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00:05get up house must be some mistake I specifically requested my wake-up
00:11startle three hours from now some VIP visitor Dean of medicine from your old
00:15hospital I've had dreams about this I'm gonna assume this is another one get up
00:27I can refuse to see any visitor I want tell the Dean and I don't want to see
00:33her he said you'd say that
00:40hey
01:04what's the hiring policy over there all ass-based I can get you out of here
01:11not unless that file has a file in it
01:16judge's order for your immediate release
01:22I had eight months added to my sentence two months ago the math is pretty basic we
01:27have a crisis which is good news for you you're out tonight on conditional
01:32parole the condition being that you're employed by me at PPTH no thanks you think
01:41it's a good idea for me to go right back to my old life for either of us
01:46a patient there's two lungs in a box only has 12 hours left no pulse no body no
01:57ability to answer questions it's your perfect patient I did pay for the room
02:07for the whole week but
02:15donors an 18 year old college kid back from Hofstra goes to a homecoming party with his
02:19buddies hops on his motorcycle ends up in Oregon a sisterly in the ER no pulse no
02:24blood circulating his heart liver kidneys were all toast surgeons had the
02:28recipient on the table when they realized the lungs had increased airway
02:31resistance team closer up with the lungs suspended animation buys 24 hours to
02:36fix it 12 of which have passed and we still have no clue what's wrong
02:47nice painting blues and greens calming the hint of nurturing totally offsets the stench of suffering
02:57and death where it's my patient we need to not talk ICU isolation room the transplant team will meet you
03:04there with updates from the past two hours great take this how much drop it in your
03:11office I completely understand and almost respect your desire to appear to be Dean of
03:18Medicine given that your title is Dean of Medicine on the other hand seriously
03:30get this straight you break the law you go back to jail scam extra Vicodin back to jail without my
03:37authority make the hospital look bad back to jail I own you yes Mazza see that would be an example
03:54when did Cuddy leave she gave her notice the day after your incident took a new job you'll need the
04:01details
04:08ortho needed more space with this way
04:17where's my stuff no idea what about my team pathetic the first thing you said to me was you
04:26don't want your old environment the fourth thing you said was where's my old environment it's been a
04:31year Tao chase 13 all moved on world does that sometimes no it doesn't here's your new office
04:43there's your new team
04:49hi
04:55I'm not interested in another department sloppy seconds I'm not sloppy seconds it's 3 a.m.
05:00four minute called you in from home you wouldn't have pressed clothes quaffed hair and makeup you're
05:05already here in the hospital yes I was on call for neurology that were true you're working right
05:11now unavailable to help which means that you're hanging out the hospital pretending to work which
05:17means you're not just a reject you're a cowardly reject who's trying to hide her rejectedness from
05:22someone I'm not a reject then go back to neurology I can't I punched my attending
05:54a rds secondary to trauma is our leading hypothesis if I o two is 93 percent
06:01prison
06:04sorry I thought I heard everyone else think that I was in prison
06:08see it's a long time ago but still you're curious never was raped not raped raped well raped raped but
06:17not
06:17raped raped raped raped well now that we've got that completely behind us sorry dr house welcome back
06:28is there cake any alveolar exudate no lungs are dry well it's not a rds it's the autumn it's tick
06:40-borne disease
06:40season ehrlichiosis causing bronchiolitis you'll appreciate that I left the idiots subtextual blood
06:49smear was clear and we idiots treated with broad-spectrum antibiotics cocaine tox screen was clean dead men
06:55don't pee tox screen tests for metabolites in the urine coke never got past the lungs also explains the
07:01motorcycle crash idiots let's get the lungs on treatment great idea unless you're wrong and by you I mean
07:10me then the street will burn holes in the lungs I call you idiots but at this point I'm starting
07:15to
07:15doubt whether you understand what I mean by the word kiddo get black beauty and meet me out front
07:21we're gonna find the dead kid stash
07:33since an 18 year old organ donor on his license is not a cancer patient figuring a recipient is a
