1 00:00:00,209 --> 00:00:01,668 Blue Calamari is still in the lead, 2 00:00:01,794 --> 00:00:04,379 but Ample Parking is making strides, and is now in fourth, third, 3 00:00:04,505 --> 00:00:07,465 and holding second place, while Blue Calamari is at a steady speed. 4 00:00:07,591 --> 00:00:09,550 And down the stretch they come! 5 00:00:09,677 --> 00:00:13,805 Ample Parking comes from behind. And it's Ample Parking by a nose. 6 00:00:15,432 --> 00:00:20,019 This is the last call for the third race. You may still wager if you hurry. 7 00:00:20,145 --> 00:00:21,813 Here's your information on the race... 8 00:00:21,939 --> 00:00:23,815 Out of the way. Cripple coming through. 9 00:00:25,192 --> 00:00:27,276 Sixth race at Golden Downs. 10 00:00:27,403 --> 00:00:32,156 I'll take the two and the four. Hey, that's my birthday. 11 00:00:32,324 --> 00:00:35,660 February 4, 1963. Do you think that's a good bet? 12 00:00:36,161 --> 00:00:37,453 What's your birthday? 13 00:00:37,579 --> 00:00:41,082 Take your time. Don't worry. There's only 30 seconds to post. 14 00:00:41,208 --> 00:00:44,293 Is there any way I can bet on the six and the three also? 15 00:00:44,420 --> 00:00:47,296 You know, for the year? All four horses. Can I do that? 16 00:00:47,756 --> 00:00:52,051 He wants a $2 exacta box, two, four, six, three. Give him $24. 17 00:00:58,434 --> 00:00:59,892 Your turn. 18 00:01:00,227 --> 00:01:03,146 The ninth at Gulfstream Park. $500 on the three horse, 19 00:01:03,272 --> 00:01:04,564 Seminole Uprising to win. 20 00:01:04,690 --> 00:01:06,524 Might as well burn your money. 21 00:01:06,942 --> 00:01:09,402 I'll burn my winnings. Bigger flame. 22 00:01:11,155 --> 00:01:13,197 Same race, Termigator to win. 23 00:01:15,200 --> 00:01:16,826 Sorry, race just closed. 24 00:01:16,952 --> 00:01:18,202 Damn it. 25 00:01:18,912 --> 00:01:20,580 She was 14-to-1, too. 26 00:01:20,706 --> 00:01:23,291 Then fatass over there just saved you money. 27 00:01:23,417 --> 00:01:24,667 No way Seminole Uprising's... 28 00:01:24,793 --> 00:01:26,878 I don't bet on the horses. I bet on the jocks. 29 00:01:27,171 --> 00:01:30,173 My rider's bulimic, purges after his weigh-ins. 30 00:01:30,632 --> 00:01:34,886 Leave a two-pound pile at the starting gate, shaves valuable time off that final eighth. 31 00:01:35,012 --> 00:01:37,138 Nice to have inside information. 32 00:01:37,723 --> 00:01:38,806 ...by a length. 33 00:01:38,932 --> 00:01:40,099 The Burning Bush and on the level is Candy, 34 00:01:40,225 --> 00:01:42,435 right up on the inside is Bowfinger... 35 00:01:48,942 --> 00:01:50,777 And Termigator pulling up against the rail. 36 00:01:50,903 --> 00:01:52,904 Is anybody here a doctor? 37 00:01:58,452 --> 00:01:59,952 Trying to cop a feel? 38 00:02:00,078 --> 00:02:01,788 I took a CPR class at the Y. 39 00:02:01,914 --> 00:02:04,707 That would be useful if she was having a heart attack instead of a seizure. 40 00:02:04,833 --> 00:02:06,417 Seizure? Hold her tongue down? 41 00:02:06,543 --> 00:02:09,212 If you wanna get a finger bitten off. Call an ambulance. 42 00:02:09,463 --> 00:02:10,922 Methodist's three blocks down. 43 00:02:11,048 --> 00:02:13,007 - I could drive her. - Just make the call. 44 00:02:20,682 --> 00:02:23,309 - What the hell is that? - How should I know? 45 00:02:23,811 --> 00:02:26,354 Tell the paramedics to take her to Princeton-Plainsboro. 46 00:02:26,480 --> 00:02:28,022 Her doctor's name is House. 47 00:02:28,148 --> 00:02:30,858 And it's Termigator, winning by two lengths. 48 00:03:06,019 --> 00:03:08,062 Since when does House hang out at OTB? 49 00:03:08,188 --> 00:03:09,313 The man's an addict. 50 00:03:09,439 --> 00:03:11,023 Right, addicted to pills, not gambling. 51 00:03:11,149 --> 00:03:14,527 It's the same thing. Drug abuse, drinking, gambling. 52 00:03:14,820 --> 00:03:17,154 They all fire up the same pleasure centers in the brain. 53 00:03:17,281 --> 00:03:18,698 An addict is an addict is an... 54 00:03:18,824 --> 00:03:20,491 Gambling doesn't take away his pain. 55 00:03:20,784 --> 00:03:22,159 It does when I win. 56 00:03:22,286 --> 00:03:26,122 Hot OTB babe has grand mal 57 00:03:26,582 --> 00:03:28,708 and inexplicable bruising. 58 00:03:29,209 --> 00:03:30,334 What up with that? 59 00:03:30,460 --> 00:03:32,628 You were just standing there, and she started to seize? 60 00:03:32,754 --> 00:03:35,172 Spend as much time around the real people as I do, 61 00:03:35,299 --> 00:03:36,299 someone gets sick. 62 00:03:36,425 --> 00:03:38,593 Her platelets are 89, she's anemic. 63 00:03:39,511 --> 00:03:41,762 And she has a blood alcohol level of 0.13. 64 00:03:41,889 --> 00:03:43,681 Hot OTB babe? 65 00:03:44,016 --> 00:03:47,101 Obviously a working girl. Probably an STD infection. 66 00:03:47,227 --> 00:03:48,811 No fever. No infection. 67 00:03:48,937 --> 00:03:50,605 Alcohol abuse explains it all. 68 00:03:50,981 --> 00:03:53,649 Causes seizures and affects her blood's ability to clot, 69 00:03:53,775 --> 00:03:54,817 which causes bruising. 70 00:03:54,943 --> 00:03:56,736 Start her on heparin, she'll be fine by morning. 71 00:03:56,862 --> 00:03:58,738 Except for the fact that the bruises are not petechial, 72 00:03:58,864 --> 00:04:00,197 which means it's not DIC. 73 00:04:00,324 --> 00:04:02,241 So the bruises were caused by trauma. 74 00:04:02,367 --> 00:04:05,077 She probably got beat up by her boyfriend. Or her pimp. 75 00:04:05,203 --> 00:04:08,581 What's that called when you judge someone before ever meeting them? 76 00:04:08,707 --> 00:04:10,583 She's a regular at OTB. 77 00:04:10,709 --> 00:04:14,629 Somehow, I don't see her holding down a 9-to-5 and going to PTA meetings. 78 00:04:14,755 --> 00:04:17,173 I was there. I have a 9-to-3 job. 79 00:04:17,299 --> 00:04:21,552 It could be SLE, familial telangiectasias, or even Cushing's. 80 00:04:21,678 --> 00:04:23,930 - Good. Start with those. - Which one? 81 00:04:24,056 --> 00:04:26,557 Cushing's. It explains the seizure and the bruising. 82 00:04:26,683 --> 00:04:27,683 Not the anemia. 83 00:04:27,809 --> 00:04:28,893 So she doesn't eat a lot of meat. 84 00:04:29,019 --> 00:04:31,896 DIC brought on by alcohol abuse is far more likely. 85 00:04:32,022 --> 00:04:36,400 Do a full workup, H and P. And lab her up, LP, MRI. 86 00:04:39,154 --> 00:04:43,157 Did you just ever so subtly order me to get her medical history? 87 00:04:44,034 --> 00:04:47,620 Cuddy put me in charge last week, so, yeah. 88 00:04:51,249 --> 00:04:55,962 It was a pretend in charge, a formality to get past the suits in legal. 89 00:04:56,088 --> 00:04:59,256 Right, those licensing-board folk love to play dress up and pretend. 90 00:04:59,383 --> 00:05:02,051 Hey, no worries. I'll let you keep your parking space. 91 00:05:02,177 --> 00:05:05,429 You can have it. You'll also need my handicap placard. 