1 00:00:08,467 --> 00:00:13,054 Wait. We shouldn't... We shouldn't be doing this. 2 00:00:13,430 --> 00:00:16,015 What? You're not having fun? 3 00:00:16,558 --> 00:00:18,226 It's not that. I just... 4 00:00:18,352 --> 00:00:20,019 Rather be with the boys? 5 00:00:20,771 --> 00:00:22,397 No. 6 00:00:22,523 --> 00:00:24,273 Well, then come on. 7 00:00:37,329 --> 00:00:38,538 You kids need any help? 8 00:00:38,664 --> 00:00:39,956 No. No, we're fine. 9 00:00:40,082 --> 00:00:41,582 Car trouble? 10 00:00:41,709 --> 00:00:42,542 No. 11 00:00:42,668 --> 00:00:43,918 Then why are you here? 12 00:00:44,044 --> 00:00:45,878 We're just talking. 13 00:00:46,964 --> 00:00:48,965 Does she do all the talking? 14 00:00:49,091 --> 00:00:50,717 Most of it. 15 00:00:53,220 --> 00:00:54,929 I know what that's like. 16 00:00:55,889 --> 00:00:58,182 I'm gonna come back through here in 10 minutes, 17 00:00:58,308 --> 00:01:01,978 and if you're still here, I'm gonna call your parents. 18 00:01:02,980 --> 00:01:05,440 Yes, sir. Thank you. 19 00:01:13,866 --> 00:01:16,200 Now, where were we? 20 00:01:16,326 --> 00:01:18,161 We were going. 21 00:01:18,287 --> 00:01:19,829 In nine minutes. 22 00:01:37,264 --> 00:01:38,556 Wait... 23 00:01:38,682 --> 00:01:40,141 Stevie? What's wrong? 24 00:01:46,231 --> 00:01:47,523 Oh, my God! 25 00:01:50,444 --> 00:01:53,196 Help! Someone help me! 26 00:03:32,004 --> 00:03:34,630 Sixteen-year-old with respiratory arrest. 27 00:03:35,257 --> 00:03:37,717 The only thing I hate more than a thief is a crippled thief. 28 00:03:37,843 --> 00:03:39,719 Yeah, me, too. No sign of trauma, no history 29 00:03:39,845 --> 00:03:41,512 - of asthma or... - Who the hell is J. Whitner? 30 00:03:41,680 --> 00:03:45,850 No idea. Stevie Lipa's EKG and echocardiogram were normal, but... 31 00:03:45,976 --> 00:03:48,144 Normal is good. Send him home. 32 00:03:48,270 --> 00:03:52,523 J. Whitner, doctor. Who is he, and where do I find him? 33 00:03:52,649 --> 00:03:54,609 She's the new researcher, works with Ereshevsky. 34 00:03:54,735 --> 00:03:56,402 - Is she hot? - She's in a wheelchair. 35 00:03:56,528 --> 00:03:57,612 Doesn't mean she's not hot. 36 00:03:57,738 --> 00:03:59,238 Just means she can't bend over, 37 00:03:59,364 --> 00:04:01,324 so Cuddy has to bend over backwards. 38 00:04:01,450 --> 00:04:06,162 Sixteen-year-old kid. ER workup revealed a bloody pleural effusion. 39 00:04:06,288 --> 00:04:08,915 - That's odd. - Yeah, that occurred to me. 40 00:04:09,041 --> 00:04:10,666 What took you so long to mention it? 41 00:04:10,792 --> 00:04:12,668 No tumors or pneumonia on the CT. 42 00:04:12,794 --> 00:04:15,004 He passed out while making out. 43 00:04:15,130 --> 00:04:17,924 If he's into sex, drugs and rock and roll can't be that far behind. 44 00:04:18,050 --> 00:04:19,216 I'm guessing cocaine. 45 00:04:19,343 --> 00:04:20,468 Tox screen was clean. 46 00:04:20,594 --> 00:04:23,054 Just means he wasn't on drugs, not that he hasn't been using drugs. 47 00:04:23,180 --> 00:04:25,973 Looks like a plumbing problem to me. Leaky pipes. 48 00:04:26,099 --> 00:04:28,392 If he popped an aneurysm, he'd be in the morgue, not the ER. 49 00:04:28,518 --> 00:04:30,895 That's why you're gonna do a venogram instead of an arteriogram. 50 00:04:31,021 --> 00:04:33,397 This is not a high-pressure burst. It's a low-pressure leak. 51 00:04:33,523 --> 00:04:36,233 Still could've been drugs that caused the pipes to corrode in the first place. 52 00:04:36,360 --> 00:04:37,693 So go look under his mattress. 53 00:04:37,819 --> 00:04:40,821 See if he's got any pills or powder stashed with the hand lotion. 54 00:04:56,129 --> 00:05:00,633 Sweet ride. I asked for the one with the sissy bar and the banana seat, 55 00:05:00,759 --> 00:05:05,012 but Santa gave me this instead. Guess that's what I get for being naughty. 56 00:05:05,973 --> 00:05:07,682 You must be Dr. House. 57 00:05:07,808 --> 00:05:08,641 Yeah. 58 00:05:09,267 --> 00:05:12,311 So looks like there's been some sort of mix-up at the parking office. 59 00:05:12,437 --> 00:05:14,146 They had to move me closer to the door. 60 00:05:14,272 --> 00:05:17,858 Had to? You don't look like the type to pull a weapon. 61 00:05:17,985 --> 00:05:19,694 - Wheelchair. - Cane. 62 00:05:20,153 --> 00:05:23,322 I think you should do the honorable thing and let me have my space back. 63 00:05:23,448 --> 00:05:26,617 Oh, well, since you asked so nicely, wheelchair. 64 00:05:27,285 --> 00:05:30,997 Cane. Walking long distances makes my leg hurt. 65 00:05:31,123 --> 00:05:32,623 And it's easy for me? 66 00:05:32,749 --> 00:05:35,042 Of course not. Pushing that little lever? 67 00:05:35,168 --> 00:05:39,296 The muscles must burn. I'm sure the last 10 yards are pure torture. 68 00:05:39,423 --> 00:05:41,590 Crossing the parking lot is dangerous. Cars can't see me. 69 00:05:41,717 --> 00:05:44,010 You ever hit a patch of black ice with a cane? 70 00:05:44,136 --> 00:05:47,722 No, gosh, on account of the fact that I can't walk. 71 00:05:47,848 --> 00:05:50,683 Maybe you should ask the parking office for some crampons. 72 00:05:50,809 --> 00:05:55,688 This is about who can most easily cross the parking lot. You're the winner. 73 00:05:55,814 --> 00:05:58,899 Oh, and the prize is apparently a parking space. 74 00:06:08,618 --> 00:06:11,287 There's still no answer at either one of your parent's cell numbers. 75 00:06:11,413 --> 00:06:13,622 Is there any other way we might be able to contact them? 76 00:06:13,749 --> 00:06:17,209 No, they're in a conference. 77 00:06:17,544 --> 00:06:19,462 They probably had to turn them off or something. 78 00:06:19,588 --> 00:06:21,797 What does it matter where they are? I mean, he's in pain. 79 00:06:21,923 --> 00:06:22,965 You gotta do something. 80 00:06:23,091 --> 00:06:24,216 We need them to sign this. 81 00:06:24,342 --> 00:06:26,427 Why can't he just sign the papers? He's 16. 82 00:06:26,553 --> 00:06:27,928 Still not an adult. 83 00:06:28,055 --> 00:06:30,848 Then call my parents. They know him, and they'll take responsibility, 84 00:06:30,974 --> 00:06:32,475 - do whatever you need. - I can't. It won't... 85 00:06:32,601 --> 00:06:35,269 You can't just let him sit here in agony until his parents finally decide... 86 00:06:35,395 --> 00:06:37,354 Leah, it's okay. 87 00:06:37,481 --> 00:06:39,440 No, it's not. 88 00:06:41,485 --> 00:06:44,862 I feel like there's an anvil sitting on my chest. 