07:40lifetime member of the wilson cares too much club excellent deduction you're the reason I'm out of the
07:45big house doesn't quite make up for never visiting springing you was foreman's idea I wasn't convinced
07:51until simpson failed three times it's the same thing you wanted me back see I knew you'd over
07:56interpret it strong emotional reaction I guess that's what lifetime membership gets you
08:04how's your wrist healed thank you I was wrong I went to prison I paid the price you're a changed
08:11man
08:12I said I was wrong and say I changed I haven't neither of you analyze it however you like we're
08:18not friends
08:26anymore
08:28what can I do my chest
08:31angina's back and the nitro should knock it back down
08:36is this scenario we're talking trying to figure out how many hospital sleepovers we've had
08:41it definitely started with the great mastectomy of 2001
08:47god i miss my boobs they were spectacular
08:53is there a chance of locating another donor it's unlikely especially since with the extent of the
09:00amphysema she needs a double loan how you doing better already
09:09it's a good thing that worked i was going to make you bring me a bottle
09:15lighten up sis you know the least you could do is laugh at a dying lady's jokes
09:20your drinking wasn't funny then okay and it's not funny now because you're not dying
09:27the hospital brought in a consultant to work on the lungs do you know him is he is he good
09:32or
09:33he is an excellent doctor
09:39probably shouldn't be turning out from a mouth like this their sons have died
09:45bright side they're probably up weeping hey we both assaulted our bosses like we're twins
09:52i really rather not okay i'll go first my boss dumped me and yours what called you his china doll
09:58joked about what a crappy deal you got from manhattan as soon did you have a huge penis
10:05i have no idea what flavor you are so thought i'd just cover the spread
10:10my mom's Filipino dad's korean and my boss grabbed my behind behind what
10:18oh yeah you you're gradually now you're pretending to be on call so that you're overly protecting
10:25boyfriend by now she got broke
10:30i don't have a boyfriend it's my parents if they thought i would have done they'd be mortified
10:37your parents know your call schedule i live with them
10:43all right no issues there i told you my son didn't do cocaine
10:51druggies are not known for their honesty trust me on this one
10:58mr weathers i'm sure you're right but we need to be thorough did your son ever smoke marijuana
11:06he was an athlete took real good care of himself take it easy steve loved all that sorry but we're
11:13on a clock
11:20i think he's about to throw us out
11:26nope his son is dead the only way that has any meaning is if we fix the lungs and transplant
11:32them
11:33it doesn't matter how much we piss him off as long as we find something so go back there piss
11:37him off and find something
11:43do you know any of the kids at the party with your son a bunch of his high school buddies
11:50the gun really into poker decided to have an all-night game in brandon broom's basement hey
12:00i understand we're in a hurry and he's probably not gonna throw us out maybe he should
12:10your son isn't wearing glasses in any of these pictures he just got them a couple of weeks ago
12:17because he was having headaches
12:21answer the question before answering the door uh yeah he was
12:27you're right he was not doing cocaine he had a brain tumor
12:34don't bother it's for me
12:39turns out they monitored these monitors
13:07the bracelet was decorative my aunt had one just like it
13:12you're allowed to be at the hospital you're allowed to go home that was made clear
13:16that kid's house was on the way to my apartment assuming i got lost twice
13:21there's consultants in my office only costing the hospital a hundred bucks every minute i keep them
13:24waiting why didn't you just tell me what you were doing i knew you were very busy being vaguely
13:29important i might have cleared it with the cops yeah it's the word might that bumps me i'll run it
13:33by
13:34you next time house
13:40getting you out of jail was not a popular decision of the board
13:44i need you to solve this and i need you to do it without making me look like i can't
13:48control you
13:49for both our sakes
13:59disciplinary hearing she need one and subsequent lingering black mark on your record
14:05i'm not worried
14:13we have to build this out to the mri we should probably leave the body in the bag there's a
14:20mass
14:20in the arm analyzing part of this tumor is going to be quicker than a scan
14:27so where's the next job you worry about what people think of you thus the carefully maintained hair
