1. Try not to be scared
when you see him, okay?
Copy !req
2. Mom, I've seen him sick.
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3. I'm not scared.
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4. This time's different.
Copy !req
5. The doctors gave him an extra
course of radiation and chemo...
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6. I know.
Copy !req
7. And you understand how
proud we are of you, right?
Copy !req
8. Gloves, mask.
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9. Matty. You said you wanted to
see your brother before the procedure.
Copy !req
10. I know I look like an alien,
Copy !req
11. but I promise not to eat your brain.
Copy !req
12. When this is done, will you
be able to play out back with me?
Copy !req
13. I'll rip anything you
put near the strike zone.
Copy !req
14. Let your brother rest up
while we take some of your marrow.
Copy !req
15. You don't need to
be in an isolation room,
Copy !req
16. but I pulled some strings so
you'd be next door to your brother.
Copy !req
17. How many games will I miss?
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18. You only have
to be here overnight,
Copy !req
19. but you do have to take
it easy for a little bit.
Copy !req
20. - I already missed two.
- I know. It's okay.
Copy !req
21. Must've been a drag. We just had to make
sure you weren't exposed to any bugs.
Copy !req
22. Cause your healthy bone marrow is what's
gonna cure your brother's leukemia...
Copy !req
23. swsub. Com
jh26
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24. Come on.
Copy !req
25. He sneezed. Maybe it's just an allergy.
Copy !req
26. Not with an enlarged spleen and a fever.
Copy !req
27. He's got one of 10,000
possible infections.
Copy !req
28. Even if it's just the common cold, I
do the transplant, he kills his brother.
Copy !req
29. How long do we have?
Copy !req
30. Radiation obliterated his immune system.
Copy !req
31. Even in a clean room, he's got...
Copy !req
32. four, maybe five days left.
Copy !req
33. No way we can solve this that fast.
You need to find another donor.
Copy !req
34. They're African-American. It makes it
nearly impossible to find a full match.
Copy !req
35. Tell me about it. I can't even
find the one I've got working for me.
Copy !req
36. Where's Foreman?
Copy !req
37. Nothing like a dead patient to
send you back to your choir boy roots.
Copy !req
38. You're not gonna believe what happened.
Copy !req
39. Wilson just killed
a kid the same way you did.
Copy !req
40. - He's not dead.
- Five days are gonna fly by.
Copy !req
41. He didn't look both
ways before he nuked.
Copy !req
42. We should start the donor brother
on broad spectrum antibiotics.
Copy !req
43. Great idea, if you're looking
to save exactly one kid.
Copy !req
44. Broad spec will take at least
a week to work. We need narrow spec.
Copy !req
45. - How old is Hector?
- Our patient's name is Matty.
Copy !req
46. - His brother's Nick.
- Hector's my dog.
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47. - He's about 17.
- 17? That's like...
Copy !req
48. 119 in human years.
Why is he still alive?
Copy !req
49. Five days minus 20 seconds
talking about Wilson's dog.
Copy !req
50. We need to start testing. Stool
samples for parasites, antibody tests...
Copy !req
51. Blood panel was negative
for all the usual suspects.
Copy !req
52. That's 'cause the
infection is too small.
Copy !req
53. We start testing now, it's like
looking for a needle in a haystack.
Copy !req
54. We draw blood, odds are
we're just gonna come up with hay.
Copy !req
55. We need to grow more needles.
Copy !req
56. Okay, that probably
needs further explanation.
Copy !req
57. We make the donor kid sicker.
Copy !req
58. We freeze him, we soak him,
break down his immune system.
Copy !req
59. Suddenly we're looking at some needle
a camel can pass through the eye of.
Copy !req
60. Making him sicker risks spreading
the infection all throughout his body.
Copy !req
61. True, but who cares?
Copy !req
62. Once we know what the infection is,
we'll know exactly how to treat it.
Copy !req
63. As long as he isn't dead yet,
we're cool.
Copy !req
64. We should do what we normally do...
Copy !req
65. go to the kid's house,
check for sources of infection.
Copy !req
66. Waste of time.
Copy !req
67. You think it's in the house.
I know it's in the patient.
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68. Safer than intentionally
making the kid sicker.
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69. Fine. Go.
Copy !req
70. So exactly how sick
are you gonna make Matty?
