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00:00Viewer discretion is advised.
00:10Wait.
00:12We shouldn't be...
00:14We shouldn't be doing this.
00:16What? You're not having fun?
00:18It's not that. I just...
00:21Rather be with the boys?
00:23No.
00:25Well, come on.
00:39You kids need any help?
00:41No. No, we're fine.
00:43Car trouble?
00:44No.
00:45Then why are you here?
00:46Um, we're just talking.
00:49Does she do all the talking?
00:51Uh, most of it.
00:55I know what that's like.
00:58I'm gonna come back through here in ten minutes.
01:00And if you're still here,
01:03I'm gonna call your parents.
01:05Yes, sir.
01:17Now, where were we?
01:19Where were we?
01:20We weren't going.
01:20Three.
01:21In nine minutes.
01:41Baby?
01:42What's wrong?
01:43What?
01:46What?
01:48Oh, my God!
01:52Help!
01:54Someone help me!
01:56Help!
01:57Uh.
01:59Uh.
02:00Uh.
02:01Uh.
02:02Uh.
02:03Uh.
02:04Uh.
02:05Uh.
03:3316-year-old with respiratory arrest.
03:36The only thing I hate more than a thief is a crippled thief.
03:39Yeah, me too.
03:39No sign of trauma, no history of asthma or al...
03:41Who the hell is Jay Whittner?
03:43No idea.
03:44Stevie Lippa, his EKG and echocardiogram were normal, but...
03:47Normal is good.
03:48I'll send him home.
03:49Jay Whittner!
03:50Doctor!
03:52Who is he and where do I find him?
03:54She's a new researcher, works with Arshefsky.
03:56She hot?
03:56She's in a wheelchair.
03:57Doesn't mean she's not hot.
03:59Just means she can't bend over.
04:00So Cuddy has to bend over backwards.
04:0216-year-old kid.
04:04ER workup revealed a bloody pleural effusion.
04:07Todd?
04:07Yeah, that occurred to me.
04:09It took you so long to mention it.
04:11No tumors or pneumonia on the CT.
04:13He passed out while making out.
04:16If he's into sex, drugs and rock and roll can't be that far behind.
04:19I'm guessing cocaine.
04:20Tox screen was clean.
04:21Just means he wasn't on drugs, not that he hasn't been using drugs.
04:24Looks like a plumbing problem to me.
04:26Leaky pipes.
04:26If he popped an aneurysm, he'd be in the morgue, not the ER.
04:29That's why you're going to do a venogram instead of an arterial brand.
04:32This is not a high-pressure burst.
04:33It's a low-pressure leak.
04:34Still could have been drugs that caused the pipes to corrode in the first place.
04:37So go look under his mattress.
04:39See if he's got any pills or powders stashed with a hand lotion.
04:57Sweet ride.
04:59I asked for the one with the sissy bar and the banana seat, but Santa gave me this instead.
05:04Guess that's what I get for being naughty.
05:07He must be Dr. House.
05:09Yeah.
05:10So, looks like there's been some sort of mix-up at the parking office.
05:13They had to move me closer to the door.
05:15Had to.
05:16You don't look like the type to pull a weapon.
05:19Wheelchair.
05:20Cain.
05:21I think you should do the honorable thing.
05:23Let me have my space back.
05:24Oh, well, since you asked so nicely,
05:27Wheelchair.
05:28Cain.
05:29Walking long distances makes my leg hurt.
05:32And it's easy for me.
05:33Of course not.
05:34Pushing that little lever, the muscles must burn.
05:37I'm sure the last ten yards are pure torture.
05:40Crossing the parking lot's dangerous.
05:41Cars can't see me.
05:42You ever hit a patch of black ice with a cane?
05:45No.
05:45Gosh, on account of the fact that I can't walk.
05:48Maybe you should ask the parking office for some crampons.
05:51This is about who can most easily cross the parking lot.
05:56You're the winner.
05:56Oh, and the prize is apparently a parking space.
06:09There's still no answer at either one of your parents' cell numbers.
06:12Is there any other way we might be able to contact them?
06:14No.
06:17They're in a conference.
06:18They probably had to turn them off or something.
06:20What does it matter where they are?
06:22I mean, he's in pain.
06:23You've got to do something.
06:24We need them to sign this.
06:25Why can't he just sign the papers?
06:26He's 16.
06:27Still not an adult.
06:29Well, then call my parents.