89 00:07:02,089 --> 00:07:07,134 You win. I'm doing the venogram now. We'll deal with the fallout later. 90 00:07:18,271 --> 00:07:20,106 My fingers feel wet. 91 00:07:20,232 --> 00:07:22,566 That's just the dye. Your nerves can't tell the difference 92 00:07:22,692 --> 00:07:25,111 between the cold inside your body and the wet outside your body. 93 00:07:25,237 --> 00:07:27,321 The nerves can't tell the difference, 94 00:07:27,447 --> 00:07:29,782 or the brain can't interpret the difference? 95 00:07:29,908 --> 00:07:32,952 A little of both. You like science? 96 00:07:37,833 --> 00:07:40,042 Looks like a diffusion pattern. 97 00:07:40,168 --> 00:07:42,711 That's because it's the venous side. Low pressure. 98 00:07:42,838 --> 00:07:44,839 So Graham's law applies. 99 00:07:45,799 --> 00:07:47,633 You've taken physics already? 100 00:07:47,759 --> 00:07:50,427 No, I just sort of read up on my own. 101 00:07:50,554 --> 00:07:54,098 I had to teach myself a lot of stuff, too. Schools sucked where I grew up. 102 00:07:54,224 --> 00:07:56,142 You go to public or private? 103 00:07:56,268 --> 00:07:57,184 Public. 104 00:07:58,520 --> 00:08:02,189 Leak has to be in the pulmonary veins to get in my lungs, right? 105 00:08:02,315 --> 00:08:03,357 Yep. 106 00:08:03,483 --> 00:08:05,192 I don't see anything. Do you? 107 00:08:05,318 --> 00:08:06,777 No. 108 00:08:06,903 --> 00:08:08,612 It doesn't make sense. 109 00:08:08,738 --> 00:08:12,616 How can I have a bloody effusion without any bleeding? 110 00:08:30,552 --> 00:08:32,469 This is putrid. 111 00:08:32,596 --> 00:08:36,473 Put food-borne parasites and infections on the list to check on. 112 00:08:38,435 --> 00:08:40,060 I'll take the bedroom. 113 00:08:51,948 --> 00:08:54,575 Oh. Sorry, I didn't know there was anyone. 114 00:08:54,701 --> 00:08:57,786 - We were just... - Oh, God! I have a gun. 115 00:08:58,872 --> 00:09:01,207 Look, you can take whatever you want. My wallet's in my suit. 116 00:09:01,333 --> 00:09:02,791 Freeze! Freeze! 117 00:09:02,918 --> 00:09:04,126 I'm calling the cops. 118 00:09:04,252 --> 00:09:08,380 Okay, you don't have a gun, and you're not calling the cops. 119 00:09:08,506 --> 00:09:11,217 Oh, no, I'm calling the cops unless you two get out of here right now. 120 00:09:11,343 --> 00:09:15,596 "Unless"? Who calls the cops unless a burglar does something? 121 00:09:19,851 --> 00:09:21,602 You don't want to have to explain the affair. 122 00:09:21,728 --> 00:09:22,978 We're not having an affair. 123 00:09:24,773 --> 00:09:26,482 He's got a ring. You don't. 124 00:09:26,608 --> 00:09:28,776 And judging from the state of the kitchen downstairs 125 00:09:28,902 --> 00:09:31,320 and the half-vacuumed bedroom, 126 00:09:31,446 --> 00:09:34,156 I'm guessing you're a better lover than you are a maid. 127 00:09:34,282 --> 00:09:38,118 Maid? You son of a bitch. 128 00:09:38,245 --> 00:09:42,248 I'm not a maid, okay? This is my house, not his. 129 00:09:43,750 --> 00:09:45,709 - Sorry. - And what's wrong with my kitchen? 130 00:09:45,835 --> 00:09:49,255 Nothing. We're sorry. We're just here to help Stevie. 131 00:09:50,590 --> 00:09:51,757 Who's Stevie? 132 00:09:51,883 --> 00:09:53,509 Your son? 133 00:09:57,555 --> 00:09:59,306 It was the address you gave. 134 00:09:59,432 --> 00:10:00,849 The ER must have written it down wrong. 135 00:10:00,976 --> 00:10:03,227 Or you lied because you don't want us to talk to your parents. 136 00:10:03,353 --> 00:10:04,687 I gave you their phone numbers. 137 00:10:04,813 --> 00:10:07,481 You gave us some numbers. We haven't been able to reach anyone. 138 00:10:07,607 --> 00:10:09,191 I told you, they must be in a conference. 139 00:10:09,317 --> 00:10:10,776 - He's lying. - Leah. 140 00:10:11,778 --> 00:10:14,989 He's Romany, a Gypsy. 141 00:10:17,117 --> 00:10:18,617 So you don't have a home? 142 00:10:18,743 --> 00:10:20,244 Of course we do. 143 00:10:20,370 --> 00:10:23,247 What, next you're gonna ask me about dancing around campfires 144 00:10:23,373 --> 00:10:26,875 and stealing children? This is why I don't tell people. 145 00:10:27,002 --> 00:10:28,460 They share everything with each other 146 00:10:28,586 --> 00:10:31,505 and nothing with the gadje, the outsiders. 147 00:10:31,631 --> 00:10:35,884 Sharing information with outsiders has not gone so well for my people. 148 00:10:36,928 --> 00:10:40,055 Right now you're making yourself more vulnerable by lying to us. 149 00:10:40,181 --> 00:10:43,434 You can't go to my house. You'll pollute it. 150 00:10:43,560 --> 00:10:44,768 All we're gonna do is look around. 151 00:10:44,894 --> 00:10:46,353 Your presence is enough. 152 00:10:48,440 --> 00:10:51,567 My parents take it seriously. 153 00:10:51,693 --> 00:10:53,819 It's spiritual as much as it is physical. 154 00:10:53,945 --> 00:10:54,987 You know where he lives? 155 00:10:55,113 --> 00:10:56,447 Don't. 156 00:10:56,573 --> 00:10:58,407 Look, I'll tell you whatever you need to know. 157 00:10:58,533 --> 00:10:59,700 If we can't trust your answers... 158 00:10:59,826 --> 00:11:02,995 I drink sometimes, okay? I've smoked pot. 159 00:11:03,121 --> 00:11:06,749 I'll tell you anything, the truth. You just... 160 00:11:08,585 --> 00:11:10,336 You can't go in my home. 161 00:11:12,255 --> 00:11:16,091 The pot wouldn't cause a bleeding problem. A pesticide on the pot could. 162 00:11:16,217 --> 00:11:18,093 Where did you get it? 163 00:11:18,219 --> 00:11:19,303 Some kid at school. 164 00:11:19,429 --> 00:11:21,597 Stevie. He got the pot from me. 165 00:11:21,723 --> 00:11:23,682 He doesn't even go to school. His parents made him drop out. 166 00:11:23,808 --> 00:11:25,893 - I'm home-schooled. - He reads books. 167 00:11:26,019 --> 00:11:29,646 What else are you lying about? Is your father really a professor? 168 00:11:30,106 --> 00:11:31,357 He's a salesman. 169 00:11:31,483 --> 00:11:33,859 They buy and sell anything they can get their hands on. 170 00:11:33,985 --> 00:11:36,445 They? So you're with your dad when he's making these deals? 171 00:11:36,571 --> 00:11:38,781 He was just in Chicago a week ago. 172 00:11:38,907 --> 00:11:42,993 - You fly? - No, my dad's got a truck. 173 00:11:49,751 --> 00:11:51,210 You can't be serious. 