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00:00Viewer discretion is advised.
00:30At this point, the race things are still too close.
00:32It's anybody's race but Forrester.
00:36Turn six! Come on!
00:55That's it! Up there!
00:57Can you see anything?
01:01Did you bring his inhaler?
01:03Oh, crap. I think it's in the car.
01:06I'll go get it.
01:07Well, there should be a container.
01:14Are you okay? Your dad's gonna be right...
01:16I can see him. He's right up front.
01:17Honey, you're wheezing.
01:19Here they come!
01:20Go, Jeff! Yeah!
01:21You're number one!
01:24He doesn't look so good.
01:28You have to go!
01:33I didn't do it!
01:36I don't know what's going on!
01:37Get this!
01:38Let's know who he is!
01:39Get this!
01:52Get this!
02:24We need to talk.
02:26Oh, God, are you pregnant?
02:28Because I really want to finish high school.
02:31You have to renew your credential.
02:33They're good for two more months.
02:34Three weeks, and the paperwork takes forever.
02:37Your application, your malpractice insurance,
02:40criminal records check,
02:41and you know that's going to take some explaining.
02:43You know, our relationship was way better
02:44when we were sleeping together.
02:46Why do we stop doing that? Did you get married?
02:48Yeah, otherwise I'd be on you like red on rice.
02:51Look, rice isn't...
02:52Oh, I get it.
02:54You're also behind on your dictations.
02:56I don't do dictations.
02:57The camera doesn't, or somebody.
02:59And you can't have your sole female employee
03:01doing your clerical work,
03:02which you'd know if you'd attended
03:03the required sexual harassment seminars.
03:05Now I'm going to pause
03:06so you can make a crack about harassment.
03:08Joke killer.
03:09House.
03:11Got a patient.
03:13Sorry.
03:14Can't play anymore.
03:15My mom's calling me.
03:19You just admitted a world-class side list.
03:21You've got to fire, Stacy.
03:22Yeah, I'll get right on that.
03:24Jeff Forster.
03:25Respiratory arrest at 30 miles per hour.
03:27She's loading me up with pointless paperwork.
03:30You're way behind on your pointless paperwork.
03:32O2 sats are in the...
03:33She's hostile.
03:34You know me.
03:35Hostility makes me shrink up like a...
03:38I can't think of a non-sexual metaphor.
03:40She's going to stand over my desk with a ruler
03:42checking my spelling.
03:43Check for lung infiltrates, nothing there.
03:45Professional athletes cut E.
03:47It's like watching an old movie at 2 a.m.
03:49reliving all the classic moments.
03:51The part where he denies its drugs.
03:53The part where the good guys ride in,
03:55test a blazing, prove that it is drugs.
03:57Oscar clip.
03:58He can't imagine how they got into his body.
04:01So familiar, so comforting.
04:03She can't handle working with me.
04:05Oh, right.
04:06Yeah, she's still got a thing for you
04:07at making it impossible for her to deal.
04:09Makes perfect sense.
04:10Except for the pronouns.
04:11Anyway, thanks for getting me out of that meeting.
04:15He's not denying the drugs.
04:21I'm thinking he's actually sick.
04:27Jeff Forster, this is...
04:29Doctor, you're a sick person.
04:33And you are a loved one.
04:35Actually, manager.
04:36We've been together for seven years.
04:37So what's the drug du jour on the bike circuit these days?
04:40Still erythropoietin?
04:41Or are you guys just chugging battery acid?
04:44There's no way I'd touch Epo.
04:45Too many guys stroking out and dying.
04:48Damn!
04:50Ten bucks for the ticket, six for the popcorn.
04:52I do straight blood doping.
04:54Plot twist.
04:57That's a very daring confession.
04:58We've got confidentiality, right?
05:00Assuming I'm more ethical than your client.
05:03So, injecting yourself with donor red blood cells for fun and profit.
05:08Any other tricks up your sleeve?
05:10Well, nothing much recently.
05:12I'm in town for a charity ride, so it didn't matter if I won.
05:15The kids just needed to see me.
05:17If you go slower, they see you longer.
05:19Let's say that our health could be affected by things we did before last Friday.
05:26Well, um, I usually sleep in a hyperbaric chamber.
05:30I've been pumping up electrolytes with an IV drip,
05:34anabolic herbal supplements, amphetamines, and diuretics.
05:39Yeah, yeah, yeah, yeah.
05:40But why would you be sick?
05:41I know that doping has risks.
05:43I know that it's outside the rules.