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71. He could get quite ill.
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72. This certainly won't be a pleasant
experience for anyone, but it's our...
Copy !req
73. Ever get caught in the
rain without an umbrella?
Copy !req
74. That's all we're talking about here...
sign the form.
Copy !req
75. It's a little more complicated than
that. We'll also be doing leukopheresis.
Copy !req
76. We run Matty's blood through a machine
that filters out his white blood cells.
Copy !req
77. But without his white cells,
how can he get better in time?
Copy !req
78. We'll pump the white blood cells
back as soon as we have a diagnosis.
Copy !req
79. Then we should be able to cure the
infection in time to do the transplant.
Copy !req
80. - But you can't guarantee?
- We're not GM. No recalls, no rebates.
Copy !req
81. Any more questions while
your son's life slips away?
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82. - You really think we should do this?
- Yes.
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83. Sorry. Your patient. You tell them.
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84. This is your family.
It needs to be your decision.
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85. All you had to do was say, "Yes, I do. "
Copy !req
86. God knows that's a phrase you've
used often enough in your life.
Copy !req
87. It was a mistake every time.
Give it a break. They said yes.
Copy !req
88. That's not enough for you. You
need them to feel good about saying yes.
Copy !req
89. I treat patients for months,
maybe years, not weeks like you.
Copy !req
90. I'm taller.
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91. If they don't trust me,
I can't do my job.
Copy !req
92. The only value of that
trust is you can manipulate them.
Copy !req
93. You should write greeting cards.
Copy !req
94. Giving parents the chance to
make a bad choice was a bad choice.
Copy !req
95. At least it would've been their choice.
Copy !req
96. One they'd regret
at their son's funeral.
Copy !req
97. Kitchen and bathrooms were immaculate.
Copy !req
98. Whatever the kid's got,
he didn't get here.
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99. No, whatever the kid got, he didn't
get from the kitchen or the bathroom.
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100. - Nobody cleans swing sets.
- Yeah.
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101. Because their kid's ten and
hasn't used it since he was six.
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102. You obviously think your time could
be better spent. Why'd you come along?
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103. I feel bad about
what happened last week.
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104. I'm handling it.
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105. You think the family's gonna sue?
Copy !req
106. She only had her grandparents
and they weren't close.
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107. Well, that's good. For you, I mean.
Copy !req
108. A lawsuit makes it even
harder to put behind you.
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109. You put yours behind you?
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110. No.
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111. When I woke up this morning I,
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112. I couldn't remember what
she was wearing when I admitted her.
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113. Memories fade.
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114. I killed her a week ago and I can't
remember what color top she was wearing.
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115. I was grateful when I could
wake up not thinking about her.
Copy !req
116. I'm not like you.
Copy !req
117. Your patient died because you were
distracted over the death of your dad.
Copy !req
118. I made a calculated decision.
Copy !req
119. You acted like a human being.
I acted like...
Copy !req
120. House.
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121. It could be mucor or
strongyloides in this dirt.
Copy !req
122. No pulmonary symptoms.
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123. He's setting well, breathing easily.
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124. Mom, I'm freezing.
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125. How long... do I have to...
Copy !req
126. Matty, we found an old
water pump in your backyard.
Copy !req
127. - You ever drink from it?
- Yeah, it was gross.
Copy !req
128. We gotta test for Mycobacteria,
leptospirosis.
Copy !req
129. - When did you drink the water?
- Last summer?
Copy !req
130. You sure? You haven't
even taken a sip to cool off?
Copy !req
131. It was really gross.
Copy !req
132. My shoulder's bugging me.
Does that matter?
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133. It could.
Did you do anything to hurt it?
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134. Just threw the ball around
the other day. For a couple of hours.
Copy !req
135. It's probably just a muscle ache.
Let us know if it gets worse.
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136. So soreness and stuff,
that's not 'cause I'm sick?
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137. Is something else bugging you?
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138. Sort of.
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139. - He has acute scrotum.
- Adorable.
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140. Please, I thought you were dignified.
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141. Come on, how am I not
supposed to make that joke?
Copy !req
142. The best thing about
big honkin' gonads...
Copy !req
143. well, one of the best things...
Copy !req
144. is there's only a few
infections that could cause it.
