1 00:00:01,625 --> 00:00:04,500 ['Zat You, Santa Claus by Louis Armstrong] 2 00:00:04,500 --> 00:00:06,458 ♪ ♪ 3 00:00:09,000 --> 00:00:10,875 ♪ Gifts I'm preparing ♪ 4 00:00:10,875 --> 00:00:12,834 ♪ For some Christmas sharing ♪ 5 00:00:12,834 --> 00:00:16,458 ♪ But I pause because ♪ 6 00:00:16,458 --> 00:00:18,875 ♪ Hangin' my stocking ♪ 7 00:00:18,875 --> 00:00:20,834 ♪ I can hear a knock ♪ 8 00:00:20,834 --> 00:00:24,875 ♪ 'Zat you, Santa Claus? ♪ 9 00:00:24,875 --> 00:00:26,542 ♪ Sure is dark out ♪ 10 00:00:26,542 --> 00:00:28,667 ♪ Ain't the slightest spark out ♪ 11 00:00:28,667 --> 00:00:32,375 ♪ Pardon my clacking jaws ♪ 12 00:00:32,375 --> 00:00:34,667 ♪ Who's there? Who is it ♪ 13 00:00:34,667 --> 00:00:36,667 ♪ Stopping for a visit? ♪ 14 00:00:36,667 --> 00:00:38,917 ♪ 'Zat you, Santa Claus? ♪ 15 00:00:38,917 --> 00:00:41,208 Merry Christmas. 16 00:00:41,208 --> 00:00:44,125 And a happy go to hell. 17 00:00:44,125 --> 00:00:46,500 What's he doing here? Is he with you? 18 00:00:47,542 --> 00:00:50,375 Detective Tritter and I... 19 00:00:50,375 --> 00:00:51,500 we worked out a deal. 20 00:00:51,500 --> 00:00:53,125 Already got a lawyer. 21 00:00:53,125 --> 00:00:54,583 Get out of my office. 22 00:00:56,875 --> 00:00:58,625 I told him I didn't write those prescriptions. 23 00:01:00,542 --> 00:01:04,083 I spoke with the DA. 24 00:01:04,083 --> 00:01:05,875 He agreed to two months in a rehab facility 25 00:01:05,875 --> 00:01:07,750 in exchange for a guilty plea. 26 00:01:07,750 --> 00:01:10,583 Get out of my office. 27 00:01:10,583 --> 00:01:12,291 No jail time. Right. 28 00:01:12,291 --> 00:01:14,417 I should get locked up in some place I don't belong 29 00:01:14,417 --> 00:01:15,834 in order to avoid getting locked up 30 00:01:15,834 --> 00:01:17,250 in some other place I don't belong. 31 00:01:17,250 --> 00:01:19,125 I got you on forgery and fraud. 32 00:01:19,125 --> 00:01:20,500 Enough drugs-- 33 00:01:20,500 --> 00:01:21,875 No sanctions to the medical board. 34 00:01:21,875 --> 00:01:23,458 Mm-mmm. And you get your car back 35 00:01:23,458 --> 00:01:24,750 and your bank accounts 36 00:01:24,750 --> 00:01:25,875 and your precious tumor-ridden patients. 37 00:01:25,875 --> 00:01:28,041 I did this to help you. 38 00:01:28,041 --> 00:01:29,500 Next Christmas, buy me a sweater. 39 00:01:29,500 --> 00:01:31,417 You punched out an employee. 40 00:01:31,417 --> 00:01:32,750 You nearly cut a little girl in half 41 00:01:32,750 --> 00:01:33,875 because you were too strung out-- 42 00:01:33,875 --> 00:01:34,959 I was in pain! 43 00:01:40,000 --> 00:01:41,792 You need to believe that I've got a problem 44 00:01:41,792 --> 00:01:44,750 so that your betrayal has the illusion of nobility. 45 00:01:44,750 --> 00:01:46,166 But you just selfishly-- 46 00:01:46,166 --> 00:01:47,333 Knock it off. 47 00:01:47,333 --> 00:01:49,417 Look, I don't care 48 00:01:49,417 --> 00:01:51,458 why Dr. Wilson is doing this. 49 00:01:51,458 --> 00:01:54,291 And right now, it makes no difference to you either. 50 00:01:54,291 --> 00:01:56,083 You need to deal with the reality 51 00:01:56,083 --> 00:01:57,542 of your current situation. 52 00:01:57,542 --> 00:01:59,000 You want to stand on principle, 53 00:01:59,000 --> 00:02:01,250 you end up in a cell. 54 00:02:01,250 --> 00:02:03,083 And you end up never practicing medicine again. 55 00:02:05,458 --> 00:02:07,166 So you've got two choices. 56 00:02:07,166 --> 00:02:08,291 Your principles 57 00:02:08,291 --> 00:02:10,583 or your life. 58 00:02:17,792 --> 00:02:19,041 Get out of my office. 59 00:02:25,417 --> 00:02:27,875 The DA put a clock on the deal. 60 00:02:27,875 --> 00:02:30,583 You've got three days to decide. 61 00:02:39,792 --> 00:02:42,792 [Massive Attack's Teardrop] 62 00:02:42,792 --> 00:02:44,750 ♪ ♪ 63 00:03:12,959 --> 00:03:14,083 (Wilson) House! 64 00:03:14,083 --> 00:03:15,333 Just give me a minute. 65 00:03:15,333 --> 00:03:16,750 You're afraid of the pain. 66 00:03:16,750 --> 00:03:18,583 You're not? 67 00:03:18,583 --> 00:03:20,917 You can still have pain meds in rehab. 68 00:03:20,917 --> 00:03:22,917 Tramadol, gabapentin-- Those don't work. 69 00:03:22,917 --> 00:03:24,959 They will once you're weaned off the Vicodin. 70 00:03:24,959 --> 00:03:26,583 Look, there's Jesus. 