05:45But I do what I have to to kick ass at my job.
05:50Don't you?
05:51Dr. House is a firm believer in good old-fashioned hard work.
05:57This guy doesn't even get sick like a regular person.
06:01Instead of a list of symptoms and no cause,
06:03we have a list of possible causes for one symptom.
06:07Is the symptom death?
06:08Respiratory distress.
06:11Insanity doesn't cause it.
06:12I looked it up.
06:13It's the doping.
06:14Injecting extra red cells boosts your endurance level,
06:16but it also thickens your blood.
06:18Thick blood equals clots equals respiratory distress.
06:20Not with a clean spiral chest CT.
06:23Guy's sleeping in a hyperbaric chamber.
06:24Over-oxygenation can cause cell damage,
06:26and if the cells in the lungs are damaged...
06:27That'll cause pulmonary edema, which he doesn't have.
06:30Supplements he's been taking contain your himma,
06:32which can cause nerve paralysis.
06:34Tox screen was normal.
06:35All the tests were normal.
06:37There's no clot, no edema,
06:39yet he still can't breathe.
06:41So there's something in here that we can't see.
06:47Air.
06:48Come to papa.
06:49This guy's been injecting himself how many times a day?
06:52All he'd take is one slip of the needle to cause an air ambulance.
06:54So air is keeping him from breathing air.
06:56Let's go with that for the irony.
06:58Get a VQ scan and check his veins for bubbles.
07:06Xenon 133.
07:08It's just radioactive enough for us to track the air moving through your lungs.
07:11By accident on the news?
07:13Yeah.
07:13You make plays of the week.
07:14A few more of those,
07:16and cycling will be as popular as NASCAR.
07:18We inject similar stuff into your blood so we can watch it circulate.
07:23Now, if you accidentally injected a bubble,
07:26we'll see good airflow, but poor blood flow.
07:29I'm careful, man.
07:31With all due respect, man,
07:33I doubt there's anything wrong with you that you didn't do to yourself.
07:40There's this kid in oncology.
07:41She's got a picture of Jeff above her bed.
07:45Mickey Mantle was an alcoholic?
07:47At least he had his own home runs.
07:48He didn't physically alter himself.
07:50We take drugs to help us fall asleep, stay awake.
07:53We don't make careers out of who can stay awake the longest.
07:56Really?
07:56Ever been to, oh, I don't know, med school?
07:59Uh, guys, he plays a game for a living.
08:01Who cares?
08:02You don't even like sports.
08:04He's making millions of dollars ripping off fans.
08:06Anyone who thinks they should pay a guy money
08:08because he can throw a ball really far or pedal really fast
08:11deserves to be ripped off.
08:12Yeah, stupid, stupid kids.
08:14I've got an uncle.
08:15He can spit a cherry pit 50 yards.
08:18He's working part-time at a lube shop.
08:20Life isn't fair.
08:24Maybe it is.
08:26You were right.
08:28Now there were three wasted words.
08:31There is a bubble in his life.
08:32We should do a swan gown's catheterization.
08:35I love when you do both sides of the conversation.
08:37It's like white noise.
08:38It's very peaceful.
08:49Is there a light somewhere that goes on when I have food?
08:52Green for food, orange for beverages,
08:54red for impure thoughts.
08:56That bulb burns out every two weeks.
08:59How's your biker?
09:00Pumped an air bubble into a vein in his lung.
09:03The things people do.
09:04Doping, Vicodin.
09:06Hey, you're talking about me, aren't you?
09:08Oh, I'm just trying to function.
09:11He's trying to win himself some little yellow jerseys.
09:14Oh.
09:15What?
09:16Trouble in paradise, two o'clock.
09:19You're two o'clock or my two o'clock?
09:21There.
09:27She seems perfectly happy.
09:29Obviously, they huddled in the hall and worked up this circus act on the off chance you'd be in here.
09:33She was unbelievably pissy three hours ago.
09:36Hmm.
09:37Pissy with you?
09:38Happy with her husband?
09:39Yes, there could only be one possible explanation for that.
09:41When she's angry, she gets sarcastic.
09:44When she's annoyed, she's funny.
09:45When she's frustrated, she gets pissy.
09:47Yes, yes, I'm with you so far.
09:49She's miserable with Mark because he's not me.
09:52So she's got to make me not me, so she makes my professional life miserable if I can't do my
09:56job.
09:57You really, really need to get some.
09:59Oh, I get some some all the time.
10:01So I always need to borrow some money.
10:05Hi, James.
10:07Greg, you got to do that paperwork?
