1. (Marina)
Mr. Randall?
Copy !req
2. They're here.
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3. (Pete)
$52 million includes
over $6 million
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4. Already issued pursuant
to the over-allotment option.
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5. When can we close?
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6. It would be subject
to regulatory approval
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7. In both toronto and—
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8. I didn't say, "How," Oliver.
I said, "When."
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9. What?
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10. You sure this
is a direction
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11. You want to go,
Roy?
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12. This would move us
from energy service into—
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13. You don't think oil's
going up?
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14. Of course it's gonna
go up.
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15. The question is when.
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16. The question is always when,
and if we wait
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17. Until the deal makes sense
to everyone else,
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18. We're gonna be waiting
in line behind everyone else.
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19. All I'm saying is—
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20. The same cover-your-ass crap
you always say.
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21. We're gonna have
to wrap this up.
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22. I got to go.
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23. Where are you going?
Upstairs.
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24. Get the regulators on it.
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25. I want to close by
the end of the month.
Come on, Roy.
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26. There are ten other items
on the agenda.
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27. Which will have
to wait until next week.
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28. You can't drag us all out
of the office,
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29. Get halfway through,
and then just kick us out.
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30. Yeah, I can.
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31. (Dr. Johnson)
the antibiotic treatment
had no effect.
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32. Both the fever and the pain
are getting worse,
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33. Which means it's not
clostridium difficile.
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34. But you said that was the only
diagnosis that made sense.
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35. It was.
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36. We need to get him
to a hospital.
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37. (Jack)
Dad?
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38. I don't want to go.
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39. I know, buddy.
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40. But we may need to.
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41. Am I gonna die?
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42. No, of course not.
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43. How do you know?
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44. Well, I just do.
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45. And I'm always right,
aren't I?
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46. Yeah.
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47. House 6x04 Instant Karma
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48. I want house.
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49. I understand,
but I told you
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50. Dr. House isn't available.
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51. Dr.--
Call him.
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52. Tell him I'll have
a private jet
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53. Pick him up from
whatever island—
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54. He isn't on vacation.
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55. Dr. Foreman's one
of our best doctors.
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56. Is house in jail?
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57. No.
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58. Foreman is currently working
with two of house's
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59. Most veteran associates.
Rehab?
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60. No.
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61. Mr. Randall, your son will be
in good hands.
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62. My son... Has already been
in good hands,
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63. And he's still dying.
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64. I'm through dealing
with good.
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65. I want the best and everyone
I've asked says that's house.
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66. So unless he's dead,
comatose,
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67. Or insane, I want him
treating my son today.
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68. You could have said no
in good conscience.
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69. (Cuddy)
The kid'll still
be foreman's patient,
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70. But his dad wants you
making the decisions.
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71. Then he's not
my patient.
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72. You want to give me none
of the responsibility
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73. And all of the liability?
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74. Which means I get—
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75. Oh, cool.
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76. Don't let him
do anything crazy.
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77. When is he getting
his license back
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78. So we can stop
playing this game?
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79. Maybe never.
This game is fun.
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80. You also need to prepare
President Dibala's case
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81. For this week's morbidity
and mortality conference.
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82. Ohh, unfortunately I'm overdue
a mani-pedi appointment.
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83. Not you.
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84. Foreman's department.
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85. Oh, right.
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86. Well, he's got all the time
in the world.
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87. We made the wrong call.
He died.
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88. There's nothing
to present.
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89. It obviously garnered
a lot of curiosity.
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90. And we don't have more
important things to do
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91. Than satisfy everyone's
idle curiosity?
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92. It's not idle.
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93. The question of how we deal
with two possible diagnoses
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94. Whose treatments
are contraindicated
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95. Is worth discussing.
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96. Abdominal pain increasing
in severity and frequency,
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97. Fever, dehydration,
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98. Diarrhea, weight loss.
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99. Mom died from kidney
failure caused
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100. By type one diabetes,
which has been ruled out.
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101. (House)
17 doctors.
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102. Everything's been
ruled out.
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103. Which means we have
to re-rule out.
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104. Get a new history
and physical.
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105. Unless that's crazy,
boss.
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106. (Cameron)
You been out of the country
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107. Or on any
recent camping trips?
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108. No camping.
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109. But we were in Montreal
back in January.
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110. We went to see the NHL All-Star
game for my birthday.
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111. Awesome.
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112. Where's Dr. House?
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113. In his office.
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114. He's really more of
a decider than a doer.
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115. He's decided we should
start over.
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116. Never know what previous doctors
may have missed.
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117. Like this.
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118. Does that hurt more
when I push there?
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119. Not really.
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120. What is it?
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121. I'm not sure.
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122. Just keep it clean,
simple.
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123. We did a test that
called into question
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124. Our initial diagnosis,
so we changed our mind.
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125. And if they ask
how the test was done?
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126. Why would they do that?
It's a routine lab test.
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127. Routine lab tests don't involve
blood you stole
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128. From a corpse
to trick me
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129. Into giving the guy
the wrong treatment.
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130. Yes, and if you brought
that up,
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131. It'd certainly make for a
lively debate about the morality
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132. Of murdering murderers.