06:30They know him.
06:30They'll take responsibility.
06:32Do whatever you need.
06:32I can't.
06:33You can't just let him sit here in agony until his parents finally decide.
06:36It's okay.
06:38No.
06:39It's not.
06:42I feel like there's an anvil sitting on my chest.
07:02You win.
07:04I'm doing the Venogram now.
07:05We'll deal with the fallout later.
07:19My fingers feel wet.
07:21That's just the dye.
07:22Your nerves can't tell the difference between the cold inside your body and the wet outside
07:25your body.
07:26The nerves can't tell the difference?
07:28Or the brain can't interpret the difference?
07:31A little of both.
07:32You like sides?
07:38It looks like a diffusion pattern.
07:41That's because it's the venous side.
07:42Low pressure.
07:43It's what Graham's Law applies.
07:46Taking physics already?
07:48No.
07:49I just sort of read up on my own.
07:51I teach myself a lot of stuff, too.
07:53School sucked where I grew up.
07:55You go to public or private?
07:57Public.
07:59Leak has to be in the pulmonary veins.
08:01They're getting in my lungs, right?
08:03Yep.
08:04I don't see anything.
08:05Do you?
08:06No.
08:07It doesn't make sense.
08:09How can I have a bloody effusion without any bleeding?
08:31This is putrid.
08:33I'll put foodborne parasites and infections on the list to check on.
08:39I'll take the bedroom.
08:53Oh, sorry.
08:54I didn't know there was anyone.
08:55We were just...
08:57I have a gun.
08:59Look, you can take whatever you want.
09:01My wallet's in my suit.
09:02Freeze!
09:03No!
09:03I'm calling the cops.
09:05Okay, you don't have a gun.
09:08And you're not calling the cops.
09:09No, no, I'm calling the cops.
09:11Unless you two get out of here right now.
09:12Unless?
09:13Who calls the cops unless a burglar does something?
09:20You don't want to have to explain the affair.
09:22We're not having an affair.
09:25He's got a ring.
09:26You don't.
09:27And judging for the state of the kitchen downstairs and the half-vacuumed bedroom,
09:32I'm guessing you're a better lover than you are a maid.
09:35Maid?
09:36You son of a bitch.
09:39I'm not a maid, okay?
09:40This is my house, not his.
09:44Oh, sorry.
09:45And what's wrong with my kitchen?
09:46Nothing.
09:47We're sorry.
09:48We're just here to help Stevie.
09:51Who's Stevie?
09:53Your son?
09:56Huh?
09:58It was the address you gave.
10:00The R must have written it down wrong.
10:02Or you lied because you don't want us to talk to your parents.
10:04I gave you their phone numbers.
10:05You gave us some numbers.
10:07We haven't been able to reach anyone.
10:08I told you, they must be in a car.
10:10He's lying.
10:11Leah.
10:12He's Romani.
10:14A gypsy.
10:17So you don't have a home?
10:19Of course we do.
10:21What, next are you going to ask me about dancing around campfires and stealing children?
10:26This is why I don't tell people.
10:27They share everything with each other and nothing with the guys yet.
10:31The outsiders.
10:32Sharing information with outsiders has not gone so well for my people.
10:37But right now, you're making yourself more vulnerable by lying to us.
10:41You can't go to my house.
10:43You'll pollute it.
10:44All we're going to do is look around.
10:45Your presence is enough.
10:48My parents take it seriously.
10:52It's spiritual as much as it is physical.
10:54You know where he lives?
10:55Don't.
10:57Look, I'll tell you whatever you need to know.
10:59If we can't trust your answers...
11:00I just drink sometimes.
11:01Okay, I've smoked pot.
11:03I'll tell you anything.
11:05The truth.
11:06You just...
11:09You can't go in my home.
11:12A pot wouldn't cause a bleeding problem.
11:14A pesticide on the pot could.
11:16Where did you get it?
11:18Some kid at school.
11:20Stevie.
11:21He got the pot from me.
11:22He doesn't even go to school.
11:23His parents made him drop out.
11:24I'm homeschooled.
11:25He reads books.
11:26What else are you lying about?
11:28Is your father really a professor?
11:30He's a salesman.
11:31They buy and sell anything they can get their hands at.
11:34They?
11:35So you're with your dad when he's making these deals?
11:37He was just in Chicago a week ago.
11:39You fly?
11:40No.
