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00:05Jessica!
00:09Jessica!
00:11Come on, we've gotta go!
00:16Move it or lose it, sister.
00:18I don't feel good.
00:26You don't feel warm.
00:28My stomach hurts.
00:29Honey, if you don't have a fever...
00:31I don't wanna go to school. I can do my work at home.
00:36Jessica, what's wrong?
00:40Everybody hates me.
00:44They don't hate you.
00:45They don't even know you because they're too ignorant to try.
00:48I hate myself.
00:50Jessica, don't say that.
00:52Oh, honey.
00:54Look at me, look at me.
00:56You are
00:58a wonderful,
00:59beautiful little girl.
01:01Don't let a few bad apples...
01:02A few?
01:04Try my whole class.
01:07Remember the story where the guy keeps saying
01:09that he hates Green Eggs and Ham?
01:11And then at the end he realized he really loved them?
01:13One day, they're gonna realize
01:15what a great kid you really are.
01:18You just gotta be like Sam, I am.
01:20And don't give up.
01:28That's it.
01:30Keep going.
01:33Good. Nice.
01:35You're doing great, Jessica.
01:36You're doing great.
01:41Hey. Hey, Seth.
01:43You wanna spend the rest of the class sitting on the bench?
01:45No.
01:46Keep going, Jess.
01:47You got 40 more seconds.
01:48No.
01:49Come on.
01:50Tough it up.
01:50You can do it.
01:51You can do it.
01:53My chest hurts.
01:54How do you think the ground feels?
01:55Hey, Seth.
01:56Two laps.
01:56Bye.
01:57Hey, Jess.
01:58It's just a stitch, okay?
01:59Just...
02:00Keep breathing.
02:01You got it.
02:02I can't.
02:03Only ten more seconds.
02:04You got it.
02:15Jessica.
02:15Jessica.
02:17Jessica.
02:24Oh, my God.
02:25Hey, go to the office.
02:26Get Ms. Parsons.
02:27Now!
02:29I'm on the playground at Finley Elementary.
02:30One of my students is having a heart attack.
02:33Yeah, she's ten.
02:34Don't you think I know that?
02:35Just send the damn ambulance.
02:36Come on.
02:37Wake up.
02:38Come on, son.
03:19You ever seen an infected, pierced scrotum?
03:23Uh, no.
03:24But I know a few people on whom I'd like to see it happen.
03:27We need to talk.
03:28Well, the pain's what you're after.
03:29I'm sure the penis is really the way to go.
03:31I'd recommend the apidravia.
03:33We're not talking.
03:34Cool.
03:35Sounded like we were.
03:36No.
03:38You're attempting to avoid talking because you know what I want to talk about.
03:42Nipples?
03:44I need to get rid of one of your people.
03:46Absolutely.
03:46As soon as I do performance reviews.
03:49And then review the reviews, of course.
03:51A decision like this can't be made without proper, you know, review.
03:54Shouldn't take longer than a month.
03:56Maybe two.
03:57Four at the most.
03:57Unless it gets complicated.
03:59There's no way out of this.
04:01You might as well get it over with as fast as you can, like ripping off a band-aid.
04:04Only instead of a two-cent piece of tape and gauze, it's a human being.
04:07Like you care.
04:08Like you don't.
04:13You have a week.
04:15Get it done.
04:24Waiver referral from Dr. Lankiewicz.
04:27Don't know him.
04:29He knows you.
04:30What's the problem?
04:31Heart attack?
04:32Definitely don't know him.
04:34The patient's ten.
04:37Ten-year-olds do not have heart attacks.
04:39It's gotta be a mistake.
04:40Right.
04:41Simplest explanation is she's a forty-year-old lying about her age.
04:44Maybe an actress is trying to hang on.
04:47I meant maybe the tests were wrong.
04:49That's what the ER thought.
04:50Three CKMBs were positive.
04:51The EKG shows classic signs of ST elevation.
04:54It's a heart attack.
04:55She's morbidly obese.
04:57The morbid part of that raises alarms.
04:59Come on, it takes decades to eat your way into a heart attack.
05:02Doesn't take decades to kill yourself.
05:04If I was that fat, I'd be pretty tempted to knock back a bottle of pills.
05:07It's not a drug overdose.
05:08The fatigue, muscle pain and difficulty concentrating have been bothering her for over a year.
05:12That's because of her weight, because of her depression.
05:14That's what five pediatricians, two nutritionists and a psychologist said.
05:18A heart attack would seem to indicate that they missed something.
05:21It's gotta be something genetic.
05:22What about metabolic syndrome X?
05:24Insulin resistance?
05:25Syndrome X could cause a stroke. I don't know about a heart attack.
05:28Could, if her blood pressure was high enough.
05:30Which is likely considering her weight.
05:32Fits the symptoms.
05:33It's me likey.
05:35To a hyperinsulinemic euglycemic clamp.
05:40Oh, and one more thing.
05:43I've been told that I gotta get rid of one of you guys by the end of the week.
