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00:00Viewer discretion is advised.
00:12It's almost 11.
00:14She needs a lot of sleep these days.
00:16Please, Miss Bardak, I haven't seen her for a week.
00:22I'll see how she's feeling.
00:25You know what to do.
00:40All done?
00:41Yeah.
00:42I, uh, scrubbed for 45 seconds.
00:45Did the nails all the way down to the elbows.
00:48The whole deal.
00:51Are you sick?
00:52No, no, no, no.
00:53Cough?
00:53No.
00:54Sore throat?
00:54No, no.
00:55I just, I just sometimes I sneeze when I look at lights.
00:58I always have.
00:59I'm sorry.
01:00You better.
01:00I would never get her sick.
01:02Please.
01:10A mask.
01:12Got me by the bouncer.
01:13She's crazy.
01:15She's let me out like six times in the last two months.
01:17Every time she's just to go to the hospital, I'm a prisoner.
01:19Oh, it's okay.
01:27It's ugly.
01:29Oh.
01:33I was looking at the scar anyways.
01:41Take off your mask.
01:44Uh, if your, if your mom comes in here.
01:48Shh.
01:48Hey.
01:49Give me a kiss or I'll kill you.
01:59Your skin?
02:02You okay?
02:13Melinda, can you?
02:15Hey, what's wrong?
02:16What's wrong?
02:19What's wrong?
02:19What's wrong?
02:20Is it your heart?
02:21Hey, what's wrong?
02:22It's a verdict!
02:30Move it, move it, I don't know how to use this.
02:32I've never used one of these before.
02:50What did you do to her?
02:53I loved her.
02:55I orada shed a gl dai.
03:22Only another night being stopped.
03:23I don't know.
03:53Cuddy called.
03:54I know.
03:55I saw the caller ID.
03:57Young girl, panaphylactic shock.
04:00Answered.
04:01Turns out that's what stops the ringing.
04:05It's a weird case.
04:09I thought you did the dishes last night.
04:11It was your day.
04:12I did.
04:13Those are new.
04:15Midnight snack.
04:16For a midnight snack, you made a pot roast.
04:19The same pot roast I made last night.
04:22Yeah.
04:23Actually, it was after midnight.
04:26Today is your day, right?
04:28You want me out of here.
04:29I get it.
04:30No, it's fine if you stay.
04:32The place I was going to move, the guy never calls, otherwise I'd already be there.
04:35I said it's fine if you stay.
04:37Yeah.
04:38That's why you're making me miserable.
04:39Maybe I just want to make sure you do your fair share around here.
04:43What's weird about it?
04:47The girl with the allergies.
04:49Yeah.
04:51She's immunocompromised.
04:52What are you doing?
04:54What?
04:54You asked me.
04:55You knew that I was interested.
04:57That keeps you a valuable bargaining chip.
04:59You've had me doing dishes for a week.
05:05Okay.
05:10The allergic reaction happened while she was in a clean room.
05:23Why does she have a clean room in her home?
05:24Heart transplant.
05:25Immune system's in the toilet.
05:27Mommy builds her little angel a John Travolta quality bubble.
05:31Six months after the transplant, she doesn't need to be confined to a clean room.
05:34Six months without putting out.
05:35Dr. Cuddy doesn't need to wear thong panties, but that's not our call.
05:39I was wondering when to get around to my panties.
05:42She's had four days of workups.
05:44They've tested everyone who came anywhere near that room.
05:46Everything in the room.
05:47It's like an Agatha Christie mystery.
05:49Maybe it's not what was there.
05:51It's what she was doing.
05:52Exercise allergy.
05:53Love it.
05:54What sort of exercise could a strapping young man and a nubile teenage nymphette possibly be?
06:01Mom was in the room within seconds.
06:03So the boyfriend brought in an allergen and is lying about it.
06:06Or the girl snuck out and she's lying about that.
06:08Or the parents were lying about the room being clean.
06:11These are your big ideas?
06:13Somebody's lying?
06:14Hasn't let me down yet.
06:16Recheck mom, dad, the girl, the boy, the room, and the home.
06:23And if you have a new soap, detergent, perfume...
06:27I don't know.
06:28Barbara's really careful about that stuff.
06:30And you haven't been outside recently?
06:32How could I?
