1. Let's hear it for Della Cart.
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2. Dude, your sister
kicks serious ass.
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3. Competed in the boys'
league this year.
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4. Kicked their asses, too.
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5. Nice job, Del. You...
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6. I went faster on the 50-50.
You were right.
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7. All right.
Who wants next?
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8. Yeah, yeah,
I'm a little biased.
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9. Custom decks.
Start the bidding at 400 bucks.
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10. Trust me, the kids'll
force their parents to buy them.
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11. You got to see this.
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12. You made a great
event today, hon.
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13. Fast enough for you?
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14. I'm already in a wheelchair,
what are you so afraid of?
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15. All right!
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16. That wasn't what I meant!
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17. Della? You okay?
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18. Mom, Dad!
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19. We got to stop parking like this.
People are gonna talk.
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20. Well, that's why I plan
on doing some talking first.
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21. I want us to formally report our
relationship to Human Resources.
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22. Okay. You get them,
I'll cover everybody else.
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23. I would appreciate it if we could keep
it quiet until we had that meeting.
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24. It's gonna be hard with me
grabbing your ass all day.
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25. Grabbing stops
at the threshold.
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26. Of the parking garage.
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27. Handicapped plates.
I get special access.
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28. I just don't want
our relationship affecting our jobs.
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29. Or the other way around.
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30. Why, Dr. Cuddy,
how was your weekend?
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31. I got a call about
a case for you.
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32. 14-year-old. EMTs think
her heart stopped while she...
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33. Sounds great.
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34. You haven't seen it yet.
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35. I sense something
fascinating about it.
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36. I'm gonna get us in to
see HR this afternoon.
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37. Think you can hold
your tongue till then?
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38. Mom!
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39. Fine.
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40. People are gonna
know soon enough.
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41. I think I can
hold it till lunch.
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42. I'm seeing Cuddy.
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43. Generally without
her clothes on.
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44. Use your imagination. Hope it's
got a wide-angle lens.
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45. You don't actually need that.
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46. I'm gonna go check my office
for whoopee cushions.
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47. This is not a prank.
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48. This is not me
walking out the door.
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49. Really? You and Cuddy?
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50. For reals.
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51. Foreman can translate.
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52. So, junior miss everything.
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53. Skateboarder, basketballer,
science clubber, seal clubber.
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54. I'm actually guessing
with that last one.
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55. Healthy one day,
heart arrhythmia the next.
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56. Are you sure it's
a good idea to be
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57. yanking on
the chain of command?
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58. Way to go, House.
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59. I'm surprised you two
didn't get together sooner.
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60. EKG, echo and head
CT are all spotless.
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61. There's nothing on
her neurological exam.
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62. Interesting. In favor,
indignant, indifferent.
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63. I think I'd like
the female perspective.
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64. Or Thirteen's.
Where is she?
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65. She's gone.
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66. She said was
taking a leave of absence,
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67. wanted us to think it was
for a Huntington's study in Rome.
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68. They've never heard of her.
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69. Cell and home phone
are disconnected,
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70. apartment's
already been vacated.
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71. And what's with
the death's head cane?
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72. They didn't have a death's ass cane
in my size.
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73. I guess we'll
just have to wait.
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74. Conditions that cause intermittent
heart arrhythmias. Taub?
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75. Three years you've been trying to game
out Thirteen. Now you don't care?
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76. Sorry, not caring
about Thirteen is not
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77. part of the differential
for heart arrhythmia.
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78. But you do get a home
version of the game.
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79. Patient's brother has severe
congenital muscular dystrophy.
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80. Life expectancy of about 25.
If she's had a latent case of it...
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81. Wouldn't be sudden-onset.
Foreman?
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82. Do you know something
about Thirteen that we don't?
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83. She's entitled to her privacy.
Just as I'm entitled to a diagnosis.
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84. And you're glossing over
Thirteen's departure
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85. because you actually respect
somebody's privacy.
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86. I agree. It's weird
of me not to care.
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87. So either I'm a changed
man because of Cuddy,
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88. or I'm pretending
to be a changed man
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89. because I do know
something about Thirteen
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90. and I'm trying to
throw you off the scent,
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91. or I've just gone nutty-bananas
because I lost a patient.
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92. All of which you are free to discuss
after I get a diagnosis.
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93. If it's long QT syndrome,
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94. any startling stimulus in that skate
park could've triggered the arrhythmia.
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95. Loud noise,
flashing lights.
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96. Scare the patient to death
to confirm long QT.
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97. Fine. If you insist, do it in a room
with one of those thingamabobs
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98. that brings
people back to life.
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99. Scare test is insane.