05:49New sheriff, belt tightening.
05:51You know how it goes.
05:56Okay, carry on.
06:03Some kind of game.
06:04House's own version of Punk'd.
06:06It's not House.
06:06It's Boogler.
06:08We can't let it get to us.
06:09We better stick together.
06:10Why?
06:10What are you suggesting?
06:11We start slashing each other's throats?
06:12I'm suggesting it's a zero-sum game.
06:14Your loss is my win.
06:16That's not conducive to tame plot.
06:17Which is what House seems to want.
06:20Come with Cameron.
06:21It may be a bad strategy, but I don't want to give House that satisfaction.
06:25Come on, sick kid, remember?
06:30She's diabetic.
06:32No, but it's similar.
06:34MSX patients don't respond normally to insulin, which causes their body to create too much.
06:38And that leads to metabolic abnormalities.
06:41I'm going to do a test to be sure, but there are certain dangers.
06:44Is this thing treatable?
06:47It's controllable through proper diet and exercise.
06:49Wait.
06:51Jessica already eats right.
06:53And she exercises every day.
06:55I know you've already seen several nutritionists.
06:57And we've done everything they've recommended.
06:59I understand, but...
07:00Why can't any of you doctors see past her weight?
07:06If diet and exercise are the treatment, then the diagnosis is wrong.
07:11It might be.
07:13But the only way we'll know is if you let us do this test.
07:20It's really bad, especially at night.
07:23It's like my heart is on fire.
07:24Like it's, um...
07:26Oh, I don't know, like, uh...
07:28Burning?
07:29Exactly.
07:30Hmm.
07:31Sounds almost like heartburn.
07:35So, can you give me something?
07:37Like a thesaurus?
07:38What?
07:39I take it you never mention this during any of your prenatal visits.
07:42Prenatal?
07:45I'm not pregnant.
07:47Sorry, you don't get to make that call unless you have a stethoscope.
07:49Union rules.
07:50I know when I'm pregnant, all right?
07:52I have six kids.
07:54That's why my husband had a vasectomy and we used condoms.
07:57Vasectomies can reverse themselves, condoms break.
08:00Okay.
08:02This is what a woman is supposed to look like.
08:05Okay? We're not just skin and bones.
08:07We have flesh.
08:09We have curves.
08:11You have little people inside you.
08:15Okay, okay.
08:17I'm sorry.
08:19Guess I must have just been brainwashed by the media.
08:21And all those years of medical training.
08:23Damn right.
08:24I'll see if I can find some antacids while the nurse gets some blood.
08:28Blood?
08:29Why?
08:30The heartburn.
08:31Gotta make sure it's done.
08:33Spreading.
08:39I don't want to.
08:41The test involves some pretty precise measurements.
08:44If we don't know exactly how much you weigh, we won't get the right answers.
08:50I'll tell you a secret.
08:52When I was your age, I was heavy too.
08:55Were you over a hundred?
08:57Way over.
08:58The kids in my neighborhood used to call me Rerun.
09:01Rerun?
09:01He was a heavy guy from TV.
09:03I used to pretend I liked it, but I didn't.
09:06How come you're not heavy anymore?
09:08Ninth grade.
09:09Grew five inches.
09:10Everything kind of evened out.
09:12You think that'll happen to me?
09:14Well, yeah.
09:15Your mom's tall and you are a little short for your age.
09:18Probably spring right up.
09:20No.
09:27Yeah, I'd like it.
09:28I'd like it.
09:28I'd like it.
09:28Yeah, I'd like it.
09:30Obesity isn't something you just grow out of.
09:33Take it you've never seen a baby?
09:34She's not a baby, she's ten.
09:36And you figure making her feel like crap would do a world of good?
09:39Yeah, if it gets her off the couch.
09:41I'm sure she's already under enough pressure.
09:43Not for mummy.
09:44Everything in society tells us we have to be thin to be successful.
09:48No.
09:48Society tells you you have to be thin to be attractive.
09:51And guess what?
09:51That's what attractive means.
09:53That society likes looking at you.
09:55I think we should be telling our kids it's fine as long as they're healthy.
09:58Right.
09:58You weigh 90 pounds because it makes you healthier?
10:02Forget it.
10:03He's just cranky because he knows he's the one who's going to get the axe.
10:12So, any thoughts?
10:14On what?
10:16Sharon's plan for Gaza?
10:18Who are you going to let go?
10:19Thinking I could convince Vogler it would be more cost-efficient to keep all of them.
10:23Yeah, you should be able to pull that off.
10:25Most billionaires aren't very good with numbers.
10:27It will be more cost-efficient once I grab Cameron's ass,
10:30call Foreman a spade,
10:32and Chase will not grab his ass, too.
10:36You are uniquely talented in many areas,
10:38but office politics is not one of them.
10:41Don't take Vogler on.
10:44Separate or together?
10:45Together.
10:51Increasing glucose to 6.9 milligrams per minute.
10:54Are you okay?
10:54I'm thirsty.
10:56Just a little bit longer and you'll be done.