11:42My dad's got a truck.
11:50You can't be serious.
11:52Actually, I can.
11:54See?
11:55It's my space.
11:56I want it back.
11:57It's not your space.
11:58It's the hospital space.
11:59And the hospital thinks that the person who's worse off should get the better space.
12:04Your application for handicapped space says you can walk 50 yards.
12:08And Wintner says she can roll 50 miles between oil changes.
12:11I can't change my leg.
12:12The space I moved you to is only 46 yards away from the front door.
12:16I measured.
12:17You'll be fine.
12:17Great.
12:18So I can collapse four yards into the lobby instead of outside in the cold.
12:22As long as it's not in my office.
12:23You know who won the New York City Marathon six years in a row?
12:26Guy in a wheelchair.
12:28Then go get yourself one and leave me alone.
12:30Give me my space.
12:30I'll be happy to roll around all day.
12:33You couldn't last one week in a wheelchair.
12:36Want to bet?
12:42What's wrong with you?
12:43Nothing that a week off my feet won't solve.
12:46Phenograms negative.
12:46No leak.
12:47You mean you couldn't find leak?
12:48Is your leg worse?
12:49Nope.
12:50My parking spot is.
12:51Blood is only made inside the circulatory system, which means when we find it outside...
12:56There's no leak.
12:56I even check lymphatics.
12:57So you're going to spend a week in a wheelchair just to get a parking space closer to the front
13:00door?
13:00Easier than chopping out my legs.
13:02We've ruled out toxins and drugs.
13:04Kind of.
13:04He's Romany.
13:05Apparently they feel the need to keep secrets, so it's hard to know anything for sure.
13:09Yeah.
13:09He's also a human being, which means you shouldn't be trusting him to begin with.
13:13Stop relying on his answers and find some on your own.
13:15It's a deep vein thrombosis.
13:17The kid spent 16 hours in the backseat of an old pickup.
13:19It causes a clot and makes his way to his lungs.
13:21We should do an arteriogram, find the clot, bust it with TPA.
13:24Or we can find the leak.
13:25There's no leak.
13:26Hey.
13:27You can't yell at a guy in a wheelchair.
13:31This is a slow leak.
13:32We've got to speed it up.
13:33Thin is blood.
13:35Redo the venogram.
13:36That could cause a massive bleed.
13:37Excellent.
13:38Massive would be even easier to find.
13:40Pardon me.
13:41I guess you guys are going to have to get the next one.
13:47I thought you were redoing the venogram.
13:49As soon as we're done with the arteriogram.
13:53Okay.
13:53You're going to feel a little poke.
13:58Can you maybe do that?
14:00Don't worry.
14:00It's just your leg.
14:01I don't have to go any further than this.
14:02Take a look at this.
14:04Bones of your forearm.
14:05Uh, radius enoma.
14:07How about the wrist?
14:09Um, lunate.
14:12Hamate.
14:14The...
14:14Scared lovers try positions they can't handle.
14:20It's a mnemonic for the roost bones.
14:22It's the only way I can remember them.
14:34You okay?
14:36Ow, my stomach.
14:37You hit something?
14:38Ow.
14:38I'm starting.
14:39Fly flat.
14:40Oh, no, I can't.
14:41It hurts too much.
14:42I'm getting out.
14:42It's the only chance to see what's going on.
14:44If he moves, I can shred his artery.
14:46Get it out now.
14:47It's going to be okay, Stevie.
14:48Just inject the dye.
14:53The dye's going into his liver, but it's not coming out.
14:55The clots got to be constricting the flow in the hepatic vein.
14:57It's not constricting it.
14:58It's completely blocking it.
14:59His whole liver's fried.
15:01Ah!
15:02Ah!
15:08Ow!
15:10The kid's liver's failing because of the massive clots blocking his hepatic vein.
15:13How can he have both a bleed and a clots?
15:15It's not a clot.
15:16It must have blocked the vein with a catheter wire.
15:18Not a chance.
15:19Increased pressure downstream could also stop the blood.
15:21If there's no heart failure, cirrhosis means it has to be a clot.
15:23Massive clots block veins.
15:25They don't make them leak.
15:27It's dizzy.
15:27Clearly, it's some kind of...
15:30You have a little problem?
15:32Would you mind?
15:36Boy, that was humiliating.
15:38How does Wittner make it through the day?
15:40Pride goeth before the fall.