92 00:05:05,555 --> 00:05:06,597 Bend over. 93 00:05:06,723 --> 00:05:08,099 You make a pretty convincing argument. 94 00:05:08,225 --> 00:05:10,810 Chase killed that woman. Now Foreman's in charge? 95 00:05:10,936 --> 00:05:12,645 Yeah, we have a pecking order here. 96 00:05:12,771 --> 00:05:14,522 If Cameron kills somebody, Chase takes over. 97 00:05:14,648 --> 00:05:16,065 There's a flow chart in the lobby. 98 00:05:16,191 --> 00:05:18,734 For the next three weeks, you answer directly to Dr. Foreman. 99 00:05:18,860 --> 00:05:21,529 And I expect you here for grand rounds at 9:00. 100 00:05:21,655 --> 00:05:23,823 By the way, I like sugar in my coffee. 101 00:05:25,659 --> 00:05:28,494 If there's a screw up, it's your screw up. 102 00:05:29,621 --> 00:05:32,623 You won't have Dr. House to fall back on. 103 00:05:36,712 --> 00:05:40,548 "Do you wear a seat belt?" Is that really relevant to a seizure? 104 00:05:40,674 --> 00:05:41,716 Skip it. 105 00:05:41,842 --> 00:05:44,218 How about, "Were you vaccinated for polio?" 106 00:05:44,344 --> 00:05:47,054 I think you gave me the form intended for FDR. 107 00:05:47,180 --> 00:05:49,015 You really like Teeny Tiny Mo in the fifth? 108 00:05:49,141 --> 00:05:51,100 I went 4-for-6 yesterday. 109 00:05:51,685 --> 00:05:54,103 You want winners? Cure me first. 110 00:05:54,646 --> 00:05:57,690 "Are you generally satisfied with your life?" 111 00:05:57,816 --> 00:05:59,734 It does not ask that. 112 00:06:05,073 --> 00:06:06,282 You know, I was gonna ask 113 00:06:06,408 --> 00:06:09,577 what a respectable doctor was doing at an OTB parlor. 114 00:06:09,953 --> 00:06:12,872 Somehow that question doesn't seem relevant anymore. 115 00:06:12,998 --> 00:06:15,374 - What's your excuse? - It turns me on. 116 00:06:15,500 --> 00:06:18,127 Yeah? What else turns you on? Drugs? 117 00:06:18,628 --> 00:06:20,755 Casual sex? Rough sex? 118 00:06:21,631 --> 00:06:23,424 Casual rough sex? 119 00:06:24,593 --> 00:06:27,178 - I'm a doctor. I need to know. - No sex. 120 00:06:27,304 --> 00:06:29,638 Just moved here. Haven't even found a job yet. 121 00:06:29,765 --> 00:06:30,931 Don't know anybody. 122 00:06:31,058 --> 00:06:32,600 Came here without a job. 123 00:06:33,769 --> 00:06:37,772 That means you didn't move here, you moved away from somewhere else. 124 00:06:40,650 --> 00:06:42,068 Does that hurt? No. 125 00:06:43,320 --> 00:06:45,946 Are you on any prescription meds? Hormones? Prednisone? 126 00:06:46,073 --> 00:06:49,325 I already answered that one. I think it was question number 20-something. 127 00:06:49,451 --> 00:06:51,077 Well, yeah. And I could reach down and get it. 128 00:06:51,203 --> 00:06:53,037 But that would kind of spoil the whole cool move. 129 00:06:53,163 --> 00:06:54,997 I'm not on any medications. 130 00:06:55,123 --> 00:06:57,708 - Are you a vegetarian? - No. Why? 131 00:06:58,335 --> 00:07:00,836 Because you might have something called Cushing's syndrome, 132 00:07:00,962 --> 00:07:02,004 which basically means... 133 00:07:02,130 --> 00:07:05,716 My pituitary is overproducing ACTH, 134 00:07:05,842 --> 00:07:10,638 which is causing my adrenal glands to push too much cortisol into my bloodstream. 135 00:07:10,764 --> 00:07:13,015 What a coincidence. I'm a doctor, too. 136 00:07:13,141 --> 00:07:14,725 Yeah, I had it last year. 137 00:07:14,893 --> 00:07:19,063 They did brain surgery, removed an adenoma from my pituitary. 138 00:07:31,284 --> 00:07:32,910 What did you just say? 139 00:07:33,036 --> 00:07:36,622 "You were right, House. Her pituitary tumor regrew. It is Cushing's. 140 00:07:36,748 --> 00:07:38,415 Uncanny how you do that." 141 00:07:38,542 --> 00:07:40,376 Actually, it was Cameron's idea. 142 00:07:40,502 --> 00:07:42,169 No, Cameron had three ideas. 143 00:07:42,295 --> 00:07:44,839 I chose one to encourage, to nurture... 144 00:07:44,965 --> 00:07:46,757 Yeah, you're all about the nurturing. 145 00:07:46,883 --> 00:07:48,634 Do you need a hug? 146 00:07:51,012 --> 00:07:53,013 I don't see any regrowth. 147 00:07:53,306 --> 00:07:54,807 You get her medical records faxed over? 148 00:07:54,933 --> 00:07:57,685 Work smart, not hard. That's my philosophy, boss. 149 00:07:57,811 --> 00:07:59,728 I'll take that as a no. 150 00:08:01,565 --> 00:08:03,899 Anica, I need you to stay completely still. 151 00:08:04,025 --> 00:08:05,526 Sorry. 152 00:08:08,738 --> 00:08:10,614 Still don't see anything. 153 00:08:10,824 --> 00:08:13,701 Okay, so it's a microadenoma. Too small to see. 154 00:08:13,827 --> 00:08:15,161 So small, it's not even there. 155 00:08:15,287 --> 00:08:18,205 Right. It's just a coincidence that I predicted a rare condition 156 00:08:18,331 --> 00:08:19,665 that she happened to have a year ago. 157 00:08:19,791 --> 00:08:21,000 Results from her LP back yet? 158 00:08:21,126 --> 00:08:23,836 Didn't do an LP. I knew what she had. 159 00:08:26,381 --> 00:08:27,756 Go do the LP. 160 00:08:33,930 --> 00:08:37,850 Okay, I need you to roll over on your side, kiss your kneecaps. 161 00:08:38,476 --> 00:08:39,727 Party time. 162 00:08:40,770 --> 00:08:42,563 I thought it only took one doctor to do this. 163 00:08:42,689 --> 00:08:43,772 I'm observing. 164 00:08:43,899 --> 00:08:46,108 She's here to make sure I don't paralyze you. 165 00:08:47,068 --> 00:08:48,319 You've done this before, right? 166 00:08:48,445 --> 00:08:49,570 Successfully? 167 00:08:49,696 --> 00:08:51,447 He's kidding. He's an excellent doctor. 168 00:08:51,573 --> 00:08:53,699 I'm going to numb the area with some lidocaine, 169 00:08:53,825 --> 00:08:55,701 and then we're off to the races. 170 00:08:55,827 --> 00:08:57,286 See what I did there? 171 00:08:57,412 --> 00:09:00,873 I used horse-racing jargon to make the patient feel more comfortable. 172 00:09:01,750 --> 00:09:03,542 Okay, here we go. 173 00:09:05,128 --> 00:09:07,254 Felt like bone. Does that hurt? 174 00:09:07,380 --> 00:09:09,006 A little bit. What are you doing? 175 00:09:10,342 --> 00:09:11,884 Try rounding your back a bit more. 176 00:09:12,010 --> 00:09:13,677 You're perfect just the way you are. 177 00:09:14,346 --> 00:09:16,388 Oops, that was all me. 178 00:09:17,182 --> 00:09:19,016 Might want to move down one vertebra. 179 00:09:19,142 --> 00:09:21,602 This is actually much harder than I remember. 180 00:09:23,563 --> 00:09:25,314 My chest feels a little tight. 181 00:09:25,440 --> 00:09:26,815 Try taking a deep breath. 182 00:09:26,942 --> 00:09:28,609 Dr. House, maybe I should take it from here. 183 00:09:28,735 --> 00:09:29,860 Eighth time's the charm. 184 00:09:31,029 --> 00:09:32,571 You trying to piss off Foreman? 185 00:09:32,739 --> 00:09:34,365 Just let... 186 00:09:34,532 --> 00:09:35,950 BP's 240 over 140. 187 00:09:36,076 --> 00:09:37,493 Turn that thing off, will you? 188 00:09:37,619 --> 00:09:38,744 Take the needle out. 189 00:09:38,870 --> 00:09:40,621 - Take the needle out! - Okay. 190 00:09:43,083 --> 00:09:47,294 It's a hypertensive crisis. Start her on an IV lopressor drip. 191 00:09:47,420 --> 00:09:50,172 Titrate to systolic less than 140. She'll be fine. 192 00:09:50,548 --> 00:09:52,758 Cameron. Meet me in my office. 