10:57Like Dr. Chase.
10:59Want to put some money on it?
11:04I said I'm thirsty.
11:05Just five more minutes, okay, sweetheart?
11:07I'm not your sweetheart.
11:08Don't call me that.
11:09Jessica, that's not nice.
11:11They're the ones who aren't nice.
11:12Jessica.
11:12You're not either.
11:13I don't want to do this anymore.
11:15Jessica, stop it.
11:16Calm down.
11:18Let me go.
11:19She's got to be getting hypoglycemia.
11:21You've never seen a hypoglycemia.
11:23Hey, hey, hey.
11:24Stop me.
11:26Get out of me.
11:27Stop me.
11:28Stop me.
11:29Stop me.
11:30No.
11:34She's sedated.
11:36Mrs. Sims, don't worry.
11:38Hypoglycemia can cause temporary psychosis
11:40and is a common complication during an HEC procedure.
11:43I never wanted it done in the first place.
11:45We understand you're upset, but we don't...
11:47You were supposed to be monitoring her condition,
11:48but instead you were bickering and placing bets.
11:50I apologize if it looked like we weren't
11:52devoting our full attention to your daughter,
11:53but I assure you that we...
11:55Oh, please.
11:55Save your pathetic insincerity for your boyfriend.
11:58You're wrong.
11:59She is, in fact, pathetically sincere.
12:02And they didn't screw it up.
12:03Who are you?
12:05I'm from the lab.
12:06The blood tests show your daughter was not hypoglycemic,
12:09which means her psychosis wasn't caused by anything
12:10these doctors did.
12:11So then what was it caused by?
12:14I have no idea.
12:16But you'll be happy to hear
12:17it cannot be cured by diet or exercise.
12:30What else could cause uncontrollable rage
12:34in a ten-year-old?
12:35Nothing that could also cause a heart attack.
12:39I assume I don't have to point out
12:41that now would be an extremely good time
12:45for one of you to distinguish yourself
12:47with a brilliant idea.
12:54A hyper-coagulable state can cause a blood clot.
12:56Blood clots can cause a heart attack.
12:58More likely to cause a stroke, not a psychosis.
13:00No, you're wrong.
13:01If a clot made it to the amygdala area of the brain,
13:04it might cause uncontrollable rage.
13:05Right, because anything's possible,
13:07but nothing's going to cause multiple clots
13:08in a kid this age.
13:09She's fat.
13:10Obesity doesn't cause blood clots.
13:12Extremely obese patients can get a fat embolus.
13:14Right, after they've had liposuction,
13:16which she's clearly never had.
13:17How do you not?
13:18Because we have her medical records.
13:19And because no plastic surgeon in his right mind
13:21is going to give a ten-year-old liposuction.
13:23Have you ever met a plastic surgeon
13:25who was in their right mind?
13:28She hasn't had liposuction.
13:32But what about some other ridiculous obesity treatment?
13:35Like what?
13:36Diet pills can cause heart attacks and blood clots.
13:39Her tox cream is negative.
13:41Wouldn't show over-the-counter weight-alust drugs.
13:43Her mother wouldn't give her diet pills.
13:44Yeah, she thinks her daughter's perfect
13:46just the way she is.
13:48She's lying.
13:50Okay, you two, heparin and warfarin
13:52to prevent further clotting.
13:54And you, find those pills.
14:08Not diet pills.
14:11You might want to broaden the search just a little.
14:14And don't just ask the mom.
14:15She hasn't mentioned it yet.
14:17She's not going to...
14:17If you're going to fire someone,
14:18go ahead and do it.
14:20But don't treat us like lab rats
14:22testing how long it takes
14:23to get us at one another's throats.
14:25So what should I do?
14:26I don't give a damn what you do.
14:27Yes.
14:28I had noticed your complete indifference.
14:31You don't even offer a medical opinion anymore.
14:35Who would you fire?
14:37Not my call.
14:38That wasn't your opinion.
14:41Fine, it's you.
14:44Either way, you're making a choice.
14:49Chase.
14:52Because you screwed up an angio a month ago?
14:54Anyone can make a mistake.
14:56Right.
14:57What's the money?
14:58You're resented,
14:59but you're going to tell me
15:00that he doesn't need the job.
15:01He doesn't appreciate the job.
15:02He was ready to go three rounds
15:04with Cameron for it.
15:04He wants the job.
15:06He just doesn't appreciate it.
15:08There's nothing wrong
15:09with just wanting to hang out,
15:10but this is not the place to do it.
15:14I'm surprised.
15:16You thought I'd pick Cameron?
15:18I didn't think you'd pick at all.
15:25This is not the rise above the fray guy
15:28he'd like us to think he is.
15:29You practically forced it out of him.
15:31He's scared of losing his job,
15:32just like everybody else.
15:34I've been thinking.
15:35You've made it quite clear
15:36that you're miserable here.
15:37I am not miserable.
15:39You're not happy.
15:40And you are?
15:42With my job, yes.