71 00:03:26,583 --> 00:03:28,625 Now go tell the Romans. 72 00:03:28,625 --> 00:03:30,375 Fine, run to Cuddy. 73 00:03:30,375 --> 00:03:32,041 You don't think she's gonna support me on this? 74 00:03:37,667 --> 00:03:39,500 Well, the stitches are healing nicely. 75 00:03:39,500 --> 00:03:42,000 There's no sign of infection. 76 00:03:42,000 --> 00:03:43,542 Whoa. 77 00:03:45,750 --> 00:03:47,583 Sorry. 78 00:03:47,583 --> 00:03:50,500 Just need her for a tiny moment. 79 00:03:50,500 --> 00:03:53,542 Small favor. 80 00:03:53,542 --> 00:03:55,083 Pills. 81 00:03:55,083 --> 00:03:56,250 Who's the wit? 82 00:03:56,250 --> 00:03:57,667 Doctor. Don't worry. 83 00:03:57,667 --> 00:03:59,667 I'll be firing him soon. 84 00:03:59,667 --> 00:04:01,250 Wait in my office. 85 00:04:01,250 --> 00:04:04,709 Incision looks just big enough for a chest tube. 86 00:04:04,709 --> 00:04:06,041 Collapsed lung? 87 00:04:06,041 --> 00:04:07,875 Someone mistake you for a piñata? 88 00:04:07,875 --> 00:04:09,500 Delightful. 89 00:04:09,500 --> 00:04:11,709 Usually we just get the elf jokes this time of year. 90 00:04:11,709 --> 00:04:14,875 No on trauma. 91 00:04:14,875 --> 00:04:16,500 Negative PPD. 92 00:04:16,500 --> 00:04:19,667 What flavor dwarves are you guys? 93 00:04:19,667 --> 00:04:22,125 My daughter and I both have cartilage hair hypoplasia. 94 00:04:22,125 --> 00:04:24,125 Think you can make a pun out of that? 95 00:04:24,125 --> 00:04:26,917 Yes, but I don't want to be insensitive. 96 00:04:26,917 --> 00:04:31,041 She's got a bit of a short fuse, doesn't she? 97 00:04:31,041 --> 00:04:32,875 It's a bleb. Wait in my office. 98 00:04:32,875 --> 00:04:35,166 Bleb's not a diagnosis. It's an evasion. 99 00:04:35,166 --> 00:04:36,834 We'll schedule an MRI to make sure. 100 00:04:36,834 --> 00:04:39,500 But a certain number of these cases are idiopathic. 101 00:04:39,500 --> 00:04:41,917 Let me translate that into talking for you guys. 102 00:04:41,917 --> 00:04:43,667 Means Dr. Cuddy's got no idea 103 00:04:43,667 --> 00:04:46,125 why your daughter's lung suddenly popped like a balloon. 104 00:04:46,125 --> 00:04:47,208 You think you do? 105 00:04:50,166 --> 00:04:53,917 Give me her chart. And my pills. 106 00:04:53,917 --> 00:04:56,583 Santa needs us. 107 00:04:59,542 --> 00:05:01,750 Did you get that looked at? 108 00:05:01,750 --> 00:05:04,333 I'm fine. 109 00:05:04,333 --> 00:05:06,250 Great. 110 00:05:06,250 --> 00:05:08,625 I just admitted a cartilage hair hypoplasia dwarf. 111 00:05:08,625 --> 00:05:10,542 15 years old-- What are you gonna do? 112 00:05:10,542 --> 00:05:12,709 I thought I'd get your theories, 113 00:05:12,709 --> 00:05:14,250 mock them, then embrace my own. 114 00:05:14,250 --> 00:05:15,417 The usual. 115 00:05:15,417 --> 00:05:16,834 Wilson told us he ratted. 116 00:05:16,834 --> 00:05:19,417 Your choice of verb, I take it. 117 00:05:19,417 --> 00:05:21,250 It's appropriate. He betrayed you. 118 00:05:21,250 --> 00:05:24,417 And you should take the deal. 119 00:05:24,417 --> 00:05:27,166 Unexplained lung collapse and anemia. 120 00:05:27,166 --> 00:05:29,291 Cuddy thinks it's idiopathic. 121 00:05:29,291 --> 00:05:32,125 "Cuddy" and "idiop" being the relevant parts of that sentence. 122 00:05:32,125 --> 00:05:34,041 Well, I'd say TB, but Cuddy's already ruled it out. 123 00:05:34,041 --> 00:05:36,500 Then you'd be just as big an "idiop" as her. 124 00:05:36,500 --> 00:05:38,000 Don't you people know your dwarves? 125 00:05:38,000 --> 00:05:40,041 There are over 200 varieties of dwarfism, 126 00:05:40,041 --> 00:05:41,375 each with different medical complications. 127 00:05:41,375 --> 00:05:42,625 You can't expect us to be 128 00:05:42,625 --> 00:05:44,583 intimately familiar with all of them. 129 00:05:44,583 --> 00:05:47,333 The sick dwarves sure expect you to. 130 00:05:47,333 --> 00:05:48,625 Cartilage hair hypoplasia. 131 00:05:48,625 --> 00:05:50,041 They have compromises immune systems. 132 00:05:50,041 --> 00:05:53,041 Gold star for Cameron. For extra credit, 133 00:05:53,041 --> 00:05:54,917 explain to the special needs section of the class 134 00:05:54,917 --> 00:05:57,250 why our patient's negative TB test is irrelevant. 