1 00:00:38,038 --> 00:00:39,330 Merry Christmas. 2 00:00:40,249 --> 00:00:41,833 And a happy go to hell. 3 00:00:42,876 --> 00:00:44,877 What's he doing here? Is he with you? 4 00:00:46,714 --> 00:00:48,339 Detective Tritter and I... 5 00:00:49,466 --> 00:00:51,300 We worked out a deal. 6 00:00:51,427 --> 00:00:53,803 Already got a lawyer. Get out of my office. 7 00:00:56,056 --> 00:00:59,642 I told him I didn't write those prescriptions. 8 00:01:00,102 --> 00:01:01,936 I spoke with the DA. 9 00:01:02,646 --> 00:01:06,816 He agreed to two months in a rehab facility in exchange for a guilty plea. 10 00:01:08,527 --> 00:01:10,361 Get out of my office. 11 00:01:10,487 --> 00:01:11,446 No jail time. 12 00:01:11,572 --> 00:01:13,990 Right. So I should get locked up in some place I don't belong 13 00:01:14,116 --> 00:01:16,451 in order to avoid getting locked up in some other place I don't belong. 14 00:01:16,577 --> 00:01:19,370 I got you on forgery, fraud, enough drugs to... 15 00:01:19,496 --> 00:01:20,955 No sanctions to the medical board. 16 00:01:21,081 --> 00:01:22,415 And you get your car back 17 00:01:22,541 --> 00:01:25,126 and your bank accounts and your precious tumor-ridden patients. 18 00:01:25,252 --> 00:01:27,086 I did this to help you. 19 00:01:27,212 --> 00:01:28,713 Next Christmas, buy me a sweater. 20 00:01:28,839 --> 00:01:30,339 You punched out an employee! 21 00:01:30,466 --> 00:01:33,009 You nearly cut a little girl in half because you were too strung out... 22 00:01:33,135 --> 00:01:34,427 I was in pain! 23 00:01:39,308 --> 00:01:40,933 You need to believe that I've got a problem 24 00:01:41,059 --> 00:01:44,103 so that your betrayal has the illusion of nobility. 25 00:01:44,229 --> 00:01:46,481 - But you just selfishly... - Knock it off. 26 00:01:46,607 --> 00:01:49,692 Look, I don't care why Dr. Wilson is doing this. 27 00:01:50,569 --> 00:01:53,237 And right now, it makes no difference to you, either, 28 00:01:53,363 --> 00:01:56,949 'cause you need to deal with the reality of your current situation. 29 00:01:57,075 --> 00:02:00,161 You want to stand on principle, you end up in a cell. 30 00:02:00,287 --> 00:02:03,164 And you end up never practicing medicine again. 31 00:02:04,708 --> 00:02:08,336 So you got two choices, your principles or your life. 32 00:02:17,179 --> 00:02:18,971 Get out of my office. 33 00:02:24,436 --> 00:02:26,979 The DA put a clock on the deal. 34 00:02:27,105 --> 00:02:29,273 You got three days to decide. 35 00:03:12,150 --> 00:03:16,070 House! Just give me a minute. You're afraid of the pain. 36 00:03:16,196 --> 00:03:17,238 You're not? 37 00:03:18,323 --> 00:03:20,157 You can still have pain meds in rehab. 38 00:03:20,284 --> 00:03:22,410 - Tramadol, gabapentin. - Those don't work. 39 00:03:22,578 --> 00:03:24,537 They will once you're weaned off the Vicodin. 40 00:03:24,663 --> 00:03:27,665 Look, there's Jesus. Better go tell the Romans. 41 00:03:27,791 --> 00:03:29,417 Fine, run to Cuddy. 42 00:03:29,626 --> 00:03:32,670 You don't think she's going to support me on this? 43 00:03:37,342 --> 00:03:41,679 Well, the stitches are healing nicely, there's no sign of infection. 44 00:03:41,805 --> 00:03:42,972 Whoa. 45 00:03:45,100 --> 00:03:46,309 Sorry. 46 00:03:47,019 --> 00:03:49,437 Just need her for a tiny moment. 47 00:03:50,022 --> 00:03:51,522 Small favor. 48 00:03:52,733 --> 00:03:53,941 Pills. 49 00:03:54,109 --> 00:03:55,276 Who's the wit? 50 00:03:55,402 --> 00:03:58,821 Doctor. Don't worry, I'll be firing him soon. 51 00:03:59,239 --> 00:04:00,656 Wait in my office. 52 00:04:01,491 --> 00:04:03,868 Incision looks just big enough for a chest tube. 53 00:04:03,994 --> 00:04:07,204 Collapsed lung? Someone mistake you for a piñata? 54 00:04:07,331 --> 00:04:11,208 Delightful. Usually we just get the elf jokes this time of year. 55 00:04:11,960 --> 00:04:13,544 No on trauma. 56 00:04:14,129 --> 00:04:15,713 Negative PPD. 57 00:04:16,256 --> 00:04:18,007 What flavor dwarfs are you guys? 58 00:04:18,133 --> 00:04:21,510 My daughter and I both have cartilage-hair hypoplasia. 59 00:04:21,637 --> 00:04:23,137 Think you can make a pun out of that? 60 00:04:23,263 --> 00:04:26,015 Yes. But I don't want to be insensitive. 61 00:04:27,100 --> 00:04:29,518 She's got a bit of a short fuse, doesn't she? 62 00:04:29,645 --> 00:04:31,395 It's a bleb. Wait in my office. 63 00:04:31,521 --> 00:04:33,481 Bleb's not a diagnosis, it's an evasion. 64 00:04:33,607 --> 00:04:35,858 We'll schedule an MRI to make sure, 65 00:04:35,984 --> 00:04:38,611 but a certain number of these cases are idiopathic. 66 00:04:38,737 --> 00:04:41,155 Let me translate that into Tolkien for you guys. 67 00:04:41,406 --> 00:04:42,782 It means Dr. Cuddy's got no idea 68 00:04:42,908 --> 00:04:45,451 why your daughter's lung suddenly popped like a balloon. 69 00:04:45,577 --> 00:04:47,078 You think you do? 70 00:04:49,206 --> 00:04:51,707 Gimme her chart. And my pills. 71 00:04:54,795 --> 00:04:56,212 Santa needs us. 72 00:04:59,716 --> 00:05:01,717 Did you get that looked at? 73 00:05:02,302 --> 00:05:03,427 I'm fine. 74 00:05:04,179 --> 00:05:07,765 Great. I just admitted a cartilage-hair hypoplasia dwarf. 75 00:05:07,891 --> 00:05:10,351 - Fifteen years old... - What are you going to do? 76 00:05:10,477 --> 00:05:14,355 I thought I'd get your theories, mock them, then embrace my own. The usual. 77 00:05:14,481 --> 00:05:16,440 Wilson told us he ratted. 78 00:05:16,900 --> 00:05:18,567 Your choice of verb, I take it? 79 00:05:18,694 --> 00:05:23,489 It's appropriate. He betrayed you. And you should take the deal. 80 00:05:24,324 --> 00:05:28,035 Unexplained lung collapse and anemia. Cuddy thinks it's idiopathic. 81 00:05:28,161 --> 00:05:31,122 "Cuddy" and "idiop" being the relevant parts of that sentence. 82 00:05:31,248 --> 00:05:33,582 Well, I'd say TB, but Cuddy's already ruled it out. 83 00:05:33,709 --> 00:05:35,584 Then you'd be just as big an idiop as her. 84 00:05:35,711 --> 00:05:36,877 Don't you people know your dwarfs? 85 00:05:37,004 --> 00:05:39,213 There are over 200 varieties of dwarfism, 86 00:05:39,339 --> 00:05:40,881 each with different medical complications. 87 00:05:41,008 --> 00:05:43,592 You can't expect us to be intimately familiar with all of them? 88 00:05:43,719 --> 00:05:45,511 The sick dwarfs sure expect you to. 89 00:05:45,637 --> 00:05:49,181 Cartilage-hair hypoplasia. They have compromised immune systems. 90 00:05:49,307 --> 00:05:51,142 Gold star for Cameron. 