1 00:00:00,084 --> 00:00:02,877 Welcome to the world of illusion! 2 00:00:03,045 --> 00:00:05,797 What is real and what is magic? 3 00:00:05,923 --> 00:00:07,799 This is what you will wonder 4 00:00:07,925 --> 00:00:11,386 as I perform feats that will astound you! 5 00:00:11,679 --> 00:00:14,138 As you see, there is nothing up my sleeve. 6 00:00:14,348 --> 00:00:17,141 And this hat, it's just an ordinary old hat. 7 00:00:17,267 --> 00:00:20,436 Watch, as I wave three times above the hat, 8 00:00:20,646 --> 00:00:24,023 and whisper the magic words. And now... 9 00:00:27,236 --> 00:00:29,779 Mom, it's not working! It's ripped! 10 00:00:29,905 --> 00:00:31,489 It's okay, baby, it's just a little tear. 11 00:00:31,615 --> 00:00:34,325 - Hurry up, Mom! - What are you so worried about? 12 00:00:34,451 --> 00:00:37,453 - Sally's gonna make fun of us. - Sally Ayerson? 13 00:00:38,205 --> 00:00:42,250 She said her mom bought her dress at Bloomingdale's and you had to make ours. 14 00:00:42,376 --> 00:00:44,168 We're gonna look stupid. 15 00:00:45,087 --> 00:00:47,797 Do you girls remember that music we were listening to yesterday? 16 00:00:47,923 --> 00:00:50,258 - That lady who sang about respect? - Reetha? 17 00:00:50,384 --> 00:00:51,926 Aretha, that's right. 18 00:00:52,052 --> 00:00:54,178 Do you think she had lots of money growing up in Detroit? 19 00:00:54,304 --> 00:00:56,180 - What's Detroit? - It's a city. 20 00:00:56,306 --> 00:00:59,726 The point is, is that she's one of the best singers ever. 21 00:01:00,561 --> 00:01:01,728 If Sally's mean to you again, 22 00:01:01,854 --> 00:01:04,272 I'm just gonna have to key her daddy's new convertible. 23 00:01:04,398 --> 00:01:06,607 Great. And thank you! 24 00:01:06,734 --> 00:01:08,484 Do you know what that means? 25 00:01:09,111 --> 00:01:10,111 Good. 26 00:01:25,294 --> 00:01:28,171 Whoa, whoa, whoa, whoa, whoa 27 00:01:28,297 --> 00:01:31,048 Oh, whoa, whoa, whoa, whoa, whoa 28 00:01:31,175 --> 00:01:36,637 Little-bitty, pretty one Come on and talk to me 29 00:01:36,847 --> 00:01:42,268 Lovey-dovey, dovey one Come on sit down on my knee 30 00:01:43,270 --> 00:01:46,230 Oh, whoa, whoa, whoa, whoa, whoa 31 00:02:34,279 --> 00:02:35,112 - Hey. - Hey. 32 00:02:35,239 --> 00:02:37,532 You speak to Chase and House yet? The disciplinary hearing. 33 00:02:37,658 --> 00:02:39,450 The McGinley case, that's not for two weeks. 34 00:02:39,576 --> 00:02:40,701 Tomorrow. 35 00:02:40,828 --> 00:02:42,161 Scheduling disaster, you don't wanna hear it. 36 00:02:42,287 --> 00:02:43,871 You gotta get the boys' okay to move the hearing up, 37 00:02:43,997 --> 00:02:46,040 and you gotta do that whole legal advice thing. 38 00:02:46,166 --> 00:02:48,501 - Can you ask someone else? - I'm asking you. 39 00:02:49,545 --> 00:02:52,088 Let me work with Chase. House should have separate counsel. 40 00:02:52,214 --> 00:02:54,006 Stop looking for whatever you're looking for. 41 00:02:54,132 --> 00:02:56,217 For the last month, House has been crowing 42 00:02:56,343 --> 00:02:59,136 that you can't work with him because you're just swooning in love. 43 00:02:59,263 --> 00:03:02,390 There is nothing approaching love in what I feel about him right now. 44 00:03:02,516 --> 00:03:05,893 Well, if you can't work with him, it amounts to the same thing. 45 00:03:06,144 --> 00:03:09,522 We had a fight. It's awkward. Why not use another lawyer? 46 00:03:09,648 --> 00:03:12,650 Because 40% of our lawsuits last year were about House. 47 00:03:12,776 --> 00:03:15,653 If you can't work with him, you can't work here. 48 00:03:16,613 --> 00:03:17,947 She's overreacting. 49 00:03:18,740 --> 00:03:21,951 You snuck into her shrink's office and read her private file. 50 00:03:22,077 --> 00:03:24,078 When Nixon did that, he got impeached. 51 00:03:24,204 --> 00:03:28,124 So you're saying I'm not allowed to have oral sex with an intern, either? 52 00:03:28,333 --> 00:03:30,835 Yes! And yes. 53 00:03:30,961 --> 00:03:34,881 That file got me on the floor of her attic with her pouring out her soul. 54 00:03:35,007 --> 00:03:37,592 The only thing I did wrong was get caught. 55 00:03:39,136 --> 00:03:40,720 Where's Chase? 56 00:03:41,179 --> 00:03:44,223 He's too busy to service you until after work. 57 00:03:44,725 --> 00:03:46,726 I got a couple minutes, though. 58 00:03:46,894 --> 00:03:48,561 Feel free to say something like, 59 00:03:48,687 --> 00:03:50,855 "What'll we do with the time left over?" 60 00:03:51,315 --> 00:03:53,649 Or you could just stew, that works as well. 61 00:03:53,775 --> 00:03:55,443 She stews before she gets violent. 62 00:03:55,569 --> 00:03:58,195 This one says you're okay with moving the disciplinary hearing to tomorrow. 63 00:03:58,322 --> 00:04:01,240 This one says I've advised you of your legal rights. 64 00:04:02,200 --> 00:04:04,660 - Any legal rights I should know about? - Nope. 65 00:04:06,163 --> 00:04:07,622 Great. 66 00:04:07,748 --> 00:04:10,625 And you thought this was gonna be awkward. 67 00:04:11,209 --> 00:04:12,752 You shouldn't sign it. 68 00:04:12,878 --> 00:04:14,712 Postponing is almost always the smart thing to do. 69 00:04:14,838 --> 00:04:17,089 Tempers cool, memories fade. 70 00:04:17,215 --> 00:04:19,258 They rule on me, it's done, right? 71 00:04:19,384 --> 00:04:21,677 - Yeah, but... - Then let's get it over with. 72 00:04:21,803 --> 00:04:24,555 - Ever done a peer review before? - No. 73 00:04:24,681 --> 00:04:25,723 Good. 74 00:04:25,933 --> 00:04:28,768 Peer's a misnomer. These are your bosses. 75 00:04:28,894 --> 00:04:31,687 This could cost you some money, some privileges 76 00:04:31,813 --> 00:04:33,940 or it could cost you your career. 77 00:04:34,274 --> 00:04:36,067 All I can tell them is what happened. 78 00:04:36,193 --> 00:04:37,777 There is an objective reality to what happened, 79 00:04:37,903 --> 00:04:40,112 and that committee is never gonna know it. 80 00:04:40,238 --> 00:04:42,323 All they're gonna know is what they picture happened, 81 00:04:42,449 --> 00:04:45,785 which depends a little on what you tell them and a whole lot 82 00:04:46,662 --> 00:04:48,079 on how you tell them. 83 00:04:49,039 --> 00:04:50,498 May 11. 84 00:04:51,375 --> 00:04:54,001 - The patient presented to the clinic. - What's her name? 85 00:04:54,127 --> 00:04:56,253 - It's in the file. - Do you know it? 86 00:04:56,505 --> 00:04:57,713 Then use it. 87 00:04:58,799 --> 00:05:03,052 Kayla presented to the clinic with multiple joint and stomach pain. 88 00:05:03,387 --> 00:05:06,097 Dr. Foreman was called in for a neurological consult. 89 00:05:06,223 --> 00:05:07,598 What's the point of this, man? 90 00:05:07,724 --> 00:05:10,142 Checking your sister's cerebral coordination. 91 00:05:10,268 --> 00:05:12,645 The thing is in her leg and her stomach. 92 00:05:12,771 --> 00:05:16,065 Wait in the clinic for six hours so she can play patty cake? 93 00:05:16,525 --> 00:05:18,859 You could have gone to the ER last night. 94 00:05:19,319 --> 00:05:21,696 You gonna come over and baby-sit her kids? 95 00:05:21,822 --> 00:05:24,615 Okay. Patient comes from a family of jerks, I get it. 96 00:05:24,741 --> 00:05:26,617 Can you stick to the medicine? 97 00:05:26,952 --> 00:05:28,703 Something wrong? 98 00:05:28,829 --> 00:05:31,122 - There was some uveitis. - Meaning? 99 00:05:31,248 --> 00:05:34,250 Her iris, the colored part of her eye, was inflamed. 100 00:05:34,376 --> 00:05:36,961 - Meaning? - Worst case, blindness. 101 00:05:37,546 --> 00:05:39,672 But there was an upside. 