1
00:00:06,806 --> 00:00:08,797
[Woman]
Jessica.
2
00:00:11,011 --> 00:00:15,277
Jessica. Come on.
We gotta go.
3
00:00:17,517 --> 00:00:21,078
- Move it or lose it, sister.
- I don't feel good.
4
00:00:27,027 --> 00:00:30,758
[Kisses]
Mmm. You don't feel warm.
My stomach hurts.
5
00:00:30,830 --> 00:00:35,164
- Well, honey, if you don't have a fever-
- I don't wanna go to school.
I can do my work at home.
6
00:00:37,103 --> 00:00:39,298
Jessica, what's wrong?
7
00:00:41,408 --> 00:00:43,399
Everybody hates me.
8
00:00:45,078 --> 00:00:47,069
Oh, they don't hate you.
9
00:00:47,147 --> 00:00:50,344
They don't even know you
because they're too ignorant to try.
10
00:00:50,417 --> 00:00:53,477
I hate myself.
Jessica, don't say that.
11
00:00:54,788 --> 00:00:57,484
Oh, honey.
Look at me. Look at me.
12
00:00:57,557 --> 00:01:02,688
You are a wonderful,
beautiful little girl.
13
00:01:02,762 --> 00:01:07,961
Don't let a few bad apples-
A few? Try my whole class.
14
00:01:09,302 --> 00:01:12,760
Remember the story
where the guy keeps saying
that he hates green eggs and ham?
15
00:01:12,839 --> 00:01:15,433
And then at the end
he realized he really loved them?
16
00:01:15,508 --> 00:01:18,773
One day, they're gonna realize
what a great kid you really are.
17
00:01:20,313 --> 00:01:24,647
You just gotta be like Sam-l-Am.
And don't give up.
18
00:01:26,453 --> 00:01:28,580
Okay.
19
00:01:30,890 --> 00:01:35,418
[Man]
That's it. Keep goin".
20
00:01:35,495 --> 00:01:40,296
Good. Nice.
You're doin'great, Jessica.
You're doin'great.
21
00:01:40,366 --> 00:01:43,335
[Kids Laughing]
22
00:01:43,403 --> 00:01:45,337
Hey. Hey, Seth.
23
00:01:45,405 --> 00:01:48,033
- You wanna spend the rest of class
sittin' on the bench?
- No.
24
00:01:48,108 --> 00:01:51,168
Keep goin', Jess.
You got 40 more seconds.
25
00:01:51,244 --> 00:01:55,613
My arm hurts.
Come on. Tough it up.
You can do it. You can do it.
26
00:01:55,682 --> 00:01:58,173
- My chest hurts.
- How do you think the ground feels?
27
00:01:58,251 --> 00:02:00,446
Hey, Seth. Two laps. Bye.
[Kids Laughing]
28
00:02:00,520 --> 00:02:04,081
Hey, Jess. It's just a stitch. Okay?
Just... keep breathin". You got it.
29
00:02:04,157 --> 00:02:06,148
[Panting]
I can't.
30
00:02:06,226 --> 00:02:08,592
Only 10 more seconds.
You got it.
31
00:02:08,661 --> 00:02:11,061
[Heart Beating]
32
00:02:17,904 --> 00:02:20,532
Jessica? Jessica?
33
00:02:20,607 --> 00:02:23,440
Jessica!
34
00:02:27,313 --> 00:02:30,771
Oh, my God. Hey, go to the office.
Get Miss Parsons. Now!
35
00:02:30,850 --> 00:02:35,787
- [Cell Phone Beeps]
- I'm on the playground at Finley Elementary.
One of my students is havin' a heart attack.
36
00:02:35,855 --> 00:02:39,916
Yeah, she's 10. Don't you think I know that?
Just send the damn ambulance.
37
00:02:39,993 --> 00:02:42,621
Come on. Wake up.
Come on, sweetie.
38
00:03:17,664 --> 00:03:22,124
[Woman On P.A.]
Dr. Bender, call extension 2870.
39
00:03:22,202 --> 00:03:25,638
You ever seen
an infected pierced scrotum?
40
00:03:25,705 --> 00:03:30,642
Um, no, but I know a few people on whom
I'd like to see it happen. We need to talk.
41
00:03:30,710 --> 00:03:34,146
Well, if pain's what you're after,
the penis is really the way to go.
42
00:03:34,214 --> 00:03:36,876
- I'd recommend the apadravya.
- We're not talking.
43
00:03:36,950 --> 00:03:38,815
Oh. It sounded like we were.
44
00:03:38,885 --> 00:03:44,824
No, you're attempting to avoid talking
because you know what I wanna talk about.
45
00:03:44,891 --> 00:03:48,657
Nipples?
You need to get rid of
one of your people.
46
00:03:48,728 --> 00:03:51,959
Absolutely. As soon as
I do performance reviews.
47
00:03:52,031 --> 00:03:54,056
And then review the reviews,
of course.
48
00:03:54,133 --> 00:03:57,330
A decision like this can't be made
without proper, you know, review.
49
00:03:57,403 --> 00:03:59,564
Shouldn't take longer than a month,
maybe two.
50
00:03:59,639 --> 00:04:02,073
Four at the most,
unless it gets complicated.
51
00:04:02,141 --> 00:04:04,075
There's no way outta this.
52
00:04:04,143 --> 00:04:07,579
You might as well get it over with as fast
as you can, like ripping off a Band-Aid.
53
00:04:07,647 --> 00:04:10,309
Only instead of a two-cent piece of tape
and gauze, it's a human being.
54
00:04:10,383 --> 00:04:12,783
- Like you care.
- Like you don't.
55
00:04:16,689 --> 00:04:20,352
You have a week.
Get it done.
56
00:04:27,467 --> 00:04:30,459
We have a referral
from Dr. Lenkiewicz.
57
00:04:30,536 --> 00:04:32,970
- Don't know him.
- He knows you.
58
00:04:33,039 --> 00:04:35,371
- What's the problem?
- Heart attack.
59
00:04:35,441 --> 00:04:38,933
- Definitely don't know him.
- The patient's 10.
60
00:04:40,847 --> 00:04:44,180
Ten-year-olds do not have heart attacks.
It's gotta be a mistake.
61
00:04:44,250 --> 00:04:48,584
Right. Simplest explanation is
she's a 40-year-old lying about her age.
62
00:04:48,655 --> 00:04:52,523
Maybe an actress
trying to hang on.
I meant maybe the tests were wrong.
63
00:04:52,592 --> 00:04:55,425
That's what the E.R. Thought.
Three C.K. -M.B. 's were positive.
64
00:04:55,495 --> 00:04:58,953
The E.K.G. Shows classic signs
of S. T. Elevation. It's a heart attack.
65
00:04:59,032 --> 00:05:03,025
She's morbidly obese.
The "morbid" part of that raises alarms.
66
00:05:03,102 --> 00:05:05,593
Come on. It takes decades
to eat your way into a heart attack.
67
00:05:05,672 --> 00:05:10,609
Doesn't take decades to kill yourself.
If I was that fat, I'd be pretty tempted
to knock back a bottle of pills.
68
00:05:10,677 --> 00:05:16,377
It's not a drug overdose. The fatigue,
muscle pain and difficulty concentrating
have been bothering her for over a year.
69
00:05:16,449 --> 00:05:18,280
That's because of her weight,
her depression.
70
00:05:18,351 --> 00:05:21,377
That's what five pediatricians,
two nutritionists and a psychologist said.
71
00:05:21,454 --> 00:05:24,389
The heart attack would seem to indicate
that they missed something.
72
00:05:24,457 --> 00:05:27,551
- It's gotta be something genetic.
- What about metabolic syndrome "X"?
73
00:05:27,627 --> 00:05:30,152
[Chase]
Insulin resistance?
