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Watch House Sports Medicine Season 1 Episode 12 online in HD on Dailymotion.
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00:15What do you say now?
00:18I don't know.
00:20You said your dad wouldn't be home for an hour.
00:22I know, but you don't know...
00:24Don't you love me?
00:25Of course, you know I...
00:26Come on, let's do it.
00:27All right.
00:41Where are they?
00:43Nightstand.
00:50Gentlemen, start your engines.
00:58I so want this car!
01:25Oh my God, you're bleeding!
01:28Oh!
01:29Ah!
01:34Oh!
01:40Oh!
01:40Oh!
01:41Oh!
01:42Oh!
01:42Oh!
01:43Oh!
03:30One hour to pay.
03:31Kid's got hemolytic anemia.
03:33Kid?
03:33How old?
03:34He must have inherited it.
03:36He's gonna die.
03:37My condolences.
03:38It wasn't inherited.
03:39The problem's outside of my blood cells.
03:41This is impossible.
03:42A 16-year-old does not get hemolytic anemia.
04:04Get everyone in my office.
04:07Kid's gonna be dead in a matter of days if we don't figure out why his red blood cells are
04:11disintegrating.
04:12So, differential diagnosis, people.
04:14Well, it's not environmental.
04:15Dad hired a company to clean the house, maid washed all the clothes, bought hypoallergenic
04:19sheets and pillows.
04:20You want us to recheck?
04:21No.
04:22If it's environmental, he'll get better just from staying here.
04:24It could be an infection.
04:25No fever.
04:26No white count.
04:27Well, he's 99.2.
04:28Barely above normal.
04:29But above.
04:30His body's reacting to something.
04:32We could account for the lack of fever and white count if it's lupus.
04:35Drugs will fit just as much as lupus.
04:37Meth will cause hemolytic anemia.
04:38A lot of meth.
04:40Also, it doesn't exactly seem like the type.
04:42Because his dad drives a Porsche?
04:44Rich kids do drugs just like poor kids.
04:47Didn't mean to offend you.
04:48Okay.
04:49So, it's infection, lupus, drugs, or cancer.
04:53Cancer?
04:53Why not?
04:54Great meeting.
04:56Shouldn't we narrow it down before we finish?
04:58My leg gave us till 11.15.
05:00I'll talk to Wilson about lymphoma, ANA for lupus, radio-immunoassay for drugs, and
05:05you test for whatever you thought it was.
05:07I've got a date with the pharmacist.
05:11You guys are already done?
05:12Yeah.
05:15Come on.
05:15Come on.
05:15Come on.
05:16Yeah.
05:27Excuse me.
05:32You know, there are other ways to manage pain.
05:35Like what?
05:36Laughter.
05:37Meditation.
05:38I've got a guy that can fix my third chakra.
05:40You're addicted.
05:42If the pill's around my life, I'd agree with you, but it's my leg that's busy calendaring
05:46what I can't do.
05:46You're in denial.
05:48Right.
05:48I never had an infarction in my leg.
05:50No dead muscle.
05:51No nerve damage.
05:52Doesn't even hurt.
05:53Actually, it kind of tickles.
05:55The chicks dig this.
05:56Better than the puppy.
05:58It's not just your leg.
05:59You want to get high.
06:01You're doing what?
06:0280 milligrams a day?
06:03That's way too much.
06:05Moderation is the key.
06:06Unless there's pain.
06:08It's double what you were taking when I hired you.
06:10Because you're twice as annoying.
06:13I can't always be here to protect you.
06:15Patients talk.
06:16Doctors talk.
06:17About how big your ass has gotten lately?
06:19Not me.
06:20I defend it.
06:21You got it bad.
06:30You can't go a week without the drugs.
06:32No, I don't want to go without the drugs.
06:34It'll hurt.
06:35No, you can't.
06:36If you're just getting off pain medication, it will hurt.
06:39But you won't be having a great time, but you'll make it.
06:41If you're detoxing, you'll have chills.
06:43You will magnify five, ten times.
06:45You won't make it.
06:47Well, I guess we'll never know.
06:48I'll give you a week off clinic duty if you can go a week without narcotics.
06:51No way.
06:52I love the clinic.
06:53You love the pills.
06:55Two weeks.
