House 3x10

1. Merry Christmas.

2. And a happy go to hell.

3. What's he doing here? Is he with you?

4. Detective Tritter and I...

5. we worked out a deal.

6. Already got a lawyer. Get out of my office.

7. I told him I didn't write those prescriptions.

8. I spoke with the DA.

9. He agreed to two months in a rehab facility in exchange for a guilty plea.

10. Get out of my office.

11. - No jail time. - Right.

12. I should get locked up in some place I don't belong

13. in order to avoid getting locked up in some other place I don't belong.

14. I got you on forgery and fraud. Enough drugs to—

15. No sanctions to the medical board.

16. And you get your car back and your bank accounts

17. and your precious tumor-ridden patients.

18. - I did this to help you. - Next Christmas, buy me a sweater.

19. You punched out an employee.

20. You nearly cut a little girl in half because you were too strung out—

21. I was in pain!

22. You need to believe that I've got a problem

23. so that your betrayal has the illusion of nobility.

24. - But you just selfishly— - Knock it off.

25. Look, I don't care why Dr. Wilson is doing this.

26. And right now, it makes no difference to you either.

27. You need to deal with the reality of your current situation.

28. You want to stand on principle, you end up in a cell.

29. And you end up never practicing medicine again.

30. So you've got two choices.

31. Your principles

32. or your life.

33. Get out of my office.

34. The DA put a clock on the deal.

35. You've got three days to decide.

36. FRM - jh26

37. House! Just give me a minute.

38. - You're afraid of the pain. - You're not?

39. You can still have pain meds in rehab.

40. - Tramadol, gabapentin— - Those don't work.

41. They will once you're weaned off the Vicodin.

42. You don't think she's gonna support me on this?

43. Well, the stitches are healing nicely. There's no sign of infection.

44. Sorry.

45. Just need her for a tiny moment.

46. Small favor.

47. Pills.

48. - Who's the wit? - Doctor.

49. Don't worry. I'll be firing him soon.

50. Wait in my office.

51. Incision looks just big enough for a chest tube.

52. Collapsed lung? Someone mistake you for a piñata?

53. Delightful. Usually we just get the elf jokes this time of year.

54. No on trauma.

55. Negative PPD.

56. What flavor dwarfs are you guys?

57. My daughter and I both have cartilage hair hypoplasia.

58. Think you can make a pun out of that?

59. Yes, but I don't want to be insensitive.

60. She's got a bit of a short fuse, isn't she?

61. It's a bleb. Wait in my office.

62. Bleb's not a diagnosis. It's an evasion.

63. We'll schedule an MRI to make sure.

64. But a certain number of these cases are idiopathic.

65. Let me translate that into Tolkien for you guys. Means Dr. Cuddy's got no idea

66. why your daughter's lung suddenly popped like a balloon.

67. You think you do?

68. Give me her chart. And my pills.

69. Santa needs us.

70. Did you get that looked at?

71. I'm fine.

72. Great. I just admitted a cartilage hair hypoplasia dwarf. 15 years old—

73. What are you gonna do?

74. I thought I'd get your theories, mock them, then embrace my own.

75. The usual.

76. Wilson told us he ratted.

77. Your choice of verb, I take it.

78. It's appropriate. He betrayed you.

79. And you should take the deal.

80. Unexplained lung collapse and anemia. Cuddy thinks it's idiopathic.

81. "Cuddy" and "idiop" being the relevant parts of that sentence.

82. Well, I'd say TB, but Cuddy's already ruled it out.

83. Then you'd be just as big an "idiop" as her.

84. Don't you people know your dwarves?

85. There are over 200 varieties of dwarfism,

86. each with different medical complications.

87. You can't expect us to be intimately familiar with all of them.

88. - The sick dwarves sure expect you to. - Cartilage hair hypoplasia.

89. They have compromises immune systems.

90. Gold star for Cameron.

91. For extra credit, explain to the special needs section of the class

92. why our patient's negative TB test is irrelevant.

93. A PDD involves planting a fragment of TB under the skin to see

94. if the immune system recognizes it. Because of a compromised immune system,

95. our patient could have TB but not recognize it.

96. The little people love you.

97. Let's go see a dwarf about a gallium scan.

98. Gallium is a radioactive isotope. It travels through your veins

99. allowing us to see any bright spots that might indicate infection.