15:42Lucky for me, I'm sitting in one of these babies.
15:46So, what other theories can I shoot down?
15:48DIC would explain both the...
15:50His plate is normal and his PCT is in elevated.
15:52A cameo?
15:52Normal CBC and differential?
15:54You guys are still thinking like doctors when you should be thinking like plumbers.
15:58Come on.
15:59I want to see some butt crack.
16:00Something inside the liver is punching holes in the pipes.
16:03Blood bleeds through the opening, sticks to the intruder, forms a mass.
16:06A clat.
16:07A mass.
16:08Cancer.
16:08That tumor could erode a blood vessel.
16:10So could a granuloma from tuberculosis to sarcoidosis.
16:12It was CT, MRI, sputum, and an ACE level.
16:16Excuse me.
16:17All right.
16:17Purple coming through.
16:25He says his throat hurts.
16:28That phrasing means you think it doesn't.
16:30No, I don't.
16:35Good enough for me.
16:36Where are you going?
16:37Mother is no best.
16:38Get yourself a sucker on the way out.
16:40Look, I think he's just faking so he doesn't have to go to school.
16:43How did you know I was a truant officer?
16:46I told him he had a choice.
16:47Go to school or the doctor.
16:49Right.
16:49He's wasting your precious time, so you decided to waste mine.
16:53How thoughtful.
16:57I'm in a wheelchair, so I can't examine him all the way up there.
17:00Hop down.
17:02My life is just one horror after another.
17:05Open.
17:06Does it look like it hurts?
17:09Nope.
17:18What's that?
17:20Syringe.
17:21I'm with you.
17:23You make him hate the doctor's office more than he hates school.
17:25That's okay.
17:26I don't think that...
17:28It's just saline.
17:28It hurts like hell when it's injected directly into the muscle.
17:32So what do you think?
17:32Arm or ass?
17:33I think he's learned his lesson.
17:35Oh, I don't know.
17:36You better check.
17:37Jack.
17:39Is your mommy a big, fat idiot?
17:43Well, what do you know?
17:45I guess you were right.
17:50Just hold still, Stevie.
17:52This shouldn't take long.
17:55Sorry.
17:55I'm guessing the mic in this thing doesn't pick up nods.
17:58We're a kid.
18:00Too bad.
18:00It's all going to go to waste.
18:01Nothing wrong with being a salesman.
18:03He should be able to pursue his own life, not be stuck helping his parents sell old toasters.
18:07He's still young.
18:08You never know what he'll end up doing.
18:09Unless he goes back to school, I know exactly what I'll end up doing.
18:14Wait.
18:15Is that a lesion?
18:18Magnifying times five.
18:20It's a granuloma.
18:21I mean, his wedding is most likely.
18:25Stevie.
18:26Mom, is that you?
18:27Hey, hey.
18:28Get him out of this now.
18:29Your son is sick.
18:30The sign on the door.
18:30The sign says no matter.
18:31We took everything off.
18:32It says no admittance.
18:34What's wrong with our son?
18:36We don't know yet.
18:36He's not going to die, is he?
18:40Your son is very ill.
18:42We're still trying to figure out why, which is why we need you to leave the room.
19:04What are you going to do now?
19:06Oh, now I've got to slide my butt from one padded seat to another.
19:10What if I bump my knee?
19:14MRI showed a granuloma in his liver.
19:16Fantastic.
19:18You want to give me a hand here?
19:20No.
19:21Cladding, bleeding, and a granuloma equals Wagner's.
19:23I know.
19:24That's why I said fantastic.
19:25I was being sincere.
19:26Now give me a hand.
19:27Wouldn't be fair.
19:28We're going to biopsy the liver to confirm.
19:30Wouldn't be fair not to.
19:31People are good and kind and gentle and help people in wheelchairs.
19:35You don't believe that.
19:36You do.
19:37No, I don't.
19:40Foreman, forget the biopsy.
19:42His liver will be gone before you get the results.
19:44Start treatment with cyclophosphamide before the Wagner punches a hole in another pipe.
20:14What's with the clothes?
20:16You're not being discharged.
20:18I know.
20:21It's my parents.
20:22They insist that I wear this stuff.
20:24We insist on our own food gown and furnishings for a reason.
20:28My chest burns.
20:30Are you sure the treatments are working?
20:32Wagner's causes the body to attack itself.
20:34It doesn't get undone overnight.
20:36Be patient.