91 00:05:51,309 --> 00:05:54,020 For extra credit, explain to the special needs section of the class 92 00:05:54,146 --> 00:05:56,397 why our patient's negative TB test is irrelevant. 93 00:05:56,523 --> 00:05:59,066 A PPD involves planting a fragment of TB under the skin 94 00:05:59,192 --> 00:06:00,735 to see if the immune system recognizes it. 95 00:06:00,861 --> 00:06:02,820 Because of a compromised immune system, 96 00:06:02,946 --> 00:06:04,947 our patient could have TB but not recognize it. 97 00:06:05,073 --> 00:06:07,283 The little people love you. 98 00:06:07,409 --> 00:06:09,160 Let's go see a dwarf about a gallium scan. 99 00:06:13,498 --> 00:06:15,124 Gallium is a radioactive isotope. 100 00:06:15,250 --> 00:06:16,292 It travels through your veins, 101 00:06:16,418 --> 00:06:19,670 allowing us to see any bright spots that might indicate infection. 102 00:06:21,214 --> 00:06:24,842 I'm 4'1". That's 1.5 canes in metric. 103 00:06:26,053 --> 00:06:28,512 You don't look a day over four feet. 104 00:06:29,806 --> 00:06:32,099 I saw in the file that her dad was normal-sized. 105 00:06:32,225 --> 00:06:33,559 It's average-sized. 106 00:06:33,685 --> 00:06:36,062 Compared to you, I'm sure it was huge. 107 00:06:36,188 --> 00:06:37,563 So did he have a fetish, 108 00:06:37,689 --> 00:06:40,524 or did he just fall in love with your long-legged soul? 109 00:06:40,650 --> 00:06:43,944 He grew up in the circus. Said I reminded him of home. 110 00:06:44,279 --> 00:06:46,447 Seems like you're the one with the fetish. 111 00:06:46,573 --> 00:06:49,241 I'm certainly curious about the logistics. 112 00:06:49,367 --> 00:06:50,576 Did you stand on a table? 113 00:06:50,702 --> 00:06:51,619 House! 114 00:06:53,163 --> 00:06:55,873 Pretty much, he'd lay flat and spin me. 115 00:06:55,999 --> 00:06:56,916 Mom. 116 00:06:58,293 --> 00:07:01,337 So, Abigail, you want to hop up on the table for me? 117 00:07:02,631 --> 00:07:04,423 That's going to be tough. 118 00:07:04,549 --> 00:07:07,676 Oh, I'm sorry. Let me give you a boost. 119 00:07:08,178 --> 00:07:09,804 Stop treating her like she's five. 120 00:07:09,930 --> 00:07:11,931 Just bring over a stool and let her climb up herself. 121 00:07:12,057 --> 00:07:13,599 Mom, it's okay. 122 00:07:13,725 --> 00:07:16,102 I was just trying to be helpful. 123 00:07:17,771 --> 00:07:19,438 She also hates Jews. 124 00:07:20,482 --> 00:07:21,565 I've dealt with worse. 125 00:07:21,691 --> 00:07:24,401 Being different, you get used to people's idiocy. 126 00:07:24,528 --> 00:07:27,113 Still beats the hell out of actually being an idiot. 127 00:07:29,533 --> 00:07:30,699 What? 128 00:07:32,077 --> 00:07:33,619 Care to go for a spin? 129 00:07:39,334 --> 00:07:40,793 What the hell were you thinking? 130 00:07:40,919 --> 00:07:43,462 You didn't think ratting out this hospital's best doctor 131 00:07:43,588 --> 00:07:45,506 merited checking with your boss first? 132 00:07:45,632 --> 00:07:47,675 I didn't rat him out. I got him a deal. 133 00:07:47,801 --> 00:07:48,843 Which he'll never take. 134 00:07:48,969 --> 00:07:51,637 - He will if we... - How long have you known House? 135 00:07:51,763 --> 00:07:53,430 Did you think he'd suddenly become reasonable? 136 00:07:53,557 --> 00:07:55,683 I made the deal. It's done. You can either keep yelling at me, 137 00:07:55,809 --> 00:07:57,476 or you can help me avoid a complete disaster. 138 00:07:57,602 --> 00:08:00,187 It already is going to be a complete disaster! 139 00:08:00,313 --> 00:08:03,065 He's not going to take the deal. He's going to go to jail. 140 00:08:03,191 --> 00:08:05,317 Because he's a child, he's too stubborn. 141 00:08:05,443 --> 00:08:07,778 When a child misbehaves, what do you do? 142 00:08:07,904 --> 00:08:09,697 You take away something he loves. 143 00:08:09,823 --> 00:08:11,198 We can't take away his Vicodin. 144 00:08:11,324 --> 00:08:14,118 Not only will he be in pain, he'll start to detox. 145 00:08:14,244 --> 00:08:17,037 And we tell him the only way to get the pills back is to take the deal. 146 00:08:17,164 --> 00:08:18,330 He won't be able to function. 147 00:08:18,456 --> 00:08:19,498 That's the point. 148 00:08:19,624 --> 00:08:21,876 You going to explain that to his patient? 149 00:08:23,420 --> 00:08:25,504 What choice do we have? 150 00:08:31,469 --> 00:08:33,554 Gallium scan shows no bright spots of any kind. 151 00:08:33,680 --> 00:08:35,514 Means it's not TB or any other infection. 152 00:08:35,640 --> 00:08:38,642 There are no bright spots 'cause the whole thing's too bright. 153 00:08:38,768 --> 00:08:40,436 Except for the liver. 154 00:08:40,562 --> 00:08:43,480 The tech over-exposed the image a bit, but it's nothing. 155 00:08:43,607 --> 00:08:44,773 The liver looks fine. 156 00:08:44,900 --> 00:08:46,609 Could be lung cancer. 157 00:08:46,776 --> 00:08:49,528 Tumor causes structural damage. The lung caves in on itself. 158 00:08:49,654 --> 00:08:50,863 Also explains the anemia. 159 00:08:50,989 --> 00:08:52,656 Doesn't explain the liver problem, though. 160 00:08:52,782 --> 00:08:55,034 Her lung collapsed. There is no liver problem. 161 00:08:55,160 --> 00:08:56,702 Did you guys look at the liver on this thing? 162 00:08:56,828 --> 00:08:57,953 There's no liver problem. 163 00:08:58,079 --> 00:08:59,538 Seriously, look at the liver. 164 00:08:59,664 --> 00:09:00,623 There's nothing there. 165 00:09:00,749 --> 00:09:01,624 Why not? 166 00:09:01,750 --> 00:09:02,791 Because there's nothing wrong? 167 00:09:02,918 --> 00:09:06,420 Every organ in this scan is lit up like a hundred-watt bulb. 168 00:09:06,546 --> 00:09:09,798 Except for her liver, which is hovering around 60 watts. 169 00:09:09,925 --> 00:09:12,593 And not one of them good 60-watters, but an energy saving... 170 00:09:12,719 --> 00:09:15,387 You're saying her liver's shutting down because the lighting is off? 171 00:09:15,513 --> 00:09:17,181 You just don't want a cancer diagnosis, 172 00:09:17,307 --> 00:09:18,766 because then you'd have to deal with Wilson. 173 00:09:18,892 --> 00:09:21,060 Lung cancer is a lame diagnosis. 174 00:09:21,186 --> 00:09:23,520 Avoiding Wilson is an added bonus. 175 00:09:23,647 --> 00:09:25,272 House, we need to talk. 176 00:09:25,398 --> 00:09:27,983 Not taking the deal. Glad we talked. 177 00:09:28,443 --> 00:09:30,277 Ultrasound her liver. 