100. I'm 4'1". That's 1.5 canes in metric.

101. You don't look a day over four feet.

102. I saw in the file that her dad was normal-sized.

103. It's average-sized.

104. Compared to you, I'm sure it was huge.

105. So did he have a fetish,

106. or did he just fall in love with your long-legged soul?

107. He grew up in the circus. Said I reminded him of home.

108. Seems like you're the one with the fetish.

109. I'm certainly curious about the logistics.

110. - Did you stand on a table? - House.

111. Pretty much he lay flat and spin me.

112. Mom!

113. So, Abigail, you want to hop up on the table for me?

114. That's gonna be tough.

115. Oh, I'm sorry. Uh, let me give you a boost.

116. Stop treating her like she's five.

117. Just bring over a stool and let her climb up herself.

118. Mom, it's okay.

119. I was just trying to be helpful.

120. She also hates Jews.

121. I've dealt with worse. Being different, you get used to people's idiocy.

122. Still beats the hell out of actually being an idiot.

123. What?

124. Care to go for a spin?

125. What the hell were you thinking? You didn't think ratting out

126. this hospital's best doctor merited checking with your boss first?

127. I didn't rat him out. I got him a deal.

128. - Which he'll never take. - He will if we—

129. How long have you known House? Did you think he'd suddenly become reasonable?

130. I made the deal. It's done. You can either keep yelling at me,

131. or you can help me avoid a complete disaster.

132. It already is gonna be a complete disaster.

133. He's not gonna take the deal. He's gonna go to jail.

134. Because he's a child. He's too stubborn.

135. When a child misbehaves, what do you do? You take away something he loves.

136. We can't take away his Vicodin.

137. Not only will he be in pain, he'll start to detox.

138. And we tell him the only way to get the pills back is to take the deal.

139. - He won't be able to function. - That's the point.

140. You gonna explain that to his patient?

141. What choice do we have?

142. Gallium scan shows no bright spots of any kind.

143. Means it's not TB or any other infection.

144. There's no bright spots because the whole thing's too bright.

145. Except for the liver.

146. The tech overexposed the image a bit, but it's nothing.

147. The liver looks fine.

148. Could be lung cancer.

149. Tumor causes structural damage. Lung caves in on itself.

150. Also explains the anemia.

151. Doesn't explain the liver problem, though.

152. Her lung collapsed. There is no liver problem.

153. You guys look at the liver on this thing?

154. - There's no liver problem. - Seriously, look at the liver.

155. - There's nothing there. - Why not?

156. - Because there's nothing wrong.

157. Every organ in the scan is lit up like a 100-watt bulb.

158. Except for her liver, which is hovering around 60 watts.

159. And not one of them good 60-watters, but an energy saving—

160. You're saying her liver's shutting down because the lighting is off?

161. You just don't want a cancer diagnosis

162. because then you'd have to deal with Wilson.

163. Lung cancer is a lame diagnosis. Avoiding Wilson is an added bonus.

164. House, we need to talk.

165. Not taking the deal. Glad we talked.

166. Ultrasound her liver.

167. Sit down.

168. Stand up.

169. Your turn.

170. House, you're off the case.

171. Your treatment privileges are suspended until you accept Tritter's deal.

172. Well, I'm obviously not gonna take the deal

173. just so I can have the fun of treating a dwarf.

174. So I assume there's more to this threat.

175. I'm also cutting off your Vicodin.

176. That could work.

177. I'm taking over as attending. Get an MRI of her lungs.

178. This is not lung cancer.

179. We'll find out as soon as we MRI her lungs.

180. You're gonna come begging me to save this girl

181. long before I come begging your for pills.

182. I hope not.

183. For everyone's sake.

184. - This is wrong. - Cutting House off?

185. Might not work, but it's not wrong.

186. Bone windows looks clean.

187. Abigail, we need you to hold still, okay?

188. Can I come out?

189. Just hang in there two more minutes and we'll be done.

190. Okay.

191. Because it's effective doesn't make it right.

192. Cuddy's bending the rules to get a patient to do the right thing.

193. - Who'd work for a doctor like that? - And the ends justify the means?