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100. The scare test is legitimate,
simulates real-world conditions.
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101. This fling with
Cuddy's insane.
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102. Flare gun? Scary enough?
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103. How about just telling her
we're planning this stupid test?
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104. And I'm hoping House and Cuddy
are more than just a fling.
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105. It's clearly mellowed him out.
He didn't even care about Thirteen.
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106. Right, the guy who ordered us to stop
the patient's heart is mellowed out.
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107. It's gonna be horrible,
because it's doomed.
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108. Which is just gonna make House
50 times more of a crank.
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109. Firecrackers. We can
hide them under
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110. one of those
covered food trays.
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111. Find any itching
powder in your hanky?
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112. Any fake poo in
your desk drawer?
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113. Yes, the lack of
dime-store pranks
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114. is proof that you're
actually dating Cuddy
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115. and not just mocking me
for being worried about you.
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116. What do I have to do
to prove this to you?
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117. Tattoo a cane on
her inner thigh?
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118. Tattoo her inner
thigh on my cane?
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119. You told everybody,
didn't you?
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120. Repeatedly.
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121. This one's not buying it.
Need a little help.
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122. I'm not selling it.
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123. And it's time for our meeting
at Human Resources.
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124. Human Resources. Now why would
I need to go to Human Resources?
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125. House, you've been
to Human Resources
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126. 74 times in
the last six weeks.
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127. Never after doing this.
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128. Well, I'm convinced.
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129. Come on, one peck. Just enough
to arouse him a little.
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130. Hey, I'm not even...
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131. I didn't mean you.
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132. If I confirm it,
can we leave?
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133. Yes.
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134. It's true.
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135. I've been more passionate
with my great-aunt.
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136. Mabel? Up high.
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137. Are we done here?
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138. She didn't even
ask me to cough.
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139. I think you straightened
out my limp a little.
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140. Now, how would you describe
the exact nature of the relationship?
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141. Have you ever seen
Wild Kingdom?
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142. Those insects that rip their partners'
heads off after copulating.
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143. It's a sexual relationship.
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144. Go slowly now.
He's writing it down.
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145. I believe that I can still supervise
Dr. House effectively,
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146. but we both want
to follow hospital policy to the letter.
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147. Our concern is to make sure
that there's no conflict of interest,
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148. no liability for
the hospital...
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149. You think we're gonna
sue if things go south?
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150. Let me tell you,
she actually does go...
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151. House.
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152. Let him talk.
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153. I know that
you're not going to sue,
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154. because you are
both going to sign love contracts,
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155. consensual
relationship agreements.
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156. Well, obviously
outside counsel will have
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157. to review the crotchless
undies clause.
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158. We'll also need to watch for any
favoritism toward Dr. House.
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159. Does that mean
she has to sleep with everyone?
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160. I promise not to give him a raise
or a promotion of any kind.
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161. There's got to be a joke
there about keeping up with inflation.
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162. Or bias against him.
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163. Are there any
supervisory issues
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164. with Dr. House's
current caseload?
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165. Nope. Current case
is solved.
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166. Patient has long QT,
we're gonna scare her
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167. into a cardiac
arrest to confirm.
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168. No, we're not.
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169. Okay. No, we're not.
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170. See? Everything
is under control.
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171. I know you're still
planning your ridiculous scare test.
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172. But the patient
is nowhere near
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173. sick enough to
justify the risk.
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174. An angiogram and an EP study are
much safer, and very effective.
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175. Fair point. I'm not
doing the scare test.
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176. I'd invite you to watch me
not doing the test,
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177. but having not done
it many times before,
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178. trust me,
it's pretty not interesting.
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179. - House?
- Scare test was not approved.
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180. Do an angio and
an EP study instead.
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181. First of all,
that's not as effective as...
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182. How come you're not doing
the more specialized test?
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183. This test is virtually
just as effective.
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184. And Dr. House puts
a premium on patients' safety.
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185. But frequently
changes his mind?
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186. Hugo, give him
a break. I'm fine.
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187. You should
go to the bathroom before we go.
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188. We've been hydrating
you for quite a while.
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189. I don't have to pee.
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190. Once we start the test, you won't be
able to move for at least an hour.
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191. I really don't
have to pee.
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192. How much fluid
have we given her?
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193. 2.5 liters.
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194. When's the last time
you went to the bathroom?
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195. Last night, I guess.
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196. What does that mean?
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197. Your daughter's kidneys
seem to be failing.
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198. So what could cause her heart to stop,
and her urine not to drop?
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199. House, I was expecting
your relationship with Cuddy
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200. to complicate
our work long-term.