102 00:05:40,007 --> 00:05:42,008 It was weird enough to get House interested. 103 00:05:42,134 --> 00:05:45,094 Young woman, joint pain, gonorrhea's a possibility. 104 00:05:45,387 --> 00:05:47,763 It's polyarticular. Maybe rheumatoid. 105 00:05:47,889 --> 00:05:49,765 That's typically small joints, this hit her knee. 106 00:05:49,891 --> 00:05:51,684 Takayasu's arteritis. 107 00:05:53,186 --> 00:05:55,479 Get a sed rate and serologies. 108 00:05:56,648 --> 00:05:58,357 "Childproof." 109 00:05:58,525 --> 00:06:00,401 How many kids are hopped up on Vicodin? 110 00:06:00,610 --> 00:06:03,779 - Give me. - Right. Like I'd ever get it back. 111 00:06:04,531 --> 00:06:05,531 Chase? 112 00:06:05,657 --> 00:06:08,075 Don't care about the Vicodin. 113 00:06:08,201 --> 00:06:10,911 Might not just be her arteries, could be all her blood vessels. 114 00:06:11,038 --> 00:06:13,706 Vasculitis, with stomach pains, so Behcet's. 115 00:06:13,832 --> 00:06:16,500 - No, she'd have oral sores. - Or genital. 116 00:06:17,252 --> 00:06:18,544 Go find them. 117 00:06:20,047 --> 00:06:23,507 I thought she was Foreman's patient. Why did you do the exam? 118 00:06:24,259 --> 00:06:26,802 - She'd have oral sores. - Or genital. 119 00:06:27,179 --> 00:06:28,471 Go find them. 120 00:06:34,186 --> 00:06:36,520 Whoa, whoa, Foreman. 121 00:06:36,646 --> 00:06:38,898 Chase can handle the pelvic. 122 00:06:40,692 --> 00:06:42,068 Any pain? 123 00:06:43,111 --> 00:06:44,236 Is it bad? 124 00:06:45,739 --> 00:06:48,407 This would go a lot easier if you talked to me. 125 00:06:49,743 --> 00:06:51,368 I'm sorry. 126 00:06:52,287 --> 00:06:53,788 I, um... 127 00:06:54,664 --> 00:06:56,457 I just really hate hospitals. 128 00:06:56,583 --> 00:06:59,043 When I was 12, I had my tonsils out. 129 00:06:59,169 --> 00:07:02,254 Got to skip school, lots of ice cream, made me wanna be a doctor. 130 00:07:02,380 --> 00:07:05,758 My mom died when I was eight, 131 00:07:06,802 --> 00:07:09,637 so I spent months at Princeton General. 132 00:07:12,724 --> 00:07:14,850 She died of DTs, your mom? 133 00:07:15,727 --> 00:07:18,646 Bottles stashed around the house? Mood swings? That whole deal? 134 00:07:18,772 --> 00:07:20,856 - You've been there? - My mom. 135 00:07:21,274 --> 00:07:24,193 Dad left, Mom crawled inside a bottle. 136 00:07:24,486 --> 00:07:26,529 Made for a great year 12 of high school. 137 00:07:26,655 --> 00:07:29,365 You okay with your dad now? 138 00:07:30,534 --> 00:07:31,534 No. 139 00:07:32,077 --> 00:07:35,329 Does your dad have anything to do with this story? 140 00:07:35,455 --> 00:07:36,789 No, it's just... 141 00:07:36,915 --> 00:07:39,917 Okay, I get it, the two of you bonded, which is probably why you haven't been sued. 142 00:07:40,043 --> 00:07:41,794 Patients never sue doctors they like. 143 00:07:41,920 --> 00:07:44,296 But keep it brief, okay? The panel doesn't like to think 144 00:07:44,422 --> 00:07:47,258 they're being manipulated when they're being manipulated. 145 00:07:47,384 --> 00:07:48,884 She had some ulceration. 146 00:07:49,052 --> 00:07:50,845 Confirming Behcet's. 147 00:07:50,971 --> 00:07:55,391 I gave her some prednisone, an antacid, and I ran a pathergy test on her arm. 148 00:07:55,517 --> 00:07:57,476 Takes 24 hours to confirm. 149 00:07:57,602 --> 00:07:59,353 Told her any doctor could check it out. 150 00:07:59,479 --> 00:08:01,647 - You didn't make an appointment. - Nope. 151 00:08:01,773 --> 00:08:03,065 She just showed up. 152 00:08:05,527 --> 00:08:07,611 - Dr. Chase? - Hi. 153 00:08:08,697 --> 00:08:10,781 All right, let's take a look. 154 00:08:13,660 --> 00:08:16,787 Okay, those little pustules mean it's positive. 155 00:08:16,913 --> 00:08:20,791 Talk to Nurse Preven, get an appointment with Dr. Brustin in Rheumatology. 156 00:08:20,917 --> 00:08:23,794 Behcet's is very treatable, you're gonna be fine. 157 00:08:23,920 --> 00:08:25,796 Okay. Thanks. 158 00:08:26,923 --> 00:08:29,049 And you were just chatting on the phone with someone 159 00:08:29,176 --> 00:08:30,676 and she happened to run into you. 160 00:08:30,802 --> 00:08:31,635 That's what happened. 161 00:08:31,761 --> 00:08:34,013 No appointment, no real examination? 162 00:08:34,139 --> 00:08:35,681 Just gave her the test results. 163 00:08:35,807 --> 00:08:38,017 So, lower standard of care, 164 00:08:38,143 --> 00:08:40,686 you really couldn't be expected to notice there was anything else wrong. 165 00:08:40,812 --> 00:08:43,022 We didn't even go into an exam room. 166 00:08:47,819 --> 00:08:52,198 As your lawyer, I can't stop you from lying, I can't even be in the room. 167 00:08:52,324 --> 00:08:55,492 But I would be remiss if I didn't prep you to lie better. 168 00:08:57,245 --> 00:09:00,581 You wrote her a prescription, which means there was an examination. 169 00:09:00,707 --> 00:09:02,082 What really happened? 170 00:09:02,751 --> 00:09:04,335 I was on the phone. 171 00:09:07,505 --> 00:09:10,049 Dr. Chase? Hi. 172 00:09:10,634 --> 00:09:11,759 Hi. 173 00:09:12,510 --> 00:09:14,595 Kayla. I'm here for the test. My arm. 174 00:09:14,721 --> 00:09:16,597 Oh, yeah. 175 00:09:17,599 --> 00:09:18,599 Okay. 176 00:09:19,100 --> 00:09:20,517 It's positive. 177 00:09:20,644 --> 00:09:24,688 Talk to Nurse Preven, get an appointment with Dr. Brustin in Rheumatology. 178 00:09:25,941 --> 00:09:29,735 I took that medicine you gave me, but my stomach still hurts. 179 00:09:32,781 --> 00:09:34,698 Behcet's could be stronger than we thought, 180 00:09:34,824 --> 00:09:37,576 or it could be reflux from the prednisone. 181 00:09:38,578 --> 00:09:40,496 Here's a stronger antacid. 182 00:09:41,206 --> 00:09:43,666 - Doctor? - Yes? 183 00:09:46,086 --> 00:09:47,086 Nothing. 184 00:09:49,172 --> 00:09:52,007 You didn't ask her anything about the stomach pain? 185 00:09:52,676 --> 00:09:55,386 I made one little mistake. 186 00:09:55,804 --> 00:09:58,389 As little mistakes go, that was a biggie. 187 00:10:02,936 --> 00:10:05,938 She's only advising Chase? Not you? 188 00:10:06,147 --> 00:10:09,108 Well, what's the committee gonna do to me? I never even met this patient. 189 00:10:09,234 --> 00:10:10,818 Your disdain for human interaction 190 00:10:10,944 --> 00:10:12,945 doesn't exculpate you, it inculpates you. 191 00:10:13,488 --> 00:10:15,489 You signed the charts, you're responsible for everything Chase does. 192 00:10:15,615 --> 00:10:17,074 Which is why this doesn't matter. 193 00:10:17,200 --> 00:10:18,784 She protects Chase, she protects me. 194 00:10:18,910 --> 00:10:22,621 Unless her advice to Chase is to make a deal and give you up. 195 00:10:23,164 --> 00:10:27,042 "I'm so sorry, if only Dr. House had paid attention. 196 00:10:27,335 --> 00:10:29,962 He never even met her, he never does." 197 00:10:30,213 --> 00:10:32,423 Chase loves me. And isn't Turkish. 198 00:10:33,008 --> 00:10:35,426 Cameron loves you, Chase loves his job. 199 00:10:35,552 --> 00:10:37,678 You really think Stacy hates me that much? 200 00:10:37,804 --> 00:10:40,973 I think right now she hates you more than enough. 201 00:10:41,141 --> 00:10:44,393 You think emotion only affects doctors' judgments? 202 00:10:48,356 --> 00:10:50,482 Everything stemmed from that one interaction. 203 00:10:50,608 --> 00:10:51,734 They're gonna slam you on it. 204 00:10:51,860 --> 00:10:55,112 Were you distracted? Your problem. Overworked? That's their problem. 