194. If the ends involve us keeping our jobs, sure.

195. Lung parenchyma is clean. No masses.

196. It's not lung cancer.

197. Abigail, you okay?

198. House was right. Her liver's failing.

199. Endoscopy confirmed the vomiting was cause by variceal bleeding.

200. Bloodwork also confirms House's hypothesis—

201. I get it. House was right. It's the liver. Let's move on.

202. What causes liver disease and a collapsed lung?

203. - Schistosomiasis, the parasite— - There's no eosinophilia.

204. - Cirrhosis could explain— - Could be a hepatoma.

205. She's 15. It's not liver cancer.

206. It's not unheard of.

207. Cirrhosis fits better. The question is, what caused it?

208. - Could be hepatitis, Budd-Chiari. - Or drugs and alcohol.

209. If anyone has a reason to dull the pain, it's a teenage dwarf.

210. I'll do a liver biopsy to confirm.

211. I'll search the patient's home for drugs and alcohol.

212. Cameron,

213. you got a moment?

214. What exactly is your problem with me?

215. Hepatoma is a weak diagnosis.

216. - So this is all about the case? - What else would it be about?

217. I made this deal to help him.

218. And helped yourself at the same time.

219. This is not about my practice. This is not about my car.

220. I gave both of them up to help House, and I would've gone on without them

221. if hadn't almost maimed that little girl and if he hadn't punched out Chase.

222. Was it an easy choice?

223. Of course not, but it's right.

224. Then why wasn't it easy?

225. Because he's my friend. It's

226. - obviously complicated. - It's complicated?

227. When you decided to talk to Tritter, your life got a million times better.

228. How do you separate that out?

229. How do you pretend your windfall isn't relevant to this decision?

230. It was the right thing to do.

231. You pretending your motives are pure is why I have a problem.

232. - Where's Cuddy? - In this drawer.

233. It's a rescue mission.

234. But I got it under control. You can leave.

235. You were right about the liver failure.

236. Patient had variceal bleeding which suggested cirrhosis, but—

237. Off the clock.

238. You predicted this. You obviously saw something.

239. Obviously.

240. Liver biopsy was negative for cirrhosis.

241. But it shows sclerosing cholangitis.

242. Even weirder, there's no increase in alkaline phosphatase.

243. Medical mystery. Sounds like the kind of thing I'd be good at.

244. Breaking and entering. Sounds like the kind of thing you'd be good at.

245. I take it that's where Cuddy's been keeping your pills.

246. One theory, one drawer.

247. Really?

248. I thought you'd be all for this "torture House plan."

249. It works, therefore it's good.

250. On the other hand, I don't want to talk you out

251. of this deal by pointing out your hypocrisy, so patient's life at stake...

252. Forget about the specific nature of the liver dysfunction. It's irrelevant.

253. The dwarf's problem is global. That's why the gallium scan was bright.

254. And it's gonna spread throughout her entire body unless you stop it.

255. If that were true, more than lungs and liver would be affected.

256. They will be.

257. It'll spread though the biliary tree and hit her pancreas next.

258. Stop retracing your steps. Get ahead of it.

259. Forget the liver and focus on the pancreas. 'Cause after that—

260. Actually, after that doesn't really matter what it hits

261. because pretty much all roads lead to a dead dwarf.

262. I get why you don't want to go to rehab.

263. But only an idiot goes to prison for being stubborn.

264. Only an idiot stands between Ahab and his whale.

265. Move.

266. Sorry.

267. Santa's got gifts.

268. Olive oil wasn't in the kitchen. It was in the medicine cabinet.

269. Home remedy for ear infections.

270. Ear infections are fairly typical among CHH dwarfs.

271. Or it's a symptom.

272. Certainly wouldn't indicate a pancreatic problem.

273. Or House is wrong and it's a symptom.

274. Laxatives.

275. I don't think they were used to maintain her girlish figure.

276. Again, intestinal problems are common—

277. Again, it might be a symptom.

278. And glucosamine suggests chronic joint pain—

279. Who ordered the Alpha-1 antitrypsin deficiency test?

280. I did.

281. You think the problem's in her pancreas?

282. Well, I think it will be. I think we need to forget about the liver.

283. We just forgot about the lungs. Now we need to forget about the liver?

284. We need to stop retracing our steps and

285. get ahead of this thing.