10:09I've been pissy.
10:11Pardon me?
10:12I've been busy.
10:14When you save someone's life, they owe you forever.
10:17You're right.
10:18Take Stacy.
10:19Oh, wait.
10:20She'd probably just leave you all over again.
10:22How's your recovery going?
10:24Got around to the small muscles yet?
10:26It's not the size of the muscle.
10:27It's where you get to put it.
10:29My goodness.
10:30It's like watching Oscar Wilde and Noel Coward in the third grade.
10:34Excuse us.
10:39How awkward was that?
10:41What are you doing here, anyway?
10:43He's got physio Tuesdays and Fridays.
10:45Mark is in group therapy for people coping with disability.
10:49He was thinking about developing a drug addiction, but that would be stupid.
10:52Hey, you're...
10:53You again.
10:57Not going to make some joke about Mark being in therapy?
11:01What's there to say?
11:03You're doing the responsible thing.
11:07I'm sure he's got a lot to deal with.
11:09You're making me nervous.
11:13Every time an athlete goes down, you guys assume it's drugs.
11:18Look, the doctors say it's probably acid reflux.
11:21Look, call me tomorrow.
11:23There's a good chance he'll be released.
11:25Okay, bye-bye.
11:27So is this fixing him?
11:29If his acid reflux isn't worse than we thought.
11:31Yeah.
11:32I've got to be in Spain in four days.
11:35Shouldn't be a problem.
11:36Great.
11:37If I can just find the little bugger, she'll be able to suck it out.
11:47Thanks for the week.
11:48You're under mild sedation for the test.
11:51It'll wear off.
11:53There it is.
12:02Got it.
12:03You're fantastic.
12:04I'll pack his things.
12:05Not yet.
12:05I want to monitor him for a couple of hours, make sure he's okay.
12:08Give him time to sign a picture for me.
12:11Maybe even a jersey.
12:12To Dr. Chase?
12:13I owe you everything.
12:14It doesn't have to be that personal.
12:16Oh.
12:17Not too many eBay shoppers named Dr. Chase, huh?
12:20Still trying to unload the Barbara Walters spit cup.
12:23Here you go.
12:29Seriously, anything's fine.
12:33Jeff?
12:36You all right?
12:38Jeff, can you swallow?
12:40What makes a guy start drooling?
12:43Chase, were you wearing your short shorts?
12:47Muscle fatigue in his neck and jaw.
12:49He's obviously got something worse than an air embolus.
12:51Why?
12:52Because you don't drool from your lungs?
12:54Maybe the problem is not the embolus itself.
12:56Maybe it's the treatment.
12:58Maybe you hit a nerve.
12:59Literally.
13:01The embolectomy was clean.
13:03His legs were tired, too.
13:05I thought it was from the sedation, but if not, it means he's got something systemic.
13:09Which means it would have nothing to do with the stunts he's been pulling.
13:14Lupus or polymyositis.
13:16It explains the progressive muscle weakness.
13:18It could be ALS.
13:19He's too young for that.
13:20Some type of muscular dystrophy?
13:22He's too old for that.
13:23So what would be just right, Goldilocks?
13:26Full blood workup, including ANA for lupus.
13:29And get a muscle biopsy.
13:30Find out if we're talking myopathy or neuropathy.
13:34I'm late for my session.
13:36Session?
13:38It's all a part of the process.
13:40You get angry, and then you get...
13:42Yeah, I'm right on schedule.
13:44So when am I going to be done?
13:47I need to know, because I've got plans to make.
13:49When can I safely book a game of squash?
13:52When am I going to stop being angry?
13:54Not today.
13:57I've come for the healing.
14:00Dr. Harper, as you know, I, uh...
14:03I have a bum leg.
14:05What you don't know is I'm upset about it.
14:09I need to talk.
14:10What?
14:11You know, House.
14:11You know we have a history.
14:13You've been telling me for years that I should come by.
14:15Here I am.
14:17Hi, guys.
14:18We've got a Thursday group.
14:20Poker night.
14:21Monday morning?
14:22Book club.
14:24Well, look, if it's a problem, I'll just go deal with my rage privately.
14:27Wait.
14:29If you two could resolve this tension, you could really help each other.
14:35I'm tired of fighting.
14:41So either I say yes, or I'm the jerk?
14:43Oh, God, I know that feeling.
14:47I took the muscle specimen from Jeff's thigh.
14:50Figured that's where we'd have the best chance at finding something.
14:52It's the most painful place to cut into.
14:56I assume that's caffeine-free.
