1. - We're starting a fund.
- Then you don't need me.Copy !req
2. - The man's injured. He can't work.
- His fault.Copy !req
3. We're family.
We depend on each other.Copy !req
4. We're not family.Copy !req
5. We're co-workers.Copy !req
6. He's not even that anymore.Copy !req
7. I can't believe you said that.Copy !req
8. Can't come between a man
and his beer money.Copy !req
9. - See the big, heavy machinery?
- I'm sorry,Copy !req
10. but he should give.
You gave.Copy !req
11. Go back to work.Copy !req
12. Paolo is the one who got you
off the night shift.Copy !req
13. It's not like I asked him.Copy !req
14. Also covered for you
labor day weekend.Copy !req
15. But hey, it's america.
If you don't want to contribu...Copy !req
16. If you don't want to cont...Copy !req
17. Oh, God!Copy !req
18. Get an ambulance.Copy !req
19. - Good morning.
- Don't wanna hear it.Copy !req
20. So I take it you
did not ask Cuddy out.Copy !req
21. - Yeah.
- Yeah "I didn't" or yeah "I did"?Copy !req
22. Whichever one means you almost
had me convinced it was a good idea.Copy !req
23. - Nothing to say?
- No.Copy !req
24. No, you don't.
Or no, you don't don't?Copy !req
25. Whichever one means no.Copy !req
26. - Is this some kind of reverse...
- No.Copy !req
27. House?Copy !req
28. 16-year-old girl
with fluid in her lungs.Copy !req
29. No previous trauma, lung,
or cardiac issues.Copy !req
30. Gram stain was negative.
No bacteria, no pneumonia.Copy !req
31. She's a factory worker.
She probably works closeCopy !req
32. to a lot of recent immigrants.Copy !req
33. Thank god some of those
offshore sweat shop jobsCopy !req
34. are coming back to America.Copy !req
35. She's an emancipated minor.Copy !req
36. In a factory?Copy !req
37. Either an olympic gymnast
who busted her leg,Copy !req
38. a child star who blew
all her sequel money on drugs,Copy !req
39. or she's just a lying runaway.Copy !req
40. Her parents died last year.
No relatives.Copy !req
41. To avoid foster care,
she got a G.E.D. and got emancipated.Copy !req
42. Could've picked up a parasite
from a co-worker.Copy !req
43. She'd be having G.I. Problems.
Pregnancy's more likely.Copy !req
44. Sparks a fluid overload, hits the lungs,
causes the pulmonary edema.Copy !req
45. She's not sexually active.Copy !req
46. She could be lying.Copy !req
47. But not every teenager
is having sex.Copy !req
48. But every teenager is stupid.Copy !req
49. Teenagers on their own are stupider.Copy !req
50. The girl's holding down a job,
makes her rent.Copy !req
51. On the one hand, kutner's right.Copy !req
52. Maybe she's a sweet young thing,
not a screw-up lying through her teeth.Copy !req
53. On the two hand,Copy !req
54. a pregnancy test
only takes five minutes,Copy !req
55. and we no longer kill rabbits.
So in conclusion,Copy !req
56. Shut up, do the tests. What else?Copy !req
57. Drugs could damage the heart.
Pressure imbalance allows fluidCopy !req
58. - to build up in the lungs.
- Tox screen's clean.Copy !req
59. For drugs used recently.
Not for drugs used before recently.Copy !req
60. 16 doesn't automatically mean
a risky lifestyle.Copy !req
61. Didn't we just have this conversation?
Kutner trusts her. Someone else doesn't.Copy !req
62. So, in conclusion, shut up.Copy !req
63. Check her home and work
for toxins or drugs.Copy !req
64. Kutner and Foreman, do an echo.Copy !req
65. Find the extent of the heart damage.Copy !req
66. Kutner can do the echo on his own.Copy !req
67. Yes... but he'll be very lonely.Copy !req
68. So I have to ask why?Copy !req
69. I've been asked to help run
a clinical trial.Copy !req
70. That okay with you?Copy !req
71. Good for your career.Copy !req
72. Great for your street cred.
What's in it for me?Copy !req
73. You have four doctors
and never more than one case.Copy !req
74. It means I have time
to work on other things.Copy !req
75. And they'll have
more chances to step up.Copy !req
76. - Stand on their own.
- And if there's an emergencyCopy !req
77. with Annie,Copy !req
78. Should she wait'til
you finish grooming lab rats?Copy !req
79. If there's a problem with Sophia
or any other patient,Copy !req
80. I'll be there.Copy !req
81. The patient is my priority.Copy !req
82. No.Copy !req
83. Oh, do you want a reason?Copy !req
84. Clinical trials take time.
Your time is my time.Copy !req
85. I told you, I don't do drugs.Copy !req
86. Still a good idea to check your heart.
Something else could have damaged it.Copy !req
87. You find it hard
being all on your own?Copy !req
88. - Having to do everything without...
- Drugs to ease my pain?Copy !req
89. - That's not what...