Copy !req
145. Do urinalysis and cultures for E.
Coli, Klebsiella, TB and brucella,
Copy !req
146. blood tests for enteroviruses
and adenoviruses.
Copy !req
147. Hopefully, the needles have grown
as fast as his sack, and we can find it.
Copy !req
148. Can Chase and Cameron cover that?
Copy !req
149. Mind if I ask why?
Copy !req
150. I want to recheck the National
Marrow Registry for an alternate donor.
Copy !req
151. - In case we're wrong?
- It's been known to happen.
Copy !req
152. Fine. Go.
Copy !req
153. Negative for E. Coli and TB.
Copy !req
154. Why is House taking it easy on Foreman?
Copy !req
155. He deserves a break.
Copy !req
156. Yeah, House is all about
giving breaks to people in need.
Copy !req
157. No on Klebsiella.
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158. And it's Tuesday.
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159. It's got nothing to do with
Foreman or House. It's just...
Copy !req
160. it's the day I remind you I like you,
and I want us to be together.
Copy !req
161. Thank you. I'd forgotten.
Copy !req
162. No on brucella and
both viral antibodies.
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163. You're really gonna
do this every Tuesday?
Copy !req
164. You take the day off,
Copy !req
165. I'll pick it up on Wednesday.
Copy !req
166. What if we're looking
for the wrong thing?
Copy !req
167. These are the only infections
that cause swollen testicles.
Copy !req
168. Why don't you just say it 4 times now
and leave me alone for a month?
Copy !req
169. What if it's not an infection?
Copy !req
170. His temperature's through the roof,
there's mucus pouring out of him.
Copy !req
171. I know he has an infection,
Copy !req
172. but what if it didn't directly
cause the scrotum issue?
Copy !req
173. What if it just...
Copy !req
174. caused the thing that
caused the scrotum issue?
Copy !req
175. CKMB is elevated.
Copy !req
176. Slightly. There's nothing wrong with...
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177. Indicates cardiac injury.
Copy !req
178. We stuck him in that room,
Copy !req
179. put his stupid little runny
nose infection into hyper drive.
Copy !req
180. What if it went to his heart?
Copy !req
181. Pulmonary valve looks clean.
Copy !req
182. Wait. Stop.
Copy !req
183. Mitral valve. There's a growth.
Copy !req
184. He'll need a month of
antibiotics to clear that.
Copy !req
185. His brother only has four days to live.
Copy !req
186. The infection in Matty's mitral
valve rules him out as a donor.
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187. - This is perfect.
- We drove the infection into his heart.
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188. Okay. Perfect is too strong a word.
But it's very, very good.
Copy !req
189. Now we know where the infection is.
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190. All we gotta do is remove the valve,
I.D. the infection, target and destroy.
Copy !req
191. Remove the valve?
He'll be fine on antibiotics.
Copy !req
192. He doesn't need open heart surgery.
Copy !req
193. He'll be heartbroken on
account of his dead brother.
Copy !req
194. Either way, he's got a dead brother.
The infection isn't just in the valve.
Copy !req
195. Even with targeted medication, there's
no way we can clear his system in time.
Copy !req
196. We don't have to.
Enough to clear his marrow.
Copy !req
197. After the surgery,
you harvest the marrow,
Copy !req
198. marinate it in the targeted antibiotic,
simmer and serve.
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199. - It could work.
- It's insane.
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200. - It is better than a dead brother.
- I'm running this by Cuddy.
Copy !req
201. Fine. Go. In fact, let's all go.
Copy !req
202. This surgery is dangerous
and life-altering.
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203. And clearly not in the
interest of our patient.
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204. - It is if he likes his brother.
- We have a conflict of interests.
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205. - The parents don't.
- Of course they do.
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206. They already sacrificed Matty's
health to benefit his brother once.
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207. They made his cold worse.
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208. We screwed up his heart
valve by making his cold worse.
Copy !req
209. Do you have anything
to add to this debate?
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210. Wilson's right, Foreman's wrong,
Copy !req
211. your shirt is way
too revealing for the office.
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212. What do you want me to do?
Copy !req
213. We should call Child Services and
have them appoint a guardian for Matty.
Copy !req
214. No.
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215. Go explain the choices to the parents.
And don't let House bully them.
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216. Did you really think
I was gonna do that?
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217. - I didn't.
- Then why did you let him...
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218. Tried to cut him some slack.