15:44I am exactly where I want to be,
15:45doing exactly what I want to do.
15:47That guy sends a hint of sarcasm there.
15:50Why don't you pick yourself?
15:52Quit.
15:53Hmm.
15:54I was wrong.
15:55About Vogler or Foreman?
15:57Mrs. Hernandez's pregnancy test.
16:00Who's Mrs. Hernandez?
16:01Either a woman carrying an alien baby
16:03or your newest patient.
16:06So you never saw her with any pills.
16:09She never mentioned anything?
16:10No, of course not.
16:12Would it be all right
16:13if I talked to a couple of her friends?
16:15Her friends?
16:16Well, I'm not going to interrogate them.
16:18I just want to ask
16:19if Jessica ever mentioned anything.
16:21It's pretty important.
16:22She's very sick.
16:23I understand.
16:23It's just, well,
16:26Jessica really doesn't have any friends.
16:28Not one.
16:29I've tried to help,
16:30make the kids include her more,
16:31but kids can be...
16:33Kids?
16:34I was going to say jerks.
16:36All the fifth graders
16:38are assigned an eighth grade buddy.
16:39Maybe you could talk to hers.
16:47What's the status on House?
16:49He asked for time
16:50to complete performance reviews
16:51for everyone in his department.
16:53And you told him no
16:54and gave him how long?
16:55A week.
16:57He'll do it.
16:59Guy's never done what he's told.
17:00I don't see why he's going to start now.
17:02I don't see why he's going to start now.
17:04Hi.
17:05Edward Vogner.
17:06Is Dr. House claiming
17:07that I'm forcing him
17:08to get rid of one of you?
17:09I assume his goal
17:10is to stir up antagonism toward me.
17:12And your goal is?
17:14I am forcing him.
17:16I'll do whatever I can
17:17to ease the transition
17:18for whoever he chooses.
17:20If you're feeling guilty
17:21about your decision,
17:22there is an easy solution.
17:23I don't feel guilty.
17:25Then why approach me
17:26and tell me all this?
17:27I don't feel guilty.
17:28That doesn't mean
17:29I don't feel bad.
17:31I'm rich,
17:31but I'm still human.
17:34I just wanted you to know
17:35that if there's anything
17:37I can do for you,
17:38I'll do as open.
17:48You're looking for info?
17:50I thought you already
17:51had House all figured out.
17:53I do.
17:54Don't know his team, though.
17:58The ultrasound and biopsy
18:00confirmed our worry.
18:02The tumor is extremely large,
18:04at least 30 pounds.
18:06Oh, God.
18:07It's actually a personal record
18:09for this clinic.
18:10But it's completely benign.
18:12There is no sign
18:12of cancer at all.
18:15I've already spoken
18:16with Dr. Bergen,
18:17and he's available
18:18first thing in the morning.
18:19For what?
18:22For the surgery.
18:24But if it's not cancer,
18:25it can't kill me, right?
18:31No.
18:32I'll have a huge scar.
18:34I won't be able
18:35to wear a bikini.
18:36You wear a bikini now?
18:37Yeah.
18:38You got a problem with that?
18:40Nope.
18:41But I've never gone
18:41swimming with you.
18:42I knew it.
18:43That's what this is all about.
18:45You were trying to force me
18:46to have cosmetic surgery.
18:48Yeah.
18:49That's exactly why
18:50I planted a 30-pound tumor
18:52on your ovary.
18:52It's not gonna kill me.
18:54The only thing surgery
18:55is gonna do
18:56is change the way I look.
18:57That is the definition
18:59of cosmetic surgery.
19:01It would also relieve
19:03your heartburn
19:03and discomfort.
19:04Yeah, right.
19:06Why give an antacid
19:07if you can cut someone up
19:08and make them
19:09a little easier
19:09on your eyes?
19:12My husband
19:14loves my body.
19:16He can't get enough of it.
19:18You think he's gonna
19:18want to touch me
19:19if I look like
19:20I've been gutted
19:21like a fish?
19:24That was unexpected.
19:28Yeah, it was.
19:32All she does
19:33during recess
19:33is run laps
19:34around the playground.
19:35She says she's exercising
19:36but everyone knows
19:37just because no one
19:38wants to play with her.
19:39I mean,
19:39I am only her buddy
19:40because Miss Asia
19:41signed her to me.
19:43That does not mean
19:43I am her friend.
19:46I'll make sure
19:47her doctors
19:47are all clear on that.
19:49Thanks.
19:50So, has she ever
19:51just said anything
19:52to you about diet pills?
19:54She told you that, too.
19:56What do you mean?
19:57I totally busted her
19:58for taking drugs one day.
19:59She totally lied
20:00so that they were
20:01diet pills
20:01her mom had given her.
20:02Come on, get real.
20:03No way a girl like that
20:04is taking diet pills.
20:07I didn't give her
20:08diet pills.
20:09I would never do that.
20:10Right, so it was
20:11her imaginary mom.
20:12She didn't take any pills.
20:13The girl's lying.