135 00:05:57,250 --> 00:06:00,041 A PPD involves planting a fragment of TB under the skin 136 00:06:00,041 --> 00:06:02,083 to see if the immune system recognizes it. 137 00:06:02,083 --> 00:06:03,667 Because of a compromised immune system, 138 00:06:03,667 --> 00:06:05,917 our patient could have TB but not recognize it. 139 00:06:05,917 --> 00:06:08,750 The little people love you. 140 00:06:08,750 --> 00:06:11,041 Let's go see a dwarf about a gallium scan. 141 00:06:15,083 --> 00:06:16,250 Gallium is a radioactive isotope. 142 00:06:16,250 --> 00:06:17,458 It travels through your veins 143 00:06:17,458 --> 00:06:18,667 allowing us to see any bright spots 144 00:06:18,667 --> 00:06:20,500 that might indicate infection. 145 00:06:22,375 --> 00:06:23,542 I'm 4'1". 146 00:06:23,542 --> 00:06:25,750 That's 1.5 canes in metric. 147 00:06:25,750 --> 00:06:28,458 You don't look a day over four feet. 148 00:06:30,083 --> 00:06:32,750 I saw in the file that her dad was normal-sized. 149 00:06:32,750 --> 00:06:34,375 It's average-sized. 150 00:06:34,375 --> 00:06:36,375 Compared to you, I'm sure it was huge. 151 00:06:36,375 --> 00:06:38,125 So did he have a fetish, 152 00:06:38,125 --> 00:06:41,458 or did he just fall in love with your long-legged soul? 153 00:06:41,458 --> 00:06:44,625 He grew up in the circus. Said I reminded him of home. 154 00:06:44,625 --> 00:06:46,583 Seems like you're the one with the fetish. 155 00:06:46,583 --> 00:06:49,917 I'm certainly curious about the logistics. 156 00:06:49,917 --> 00:06:51,542 Did you stand on a table? 157 00:06:51,542 --> 00:06:54,083 House. 158 00:06:54,083 --> 00:06:56,792 Pretty much he'd lay flat and spin me. 159 00:06:56,792 --> 00:06:57,875 Mom! 160 00:06:59,375 --> 00:07:00,667 (Cameron) So, Abigail, 161 00:07:00,667 --> 00:07:02,250 you want to hop up on the table for me? 162 00:07:02,250 --> 00:07:04,875 That's gonna be tough. 163 00:07:04,875 --> 00:07:08,875 Oh, I'm sorry. Uh, let me give you a boost. 164 00:07:08,875 --> 00:07:10,792 (Maddy) Stop treating her like she's five. 165 00:07:10,792 --> 00:07:12,834 Just bring over a stool and let her climb up herself. 166 00:07:12,834 --> 00:07:14,166 Mom, it's okay. 167 00:07:14,166 --> 00:07:16,041 I was just trying to be helpful. 168 00:07:18,750 --> 00:07:20,375 She also hates Jews. 169 00:07:20,375 --> 00:07:22,542 (Maddy) I've dealt with worse. 170 00:07:22,542 --> 00:07:24,834 Being different, you get used to people's idiocy. 171 00:07:24,834 --> 00:07:28,000 Still beats the hell out of actually being an idiot. 172 00:07:29,792 --> 00:07:31,625 What? 173 00:07:31,625 --> 00:07:34,500 Care to go for a spin? 174 00:07:39,834 --> 00:07:41,583 What the hell were you thinking? 175 00:07:41,583 --> 00:07:43,291 You didn't think ratting out 176 00:07:43,291 --> 00:07:44,834 this hospital's best doctor merited 177 00:07:44,834 --> 00:07:46,750 checking with your boss first? 178 00:07:46,750 --> 00:07:48,542 I didn't rat him out. I got him a deal. 179 00:07:48,542 --> 00:07:49,834 Which he'll never take. 180 00:07:49,834 --> 00:07:50,959 He will if we-- 181 00:07:50,959 --> 00:07:52,458 How long have you known House? 182 00:07:52,458 --> 00:07:54,500 Did you think he'd suddenly become reasonable? 183 00:07:54,500 --> 00:07:55,792 I made the deal. It's done. 184 00:07:55,792 --> 00:07:57,291 You can either keep yelling at me, 185 00:07:57,291 --> 00:07:59,000 or you can help me avoid a complete disaster. 186 00:07:59,000 --> 00:08:01,458 It already is gonna be a complete disaster. 187 00:08:01,458 --> 00:08:03,959 He's not gonna take the deal. He's gonna go to jail. 188 00:08:03,959 --> 00:08:05,083 Because he's a child. 189 00:08:05,083 --> 00:08:06,375 He's too stubborn. 190 00:08:06,375 --> 00:08:08,917 When a child misbehaves, what do you do? 191 00:08:08,917 --> 00:08:10,166 You take away something he loves. 192 00:08:10,166 --> 00:08:12,208 We can't take away his Vicodin. 193 00:08:12,208 --> 00:08:14,500 Not only will he be in pain, he'll start to detox. 194 00:08:14,500 --> 00:08:16,500 We tell him the only way to get the pills back 195 00:08:16,500 --> 00:08:17,709 is to take the deal. 196 00:08:17,709 --> 00:08:19,375 He won't be able to function. 197 00:08:19,375 --> 00:08:21,041 That's the point. 198 00:08:21,041 --> 00:08:22,792 You gonna explain that to his patient? 