193 00:09:53,218 --> 00:09:57,721 At the risk of sounding redundant and right, again, 194 00:09:57,889 --> 00:10:00,766 she has Cushing's. Cushing's. 195 00:10:00,892 --> 00:10:04,478 Right, the fact that you mangled her LP has nothing to do with it. 196 00:10:04,604 --> 00:10:06,605 Actually, it has everything to do with it. 197 00:10:06,731 --> 00:10:10,484 Cushing's plus stress equals hypertensive crisis. 198 00:10:11,027 --> 00:10:12,569 Smart move, sending the rookie. 199 00:10:12,696 --> 00:10:15,948 Her initial symptoms could have been caused by alcohol-induced DIC. 200 00:10:16,074 --> 00:10:17,783 She had a hypertensive crisis 201 00:10:17,909 --> 00:10:19,827 because it's been at least six hours since she had her last drink. 202 00:10:19,953 --> 00:10:20,995 She's detoxing. 203 00:10:21,121 --> 00:10:23,956 The exact same moment that I'm futilely trying to give her an LP? 204 00:10:24,082 --> 00:10:27,918 Right. An invisible tumor on her pituitary is much more likely. 205 00:10:28,044 --> 00:10:29,837 What if the tumor is somewhere else? 206 00:10:29,963 --> 00:10:33,424 There could be an ACTH-secreting tumor on her lung or pancreas. 207 00:10:33,550 --> 00:10:34,508 It's awfully rare. 208 00:10:34,634 --> 00:10:36,051 Not as rare as an invisible tumor. 209 00:10:36,177 --> 00:10:38,679 Why didn't they put you in charge instead of Foreman? 210 00:10:38,805 --> 00:10:41,765 Oh, yeah, you're the guy that killed that woman. 211 00:10:41,891 --> 00:10:45,185 Get a pan-man scan before she dies a cortisol OD. 212 00:10:50,025 --> 00:10:51,400 Fine. Do it. 213 00:10:52,152 --> 00:10:54,445 But when you don't find anything, put her on a Librium taper 214 00:10:54,571 --> 00:10:57,489 for the withdrawal and get her a bed in a rehab clinic. 215 00:11:09,044 --> 00:11:10,753 Lungs look clean. 216 00:11:11,338 --> 00:11:13,756 Her lymph nodes are not enlarged. 217 00:11:15,550 --> 00:11:17,926 Cuddy tapped Foreman to run the department. 218 00:11:18,595 --> 00:11:20,846 - I didn't even get asked. - Neither did I. 219 00:11:20,972 --> 00:11:22,806 - You were suspended. - I was kidding. 220 00:11:22,974 --> 00:11:26,894 It's the irony of women in charge. They don't like other women in charge. 221 00:11:27,896 --> 00:11:30,564 What? You think it's something else? 222 00:11:31,316 --> 00:11:34,443 You sabotaged yourself. You went on a date with House. 223 00:11:34,569 --> 00:11:37,446 You slept with me. Putting you in charge of this department 224 00:11:37,572 --> 00:11:40,240 is like a sexual harassment suit waiting to happen. 225 00:11:40,367 --> 00:11:41,867 Yeah, they're really worried 226 00:11:41,993 --> 00:11:44,203 that I'm gonna create a hostile work environment. 227 00:11:44,329 --> 00:11:46,330 Maybe that's the problem. 228 00:11:46,873 --> 00:11:49,875 Being in charge means having to say no to House. 229 00:11:50,251 --> 00:11:52,419 Would you hire you for that? 230 00:11:55,340 --> 00:11:58,967 Anderson coming out strong. What is he thinking? 231 00:11:59,094 --> 00:12:01,553 He watched what Tom Mants just did. 232 00:12:02,347 --> 00:12:05,641 You ordered MRIs for the entire maternity ward? 233 00:12:06,142 --> 00:12:07,976 I was in a crazy mood. 234 00:12:08,103 --> 00:12:10,062 Good thing I got a new boss to back me up. 235 00:12:10,188 --> 00:12:12,272 Although, I think one of those is actually necessary. 236 00:12:12,399 --> 00:12:14,858 Better comb through before you cancel them all. 237 00:12:17,695 --> 00:12:21,615 What do you expect me to do, House? Quit? Cry? 238 00:12:21,783 --> 00:12:24,701 Actually, I expect you to act like what you are. 239 00:12:24,828 --> 00:12:27,329 My employee. My subordinate. 240 00:12:28,581 --> 00:12:29,665 My bitch. 241 00:12:30,291 --> 00:12:31,750 Well, since you asked nicely... 242 00:12:31,876 --> 00:12:32,918 My God. 243 00:12:33,044 --> 00:12:36,255 I can't believe I got more than a year behind on my discharge summaries. 244 00:12:36,381 --> 00:12:39,716 Got to get caught up. Oh, no, wait. 245 00:12:39,843 --> 00:12:42,845 I'm not authorized to sign these anymore. Only you are. 246 00:12:43,263 --> 00:12:45,681 Keep it coming. I'm not gonna break. 247 00:12:47,475 --> 00:12:49,852 Scan showed a mass on her pancreas. 248 00:12:50,478 --> 00:12:52,980 Looks malignant. Probably inoperable. 249 00:12:54,732 --> 00:12:56,733 I'd give her two months. 250 00:13:00,572 --> 00:13:03,532 On the bright side, it still means I was right. 251 00:13:12,750 --> 00:13:14,042 Where's Dr. House? 252 00:13:14,169 --> 00:13:16,378 Dr. Foreman's overseeing your case. 253 00:13:16,796 --> 00:13:21,508 He thought it'd be best if I spoke with you. We found a mass in your pancreas. 254 00:13:22,135 --> 00:13:23,886 It looks like cancer. 255 00:13:24,846 --> 00:13:28,265 So something in my pancreas caused me to have a seizure? 256 00:13:29,225 --> 00:13:32,978 Probably. But the bigger point is... 257 00:13:35,773 --> 00:13:39,568 A one-year survival rate for pancreatic cancer is less than 20%. 258 00:13:39,694 --> 00:13:41,236 So what's the treatment? 259 00:13:42,405 --> 00:13:47,117 We need to biopsy the mass to see what we're dealing with, 260 00:13:47,243 --> 00:13:50,662 and then we can 261 00:13:51,623 --> 00:13:53,081 recommend options from there. 262 00:13:53,458 --> 00:13:54,625 Sounds good. 263 00:13:59,631 --> 00:14:02,382 I need your consent to do the biopsy. 264 00:14:08,306 --> 00:14:09,348 Thanks. 265 00:14:09,766 --> 00:14:11,099 Wish me luck. 266 00:14:12,060 --> 00:14:13,519 Good luck. 267 00:14:15,897 --> 00:14:18,607 It was weird. She barely reacted at all. 268 00:14:19,108 --> 00:14:22,277 I've had people hug me and people take a swing at me. 269 00:14:22,403 --> 00:14:24,738 This was more like she didn't even hear me. 270 00:14:25,198 --> 00:14:26,907 Magnify three times. 271 00:14:31,704 --> 00:14:33,497 House assisting. 272 00:14:34,332 --> 00:14:35,707 That is funny. 273 00:14:37,210 --> 00:14:39,628 Too bad Foreman's gonna die. 274 00:14:49,764 --> 00:14:54,268 Good afternoon, I'm Dr. House. I'm gonna be looking at your... 275 00:14:56,938 --> 00:14:58,272 Perfect. 276 00:14:59,691 --> 00:15:01,316 Excuse me. 277 00:15:05,613 --> 00:15:08,782 Need Dr. Foreman in exam room one for a consult. 278 00:15:10,410 --> 00:15:11,660 So, when did this start? 279 00:15:12,161 --> 00:15:13,579 Couple weeks ago. 280 00:15:13,913 --> 00:15:18,458 I didn't want to get pregnant. Jake's not into rubbers, so I got on the jelly. 281 00:15:19,502 --> 00:15:20,836 You think I'm allergic or something? 282 00:15:21,713 --> 00:15:23,463 You have an infection. 283 00:15:23,715 --> 00:15:24,548 I'm gonna need a sample. 