174 00:11:51,336 --> 00:11:52,336 Actually, I can. 175 00:11:54,005 --> 00:11:56,382 See? It's my space. I want it back. 176 00:11:56,508 --> 00:11:59,009 It's not your space. It's the hospital's space, 177 00:11:59,135 --> 00:12:02,221 and the hospital thinks that the person who's worse off 178 00:12:02,347 --> 00:12:04,056 should get the better space. 179 00:12:04,182 --> 00:12:07,267 Your application for a handicap space says you can walk 50 yards. 180 00:12:07,394 --> 00:12:09,686 And Whitner's says she can roll 50 miles 181 00:12:09,813 --> 00:12:12,022 between oil changes. I can't change my leg. 182 00:12:12,148 --> 00:12:15,609 The space I moved you to is only 46 yards away from the front door. 183 00:12:15,735 --> 00:12:17,236 - I measured. You'll be fine. - Great. 184 00:12:17,362 --> 00:12:21,407 So I can collapse four yards into the lobby instead of outside in the cold. 185 00:12:21,533 --> 00:12:23,200 - As long as it's not in my office. - Do you know who won 186 00:12:23,326 --> 00:12:27,329 the New York City Marathon six years in a row? Guy in a wheelchair. 187 00:12:27,455 --> 00:12:29,331 Then go get yourself one, and leave me alone. 188 00:12:29,457 --> 00:12:31,792 Give me my space, I'll be happy to roll around all day. 189 00:12:33,002 --> 00:12:35,087 You couldn't last one week in a wheelchair. 190 00:12:35,839 --> 00:12:36,672 Wanna bet? 191 00:12:41,553 --> 00:12:42,553 What's wrong with you? 192 00:12:42,679 --> 00:12:45,139 Nothing that a week off my feet won't solve. 193 00:12:45,265 --> 00:12:46,765 Venogram's negative. No leak. 194 00:12:46,891 --> 00:12:48,016 You mean you couldn't find the leak. 195 00:12:48,143 --> 00:12:48,976 Is your leg worse? 196 00:12:49,102 --> 00:12:51,478 No, my parking spot is. 197 00:12:51,604 --> 00:12:54,022 Blood is only made inside the circulatory system, 198 00:12:54,149 --> 00:12:56,108 - which means when we find it outside... - There's no leak. 199 00:12:56,234 --> 00:12:57,776 - I even checked lymphatics. - So you're gonna spend a week 200 00:12:57,902 --> 00:13:00,320 in a wheelchair just to get a parking space closer to the front door? 201 00:13:00,447 --> 00:13:02,030 Easier than chopping off my legs. 202 00:13:02,157 --> 00:13:03,407 We've ruled out toxins and drugs. 203 00:13:03,533 --> 00:13:07,286 Kind of. He's Romany. Apparently, they feel the need to keep secrets, 204 00:13:07,412 --> 00:13:08,996 so it's hard to know anything for sure. 205 00:13:09,122 --> 00:13:10,581 Yeah, he's also a human being, 206 00:13:10,707 --> 00:13:12,458 which means you shouldn't be trusting him to begin with. 207 00:13:12,584 --> 00:13:14,877 Stop relying on his answers and find some on your own. 208 00:13:15,003 --> 00:13:16,462 It's a deep-vein thrombosis. 209 00:13:16,588 --> 00:13:19,298 The kid spent 16 hours in the back seat of an old pick-up. 210 00:13:19,424 --> 00:13:21,258 Causes a clot, makes its way to his lungs. 211 00:13:21,384 --> 00:13:23,760 We should do an arteriogram, find the clot, bust it with TPA. 212 00:13:23,887 --> 00:13:24,845 Or we can find the leak. 213 00:13:24,971 --> 00:13:26,221 There's no leak. 214 00:13:26,347 --> 00:13:29,808 Hey, you can't yell at a guy in a wheelchair. 215 00:13:31,186 --> 00:13:33,687 This is a slow leak. You've got to speed it up. 216 00:13:33,813 --> 00:13:35,314 Thin his blood. Redo the venogram. 217 00:13:35,440 --> 00:13:37,107 That could cause a massive bleed. 218 00:13:37,233 --> 00:13:39,693 Excellent. Massive will be even easier to find. 219 00:13:39,819 --> 00:13:43,155 Pardon me. I guess you guys are gonna have to get the next one. 220 00:13:47,285 --> 00:13:49,369 I thought you were redoing the venogram. 221 00:13:49,496 --> 00:13:51,330 As soon as we're done with the arteriogram. 222 00:13:52,665 --> 00:13:55,209 Okay, you're gonna feel a little poke. 223 00:13:57,504 --> 00:13:59,630 Can you maybe do that? 224 00:13:59,756 --> 00:14:02,257 Don't worry. It's just your leg. I don't have to go any further than this. 225 00:14:02,383 --> 00:14:05,427 Take a look at this, bones of your forearm. 226 00:14:06,137 --> 00:14:07,262 Radius and ulna. 227 00:14:07,388 --> 00:14:08,472 How about the wrist? 228 00:14:09,516 --> 00:14:13,685 Lunate, hamate, the... 229 00:14:14,270 --> 00:14:17,481 "Scared lovers try positions they can't handle." 230 00:14:20,485 --> 00:14:24,196 It's a mnemonic for the wrist bones. It's the only way I can remember them. 231 00:14:33,623 --> 00:14:34,998 You okay? 232 00:14:36,459 --> 00:14:38,293 - My stomach. - Did you hit something? 233 00:14:38,419 --> 00:14:40,212 - I barely started. - Lie flat. 234 00:14:40,338 --> 00:14:42,339 - No, I can't. It hurts too much. - I'm getting out. 235 00:14:42,465 --> 00:14:43,882 It's our only chance to see what's going on. 236 00:14:44,008 --> 00:14:45,759 If he moves, I could shred his artery. 237 00:14:45,885 --> 00:14:46,718 Get it out now! 238 00:14:46,844 --> 00:14:49,846 It's gonna be okay, Stevie. Just inject the dye. 239 00:14:52,850 --> 00:14:54,685 Dye's going into his liver, but it's not coming out. 240 00:14:54,811 --> 00:14:57,020 Clot's gotta be constricting the flow in the hepatic vein. 241 00:14:57,146 --> 00:14:59,398 It's not constricting it. It's completely blocking it. 242 00:14:59,524 --> 00:15:00,857 His whole liver's fried. 243 00:15:12,078 --> 00:15:14,037 The kid's liver's failing because of a massive clot 244 00:15:14,163 --> 00:15:16,957 that's blocking his hepatic vein. How can he have both a bleed and a clot? 245 00:15:17,083 --> 00:15:18,625 It's not a clot. You must have blocked the vein 246 00:15:18,751 --> 00:15:20,502 - with a catheter wire. - Not a chance. 247 00:15:20,628 --> 00:15:22,629 Increased pressure downstream could also stop the blood. 248 00:15:22,755 --> 00:15:25,090 There's no heart failure or cirrhosis. Means it has to be a clot. 249 00:15:25,216 --> 00:15:28,677 Massive clots block veins. They don't make them leak. 250 00:15:28,803 --> 00:15:31,680 And since he clearly has some kind of... 251 00:15:31,806 --> 00:15:34,057 You having a little problem? 252 00:15:34,183 --> 00:15:35,100 Would you mind? 253 00:15:38,354 --> 00:15:41,940 Boy, that was humiliating. How does Whitner make it through the day? 254 00:15:42,066 --> 00:15:44,401 "Pride goeth before the fall." 255 00:15:44,527 --> 00:15:47,654 Lucky for me, I'm sitting in one of these babies. 256 00:15:47,780 --> 00:15:49,948 So what other theories can I shoot down? 257 00:15:50,074 --> 00:15:51,116 DIC would explain both the... 258 00:15:51,242 --> 00:15:53,619 His platelets are normal, and his PTT isn't elevated. 