199 00:08:22,792 --> 00:08:26,417 What choice do we have? 200 00:08:26,417 --> 00:08:29,542 [exhales] 201 00:08:32,041 --> 00:08:34,709 Gallium scan shows no bright spots of any kind. 202 00:08:34,709 --> 00:08:36,542 Means it's not TB or any other infection. 203 00:08:36,542 --> 00:08:37,834 There's no bright spots 204 00:08:37,834 --> 00:08:38,959 because the whole thing's too bright. 205 00:08:38,959 --> 00:08:41,250 Except for the liver. 206 00:08:41,250 --> 00:08:43,000 The tech overexposed the image a bit, 207 00:08:43,000 --> 00:08:44,375 but it's nothing. 208 00:08:44,375 --> 00:08:45,667 The liver looks fine. 209 00:08:45,667 --> 00:08:47,542 Could be lung cancer. 210 00:08:47,542 --> 00:08:49,291 Tumor causes structural damage. 211 00:08:49,291 --> 00:08:51,667 Lung caves in on itself. Also explains the anemia. 212 00:08:51,667 --> 00:08:53,500 Doesn't explain the liver problem, though. 213 00:08:53,500 --> 00:08:55,917 Her lung collapsed. There is no liver problem. 214 00:08:55,917 --> 00:08:58,000 You guys look at the liver on this thing? 215 00:08:58,000 --> 00:08:59,250 There's no liver problem. 216 00:08:59,250 --> 00:09:00,583 Seriously, look at the liver. 217 00:09:00,583 --> 00:09:02,667 There's nothing there. Why not? 218 00:09:02,667 --> 00:09:03,917 Because there's nothing wrong. 219 00:09:03,917 --> 00:09:05,375 Every organ in the scan 220 00:09:05,375 --> 00:09:07,834 is lit up like a 100-watt bulb. 221 00:09:07,834 --> 00:09:11,583 Except for her liver, which is hovering around 60 watts. 222 00:09:11,583 --> 00:09:13,500 And not one of them good 60-watters, but an energy saving-- 223 00:09:13,500 --> 00:09:14,625 You're saying her liver's shutting down 224 00:09:14,625 --> 00:09:16,250 because the lighting is off? 225 00:09:16,250 --> 00:09:18,208 You just don't want a cancer diagnosis 226 00:09:18,208 --> 00:09:19,667 because then you'd have to deal with Wilson. 227 00:09:19,667 --> 00:09:22,625 Lung cancer is a lame diagnosis. 228 00:09:22,625 --> 00:09:24,458 Avoiding Wilson is an added bonus. [door opens] 229 00:09:24,458 --> 00:09:25,875 House, we need to talk. 230 00:09:25,875 --> 00:09:29,333 Not taking the deal. Glad we talked. 231 00:09:29,333 --> 00:09:31,291 Ultrasound her liver. 232 00:09:31,291 --> 00:09:33,166 Sit down. 233 00:09:33,166 --> 00:09:35,458 Stand up. Your turn. 234 00:09:35,458 --> 00:09:37,166 House, you're off the case. 235 00:09:37,166 --> 00:09:39,125 Your treatment privileges are suspended 236 00:09:39,125 --> 00:09:40,709 until you accept Tritter's deal. 237 00:09:40,709 --> 00:09:42,709 Well, I'm obviously not gonna take the deal 238 00:09:42,709 --> 00:09:45,417 just so I can have the fun of treating a dwarf. 239 00:09:45,417 --> 00:09:47,333 So I assume there's more to this threat. 240 00:09:47,333 --> 00:09:49,166 I'm also cutting off your Vicodin. 241 00:09:49,166 --> 00:09:50,333 That could work. 242 00:09:50,333 --> 00:09:51,583 I'm taking over as attending. 243 00:09:51,583 --> 00:09:53,166 Get an MRI of her lungs. 244 00:09:53,166 --> 00:09:54,583 This is not lung cancer. 245 00:09:54,583 --> 00:09:58,458 We'll find out as soon as we MRI her lungs. 246 00:10:04,125 --> 00:10:06,959 You're gonna come begging me to save this girl 247 00:10:06,959 --> 00:10:09,375 long before I come begging you for pills. 248 00:10:09,375 --> 00:10:11,834 I hope not. 249 00:10:11,834 --> 00:10:12,917 For everyone's sake. 250 00:10:21,291 --> 00:10:22,417 This is wrong. 251 00:10:22,417 --> 00:10:24,375 Cutting House off? 252 00:10:24,375 --> 00:10:26,417 Might not work, but it's not wrong. 253 00:10:26,417 --> 00:10:27,583 Bone windows looks clean. 254 00:10:27,583 --> 00:10:30,125 [MRI pulsing] 255 00:10:30,125 --> 00:10:32,041 Abigail, we need you to hold still, okay? 256 00:10:32,041 --> 00:10:33,875 (Abigail) Can I come out? 257 00:10:33,875 --> 00:10:35,917 Just hang in there two more minutes and we'll be done. 258 00:10:35,917 --> 00:10:37,625 Okay. 259 00:10:37,625 --> 00:10:40,375 Because it's effective doesn't make it right. 260 00:10:40,375 --> 00:10:41,875 Cuddy's bending the rules to get a patient 261 00:10:41,875 --> 00:10:43,166 to do the right thing. 262 00:10:43,166 --> 00:10:44,750 Who'd work for a doctor like that? 263 00:10:44,750 --> 00:10:46,917 And the ends justify the means? 