284 00:15:24,674 --> 00:15:26,091 I brought the jar. 285 00:15:26,301 --> 00:15:28,468 No, I meant a sample of your... 286 00:15:35,226 --> 00:15:38,312 Okay. We have a neurological problem here. 287 00:15:38,438 --> 00:15:39,938 There's something wrong with my brain? 288 00:15:41,107 --> 00:15:42,482 Oh, yeah. 289 00:15:42,984 --> 00:15:45,527 Cover yourself up. Got what I need. 290 00:15:48,323 --> 00:15:49,448 What's up? 291 00:15:49,574 --> 00:15:50,407 Smell this. 292 00:15:52,368 --> 00:15:56,288 Smells like vaginosis, but it's not really my call. 293 00:15:56,414 --> 00:16:00,167 Great. I'll be sure to put a gold star by your name on the board. 294 00:16:00,585 --> 00:16:04,171 Anica's biopsy for pancreatic cancer was negative. 295 00:16:10,470 --> 00:16:12,429 Okay, I'm gonna give you some antibiotics 296 00:16:12,555 --> 00:16:14,514 and you probably shouldn't have sex for a while. 297 00:16:14,641 --> 00:16:15,474 How long? 298 00:16:15,600 --> 00:16:18,644 On an evolutionary basis, I'd recommend forever. 299 00:16:20,021 --> 00:16:24,066 The mass in the pancreas is benign. It's probably just scar tissue. 300 00:16:24,192 --> 00:16:27,361 Good news. She's not sick at all. Other than being an alcoholic. 301 00:16:27,487 --> 00:16:32,240 The labs you sent yesterday put her ACTH at 64 picograms per milliliter. 302 00:16:32,367 --> 00:16:34,493 She's got Cushing's. Something set it off. 303 00:16:34,619 --> 00:16:38,372 It's gotta be in her brain. Set her up for a venous sampling. 304 00:16:38,498 --> 00:16:39,706 There is another possibility. 305 00:16:39,832 --> 00:16:40,916 Chase, hold on. 306 00:16:41,334 --> 00:16:44,503 How'd you get him trained so fast? Electronic collar? 307 00:16:44,629 --> 00:16:45,837 Got treats in your pocket? 308 00:16:45,963 --> 00:16:48,715 She didn't even read the consent form for the pancreatic biopsy. 309 00:16:48,841 --> 00:16:49,883 Who reads those things? 310 00:16:50,009 --> 00:16:53,303 Maybe she didn't read it because she knew that there was nothing wrong with her. 311 00:16:53,429 --> 00:16:55,097 There is another explanation for the Cushing's. 312 00:16:55,223 --> 00:16:59,434 Maybe she injected herself with the ACTH. Her behavior suggests Munchausen's. 313 00:16:59,560 --> 00:17:02,270 She's had four hospitalizations in the last four months. 314 00:17:02,397 --> 00:17:06,441 Well, being hospitalized a lot certainly points to nothing being wrong with you. 315 00:17:06,693 --> 00:17:09,444 She's had zero symptoms since she got here. 316 00:17:09,570 --> 00:17:10,570 The scarring on her pancreas 317 00:17:10,697 --> 00:17:12,489 could be caused from injecting herself with the benzene 318 00:17:12,615 --> 00:17:13,907 and setting off the seizures. 319 00:17:14,033 --> 00:17:15,450 She's had brain surgery. 320 00:17:15,785 --> 00:17:18,412 You can fake a stomachache. You can't fake a brain tumor. 321 00:17:18,538 --> 00:17:20,539 You can fake an invisible one. 322 00:17:22,583 --> 00:17:25,377 We should check her apartment. Look for medications, syringes... 323 00:17:25,503 --> 00:17:27,546 - Venous sampling's easier. - And more dangerous. 324 00:17:27,672 --> 00:17:31,591 - Not if you get caught breaking in. - So don't get caught, House. 325 00:17:33,594 --> 00:17:35,554 Why do you think Cuddy picked Foreman over me? 326 00:17:35,680 --> 00:17:37,806 Have I done something wrong or is there... 327 00:17:37,932 --> 00:17:40,183 Will it make you shut up if I told you she wanted someone black? 328 00:17:40,309 --> 00:17:42,561 How would you describe my leadership skills? 329 00:17:42,687 --> 00:17:45,147 Nonexistent. Otherwise excellent. 330 00:17:45,273 --> 00:17:47,941 There's more to being a leader than being a jerk. 331 00:17:48,067 --> 00:17:50,152 The world will never know. 332 00:17:54,198 --> 00:17:56,908 No. No way. It just snowed. 333 00:17:57,034 --> 00:17:58,535 Yesterday. The streets are clear. 334 00:18:00,037 --> 00:18:01,913 My car is right there. 335 00:18:02,373 --> 00:18:05,625 There's construction on Elm. Bike will be faster. 336 00:18:26,606 --> 00:18:29,232 There's even books in the bathroom. 337 00:18:29,942 --> 00:18:33,570 Well, either she's very smart or she has a severe fiber deficiency. 338 00:18:39,368 --> 00:18:42,704 She's got an appointment with her ophthalmologist on Tuesday 339 00:18:42,830 --> 00:18:45,457 and an appointment with her gynecologist on Thursday. 340 00:18:46,000 --> 00:18:48,543 Multiple appointments with multiple doctors. 341 00:18:48,669 --> 00:18:50,253 Symptom of Munchausen's. 342 00:18:50,379 --> 00:18:53,673 Or, just thinking outside the box here, 343 00:18:53,800 --> 00:18:56,551 she has a vagina and trouble reading. 344 00:18:57,595 --> 00:19:00,889 There's three pairs of reading glasses, each with different prescriptions. 345 00:19:01,015 --> 00:19:03,767 Which would be explained by a tumor pressing on the optic nerve. 346 00:19:03,893 --> 00:19:05,519 Because you're looking for her to have a tumor. 347 00:19:05,645 --> 00:19:07,521 And you're looking for... 348 00:19:07,730 --> 00:19:11,066 A person with Munchausen's syndrome drinks battery acid. 349 00:19:11,192 --> 00:19:13,693 But they don't go to an ophthalmologist to get their pupils dilated. 350 00:19:13,820 --> 00:19:17,113 An ophthalmologist is a doctor. Attention is attention. 351 00:19:17,240 --> 00:19:20,784 How many hospitals have you contacted? Has one doctor said she's crazy? 352 00:19:20,910 --> 00:19:23,620 - It's not Munchausen's. - It's not your call. 353 00:19:26,791 --> 00:19:27,999 If you think she's got Munchausen's, 354 00:19:28,125 --> 00:19:29,668 then obviously you got something to show the man. 355 00:19:30,378 --> 00:19:32,587 A syringe in her apartment. A bottle of ACTH. 356 00:19:32,713 --> 00:19:34,881 Munchausen's patients are good at covering their tracks. 357 00:19:35,007 --> 00:19:37,509 Right. So, the fact that we found nothing proves there's something. 358 00:19:37,635 --> 00:19:40,387 Look at the pathology reports from the surgery she had in Chicago. 359 00:19:40,513 --> 00:19:43,306 They removed 30% of her pituitary. They found no tumor. 360 00:19:43,432 --> 00:19:45,308 It's possible the surgeons just missed it. 361 00:19:45,434 --> 00:19:47,561 In that kind of surgery, you're just cutting and hoping... 362 00:19:47,687 --> 00:19:49,396 Of course, we're both right. 363 00:19:49,522 --> 00:19:51,982 Excellent solution, everybody's happy. 364 00:19:52,108 --> 00:19:53,525 Come on, step up, Foreman. 365 00:19:53,651 --> 00:19:56,403 If you think I'm right, order me to stick a needle in her brain. 366 00:19:56,529 --> 00:19:58,697 If you think Cameron's right, send the patient home. 367 00:19:58,823 --> 00:20:01,533 Either she'll be fine, or she'll die. 368 00:20:01,993 --> 00:20:04,703 Do the venous sampling. Get her consent. 