1. Damn it, Zach.
Copy !req
2. This is the last time I'm
turning around.
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3. The next time
you forget something,
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4. you're gonna be
on your own.
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5. I can't play
without a stick.
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6. Then I guess
you won't play.
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7. I don't care.
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8. I suck anyway.
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9. Don't say that.
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10. I'm the worst guy
on the whole team.
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11. No, you're not.
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12. Then who's worse?
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13. Don't worry about anyone else.
Just do your best.
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14. See?
You can't name anyone.
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15. Zach, stop it.
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16. Then name someone.
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17. You can't, can you?
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18. Donny...
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19. Mark...
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20. Navid.
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21. You really think I'm better
than those guys?
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22. Yes.
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23. Hurry up and get your stick.
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24. Zach, get back
in the car.
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25. I need an ambulance
at 860 Oakwood Avenue!
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26. Why is dad's car on?
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27. Get back
in the car, Zach!
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28. Come on.
Come on!
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29. Oh, come on.
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30. Don't do this
to me, Jeff!
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31. Don't do this!
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32. Oh.
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33. I'm sorry.
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34. I just...
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35. I couldn't take
the pain anymore.
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36. Either I need
a new watch,
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37. or Mowgli is cutting
into your beauty sleep.
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38. I was up all night
looking at finance reports,
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39. and Rachel
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40. is doing great.
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41. Thanks for asking.
- Proving that you're
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42. a better foster mom
than a homeless drug addict.
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43. Departmental budgets
are due this week.
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44. I'm gonna need
an extension.
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45. Got some time
next decade.
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46. Cameron
already turned yours in.
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47. That's nice of her.
Two questions—
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48. Why did she?
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49. And why are you
telling me?
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50. Same answer—
now you owe her a favor.
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51. I'm gonna need an extension.
- I got some time—
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52. House, I've got
a D.Y.F.S. home visit on Friday.
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53. And I've got
a w-h-o-r-e visit on—
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54. Mama's busy.
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55. You two are gonna have to go
play outside for a while.
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56. 32-year-old male
with chronic pain all over.
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57. This is the favor?
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58. I was expecting
something
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59. involving whipped cream
and tongue depressors.
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60. He's seen seven different
specialists over three years.
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61. No diagnosis
and no relief.
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62. Oh, I am fascinated already.
It's like I'm treating myself.
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63. He gets cured,
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64. and I get to learn
a valuable lesson
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65. about the milk
of human kindness.
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66. If I thought you learned
lessons, I never would've quit.
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67. So you're wasting
a favor because?
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68. I think
you can help this guy.
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69. Drug-seeking patients—
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70. don't attempt suicide
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71. with medicine cabinets
full of narcotics.
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72. Sounds like
fibromyalgia.
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73. Sounds like
you don't work for House.
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74. A diagnosis
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75. that provides neither
an explanation nor a cure
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76. is by definition
not a diagnosis.
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77. The American College
of Rheumatology
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78. would disagree.
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79. There are specific
diagnostic criteria.
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80. Which this guy
doesn't meet.
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81. Putting pressure on his pain
helps, doesn't make it worse.
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82. He's got abdominal pain,
severe headaches,
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83. Muscle cramps
that come and go.
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84. And he tried
to off himself.
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85. He's obviously
mentally ill.
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86. Pain's probably
psychological.
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87. It is not a sign of mental
illness to want to be pain-free.
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88. It is if your solution
is sucking on a tailpipe.
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89. Sane people
don't attempt suicide.
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90. Not ever?
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91. So if you were being burnt
at the stake
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92. and someone
handed you a gun...
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93. I'd shoot the guys
with the torches.
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94. Not one doctor this guy has
seen in the past three years
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95. has been able to find
a single thing wrong with him.
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96. What does that tell you?
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97. It means they're idiots.
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98. It means
we got to start
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99. from the beginning.
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100. We'll do a pain profile to rule
out psychosomatic pain,
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101. search the home.
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102. Go home.
Get a refill...
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103. and a doughnut.
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104. I'll help with the home.
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105. "Choose a statement
in each group
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106. "that best describes
how you've been feeling lately,
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107. including today."
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108. I'm not depressed.
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109. I know what I did was stupid.
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110. "I usually sleep well.
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111. "I have some trouble with sleep.
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112. I have a lot of trouble with sleep."
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113. I have a lot of trouble.
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114. It's up and down.
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115. Between the pain
and the meds,
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116. his sleep pattern's
pretty erratic.
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117. "He's a calm person.
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118. "He's more nervous
than most people.
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119. He's so nervous,
he's miserable."
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120. He's definitely calm.
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121. Sometimes calmer
the worse the pain gets.
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122. I think talking,
interacting with other people
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123. actually makes it worse.
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124. Interesting.
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125. Why?
Does that mean something?
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126. No, it's just
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127. we've seen that
in other... patients.
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128. "He can do chores
around the house.
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129. With help, he can do chores.
He can no longer do chores."
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130. He helps all the time.
He's really strong.
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131. He used to play hockey.
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132. And he was really good too.