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133. But since you burned the only
evidence of that—
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134. To cover for you,
not me.
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135. You're protected.
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136. The decision was a coin flip.
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137. There was no right
or wrong answer.
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138. The body's underground,
8,000 miles away.
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139. Nobody can prove anything.
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140. That room will be filled,
not because of the coin flip,
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141. Not because of the patient,
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142. But because house's
department screwed up.
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143. They're gonna be like sharks
in a chum-filled swimming pool
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144. And there's no way
I'm jumping in
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145. Unless I'm
in a steel cage.
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146. So what do you want?
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147. I want to know you
have everything covered.
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148. (House)
Got what covered?
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149. We're just reviewing
the Dibala case.
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150. Making sure we didn't
miss anything.
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151. We didn't.
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152. Except of course the thing
that killed him.
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153. (Cameron)
He's constipated.
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154. Physical revealed a mass
in his abdomen,
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155. So I repeated the x-ray.
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156. Old one was clean.
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157. New one shows that his colon's
almost completely impacted.
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158. Obstruction would explain
the pain.
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159. Think they just
screwed up the old x-ray?
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160. Nope.
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161. Hirschsprung's?
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162. It's a congenital disorder
of the nerves in the colon.
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163. Very rare in a child
your son's age.
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164. Most doctors would never
think of it.
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165. And you came up with this?
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166. It's House's idea.
Copy !req
167. We need a barium enema
and biopsy to confirm.
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168. Let me guess.
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169. It tastes really bad,
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170. But it's gonna make me feel
a lot better.
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171. Actually, you're not
gonna taste it.
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172. You should try searching for
"misty may digs for gold."
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173. Make sure you put it
in quotes.
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174. I'm making travel plans.
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175. Just need to get away.
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176. Have some time to myself.
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177. You getting the hint?
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178. So that's it?
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179. You're done with your little
experiment with Foreman?
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180. It wasn't an experiment.
It was a relationship.
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181. You may want to look
into the difference.
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182. I'm glad you're better,
House.
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183. I actually liked
working for you.
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184. But I'm not coming back.
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185. Good.
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186. 'cause if you came back,
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187. Foreman would try
and save the relationship
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188. And he'd give up
being the boss.
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189. Are you here to try to save
my relationship with Foreman?
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190. God no.
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191. Trying to save my
relationship with Foreman.
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192. Right now I'm Kobe
playing the game I love
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193. However the hell I want.
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194. Phil Jackson has to listen
to everyone else bitch about it.
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195. Enjoy Cabo.
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196. I'm going to Thailand.
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197. Really?
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198. Interesting.
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199. Good-bye, House.
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200. Good-bye, Thirteen.
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201. (Cameron)
Last week, yesterday, today.
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202. I can't believe it.
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203. He's pain-free for
the first time in months.
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204. He's even hungry.
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205. I'm starving.
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206. Still waiting
for the biopsy results,
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207. But obviously it's
a good sign.
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208. You're gonna want
to take it slow.
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209. Don't try to regain all
the lost weight in one meal.
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210. What's wrong?
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211. Abdomen feels normal,
but it looks bigger.
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212. Jack, are you feeling—
Jack?
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213. Hey, Jack, you okay?
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214. Right eye's fixed.
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215. Lateral rectus palsy.
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216. He's seizing.
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217. Need five milligrams
of diazepam.
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218. What's happening?
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219. Put that on his head and
turn off the lights.
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220. I need to see
his optic disk.
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221. Heart rate's elevated.
Come on, come on, hold his head.
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222. I'm trying.
Wait! Where's house?
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223. Mr. Randall,
we need you to step back.
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224. (Foreman)
His optic disk is swollen.
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225. He's got intracranial
hypertension.
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226. Furosemide.
20 milligrams IV.
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227. We could intubate him—
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228. Need five more milligrams
of diazepam.
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229. Dc the monitors.
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230. Push 500 milligrams phenytoin.
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231. We can't push that much.
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232. We got to remove the pressure
or his brain could herniate.
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233. Oh, my god.
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234. 50 milligrams
of phenytoin.
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235. Page chase.
Tell him to meet us in the O.R.
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236. We need your consent.
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237. What's happening to him?
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238. Pressure in his skull's
too high.
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239. If we don't reduce it,
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240. It could irrevocably
damage his brain.
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241. But he was just talking.
He was smiling.
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242. We need to drill
burr holes.
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243. Drill into his head?
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244. Phenytoin's not working.
Paralyze him.
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245. Three milligrams pancuronium.
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246. Then intubate
and hyperventilate.
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247. Where's House?
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248. House isn't here.
Do we have your consent?
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249. Do we have your consent?
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250. Ready?
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251. One, two, three.
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252. Three milligrams pancuronium.
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253. Look at the monitors.
He's still seizing.
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254. We need to do this now.
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255. Go.
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256. Electrical seizure
activity's stopped.
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257. Intracranial pressure's
declining.
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258. Come on.
Keep going.
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259. Pressure's down to eight.
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260. I'll tell the dad.
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261. What happened?
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262. I have no idea.