178 00:09:30,570 --> 00:09:31,737 Sit down. 179 00:09:32,113 --> 00:09:33,405 Stand up. 180 00:09:33,698 --> 00:09:34,865 Your turn. 181 00:09:34,991 --> 00:09:36,700 House, you're off the case. 182 00:09:36,826 --> 00:09:38,577 Your treatment privileges are suspended 183 00:09:38,703 --> 00:09:40,037 until you accept Tritter's deal. 184 00:09:40,163 --> 00:09:41,538 Well, I'm obviously not going to take the deal 185 00:09:41,665 --> 00:09:43,832 just so I can have the fun of treating a dwarf. 186 00:09:43,959 --> 00:09:46,585 So, I assume there's more to this threat. 187 00:09:46,711 --> 00:09:49,338 - I'm also cutting off your Vicodin. - That could work. 188 00:09:49,464 --> 00:09:52,007 I'm taking over as attending. Get an MRI of her lungs. 189 00:09:52,133 --> 00:09:53,467 This is not lung cancer. 190 00:09:53,593 --> 00:09:56,637 We'll find out as soon as we MRI her lungs. 191 00:10:03,228 --> 00:10:05,396 You're going to come begging me to save this girl 192 00:10:05,522 --> 00:10:08,649 long before I come begging you for pills. 193 00:10:08,775 --> 00:10:09,984 I hope not. 194 00:10:11,027 --> 00:10:12,111 For everyone's sake. 195 00:10:20,620 --> 00:10:21,954 This is wrong. 196 00:10:22,080 --> 00:10:25,374 Cutting House off? It might not work, but it's not wrong. 197 00:10:25,500 --> 00:10:27,418 Bone windows look clean. 198 00:10:29,629 --> 00:10:31,839 Abigail, we need you to hold still, okay? 199 00:10:31,965 --> 00:10:33,590 Can I come out? 200 00:10:33,717 --> 00:10:35,592 Just hang in there two more minutes, and we'll be done. 201 00:10:35,719 --> 00:10:36,760 Okay. 202 00:10:36,886 --> 00:10:38,595 Because it's effective doesn't make it right. 203 00:10:38,722 --> 00:10:42,641 Cuddy's bending the rules to get a patient to do the right thing. 204 00:10:42,767 --> 00:10:45,436 - Who would work for a doctor like that? - And the ends justify the means? 205 00:10:45,562 --> 00:10:48,397 If the ends involve us keeping our jobs, sure. 206 00:10:48,732 --> 00:10:53,110 Lung parenchyma's clean. No masses, it's not lung cancer. 207 00:10:54,821 --> 00:10:56,905 Abigail, you okay? 208 00:11:04,789 --> 00:11:06,790 House was right. Her liver's failing. 209 00:11:06,916 --> 00:11:10,127 Endoscopy confirmed the vomiting was caused by variceal bleeding. 210 00:11:10,253 --> 00:11:12,963 Blood work also confirms House's hypothesis. 211 00:11:13,089 --> 00:11:16,258 I get it. House was right, it's the liver. Let's move on. 212 00:11:16,384 --> 00:11:19,053 What causes liver disease and a collapsed lung? 213 00:11:19,179 --> 00:11:20,929 Schistosomiasis, the parasite could have... 214 00:11:21,056 --> 00:11:22,514 There's no eosinophilia. 215 00:11:22,640 --> 00:11:25,809 - Cirrhosis could explain... - Could be a hepatoma. 216 00:11:26,436 --> 00:11:29,438 She's 15. It's not liver cancer. 217 00:11:29,564 --> 00:11:31,106 It's not unheard of. 218 00:11:31,232 --> 00:11:33,484 Cirrhosis fits better. The question is, what caused it? 219 00:11:33,610 --> 00:11:37,071 - Could be hepatitis, Budd-Chiari... - Or drugs and alcohol. 220 00:11:37,197 --> 00:11:39,865 If anyone has reason to dull the pain, it's a teenage dwarf. 221 00:11:39,991 --> 00:11:41,241 I'll do a liver biopsy to confirm. 222 00:11:41,368 --> 00:11:45,079 And I'll search the patient's home for drugs and alcohol. 223 00:11:46,414 --> 00:11:48,707 Cameron, got a moment? 224 00:11:55,632 --> 00:11:58,175 What exactly is your problem with me? 225 00:11:59,677 --> 00:12:01,220 Hepatoma is a weak diagnosis. 226 00:12:01,346 --> 00:12:03,138 So this is all about the case? 227 00:12:03,264 --> 00:12:05,182 What else would it be about? 228 00:12:07,185 --> 00:12:10,229 I made this deal to help him. 229 00:12:10,355 --> 00:12:12,439 And helped yourself at the same time. 230 00:12:12,565 --> 00:12:15,275 This is not about my practice. This is not about my car. 231 00:12:15,402 --> 00:12:18,445 I gave both of them up to help House and I would have gone on without them, 232 00:12:18,571 --> 00:12:21,657 if he hadn't almost maimed that little girl and if he hadn't punched out Chase. 233 00:12:21,783 --> 00:12:23,575 Was it an easy choice? 234 00:12:23,701 --> 00:12:25,953 Of course not. But it's right. 235 00:12:26,079 --> 00:12:27,955 Then why wasn't it easy? 236 00:12:28,373 --> 00:12:29,957 Because he's my friend. 237 00:12:30,083 --> 00:12:33,460 - It's obviously complicated... - It's complicated? 238 00:12:33,586 --> 00:12:37,256 When you decided to talk to Tritter, your life got a million times better. 239 00:12:37,382 --> 00:12:39,633 How do you separate that out? 240 00:12:39,759 --> 00:12:43,178 How do you pretend your windfall isn't relevant to this decision? 241 00:12:46,558 --> 00:12:48,767 It was the right thing to do. 242 00:12:49,102 --> 00:12:53,188 You pretending your motives are pure is why I have a problem. 243 00:13:05,743 --> 00:13:06,910 Where's Cuddy? 244 00:13:07,036 --> 00:13:09,455 In this drawer. It's a rescue mission. 245 00:13:09,581 --> 00:13:11,832 I've got it under control, you can leave. 246 00:13:13,877 --> 00:13:15,586 You were right about the liver failure, 247 00:13:15,712 --> 00:13:18,297 the patient had variceal bleeding, which suggested cirrhosis, but... 248 00:13:18,423 --> 00:13:19,923 Off the clock. 249 00:13:20,049 --> 00:13:21,842 You predicted this. You obviously saw something. 250 00:13:21,968 --> 00:13:23,260 Obviously. 251 00:13:23,595 --> 00:13:28,348 Liver biopsy was negative for cirrhosis but it showed sclerosing cholangitis. 252 00:13:28,475 --> 00:13:31,602 Even weirder, there's no increase in alkaline phosphatase. 253 00:13:31,728 --> 00:13:34,980 Medical mystery. Sounds like the kind of thing I'd be good at. 254 00:13:38,485 --> 00:13:41,403 Breaking and entering sounds like the kind of thing you'd be good at. 255 00:13:41,529 --> 00:13:43,989 I take it that's where Cuddy's been keeping your pills. 256 00:13:45,408 --> 00:13:47,284 One theory, one drawer. 257 00:13:53,124 --> 00:13:54,291 Really? 258 00:13:54,417 --> 00:13:57,002 I thought you'd be all for this "torture House" plan. 259 00:13:57,128 --> 00:13:58,504 It works, therefore it's good. 260 00:13:58,630 --> 00:14:00,464 On the other hand, I don't want to talk you out of this deal 261 00:14:00,590 --> 00:14:01,798 by pointing out your hypocrisy. 262 00:14:01,925 --> 00:14:05,427 So, patient's life at stake, blah, blah, blah, blah, blah. 263 00:14:05,762 --> 00:14:09,181 Forget about the specific nature of the liver dysfunction, it's irrelevant. 264 00:14:09,307 --> 00:14:12,226 The dwarf's problem is global, that's why the gallium scan was bright. 265 00:14:12,352 --> 00:14:14,937 And it's going to spread throughout her entire body unless you stop it. 266 00:14:15,063 --> 00:14:18,232 If that were true, more than her lungs and liver would be affected. 