06:33I'm trapped up there.
06:34You're not trapped.
06:35It's just safe.
06:35They won't even tell me the alarm code.
06:37Just tell her I can go back to school.
06:39Until we clear this up.
06:41Fine.
06:42Find out what I'm allergic to and I'll stay away from it.
06:45Then I can go back to school.
06:47Right?
06:50It's up to your parents.
06:52But medically, there's no reason...
06:54Told you.
06:55Could I speak to you outside for a second, please?
07:03You know, this is hard enough.
07:05Without you, Nick...
07:06She asked my opinion.
07:06She is 16 years old.
07:07Lie to her.
07:09When I was 8, my mom, she hated me.
07:11I know.
07:11I need to loosen up.
07:13I'm overprotective.
07:14I saw Finding Nemo.
07:15I get it.
07:16I don't need another story.
07:16You're not just being overprotective.
07:18You're one of the most overprotective parents I've ever seen.
07:21She has the best private tutors.
07:22I let her friends visit.
07:24I'm not going to apologize.
07:25Just giving you my thoughts.
07:27She almost died three times during her childhood.
07:31Penicillin, bee stings, peanuts.
07:33I've seen her file.
07:33Six months ago, we leave her home alone for the first time on a weekend.
07:37She goes out, buys one chocolate chip cookie, peanut butter in the dough.
07:41She's forgotten her EpiPen.
07:42She drives to the hospital, passes out, has an accident.
07:46Steering wheel crushed her chest.
07:48She ended up losing her heart.
07:51So when you say to me that I'm one of the most overprotective parents you've seen, please, please, introduce me
08:00to the ones who were more protective so that I can find out what they're doing right.
08:12She's allergic to having a sucky social life.
08:15Give the parents a break.
08:17They're just trying to keep her healthy.
08:18Everything in here is labeled hypoallergenic.
08:20Check it anyway.
08:25Cameron.
08:29This place is cleaner than her hospital room.
08:33No alarm on this window.
08:35It's a 20-foot drop.
08:36You can get to the tree from here.
08:38There's some bark scraped off.
08:39I'm sure a heart transplant girl swung down there on a vine.
08:42Maybe she was hooking up with Tarzan and Cheetah down by the elephant graveyard.
08:45Or Jane stayed in the treehouse when Tarzan came up.
08:54Okay.
08:54Um, I spent most of the night Friday, but if her mom finds out about that, she will totally freak.
09:01You guys had sex?
09:03Yeah, but, you know, I did everything I could to make sure she wouldn't get sick.
09:07Latex allergy?
09:08What do you mean, like a condom?
09:10We didn't...
09:11You had unsafe sex?
09:12The whole unsafe thing didn't tell you something?
09:14Yeah, but, I mean, we didn't, like, plan on it, you know?
09:17It just, I don't know, we're in love.
09:19We've been dating for two years.
09:20Practically a lifetime.
09:22How about a semen allergy?
09:23Oh, we're gonna need a semen sample.
09:28You can use the bathroom over there.
09:30Great.
09:30Uh, how do I...?
09:32Aim and shoot.
09:36No thinking about Dr Cameron.
09:37Or no.
09:40We should tell her parents.
09:41Why stop there?
09:42Call the cops.
09:43Well, when it's a minor.
09:44And if we nip it in the bud here, teenagers will never again have sex.
09:48The parents will find out when they get the bill anyway.
09:50Oh, so you're fine with them finding out as long as you don't have to tell them personally?
09:52Pretty much.
09:58Too bad it's not you giving the sample.
10:00We'd be done by now.
10:04Test was negative.
10:05No semen allergy.
10:06The boyfriend sneaks in to get his free gun the night before the anaphylaxis.
10:11I don't buy that it's unrelated.
10:12He loves her.
10:12Did everything he could to make sure she wouldn't get sick.
10:15What does that mean?
10:17Love is an emotion certain people experience, similar to happiness.
10:21You know, maybe I should give a more relatable example.
10:23Oh, snap.
10:25What did he do to protect her?
10:28Brillo bad his privates?
10:29I assume he washed and he...
10:31Oh, good work.
10:31The assumptions are so much faster than actual questions.
10:44Are you the boyfriend?
10:46I need to borrow you.
10:48What is going on?
10:50Don't worry.