205 00:10:55,238 --> 00:10:56,363 Forgeftul, yours, lazy... 206 00:10:56,489 --> 00:10:58,365 I just figured the stomach pain was the Behcet's. 207 00:10:58,491 --> 00:10:59,742 Any doctor would have thought the same. 208 00:10:59,868 --> 00:11:03,203 Then why did you call her an hour after she left the clinic? 209 00:11:03,330 --> 00:11:06,081 Nurse Preven said you asked her to have Kayla come back in. 210 00:11:06,207 --> 00:11:10,085 The way she hesitated, I thought she might have had a doorknob question. 211 00:11:11,046 --> 00:11:12,296 Patient comes in, 212 00:11:12,422 --> 00:11:15,299 says he's got a sniffly nose, you examine him for 10 minutes, right? 213 00:11:15,425 --> 00:11:16,967 Then you're leaving, hand on the doorknob, 214 00:11:17,093 --> 00:11:20,429 and he says, "Oh, yeah, and my penis has turned green". 215 00:11:20,555 --> 00:11:22,848 Embarrassing question, the only important one, patient saves it for last. 216 00:11:22,974 --> 00:11:26,518 So you knew she was about to ask the most important question 217 00:11:26,728 --> 00:11:27,853 and you left. 218 00:11:27,979 --> 00:11:30,773 No, I didn't. I figured it out later. 219 00:11:30,899 --> 00:11:32,149 What changed? 220 00:11:32,567 --> 00:11:34,360 - Nothing. - Bad answer. 221 00:11:34,486 --> 00:11:37,321 - I wasn't thinking clearly at first. - Worse answer. 222 00:11:37,947 --> 00:11:40,115 So what was her doorknob question? 223 00:11:40,367 --> 00:11:42,701 I figured it might be blood in her stool, 224 00:11:43,161 --> 00:11:45,537 which could indicate a bleeding ulcer. 225 00:11:45,663 --> 00:11:46,580 Talk to me. 226 00:11:46,706 --> 00:11:48,832 Thirty-five year old female, vomiting massive amounts of blood, 227 00:11:48,958 --> 00:11:52,044 LOC at work, BP 80 over 20, heart rate 140. 228 00:11:52,170 --> 00:11:53,003 You push fluids? 229 00:11:53,129 --> 00:11:55,589 Three liters in the field, and we're bolusing another one right now. 230 00:11:55,715 --> 00:11:57,216 It's gotta be a bleeding ulcer, Doc. 231 00:11:57,342 --> 00:12:00,469 Her coworkers said she's been eating ibuprofens like candy. 232 00:12:00,678 --> 00:12:02,429 I thought she had Behcet's! 233 00:12:02,722 --> 00:12:04,848 One, two, three. 234 00:12:21,324 --> 00:12:22,574 I'm in the stomach. 235 00:12:22,700 --> 00:12:24,284 There's too much blood, I can't see. 236 00:12:24,411 --> 00:12:26,578 - Did she burst an artery? - No. 237 00:12:26,704 --> 00:12:28,997 There. Bubbling. Just a bad ulcer. 238 00:12:29,124 --> 00:12:30,124 Cauterizing. 239 00:12:30,250 --> 00:12:32,668 - I can't see, use some more saline. - Hold on. 240 00:12:32,794 --> 00:12:33,794 Okay. 241 00:12:35,505 --> 00:12:38,590 Looks good. Bleeding ulcer. We got it. 242 00:12:38,758 --> 00:12:40,467 She was fine two hours ago. 243 00:12:40,635 --> 00:12:42,261 Systolic BP 70. 244 00:12:42,387 --> 00:12:44,555 Where's the ulcer? It's brown, I cauterized it. 245 00:12:44,681 --> 00:12:46,223 There must be something else. 246 00:12:46,349 --> 00:12:47,349 There. 247 00:12:47,475 --> 00:12:50,644 - A second ulcer? - Not anymore. It perforated. 248 00:12:51,521 --> 00:12:52,646 Get her to an OR! 249 00:12:52,939 --> 00:12:55,691 The surgeons were able to suture the perforation. 250 00:12:56,443 --> 00:12:58,610 But the contents of the patient's, 251 00:12:58,820 --> 00:13:01,780 Kayla's, stomach had spilled into her body. 252 00:13:02,615 --> 00:13:03,615 She got septic. 253 00:13:03,741 --> 00:13:05,826 Then the infection lowers her blood pressure... 254 00:13:05,952 --> 00:13:07,661 Fifty over palp at one point. 255 00:13:07,787 --> 00:13:10,038 It damaged her liver and kidneys. 256 00:13:11,541 --> 00:13:13,625 Listen, I know this looks bad. 257 00:13:13,751 --> 00:13:15,502 I obviously got the diagnosis wrong, 258 00:13:15,628 --> 00:13:17,421 but I did everything by the book. 259 00:13:17,589 --> 00:13:19,965 I couldn't have known what was gonna happen. 260 00:13:20,300 --> 00:13:23,552 If I skip my coffee, I get cranky. Do you want anything? 261 00:13:32,437 --> 00:13:34,521 Why did Chase screw up? 262 00:13:34,647 --> 00:13:37,483 He forgot to ask a question, does there need to be a reason? 263 00:13:37,609 --> 00:13:38,817 It might help him. 264 00:13:38,943 --> 00:13:42,154 As far as I'm concerned, he made a little mistake. It happens. 265 00:13:42,280 --> 00:13:43,363 How far are you concerned? 266 00:13:43,490 --> 00:13:45,282 You think I'm biased? 267 00:13:45,450 --> 00:13:48,410 You're colleagues. You worked together for over a year. 268 00:13:48,536 --> 00:13:50,579 And everyone says you slept together. 269 00:13:51,331 --> 00:13:52,498 Who says? 270 00:13:52,624 --> 00:13:54,917 The correct answer is, "We're not involved and I'm not biased". 271 00:13:55,043 --> 00:13:58,045 We're not involved, and I don't know why he messed up. 272 00:13:58,630 --> 00:14:01,298 House has worked with him longer than I have. 273 00:14:01,424 --> 00:14:03,050 You should talk to House. 274 00:14:04,719 --> 00:14:05,844 Yeah. 275 00:14:06,095 --> 00:14:08,180 Why did Chase screw up? 276 00:14:08,473 --> 00:14:10,724 Because he doesn't give a crap about patients. 277 00:14:10,850 --> 00:14:12,476 Well, he always gets positive patient reviews. 278 00:14:12,602 --> 00:14:15,103 Yeah. He smiles all 84 of his teeth, 279 00:14:15,230 --> 00:14:16,522 tells them his tonsil story... 280 00:14:16,648 --> 00:14:19,316 - It's a nice story. - He still has his tonsils! 281 00:14:19,442 --> 00:14:22,528 As soon as he's out of the room, which is as soon as he can be out of the room, 282 00:14:22,654 --> 00:14:24,363 he starts in on the trash talking. 283 00:14:24,489 --> 00:14:26,823 He thinks not giving a crap makes him like House. 284 00:14:26,950 --> 00:14:29,034 Like it's something to aspire to. 285 00:14:30,203 --> 00:14:31,578 Am I gonna have to testify? 286 00:14:31,704 --> 00:14:34,206 I won't be encouraging them to call you. 287 00:14:34,332 --> 00:14:35,499 What did House say? 288 00:14:41,381 --> 00:14:45,467 - Two months like this. - Let me guess, no insurance. 289 00:14:45,593 --> 00:14:48,512 You've just heard about the free clinic. It's a good move. 290 00:14:48,638 --> 00:14:52,975 You don't wanna skimp on the essentials like wristwatches, MP3 players. 291 00:14:53,393 --> 00:14:55,143 I need to talk to you. 292 00:14:55,395 --> 00:14:57,312 - From the doorway? - It's confidential. 293 00:14:57,438 --> 00:14:59,273 Cool. I love gossip. 294 00:15:02,026 --> 00:15:03,527 You hear that crackling sound? 295 00:15:03,695 --> 00:15:05,487 Like crumpling up paper? 296 00:15:05,613 --> 00:15:08,574 Keep listening, let me know if it changes. 297 00:15:18,543 --> 00:15:19,585 Two questions. 298 00:15:19,711 --> 00:15:22,296 Why did Chase screw up, and how bad was it? 299 00:15:22,422 --> 00:15:25,424 Wow. Talk about efficient, I only need one answer. 300 00:15:25,550 --> 00:15:27,676 - Chase didn't screw up. - He said he did. 301 00:15:27,802 --> 00:15:30,637 Well, I'm not a lawyer, but that seems like a sucky legal strategy. 302 00:15:30,763 --> 00:15:33,557 They're gonna wanna know what you think a reasonable doctor would have done 303 00:15:33,683 --> 00:15:34,641 in Chase's position. 304 00:15:34,767 --> 00:15:37,102 If I thought he was a reasonable doctor, I wouldn't have hired him. 305 00:15:37,228 --> 00:15:38,854 God, you two are a couple of geniuses. 306 00:15:38,980 --> 00:15:42,107 Deny everything, completely fool the lawyer who's trying to help you. 307 00:15:42,233 --> 00:15:45,485 Too bad the review committee members are actually doctors. 308 00:15:45,987 --> 00:15:47,362 Stacy. 