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219. Nice of you.
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220. I think he's got the yips.
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221. Steve Blass, Scott Norwood, David Duval
Copy !req
222. all got the yips.
Copy !req
223. Great athletes. Lost their confidence,
and immediately started sucking.
Copy !req
224. And you're...
giving him time to work through it?
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225. Four days and then he's fired.
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226. You don't get better from the yips.
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227. Open-heart surgery?
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228. If you want both kids to live,
it's the only choice.
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229. Due to the valve replacement,
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230. Matty will have to be on blood
thinners to prevent potential clots.
Copy !req
231. - For how long?
- Forever.
Copy !req
232. He couldn't participate in contact
sport because of the risk of hemorrhage.
Copy !req
233. What about the Marrow Registry?
Maybe they'll find a match.
Copy !req
234. Maybe they'll ride it here on a unicorn.
Copy !req
235. I'm afraid finding a viable
new donor isn't something we can
Copy !req
236. realistically depend on.
Copy !req
237. Either we cripple one
son or kill the other.
Copy !req
238. He won't be able to play baseball.
Copy !req
239. But that doesn't make him a cripple.
Copy !req
240. What should we do?
Copy !req
241. You should protect your family
as a whole. You should do the surgery.
Copy !req
242. - That was awesome!
- Shut up.
Copy !req
243. I gotta start pretending to care.
Copy !req
244. I did exactly what
Cuddy told us not to do.
Copy !req
245. No, you didn't. You did exactly
what she told me not to do.
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246. You're completely in the clear.
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247. You've gotta be kidding me.
You're actually upset.
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248. You just said what you believed.
Copy !req
249. I also believe in patients
making their own choices.
Copy !req
250. Because it lessens your
guilt if things go wrong.
Copy !req
251. You're not protecting their choices.
You're soothing your conscience.
Copy !req
252. By that logic, a sociopath would make
the best patient advocate in the world.
Copy !req
253. Am I blushing?
Copy !req
254. - You ready?
- Yeah.
Copy !req
255. Thanks.
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256. You'd do the same for me.
Copy !req
257. Don't worry. You're gonna be fine.
Copy !req
258. Think I'll be better in
time to pitch in the playoffs?
Copy !req
259. Maybe next season.
Copy !req
260. We should have told him.
Copy !req
261. He loves his brother. But if he
understood what we were asking of him...
Copy !req
262. He loves his brother
more than he loves baseball.
Copy !req
263. You did the right thing.
Copy !req
264. Putting any part of
this decision on him...
Copy !req
265. it's impossible for
you guys to deal with this.
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266. How's a ten-year-old supposed to do it?
Copy !req
267. Canula in place.
Copy !req
268. Sutures are holding.
Copy !req
269. We're all set to go.
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270. Switch him over to bypass.
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271. - Yeah.
- I didn't do the surgery.
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272. You woke me up to
tell me that you're lazy.
Copy !req
273. We biopsied a piece
before we started cutting.
Copy !req
274. I'm tired. Get to the point.
Copy !req
275. We didn't replace the valve
because the growth was fibrous tissue.
Copy !req
276. It wasn't infectious.
Copy !req
277. - We gotta be wrong about...
- Oh, God.
Copy !req
278. What? You know what's wrong with Matty?
Copy !req
279. I think Hector's...
Copy !req
280. committed suicide.
Copy !req
281. - What are you talking about?
- He took some pills.
Copy !req
282. - Is he alive?
- He ate half my stash.
Copy !req
283. Of course he's...
Copy !req
284. He's stoned.
Copy !req
285. I'll be right in.
Copy !req
286. We cut all the way
into this kid's heart,
Copy !req
287. and all we got was this lousy,
noninfectious fibrous tissue.
Copy !req
288. How did we miss this?
Copy !req
289. Matty had a fever.
Copy !req
290. He got sicker when we
suppressed his immune system.
Copy !req
291. That all points to infection.
Copy !req
292. Yeah, yeah, yeah.
Copy !req
293. Not our fault.
Copy !req
294. Fibrous tissue.
Copy !req
295. Something is turning his
healthy heart valve to gristle.
Copy !req
296. Fibrous tissue,
enlarged spleen... fever...
Copy !req
297. could mean autoimmune.
Copy !req
298. Autoimmune diseases aren't passed along
in bone marrow. He can still donate.