14:34clothes and parental secrets the only way that you don't worry about this hearing is if you don't
14:39think there's going to be one the only way that happens is you leave princeton plainsboro
14:45i had a video interview with chicago yesterday it went well
14:54my money's a rhabdomyo sarcoma chicago has a great program and you're a dumbass
15:01running away from holly is a time-honored tradition you're not doing it to flee your parents you're
15:06doing it to protect them that's an insult to everything teen prostitutes have worked for
15:12time to grow up and come clean
15:17you're right i should just drive my car into their living room and tell them
15:26didn't it turn out that he'd stolen the hot dog cart look borrowed bobby was very insistent on that
15:32point seems like someone's feeling better no more chest pain i haven't heard the name bobby in a long
15:38time how's he doing these days i don't know we're not in touch and don't even pretend like you're not
15:43relieved you never liked him bobby is an incredibly fun great guy just not a great influence i would
15:49have gone with colossal drunk i was gonna leave that implied but yes colossal drunk why it's good
15:56for a couple to share a hobby your catheter bag is empty despite taking in 200 cc's of fluids i'm
16:04gonna have to dial back the nitro won't her chest pain come back we don't have any choice
16:09the nitro is dropping the blood flow to your kidneys they're shutting down
16:26this is so our songs
16:35my patient is running out of time now i'm worried my team is confirming the diagnosis as we speak
16:45i want to be understanding it's your first day back see i smell empathy
16:53remember all the good times like when i gave you that necklace you just dumped in the ocean
16:59what are we thinking house i haven't forgotten our friendship for every good memory there's a slew of
17:07bad ones come in
17:14peroneoplastic syndrome's out the lung donor didn't have cancer tell that to the tumor that i found in
17:19his arm that mass was in a tumor it was coagulated plasma er pumped him full of it iv leaked
17:24into his arm
17:25i even did a complete mri no cancer anywhere got nothing
17:34just because it wasn't a tumor doesn't mean it didn't mess with the lungs they're reacting to
17:40something in the plasma but every unit of plasma can have up to 25 contributing donors
17:46we need to track down all of them
17:52still not as bad as a thousand people going down on a gigantic boat right my heart will go on
18:04no you can't leave the hospital
18:0925 donors have contributed to the plasma the lung donor got my team cannot track down and interview
18:16them all in six hours i vouch for you to the cops you take some parole violating detour celebrating your
18:21freedom justified of course by some absurd theory connecting it to the you asked me to ask you
18:27is that just so you'd enjoy saying no i don't trust you house i can't
18:32actually you have to not absolutely not outside the walls of this hospital well fine then give me a team
18:38i
18:38have to put in quotation marks use the people already on the case you'd be chase top 13. we don't
18:43have
18:44the money to pay them oh yeah went to interior designers i understand you only have park because
18:49she's on neurology's tab you are making minimum wage i am get out of my office please
19:08no no no no they don't even get me on it
19:13what do you got number three went to a baseball game the day before he donated
19:17the boredom is not transmissible he ate a bag of peanuts and peanut proteins would be
19:22if our donor had an allergy could explain the lungs nice
19:28what nothing don't start that start what enjoying our conversation
19:35the repartee there was no repartee that was repartee
19:39i'm not doing this for you i'm doing it to help my patient
19:43it's just good to hear your voice goodbye
19:56it's my whiteboard i need it and he really doesn't care how the cast comes off
20:04dr foreman warned us that you'd try something told me to call him if you did
20:11i'd like to do that
20:22i'll take this outside
20:39yeah
20:40donor six traveled thailand around kora region was endemic with dengue fever
20:45it's good
21:14it's good
21:15be drunk for it to affect a pool of plasma.
21:17These guys have got that covered.
21:19A cute ETOH ingestion could've.
21:21Hey, paint around them.
21:24They're not hurting anyone.
21:26Who's painting?
21:27The cruise was starting.
21:29The paint fumes didn't cause contamination.
21:31But maybe the old paint did.
21:34They scraped off the underpass,
21:36probably because it contains blood.
21:43Chance to paint back?
21:44It's the worst this time.