286. House, you've tanned.

287. You don't think I could've come up with this?

288. Did you?

289. You suspended House because it'd be dangerous having him in charge,

290. but getting his opinion—

291. I'm sure he gave you that opinion

292. simply because he was worried about the patient.

293. Just because House wants his pills doesn't mean his theory is wrong.

294. No, the test results mean that. Your test was negative.

295. And the biopsy indicated severe duct inflammation.

296. Do an ERCP to check the liver for bile duct cancer.

297. Just because it wasn't Alpha-1 doesn't mean the pancreas isn't next.

298. You needed an organ. He needed a fix.

299. He'd have made up any story for a pill. You didn't give him anything, did you?

300. No.

301. There's no bruise or nothing, but it really hurts.

302. Unfortunately, that pain and lack of

303. bruising is typical of a zygomatic break.

304. That sounds bad.

305. Bones are aligned properly. Which ER did you go to after the car accident?

306. Princeton Plainsboro.

307. Here's my discharge slip.

308. Okay.

309. Gonna get you some acetaminophen with codeine.

310. I tried that, and it makes me nauseous.

311. There's a drug called gabapentin which is good for certain kinds of pains.

312. Great, 'cause I haven't slept in days.

313. Gabapentin's not really gonna help with the sleep.

314. Is there something else you can give me?

315. Vicodin's your best bet with sleep issues.

316. Thanks so much.

317. Unfortunately, our policy forbids prescribing opiates to new patients.

318. How can a clinic have a rule against relieving pain?

319. Just with opiates. We find that it helps weed out drug seekers.

320. You think I'm a drug seeker?

321. - I'm not saying that. - Then give me the Vicodin.

322. - I can't. - Because you think I'm a drug seeker.

323. - I just said I didn't. - No,

324. you said that the policy was to stop drug seeking.

325. Then you said I'm not a drug seeker. Policy doesn't apply.

326. I'm sorry. That's the policy.

327. Gabapentin works on nerve damage. You're prescribing it for a broken face.

328. Might as well hand out Band-Aids for a severed carotid.

329. You're a doctor.

330. Not by this clinic's definition

331. since I'm neither a moron nor a mindless drone.

332. - Security. - Forget it.

333. I'll throw myself out.

334. That tube is going all the way down to my liver?

335. Don't worry. You'll be sedated.

336. Sometimes doctors have to do things that make people uncomfortable

337. - to help them. - But we always want

338. to respect the patient's wishes and not shove things down their throats.

339. Foreman.

340. You haven't given her the sedative.

341. No.

342. Abigail!

343. Abigail!

344. She's unconscious.

345. Check her airway.

346. Airway's clear.

347. - Her breath smells fruity. - Diabetic ketoacidosis.

348. Hang an insuline drip at.1 migs per kig per hour. Pancreas is failing.

349. You ready to call House yet?

350. You were right. The patient's pancreas is failing.

351. Told you you'd come begging me for help.

352. Her insulin production is almost non-existent—

353. Give me my pills or lose an arm.

354. - The girl is dying. - So give me my pills.

355. Take the deal and I will.

356. You'd rather kill this girl than give me my pills.

357. I would rather lose one patient now

358. than the dozens we will lose while you're in prison.

359. Well, have fun explaining that to her itsy-bitsy grieving mother.

360. What if we sacrifice this girl and House still goes to jail?

361. I'd feel bad. Can we get on with this?

362. House correctly predicted the spread. Means we've got a global systemic

363. illness affecting lungs, liver, and pancreas so far. Ideas.

364. Langerhans cell histiocytosis attacks multiple organ systems.

365. Histiocytosis usually starts in the brain,

366. then moves to the internal organs.

367. Abigail's brain is fine. Cystic fibrosis.

368. Exocrine function is normal. Hodgkins lymphoma.

369. It's a systemic cancer which her dwarfism predisposes her to.

370. - Any ideas that aren't cancer? - Cancer fits.

371. Autoimmune fits better. We should treat her with prednisone for lupus.

372. That'll spike her blood sugar and put her back in a coma.

373. It's much safer just to run a double-stranded DNA test.

374. Not if she dies before we get the results.

375. One of you is probably right.

376. Why don't we hold the sniping until we find out which?

377. Wilson, do an LP for lymphoma. You guys, run an antibody test for lupus.

378. Because of your daughter's dwarfism, we've had to pick a higher entry point

379. for the lumbar puncture, which increases the risk.