267 00:14:18,358 --> 00:14:19,483 It will be. 268 00:14:19,609 --> 00:14:23,153 It'll spread through the biliary tree and hit her pancreas next. 269 00:14:23,279 --> 00:14:25,155 Stop retracing your steps, get ahead of it. 270 00:14:25,281 --> 00:14:28,784 Forget the liver and focus on the pancreas because after that... 271 00:14:28,910 --> 00:14:30,494 Actually, after that it doesn't really matter what it hits 272 00:14:30,620 --> 00:14:34,122 because, pretty much, all roads lead to a dead dwarf. 273 00:14:35,333 --> 00:14:38,043 I get why you don't want to go to rehab. 274 00:14:38,503 --> 00:14:41,046 But only an idiot goes to prison for being stubborn. 275 00:14:41,172 --> 00:14:45,259 Only an idiot stands between Ahab and his whale. Move. 276 00:14:55,979 --> 00:14:57,688 Sorry. 277 00:15:05,738 --> 00:15:07,322 Santa's got gifts. 278 00:15:08,241 --> 00:15:11,034 Olive oil wasn't in the kitchen, it was in the medicine cabinet. 279 00:15:11,160 --> 00:15:12,327 Home remedy for ear infections. 280 00:15:12,453 --> 00:15:14,830 Ear infections are fairly typical among CHH dwarfs. 281 00:15:14,956 --> 00:15:16,582 Or, it's a symptom. 282 00:15:16,708 --> 00:15:18,709 Certainly wouldn't indicate a pancreatic problem. 283 00:15:18,835 --> 00:15:20,919 Or House is wrong and it's a symptom. 284 00:15:21,629 --> 00:15:25,048 Laxatives. I don't think they were used to maintain her girlish figure. 285 00:15:25,174 --> 00:15:26,883 Again, intestinal problems are common. 286 00:15:27,010 --> 00:15:29,177 Again, it might be a symptom. 287 00:15:29,304 --> 00:15:31,972 Glucosamine suggests chronic joint pain. 288 00:15:32,098 --> 00:15:35,017 Who ordered an alpha-1 antitrypsin deficiency test? 289 00:15:35,143 --> 00:15:36,226 I did. 290 00:15:36,436 --> 00:15:38,186 You think the problem's in her pancreas? 291 00:15:38,313 --> 00:15:40,647 I think it will be. I think we need to forget about the liver. 292 00:15:40,773 --> 00:15:43,775 We just forgot about the lungs, now we need to forget about the liver? 293 00:15:43,901 --> 00:15:47,321 We need to stop retracing our steps and get ahead of this thing. 294 00:15:48,823 --> 00:15:51,116 House, you've tanned. 295 00:15:51,784 --> 00:15:53,493 You don't think I could have come up with this? 296 00:15:53,620 --> 00:15:54,953 Did you? 297 00:15:55,079 --> 00:15:57,456 You suspended House because it'd be dangerous having him in charge, 298 00:15:57,582 --> 00:15:58,415 but getting his opinion? 299 00:15:58,541 --> 00:15:59,916 I'm sure he gave you that opinion 300 00:16:00,043 --> 00:16:02,169 simply because he was worried about the patient? 301 00:16:02,295 --> 00:16:05,172 Just because House wants his pills, doesn't mean his theory is wrong. 302 00:16:05,298 --> 00:16:08,717 No, the test results mean that. Your test was negative. 303 00:16:08,843 --> 00:16:11,094 And the biopsy indicated severe duct inflammation. 304 00:16:11,220 --> 00:16:14,056 Do an ERCP to check the liver for bile duct cancer. 305 00:16:14,182 --> 00:16:17,225 Just because it wasn't alpha-1 doesn't mean the pancreas isn't next. 306 00:16:17,352 --> 00:16:19,853 You needed an organ, he needed a fix. 307 00:16:19,979 --> 00:16:23,565 He'd have made up any story for a pill. You didn't give him anything, did you? 308 00:16:23,691 --> 00:16:24,691 No. 309 00:16:33,534 --> 00:16:36,912 There's no bruise or nothing, but it really hurts. 310 00:16:37,038 --> 00:16:39,164 Unfortunately, that pain and lack of bruising 311 00:16:39,290 --> 00:16:41,083 is typical of a zygomatic break. 312 00:16:42,293 --> 00:16:43,502 Sounds bad. 313 00:16:43,920 --> 00:16:45,712 Bones are aligned properly. 314 00:16:45,838 --> 00:16:47,297 Which ER did you go to after the car accident? 315 00:16:47,423 --> 00:16:50,926 Princeton Plainsboro. Here's my discharge slip. 316 00:16:51,636 --> 00:16:52,928 Okay. 317 00:16:53,054 --> 00:16:55,389 I'm going to get you some acetaminophen with codeine. 318 00:16:55,515 --> 00:16:58,100 I tried that, it makes me nauseous. 319 00:16:58,976 --> 00:17:01,561 There's a drug called gabapentin 320 00:17:01,688 --> 00:17:03,355 which is good for certain kinds of pain. 321 00:17:03,481 --> 00:17:05,982 Great! 'Cause I haven't slept in days. 322 00:17:06,109 --> 00:17:08,151 Gabapentin's not really going to help with the sleep. 323 00:17:08,277 --> 00:17:09,236 Oh. 324 00:17:09,987 --> 00:17:12,698 Is there something else you can give me? 325 00:17:14,200 --> 00:17:17,160 Vicodin's your best bet with sleep issues. 326 00:17:17,286 --> 00:17:18,120 Well, thanks so much. 327 00:17:18,246 --> 00:17:22,332 Unfortunately, our policy forbids prescribing opiates to new patients. 328 00:17:22,500 --> 00:17:25,293 Well, how could a clinic have a rule against relieving pain? 329 00:17:25,420 --> 00:17:28,338 Just with opiates. We find that it helps weed out drug-seekers. 330 00:17:28,464 --> 00:17:30,841 - You think I'm a drug-seeker? - I'm not saying that. 331 00:17:30,967 --> 00:17:32,968 - Well, then give me the Vicodin. - I can't. 332 00:17:33,094 --> 00:17:34,428 Because you think I'm a drug-seeker. 333 00:17:34,554 --> 00:17:35,637 I just said I didn't. 334 00:17:35,763 --> 00:17:39,141 No, you said that the policy was to stop drug-seeking. 335 00:17:39,267 --> 00:17:41,977 Then you said I'm not a drug-seeker. Policy doesn't apply. 336 00:17:42,103 --> 00:17:43,895 I'm sorry, that's the policy. 337 00:17:44,731 --> 00:17:46,565 Gabapentin works on nerve damage. 338 00:17:46,691 --> 00:17:48,316 You're prescribing it for a broken face. 339 00:17:48,443 --> 00:17:50,736 Might as well hand out Band-Aids for a severed carotid. 340 00:17:50,862 --> 00:17:51,903 You're a doctor. 341 00:17:52,029 --> 00:17:54,364 Not by this clinic's definition, since I'm neither a moron, 342 00:17:54,490 --> 00:17:56,074 nor a mindless drone! 343 00:17:56,576 --> 00:17:58,326 - Security. - Forget it. 344 00:17:58,453 --> 00:18:00,287 I'll throw myself out. 345 00:18:05,126 --> 00:18:08,295 That tube is going all the way down to my liver? 346 00:18:08,421 --> 00:18:10,714 Don't worry, you'll be sedated. 347 00:18:11,048 --> 00:18:12,632 Sometimes doctors have to do things 348 00:18:12,759 --> 00:18:14,968 that make people uncomfortable to help them. 349 00:18:15,094 --> 00:18:17,596 But we always want to respect the patient's wishes 350 00:18:17,722 --> 00:18:20,390 and not shove things down their throats. 351 00:18:22,727 --> 00:18:23,935 Foreman. 352 00:18:25,855 --> 00:18:27,397 You haven't given her the sedative. 