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201. I am now concerned
it might be affecting us short-term.
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202. All due respect.
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203. None taken.
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204. I listen to Cuddy all the time.
She's my boss. Also yours, by the way.
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205. You'd listen, then tell her she's being
an idiot, and do whatever you want.
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206. I find I can skip the idiot part
when she's not being an idiot.
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207. And since the scare test would've led
to this same dead end,
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208. she was right to stop it.
Which means your problem's about you.
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209. This should be interesting.
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210. Losers love company.
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211. And if even a misanthrope like me
has a chance at happiness,
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212. it's gonna be pretty
lonely on that landfill
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213. of loser-dom you
call a marriage.
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214. Heart, kidneys, go.
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215. Could be Fabry disease.
Lipid deposition in her tissues.
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216. Dad's history was clean.
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217. What about protein deposits? They
wouldn't show in her parents' history.
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218. Amyloidosis.
Explains both the symptoms.
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219. Marrow transplant to treat.
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220. Her brother's a match.
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221. Confirm and do.
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222. I've been experiencing
fatigue and weakness.
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223. Wouldn't have anything to do with
the fact that you're 102 years old?
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224. Usually he's
strong as an ox.
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225. 102-year-old ox.
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226. He has tingling in
his feet and his legs.
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227. I want a full
battery of tests.
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228. Carbon dating?
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229. I'll pay cash if
it's not covered.
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230. It's nice of you to
float your friend...
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231. He's not my friend, he's my father.
He's 22 years older than me.
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232. Well, if that's true,
he's definitely had his jowls done.
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233. Statistically,
if he didn't have these symptoms,
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234. he'd be like most
people of his age,
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235. dead for the past
several decades.
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236. Do the tests, I'm sick.
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237. You have a bad case
of natural causes.
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238. Do the damn tests.
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239. If the vial fills with sand,
we take that as a bad sign.
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240. Hugo should be here.
Why'd you ask him to leave?
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241. We wanted to be able
to discuss this openly.
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242. But it obviously affects him.
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243. Honey, let the doctor finish.
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244. It's a standard
procedure.
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245. We use general anesthesia,
harvest a very small amount of his...
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246. No. I'm not taking
my brother's marrow.
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247. Del, it's...
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248. These harvests are harmless.
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249. With the meds we give,
there's almost no pain,
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250. almost no risk of infection...
Almost?
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251. His life's hard
enough as it is.
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252. Small problem
with the treatment.
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253. Patient won't take marrow
from steel wheels?
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254. We're finding another match.
And how do you know?
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255. What other problem could there be
with a problem-free procedure?
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256. Boys' sports, science club.
She's living his life, not hers.
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257. Makes sense
she's being a self-denying moron.
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258. She loves her brother, she's thinking
selflessly. How is that at all...
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259. Moronic? Hmm. If I could only think
of a harm-free medical treatment
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260. she'd turned down lately.
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261. You're right.
If everyone were more selfish,
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262. the world would
be a better place.
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263. See? I can skip the idiot part
when you're not being an idiot.
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264. Yeah, I had that same facial expression
for the first 48 hours.
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265. Had another one, too,
but only for 15 seconds at a time.
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266. I'm happy for you.
You're happy for you. This is huge.
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267. So who's gonna
supervise you?
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268. Cuddy.
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269. I guess maybe
that can work.
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270. Maybe? Nothing's changed.
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271. You showed up for
clinic hours, voluntarily.
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272. Fine, a little bit
has changed.
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273. House, everything's changed.
You're sleeping together.
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274. You want something
from her besides
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275. sign-off on scaring
your patient to death.
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276. You talked to Taub.
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277. He's worried about you.
He's a jerk.
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278. I'm worried, too.
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279. Do I need to say it?
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280. I want this to work.
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281. I'm not doing
anything differently.
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282. She changed my mind
about one diagnostic test.
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283. And she was right.
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284. Even though it's
your emotional default, stop worrying.
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285. I can handle it.
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286. I hear you're
a pretty fierce skateboarder.
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287. I do okay.
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288. All your activities,
don't they seem
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289. like things
a 16-year-old boy would do?
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290. Some people might think
you're trying to live his life for him.
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291. I am.
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292. Sort of.
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293. I got into skateboarding
when some of Hugo's classmates did,
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294. and he realized
he could never do it.
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295. It's the same with a lot of things.
We live through it together.
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296. And you're not worried you're being
selfless to the point of self-denial?
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297. You've never been
inspired by someone?
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298. Why don't you
take your pills.
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299. Need some help in here.
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300. Hemothorax, we need
to bronch her now.