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263. He hasn't had
any more seizures,
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264. And cytological examination
of the subdural fluid
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265. Showed no abnormalities.
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266. Don't usually see brain damage
after a rectal biopsy.
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267. He was fine after
the procedure.
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268. No headaches.
No mental status change.
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269. Wasn't anything we did.
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270. It's not just his brain.
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271. He's continuing to build up
fluid in his abdominal cavity
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272. As well as the dura.
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273. We've inserted shunts
to drain it.
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274. Got to be some sort
of systemic infection.
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275. Not after spending the last week
getting pumped
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276. Full of IV antibiotics.
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277. Notice anything odd about the
shape of the fluid collection?
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278. Oh, god, it's...
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279. The virgin mary.
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280. The edge should be tapered,
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281. Lens shaped.
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282. Unless...
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283. The dural layer was already
separated from the brain
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284. When the fluid started
to build up.
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285. Get a dural biopsy
to confirm brain cancer.
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286. Nice catch.
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287. Bangkok.
Flight 799.
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288. Wow.
Bangkok.
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289. That sounds awesome.
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290. How long?
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291. Not sure yet.
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292. Luckily I have
a friend
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293. Who's staying at my place
taking care of my dog.
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294. He's really big,
so he needs a lot of exercise.
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295. Remy Hadley.
H-a-d-l-e-y.
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296. What, you think I'm gonna
rob the place?
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297. No, of course not.
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298. In case you haven't noticed,
I have a job.
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299. Look, I'm sorry.
I don't know you.
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300. You're either honest
or dishonest.
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301. I figured
the safer choice is—
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302. Is to treat a stranger
like an ass.
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303. Nice way to live your life...
Bitch.
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304. I said I'm sorry.
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305. Oh, hello.
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306. I was wondering if there were
any business class seats
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307. Open that I could use
my miles to upgrade to.
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308. I don't know you,
but I assumed I could trust you.
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309. Welcomed you in my car.
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310. Okay, you're a saint.
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311. That's impossible.
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312. I confirmed my reservation
last night.
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313. So rebook it.
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314. Well, obviously it was a mistake
on your end, not mine.
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315. No, I'm on my way
to the airport
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316. Right now.
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317. They didn't
believe you, huh?
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318. Brain cancer?
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319. We should know for sure
by the morning.
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320. Our luck just keeps getting
worse, huh?
Copy !req
321. Treatment options are getting
better every day.
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322. There's no visible mass,
so even if the biopsy
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323. Comes back positive,
we've caught it early.
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324. Oh, so you're telling me
this is good news?
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325. I'm saying we will do
whatever we can.
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326. Right.
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327. Sorry.
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328. I got to go.
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329. Foreman needs more help
with the m and m prep.
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330. Okay, I'll come up and help
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331. After I finish
the biopsy.
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332. We can handle it.
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333. I'll see you
at home later.
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334. If you're here,
I might as well be.
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335. Go home.
Get some rest.
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336. 'cause I'm gonna be waking you
up as soon as I get home.
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337. Stay out of my life.
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338. Okay.
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339. I know you canceled
my reservation.
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340. You obviously
saw me log in
Copy !req
341. When you were spying on me
in the coffee shop.
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342. I was talking to you.
Copy !req
343. I was spying on the milf
in the running shorts.
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344. I'm not coming back
on the team.
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345. I don't want you back
on the team.
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346. I cannot work for, with,
or around foreman.
Copy !req
347. Which is why I don't want you
back on the team.
Copy !req
348. Now that you're out
of the picture,
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349. He's better than ever,
which is gonna make me
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350. Less miserable than ever,
which is why neither of us
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351. Gives a damn how, when,
or on what island
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352. In the Bahamas you want
to get from it all.
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353. The Bahamas?
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354. Costa Rica?
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355. I told you Thailand.
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356. I assumed you were lying,
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357. Because it would have been
idiotic of you to tell me truth.
Copy !req
358. Yet another reason
I have no use for you.
Copy !req
359. (Foreman)
We've got a problem.
Copy !req
360. When Cameron sent
Dibala's blood to the lab,
Copy !req
361. She specifically asked for the
anticentromere antibodies test.
Copy !req
362. So?
Copy !req
363. The printout
they sent you included
Copy !req
364. Just the anticentromere
antibodies,
Copy !req
365. But the lab also did
a full blood panel.
Copy !req
366. So, I'm not an idiot.
Copy !req
367. I obviously made sure the
cadaver I got the sample from
Copy !req
368. Had the same blood type.
Copy !req
369. You apparently didn't check
his cholesterol.
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370. How far off?
Copy !req
371. 20%.
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372. (Chase)
Dibala didn't die
of high cholesterol.
Copy !req
373. Why would anyone even bother
to compare the two reports?
Copy !req
374. The same reason I did.
Copy !req
375. Because they're looking
for anything
Copy !req
376. We might have screwed up.
Copy !req
377. We could claim
the blood analyzer broke.
Copy !req
378. We can't.
Copy !req
379. Cameron documented that
it was perfectly calibrated
Copy !req
380. When she did the test.
Copy !req
381. So the numbers are off,
it's weird.