06:55The pills don't make me high.
06:57They make me neutral.
06:58A month.
07:04You're on, mister.
07:10Drugs could cause this?
07:11Cocaine and meth are very hard on the blood system.
07:14Has he had any erratic behavior?
07:16No, but...
07:20She was in rehab in the ninth grade.
07:22She's supposedly clean now, but...
07:24She obviously cares for him.
07:26Yeah, what she cared about was the car.
07:28Anniversary present for my wife.
07:31We drove it up north to watch the leaves change.
07:34She was dead a year later.
07:36Cancer.
07:38I'm sorry.
07:41Mr. Foster, we're gonna test Keith for drugs.
07:44I don't do drugs.
07:46I know it's not that we don't trust you, but...
07:49His hair will tell us any drugs he's taken over the past 60 days.
07:54Which is kind of like...
07:55Brings on a tree.
08:04Negative.
08:07Have you been sick?
08:08No, nothing.
08:09Have you been out of the country?
08:10We went to China, but we got all our shots before we left.
08:14It could be an infection.
08:16We're going to give him a gallium scan just to be safe.
08:18We inject a radioactive isotope into his bloodstream.
08:21And we check to see if there's inflammation anywhere in the body.
08:24Has he ever complained of any joint pain?
08:28Sensitivity to light?
08:29Rashes?
08:30No, no, nothing.
08:31Any relatives ever been diagnosed with lupus?
08:33I don't even know what that is.
08:34In simple terms, the body becomes allergic to itself.
08:37The immune system attacks healthy cells in the circulatory system and destroys them.
08:42Would it be treatable?
08:44It can be manageable.
08:47We can test with the antibodies.
08:4995% of patients with lupus have positive ANA.
08:54Not cloudy. Negative.
08:56What about bruising?
08:58Never complained of tenderness under his arms, his groin?
09:02I'm not sure he'd tell me if he did.
09:05I guess I don't really know what's going on in his life.
09:07He's a teenager.
09:09Yeah.
09:14What type of cancer did your wife have?
09:19Pancreatic.
09:21It's his lymph nodes we're concerned about.
09:23We're going to do a biopsy to check for lymphoma.
09:27Okay, you feel this?
09:29No.
09:31Good.
09:40I have cancer, don't I?
09:42We're just testing.
09:47Nothing.
09:48That's what they told my mom.
09:56Definitely not cancer.
09:59Nothing?
10:00Nothing.
10:01Negative for drugs.
10:02I&I was negative.
10:03Gallium scan was clear.
10:05Yeah, I got that from the nothing.
10:06Where's his hematocrit?
10:0713.
10:08Drops any lower, he's not going to have enough red blood cells to bring oxygen to his body.
10:12He'll suffocate with his lungs working perfectly.
10:14You okay?
10:16Excuse me, someone?
10:18Help, please.
10:21I'm glad for that kid.
10:26How long has it been?
10:28I'm fine.
10:30There's something in my eye up at the top.
10:32Which eye?
10:33This one.
10:34What's happening?
10:35It's all right.
10:36Just look down for me.
10:39It's clear.
10:40There's nothing in it.
10:41It's getting worse.
10:43Is it fuzzy or...?
10:44No, it's dark.
10:47I can't see.
11:00It's a retinal clot in the left eye.
11:03Coumadin would dissolve the clot, fix his eyesight?
11:05You can't use blood thinners.
11:06He's got internal bleeding.
11:08Fix the eye, kill everything else.
11:09Well, surgery's out for the same reason.
11:11We have two hours to figure this out.
11:13Either we restore the blood flow or he loses the eye.
11:16Forget the eye.
11:18Tell him to use the other one and to look on the bright side.
11:22The clot tells us something.
11:24It could help us figure out what he has.
11:26Which could mean he gets to live.
11:29Differential diagnosis, people.
11:31How does internal bleeding suddenly start clotting?
11:34It makes no sense.
11:35They're opposing processes.
11:37It can happen in lupus.
11:38Increased platelet count can cause blood clots.
11:40ANA was negative.
11:42It's not lupus.
11:43This is true.
11:44But why are you the one saying it?
11:47What are you doing here?
11:48I thought we'd rule out cancer.
11:50I was lonely.
11:52Well, go see Cuddy.