74
00:05:30,229 --> 00:05:32,925
Syndrome "X" could cause a stroke.
I don't know about a heart attack.
75
00:05:32,999 --> 00:05:36,662
- It could, if her blood pressure was high enough.
- Which is likely, considering her weight.
76
00:05:36,736 --> 00:05:42,333
Fits the symptoms. Me likee.
Do a hyperinsulinemic euglycemic clamp.
77
00:05:44,744 --> 00:05:46,939
Oh, and one more thing.
78
00:05:47,013 --> 00:05:51,507
I've been told that I gotta get rid of
one of you guys by the end of the week.
79
00:05:53,586 --> 00:05:56,680
New sheriff. Belt tightening.
You know how it goes.
80
00:06:00,259 --> 00:06:02,750
Okay. Carry on.
81
00:06:07,467 --> 00:06:09,958
Some kind of game.
House's own version of Punk'd.
82
00:06:10,036 --> 00:06:11,970
It's not House. It's Vogler.
83
00:06:12,038 --> 00:06:14,973
We can't let it get to us.
We've gotta stick together.
Why?
84
00:06:15,041 --> 00:06:17,737
Are you suggesting
we start slashing each other's throats?
85
00:06:17,810 --> 00:06:22,270
I'm suggesting it's a zero-sum game.
Your loss is my win.
That's not conducive to team play.
86
00:06:22,348 --> 00:06:25,442
Which is what House seems to want.
Look, I'm with Cameron.
87
00:06:25,518 --> 00:06:30,148
It may be a bad strategy,
but I don't wanna give House
that satisfaction.
88
00:06:30,223 --> 00:06:33,659
- Come on. Sick kid, remember?
- [Door Opens]
89
00:06:34,761 --> 00:06:36,991
[Mother]
She's diabetic?
90
00:06:37,063 --> 00:06:39,156
[Cameron]
No, but it's similar.
91
00:06:39,232 --> 00:06:42,724
M.S.X. Patients don't respond normally
to insulin, which causes
their body to create too much,
92
00:06:42,802 --> 00:06:46,067
and that leads
to metabolic abnormalities.
93
00:06:46,139 --> 00:06:49,040
We're going to do a test to be sure,
but there are certain dangers.
94
00:06:49,108 --> 00:06:52,305
Is this... thing treatable?
95
00:06:52,378 --> 00:06:54,642
It's controllable
through proper diet and exercise.
96
00:06:54,714 --> 00:06:59,981
Wait. Jessica already eats right,
and she exercises every day.
97
00:07:00,052 --> 00:07:02,486
I know you've already seen
several nutritionists-
98
00:07:02,555 --> 00:07:06,047
- And we've done everything
they've recommended.
- I understand, but-
99
00:07:06,125 --> 00:07:09,492
Why can't any of you doctors
see past her weight?
100
00:07:11,697 --> 00:07:16,725
If diet and exercise are the treatment,
then the diagnosis is wrong.
101
00:07:16,803 --> 00:07:22,332
It might be. But the only way we'll know
is if you let us do this test.
102
00:07:26,946 --> 00:07:31,406
It's really bad, especially at night.
It's like my heart is on fire.
Like it's, um-
103
00:07:31,484 --> 00:07:34,419
Oh, I don't know. Like, uh-
[Clicks Tongue, Sighs]
104
00:07:34,487 --> 00:07:36,478
Burning?
Exactly.
105
00:07:36,556 --> 00:07:40,356
Hmm, sounds almost like... heartburn.
106
00:07:40,426 --> 00:07:44,294
So, can you
give me somethin'?
Like a thesaurus?
107
00:07:44,363 --> 00:07:48,299
What?
I take it you never mentioned this
during any of your prenatal visits.
108
00:07:48,367 --> 00:07:50,301
Prenatal?
109
00:07:50,369 --> 00:07:52,837
[Sighs]
I'm not pregnant.
110
00:07:52,905 --> 00:07:57,205
Sorry, you don't get to make that call
unless you have a stethoscope. Union rules.
111
00:07:57,276 --> 00:08:00,109
I know when I'm pregnant, all right?
I have six kids.
112
00:08:00,179 --> 00:08:03,706
That's why my husband
had a vasectomy, and we use condoms.
113
00:08:03,783 --> 00:08:06,377
Vasectomies can reverse themselves.
Condoms break.
114
00:08:06,452 --> 00:08:11,116
Okay. This... is what a woman
is supposed to look like.
115
00:08:11,190 --> 00:08:14,159
Okay? We're not just
skin and bones.
116
00:08:14,227 --> 00:08:17,492
We have... flesh.
We have... curves.
117
00:08:17,563 --> 00:08:19,724
You have little people inside you.
118
00:08:21,701 --> 00:08:23,726
Okay, okay.
119
00:08:23,803 --> 00:08:27,671
I'm sorry. I guess I must have just been
brainwashed by the media...
120
00:08:27,740 --> 00:08:29,731
and all those years of medical training.
121
00:08:29,809 --> 00:08:33,973
- Damn right.
- I'll see if I can find some antacids
while the nurse gets some blood.
122
00:08:34,046 --> 00:08:37,174
Blood? Why?
123
00:08:37,250 --> 00:08:40,651
The heartburn.
Gotta make sure it's not... spreading.
124
00:08:46,259 --> 00:08:48,420
I don't want to.
125
00:08:48,494 --> 00:08:51,088
The test involves
some pretty precise measurements.
126
00:08:51,163 --> 00:08:54,758
If we don't know exactly how much you weigh,
we won't get the right answers.
127
00:08:57,136 --> 00:09:01,869
Let me tell you a secret.
When I was your age, I was heavy too.
128
00:09:01,941 --> 00:09:03,670
Were you over a hundred?
129
00:09:03,743 --> 00:09:08,203
[Chuckles]
Way over. Kids in my neighborhood
used to call me "Rerun."
130
00:09:08,281 --> 00:09:13,241
Rerun?
He was a heavy guy from TV.
L- I used to pretend I liked it, but I didn't.
131
00:09:13,319 --> 00:09:15,378
How come
you're not heavy anymore?
132
00:09:15,454 --> 00:09:18,480
Ninth grade, grew five inches.
Everything kind of evened out.
133
00:09:19,892 --> 00:09:21,883
You think that'll happen to me?
Well, yeah.
134
00:09:21,961 --> 00:09:27,194
Your mom's tall,
and you are a little short for your age.
Probably spring right up.
135
00:09:37,276 --> 00:09:40,268
[Chase]
Obesity isn't something
you just grow out of.
136
00:09:40,346 --> 00:09:43,975
I take it you've never seen a baby?
She's not a baby. She's 10.
137
00:09:44,050 --> 00:09:47,315
And you figure making her feel like crap
would do her a world of good?
138
00:09:47,386 --> 00:09:51,516
- Yeah, if it gets her off the couch.
- I'm sure she's already
under enough pressure.
139
00:09:51,591 --> 00:09:55,186
Not from Mummy.
Everything in society tells us
we have to be thin to be successful.
140
00:09:55,261 --> 00:09:59,027
No. Society tells you you have to be thin
to be attractive. And guess what?
141
00:09:59,098 --> 00:10:02,192
That's what attractive means,
that society likes looking at you.
142
00:10:02,268 --> 00:10:05,999
I think we should be telling our kids
it's fine as long as they're healthy.
Right.
143
00:10:06,072 --> 00:10:09,530
You weigh 90 pounds
because it makes you healthier?
144
00:10:09,609 --> 00:10:14,410
Forget it. He's just cranky because he knows
he's the one who's gonna get the ax.
145
00:10:19,986 --> 00:10:21,977
So, any thoughts?
146
00:10:22,054 --> 00:10:24,955
On what? Sharon's plan for Gaza?
147
00:10:25,024 --> 00:10:27,754
Who you gonna let go?