Copy !req
299. - We confirm, I do the surgery.
- Lupus and Bechet's are our best bet.
Copy !req
300. - Do an ANA and a pathergy test.
- Or it could be infection.
Copy !req
301. My memory's not what it used to be,
Copy !req
302. but didn't we just rule
that out 8 seconds ago?
Copy !req
303. Just because it's not
what screwed up his valve
Copy !req
304. doesn't mean it's not in his system.
Copy !req
305. It has the obvious advantage
of making us right all along.
Copy !req
306. A little disadvantage
of making big brother dead.
Copy !req
307. That's your argument? Better outcome?
Copy !req
308. It fits.
Copy !req
309. The family has one kid with
leukemia and one with autoimmune.
Copy !req
310. Wouldn't stand next
to them in a rainstorm.
Copy !req
311. That's your argument...
it sucks for them?
Copy !req
312. It fits, and we can
still help big brother.
Copy !req
313. National Marrow Registry came
up with a four out of six donor...
Copy !req
314. Six out of six is two better
than four out of six, right?
Copy !req
315. I mean, I know two is so small,
Copy !req
316. but since it means that he's
gonna get graft versus host disease,
Copy !req
317. the marrow will attack his
body and he'll die a painful death.
Copy !req
318. Find out what autoimmune it is.
Copy !req
319. Is this autoimmune better
or worse than a new heart valve?
Copy !req
320. It depends on which autoimmune it is.
Copy !req
321. With early detection,
most are manageable.
Copy !req
322. How long will the testing take?
Copy !req
323. That's the other good thing about this.
Copy !req
324. There's literally thousands
of possible infections
Copy !req
325. but only a handful
of autoimmune conditions.
Copy !req
326. We'll have the answer in a few hours.
Copy !req
327. Hey, Doctor?
Copy !req
328. Is this bad?
Copy !req
329. Wanna catch a movie?
Copy !req
330. - It's 1:00 in the morning.
- I know a place.
Copy !req
331. Although I wouldn't recommend
wearing those shoes.
Copy !req
332. How, exactly,
does a dog unscrew a bottle of pills?
Copy !req
333. Is that a riddle?
Copy !req
334. - It requires an opposable thumb.
- I must have left it off.
Copy !req
335. On the floor?
Copy !req
336. I think he hopped up
on the bathroom counter.
Copy !req
337. He has arthritis.
Copy !req
338. - Not me this time.
- No, it's your damn dog!
Copy !req
339. He chews everything!
Copy !req
340. I was missing a file.
Found paper in his stool.
Copy !req
341. An original Sun Record
78 Elvis recording... gone.
Copy !req
342. Who the hell chews vinyl?
He's vindictive.
Copy !req
343. And he's had a good, long life.
It's his time.
Copy !req
344. Are you okay?
Copy !req
345. I just tripped over
Wilson's self-righteousness.
Copy !req
346. What do you got?
Copy !req
347. Matty's negative for everything.
It's not autoimmune.
Copy !req
348. So we're back to infection.
Copy !req
349. Nick's starting to deteriorate fast.
He's got bruising all over his arms.
Copy !req
350. Capillaries are leaking blood.
If it happens in his brain, he's dead.
Copy !req
351. We've got to go with
the four out of six donor.
Copy !req
352. Did I mention my concerns
about four being less than six?
Copy !req
353. Wilson's first wife
ignored a similar issue.
Copy !req
354. Of course, that time,
it was only fatal to their marriage.
Copy !req
355. It's either that or we start
randomly testing Matty for infections.
Copy !req
356. - I know you hate the word random.
- Do it alphabetically.
Copy !req
357. We're not doing that damn transplant.
Copy !req
358. Where's Foreman?
Copy !req
359. We found a donor.
It's not an ideal match.
Copy !req
360. But four out of six
still gives Nick a chance.
Copy !req
361. A partial match transplant
is extremely dangerous.
Copy !req
362. Dr. Foreman explained.
Copy !req
363. He also explain what sort of
pain your son will experience if he gets
Copy !req
364. graft versus host disease?
- Yes.
Copy !req
365. Apparently, he didn't explain it
vividly enough. Let me give it a whack.
Copy !req
366. He also explained
that if we did nothing,
Copy !req
367. Nick could start
bleeding into his brain.