309 00:15:51,242 --> 00:15:52,409 I'm in the stomach. 310 00:15:52,535 --> 00:15:54,536 There's too much blood, I can't see. 311 00:15:54,662 --> 00:15:56,413 - Did she burst an artery? - No. 312 00:15:56,539 --> 00:15:59,416 There. Bubbling. Just a bad ulcer. 313 00:16:00,251 --> 00:16:02,419 Okay. Cauterizing. 314 00:16:02,545 --> 00:16:05,881 - Looks good. - Bleeding ulcer. We got it. 315 00:16:06,215 --> 00:16:07,507 She was fine two hours ago. 316 00:16:07,634 --> 00:16:10,260 If by "fine", you mean she had fountains of blood 317 00:16:10,386 --> 00:16:13,305 spurting out of every orifice, then yeah, I believe you. 318 00:16:14,557 --> 00:16:16,892 I'm guessing those are celebratory bells. 319 00:16:17,018 --> 00:16:18,435 Systolic BP 70. 320 00:16:18,561 --> 00:16:19,478 Show me the ulcer. 321 00:16:19,604 --> 00:16:20,896 It's brown, I cauterized it. 322 00:16:21,022 --> 00:16:23,357 Sweep back. Show me the whole stomach. 323 00:16:25,234 --> 00:16:26,276 Stop. 324 00:16:27,153 --> 00:16:30,238 - A second ulcer? - Not anymore. It perforated. 325 00:16:31,157 --> 00:16:32,366 Get her to an OR! 326 00:16:33,451 --> 00:16:34,451 Let's go. 327 00:16:36,954 --> 00:16:39,790 She was not "fine" two hours ago. 328 00:16:40,333 --> 00:16:42,793 - Did she mention stomach pain? - Yeah, so I gave her a stronger... 329 00:16:42,919 --> 00:16:45,629 - You didn't do an exam. - She just came in for a follow-up. 330 00:16:45,755 --> 00:16:47,381 The results of the pathergy test... 331 00:16:47,507 --> 00:16:48,965 Did you listen to her stomach? 332 00:16:49,092 --> 00:16:50,050 Check her vitals? 333 00:16:50,176 --> 00:16:52,427 Maybe if she'd said something about taking ibuprofen, 334 00:16:52,553 --> 00:16:54,429 - mentioned the rectal bleeding... - Yeah! 335 00:16:54,555 --> 00:16:56,848 Why didn't she go to med school like you did? 336 00:16:56,974 --> 00:16:59,768 Diarrhea, blood in the stool, these are routine questions! 337 00:16:59,894 --> 00:17:01,228 That doctors skip all the time! 338 00:17:01,354 --> 00:17:03,605 It was a minor mistake, I couldn't have known this was gonna happen... 339 00:17:03,731 --> 00:17:05,941 Mistakes are as serious as the results they cause! 340 00:17:06,067 --> 00:17:08,985 This woman could die because you were too lazy to ask one simple question! 341 00:17:09,112 --> 00:17:10,946 No, she might die because I had 342 00:17:11,114 --> 00:17:12,989 the bad luck to spill your damn Vicodin pills! 343 00:17:13,116 --> 00:17:15,909 I responded with a number of trenchant remarks 344 00:17:16,035 --> 00:17:18,829 which made Chase cry, none of which I'm gonna testify about. 345 00:17:19,122 --> 00:17:21,331 Unless you convince Chase to roll on me. 346 00:17:22,375 --> 00:17:25,502 Excuse me. Testify about what? 347 00:17:29,006 --> 00:17:30,006 Chuck. 348 00:17:30,383 --> 00:17:32,467 I'm gonna break from the parable of the wicked doctor 349 00:17:32,593 --> 00:17:36,972 and tell a little story about a patient, let's call him Buck. 350 00:17:37,515 --> 00:17:40,475 Who has low O2 sats and crackling lung sounds. 351 00:17:40,601 --> 00:17:41,435 Like I have. 352 00:17:41,561 --> 00:17:44,813 Buck has idiopathic pulmonary fibrosis. 353 00:17:45,106 --> 00:17:47,274 His lung tissue's turning to rock. 354 00:17:47,483 --> 00:17:49,609 There's no known cause, no treatment. 355 00:17:49,736 --> 00:17:52,320 - He is slowly suffocating. - You're talking about me? 356 00:17:52,447 --> 00:17:55,115 Lung transplant's about $500,000, 357 00:17:55,241 --> 00:17:56,742 but this poor sucker's got no insurance. 358 00:17:56,868 --> 00:18:00,287 If he tried to sign up now, he'd be excluded, preexisting condition. 359 00:18:00,413 --> 00:18:02,539 But let me confirm with my lawyer. 360 00:18:03,416 --> 00:18:04,458 She confirms. 361 00:18:05,251 --> 00:18:09,546 If only Buck hadn't been diagnosed with fibrosis before he got insurance. 362 00:18:09,756 --> 00:18:12,340 So, back to the exam. 363 00:18:23,186 --> 00:18:25,562 That's how you tell this guy he's dying? 364 00:18:25,688 --> 00:18:27,647 Oh, relax. He's got a cold. 365 00:18:27,815 --> 00:18:29,608 And soon, health insurance. 366 00:18:30,401 --> 00:18:33,278 Such a hero, always righting wrongs. 367 00:18:33,488 --> 00:18:35,197 Who cares who you have to manipulate? 368 00:18:35,323 --> 00:18:36,490 I'm sorry. 369 00:18:36,616 --> 00:18:39,201 I didn't realize you and Buck were so close. 370 00:18:42,580 --> 00:18:44,748 - It's a point of principle. - Right. 371 00:18:44,957 --> 00:18:46,416 It's got nothing to do with what I did to you. 372 00:18:46,542 --> 00:18:48,376 There's nothing for us to talk about. 373 00:18:48,503 --> 00:18:50,086 That's why you're following me. 374 00:18:50,213 --> 00:18:52,088 - I read some notes. - If Chase screwed up... 375 00:18:52,215 --> 00:18:55,467 I was wrong! I'm terribly, terribly sorry. 376 00:18:55,593 --> 00:18:57,803 If Chase screwed up so badly, why didn't you fire him? 377 00:18:57,929 --> 00:18:59,387 He has great hair. 378 00:19:00,765 --> 00:19:02,891 - What are you hiding? - I'm gay. 379 00:19:03,601 --> 00:19:07,103 Oh, that's not what you meant. It does explain a lot, though. 380 00:19:07,230 --> 00:19:09,523 No girlfriend, always with Wilson. 381 00:19:09,649 --> 00:19:11,733 Obsession with sneakers. 382 00:19:13,152 --> 00:19:14,903 Diarrhea, blood in the stool. 383 00:19:15,029 --> 00:19:16,822 Two simple questions you could have asked her six months ago 384 00:19:16,948 --> 00:19:20,492 and averted this whole thing. You didn't ask either, why? 385 00:19:21,452 --> 00:19:24,454 Judging from your question and your demeanor, 386 00:19:24,705 --> 00:19:27,082 I assume you were visiting with House. 387 00:19:27,625 --> 00:19:29,459 We've been over this. I don't know. 388 00:19:29,585 --> 00:19:30,752 Good doctors don't make mistakes like that. 389 00:19:30,878 --> 00:19:32,712 Good doctors never forget to ask questions? 390 00:19:32,839 --> 00:19:35,090 Then you've got your answer, apparently, I'm not a good doctor. 391 00:19:35,216 --> 00:19:38,009 FYI, self-pity generally is not a good strategy in these hearings. 392 00:19:38,135 --> 00:19:40,262 What happened after the operation? 393 00:19:41,430 --> 00:19:43,598 The kidney damage isn't so bad. 394 00:19:43,766 --> 00:19:45,475 The liver damage is more worrisome. 395 00:19:45,601 --> 00:19:47,561 There's no dialysis for livers. 396 00:19:47,687 --> 00:19:50,856 I know. But if she loses a liver, she can get a transplant, right? 397 00:19:50,982 --> 00:19:52,732 We can put her on a list. 398 00:19:53,651 --> 00:19:54,985 I could do it. 399 00:19:55,820 --> 00:19:56,987 I could give her part of my liver. 400 00:19:57,113 --> 00:19:59,030 Surgeons won't operate unless the donor's 401 00:19:59,198 --> 00:20:01,157 had a long time to weigh the decision. 402 00:20:01,284 --> 00:20:02,409 There's black markets. 403 00:20:02,577 --> 00:20:03,535 For organs? 404 00:20:03,661 --> 00:20:05,662 That's just... 405 00:20:05,788 --> 00:20:07,581 Oh, my stomach! 406 00:20:07,707 --> 00:20:09,666 - The pain constant? - Yeah! 407 00:20:09,792 --> 00:20:12,002 - Sharp or dull? - I don't know! 408 00:20:12,128 --> 00:20:14,588 - It's ferric. - It's a little cold. 409 00:20:15,298 --> 00:20:17,591 - She's got ascites. - No. It's a clot. 410 00:20:17,717 --> 00:20:21,636 Nurse! Call the OR. We gotta prep her for an embolectomy. 411 00:20:23,014 --> 00:20:25,682 Run CBC, PT, and a liver panel. 412 00:20:25,975 --> 00:20:29,227 Sepsis had lowered her BP so much, she got clots in her liver. 