264 00:10:46,917 --> 00:10:49,709 If the ends involve us keeping our jobs, sure. 265 00:10:49,709 --> 00:10:52,417 Lung parenchyma is clean. No masses. 266 00:10:52,417 --> 00:10:54,125 It's not lung cancer. 267 00:10:54,125 --> 00:10:56,083 [Abigail coughing] 268 00:10:56,083 --> 00:10:57,792 Abigail, you okay? 269 00:11:05,166 --> 00:11:07,458 House was right. Her liver's failing. 270 00:11:07,458 --> 00:11:09,166 Endoscopy confirmed the vomiting 271 00:11:09,166 --> 00:11:10,667 was cause by variceal bleeding. 272 00:11:10,667 --> 00:11:13,834 Blood work also confirms House's hypothesis-- 273 00:11:13,834 --> 00:11:16,166 I get it. House was right. It's the liver. 274 00:11:16,166 --> 00:11:17,583 Let's move on. 275 00:11:17,583 --> 00:11:20,333 What causes liver disease and a collapsed lung? 276 00:11:20,333 --> 00:11:22,166 Schistosomiasis, the parasite-- 277 00:11:22,166 --> 00:11:23,500 There's no eosinophilia. 278 00:11:23,500 --> 00:11:24,625 Cirrhosis could explain-- 279 00:11:24,625 --> 00:11:26,083 Could be a hepatoma. 280 00:11:26,083 --> 00:11:29,625 She's 15. It's not liver cancer. 281 00:11:29,625 --> 00:11:31,500 It's not unheard of. 282 00:11:31,500 --> 00:11:33,208 Cirrhosis fits better. 283 00:11:33,208 --> 00:11:34,792 The question is, what caused it? 284 00:11:34,792 --> 00:11:36,375 Could be hepatitis, Budd-Chiari. 285 00:11:36,375 --> 00:11:38,041 Or drugs and alcohol. 286 00:11:38,041 --> 00:11:39,667 If anyone has a reason to dull the pain, 287 00:11:39,667 --> 00:11:40,875 it's a teenage dwarf. 288 00:11:40,875 --> 00:11:42,333 I'll do a liver biopsy to confirm. 289 00:11:42,333 --> 00:11:43,542 I'll search the patient's home 290 00:11:43,542 --> 00:11:45,792 for drugs and alcohol. 291 00:11:47,458 --> 00:11:49,750 Cameron, you got a moment? 292 00:11:56,500 --> 00:11:59,834 What exactly is your problem with me? 293 00:11:59,834 --> 00:12:02,208 Hepatoma is a weak diagnosis. 294 00:12:02,208 --> 00:12:03,875 So this is all about the case? 295 00:12:03,875 --> 00:12:05,083 What else would it be about? 296 00:12:07,959 --> 00:12:10,792 I made this deal to help him. 297 00:12:10,792 --> 00:12:13,041 And helped yourself at the same time. 298 00:12:13,041 --> 00:12:16,291 This is not my practice. This is not about my car. 299 00:12:16,291 --> 00:12:18,041 I gave both of them up to help House, 300 00:12:18,041 --> 00:12:19,625 and I would've gone on without them 301 00:12:19,625 --> 00:12:21,375 if hadn't almost maimed that little girl 302 00:12:21,375 --> 00:12:22,709 and if he hadn't punched out Chase. 303 00:12:22,709 --> 00:12:24,041 Was it an easy choice? 304 00:12:24,041 --> 00:12:26,750 Of course not, but it's right. 305 00:12:26,750 --> 00:12:28,458 Then why wasn't it easy? 306 00:12:28,458 --> 00:12:31,083 Because he's my friend. 307 00:12:31,083 --> 00:12:33,041 It's obviously complicated. 308 00:12:33,041 --> 00:12:34,792 It's complicated? 309 00:12:34,792 --> 00:12:36,333 When you decided to talk to Tritter, 310 00:12:36,333 --> 00:12:38,333 your life got a million times better. 311 00:12:38,333 --> 00:12:40,458 How do you separate that out? 312 00:12:40,458 --> 00:12:42,500 How do you pretend your windfall 313 00:12:42,500 --> 00:12:43,959 isn't relevant to this decision? 314 00:12:47,250 --> 00:12:49,959 It was the right thing to do. 315 00:12:49,959 --> 00:12:52,125 You pretending your motives are pure 316 00:12:52,125 --> 00:12:54,000 is why I have a problem. 317 00:12:56,917 --> 00:12:58,000 [door opens] 318 00:13:05,417 --> 00:13:06,542 [door opens] 319 00:13:06,542 --> 00:13:08,750 Where's Cuddy? In this drawer. 320 00:13:08,750 --> 00:13:10,208 It's a rescue mission. 321 00:13:10,208 --> 00:13:11,959 But I got it under control. You can leave. 322 00:13:14,375 --> 00:13:16,333 You were right about the liver failure. 323 00:13:16,333 --> 00:13:17,667 Patient had variceal bleeding 324 00:13:17,667 --> 00:13:18,792 which suggested cirrhosis, but-- 325 00:13:18,792 --> 00:13:20,375 Off the clock. 326 00:13:20,375 --> 00:13:22,041 You predicted this. You obviously saw something. 327 00:13:22,041 --> 00:13:23,458 Obviously. 328 00:13:23,458 --> 00:13:26,333 Liver biopsy was negative for cirrhosis. 329 00:13:26,333 --> 00:13:28,583 But it shows sclerosing cholangitis. 