Copy !req
368. Matty is a perfect match. Just give
us a little more time to figure out...
Copy !req
369. - How much time?
- Dr. House is the best diagnostician...
Copy !req
370. How much time?
Copy !req
371. I don't know.
Copy !req
372. And Nick can start bleeding
into this brain without any warning.
Copy !req
373. Yes, but the chances of
complications from a mismatch...
Copy !req
374. My boys have suffered enough.
Copy !req
375. Get Matty better.
Copy !req
376. And give Nick the transplant
from the new donor.
Copy !req
377. - Foreman screwed us.
- No! You screwed us.
Copy !req
378. What is the point in
being able to control people
Copy !req
379. if you won't actually do it?
Copy !req
380. It's like training a dog
and then letting him go on your rug.
Copy !req
381. Which, by the way...
Copy !req
382. Once Foreman got his mitts on them,
there was no way...
Copy !req
383. You don't explain chances
and probabilities. You lie to them.
Copy !req
384. You tell them Foreman's a moron... which
isn't even much of a lie right now.
Copy !req
385. - You got to talk to him.
- I got no problem with what he did.
Copy !req
386. He undercut us and he may
have cost that kid his life!
Copy !req
387. He did what he thought was right.
You, on the other hand, sucked out.
Copy !req
388. When the decision really mattered,
Copy !req
389. you didn't have the guts
to tell them what to do.
Copy !req
390. If that kid dies, it's because Foreman
was wrong and because you're a coward.
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391. Oh, goodness! I've left my door open.
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392. My poor dog must have run
away and been hit by a car or truck.
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393. Or train.
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394. Or an anvil.
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395. Thank God... you're still here.
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396. He's still here!
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397. Where's my stereo?
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398. How you feeling?
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399. A little itchy.
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400. It's weird, huh?
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401. You still have no idea what's wrong with
me, but those meds will make me better.
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402. We put you on a variety of medications
that'll fight all kinds of infections.
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403. But Nick...
you know exactly what's wrong with him,
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404. but maybe he's gonna die anyway.
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405. - Hopefully, the new marrow will...
- I can't go in there, can I?
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406. Your infection would kill him.
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407. So I won't be able to be with him...
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408. when he dies?
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409. You'll be able to be
with him when he gets better.
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410. - What's wrong?
- It really itches.
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411. Hello?
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412. Why am I meeting you here?
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413. You're paying for my new cane.
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414. It was your dog.
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415. So that's it.
You call me a coward, life goes on...
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416. Apparently. You showed up.
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417. I'm sorry.
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418. Okay.
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419. You're pathetic.
I didn't actually mean that.
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420. - Yes, you did.
- No, I didn't.
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421. - To infinity.
- Yes, you did.
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422. - You're pathetic.
- Yeah.
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423. When?
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424. What did the lab say?
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425. Why don't you buy your cane in a medical
supply store like a normal cripple?
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426. Fewer bitchin' choices.
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427. Okay.
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428. - What do you got in bitchin'?
- Right this way.
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429. That was Cameron.
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430. The kid that wasn't all
that sick is now all that sick.
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431. He's bleeding out of his ears.
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432. - Blood counts?
- Down.
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433. - Schistocytes on the smear?
- His body's not making new blood cells.
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434. His bone marrow's crashing.
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435. This is one of our top sellers.
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436. It's a little too Marilyn
Manson in a retirement home.
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437. - Meds are suppressing his bone marrow.
- Or the infection's doing it.
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438. Very cool.
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439. Genuine bull penis
stretched over a metal rod.
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440. Penis canes are murder.
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441. - Let me see the one on the end.
- You got it.
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442. You need to stop Matty's meds.
The marrow rebounds, it's the meds.
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443. - If it doesn't, it's an infection.
- And if it's the infection?
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444. Maybe I was wrong about
which kid's gonna die.
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445. Bitchin'.
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446. Flames.
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447. Makes it look like I'm going fast.
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448. Now, how's our dying kid?
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449. Nick's developed blisters
all over his feet and legs.
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450. He's got grade four graft versus host.
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451. Increase his dosage
of methylprednisolone.
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452. Already did. It's not working.
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453. Feeling guilty?
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454. - I did the right thing.
- Always a comfort.
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455. - Okay, what's the other kid's status?