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133. "I believe there's hope.
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134. "Hoping for things to get better
is a struggle for me.
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135. Most of the time,
I feel completely hopeless."
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136. He still laughs...
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137. all the time.
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138. He was always optimistic.
He still is.
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139. It's just...
it's harder now.
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140. I guess...
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141. I pray for strength
more than hope.
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142. There's nothing in there but
a pharmacy's worth of pain meds.
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143. This guy makes House
look like a Christian Scientist.
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144. He's also more compliant
than House.
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145. Kept all the inserts,
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146. had daily pill dispensers to
make sure he didn't mix them up.
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147. I guess if you're gonna go out
in a car,
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148. this ain't a bad one
to choose.
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149. If I ever did it,
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150. definitely wouldn't be
like that.
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151. Don't worry.
I'm not making any plans.
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152. I certainly
wouldn't know.
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153. Ever since we kissed,
you've been avoiding me.
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154. No, I haven't.
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155. Just been busy.
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156. Metal polish
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157. could cause nerve damage
if he inhaled enough of it.
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158. Judging by the shine
on that car,
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159. he used a fair amount.
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160. Judging by the fact that he owns
a body shop and one of these,
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161. I'd say he knew
not to inhale.
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162. Busy tonight?
We can get some dinner.
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163. I don't think so.
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164. So making out, okay.
Meals, too intimate?
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165. I don't want to kiss you
again either.
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166. Why?
Because we work together?
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167. No.
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168. Because I like you.
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169. That makes a lot of sense.
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170. What doesn't make sense
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171. Is me getting involved
with anyone.
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172. I thought
you'd gotten past that.
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173. That's why you agreed
to the drug trial.
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174. You can't give up
on life because—
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175. I'm not giving up
on life.
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176. I'm just giving up on you.
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177. I finally feel
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178. like I have a grip
on things.
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179. I can handle this.
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180. What I can't handle is dragging
anyone else down with me.
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181. Does this look
like quail to you?
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182. You think
he's had food poisoning
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183. every day
for the last three years?
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184. Wild quail can be toxic,
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185. Cause rhabdomyolysis,
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186. Which would explain his pain,
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187. As well as the elevated
C.K. levels.
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188. So would the carbon monoxide
he sucked out of his car.
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189. It's not
a toxic reaction.
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190. It's a psychosomatic
reaction.
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191. The pain profile
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192. showed an excessive concern
about his physical health,
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193. Difficulty sleeping,
getting out of bed.
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194. He's not in pain
because he's depressed.
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195. He's depressed
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196. because he's in pain.
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197. Not according
to the pain profile you ordered.
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198. It's not a diet issue.
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199. We should start him
on antidepressants
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200. for his sake,
as well as his family's.
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201. We're not diagnosing
his family.
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202. We're not diagnosing
you either.
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203. It's rhabdo.
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204. Push I.V. fluids,
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205. check his urine,
do a muscle biopsy.
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206. What muscle?
He says it hurts all over.
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207. Then she'll biopsy
all over.
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208. Where are you going?
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209. If Cuddy can come in late,
I can leave early.
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210. If you need anything
while I'm gone,
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211. just ask Cameron to do it.
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212. So if he just
stops eating quail,
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213. the pain
will go away?
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214. If we're right,
it's definitely treatable.
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215. My arm!
It's starting to—
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216. He needs more medicine.
B.P. is down.
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217. We need to get him
in trendelenburg position.
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218. Jeff, can you hear me?
- He's arresting.
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219. We need a crash cart in here!
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220. He's not answering
his cell either.
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221. V.Q. scan
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222. showed a pulmonary embolism.
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223. Means the pain's
not psychosomatic.
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224. It also means
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225. it's not rhabdomyolysis.
- Up till now,
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226. his heart and lungs were the
only places he didn't have pain.
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227. Means it's getting worse.
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228. Got to let the phone ring
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229. more than four times
when you're calling a cripple.
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230. Chronic pain
and pulmonary embolism, go.
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231. How'd you know he had—
- You called after midnight.
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232. It's got to be
a heart problem.
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233. But heart only
would be consistent
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234. with rhabdo,
which means Thirteen and Foreman
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235. would be singing
in the rain,
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236. which means
it has to be lungs as well.
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237. Hypercoagulable state
could cause pain and a P.E.
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238. So you think the blood clot was
caused by a clotting problem.
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239. That's helpful.
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240. What if it's a cancer syndrome,
like Trousseau's?
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241. Explains blood clots,
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242. multifocal pain,
lack of obvious physical signs.
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243. And why he's gone three years
without anyone seeing it.
Copy !req
244. Check his chest, abdomen,
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245. and pelvis for tumors.
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246. Why did he think
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247. only you two
would be singing in the rain?
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248. Bone windows are normal.
Copy !req
249. Checking for cancerous masses
in the lungs.
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250. So, uh, who do you know
who committed suicide?
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251. Hemingway, Goebbels,
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252. Romeo and Juliet.
Your mom?
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253. Dad?
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254. Saying I wouldn't do it
under any circumstances
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255. means my whole family
was suicidal?