21:46Is there anyone to take the edge off?
21:49We're still working on the lungs.
21:51We should know soon.
21:54Soon is good.
22:04How's the chelation going?
22:07Reverend Moon started it about 20 minutes ago.
22:09You missed lunch tracking down the plasma donuts.
22:12It's your Reuben from the cafeteria.
22:17Thanks.
22:18That exposure's a nice diagnosis.
22:20I hope it pays off.
22:22It will.
22:23I appreciate your confidence, but she's not really...
22:26Oh, no. She could die.
22:28But technically, it will still pay off.
22:30Even if your patient dies, someone will get the lungs.
22:37You really haven't changed.
22:41But I've given up red meat.
22:44Dr. Miller to Orphedic.
22:46Dr. Miller to Orphedic.
22:49Dr. Miller to Orphedic.
22:52What round of chelation is this?
22:54Fourth.
22:58Are you checking up on me or around the house?
23:01In this case, unique situation.
23:08Oxygenating?
23:1098%, airway resistance down.
23:13Great.
23:15Is the house okay?
23:17I have no idea.
23:31Dad, what are you doing here?
23:34I got your text.
23:35I brought you some of your mother's kum kuk.
23:38What text?
23:39No one asking me to bring you some dinner.
23:43I went by neurology.
23:45The secretary said you were on leave.
23:47I'm consulting on this case.
23:50Unique situation.
23:53Looks very complicated.
23:55You can help with that?
24:00Lungs are crashing.
24:01I have to go.
24:03Bye.
24:06Increasing to 100% FiO2.
24:08Zalien flow is down to 10cc.
24:10Lockage, clot in the line?
24:11Gelation's making it worse, which means we're wrong about lead.
24:14Only analysis can help me save this thing.
24:16Zalien's flushing forward but getting no return.
24:19One-way valve.
24:20Basin spasm.
24:21You're right.
24:21Calcium channel blockers should relax the artery.
24:24The lungs have no nervous system.
24:26Will that still work?
24:27No soon.
24:32Saline flow is rising.
24:36Basal spasm is relaxing.
24:38Left lung is pinking up.
24:40Good job.
24:45I have no lobe isn't.
24:55Nothing.
24:57Killed part of the line.
25:11Hopes.
25:12Killed part of the line.
25:13Please, inaudÃvel.
25:14I feel the right?
25:15I think that I am doing it.
25:17I can't take my joel to my joke.
25:20I can'tkle.
25:25I am.
25:26especial.
25:26I won.
25:27I do not.
25:28my phone. You have unlimited texting. Until your parents know, you will never see that punch for
25:33what it really was. You're February 4th. Sri Lankan Independence Day. I told you I'm Korean
25:40and Filipino. I told you I wasn't listening. By my actions. Violence isn't an appropriate way to
25:47handle conflict. It was a moment of weakness. Barked at me, picked a fight with a painting crew.
25:52Maybe it's time to recognize it's not a character flaw. Maybe it's your character. Pinto!
25:58House. Embrace your inner bitch.
26:10So, why did chelation make the lungs worse? We got about five minutes till Pinto gets back.
26:16Give me your hand with this. No. I tracked out another bag of plasma from the batch they used on
26:21the donor. Negative for all our other exposures. Sarcoidosis could be inflamed by the
26:28treatment. I am a cripple in need of assistance. Um, transplant team ran an ACE negative. It's mine and it's
26:39your job.
26:39My job is to assist you in curing the lungs. This chair will help me do that.
26:46What if the scrapings from the bridge contained other heavy metals like beryllium or asbestos?
26:52Calculation for lead wouldn't have made them worse.
27:04But, maybe the problem isn't a heavy metal from outside. It's inside. It's not leaving the body like it's supposed
27:11to. It's stuck. Iron.
27:14Iron. The donor had hemosiderosis. His body wasn't disposing of iron. Massive amounts choke up the lungs. Then our chelation
27:23would wreak havoc because it picks up too much stuff.
27:25Go stain the dead lung tissue for iron.
27:31I'm sorry, young lady. I simply will not help you steal this chair.