20:14Why would she lie?
20:15Because she's another
20:16mean little jerk.
20:18Mom.
20:19I'm sorry, honey.
20:21Columny didn't lie.
20:26I did.
20:28I took the pills.
20:30I told her you gave them to me
20:32because I didn't want
20:32to get drunk.
20:34Where did you get them?
20:36I took them
20:37from the store.
20:40Why?
20:41Why would you do that?
20:42Because I didn't want
20:43to be ugly anymore.
20:45Oh, baby, you're not ugly.
20:47Yes, I am.
20:49I know you don't think so,
20:50but I am.
20:50I'm disgusting.
20:51Jessica, please don't say that.
20:55I just...
20:56I just wanted to fit in.
20:59You know,
21:00have friends.
21:01Or at least have one person
21:03my age be nice to me.
21:07Oh.
21:11Listen,
21:11the pills cause blood clots,
21:15heart attacks,
21:16and insomnia.
21:17It explains everything.
21:19We'll keep her overnight
21:20to make sure,
21:20but she'll be fine.
21:27I can't believe
21:27she was that desperate.
21:29Yeah,
21:29I'm sure that if everyone
21:30I knew hated me
21:31and couldn't bear
21:32to look at me,
21:33I wouldn't go so far
21:34as to shoplift.
21:35I'm not talking
21:36about the shoplifting.
21:37I'm sure she didn't even
21:37know they were dangerous.
21:39She probably saw them
21:40advertised on TV
21:40or over the Internet.
21:42Right.
21:42So I guess it's the media
21:44and pharmaceutical companies
21:45fault now,
21:46not the fact that she can't
21:47stop shoveling food
21:48down her throat.
21:49No one forced her
21:50to get fat.
21:50No one forced a cancer patient
21:51to get cancer.
21:52Give me a break.
21:53It's not a disease.
21:54Have you seen
21:54the latest research?
21:55Yes, I have.
21:56What I haven't seen lately
21:58is a kid eating an apple
21:59or riding a bike.
22:00You Americans
22:01can't even compete
22:02with the rest of the world
22:03in basketball anymore,
22:04unless, of course,
22:05it's the type you play
22:06with a remote control
22:07on a big screen TV.
22:09Right.
22:10Wait, wait, wait, wait,
22:12are you gonna let him say that?
22:13He insulted our basketball teams.
22:27Oh, my gosh!
22:29It hurts so bad!
22:31What happened?
22:32Please!
22:33Bleeding!
22:34From where?
22:35Oh, my gosh!
22:37Oh!
22:38Please stop it!
22:40Please!
22:40God!
22:45Diet pills don't cause
22:46skin necrosis.
22:47Could be something
22:48related to the pills.
22:49Or not.
22:50Or both.
22:52Diet pills brought her to us.
22:54We gave her the sores.
22:56You think she got a staph infection
22:57from something here?
22:58I'm not saying the hospital
22:59gave the sores.
23:00I'm saying we did
23:01by treating her.
23:02Warfarin-induced skin necrosis.
23:04Highly unlikely.
23:06We started her on heparin
23:07before the warfarin.
23:08Who gave her the heparin?
23:09I did warfarin.
23:10She did heparin.
23:11You sure you didn't
23:12both give her warfarin?
23:13Yes.
23:13I did not screw up.
23:16Did you actually see her
23:17prepare to administer
23:18the heparin?
23:25Enough said.
23:26You were standing right there.
23:28I was preparing my own duds.
23:30Yeah, right.
23:31There's gotta be
23:32some other cause.
23:33None that I can think of.
23:34Let's fix the mistake.
23:36Give her unfractionated
23:37IV heparin
23:37and low molecular weight
23:38heparin by subcutaneous
23:39injection statin.
23:46Making me look bad
23:47is not gonna save your job.
23:48You think you're incapable
23:49of making a mistake?
23:51You think that I am that weak
23:51that I'm gonna just
23:52roll over and take this?
23:53House isn't gonna protect you
23:54just because you kiss his ass.
23:56Boger wants to know
23:57what he can do for me.
23:58Hey!
24:00Stop worrying about your asses
24:01and start worrying
24:02about the patients.
24:22Is she sleeping?
24:24As a result of the sedatives,
24:26yeah.
24:26Can't let her wake up
24:27too much pain.
24:31Warfarin
24:33induced skin
24:34necrosis.
24:37I have no idea
24:38what that means.
24:40But it says here
24:41we gave her the
24:41warfarin
24:43and I do know
24:44what induced means.
24:46We did this?
24:48At this point,
24:49it's not exactly clear.
24:52You know,
24:53she probably talked
24:54to Dr. House.
24:55Oh.
24:56You two need time
24:57to get your story straight.
24:58He doesn't tell me
24:59what to do.
25:00So you don't just
25:01blindly follow his commands.
25:02You're your own man.
25:05And yet here you are
25:06working for a guy
25:07you can't stand.
25:08I respect him.
25:09What exactly is it
25:10you respect?
25:11His attitude
25:12toward humanity.