- Teenager on her own?Copy !req
90. I wouldn't trust me either.Copy !req
91. I meant it must be hard.Copy !req
92. No one there to back you up.Copy !req
93. I know you're trying to be nice,
but I'm not into the whole pity thing.Copy !req
94. I was actually doing
the "I get it" thing.Copy !req
95. I lost my parents when I was six.Copy !req
96. It doesn't go away.Copy !req
97. But it gets easier.
You learn to deal.Copy !req
98. I still get nervous when there's
a knock on the door.Copy !req
99. Always think
it's the state trooper...Copy !req
100. With more bad news.Copy !req
101. You already got the worst news
and survived. That's sorta the upside.Copy !req
102. Your heart's healthy.Copy !req
103. Isn't that good news?Copy !req
104. For your heart, yeah.Copy !req
105. But it also means we still
don't know what's wrong.Copy !req
106. Checkbook balanced, place spotless.Copy !req
107. Looks like she builds
her own furniture.Copy !req
108. If you're this grown up at 16,
what happens at 30?Copy !req
109. You turn back into a kid.
Like Kutner.Copy !req
110. Kutner's not that bad.Copy !req
111. He needs everything to be nice.Copy !req
112. He wants to see
the best in everyone.Copy !req
113. - Kitchen's clear.
- Yeah, friendly is a dangerous thing.Copy !req
114. There is such a thing
as too trusting.Copy !req
115. Corollary is there is such a thing
as not trusting enough.Copy !req
116. Too much, you get hurt.Copy !req
117. Not enough, you don't live.Copy !req
118. So the object in life is to get hurt
just the right amount?Copy !req
119. Excuse me if I don't go
out of my wayCopy !req
120. to take relationship advice
from you.Copy !req
121. And trust...Copy !req
122. Should be earned.Copy !req
123. Bong means nothing.
Drugs are irrelevant.Copy !req
124. - Relevant if she's taking them.
- Even if she is: irrelevant.Copy !req
125. Echo showed no heart damage.Copy !req
126. Would that be the echo that Foreman
choose not to run with youCopy !req
127. after I dashed his
new drug discovery dreams?Copy !req
128. You mad at me because you think
kutner screwed up the echo?Copy !req
129. - I didn't screw up the echo.
- I know. No structural heart damage.Copy !req
130. - So if it's not the heart...
- It's the heart.Copy !req
131. Didn't you just say it's not?Copy !req
132. Not all heart damage
has to be structural.Copy !req
133. Drugs could have caused
intermittent tachycardia.Copy !req
134. Irregular heartbeat would
account for the pulmonary edema.Copy !req
135. Edema was acute.
Vasculitis makes more sense.Copy !req
136. No sign in her blood work.
If she had vasculitis, she'd be too weakCopy !req
137. to work in a factory.Copy !req
138. She builds her own furniture.
You think she skips workCopy !req
139. because she's feeling a little weak?
She needs steroids.Copy !req
140. Steroids could cause
an irregular heartbeat,Copy !req
141. making her current one
irregular-er-er.Copy !req
142. Start her on beta-blockers.Copy !req
143. The rest of you, do anythingCopy !req
144. that isn't starting her
on beta-blockers.Copy !req
145. Start her on the treatment.
Page me if you need me.Copy !req
146. Irregular heartbeat causes blood
to back up behind the heartCopy !req
147. and into the lungs. Beta-blockers
keep this from happening.Copy !req
148. I thought my heart was fine.Copy !req
149. It's tricky.
An arrhythmia can come and go.Copy !req
150. So you don't believe me or the test.Copy !req
151. You guys are more cynical than I am.Copy !req
152. We found the bong in your apartment.Copy !req
153. You went into my apartment?Copy !req
154. Extended drug use can...Copy !req
155. The bong belongs to my ex.Copy !req
156. It's why he's ex.Copy !req
157. That doesn't mean you didn't use it.Copy !req
158. No.Copy !req
159. You have no reason to trust me.Copy !req
160. You have to do your treatment.Copy !req
161. The other possibility is
you have vasculitis.Copy !req
162. The treatment is steroids.Copy !req
163. If you've been using drugs,
if they've damaged your heartCopy !req
164. and I start you on steroids,
they could kill you.Copy !req
165. I haven't used drugs.Copy !req
166. I'll get the steroids.Copy !req
167. Why are you here?Copy !req
168. - I owe clinic hours.
- No, you don't.Copy !req
169. I'm here `cause House
doesn't want me to be here.Copy !req
170. I'm guessing he said no
to the clinical trials.Copy !req
171. He didn't need to say no.
He just wanted to say no.Copy !req
172. House did something solely
out of self-interest?Copy !req
173. That's freaky.Copy !req
174. - Don't suppose you'd want to override?