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256. No, but categorically insisting
there are no circumstances
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257. means you've got baggage—
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258. personal betrayal,
abandonment.
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259. Just because you grew up
in a Charles Dickens novel...
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260. Well, it's people like me
who don't do it.
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261. When your life sucks
from the beginning,
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262. there's nowhere
to go but up.
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263. Thorax is clear.
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264. No tumors in the lungs.
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265. The only betrayal comes from
father of the year in there.
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266. He has a wife, a kid—
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267. People who count on him
to have a pulse.
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268. Okay.
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269. Switching to high-res cuts
of the abdomen.
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270. My parents
live very happily in Queens.
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271. They never attempted,
thought about,
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272. or attempted to think
about committ—
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273. What?
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274. There,
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275. along his diaphragm.
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276. That's not cancer.
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277. No hurry.
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278. I already bathed once
this week.
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279. I wouldn't want
to look elitist.
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280. Can't do anything
till I write up an estimate.
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281. Fine.
Pad it all you want.
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282. Here's a check
for the deductible.
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283. Don't touch the piano
and lock up when you leave.
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284. Sorry, deductible
doesn't apply here.
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285. I'm no architect,
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286. but I'm pretty sure the master
bedroom is part of the home,
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287. which means
the home warranty—
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288. doesn't cover negligence.
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289. This pipe
Copy !req
290. goes through the ceiling,
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291. over that wall,
and into your shower.
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292. It didn't burst.
It was pulled apart.
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293. Yeah, 'cause I'm clearly a guy
who likes to knock out
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294. a few naked pull-ups
before I greet the day.
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295. You hang laundry
in there?
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296. I'm about to hang
a plumber in there.
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297. Look, there's no rust.
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298. There's no corrosion.
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299. I don't know
how it happened,
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300. But I know what happened,
and it's not covered.
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301. So...
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302. Whenever you're ready
to spend the $2,200,
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303. Give somebody else a call.
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304. I promise,
I'm only holding your hand
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305. to check for choreiform movement.
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306. I'm getting absolutely
no intimacy from it.
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307. I told you, it has nothing to do with you.
- I know.
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308. That's the problem.
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309. There's 80 reasons
we shouldn't date,
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310. but you can't shut
everyone out.
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311. You're gonna need
help, support.
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312. Look at our patient.
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313. 32 years old, not dead yet,
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314. and already he's traumatized his wife, his son—
- And I'll bet
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315. they're cherishing every
traumatic minute he has left,
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316. wouldn't trade him for
the healthiest guy in the world.
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317. True.
Copy !req
318. And they're stuck suffering
with him, hating every day.
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319. Only their pain
Copy !req
320. has no prospect of relief.
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321. This a bad time?
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322. No.
- Yeah.
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323. No trace of cancer
in the patient.
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324. But we did find edema
in his intestines,
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325. air in the intestinal
blood vessels,
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326. and House
won't answer his phone.
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327. His intestine
must be damaged.
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328. The air's leaking
into his body.
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329. If there's a blockage
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330. in the superior
mesenteric artery,
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331. it could be choking off
blood flow to his intestine.
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332. Blockages all over his body
would explain his pain,
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333. why the cramps
come and go.
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334. Do an angioplasty
on the superior mesenteric
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335. and find
the other blockages
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336. before he has
another cardiac arrest.
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337. I'll help.
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338. Good thing we don't have
a suicidal patient
Copy !req
339. with a horrific,
undiagnosed pain disorder.
Copy !req
340. We did till we diagnosed it.
Copy !req
341. We found intestinal edema
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342. and air in the blood vessels.
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343. Pain was vascular.
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344. If it was vascular,
we would've seen uneven pulses.
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345. His blood pressure
was uneven.
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346. Thirteen and Kutner
are doing an angio.
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347. He had hemorrhages
in his fingers.
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348. There's air in the intestine.
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349. It has to have come
from somewhere.
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350. Yes...
Copy !req
351. It does.
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352. After we thread the catheter
Copy !req
353. through his groin
and into position,
Copy !req
354. the blood will start
flowing freely again.
Copy !req
355. Will that take away the pain?
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356. It will be completely ineffective,
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357. and the pain will completely go away.
Copy !req
358. Cancel the angio.
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359. He has air in his blood vessels.
Copy !req
360. If we don't open the artery
to his intestines—
Copy !req
361. Where can air come from?
Copy !req
362. Hmm.
Copy !req
363. Air can either come
from a breach in the lumen
Copy !req
364. in the small intestine,
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365. or in rare instances,
Copy !req
366. air can come from the air.
Copy !req
367. Teeth marks.
Copy !req
368. I'm guessing from when he blew
into his I.V. tube.
Copy !req
369. Air bubble caused the P.E.
Copy !req
370. and cardiac arrest.
Copy !req
371. You tried to finish the job
that you started
Copy !req
372. at home.
Copy !req
373. Jeff...
Copy !req
374. Why?
Copy !req
375. You said that you never—
- I lied.