14:58Wouldn't want to be artificially boosting your performance.
15:01Oh, don't start her up again.
15:02Caffeine's legal.
15:04All about the rules, eh?
15:06It's a bike race.
15:08I've got a reason that some committee says that they should.
15:10Huh.
15:11But that's the point.
15:12That's what the game is.
15:13So if you break an arbitrary rule, Cameron damns you to hell.
15:16But if you break a rule that actually has a reason that's designed to protect people,
15:19Cameron develops a crazy crush on you.
15:21House doesn't pretend to be some golden boy.
15:24He does it to help people, not to glorify himself.
15:26So why don't you report Jeff to the biking authorities?
15:29Um, ethics?
15:30Well, you wouldn't be doing it to glorify yourself.
15:32You'd just be trying to make a better world.
15:36At least you can still get around on your own.
15:39Yeah, I know.
15:40But you're starting to walk.
15:43You're going to get better.
15:45You have a job.
15:46Way to be productive.
15:47You have a wife.
15:49Which gives greater meaning.
15:52Wife could make things harder, too, I suppose.
15:57This isn't about Stacy.
15:59When it happened to me, Stacy was great.
16:03But she kept telling me not to rush it.
16:06Because I never believed her.
16:09She means it.
16:11I know, but Stacy, she didn't have to wait, right?
16:18And you know she feels it, too.
16:21There's more time at work.
16:23There's more satisfaction from work.
16:25She didn't get married to be a nursemaid.
16:29She wants a man.
16:39How the hell could she have loved a manipulative son of a bitch like you?
16:42That's an interesting question.
16:44Maybe she was attracted to different things than the two of us.
16:47She left you.
16:48But why was she with me to begin with?
16:49She made a mistake.
16:51Maybe it's that simple.
16:52Or maybe she saw something in me.
16:54Something she doesn't get from you.
16:55I'm not an ass.
16:57Maybe she wanted an ass.
16:58She obviously did once.
16:59Either he goes or I go.
17:00You think that's the kind of thing you can just turn off?
17:02Get him out of here!
17:03Dr. Howes, cancel your book group.
17:05You're coming on Mondays.
17:11Here's my new theory.
17:13The drooling's another competitive edge.
17:16Nobody can draft behind him.
17:17The world gets slick.
17:18He's the only one not racing in the rain.
17:20He can barely move his arms or legs.
17:23Paralysis?
17:23No, just general weakness.
17:25Also, biopsy is negative for polymyositis.
17:27And ALS.
17:28And muscular dystrophy.
17:30ANA for lupus, also negative.
17:32Maybe his bike shorts are just on too tight.
17:34So, by your rationale,
17:35House shouldn't use a cane.
17:36He should just drag his bum leg around,
17:38as God intended.
17:39House has a handicap.
17:40All he's aiming for is normality.
17:42And who decides what's normal?
17:44What if you find a drug that makes people live 20 years longer?
17:46Should we ban that because it's not normal?
17:48Jeff doesn't want normal.
17:49He wants superpowers.
17:50So, why is he normal?
17:52Oh, God.
17:53You, too?
17:54He's shooting for extraordinary.
17:57So, why is everything so ordinary?
17:58I mean, this guy's breathing, drinking,
18:01and injecting himself with everything he can find
18:02to amp up his body chemistry,
18:04and yet every test is normal.
18:06He's artificially raising his red blood count.
18:08So, why isn't he raised?
18:09Maybe his count is raised.
18:10Maybe what's normal for us is out of whack for him.
18:13I can't slip anything by you.
18:15Well, if that's true, his white cells are up, too,
18:17which would point to some kind of infection.
18:19Muscle weakness, exhaustion.
18:21You could have encephalitis.
18:23It's kind of a long shot.
18:24Yeah.
18:25But it's been over an hour
18:26since we poked the patient with something sharp,
18:28so get a lumbar puncher.
18:30An order of broad-spectrum antibiotics.
18:33No, it's not about judging.
18:35It's just that on a dating service,
18:37you should post a photo.
18:40I have to...
18:42I'm so sorry to bother you.
18:44Nope, not a problem.
18:45I was just, um, accounting.
18:47I'm Jeff Forrester's manager.
18:49He's been here a whole day,
18:51and it doesn't seem like we're any closer to a diagnosis.
18:54Jeff Forrester.
18:55A whole day, huh?
18:56Mm-hmm.
18:57I was just wondering if I could help speed things up.
