1. Beautiful by Christina Aguilera ::
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2. - 10-minute warning.
- I'm fine.
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3. - What about your meds?
- Got 'em, Mom.
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4. 2X02 - Autopsy
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5. Original Airdate (FOX): 20-SEP-2005
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6. House!
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7. - Need you.
- Uh-uh, forget it. I'm going home.
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8. Hay fever?
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9. Boy, you must be a doctor and everything.
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10. Two minutes.
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11. No, the purple thingy on the file
means that "whoever" is one of yours.
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12. Which means cancer,
which means no way it's two minutes.
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13. - Fine, I'm lying. 30 minutes.
- Ahh...
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14. Mystery of life.
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15. Benadryl might help.
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16. I already did.
1,000 milligrams.
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17. Steam room?
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18. Why, Jimmy!
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19. We'll talk about this
in the morning.
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20. I got a nine-year-old with cancer.
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21. Alveolar Rhabdomyosarcoma.
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22. Terminal kid
trumps your stuffy nose.
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23. Not yet.
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24. She's hallucinating.
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25. So the Rhabdo's in her brain
make her comfortable.
She's got about a week.
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26. Yeah, except there is
no cancer in her brain.
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27. Pristine CT scan, blood tests,
protein markers—all negative.
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28. The cancer's in remission?
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29. And, not that it matters, but if you fix
whatever's going on in her head,
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30. you give her maybe another year.
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31. A long time for a nine-year-old.
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32. No.
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33. It'll just fly by.
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34. Five major surgeries,
a bone marrow transplant,
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35. 14 rounds of chemo
and blast radiation.
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36. It was me, I'd just stay home
and watch TV or something.
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37. Not lie here under a microscope.
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38. Ahh. Don't worry.
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39. Anything happens to you,
nobody's gonna lift a finger.
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40. Differential diagnosis.
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41. On your marks, get set...
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42. Hallucinations could be caused...
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43. Whoa!
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44. Wait for it.
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45. And go.
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46. Latent neurotoxicity
from the chemo treatments.
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47. No. Patient's last round of chemo
was two months ago...
we would have seen it by now.
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48. Genetic component?
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49. Nah, nothing on mom.
Dad split when she was pregnant.
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50. His medical history
is also clean.
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51. What a guy.
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52. What about graft versus host disease
from the bone marrow transplant?
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53. Infection travels to her brain,
she has hallucinations.
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54. Bloodwork and LP were clean.
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55. But where there's infection,
there's meningeal swelling.
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56. That CT shows
no meningeal involvement.
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57. True. Get a tox screen and an MRI.
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58. We can do that,
if you want to ignore
what we just discussed.
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59. Sounds good.
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60. Toxic exposure doesn't make
any chronological sense.
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61. Guess there is a third option.
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62. She's making it all up,
'cause she doesn't want to
get in trouble for breaking a mirror.
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63. Unfortunately,
we can't test for that. So...
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64. tox screen, MRI,
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65. and you stay away from the patient.
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66. What'd I do?
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67. Oh, well, you'll just get all warm
and cuddly around the dying girl,
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68. insinuate yourself,
probably end up in a custody battle.
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69. Chase, you handle the mom.
Tell her that you'd just sit home
and watch TV and die,
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70. but you had to go through the motions
of trying to save her daughter's life.
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71. It's a doctor thing.
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72. What the hell is this?
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73. Black walnut and ginger.
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74. It's nice.
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75. Let's lay you down, and
I'll attach this thingamajiggy.
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76. - SAT monitor.
- Oh, a pro.
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77. Don't have to explain anything.
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78. I like it.
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79. Central line for the chemo.
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80. Yeah, doesn't hurt
or anything, does it?
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81. No, it's awesome.
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82. Instead of an IV, saves me a lot of
time and a bunch of needle sticks.
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83. I don't think I've ever heard anyone say
they like their central line before.
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84. Right, can I interest you
in a walk in the park?
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85. - No, thanks.
- Okay.
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86. Don't want any butterflies either.
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87. Doesn't matter
what the walls look like.
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88. You're still looking for cancer.
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89. Not today.
We're looking for an infection.