- No.Copy !req
175. What do you think
this is gonna prove?Copy !req
176. Does it matter? Just figured
you could use some help down here.Copy !req
177. And you spending two hours
wiping noses will annoy House.Copy !req
178. If that is your dream, god bless.Copy !req
179. If you want to prove you can do
his job and something more...Copy !req
180. His puke is red.
That's blood, right?Copy !req
181. That hurt?Copy !req
182. What about that?Copy !req
183. Four days he's been like this.
It's just getting worse.Copy !req
184. - Maybe he just needs to poop.
- Evan!Copy !req
185. What?Copy !req
186. Worked last time
I had a stomach ache.Copy !req
187. It's actually a smart idea.Copy !req
188. Which is why that's the first thing
the other doctors checked.Copy !req
189. His insides are clear.Copy !req
190. - Anyone else sick in daycare?
- No.Copy !req
191. - How'bout his friends?
- No. No one. What's happening?Copy !req
192. Not sure yet.Copy !req
193. Don't worry. I've got an idea.Copy !req
194. You can make him better, right?Copy !req
195. That's my plan.Copy !req
196. You need to make him better.Copy !req
197. Stay the hell away from me!Copy !req
198. Just calm down.Copy !req
199. - What happened?
- I adjusted her iv, she went crazy.Copy !req
200. - Don't touch me! Leave me alone!
- Sophia, it's OK.Copy !req
201. - We're here to help you.
- Stay away from me! Don't touch me!Copy !req
202. I said don't...Copy !req
203. Get your hands off of me!Copy !req
204. Get your...Copy !req
205. Beta-blockers don't cause
psychotic breaks.Copy !req
206. She's not on beta-blockers.Copy !req
207. We started her on haloperidol.
She's stable.Copy !req
208. Lab tests showed the delirium
wasn't caused by a metabolic problem.Copy !req
209. - We don't know what caused it.
- Yeah, we do.Copy !req
210. - Nice job, Foreman.
- I didn't switch her meds.Copy !req
211. But your decision
to stick it to the man,Copy !req
212. clearly inspired oliver twist.Copy !req
213. I treated her based
on the symptoms she presented.Copy !req
214. You treated her based on
empathetic orphan syndrome,Copy !req
215. and almost killed her
in the process.Copy !req
216. She wasn't on steroids long enough
for it to cause the delirium.Copy !req
217. - It's a new symptom.
- One that rules out vasculitis.Copy !req
218. And arrhythmia.Copy !req
219. The psychotic break caused a surge
of adrenaline, no irregular heartbeat.Copy !req
220. Heart's not the problem.
We're both wrong.Copy !req
221. So what causes lung issues
and delirium?Copy !req
222. And is not based on wishful thinking
that she's safe and happy?Copy !req
223. Prinzmetal angina.Copy !req
224. Silent and unhappy is better
than vocal and unhelpful.Copy !req
225. If you'd run the echo
that you didn't run,Copy !req
226. giving her the beta-blockers
that you didn't give,Copy !req
227. If you'd listened what kutner
said, it's not a heart problem.Copy !req
228. I'm not talking about her heart
but about her head.Copy !req
229. Prinzmetal angina doesn't affect...Copy !req
230. No reason it couldn't cause
an artery in the brain to spasm.Copy !req
231. Leads to the delirium
and the pulmonary edema.Copy !req
232. Foreman, give her ergonovine
to cause vasospasms,Copy !req
233. and run an FMRI to see
which artery's dancing.Copy !req
234. And when I say Foreman,
I mean... Foreman.Copy !req
235. I want his signature on the paperwork.
I want videotape.Copy !req
236. I want photographs of him
with the patient and today's newspaper.Copy !req
237. - Set her up. When you're ready...
- House wants you...Copy !req
238. To do the procedure.Copy !req
239. When you get everything set up,
page me.Copy !req
240. That's really a camera?Copy !req
241. Pretty cool?Copy !req
242. This can go places
the other scopes can't.Copy !req
243. - I need you to swallow this pill.
- Don't wanna.Copy !req
244. It doesn't hurt. Promise.Copy !req
245. Jonah, please.Copy !req
246. To help make you better.Copy !req
247. I don't want to be mean,Copy !req
248. but if you don't do this,
we'll have to make you.Copy !req
249. It's a power pill.
It's not just a camera.Copy !req
250. It makes your muscles grow.Copy !req
251. Like the vitamins we take.Copy !req
252. Except this was made
with a secret formula.Copy !req
253. - You did great, sweetheart.
- You're very brave.Copy !req
254. Jonah's lucky.Copy !req
255. I was pretty cruel to my little brother
when I was your age.Copy !req
256. Why?Copy !req
257. I guess I thought
that's what big brothers did.Copy !req
258. Obviously, I was wrong.Copy !req
259. Is he a doctor too?Copy !req
260. Does the pill tickle, sweetie?Copy !req
261. He can't feel it.Copy !req
262. What's funny, your brother?Copy !req
263. - What's happening?
- I don't know.Copy !req
264. How you guys getting along?Copy !req
265. And you suddenly care why?Copy !req
266. House was asking questions
last week.Copy !req
267. Foreman needs us, and he's worried
that if we snip, we might be distracted.Copy !req
268. - That's kind of insulting, isn't it?