19:01Your client had a muscle biopsy,
19:02a full blood workup,
19:04and he's scheduled for a lumbar puncture at 10 a.m. tomorrow.
19:07Jeff is in the Lucas swing.
19:08If Mr. Lucas showed up needing a lumbar puncture,
19:11would he have to wait until tomorrow?
19:13Mr. Lucas is dead.
19:14Good.
19:15Then there's an opening.
19:18Jeff is used to doing whatever he has to
19:20to be first his name.
19:21It's been very lucrative for him.
19:23He feels it's important that he give something back.
19:26I hear you've been raising funds
19:28for your nuclear medicine department.
19:33Well, whatever.
19:42Thank you guys for working so late.
19:46Glad to be here.
19:48The lumbar puncture will tell us
19:50what kind of infection you've got.
19:52In the meantime, we're administering antibiotics.
19:57Do you like being a hero?
20:00It's a living.
20:02You don't feel a sense of responsibility?
20:04There's kids out there that worship you.
20:08I was a rookie on the tour.
20:12I got a letter from a guy in Wisconsin.
20:14He went to meet you.
20:16I sent a note to his son.
20:18It said he worshipped me.
20:21You know what worship means?
20:22I looked it up.
20:25It means to love.
20:28Unquestioningly and uncritically.
20:31So the kid doesn't even know me.
20:34But he loves me.
20:36Unquestioningly and uncritically.
20:38So you decided to take advantage of that.
20:41What should I have done?
20:43Dear sir,
20:45I'm just a guy
20:46who heads a bike pretty good.
20:49You and your kid are
20:51out of your minds.
20:55My arms feel funny.
21:00The sats are dropping.
21:01He's in respiratory arrest.
21:02Can't be.
21:03We fixed that.
21:05Apparently not.
21:18So glad we cured his respiratory arrest.
21:21Freed him up to develop respiratory arrest.
21:24LP was negative for encephalitis.
21:26The white count's still the same,
21:27but the red count's fallen to 29%.
21:29What was my theory yesterday?
21:31That I screwed up the embolectomy.
21:34We'll get a chest x-ray to check.
21:36I didn't screw up.
21:37Why would you be so petty, Chase?
21:38He's down to court.
21:39Either he's losing blood
21:41because you nicked something,
21:42or he's just not producing blood,
21:44in which case we're talking acute anemia
21:45combined with a muscular disorder.
21:48Paraneoplastic syndrome?
21:49Either you screwed up
21:50or he's got cancer.
21:58I think I should start smoking again.
22:01You want a medical opinion
22:02supporting that decision?
22:04The symptoms started as soon as I quit.
22:06Symptoms meaning...
22:08diarrhea.
22:10A lot of diarrhea.
22:11Ten or twelve times a day.
22:13It's really embarrassing.
22:14I'm a flight attendant and...
22:18On the upside, my hiccups are gone.
22:20You went to his group.
22:22Well, you were the one.
22:23He was all,
22:23Greg, you need to confront your feelings.
22:25That was five years ago.
22:27I've been pissy.
22:28Fine, you don't want help?
22:29Does that mean nobody should get it?
22:31Mark's looking for help
22:32because, what, he's resentful?
22:34Overwhelmed?
22:34I'm asking him because I care.
22:36Not about him.
22:37You still want to jump me,
22:38so you don't care who's married.
22:39Listen, I can get my rocks up
22:41any time I want.
22:42What I don't seem to be able to do
22:43is my job without you
22:44hanging over my shoulder.
22:50How many packs?
22:52A bit over one a day,
22:55but there were lights and I quit.
22:57You used to go out with her?
22:59Yeah.
23:00What was I thinking?
23:02I'm talking about the gum you're chewing
23:04to replace smoking as an oral fixation.
23:06How many packs?
23:08Six, maybe seven.
23:10I'm trying to protect you.
23:11Cuddy and I may be the only people
23:13stopping you from jumping off a cliff
23:14just to prove that you're...
23:15Oh, I am angry.
23:17Pissy.
23:17You only get pissy when you're frustrated.
23:19Shut up.
23:19Okay, I'm wrong.
23:21This is unbelievably difficult for Mark,
23:23which you should know,
23:24which you should be able to summon up
23:26some level of empathy for.
23:28Right.
23:28The crippled boys.
23:29We should start a band.
23:31I have a good thing with Mark.
23:33We are handling this the best way we know him.
23:35And none of this has anything to do with me?
23:37No, nothing,
23:38except that you can't or won't just let it go.
23:43Let it go.
23:53You're being poisoned.
23:55By gum?