25:13He thinks we're all
25:13idiots and liars.
25:15How about his attitude
25:16toward you?
25:17Plays with you
25:18like a cat
25:19with a ball of strength.
25:19What do you want?
25:20I want to know
25:20if you want to keep
25:21your job.
25:22If he chooses
25:23to let me go,
25:24I can live with that.
25:25That's not an answer.
25:26Are you offering
25:26to protect me?
25:27Still not an answer.
25:28I want my job.
25:35Dr. Jase.
25:37Boss.
25:42What was that about?
25:44I wanted to know
25:44what warfarin is.
25:46Oh.
26:12I see.
26:16Definitely think twice
26:17before correcting
26:18one of your mistakes again.
26:20Correct all you want.
26:21Of course,
26:22it's a bit more productive
26:23if there's an actual mistake.
26:24Right.
26:25I always forget that part.
26:27I gave her the heparin,
26:29which means the necrosis
26:30is not a reaction
26:30to the warfarin,
26:31which is probably why
26:32she's not responding
26:33to your treatment.
26:35Yet.
26:39If you didn't screw up,
26:41then what is it?
26:44You don't have an answer.
26:46Yet.
26:47When you come up
26:48with something,
26:48let me know.
26:49I'll be in the clinic
26:51warming up.
26:53I'm the only one
26:54who's always stood behind you
26:55when you screwed up.
26:56Why?
26:57Why would you support
26:58someone who screws up?
26:59Because I'm not
27:00insanely insecure.
27:01And because I can actually
27:02trust in another human being.
27:03And I am not an angry,
27:04misanthropic son of a bitch.
27:06I'm sorry.
27:06You said you weren't angry.
27:08You said you weren't angry.
27:11Who would you fire?
27:16No one.
27:17Not an option.
27:19If everyone took a pay cut
27:20and put in a few more hours,
27:21we could all stay
27:22for the same amount of money.
27:23Figures you try
27:24and come up with a solution
27:25where no one gets hurt.
27:27The problem is
27:28the world doesn't work that way
27:29just because you want it to.
27:31Figures you'd stall
27:32and refuse to deal
27:33with the issue.
27:33Problem is the world
27:34doesn't go away
27:35just because you want it to.
27:54Excuse me, Dr. House?
27:56My wife saw you yesterday?
27:58Lucille Hernandez?
27:59Uh, he started today.
28:02My wife said
28:02he walked with a cane.
28:04He's also got a bit
28:05of a drug problem.
28:06Sometimes it doesn't
28:07show up for weeks.
28:09The MRIs are rented,
28:11but, um,
28:13did you make a decision?
28:15He's not gonna fire anybody.
28:16Yes.
28:17I'm gonna cut the pay
28:18of all four of us.
28:2117% across the board
28:22will allow you
28:23to keep us all
28:23for the same amount of money.
28:25I believe it's
28:26what you suits call
28:27a win-win.
28:29All right.
28:30Uh, if you can...
28:30No.
28:31If he can work it
28:33so we keep the current staff
28:34for the same amount of money,
28:35what difference does it make?
28:40It's not about the money.
28:42This is not a negotiation.
28:44It never was.
28:46I need to know
28:47that whatever I ask you to do,
28:49however distasteful you find it,
28:51you'll do it.
28:52And just as importantly,
28:53you need to know that.
29:06What's going on with my wife?
29:09Even if I was,
29:10Dr. House,
29:11physician-patient confidentiality
29:13protects me
29:13from annoying conversations.
29:14She told me about the tumor.
29:16Yeah?
29:17She also tells you
29:17why she's refusing
29:18to have it removed?
29:19I don't care about a scar,
29:20and she can always
29:21gain the weight back.
29:23You want her
29:24to regain the weight?
29:26Yeah.
29:26I mean,
29:27only if she wants to.
29:29Why?
29:31I always thought
29:32she looked sexiest
29:32when she was pregnant.
29:34Something by knowing
29:35she's a mother
29:35just makes me want...
29:36Tell her that
29:37and leave me alone.
29:38I did.
29:39You better talk to her.
29:40I couldn't bear it
29:41if something happened to her.
29:42The tumor is benign.
29:43Nothing's gonna happen.
29:44Maybe some more heartburn.
29:47What if it gets even bigger?
29:48Or it changes?
29:49I don't know where to find this.
29:51The building's
29:51not going anywhere.
29:53Tell her it's cancer.
29:54You obviously
29:55don't have a problem
29:56with lying.
29:57Oh, way to win me over.
29:59You got six kids.
30:01She can't afford
30:02to take a chance.
30:02You have kids.
30:03How novel.
30:04That changes everything.
30:05So if Mommy gets heartburn,
30:06one of them
30:07might catch on fire.
30:08Please.
30:10I don't know
30:11what we'd do.
30:17They are cute.
30:20Have her come back in.
30:22What?
30:23Your plight has moved me.
30:25Tell your wife to come back.
30:32The necrosis is getting worse.