259 00:15:53,745 --> 00:15:56,455 - Leukemia? - Normal CBC, and differential? 260 00:15:56,581 --> 00:16:00,000 You guys are thinking like doctors when you should be thinking like plumbers. 261 00:16:00,126 --> 00:16:02,127 Come on, I wanna see some butt crack. 262 00:16:02,253 --> 00:16:04,921 Something inside the liver is punching holes in the pipes. 263 00:16:05,048 --> 00:16:07,633 Blood bleeds through the opening, sticks to the intruder, forms a mass. 264 00:16:07,759 --> 00:16:09,384 - A clot. - A mass. 265 00:16:09,510 --> 00:16:11,511 Cancer? A tumor could erode a blood vessel. 266 00:16:11,638 --> 00:16:14,306 Well, so could a granuloma from tuberculosis or sarcoidosis. 267 00:16:14,432 --> 00:16:17,726 Do a CT, MRI, sputum and ACE level. 268 00:16:17,852 --> 00:16:21,021 Excuse me. Sorry. Cripple coming through. 269 00:16:27,487 --> 00:16:29,029 He says his throat hurts. 270 00:16:29,989 --> 00:16:32,324 That phrasing means you think it doesn't. 271 00:16:32,450 --> 00:16:33,950 No, I don't. 272 00:16:36,996 --> 00:16:39,039 - Good enough for me. - Where are you going? 273 00:16:39,165 --> 00:16:42,250 Mothers know best. Get yourself a sucker on the way out. 274 00:16:42,377 --> 00:16:45,379 Look, I think he's just faking so he doesn't have to go to school. 275 00:16:45,505 --> 00:16:47,547 How did you know I was a truant officer? 276 00:16:47,674 --> 00:16:50,467 I told him he had a choice, go to school or the doctor. 277 00:16:50,593 --> 00:16:54,596 Right. He's wasting your precious time, so you decided to waste mine. 278 00:16:54,722 --> 00:16:56,056 How thoughtful. 279 00:16:59,102 --> 00:17:02,187 I'm in a wheelchair, so I can't examine him all the way up there. 280 00:17:02,313 --> 00:17:06,233 Hop down. My life is just one horror after another. 281 00:17:07,235 --> 00:17:08,735 Open. 282 00:17:08,861 --> 00:17:10,237 Does it look like it hurts? 283 00:17:10,363 --> 00:17:11,363 No. 284 00:17:20,373 --> 00:17:22,290 What's that? 285 00:17:22,417 --> 00:17:24,334 Syringe. I'm with you. 286 00:17:24,919 --> 00:17:27,379 Make him hate the doctor's office more than he hates school. 287 00:17:27,505 --> 00:17:29,548 That's okay. I don't think that's... 288 00:17:29,674 --> 00:17:30,632 It's just saline. 289 00:17:30,758 --> 00:17:33,719 Hurts like hell when it's injected directly into the muscle. 290 00:17:33,845 --> 00:17:35,095 So what do you think, arm or ass? 291 00:17:35,221 --> 00:17:36,513 I think he's learned his lesson. 292 00:17:36,639 --> 00:17:39,182 Oh, I don't know. We better check. 293 00:17:39,308 --> 00:17:44,020 Jack, is your mommy a big, fat idiot? 294 00:17:45,523 --> 00:17:48,066 Well, what do you know? I guess you were right. 295 00:17:52,572 --> 00:17:55,824 Just hold still, Stevie. This shouldn't take long. 296 00:17:56,617 --> 00:18:00,203 Sorry, I'm guessing the mike in this thing doesn't pick up nods. 297 00:18:00,329 --> 00:18:01,580 Smart kid. 298 00:18:01,706 --> 00:18:03,248 Too bad it's all gonna go to waste. 299 00:18:03,374 --> 00:18:04,708 Nothing wrong with being a salesman. 300 00:18:04,834 --> 00:18:06,501 He should be able to pursue his own life, 301 00:18:06,627 --> 00:18:09,045 not be stuck helping his parents sell old toasters. 302 00:18:09,172 --> 00:18:11,423 He's still young. You never know what he'll end up doing. 303 00:18:11,549 --> 00:18:14,801 Unless he goes back to school, I know exactly what he'll end up doing. 304 00:18:15,762 --> 00:18:18,513 Wait. A lesion? 305 00:18:20,099 --> 00:18:21,433 Magnifying times five. 306 00:18:21,559 --> 00:18:22,768 It's a granuloma. 307 00:18:22,894 --> 00:18:24,603 It means Wegener's is the most likely. 308 00:18:26,564 --> 00:18:28,732 - Stevie! - Mom, is that you? 309 00:18:29,609 --> 00:18:30,817 Get him out of this now. 310 00:18:30,943 --> 00:18:32,235 Your son is sick. The sign on the door... 311 00:18:32,361 --> 00:18:33,987 The sign says, "No metal." We took everything off. 312 00:18:34,113 --> 00:18:36,072 It says, "No admittance." 313 00:18:36,574 --> 00:18:38,325 - What's wrong with our son? - We don't know yet. 314 00:18:38,451 --> 00:18:40,911 He's not gonna die, is he? 315 00:18:42,580 --> 00:18:45,457 Your son is very ill. We're still trying to figure out why, 316 00:18:45,583 --> 00:18:48,251 which is why we need you to leave the room. 317 00:19:06,229 --> 00:19:08,522 What are you gonna do now? 318 00:19:08,648 --> 00:19:12,567 Oh, now I've got to slide my butt from one padded seat to another. 319 00:19:12,693 --> 00:19:14,778 What if I bump my knee? 320 00:19:15,947 --> 00:19:17,948 MRI showed a granuloma in his liver. 321 00:19:18,074 --> 00:19:19,658 Fantastic. 322 00:19:20,868 --> 00:19:22,661 - Wanna give me a hand here? - No. 323 00:19:22,787 --> 00:19:25,080 Clotting, bleeding and a granuloma equals Wegener's. 324 00:19:25,206 --> 00:19:28,124 I know. That's why I said fantastic. I was being sincere. 325 00:19:28,251 --> 00:19:30,085 - Now, give me a hand. - Wouldn't be fair. 326 00:19:30,211 --> 00:19:31,878 We're gonna biopsy the liver to confirm. 327 00:19:32,004 --> 00:19:33,255 Wouldn't be fair not to. 328 00:19:33,381 --> 00:19:37,050 People are good and kind and gentle and help people in wheelchairs. 329 00:19:37,176 --> 00:19:38,802 - You don't believe that. - But you do. 330 00:19:38,928 --> 00:19:40,637 No, I don't. 331 00:19:41,556 --> 00:19:43,807 Foreman, forget the biopsy. 332 00:19:43,933 --> 00:19:45,684 His liver will be gone before you get the results. 333 00:19:45,810 --> 00:19:47,269 Start treatment with cyclophosphamide 334 00:19:47,395 --> 00:19:50,897 before the Wegener's punches a hole in another pipe. 335 00:20:16,757 --> 00:20:20,093 What's with the clothes? You're not being discharged. 336 00:20:20,219 --> 00:20:21,928 I know. 337 00:20:23,222 --> 00:20:26,224 It's my parents. They insist that I wear this stuff. 338 00:20:26,350 --> 00:20:30,103 We insist on our own food, gown and furnishings for a reason. 339 00:20:30,229 --> 00:20:34,107 Hey, my chest burns. Are you sure the treatments are working? 340 00:20:34,233 --> 00:20:36,443 Wegener's causes the body to attack itself. 341 00:20:36,569 --> 00:20:38,862 That doesn't get undone overnight. Be patient. 342 00:20:38,988 --> 00:20:41,364 - Where's your soup? - It's in the garbage. 343 00:20:41,490 --> 00:20:42,741 It has willow-bark extract. 