Copy !req
376. I want to die.
Copy !req
377. Please just let me die.
Copy !req
378. No.
Copy !req
379. He's in a hyperbaric chamber.
Copy !req
380. A dose of high pressure
Copy !req
381. ought to chase the air
out of his blood.
Copy !req
382. Is anyone keeping
an eye on him,
Copy !req
383. was specifically created
Copy !req
384. for suicidal patients.
Copy !req
385. I realize how you
might've thought the name
Copy !req
386. was just a coincidence.
Copy !req
387. Are there any visuals
in this room
Copy !req
388. that are key to us learning
our lesson?
Copy !req
389. 'Cause the telephone—
Copy !req
390. I'm inconveniencing you
Copy !req
391. because you
inconvenienced me.
Copy !req
392. When was the last time
you showered?
Copy !req
393. Scent of a man...
Copy !req
394. I realize you
haven't experienced it sober.
Copy !req
395. If anyone
should be able to handle
Copy !req
396. a depressed
pain patient...
Copy !req
397. He insisted he was no longer—
Apparently he lied.
Copy !req
398. Didn't think
I'd have to remind you
Copy !req
399. of that
remote possibility.
Copy !req
400. I have a D.Y.F.S. inspection
in less than 24 hours,
Copy !req
401. so if you can't control—
non-motor seizures.
Copy !req
402. Sorry, I was thinking
about the patient.
Copy !req
403. What were you saying?
Copy !req
404. Uh...
Copy !req
405. Go on.
- The pain started
Copy !req
406. in his abdomen
near his intestine.
Copy !req
407. The first symptom
has got to be key.
Copy !req
408. He's had
multiple EEGs,
Copy !req
409. all of them cleaner
and squeakier
Copy !req
410. than Cuddy's
rubber nipples.
Copy !req
411. What about
a glycogen storage disease
Copy !req
412. like McArdle's?
Copy !req
413. It explains
the pain.
Copy !req
414. Plus,
there's plenty
Copy !req
415. of muscle cells
in the wall of the intestine.
Copy !req
416. Fourteen is right.
Copy !req
417. Go run
an ischemic forearm test.
Copy !req
418. Take the garbage out
on your way out.
Copy !req
419. If you want a man
to take your crap,
Copy !req
420. you have to marry him
first.
Copy !req
421. Or employ him.
Copy !req
422. Good girl.
Copy !req
423. I don't think I'm ready to run
a decathlon yet.
Copy !req
424. Ah, if we can get
you managing
Copy !req
425. your life a bit better,
that'll be plenty.
Copy !req
426. Dr. Hadley,
whenever you're ready.
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427. Janice.
Copy !req
428. You look better.
Copy !req
429. Yeah, they said
my basal ganglian volume
Copy !req
430. has improved.
Copy !req
431. All I know is
for the first time in two years,
Copy !req
432. I can drink a cup of water
without spilling it
Copy !req
433. all over myself.
Copy !req
434. Thank you for getting me
back in the study.
Copy !req
435. I haven't even seen you
in weeks.
Copy !req
436. I didn't even know
our appointments
Copy !req
437. were back-to-back
again.
Copy !req
438. Well, they weren't.
Mine got switched this morning.
Copy !req
439. We're gonna take
your blood repeatedly.
Copy !req
440. If the increased strain
makes your arm hurt more,
Copy !req
441. you have
a muscle abnormality.
Copy !req
442. If you're right
Copy !req
443. about
this McArdle's Disease,
Copy !req
444. can you take away
the pain?
Copy !req
445. With gene-replacement therapy,
with lifestyle changes,
Copy !req
446. we can reduce it.
Copy !req
447. Keep squeezing
the ball.
Copy !req
448. How long
does he have to—
Copy !req
449. Maybe you and Zach
should get something to eat.
Copy !req
450. Honey, don't worry about us.
- I'm not.
Copy !req
451. Please get
out of here.
Copy !req
452. These tests
are all I can handle.
Copy !req
453. They're trying to help you.
- They can't.
Copy !req
454. Then how about helping them,
you know, by not being—
Copy !req
455. An ass?
Copy !req
456. You have no idea
what I'm going through.
Copy !req
457. I know it's better than
what you tried to go through.
Copy !req
458. Sure, no baggage
at all.
Copy !req
459. Where's the pain worst right now?
- Left arm.
Copy !req
460. Does it hurt more?
- Couldn't.
Copy !req
461. And lactate level is steady.
Copy !req
462. It's not any kind
of glycogen.
Copy !req
463. Aah!
Copy !req
464. Oh, God!
Pain jumped to my leg!
Copy !req
465. That's never
happened before
Copy !req
466. chest, your abdomen—
you feel anything there?
Copy !req
467. No!
My leg!
Copy !req
468. It feels like
it's being sawed off.
Copy !req
469. Nice.
- What?
Copy !req
470. Switching Janice's
appointment time
Copy !req
471. so I could see
the skies brighten
Copy !req
472. like a Lifetime TV movie.
- I don't know what you're—
Copy !req
473. sticking your most improved
study participant in my face.
Copy !req
474. Is that your way
of getting into my pants?