353 00:18:27,523 --> 00:18:28,482 No. 354 00:18:29,066 --> 00:18:30,150 Abigail. 355 00:18:30,985 --> 00:18:32,944 Abigail. She's unconscious. 356 00:18:34,030 --> 00:18:35,572 Check her airway. 357 00:18:37,033 --> 00:18:38,450 Airway's clear. 358 00:18:38,576 --> 00:18:40,035 Her breath smells fruity. 359 00:18:40,203 --> 00:18:42,245 Diabetic ketoacidosis. 360 00:18:42,371 --> 00:18:44,873 Hang an insulin drip at.1 mgs per kg per hour! 361 00:18:44,999 --> 00:18:48,335 Her pancreas is failing. You ready to call House yet? 362 00:18:56,302 --> 00:18:59,513 You were right. The patient's pancreas is failing. 363 00:19:00,097 --> 00:19:01,723 Told you you'd come begging me for help. 364 00:19:01,849 --> 00:19:04,142 Her insulin production is almost non-existent. 365 00:19:06,187 --> 00:19:08,188 Give me my pills or lose an arm. 366 00:19:08,314 --> 00:19:10,106 - The girl is dying! - So give me my pills. 367 00:19:10,233 --> 00:19:12,150 Take the deal and I will. 368 00:19:13,820 --> 00:19:16,780 You'd rather kill this girl than give me my pills? 369 00:19:17,907 --> 00:19:20,283 I would rather lose one patient now 370 00:19:20,409 --> 00:19:22,994 than the dozens we will lose while you're in prison. 371 00:19:25,289 --> 00:19:29,459 Well, have fun explaining that to her itsy-bitsy grieving mother. 372 00:19:35,508 --> 00:19:38,134 What if we sacrifice this girl and House still goes to jail? 373 00:19:38,261 --> 00:19:40,720 I'd feel bad. Can we get on with this? 374 00:19:40,847 --> 00:19:42,597 House correctly predicted the spread, 375 00:19:42,723 --> 00:19:44,391 means we've got a global systemic illness 376 00:19:44,517 --> 00:19:47,727 affecting lungs, liver and pancreas. So far. Ideas? 377 00:19:47,854 --> 00:19:50,981 Langerhans cell histiocytosis attacks multiple organ systems. 378 00:19:51,107 --> 00:19:53,024 Histiocytosis usually starts in the brain, 379 00:19:53,150 --> 00:19:54,442 then moves to the internal organs. 380 00:19:54,569 --> 00:19:57,153 Abigail's brain is fine. Cystic fibrosis. 381 00:19:57,280 --> 00:19:58,572 Exocrine function's normal. 382 00:19:58,698 --> 00:20:00,782 Hodgkin's lymphoma. It's a systemic cancer, 383 00:20:00,908 --> 00:20:02,284 which her dwarfism predisposes her to. 384 00:20:02,410 --> 00:20:04,536 - You have any ideas that aren't cancer? - Cancer fits. 385 00:20:04,662 --> 00:20:05,662 Autoimmune fits better. 386 00:20:05,788 --> 00:20:07,038 We should treat her with prednisone for lupus. 387 00:20:07,164 --> 00:20:09,249 That'll spike her blood sugar and put her back in a coma. 388 00:20:09,375 --> 00:20:11,293 It's much safer just to run a double-stranded DNA test. 389 00:20:11,419 --> 00:20:14,087 Not if she dies before we get the results. 390 00:20:14,213 --> 00:20:15,505 One of you is probably right. 391 00:20:15,631 --> 00:20:17,799 Why don't we hold the sniping until we find out which? 392 00:20:17,925 --> 00:20:22,387 Wilson, do an LP for lymphoma, you guys run an antibody test for lupus. 393 00:20:28,519 --> 00:20:31,771 Because of your daughter's dwarfism, we've had to pick a higher entry point 394 00:20:31,898 --> 00:20:33,899 for the lumbar puncture, which increases the risk. 395 00:20:34,025 --> 00:20:36,067 So, why not do the lupus test first? 396 00:20:36,193 --> 00:20:40,071 In the interest of time, we think it's best to proceed on both fronts. 397 00:20:40,197 --> 00:20:42,532 You have no idea what's wrong with my daughter. 398 00:20:42,658 --> 00:20:45,577 - We have several theories. - What does Dr. House think? 399 00:20:45,703 --> 00:20:47,996 He's... He had to go home sick. 400 00:20:48,122 --> 00:20:49,706 My daughter may be dying 401 00:20:49,832 --> 00:20:52,125 - and he's gone home with the sniffles? - Well, he's not... 402 00:20:52,251 --> 00:20:55,462 He was the only one who seemed to have any idea what was wrong with her. 403 00:20:55,588 --> 00:20:57,797 He better be really damn sick. 404 00:20:57,924 --> 00:20:59,090 He is. 405 00:21:03,763 --> 00:21:06,181 Unless you've got Vicodin, go away. 406 00:21:07,058 --> 00:21:09,309 House, it's me, I... 407 00:21:12,355 --> 00:21:13,647 Oh, God. 408 00:21:15,733 --> 00:21:17,817 - I don't have... - No pills? 409 00:21:18,527 --> 00:21:19,861 No eggnog. 410 00:21:22,156 --> 00:21:24,199 What happened to your arm? 411 00:21:25,159 --> 00:21:26,576 Cut myself. 412 00:21:31,749 --> 00:21:33,708 Wilson was wrong about lymphoma. 413 00:21:33,834 --> 00:21:37,003 Kid's not losing any weight, no night sweats. 414 00:21:37,129 --> 00:21:38,964 - Cuddy sent you? - No. 415 00:21:39,090 --> 00:21:41,633 She doesn't trust me not to give you pills. 416 00:21:42,927 --> 00:21:44,094 Is she right? 417 00:21:44,220 --> 00:21:47,222 House, these cuts are straight, in a row. 418 00:21:47,932 --> 00:21:49,933 You did this on purpose. 419 00:21:52,561 --> 00:21:56,022 Cutting releases endorphins, endorphins relieve pain. 420 00:21:56,482 --> 00:21:58,733 You going to get me some pills? 421 00:21:59,276 --> 00:22:00,860 No. 422 00:22:01,404 --> 00:22:03,154 Well, then you can leave. 423 00:22:03,781 --> 00:22:05,949 No constitutional symptoms means... 424 00:22:06,075 --> 00:22:09,744 As soon as the kid gets cured, Cuddy's got no pressure to fold. 425 00:22:10,287 --> 00:22:12,497 You really think she's going to fold? 426 00:22:17,920 --> 00:22:20,714 Autoimmune fits better than cancer. 427 00:22:21,674 --> 00:22:25,176 But lupus loves kidneys. Usually attacks them first. 428 00:22:25,720 --> 00:22:26,886 Kidneys are fine, right? 429 00:22:27,013 --> 00:22:28,138 Yeah. 430 00:22:28,431 --> 00:22:29,639 House, 431 00:22:30,725 --> 00:22:31,850 take the deal. 432 00:22:31,976 --> 00:22:33,518 You can survive without Vicodin. 433 00:22:33,644 --> 00:22:36,563 After you were shot, you stayed clean for months. 434 00:22:36,689 --> 00:22:37,647 Yeah. 435 00:22:37,773 --> 00:22:40,066 I wonder if it had something to do with the absence of pain. 436 00:22:40,192 --> 00:22:43,528 Leave that. I want to be able to pour alcohol on it so I can distract myself. 437 00:22:43,654 --> 00:22:46,156 Then you can rip off the bandage. 438 00:22:51,662 --> 00:22:53,038 Kid been sick lately? 439 00:22:53,164 --> 00:22:55,081 There's a history of ear infections. 440 00:22:58,210 --> 00:23:00,670 See, Abigail's immune system 441 00:23:02,173 --> 00:23:03,965 is like a shy guy in a bar. 442 00:23:05,217 --> 00:23:08,887 The ear infections, they come in and they try to coax him to... 443 00:23:12,349 --> 00:23:13,892 To hell with the metaphor. 