413 00:20:29,353 --> 00:20:31,730 They blocked the hepatic artery, cut off the blood flow. 414 00:20:31,856 --> 00:20:33,231 Her liver was shocked. 415 00:20:33,357 --> 00:20:36,109 And Cuddy listed her? With all the other problems? 416 00:20:37,486 --> 00:20:41,197 Forget it! We can't give a liver to a woman this sick. 417 00:20:41,324 --> 00:20:42,490 Do you listen to what you're saying? 418 00:20:42,617 --> 00:20:46,536 There is no point in giving a new liver to somebody who also has vasculitis. 419 00:20:46,662 --> 00:20:48,788 - Treatable. - And kidney damage. 420 00:20:48,915 --> 00:20:51,499 - It's healing. - You know what's really killing her? 421 00:20:51,626 --> 00:20:54,711 Chase forgot to ask a standard question about stomach pain. 422 00:20:54,837 --> 00:20:57,130 So he missed the diagnosis, so she perforated, 423 00:20:57,256 --> 00:20:59,549 so she got sepsis, so her BP tanked, 424 00:20:59,717 --> 00:21:01,885 so she got blood clots, so she lost her liver. 425 00:21:02,053 --> 00:21:05,764 Livers are important, Cuddy. You can't live without them, hence the name. 426 00:21:05,890 --> 00:21:07,015 Here's the big issue. 427 00:21:07,141 --> 00:21:10,852 Chase is a hospital employee, and Kayla is a sympathetic mother 428 00:21:10,978 --> 00:21:14,147 of those two jury-friendly moppets, Caleb and Cody. 429 00:21:14,440 --> 00:21:15,607 Dory and Nikki. 430 00:21:15,733 --> 00:21:19,527 Your point, beyond just trying to make Chase wet himself, 431 00:21:19,654 --> 00:21:23,448 seems to be that the hospital faces liability here. 432 00:21:23,574 --> 00:21:25,367 Well, thanks for clearing that up. 433 00:21:25,493 --> 00:21:27,202 I still need a medical reason to list her. 434 00:21:27,370 --> 00:21:29,162 That is the medical reason. 435 00:21:29,288 --> 00:21:33,583 If the family wins this hospital in a lawsuit, they'll turn it into condos. 436 00:21:33,709 --> 00:21:37,128 And people will die waiting outside a condo for medical care. 437 00:21:42,343 --> 00:21:45,470 Start praying for a 12-car pileup on the turnpike, 438 00:21:45,596 --> 00:21:48,598 'cause we're not exactly swimming in livers over here. 439 00:21:54,313 --> 00:21:58,108 When you're testifying, skip the details on how House convinced Cuddy. 440 00:21:58,234 --> 00:22:01,111 I don't think the people who got bumped down the transplant list need to know why. 441 00:22:01,362 --> 00:22:02,320 It didn't matter anyway. 442 00:22:02,905 --> 00:22:04,823 - She next on the list? - Yes. 443 00:22:04,949 --> 00:22:07,993 But she's AB negative, very rare. 444 00:22:09,996 --> 00:22:12,122 How long can she go on like this? 445 00:22:12,415 --> 00:22:14,207 Probably another day or two. 446 00:22:17,128 --> 00:22:19,087 - I'm donating my liver. - Sam, we talked about this. 447 00:22:19,255 --> 00:22:22,215 I'm a perfect match, six out of six HLA proteins. 448 00:22:22,675 --> 00:22:24,134 How'd you get checked out so fast? 449 00:22:24,260 --> 00:22:26,553 I know a guy in medical testing, and I paid him to rush it. 450 00:22:26,679 --> 00:22:29,597 - Sam bribed someone to rush his tests? - Wouldn't you? 451 00:22:29,765 --> 00:22:31,516 Someone's going to get the blame for what happened, 452 00:22:31,642 --> 00:22:34,102 so the more we spread it around, we might as well... 453 00:22:34,228 --> 00:22:38,148 You said no surgeon would do a live donor transplant on such short notice. 454 00:22:38,274 --> 00:22:40,442 House took care of that, too. 455 00:22:43,571 --> 00:22:45,488 Your patient's hardly clotting. 456 00:22:46,198 --> 00:22:49,367 Sub-Q vitamin K and fresh frozen plasma pre-op. 457 00:22:49,493 --> 00:22:50,577 Pretty risky. 458 00:22:50,703 --> 00:22:53,079 Well, that's why I came to the best transplant surgeon in the hospital. 459 00:22:53,205 --> 00:22:54,956 She's dead without you. 460 00:22:57,126 --> 00:22:58,793 Get her in this afternoon. 461 00:23:00,087 --> 00:23:02,839 - Thank you very much. - My pleasure. 462 00:23:03,090 --> 00:23:05,759 And this was right before you ran the marathon, I suppose? 463 00:23:05,885 --> 00:23:08,803 Was it the part where he warmly clasped my hands in thanks, 464 00:23:08,929 --> 00:23:11,014 - was that too much? - What did you do to him? 465 00:23:11,140 --> 00:23:13,767 The hospital lawyer asks me if I did something unethical? 466 00:23:13,893 --> 00:23:16,144 If I did, the last person I'd tell is the hospital lawyer, 467 00:23:16,270 --> 00:23:18,897 especially since she's gone all Old Testament on me. 468 00:23:19,023 --> 00:23:21,941 - You'll tell me. - Oh. Okay then. 469 00:23:22,485 --> 00:23:26,738 One caveat, I've moved past threesomes, I'm now into foursomes. 470 00:23:26,864 --> 00:23:29,616 If someone backs out, then, you've still got a threesome. 471 00:23:29,742 --> 00:23:32,118 And if two people back out, you're still having sex. 472 00:23:32,244 --> 00:23:33,703 You'd be amazed, even if three people... 473 00:23:33,829 --> 00:23:35,705 Anything you say is attorney-client. 474 00:23:35,831 --> 00:23:38,041 So you can get advice about the bad, bad thing you did, 475 00:23:38,167 --> 00:23:41,086 knowing I'll be tortured because I can't tell a soul. 476 00:23:42,088 --> 00:23:44,339 Actually, it is kind of cool. 477 00:23:45,299 --> 00:23:48,134 Are you completely out of your mind? 478 00:23:48,636 --> 00:23:50,053 She's dying on her own, 479 00:23:50,179 --> 00:23:52,806 why would I volunteer to be her executioner? 480 00:23:53,099 --> 00:23:56,684 And I'd just be inviting a lawsuit from the brother no matter what. 481 00:23:58,145 --> 00:23:59,145 5 grand. 482 00:24:00,189 --> 00:24:03,733 And that's just ante money. After the surgery, you get another 15. 483 00:24:03,859 --> 00:24:06,152 Though I warn you, that includes the tip. 484 00:24:08,114 --> 00:24:10,115 I make 600 grand a year. 485 00:24:10,241 --> 00:24:13,785 You think I'm gonna risk tanking my percentages for $20,000? 486 00:24:14,120 --> 00:24:15,411 It's tax-free. 487 00:24:15,746 --> 00:24:17,122 For the record, 488 00:24:17,248 --> 00:24:19,207 I hope the Department takes you and Chase 489 00:24:19,333 --> 00:24:22,293 and drop-kicks both your asses out the back door. 490 00:24:23,170 --> 00:24:24,170 Great! 491 00:24:25,089 --> 00:24:27,549 That means I don't have to bother welshing on the 15 grand 492 00:24:27,675 --> 00:24:29,217 I would have owed you. 493 00:24:30,094 --> 00:24:32,929 If you don't do the surgery, I'm gonna tell your wife 494 00:24:33,055 --> 00:24:35,807 that you've been sleeping with a series of nurses. 495 00:24:36,267 --> 00:24:38,935 Currently Nurse Cutler in Radiology. 496 00:24:39,562 --> 00:24:42,147 Now, what's 600 grand divided by two? 497 00:24:42,940 --> 00:24:44,274 Last Christmas party, 498 00:24:44,400 --> 00:24:47,318 Nurse Cutler handed you one of those little hot dogs. 499 00:24:47,528 --> 00:24:49,529 And you didn't thank her. 500 00:24:49,822 --> 00:24:53,199 Well, that only happens when you're very, very intimate. 501 00:24:53,826 --> 00:24:56,161 That, and the fact that you've been practically dancing around 502 00:24:56,287 --> 00:24:59,998 with your zipper open, and a used condom stuck on your shoe. 503 00:25:00,124 --> 00:25:02,250 Your wife is apparently the only one who doesn't know. 504 00:25:02,376 --> 00:25:03,793 There's no way you'll tell her. 505 00:25:03,961 --> 00:25:06,963 Of course I won't. I'm much too cowardly. 506 00:25:07,256 --> 00:25:09,257 No, I'll just send an anonymous letter. 