Copy !req
475. I don't make
the schedule,
Copy !req
476. and if I did, I wouldn't use it
as a social lubricant.
Copy !req
477. And this is the first I've heard
of Janice improving at all.
Copy !req
478. So, hey,
thanks for the good news.
Copy !req
479. Pain started
in his abdomen.
Copy !req
480. Now it's hopped from
his left thumb to his left leg,
Copy !req
481. skipping
the trunk entirely.
Copy !req
482. I need the name
of a good lawyer.
Copy !req
483. We're getting sued?
- Probably.
Copy !req
484. That's Cuddy's problem.
Copy !req
485. Hopping pain,
means it's something
Copy !req
486. in his brain,
not his body.
Copy !req
487. Except the pain's
in two places
Copy !req
488. that connect to two
separate regions of the brain,
Copy !req
489. which means
you're not using yours.
Copy !req
490. Come on, you're from one
of the 12 tribes.
Copy !req
491. You know must know a ton
of shysters.
Copy !req
492. What type of lawyer
do you need?
Copy !req
493. I'll bring it up
Copy !req
494. at the next world domination
subcommittee meeting.
Copy !req
495. Didn't say
I needed a lawyer.
Copy !req
496. I said I needed
the name of a lawyer.
Copy !req
497. Pain hopped to another limb
on the same side.
Copy !req
498. It's got to be central—
- Could still be peripheral.
Copy !req
499. If multiple areas
Copy !req
500. of disc disease—
Copy !req
501. were consistent
with a completely spotless MRI.
Copy !req
502. Who represented
the hospital
Copy !req
503. when you set
that patient on fire?
Copy !req
504. Chris Carrick.
Copy !req
505. Chris? That doesn't sound
like a very good lawyer.
Copy !req
506. If we can't even resolve
body versus brain,
Copy !req
507. we're never gonna diagnose
the guy.
Copy !req
508. What was the name of the firm?
- Caddell and Carrick.
Copy !req
509. It's not like
we can chop off his head
Copy !req
510. to see
if the pain goes away.
Copy !req
511. Why not?
Copy !req
512. Need to cut off
a guy's head.
Copy !req
513. Got to figure out
Copy !req
514. his pain's coming
from his brain or his body.
Copy !req
515. A stiff shot of lidocaine
below the brain stem
Copy !req
516. should numb him all the way
down to his tippy toes.
Copy !req
517. And hearing me say "no" over
the phone wasn't good enough?
Copy !req
518. I'm inconveniencing you
because you inconvenienced me.
Copy !req
519. You know
that foster-care official
Copy !req
520. is coming in the morning.
Copy !req
521. If they weren't,
there'd be no inconvenience.
Copy !req
522. Do not try and force me
to choose between my child—
Copy !req
523. I'm forcing you
to do your job!
Copy !req
524. If you can't also—
Copy !req
525. Fine, you want to separate a
patient's central nervous system
Copy !req
526. from the rest
of his body.
Copy !req
527. If the pain stays,
it's in his brain.
Copy !req
528. If it vanishes—
Copy !req
529. And what about options three,
four, and five?
Copy !req
530. His respiratory system freezes,
or he dies of infection,
Copy !req
531. or he leaks CNS fluid
Copy !req
532. like a fire hydrant, which would
make him wish he were dead?
Copy !req
533. You need to scratch option five.
He's already there.
Copy !req
534. You preach objectivity,
Copy !req
535. but as soon as a patient
comes in in pain,
Copy !req
536. all you want to do
is look under the hood.
Copy !req
537. You don't care
Copy !req
538. if there's
a one-in-three chance
Copy !req
539. you'll kill him.
Copy !req
540. If I don't diagnose him,
Copy !req
541. there's a one-in-one chance
he'll kill himself.
Copy !req
542. I got to go.
Copy !req
543. Do whatever it is
you think is right.
Copy !req
544. Tammy, you said
you were gonna be a little late.
Copy !req
545. D.Y.F.S. is gonna be here
in an hour,
Copy !req
546. and this place is a disaster.
Copy !req
547. Never mind.
Copy !req
548. This should numb everything
from your shoulders down.
Copy !req
549. Any pain that's peripheral
should be gone.
Copy !req
550. What are you doing here?
Copy !req
551. Just stretching my leg.
Copy !req
552. Carry on.
Copy !req
553. Bad pain day today?
Copy !req
554. About to get better.
Copy !req
555. Don't worry.
He's making yours a double.
Copy !req
556. I remember when the drugs
still made things tolerable.
Copy !req
557. I still thought
I had good days left.
Copy !req
558. Turns out you have to live
to find out.
Copy !req
559. You don't have
a family, do you?
Copy !req
560. Left them all
back on Krypton.
Copy !req
561. You're alone.
Copy !req
562. That's why
you can handle your pain.
Copy !req
563. No need to put up
a front,
Copy !req
564. to be what anyone else
wants you to be.
Copy !req
565. You're having
Copy !req
566. more bad days lately,
aren't you?
Copy !req
567. Yes.
Copy !req
568. Take a look
at your future.