380. So why not do the lupus test first?

381. In the interest of time, we think it's best to proceed on both fronts.

382. You have no idea what's wrong with my daughter.

383. - We have several theories. - What does Dr. House think?

384. He's— He had to go home sick.

385. My daughter may be dying, and he's gone home with the sniffles?

386. He's not—

387. He was the only one who seemed to have any idea what was wrong with her.

388. He better be really damn sick.

389. He is.

390. Unless you got Vicodin, go away.

391. House, it's me. I, uh—

392. Oh, God.

393. - I don't have— - No pills,

394. no egg nog.

395. What happened to your arm?

396. Cut myself.

397. Wilson was wrong about lymphoma.

398. Kid's not losing any weight, no night sweats.

399. - Cuddy send you? - No,

400. she doesn't trust me not to give you pills.

401. Is she right?

402. House, these cuts are straight in a row.

403. You did this on purpose.

404. Cutting releases endorphins. Endorphins relieve pain.

405. You gonna get me some pills?

406. No.

407. Then you can leave.

408. No constitutional symptoms means—

409. Soon as the kid gets cured, Cuddy's got no pressure to fold.

410. You really think she's gonna fold?

411. Autoimmune fits better than cancer.

412. But lupus loves kidneys, usually attacks them first.

413. - Kidneys are fine, right? - Yeah.

414. Take the deal.

415. You can survive without Vicodin.

416. After you were shot, you stayed clean for months.

417. Yeah, I wonder if it had something to do with the absence of pain.

418. Leave that. I want to be able to pour alcohol on it so I can distract myself.

419. Then you can rip off the bandage.

420. - Kid been sick lately? - There's a history of ear infections.

421. Say Abigail's immune system

422. is like a shy guy in a bar.

423. And the ear infections,

424. they come in and try to coax him to—

425. To hell with the metaphor.

426. You get the point, right?

427. Nerd gets drunk. Trashes the bar.

428. One of the autoimmunes triggered by a minor infection.

429. Factor in her age, elevated sed-rate, anemia...

430. It's Still's disease.

431. You start her on prednisone, methotrexate, cyclosporin.

432. Stop this.

433. Please.

434. What'd he say?

435. Still's disease. It's chronic, but manageable.

436. A diagnosis that's virtually unconfirmable. And with a treatment

437. that's more dangerous than what we were considering for lupus.

438. - How bad is he? - Are you asking because you care,

439. or because you're wondering whether to trust his opinion?

440. - Both. - He's detoxing.

441. In agony.

442. He started cutting himself.

443. But he's still House.

444. I'll order the treatment.

445. Your plan isn't working.

446. Two days down, one to go.

447. Figured I'd show you how much it isn't working.

448. Yeah, clearly the drugs have no hold on you.

449. We both know that my pride far surpasses my instinct for self-preservation.

450. You want to redeem yourself? Give up now.

451. And you'll go to jail.

452. I've done nothing wrong.

453. And you'll go to jail.

454. Which makes this

455. your last chance to do me a kindness before ruining my life forever.

456. The nausea's bad this time.

457. You can write me a scrip for metoclopramide so I can stop puking.

458. They'd give me that in rehab.

459. Then you should go to rehab.

460. I have a patient.

461. I'm so sorry for your loss.

462. I know it's little solace, but he went without pain.

463. Well, look on the bright side.

464. At least you don't have to go by Mrs. Zebalusky anymore.

465. That's gotta be a relief.

466. - You know this man? - I'm sorry. He's sick—

467. Did you hear my diagnosis on the dwarf?

468. Still's disease.

469. Did you even consider those ear infections,

470. or you just wrote it off as a dwarf thing?

471. You sure he's dead?

472. Dr. Wilson sometimes misses things.

473. Trying to embarrass me in front of grieving widow crosses lines that even—

474. Right! I'm pathetic.

475. I'm strung out, I haven't slept,

476. puking every hour, and I still out-diagnosed you.