11:53She needs a friend.
11:54That's funny.
11:55She said you might need one.
11:56That's why you're here.
11:58She wants you to keep an eye on me.
11:59Make sure I don't cheat.
12:01No, I wanted to make sure you don't start firing shots from the clock tower.
12:04I'm fine.
12:07What's going on?
12:08He hasn't had Vicodin in over a day.
12:12Is your leg hurt?
12:14You ever been shot?
12:16There's gonna be side effects.
12:18Insomnia, depression, tachycardia.
12:20Withdrawal symptoms.
12:21Not applicable.
12:22The only side effects I'm gonna have are some pain and 30 days of freedom.
12:28Am I the only one who's concerned about a dying kid?
12:31If it's not lupus, what else?
12:33Most likely candidate for throwing a clot is infection or cancer.
12:38Check the biopsy twice.
12:39It's not cancer.
12:40It's not an infection.
12:41Gallium scan didn't reveal anything.
12:43Okay.
12:43What hides from gallium scan?
12:49Cardiac.
12:51Right.
12:52Clot flicks off, travels through the arteries, and gets backed up in the eye.
13:02I'm sorry.
13:03I wasn't paying attention.
13:04What happened?
13:05It's an infection.
13:07In his heart.
13:08Great.
13:11Echocardiogram for the heart and IV antibiotics for the infection instead.
13:29Is it my birthday?
13:33I'm not lonely.
13:35My leg hurts.
13:36She's a real masseuse.
13:37She's $500 an hour minimum.
13:39She's hot, so she's a hooker?
13:41What kind of pathetic logic is that?
13:43The envious, jealous, I never got any in high school kind of logic.
13:46Hello.
13:47She's a legitimate masseuse.
13:49Come on.
13:52God.
13:53She's beautiful.
13:54Because she's beautiful, I shouldn't do it?
13:56What kind of pathetic logic is that?
13:57The envious, jealous, I'm married and I can't do anything logic.
14:01Hello.
14:03Hi.
14:03Listen, I'm sure you're really good at whatever it is you do, but...
14:06Give me your hand.
14:08Huh.
14:10Hey, look at my hand.
14:11Come on.
14:12She doesn't speak English.
14:16Ow.
14:18Ow.
14:19Ah.
14:21Ah.
14:28Oh, my God.
14:35Away now.
14:37Take off your clothes.
14:42Not a fan of the stroganoff?
14:46I'm not hungry.
14:47The antibiotics can cause nausea.
14:50So can the food.
14:53Shouldn't you be looking at my eye?
14:56The blood clot isn't life-threatening.
14:58We're focusing on figuring out the cause of your problems.
15:02So the...
15:03So the blindness will be permanent, won't it?
15:23Bye.
15:27I had a massage
15:29Looks like you had a masseuse
15:31Top the pain?
15:33I'm fine
15:33I know
15:35Kid's echo is normal, no sign of any vegetations on heart valves
15:38Never met a diagnostic study I couldn't refute
15:41And the antibiotics aren't doing anything
15:43So double the dosage, 70 milligrams
15:46That'll box his kidneys for sure
15:48You're right, save the kidney
15:50The guy we transplanted it into would be great for
15:53Also, I have an idea for his eye
15:54Nothing we can do about his eye
15:56He's got a clot
15:57If we remove some of the liquid from the eye itself
16:01The vitreous humor
16:02It might make some extra room around the retinal artery
16:06If the artery expands
16:07The clot might move on its own
16:09It's very creative
16:10Why didn't you mention this before?
16:13I didn't think of it before
16:15You should have
16:36This is going to hurt
16:38Your eye's numb
16:39You're going to show pressure
17:08Give it a minute
17:17I can see
17:18I can see
17:48I can see you
17:49I hurt
17:51Congratulations
17:52Don't
17:53I haven't brushed my teeth in two days
18:02I'm so scared they're not going to find out what's wrong with you
18:05No, Biggie
18:06I'm fine
18:08I feel so bad about all this
18:11It's not my fault
18:12No
18:12No
18:13It's not
18:14But your father
18:16He hates me
18:18He's just pissed about his car
18:27Help, help, help
18:40What's wrong?