27:36Pintel. House.
27:41Hi.
27:46She can barely catch her breath.
27:51Lungs ready yet?
27:53We had a small setback. We're testing for iron overload.
27:56I thought it was lead.
27:58This is not an exact process. Your small airways are collapsing. You're not getting enough oxygen.
28:08I'd like to try forcing an oxygen-rich slurring into your lungs. It should open up the airways and buy
28:13you some time until the lungs are ready.
28:19Fluid in my lungs. Sounds like drowning.
28:26It is.
28:31It's gonna hurt, isn't it?
28:36Yes. A fair amount.
28:43No. I'm done.
28:56House, the nurses saw you. Come in.
28:58Enter.
29:00It's a bathroom.
29:02Ah. Explains the hole in this chair.
29:13You gotta have missed doors. And the air freshener.
29:19Now go away. I'm waiting for some test results.
29:23My patient signed a DNR. She's giving up. Looks like someone else will be getting the lungs.
29:28Making this yet another interaction with you in which I get nothing.
29:32It's not my fault you can't handle your patient.
29:35She said she's done.
29:37I spent half an hour trying to change her mind. But she'd made her decision. I accepted that. It's called
29:41respect.
29:42Well, what's after respect?
29:44You find another angle. You hold her hand. Just get the sister to beg.
29:49Stick your fingers in your ears. Pretend you can't hear.
29:52You do whatever it takes.
29:53Oh, whatever it takes. Thanks, House. Haven't thought about it.
30:11What are you testing for?
30:13Pemosyterosis. I'm standing for excess iron.
30:16Promise him.
30:18When your dad showed up unexpectedly,
30:21how else have a hand in that?
30:23I'm guessing he does things like that a lot.
30:26His version of a compliment.
30:31I spoke to the head of neurology in Chicago.
30:33I gave you a good recommendation.
30:35Did you mention what happened?
30:37Lawyers say I'm not allowed to.
30:39It works out well for everyone.
30:45Why exactly is that good for you?
30:47Excuse me?
30:48I'm a talented physician. Top 2% of my class.
30:51I'm an asset to this hospital. An asset you're about to lose to Chicago.
30:54You applied for the job. You asked me to call and recommend you.
30:58And you're just the one that should leave. He's the supervisor. He touched me first.
31:02I can't discuss any of that. Not before the hearing.
31:06But if you're having doubts about Chicago, I can call them back.
31:11No. Thank you.
31:18Dr. Foreman? Would you look at this?
31:23Iron?
31:24No. White blood cells.
31:27That's a presentation of infection.
31:30How the hell did we miss that?
31:38Biopsy revealed. White blood cell infiltrates.
31:42Infection was right after all.
31:46Fresh fruit in prison. It's usually chicken.
31:49Why aren't you more alarmed? We're running out of time.
31:51Ah! She's dying!
31:55Were you able to figure out what was wrong while I was screaming?
31:59Infection was the first thing that the transplant team treated for.
32:02Which would have worked. The bacteria have been out in the open.
32:04They're hiding inside the lung cells.
32:06I'm thinking brucella.
32:09To wipe that out, you need special ops.
32:13An intact immune system.
32:15But that's what white blood cells are.
32:18A part of the immune defense force.
32:21Like the infantry.
32:23Those lungs need the Air Force and Marines.
32:26Any bodies raining down from above.
32:32Antibiotics and IVIG.
32:36Did you use metaphors for your old team?
32:38Or do you just think I'm particularly stupid?
32:42No. They were stupid too.
32:54What are you doing here?
32:58I'm here for Vanessa.
32:59Now is not the time, Bobby.
33:01She asked me to come.
33:03What? Right, Doc?
33:07Actually, it was my idea.
33:09What? What are you thinking? She doesn't want to see him.
33:11When Vanessa was ready to quit chemo, Bobby's the one who got her to do one more round.
33:15Yeah. And then he got her drunk.
33:21At least tell me you haven't been drinking today.
33:23Okay.
33:27I should go.
33:28Yeah.
33:29Hail, hail. The gang's all here.