369 00:20:10,418 --> 00:20:13,461 Nice move, boss. Way to cover your ass. 370 00:20:14,338 --> 00:20:15,422 I just agreed with you. 371 00:20:15,548 --> 00:20:17,173 Not because you think I'm right, 372 00:20:17,300 --> 00:20:20,510 you're just taking the safe route. You're a wuss. 373 00:20:21,178 --> 00:20:23,889 Don't worry, your secret's safe with me. 374 00:20:26,642 --> 00:20:29,561 Hey, Wilson, guess what Foreman just did! 375 00:20:36,485 --> 00:20:38,111 Hi. 376 00:20:39,739 --> 00:20:43,116 This is a consent form to stick a wire into your brain. 377 00:20:43,242 --> 00:20:45,452 It's important for hospitals to get these signed for procedures 378 00:20:45,578 --> 00:20:47,954 that are completely unnecessary. 379 00:20:49,123 --> 00:20:51,875 - Then why are you doing it? - Because you're mentally ill. 380 00:20:52,877 --> 00:20:57,380 You injected yourself with ACTH to induce Cushing's to get attention from doctors. 381 00:20:57,506 --> 00:20:58,632 And so far, it's worked. 382 00:20:59,592 --> 00:21:01,134 I'd like to see another doctor. 383 00:21:01,761 --> 00:21:05,096 - I'm not giving you what you want? - I don't want a bitch. 384 00:21:05,222 --> 00:21:07,515 Just sign the forms, okay? And I'll get out of here. 385 00:21:08,142 --> 00:21:10,685 Hopefully for you, whatever you injected yourself with won't wear off 386 00:21:10,811 --> 00:21:14,773 before you get the fun of a caring and concerned doctor cutting into your head. 387 00:21:30,164 --> 00:21:32,540 You chose me to make House miserable, didn't you? 388 00:21:32,667 --> 00:21:36,503 Apparently, he's making you miserable. That's impressive. 389 00:21:36,796 --> 00:21:37,879 Find someone else. 390 00:21:38,005 --> 00:21:39,005 No. 391 00:21:39,674 --> 00:21:41,132 For the first time in six years, 392 00:21:41,258 --> 00:21:44,260 I'm getting copied on all experimental tests and procedures. 393 00:21:44,387 --> 00:21:47,472 Clinic hours have been logged and completed. 394 00:21:47,598 --> 00:21:49,808 You've given me four months of House's dictations 395 00:21:49,934 --> 00:21:51,977 so I can finally bill insurance companies. 396 00:21:52,103 --> 00:21:55,230 I only did that stuff to prove he couldn't make me miserable. 397 00:21:55,356 --> 00:21:56,856 Well, way to go. 398 00:21:56,983 --> 00:21:59,567 Now everybody's getting what they need, even House. 399 00:21:59,694 --> 00:22:04,072 He gets to play mad scientist, and this department runs smoothly. 400 00:22:04,198 --> 00:22:06,992 So I'm stuck with this for the next three weeks. 401 00:22:07,159 --> 00:22:09,244 Maybe longer. 402 00:22:10,204 --> 00:22:12,998 Would you be interested if this wasn't just pretend? 403 00:22:15,334 --> 00:22:17,961 What did Mommy say? I don't get any candy in my stocking? 404 00:22:18,087 --> 00:22:19,629 Patient being prepped for the venous sampling? 405 00:22:19,755 --> 00:22:23,216 Yeah, a mentally ill patient is right on track for a pointless procedure. 406 00:22:23,342 --> 00:22:25,260 Yeah, we get your objection. 407 00:22:31,809 --> 00:22:34,519 Foreman. Are you sure? 408 00:22:35,896 --> 00:22:38,314 That doesn't make any sense. Check it again. 409 00:22:39,525 --> 00:22:41,151 We gotta delay the venous sampling. 410 00:22:41,277 --> 00:22:43,236 Why? Her urine turning orange? 411 00:22:45,948 --> 00:22:47,615 How would you know that? 412 00:22:47,742 --> 00:22:49,367 Because that's what rifampin does. 413 00:22:49,493 --> 00:22:51,202 She's not on antibiotics. 414 00:22:51,328 --> 00:22:54,914 But if a Munchausen's patient thinks she's about to get busted, 415 00:22:55,041 --> 00:22:57,542 she sees pills labeled "Dangerous, might cause seizures", 416 00:22:57,668 --> 00:22:59,085 she might grab a couple. 417 00:22:59,211 --> 00:23:02,547 And if that label were accidentally on a bottle of antibiotics, 418 00:23:02,673 --> 00:23:04,966 and if that bottle were accidentally left in her room... 419 00:23:05,092 --> 00:23:08,136 - You set her up? - Might have. It's Munchausen's. 420 00:23:09,055 --> 00:23:11,347 All this, she did to herself. 421 00:23:29,909 --> 00:23:33,036 I don't know what the hell you're talking about. 422 00:23:33,245 --> 00:23:36,414 I had a seizure. I'm sick. I need your help. 423 00:23:36,540 --> 00:23:38,166 Not from this department. 424 00:23:38,292 --> 00:23:40,126 The half-life of rifampin is three hours. 425 00:23:40,252 --> 00:23:43,338 After that, you'll get your psych referral and your discharge papers. 426 00:23:43,464 --> 00:23:45,673 You know, just because you stick your fingers down your throat 427 00:23:45,800 --> 00:23:48,426 doesn't mean the rest of us are screwed up. 428 00:23:48,594 --> 00:23:52,347 I guess when cooperation fails, you move on to hostility. 429 00:23:52,473 --> 00:23:54,557 I didn't do this to myself. 430 00:24:06,403 --> 00:24:09,739 100% commitment. Sign of a good liar. 431 00:24:09,865 --> 00:24:12,075 Also the sign of a sociopath. 432 00:24:12,868 --> 00:24:14,160 What are you doing? 433 00:24:14,286 --> 00:24:15,954 Correcting your last note. 434 00:24:16,372 --> 00:24:18,790 We can't discharge her if she's sick. 435 00:24:19,250 --> 00:24:21,042 Anybody ever tell you, you write like a girl? 436 00:24:21,168 --> 00:24:24,420 What? You got some other explanation for orange urine? 437 00:24:24,547 --> 00:24:26,965 - It's Munchausen's. - Correct, but not complete. 438 00:24:27,091 --> 00:24:29,217 You just don't want to admit that she skunked you. 439 00:24:29,343 --> 00:24:33,346 At the end of The Boy Who Cried Wolf, the wolf really does come. 440 00:24:33,889 --> 00:24:36,391 Then he eats the sheep, and the boy, and his parents. 441 00:24:36,517 --> 00:24:38,476 - The wolf doesn't eat the parents. - He does when I tell it. 442 00:24:38,602 --> 00:24:41,187 You're not telling the story now. I am. 443 00:24:42,189 --> 00:24:44,107 Look, I checked her records. 444 00:24:44,233 --> 00:24:46,484 All her hospitalizations were for different things. 445 00:24:46,610 --> 00:24:49,279 Brain tumor, fainting spells, skin rashes, seizures. 446 00:24:49,405 --> 00:24:50,989 She's had every blood test known to man 447 00:24:51,115 --> 00:24:52,198 and the results are all over the map. 448 00:24:52,324 --> 00:24:55,076 There's only one constant, low HCT. 449 00:24:55,619 --> 00:24:57,620 - The anemia's real. - There's a million things 450 00:24:57,746 --> 00:24:58,997 she could have taken to have done that. 451 00:24:59,123 --> 00:25:00,790 True, it could just be her MO. 452 00:25:00,916 --> 00:25:04,127 She self-induces two illnesses. One always changes, one never does. 453 00:25:04,253 --> 00:25:07,297 Or maybe she has Munchausen's and aplastic anemia, 454 00:25:07,423 --> 00:25:09,257 which would mean, without proper treatment, 455 00:25:09,383 --> 00:25:10,800 she'll continue to get sicker, weaker, 456 00:25:10,926 --> 00:25:13,344 eventually she'll start bleeding internally and die. 457 00:25:13,470 --> 00:25:15,388 - She's not getting sicker. - She will. 458 00:25:15,514 --> 00:25:18,850 If her bone marrow was dying, the entire blood panel would be affected. 