477. But I'm supposed to let you decide what's best—

478. Please leave.

479. Sorry.

480. I'm done.

481. You didn't come in here just to embar- rass me. You could do that any time.

482. Stealing Oxy from a dead man.

483. Yeah, you don't have a problem.

484. How's the girl?

485. Much better.

486. House was right.

487. It happens.

488. I thought we could handle this.

489. Still's disease never crossed my mind.

490. Don't beat yourself up. I didn't get it either.

491. I feel like a mob informant.

492. You wanna go inside?

493. Got a cafeteria in there, right?

494. I can't testify.

495. Drug addicts hurt the people around them with their habit.

496. House has hurt plenty of people, you included.

497. He saves lives.

498. People that no one else can save.

499. And

500. no matter how much of an ass he is,

501. statistically

502. House is a positive force in the universe.

503. The pills let him do that.

504. Vicodin does not make House a genius.

505. Whatever he does on the pills, he can do off.

506. He's just not willing to try.

507. I won't testify against him.

508. Then we'll subpoena you.

509. And your previous statement will be read into evidence.

510. And you will be charged with interfering with an investigation.

511. And you will go to jail.

512. Again, statistically,

513. better me than him.

514. Statistically...

515. the two of you will be in jail.

516. Dr. Cameron, come quick. There's something wrong with Abby.

517. Couldn't be too severe. Her cardiac alarm didn't go off.

518. It's not her heart. She's bleeding.

519. Picking up a scrip, under Zebalusky.

520. This is, uh, Dr. Wilson's patient.

521. Yeah.

522. Wilson's busy right now.

523. What with Mr. Zebalusky dying in agony on account of his metastic lung cancer

524. and not having the pills to relieve that agony

525. because of some moron pharmacist.

526. Sign the book.

527. Bleeding wasn't a ruptured eardrum, ear infection, or bleeding disorder.

528. Her heart rate's climbing. Blood pressure's dropping.

529. She's on the verge of a multi-system failure.

530. Head CT was clean. Means it's not a neurological problem.

531. - Basically we have nothing. - Cancer is still on the table.

532. Spinal fluid was negative for lymphoma. What other—

533. Leukemia. We need to do a bone marrow biopsy.

534. None of the blood tests suggest leukemia.

535. Cancer doesn't explain the collapsed lung.

536. Unless a small clot lead to a pulmonary infarct.

537. It's a long shot. Autoimmune is way more likely.

538. It respond to steroids, which we've given her.

539. And she got better for a while. We stopped it too soon.

540. Because she crashed.

541. All we're doing is bouncing back and forth between cancer and autoimmune.

542. We're going in circles.

543. Give me half an hour.

544. Can I have a French fry?

545. Get your own.

546. You took the last ones.

547. What's wrong with you?

548. I got spinal muscular atrophy.

549. Guess it's not contagious.

550. Nice bear.

551. It's a dog.

552. It's not Still's. Steroids helped until the patient

553. started bleeding from the ears and mouth.

554. That's a bear.

555. His name is Bill. He's a dog.

556. You win. You can have Vicodin.

557. Words have set meanings for a reason.

558. If you see an animal like Bill and you try to play fetch,

559. Bill's gonna eat you because Bill's a bear.

560. Are you on something?

561. You got your hands on pain meds.

562. Bill has fur, four legs, and a collar.

563. He's a dog.

564. It's between cancer and autoimmune.

565. See, that's what we call a faulty syllogism.

566. Just because you call Bill a dog doesn't mean that he is...

567. a dog.

568. We gotta x-ray our patient's leg.

569. Her leg looks fine.

570. Weird, huh?

571. Why aren't you detoxing?

572. Will power.

573. What—what—

574. Normal's not normal if you're not normal.

575. Did you just take a pill?

576. No.

577. So how does a dwarf have completely normal growth plates?

578. It's impossible. We must be missing something.

579. How many pills have you taken?

580. Not nearly as many as I'm gonna take. Forgotten how delicious they were.

581. I didn't give them to him.

582. Can we forget my vices, get back to my virtues?

583. We were missing the fact that

584. just because we called her a dwarf doesn't mean she is a dwarf.

585. Everyone assumed she was because of her mother.

586. There's not test for CHH dwarfism. So

587. she lost an identity, but we gained a symptom.

588. If she doesn't have skeletal dwarfism, then

589. her short stature must be caused by growth hormone deficiency.

590. And something's wrong with her pituitary gland.

591. And based on her size, it's been wrong for a while.

592. So what connects a long-term pituitary issue

593. with problems in the lungs, liver, and pancreas?