148
00:10:27,827 --> 00:10:32,855
I'm thinking I can convince Vogler it would
be more cost-efficient to keep all of them.
Yeah, you should be able to pull that off.
149
00:10:32,932 --> 00:10:35,457
Most billionaires
aren't very good with numbers.
150
00:10:35,534 --> 00:10:41,200
It will be more cost-efficient
once I grab Cameron's ass,
call Foreman a spade, and Chase-
151
00:10:41,273 --> 00:10:44,709
Well, I'll grab his ass too.
152
00:10:44,777 --> 00:10:49,737
You are uniquely talented in many areas,
but office politics is not one of them.
153
00:10:49,815 --> 00:10:52,045
Don't take Vogler on.
154
00:10:52,118 --> 00:10:54,609
- Separate or together?
- Together.
155
00:10:54,687 --> 00:10:57,656
[Cash Register Beeps]
156
00:10:58,691 --> 00:11:02,058
Increasing glucose
to 6.9 milligrams per minute.
157
00:11:02,128 --> 00:11:04,426
- [Cameron]
Are you okay?
- I'm thirsty.
158
00:11:04,497 --> 00:11:07,125
- Just a little bit longer,
and you'll be done.
- Like Dr. Chase.
159
00:11:07,199 --> 00:11:09,292
Wanna put some money on it?
160
00:11:12,505 --> 00:11:14,905
I said I'm thirsty.
Just five more minutes.
161
00:11:14,974 --> 00:11:17,670
Okay, sweetheart?
I'm not your sweetheart.
Don't call me that.
162
00:11:17,743 --> 00:11:20,337
- Jessica, that's not nice.
- They're the ones who aren't nice.
163
00:11:20,413 --> 00:11:23,246
Jessica.
You're not, either.
I don't wanna do this anymore.
164
00:11:23,315 --> 00:11:25,647
Jessica. Jessica,
you have to calm down.
No.! No.!
165
00:11:25,718 --> 00:11:27,686
[Groans]
Let me go.
166
00:11:27,753 --> 00:11:29,744
Check her blood sugar.
She's gotta be getting hypoglycemic.
167
00:11:29,822 --> 00:11:32,848
I've never seen her like this before.
Something's wrong.
168
00:11:32,925 --> 00:11:35,758
Let go of me!
Get it out of me!
169
00:11:35,828 --> 00:11:39,320
Let go of me, you son of a bitch!
You bastard!
170
00:11:39,398 --> 00:11:43,425
- Oh, no.
- [Screaming]
171
00:11:45,271 --> 00:11:48,172
She's sedated.
Mrs. Simms, don't worry.
172
00:11:48,240 --> 00:11:53,200
Hypoglycemia can cause temporary psychosis
and is a common complication
during an H.E.C. Procedure.
173
00:11:53,279 --> 00:11:55,338
I never wanted it done
in the first place.
174
00:11:55,414 --> 00:11:58,508
We understand you're upset-
You were supposed
to be monitoring her condition,
175
00:11:58,584 --> 00:12:00,643
but instead you were bickering
and placing bets.
176
00:12:00,720 --> 00:12:04,884
I apologize if it looked like
we weren't devoting our full attention
to your daughter, but I assure you-
177
00:12:04,957 --> 00:12:09,189
Oh, please. Save your pathetic insincerity
for your boyfriend.
178
00:12:09,261 --> 00:12:13,698
You're wrong.
She is, in fact, pathetically sincere.
And they didn't screw it up.
179
00:12:13,766 --> 00:12:16,701
- Who are you?
- I'm from the lab.
180
00:12:16,769 --> 00:12:22,435
The blood tests show your daughter was not
hypoglycemic, which means her psychosis
wasn't caused by anything these doctors did.
181
00:12:22,508 --> 00:12:26,467
- So then what was it caused by?
- I've no idea.
182
00:12:26,545 --> 00:12:30,208
Huh.
But you'll be happy to hear
it cannot be cured by diet or exercise.
183
00:12:41,861 --> 00:12:46,525
What else could cause
uncontrollable rage in a 10-year-old?
184
00:12:46,599 --> 00:12:48,567
Nothing that could
also cause a heart attack.
185
00:12:51,003 --> 00:12:56,373
I assume I don't have to point out
that now would be an extremely good time...
186
00:12:56,442 --> 00:13:00,503
for one of you to distinguish yourself
with a brilliant idea.
187
00:13:05,451 --> 00:13:07,510
A hypercoagulable state
can cause a blood clot.
188
00:13:07,586 --> 00:13:11,989
- Blood clots can cause a heart attack.
- More likely to cause a stroke,
not the psychosis.
189
00:13:12,057 --> 00:13:16,756
No, you're wrong. If a clot made it
to the amygdala area of the brain,
it might cause uncontrollable rage.
190
00:13:16,829 --> 00:13:20,458
Right, because anything's possible,
but nothing's gonna cause multiple clots
in a kid this age.
191
00:13:20,533 --> 00:13:23,764
- She's fat.
- Obesity doesn't cause blood clots.
192
00:13:23,836 --> 00:13:25,895
[Chase]
Extremely obese patients
can get a fat embolus.
193
00:13:25,971 --> 00:13:28,838
Right, after they've had liposuction,
which she's clearly never had.
194
00:13:28,908 --> 00:13:31,706
- How do you know?
- Because we have her medical records,
195
00:13:31,777 --> 00:13:35,713
and because no plastic surgeon in his right
mind is gonna give a 10-year-old liposuction.
196
00:13:35,781 --> 00:13:38,648
Have you ever met a plastic surgeon
who was in their right mind?
197
00:13:40,152 --> 00:13:43,144
- She hasn't had liposuction.
- Thank you.
198
00:13:44,190 --> 00:13:47,091
But what about some other
ridiculous obesity treatment?
199
00:13:47,159 --> 00:13:50,890
Like what?
Diet pills can cause heart attacks
and blood clots.
200
00:13:50,963 --> 00:13:55,423
- Her tox screen was negative.
- Wouldn't show over-the-counter
weight loss drugs.
201
00:13:55,501 --> 00:13:59,062
Her mother wouldn't give her diet pills.
She thinks her daughter's perfect
just the way she is.
202
00:13:59,138 --> 00:14:01,436
She's lying.
203
00:14:02,708 --> 00:14:06,041
Okay. You two, heparin
and warfarin to prevent further clotting.
204
00:14:07,012 --> 00:14:09,537
And you find those pills.
205
00:14:11,083 --> 00:14:14,519
- [Door Opens]
- [Pills Rattling]
206
00:14:16,088 --> 00:14:18,022
[Door Opens]
207
00:14:19,525 --> 00:14:22,289
Not diet pills.
208
00:14:23,929 --> 00:14:25,920
You might wanna broaden
the search just a little.
209
00:14:25,998 --> 00:14:28,364
And don'tjust ask the mom.
210
00:14:28,434 --> 00:14:32,427
If she hasn't mentioned it yet, she's not-
If you're gonna fire someone,
go ahead and do it.
211
00:14:32,504 --> 00:14:37,601
But don't treat us like lab rats,
testing how long it takes
to get us at one another's throats.
212
00:14:37,676 --> 00:14:39,974
- So what should I do?
- I don't give a damn what you do.
213
00:14:40,045 --> 00:14:44,277
Yes, I had noticed
your complete indifference.
214
00:14:44,350 --> 00:14:47,217
You don't even offer
a medical opinion anymore.
215
00:14:47,286 --> 00:14:51,222
- Who would you fire?
- Not my call.
216
00:14:51,290 --> 00:14:53,520
I want your opinion.
217
00:14:53,592 --> 00:14:56,356
Fine, it's you.
218
00:14:56,428 --> 00:14:59,022
Either way,
you're making a choice.
219
00:15:01,734 --> 00:15:03,668
Chase.