30:34Maybe because
30:35we're treating her
30:35for the wrong thing.
30:38Have you found
30:38the right thing?
30:40No.
30:41Then we continue
30:42the treatment.
30:43Hope it's just taking
30:44longer than it should.
30:45At this point,
30:46it doesn't matter
30:46what caused the necrosis.
30:48Or who.
30:49If we don't stop it
30:50from spreading,
30:50it'll kill her
30:51before the end of the day.
30:52What else can we do?
30:53Get rid of it.
30:54Remove the dying flesh
30:55before it penetrates
30:55the abdominal wall.
30:59Do it.
31:01There's still a chance
31:02that the heparin treatment
31:03could start to take effect.
31:04We're going to wait
31:05as long as we can.
31:06But if there's no change
31:07in the next few hours,
31:09we're going to have
31:09to treat the symptoms directly.
31:11So you can get rid
31:12of the sores?
31:13Through surgery.
31:15Technically,
31:15it's an amputation.
31:17Amputation?
31:18But the sores are...
31:20Warfarin-induced necrosis
31:21attacks fatty tissue.
31:23Mainly in the breasts.
31:25Wait.
31:27Are you talking about
31:28cutting off
31:29my daughter's breasts?
31:35She's ten years old.
31:36A radical mastectomy
31:38may be her only chance
31:39for survival.
31:42I'm sorry.
31:43I have to ask you
31:44to sign this.
31:58We talk?
32:01What?
32:02No roses?
32:03No chocolates?
32:05You're here to apologize.
32:07I want you to apologize.
32:09Uh-oh.
32:11It means you're here
32:12for something
32:13more complicated.
32:15Do you want to fire me?
32:19Yes.
32:20Just waiting for an excuse.
32:22That god Vogler
32:23came along.
32:23It's the only reason
32:24I can think of
32:25why you're insisting
32:26that I made a mistake.
32:27Really?
32:28Because there is
32:29another explanation.
32:31Perhaps not as much fun
32:32as your Freudian analysis,
32:33but maybe you actually
32:35made a mistake.
32:36You're doing this
32:36because you can't deal
32:37with your feelings for me.
32:44I believe
32:45that you were
32:46the only one
32:47to express feelings.
32:48And if we're gonna
32:49look at this
32:49from a first-year
32:50psych point of view,
32:51maybe you want me
32:52to fire you.
32:53Maybe that's why
32:53you're acting weird.
32:54You're the one
32:55being different.
32:56You're always pushing things,
32:57pushing the rules,
32:58pushing us,
32:58but not this time.
32:59You jumped on this idea
33:00like a life raft.
33:01Not one question
33:02about what else it could be.
33:02No riding us
33:03for other answers.
33:04I have the answer.
33:07And why aren't you
33:08watching TV?
33:09Or playing your damn
33:10Game Boy,
33:11or whatever else
33:12you have so much fun
33:13doing by yourself?
33:18Maybe I should just quit.
33:20Make it easy for everyone.
33:25Maybe you should.
33:32Men are pigs.
33:34You called me in
33:35to tell me...
33:36I should have realized
33:37the vasectomy
33:38and condoms
33:39was overkill,
33:39but this was too obvious
33:40to miss.
33:43Cute kids.
33:46Love her green eyes
33:47and his baby blues.
33:49Of course,
33:50since both you
33:51and your husband
33:51have brown eyes...
33:52Who'd you get that?
33:53From the father
33:54of three,
33:55maximum four
33:56of your six children.
33:59So I'm thinking
34:00maybe the reason
34:00you don't want surgery
34:01is that while your husband
34:02will find you attractive
34:03no matter what,
34:04all the other men
34:04you're sleeping with
34:05might not be so open-minded.
34:08Which brings me back
34:09to my original thesis.
34:10Men are pigs.
34:12You got nothing
34:13to worry about.
34:15They'll pretty much
34:16have sex with anyone.
34:17Fat, skinny,
34:19married, single,
34:20complete strangers,
34:22relatives.
34:23You are sick.
34:25So are you.
34:26And I'm sure
34:27there are websites
34:28full of men
34:29looking for married women
34:30with surgical scars.
34:34So I have the surgery.
34:36Please.
34:40Okay.
34:52Why have you been
34:53talking to Cameron?
34:53Well, if House picks you,
34:54I'll be meeting
34:55a new source
34:55in that room.
34:57If he picks me?
34:59Sure.
35:01Foreman's smarter.
35:02House has got
35:03a thing for Cameron.
35:04I've been feeding you
35:04information
35:05so you'll protect me.
35:06And I will protect you
35:07as long as I need you.
35:08And you will feed me
35:09information as long
35:10as you need me.
35:11I spoke with Cameron
35:12because if I have
35:13alternatives,
35:15I don't need you.
35:20She's not gonna
35:21ride on House.
35:23Foreman never said
35:24anything about
35:24talking to me?
35:28Interesting, huh?
35:48It's been almost
35:50three hours.
35:51Still not changing
35:52her condition.