23:57Sugarless gum uses sorbitol as a sweetener.
24:00We use sorbitol as a laxative.
24:10This will tell you if he's got cancer in his blood?
24:12If he does,
24:13we'll see abnormal cells in the marrow.
24:16How long will the test take?
24:18I'll get them in as soon as I can.
24:21And if he doesn't have cancer,
24:23what else could it be?
24:25It's possible some damage was done
24:26during one of the tests we gave him.
24:28So either one of your doctors
24:29screwed up a simple procedure
24:31or he's got cancer.
24:32We can't know anything for sure
24:34until the biopsy comes back.
24:38It stings, I know.
24:40No, he wants the tube out.
24:41Can't do that, Jeff.
24:43If you want to say something,
24:44you've got to write it down.
24:45Okay?
24:47Here.
25:04If it's cancer, it's possible.
25:07There's no way to know for sure.
25:14Phone not working?
25:17One of the morgue attendants
25:20asked me to bring this to you.
25:25I wonder why they're calling me.
25:26Yeah, me too, actually.
25:28I was wondering why the Times
25:30was returning your call.
25:33You a doctor or the bicycle police?
25:36He's cheating.
25:38You shouldn't get away with it.
25:42Have you actually told them anything yet?
25:44You worried about the president?
25:45I'm worried about you.
25:46Are you going to turn me in?
25:49No.
25:53He's made a mistake.
25:55Revealing the truth doesn't undo it.
25:57Kids love him,
25:58and he's not who they think he is.
26:00It's not right.
26:00Who cares if he's what he says he is?
26:02Who the hell is?
26:04If love is based on lies,
26:05does that mean it's not a real feeling?
26:07It doesn't bring the same pleasure?
26:09Are we still talking about the patient?
26:16Have you ever cheated?
26:25Well, I have.
26:27You want to punish him?
26:28Good for you.
26:29But you can't do it without punishing the people who love him.
26:32Is that how you justified lying to your wives?
26:35I always told them.
26:41Well, he's negative for bleeds.
26:44Congratulations, Chase.
26:45It's cancer.
26:48Clean him up and let oncology have him.
26:50It's their party now.
26:51He doesn't have cancer.
26:53Biopsy shows he's got pure red cell aplasia.
26:56There's no way PRCA can manifest so suddenly.
26:58Unless it's drug-induced.
27:00He's lying about not being on EPO.
27:02Why would he lie?
27:03What does it matter?
27:06People lie for thousands of reasons.
27:08There's always a reason.
27:10Philosophically interesting, medically irrelevant.
27:12Unless he's not lying.
27:18You've got a leak.
27:20The press is all over the Jeff Forster story.
27:22On the off chance that one of you was stupid enough to call from your own office,
27:25I'm pulling your phone records.
27:27Including your cell phones.
27:28I assume if I point out the fact that you have no right to do that,
27:31you'll interpret that as a sign of guilt.
27:33Wilson's chatty.
27:35Plus, he's got two ex-wives to support.
27:37You want me to tell him he's fired?
27:38Until we figure out who's behind this, I'm sitting in with you guys.
27:41You have the ethics of a four-year-old.
27:43I'm going to treat you like one.
27:44Am I supposed to practice medicine with a lawyer sitting on my shoulder?
27:48Responsibly.
27:48You know I can't do that.
27:51Cameron.
27:53I'm not the leak.
27:54Somebody once told me that everybody lies.
27:56Since you're the only people who know he has cancer.
27:58He doesn't have cancer.
28:00The point is, you're his medical team.
28:02He's threatening to sue.
28:03Why would Cameron leak cancer?
28:07How does cancer make the guy look bad?
28:14He's on Epo.
28:18Your anemia is caused by pure red cell placement.
28:23This is going to hurt, but we got to talk.
28:26What the hell are you doing?
28:27He'll be fine.
28:28Sort of.
28:29I just don't have time to watch him write out answers.
28:34PRCA comes in two varieties.
28:36Chronic and acute.
28:38Since it came on fast, you have the acute version.
28:41He doesn't have cancer.
28:42There's the good news.
28:43The bad news is, pants are on fire.
28:47Acute PRCA is caused by drugs.
28:50Most commonly, Epo.
28:52Ready and action.
28:54I haven't used Epo.
28:57Okay, but this time more anger.
29:00Remember, this guy's accusing you of cheating.
29:03I haven't used that stuff.
29:06Oh, I believed it.
29:08It was simple.
29:09It was pure.
29:10Did you believe it?