10:50I'll return him in roughly the same condition.
10:59Would you take anything to stay healthy?
11:01Something stronger than an apple a day?
11:03Is he okay?
11:05He's just tired from making a coma so long.
11:08What'd you take?
11:09Don't worry.
11:10He can keep a secret.
11:11Right.
11:15Antibiotics.
11:17Penicillin.
11:18Any of those names ring a bell?
11:21Yeah.
11:23My friend Elliot, his dad had like a whole bottle that he hadn't finished.
11:26So I swiped it and took a bunch for like a week.
11:31There's no way I was going to risk breathing germs on Melinda.
11:34This is the one downside of teenage sex.
11:37You're idiots.
11:39You almost killed your girlfriend.
11:41She's allergic to penicillin.
11:44What, do you think there's still some of my lips?
11:47I brush my teeth.
11:48Think lower and more fun.
11:53I mean, it can, it can go through your stuff.
11:57Totally, dude.
11:59There's this administrator here.
12:01Whenever she gets sick, she just gives me the prescription.
12:06But, you know, they tested Melinda.
12:08They said she wasn't allergic to my stuff.
12:11Yeah, four days later.
12:12By that time, the penicillin was crusting up a sock at the bottom of your hamper.
12:17Did you have to tell her it was my fault?
12:21No.
12:22Great part of being a grown-up.
12:24You never have to do anything.
12:34You're releasing her?
12:35What happened?
12:36What did you find out?
12:37The test on your house ruled out any environmental allergens.
12:40Yeah, but what caused this?
12:41We believe it's highly unlikely that this set of circumstances will repeat itself.
12:44What set of circumstances?
12:47It's good news.
12:48She's healthy, but you might want to talk to her.
12:54I can't breathe.
12:55Getting the epi.
12:59Give her the shot!
13:00No murmurs, no friction loops.
13:02What are you waiting for?
13:04Quiet.
13:05She's coughing up white speedo.
13:07Crack me two thirds on the way up.
13:12Look at her neck.
13:13Please, she is vomiting.
13:14Would you give her the shot?
13:15It's not an allergy, it's her heart.
13:21What's the good news?
13:23What's the bad news?
13:25Congestive heart failure.
13:26Is which?
13:28Good news.
13:29Why?
13:30I don't know.
13:31It just sounded like you.
13:34New puzzle piece.
13:35Always good news.
13:36What's the bad news?
13:37We've got two puzzle pieces from two different puzzles.
13:40Seems that way.
13:42What if her anaphylaxis wasn't anaphylaxis?
13:44Toxicity from the anti-rejection meds could cause a seizure and then heart failure.
13:49Then get cured by a mommy-wielded EpiPen.
13:51It's anaphylaxis.
13:52What else?
13:53What if they really are two puzzles?
13:55You think she had two unrelated rare conditions in one week?
13:58We explained the anaphylaxis.
13:59You mean we?
14:00I did.
14:02At least they thought I did.
14:03Maybe I didn't.
14:04Still, it was all me.
14:06And heart problems aren't so rare for someone who's had a heart transplant.
14:10I say we assume House was right about the anaphylaxis.
14:13It is tempting.
14:14Heart failure could be either infection, coronary disease, or rejection.
14:19Sorry.
14:20There's a reason they call it the whiteboard.
14:22It's not my rule.
14:24What ties both these conditions together?
14:37Okay, we can all stare at each other, or we can investigate what caused the heart failure.
14:42Just the heart failure.
14:44You want to give me that black marker?
14:53There's no fever, so it's fine, not infection.
14:56Oh, no fever, because she's been on immunosuppressants for about six months.
14:59Let's do a CT, get a heart biopsy, and we'll read it.
15:05Anything?
15:06Not yet.
15:07So I hear you don't want teenagers having sex.
15:10Teen suicide rate isn't high enough for you already?
15:12I just think those two are brats.
15:14A girl undercuts her mother any chance she gets.
15:16Yeah, it's the daughter's fault.
15:17It has nothing to do with mom infantilizing her.
15:19Good point.
15:20Explains how parents who don't pay attention get such nice, well-adjusted children.
15:24What's this?
15:26You think it's vegetation?
15:27Yeah.
15:28The kind made of muscle that opens your heart valves.
15:31It's nothing.
15:33It's just clean.