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301. Clear an OR.
She's drowning in her own blood.
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302. It's not amyloidosis.
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303. She's bleeding to death,
out of her lung.
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304. I want to fill
a quarter of it with foam.
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305. That'd stop the
bleeding, all right.
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306. Thought it made more sense
than diet and exercise.
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307. And if she doesn't have enough lung
function left, you'll have killed her.
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308. The only alternative is
slowly suturing the lung,
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309. hoping the bleeding
stops in time
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310. and she doesn't
die on her own.
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311. But we would walk
away with clean hands.
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312. Except for all the blood.
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313. You're right. Faster and riskier
is better. Foam the lung.
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314. You got a green light?
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315. No. Suture the lung.
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316. Scalpel, rib spreader.
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317. I can't handle it.
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318. What happened?
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319. She said yes, I heard no.
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320. But I didn't
actually hear no.
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321. I just was sure
that's what she meant.
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322. The way she tilted her head
and half-arched her eyebrow.
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323. But what do I even
care what she meant?
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324. She said yes,
that's all that matters.
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325. I'm screwing this up.
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326. It's not
completely bad, House.
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327. You care enough to pull your punches.
That's not a bad thing.
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328. But you and Cuddy
have got to figure out
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329. a way of
avoiding this problem.
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330. Set some ground rules.
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331. Yeah. I have to
avoid this problem.
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332. If I can restrict
our interactions
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333. to places where
neither of us are wearing pants.
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334. Yeah. That's not avoiding the problem,
that's avoiding the issue.
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335. Since avoidance is
my plan for dealing with the issue,
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336. technically,
that's not avoiding it.
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337. Thanks.
No problem.
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338. The stitching worked.
This time.
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339. No guarantee bowing
to Cuddy'll work next time.
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340. Heart arrhythmia, kidney failure,
and now a bleeding lung...
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341. I don't want to criticize
your girlfriend, but...
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342. Hey, you've been on me for years
to respect someone's opinion.
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343. Just because I had to go outside
this group to find one I respect...
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344. Multi-system involvement
centered in the lung. Sarcoidosis.
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345. Doesn't explain
the hemothorax.
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346. TB can infect
all three organs.
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347. Skin test was negative.
What about Goodpasture's?
Copy !req
348. Affects the lungs, kidneys.
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349. And autoimmune explains
the out-of-the-blue arrhythmia.
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350. Goodpasture's it is.
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351. Immunosuppressants
and plasmapheresis to treat,
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352. kidney biopsy to confirm.
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353. Dr. House!
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354. Don't tell me.
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355. Your father's hairline is receding
and he needs more tests.
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356. He's 102, his next test
is an autopsy.
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357. Look, I love the old man, but I've got
to get him out of the damn house.
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358. He can't do
anything without me.
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359. He needs to be in
a care facility.
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360. So tell him.
He's a big boy now.
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361. I can't.
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362. I'm his whole life.
But if it comes from a doctor...
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363. That's very generous.
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364. When you were 30.
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365. Pretend to run the tests.
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366. And then tell him
he can't live with me anymore.
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367. I didn't run into
you all afternoon.
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368. I missed you.
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369. Busy day.
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370. Maybe we should plan
on lunch tomorrow.
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371. Problem is, at lunch
you tend to wear tops.
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372. This is much better.
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373. Cuddy and I are naked.
So I'm having trouble focusing.
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374. Use small words.
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375. Kidney biopsy was clean,
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376. so we re-checked a piece
of her lung from the OR.
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377. You lost me.
Sorry, who is this calling again?
Copy !req
378. It's not Goodpasture's.
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379. There's intimal thickening
of the blood vessels.
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380. And lymphocytic infiltrate.
We tested for LAM, it's positive.
Copy !req
381. Plus her lung's fried.
She needs a donor lung to live.
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382. Which is the only
treatment for LAM anyway.
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383. Taub's gone to
the transplant committee.
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384. They may have
found a donor lung.
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385. So this call is
purely expositional?
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386. We should really get dressed.
I told the nanny I'd be home by 9:00.
Copy !req
387. And I slipped the nanny 40 bucks,
told her to stay till 10:00.
Copy !req
388. Really?
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389. Really.
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390. Good news.
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391. Surgery was uneventful.
Copy !req
392. But the donor lung started failing
about an hour into recovery.
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393. We know we're right about LAM,
tests confirmed it.
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394. Well, that leaves
us with two options.
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395. Her body is
rejecting the new lung,
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396. or we should've
rejected the new lung
Copy !req
397. because it's infected.
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398. Let's biopsy,
see which one it is.