- Very.Copy !req
269. You're obviously fine.Copy !req
270. I need a differential
for uncontrollable giggling.Copy !req
271. He's four.
They laugh.Copy !req
272. Nothing like diarrhea and bloody vomit
to put you in the mood to goof around.Copy !req
273. I've looked down one end
and up the other.Copy !req
274. All the tests came back clean.Copy !req
275. - I can't figure this out.
- You can't?Copy !req
276. Don't you work with 3 other doctors
and a grouchy gimp?Copy !req
277. This isn't House's case.Copy !req
278. Just so you know,
whatever you're trying to prove,Copy !req
279. it won't be enough.Copy !req
280. Gotta go.Copy !req
281. - Sorry.
- You didn't Miss much.Copy !req
282. No spasms yet.Copy !req
283. Nothing in the anterior
or posterior cerebral arteries.Copy !req
284. How much longer?Copy !req
285. Just a few more minutes.Copy !req
286. Were your foster homes
all around here,Copy !req
287. - or did you have to change schools?
- Is chatting about lousy foster parentsCopy !req
288. supposed to relax me?Copy !req
289. Left middle cerebral artery
looks good.Copy !req
290. My foster parents were great.Copy !req
291. I think most foster parents do it
because they want to do a decent thing.Copy !req
292. Which is why you didn't
get emancipated.Copy !req
293. Nothing around the vertebral artery.
No sign of spasms.Copy !req
294. But that's odd.Copy !req
295. How'd you find out
about your parents?Copy !req
296. I told you.
State trooper.Copy !req
297. Look at that.Copy !req
298. Arteries are fine.
You can stop.Copy !req
299. Not that.Copy !req
300. I forget, did he come to your house
or call you down to the station?Copy !req
301. Came to my house.Copy !req
302. I cried into the guy's shirt
for an hour.Copy !req
303. Fmris tell us
where the blood flow is.Copy !req
304. You were using your limbic region.
It lights when we use our imagination.Copy !req
305. It doesn't light up
when we're telling the truth.Copy !req
306. Your parents aren't dead, are they?Copy !req
307. I risked my job, put you
on a different treatment...Copy !req
308. - I didn't lie about the drugs.
- Why lie about your parents?Copy !req
309. Because I wish they were dead.Copy !req
310. I got emancipated
because my dad raped me.Copy !req
311. And my mom pretended
it didn't happen.Copy !req
312. No signs of spasm,
impeded blood flow,Copy !req
313. or brain dysfunction.Copy !req
314. It's not prinzmetals.
All the fmri showed is House was right.Copy !req
315. She was lying.Copy !req
316. Only relevant if it can cause
pulmonary edema and delirium.Copy !req
317. We find out our patient's been raped,
and that's your response?Copy !req
318. Is she a psych patient?Copy !req
319. Rape could mean std.Copy !req
320. Thank goodness one of you
doesn't have a heart.Copy !req
321. Maybe if we stopped wringing our hands,
we could solve this thingCopy !req
322. and let her live to have
more nightmares.Copy !req
323. Gonococcal endocarditis would explain
the pulmonary edema, the delirium.Copy !req
324. No sign in her bloodwork.Copy !req
325. Could be lying about the rape.Copy !req
326. Yesterday, you were all bff.
Now you think she's pathological.Copy !req
327. Yesterday I had no reason to doubt.Copy !req
328. If she'd been honest
from the beginning...Copy !req
329. She lied about dead parents
because it's better than rapist parents.Copy !req
330. - You find that unsympathetic?
- That's it.Copy !req
331. - What's it?
- Her whole life's a mess.Copy !req
332. What rhymes with mess?Copy !req
333. It's not stress. She has none
of the usual manifestations.Copy !req
334. No hormone imbalance, no cardiac...Copy !req
335. She's drowning in her own lungs,
and she's delirious.Copy !req
336. She's a picture of emotional health.Copy !req
337. Severe emotional stressCopy !req
338. can lead to asymmetric function
of the midbrain.Copy !req
339. Explains the delirium.
Interruption of the brain-heart couplingCopy !req
340. could cause pulmonary edema.Copy !req
341. Even if He is wrong, the treatment's
basically anti-anxiety meds.Copy !req
342. Hard to argue with.Copy !req
343. Yes. I agree.
It does explain everything.Copy !req
344. 13, load her up on diazepam.
Foreman, make sure she does it.Copy !req
345. Thirteen, make sure he makes sure.Copy !req
346. I went to Cuddy's house.Copy !req
347. But I didn't go in.Copy !req
348. Went home without ringing eitherCopy !req
349. her metaphorical or actual bell.Copy !req
350. You're processing.Copy !req
351. I'm scrubbing.Copy !req
352. - "Huh" means processing.