15:36It's good news.
15:37You don't show any signs of coronary artery disease.
15:40So what's next?
15:42Well, blood work to rule out infection,
15:44and then a heart surgical biopsy to rule out rejection.
15:47But you don't think you're going to rule out both things, do you?
15:51No.
15:55I'm going to lose this heart, right?
15:57Hopefully we'll find the problem and fix it.
15:59It'll keep your heart a long time.
16:01How long?
16:02Well, there could be drug breakthroughs that allow you to keep it for decades more.
16:07Yeah.
16:08That's the answer my cardiologist always gives me.
16:11I looked it up on the web.
16:12It's like five or ten years, right?
16:17It's about the average.
16:20That's why I need to have a life.
16:23Why can't you convince my mom to let me go back to school?
16:27Melinda, you've got bigger worries right now than missing school.
16:31Until we figure out what's wrong with your heart,
16:33the safest place for you to be is right here.
17:00I'm going to go back to school.
17:09Pain in my heart
17:14Treating me cold
17:16Where can my baby be?
17:22Lord, no one knows
17:26Pain in my heart
17:31Just won't let me sleep
17:35Where can my baby be?
17:39Lord, where can't she be?
17:44And now the day
17:47Has began to get tough
17:49Said I want you to come back
17:52Come back, come back, baby
17:57I had enough
18:08Where's the hooker, I assume?
18:11Right up here, buddy
18:16You said you'd hang the stethoscope if you were having sex
18:20I'd say it had to be with another person
18:22Can you think of anything that will tie together anaphylaxis and heart failure?
18:27No
18:28I was waiting out there for hours
18:31I need a lot of foreplay
18:33And then there's the cuddling afterwards
18:35Any way that anaphylaxis isn't anaphylaxis
18:38You'd never respond to Epi
18:39No
18:40Oh, no wonder you were in the moon
18:42This month's New Jersey Journal of Cardiology
18:44Have you seen the centerfold?
18:46There's no way those valves are real
18:49Any chance that the heart failure could be unrelated to you?
18:51If you need time alone to work
18:54You just have to say so
18:56You don't have to lie about it
18:57Lying's more fun
18:58Being lied to
18:59Not as much fun
19:00Please have an answer to this question
19:02What's for dinner?
19:04You still haven't done the dishes?
19:07You want one of these?
19:08I think I got a couple of blueberries
19:09Oh, nope, sorry
19:11Just one
19:15Don't look all weepy
19:18You've got a problem with me
19:19Deal with it
19:20Shorten my sheets or something
19:28My absentee was negative for rejection
19:31Thank God
19:32And what about the blood test?
19:33Showed no infection
19:34So we still don't know what caused her heart failure
19:38Let's just be happy she doesn't need a new heart
19:39This is part of
19:40It could have just been a one-time thing
19:42So she has an allergic reaction and heart failure
19:45And neither of them can be explained
19:47Are they doing any more tests on her?
19:49No
19:49She's not here
19:53Notify local hospitals, cab companies, the state troopers and local cops
19:57Any security officers off duty or back on duty?
20:00We're on it
20:00And I'm going to need some pictures
20:02And go through those drawers
20:04And I want at least two people going over the surveillance tapes
20:07That'll work
20:09Are those all her clothes?
20:11Uh, yeah
20:12She's obviously still in the building
20:14So where did she go?
20:15What does she want?
20:16See her boyfriend?
20:18She didn't take her phone
20:20She wants to be outside
20:35You're trying to scare your parents
20:37Great job
20:40Can we go back now?
20:43I hate her
20:47I was eight years old
20:49I was sick
20:51Well, not really sick
20:52But the point is
20:53My mom, she couldn't
20:54She was like this before
20:55Home by nine every night
20:57Can't go out on the weekends
20:58Can't do sports
21:00Transplant just gave her what she always wanted
21:02Linda
21:03You had heart failure
21:06This is kind of an insane time
21:08To be criticizing your mom
21:09About being overprotected
21:10I know
21:12I mean, this is what makes it even worse
21:14All of her craziness
21:16It just
21:19It makes sense now
21:22Everything's going to be all right
21:24I didn't even try to get outside
21:29It's too scary
21:30Come on
21:42Whoa, whoa, Melinda
21:44Please walk back towards me
21:47Why?