459 00:25:18,976 --> 00:25:20,643 - Her white count's normal. - So far. 460 00:25:20,769 --> 00:25:23,146 - We need to do a bone marrow biopsy. - No. No more tests. 461 00:25:23,272 --> 00:25:26,274 Look, you kick her to the curb with a Munchausen's diagnosis 462 00:25:26,400 --> 00:25:28,943 you're guaranteeing that no doctor will ever listen to her again. 463 00:25:29,069 --> 00:25:31,696 We do more tests, we'll only be feeding her psychosis. 464 00:25:31,822 --> 00:25:34,282 The more attention we give her, the more she'll want. 465 00:25:35,826 --> 00:25:38,161 What if she doesn't know we're testing her? 466 00:25:38,287 --> 00:25:40,705 House, you were wrong. Live with it. 467 00:25:40,915 --> 00:25:43,374 There's probably some blood left over from previous tests. 468 00:25:43,500 --> 00:25:45,960 Blood tests alone can't confirm aplastic anemia. 469 00:25:46,086 --> 00:25:49,214 Yes, I know. That's why I want to do a bone marrow biopsy. 470 00:25:49,340 --> 00:25:51,174 But blood tests could show a systemic disease. 471 00:25:51,300 --> 00:25:53,551 - A virus or a toxin could be the cause. - Fine. 472 00:25:53,677 --> 00:25:55,762 You want to test the extra blood? Knock yourself out. 473 00:25:55,888 --> 00:25:57,388 But the patient is off-limits. 474 00:25:57,514 --> 00:26:00,808 And if the results are positive, I get my biopsy? 475 00:26:03,187 --> 00:26:05,146 It's the safe way to go. 476 00:26:21,664 --> 00:26:26,084 I need all of these tests and a PCR done on this sample. 477 00:26:27,086 --> 00:26:28,378 You're gonna need more blood. 478 00:26:28,754 --> 00:26:30,171 Patient's empty. 479 00:26:30,297 --> 00:26:31,965 Then I can't do it. 480 00:26:33,217 --> 00:26:34,342 You can try. 481 00:26:34,468 --> 00:26:38,972 I can try to look like Salma Hayek, that's not gonna make it happen. 482 00:26:43,102 --> 00:26:47,480 You may not have Salma's ass, but she doesn't have your eyes. 483 00:26:48,691 --> 00:26:50,233 Yeah, right. 484 00:26:55,906 --> 00:26:57,699 How soon you need it? 485 00:26:58,951 --> 00:27:01,286 Dr. Wilson, can I talk to you about something in confidence? 486 00:27:01,412 --> 00:27:03,246 - Of course. - It's about House. 487 00:27:03,372 --> 00:27:04,956 Oh, then no. 488 00:27:05,082 --> 00:27:07,458 Fine. I won't say anything. 489 00:27:10,421 --> 00:27:14,882 Do you think there's any way House would take me seriously as his boss? 490 00:27:16,260 --> 00:27:19,304 Where is this coming from? Did Cuddy say something? 491 00:27:19,430 --> 00:27:21,472 We talked. She intimated. 492 00:27:22,808 --> 00:27:25,143 And you want my advice on how to usurp him? 493 00:27:25,269 --> 00:27:28,980 It's very ancient Rome, you'll need a toga, of course, a sword. 494 00:27:29,106 --> 00:27:33,067 It's not a coup. I just want to figure out some way we can work together. 495 00:27:33,319 --> 00:27:36,195 I mean, I keep the team running from an administrative point of view, 496 00:27:36,322 --> 00:27:38,531 House doesn't have to deal with the red tape. It's a win-win. 497 00:27:38,657 --> 00:27:40,325 I'm sure he'll see it that way. 498 00:27:41,618 --> 00:27:43,536 Do you have any advice on how to approach him? 499 00:27:43,662 --> 00:27:46,164 - How to deal the guy? - No. 500 00:27:50,127 --> 00:27:51,377 But you won't tell him we talked? 501 00:27:52,338 --> 00:27:53,504 No. 502 00:27:55,257 --> 00:27:58,259 There is no way this is going to happen. 503 00:28:14,943 --> 00:28:17,153 Epstein-Barr titers are through the roof, 504 00:28:17,279 --> 00:28:20,156 the most common viral cause of aplastic anemia. 505 00:28:21,283 --> 00:28:23,326 So what I'm saying is... 506 00:28:31,168 --> 00:28:33,878 - Fetal hemoglobin's also elevated. - Just a wee bit. 507 00:28:34,004 --> 00:28:34,962 Could indicate... 508 00:28:35,089 --> 00:28:36,422 You see that in sickle cell. 509 00:28:36,548 --> 00:28:38,674 Not all sickle cell patients are black. 510 00:28:38,801 --> 00:28:41,928 None of her other blood panels showed any sign of sickle cell, which means 511 00:28:42,054 --> 00:28:46,641 either something's changed drastically since yesterday, or this isn't her blood. 512 00:28:46,767 --> 00:28:48,226 Of course it is. 513 00:28:49,353 --> 00:28:51,062 Metaphorically. 514 00:28:52,689 --> 00:28:54,690 Look, I couldn't do the tests. 515 00:28:54,817 --> 00:28:57,693 I tried, but there wasn't enough blood left over. 516 00:28:58,070 --> 00:29:00,321 If you'd just let me do the biopsy. 517 00:29:02,032 --> 00:29:03,157 No way. 518 00:29:03,283 --> 00:29:04,700 I just got back from a suspension. 519 00:29:04,827 --> 00:29:07,620 And if it wasn't for me, you would've been fired. 520 00:29:07,746 --> 00:29:09,914 Why don't you just get the sample yourself? 521 00:29:10,040 --> 00:29:11,582 Since when have you cared what your boss said? 522 00:29:11,708 --> 00:29:13,960 I don't care what anybody says, I care what they do. 523 00:29:14,086 --> 00:29:17,171 Right now Blackpoleon Blackaparte has got the nurses on red alert. 524 00:29:17,297 --> 00:29:19,257 I can't get into the patient's room. 525 00:29:19,383 --> 00:29:22,260 So, come on, I'll draw the enemy fire, you outflank them 526 00:29:22,386 --> 00:29:23,928 get in there, get the bone marrow sample. 527 00:29:24,054 --> 00:29:24,971 Can't. 528 00:29:26,807 --> 00:29:28,683 Who you more afraid of? 529 00:29:32,104 --> 00:29:35,940 I'm not afraid of Foreman, I agree with him. All the tests back him up. 530 00:29:36,066 --> 00:29:38,276 All the tests have not been done. 531 00:29:39,445 --> 00:29:42,363 You do realize that Blackaparte's reign is only temporary. 532 00:29:42,489 --> 00:29:46,492 I also realize that no matter what I do, you're still gonna treat me like crap. 533 00:29:47,035 --> 00:29:48,995 "Crap" is a relative term. 534 00:29:58,005 --> 00:29:59,755 I never even made it to the room. 535 00:29:59,882 --> 00:30:02,967 Nurses called the attending as soon as a trocar was ordered. 536 00:30:03,135 --> 00:30:05,011 You used her real name? 537 00:30:05,304 --> 00:30:08,222 I just processed your patient's discharge papers. 538 00:30:08,348 --> 00:30:10,683 She's on her way out right now. 539 00:30:15,022 --> 00:30:16,355 Wait up. 540 00:30:17,149 --> 00:30:18,733 It's all right, she's gonna stay. 541 00:30:18,859 --> 00:30:20,818 - Wonderful. - Oh, bite me. 542 00:30:21,737 --> 00:30:23,905 I don't need to hear the riot act again. 543 00:30:24,031 --> 00:30:26,449 How'd you like another medical test? 544 00:30:26,950 --> 00:30:28,201 - What? - Sit. 545 00:30:29,286 --> 00:30:30,453 Why? 546 00:30:31,163 --> 00:30:34,332 So you don't crack your skull when you pass out. 547 00:30:35,125 --> 00:30:36,334 Just do it. 548 00:30:38,795 --> 00:30:40,129 You know what colchicine is? 549 00:30:40,255 --> 00:30:41,297 No. 550 00:30:41,423 --> 00:30:43,466 Well, don't feel bad. It's for gout. 551 00:30:43,592 --> 00:30:46,385 It's got nothing to do with anything you've ever pretended to have. 552 00:30:46,512 --> 00:30:49,096 - I'm not pretending to... - Shut up. 553 00:30:49,765 --> 00:30:52,433 Colchicine decimates your white blood cells. 