- "Huh" means acknowledging.Copy !req
353. If you prefer, I could say "ha",
or "hmm," or...Copy !req
354. No insights?
No opinions?Copy !req
355. You're disappointed.
You made the decision.Copy !req
356. I can't tell you
what's right for you.Copy !req
357. Seriously?
'cause last week you could.Copy !req
358. Last year you could.
Seems to come pretty easy to you.Copy !req
359. Do you want me to tell you
what you should do?Copy !req
360. I want you to stop thinking
that acting inscrutableCopy !req
361. makes you anything
other than annoying.Copy !req
362. Interesting.Copy !req
363. Holding things in
can give you cancer!Copy !req
364. Kid's in daycare.
Could be meningitis.Copy !req
365. No fever, no stiffness, no rash.Copy !req
366. You check his thyroid?Copy !req
367. TSH and 3 t4 were within range.
Ruled out all the usual suspects.Copy !req
368. Nothing's usual for a four-year-old,
and it feels like we're your goomah.Copy !req
369. Your feelings are hurt?Copy !req
370. Either you can handle
these cases or you can't.Copy !req
371. - If you can't, it's dangerous.
- On the other hand, stomach cancer.Copy !req
372. Leiomyosarcoma.Copy !req
373. Long shot.Copy !req
374. Altered mental status means
porphyria's more likely.Copy !req
375. No abdominal pain?Copy !req
376. Cancer explains the lethargy,
the gi symptoms...Copy !req
377. Neither's perfect.Copy !req
378. Then we test for both.Copy !req
379. And by "we," you mean
the collective "not you."Copy !req
380. Thanks.Copy !req
381. Severe stress scrambles
the way the brainCopy !req
382. communicates with the rest
of the body.Copy !req
383. I have a problem with my brain?Copy !req
384. Not exactly. The problem would be
with your body chemistry.Copy !req
385. - Where's Dr. Kutner?
- There's four of us. It's my turn.Copy !req
386. I'm sorry I lied about my parents.Copy !req
387. You did what you thought
you had to do to protect yourself.Copy !req
388. If we're right, we should see
a change in your lungs pretty fast.Copy !req
389. Then we can figure out
how to manage your stress.Copy !req
390. It might help to turn him in.Copy !req
391. File a police report, get closure.Copy !req
392. Won't help.Copy !req
393. Not addressing what happened
won't make it go away.Copy !req
394. What do I have to do
to make it go away?Copy !req
395. - I didn't mean that. I just mean...
- I addressed it. I got away from him.Copy !req
396. Reporting it just labels me.Copy !req
397. "Girl raped by Dad."Copy !req
398. - It doesn't have to define you.
- It's how you see me.Copy !req
399. That's why you're treating me
with tranquilizers.Copy !req
400. Not anymore.Copy !req
401. Stress wouldn't change
your urine color.Copy !req
402. Labs show the brown urine
was caused by shredded red cells.Copy !req
403. So what messes with her lungs,
her mental status,Copy !req
404. and runs her blood
through a wood chipper?Copy !req
405. Factory lunch rooms
aren't the cleanest places.Copy !req
406. - Coulda picked up e. Coli.
- Or Shigella from the restroom.Copy !req
407. Either would account
for the red cells, the delirium.Copy !req
408. But not the original lung symptoms.
Legionnaire's could, and cause delirium.Copy !req
409. - No, her sodium's normal.
- What does her furniture look like?Copy !req
410. Said it was homemade.
Old boxes, what?Copy !req
411. It was wood nailed together.Copy !req
412. The wood have little dents or holes?Copy !req
413. I didn't see any in the bookshelves,
but they were painted.Copy !req
414. The desk did.Copy !req
415. Looked like she had stapled
stuff all over it.Copy !req
416. Holes means that it
was pressure-treated.Copy !req
417. Sawing or burning it releases
arsenic into the air.Copy !req
418. - Into her lungs.
- Tests didn't show...Copy !req
419. Because it found a cloak
of invisibility hiding...Copy !req
420. Arsenic gets absorbed
in the internal organsCopy !req
421. so it doesn't show up
in the blood tests. Test her hair.Copy !req
422. If it's positive,
chelate it out of her blood.Copy !req
423. No cancer, no porphyria.Copy !req
424. You paged me
with negative test results?Copy !req
425. Yes, because it means we're done.Copy !req
426. Since we still don't know what's wrong,
this kid has a real problem.Copy !req
427. - Talk to House?
- Not his case.Copy !req
428. There's a point when Cameron
and I aren't enough.Copy !req
429. We're not there.Copy !req
430. We need to run some more tests.Copy !req
431. A week ago, he was a happy little boy
playing with his brother,Copy !req
432. and now he can barely lift his head.Copy !req
433. We'll figure this out.
I just need...Copy !req
434. Help!Copy !req
435. We need a crash cart!Copy !req
436. - What's going on?
- He's in cardiac arrest.Copy !req
437. Get them outta here.Copy !req
438. Clear.Copy !req
439. Nothing. Go again.Copy !req
440. Clear.Copy !req
441. He's back.Copy !req
442. We're there.Copy !req
443. Chelation's complete.Copy !req
444. - You're arsenic-free.