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90. But I get your point.
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91. - You comfortable?
- Yep.
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92. All right.
Let's get this over with.
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93. A pro. I like it.
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94. Whoa! Look at the time.
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95. I should have been
out of here 20 minutes ago.
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96. You've only been
here 20 minutes.
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97. Oh, can't slip
anything by you, can I?
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98. - It's a patient in one.
- I'm taking a sick day.
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99. Take some Claritin.
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100. Everyone's a doctor, suddenly.
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101. Patient in one
requested a male doctor.
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102. Balls are in your court, doctor.
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103. Union rules.
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104. I can't check out this guy's
seeping gonorrhea this close to lunch.
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105. Exam room one.
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106. It's sexist, and
a verydangerous precedent.
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107. People could to choose
the sex of their doctors,
you gals would beout of business.
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108. Exam room one.
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109. Sore throat?
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110. That's not lupus.
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111. Well, not everyone
can operate a zipper.
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112. You know, the up, the down.
What comes next?
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113. My new girlfriend...
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114. Never been with a guy
who wasn't... c-circumcised.
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115. So she freaked and...
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116. Aha. And you wanted Rivkah
to feel all gemutlicht.
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117. I get it. It's a shandah.
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118. Aah!
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119. I got some box cutters and, um...
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120. Just like Abraham did it.
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121. I sterilized them. Which, uh...
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122. - I was told you're sup...
- Stop talking.
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123. I'm gonna get a plastic surgeon.
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124. Get the Twinkie backin the wrapper.
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125. House.
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126. Hey, House.
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127. Andie's MRI and
tox screen were clean.
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128. No infection,
no neurotoxins.
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129. Oxygen saturation is 94%.
Check her heart.
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130. Her oxygen saturationis normal.
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131. It's off by one percentage point.
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132. It's within range.
It's normal.
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133. If her DNA was off
by one percentage point,
she'd be a dolphin.
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134. We've got a patient who,
for no obvious reason, is hallucinating.
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135. Since it's not obvious,
I thought we'd go with subtle.
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136. It doesn't matter.
If her SAT percentage is off,
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137. that means her blood isn't
getting enough oxygen.
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138. That's a problem with
her lungs, not her heart.
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139. And a lung problem
isn't causing hallucinations.
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140. But the lungs could lead
to somewhere that is.
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141. Welcome to the end
of the thought process.
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142. Primarypulmonary hypertension?
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143. Maybe PE or pulmonary fibrosis.
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144. Maybe some bizarre case
of kyphoscoliosis.
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145. I'm going home.
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146. While I'm resting, you guys
get some arterial blood gases.
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147. Once you confirm
that she is hypoxic,
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148. I want a plethysmorgraphy,
chest X-ray, CT, and VQ.
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149. And if all that comes
back negative, then
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150. sneak a catheterinto her lungs.
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151. And don't worry...
I don't sleep in. I'll get bagels.
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152. You ever had this test before?
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153. What's it for?
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154. This... goes all the way up the vein
by your hip into your lung.
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155. If I find something up there
blocking anything, I pull it out... simple.
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156. It's gonna be easy.
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157. The doctor at Sloan told me
I had a great aorta.
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158. Oh, you have had this test before.
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159. Sorry. I just like hearing you talk.
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160. I've never kissed a boy.
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161. There's time yet for that.
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162. There was a boy last summer.
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163. I was at one of those cancer camps.
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164. Mm-hmm.
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165. I just never had
the guts to ask him.
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166. You know,
there's a good chance...
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167. I'm not gonna walk
out of this hospital.
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168. Even if I do, I'm nine.
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169. Not a lot of kissing going on
in the third grade.
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170. You will walk out of here, all right?
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171. And you will kiss a boy.
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172. There you go.
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173. Smile.
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174. Will you kiss me?
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175. No.
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176. No one will ever know.
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177. I'm... I'm... I'm sorry.
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178. I can't.
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179. I won't tell anyone.
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180. Listen, you're nine years old.
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181. I'm 30.
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182. I just want to know
what it feels like.
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183. Once.
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184. This isn't your last chance for that.
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185. What if it is?