220
00:15:05,437 --> 00:15:08,702
- Because he screwed up an angio
a month ago?
- Anyone can make a mistake.
221
00:15:08,774 --> 00:15:12,972
Right. So it's the money.
You resent it, but you're gonna tell me
that he doesn't need the job.
222
00:15:13,045 --> 00:15:15,138
He doesn't appreciate the job.
223
00:15:15,214 --> 00:15:18,240
He was ready to go three rounds
with Cameron for it.
224
00:15:18,317 --> 00:15:21,150
He wants the job.
He just doesn't appreciate it.
225
00:15:21,220 --> 00:15:26,021
There's nothing wrong
with just wanting to hang out,
but this is not the place to do it.
226
00:15:27,660 --> 00:15:30,925
- I'm surprised.
- You thought I'd pick Cameron?
227
00:15:30,996 --> 00:15:33,089
I didn't think you'd pick at all.
228
00:15:37,036 --> 00:15:39,334
[Elevator Bell Dings]
229
00:15:39,405 --> 00:15:42,806
Guess he's not the "rise above the fray" guy
he'd like us to think he is.
230
00:15:42,875 --> 00:15:44,866
You practically forced it out of him.
231
00:15:44,944 --> 00:15:47,811
He's scared of losing his job,
just like everybody else.
232
00:15:47,880 --> 00:15:50,849
I've been thinking. You've made it quite
clear that you're miserable here.
233
00:15:50,916 --> 00:15:54,181
I am not miserable.
You're not happy.
234
00:15:54,253 --> 00:15:57,620
And you are?
With my job, yes.
235
00:15:57,690 --> 00:16:00,921
I am exactly where I wanna be,
doing exactly what I wanna do.
236
00:16:00,993 --> 00:16:04,258
Think I sense a hint of sarcasm there.
237
00:16:04,330 --> 00:16:09,427
Why don't you pick yourself? Quit?
Hmm, I was wrong.
238
00:16:09,501 --> 00:16:13,961
About Vogler or Foreman?
Mrs. Hernandez's pregnancy test.
239
00:16:14,039 --> 00:16:19,102
Who's Mrs. Hernandez?
Either a woman carrying an alien baby
or your newest patient.
240
00:16:20,612 --> 00:16:24,139
So you never saw her with any pills.
She never mentioned anything?
241
00:16:24,216 --> 00:16:26,514
No, of course not.
242
00:16:26,585 --> 00:16:29,383
Would it be all right if I, uh,
talk to a couple of her friends?
243
00:16:29,455 --> 00:16:31,423
Her friends?
I'm not gonna interrogate them.
244
00:16:31,490 --> 00:16:34,755
I just wanna ask ifJessica
ever mentioned anything.
245
00:16:34,827 --> 00:16:36,886
It's- It's pretty important.
She's very sick.
246
00:16:36,962 --> 00:16:39,692
I understand. It's just, well-
247
00:16:39,765 --> 00:16:41,960
Jessica really
doesn't have any friends.
248
00:16:42,034 --> 00:16:44,264
Not one?
I've tried to help,
249
00:16:44,336 --> 00:16:46,804
make the kids include her more,
but... kids can be-
250
00:16:46,872 --> 00:16:49,238
- Kids?
- I was gonna say jerks.
251
00:16:49,308 --> 00:16:51,276
[Bell Rings]
252
00:16:51,343 --> 00:16:53,709
All the fifth-graders are assigned
an eighth-grade buddy.
253
00:16:53,779 --> 00:16:55,713
Maybe you could talk to hers.
254
00:17:01,420 --> 00:17:03,854
What's the status on House?
255
00:17:03,922 --> 00:17:07,756
He asked for time to complete performance
reviews for everyone in his department.
256
00:17:07,826 --> 00:17:09,817
And you told him no
and gave him how long?
257
00:17:09,895 --> 00:17:12,921
A week. He'll do it.
258
00:17:12,998 --> 00:17:17,526
Guy's never done what he's told.
I don't see why he's gonna start now.
259
00:17:18,670 --> 00:17:20,865
Hi. Edward Vogler.
260
00:17:20,939 --> 00:17:23,999
Is Dr. House claiming that
I'm forcing him to get rid of one of you?
261
00:17:24,076 --> 00:17:26,772
I assume his goal is to stir up
antagonism toward me.
262
00:17:26,845 --> 00:17:31,509
- And your goal is?
- I am forcing him.
263
00:17:31,583 --> 00:17:34,848
I'll do whatever I can to ease
the transition for whoever he chooses.
264
00:17:34,920 --> 00:17:38,856
- If you're feeling guilty about your decision,
there is an easy solution.
- I don't feel guilty.
265
00:17:38,924 --> 00:17:42,519
Then... why approach me
and tell me all this?
266
00:17:42,594 --> 00:17:45,256
I don't feel guilty.
That doesn't mean I don't feel bad.
267
00:17:45,330 --> 00:17:47,730
I'm rich, but I'm still human.
268
00:17:49,034 --> 00:17:50,968
I just wanted you to know...
269
00:17:51,036 --> 00:17:55,132
that if there's anything
I can do for you, my door's open.
270
00:17:55,207 --> 00:17:57,334
Thank you.
271
00:18:03,882 --> 00:18:08,148
You're lookin' for info?
Thought you already
had House all figured out.
272
00:18:08,220 --> 00:18:11,348
I do. Don't know his team though.
273
00:18:13,692 --> 00:18:16,991
[Wilson]
The ultrasound and biopsy
confirmed our worry.
274
00:18:17,062 --> 00:18:21,362
The tumor is extremely large,
at least 30 pounds.
275
00:18:21,433 --> 00:18:24,527
Oh, God.
It's actually a personal record
for this clinic.
276
00:18:24,603 --> 00:18:28,232
But it's completely benign.
There's no sign of cancer at all.
277
00:18:28,307 --> 00:18:30,332
[Gasps, Sniffles]
278
00:18:30,409 --> 00:18:33,503
I've already spoken
with Dr. Bergin, and he's available
first thing in the morning.
279
00:18:33,579 --> 00:18:35,513
For what?
280
00:18:37,516 --> 00:18:39,450
For the surgery.
281
00:18:39,518 --> 00:18:42,783
But if it's not cancer,
it can't kill me, right?
282
00:18:46,024 --> 00:18:48,356
Mmm, no.
I'll have a huge scar.
283
00:18:48,427 --> 00:18:51,260
I won't be able to wear a bikini.
284
00:18:51,330 --> 00:18:54,766
- You wear a bikini now?
- Yeah. You got a problem with that?
285
00:18:54,833 --> 00:18:57,768
Nope. But I've never
gone swimming with you.
286
00:18:57,836 --> 00:19:00,566
I knew it.
That's what this is all about.
287
00:19:00,639 --> 00:19:04,405
You are trying to force me
to have cosmetic surgery.
288
00:19:04,476 --> 00:19:08,469
Yeah, that's exactly why I planted
a 30-pound tumor on your ovary.
289
00:19:08,547 --> 00:19:13,041
It's not gonna kill me. The only thing
surgery is gonna do is change the way I look.
290
00:19:13,118 --> 00:19:17,145
That is the definition
of cosmetic surgery.
291
00:19:17,222 --> 00:19:20,385
Uh, it would also relieve
your heartburn and discomfort.
292
00:19:20,459 --> 00:19:24,122
Yeah, right. Why give an antacid
if you can cut someone up...
293
00:19:24,196 --> 00:19:26,255
and make them
a little easier on your eyes?
294
00:19:28,333 --> 00:19:33,566
My husband... loves my body.
He can't get enough of it.
295
00:19:33,639 --> 00:19:37,973
You think he's gonna wanna touch me
if I look like I've been gutted like a fish?
296
00:19:39,811 --> 00:19:42,780
[Door Closes]
That was unexpected.