Copy !req
399. No guarantee we'd
hit the affected spot.
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400. If we give steroids for rejection,
it'd make an infection worse.
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401. If we give antibiotics for infection,
it'd make rejection worse.
Copy !req
402. Which worse is worse?
Copy !req
403. If we treat her for infection and we're
wrong, she'll be dead within hours.
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404. And if we treat for
rejection and we're wrong?
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405. She'll probably
hang on a day or two.
Copy !req
406. You're assuming her rejection's
hyperacute. Odds are it isn't.
Copy !req
407. Got to head off
the worst worse first.
Copy !req
408. I studied under Dr. Seuss.
Copy !req
409. Start with IV methylprednisolone
for hyperacute rejection.
Copy !req
410. If that fails, we'll switch her
to broad-spectrum antibiotics,
Copy !req
411. and hope we're
not too late.
Copy !req
412. Cat got your legs?
Copy !req
413. We just decided to give meds that could
kill the patient, based on a guess.
Copy !req
414. You need
approval from Cuddy.
Copy !req
415. And she'll want to
take the safer course.
Copy !req
416. And you're gonna fold
like an origami crane.
Copy !req
417. So I'll just wait here
until we get our actual orders.
Copy !req
418. Fine. You do it.
Copy !req
419. Tell her she's being an idiot
for always choosing the safer course.
Copy !req
420. She's sitting on her ample,
if well-formed, bureaucratic ass
Copy !req
421. while our patient's dying.
Copy !req
422. We'll see who folds
like an origami shrimp.
Copy !req
423. You want me to
get Cuddy's approval?
Copy !req
424. I've gotta be
somewhere important.
Copy !req
425. Sitting at your desk?
Copy !req
426. I'm running late.
Copy !req
427. Forget the tests.
Copy !req
428. I think junior might have a few words
to say about that.
Copy !req
429. I love him but
he can't let go.
Copy !req
430. 40 bucks says he can.
Copy !req
431. I can't do anything without him
helping me like I'm senile.
Copy !req
432. If I go back there,
I'm gonna rip his throat out.
Copy !req
433. You sure you won't warm up
to him over time?
Copy !req
434. Skip the blood work.
Copy !req
435. Tell my son it's grim news,
I need to be in a nursing home.
Copy !req
436. A private room.
Copy !req
437. Make it a suite.
Copy !req
438. It'll be our little secret.
Copy !req
439. I sit around on
my "bureaucratic ass"?
Copy !req
440. I was relaying your words.
Copy !req
441. I said "well-formed".
I said "well-formed"!
Copy !req
442. What were you...
I needed to be aggressive.
Copy !req
443. You're an idiot.
Copy !req
444. She was siding
with Foreman's analysis.
Copy !req
445. The odds are
against it being hyperacute rejection...
Copy !req
446. Stop.
Copy !req
447. I agree with you.
That was our analysis from the start.
Copy !req
448. If you've got a problem
with a team decision, you come to me.
Copy !req
449. I'm sorry.
I'll deal with him later.
Copy !req
450. I said "well-formed".
Copy !req
451. People who have not seen Cuddy naked
should not throw stones.
Copy !req
452. She does have great cans.
Copy !req
453. Cuddy has House on
such a short leash,
Copy !req
454. she might as well
start giving him chew-toys.
Copy !req
455. Let's give the antibiotics
at least another hour.
Copy !req
456. Amazing. And House hasn't given
you one ounce of grief
Copy !req
457. for your complete
lack of interest in his love life.
Copy !req
458. Did it ever occur
to you that House is just happy,
Copy !req
459. and could give a crap about other
people's lives because of it?
Copy !req
460. Well, that's ironic
and depressing.
Copy !req
461. And by that logic,
the reason you don't
Copy !req
462. give a crap is
because you're happy.
Copy !req
463. Which means you've got someone new
giving you chew-toys.
Copy !req
464. You're one-fourth right.
Copy !req
465. Wait. Are you saying...
Copy !req
466. You're dating four women?
Copy !req
467. BP's dropping.
Means the antibiotics aren't working.
Copy !req
468. Put her in Trendelenburg.
Copy !req
469. Can we save the lung?
Copy !req
470. Believe it or not,
we've got a better chance now.
Copy !req
471. This means it's rejection,
not infection.
Copy !req
472. We'll start her on
IV methylprednisolone right away.
Copy !req
473. Wow. You hate salad.
She's really got you tied up in knots.
Copy !req
474. I caved. Through
an intermediary.
Copy !req
475. I need a plan C.
Copy !req
476. What you need is a plan
that you actually develop with Cuddy.
Copy !req
477. Antibiotics didn't work.
And then steroids didn't work.
