perfect. It explains everything. - Except it's not Cushing's. 648 00:38:14,834 --> 00:38:18,170 She's had multiple blood tests, and none show abnormal cortisol levels. 649 00:38:18,296 --> 00:38:21,465 The hypercortisolism could be cyclical. We didn't catch it in the right phase. 650 00:38:21,591 --> 00:38:24,426 - We'll have to do another UFC. - There's no time. 651 00:38:24,552 --> 00:38:26,178 We've got less than an hour to make a call. 652 00:38:26,304 --> 00:38:28,472 If we treat for Cushing's and we're wrong, she's dead. 653 00:38:28,598 --> 00:38:32,643 If we assume it's not Cushing's, she'll lose her breasts and may still be sick. 654 00:38:35,480 --> 00:38:36,563 Do an MRI. 655 00:38:36,690 --> 00:38:38,816 You want us to look for hypercortisolism with an MRI? 656 00:38:38,942 --> 00:38:43,278 I want you to look for what could cause hypercortisolism with an MRI. 657 00:39:03,800 --> 00:39:05,509 FOREMAN: Nothing on the adrenals. 658 00:39:08,221 --> 00:39:12,975 - Heard Cameron went home. Is she sick? - Go back to the pituitary views. 659 00:39:13,101 --> 00:39:14,268 She seemed okay. 660 00:39:14,394 --> 00:39:16,145 Think she's got another reason for leaving? 661 00:39:16,271 --> 00:39:21,066 I hope so. Wait, stop. There. What's that? 662 00:39:25,488 --> 00:39:27,656 A tumor. 663 00:39:28,408 --> 00:39:30,075 It's Cushing's. 664 00:39:30,326 --> 00:39:32,411 The tumor causes Cushing's. 665 00:39:32,537 --> 00:39:35,205 And Cushing's messes with hormone production. 666 00:39:35,331 --> 00:39:37,666 Hormones control everything, growth, weight. 667 00:39:37,792 --> 00:39:39,585 Can you fix it? 668 00:39:39,753 --> 00:39:41,712 She'll need surgery to remove the tumor. 669 00:39:42,047 --> 00:39:45,090 Once it's gone, everything will get normal very fast. 670 00:39:45,216 --> 00:39:47,426 - No mastectomy? - No. 671 00:39:48,553 --> 00:39:50,929 - Thank God. - The surgery is dangerous. 672 00:39:51,056 --> 00:39:53,640 The pituitary's located between the cavernous sinuses, 673 00:39:53,767 --> 00:39:55,309 basically right between the eyes. 674 00:39:55,435 --> 00:39:57,895 The area contains the nerves that control eye movement 675 00:39:58,021 --> 00:39:59,688 and the major arteries that feed the brain. 676 00:39:59,814 --> 00:40:00,814 Oh, my God. 677 00:40:00,940 --> 00:40:04,943 The surgeon will approach the gland transsphenoidally. 678 00:40:05,153 --> 00:40:07,029 An incision will be made under the lip, 679 00:40:07,155 --> 00:40:09,823 through which he'll insert a fiber-optic microscope. 680 00:40:09,949 --> 00:40:12,367 Once the tumor's found, he'll cut it into small pieces 681 00:40:12,494 --> 00:40:14,703 and remove it through the same hole under the lip. 682 00:40:14,829 --> 00:40:16,789 The whole procedure should take about three hours, 683 00:40:16,915 --> 00:40:19,083 and your daughter should be able to go home in a few days. 684 00:40:19,209 --> 00:40:23,253 The sores will go away, as well as her fatigue and the muscle pain. 685 00:40:23,505 --> 00:40:26,298 She'll even start losing weight. 686 00:41:15,223 --> 00:41:17,266 - FOREMAN: Jessica. - Hi. 687 00:41:17,392 --> 00:41:20,060 - Is that really you? - Yep, it's me. 688 00:41:20,186 --> 00:41:23,063 You look fantastic. 689 00:41:24,357 --> 00:41:27,192 She always looked fantastic. 690 00:41:27,360 --> 00:41:29,153 Yeah. 691 00:41:55,680 --> 00:41:58,640 - It's been a week. - Actually, it's over a week. 692 00:41:58,850 --> 00:42:01,018 How have you guys been? 693 00:42:01,978 --> 00:42:03,896 Who is it? 694 00:42:08,318 --> 00:42:09,860 Chase. 695 00:42:09,986 --> 00:42:11,612 No, Chase stays. 696 00:42:13,823 --> 00:42:16,491 - Pick someone else. - The deal was... 697 00:42:16,618 --> 00:42:18,869 The deal's changed. 698 00:42:19,204 --> 00:42:21,288 Pick someone else. 699 00:42:21,956 --> 00:42:23,207 No. 700 00:42:32,800 --> 00:42:36,595 Pick someone else, or it'll be the whole department.