297
00:19:44,750 --> 00:19:46,741
Yeah, it was.
298
00:19:48,187 --> 00:19:50,747
All she does during recess
is run laps around the playground.
299
00:19:50,822 --> 00:19:54,849
She says she's exercising,
but everyone knows it's just because
no one wants to play with her.
300
00:19:54,927 --> 00:19:58,454
I mean, I'm only her buddy
because Ms. Ayers assigned her to me.
301
00:19:58,530 --> 00:20:00,521
That does not mean
I am her friend.
302
00:20:02,501 --> 00:20:05,299
I'll make sure her doctors
are all clear on that.
303
00:20:05,370 --> 00:20:07,304
Thanks.
304
00:20:07,372 --> 00:20:10,671
So, has she ever said anything to you
about diet pills?
305
00:20:10,742 --> 00:20:13,438
- Ha. She told you that too?
- What do you mean?
306
00:20:13,512 --> 00:20:15,446
I totally busted her
for taking drugs one day.
307
00:20:15,514 --> 00:20:19,041
She totally lied, said that they were
diet pills her mom had given her.
308
00:20:19,117 --> 00:20:22,553
Come on. Get real.
No way a girl like that
is taking diet pills.
309
00:20:23,722 --> 00:20:26,589
I didn't give her diet pills.
I would never do that.
310
00:20:26,658 --> 00:20:28,592
Right. So it was
her imaginary mom.
311
00:20:28,660 --> 00:20:30,628
She didn't take any pills.
The girl's lying.
312
00:20:30,696 --> 00:20:33,790
Why would she lie?
Because she's another mean littlejerk.
313
00:20:33,865 --> 00:20:37,528
- Mom.
- I'm sorry, honey.
314
00:20:37,603 --> 00:20:40,197
Clemmie didn't lie.
315
00:20:42,241 --> 00:20:45,802
I did. I took the pills.
316
00:20:47,512 --> 00:20:51,243
I told her you gave them to me
because I didn't wanna get in trouble.
317
00:20:51,316 --> 00:20:55,377
[Foreman]
Where did you get them?
I took them from the store.
318
00:20:56,722 --> 00:20:59,247
Why? Why would you do that?
319
00:20:59,324 --> 00:21:01,519
Because I didn't
wanna be ugly anymore.
320
00:21:01,593 --> 00:21:05,552
- Oh, baby. You're not ugly.
- Yes, I am.
321
00:21:05,631 --> 00:21:08,759
I know you don't think so,
but I am. I'm disgusting.
322
00:21:08,834 --> 00:21:11,701
Jessica, please don't say that.
323
00:21:11,770 --> 00:21:16,036
I just- I just wanted to fit in.
324
00:21:16,108 --> 00:21:18,042
You know, have friends?
325
00:21:18,110 --> 00:21:22,171
Or at least have
one person my age be nice to me.
326
00:21:22,247 --> 00:21:25,683
[Sobs]
Oh.
327
00:21:28,353 --> 00:21:30,287
Listen, the, uh-
328
00:21:30,355 --> 00:21:34,018
The pills cause blood clots,
heart attacks and insomnia.
329
00:21:34,092 --> 00:21:37,550
It explains everything.
We'll keep her overnight to make sure,
330
00:21:37,629 --> 00:21:40,097
but, uh, she'll be fine.
331
00:21:40,165 --> 00:21:43,623
Thank you.
[Sobs]
332
00:21:43,702 --> 00:21:46,136
[Cameron]
I can't believe
she was that desperate.
333
00:21:46,204 --> 00:21:49,071
[House]
Yeah, I'm sure that if
everyone I knew hated me,
334
00:21:49,141 --> 00:21:52,201
couldn't bear to look at me,
I wouldn't go so far as to shoplift.
335
00:21:52,277 --> 00:21:55,872
I'm not talking about the shoplifting.
I'm sure she didn't even know
they were dangerous.
336
00:21:55,947 --> 00:21:59,383
She probably saw them advertised
on TV or over the Internet.
337
00:21:59,451 --> 00:22:03,353
Right. So I guess it's the media
and pharmaceutical companies' fault now,
338
00:22:03,422 --> 00:22:05,982
not the fact that she can't stop shoveling
food down her throat.
339
00:22:06,058 --> 00:22:07,992
No one forced her to get fat.
340
00:22:08,060 --> 00:22:11,461
- No one forced a cancer patient
to get cancer.
- Give me a break. It's not a disease.
341
00:22:11,530 --> 00:22:14,090
Have you seen the latest research?
Yes, I have.
342
00:22:14,166 --> 00:22:18,102
What I haven't seen lately
is a kid eating an apple or riding a bike.
343
00:22:18,170 --> 00:22:21,571
You Americans can't even compete with
the rest of the world in basketball anymore,
344
00:22:21,640 --> 00:22:26,339
unless, of course, it's the type you play
with a remote control on a big-screen TV.
345
00:22:26,411 --> 00:22:29,471
- Right.
- Wait, wait, wait.
346
00:22:29,548 --> 00:22:34,178
Are you gonna let him say that?
He insulted our basketball teams.
347
00:22:34,252 --> 00:22:38,348
[Pager Beeping]
348
00:22:38,423 --> 00:22:41,688
[Pager #2 Beeping]
349
00:22:41,760 --> 00:22:44,422
[Pager #3 Beeping]
350
00:22:44,496 --> 00:22:47,590
[Jessica]
Oh, my God.
351
00:22:48,900 --> 00:22:50,834
It hurts so bad. Please.
What happened?
352
00:22:50,902 --> 00:22:53,302
- She's bleeding.
- From where?
353
00:22:53,372 --> 00:22:55,932
[Sobbing]
Oh, my gosh.
354
00:22:56,007 --> 00:22:58,635
Just please stop it.
Please!
355
00:23:05,851 --> 00:23:09,309
Diet pills brought her to us.
We gave her the sores.
356
00:23:09,388 --> 00:23:11,948
You think she got a staph infection
from something here?
357
00:23:12,023 --> 00:23:15,049
I'm not saying the hospital
gave her the sores.
I'm saying we did, by treating her.
358
00:23:15,127 --> 00:23:18,221
Warfarin-induced skin necrosis.
359
00:23:18,296 --> 00:23:21,959
- Highly unlikely. We started her
on heparin before the warfarin.
- Who gave her the heparin?
360
00:23:22,033 --> 00:23:25,400
- I did warfarin. She did heparin.
- Sure you didn't both give her warfarin?
361
00:23:25,470 --> 00:23:27,461
Yes. I did not screw up.
362
00:23:29,508 --> 00:23:33,376
Did you actually see her prepare
and administer the heparin?
363
00:23:35,981 --> 00:23:39,712
- [Sighs]
- 'Nuff said.
364
00:23:39,785 --> 00:23:42,913
You were standing right there.
I was preparing my own dose.
365
00:23:42,988 --> 00:23:47,652
- Yeah, right.
There's gotta be some other cause.
- None that I can think of.
366
00:23:47,726 --> 00:23:50,217
Let's fix the mistake.
367
00:23:50,295 --> 00:23:54,459
Give her unfractionated I. V. Heparin
and low molecular weight heparin
by subcutaneous injection, stat.
368
00:24:00,439 --> 00:24:02,498
Making me look bad
is not gonna save your job.
369
00:24:02,574 --> 00:24:04,701
You think you're incapable
of making a mistake?
370
00:24:04,776 --> 00:24:06,937
You think that I'm just
gonna roll over and take this?
371
00:24:07,012 --> 00:24:09,446
House isn't gonna protect you
just because you kiss his ass.
372
00:24:09,514 --> 00:24:12,278
Vogler wants to know
what he can do for me.
373
00:24:12,350 --> 00:24:17,310
Hey! Stop worrying about your asses
and start worrying about the patient's.