33:36Hey, beautiful.
34:00The case is under control.
34:03It's me time.
34:16Vanessa is going to do the lung slurry.
34:23You were right to push me. I needed that. Thank you.
34:28So we're good?
34:30It was good advice. Just came here to say thank you.
34:38I like you.
34:40I have fun with you.
34:42And you can honestly say that you don't like me, you don't have fun with me.
34:46I can accept that, but just do whatever you have to do to get over this.
34:51Punch me in the face, get me in the nuts.
34:55Either or. Both seem excessive.
35:03The thing is, House, I don't like you.
35:26When did the discoloration start?
35:28A few minutes after I started the IVIG.
35:32Means we're wrong about infection.
35:33And by we, you mean you. You screwed up the lungs.
35:38Wrong about autoimmune, cancer, heavy metals, genetic issues. Increased PEEP.
35:45Already maxed out. We're close to the point of no return.
35:48Lungs never be viable for transplant.
35:50What's your plan?
35:51I need...
35:58I need ideas.
36:00IGA nephropathy.
36:02It's already ruled out.
36:03Lupus? No.
36:05Maybe we're just out of time.
36:08We're out of time when we're out of time.
36:11When they die or she dies.
36:19Keep them stable as long as you can.
36:22I need to think.
36:47You can't look at me.
36:50I don't even think we're going to do this for you.
36:54No.
36:54You can't look at me.
36:55Okay, let's get this for you.
36:58You can't look at me.
37:02Alright, you can't look at you.
37:02You can't look around this for you.
37:05Just look around here.
37:08Don't get one more work.
37:09Just look at me.
37:23One, two, three.
37:46The lungs are a smoker.
37:50You of all people should know better.
37:52But the kid never smoked.
37:54He played poker.
37:55He plays poker without cigars.
37:58Even if he didn't light up himself.
38:00It was a rainy night and the windows were closed.
38:04All parents think their kids are special.
38:06These ones were right.
38:07At least his white blood cells were special.
38:09They had an on switch for reacting to smoke.
38:12He didn't go off.
38:12He inhaled small amounts of smoke.
38:14He had small problems.
38:16No one even noticed big amounts of smoke.
38:18He was enough to trash a lung.
38:20As soon as he breathed in all that cigar smoke,
38:23he was a dead man.
38:25The motorcycle accident was a necessary dramatic flourish.
38:29You seem to feel like pneumonitis.
38:32But the steroids would have treated for that.
38:34I was right.
38:36Not about anything medical, but my metaphors were perfect.
38:40We need to hit it harder.
38:43We need to carpet bomb.
38:45Blitzkrieg.
38:46We need the nuclear option.
38:47At some point you're gonna say we need to radiate, right?
38:50See?
38:50Metaphors work.
38:51But that'll destroy the good lung too.
38:53Better to go with a strong cocktail of immunosuppressants.
38:56Don't be fast enough.
38:57Wilson needs these lungs.
39:12Where do we go from here?
39:17Where do we go?
39:24And is it real or just something we think we know?
39:28It's working.
39:29Something we think we know.
39:34He did it.
39:37Where are we going now?
39:39I'm not going to Chicago.
39:42If you stay, we have to have a hearing.
39:45I know.
40:12I know.
40:14And all of us
40:16And all of us
40:35Thank God you called out.
40:41I wonder what happens now.
40:45She can handle it.
41:06House.
41:06House.
41:13Got something for you.
41:20Found your stuff in storage.
41:29This is all you get.
41:31Ortho still has the other office.
41:36Well that sucks.
41:38Where it chased Talbot 13 is it.
41:41You're welcome House.
42:03Where do we go from here?
42:08Where do we go?
42:14Dinner's later.
42:16I'll pick something up.
42:20I heard about a good new vegetarian place.
42:24Screw that.
42:25I want a steak.
42:26Because, because.
42:28I'll meet you at your place at eight.
42:30Our paths they cross.
42:35Yesterday was our.
42:38And all of us.
42:43And all of us.
43:43That's some bad hat, Harry.
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