21:48Please
21:55It feels kind of weird
21:59It's called stepage gate
22:01Is it serious?
22:03Not necessarily
22:04Stick your leg out
22:05Hold it up
22:08She was under anesthesia
22:10For the biopsy
22:11If she lost oxygen
22:12CT ruled out brain damage
22:15Put your leg down
22:16Relax
22:20Why is her leg twitching like that?
22:24Vasciculation
22:25Is that serious?
22:27It's paralysis
22:28And it's ascending
22:30She's going to lose the use of her legs
22:37To start with
22:41It's ascending fast
22:42She can hardly extend her leg now
22:44That's right
22:44It'll be up to her lungs
22:45In a matter of days
22:48So
22:50Anaphylaxis
22:51Heart failure
22:51Paralysis
22:52We couldn't put the first two together
22:54I'm guessing we can't put all three together
22:55Tick paralysis
22:57Could also explain the anaphylaxis
22:59Maybe even the
22:59Penicillin allergy explains the allergic reaction much better
23:02Particularly because tick paralysis is usually accompanied by a tick
23:06We did two comprehensive physicals
23:08Looking for insect bites
23:09Can't we put any two of those together?
23:12How about we stipulate
23:13You argue that there must be something to connect all three symptoms
23:16You mocked us for not figuring it out
23:18And finally you let us discuss the paralysis on its own
23:20Because it's what's going to kill her
23:22Now it's ascending
23:24MRIs are clean
23:25So rule out shoulder aneurysm
23:26ALS, MS
23:27Progression's too quick
23:28Spinal lesion from leukemia
23:29Too slow
23:30It's most likely Guillain-Barré
23:32She's immunosuppressed
23:33What about botulism?
23:34Not unless she's been walking on her hands the last couple of days
23:36Botulism paralysis is descending, not ascending
23:39Could be a virus
23:39West Nile, even polio with her immune system shot
23:42Get an LP
23:43And do PCRs for the viruses
23:45And get an EMG to check for Guillain-Barré
23:48Foreman's right, we gotta find out why she's paralyzed
23:53But not before staring at me dumbly for a few seconds
24:07We ran more tests on your daughter
24:09We took a lumbar puncture, got some spinal fluid
24:12And we brought it to the lab to look for infections
24:15That could be affecting our brain
24:19We also did an EMG to check how our muscles and nerves
24:22Are responding to electrical impulses
24:25Unfortunately, her muscles are showing increased weakness above the knee
24:28You mean she's getting worse?
24:30The LP and PCRs ruled out polio on West Nile
24:33We think it's Guillain-Barré
24:35The body's immune response goes haywire
24:38Starts attacking the peripheral nerves
24:39It causes muscle weakness and paralysis
24:42How bad is it?
24:44It's serious
24:45Guillain-Barré usually responds very well to plasmapheresis
24:56You see, the plasma, the clear liquid part of her blood
24:59Contains most of the antibodies
25:00Which are overreacting and attacking her nervous system
25:03The machine spins her blood in a centrifuge
25:05And separates parts of the blood based on weight
25:07White blood cells are the heaviest
25:09Then the red cells
25:11Then platelets and plasma
25:12We discard the stuff that's causing all the trouble
25:15And return the good blood cells back to her body
25:17In a replacement fluid
25:18If it works
25:20We'll see results in a couple of days
25:29You didn't get any messages from me last week, did you?
25:33Nope
25:34It's funny
25:34Guy finally called back
25:36The place I lost
25:37Said he left three voicemails
25:39Gotta pee
25:40Which I never got
25:42If that wasn't clear
25:44He must be lying
25:46He wouldn't want to live with a liar
25:48You erased my messages?
25:50Yep
25:50Decided I wanted you to stay
25:52Told you that, didn't I?
25:54You're miserable
25:56And you're lonely
25:56And you're gonna trap me here
25:58To keep me every bit as miserable and lonely too
26:00Yeah
26:01You're happy, happy, happy
26:03Okay
26:03Hey, I'm obviously going through a rough patch here
26:06Wife leaves tends to bum somebody out
26:10Did you know where my pee went?
26:15You were missing some?
26:17Nope
26:17Came out of me
26:18I went right into the toilet
26:19Now why would that be?