35:54I think we should
35:55get her into surgery.
35:58So what do you
35:58want to do?
36:02Assume that Cameron
36:03didn't screw up.
36:07What if it's not
36:07the war for you?
36:08It has to be.
36:09The soul's presented
36:10right after we
36:10administered it.
36:11No, let's just say
36:12it's not.
36:14Come on, come on.
36:15What do you got?
36:15Can I have a second
36:16to think?
36:16No, there's no time
36:17to think.
36:17Just say the first
36:18thing that comes
36:18into your head.
36:19She's fat.
36:20Enough already, okay?
36:21We got it.
36:22You hate fat people.
36:23That's not what I meant.
36:23We already considered
36:24obesity as a cause.
36:26So did all of the
36:26doctors.
36:27No, I mean,
36:27what if it's not a cause?
36:28What if it's a symptom?
36:31Okay, so what could
36:33cause obesity and
36:35skin necrosis?
36:38Listen, I don't care
36:39if it makes sense.
36:40Just give me something.
36:41Ulcerous secondary
36:42to vasculitis.
36:43No, that's just
36:43sores, not obesity.
36:45Pioderma gangrenosa.
36:46More sores.
36:47Okay, let's look at it
36:48from the other side.
36:49What has obesity
36:50as a symptom?
36:51Hypothyroidism?
36:52Genetics are more likely.
36:54Her mom's heavy, too.
36:59She's not just heavy.
37:01She's tall.
37:04Do you have any
37:05history on the dad?
37:06Yeah.
37:106'1"?
37:14Kid's short.
37:16We've got stunted growth,
37:18high blood pressure,
37:19blood clots,
37:19obesity.
37:22It's Cushing's.
37:24None.
37:24Necrosis doesn't present...
37:26In rare cases, Cushing's can cause
37:28hypercalcemia,
37:28which can lead to the same
37:29skin necrosis as warfarin.
37:31It's perfect.
37:32It explains everything.
37:33Except it's not Cushing's.
37:35She's had multiple blood tests,
37:36and none show abnormal cortisol.
37:38The hypercortisolism could be
37:39cyclical.
37:40We just didn't catch it
37:40in the right phase.
37:41We'll have to do another UFC.
37:43There's no time.
37:44We've got less than an hour
37:45to make a call.
37:46If we treat for Cushing's
37:47and we're wrong,
37:47she's dead.
37:48If we assume it's not Cushing's,
37:49she'll lose her breast
37:50and may still be sick.
37:55Do an MRI.
37:56You want us to look for
37:57hypercortisolism with an MRI?
37:58No, I want you to look for
37:59what could cause
38:01hypercortisolism with an MRI.
38:23Nothing on the adrenals.
38:27Her camera went home.
38:29She's sick.
38:30Go back to the pituitary views.
38:32She seemed okay.
38:33Think she's got another reason
38:35for a leave?
38:35I hope so.
38:37Wait, stop.
38:38There.
38:40What's that?
38:44A tumor.
38:47It's Cushing's.
38:49The tumor causes Cushing's.
38:52Cushing's messes
38:53with hormone production.
38:54Hormones control everything.
38:56Growth, weight.
38:57Can you fix it?
38:58She'll need surgery
39:00to remove the tumor.
39:01Once it's gone,
39:02everything will get normal
39:03very fast.
39:04No mastectomy?
39:06No.
39:07Thank God.
39:08The surgery is dangerous.
39:10The pituitary is located
39:11between the cavernous sinuses,
39:13basically right between the eyes.
39:14The area contains the nerves
39:16that control eye movement
39:17and the major arteries
39:18that feed the brain.
39:19Oh, my God.
39:20The surgeon will approach
39:21the gland transvenoidally.
39:24An incision will be made
39:25under the lip
39:26through which he'll insert
39:27a fiber optic microscope.
39:29Once the tumor is found,
39:30he'll cut it into small pieces
39:31and remove it through
39:32the same hole under the lip.
39:34The whole procedure
39:34should take about three hours
39:35and your daughter
39:36should be able to go home
39:37in a few days.
39:38The sores will go away
39:39as well as her fatigue
39:40and the muscle pain.
39:42She'll even start losing weight.
39:44She'll even start losing weight.
40:33Jessica.
40:35Hi.
40:35Is that really you?
40:37I hope it's me.
40:39You look fantastic.
40:43She always looked fantastic.
40:46Yeah.
41:14It's been a week.
41:15Actually, it's over a week.
41:18Where have you guys been?
41:20Who is it?
41:27Chase.
41:29No, Chase stays.
41:32Pick someone else.
41:34The deal was...
41:35The deal's changed.
41:37Pick someone else.
41:40No.
41:51Pick someone else or it'll be the whole department.
42:05You gotta be more careful.
42:10When you walk the street alone.
42:18Hidin' in the shadows.
42:20That might be the devil that you know
42:28Well now you've got to be more careful people
42:35Well now you've got to be more careful now
42:39That's what you do
42:42Got to be more careful people
42:48Got to be more careful you
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