20:37Where's your soup?
20:38It's in the garbage.
20:39It has willow bark extract.
20:41Willow bark extract is basically aspirin.
20:43Yes, for the fever.
20:44He's already on meds, our meds.
20:46We can't risk any adverse interactions.
20:49We need all this stuff to go.
20:50We need to control this environment.
20:52So do we.
20:52People get sick for a reason.
20:54Because something in their life is out of balance?
20:56Dad, he's a doctor.
20:58He doesn't want to hear your talk.
20:59Balance is just starting to be restored now that that girl is gone.
21:02That girl took pretty good care of your son while you were away.
21:05Yes.
21:05We can see that.
21:07Look, all this stuff may make him feel more comfortable, but it's not gonna...
21:10Is this treatment gonna take?
21:11We should start to see some improvement in his liver function soon.
21:14Soon.
21:15Very scientific.
21:20I'm sorry.
21:28I'll be back in a little bit to check on you.
21:37Ah, yes.
21:38If it isn't Dr. Ironside.
21:40Ah, if it isn't Dr. I had no friends when I was growing up, so all I did was watch
21:44TV
21:44by myself, which is why I can now make constant pop culture references, which no one understands
21:48but me.
21:49That's my name.
21:50Don't wear it out.
21:52Up, up.
21:54Safe from Cuddy, but I guess not from her trusted rat complice.
21:58Reasonable people don't debate the relative merits of their handicaps.
22:01Reasonable people make rules based on evidence, like difficulty covering a distance, say, 50
22:07yards done on some preordained patheticness scale.
22:10Last I checked, pigheadedness was not the eighth heavenly virtue.
22:13It's only pigheaded if you're wrong.
22:15If you're right, you call it sticking to your principles.
22:17Give it up.
22:18You're demeaning yourself.
22:19That's what they told Rosa Parks.
22:21Don't stand up in there.
22:22I'm watching your feet.
22:24Get out of our home.
22:26This is not a home.
22:28It's certainly not our home as long as our son is here.
22:30Mom, Dad, will you just please just calm down?
22:33You're not family.
22:34You have no right to be here.
22:36What are you going to do?
22:37Throw me out?
22:38You can't even touch the guy.
22:39I'll touch you.
22:40What is going on?
22:41I'm the one who brought him here.
22:43I should be able to see how he's doing.
22:44He wouldn't even need to be here if it weren't for you.
22:46Right. I'm so unclean, I caused his liver to shut down.
22:49Enough. No one is leaving.
22:51He's our son, and we want her out of here.
22:53Oh, oh, it hurts.
22:57Is it your stomach again?
22:58No.
22:59What?
23:07His liver is actually improving.
23:10You plug one hole and end up poking another.
23:13Are we talking about the patient or how to get a raise from Cuddy?
23:15The Wegner's treatment gave him a massive hemorrhage in his bladder.
23:18Which means it's Wegner's.
23:21What did I just say?
23:22We were treating him for Wegner's when everything went wrong.
23:24Not everything.
23:25Yeah, it was a very lovely day outside.
23:28On the other hand, the treatment made him worse.
23:30Treatment made his bladder worse, not his liver.
23:33Clotin in the liver is breaking up.
23:34And MRI sputum and ACE ruled out TB, sarcoidosis, and lymphoma, which leaves us with...
23:40Still could be a cancer with multiple...
23:41Cancer we can't see on MRI, CT, or blood tests.
23:45It's Wegener's.
23:47It's not the wrong diagnosis. It's the wrong treatment.
23:49We could increase immunosuppression and add methotrexate.
23:52We can't give methotrexate to a kid who's already had lung problems.
23:56Methotrexate is carpet bombing. It's everything.
23:59We need a smart bomb.
24:01We don't suppress the immune system.
24:04Change it.
24:06Immune modulation.
24:09FT-28.
24:10His antibodies are attacking his blood vessels.
24:12The irritation causes him to bleed and clot.
24:15We change his immune system so the antibodies don't interact with his blood vessels,
24:18but work fine everywhere else.
24:20FT-28's still experimental.
24:21So it's not FDA approved.
24:23It's worked for Crohn's disease and rheumatoid arthritis.
24:25He doesn't have Crohn's or arthritis.
24:28Let's say that he does.
24:30Let's start the treatment.
24:39Absolutely not.
24:40My people have been experimenting on before and never again.