26:22You're William Tell
26:23He could pick an apple off someone's head?
26:25Nope
26:26It's because there was no clear plastic wrap over the toilet
26:28This stuff's in the kitchen
26:30You had plenty of time
26:30All I was missing was the will
26:32This isn't a college dorm
26:33It could be
26:35We're not a teen
26:36So what?
26:37What did I do to you?
26:39I scammed you into doing the dishes
26:41I made you sit on the steps
26:42I didn't kill your puppy
26:45I did not make you miserable
26:46Oh, so this is therapy?
26:49No
26:49It just makes me smile
26:53All right, I'm finding a new place tomorrow
26:55Right
26:56But not tonight
26:58Well, I figured you want to shave my eyebrows while I'm asleep
27:01I wouldn't want to deprive you of that last smile
27:03You're not going anywhere
27:04You're going to sit on my couch and depress us both
27:08Because you just can't admit that it's over with your wife
27:10That's right
27:11I'm here on vacation
27:12You gotten a lawyer yet?
27:17That's not...
27:17Have you even called one?
27:21As long as you're here
27:22It's just a fight
27:24As soon as you get a place
27:26Then it's a divorce
27:33Everything sucks
27:35Might as well find something to smile about
27:50Reflexes are marginally weaker
27:51The paralysis is getting worse
27:53Sometimes it takes a few treatments
27:55For the plasma freesis to work
27:57Why do these things keep happening to me?
28:02Dan's back
28:03Hey, baby, did you hear that?
28:05Dan's here
28:08I want to see him
28:14I'll tell him to come back later
28:15No
28:17Mommy, you stay here, please
28:21Of course
28:56Is she okay?
28:58Just sleeping
28:59I'm sure she's exhausted
29:00Moon swings are common with the anti-rejection mints
29:03No
29:04She's had moon swings
29:06This isn't it
29:06This is...
29:09She's given up
29:12I know you think I'm...
29:16This isn't what I wanted
29:21She's always fought with me
29:24Ever since she was a baby
29:25She was so damn stubborn
29:28But I never wanted her like this
29:32I just wanted her safe
29:36Doctor
29:36Doctor
29:37Doctor
29:41She can't breathe
29:42She didn't get a whole sentence out
29:47She's using accessory muscles
29:48It's a set sound of narnie
29:50Lungs clear
29:50Does your tongue feel swollen?
29:52No hives
29:53It's not an allergy
29:54Her lips are cyanotic
29:56We've got to intubate
29:57What are you doing?
29:59Pushing lorazepam
30:01She's not getting enough oxygen
30:02We've got her sister breathing
30:14What was that?
30:15Was that a reaction to the treatment?
30:17It's the paralysis
30:18It's reaching our lungs
30:26Melinda's dying
30:28We're all dying
30:29How fast?
30:31Too fast for Guillain Barret
30:33Cuddy wants to get her an MRI
30:35To rule out a spinal lesion
30:36Cuddy?
30:37What's she doing on this?
30:40The family lost confidence in us
30:41I don't blame them
30:44I'll be right in
30:59It's like she got poisoned
31:01With a nerve agent
31:01Glue inhalation
31:03Would explain why
31:03She hasn't admitted it
31:04Tox screen was clear for pot
31:06Middle class heart transplant patient
31:08Is going to huff glue
31:09Pesticides?
31:10This time of year
31:11They're not spraying
31:11This girl's tough
31:13She gets what she wants
31:15She's deprived of human contact
31:17She gets herself a backdoor man
31:19Or in her case
31:20A side window boy
31:21What else has she been deprived of?
31:23She's on a special diet
31:24Because of her allergies
31:25Boyfriend brings the hot beef
31:27He also brings a side dish
31:29Botulism
31:30This paralysis is ascending
31:31Remember?
31:32Not if the heart problem
31:33Is really a paralytic problem
31:34Why would she admit the sex
31:36And not the food?
31:36She didn't admit anything
31:38He admitted the sex
31:40And we didn't ask him about food
31:41Get me a rat
31:42You have a rat
31:43What?