Copy !req
382. Who cares?
Copy !req
383. If it comes up,
just act surprised
Copy !req
384. Like it's some
irrelevant curiosity.
Copy !req
385. I can't do this.
Copy !req
386. I can't go in there
and stack lie upon lie.
Copy !req
387. You've got to figure out
a way to explain this.
Copy !req
388. Hey.
Hey.
Copy !req
389. Missed you this morning.
Copy !req
390. Yeah, sorry.
Copy !req
391. I needed to get in early.
I didn't want to wake you.
Copy !req
392. I thought you did want
to wake me.
Copy !req
393. At least that's
what you said last night.
Copy !req
394. I'm out of here.
No, no.
Copy !req
395. I have the biopsy results.
Copy !req
396. It's not cancer.
Copy !req
397. How can so much be wrong
with nothing being wrong?
Copy !req
398. Since when has cancer been
considered nothing?
Copy !req
399. I just said
it's not cancer.
Copy !req
400. The cell morphologies
were all normal.
Copy !req
401. And so are the most recent
ct scans.
Copy !req
402. On the other hand,
andenocarcinoma of the stomach
Copy !req
403. Would cause pain,
constipation,
Copy !req
404. Nutritional deficiencies.
Copy !req
405. That could cause seizures.
Copy !req
406. And wouldn't show on a ct.
Copy !req
407. You're right about the cancer,
Copy !req
408. Just wrong about the place.
Copy !req
409. Continue to say nothing
if you agree.
Copy !req
410. Go scope him.
Copy !req
411. Get another set of biopsies.
Copy !req
412. I'd get canceling
her ticket
Copy !req
413. If you then showed up
Copy !req
414. With two more
to somewhere better.
Copy !req
415. What are you
talking about?
Copy !req
416. Or showed up at all.
Copy !req
417. But how does just
ruining her plans
Copy !req
418. Get her to agree
to yours?
Copy !req
419. You talking about Thirteen?
Copy !req
420. Where's she going?
Copy !req
421. Well, nowhere this week,
thanks to you.
Copy !req
422. I didn't stop her.
Copy !req
423. I'm not gonna stop her.
Copy !req
424. I've already done
all I could.
Copy !req
425. Now all I can do
is move on.
Copy !req
426. I think...
Copy !req
427. I actually believe you.
Copy !req
428. If you're telling
the truth,
Copy !req
429. You're even more
rational than I—
Copy !req
430. Well, not more.
Copy !req
431. Then again,
more sane.
Copy !req
432. You're gonna
be a good boss, boss.
Copy !req
433. (Chase)
I told you there's
nothing wrong.
Copy !req
434. There's obviously
something wrong
Copy !req
435. And I'm not even saying we need
to talk about it right now.
Copy !req
436. I just don't see
why you have to deny it.
Copy !req
437. I'm not.
Copy !req
438. Now you're denying
you're denying.
Copy !req
439. No, I'm denying that there's
anything to deny.
Copy !req
440. Robert, you can't do this.
Copy !req
441. You can't hide things
from me.
Copy !req
442. There's a problem with
the Dibala M and M.
Copy !req
443. The HDL numbers on one
of his early blood panels
Copy !req
444. Don't match
a later panel.
Copy !req
445. That's weird.
Copy !req
446. Yeah.
Copy !req
447. It's no big deal.
Copy !req
448. Cholesterol didn't have
anything to do with his death,
Copy !req
449. But, you know,
after being let go from mercy
Copy !req
450. And then that thing
with Thirteen's drug trial,
Copy !req
451. Foreman's paranoid about about
people questioning the way
Copy !req
452. He handled the case.
Copy !req
453. That's ridiculous.
Copy !req
454. If anything, Foreman should be
feeling secure.
Copy !req
455. He's the one who had
the right diagnosis.
Copy !req
456. We're the ones who
talked him out of it.
Copy !req
457. I know.
Copy !req
458. Don't tell him
I told you.
Copy !req
459. He doesn't want to show
any signs of weakness,
Copy !req
460. Especially now that House
is claiming
Copy !req
461. He wants him
to stay in charge.
Copy !req
462. All right.
Copy !req
463. So it's still cancer?
Copy !req
464. It's just somewhere else?
Copy !req
465. That's what we're
looking for,
Copy !req
466. But it would explain
all the symptoms
Copy !req
467. And all the normal test
and imaging studies.
Copy !req
468. (Chase)
got biopsies of the mucosa
and the submucosa.
Copy !req
469. Moving towards
the pylorus.
Copy !req
470. It's my fault.
Copy !req
471. Adenocarcinomas
aren't caused by diet
Copy !req
472. Or environmental
factors.
Copy !req
473. I inherited a $10 million
pipeline business
Copy !req
474. When I was 24.
Copy !req
475. By the time I was 30,
it was worth over a billion.
Copy !req
476. Since then,
I have been involved
Copy !req
477. In over 50 deals
that make that first one
Copy !req
478. Look like a loser.
Copy !req
479. Everything I do,
everything I touch
Copy !req
480. Turns to gold...
Copy !req
481. Except my family.
Copy !req
482. First, my wife.
Copy !req
483. And now... My son.
Copy !req
484. This is my fault.
Copy !req
485. It's karma.
Copy !req
486. That's obviously not true.
Copy !req
487. He's seizing again.
Get the scope out.