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186. Please kiss me.
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187. Bagels.
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188. You didn't sleep in.
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189. Didn't sleep.
Didn't breathe. I'm dying.
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190. Pulmonary angiogram of
Andie's lungs was clean.
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191. Arterial blood gases
and CT scan were also normal.
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192. Her heart and lungs are fine.
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193. Which gives us no explanation
for the diminished SAT percentage.
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194. Yeah, oddly enough,
sometimes normal is normal.
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195. Sometimes we can't see
why normal isn't normal.
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196. Get her symptoms on the board.
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197. Whoa, you're letting me
touch the markers?
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198. It's written down in my
advanced health care directive.
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199. Should I be incapacitated in any way,
you run the board, then Foreman.
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200. Chase, you're just not ready yet.
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201. What else?
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202. Guys, I know we sort of
ruled out infection, but...
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203. if we forget the labs for a minute,
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204. there is one infection
we didn't test for because of her age:
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205. neurosyphylis.
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206. There's no way.
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207. If the infection dipped
into her cerebral cortex,
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208. all peripheral functions
could be compromised.
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209. No, she hasn't had sex.
She's nine.
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210. Maybe it wasn't her idea.
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211. I mean, she's been
around a lot of adults.
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212. All the hospital visits,
the counselors at the cancer camps.
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213. You think she's been molested?
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214. Hiding it pretty well
if there's any of that going on.
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215. Yeah, all girls who have been
molested want to talk about it.
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216. Break out the rape kit.
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217. She hasn't had sex.
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218. Why are you so sure?
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219. She told me
she'd never kissed a boy.
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220. You read her diary too?
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221. She asked me to... kiss her.
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222. I rest my case.
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223. A regular nine-year-old girl
does not have sex on the brain.
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224. Not when a doctor's threading
a catheter through her veins.
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225. Well, she's not
a regular nine-year-old.
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226. She's got terminal cancer.
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227. Cancer doesn't make you special.
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228. Molestation,
on the other hand...
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229. She wanted one kiss
before she dies.
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230. If she's never kissed a boy,
it's a fair bet she's never had sex.
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231. Tell that to all the hookers
who won't kiss me on the mouth.
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232. Hey, here's a theory.
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233. She has been molested,
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234. seeks refuge in romantic fantasies
with older men with great hair,
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235. and I think
you left out the punch line.
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236. Victims of molestation learn to
work the angles. Manipulate people.
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237. You did it, didn't you?
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238. You kissed her.
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239. It-it wasn't sick.
It was one kiss for a dying girl.
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240. One small...
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241. One small kiss
before she dies. Thank you.
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242. This is exactly why
you can't touch my markers.
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243. - Go see if she's had sex.
- Okay.
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244. No one's ever touched me.
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245. We just need to be sure.
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246. I like your hair.
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247. I used to have really curly hair.
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248. I always wanted it
to be like yours is.
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249. Thank you.
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250. All right.
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251. That's it.
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252. You're fine.
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253. With a patient.
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254. She dying?
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255. No.
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256. Then she can wait.
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257. Will you excuse me just two minutes?
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258. If only she'd been molested.
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259. Then we'd have
something to go on.
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260. No forced entry.
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261. One hallucination.
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262. Maybe it was just... bad pork.
Maybe there's nothing...
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263. She's not fine.
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264. Her SAT percentage
dropped another point.
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265. Which could suggest
a tumor in her lung.
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266. Lung wouldn't explain
the hallucination.
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267. CT scan showed
both lungs were clean.
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268. Which means there's
a tumor in her heart.
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269. Not a chance.
Give me that.
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270. I loosened it.
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271. I opened it.
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272. We've got an MRI and
an echo of her heart.
There's nothing there.
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273. Give me one other explanation...
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274. for low oxygen saturation.
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275. I can't.
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276. There's only one condition
that simultaneously affects
the heart and the brain, but she...
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277. Perfect.
Let's go with that.
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278. Tuberous Sclerosis in a kid that
also has Alveolar Rhabdomyosarcoma?
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279. Two different, unrelated
cancers at the same time
is a statistical no-no.
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280. What's the rate of cancer
in the general population?