330 00:13:28,583 --> 00:13:30,709 Even weirder, there's no increase 331 00:13:30,709 --> 00:13:32,250 in alkaline phosphatase. 332 00:13:32,250 --> 00:13:33,875 Hmm. Medical mystery. 333 00:13:33,875 --> 00:13:35,792 Sounds like the kind of thing I'd be good at. 334 00:13:39,000 --> 00:13:40,500 Breaking and entering 335 00:13:40,500 --> 00:13:42,500 sounds like the kind of thing you'd be good at. 336 00:13:42,500 --> 00:13:44,917 I take it that's where Cuddy's been keeping your pills. 337 00:13:44,917 --> 00:13:48,083 One theory, one drawer. 338 00:13:53,667 --> 00:13:55,667 Really? 339 00:13:55,667 --> 00:13:57,333 I thought you'd be all for this "torture House plan." 340 00:13:57,333 --> 00:13:58,917 It works, therefore it's good. 341 00:13:58,917 --> 00:14:01,125 On the other hand, I don't want to talk you out 342 00:14:01,125 --> 00:14:03,000 of this deal by pointing out your hypocrisy, 343 00:14:03,000 --> 00:14:06,917 so patient's life at stake, blah, blah, blah, blah. 344 00:14:06,917 --> 00:14:09,041 Forget about the specific nature of the liver dysfunction. 345 00:14:09,041 --> 00:14:11,166 It's irrelevant. The dwarf's problem is global. 346 00:14:11,166 --> 00:14:13,041 That's why the gallium scan was bright. 347 00:14:13,041 --> 00:14:14,667 And it's gonna spread throughout her entire body 348 00:14:14,667 --> 00:14:15,792 unless you stop it. 349 00:14:15,792 --> 00:14:17,250 If that were true, 350 00:14:17,250 --> 00:14:19,417 more than lungs and liver would be affected. 351 00:14:19,417 --> 00:14:20,750 They will be. 352 00:14:20,750 --> 00:14:22,375 It'll spread though the biliary tree 353 00:14:22,375 --> 00:14:24,208 and hit her pancreas next. 354 00:14:24,208 --> 00:14:26,208 Stop retracing your steps. Get ahead of it. 355 00:14:26,208 --> 00:14:28,166 Forget the liver and focus on the pancreas. 356 00:14:28,166 --> 00:14:30,542 'Cause after that-- Actually, after that 357 00:14:30,542 --> 00:14:32,208 doesn't really matter what it hits 358 00:14:32,208 --> 00:14:33,834 because pretty much all roads lead to a dead dwarf. 359 00:14:33,834 --> 00:14:35,250 [lock clicks] 360 00:14:35,250 --> 00:14:39,250 I get why you don't want to go to rehab. 361 00:14:39,250 --> 00:14:42,000 But only an idiot goes to prison for being stubborn. 362 00:14:42,000 --> 00:14:45,417 Only an idiot stands between Ahab and his whale. 363 00:14:45,417 --> 00:14:46,834 Move. 364 00:14:46,834 --> 00:14:48,625 [drawer opens] 365 00:14:55,709 --> 00:14:58,500 Sorry. 366 00:15:07,250 --> 00:15:09,417 Santa's got gifts. 367 00:15:09,417 --> 00:15:10,834 Olive oil wasn't in the kitchen. 368 00:15:10,834 --> 00:15:12,041 It was in the medicine cabinet. 369 00:15:12,041 --> 00:15:13,583 Home remedy for ear infections. 370 00:15:13,583 --> 00:15:14,792 Ear infections are fairly typical 371 00:15:14,792 --> 00:15:15,917 among CHH dwarves. 372 00:15:15,917 --> 00:15:17,458 Or it's a symptom. 373 00:15:17,458 --> 00:15:19,583 Certainly wouldn't indicate a pancreatic problem. 374 00:15:19,583 --> 00:15:21,834 Or House is wrong and it's a symptom. 375 00:15:21,834 --> 00:15:23,375 Laxatives. 376 00:15:23,375 --> 00:15:24,750 I don't think they were used 377 00:15:24,750 --> 00:15:26,500 to maintain her girlish figure. 378 00:15:26,500 --> 00:15:28,166 Again, intestinal problems are common-- 379 00:15:28,166 --> 00:15:29,583 Again, it might be a symptom. 380 00:15:29,583 --> 00:15:33,041 And glucosamine suggests chronic joint pain-- 381 00:15:33,041 --> 00:15:35,959 Who ordered the Alpha-1 antitrypsin deficiency test? 382 00:15:35,959 --> 00:15:37,333 I did. 383 00:15:37,333 --> 00:15:39,041 You think the problem's in her pancreas? 384 00:15:39,041 --> 00:15:40,291 Well, I think it will be. 385 00:15:40,291 --> 00:15:41,834 I think we need to forget about the liver. 386 00:15:41,834 --> 00:15:43,166 We just forgot about the lungs. 387 00:15:43,166 --> 00:15:44,583 Now we need to forget about the liver? 388 00:15:44,583 --> 00:15:46,333 We need to stop retracing our steps 389 00:15:46,333 --> 00:15:48,125 and get ahead of this thing. 390 00:15:49,625 --> 00:15:52,041 House, you've tanned. 