554 00:30:52,559 --> 00:30:54,060 Leaves almost no trace. 555 00:30:54,186 --> 00:30:55,937 It's great for faking your way into hospitals. 556 00:30:56,063 --> 00:30:58,189 - I didn't fake my way... - Shut up. 557 00:30:59,233 --> 00:31:01,776 You've been doing this for years. 558 00:31:02,027 --> 00:31:05,071 Don't worry, it's probably not your fault. 559 00:31:05,489 --> 00:31:07,490 When you were a kid, you had a close relative 560 00:31:07,616 --> 00:31:10,284 who had a chronic disease, probably your sister. 561 00:31:11,828 --> 00:31:15,957 And you saw all the attention she got while you were left alone, ignored. 562 00:31:16,124 --> 00:31:18,793 And it really, seriously screwed you up. 563 00:31:19,670 --> 00:31:21,921 - I do not have a relative... - Shut up! 564 00:31:22,047 --> 00:31:24,507 I'm trying to give you what you want. 565 00:31:27,261 --> 00:31:29,095 And save your life. 566 00:31:31,515 --> 00:31:33,057 You have aplastic anemia. 567 00:31:33,767 --> 00:31:36,269 What, are you trying to scare me now? 568 00:31:37,145 --> 00:31:39,939 It means you're not just sick in the head. 569 00:31:40,107 --> 00:31:42,066 Problem is, the rest of you appears well. 570 00:31:42,192 --> 00:31:44,443 So I gotta make you seem as sick as you're supposed to be 571 00:31:44,570 --> 00:31:46,112 by injecting you with a drug 572 00:31:46,238 --> 00:31:48,864 that simulates the symptoms that you actually have. 573 00:31:52,578 --> 00:31:56,706 All you need to know is, you've hit the Munchausen's jackpot. 574 00:31:57,165 --> 00:32:01,544 I'm gonna give you a cocktail of insulin for seizure and colchicine 575 00:32:01,837 --> 00:32:03,212 to kill your white count. 576 00:32:03,338 --> 00:32:07,008 This will absolutely confirm my diagnosis of aplastic anemia. 577 00:32:07,134 --> 00:32:09,885 There is one small catch. 578 00:32:10,220 --> 00:32:13,973 If you've actually done something to yourself to cause the anemia, 579 00:32:14,099 --> 00:32:15,474 then I'm wrong. 580 00:32:16,059 --> 00:32:18,144 And if I do what I plan to do, 581 00:32:18,812 --> 00:32:21,606 then the treatment will kill you instead of saving you. 582 00:32:22,190 --> 00:32:24,066 So I need to know. 583 00:32:24,276 --> 00:32:28,112 Have you been taking anything besides the insulin, the ACTH, 584 00:32:28,322 --> 00:32:31,032 and the pills Cameron left in your room? 585 00:32:36,997 --> 00:32:38,080 No. 586 00:32:39,583 --> 00:32:42,460 Good. Give me your arm. 587 00:32:53,639 --> 00:32:55,306 It was my mom. 588 00:32:56,308 --> 00:32:57,516 She had MS. 589 00:32:58,268 --> 00:33:01,020 She was in and out of hospitals all the time. 590 00:33:01,396 --> 00:33:04,607 People were always trying to do things for her. 591 00:33:05,901 --> 00:33:09,654 Bring her food, or brush her hair, or make her happy. 592 00:33:11,323 --> 00:33:12,823 People cared. 593 00:33:16,787 --> 00:33:18,663 She died when I was 16. 594 00:33:22,876 --> 00:33:24,710 Then there was no one. 595 00:33:28,131 --> 00:33:29,507 Boo-hoo. 596 00:33:32,177 --> 00:33:34,136 Where are you going? 597 00:33:36,056 --> 00:33:38,182 I obviously can't be around when it happens. 598 00:33:38,308 --> 00:33:40,434 Well, what are you gonna do, you're just gonna... 599 00:33:40,560 --> 00:33:42,561 Relax, you know the drill. 600 00:33:43,355 --> 00:33:45,690 People walk by here all the time, you'll be fine. 601 00:34:11,383 --> 00:34:14,218 So, barely out the door and she has another seizure. 602 00:34:14,344 --> 00:34:16,470 She must have somehow grabbed insulin on the way out. 603 00:34:16,596 --> 00:34:18,723 Once she's stable, we need to get her out of here 604 00:34:18,849 --> 00:34:20,391 before she does more damage to herself. 605 00:34:20,767 --> 00:34:21,892 We can't. 606 00:34:22,436 --> 00:34:24,311 Her white count's down. 607 00:34:25,313 --> 00:34:27,064 Sorry, I missed that. 608 00:34:27,607 --> 00:34:29,692 Hearing's been off since the Ricky Martin concert, 609 00:34:29,818 --> 00:34:32,027 some cholo kicked me in the head. 610 00:34:32,154 --> 00:34:35,072 White count, hematocrit, and platelets are all off. 611 00:34:35,198 --> 00:34:37,950 Her bone marrow's shutting down. She actually has aplastic anemia. 612 00:34:38,076 --> 00:34:39,160 Say what? 613 00:34:39,286 --> 00:34:41,495 All her other labs show nothing that would... 614 00:34:41,621 --> 00:34:45,624 Labs, shmabs. A good diagnostician reads between the labs. 615 00:34:46,585 --> 00:34:47,585 You were right. 616 00:34:47,711 --> 00:34:50,629 Hey, we're not here to play the blame game. 617 00:34:50,964 --> 00:34:52,339 These things happen. 618 00:34:52,466 --> 00:34:55,593 Sometimes doctors send people out on the street to die 619 00:34:55,719 --> 00:34:57,553 after other doctors have warned them 620 00:34:57,679 --> 00:34:59,805 that they're sending people out on the street to die. 621 00:34:59,931 --> 00:35:02,266 There's no way you could know. 622 00:35:02,768 --> 00:35:04,810 I'll go give her the news. 623 00:35:12,527 --> 00:35:13,903 Who are you? 624 00:35:14,196 --> 00:35:17,281 I'm Dr. Foreman. I'm in charge of your case. 625 00:35:19,409 --> 00:35:21,410 You have aplastic anemia, 626 00:35:21,787 --> 00:35:24,330 which means your bone marrow has shut down. 627 00:35:24,456 --> 00:35:27,082 Your body can't make new blood anymore. 628 00:35:28,126 --> 00:35:29,335 Are you sure? 629 00:35:29,461 --> 00:35:32,880 I went back and checked your old records. It makes sense. 630 00:35:33,715 --> 00:35:37,384 The aplastic anemia's apparently been developing for months. 631 00:35:38,428 --> 00:35:41,013 I'm sorry, we should have caught it earlier. 632 00:35:41,139 --> 00:35:42,306 So 633 00:35:42,599 --> 00:35:46,811 it's not just the latest white count that's leading you to feel this... 634 00:35:49,981 --> 00:35:51,732 I know this is scary. 635 00:35:52,484 --> 00:35:54,944 But a bone marrow transplant could cure you. 636 00:35:55,070 --> 00:35:57,363 A marrow transplant could kill me. 637 00:35:57,531 --> 00:36:00,616 The other option is weekly blood transfusions, 638 00:36:00,992 --> 00:36:02,993 injections of GCSF. 639 00:36:03,912 --> 00:36:07,248 - It's a lifelong regimen. - Yeah, I don't want that. 640 00:36:07,415 --> 00:36:08,791 You sure? 641 00:36:11,503 --> 00:36:13,087 I don't want to be cruel here, 642 00:36:13,213 --> 00:36:17,258 but you've jumped through a lot of hoops to get this sort of attention. 643 00:36:18,176 --> 00:36:20,219 I just want to be healthy. 644 00:36:21,847 --> 00:36:24,932 It's not so much fun when you're actually sick. 645 00:36:27,143 --> 00:36:28,310 No. 646 00:36:32,357 --> 00:36:36,193 We'll check the registry. See if there's a donor match. 