24:43Mr. Lippo, with all due respect, comparing this hospital to Auschwitz, it's ridiculous.
24:49The FT-28's been proven safe in hundreds...
24:51People always say you can trust them.
24:53Why would they say anything else?
24:54Why do they think we would listen?
24:55Hey, hey, hey.
24:56You think I don't understand what it's like to come from people who've been enslaved, mistreated,
24:59and experimented on?
25:00Tuskegee went on for 28 years after World War II.
25:03And the laws that made it illegal for the Romani to even set foot in this state were still on
25:07the books until 1998.
25:09It's not ancient history.
25:11Conventional therapy hasn't worked.
25:13Your son may be dying.
25:16He needs a targeted approach, and you need to trust us.
25:24I'm sorry.
25:26A lifetime of experiences tells me I can't trust you.
25:29And the past three days have done nothing to change that.
25:33What our son treated, not experimented on.
25:36If you don't know how to do that, then just tell us so we can take him someplace where they
25:39do.
25:41You're absolutely right.
25:43Stay away from that unproven experimental stuff.
25:46Much better to stick with him moving the furniture until he gets a better approach.
25:49Yes, you're right.
25:50We're going to have to come up with something else.
25:51You mean another last-ditch desperation move?
25:54You got anything?
25:56Go back and don't take no for an answer.
25:57What kind of salesman are you?
25:59The kind who avoids the house with the crazy couple who put tinfoil over their windows.
26:02They got money for tinfoil.
26:04They got money for whatever you're selling.
26:05What's that mean?
26:07It means that if they don't trust you, you should earn that lack of trust.
26:10What does paying for tinfoil mean?
26:13Why should I have to answer all the questions?
26:20Oops.
26:21Sorry.
26:22Still getting used to the power steering.
26:24I assume you've heard the news?
26:26I'm not worried.
26:27From what I hear, what you lack in shame, you also lack in willpower.
26:30The will may be weak, but my backbone is strong and pain-free now that I've stopped using the cane.
26:36Of course, it's harder to look down and cut his shirt than the vantage point on her ass.
26:41It's much improved.
26:42And that's just me, always looking on the bright side.
26:44I'm the guy who said that her C-cups are half full.
26:48They are nice, aren't they?
26:52Oh, no, no, no, no, no.
26:55You're not going to win me over that easily.
26:58You may have a wheel.
26:59It doesn't mean you can get the grease.
27:01You've got to squeak.
27:17What's that?
27:19It's cyclophosphamide.
27:20We're continuing the standard treatment as you requested.
27:27Uh, I have to ask everyone to leave the room for a few minutes while I apply some bandages.
27:33Why do we have to leave?
27:35Uh, for his penis.
27:53You lied to them.
27:55The bleeding stopped.
27:57I don't need any bandages.
28:00We need to change your treatment, but your parents won't let us.
28:03They've got it in their minds that we want to try some sort of inhuman experiment on you.
28:06The treatment's experimental?
28:08FT-28's been through extensive clinical trials.
28:11It's also been used successfully for other conditions.
28:14The fact that you're recommending experimental treatment means you have no other options.
28:20I'm sorry.
28:22When we stop the plural of fusions, your liver almost fails.
28:25We save your liver, the bladder fails.
28:27If we don't get ahead of the curve on this...
28:28What do you need me to do?
28:33Take the medicine, but don't tell your parents.
28:36I don't like lying to my parents.
28:38The rest of the world, though.
28:39The rest of the world I can't trust.
28:41You can trust me.
28:43How do I know?
28:46Because if you do this, then tell your parents I lose my license.
29:00Ow.
29:02Ow!
29:03Ow!
29:04God!
29:05Get in here.
29:13Wow.
29:14Spleen basically exploded, huh?
29:18Got another bleeder?
29:19Two holes stuck on a stick?
29:21I got it.
29:32I believe you ordered your meat rare?
29:34Keep him open.
29:36If I confirm Wegner's, might as well stage disease while he's still on the table.
29:48It's taking so long.
29:49External capsules ruptured, but still intact.
29:52No signs of a clot or bleed.
29:54Normal follicles, normal lymphoid tissue.
29:57Spleen is ripped as shreds.
29:58There's got to be granulomas.
29:59Keep looking.
30:00Come on.
30:01Can't leave Humpty Dumpty like this forever.
30:03I don't see anything but normal spleen.
30:05No granulomas.
30:06Means no Wegners.