444 00:23:14,018 --> 00:23:15,268 You get the point, right? 445 00:23:15,394 --> 00:23:17,937 Nerd gets drunk, trashes the bar. 446 00:23:18,064 --> 00:23:21,107 One of the autoimmunes triggered by a minor infection? 447 00:23:21,233 --> 00:23:24,277 Factor in her age, elevated sed rate, anemia... 448 00:23:25,446 --> 00:23:27,405 It's Still's disease. 449 00:23:27,907 --> 00:23:31,076 We start her on prednisone, methotrexate, cyclosporin. 450 00:23:32,620 --> 00:23:33,828 House. 451 00:23:34,830 --> 00:23:36,247 Stop this. 452 00:23:37,249 --> 00:23:38,500 Please. 453 00:24:02,691 --> 00:24:04,526 - What'd he say? - Still's disease. 454 00:24:04,652 --> 00:24:05,527 It's chronic, but manageable... 455 00:24:05,653 --> 00:24:07,862 A diagnosis that's virtually unconfirmable 456 00:24:07,988 --> 00:24:09,280 and with a treatment that's more dangerous 457 00:24:09,406 --> 00:24:12,575 than what we were considering for lupus. 458 00:24:13,369 --> 00:24:14,452 How bad is he? 459 00:24:14,578 --> 00:24:15,703 Are you asking because you care 460 00:24:15,830 --> 00:24:18,915 or because you're wondering whether to trust his opinion? 461 00:24:19,041 --> 00:24:19,958 Both. 462 00:24:20,084 --> 00:24:22,627 He's detoxing. In agony. 463 00:24:23,379 --> 00:24:25,505 He's started cutting himself. 464 00:24:26,423 --> 00:24:29,384 But he's still House. 465 00:24:31,428 --> 00:24:33,972 I'll order the treatment. 466 00:24:56,078 --> 00:24:57,620 Your plan isn't working. 467 00:24:57,746 --> 00:24:59,914 Two days down, one to go. 468 00:25:01,333 --> 00:25:03,918 Figured I'd show you how much it isn't working. 469 00:25:05,004 --> 00:25:07,422 Yeah. Clearly, the drugs have no hold on you. 470 00:25:09,216 --> 00:25:10,884 We both know that my pride 471 00:25:11,010 --> 00:25:13,928 far surpasses my instinct for self-preservation. 472 00:25:14,054 --> 00:25:16,890 You want to redeem yourself? Give up now. 473 00:25:17,016 --> 00:25:18,850 And you'll go to jail. 474 00:25:19,268 --> 00:25:21,144 I've done nothing wrong. 475 00:25:21,270 --> 00:25:23,146 And you'll go to jail. 476 00:25:24,940 --> 00:25:27,775 Which makes this your last chance to do me a kindness 477 00:25:27,902 --> 00:25:30,236 before ruining my life forever. 478 00:25:32,323 --> 00:25:34,574 Nausea's bad this time. 479 00:25:37,620 --> 00:25:42,498 You can write me a scrip for metoclopramide so I can stop puking. 480 00:25:42,958 --> 00:25:44,751 They'd give me that in rehab. 481 00:25:46,420 --> 00:25:48,588 Then you should go to rehab. 482 00:25:49,089 --> 00:25:50,423 I have a patient. 483 00:26:07,191 --> 00:26:11,486 I'm so sorry, I know it's little solace, but he went without pain... 484 00:26:15,574 --> 00:26:16,741 House? 485 00:26:17,576 --> 00:26:19,577 Well, look on the bright side. 486 00:26:19,703 --> 00:26:22,997 At least you don't have to go by Mrs. Zebalusky anymore. 487 00:26:23,749 --> 00:26:25,750 That's got to be a relief. 488 00:26:25,876 --> 00:26:28,294 - You know this man? - I'm sorry, he's sick... 489 00:26:28,420 --> 00:26:32,298 You hear my diagnosis on the dwarf? Still's disease. 490 00:26:32,675 --> 00:26:34,384 Did you even consider those ear infections, 491 00:26:34,510 --> 00:26:37,262 or you just wrote it off as a dwarf thing? 492 00:26:37,388 --> 00:26:38,554 Are you sure he's dead? 493 00:26:38,681 --> 00:26:40,640 Because Dr. Wilson sometimes misses things. 494 00:26:40,766 --> 00:26:42,976 Trying to embarrass me in front of a grieving widow 495 00:26:43,102 --> 00:26:45,812 - crosses lines that even... - Right. I'm pathetic. 496 00:26:46,981 --> 00:26:49,399 I'm strung out, I haven't slept, puking every hour, 497 00:26:49,525 --> 00:26:51,234 and I still out-diagnosed you. 498 00:26:51,360 --> 00:26:52,652 But I'm supposed to let you decide what's best... 499 00:26:52,778 --> 00:26:53,778 Please. 500 00:26:55,781 --> 00:26:57,198 Please leave. 501 00:26:59,201 --> 00:27:00,493 Sorry. 502 00:27:01,787 --> 00:27:02,912 I'm done. 503 00:27:05,457 --> 00:27:06,749 House! 504 00:27:11,255 --> 00:27:12,672 You didn't come in here just to embarrass me, 505 00:27:12,798 --> 00:27:14,507 you can do that any time. 506 00:27:17,136 --> 00:27:20,847 Stealing Oxy from a dead man. Yeah. You don't have a problem. 507 00:27:35,404 --> 00:27:36,529 How's the girl? 508 00:27:36,655 --> 00:27:37,864 Much better. 509 00:27:39,742 --> 00:27:40,867 House was right. 510 00:27:40,993 --> 00:27:42,368 It happens. 511 00:27:43,746 --> 00:27:45,872 I thought we could handle this. 512 00:27:45,998 --> 00:27:48,333 Still's disease never crossed my mind. 513 00:27:48,459 --> 00:27:50,752 Don't beat yourself up, I didn't get it, either. 514 00:28:03,724 --> 00:28:06,309 I feel like a mob informant. 515 00:28:07,936 --> 00:28:11,773 You want to go inside? Got a cafeteria in there, right? 516 00:28:12,649 --> 00:28:14,150 I can't testify. 517 00:28:16,612 --> 00:28:19,906 Drug addicts hurt the people around them with their habit. 518 00:28:20,032 --> 00:28:23,534 House has hurt plenty of people. You included. 519 00:28:23,660 --> 00:28:26,871 He saves lives. People that no one else can save. 520 00:28:27,581 --> 00:28:30,750 And, no matter how much of an ass he is, 521 00:28:30,918 --> 00:28:34,504 statistically, House is a positive force in the universe. 522 00:28:35,881 --> 00:28:37,757 Pills let him do that. 523 00:28:37,883 --> 00:28:41,302 Vicodin does not make House a genius. 524 00:28:41,428 --> 00:28:44,972 Whatever he does on the pills, he can do off. 525 00:28:45,516 --> 00:28:47,809 He is just not willing to try. 526 00:28:49,770 --> 00:28:52,021 I won't testify against him. 527 00:28:53,941 --> 00:28:55,983 Then we'll subpoena you. 528 00:28:56,777 --> 00:28:59,237 Your previous statement will be read into evidence 529 00:28:59,363 --> 00:29:03,157 and you'll be charged with interfering with an investigation. 530 00:29:04,993 --> 00:29:06,411 And you will go to jail. 531 00:29:11,917 --> 00:29:14,168 Again, statistically, 532 00:29:14,795 --> 00:29:16,212 better me than him. 533 00:29:16,338 --> 00:29:19,924 Statistically, the two of you will be in jail. 534 00:29:56,211 --> 00:29:57,170 Dr. Cameron? 535 00:29:57,296 --> 00:29:59,380 Come quick, there's something wrong with Abby. 536 00:29:59,506 --> 00:30:01,632 It can't be too severe, her cardiac alarm didn't go off. 537 00:30:01,758 --> 00:30:04,093 It's not her heart. She's bleeding. 538 00:30:07,014 --> 00:30:09,724 Picking up a scrip under Zebalusky. 539 00:30:15,689 --> 00:30:18,649 This is Dr. Wilson's patient. 