- So I can get outta here?Copy !req
445. In the morning.Copy !req
446. That's it?Copy !req
447. No advice?Copy !req
448. No "be careful out there, kiddo"?Copy !req
449. You want my advice?Copy !req
450. Want is one thing, expect's another.Copy !req
451. I wish I could tell you what to do.Copy !req
452. But you're strong.
You've make good choices.Copy !req
453. You'll be fine.Copy !req
454. Thanks.Copy !req
455. Need four milligrams lorazepam!Copy !req
456. After the seizure we run a new MRI.Copy !req
457. This is sophia's brain
three days ago,Copy !req
458. this is her brain today.Copy !req
459. Lesions.Copy !req
460. Magical lesions,
which appear out of nowhere.Copy !req
461. She was cured, then she wasn't.Copy !req
462. - Lesions grew too fast for cancer.
- Could be infection. Mrsa.Copy !req
463. WBC count would be through the roof.Copy !req
464. Put the arsenic back.Copy !req
465. You wanna treat a patientCopy !req
466. nearly poisoned to death
by giving her more poison?Copy !req
467. Just because we call something a poison
doesn't mean it's bad for you.Copy !req
468. - It was killing her.
- But since she's still dying,Copy !req
469. the arsenic wasn't killing her.Copy !req
470. And since she's getting worse,
the arsenic was fighting the killer.Copy !req
471. It's a hero.Copy !req
472. We should be organizing a parade.Copy !req
473. So what does arsenic treat?Copy !req
474. Syphilis. Before penicillin,
the treatment was arsenic.Copy !req
475. We already ruled out STDs,
and even if we were wrong,Copy !req
476. that much arsenic in her system
would've wiped out the syphilis.Copy !req
477. Acute promyelocytic leukemia's
still treated with arsenic.Copy !req
478. APL explains the lesions
and why they appearedCopy !req
479. after we took the arsenic out.Copy !req
480. So, put the arsenic back.Copy !req
481. We still have a problem.Copy !req
482. Arsenic slows leukemia,
but it can't cure it.Copy !req
483. If she wants to see 17, she's gonna need
a bone marrow transplant.Copy !req
484. Best match would be
a sibling or a parent.Copy !req
485. Biopsy a lesion,
confirm that she's dying,Copy !req
486. then load her up with arsenic.Copy !req
487. Keep her alive till you can
convince her that rapist marrowCopy !req
488. and rapist-enabling marrow
work just as well as the unleaded stuff.Copy !req
489. We need to talk.Copy !req
490. This about the case
you didn't want me to know about?Copy !req
491. You didn't flinch when you found out
about a 16-year-old who could be dyingCopy !req
492. in the next few days.Copy !req
493. Means you're here about someone
even younger dying even faster.Copy !req
494. He needs you.Copy !req
495. But he has you.Copy !req
496. This boy is going to die.Copy !req
497. - You selfish enough to let it happen?
- Pot calling a kettle a pot?Copy !req
498. You're a hypocrite.Copy !req
499. If our job is to find out what's killing
patients, you'd help this kid.Copy !req
500. But you prefer play mind games to prove
you're the only one with magical powers.Copy !req
501. Wanted something all your own?
Now you got it.Copy !req
502. Your disengagement won't work.Copy !req
503. - I can see that.
- You thinkCopy !req
504. that when you tell what I should do,
my instincts are to push back,Copy !req
505. so that by not telling
what you think I should do,Copy !req
506. - I'll do what you think I should do.
- I sound convoluted.Copy !req
507. Disengagement is neither
artful nor effective.Copy !req
508. So my not doing anything
isn't causing you to do anything?Copy !req
509. Right.Copy !req
510. I'm okay with that.Copy !req
511. No, you're not.Copy !req
512. You are designed to have opinions
and to force them on people.Copy !req
513. I'm starting to sound desperate.Copy !req
514. Don't screw with my stuff.Copy !req
515. I just need a donor with the
same blood type or something, right?Copy !req
516. Actually,
bone marrow's a little more complex.Copy !req
517. The best donors
are immediate family.Copy !req
518. But those donor banks
have thousands of names.Copy !req
519. Your parents'similar dnaCopy !req
520. - gives you a much better chan...
- No.Copy !req
521. If I do this,Copy !req
522. I'll owe my life to them.Copy !req
523. It'd mean everything else
that had happened was somehow okay.Copy !req
524. They don't deserve that.Copy !req
525. They're not in my life.Copy !req
526. If that means I'm dead,
then I'm dead.Copy !req
527. I have Huntington's disease.Copy !req
528. I'm dying.Copy !req
529. I don't know when it'll happen,
but it'll be sooner than I ever planned.Copy !req
530. And I'd do anything to stop it.Copy !req
531. Because the only way
to make anything right,Copy !req
532. the only way to make
your life matterCopy !req
533. is to live as longCopy !req
534. and as well as you possibly can.Copy !req
535. Have you ever been raped?Copy !req
536. No.Copy !req
537. Don't try to walk in my shoes
and I won't try to walk in yours.Copy !req
538. - You had no right.