Copy !req
478. Her new lung's ruined
and it's not rejection or infection.
Copy !req
479. The only two
options were wrong.
Copy !req
480. Unless it's not LAM.
Copy !req
481. It is LAM,
the test was positive.
Copy !req
482. Then the test
had to be wrong.
Copy !req
483. Deep fryer's working again.
Copy !req
484. Still working on that?
Copy !req
485. That was here
when I sat down. I need to think.
Copy !req
486. I want to make sure you're trying
everything to save my sister.
Copy !req
487. Everything.
That must be it.
Copy !req
488. See, I thought you guys
checked the box marked,
Copy !req
489. "Try every other thing."
Copy !req
490. I'm the one that's
supposed to die first.
Copy !req
491. I'm the damaged one,
not her.
Copy !req
492. She never even gets a cold.
Copy !req
493. Damage has a way
of spreading to everyone around you.
Copy !req
494. For example, your
obvious emotional damage
Copy !req
495. is now making me
have a philosophical conversation,
Copy !req
496. instead of dealing
with your sister.
Copy !req
497. See how that
might be damaging?
Copy !req
498. Never?
Copy !req
499. When's the last time
you had a cold?
Copy !req
500. Any minor aches,
swelling, anything?
Copy !req
501. It's been years.
She never gets colds.
Copy !req
502. I didn't ask
when's the last time she mentioned it,
Copy !req
503. I asked when she had one,
even a tiny one.
Copy !req
504. It's nothing.
Sometimes my ears ache a little.
Copy !req
505. So now tell me
the rest of the nothing.
Copy !req
506. My chest, soreness,
some congestion...
Copy !req
507. You never said
anything about that.
Copy !req
508. I barely noticed it until that
skateboarding tournament in Denver.
Copy !req
509. How long ago?
Copy !req
510. A year?
Copy !req
511. Cold's nothing. When I think of what
Hugo goes through every day...
Copy !req
512. Yeah, we get it. Your brother,
the saint, his sister, the martyr.
Copy !req
513. Thank God
you followed me.
Copy !req
514. Now you can go
back to the transplant committee
Copy !req
515. while I get confirmation.
Copy !req
516. Confirmation of what?
Copy !req
517. What causes low-level
cold symptoms for a year,
Copy !req
518. can ruin two lungs,
is immune to drug therapies
Copy !req
519. and gets worse in cities
nicknamed Mile-High?
Copy !req
520. A clotting disorder?
Copy !req
521. She has a nasty case
of sickle cell trait.
Copy !req
522. Her heart arrhythmia
wasn't sudden at all.
Copy !req
523. The screwed up blood cells screwed up
the blood vessels,
Copy !req
524. which gave us
the screwed up positive for LAM.
Copy !req
525. If she'd told us
about her symptoms sooner,
Copy !req
526. like, ever,
she might not be dying.
Copy !req
527. You were right after all.
Copy !req
528. I never said sickle...
Copy !req
529. If everyone were more selfish,
the world would be a better place.
Copy !req
530. So she's gonna die.
Copy !req
531. Unless we can find...
Copy !req
532. She burned through
one donor lung,
Copy !req
533. transplant committee's never
gonna give her a second one.
Copy !req
534. Well, then, I guess
you're right again.
Copy !req
535. Unless we don't
need their approval.
Copy !req
536. You can't advise
your patient's parents
Copy !req
537. to take marrow
and half a lung from their son.
Copy !req
538. Guess I could
just chat with them about the weather.
Copy !req
539. But the blood
tests just confirmed sickle cell trait,
Copy !req
540. so they might be curious
about the only treatment option.
Copy !req
541. Though we are having
weird weather lately.
Copy !req
542. There is a huge reason
not to take lungs from living patients.
Copy !req
543. So their siblings can die?
Copy !req
544. Their son has CMD.
Copy !req
545. As it is, he's gonna die
of respiratory failure by 25.
Copy !req
546. We could cut whatever
time he has left in half.
Copy !req
547. That qualifies as a bad reason
for them to reject the idea.
Copy !req
548. It's a much worse reason
for them not to get the choice.
Copy !req
549. It's coercive
to tell them.
Copy !req
550. You ever hear of
"do no harm"?
Copy !req
551. That was second year, right?
I had mono all that fall.
Copy !req
552. Their son's not
even our patient.
Copy !req
553. Why don't we just
take half a lung from
Copy !req
554. some guy in the clinic
with a toothache?
Copy !req
555. It's a great idea.
Now I can give the parents two options.
Copy !req
556. We don't compromise
one life for another.