540 00:30:18,775 --> 00:30:22,111 Yeah. Wilson's busy right now. 541 00:30:22,237 --> 00:30:27,033 What with Mr. Zebalusky dying in agony on account of his metastatic lung cancer 542 00:30:27,159 --> 00:30:29,160 and not having the pills to relieve that agony 543 00:30:29,286 --> 00:30:31,996 because of some moron pharmacist. 544 00:30:33,540 --> 00:30:34,999 Sign the book. 545 00:31:02,986 --> 00:31:06,948 The bleeding wasn't a ruptured eardrum, ear infection or bleeding disorder. 546 00:31:07,074 --> 00:31:09,075 Her heart rate's climbing, blood pressure's dropping, 547 00:31:09,201 --> 00:31:11,994 she's on the verge of a multi-system failure. 548 00:31:12,120 --> 00:31:14,914 Head CT was clean, means it's not a neurological problem. 549 00:31:15,040 --> 00:31:15,998 Basically we have nothing. 550 00:31:16,124 --> 00:31:17,750 The cancer's still on the table. 551 00:31:17,876 --> 00:31:19,919 Spinal fluid was negative for lymphoma. 552 00:31:20,045 --> 00:31:20,962 - What other... - Leukemia. 553 00:31:21,088 --> 00:31:22,380 We need to do a bone marrow biopsy. 554 00:31:22,506 --> 00:31:24,298 None of the blood tests suggest leukemia. 555 00:31:24,424 --> 00:31:26,175 Cancer doesn't explain the collapsed lung. 556 00:31:26,301 --> 00:31:28,761 Unless a small clot led to a pulmonary infarct. 557 00:31:28,887 --> 00:31:30,721 It's a long shot. Autoimmune is way more likely. 558 00:31:30,847 --> 00:31:32,848 Autoimmune diseases respond to steroids, which we've given her. 559 00:31:32,975 --> 00:31:34,892 And she got better for a while, we stopped the treatment too soon. 560 00:31:35,018 --> 00:31:35,893 Because she crashed. 561 00:31:36,019 --> 00:31:40,565 All we're doing is bouncing back and forth between cancer and autoimmune. 562 00:31:40,691 --> 00:31:43,025 We're going in circles. 563 00:31:49,491 --> 00:31:51,158 Give me half an hour. 564 00:32:00,252 --> 00:32:01,711 Can I have a French fry? 565 00:32:03,422 --> 00:32:04,505 Get your own. 566 00:32:04,631 --> 00:32:06,757 You took the last ones. 567 00:32:08,051 --> 00:32:09,135 What's wrong with you? 568 00:32:09,261 --> 00:32:11,554 I've got spinal muscular atrophy. 569 00:32:13,557 --> 00:32:15,725 I guess it's not contagious. 570 00:32:17,102 --> 00:32:18,519 Nice bear. 571 00:32:19,146 --> 00:32:20,146 It's a dog. 572 00:32:20,272 --> 00:32:22,815 House, it's not Still's. 573 00:32:23,442 --> 00:32:24,317 Steroids helped 574 00:32:24,443 --> 00:32:27,445 until the patient started bleeding from the ears and mouth. 575 00:32:28,238 --> 00:32:29,572 It's a bear. 576 00:32:29,865 --> 00:32:32,033 His name is Bill. He's a dog. 577 00:32:32,909 --> 00:32:35,202 You win, you can have Vicodin. 578 00:32:36,079 --> 00:32:38,289 Words have set meanings for a reason. 579 00:32:38,415 --> 00:32:40,666 If you see an animal like Bill and you try to play fetch, 580 00:32:40,792 --> 00:32:41,959 Bill's going to eat you. 581 00:32:42,085 --> 00:32:43,294 Because Bill's a bear. 582 00:32:43,420 --> 00:32:44,962 Are you on something? 583 00:32:46,423 --> 00:32:48,674 You got your hands on pain meds. 584 00:32:48,967 --> 00:32:51,802 Bill has fur, four legs, and a collar. 585 00:32:52,512 --> 00:32:53,763 He's a dog. 586 00:32:53,889 --> 00:32:55,806 It's between cancer and autoimmune. 587 00:32:55,932 --> 00:32:58,392 See, that's what we call a faulty syllogism. 588 00:32:58,518 --> 00:33:01,937 Just because you call Bill a dog, doesn't mean that he is 589 00:33:03,690 --> 00:33:04,940 a dog. 590 00:33:10,697 --> 00:33:13,032 We got to x-ray our patient's leg. 591 00:33:16,578 --> 00:33:18,162 Her leg looks fine. 592 00:33:18,288 --> 00:33:19,705 Weird, huh? 593 00:33:19,831 --> 00:33:21,332 Why aren't you detoxing? 594 00:33:21,458 --> 00:33:22,875 Willpower. 595 00:33:23,418 --> 00:33:24,460 What... What... 596 00:33:24,586 --> 00:33:27,421 Normal's not normal if you're not normal. 597 00:33:27,547 --> 00:33:29,382 Did you just take a pill? 598 00:33:29,508 --> 00:33:30,758 No. 599 00:33:31,134 --> 00:33:34,595 So how does a dwarf have completely normal growth plates? 600 00:33:34,721 --> 00:33:37,515 It's impossible. We must be missing something. 601 00:33:37,766 --> 00:33:39,517 How many pills have you taken? 602 00:33:39,643 --> 00:33:41,310 Not nearly as many as I'm going to take. 603 00:33:41,436 --> 00:33:43,938 I'd forgotten how delicious they were. 604 00:33:44,064 --> 00:33:45,314 I didn't give them to him. 605 00:33:45,440 --> 00:33:47,858 Can we forget my vices, get back to my virtues? 606 00:33:47,984 --> 00:33:49,235 We were missing the fact that 607 00:33:49,361 --> 00:33:52,530 just because we called her a dwarf doesn't mean she is a dwarf. 608 00:33:52,656 --> 00:33:54,573 Everyone assumed she was, because of her mother. 609 00:33:54,700 --> 00:33:56,450 There's no test for CHH dwarfism, 610 00:33:56,576 --> 00:33:59,954 so she lost an identity, but we gained a symptom. 611 00:34:00,372 --> 00:34:03,124 If she doesn't have skeletal dwarfism, 612 00:34:03,250 --> 00:34:07,837 then her short stature must be caused by a growth hormone deficiency. 613 00:34:07,963 --> 00:34:09,630 And something's wrong with her pituitary gland 614 00:34:09,756 --> 00:34:11,590 and based on her size, it's been wrong for a while. 615 00:34:11,717 --> 00:34:14,719 So what connects a long-term pituitary issue 616 00:34:14,845 --> 00:34:17,888 with problems in the lungs, liver and pancreas? 617 00:34:18,014 --> 00:34:21,642 You guys and your bickering. Cancer versus autoimmune. 618 00:34:21,768 --> 00:34:23,436 Obviously, you think it's something else. 619 00:34:23,562 --> 00:34:26,230 Nope. I think it's both. 620 00:34:26,356 --> 00:34:28,691 Langerhans cell histiocytosis. 621 00:34:28,817 --> 00:34:29,942 Also known as, 622 00:34:30,068 --> 00:34:33,028 "You got your cancer in my autoimmune" disease. 623 00:34:33,155 --> 00:34:35,322 The immune component responded to the Still's treatment, 624 00:34:35,449 --> 00:34:38,159 led to the short-term improvement. The cancer portion didn't. 625 00:34:38,285 --> 00:34:41,036 We dismissed this earlier, because there were no neurological symptoms. 626 00:34:41,163 --> 00:34:43,581 Yeah. It's not your fault. 627 00:34:43,707 --> 00:34:46,459 The only neurological symptom was her height. 628 00:34:46,585 --> 00:34:48,043 Who could have noticed? 629 00:34:57,971 --> 00:34:59,889 This is your pituitary gland. 630 00:35:00,015 --> 00:35:02,600 This is the granuloma that's been crushing it. 631 00:35:02,726 --> 00:35:07,062 No pituitary equals no growth hormone, equals about that much. 632 00:35:07,898 --> 00:35:09,690 She's not a dwarf? 