647 00:36:40,240 --> 00:36:41,657 Thank you. 648 00:36:47,998 --> 00:36:51,417 We have to kill all the old bone marrow before we give you the new stuff. 649 00:36:51,543 --> 00:36:53,127 You'll have no immune system. 650 00:36:53,420 --> 00:36:55,337 We'll keep you in a sterile room for two weeks 651 00:36:55,463 --> 00:36:58,424 to make sure everything's dead, then we'll give you the donor marrow. 652 00:36:58,550 --> 00:37:01,719 It'll take another couple weeks until it takes hold. 653 00:37:01,845 --> 00:37:03,304 You won't feel a thing. 654 00:37:03,430 --> 00:37:06,682 If you get uncomfortable for any reason and need to talk, don't yell. 655 00:37:06,808 --> 00:37:09,310 Walls are four inches thick, lead. 656 00:37:09,561 --> 00:37:12,771 Use the microphone. Are you ready? 657 00:37:14,399 --> 00:37:15,274 Okay. 658 00:37:19,321 --> 00:37:20,946 Where's Dr. House? 659 00:38:11,915 --> 00:38:13,457 Turn it off! 660 00:38:14,793 --> 00:38:16,877 - Now what? - How long has she been in there? 661 00:38:17,003 --> 00:38:18,337 Three minutes. What's going on? 662 00:38:18,463 --> 00:38:20,673 She doesn't have aplastic anemia. 663 00:38:20,924 --> 00:38:23,008 - She has an infection. - No. 664 00:38:23,134 --> 00:38:26,095 Her white count would be through the roof. Hers is on the floor. 665 00:38:26,221 --> 00:38:27,972 Well, body does crazy things. 666 00:38:28,098 --> 00:38:30,933 "Body does crazy things." That explains everything! 667 00:38:31,059 --> 00:38:32,142 She had no fever. 668 00:38:32,268 --> 00:38:35,479 'Cause her self-inflicted Cushing's suppressed her immune system. 669 00:38:35,772 --> 00:38:38,524 Stopped her from having a fever, hid the infection. 670 00:38:40,318 --> 00:38:43,070 Clostridium perfringens could cause the bruises, 671 00:38:43,196 --> 00:38:44,196 the schistocytes, the anemia. 672 00:38:44,322 --> 00:38:46,824 Explains everything except the white count. 673 00:38:47,117 --> 00:38:50,786 Augmentin is a lot safer than destroying her immune system. 674 00:38:50,912 --> 00:38:52,246 Why don't we try that? 675 00:38:55,583 --> 00:38:58,711 You're taking the safe course? What's going on? 676 00:39:00,171 --> 00:39:02,756 There's lots of explanations for a low white count. 677 00:39:03,049 --> 00:39:05,217 Name one that fits her case. 678 00:39:09,097 --> 00:39:10,347 Colchicine. 679 00:39:14,894 --> 00:39:19,148 I figure that she'd gotten her hands on it and self-medicated. 680 00:39:19,858 --> 00:39:21,817 That's brilliant of her. 681 00:39:23,278 --> 00:39:26,947 Take the exact medication that would confirm your diagnosis. 682 00:39:28,283 --> 00:39:30,200 People do crazy things. 683 00:39:30,326 --> 00:39:33,287 You injected her against her will just so you could be right? 684 00:39:33,413 --> 00:39:35,622 - She consented. - She's mentally ill! 685 00:39:35,749 --> 00:39:37,833 But she smells oh-so-sweet. 686 00:39:40,587 --> 00:39:43,338 She would've gotten sicker when I said she was gonna get sicker 687 00:39:43,465 --> 00:39:45,049 except Cameron dosed her with antibiotics. 688 00:39:45,175 --> 00:39:47,134 - Just hold this. - Is everything okay? 689 00:39:47,260 --> 00:39:48,719 Pull my finger. 690 00:39:53,058 --> 00:39:54,349 Grapey. 691 00:39:54,976 --> 00:39:57,144 You have a bacterium. It's on all of us. 692 00:39:57,270 --> 00:40:00,939 But the bruises you gave yourself with the Cushing's made a lovely home. 693 00:40:01,357 --> 00:40:04,276 Bacteria moved in, parked their cars on the lawn. 694 00:40:04,402 --> 00:40:05,903 There goes the neighborhood. 695 00:40:06,029 --> 00:40:08,530 By neighborhood, I mean, your internal organs. 696 00:40:09,532 --> 00:40:11,992 So, should we put her on the Augmentin, boss? 697 00:40:12,118 --> 00:40:14,203 Or do you think she injected herself with grapes? 698 00:40:16,873 --> 00:40:19,166 I love the smell of pus in the morning. 699 00:40:19,334 --> 00:40:22,252 Smells like... victory. 700 00:40:27,550 --> 00:40:31,428 If you were serious about the offer, I'm serious about accepting. 701 00:40:32,639 --> 00:40:37,142 I'd like to run the department. And you said it yourself, things run smooth. 702 00:40:38,144 --> 00:40:40,395 Except for the part where House went behind your back 703 00:40:40,522 --> 00:40:43,774 and KO'd the patient with insulin and colchicine. 704 00:40:43,900 --> 00:40:46,276 There was no reason to suspect an infection. 705 00:40:46,402 --> 00:40:48,821 Even House didn't think it was an infection. 706 00:40:49,239 --> 00:40:50,823 You would have done the same thing I did. 707 00:40:50,949 --> 00:40:52,825 And I'd be just as wrong. 708 00:40:53,451 --> 00:40:56,453 What House did was insane. But he saved her life. 709 00:40:56,579 --> 00:40:57,412 He got lucky. 710 00:40:57,539 --> 00:40:59,414 He got her to admit she's got a problem. 711 00:40:59,541 --> 00:41:03,168 She's agreed to outpatient treatment. He gets lucky a lot. 712 00:41:08,216 --> 00:41:10,759 Did you ever really intend to give me this job, 713 00:41:10,885 --> 00:41:13,470 or were you just trying to stop me from stepping down? 714 00:41:13,596 --> 00:41:16,223 Well, you've got two more weeks in charge. 715 00:41:16,516 --> 00:41:19,434 Hopefully the next case will go better. 716 00:41:25,942 --> 00:41:29,695 She should've died. House is not a hero. 717 00:41:31,114 --> 00:41:33,532 A person who has the guts to break a bad rule, 718 00:41:33,783 --> 00:41:35,492 they're a hero. 719 00:41:35,660 --> 00:41:38,203 House doesn't break rules, he ignores them. 720 00:41:38,621 --> 00:41:42,166 He's not Rosa Parks, he's an anarchist. 721 00:41:43,126 --> 00:41:46,378 All he stands for is the right for everyone to grab whatever they want 722 00:41:46,504 --> 00:41:48,172 whenever they want. 723 00:41:48,339 --> 00:41:50,465 You tell doctors that's okay, 724 00:41:51,009 --> 00:41:54,386 your mortality rate is gonna go through the roof. 725 00:41:58,308 --> 00:42:01,476 Kind of digging this whole Foreman-in-charge thing. 726 00:42:02,770 --> 00:42:03,770 Give me those. 727 00:42:05,356 --> 00:42:07,691 Frees me up to watch my soaps, 728 00:42:08,193 --> 00:42:11,153 catch a movie in the afternoon, have lunch with you. 729 00:42:11,613 --> 00:42:13,280 Yeah, that's a big change for you. 730 00:42:13,406 --> 00:42:16,450 Now Cuddy's on Foreman's ass, not mine. 731 00:42:23,374 --> 00:42:26,251 You couldn't live with Foreman as your boss. 732 00:42:26,419 --> 00:42:27,711 Why not? 733 00:42:28,463 --> 00:42:30,631 People can change, you know. 734 00:42:42,060 --> 00:42:44,311 Your white count is way down. 735 00:42:44,437 --> 00:42:46,730 We're going to need to admit you, just to run a few more tests. 736 00:42:46,856 --> 00:42:48,941 Whatever you think is best. 737 00:42:59,535 --> 00:43:02,287 Last race at Belmont. Put it all on the five 738 00:43:02,413 --> 00:43:03,622 to win.