- We're done with Nick?
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456. God is done with Nick.
We know what he has.
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457. We know how to treat it.
We're doing it. It's not working.
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458. Life is for the living.
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459. Matty's been off his
meds for a few hours,
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460. but his blood count's still tanking.
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461. It means the meds aren't to blame.
It's the infection.
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462. If we don't get this under control, his
blood will literally turn into water.
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463. Cultures still aren't growing anything.
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464. Why not?
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465. Because you did the right thing.
Convinced the parents to treat the kid.
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466. All you did was yank
the weed out of the ground.
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467. It's roots are still
killing your beautiful lawn.
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468. We just can't see it. And if we
can't, we don't know what it is.
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469. And if we don't know what it is,
we can't kill it.
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470. You gotta wait for
it to grow back again.
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471. Now his soil is arid.
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472. So he and his brother
will be dead by the time...
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473. What if the dandelion
was in fertile soil?
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474. What if we take the roots
from Matty and put them in Nick?
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475. Turn the kid into a petri dish.
Only better.
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476. A petri dish can't
tell you when it hurts.
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477. You want to give him
his brother's infection?
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478. The very thing we've been trying
to avoid since the brother sneezed?
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479. - Leukemia kid's got no defenses.
- Which is why he'll die.
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480. But before he does,
the infection will spread, fast.
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481. Fast enough to tell us what it is.
In time to save his brother.
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482. Do you see any other way?
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483. The infection is decimating
Matty's bone marrow.
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484. But...
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485. if we give that marrow to Nick,
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486. his symptoms could
let us diagnose Matty.
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487. - But it'll kill Nick.
- Yes.
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488. You're...
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489. you're saying we should
kill one son to save the other?
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490. - Nick is gonna die either way.
- You don't know that!
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491. I mean, he's in pain right now, but...
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492. Nick's graft versus host
is not responding to medication.
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493. It can change.
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494. May... maybe he'll... he'll rally.
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495. My Nick is a fighter.
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496. Graft versus host is not
gonna go away because of Nick's
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497. sunny smile and positive outlook.
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498. Nick has survived three
reoccurrences of his leukemia.
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499. He's being torn apart
from the inside out.
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500. His pain's gonna get
worse and worse until he dies.
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501. You're just dragging it out.
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502. You have only one decision to make...
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503. to leave here with one dead son or two.
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504. Tell them.
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505. You should let us do this.
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506. No.
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507. We're not giving up on Nick.
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508. Not!
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509. Patients' parents apparently
don't want to be parents anymore.
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510. You're a sneaky bastard.
Any ideas how we get around this?
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511. - Court order?
- That's hardly sneaky.
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512. We can still save Matty. Run more tests.
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513. Find out what infection
is destroying his marrow.
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514. 10,000 possible infections.
At least 20 minutes per test.
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515. Take you approximately eight years.
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516. Actually, four months, assuming
the last one I test is the right one.
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517. If it's the first,
it'll take me approximately 20 minutes.
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518. He's right. It's worth a shot.
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519. He's timid. Testing blindly
is not gonna save this kid.
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520. But standing around here will.
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521. Wow, he sure is hurting.
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522. Nurses say he maxed
out on his pain meds.
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523. If I had a nickel for
every time I heard that...
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524. Pharmacy's on the ground floor.
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525. I'm gonna go get you some
more pain medication, okay?
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526. Thank you.
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527. It's not gonna help.
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528. You're dying.
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529. Nothing's gonna change that.
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530. Drugs'll just make you go easier.
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531. I know.
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532. 14 years on the planet.
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533. Most of them spent suffering.
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534. Dying before you even got to...
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535. drive a car,
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536. take off a girl's bra,
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537. drink a beer.
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538. Believe me,
there's plenty you haven't done.
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539. Really good stuff.
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540. Must make it hard to believe in...
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541. God or...
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542. fairness,
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543. a larger purpose.
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544. But your life doesn't
have to be meaningless.
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545. You can save your brother.
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546. How?
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547. - Negative for CMV.
- Negative for amoebas.
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548. - House called you timid.
- He's called me a lot worse.
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549. To him, there is nothing worse.
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550. He's gonna fire you.
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551. Even if we run a hundred tests,
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552. that only gives us a 1%
chance of saving these kids.
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553. Better than zero.