374
00:24:37,008 --> 00:24:38,999
She sleeping?
375
00:24:39,077 --> 00:24:42,376
As a result of the sedatives, yeah.
Can't let her wake up. Too much pain.
376
00:24:45,650 --> 00:24:50,781
"Warfarin-induced skin necrosis."
377
00:24:50,856 --> 00:24:53,689
I... have no idea what that means.
378
00:24:53,758 --> 00:24:57,956
But it says here
we gave her the warfarin.
379
00:24:58,029 --> 00:25:01,897
And I do know what "induced" means.
We did this?
380
00:25:01,967 --> 00:25:05,733
At this point,
it's not exactly clear.
381
00:25:07,472 --> 00:25:09,667
You should probably talk
to Dr. House.
382
00:25:09,741 --> 00:25:12,972
Oh. You two need time
to get your stories straight.
383
00:25:13,044 --> 00:25:15,035
He doesn't tell me what to do.
384
00:25:15,113 --> 00:25:18,879
So you don't just blindly follow
his commands. You're your own man.
385
00:25:18,950 --> 00:25:22,909
And yet here you are,
working for a guy you can't stand.
386
00:25:22,988 --> 00:25:25,548
I respect him.
What exactly is it you respect?
387
00:25:25,624 --> 00:25:29,583
His attitude toward humanity?
He thinks we're all idiots and liars.
388
00:25:29,661 --> 00:25:33,427
How about his attitude toward you?
Plays with you like a cat
with a ball of string.
389
00:25:33,498 --> 00:25:37,491
What do you want?
I wanna know
if you wanna keep your job.
390
00:25:37,569 --> 00:25:39,662
If he chooses to let me go,
I can live with that.
391
00:25:39,738 --> 00:25:42,206
- That's not an answer.
- Are you offering to protect me?
392
00:25:42,274 --> 00:25:44,742
- Still not an answer.
- I want my job.
393
00:25:50,549 --> 00:25:52,779
Dr. Chase.
Boss.
394
00:25:57,222 --> 00:26:02,159
What was that about?
He wanted to know
what warfarin is. I don't know.
395
00:26:27,085 --> 00:26:29,679
Brr. Icy.
396
00:26:31,723 --> 00:26:35,386
I'll definitely think twice before
correcting one of your mistakes again.
397
00:26:35,460 --> 00:26:39,123
Correct all you want.
Course, it's a bit more productive
if there's an actual mistake.
398
00:26:39,197 --> 00:26:42,792
Right. I always forget that part.
399
00:26:42,867 --> 00:26:46,826
I gave her the heparin,
which means the necrosis
is not a reaction to the warfarin,
400
00:26:46,905 --> 00:26:51,638
which is probably why
she's not responding to your treatment.
Yet.
401
00:26:54,679 --> 00:26:57,443
If you didn't screw up,
then what is it?
402
00:26:59,584 --> 00:27:02,348
You don't have an answer.
Yet.
403
00:27:02,420 --> 00:27:05,082
When you come up with something,
let me know.
404
00:27:05,156 --> 00:27:08,922
I'll be in the clinic, warming up.
405
00:27:08,994 --> 00:27:12,452
I'm the only one
who's always stood behind you
when you've screwed up.
406
00:27:12,530 --> 00:27:14,657
Why? Why would you
support someone who screws up?
407
00:27:14,733 --> 00:27:18,726
Because I'm not insanely insecure,
and because I can actually trust
in another human being,
408
00:27:18,803 --> 00:27:21,738
and I am not an angry,
misanthropic son of a bitch.
409
00:27:21,806 --> 00:27:25,037
I'm sorry.
You said you weren't angry.
410
00:27:27,045 --> 00:27:30,173
Who would you fire?
411
00:27:30,248 --> 00:27:32,773
[Sighs]
No one.
412
00:27:32,851 --> 00:27:34,819
Not an option.
413
00:27:34,886 --> 00:27:39,380
If everyone took a pay cut and put in
a few more hours, we could all stay
for the same amount of money.
414
00:27:39,457 --> 00:27:42,620
Figures you'd try and come up with
a solution where no one gets hurt.
415
00:27:42,694 --> 00:27:45,959
The problem is, the world doesn't work
that way just 'cause you want it to.
416
00:27:46,031 --> 00:27:49,000
Figures you'd stall
and refuse to deal with the issue.
417
00:27:49,067 --> 00:27:52,559
Problem is, the world doesn't go away
just because you want it to.
418
00:27:52,637 --> 00:27:55,333
[Sighs]
419
00:28:09,821 --> 00:28:11,846
Excuse me. Dr. House?
420
00:28:11,923 --> 00:28:15,017
My wife saw you yesterday.
Lucille Hernandez?
421
00:28:15,093 --> 00:28:17,061
Uh, he's not in today.
422
00:28:17,128 --> 00:28:19,756
My wife said
he walked with a cane.
423
00:28:19,831 --> 00:28:24,097
He's also got a bit of a drug problem.
Sometimes doesn't show up for weeks.
424
00:28:26,171 --> 00:28:28,765
[Cuddy]
The M.R.I. 's are rented, but, um-
425
00:28:30,241 --> 00:28:33,074
Did you make a decision?
He's not gonna fire anybody.
426
00:28:33,144 --> 00:28:37,240
Yes. I'm gonna cut the pay
of all four of us.
427
00:28:37,315 --> 00:28:41,843
Seventeen percent across the board
will allow you to keep us all
for the same amount of money.
428
00:28:41,920 --> 00:28:43,911
I believe it's what
you suits call a "win-win".
429
00:28:45,590 --> 00:28:48,354
All right, uh, i-if you can-
No.
430
00:28:48,426 --> 00:28:51,623
Lfhe can work it so we keep the current
staff for the same amount of money,
431
00:28:51,696 --> 00:28:54,290
what difference does it make?
432
00:28:57,202 --> 00:28:59,966
It's not about the money.
433
00:29:00,038 --> 00:29:03,166
This is not a negotiation.
It never was.
434
00:29:03,241 --> 00:29:05,801
I need to know that
whatever I ask you to do,
435
00:29:05,877 --> 00:29:08,869
however distasteful
you find it, you'll do it.
436
00:29:08,947 --> 00:29:11,973
And just as importantly,
you need to know that.
437
00:29:13,852 --> 00:29:15,649
[Sighs]
438
00:29:19,390 --> 00:29:21,381
[Door Closes]
439
00:29:22,660 --> 00:29:24,651
What's going on with my wife?
440
00:29:24,729 --> 00:29:28,062
[Sighs]
Even if I was Dr. House,
441
00:29:28,133 --> 00:29:32,035
physician-patient confidentiality
protects me from annoying conversations.
442
00:29:32,103 --> 00:29:36,199
She told me about the tumor.
Yeah? She also tell you
why she's refusing to have it removed?
443
00:29:36,274 --> 00:29:40,233
I don't care about a scar.
And she can always gain the weight back.
444
00:29:40,311 --> 00:29:46,272
- You want her to regain the weight?
- Yeah. I mean, only if she wants to.
445
00:29:46,351 --> 00:29:50,617
Why?
I've always thought she looked sexiest
when she was pregnant.
446
00:29:50,688 --> 00:29:54,920
Something about knowing
she's a mother just makes me want to-
Tell her that and leave me alone.
447
00:29:54,993 --> 00:29:59,521
I did. You gotta talk to her. I couldn't
bear it if something happened to her.
448
00:29:59,597 --> 00:30:03,431
The tumor is benign.
Nothing's gonna happen,
except maybe some more heartburn.
449
00:30:04,869 --> 00:30:07,030
What if it gets even bigger,
or it changes?
450
00:30:07,105 --> 00:30:10,268
You know where to find us.
Building's not going anywhere.
451
00:30:10,341 --> 00:30:16,007
Tell her it's cancer. You obviously
don't have a problem with lying.