31:44I'm not going to kill Steve
31:47Only way to confirm this
31:48Inject a rat with her blood
31:50And wait for it to get all botulistic
31:52On your ass
31:53In the meantime
31:54I'm going downstairs to Brabby
31:56To scare a dying teenage girl
31:57Until she
31:59Breaks down like a scared
32:00Dying teenage girl
32:06You're up early
32:07Cutty needed a consult
32:09We're checking for spinal lesions
32:11From leukemia
32:11Yeah, I know
32:13It fits perfectly
32:14Unless this is the patient
32:16With the anaphylaxis
32:16The heart failure
32:17And the paralysis
32:18In which case
32:19You're wasting your time
32:20We want a second opinion
32:21Second?
32:22To give you at least eight
32:23Okay, well here's nine
32:27Botulism
32:28Listen to me
32:29Have you eaten anything abnormal?
32:31Any canned foods?
32:32No
32:32You sure?
32:34Lying to your parents
32:35Is usually the right thing to do
32:36But there is an impending death exception
32:38Don't talk to me like that
32:39You're right
32:40She never lies
32:41I was being rude
32:42When your boyfriend snuck in
32:44On Friday night
32:45Surprise
32:46Perhaps he got you
32:47Some sexy little treats
32:49Huh?
32:49Some honey
32:50Ears
32:50Edible underwears
32:52Massage oils
32:53Come on, anything
32:56We know about the sex
32:58Is that the Danny's little Danny
33:00Is full of penicillin
33:01That's what caused your anaphylactic shock
33:03You didn't tell us that was
33:05No
33:07It was
33:08It's a glinda bison
33:09What I use
33:13He said he was on penicillin
33:15I saw the bottle
33:16It's a non-penicillin antibiotic
33:19Get the antibiotics
33:20And cause the anaphylaxis
33:21It's still on the table
33:23Everything is connected
33:24What did we discuss?
33:26What was the differential?
33:27Cameron said
33:31When Dan came to your house that night
33:33Did you go through any tall grass?
33:35On the fence
33:42What are you doing?
33:43Your daughter had two visitors on Friday night
33:45One of them is still in the room
33:48She has tick paralysis
33:51Dan tracked a tick onto his jeans
33:54Which wouldn't be a problem
33:55Being a teenager
33:56Dan couldn't keep his tick in his pants
33:59We already checked her
34:01Now I'm checking her
34:03Tick bites don't ordinarily cause anaphylactic shock
34:05This girl's allergies are not ordinary
34:07House, get out of here
34:09We have to re-intubate her
34:10Get her into the MRI
34:11The time course is perfect
34:12Bite itself sets off an allergic reaction
34:15Then it takes four days to kick in
34:17Heart's vulnerable and hits that first
34:19And a day later sets off the ascending paralysis
34:21Except that ticks aren't usually invisible
34:23They are until you find them
34:27Oh, that's dandruff
34:28Okay, well that wasn't nearly as dramatic as I'd hoped
34:30It just means the next time it will be even better
34:36What's happening?
34:37That's the tick venom is sending
34:38Either that or you stress turn to heart failure
34:41BP's dropping
34:42Heart rate 47
34:43I'm administering atropine
34:45She's gonna need a transvenous pacing wire
34:47Okay, magical tick hunt is over
34:49Only real doctor stuff now
34:51This is just gonna get worse
34:53Ticks produce more toxins
34:55The longer they feed
34:56She's gonna be dead in an hour
34:57Even if you can pump her heart full of jet fuel
35:00Unless you let me find the tick
35:01Could he be right?
35:02The only thing I know for sure
35:04Is that your daughter's heart
35:04Won't last another 20 minutes without treatment
35:07Okay, I just need one final instruction
35:08When I find the tick on the autopsy
35:10Do you want to know?
35:11I'm thinking not
35:12Probably make it coping easier
35:14Stop talking to them
35:16Paige Brzezinski and cardiology
35:17Get her team down here stacked
35:18Get them out of here
35:19Get House out of here too
35:20Dr. Wilson, I could use your help
35:23Well, I don't know if the dopamine's enough
35:25She may need enamronone lactate
35:27Why? What's that?
35:28She doesn't
35:29She might need stronger pressers
35:30I mean, they don't have any in radiology
35:32Enamronone can cause arrhythmia
35:34And thrombocytopenia
35:35Not enamronone could cause death
35:37Death's worse
35:38We have to get her up to the ICU
35:55Sorry, a little crowded here
35:57House, get out of the elevator
35:59Walk them to wait for the next one
36:00You got her?