30:08That's all I need to know.
30:09Let's go, people.
30:11Run his bowel.
30:12No need.
30:13I'm closing.
30:25Stitcher.
30:48Run his bowel.
30:50Nothing suspicious in the spleen.
30:52Get him out of here.
30:53You missed it.
30:54He had a granuloma in his liver.
30:57No, it was just scar tissue.
30:59Looks like a granuloma on the MRI, but it's not.
31:02I don't know why I'm debating this.
31:04Pass me the Kelly clamp.
31:06I'm closing.
31:08Not unless you're going to sew my head in this kid's stomach.
31:10Get out of there.
31:11He's unstable.
31:13He's got whiteners, which means he's got granulomas.
31:16I'm calling my lawyer.
31:18It's only 26 feet.
31:19If you were an ostrich, you'd have a 46-foot weight.
31:23Blood pressure's dropping.
31:25Hang another bag of wringer's lactate.
31:27I'm having nothing to do with this.
31:29Foreman, hang another bag of wringer's lactate.
31:44It's got to be in here.
31:46It's got to be in here.
31:57That's not.
31:59Mind if we close?
32:07It's a good thing we never sold him on FD-28.
32:10His parents were right.
32:20There's no way his parents are going to let us near him again.
32:22They won't be able to transfer him until he's recovered from the surgery.
32:25You can add the surgical team to the list of people who won't let us near him?
32:29It's clots.
32:30It's clots.
32:31Spleen explodes.
32:33We should test him via one of the brands.
32:35Or just play tic-tac-toe.
32:39Okay.
32:40X's are bleeds.
32:41O's are clots.
32:43Started in the lungs, right?
32:44What do we do?
32:45CT, sputum, two venograms.
32:47That's one bleed, one clot.
32:50Then what?
32:51Liver shut down.
32:52MRI.
32:52Labs.
32:53Treated with cyclophosphamide.
32:55Whereupon he peed out three units of O-.
32:58Bleed.
32:59Where is this going?
33:00I don't know yet.
33:01What's next?
33:02Bladder?
33:02Kidneys?
33:02High-resolution CT scan, UA and urine sediment.
33:05GI tract.
33:06You ran a small bowel in the O-R.
33:08The large bowel has fixed the abdominal wall.
33:10I didn't run that.
33:11Because there was no reason to.
33:12He hasn't been having any symptoms in his bowels.
33:14Do a colonoscopy.
33:15Because he's had no symptoms?
33:17You lose your keys.
33:18First thing you do is look everywhere.
33:20You might logically have placed them.
33:22When you don't find them, then you start looking in other places.
33:24The medicine cabinet, freezer, mailbox.
33:27You need to look in this kid's mailbox.
33:29Why don't we x-ray his feet?
33:30They're fine, too.
33:31Because we need to take the center square to block.
33:33Okay, even if that did make sense, it's kind of hard to do a colonoscopy on a kid you can't
33:37get near.
33:41He's in the ICU now.
33:43His parents only have limited visiting privileges.
33:48I like that kid.
33:50He's got spunk.
34:07I can't talk now.
34:09On guard duty.
34:10You're still in that thing.
34:11What thing?
34:13Oh, this.
34:15Forgotten it was even there.
34:16You know, even if you manage not to get struck down by a bolt of lightning and make it a
34:19week, Cuddy's not going to give you the space.
34:21She can't.
34:22That's a bet.
34:23Yes, and that rule outranks the Americans with Disabilities Act.
34:26You think you've got logic on your side, but Whitner's got the legal system.
34:30And legal beats logic every time.
34:32Just ask O.J.
34:33You're right.
34:35I am.
34:36Yeah.
34:37So you're doing this even though you know you've got no legal leg to stand on?
34:41Who needs legs when you've got wheels?
34:43I'm going to get that spot.
34:45No way Cuddy is going to gyp me!
34:50What'd you say?
34:51I'll see you later.
34:52I'm going to have them yelling at me for the next 20 minutes.
34:57The mucosa looks normal, healthy, no lonely diverticular.
35:01Blood pressure's dropping.
35:03He's bleeding again.
35:04I mean, he's calling.
35:08Hurry up.
35:09I am.
35:10There's nothing there.
35:11Wait, wait.
35:12What's that?
35:17A reflection?
35:18No.
35:19It's something.
35:22Looks like a...
35:25toothpick.
35:26Are you sure?