29:11I guess it's silly to cast someone after the first audition.
29:14Why don't you do a reading?
29:15Read that.
29:16He doesn't do Epo.
29:17Hmm.
29:18What did you think?
29:19It's a different way to go, but I don't know.
29:21I just didn't buy it.
29:22Did she handle any of your injections?
29:24You think I'm giving it to him?
29:26Test him.
29:27Gee, that's a great idea.
29:29I sure hope that Epo's not one of those drugs that's undetectable after six hours.
29:33Hey, you know what we can test for?
29:36Phone calls.
29:37Take her cell phone.
29:38Push the redial button.
29:40Even money says you'll be connected to the newspaper that leaked your cancer story.
29:45Okay.
29:48Okay, I should have told you.
29:50It's not just about the races, Jeff.
29:52It's about your image, okay?
29:54If you come back from cancer, those sponsors will be all over you.
30:00Okay, so I messed up, okay?
30:02But I did not give you Epo.
30:04That stuff could come.
30:08Come on, don't ever break you.
30:10She's only doing what she has to do to advance her career.
30:12Don't you have that tattooed on your tushy?
30:14I would never do anything to hurt you.
30:18Who are you going to believe?
30:20The manager you've trusted for years?
30:24I'm in the college.
30:33You're fired.
30:44Okay.
30:46You're basing this whole diagnosis, everything, on the idea that I was slipping him illegal drugs.
30:59You're going to kill him.
31:12If Dr. House is so sure, why do you need to stay?
31:16He's a very cautious man.
31:19Your breathing's better.
31:20Let the print in the zone do his job.
31:22Get some sleep.
31:32Jeff?
31:44His red blood cell count plummeted to 16%.
31:46He passed out, had to be resuscitated, and he still can't move his legs.
31:50It's not possible. The drugs should be flushing out of his system.
31:53Can't leave if they don't exist.
31:55The evil use explains every one of his symptoms.
31:58He's been lying and cheating, and now it's coming back to bite him.
32:01The only problem with that theory is it's based on the assumption that the universe is a just place.
32:06If it were, then his poor manager wouldn't have been fired for no reason.
32:09Lambert Eaton.
32:10His chest was clear.
32:11So we run an electromyography test.
32:13You're still not explaining the PRCA.
32:16What's his red count now?
32:17I had to give him a blood transfusion. He's back around 30.
32:20He needed a transfusion?
32:22He was losing blood, so I thought maybe he needed blood.
32:29Go forth and scan his neck.
32:32His neck?
32:33Or repeat everything I say in question form.
32:35I...
32:48She came into the clinic and yelled at me.
32:51Then she left, and she came back and yelled some more.
32:55Hmm.
32:56Yelling.
32:58That might be a clue.
32:59I know what the yelling means.
33:01It's the coming and going I find interesting.
33:04It's not rational.
33:05Anger is not rational.
33:06Some anger is.
33:08She could have pulled me aside, screamed at me privately.
33:11Her beef is simple and well-founded.
33:14She was out of control.
33:16You're having fun, aren't you?
33:18She's in my face.
33:19I need to know why.
33:20Professional reasons.
33:22Why else?
33:24Do you really think this is going to end well for anyone?
33:33After this, let's scan some other totally random body parts.
33:3750 bucks says we find something.
33:41Find what?
33:42Don't have a clue.
33:43We on?
33:44No way.
33:49Nope.
33:50We'll find something.
33:56We found a thymoma.
33:58How'd you know to look in his neck?
33:59Thymoma is usually present in the chest.
34:01I know it wasn't in his chest.
34:03All we've done since he checked in is look at his chest.
34:06All the more reason not to think...
34:07There are two types of PRCA.
34:09Acute comes on suddenly.
34:10Chronic takes its time.
34:12We all thought Jeff's was acute because it happened right in front of us.
34:15What if it had been there for months?
34:16Maybe years.
34:17There's no way.
34:18It would have kept him from racing.
34:19With that kind of anemia, he would have needed constant...
34:23Blood transfusions.
34:24Which he was getting in convenient blood doping form.
34:27He was treating himself without even knowing it.
34:30Up to half of patients with chronic PRCA have a thymoma.
34:33And up to half of patients with a thymoma...
34:36I've always wanted to do this.
34:48I'm not getting any better.
34:50Does that mean...
34:54You are healed.
34:56Rise and walk.
34:58Are you insane?
34:59In the Bible.
35:00Just say, yes, Lord.
35:01And then start right in on the praising.
35:04First you tell me...
35:05I've got cancer.