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281. One in 10,000?
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282. Don't... don't start
with the numbers.
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283. The way I figure it,
one in 10,000 of them
should have another cancer.
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284. Little girl won the lottery twice.
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285. It happens.
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286. So you're gonna cut her open?
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287. Exploratory surgery.
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288. Gotta find this thing.
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289. You're justgonna grope around
inside an immuno-compromised nine-year-old?
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290. - She could die on the table.
- I know it's somewhere near the heart.
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291. House...
You've gottado better than that.
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292. Why are we here?
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293. Better acoustics.
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294. Now listen to this.
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295. Lub-
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296. dub
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297. Lub-
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298. dub
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299. Lub-
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300. That's a mitral heart valve.
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301. No, get the wax out of your ears.
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302. This is the patient's aortic valve.
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303. I downloaded the audio
of her echocardiogram.
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304. What are wetrying to hear?
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305. Tumor.
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306. They tend to keep quiet on account
of them not having any mouths.
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307. But we could hear an abnormality
in the sound of the valve.
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308. Which would indicate
the presence of something.
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309. The tumor, for example.
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310. If we can tell a surgeon where to look,
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311. this is no longeran exploratory surgery.
It's a precision strike.
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312. Her aortic valve sounds normal.
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313. Too bad.
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314. Now listen to the dulcet tones
of Andie's tricuspid valve.
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315. Lub-
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316. dub
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317. Lub-
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318. dub
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319. Lub-
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320. - Normal.
- House: And this...
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321. is her mitral valve.
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322. Lub-
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323. dub
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324. Lub-
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325. dub
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326. Lub-
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327. I don't hear anything weird.
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328. Oh, you guys make me sad.
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329. Listen again.
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330. She's hadone hallucination.
Why are weoperating on her?
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331. Why are werisking her life?
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332. Because Wilson thinks
it'd be nice to give the girl a year
to say good-bye to her mommy.
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333. Guess maybe she stutters or something.
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334. Now shut up and listen.
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335. Tricuspid.
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336. Mitral.
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337. Again.
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338. Wait.
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339. There.
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340. There's an extra flap.
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341. I'm gonna ask a surgeon to
look at the mitral valve first.
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342. Chase, I want you there.
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343. I don't like reading
surgeons' reports. They're boring.
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344. I'm not really sure
I should be spending more time...
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345. She'll be unconscious.
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346. You'll be safe.
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347. I'll be there
when you wake up.
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348. I'm gonna be fine, mom.
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349. Brave kid.
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350. She even gave
her mom a pep talk.
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351. Mature, brave.
She's a wonder.
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352. What's your problem?
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353. These cancer kids.
You can't put them all on a pedestal.
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354. It's basic statistics.
Some of them have got to be
whiny little fraidy-cats.
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355. You're unbelievable.
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356. If there's not one yellow belly
in the whole group, then...
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357. being brave doesn't have any meaning.
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358. Andie handles an impossible
situation with grace.
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359. That's not to be admired?
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360. You see grace because
you want to see grace.
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361. You don't see grace because
you won't go anywhere near her.
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362. Idolizing is pathological
with you people.
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363. You see things to admire
where there's nothing.
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364. Yeah, well, we're evil.
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365. You find things to admire
where you shouldn't be sniffing at all.
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366. Like Debbie in accounting.
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367. She's... nice.
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368. You shouldn't know that.
You're married.
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369. So the little kid dying of cancer,
I shouldn't like her?
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370. If you're dying,
suddenly everybody loves you.
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371. You have a cane.
Nobody even likes you.
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372. I'm not terminal.
I'm merely pathetic.
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373. You wouldn't believe the crap
people let me get away with.
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374. They found a tumor.
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375. It's in her lung,
extending into her heart.
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376. It wasn't visible on the MRI
because it's growing along the heart wall.
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377. Now, because of the placement,
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378. the surgeon has to
temporarily remove Andie's heart.
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379. It's called an explant.
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380. They cut out the tumor,
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381. replace any damaged heart muscle
with bovine patches.
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382. That's a patch made
from a cow's pericardium.
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383. It's a sacth at encloses the heart.