35:28He must have swallowed it accidentally and just figured he'd digest it eventually.
35:33When you two were making out in the car, he must have folded awkwardly.
35:36Pushed the toothpick through the wall of the intestine and into the lung.
35:39And it moved on to his lever and made its way to his bladder and spleen.
35:43So that's it?
35:43He's going to be okay?
35:44Yeah.
35:45Small holes.
35:46It shouldn't take that long to heal now that we've got it out.
35:49See?
35:51See what you did?
35:52Me?
35:53You hadn't been kissing him.
35:54That's what you heard?
35:56It was the toothpick.
35:57It was that disgusting habit that you...
35:58It would have just passed right through him if he hadn't been writhing around.
36:02Isn't that right?
36:08That's it?
36:10Yeah.
36:11That's it.
36:12Wood absorbs water.
36:13It becomes the same density as the tissue around it.
36:15That's why I didn't show up on the CT or MRI.
36:18That's cool.
36:21I mean, not cool for me, but a lot of damage for something so small.
36:29You know, the lab here, they have a paid intern position.
36:33It's usually given to one of the kids from the universities, but if you want, I'll probably
36:39get you an interview.
36:40Some entry-level stuff, some go-for-work, but you'd also have access to a lot of cool things.
36:49Thanks, really, but I can't.
36:54Yes, you can.
36:56Stevie, you're bright.
36:58You have more curiosity than 90% of the doctors on this staff.
37:02No, it's not that.
37:05It's just...
37:07I go to work every day with my family, you know?
37:11People I've known my whole life.
37:15I'm gonna lose that.
37:16You can have both.
37:20No, I can't.
37:22Because they don't want to let you.
37:25They shouldn't be making you choose.
37:28Maybe not, but they are.
37:32I'm choosing them.
37:37Change is hard.
37:39Trust me, I know.
37:42But it worked out for me.
37:44You're a successful doctor.
37:48Your name is on journal articles.
37:51I would love that.
37:54It's just...
37:55I see you with doctors Chase and Cameron, and you all got empty ring fingers.
38:07You're alone.
38:19You're alone.
38:23I'm not going to...
38:25This is my last day living a life of leisure.
38:29So, are you going to tell Dr. Whitner she's out of my space or can I?
38:32Why would I do that?
38:33Because you said that you would, and lying is wrong.
38:37I said I would give you the space if you made it a whole week.
38:41Which I...
38:42Didn't.
38:43The bet didn't stipulate that you had to be in the chair for a week unless you had to barge
38:49into an operating room and shove your hands in a kid's bowels.
38:52You know about that.
38:54You lost.
38:56I saved a life.
38:58Two minutes out of the chair to save a kid's life.
39:01You lost house.
39:02I earned that space.
39:04No, you didn't.
39:05I earned that space every day.
39:07I limp into that building and do my damn job.
39:09You lost.
39:12Hey!
39:21You were never going to give me that space, were you?
39:24I saw Whitner the other day.
39:26She knew about the bet.
39:27Didn't seem that worried.
39:28She knew I'd win.
39:29She doesn't know me.
39:31In fact, she doesn't know anything except what you tell her.
39:33You told her that you were never going to give me that space, didn't you?
39:40Just tell me.
39:41Do you at least feel a little guilty?
39:46You want to teach me lessons.
39:48Don't make commitments you can't keep.
39:57How's it going?
39:59How guilty does she look?
40:02Hmm.
40:05About an eight.
40:07That space is mine.
40:10Beenie, beenie, beenie, beenie, beenie.
40:11Just waiting, man.
40:15Till your time.
40:18Ticking clock.
40:21Everyone stop.
40:24Everyone's saying different things to me.
40:27Different things to me.
40:30Everyone's saying different things to me.
40:33Different things to me.
40:37Do you believe in what you say?
40:43There doesn't seem to be anybody else who agrees with me.
40:49Do you believe in what you say?
40:53Emotionally sweet, nothing is real.
41:00Nothing is real.
41:01Wasting my time in the waiting line.
41:06Do you believe in what you say?
41:119 to 5.
41:15I'm living in love.
41:18Every day.
41:22Stealing time.
41:24Everyone's taking everything they can.
41:28Everything they can.
41:31Everyone's taking everything they can.
41:34Everything they can.
41:38And I'll shout and I'll scream
41:45But I'd rather not be seen
41:48And I'll hide away for another day
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