391 00:15:52,041 --> 00:15:54,125 You don't think I could've come up with this? 392 00:15:54,125 --> 00:15:55,583 Did you? 393 00:15:55,583 --> 00:15:57,750 You suspended House because it'd be dangerous 394 00:15:57,750 --> 00:15:59,834 having him in charge, but getting his opinion-- 395 00:15:59,834 --> 00:16:01,417 I'm sure he gave you that opinion 396 00:16:01,417 --> 00:16:02,792 simply because he was worried about the patient. 397 00:16:02,792 --> 00:16:04,625 Just because House wants his pills 398 00:16:04,625 --> 00:16:06,333 doesn't mean his theory is wrong. 399 00:16:06,333 --> 00:16:08,166 No, the test results mean that. 400 00:16:08,166 --> 00:16:09,959 Your test was negative. 401 00:16:09,959 --> 00:16:11,625 And the biopsy indicated severe duct inflammation. 402 00:16:11,625 --> 00:16:15,709 Do an ERCP to check the liver for bile duct cancer. 403 00:16:15,709 --> 00:16:16,917 Just because it wasn't Alpha-1 doesn't mean 404 00:16:16,917 --> 00:16:18,291 the pancreas isn't next. 405 00:16:18,291 --> 00:16:19,417 (Wilson) You needed an organ. 406 00:16:19,417 --> 00:16:21,083 He needed a fix. 407 00:16:21,083 --> 00:16:22,542 He'd have made up any story for a pill. 408 00:16:22,542 --> 00:16:23,750 You didn't give him anything, did you? 409 00:16:23,750 --> 00:16:25,166 No. 410 00:16:31,834 --> 00:16:34,458 Ow! 411 00:16:34,458 --> 00:16:37,875 There's no bruise or nothing, but it really hurts. 412 00:16:37,875 --> 00:16:39,917 Unfortunately, that pain and lack of bruising. 413 00:16:39,917 --> 00:16:41,709 is typical of a zygomatic break. 414 00:16:41,709 --> 00:16:44,166 Wow. That sounds bad. 415 00:16:44,166 --> 00:16:46,750 Hmm, bones are aligned properly. 416 00:16:46,750 --> 00:16:48,500 Which ER did you go to after the car accident? 417 00:16:48,500 --> 00:16:50,333 Princeton Plainsboro. 418 00:16:50,333 --> 00:16:52,458 Here's my discharge slip. 419 00:16:52,458 --> 00:16:54,000 Okay. 420 00:16:54,000 --> 00:16:56,875 Gonna get you some acetaminophen with codeine. 421 00:16:56,875 --> 00:16:59,959 I tried that, and it makes me nauseous. 422 00:16:59,959 --> 00:17:02,375 Uh, there's a drug called gabapentin 423 00:17:02,375 --> 00:17:04,583 which is good for certain kinds of pains. 424 00:17:04,583 --> 00:17:06,458 Great, 'cause I haven't slept in days. 425 00:17:06,458 --> 00:17:09,125 Gabapentin's not really gonna help with the sleep. 426 00:17:09,125 --> 00:17:10,917 Oh. 427 00:17:10,917 --> 00:17:12,542 Is there something else you can give me? 428 00:17:12,542 --> 00:17:17,000 Uh, Vicodin's your best bet with sleep issues. 429 00:17:17,000 --> 00:17:18,667 Thanks so much. 430 00:17:18,667 --> 00:17:21,333 Unfortunately, our policy forbids 431 00:17:21,333 --> 00:17:23,166 prescribing opiates to new patients. 432 00:17:23,166 --> 00:17:26,542 How can a clinic have a rule against relieving pain? 433 00:17:26,542 --> 00:17:28,041 Just with opiates. 434 00:17:28,041 --> 00:17:29,250 We find that it helps weed out drug seekers. 435 00:17:29,250 --> 00:17:30,875 You think I'm a drug seeker? 436 00:17:30,875 --> 00:17:33,000 I'm not saying that. Well, then give me the Vicodin. 437 00:17:33,000 --> 00:17:35,500 I can't. Because you think I'm a drug seeker. 438 00:17:35,500 --> 00:17:37,041 I just said I didn't. 439 00:17:37,041 --> 00:17:39,709 No, you said that the policy was to stop drug seeking. 440 00:17:39,709 --> 00:17:41,542 Then you said I'm not a drug seeker. 441 00:17:41,542 --> 00:17:43,417 Policy doesn't apply. 442 00:17:43,417 --> 00:17:44,834 I'm sorry. That's the policy. 443 00:17:44,834 --> 00:17:47,792 Gabapentin works on nerve damage. 444 00:17:47,792 --> 00:17:49,291 You're prescribing it for a broken face. 445 00:17:49,291 --> 00:17:50,792 Might as well hand out Band-Aids 446 00:17:50,792 --> 00:17:51,917 for a severed carotid. 447 00:17:51,917 --> 00:17:53,500 You're a doctor. 448 00:17:53,500 --> 00:17:55,000 Not by this clinic's definition 449 00:17:55,000 --> 00:17:57,000 since I'm neither a moron nor a mindless drone. 450 00:17:57,000 --> 00:17:58,834 Security. 451 00:17:58,834 --> 00:18:02,291 Forget it. I'll throw myself out. 452 00:18:06,083 --> 00:18:09,041 That tube is going all the way down to my liver? 453 00:18:09,041 --> 00:18:11,250 Don't worry. You'll be sedated. 454 00:18:11,250 --> 00:18:13,667 Sometimes doctors have to do things 455 00:18:13,667 --> 00:18:16,417 that make people uncomfortable to help them. 456 00:18:16,417 --> 00:18:18,625 But we always want to respect the patient's wishes 457 00:18:18,625 --> 00:18:19,917 and not shove things down their throats. 