594. Oh, you guys and your bickering.

595. Cancer versus autoimmune.

596. Obviously you think it's something else.

597. Nope. I think it's both.

598. Langerhans cell histiocytosis.

599. Also known as, "you got your cancer in my autoimmune" disease.

600. The immune component responded to the Still's treatment

601. lead to the short-term improvement. The cancer portion didn't.

602. We dismissed this earlier because there were no neurological symptoms.

603. Yeah. It's not your fault.

604. The only neurological symptom was her height.

605. Who could've noticed?

606. This is your pituitary gland.

607. And this is the granuloma that's been crushing it.

608. No pituitary equals no growth hormone equals about that much.

609. She's not a dwarf?

610. Just hormonally challenged.

611. What about my mom?

612. Your mom's the real deal.

613. But you're just a tiny little poser.

614. Your recent ear infections caused your body to release

615. a cascade of the same cells that made the granuloma.

616. They attacked your lungs, moved down to your liver,

617. then hitched a ride over to your pancreas.

618. We can nuke them with a mild course of chemo and then

619. remove the granuloma.

620. And then what? What will happen to her then?

621. Let me see if I can make this clear.

622. This pill represents...

623. a pill.

624. And my mouth represents your daughter's mouth.

625. We deposit the pill in the month.

626. You may never be tall enough to play in the WNBA,

627. but you'll be able to post up your mom no problem.

628. What if I don't take the pills?

629. What if you remove the thing in my head

630. and give me the chemo, but not the pills?

631. Would I still get better?

632. Your body needs growth hormone from lots of things. Like...

633. to grow.

634. I like who I am now.

635. Nobody your age likes who they are now.

636. I do.

637. You like needing help when you want something off a high shelf?

638. Not being able to press an elevator button above the eighth floor?

639. Having to smell ass every time you stand in line?

640. You don't need growth hormone. It's just your ticket out of the freak show.

641. Can't you deliver a diagnosis

642. without making her feel that her life isn't worth living?

643. I'm trying to help her.

644. - You're trying to make her taller. - Not too tall.

645. Just tall enough to wipe her own butt.

646. - Are you high? - Higher than you.

647. If my daughter doesn't want to choose the easy path, I won't force her to.

648. Then you're a lousy mom.

649. - You want your daughter to be a freak. - We're not freaks.

650. - You want her to overcome adversity. - Yes.

651. Then why stop at height?

652. Poke a stick in her eye. Imagine how interesting she'll be then.

653. Being little is not the same as—

654. You and I have found out that being normal sucks 'cause we're freaks.

655. The advantage of being a freak is it makes your stronger.

656. Now, how strong do you really want her to have to be?

657. Tell her what you have to tell her.

658. Tell her you lied.

659. Even if you didn't.

660. This is who you were supposed to be.

661. You hate normal.

662. It's not that simple.

663. If I grow, I'll fade into the background.

664. I'll be boring.

665. We'll get you a funny hat.

666. You could never be boring.

667. You want me to be like everybody else?

668. I want you to have what I can't.

669. Abigail agreed—

670. Abigail agreed to take growth hormone.

671. Who's Abigail?

672. Your non-dwarf dwarf patient.

673. Oh, good.

674. Then the growth hormone makes sense.

675. - Christmas Eve. - Yeah, I know.

676. Deal expires tomorrow.

677. You have plans for tonight?

678. You worried I'm gonna be popping more pills?

679. Thought you might prefer people over pills.

680. Hey, Mom.

681. I guess you guys are already up at Aunt Sarah's.

682. I'm sure Dad's in the egg nog

683. and you're probably suffering through another dried out turkey.

684. Just wanted to say Merry Christmas.

685. Are you okay?

686. I called three times.

687. I'm ready to take the deal.

688. Well, that's off the table.

689. - The clock doesn't expire until— - Got new evidence.

690. We don't need Wilson anymore.

691. The thing about addicts is, uh...

692. no matter how smart they are,

693. they are dumb when it comes to drugs.

694. So, uh, I've been keeping an eye on the pharmacy log.

695. Seems some patient of Wilson's named Zebalusky

696. managed to

697. pick up his Oxy prescription

698. after he died.

699. Jesus walks, huh?

700. Merry Christmas.

701. FRM - jh26