18:41AST is 859
18:42We're getting into the ICU
18:43ILT and JJT are in the tank
18:45Our antibiotics
18:46Would not have caused this
18:47She must have given him drugs
18:49I wouldn't do that
18:50It's not drugs
18:52His liver is shutting down
18:54What?
18:55What does that mean?
18:56It means he's all better
18:57He's ready to go home
18:59What?
18:59What do you think it means?
19:01He can't live without a liver
19:02He's dying
19:03What is your problem?
19:05Bum leg
19:05What's yours?
19:06Hey
19:06We don't have time for this
19:07Let's go
19:14His son's dying
19:15And you're mocking him?
19:17It was a dumb question
19:18No, it wasn't
19:23Right, it wasn't
19:26He's proving Cuddy wrong
19:27Worth all this
19:41You know, how shouldn't he even be here?
19:43Because he said something inappropriate
19:46If we sent him home every time he did that
19:48We wouldn't need this office
19:49He's in pain
19:51What does the man have to do to piss you off?
19:54He's been without pain relief for over 70 hours
19:56Exactly
19:56He's detoxing
19:58Can't you see he's out of his mind?
19:59That's what they said about mints
20:03Do you want to continue talking about me
20:05Or should we discuss what the liver damage tells us?
20:10I was born in a log cabin in Illinois
20:13Hemolytic anemia doesn't cause liver damage
20:15Add the fact he's coughing blood
20:17He's got three of the indicators of organ-threatening lupus
20:20It's moving too fast
20:23Could be hepatitis E
20:25There's only been one case of hep E originating in the U.S. since his history
20:29He says he's been in and out of the country four times in the last year
20:32You really think he's got hep E?
20:34No
20:34I think lupus is way more likely
20:36All right, then let's start him on an ibc toxin and plasmaparesis
20:39No, we should rule out hep E
20:41You just said it wasn't hep E
20:43I said lupus is way more likely
20:45But if we treat for lupus and it is hep E
20:48He's touched
20:49Exactly
20:49But there isn't a treatment for hepatitis E
20:51Either he'll get better on his own or he'll continue to deteriorate
20:55Yeah
20:55I went to medical school, too
20:58Start him on solumendrol
21:00If he's got hep E, that's only gonna make him worse
21:02Not as much
21:04It's Goldilocks, people
21:06Won't hurt him so much that it'll kill him
21:08And it won't hurt him so little that we can't tell
21:10It'll hurt him just right
21:14And if it does nothing
21:15We'll know it's not hep E and can start treating for lupus
21:18Now watch me do it while drinking a glass of water
21:20What do we tell the dad?
21:22We think your kid has lupus
21:23So we're gonna treat him from hepatitis E
21:25And oh yeah, if it really is hep E
21:27We're not actually giving him hep E medication
21:29So it's gonna make him worse, not better
21:31Do you think you'll go for that?
21:33So you want us to lie?
21:35No
21:36I want you to lie
21:37Why me?
21:38Because he trusts you
21:44This is a mistake
21:45This is a lawsuit
21:46Hep E is possible
21:48House always pulls these stunts
21:49And he's right more often
21:50He's delaying treatment
21:51Because of a one in a million chance
21:53That even he doesn't think is the problem
21:54I don't want to lie to him
21:55Then don't
21:57And get fired?
21:58I don't like he's gonna fire you
21:59He loves you
22:00I've gotta do something
22:02Kid needs treatment
22:04Treat him for lupus
22:06That will get you fired
22:08You really think House is losing it?
22:11Yeah
22:13He's fine
22:14He knows what he's doing
22:17Dude
22:27Dude
22:28Dude
22:30Dude
22:42Oh, my God.