344 00:20:42,867 --> 00:20:44,826 Willow-bark extract is basically aspirin. 345 00:20:44,952 --> 00:20:46,286 Yes, for the fever. 346 00:20:46,412 --> 00:20:48,413 He's already on meds, our meds. 347 00:20:48,539 --> 00:20:51,166 We can't risk any adverse interactions. 348 00:20:51,292 --> 00:20:53,585 We need all this stuff to go. We need to control this environment. 349 00:20:53,711 --> 00:20:56,171 So do we. People get sick for a reason, 350 00:20:56,297 --> 00:20:57,923 'cause something in their life is out of balance. 351 00:20:58,049 --> 00:21:01,092 Dad, he's a doctor. He doesn't want to hear your talk. 352 00:21:01,218 --> 00:21:04,262 Balance is just starting to be restored now that that girl is gone. 353 00:21:04,388 --> 00:21:06,640 That girl took pretty good care of your son while you were away. 354 00:21:06,766 --> 00:21:08,725 Yes, we can see that. 355 00:21:08,851 --> 00:21:11,603 Look, all this stuff may make him feel more comfortable, but it's not gonna... 356 00:21:11,729 --> 00:21:12,812 How long is this treatment gonna take? 357 00:21:12,939 --> 00:21:14,397 We should start to see some improvement 358 00:21:14,523 --> 00:21:15,440 in his liver function soon. 359 00:21:15,566 --> 00:21:18,109 Soon. Very scientific. 360 00:21:22,907 --> 00:21:24,074 I'm sorry. 361 00:21:30,539 --> 00:21:33,166 I'll be back in a little bit to check on you. 362 00:21:38,923 --> 00:21:41,633 Ah, yes, if it isn't Dr. Ironside. 363 00:21:41,759 --> 00:21:44,970 Ah, if it isn't Dr. "I Had No Friends When I Was Growing Up, 364 00:21:45,096 --> 00:21:46,763 "So All I Did Was Watch TV by Myself, 365 00:21:46,889 --> 00:21:49,265 "Which Is Why I Can Now Make Constant Pop-Culture References 366 00:21:49,392 --> 00:21:51,184 "Which No One Understands but Me." 367 00:21:51,310 --> 00:21:53,561 That's my name. Don't wear it out. 368 00:21:56,023 --> 00:21:59,901 Safe from Cuddy, but I guess not from her trusted rat-complice. 369 00:22:00,027 --> 00:22:03,405 Reasonable people don't debate the relative merits of their handicaps. 370 00:22:03,531 --> 00:22:06,324 Reasonable people make rules based on evidence, 371 00:22:06,450 --> 00:22:08,660 like difficulty covering a distance, 372 00:22:08,786 --> 00:22:12,330 say, 50 yards, not on some preordained patheticness scale. 373 00:22:12,456 --> 00:22:15,333 Last I checked, pigheadedness was not the eighth heavenly virtue. 374 00:22:15,459 --> 00:22:17,877 It's only pigheaded if you're wrong. If you're right, 375 00:22:18,004 --> 00:22:19,713 they call it, "Sticking to your principles." 376 00:22:19,839 --> 00:22:21,381 Give it up. You're demeaning yourself. 377 00:22:21,507 --> 00:22:23,133 That's what they told Rosa Parks. 378 00:22:23,259 --> 00:22:25,885 Don't stand up in there. I'm watching your feet. 379 00:22:26,762 --> 00:22:28,304 Get out of our home. 380 00:22:28,431 --> 00:22:30,432 This is not a home. It's certainly not... 381 00:22:30,558 --> 00:22:31,933 It's our home as long as our son is here. 382 00:22:32,059 --> 00:22:35,270 Mom, Dad, will you please just calm down. 383 00:22:35,396 --> 00:22:38,565 You're not family. You have no right to be here. 384 00:22:38,691 --> 00:22:41,067 What are you gonna do? Throw me out? You can't even touch the gadje. 385 00:22:41,193 --> 00:22:43,236 - I'll touch you. - What is going on? 386 00:22:43,362 --> 00:22:46,114 I'm the one who brought him here. I should be able to see how he's doing. 387 00:22:46,240 --> 00:22:48,366 He wouldn't even need to be here if it weren't for you. 388 00:22:48,492 --> 00:22:51,244 Right. I'm so unclean, I caused his liver to shut down. 389 00:22:51,370 --> 00:22:53,329 Enough. No one is leaving. 390 00:22:53,456 --> 00:22:55,331 He's our son, and we want her out of here. 391 00:22:58,210 --> 00:23:00,503 - It hurts. - It's your stomach again? 392 00:23:00,629 --> 00:23:02,589 - No. - What? 393 00:23:10,890 --> 00:23:13,349 His liver's actually improving. 394 00:23:13,476 --> 00:23:15,685 We plug one hole and end up poking another. 395 00:23:15,811 --> 00:23:18,354 Are we talking about the patient or how to get a raise from Cuddy? 396 00:23:18,481 --> 00:23:21,232 The Wegener's treatment gave him a massive hemorrhage in his bladder. 397 00:23:21,358 --> 00:23:24,027 Which means it's Wegener's. 398 00:23:24,153 --> 00:23:26,404 - What did I just say? - We were treating him for Wegener's 399 00:23:26,530 --> 00:23:28,156 - when everything went wrong. - Not everything. 400 00:23:28,282 --> 00:23:30,867 Yeah, it was a very lovely day outside. 401 00:23:30,993 --> 00:23:33,536 On the other hand, the treatment made him worse. 402 00:23:33,662 --> 00:23:35,747 Treatment made his bladder worse, not his liver. 403 00:23:35,873 --> 00:23:37,123 Clot in the liver's breaking up. 404 00:23:37,249 --> 00:23:41,628 And MRI, sputum and ACE ruled out TB, sarcoidosis and lymphoma, 405 00:23:41,754 --> 00:23:42,962 which leaves us with... 406 00:23:43,089 --> 00:23:44,255 Still could be a cancer with multiple... 407 00:23:44,381 --> 00:23:47,383 A cancer we can't see on MRI, CT or blood tests? 408 00:23:48,385 --> 00:23:49,928 It's Wegener's. 409 00:23:50,054 --> 00:23:52,472 It's not the wrong diagnosis. It's the wrong treatment. 410 00:23:52,598 --> 00:23:55,141 We could increase immunosuppression. Add methotrexate. 411 00:23:55,267 --> 00:23:58,645 We can't give methotrexate to a kid who's already had lung problems. 412 00:23:58,771 --> 00:24:02,482 Methotrexate is carpet bombing. Hits everything. 413 00:24:02,858 --> 00:24:04,526 We need a smart bomb. 414 00:24:04,652 --> 00:24:09,405 We don't suppress the immune system. We change it. 415 00:24:09,824 --> 00:24:15,620 Immune modulation. FT28. His antibodies are attacking his blood vessels. 416 00:24:15,746 --> 00:24:18,873 The irritation causes it to bleed and clot. We change his immune system 417 00:24:18,999 --> 00:24:21,251 so the antibodies don't interact with his blood vessels 418 00:24:21,377 --> 00:24:22,877 but work fine everywhere else. 419 00:24:23,003 --> 00:24:25,797 FT28 is still experimental. It's not FDA approved. 420 00:24:25,923 --> 00:24:28,466 It's worked for Crohn's disease and rheumatoid arthritis. 421 00:24:28,592 --> 00:24:31,136 He doesn't have Crohn's or arthritis. 422 00:24:31,262 --> 00:24:35,306 Let's say that he does and start the treatment. 423 00:24:41,856 --> 00:24:43,481 Absolutely not. 424 00:24:43,607 --> 00:24:46,067 My people have been experimented on before. Never again. 