36:01Got her
36:14As long as we're stuck here
36:15This might be a good time to look for that tick
36:17Turn the elevator back on
36:19Just a minute, honey
36:29Attropine's wearing off
36:30Just inject her again
36:31That's just temporary
36:33Temporary's fine
36:34We're not hanging wallpaper
36:35We've got to get her upstairs
36:36And put her on door if you're nothing
36:37It wasn't penicillin
36:39You still think the symptoms are unconnected?
36:40We've got to take care of her heart
36:42But when you wake up in the morning
36:43Your paint's peeling
36:44Your curtains are gone
36:45And the water's boiling
36:46Which problem do you deal with first?
36:48House
36:48None of them
36:48The building's on fire
36:50We treat her symptoms
36:51She dies
36:51We find the cause
36:52She lives
36:53That tick is an IV drip of poison
36:55We unhook it
36:55She'll be fine
37:05This is my last surgery
37:07The last is about three minutes
37:10Let's get a caramel
37:20Her heart rate falls below 35
37:22We're getting her to the ICU
37:24We're not going to let her die in this elevator
37:32We're on it
37:33Get maintenance up here
37:35Right away
37:37Your canal's clean
37:38Left foot's clean
37:39If it's not here
37:40We've only got
37:42Heart rate's 46
37:43It's here
37:44Looks like a mole or a freckle
37:46Something we missed
37:47Check the armpits
37:54Dr. Forman's an excellent doctor
37:55He'll be able to handle it
37:56Yeah?
37:57You know that from experience?
37:58You lose a lot of patients on elevators
37:59The maintenance guy said it didn't just stop on its own
38:01That they hit the emergency stop button
38:05I'm sure he must be mistaken
38:10Perineum
38:10We checked it
38:11If we get her upstairs
38:12We still
38:13Axilla
38:13Checked
38:17Down to 38
38:18We don't have a lot of time
38:19Eyebrows
38:20Eardrums
38:21Pubic hair
38:22Checked
38:22Checked
38:23Checked
38:23We checked everywhere
38:24It's not
38:2735
38:28We gotta get a video
38:29I said
38:30We haven't found the tick yet
38:31We already kidnapped her
38:32You and I had murder?
38:34We've looked over
38:34Every inch of skin on her body house
38:37It's over
38:46Hey
38:47Is that the first time you had sex?
38:52All the other stuff going on down there
38:53She might not have realized
38:55Oh
39:09Sick
39:10Miserable
39:11What are you doing?
39:12Oh my god
39:15See
39:16Told you it would be even more dramatic
39:23Push norepidephrine
39:24Get her heart back to normal
39:25She'll be completely cured by tomorrow
39:30Foreman, let's get her into the ICU
39:35Okay
39:48Enamronone was a stupid idea
39:51Unless you wanted me to get that girl in the elevator
39:53Oh, I wouldn't do that
39:54Wouldn't respect you if you did
40:04Wow
40:05Looks like somebody
40:07Filed
40:08Halfway through your cane
40:09While you were sleeping
40:38Reflexes back to normal
40:39Heart's looking good too
40:41I'll send in the nurse
40:42Get your transfer
40:43Out of ICU
40:44And you'll be discharged in the morning
40:46Thank god
40:47I just want to get home
40:49And back to school on Monday
40:54I'm not ready
40:56You're ready
40:58I'm sick, huh?
41:00You're not sick
41:02You're going to go to class
41:04And you're going to see your friends
41:06And your boyfriend
41:15What's this do, Hickey?
41:19The brassiere
41:20You know about those things
41:22He's a big boy now
41:24I never run away like that
41:26It's crazy
41:28Revolutionary outfit
41:29It's explained
41:31I know
41:31I know
41:33I have acrophobia
41:34Which gives me vertigo
41:35And I get dizzy
41:37What?
41:39I wanted to find out I hadn't
41:40You've got it
41:42There's no one to blame
41:44So why quit?
41:45I mean to sit behind the desk
41:46I'm careful
41:47Where you belong
41:49I heard about my acrophobia
41:51I called a divorce lawyer today
41:55Does that mean you're leaving?
41:58At some point
42:03You might not
42:05Want to sit exactly there
42:22You might not
42:23All right
42:24What?
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