23:16we're recommending a drug called solumedrol for hepatitis did that show up on his blood tests
23:24the tests are never 100 accurate well then all the other tests could be wrong too this
23:30could still be an infection or cancer um they don't fit any of the most recent symptoms well what just
23:37hepatitis does i know i know i know you can never be sure
23:47when linda was in the hospital doctor told us there was this aggressive experimental treatment
23:54which might extend her life by two or three years you know we figured if there was any hope at
23:59all
23:59that we could have her with us a little while longer it'd be worth it three weeks later she was
24:04gone
24:10i don't think it's hepatitis
24:14i think your son has lupus
24:17i think it's broken what did you do
24:23accidentally closed the car door on it no the door would have broken the skin this looks like
24:29something hard and smooth smashed it i want my lawyer the brain has a gating mechanism for pain
24:37registers the most severe injury and blocks out the others did it work
24:43my hand hurts like hell
24:46yeah i feel much better
24:48huh
24:50don't spot it
24:52i want to be able to bang it against the wall if i need to administer another dose
24:57just tape it up
25:04why did you tell cameron to lie mr foster make it tight
25:08answer me
25:10nothing i can say is going to change how you feel
25:14nothing could come out of your reaction that is going to change what i plan to do so i prefer
25:18to say
25:18nothing
25:18so that was just you saying nothing
25:21uh-huh
25:23the guy is furious
25:24and scared
25:25so what are you going to do the father's insisting on the lupus treatment
25:29yeah cameron told me and i told her to tell him no
25:32well you can't just sit back and let the kid die
25:35neither can the father
25:36so that's your plan
25:37you're going to play chicken with the kid's life
25:40well he's the dad i should win easily
25:43take the week off
25:45what because i lied to a patient
25:47i take risks
25:48sometimes patients die
25:51but not taking risks causes more patients to die
25:53so i guess my biggest problem is i've been cursed with the ability to do the math
25:59i told him that
26:01i wouldn't treat him for the lupus until
26:02what did he say
26:04he said he wanted to transfer keith to another hospital
26:06he's not stable enough
26:07he'd never make it through the door
26:08that's what i told him
26:09that's when he caved
26:11yeah
26:13he agreed to do it your way
26:16two plus two equals four
26:22if it is hepatitis c we should see a marked decline in liver function tests within the hour
26:27why bother explaining it to me it's not like i have any choice in the matter
26:30if there's no happy we'll start treatment for lupus immediately
26:33ouch
26:34keith
26:35what's wrong
26:36what's happening
26:36i don't know
26:37get off
26:38keith
26:39it's dr chase
26:40where does it hurt
26:41jules no
26:42he's hallucinating
26:43who's this one of the medicine
26:44we haven't started medicine
26:45we're in the hospital
26:46hey keith
26:47there's nothing on you
26:48keith
26:49keith keith keith
26:51keith
26:51hey
26:52you okay buddy
27:00i think i quit the bed
27:03don't worry about it
27:04it's fine
27:04let's get you up
27:09he's had a major bleed
27:10for red blood per rectum
27:12i didn't mean to
27:14he's going into hypervolemic shock
27:16pressure 60
27:17heart rate 140
27:18need an angiography
27:20stat
27:27angiography revealed major upper and lower gi bleeding
27:30severe hemodynamic compromise
27:32and liver failure
27:33he's also hallucinating
27:34thinks he's being tortured by someone named jules
27:37hallucinations are a symptom of psychosis
27:39which is the fourth diagnostic criteria
27:40it's official
27:41this is lupus
27:43who's jules
27:46any mention of her in the medical history
27:48it doesn't matter what he's hallucinating about
27:50it matters why
27:51it's lupus
27:52there's no need to get snippy
27:55this kind of lupus takes years to get to this point
27:57it's been a week
27:57yeah
27:58and a 16 year old kid shouldn't have hemolytic anemia
28:00or be bleeding out of every orifice
28:02but he is
28:02we had an opportunity to treat this
28:04instead we diddled around with hepatitis c
28:06and now it's too late
28:07he needs a new liver
28:09we screwed up
28:11you're saying i screwed up
28:15yes
28:15then why did you just say that
28:19are you gonna blame this on her
28:20did you agree with my recommendation to treat for happy
28:22no i didn't
28:24and she made herself quite clear
28:25and then she went and lied to the father
28:27that's why you're angry
28:28yeah i trusted you
28:29you always trust me
28:30it's a big mistake
28:33lupus is a bad diagnosis
28:35it's the best diagnosis we've got
28:36that doesn't make it good
28:38no
28:38it just makes it this kid's only chance to live
28:45put him on the transplant list
28:48and make sure cutty knows
28:50see if she can
28:51do anything to get him close to the top
29:17cafeteria
29:19stay away from the sushi
29:21and what happened to your hand
29:24got stuck in a drawer
29:26yeah right
29:27you're going through with the drill
29:29no
29:29i am going through pain
29:33pain causes nausea
29:36i took this job to work with you
29:38not cover your ass
29:40you're a vicodin
29:46and your solution
29:47is to give me drugs
29:48it's interesting
29:50no
29:50now i'm covering my ass
29:54take your pills
29:55before you kill this kid
30:23you're going through
30:36Lupus is normally treated with medication,
30:39but in Keith's case, the disease is too advanced.