Oh. Way to win me over.
452
00:30:16,080 --> 00:30:19,572
We got six kids.
She can't afford to take a chance.
453
00:30:19,651 --> 00:30:22,279
You have kids. How novel.
That changes everything.
454
00:30:22,353 --> 00:30:24,947
So if Mommy gets heartburn,
one of them might catch on fire.
455
00:30:25,023 --> 00:30:29,460
Please. I don't know what we'd do.
456
00:30:35,567 --> 00:30:38,365
They are cute.
457
00:30:38,436 --> 00:30:40,529
Have her come back in.
What?
458
00:30:40,605 --> 00:30:43,733
Your plight has moved me.
Tell your wife to come back.
[Elevator Bell Dings]
459
00:30:50,548 --> 00:30:52,516
The necrosis is getting worse.
460
00:30:52,584 --> 00:30:55,052
Maybe because we're treating her
for the wrong thing.
461
00:30:55,119 --> 00:30:58,885
- Have you found the right thing?
- No.
462
00:30:58,957 --> 00:31:02,688
Then we continue the treatment,
hope it's just taking longer
than it should.
463
00:31:02,760 --> 00:31:05,729
At this point, it doesn't matter
what caused the necrosis.
464
00:31:05,797 --> 00:31:09,858
- Or who.
- [Wilson] If we don't stop it from spreading,
it'll kill her before the end of the day.
465
00:31:09,934 --> 00:31:14,371
What else can we do?
Get rid of it. Remove the dying flesh
before it penetrates the abdominal wall.
466
00:31:16,274 --> 00:31:18,265
Do it.
467
00:31:19,377 --> 00:31:22,642
There's still a chance the heparin
treatment could start to take effect.
468
00:31:22,714 --> 00:31:26,172
We're gonna wait as long as we can,
but if there's no change
in the next few hours,
469
00:31:26,251 --> 00:31:28,515
we're gonna have to treat
the symptoms directly.
470
00:31:28,586 --> 00:31:31,885
So you can get rid of the sores?
Through surgery.
471
00:31:31,956 --> 00:31:35,050
Technically, it's an amputation.
472
00:31:35,126 --> 00:31:38,220
Amputation? But the sores are-
473
00:31:38,296 --> 00:31:43,097
Warfarin-induced necrosis
attacks fatty tissue,
mainly in the breasts.
474
00:31:43,167 --> 00:31:48,799
Wait. Are you talking about cutting off
my daughter's... breasts?
475
00:31:53,611 --> 00:31:57,911
- She's 10 years old.
- A radical mastectomy
may be her only chance for survival.
476
00:32:00,051 --> 00:32:03,578
I'm sorry, but I'm gonna
have to ask you to sign this.
477
00:32:14,432 --> 00:32:16,798
[Keyboard Clacking]
478
00:32:16,868 --> 00:32:19,962
[Door Opens]
Could we talk?
479
00:32:22,974 --> 00:32:25,534
What, no roses, no chocolates?
480
00:32:25,610 --> 00:32:28,545
If you're here to apologize-
I'm not here to apologize.
481
00:32:28,613 --> 00:32:31,343
Uh-oh.
482
00:32:32,617 --> 00:32:35,211
That means you're here
for something more complicated.
483
00:32:35,286 --> 00:32:38,119
Do you want to fire me?
484
00:32:39,891 --> 00:32:44,624
Yes. Just waiting for an excuse.
Thank God Vogler came along. Whew.
485
00:32:44,696 --> 00:32:48,462
It's the only reason I can think of why
you're insisting that I made a mistake.
486
00:32:48,533 --> 00:32:51,991
Really? Because there is
another explanation.
487
00:32:52,070 --> 00:32:54,300
Perhaps not as much fun
as your Freudian analysis,
488
00:32:54,372 --> 00:32:56,363
but maybe you actually
made a mistake.
489
00:32:56,441 --> 00:32:59,535
You're doing this because
you can't deal with your feelings for me.
490
00:33:04,716 --> 00:33:09,244
I believe that you are
the only one to express feelings.
491
00:33:09,320 --> 00:33:13,882
And if we're gonna look at this
from a first-year psych point of view,
maybe you want me to fire you.
492
00:33:13,958 --> 00:33:16,722
Maybe that's why
you're acting weird-
You're the one being different.
493
00:33:16,794 --> 00:33:19,786
You're always pushing things,
pushing the rules, pushing us.
But not this time.
494
00:33:19,864 --> 00:33:23,061
You jumped on this idea
like a life raft. Not one question
about what else it could be.
495
00:33:23,134 --> 00:33:27,093
No riding us for other answers.
I have the answer.
496
00:33:28,773 --> 00:33:32,766
Then why aren't you watching TV
or playing your damn Game Boy...
497
00:33:32,844 --> 00:33:35,677
or whatever else you have
so much fun doing by yourself?
498
00:33:38,516 --> 00:33:41,178
Maybe I should just quit.
499
00:33:42,320 --> 00:33:45,380
Make it easy for everyone.
500
00:33:45,456 --> 00:33:47,447
Maybe you should.
501
00:33:47,525 --> 00:33:50,050
[Sighs]
502
00:33:53,598 --> 00:33:55,589
[House]
Men are pigs.
503
00:33:55,666 --> 00:33:57,725
You called me in to tell me-
504
00:33:57,802 --> 00:34:02,762
I should've realized the vasectomy
and condoms was overkill,
but this was too obvious to miss.
505
00:34:04,275 --> 00:34:06,971
Cute kids.
506
00:34:07,045 --> 00:34:11,243
Love her green eyes
and his baby blues.
507
00:34:11,315 --> 00:34:15,251
- Of course, since both you
and your husband have brown eyes-
- Where'd you get that?
508
00:34:15,319 --> 00:34:20,382
From the father of three, maximum four,
of your six children.
509
00:34:20,458 --> 00:34:22,790
So I'm thinking maybe
the reason you don't want surgery...
510
00:34:22,860 --> 00:34:25,727
is that while your husband will
find you attractive no matter what,
511
00:34:25,797 --> 00:34:29,927
all the other men you're sleeping with
might not be so open-minded.
512
00:34:30,001 --> 00:34:33,664
Which brings me back
to my original thesis: Men are pigs.
513
00:34:33,738 --> 00:34:39,142
You got nothing to worry about.
They'll pretty much
have sex with anyone:
514
00:34:39,210 --> 00:34:44,671
Fat, skinny, married, single,
complete strangers, relatives-
515
00:34:44,749 --> 00:34:48,344
You... are sick.
So are you.
516
00:34:48,419 --> 00:34:51,115
And I'm sure there are Web sites
full of men...
517
00:34:51,189 --> 00:34:54,090
Iooking for married women
with surgical scars.
518
00:34:55,626 --> 00:34:59,653
So have the surgery. Please?
519
00:34:59,730 --> 00:35:02,426
Okay.
520
00:35:04,535 --> 00:35:06,696
[Door Closes]
521
00:35:08,573 --> 00:35:10,564
Thanks.
522
00:35:13,544 --> 00:35:16,377
Why have you
been talking to Cameron?
523
00:35:16,447 --> 00:35:20,645
- If House picks you,
I'll be needing a new source in that room.
- If he picks me?
524
00:35:20,718 --> 00:35:25,781
Sure. Foreman's smarter.
House has got a thing for Cameron.
525
00:35:25,857 --> 00:35:28,553
I've been feeding you information
so you'll protect me.
526
00:35:28,626 --> 00:35:30,719
And I will protect you
as long as I need you.
527
00:35:30,795 --> 00:35:33,059
And you will feed me information
as long as you need me.
528
00:35:33,131 --> 00:35:35,998
I spoke with Cameron
because if I have alternatives,
529
00:35:36,067 --> 00:35:39,002
I don't need you.