Copy !req
569. Let's hope
the drugs work this time.
Copy !req
570. Ugh.
Copy !req
571. I really wasn't expecting you
Copy !req
572. till later.
Copy !req
573. Had a cancellation, so I thought
I'd knock you off the docket.
Copy !req
574. Well, I'm sorry this place
is such a mess.
Copy !req
575. It's been a bit
of a difficult work week.
Copy !req
576. Any guns in the house?
Copy !req
577. Uh, no.
Copy !req
578. Pets?
Copy !req
579. Besides the ants?
Copy !req
580. No.
Copy !req
581. Nice bag.
Copy !req
582. Pricey way
to ditch the diapers.
Copy !req
583. That's not what I usually—
Copy !req
584. Um, I sort of panicked.
Copy !req
585. Mr. Carlton, if you'd just give
me a minute to explain.
Copy !req
586. Everything looks fine.
- Really?
Copy !req
587. Dr. Cuddy, you've got
sufficient income,
Copy !req
588. a high degree of personal
and professional stability,
Copy !req
589. and you care enough
to be embarrassed
Copy !req
590. by what a mess this place is.
Copy !req
591. Believe me, that puts you
head and shoulders
Copy !req
592. above most
of the foster moms
Copy !req
593. I visit.
Copy !req
594. See you next year,
Copy !req
595. if you haven't adopted her
by then.
Copy !req
596. My legs...
Copy !req
597. They're different.
Copy !req
598. Better.
- No pain at all?
Copy !req
599. No, but less.
Four out of ten, maybe five.
Copy !req
600. Can't be.
Copy !req
601. If whatever is causing the pain
is in your brain,
Copy !req
602. it's still a ten.
Copy !req
603. Periphery is zero.
Copy !req
604. It is.
Copy !req
605. Some of the pain
is gone,
Copy !req
606. but not all of it.
Copy !req
607. What does this mean?
Copy !req
608. Maybe Taub was right.
Copy !req
609. It's psychosomatic
after all.
Copy !req
610. Which one of you
is House?
Copy !req
611. The big black guy.
Copy !req
612. Chris Carrick.
Copy !req
613. Next time you use my name
in a threatening e-mail,
Copy !req
614. it won't be just a bill.
Copy !req
615. It'll be a lawsuit.
Copy !req
616. Can you blame me?
Copy !req
617. The last time that happened,
the guy shot me.
Copy !req
618. What if the spinal block
Copy !req
619. triggered some sort
of placebo effect?
Copy !req
620. Guy's taken the finest opiates
Blue Cross can buy.
Copy !req
621. How come they didn't trigger
a placebo effect?
Copy !req
622. What happened?
Copy !req
623. He just started screaming,
do something!
Copy !req
624. Please, God, do not let it be
what his father has.
Copy !req
625. I think he's faking.
Copy !req
626. How dare you?
What makes you think—
Copy !req
627. House, the kid's
in excruciating—
Copy !req
628. Where is he going?
Copy !req
629. Where is it?
Copy !req
630. Where's what?
Copy !req
631. His idiot son
distracted the orderlies
Copy !req
632. so that daddy death wish here
could down a bottle
Copy !req
633. of isopropyl.
Copy !req
634. Get him on dialysis,
Copy !req
635. or in half an hour,
he'll be a corpse.
Copy !req
636. You're hurting me.
Copy !req
637. Remember the feeling.
Copy !req
638. Maybe next time
you want to help pops,
Copy !req
639. you'll do
a better acting job.
Copy !req
640. You can't help him.
Copy !req
641. Zach, why did you do this?
Copy !req
642. Because he's not
dad anymore.
Copy !req
643. He just wants it
to be over with.
Copy !req
644. Please.
Copy !req
645. Please, just—
just let him die.
Copy !req
646. Fabry disease might be able
to cause central
Copy !req
647. and peripheral pain.
Copy !req
648. No angiokeratomata.
Copy !req
649. Lightning pain
from syphilis.
Copy !req
650. All the syph tests
were negative.
Copy !req
651. Why aren't you guys
still talking?
Copy !req
652. Because we ran out
of ideas.
Copy !req
653. Nothing explains this.
Copy !req
654. Something has to.
Copy !req
655. Unless...
Copy !req
656. Nothing does.
Copy !req
657. So now you think—
Copy !req
658. Mine's a more interesting
version of nothing.
Copy !req
659. It used to be something.
Copy !req
660. We can't find anything
Copy !req
661. because whatever injury
caused the original pain
Copy !req
662. healed a long time ago.
Copy !req
663. The only thing left is the drugs.
Copy !req
664. Opioid induced pain.
Copy !req
665. Pain and the drugs
that treat pain
Copy !req
666. work by changing
brain chemistry,
Copy !req
667. sometimes to the point
where pain receptors
Copy !req
668. read painkillers as killer pain.
Copy !req
669. Take him off the drugs.
Copy !req
670. We can't cure him,
so we're gonna torture him?
Copy !req
671. Torture is the cure.
Copy !req
672. Eventually his body
will recalibrate itself.