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384. What are her chances?
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385. The problem is there might
not be enough heart left
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386. once they remove
all of the tumor.
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387. And if the tumor's
metastasized,
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388. there's nothing we can do.
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389. Dr. Murphy.
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390. Just let me tie this off.
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391. - Doctor.
- What?
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392. She's got a bleed in her eye.
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393. They got a tumor,
repaired her heart,
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394. but she bled out of her eye.
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395. She didn't bleed out
of her eye from a heart tumor.
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396. True.
The cardiac tumor was benign.
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397. - It's impossible.
- Statistically...
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398. Oh, shut up.
If the tumor's benign,
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399. that means it didn't
cause her hallucinations.
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400. That's why I'm mentioning it.
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401. So the tumoris a coincidence.
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402. This is bad.
You're starting to state the obvious.
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403. No, you said it would be there.
It was there.
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404. It can't be a coincidence.
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405. A nine-year-old
with terminal cancer
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406. gets an unrelated benign tumor
growing in her heart... why?
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407. It's benign?
That's impossible.
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408. Talk to Wilson.
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409. And the retinal bleed...
another coincidence?
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410. A clot could create pressure
behind the eye, cause the bleeding.
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411. A clot could explain the eye, but
doesn't explainthe hallucinations.
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412. A clot couldcause mini-seizures.
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413. Great, another thing that's
not causing hallucinations.
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414. Post-seizure psychosis.
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415. The brain sort of corrects itself
after the seizure by hallucinating.
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416. The clot could explain
the eye and the hallucinations.
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417. But what about the tumor?
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418. Tumors the size of an octopus
wrapped around a little girl's heart
are not just a coincidence.
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419. She's not healthy.
She's never been healthy.
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420. What's the theory here?
This girl's body's a lemon?
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421. Faulty manufacturing?
Everything's falling apart?
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422. The tumor is Afghanistan.
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423. The clot is Buffalo.
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424. Does that need more explanation?
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425. Okay, the tumor is Al Qaeda.
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426. The big bad guy, the brains.
We went in, wiped it out.
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427. But it had already
sent out a splinter cell.
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428. A small team
of low-level terrorists
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429. quietly living in some suburb
of Buffalo, waiting to kill us all.
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430. Are you trying to say that
the tumor threw a clot
before we removed it?
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431. It was an excellent metaphor.
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432. Angio her brain before
this clot straps on an explosive vest.
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433. Angio was clean.
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434. There's no clot?
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435. There's a clot.
We just can't find it.
Copy !req
436. We can't do exploratory
surgery on her brain.
Copy !req
437. Are you sure
you're not a neurologist?
Copy !req
438. Okay.
Copy !req
439. She's gonna die.
Copy !req
440. Well, the clot's not gonna
go away quietly.
Copy !req
441. It could blow at any time.
Copy !req
442. Are you gonna
let them know?
Copy !req
443. I guess so.
Copy !req
444. Can I come with?
Copy !req
445. To tell Andie
she's gonna die?
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446. That's very un-you.
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447. Well, she's such a brave girl.
Copy !req
448. I want to see how brave she is
when you tell her she's gonna die.
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449. Go to hell.
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450. What would you do
if you were told
you were gonna die?
Copy !req
451. I don't know.
I'd be devastated.
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452. You'd cry like a baby.
Copy !req
453. Everybody would.
Copy !req
454. She's not doing anything.
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455. - She's a rock.
- She's brave.
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456. Yeah, yeah, yeah. Why?
Copy !req
457. She's gone through more than
most people do in a lifetime.
Copy !req
458. So what? Does that mean
she's ready to die?
Copy !req
459. What if her bravery...
is a symptom?
Copy !req
460. The clot is causing the hallucinations
and messing with her emotions.
Copy !req
461. You think her bravery
is chemically based?
Copy !req
462. It'd tell us where
to look for the clot.
Copy !req
463. Where's the fear center?
Copy !req
464. In the amygdala,
near the hippocampus.
Copy !req
465. It's a big area,
and a busy one.
Copy !req
466. You blindly cut in there,
you could kill her.