- To convince her to do the right thing?Copy !req
539. - To lie to her.
- It's a true story.Copy !req
540. Who cares if it's not mine?Copy !req
541. - It's my life.
- It's her life.Copy !req
542. Point wasn't I'm dying.
Point was she should live.Copy !req
543. You should have told her.Copy !req
544. Instead you tell her to call the cops,
give her stats on DNA markers.Copy !req
545. Everything's by the book.
Nothing's ever personal.Copy !req
546. Trying to sleep here!Copy !req
547. Biopsy confirmed APL.
She needs a bone marrow transplant.Copy !req
548. Run the donor banks.
I'm going home.Copy !req
549. We need to track down her parents.Copy !req
550. I assume she's already
said no to that idea,Copy !req
551. or there'd be no need to screw up
your courage before saying it.Copy !req
552. Children who've been through
trauma can't think clearly.Copy !req
553. Those who are dying...Copy !req
554. Guess I'm the only one
caring about patient rights.Copy !req
555. - What she wants could kill her.
- What she needs could save her.Copy !req
556. Our job is to find out
what's killing patients,Copy !req
557. - not treat them for chronic idiocy.
- Idiocy is what's killing her.Copy !req
558. Since we can't cure that,
I'm going home.Copy !req
559. We could save this patient, but all
you care about is getting your answer.Copy !req
560. Your point being?Copy !req
561. Taub and Kutner can
check the donor banks.Copy !req
562. I'm gonna find her parents.Copy !req
563. Can't see why you're surprised.Copy !req
564. You push against house,
he's pushing back.Copy !req
565. Against me, I get.
His ego's killing my patient.Copy !req
566. You liked this case because
he wasn't looming over you.Copy !req
567. The decisions were yours.Copy !req
568. Only difference now
is he decided not to loom.Copy !req
569. Doesn't change the fact
that your patient's dying.Copy !req
570. What are we missing?
What's not in the file?Copy !req
571. The mother,
overburdened at the end of her rope.Copy !req
572. Makes her kid sick so someone
else will take care of him.Copy !req
573. - Sympathize with her.
- Munchausen by proxy?Copy !req
574. She brought him into the clinic, was
here when he went into cardiac arrest.Copy !req
575. The brother would have noticed,
said something.Copy !req
576. Evan's even more
protective than she is.Copy !req
577. - Then maybe it's the brother.
- He's eight.Copy !req
578. - Could be jealous.
- He's the opposite of jealous.Copy !req
579. He includes jonah
in everything he does.Copy !req
580. Makes sure he eats,
brushes his teeth.Copy !req
581. I think we gave him an idea.Copy !req
582. Either that or he's
off to kill house.Copy !req
583. M. Velez?Copy !req
584. I'm Dr. Remy Hadley from
Princeton-Plainsboro hospital.Copy !req
585. We're treating your daughter,
Sophia, for leukemiaCopy !req
586. and we need to test both you and
your wife for bone marrow donation.Copy !req
587. I'm sorry, you said you
were from Princeton-Plainsboro?Copy !req
588. I know this is unexpected,
but time is short and...Copy !req
589. What's going on?Copy !req
590. This doctor says you have leukemia.Copy !req
591. I don't have leukemia.Copy !req
592. Sophia velez?Copy !req
593. Yeah?Copy !req
594. Sophia isabel velez?Copy !req
595. Yeah.Copy !req
596. Do you know something I don't?Copy !req
597. Just that liars lie.Copy !req
598. You stole her identity.Copy !req
599. To protect myself.Copy !req
600. - So they can't find me.
- We can protect you.Copy !req
601. But we need to find your parents.Copy !req
602. Why?Copy !req
603. You have my blood.
You don't need my name to find a donor.Copy !req
604. You're a minor.Copy !req
605. You forged the emancipation papers.Copy !req
606. Even if we had a donor,Copy !req
607. we'd still need your parents'
consent to treat you.Copy !req
608. Can't you just pretend
you didn't go to that house?Copy !req
609. That you didn't find that girl?Copy !req
610. Calling your parents
doesn't mean a family reunion.Copy !req
611. You don't even have to see them.Copy !req
612. When I get sick enough,
it'll be an emergency.Copy !req
613. When I get sick enough,
it'll be an emergency.Copy !req
614. You'll have to give me a transplant.Copy !req
615. Even without consent.Copy !req
616. An iron overdose?Copy !req
617. From his vitamins.Copy !req
618. If I'm right,
we can treat him tonight.Copy !req
619. He'll be back to his
old self in the morning.Copy !req
620. But...Copy !req
621. they're children's vitamins.Copy !req
622. I... I only give him one.Copy !req
623. I know.Copy !req
624. I thought more would
make him strong.Copy !req
625. I didn't mean to make him sick.Copy !req
626. He's gonna be okay.Copy !req
627. He's gonna hate me.Copy !req
628. Well, that's the great
thing about brothers.Copy !req
629. You can make mistakes,
and they'll still love you.Copy !req
630. Donor list turned
up a partial match.Copy !req
631. So treat her.Copy !req
632. It's only a three out of six.Copy !req
633. - So don't treat her.