35:08And then you tell me...
35:10That my manager...
35:25What did you do?
35:27Lord.
35:29Thymoma is a tumor on the thymus gland.
35:31He's a bit of a wimp, but he hangs with the tough guys.
35:35It's PRCA and an autoimmune disease called myasthenia gravis.
35:39MG causes muscle fatigue, including respiratory problems and difficulty swallowing.
35:44And it can hit you that fast?
35:46The treatment for PRCA is blood transfusions.
35:49The treatment for MG is hyperbaria.
35:51You were doing both as part of your regular freak show.
35:54You took a break.
35:55Everything went to hell.
35:56It's just not an uncommon reaction to Jersey.
35:59So?
36:00The whole thing with my manager?
36:03Oops.
36:05No.
36:06No, Epo.
36:07This has nothing to do with anything you did.
36:09You could let her know she's in the clear.
36:11I could.
36:14Or 10% of a Nike contract is a hell of a lot of cash.
36:21You don't need your thymus.
36:22We take it out.
36:23Everything else is manageable.
36:24Manageable?
36:25I thought you just cured me.
36:26Ah.
36:27This is just diagnostic.
36:29Tensolana raises the symptoms of NG for five or six minutes.
36:41Sometimes less.
36:44This is exactly why I created nurses.
36:47Clean up on aisle three.
37:00You've come to search my office.
37:02You should wait 10 minutes or I'm out of your hair.
37:04Here, start with my purse.
37:06Just save me some mints.
37:09What do you want to know?
37:09My sex life with Mark?
37:11My guilt over crippling your damn leg?
37:13I'm just here to gloat because you weren't the leak.
37:16I want to apologize.
37:23Maybe I've been punishing you for a little too long.
37:31Maybe you've been punishing me for going to work together.
37:36I need to know.
37:40Do you hate me or do you love me?
37:45Either way, I think we've got a problem.
37:50I hate you.
37:52And I love you.
37:56And I love Mark.
38:01And you don't hate him?
38:03No.
38:08So, what do we do?
38:09We deal with each other.
38:14Right.
38:16That plan's been working great so far.
38:20It'll get better.
38:21It'll get easier.
38:23Why?
38:24I don't know.
38:24It's what my therapist tells me.
38:46In the professional cycling world, we are subject to what seems like constant witch hunts.
38:53But I want to thank Dr. House and the excellent medical team here at Princeton-Planesboro.
38:58My hope is that this diagnosis will put to rest any rumors that I would ever...
39:03He needs blood transfusions every two weeks, which means he can dope all he wants.
39:07He's got a doctor's pass.
39:10It's medicinal.
39:13He cut away with it.
39:15Mm-hmm.
39:17He cheated and won a game.
39:20Life's more complicated than who gets to the finish line first.
39:29I fell in love with my husband's best friend.
39:35Near the end, I was at the hospital every day.
39:40And Joe would come by after work.
39:43We'd go for walks and try to talk each other through it.
39:48We kind of clung on to each other.
39:55My wife...
39:58wasn't dying.
39:59She wasn't even sick.
40:01Everything was fine.
40:04I met someone who...
40:08made me feel...
40:10funny.
40:14Good.
40:16And I didn't want to let that feeling go.
40:26What happened to you?
40:29How can anyone go through that alone?
40:33You can't control your emotions.
40:35No.
40:39Just your actions.
40:48You didn't do it, did you?
40:49You didn't sleep with him.
40:52I couldn't have lived with myself.
41:02You'd be surprised what you can live with.
41:23You'd be surprised what you can live with.
41:24I need you to open a door.
41:26Not loud.
41:28Yeah.
41:29I was having therapy in here today.
41:31And I left my cane.
41:33Sorry.
41:36Dude.
41:39I'm crippled.
41:45Well, you better listen, my sisters and brothers.
41:48Because if you do, you can hear.
41:52There are voices still calling across the years.
41:59And they're all crying across the ocean.
42:02And they're crying across the land.
42:06And they will, too.
42:08We all come to understand.
42:12None of us are free.
42:15None of us are free.
42:19None of us are free.
42:21One of us has changed.
42:22None of us are free.
42:26And there are people still in darkness.
42:29And they just can't see the light.
42:33If you don't say it's wrong, then that says it's right.
42:39None of us are free.
42:42None of us are free.
42:45None of us are free.
42:47One of us has changed.
42:49None of us are free.
42:52None of us are free.
42:55None of us are free.
42:59None of us are free.
43:01One of us has changed.
43:03None of us are free.
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