Copy !req
467. Only time you're gonna
see this clot is at autopsy.
Copy !req
468. Then let's do that.
Copy !req
469. Is it still illegal to perform
an autopsy on a living person?
Copy !req
470. Are you high?
Copy !req
471. If it's Tuesday,
I'm wasted.
Copy !req
472. It's Wednesday.
Copy !req
473. I want to induce
a hypothermic cardiac arrest.
Copy !req
474. Once the patient's on bypass,
we siphon off two liters of blood,
Copy !req
475. then perfuse the brain
while she's in an MRI.
Copy !req
476. You're actually talking
about killing her.
Copy !req
477. Just for a little while.
I'll bring her right back.
Copy !req
478. Oh, well, in that case, go ahead.
Why are we even talking?
Copy !req
479. If we do nothing,
she's dead in a day. Maybe a week.
Copy !req
480. The kind that lasts.
Copy !req
481. We need FDA approval
for any surgical technique
Copy !req
482. that's used for diagnostic purposes.
Copy !req
483. Absolutely, if we were
doing anything invasive.
Copy !req
484. But there's nothing invasive...
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485. Gah. You know, I'm not
cutting into her head.
Copy !req
486. - I'm just looking for a clot.
- Not invasive?
Copy !req
487. You're killing her.
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488. Don't split hairs.
If it works, she lives.
Copy !req
489. Make sure the mom understands
that this is a million-to-one shot.
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490. I'll see that Wilson
passes that along.
Copy !req
491. The plan... is basically
to reboot your daughter.
Copy !req
492. Like a computer.
Copy !req
493. We shut her down,
then restart her.
Copy !req
494. How do you restart
a nine-year-old girl?
Copy !req
495. We cool her core body temperature
to 21 degrees Celsius.
Copy !req
496. Use blankets, ice.
Copy !req
497. Sort of like... hibernation?
Copy !req
498. Not quite.
Copy !req
499. In hibernation,
a bear's heartbeat is just very slow.
Copy !req
500. In cardiac arrest,
there is no heartbeat.
Copy !req
501. So she's dead.
Copy !req
502. Temporarily, yes.
Copy !req
503. By cooling her,
we limit the risk of damage
Copy !req
504. when we... remove her blood.
Copy !req
505. Not all of it.
Two to three liters.
Copy !req
506. Half her blood?
Copy !req
507. Then we put it back.
Copy !req
508. It's called
perfusing the circuit.
Copy !req
509. In this case, her brain.
Copy !req
510. And using an MRI,
we'd have a very brief window
Copy !req
511. to hopefully see
the outline of the clot.
Copy !req
512. If it's there and
it's operable, we go get it.
Copy !req
513. And Andie walks out of here.
Copy !req
514. Whew.
Copy !req
515. Signed consent forms.
Copy !req
516. Great. Thanks.
Copy !req
517. You sound better.
Copy !req
518. I stacked a combo of
Mentholatum, a few Vicodin, and...
Copy !req
519. something else
which I can't remember.
Copy !req
520. Should be able to ride
the high for a couple hours.
Copy !req
521. What did Andie say?
Copy !req
522. About what?
Copy !req
523. About this.
Copy !req
524. I didn't talk to her.
Copy !req
525. She doesn't need to know
the specifics of this procedure.
Copy !req
526. What if you're right about her?
Copy !req
527. What if she just is that brave?
Copy !req
528. That doesn't mean
she's mature enough to handle
this kind of decision.
Copy !req
529. Either she understands
or she's not brave.
You can't have it both ways.
Copy !req
530. If she does understand...
Copy !req
531. then she deserves
to know what's going on.
Copy !req
532. I'm Dr. House.
Copy !req
533. I've seen you around.
Copy !req
534. Your mom tell you
what we're gonna try?
Copy !req
535. Sorta.
Copy !req
536. Tomorrow's tests
could take 10 hours.
Copy !req
537. Given your present condition,
Copy !req
538. you might not even
make it through.
Copy !req
539. My mom said it's not a research.
Copy !req
540. How do you feel about it?
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541. If we figured maturity came from
how much time you've got left
Copy !req
542. instead of how long
you've been here,
this would be your call.