Copy !req
488. Five milligrams diazepam.
Copy !req
489. How's the icp?
Copy !req
490. It's... Eight.
Copy !req
491. But the shunt's
open and clear.
Copy !req
492. This isn't
intracranial pressure.
Copy !req
493. Then what the hell is it?
Copy !req
494. (Chase)
Seizures stopped, but he hasn't
regained consciousness.
Copy !req
495. No sign of any masses
Copy !req
496. In his stomach
or esophageal lining
Copy !req
497. And he's still accumulating
subdural and peritoneal fluid.
Copy !req
498. And every time we look to see
where it's coming from,
Copy !req
499. He starts seizing.
Copy !req
500. You think we're
setting this off?
Copy !req
501. I think something is.
Copy !req
502. One of his stomach biopsies
shows an arteriole
Copy !req
503. Partially occluded.
Copy !req
504. (Cameron)
But with no abnormality
in the other layers
Copy !req
505. And no evidence of a cellular
inflammatory reaction.
Copy !req
506. It's definitely not cancer.
Copy !req
507. Then it has to be some sort
of infection.
Copy !req
508. We already ruled out
infection.
Copy !req
509. Only because he was treated
for it and got worse.
Copy !req
510. Seems like a sound reason.
Copy !req
511. Unless it's
a drug-resistant strain.
Copy !req
512. Drug-resistant strain of what?
Copy !req
513. Bacterial cultures,
Copy !req
514. Viral serologies,
ANA and ANCA
Copy !req
515. Were all negative.
Copy !req
516. Everything's negative.
Copy !req
517. We obviously missed something.
Copy !req
518. Maybe the seizures aren't
a new symptom.
Copy !req
519. They're an old one.
Copy !req
520. No doctor noticed
a thrashing kid?
Copy !req
521. Abdominal epilepsy.
Copy !req
522. The seizures would just
look like pain
Copy !req
523. Until it spread
to his motor cortex.
Copy !req
524. It wouldn't explain
the fevers.
Copy !req
525. Protein malnutrition
can cause fevers
Copy !req
526. And nothing causes
malnutrition
Copy !req
527. Like excruciating
stomach pain that gets worse
Copy !req
528. Every time you eat.
Copy !req
529. I'd be a lot more certain
if it was my idea,
Copy !req
530. But it's the best we got.
Copy !req
531. Start him on gabapentin.
Copy !req
532. Hook him up to
an intracranial EEG
Copy !req
533. For continuous monitoring.
Copy !req
534. I gave him statins.
Copy !req
535. What?
Copy !req
536. If they ask about
the cholesterol,
Copy !req
537. Just say I prescribed
a statin
Copy !req
538. And forgot to put it
in the chart.
Copy !req
539. You want to solve a problem
in the records
Copy !req
540. By creating another problem
in the records?
Copy !req
541. It's not a problem
with the records.
Copy !req
542. It's a problem
with my record keeping.
Copy !req
543. There's no way anyone
can prove me wrong.
Copy !req
544. How'd you get access
to the statins?
Copy !req
545. You gonna get someone
in the pharmacy
Copy !req
546. To confess to yet another
record-keeping problem?
Copy !req
547. I saw an open cart.
Just took it.
Copy !req
548. Why would you
steal a drug
Copy !req
549. You could just
as easily ask for?
Copy !req
550. 'cause I'm trying
to get you off the hook.
Copy !req
551. A story that raises more
questions than it answers
Copy !req
552. Only puts the hook deeper
down my throat.
Copy !req
553. It's all right.
I'll handle it.
Copy !req
554. How?
Copy !req
555. By telling the truth.
Copy !req
556. The truth is I don't
have the time,
Copy !req
557. I'm not in the mood,
and I don't see the point.
Copy !req
558. You don't want
to do the M and M
Copy !req
559. Because you're not
in the mood?
Copy !req
560. This kid is dying
and I've got House
Copy !req
561. Trying to push all his
responsibilities onto me.
Copy !req
562. They're not
his responsibilities.
Copy !req
563. They're yours.
Copy !req
564. You're the one who wanted
to be in charge.
Copy !req
565. I wanted
to be in charge,
Copy !req
566. Not a figurehead.
Copy !req
567. Then do the M and M.
It's all yours.
Copy !req
568. You want me to get flogged?
For what?
Copy !req
569. So you can have
an academic debate
Copy !req
570. About a diagnostic dilemma
no one's ever gonna face again?
Copy !req
571. What the hell's
going on here?
Copy !req
572. I just don't want
to do the M and M.
Copy !req
573. Did it work?
Not even close.
Copy !req
574. Everything okay?
Copy !req
575. Just waiting for whatever
is about to go wrong.
Copy !req
576. Thirteen called.
Copy !req
577. She have a theory
that makes more sense
Copy !req
578. Than abdominal epilepsy?
Copy !req
579. She said someone hacked
into her email account
Copy !req
580. And canceled
an airline reservation.