30:42Because you lied.
30:44Because I always wanted to play games with my son's life.
30:47There's no way to really tell what progression the disease may have taken.
30:49You're right.
30:53And I'm sorry.
30:57So what do we do?
30:59He needs a new liver.
31:02There are over 15,000 patients on the transplant list.
31:05But how many are about to bleed to death unless they get a new liver?
31:08In Jersey, I'd say, uh, 20.
31:112,000 patients die each year because a donor liver can't be found.
31:14That's almost five a day.
31:16So we screw.
31:18I'll see what I can do.
31:21Could I donate part of my liver?
31:23Sorry, you're a different blood type.
31:26So we just wait?
31:27I'm afraid so.
31:29Then hope for someone to die.
31:33Who's Jules?
31:37Dr. House, you should get back to your office.
31:38Jules.
31:39There's no Jules in history.
31:41It was a hallucination.
31:42Of what?
31:43Our cat.
31:44Does this matter?
31:45No, I'm sorry.
31:46We'll continue the transfusions and the treatment for the anemia and liver failure.
31:50We're all waiting for a donor.
31:51How long can you wait?
31:52Not long.
31:54I don't think this is lupus.
31:56It's lupus.
31:56Come on, let's just go.
31:57Your fourth diagnostic criterion of lupus is psychosis.
32:00This is just a kid missing his cat.
32:02He was being attacked by an animal that wasn't in the room.
32:05That's psychosis.
32:06There's a difference between psychosis and hallucination.
32:08So if he was imagining a fake cat, it'd be lupus.
32:10But since it was a real cat, it's not.
32:12Take your damn pills.
32:14Psychosis requires...
32:15No cat.
32:17Jules is dead.
32:22You have a dead family pet and you never mention it.
32:26Nice family history.
32:28Family history is asking about family members, meaning people related to the patient.
32:31Let's go.
32:32How did the cat die?
32:33Can you get him out of here?
32:34Doctor House, come on.
32:35What happened to the cat?
32:39Old age.
32:40She was 15 years old.
32:42When?
32:43About a month ago.
32:45Does this have anything to do with...
32:46Where'd she sleep?
32:47With Keith.
32:47This is not a cat allergy.
32:49It's not lupus.
32:52Where is Jules?
32:58Four years of college.
33:00Four at med school.
33:02Two years of residency.
33:04Another four of subspecialty training.
33:06And where do I end up?
33:09Talking instead of digging.
33:11Come on, the ground's frozen solid.
33:23What's that?
33:25What's that?
33:27Tell her.
33:37There he goes.
33:37I'll lose.
33:56You can't afford it.
33:56But instead of trying to go down the snake, you're just there.
34:15Out of the way.
34:19We have the liver.
34:20Prep OR4.
34:46All right, Keyes, start cutting backward from 10.
34:5310, 9, 8.
34:59Let's go.
35:06Stop the gases.
35:08What the hell are you doing, House?
35:10Saving a 16-year-old kid from a lifetime of immunosuppressant drugs and very nasty scar.
35:15This kid doesn't have lupoid hepatitis.
35:17He has acute naphthalene toxicity.
35:20Naphthalene?
35:21You're talking about mothballs?
35:23Nope.
35:24Termites.
35:25They create naphthalene to protect their nests, which I'm assuming is rather large and inside
35:31all four walls of his bedroom and home.
35:34And your assumption is based on what?
35:37The autopsy I just conducted on his pet cat.
35:40Call Cuddy.
35:41End security.
35:42You are not removing that kid's liver.
35:44Now!
35:45Now!
35:50Have you completely lost your mind?
35:52No, but I have been feeling a little sick lately.
35:55Achoo!
35:59There's no way we can do this surgery now.
36:02You think?
36:03You've already cost him his liver.
36:05Don't kill him, too.
36:06Why are you so eager to cut into a healthy kid?