Copy !req
543. I don't have a choice. Right?
Copy !req
544. I could give you one.
Copy !req
545. I wanna get better.
Copy !req
546. You've got cancer.
Copy !req
547. - Even if I fix this...
- I have a year.
Copy !req
548. A year of this.
Copy !req
549. A lot of people
wouldn't want that.
Copy !req
550. A lot of people would...
Copy !req
551. just want it to be over.
Copy !req
552. Are you asking
if I want to die?
Copy !req
553. Nobody wants to die.
Copy !req
554. But you're going to.
Copy !req
555. The only question is how.
Copy !req
556. How much
you're gonna suffer, and...
Copy !req
557. and how long.
Copy !req
558. I'm asking if you
want this to be over.
Copy !req
559. What would you tell my mom?
Copy !req
560. I would give her
10 excellent medical reasons
why we can't do this procedure.
Copy !req
561. I can't just leave her
'cause I'm tired.
Copy !req
562. But you can't stay
for her either.
Copy !req
563. But she needs me here.
Copy !req
564. This is your life.
Copy !req
565. You can't do this just for her.
Copy !req
566. I love her.
Copy !req
567. Thank you for joining me
for tonight's dress rehearsal.
Copy !req
568. Playing the part of Andie
is Morty Randolph.
Copy !req
569. For his donation to science,
we give our thanks.
Copy !req
570. Once Andie is cooled
Copy !req
571. and goes off bypass,
we have 60 seconds
Copy !req
572. to get two liters of blood
out of her body and back into her
Copy !req
573. for the pictures to find
the clot in her head.
Copy !req
574. If our star is bumped tomorrow,
Copy !req
575. while my MRI is on...
Copy !req
576. these red lights will go off.
Copy !req
577. Which will mean we have
no usable test results.
Copy !req
578. No test results,
Copy !req
579. it's good-bye, Broadway.
Copy !req
580. You guys will be wearing
bad cat suits in Des Moines.
Copy !req
581. Now, neurosurgeons here,
with a view of the monitors.
Copy !req
582. Cardiac surgeon there,
in case we need to open her up.
Copy !req
583. one by the cardiac bypass machine,
Copy !req
584. one by the cooling apparatus.
Copy !req
585. Girls in the chorus,
if you're over 5'10", stick with me.
Copy !req
586. Okay, give me
60 seconds on the clock.
Copy !req
587. Show time.
Copy !req
588. A-five, six, seven, eight!
Copy !req
589. Siphon off the blood
through the arterial line.
Copy !req
590. Whoosh!
Sound of blood draining.
More whoosh.
Copy !req
591. And we...
Copy !req
592. kill her.
Copy !req
593. Again.
Copy !req
594. - Surgeon: Sorry, my hand...
- How hard can this be?
Copy !req
595. - It's a little busy down here.
- Again.
Copy !req
596. If we didn't have to
lavage her gastrointestinal...
Copy !req
597. Again.
Copy !req
598. Again!
Copy !req
599. We could bolt her to the table.
Copy !req
600. Gruesome and low-tech.
Copy !req
601. Kiss me, I love it.
Copy !req
602. A-five, six, seven, eight!
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603. Here you go, Doctor.
Copy !req
604. This'll make you sleep.
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605. A lot of people.
Copy !req
606. Big musical number, kiddo.
Copy !req
607. A lot of people here
to make you look good.
Copy !req
608. You're kind of
freaking me out.
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609. He gets that sometimes.
Copy !req
610. Deep breath, honey.
Copy !req
611. Okay, go.
Copy !req
612. Body temperature
37 degrees Celsius.
Copy !req
613. Start the cooling.
Copy !req
614. You, go.
Copy !req
615. - She's shivering.
- 200 milligrams of vecuronium.
Copy !req
616. 24 degrees Celsius.
Copy !req
617. We have afib.
Copy !req
618. - What?
- She's dead.
Copy !req
619. That's the whole idea.
Copy !req
620. Go.
Copy !req
621. One liter out.
Copy !req
622. Two liters.
Copy !req
623. Okay, put the blood back in.
Copy !req
624. Reperfuse the circuit.
Copy !req
625. Anything, people,
anything at all.