425 00:24:46,193 --> 00:24:48,695 Mister Lipa, with all due respect, 426 00:24:48,821 --> 00:24:52,157 comparing this hospital with Auschwitz, it's ridiculous. 427 00:24:52,283 --> 00:24:54,450 FT28 has been proven safe in hundreds... 428 00:24:54,577 --> 00:24:56,035 People always say you can trust them. 429 00:24:56,162 --> 00:24:57,287 Why would they say anything else? 430 00:24:57,413 --> 00:24:58,872 Why do they think we would listen? 431 00:24:58,998 --> 00:25:01,207 You think I don't understand what it's like to come from a people 432 00:25:01,333 --> 00:25:03,501 who've been enslaved, mistreated and experimented on? 433 00:25:03,627 --> 00:25:06,504 Tuskegee went on for 28 years after World War II. 434 00:25:06,630 --> 00:25:08,882 And the laws that made it illegal for the Romany to even set foot 435 00:25:09,008 --> 00:25:13,303 in this state were still on the books until 1998. It's not ancient history. 436 00:25:13,429 --> 00:25:18,141 Conventional therapy hasn't worked. Your son may be dying. 437 00:25:19,894 --> 00:25:24,022 He needs a targeted approach, and you need to trust us. 438 00:25:27,818 --> 00:25:32,280 I'm sorry. A lifetime of experiences tells me I can't trust you, 439 00:25:32,406 --> 00:25:35,241 and the past three days have done nothing to change that. 440 00:25:36,035 --> 00:25:38,953 We want our son treated, not experimented on. 441 00:25:39,079 --> 00:25:41,080 If you don't know how to do that, then just tell us, 442 00:25:41,207 --> 00:25:43,750 so we can take him someplace where they do. 443 00:25:44,043 --> 00:25:46,711 They're absolutely right. Stay away 444 00:25:46,837 --> 00:25:49,756 from that unproven, experimental stuff. Much better to stick 445 00:25:49,882 --> 00:25:52,091 with the "moving the furniture until he gets better" approach. 446 00:25:52,218 --> 00:25:54,427 Yes, you're right. We're gonna have to come up with something else. 447 00:25:54,553 --> 00:25:58,640 Do you mean another last-ditch, desperation move? You got anything? 448 00:25:58,766 --> 00:26:01,809 Go back and don't take no for an answer. What kind of salesman are you? 449 00:26:01,936 --> 00:26:03,978 The kind who avoids the house with the crazy couple 450 00:26:04,104 --> 00:26:05,355 who put tin foil over their windows. 451 00:26:05,481 --> 00:26:06,481 They got money for tin foil, 452 00:26:06,607 --> 00:26:07,982 they got money for whatever you're selling. 453 00:26:08,108 --> 00:26:09,859 What's that mean? 454 00:26:09,985 --> 00:26:13,696 It means that if they don't trust you, you should earn that lack of trust. 455 00:26:13,822 --> 00:26:15,782 What does paying for tinfoil mean? 456 00:26:15,908 --> 00:26:18,826 Why should I have to answer all the questions? 457 00:26:22,998 --> 00:26:24,165 Oops. 458 00:26:24,291 --> 00:26:26,834 Sorry. Still getting used to the power steering. 459 00:26:27,962 --> 00:26:29,128 I assume you've heard the news? 460 00:26:29,255 --> 00:26:30,255 I'm not worried. 461 00:26:30,381 --> 00:26:33,591 From what I hear, what you lack in shame, you also lack in willpower. 462 00:26:33,717 --> 00:26:36,719 My will may be weak, but my backbone is strong 463 00:26:36,845 --> 00:26:39,722 and pain-free now that I've stopped using the cane. 464 00:26:39,848 --> 00:26:41,975 Of course, it's harder to look down Cuddy's shirt, 465 00:26:42,101 --> 00:26:45,353 but then the vantage point on her ass has much improved. 466 00:26:45,479 --> 00:26:47,772 Then that's just me, always looking on the bright side. 467 00:26:47,898 --> 00:26:50,775 I'm the guy who said that her C-cups are half full. 468 00:26:51,527 --> 00:26:53,736 They are nice, aren't they? 469 00:26:55,531 --> 00:27:00,493 Oh, no, no, no, you're not gonna win me over that easily. 470 00:27:01,704 --> 00:27:04,163 You may have a wheel. It doesn't mean you get the grease. 471 00:27:04,290 --> 00:27:06,082 You gotta squeak. 472 00:27:20,973 --> 00:27:22,265 What's that? 473 00:27:22,391 --> 00:27:23,683 It's cyclophosphamide. 474 00:27:23,809 --> 00:27:27,395 We're continuing the standard treatment as you requested. 475 00:27:30,399 --> 00:27:33,109 I have to ask everyone to leave the room for a few minutes 476 00:27:33,235 --> 00:27:35,445 while I apply some bandages. 477 00:27:36,155 --> 00:27:37,447 Why do we have to leave? 478 00:27:40,617 --> 00:27:42,118 They're for his penis. 479 00:27:57,051 --> 00:28:01,512 You lied to them. The bleeding's stopped. I don't need any bandages. 480 00:28:03,307 --> 00:28:04,640 I need to change your treatment, 481 00:28:04,767 --> 00:28:06,809 but your parents won't let us. They've got it in their minds 482 00:28:06,935 --> 00:28:09,854 that we want to try some sort of inhuman experiment on you. 483 00:28:09,980 --> 00:28:11,689 The treatment's experimental? 484 00:28:11,815 --> 00:28:14,275 FT28 has been through extensive clinical trials. 485 00:28:14,401 --> 00:28:17,320 It's also been used successfully for other conditions. 486 00:28:17,446 --> 00:28:20,948 The fact that you're recommending experimental treatment 487 00:28:21,075 --> 00:28:23,493 means you have no other options. 488 00:28:24,036 --> 00:28:28,247 Sorry. We stop the pleural effusions, your liver almost fails. 489 00:28:28,374 --> 00:28:30,333 We save your liver, the bladder fails. 490 00:28:30,459 --> 00:28:31,584 If we don't get ahead of the curve on this... 491 00:28:31,710 --> 00:28:32,919 What do you need me to do? 492 00:28:36,382 --> 00:28:39,092 Take the medicine, but don't tell your parents. 493 00:28:39,218 --> 00:28:41,636 I don't like lying to my parents. 494 00:28:41,762 --> 00:28:42,887 The rest of the world, though... 495 00:28:43,013 --> 00:28:44,639 The rest of the world I can't trust. 496 00:28:44,765 --> 00:28:46,682 You can trust me. 497 00:28:46,809 --> 00:28:47,767 How do I know? 498 00:28:49,686 --> 00:28:53,940 Because if you do this, then tell your parents, I lose my license. 499 00:29:07,204 --> 00:29:08,913 - God. - Get in here. 500 00:29:16,338 --> 00:29:19,590 Wow, his spleen basically exploded, huh? 501 00:29:21,552 --> 00:29:24,178 Got another bleeder. 2-O silk on a stick. 502 00:29:25,055 --> 00:29:26,472 Got it. 503 00:29:35,899 --> 00:29:38,109 I believe you ordered your meat rare. 504 00:29:38,235 --> 00:29:40,570 Keep him open. If I confirm Wegener's, 505 00:29:40,696 --> 00:29:43,656 might as well stage the disease while he's still on the table. 