Copy !req
557. Okay.
Copy !req
558. "Okay"? Seriously?
Copy !req
559. You made an argument.
Copy !req
560. If you don't want me
to defer to you, why make it at all?
Copy !req
561. But are you deferring to me just
because we're seeing each other?
Copy !req
562. Maybe.
Copy !req
563. Yeah. I think so.
Copy !req
564. Look, this is screwing me up.
Why is it not screwing you up?
Copy !req
565. It is.
Copy !req
566. I don't know why I okayed you
foaming that lung.
Copy !req
567. I realized it was
wrong as soon as I said it.
Copy !req
568. I knew it! I knew when
you tilted your head.
Copy !req
569. House, we are
screwing this up.
Copy !req
570. I'm gonna call HR.
Copy !req
571. And find someone else to supervise you,
as soon as they can.
Copy !req
572. I've got your test results.
Copy !req
573. You have the metabolism,
blood counts,
Copy !req
574. liver and kidney function
of a 92-year-old.
Copy !req
575. Which is great
'cause you're 102.
Copy !req
576. What's not so great is
the average life expectancy is 78.
Copy !req
577. It is my recommendation
that you move into a home
Copy !req
578. with round-the-clock care.
Copy !req
579. I can't believe it.
Copy !req
580. Can't my son give me
round-the-clock care?
Copy !req
581. Not unless you've done
your two-year certification
Copy !req
582. in Tiburon swab technology.
Copy !req
583. There must be
some other way.
Copy !req
584. Just because he has
a little tingling,
Copy !req
585. and some trouble
feeling hot and cold,
Copy !req
586. and some difficulty...
Copy !req
587. You can't feel
hot and cold?
Copy !req
588. Not lately.
But at my age...
Copy !req
589. Show me your teeth.
Copy !req
590. Dentures. Fairly worn.
I'm guessing 10-years-old.
Copy !req
591. Show me your denture cream.
Copy !req
592. Why would he
carry denture cream?
Copy !req
593. Because he has
zinc poisoning.
Copy !req
594. To get it from denture cream,
he'd have to take so much of it.
Copy !req
595. Trust me, he never
leaves home without it.
Copy !req
596. How much do you use, Pop?
Copy !req
597. About a tube a day.
Copy !req
598. I buy it online.
So what does this mean?
Copy !req
599. Bizarrely, this explains
all your symptoms.
Copy !req
600. Better-fitting dentures,
you'll be fine.
Copy !req
601. Medically, there's no
reason to go anywhere.
Copy !req
602. Hospital rebate.
Copy !req
603. You might want to put it
toward couples therapy.
Copy !req
604. The transplant committee's
never gonna give
Copy !req
605. my daughter another
lung, are they?
Copy !req
606. No.
Copy !req
607. Are there any
other options?
Copy !req
608. We're looking into it.
Copy !req
609. Looking into what?
Copy !req
610. Please.
Copy !req
611. Tell me, give me
some kind of hope.
Copy !req
612. I'm afraid
I can't do that.
Copy !req
613. We're talking about my daughter's life,
what can't you tell me?
Copy !req
614. If there's any chance
you can save her,
Copy !req
615. anything you can try.
Copy !req
616. We can take marrow
and half a lung from your son.
Copy !req
617. It would likely shorten
his life significantly.
Copy !req
618. He'd never be able to go on
a respirator if he needed to.
Copy !req
619. Most people with CMD need to
as their respiratory function declines.
Copy !req
620. How long do
we have to decide?
Copy !req
621. Morning at the latest.
Copy !req
622. Thank you.
Copy !req
623. Where are my parents?
Copy !req
624. They're probably dealing
with committee issues or something.
Copy !req
625. They were arguing.
Copy !req
626. I saw my mom crying,
looked like my dad was yelling at her.
Copy !req
627. They care
about you a lot.
Copy !req
628. Hugo was a marrow match.
Copy !req
629. We're way past that now.
Copy !req
630. They want a lung from him, too.
Is that what this is about?
Copy !req
631. No. It's nothing you
need to worry about.
Copy !req
632. Everybody's working on getting you
the best care possible.
Copy !req
633. How do they expect us
to go on from here?
Copy !req
634. We make a choice,
we live with it.
Copy !req
635. There's no living with it,
no matter what we decide.
Copy !req
636. Still cold and clammy,
she had a respiratory arrest.
Copy !req
637. Oh, my God!
Copy !req
638. What is
she doing here?
Copy !req
639. She figured out
what was going on.
Copy !req
640. She's pinking up.
Copy !req
641. She must have
yanked off her IVs and oxygen.