Copy !req
626. Internal carotid artery
in cavernous sinus is fine.
Copy !req
627. 10 seconds.
Copy !req
628. Vestibulocochlear nerveintact.
Copy !req
629. Middle meningeal artery clear.
Copy !req
630. - Five seconds.
- Nothing.
Copy !req
631. We're over the limit.
Copy !req
632. We've got to start rewarming her,
or there'll be permanent damage.
Copy !req
633. Keep looking!
Copy !req
634. There!
Copy !req
635. I didn't see anything.
Copy !req
636. - It was there.
- You sure?
Copy !req
637. Four millimeters lateral
to the hippocampus. I saw it.
Copy !req
638. House, she's out of time.
She's gonna be a vegetable.
Copy !req
639. I saw it.
Copy !req
640. That's good enough for me.
Copy !req
641. They were able
to restart her heart.
Copy !req
642. She's doing as well
as can be hoped.
Copy !req
643. So they found the clot.
Copy !req
644. We think so.
Copy !req
645. The neurosurgeons are attempting
to remove it right now.
Copy !req
646. And when will we know
if there was any damage?
Copy !req
647. A few hours.
Copy !req
648. Four millimeters lateral
to the hippocampus.
Copy !req
649. That's where I am.
Copy !req
650. There's nothing there.
Copy !req
651. You're not there yet.
Keep going.
Copy !req
652. I'm there.
Copy !req
653. Are you sure you saw...
Copy !req
654. There it is.
Copy !req
655. I think I can get it.
Copy !req
656. Hi, Mom.
Copy !req
657. Ohh, hi, baby.
Copy !req
658. You're treating
your stuffy nose with...
Copy !req
659. cocaine?
Copy !req
660. Diphenhydramine.
Copy !req
661. Antihistamine. It's a...
Copy !req
662. new delivery system.
It's a blood-brain barrier thing.
Copy !req
663. It's all about speed, isn't it?
Copy !req
664. One thing to another,
never standing still.
Copy !req
665. You're... pretty good at that.
Copy !req
666. I know my way
around a razor blade.
Copy !req
667. It's time.
Copy !req
668. Just a couple more rocks.
Copy !req
669. Andie's going home.
Copy !req
670. Right.
Copy !req
671. The parade of the small,
bald circus freaks.
Copy !req
672. Sorry, I... got a thing.
Copy !req
673. I read the surgeon's report.
Copy !req
674. Oh?
Copy !req
675. Clot was nowhere near her amygdala.
Copy !req
676. Means her fear emotions
were working perfectly.
Copy !req
677. - Yeah.
- Yeah.
Copy !req
678. So her... bravery
was not a symptom.
Copy !req
679. Yeah.
Copy !req
680. I was wrong.
Copy !req
681. She genuinely is
a self-sacrificing saint,
Copy !req
682. whose life will bring her
nothing but pain.
Copy !req
683. Which she will
stoically withstand...
Copy !req
684. just so that her mom doesn't
have to cry quite so soon.
I am beside myself with joy.
Copy !req
685. Whoa!
Copy !req
686. She enjoys life
more than you do.
Copy !req
687. Right.
Copy !req
688. She stole that kiss from Chase.
Copy !req
689. What have you done lately?
Copy !req
690. I'm pacing myself.
Copy !req
691. Unlike her, I have
the luxury of time.
Copy !req
692. She could outlive you.
Copy !req
693. In case you want to see
real butterflies.
Copy !req
694. I'm not gonna kiss you,
no matter what you say.
Copy !req
695. It's sunny outside.
Copy !req
696. You should go for a walk.
Copy !req
697. Yeah. Not much for
the long walks in the park.
Copy !req
698. Now git.
Copy !req
699. Liquid cooled...
Copy !req
700. Right leg?
Copy !req
701. You can still ride.
Copy !req
702. We got excellent
financing right now.
Copy !req
703. It lists for 10,800.
Copy !req
704. I'll let you steal it
out the door for 10,300.
Copy !req
705. No, thanks.
Copy !req
706. Could I test-drive
one of these things?
Copy !req