507 00:25:09,383 --> 00:25:13,469 Now, I've got an OR booked for 4:00 this afternoon. 508 00:25:14,096 --> 00:25:15,597 Are you free? 509 00:25:19,560 --> 00:25:21,978 Oh, and "for the record", 510 00:25:22,104 --> 00:25:25,190 you are the worst transplant surgeon in this hospital. 511 00:25:25,316 --> 00:25:29,402 But unfortunately, you're the only one who's currently cheating on his wife. 512 00:25:35,826 --> 00:25:38,620 You bribed him and then you blackmailed him? 513 00:25:38,746 --> 00:25:41,706 She'd have been dead in two days if I hadn't made Ayersman do the surgery. 514 00:25:41,832 --> 00:25:44,083 Leave the blackmail out of the story you tell the committee. 515 00:25:44,210 --> 00:25:46,085 I tried to leave it out of the story I told you. 516 00:25:46,212 --> 00:25:48,838 And then there was that incident in the parking lot. 517 00:25:48,964 --> 00:25:51,299 - Don't do that! - Hey, what, are you nuts? 518 00:25:51,675 --> 00:25:53,134 No, please, I didn't do it! 519 00:25:53,260 --> 00:25:55,970 - I didn't do anything! Please! - No! 520 00:25:56,096 --> 00:25:58,890 Apparently, someone sent an anonymous letter to his wife. 521 00:25:59,016 --> 00:26:02,936 You blackmailed Ayersman, he performed the surgery, and you ratted him out anyway? 522 00:26:03,062 --> 00:26:04,145 Doesn't seem fair, does it? 523 00:26:04,271 --> 00:26:06,064 You just can't control yourself, can you? 524 00:26:06,190 --> 00:26:08,066 No matter how stupid, how self-destructive... 525 00:26:08,192 --> 00:26:11,027 To make this conversation easier, can we discard the fiction 526 00:26:11,153 --> 00:26:14,530 that we're talking about anything other than what I did to you? 527 00:26:14,657 --> 00:26:17,325 You're not mad because I broke into your psychiatrist's office. 528 00:26:17,451 --> 00:26:18,660 Yeah, I was thrilled about that. 529 00:26:18,827 --> 00:26:20,078 Okay, it was a lousy thing to do. 530 00:26:20,204 --> 00:26:21,162 But if what I had found 531 00:26:21,288 --> 00:26:23,456 was that everything was all kittens and moonbeams in Markville, 532 00:26:23,582 --> 00:26:25,959 - you'd be over it. - No, I wouldn't! 533 00:26:26,085 --> 00:26:28,503 You're mad at me for letting you know what I did. 534 00:26:28,629 --> 00:26:30,964 Because you liked where things were going. 535 00:26:33,592 --> 00:26:35,760 And for that, I actually am sorry. 536 00:26:36,178 --> 00:26:37,470 It was stupid. 537 00:26:48,482 --> 00:26:50,984 Let me tell you a story about a patient. 538 00:26:51,527 --> 00:26:54,529 A patient we'll call Fusan. 539 00:26:55,990 --> 00:26:57,907 Because Sam had rushed his tests, 540 00:26:58,033 --> 00:27:01,077 we were able to get them into surgery that afternoon. 541 00:27:01,996 --> 00:27:05,081 Dr. Ayersman performed the live-donor transplant. 542 00:27:05,833 --> 00:27:08,042 He resected the right lobe, hepatic vein, 543 00:27:08,210 --> 00:27:10,211 and hepatic artery of Sam's liver, 544 00:27:10,337 --> 00:27:12,297 and transplanted it into Kayla. 545 00:27:12,423 --> 00:27:14,173 The operation was a success. 546 00:27:15,092 --> 00:27:17,760 Kayla and Sam continued to receive routine care. 547 00:27:19,013 --> 00:27:22,682 Two months later, she came by for an exam. 548 00:27:22,850 --> 00:27:26,102 July 24, be precise. You did the exam? 549 00:27:26,228 --> 00:27:27,687 Honestly, I just wanted... "Honestly"? 550 00:27:27,813 --> 00:27:29,105 So you've been lying up until now? 551 00:27:29,231 --> 00:27:31,482 Let's make a deal. I won't use the word "honestly", 552 00:27:31,608 --> 00:27:33,151 and you'll quit stopping by to see House 553 00:27:33,319 --> 00:27:36,404 so you don't take it out on me afterwards. How about that? 554 00:27:38,490 --> 00:27:41,284 I wanted to be as far away from Kayla as possible. 555 00:27:41,660 --> 00:27:43,494 And House was rubbing my nose in it. 556 00:27:43,620 --> 00:27:45,163 How are the girls? 557 00:27:45,289 --> 00:27:46,706 They're great. 558 00:27:47,207 --> 00:27:50,209 Dory had her first crush, which was cute. 559 00:27:50,336 --> 00:27:51,294 Oh, yeah? 560 00:27:51,587 --> 00:27:53,504 And then her first sort of breakup, 561 00:27:53,630 --> 00:27:55,340 which was not so cute. 562 00:27:57,968 --> 00:28:01,220 You're hot. 99.3. 563 00:28:01,930 --> 00:28:03,348 - Have you been coughing? - No. 564 00:28:03,474 --> 00:28:05,475 - Pain in urinating? - No. 565 00:28:07,978 --> 00:28:10,271 99's not that high, is it? 566 00:28:10,814 --> 00:28:13,941 Immunosuppressants block fevers, you shouldn't have one at all. 567 00:28:15,986 --> 00:28:18,654 I'm sending a nurse in here to draw cultures. 568 00:28:19,073 --> 00:28:20,782 And I'm ordering a chest x-ray. 569 00:28:20,908 --> 00:28:22,909 I wasn't making any more mistakes. 570 00:28:23,035 --> 00:28:24,994 Another phrase to avoid in front of the committee. 571 00:28:25,120 --> 00:28:27,163 She spiked a fever an hour later. 572 00:28:27,289 --> 00:28:30,958 Her AST and ALT are up. She's rejecting the liver. 573 00:28:31,085 --> 00:28:32,794 No, it's just an infection. 574 00:28:32,920 --> 00:28:34,754 One of her cultures is growing out strep. 575 00:28:34,880 --> 00:28:36,172 Just one? Probably a contaminant. 576 00:28:36,298 --> 00:28:38,966 She's dehydrated, her hematocrit's way up. It's strep. 577 00:28:39,093 --> 00:28:40,510 Her transaminases are up, too. 578 00:28:40,636 --> 00:28:42,720 - That's just stress from the strep. - Jeez, Chase. 579 00:28:42,846 --> 00:28:44,931 You and this strep. Get a room already. 580 00:28:45,057 --> 00:28:46,933 She's not rejecting the liver. 581 00:28:48,060 --> 00:28:50,269 It's just an infection, she'll be fine. 582 00:28:50,396 --> 00:28:52,021 Worst case, we could re-list her. 583 00:28:52,147 --> 00:28:53,398 You House? 584 00:28:53,565 --> 00:28:57,860 Well, that depends. Are you gonna hit Dr. House? 585 00:28:58,987 --> 00:29:01,531 You haven't even seen my sister, and you're being cute with me? 586 00:29:01,657 --> 00:29:04,117 Sam, we're talking about her right now. 587 00:29:04,243 --> 00:29:06,285 - Her fever might... - Could be hep B, hep C, right? 588 00:29:06,412 --> 00:29:09,997 This is treatable. You give her interferon, she's okay, right? 589 00:29:10,124 --> 00:29:11,749 You know a lot about hepatitis. 590 00:29:11,875 --> 00:29:14,043 He just donated his liver. 591 00:29:15,045 --> 00:29:18,172 - You're flushed. You sick? - I'm tired. 592 00:29:18,298 --> 00:29:20,258 You're hiding the fact that you're sick. 593 00:29:21,343 --> 00:29:22,969 - Now, why would you do that? - Hey, what are you... 594 00:29:23,095 --> 00:29:24,762 Now, either you specifically asked 595 00:29:24,888 --> 00:29:27,432 for a tattoo of a heart that's been left out in the sun too long, 596 00:29:27,558 --> 00:29:29,684 or that is a really bad home job. 597 00:29:29,810 --> 00:29:33,187 It's a very common way of getting hep C. Which you have. 598 00:29:33,313 --> 00:29:35,231 And you've had it a long time. 599 00:29:39,736 --> 00:29:41,279 It was gonna keep me from giving my liver. 600 00:29:41,405 --> 00:29:43,489 You paid off that lab tech to say you were clean? 601 00:29:43,615 --> 00:29:45,950 It hasn't been active in years, she was gonna die if I didn't. 602 00:29:46,076 --> 00:29:49,162 You paid someone off? That is totally unethical! 603 00:29:50,038 --> 00:29:52,832 Get an MRI for him and his sister, right now. 604 00:29:54,126 --> 00:29:55,710 She got hep from me, didn't she? 605 00:29:55,836 --> 00:29:58,337 No! No, no, no, no. God, no. 606 00:29:58,797 --> 00:30:00,965 I think she got cancer from you. 607 00:30:06,597 --> 00:30:08,055 House was right? 