506 00:29:51,623 --> 00:29:52,874 What's taking so long? 507 00:29:53,000 --> 00:29:55,334 External capsule's ruptured but still intact. 508 00:29:55,461 --> 00:29:59,755 No signs of a clot or a bleed. Normal follicles, normal lymphoid tissue. 509 00:29:59,882 --> 00:30:03,259 His spleen is ripped to shreds. There's gotta be granulomas. Keep looking. 510 00:30:03,385 --> 00:30:06,888 Come on, can't leave Humpty Dumpty like this forever. 511 00:30:07,014 --> 00:30:09,474 I don't see anything but normal spleen. No granulomas. 512 00:30:09,600 --> 00:30:10,850 Means no Wegener's. 513 00:30:11,477 --> 00:30:14,145 That's all I need to know. Let's go people. 514 00:30:14,271 --> 00:30:15,563 Run his bowel. 515 00:30:15,689 --> 00:30:17,857 No need. I'm closing. 516 00:30:28,577 --> 00:30:30,244 Suture. 517 00:30:51,725 --> 00:30:52,892 Run his bowel. 518 00:30:53,018 --> 00:30:54,936 Nothing suspicious in the spleen. 519 00:30:55,062 --> 00:30:56,562 Get him out of here. 520 00:30:56,688 --> 00:30:57,897 You missed it. 521 00:30:58,023 --> 00:30:59,815 He had a granuloma in his liver. 522 00:30:59,942 --> 00:31:02,026 No, it was just scar tissue. 523 00:31:02,152 --> 00:31:05,404 Looks like a granuloma on the MRI, but it's not. 524 00:31:05,531 --> 00:31:10,493 I don't know why I'm debating this. Pass me the Kelly clamp. I'm closing. 525 00:31:10,911 --> 00:31:13,454 Not unless you're gonna sew my hand into this kid's stomach. 526 00:31:13,580 --> 00:31:16,040 Get out of there. He's unstable. 527 00:31:16,166 --> 00:31:19,794 He's got Wegener's, which means he's got granulomas. 528 00:31:19,920 --> 00:31:20,878 I'm calling my lawyer. 529 00:31:21,004 --> 00:31:22,129 It's only 26 feet. 530 00:31:22,256 --> 00:31:24,674 If you were an ostrich, you'd have a 46-foot wait. 531 00:31:26,885 --> 00:31:28,094 Blood pressure's dropping. 532 00:31:28,220 --> 00:31:29,845 Hang another bag of Ringer's lactate. 533 00:31:29,972 --> 00:31:32,431 I'm having nothing to do with this. 534 00:31:32,558 --> 00:31:33,724 Foreman, hang another bag... 535 00:31:33,850 --> 00:31:36,018 Ringer's lactate. Got it. 536 00:31:45,487 --> 00:31:51,200 Come on. Come on. It's gotta be in here. It's gotta be in here. 537 00:32:00,460 --> 00:32:02,211 It's not. 538 00:32:02,713 --> 00:32:03,921 Mind if we close? 539 00:32:10,262 --> 00:32:15,141 It's a good thing we never sold him on FT28. His parents were right. 540 00:32:25,027 --> 00:32:27,111 There's no way his parents are gonna let us near him again. 541 00:32:27,237 --> 00:32:29,614 They won't be able to transfer him until he's recovered from the surgery. 542 00:32:29,740 --> 00:32:31,907 You can add the surgical team to the list of people 543 00:32:32,034 --> 00:32:32,992 who won't let us near him. 544 00:32:33,118 --> 00:32:37,622 Bleeds, clots, bleeds, clots, spleen explodes. 545 00:32:37,748 --> 00:32:39,999 We should test for Von Willebrand's. 546 00:32:40,125 --> 00:32:43,127 Or just play tic-tac-toe. 547 00:32:43,253 --> 00:32:47,548 Okay, X's are bleeds. O's are clots. 548 00:32:47,674 --> 00:32:49,925 We started in the lungs, right? What did we do? 549 00:32:50,052 --> 00:32:52,261 CT, sputum, two venograms. 550 00:32:52,387 --> 00:32:55,556 It's one bleed, one clot, then what? 551 00:32:55,682 --> 00:32:59,101 Liver shut down, MRI, labs, treated with cyclophosphamide. 552 00:32:59,227 --> 00:33:03,606 Whereupon he peed out three units of O-negative, another bleed. 553 00:33:03,732 --> 00:33:05,650 - Where is this going? - I don't know yet. 554 00:33:05,776 --> 00:33:07,193 - What's next? - Bladder, kidneys. 555 00:33:07,319 --> 00:33:10,029 High-resolution CT scan, UA and urine sediment. 556 00:33:10,155 --> 00:33:10,988 GI tract? 557 00:33:11,114 --> 00:33:12,740 You ran his small bowel in the OR. 558 00:33:12,866 --> 00:33:14,742 The large bowel's fixed to the abdominal wall. 559 00:33:14,868 --> 00:33:16,619 - I didn't run that. - Because there was no reason to. 560 00:33:16,745 --> 00:33:18,788 He hasn't been having any symptoms in his bowels. 561 00:33:18,914 --> 00:33:20,206 Do a colonoscopy. 562 00:33:20,332 --> 00:33:21,791 Because he's had no symptoms? 563 00:33:21,917 --> 00:33:24,669 You lose your keys, the first thing you do is look everywhere 564 00:33:24,795 --> 00:33:26,504 you might logically have placed them. 565 00:33:26,630 --> 00:33:28,923 When you don't find them, then you start looking in other places. 566 00:33:29,049 --> 00:33:33,344 The medicine cabinet, freezer, mailbox. We need to look in this kid's mailbox. 567 00:33:33,470 --> 00:33:35,638 Why don't we x-ray his feet? They're fine, too. 568 00:33:35,764 --> 00:33:37,932 Because we need to take the center square to block. 569 00:33:38,058 --> 00:33:41,143 Okay, even if that did make sense, it's kind of hard to do a colonoscopy 570 00:33:41,269 --> 00:33:43,521 on a kid you can't get near. 571 00:33:45,941 --> 00:33:48,067 He's in the ICU now. 572 00:33:48,193 --> 00:33:51,654 His parent's only have limited visiting privileges. 573 00:33:53,198 --> 00:33:55,866 I like that kid. He's got spunk. 574 00:34:12,634 --> 00:34:14,719 Can't talk now. On guard duty. 575 00:34:14,845 --> 00:34:16,095 You're still in that thing? 576 00:34:16,221 --> 00:34:17,388 What thing? 577 00:34:18,098 --> 00:34:20,558 Oh, this? Forgot it was even there. 578 00:34:20,684 --> 00:34:23,602 You know, even if you manage not to get struck down by a bolt of lightning, 579 00:34:23,729 --> 00:34:25,646 and make it a week, Cuddy's not gonna give you the space. 580 00:34:25,772 --> 00:34:26,689 She can't. 581 00:34:26,815 --> 00:34:27,732 A bet's a bet. 582 00:34:27,858 --> 00:34:31,277 Yes, and that rule outranks the Americans with Disabilities Act. 583 00:34:31,403 --> 00:34:34,697 You think you've got logic on your side, but Whitner's got the legal system, 584 00:34:34,823 --> 00:34:37,324 and legal beats logic every time. Just ask OJ. 585 00:34:37,451 --> 00:34:38,868 You're right. 586 00:34:39,828 --> 00:34:41,746 - I am? - Yeah. 587 00:34:41,872 --> 00:34:43,414 So you're doing this even though 588 00:34:43,540 --> 00:34:45,666 you know you've got no legal leg to stand on? 589 00:34:45,792 --> 00:34:49,545 Who needs legs when you got wheels? I'm gonna get that spot. 590 00:34:50,505 --> 00:34:53,132 No way Cuddy is going to gyp me. 591 00:34:54,634 --> 00:34:55,926 What did you say? 592 00:34:56,052 --> 00:34:57,094 I'll see you later. 