Copy !req
642. Came here to die.
Copy !req
643. By unhooking
herself from everything,
Copy !req
644. she delivered
a hypoxic insult to her body.
Copy !req
645. It started
a downward spiral.
Copy !req
646. If you're gonna make
a decision, you're running out of time.
Copy !req
647. HR can't find you
a new supervisor.
Copy !req
648. How come?
Copy !req
649. Because you're
unsupervisable, House.
Copy !req
650. Two department chairs
threatened to quit.
Copy !req
651. Well, I guess we're
stuck with each other.
Copy !req
652. I have no idea why
I'm making this call,
Copy !req
653. or if it's
the right call to make.
Copy !req
654. But if you feel
strongly about presenting
Copy !req
655. the parents your
treatment option,
Copy !req
656. you can do it.
Copy !req
657. Thank you. I will.
Several hours ago.
Copy !req
658. You told them?
Copy !req
659. I told him.
He came to my office.
Copy !req
660. I'm sorry.
Copy !req
661. Well, I should probably
be more mad at you.
Copy !req
662. Yeah.
Copy !req
663. Dr. House?
Copy !req
664. We've decided.
Copy !req
665. We're not gonna take
the lung from our son.
Copy !req
666. She's still on
the waiting list.
Copy !req
667. We're gonna do whatever
we can to find her another...
Copy !req
668. What ginormous crack pipe
have you people been sucking on?
Copy !req
669. House!
Copy !req
670. Are you gonna
pretend that you're not
Copy !req
671. choosing your own
daughter's death?
Copy !req
672. Our daughter
doesn't want it.
Copy !req
673. Probably doesn't want
to floss her teeth either.
Copy !req
674. She's a mindless
teenybopper.
Copy !req
675. Don't put this on them.
Copy !req
676. What do you mean
"put it on"? It is on them.
Copy !req
677. As much as they may
want to "pass the lung" here...
Copy !req
678. Of course they do. You're handing them
an impossible choice...
Copy !req
679. Life has handed them
a crappy choice.
Copy !req
680. And they're picking
the crappier option.
Copy !req
681. Trading who-knows-how-many
healthy decades
Copy !req
682. for four or five years
in which roller-boy will be a limp rag.
Copy !req
683. Not everything is
a math equation.
Copy !req
684. You need me to explain the difference
between decade and year?
Copy !req
685. Their son is a human being.
Copy !req
686. You know what they are,
right? Intrinsic value.
Copy !req
687. We don't get to decide...
Copy !req
688. Come on.
We do it every day.
Copy !req
689. The two of them
needed the same lung...
Copy !req
690. He needs to keep
the one he's got.
Copy !req
691. You don't get to
play God by ripping out...
Copy !req
692. That train left the station
when we learned to do transplants.
Copy !req
693. The rest is
just paper-pushing.
Copy !req
694. And of course now,
we're onto your real area of expertise.
Copy !req
695. I thought we were
moving onto yours,
Copy !req
696. bullying your patients into embracing
your own lack-of-a-moral...
Copy !req
697. Hugo, honey...
Copy !req
698. We didn't mean for
you to hear any of this.
Copy !req
699. Hugo, please.
Copy !req
700. I want you to
take half my lung.
Copy !req
701. No.
Copy !req
702. I am not.
Copy !req
703. You do so many great things.
Copy !req
704. I just watch.
Copy !req
705. I get to watch
and coach and cheer.
Copy !req
706. But that's not me out there.
Never will be.
Copy !req
707. If you take this piece
of me, carry it with you,
Copy !req
708. then I really can share
in everything you do.
Copy !req
709. This is the great thing
I can do with my life.
Copy !req
710. Don't make me
live without you.
Copy !req
711. We got lucky.
Copy !req
712. I did give them
an impossible choice.
Copy !req
713. The kid took it
away from them.
Copy !req
714. That fight
Copy !req
715. was the first
honest interaction
Copy !req
716. you and I have had
since we came back to work.
Copy !req
717. If we're painfully,
brutally honest with each other,
Copy !req
718. maybe we'll
get lucky again.
Copy !req
719. You've got a big ass.
s the great thing
I can do with my life.
Copy !req
720. Don't make me
live without you.
Copy !req
721. We got lucky.
Copy !req
722. I did give them
an impossible choice.
Copy !req
723. The kid took it
away from them.
Copy !req
724. That fight
Copy !req
725. was the first
honest interaction
Copy !req
726. you and I have had
since we came back to work.
Copy !req
727. If we're painfully,
brutally honest with each other,
Copy !req
728. maybe we'll
get lucky again.
Copy !req
729. You've got a big ass.
Copy !req