608 00:30:08,182 --> 00:30:10,266 The brother had an undiagnosed hepatoma 609 00:30:10,392 --> 00:30:12,351 that was transplanted with his liver. 610 00:30:12,478 --> 00:30:16,105 It grew a lot faster in Kayla because she was immunosuppressed. 611 00:30:16,315 --> 00:30:17,815 How could House have known? 612 00:30:17,941 --> 00:30:20,067 Hepatitis can cause liver cancer. 613 00:30:20,194 --> 00:30:23,654 Plus, her hematocrit, red blood cell count, was high. 614 00:30:23,780 --> 00:30:28,868 Usually means dehydration. Rare cases, cancer. 615 00:30:30,412 --> 00:30:32,288 It probably saved Sam's life. 616 00:30:32,456 --> 00:30:36,667 We were able to operate on him early enough, before it metastasized. 617 00:30:36,835 --> 00:30:38,377 O2 sats 94. 618 00:30:40,422 --> 00:30:43,007 Kayla had already started rejecting the liver. 619 00:30:43,133 --> 00:30:46,260 - No re-listing because of the cancer. - Nothing we could do. 620 00:30:46,553 --> 00:30:48,012 This is good. 621 00:30:48,180 --> 00:30:50,473 The brother lying about his hep, it's an intervening act. 622 00:30:50,599 --> 00:30:53,100 The proximate cause of her cancer, not your mistake. 623 00:30:53,227 --> 00:30:56,312 She would have died six months ago if he hadn't given up his liver. 624 00:30:56,438 --> 00:30:57,897 Maybe. Can't prove it. 625 00:31:00,108 --> 00:31:02,151 You need to come with me. 626 00:31:02,277 --> 00:31:03,986 Just been served with papers. 627 00:31:04,112 --> 00:31:05,655 Actually, paper. One page. 628 00:31:06,240 --> 00:31:09,325 "Defendants Princeton-Plainsboro Hospital 629 00:31:09,451 --> 00:31:11,911 and Dr. Robert Chase. Blah, blah, blah. 630 00:31:12,037 --> 00:31:14,956 Medical malpractice, negligence. Blah, blah." 631 00:31:15,082 --> 00:31:16,332 You're surprised they're suing? 632 00:31:16,625 --> 00:31:19,418 You think people love Chase so much they're gonna just forgo... 633 00:31:19,545 --> 00:31:22,964 Punitive damages in the amount of $10 million. 634 00:31:23,090 --> 00:31:25,800 Punitives? That means they're alleging gross negligence. 635 00:31:25,926 --> 00:31:27,677 Their lawyer's obviously out of his mind. 636 00:31:27,803 --> 00:31:29,887 Larry Ruseckas, he's not crazy. 637 00:31:30,055 --> 00:31:32,223 Oh, no. I've been sued by him. 638 00:31:32,349 --> 00:31:35,226 You have been hiding things and lying to me all day. 639 00:31:35,352 --> 00:31:37,019 I haven't lied about anything. 640 00:31:37,145 --> 00:31:39,605 Except for the parts that I admitted I was lying about. 641 00:31:39,731 --> 00:31:42,567 And I'm not the one being sued. I feel funny. 642 00:31:43,277 --> 00:31:46,195 Well, what haven't you told us? 643 00:31:56,873 --> 00:32:00,167 Before she checked out, Sam found her a second liver. 644 00:32:00,294 --> 00:32:03,212 - She had cancer, how could she... - Black market. 645 00:32:03,338 --> 00:32:06,007 There's a doctor in Mexico City who was gonna do the surgery. 646 00:32:06,133 --> 00:32:08,009 She's leaving from JFK at 5:00. 647 00:32:08,135 --> 00:32:10,261 To meet some Mexican guy in the back of a van 648 00:32:10,387 --> 00:32:11,762 with a pig's liver and a hacksaw? This is nuts! 649 00:32:11,888 --> 00:32:13,264 You wanna rat me out to House? 650 00:32:13,390 --> 00:32:15,850 He'll say if there's a chance in a billion then go for it. 651 00:32:15,976 --> 00:32:17,351 This is not what she wants. 652 00:32:17,477 --> 00:32:19,186 She's being manipulated 653 00:32:19,313 --> 00:32:22,273 by a morally guilty brother and a legally guiltier doctor. 654 00:32:22,399 --> 00:32:25,693 - You think she wants to die? - She's dying either way. 655 00:32:27,362 --> 00:32:28,362 Chase! 656 00:32:29,156 --> 00:32:32,158 How many people you know walking around with a black market organ 657 00:32:32,284 --> 00:32:33,534 from a Third World surgeon, huh? 658 00:32:33,660 --> 00:32:35,828 This isn't gonna be your salvation. 659 00:32:35,996 --> 00:32:38,456 It's just one more thing they'll pin on you. 660 00:32:39,207 --> 00:32:41,751 Go in there, be the good guy. 661 00:32:46,882 --> 00:32:48,299 We need to talk. 662 00:32:48,425 --> 00:32:50,926 - No, there's no time. - Two minutes. 663 00:32:51,511 --> 00:32:52,678 Kayla. 664 00:32:53,639 --> 00:32:55,181 I made a mistake. 665 00:32:56,391 --> 00:32:59,644 I wasn't as blunt as I should have been about your odds. 666 00:33:00,103 --> 00:33:01,854 I probably didn't want to face them myself. 667 00:33:02,022 --> 00:33:03,814 Dr. Chase, please don't do this. 668 00:33:03,940 --> 00:33:08,694 The stress of the travel, the operation and even then the cancer... 669 00:33:08,862 --> 00:33:11,572 - Kayla, we're going! - My dad died. 670 00:33:12,449 --> 00:33:13,658 Lung cancer. 671 00:33:13,784 --> 00:33:15,868 I saw him a couple of months before it happened. 672 00:33:15,994 --> 00:33:17,161 We never talked about it. 673 00:33:17,287 --> 00:33:19,246 I'm sorry your father died, but it has nothing... 674 00:33:19,373 --> 00:33:21,248 He never even told me he was sick. 675 00:33:22,209 --> 00:33:23,668 I wish he had. 676 00:33:24,920 --> 00:33:26,087 It would... 677 00:33:29,216 --> 00:33:31,926 You're gonna die. Alone. 678 00:33:32,052 --> 00:33:33,844 Thousands of miles from your children. 679 00:33:34,012 --> 00:33:35,846 You don't wanna do that to them. 680 00:33:44,815 --> 00:33:46,982 - Kayla... - I'm sorry, Sam. 681 00:33:48,735 --> 00:33:51,654 Kayla, you can't give up. 682 00:33:53,824 --> 00:33:55,366 If you do this, 683 00:33:57,452 --> 00:33:59,120 if you go home, 684 00:34:01,039 --> 00:34:02,540 I killed you. 685 00:34:05,877 --> 00:34:07,128 No. 686 00:34:10,132 --> 00:34:12,758 You gave me three months. 687 00:34:13,468 --> 00:34:16,637 You gave Dory and Nikki three more months with me. 688 00:34:19,349 --> 00:34:21,267 And when they found my cancer, 689 00:34:23,228 --> 00:34:24,437 they found yours. 690 00:34:28,650 --> 00:34:31,277 And I got to save my baby brother. 691 00:34:43,039 --> 00:34:45,708 A week later, Kayla died at home. 692 00:34:46,752 --> 00:34:48,461 Sam was furious. 693 00:34:48,920 --> 00:34:50,463 Gotta be why the big lawsuit. 694 00:34:50,589 --> 00:34:52,047 - Are you buying this? - Of course not! 695 00:34:52,174 --> 00:34:54,300 There was no illegal transplant, there's no causation. 696 00:34:54,426 --> 00:34:56,260 He was ready to kill me. 697 00:34:56,511 --> 00:34:58,304 Maybe he's lying to his lawyers. 698 00:34:58,472 --> 00:35:00,097 Or you're lying to us. 699 00:35:00,265 --> 00:35:03,309 Last Thursday he saw you for post-op care. If you hate your doctor, 700 00:35:03,435 --> 00:35:06,395 you find another doctor before you find a lawyer. 701 00:35:07,022 --> 00:35:09,857 This guy didn't sue Cameron or Foreman, he didn't even sue House! 702 00:35:09,983 --> 00:35:11,400 There's something personal here, 703 00:35:11,526 --> 00:35:14,403 something you don't want us to know before your hearing. 704 00:35:15,238 --> 00:35:18,657 The guy didn't hate you before that meeting, he hated you after. 705 00:35:20,786 --> 00:35:22,578 So, how's everything else? 706 00:35:22,704 --> 00:35:24,497 - The girls? - Oh, you know. 707 00:35:24,623 --> 00:35:27,374 A lot of crying, some nightmares. 708 00:35:29,920 --> 00:35:31,587 We'll be okay, though. 709 00:35:33,173 --> 00:35:34,298 Good. 710 00:35:34,466 --> 00:35:37,384 Girls are not gonna be happy about leaving town, though. 711 00:35:38,512 --> 00:35:40,304 They love that house, 712 00:35:41,097 --> 00:35:42,890 the yard, their friends. 