36:08Healthy?
36:09He's in the toilet.
36:10He just needs some chicken soup.
36:12I'm telling you, Ronnie, to re-scrub.
36:13We're doing this transplant.
36:15No, you're not.
36:15You said it.
36:17If Keith's symptoms had an environmental cause, they would have disappeared as soon as he
36:20got here.
36:20We've only gotten worse.
36:21The food here wasn't one step below Rikers Island.
36:24He would have gotten better.
36:25He's lost 14 pounds.
36:26Yeah, sure.
36:26This is nothing but a dietary thing.
36:28Naphthalene is a gas, a fat-soluble gas.
36:31Kid breathes it in and gets stored in his fat cells.
36:33Outside the hospital, his body burned protein and carbs for energy, and the naphthalene stayed
36:38in fat.
36:39But once the car accident put him in the hospital, and he started losing weight, his body had
36:44to get his energy somewhere else.
36:46It started to burn fat.
36:48The floodgates opened.
36:50The poison poured into his system.
36:52So getting away from the poison is what poisoned him?
36:55Getting away from his dad's meatloaf is what's killing him.
36:58You want to explain to me why you stopped the surgery?
37:01Oh, my God!
37:02My God!
37:04I want him locked up!
37:06Hey!
37:07Take it easy.
37:20Your cat did not die of old age.
37:25You died of massive internal bleeding and acute liver failure caused by naphthalene poisoning.
37:33The exact same thing your son has.
37:35You lie to me?
37:36You mess up my son's surgery, and now you expect me to trust you?
37:39Give me 24 hours.
37:41We'll pump your son full of calories.
37:43That liver is going to somebody right now.
37:45We're doing that surgery.
37:46You do the surgery, you'll be killing a mother of four.
37:51A father of three.
37:52I was guessing.
37:53Like you are now?
37:56Naphthalene poisoning is the best explanation we have for what's wrong with your son.
38:01It explains the internal bleeding, the hemolytic anemia, the liver failure.
38:05It also predicts what will happen next.
38:07If you do the surgery, he's going to lay on that table for 14 hours while his body continues to
38:12burn fat and release poison into his system.
38:16Either way, I did you a favor.
38:17He's awake now.
38:19Got a chance to say goodbye.
38:20Goodbye.
38:28I think you should trust Dr. House.
38:44Give the liver to the other guy.
39:00Watch out.
39:24I.N.R. is down, and this red count is climbing.
39:29It means you made the right call. His liver is healing. He's gonna be just fine.
39:51You made it a week and won my prize. Congratulations.
39:57Cuddy's a sucker. I would have done it for two weeks off.
40:00Yeah, it was a piece of cake. You learned anything?
40:06Yeah. I'm an addict.
40:21Okay. I'm not stopping.
40:28There are programs. Cuddy would give you the time. You could get on a different pain management regimen.
40:35I don't need to stop.
40:37You just said... I said I was an addict. I didn't say I had a problem.
40:42I pay my bills. I make my meals. I function.
40:47Is that all you want?
40:49You have no relationships.
40:51I don't want any relationships.
40:53You alienate people.
40:54I've been alienating people since I was three.
40:56Oh, come on. Drop it.
40:59You don't think you've changed in the last few years?
41:01Well, of course I have. I've... I've gotten older. My hair's got thinner.
41:05Sometimes I'm bored. Sometimes I'm lonely. Sometimes I wonder what it all means.
41:08No. I was there.
41:09You are not just a regular guy who's getting older.
41:13You've changed. You're miserable. And you're afraid to face yourself.
41:16Of course I've changed!
41:25And everything's the leg. Nothing's the pills.
41:29They haven't done a thing to you.
41:32They let me do my job.
41:35And they take away my pain.
42:09How'd it go?
42:12He admitted he's addicted to the narcotics.
42:14We're admitting you have a problem.
42:15And he says it's not a problem.
42:19Maybe it's not.
42:21What do I know?
42:23What are you gonna do?
42:24Nothing. Done enough damage.
42:26Better hope he never finds out that that was your idea.
42:28He'd never believe it.
42:30All right.
42:34Yeah I'm not feeling that you're myself
42:39Yeah!
42:43Whoa!
42:46But I'm not feeling that you're myself
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