Copy !req
581. I'm guessing Foreman.
Copy !req
582. Really?
Copy !req
583. You're accusing Foreman,
not me?
Copy !req
584. Cool.
Copy !req
585. You really want Foreman to stay
in charge of the team?
Copy !req
586. Makes sense.
Copy !req
587. He loves power,
and I love puzzles.
Copy !req
588. You love power and puzzles.
Copy !req
589. True.
Copy !req
590. When I had them both.
Copy !req
591. It wasn't Foreman.
Copy !req
592. How do you know?
Copy !req
593. He said he's moved on.
Copy !req
594. And you believe him?
Copy !req
595. I believe
that he believes it.
Copy !req
596. Looks like it's time for me
to get off the bench.
Copy !req
597. What's up?
Copy !req
598. Are you Dr. House?
Copy !req
599. I understand you're
a big fan.
Copy !req
600. I'll have my guy send over
a signed glossy.
Copy !req
601. Continuous EEG shows
no interictal spikes.
Copy !req
602. It's not abdominal epilepsy.
Copy !req
603. You paged me to tell me
what it's not?
Copy !req
604. I paged you
to show you this.
Copy !req
605. That I did not expect.
Copy !req
606. What the hell is that
supposed to mean?
Copy !req
607. Darn it.
Copy !req
608. I knew I should have
stayed outside.
Copy !req
609. Fantasy's always much better
than the reality.
Copy !req
610. You think this is a joke?
Copy !req
611. That's my son,
he's dying,
Copy !req
612. And not one of you seem
to have the slightest clue hwy.
Copy !req
613. I know.
Copy !req
614. That's why it's
so interesting.
Copy !req
615. Fever, stomach pain,
seizures,
Copy !req
616. Peritoneal and subdural
fluid collection
Copy !req
617. And now spots.
Copy !req
618. Could be an allergic reaction
to one of his meds.
Copy !req
619. That suddenly developed
eight hours
Copy !req
620. After he started the meds?
Copy !req
621. If it's not cancer infection,
it has to be autoimmune.
Copy !req
622. Systemic lupus complicated
Copy !req
623. By a CNS vasculitis
would explain the rash, fever,
Copy !req
624. Ascites—
Copy !req
625. CNS vasculitis would cause
a stiff neck
Copy !req
626. Along with a headache.
Copy !req
627. And would've showed up
on the dural biopsy.
Copy !req
628. What about polyarteritis
nodosa?
Copy !req
629. It can occur in kids.
Copy !req
630. Except you can't have arteritis
without inflammation.
Copy !req
631. Okay, you come up
with something better.
Copy !req
632. Go on.
Copy !req
633. There was some inflammation
in the skin biopsy,
Copy !req
634. Plus he's got elevated
diastolic pressure.
Copy !req
635. It's barely elevated,
which you'd expect
Copy !req
636. Given the number of procedures
he's undergone.
Copy !req
637. Well, barely is more
than not barely.
Copy !req
638. Not my decision.
Copy !req
639. But if it was,
I'd say start him on prednisone
Copy !req
640. And get a testicular biopsy.
Copy !req
641. If he's gonna have
any real inflammation,
Copy !req
642. It'll be down there.
Copy !req
643. Cameron and I will do it.
Why?
Copy !req
644. It was Chase's idea.
Copy !req
645. Kid's father
is not gonna be happy
Copy !req
646. About a fourth set
of biopsies,
Copy !req
647. And you've got
a better rapport.
Copy !req
648. What's really
going on here?
Copy !req
649. You need Chase to help you
over-prep for the M and M?
Copy !req
650. Yes.
Copy !req
651. Then say so.
Don't be a child.
Copy !req
652. Is it on his penis?
Copy !req
653. Kid's rash?
Copy !req
654. Yeah, why?
Copy !req
655. Means it's most likely affecting
the small blood vessels.
Copy !req
656. That's why we didn't see any
inflammation on the biopsies.
Copy !req
657. It's not polyarteritis.
Copy !req
658. It's Degos Disease.
Copy !req
659. I'll do it.
Copy !req
660. Your son has Degos Disease.
Copy !req
661. Causes microblood vessels
Copy !req
662. In the brain, skin,
GI tract
Copy !req
663. To break down,
clot off.
Copy !req
664. It sometimes manifests
early on
Copy !req
665. With atrophic papules
on the penis.
Copy !req
666. In your son's case,
we don't know why,
Copy !req
667. But they came much later.
Copy !req
668. What's the treatment?
Copy !req
669. There isn't one.
Copy !req
670. It's incurable.
Copy !req
671. You're wrong.
Copy !req
672. You've already been wrong
a bunch of times.
Copy !req
673. We've rechecked
the biopsies.
Copy !req
674. It's definitely Degos.
Copy !req
675. I'm sorry.
Copy !req
676. I wish there was something
we could do.
Copy !req
677. How long?
Copy !req
678. Not much longer.
Copy !req
679. What does that mean?
Copy !req
680. Day at the most.
Copy !req
681. All right, great.
Copy !req
682. We need to talk.
Copy !req
683. Unless it's life or death,
it's gonna have to wait.