593 00:34:57,220 --> 00:35:00,806 Gonna have them yelling at me for the next 20 minutes. 594 00:35:01,975 --> 00:35:06,061 Mucosa looks normal, healthy. No lonely diverticula. 595 00:35:06,188 --> 00:35:08,606 Blood pressure's dropping. He's bleeding again. 596 00:35:08,732 --> 00:35:09,940 I'm in his colon. 597 00:35:13,195 --> 00:35:14,862 - Hurry up. - I am. 598 00:35:14,988 --> 00:35:16,030 There's nothing there. 599 00:35:16,156 --> 00:35:17,865 Wait. Wait. What's that? 600 00:35:22,078 --> 00:35:23,037 A reflection? 601 00:35:23,163 --> 00:35:25,247 No, it's something. 602 00:35:26,917 --> 00:35:28,375 Looks like a... 603 00:35:30,337 --> 00:35:31,462 Toothpick. 604 00:35:31,588 --> 00:35:32,588 Are you sure? 605 00:35:32,714 --> 00:35:34,381 He must have swallowed it accidentally 606 00:35:34,508 --> 00:35:37,176 and just figured he'd digest it eventually. 607 00:35:38,178 --> 00:35:41,222 When you two were making out in the car, he must have folded awkwardly, 608 00:35:41,348 --> 00:35:44,266 pushed the toothpick through the wall of the intestine and into the lung. 609 00:35:44,392 --> 00:35:47,269 Then it moved on to his liver and made its way to his bladder and spleen. 610 00:35:47,395 --> 00:35:48,979 So that's it? He's gonna be okay? 611 00:35:49,105 --> 00:35:50,606 Yeah, small holes. 612 00:35:50,732 --> 00:35:53,984 It shouldn't take that long to heal now that we've got it out. 613 00:35:54,110 --> 00:35:57,571 - See? See what you did? - Me? 614 00:35:57,697 --> 00:35:58,948 If you hadn't been kissing him... 615 00:35:59,074 --> 00:36:00,616 That's what you heard? 616 00:36:00,742 --> 00:36:03,035 It was the toothpick. It was that disgusting habit that you... 617 00:36:03,161 --> 00:36:07,039 It would have just passed right through him if he hadn't been writhing around. 618 00:36:07,165 --> 00:36:08,874 Isn't that right... 619 00:36:13,296 --> 00:36:14,380 That's it? 620 00:36:14,506 --> 00:36:16,465 Yeah, that's it. 621 00:36:16,591 --> 00:36:19,969 Wood absorbs water, becomes the same density as the tissue around it. 622 00:36:20,095 --> 00:36:23,138 That's why it didn't show up on the CT or MRI. 623 00:36:23,265 --> 00:36:24,390 That's cool. 624 00:36:25,767 --> 00:36:29,395 I mean, not cool for me, 625 00:36:29,521 --> 00:36:32,773 but a lot of damage for something so small. 626 00:36:33,733 --> 00:36:38,028 You know, the lab here, they have a paid intern position. 627 00:36:38,154 --> 00:36:41,490 It's usually given to one of the kids from the universities, 628 00:36:41,616 --> 00:36:44,785 but if you want, I could probably get you an interview. 629 00:36:45,620 --> 00:36:47,705 You know, some entry-level stuff, some gopher work, 630 00:36:47,831 --> 00:36:51,292 but you'd also have access to a lot of cool things. 631 00:36:54,462 --> 00:36:58,173 Thanks, really, but I can't. 632 00:36:58,967 --> 00:37:02,052 Yes, you can. Stevie, you're bright. 633 00:37:02,762 --> 00:37:07,308 You have more curiosity than 90% of the doctors on this staff. 634 00:37:07,434 --> 00:37:10,895 No, it's not that. It's just... 635 00:37:12,731 --> 00:37:15,816 I go to work every day with my family, you know? 636 00:37:16,568 --> 00:37:18,944 People I've known my whole life. 637 00:37:19,696 --> 00:37:20,988 I don't want to lose that. 638 00:37:21,114 --> 00:37:22,740 You can have both. 639 00:37:25,410 --> 00:37:27,119 No, I can't. 640 00:37:27,245 --> 00:37:28,913 Because they don't want to let you. 641 00:37:30,415 --> 00:37:32,875 They shouldn't be making you choose. 642 00:37:33,001 --> 00:37:35,419 Maybe not, but they are. 643 00:37:37,213 --> 00:37:38,547 I'm choosing them. 644 00:37:41,843 --> 00:37:45,804 Change is hard. Trust me, I know. 645 00:37:47,015 --> 00:37:49,642 But it worked out for me. 646 00:37:49,768 --> 00:37:51,894 You're a successful doctor. 647 00:37:52,687 --> 00:37:57,650 Your name is on journal articles. I would love that. 648 00:37:58,777 --> 00:38:04,490 It's just I see you with Doctors Chase and Cameron, 649 00:38:04,616 --> 00:38:08,327 and you all got empty ring fingers. 650 00:38:12,707 --> 00:38:14,375 You're alone. 651 00:38:29,891 --> 00:38:33,018 This is my last day living a life of leisure. 652 00:38:34,020 --> 00:38:35,980 So are you gonna tell Doctor Whitner she's out of my space, 653 00:38:36,106 --> 00:38:37,940 - or can I? - Why would I do that? 654 00:38:38,066 --> 00:38:41,860 Because you said that you would, and lying is wrong. 655 00:38:41,987 --> 00:38:45,990 I said I would give you the space if you made it a whole week... 656 00:38:46,116 --> 00:38:47,866 - Which I... - Didn't. 657 00:38:48,660 --> 00:38:52,121 The bet didn't stipulate that you had to be in the chair for a week 658 00:38:52,247 --> 00:38:54,832 unless you had to barge into an operating room 659 00:38:54,958 --> 00:38:56,917 and shove your hands in a kid's bowels. 660 00:38:57,043 --> 00:38:58,627 You know about that? 661 00:38:59,504 --> 00:39:00,671 You lost. 662 00:39:00,797 --> 00:39:02,715 I saved a life. 663 00:39:03,591 --> 00:39:05,759 Two minutes out of the chair to save a kid's life. 664 00:39:05,885 --> 00:39:07,011 You lost, House. 665 00:39:07,137 --> 00:39:08,804 I earned that space. 666 00:39:08,930 --> 00:39:10,514 No, you didn't. 667 00:39:10,640 --> 00:39:14,351 I earn that space every day I limp into that building and do my damn job. 668 00:39:14,477 --> 00:39:16,311 You lost. 669 00:39:17,564 --> 00:39:18,564 Hey! 670 00:39:25,655 --> 00:39:30,409 You were never gonna give me that space, were you? I saw Whitner the other day. 671 00:39:30,535 --> 00:39:32,911 She knew about the bet, didn't seem that worried. 672 00:39:33,038 --> 00:39:34,246 She knew I'd win. 673 00:39:34,372 --> 00:39:36,331 She doesn't know me. 674 00:39:36,458 --> 00:39:38,167 In fact, she doesn't know anything, except what you tell her. 675 00:39:38,293 --> 00:39:42,838 You told her that you were never gonna give me that space, didn't you? 676 00:39:45,467 --> 00:39:49,261 Just tell me, do you at least feel a little guilty? 677 00:39:51,556 --> 00:39:56,101 You wanna teach me lessons, don't make commitments you can't keep. 678 00:40:02,525 --> 00:40:04,485 How's it going? 679 00:40:04,611 --> 00:40:05,861 How guilty does she look? 680 00:40:09,616 --> 00:40:11,784 About an eight. 681 00:40:12,202 --> 00:40:16,622 That space is mine. Veni, vidi, vici.