Copy !req
673. Assuming you're right.
- Yes.
Copy !req
674. I find it confusing
to assume otherwise.
Copy !req
675. How would you like
to stop taking vicodin?
Copy !req
676. Good thing
I'm not the patient.
Copy !req
677. It's open.
Copy !req
678. Thank you.
Copy !req
679. Is it too big?
She'll grow into it.
Copy !req
680. You can put it there.
Copy !req
681. I take it the home inspection
was pushed back.
Copy !req
682. I passed.
Copy !req
683. You do realize
that's a good thing?
Copy !req
684. This place
was a disaster.
Copy !req
685. I had to stash a dirty diaper
in my briefcase.
Copy !req
686. So you buy
another briefcase.
Copy !req
687. I let House
supervise himself.
Copy !req
688. That's like handing
a 12-year-old
Copy !req
689. the keys to the liquor cabinet
and the car.
Copy !req
690. You passed the inspection.
The patient lived.
Copy !req
691. The car is still
in the driveway.
Copy !req
692. And the next time
my Nanny gets sick
Copy !req
693. when House wants to saw
someone in half?
Copy !req
694. Did I mention you passed
the inspection?
Copy !req
695. I passed by their meager standard.
Copy !req
696. I failed by mine.
Copy !req
697. Why do women always do that?
Copy !req
698. Fail?
Copy !req
699. Create ridiculous standards
that no human could meet,
Copy !req
700. with your careers,
with your kids.
Copy !req
701. You got to be more
like us men.
Copy !req
702. Be lazy?
Blame others?
Copy !req
703. Get help!
Copy !req
704. Most men
in your position
Copy !req
705. have a deputy
and two assistants at work,
Copy !req
706. and a wife
and two nannies at home.
Copy !req
707. You're not superwoman.
Copy !req
708. Don't be a martyr.
Copy !req
709. We'll be injecting you
with naloxone,
Copy !req
710. which will knock
the opioids
Copy !req
711. out of your
pain receptors.
Copy !req
712. If we're right, your system will
recalibrate within a few hours,
Copy !req
713. and most of the pain
will be gone.
Copy !req
714. Hours?
I need those drugs.
Copy !req
715. Not if they're causing
your pain.
Copy !req
716. Then knock me out,
sedate me while you—
Copy !req
717. That'll take drugs too.
Copy !req
718. We need to clear everything
out of your system.
Copy !req
719. Please,
I'll try anything else.
Copy !req
720. That's what
we're trying to stop.
Copy !req
721. So it's not your parents.
Copy !req
722. Then it's your wife, someone you were close—
- A colleague.
Copy !req
723. We were residents together.
Copy !req
724. I should've done more
to stop it.
Copy !req
725. He had the mother
of all God complexes.
Copy !req
726. So busy treating
everyone's problems,
Copy !req
727. he was blind to his own.
Copy !req
728. Helped himself
to a vial of insulin.
Copy !req
729. It's a miracle he survived.
Copy !req
730. His friends and family
almost didn't.
Copy !req
731. He was a selfish ass.
Copy !req
732. It'll be over soon.
Copy !req
733. This is lunacy.
Copy !req
734. You're torturing this guy
on a hunch.
Copy !req
735. It's the only hunch
we've got.
Copy !req
736. If I really wanted
to torture him,
Copy !req
737. I'd manipulate
a clinical trial
Copy !req
738. in the hopes
that he'd sleep with you.
Copy !req
739. Are you suggesting
I got Thirteen in that trial
Copy !req
740. because of some personal—
Copy !req
741. I think you got her in
Copy !req
742. because of your usual
Messiah complex.
Copy !req
743. I think you messed
with the appointment schedule
Copy !req
744. because of your
Copy !req
745. "I like to have sex"
complex.
Copy !req
746. I checked the logs.
Copy !req
747. You moved your most promising
patient right before her.
Copy !req
748. False hope being
quite the aphrodisiac.
Copy !req
749. How's it false if the trials
are showing results?
Copy !req
750. Well, if it were
that promising,
Copy !req
751. but, hey...
Copy !req
752. hope springs eternal.
Copy !req
753. This was
a cooking accident?
Copy !req
754. First time
making cherries jubilee.
Copy !req
755. Awfully big fire.
Copy !req
756. If you ask me,
Copy !req
757. some of the portions
in that recipe were off.
Copy !req
758. Sure hope
it happens to be covered
Copy !req
759. under, say,
Copy !req
760. section three, subsection 2.2,
paragraph one,
Copy !req
761. accidental fire damage,
Copy !req
762. in which case
you'd have to replace
Copy !req
763. the entire waterline
to fix the sagging pipe.
Copy !req
764. I guess so.
Copy !req
765. Hate to have
Copy !req
766. your next-door neighbors end up
with no hot water.
Copy !req
767. Lucky the fire
escaped your pipes entirely.
Copy !req
768. It's not working.
Copy !req
769. I know.
Copy !req
770. I started him
back on the pain meds...
Copy !req
771. Which means you can leave.
Copy !req
772. My son was right.
Copy !req
773. I tried for so long
to protect him from...