Copy !req
684. It's about Dibala.
Copy !req
685. Well, let me rephrase.
Copy !req
686. Unless it's a current life—
Copy !req
687. Foreman can't present
the case at the M and M.
Copy !req
688. I know you guys are busy,
but he's just
Copy !req
689. Gonna have to suck it up
and make the time.
Copy !req
690. It's not the time.
Copy !req
691. Then what is it?
Copy !req
692. The anticontromere
antibodies test.
Copy !req
693. The test that caused us
to change the treatment
Copy !req
694. From blastomycosis
to scleroderma...
Copy !req
695. It wasn't—
Copy !req
696. Wasn't what?
Copy !req
697. (Diane)
Dr. Cuddy?
Copy !req
698. They need you
in the pediatric ICU.
Copy !req
699. Who's they?
Copy !req
700. I don't know.
Copy !req
701. But I think they're lawyers.
Copy !req
702. If you guys screwed something
up, just come clean.
Copy !req
703. It's not gonna be that bad.
Copy !req
704. (Ken)
With all due respect,
Copy !req
705. You don't know what's
at stake here.
Copy !req
706. What's going on?
Copy !req
707. You need to stop him!
Copy !req
708. He's about to
ruin his life.
Copy !req
709. Like you give
a damn about my life.
Copy !req
710. Roy, he's right.
Copy !req
711. You're borrowing money
to buy options
Copy !req
712. That are already out
of the money.
Copy !req
713. Even you won't be able
to cover the losses.
Copy !req
714. Your house, cars,
bank accounts.
Copy !req
715. You'll lose everything.
Copy !req
716. (House)
That's the point.
Copy !req
717. The billionaire thinks
that the gods
Copy !req
718. Will treat him better
if he's broke.
Copy !req
719. I suggested he give it to me.
Copy !req
720. (Roy)
There's got to be some
sort of balance.
Copy !req
721. You can't have
all the good fortune
Copy !req
722. In just one area
of your life.
Copy !req
723. It's not how the world
is supposed to look.
Copy !req
724. Who said the world
is supposed to work?
Copy !req
725. Don't just wipe
everything out.
Copy !req
726. Put your assets in a trust.
Copy !req
727. Give it to a charity.
Copy !req
728. I can't get anything back.
Copy !req
729. He's insane.
He's irrational.
Copy !req
730. So are most people.
Copy !req
731. Unfortunately it doesn't make
him insane.
Copy !req
732. If he signs that paper,
Copy !req
733. He's not only gonna destroy
his own life,
Copy !req
734. But the lives of thousands
of people who rely
Copy !req
735. On this company
to make a living.
Copy !req
736. If he is insane,
we will sue this hospital—
Copy !req
737. (Cuddy)
Mr. Randall...
Copy !req
738. I know you're upset.
Copy !req
739. You shouldn't make a decision
like this right now.
Copy !req
740. Give it some time.
Copy !req
741. My son doesn't
have any time.
Copy !req
742. Your son's dying from
an incurable disease,
Copy !req
743. Not bad karma.
Copy !req
744. No.
Copy !req
745. He's not dying.
Copy !req
746. It's not gonna happen.
I'm not gonna let it.
Copy !req
747. Roy, please!
Copy !req
748. (Roy)
I'm sorry.
Copy !req
749. I can't let him die.
Copy !req
750. People don't get
what they deserve.
Copy !req
751. They just get
what they get.
Copy !req
752. There's nothing any of us
can do about it.
Copy !req
753. Deliver it
or I'll make sure
Copy !req
754. You end up the ones
with nothing.
Copy !req
755. Call a code.
He's flatlining.
Copy !req
756. (Thirteen)
Thanks.
Copy !req
757. You're welcome.
Copy !req
758. For what?
Copy !req
759. For thinking I was worth
Copy !req
760. Breaking the law
to keep around.
Copy !req
761. That's just the way I am,
Copy !req
762. But still don't know
what you're talking about.
Copy !req
763. Cuddy had IT Trace all
the I.P. Addresses
Copy !req
764. Who've logged in
to my email account.
Copy !req
765. There were two.
Copy !req
766. Mine and yours.
Copy !req
767. Obviously House decided he needs
you more than he's—
Copy !req
768. I already asked House.
Copy !req
769. And he'd certainly
never lie.
Copy !req
770. No, he'd lie.
Copy !req
771. Except he wants me gone.
Copy !req
772. And he'd do a lot better job
of lying than you just did.
Copy !req
773. Really?
It was that bad?
Copy !req
774. No, actually.
Copy !req
775. But it doesn't
matter anymore.
Copy !req
776. Why?
Copy !req
777. Because of House
or Foreman?
Copy !req
778. You're good for both
of them,
Copy !req
779. But Foreman's
not my best friend.
Copy !req
780. House will be fine.
Copy !req
781. Maybe.
Copy !req
782. But with you on the team,
he'd be better.
Copy !req
783. He needs someone...
Copy !req
784. Who doesn't need him.
Copy !req
785. You're the only one
Copy !req
786. He's never really
been able to suck
Copy !req
787. Into his crazy House vortex.
Copy !req
788. Keeps him grounded.
His ego in check.