713 00:35:43,016 --> 00:35:44,391 - You're moving? - Yeah. 714 00:35:44,518 --> 00:35:47,228 Ever since the operation, I've been on disability, 715 00:35:47,604 --> 00:35:49,313 and the mortgage... 716 00:35:51,149 --> 00:35:53,901 So, we're moving out of state, somewhere cheaper. 717 00:35:54,528 --> 00:35:56,821 Anyways, thanks. 718 00:36:01,326 --> 00:36:02,743 I killed your sister. 719 00:36:04,371 --> 00:36:09,166 I misdiagnosed her ulcer. It killed her. 720 00:36:09,334 --> 00:36:10,334 Shut up, man. 721 00:36:11,753 --> 00:36:13,337 She liked you, just... 722 00:36:13,463 --> 00:36:16,173 I was hung over when she came back to see me. 723 00:36:16,299 --> 00:36:19,343 I'd been up half the night drinking, had a headache, 724 00:36:19,469 --> 00:36:22,096 and I just wanted to get the hell out of there. 725 00:36:25,100 --> 00:36:29,019 I couldn't care less what your sister was saying about her stomach pain. 726 00:36:43,118 --> 00:36:46,412 May I speak to my future former employee? 727 00:36:47,914 --> 00:36:49,081 Great story. 728 00:36:49,457 --> 00:36:51,000 You think I'm lying? 729 00:36:51,126 --> 00:36:52,293 That's exactly what I told him. 730 00:36:52,460 --> 00:36:53,961 I'm sure it is. 731 00:36:54,504 --> 00:36:57,047 But you lied to him. You want him to sue you. 732 00:36:57,173 --> 00:36:58,883 I killed his sister. 733 00:36:59,092 --> 00:37:01,969 I ordered black coffee this morning and got cream. 734 00:37:02,387 --> 00:37:05,514 - Everybody screws up. - They didn't put poison in your coffee. 735 00:37:05,640 --> 00:37:07,391 I've seen you hung over. 736 00:37:07,517 --> 00:37:09,476 You weren't the day you blew his sister's diagnosis. 737 00:37:09,603 --> 00:37:12,646 What does it matter why? Is she less dead if I have a good excuse? 738 00:37:12,772 --> 00:37:15,900 If I thought you'd screwed up because you were drunk, I would have fired you. 739 00:37:16,026 --> 00:37:19,069 - You knew? - You were depressed and distracted. 740 00:37:20,363 --> 00:37:23,532 I assumed you'd gotten a phone call from your stepmom. 741 00:37:26,077 --> 00:37:27,202 This is Robert. 742 00:37:37,756 --> 00:37:39,465 What did he die of? 743 00:37:44,346 --> 00:37:45,888 That's impossible. 744 00:37:46,556 --> 00:37:50,434 I saw him two months ago. If he had lung cancer, he would have... 745 00:37:59,402 --> 00:38:00,694 Dr. Chase? 746 00:38:15,418 --> 00:38:18,420 Good news is, both your parents are dead now. 747 00:38:18,546 --> 00:38:20,339 So no reason to screw up this bad again. 748 00:38:20,465 --> 00:38:21,882 How'd you know? 749 00:38:22,008 --> 00:38:25,469 There's this interconnected network of computers, 750 00:38:25,595 --> 00:38:27,221 or "Interweb", where you can... 751 00:38:27,389 --> 00:38:29,056 How did you know to look? 752 00:38:30,725 --> 00:38:34,395 When he visited, he told me he only had two months left. 753 00:38:34,729 --> 00:38:37,314 When you screwed up, I did the math. 754 00:38:37,440 --> 00:38:39,024 Why didn't you tell me he was dying? 755 00:38:39,192 --> 00:38:40,818 He asked me not to. 756 00:38:42,904 --> 00:38:45,990 So you just hung me out there to be blindsided? 757 00:38:46,866 --> 00:38:49,118 Yeah, Chase, it was all my fault. 758 00:38:50,954 --> 00:38:54,081 Look, you've got a choice. You can either tell the truth, 759 00:38:54,207 --> 00:38:57,459 the hospital settles, the family gets some money. 760 00:38:57,585 --> 00:38:59,878 They get to keep their house. 761 00:39:00,839 --> 00:39:02,756 Or you can keep up this lie. 762 00:39:03,591 --> 00:39:05,843 The family gets punitive damages, 763 00:39:05,969 --> 00:39:08,387 they buy a jet, and they move to Park Avenue, 764 00:39:09,389 --> 00:39:11,515 and you have to find another career. 765 00:39:11,641 --> 00:39:13,350 You're not gonna say anything? 766 00:39:13,518 --> 00:39:15,269 I'm gonna keep my mouth shut. 767 00:39:18,189 --> 00:39:21,400 Legally, it's better for me if you go down in flames. 768 00:39:39,836 --> 00:39:42,296 Is Chase telling the committee about his dad? 769 00:39:43,214 --> 00:39:44,548 I don't know. 770 00:39:47,385 --> 00:39:50,220 I thought you were gonna get him to sell me out. 771 00:39:51,473 --> 00:39:53,557 - I wouldn't do that. - Why not? 772 00:39:53,683 --> 00:39:55,392 You're my client, too. 773 00:39:56,061 --> 00:39:57,519 Yeah. 774 00:39:59,064 --> 00:40:02,149 And that's not gonna change unless you leave this job, 775 00:40:02,984 --> 00:40:04,151 or I do. 776 00:40:04,778 --> 00:40:07,988 So how do you deal with a coworker that you have feelings for? 777 00:40:08,114 --> 00:40:09,823 Positive or negative. 778 00:40:12,368 --> 00:40:14,203 I don't wanna end up like Chase. 779 00:40:14,496 --> 00:40:19,291 I don't wanna get emotionally caught up and kill you. 780 00:40:26,549 --> 00:40:28,300 It's not all negative. 781 00:40:39,604 --> 00:40:41,522 Maybe you were right, maybe... 782 00:40:45,401 --> 00:40:47,194 Maybe that is the problem. 783 00:40:55,370 --> 00:40:56,578 So what do we do? 784 00:41:02,168 --> 00:41:03,502 I don't know. 785 00:41:07,423 --> 00:41:08,590 Dr. House? 786 00:41:20,311 --> 00:41:23,647 After considering the testimonial and documentary evidence, 787 00:41:23,773 --> 00:41:27,651 this ad-hoc committee in the matter of Kayla McGinley has reached a decision. 788 00:41:27,777 --> 00:41:29,069 Dr. Chase, 789 00:41:30,071 --> 00:41:32,489 your error resulted in a patient's death. 790 00:41:32,782 --> 00:41:36,243 You also lied, both to your superiors and the patient's brother. 791 00:41:37,579 --> 00:41:40,873 But, taking into account the mitigating factor of your father's death, 792 00:41:40,999 --> 00:41:43,375 we've decided not to revoke your privileges. 793 00:41:44,377 --> 00:41:48,380 You'll receive one week's suspension, and a letter in your permanent file. 794 00:41:48,506 --> 00:41:50,507 Now, as for Dr. House. 795 00:41:51,217 --> 00:41:53,302 There is no evidence of a failure to supervise 796 00:41:53,428 --> 00:41:55,596 that would lead to disciplinary action. 797 00:41:56,097 --> 00:42:00,976 And yet, there is enough in the record to be very troubled by your conduct, 798 00:42:01,477 --> 00:42:05,981 including certain allegations of blackmail from members of the transplant team, 799 00:42:06,107 --> 00:42:09,443 and by your general refusal to meet with your patients. 800 00:42:10,361 --> 00:42:12,404 It should be noted that your patient's cancer 801 00:42:12,530 --> 00:42:15,282 was diagnosed as a result of a direct physical examination... 802 00:42:15,408 --> 00:42:18,076 Not of the patient. I met the brother, never met her. 803 00:42:18,244 --> 00:42:22,497 Should I go to a family reunion every time I take on a patient? 804 00:42:22,624 --> 00:42:25,250 The committee has determined that for no less than one month, 805 00:42:25,376 --> 00:42:28,545 Dr. House will have his practice supervised by another doctor, 806 00:42:28,671 --> 00:42:31,215 to be designated by Dr. Cuddy. 807 00:42:31,341 --> 00:42:33,300 This proceeding is adjourned. 808 00:42:48,524 --> 00:42:50,275 Did you know this was coming? 809 00:42:50,401 --> 00:42:51,985 They contacted me about an hour ago. 810 00:42:52,111 --> 00:42:53,862 What's happening to Chase? 811 00:42:54,155 --> 00:42:55,489 Now you're fired! 812 00:42:55,657 --> 00:42:57,241 No. He's not. 813 00:42:58,368 --> 00:42:59,326 Dr. House, 814 00:43:00,286 --> 00:43:01,828 meet your new boss. 815 00:43:10,088 --> 00:43:12,005 Guess I'm his best friend now.