You don't care if you get fired?
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554. I don't know,
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555. there's got to be a way to better
our odds from 99% chance of death.
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556. You gotta know.
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557. It's not food-borne, because
no one else in the family is sick.
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558. Either you care about
your job or you don't.
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559. Matty's the only one who drank
from that water pump in the backyard,
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560. but we eliminated
Pseudomonas and cholera.
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561. If you care, you fight to keep it.
If you don't, you quit.
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562. I thought they lived in the suburbs.
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563. They do. Why?
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564. They've got a water pump?
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565. - Please, I wanna do it.
- No, Nicky.
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566. It's not your decision.
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567. I'm dying.
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568. There's nothing that's
gonna change that.
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569. Don't say that, okay?
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570. You can't give up.
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571. It's time for me to go, Dad.
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572. You gotta let me go.
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573. No.
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574. Please, son.
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575. I can't!
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576. Let me do it for Matty.
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577. Let me do it for you guys...
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578. so you won't be alone.
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579. - Are you sure?
- No. But he is.
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580. - Get Nick back to the clean room.
- The parents agreed to infect him.
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581. We figured out what's wrong
with Matty... histoplasmosis.
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582. Well, what is that?
I mean, why did it...
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583. Fungal infection.
Grows in chicken feces.
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584. The dirt that Matty used
to build his pitcher's mound
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585. must have sat under a chicken coop.
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586. Your whole neighborhood
was built on top of farmland.
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587. We didn't test for
it earlier because we...
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588. Can you fix him?
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589. Full course of amphotericin,
and he should be fine.
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590. And Nick? I mean,
can you clean Matty's marrow,
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591. just like you were talking
about doing it, but do it fast and...
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592. and get it into Nick?
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593. I'm sorry.
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594. The reason Matty is so sick is because
the infection's attacking his marrow.
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595. He doesn't have enough left to safely
take from him and give to his brother.
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596. I'm going to get better now?
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597. That's it?
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598. That's it.
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599. And what about Nick?
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600. Your brother was willing
to risk his life to save you.
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601. Are you willing to do that for him?
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602. I can't sedate you. You're too sick.
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603. Please, please stop.
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604. Please, please. You're done, right?
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605. Sorry. I need a lot more.
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606. No. Stop! Stop!
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607. How much heat are you
taking from the parents?
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608. They're calming down.
I think it has something to do with
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609. both their kids being alive,
awake, and eating.
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610. The marrow transplant took.
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611. Welcome back, Foreman.
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612. - You should talk to him.
- And tell him how proud I am?
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613. Hey, if you're ashamed of him,
you can tell him that.
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614. Pride and shame only apply to people we
have a vested interest in,
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615. not employees.
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616. How many hours a day do
you have to spend with someone
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617. before they're basically family?
- Good point.
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618. But first, I gotta tell Cameron and
Chase that they're violating God's will.
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619. I'm just asking you to have
an adult conversation to let him know...
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620. That he did a good job? He knows it.
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621. Adults don't need adult conversations.
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622. Just like I don't
need this conversation.
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623. Have you killed Hector yet?
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624. Obviously not.
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625. He's quiet. He's...
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626. Is that my stethoscope?
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627. Bad dog!
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628. Listen...
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629. Bonnie joined her homeowners
association and staged a coup.
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630. Pets are now allowed.
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631. If you want to keep him, she wants
a new puppy anyway. She'll understand.
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632. Why would I want to keep him?
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633. You're sure.
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634. Come on, boy.
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635. Accidents happen.
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636. Candy?
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637. Good boy.
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638. Good boy.
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639. You did good.
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640. I did what you would have.
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641. Well...
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642. maybe I'm biased, but...
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643. - I tortured the kid.
- Because you knew it was right.
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644. You knew you were saving his brother.
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645. I know.
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646. I don't like that I know.
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647. I hate that I can listen
to a kid screaming in pain
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648. and not even take a moment to question
whether I'm doing the right thing.
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649. I hate that in order
to be like you as a doctor,
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650. I have to be like you as a human being.
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651. I don't want to turn into you.
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652. You're not.
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653. You've been like me since
you were eight years old.
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654. You'll save more people than I will.
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655. But I'll settle for killing less.
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656. Consider this my two weeks' notice.
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657. swsub. Com
jh26
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