Copy !req
789. Why didn't you just
come to me?
Copy !req
790. I figured you'd only stay
if House asked
Copy !req
791. And I knew
he would eventually.
Copy !req
792. Bye, Wilson.
Copy !req
793. This is a great job.
Copy !req
794. Maybe even better now that House
is at least trying
Copy !req
795. To have real relationships
with people.
Copy !req
796. I said, "trying."
Copy !req
797. It doesn't matter.
Copy !req
798. The job you love
doesn't matter?
Copy !req
799. Don't throw it all away
Copy !req
800. Just because
of a bad break-up.
Copy !req
801. Bye, Wilson.
Copy !req
802. I just confessed.
Copy !req
803. I told Thirteen I was the one
who canceled the plane ticket.
Copy !req
804. Why?
Copy !req
805. You mean why did I confess
or why did I do it?
Copy !req
806. I know you didn't do it,
so I guess the first.
Copy !req
807. You want her to stay because
you want her back
Copy !req
808. Or because Foreman does?
Copy !req
809. Why would I care
what Foreman wants?
Copy !req
810. Because you're not as big a jerk
as everyone thinks.
Copy !req
811. Yes, I am.
Copy !req
812. No, you're not.
Copy !req
813. I just made a $10,000
short sale on a stock
Copy !req
814. I know is gonna crash
because of what I saw
Copy !req
815. A grief-stricken dad do
on his son's deathbed.
Copy !req
816. No, you didn't.
Copy !req
817. Yes, I did.
Copy !req
818. You are a jerk.
Copy !req
819. She's making a mistake.
Copy !req
820. So you did it for her?
Copy !req
821. She's a good doctor.
Copy !req
822. So you did it for you?
Copy !req
823. I'm not the one
in charge anymore.
Copy !req
824. So you did it
for Foreman?
Copy !req
825. She's a smoking hot,
newly single bisexual.
Copy !req
826. Why don't you just admit that
you like having her around?
Copy !req
827. She's good for you.
You need her.
Copy !req
828. Because I was born with a heart
three sizes too small.
Copy !req
829. No, you weren't.
Copy !req
830. Yes, I—
Copy !req
831. What?
Copy !req
832. He still alive?
Copy !req
833. (Foreman)
Yeah.
Good.
Copy !req
834. Start him on heparin
and IV immunoglobulin.
Copy !req
835. For Degos?
Copy !req
836. The cardiac arrest
wasn't just a
Copy !req
837. "everything goes to hell
in a handbasket" arrest.
Copy !req
838. It was a coronary event.
Copy !req
839. Coronaries are large vessels.
Mean's it can't be degos.
Copy !req
840. But the biopsies confirmed—
Copy !req
841. Obstructed blood vessels.
Copy !req
842. But they can't be obstructed
because of degos.
Copy !req
843. Means it's primary
antiphospholipid syndrome.
Copy !req
844. You sure?
Copy !req
845. Nope.
Copy !req
846. But I will be if he responds
to the heparin
Copy !req
847. And the immunoglobulin.
Copy !req
848. By the way,
Copy !req
849. Someone screwed over
your girlfriend
Copy !req
850. And she ran to me, Cuddy,
and Wilson.
Copy !req
851. Everyone but you.
Copy !req
852. She's not over you.
Copy !req
853. Or she is.
Copy !req
854. Where'd you find it?
Copy !req
855. Find what?
Copy !req
856. The niacin bound
chromium supplements.
Copy !req
857. It was right
on top of the file.
Copy !req
858. You don't know about it?
Copy !req
859. No.
Been here all night.
Copy !req
860. One of Dibala's previous docs
was prescribing
Copy !req
861. Ultra high doses of niacin bound
chromium to boost his HDL.
Copy !req
862. So?
Copy !req
863. So it gives us something
to point to.
Copy !req
864. We can explain the wide
variation
Copy !req
865. Between the HDL numbers.
Copy !req
866. We're safe.
Copy !req
867. We're covered.
Copy !req
868. You really didn't
request the info?
Copy !req
869. No.
Copy !req
870. And obviously
you didn't either.
Copy !req
871. Which means...
Copy !req
872. It worked.
Copy !req
873. The medicine worked.
Copy !req
874. It worked.
Copy !req
875. How'd you find it?
Copy !req
876. Fat old black guy.
Copy !req
877. Knew he had to be taking
something for his cholesterol.
Copy !req
878. And what now?
Copy !req
879. I'm not the boss.
Copy !req
880. You don't think
I should be fired?
Copy !req
881. Why?
Copy !req
882. I doubt we'll ever be treating
a genocidal dictator again.
Copy !req
883. Better a murder
than a misdiagnosis.
Copy !req
884. Whether you want to be
in charge or not...
Copy !req
885. You are and you
always will be.
Copy !req
886. (Foreman)
75-year-old african man
Copy !req
887. Presented to our hospital
following
Copy !req
888. A rapid onset of hemoptysis.
Copy !req
889. He'd been fine prior to onset.
Copy !req
890. No chest pain, fever,
coughing, or chills...
Copy !req