Copy !req
774. But I'm the one
who's been selfish.
Copy !req
775. This is no way
for him to live.
Copy !req
776. Until we get an answer,
it's the only way.
Copy !req
777. There is no answer.
Copy !req
778. There's always an answer.
- Then what is it?
Copy !req
779. He's been here
four days.
Copy !req
780. Three suicide attempts.
Copy !req
781. You don't have an answer.
Copy !req
782. When I saw you...
Copy !req
783. When I saw the cane,
Copy !req
784. I thought, "thank God.
The doctor will understand."
Copy !req
785. Because I sure as hell don't.
Copy !req
786. My husband thinks it's over.
Copy !req
787. So look me in the eye,
Copy !req
788. tell me you'd want to live
like that.
Copy !req
789. Then stabilize him.
Copy !req
790. Get him in decent enough shape
for the drive home.
Copy !req
791. So he can finally...
Copy !req
792. Okay.
Copy !req
793. There's got to be
something we can do.
Copy !req
794. We can't just let
the patient leave.
Copy !req
795. We didn't. House did.
Copy !req
796. Because he realized
there's nothing he could do.
Copy !req
797. There's always something
we can do,
Copy !req
798. something else we can try.
Copy !req
799. You're insane.
You know that, right?
Copy !req
800. Because I have principles?
Copy !req
801. Because you paid more to bribe me
Copy !req
802. to lie on your claim
Copy !req
803. than the entire cost
of the repair.
Copy !req
804. I don't care if I pay,
Copy !req
805. as long as the people
who pocketed my premiums
Copy !req
806. for the last nine years
also pay.
Copy !req
807. I didn't break the pipe.
Copy !req
808. Whatever.
Copy !req
809. If you want to stick it
to the man, that's fine by me.
Copy !req
810. You happy?
Copy !req
811. Nope, but I'm right.
Copy !req
812. Lock up on your way out.
Copy !req
813. And don't touch the piano.
Copy !req
814. Testicles.
Copy !req
815. What do they make you think of?
Copy !req
816. STDs,
Copy !req
817. Testosterone issues,
Copy !req
818. that summer
on Fire Island.
Copy !req
819. Oh, so close.
Copy !req
820. The correct answer is epilepsy.
Copy !req
821. Epilepsy doesn't cause chronic pain.
Copy !req
822. It does if it spreads to
the sensory region of the brain,
Copy !req
823. then rewires
the pain neurons.
Copy !req
824. Would've shown up on an EEG.
Copy !req
825. Not if the seizures are in
a place you can't see on an EEG,
Copy !req
826. A place too deep in the brain,
Copy !req
827. Like the area that controls
the muscles supporting the...
Copy !req
828. testicles.
Copy !req
829. Feels like you got kicked
in the nads,
Copy !req
830. doesn't it?
Copy !req
831. The abdominal pain,
Copy !req
832. how it all started.
Copy !req
833. It wasn't the stomach.
It was lower, right?
Copy !req
834. It's everywhere.
Copy !req
835. But when it first started.
Copy !req
836. It started in the stomach—cramps.
Copy !req
837. Like bad gas,
Copy !req
838. or a permeating pain...
Copy !req
839. like your kidneys are being
pulled out through your scrotum.
Copy !req
840. Why?
Copy !req
841. Because epilepsy is treatable.
Copy !req
842. Looks like we shot the guys
with the torches.
Copy !req
843. Yeah.
Copy !req
844. Pays to hang around.
Copy !req
845. That selfish ass
with the God complex
Copy !req
846. who almost made the stupidest
decision of his life—
Copy !req
847. Wasn't your colleague,
was it?
Copy !req
848. It was you.
Copy !req
849. No.
Copy !req
850. See you tomorrow.
Copy !req
851. You're here early.
Copy !req
852. I'm feeling better.
Copy !req
853. What's wrong?
- I.V.'s leaking a little.
Copy !req
854. It's no big deal.
I'll be right back.
Copy !req
855. Foreman.
Copy !req
856. You busy tonight?
Copy !req
857. No.
Copy !req
858. Rita, the spike
on Dr. Hadley's I.V. bag
Copy !req
859. wasn't pushed in all the way.
Copy !req
860. I don't want any dosing errors.
Copy !req
861. Sorry.
Copy !req
862. It won't happen again.
Copy !req
863. It stinks, doesn't it?
Copy !req
864. What?
- The medication.
Copy !req
865. When we switch out the bags,
you can smell it.
Copy !req
866. It's disgusting.
Copy !req
867. I didn't smell anything.
Copy !req
868. Oh, she must be
on the placebo, then.
Copy !req
869. You offered to do House's budget
Copy !req
870. Because you wanted him
to owe you,
Copy !req
871. Wanted him to take
that case.
Copy !req
872. Why?
- I thought it would help House—
Copy !req
873. seeing someone
worse off than him,
Copy !req
874. possibly curing a guy who has
even less to look forward to.
Copy !req
875. Can I ask you something?
Copy !req
876. How would you like my job?
Copy !req