- She may not last the week.Copy !req
634. Partial's better than nothing.Copy !req
635. - So treat her.
- She'll reject it.Copy !req
636. And she'll be too weak to try
again when a better match turns up.Copy !req
637. - It's my turn now, right?
- If a better match turns up.Copy !req
638. Well, when you decide,
get back to me.Copy !req
639. She's scared.Copy !req
640. Not scared enough.Copy !req
641. Tell her the thing about
emotional reactions isCopy !req
642. they're definitionally irrational.Copy !req
643. Or stupid.Copy !req
644. Might wanna phrase
that in your own words.Copy !req
645. She wants to deny her parents
the satisfaction of saving her life.Copy !req
646. That's your rational explanation
of her emotional response.Copy !req
647. That was her explanation.Copy !req
648. That makes sense.Copy !req
649. How long before
she came up with that?Copy !req
650. It was her immediate reaction.Copy !req
651. That doesn't make sense.Copy !req
652. The fact that it makes
sense doesn't make sense?Copy !req
653. Emotional is immediate.Copy !req
654. She went to rational first.Copy !req
655. Means there was no
emotional to process.Copy !req
656. You're saying she's
lying about being raped?Copy !req
657. Wouldn't be her first.Copy !req
658. She lied about one trauma
to cover a worse trauma.Copy !req
659. So...Copy !req
660. What's worse than rape?Copy !req
661. I'm Dr. House.Copy !req
662. What did you do?Copy !req
663. - I don't...
- Something happened,Copy !req
664. but it wasn't rape.Copy !req
665. Believe whatever you want.Copy !req
666. You're scared, and stubborn,Copy !req
667. and you don't like people
feeling sorry for you.Copy !req
668. - Why not?
- I don't want pity.Copy !req
669. I just wanna be normal.Copy !req
670. But you know you're not.Copy !req
671. You need people to see how
independent you are,Copy !req
672. how well you're coping.Copy !req
673. So they won't see the lost,
hurt little girl.Copy !req
674. Because that's not what you see.Copy !req
675. You see someone
who did something terrible...Copy !req
676. who deserves to suffer.Copy !req
677. Who doesn't deserve to live.Copy !req
678. What did you do?Copy !req
679. Eventually,
we'll find your parents...Copy !req
680. if only to deliver the body.Copy !req
681. Then they won't care.Copy !req
682. You're an idiot.Copy !req
683. You'd rather die than face
your parents because,Copy !req
684. what, you broke their Fabergé egg?Copy !req
685. I killed their son.Copy !req
686. I killed my brother.Copy !req
687. I was supposed to watch him.Copy !req
688. He was in the bath.Copy !req
689. I could hear him laughing.Copy !req
690. Every time they look at me,
it's like I kill him again.Copy !req
691. If you don't take your
parents'bone marrow...Copy !req
692. you'd be killing their other child.Copy !req
693. If they don't hate you now,
they will then.Copy !req
694. I don't care.Copy !req
695. Sure you do.Copy !req
696. You want someone to tell
you it was just an accident.Copy !req
697. That it's not that bad,
but it is that bad.Copy !req
698. And you know it.Copy !req
699. There's nothing you
can do to change that.Copy !req
700. But there is one thing you can doCopy !req
701. to not make it worse.Copy !req
702. If you're here to celebrate the kid's
bone marrow transplant working,Copy !req
703. you missed cake.Copy !req
704. I want to do clinical trials.Copy !req
705. Already had this conversation.Copy !req
706. I've proved that I
can work two cases at once.Copy !req
707. I can do this.Copy !req
708. And I'm doing it.Copy !req
709. Okay.Copy !req
710. Okay?Copy !req
711. Just like that?Copy !req
712. Can I give my reasons
later... or never?Copy !req
713. Three days ago you said no.Copy !req
714. Three days ago you asked me.Copy !req
715. Now you told me.Copy !req
716. Can't say no if it's not a question.Copy !req
717. Nice thing you did for Foreman.Copy !req
718. He speaks.Copy !req
719. He deflects.Copy !req
720. I almost cost a
four-year-old his life.Copy !req
721. Well, you knew Foreman
would figure it out.Copy !req
722. Did I?Copy !req
723. You just needed to prove it to him.Copy !req
724. You're an ass.Copy !req
725. But a noble one.Copy !req
726. I sound clever.Copy !req
727. Thank you.Copy !req
728. Your little game didn't work.Copy !req
729. I'm not Foreman, and you're not me.Copy !req
730. You wanna talk about her?Copy !req
731. Nope.Copy !req
732. All right.Copy !req
733. You're gonna be okay, House.Copy !req
734. Good to know.Copy !req