530
00:35:42,406 --> 00:35:44,704
She's not gonna rat on House.
531
00:35:44,775 --> 00:35:47,573
Foreman never said anything
about talkin' to me?
532
00:35:50,548 --> 00:35:53,244
Interesting, huh?
533
00:35:54,752 --> 00:35:56,515
[Door Closes]
534
00:36:11,702 --> 00:36:16,765
It's been almost three hours.
Still no change in her condition.
535
00:36:16,841 --> 00:36:19,833
I think we should
get her into surgery.
536
00:36:19,911 --> 00:36:21,970
So what do you wanna do?
537
00:36:24,248 --> 00:36:27,581
Assume that Cameron
didn't screw up.
538
00:36:29,387 --> 00:36:33,153
What if it's not the warfarin?
It has to be. The sores presented
right after we administered it.
539
00:36:33,224 --> 00:36:37,456
Right, right, right. But let's just say it's not.
Come on. Come on. What do you got?
540
00:36:37,528 --> 00:36:42,192
Can I have a second to think?
No. There's no time to think. Just say
the first thing that comes into your head.
541
00:36:42,266 --> 00:36:44,962
She's fat.
Enough already, okay?
We got it. You hate fat people.
542
00:36:45,036 --> 00:36:48,267
That's not what I meant.
We already considered obesity
as a cause.
543
00:36:48,339 --> 00:36:52,207
So did all her other doctors.
No, I mean what if it's not a cause?
What if it's a symptom?
544
00:36:53,611 --> 00:36:58,571
Okay. So, what could cause obesity
and skin necrosis?
545
00:37:00,518 --> 00:37:02,986
I don't care if it makes sense.
Just give me something.
546
00:37:03,054 --> 00:37:07,388
- Ulcers secondary to vasculitis.
- No, that's just sores, not obesity.
547
00:37:07,458 --> 00:37:09,983
- Pyoderma gangrenosum.
- More sores.
548
00:37:10,061 --> 00:37:13,997
Let's look at it from the other side.
What has obesity as a symptom?
549
00:37:14,065 --> 00:37:17,501
Hypothyroidism?
Genetics are more likely.
Her mom's heavy too.
550
00:37:22,406 --> 00:37:25,967
She's not just heavy, she's tall.
551
00:37:27,245 --> 00:37:29,406
We have any history
on the dad?
Yeah.
552
00:37:31,482 --> 00:37:33,507
6'1 ".
553
00:37:36,921 --> 00:37:39,389
Kid's short.
554
00:37:39,457 --> 00:37:44,019
We got stunted growth,
high blood pressure, blood clots, obesity-
555
00:37:45,596 --> 00:37:48,258
- It's Cushing's.
- No. Necrosis doesn't present-
556
00:37:48,332 --> 00:37:51,165
In rare cases,
Cushing's can cause hypercalcemia,
557
00:37:51,235 --> 00:37:54,033
which can lead
to the same skin necrosis as warfarin.
558
00:37:54,105 --> 00:37:56,471
It's perfect.
It explains everything.
559
00:37:56,540 --> 00:38:01,443
Except it's not Cushing's.
She's had multiple blood tests,
and none show abnormal cortisol levels.
560
00:38:01,512 --> 00:38:04,811
The hypercortisolism could be cyclical.
We didn't catch it in the right phase.
561
00:38:04,882 --> 00:38:08,978
- We'll have to do another U.F.C. -
- There's no time. We've got
less than an hour to make a call.
562
00:38:09,053 --> 00:38:11,385
If we treat for Cushing's
and we're wrong, she's dead.
563
00:38:11,455 --> 00:38:14,856
If we assume it's not Cushing's,
she'll lose her breast and may still be sick.
564
00:38:18,195 --> 00:38:22,325
- Do an M.R.I.
- You want us to look
for hypercortisolism with an M.R.I.?
565
00:38:22,400 --> 00:38:26,632
No, I want you to look for what could
cause hypercortisolism with an M.R.I.
566
00:38:33,811 --> 00:38:36,678
[Motor Whirring]
567
00:38:46,157 --> 00:38:48,819
[Foreman]
Nothing on the adrenals.
568
00:38:51,128 --> 00:38:53,722
Heard Cameron went home.
Is she sick?
569
00:38:53,798 --> 00:38:56,323
Go back to the pituitary views.
570
00:38:56,400 --> 00:38:59,528
- She seemed okay.
- Think she's got
another reason for leaving?
571
00:38:59,603 --> 00:39:01,901
I hope so. Wait, stop.
572
00:39:01,972 --> 00:39:04,406
There. What's that?
573
00:39:07,912 --> 00:39:11,370
Huh. A tumor.
574
00:39:11,449 --> 00:39:13,440
It's Cushing's.
575
00:39:13,517 --> 00:39:18,511
The tumor causes Cushing's.
Cushing's messes with hormone production.
576
00:39:18,589 --> 00:39:20,921
Hormones control everything:
Growth, weight-
577
00:39:20,991 --> 00:39:24,950
Can you fix it?
She'll need surgery
to remove the tumor.
578
00:39:25,029 --> 00:39:28,294
Once it's gone,
everything will get normal very fast.
579
00:39:28,366 --> 00:39:30,766
- No mastectomy?
- No.
580
00:39:30,835 --> 00:39:33,633
Thank God.
The surgery is dangerous.
581
00:39:33,704 --> 00:39:36,002
The pituitary's located
between the cavernous sinuses,
582
00:39:36,073 --> 00:39:38,064
basically right between the eyes.
583
00:39:38,142 --> 00:39:41,634
The area contains the nerves
that control eye movement and
the major arteries that feed the brain.
584
00:39:41,712 --> 00:39:43,577
Oh, my God.
585
00:39:43,647 --> 00:39:47,276
The surgeon will approach
the gland transsphenoidally.
586
00:39:47,351 --> 00:39:49,979
An incision will be made
under the lip,
587
00:39:50,054 --> 00:39:53,217
through which he'll insert
a fiber-optic microscope.
588
00:39:53,290 --> 00:39:57,784
Once the tumor's found, he'll cut it
into small pieces and remove it
through the same hole under the lip.
589
00:39:57,862 --> 00:40:02,299
The whole procedure should take
about three hours, and your daughter
should be able to go home in a few days.
590
00:40:02,366 --> 00:40:05,563
The sores will go away, as well as
her fatigue and the muscle pain.
591
00:40:05,636 --> 00:40:08,628
She'll even start losing weight.
592
00:40:17,481 --> 00:40:21,417
[No Audible Dialogue]
593
00:40:58,055 --> 00:41:00,046
[Foreman]
Jessica.
Hi.
594
00:41:00,124 --> 00:41:03,821
- Is that really you?
- Yep, it's me.
595
00:41:03,894 --> 00:41:06,727
You look fantastic.
596
00:41:06,797 --> 00:41:10,893
- She always looked fantastic.
- Yeah.
597
00:41:38,896 --> 00:41:41,888
- It's been a week.
- Actually, it's over a week.
598
00:41:41,966 --> 00:41:43,957
How have you guys been?
599
00:41:44,034 --> 00:41:46,025
Who is it?
600
00:41:50,174 --> 00:41:52,165
Chase.
601
00:41:53,611 --> 00:41:58,071
No, Chase stays.
Pick someone else.
602
00:41:58,148 --> 00:42:01,276
The deal was-
The deal's changed.
603
00:42:01,352 --> 00:42:05,550
- Pick someone else.
- No.
604
00:42:11,195 --> 00:42:13,186
Mmm.
605
00:42:16,100 --> 00:42:18,625
Pick someone else,
or it'll be the whole department.
606
00:42:22,473 --> 00:42:24,498
[Door Opens]
607
00:43:50,394 --> 00:43:51,656
That's some bad hat, Harry.
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