633 00:35:09,816 --> 00:35:11,901 Just hormonally challenged. 634 00:35:12,527 --> 00:35:13,861 What about my mom? 635 00:35:13,987 --> 00:35:17,740 Your mom's the real deal. But you're just a tiny little poseur. 636 00:35:17,908 --> 00:35:20,201 Your recent ear infections caused your body to release 637 00:35:20,327 --> 00:35:22,787 a cascade of the same cells that made the granuloma. 638 00:35:22,913 --> 00:35:24,830 They attacked your lungs, moved on to your liver, 639 00:35:24,956 --> 00:35:27,041 then hitched a ride over to your pancreas. 640 00:35:27,167 --> 00:35:28,918 We can nuke them with a mild course of chemo 641 00:35:29,044 --> 00:35:31,337 and then remove the granuloma. 642 00:35:31,463 --> 00:35:33,714 And then what? What will happen to her then? 643 00:35:35,467 --> 00:35:38,219 Well, let me see if I can make this clear. 644 00:35:38,345 --> 00:35:40,638 This pill represents 645 00:35:41,556 --> 00:35:42,848 a pill. 646 00:35:42,974 --> 00:35:45,851 And my mouth represents your daughter's mouth. 647 00:35:47,187 --> 00:35:49,480 We deposit the pill in the mouth. 648 00:35:55,403 --> 00:35:57,613 You may never be tall enough to play in the WNBA, 649 00:35:57,739 --> 00:36:01,075 but you should be able to post up your mom, no problem. 650 00:36:01,660 --> 00:36:03,536 What if I don't take the pills? 651 00:36:04,287 --> 00:36:07,540 What if you remove the thing in my head and give me the chemo, 652 00:36:07,666 --> 00:36:10,543 but not the pills? Would I still get better? 653 00:36:10,669 --> 00:36:13,170 Your body needs growth hormone for lots of things. 654 00:36:13,296 --> 00:36:14,588 Like 655 00:36:14,714 --> 00:36:15,840 to grow. 656 00:36:16,341 --> 00:36:17,716 I like who I am now. 657 00:36:18,468 --> 00:36:20,636 Nobody your age likes who they are now. 658 00:36:20,762 --> 00:36:21,720 I do. 659 00:36:24,516 --> 00:36:27,059 You like needing help when you want something off a high shelf? 660 00:36:27,185 --> 00:36:29,562 Not being able to press an elevator button above the eighth floor? 661 00:36:29,688 --> 00:36:32,439 Having to smell ass every time you stand in line? 662 00:36:32,566 --> 00:36:34,358 You don't need growth hormone. 663 00:36:34,484 --> 00:36:37,486 It's just your ticket out of the freak show. 664 00:36:51,126 --> 00:36:52,877 Can't you deliver a diagnosis 665 00:36:53,003 --> 00:36:55,337 without making her feel that her life isn't worth living? 666 00:36:55,463 --> 00:36:56,839 I'm trying to help her. 667 00:36:56,965 --> 00:36:59,425 You're trying to make her taller. 668 00:36:59,551 --> 00:37:00,968 Not too tall. 669 00:37:01,303 --> 00:37:03,804 Just tall enough to wipe her own butt. 670 00:37:07,475 --> 00:37:08,517 Are you high? 671 00:37:08,643 --> 00:37:10,185 Higher than you. 672 00:37:10,312 --> 00:37:13,355 If my daughter doesn't want to choose the easy path, 673 00:37:13,481 --> 00:37:14,481 I won't force her to. 674 00:37:14,608 --> 00:37:16,650 Then you're a lousy mom. 675 00:37:16,776 --> 00:37:18,277 You want your daughter to be a freak. 676 00:37:18,403 --> 00:37:20,112 We're not freaks. 677 00:37:20,405 --> 00:37:22,615 You want her to overcome adversity. 678 00:37:22,741 --> 00:37:24,867 - Yes. - Then why stop at height? 679 00:37:24,993 --> 00:37:28,245 Poke a stick in her eye. Imagine how interesting she'll be then. 680 00:37:28,371 --> 00:37:29,955 Being little is not the same as... 681 00:37:30,081 --> 00:37:33,250 You and I have found out that being normal sucks. 682 00:37:33,376 --> 00:37:35,461 Because we're freaks. 683 00:37:35,879 --> 00:37:39,423 The advantage of being a freak is it makes you stronger. 684 00:37:39,549 --> 00:37:42,760 Now, how strong do you really want her to have to be? 685 00:37:44,971 --> 00:37:47,723 You told her what you had to tell her. 686 00:37:47,849 --> 00:37:49,642 Now you tell her you lied. 687 00:37:51,728 --> 00:37:53,604 Even if you didn't. 688 00:38:00,362 --> 00:38:03,155 This is who you were supposed to be. 689 00:38:03,490 --> 00:38:04,823 You hate normal. 690 00:38:06,409 --> 00:38:07,910 It's not that simple. 691 00:38:08,620 --> 00:38:11,956 If I grow, I'll fade into the background. 692 00:38:12,082 --> 00:38:13,457 I'll be boring. 693 00:38:17,253 --> 00:38:18,587 We'll get you a funny hat. 694 00:38:23,051 --> 00:38:24,718 You could never be boring. 695 00:38:26,596 --> 00:38:28,555 You want me to be like everybody else? 696 00:38:33,728 --> 00:38:36,146 I want you to have what I can't. 697 00:38:54,541 --> 00:38:55,958 Abigail agreed... 698 00:38:56,543 --> 00:38:59,128 Abigail agreed to take growth hormone. 699 00:38:59,337 --> 00:39:00,879 Who's Abigail? 700 00:39:01,423 --> 00:39:03,507 Your non-dwarf dwarf patient. 701 00:39:03,633 --> 00:39:04,717 Good. 702 00:39:06,302 --> 00:39:09,304 Then the growth hormone makes sense. 703 00:39:10,515 --> 00:39:11,682 Christmas Eve. 704 00:39:11,808 --> 00:39:13,225 Yeah, I know. 705 00:39:13,727 --> 00:39:15,602 Deal expires tomorrow. 706 00:39:16,229 --> 00:39:17,813 You have plans for tonight? 707 00:39:17,939 --> 00:39:20,190 You worried I'm going to be popping more pills? 708 00:39:21,818 --> 00:39:24,486 Thought you might prefer people over pills. 709 00:39:53,683 --> 00:39:55,017 Hey, Mom. 710 00:39:56,394 --> 00:39:59,521 I guess you guys are already up at Aunt Sarah's. 711 00:40:01,441 --> 00:40:02,691 I'm sure Dad's in the eggnog 712 00:40:02,817 --> 00:40:06,779 and you're probably suffering through another dried-out turkey. 713 00:40:14,287 --> 00:40:17,289 I just wanted to say, "Merry Christmas." 714 00:40:44,943 --> 00:40:46,235 House? 715 00:40:47,070 --> 00:40:49,988 Are you okay? I called three times. 716 00:42:04,147 --> 00:42:06,523 I'm ready to take the deal. 717 00:42:07,650 --> 00:42:09,359 Well, that's off the table. 718 00:42:11,571 --> 00:42:14,907 - The clock doesn't expire until... - Got new evidence. 719 00:42:15,033 --> 00:42:17,117 We don't need Wilson anymore. 720 00:42:17,702 --> 00:42:20,120 Thing about addicts is, 721 00:42:21,748 --> 00:42:23,957 no matter how smart they are, 722 00:42:24,417 --> 00:42:27,294 they are dumb when it comes to drugs. 723 00:42:27,837 --> 00:42:30,714 So, I've been keeping an eye on the pharmacy log. 724 00:42:31,424 --> 00:42:34,968 Seems some patient of Wilson's named Zebalusky, 725 00:42:35,428 --> 00:42:40,390 managed to pick up his Oxy prescription after he died. 726 00:42:48,483 --> 00:42:49,900 Jesus walks, huh? 727 00:42:58,159 --> 00:42:59,743 Merry Christmas.