458 00:18:23,250 --> 00:18:24,333 Foreman. 459 00:18:27,166 --> 00:18:28,291 You haven't given her the sedative. 460 00:18:28,291 --> 00:18:29,875 No. 461 00:18:29,875 --> 00:18:31,792 Abigail! 462 00:18:31,792 --> 00:18:34,834 Abigail! She's unconscious. 463 00:18:34,834 --> 00:18:37,625 Check her airway. 464 00:18:37,625 --> 00:18:39,125 Airway's clear. 465 00:18:39,125 --> 00:18:41,000 Her breath smells fruity. 466 00:18:41,000 --> 00:18:43,208 Diabetic ketoacidosis. 467 00:18:43,208 --> 00:18:45,875 Hang an insult drip at .1 migs per kig per hour. 468 00:18:45,875 --> 00:18:47,500 Pancreas is failing. 469 00:18:47,500 --> 00:18:48,625 You ready to call House yet? 470 00:18:48,625 --> 00:18:51,959 [sighs] 471 00:18:57,083 --> 00:18:58,458 You were right. 472 00:18:58,458 --> 00:18:59,917 The patient's pancreas is failing. 473 00:18:59,917 --> 00:19:02,583 Told you you'd come begging me for help. 474 00:19:02,583 --> 00:19:05,917 Her insulin production is almost non-existent-- 475 00:19:05,917 --> 00:19:09,500 Give me my pills or lose an arm. 476 00:19:09,500 --> 00:19:11,166 The girl is dying. So give me my pills. 477 00:19:11,166 --> 00:19:13,083 Take the deal and I will. 478 00:19:13,083 --> 00:19:17,709 You'd rather kill this girl than give me my pills. 479 00:19:17,709 --> 00:19:21,250 I would rather lose one patient now 480 00:19:21,250 --> 00:19:23,792 than the dozens we will lose while you're in prison. 481 00:19:26,500 --> 00:19:27,792 Well, have fun explaining that 482 00:19:27,792 --> 00:19:30,417 to her itsy-bitsy grieving mother. 483 00:19:36,375 --> 00:19:38,667 What if we sacrifice this girl and House still goes to jail? 484 00:19:38,667 --> 00:19:41,542 I'd feel bad. Can we get on with this? 485 00:19:41,542 --> 00:19:43,625 House correctly predicted the spread. 486 00:19:43,625 --> 00:19:45,375 Means we've got a global systemic illness 487 00:19:45,375 --> 00:19:48,000 affecting lungs, liver, and pancreas so far. 488 00:19:48,000 --> 00:19:49,333 Ideas. 489 00:19:49,333 --> 00:19:50,625 Langerhans cell histiocytosis 490 00:19:50,625 --> 00:19:52,083 attacks multiple organ systems. 491 00:19:52,083 --> 00:19:53,792 Histiocytosis usually starts in the brain, 492 00:19:53,792 --> 00:19:55,125 then moves to the internal organs. 493 00:19:55,125 --> 00:19:57,917 Abigail's brain is fine. Cystic fibrosis. 494 00:19:57,917 --> 00:20:00,709 Exocrine function is normal. Hodgkin's lymphoma. 495 00:20:00,709 --> 00:20:03,333 It's a systemic cancer which her dwarfism predisposes her to. 496 00:20:03,333 --> 00:20:04,625 Do you have any ideas that aren't cancer? 497 00:20:04,625 --> 00:20:06,625 Cancer fits. Autoimmune fits better. 498 00:20:06,625 --> 00:20:08,500 We should treat her with prednisone for lupus. 499 00:20:08,500 --> 00:20:11,000 That'll spike her blood sugar and put her back in a coma. 500 00:20:11,000 --> 00:20:12,959 It's much safer just to run a double-stranded DNA test. 501 00:20:12,959 --> 00:20:14,625 Not if she dies before we get the results. 502 00:20:14,625 --> 00:20:16,667 One of you is probably right. 503 00:20:16,667 --> 00:20:19,291 Why don't we hold the sniping until we find out which? 504 00:20:19,291 --> 00:20:21,250 Wilson, do an LP for lymphoma. 505 00:20:21,250 --> 00:20:24,667 You guys, run an antibody test for lupus. 506 00:20:24,667 --> 00:20:26,709 [sighs] 507 00:20:28,250 --> 00:20:31,166 Because of your daughter's dwarfism, 508 00:20:31,166 --> 00:20:32,750 we've had to pick a higher entry point 509 00:20:32,750 --> 00:20:35,208 for the lumbar puncture, which increases the risk. 510 00:20:35,208 --> 00:20:37,208 So why not do the lupus test first? 511 00:20:37,208 --> 00:20:38,667 In the interest of time, we think it's best 512 00:20:38,667 --> 00:20:40,166 to proceed on both fronts. 513 00:20:40,166 --> 00:20:43,000 You have no idea what's wrong with my daughter. 514 00:20:43,000 --> 00:20:44,875 We have several theories. 515 00:20:44,875 --> 00:20:46,208 What does Dr. House think? 516 00:20:46,208 --> 00:20:48,458 He's-- He had to go home sick. 517 00:20:48,458 --> 00:20:50,500 My daughter may be dying, 518 00:20:50,500 --> 00:20:52,125 and he's gone home with the sniffles? 519 00:20:52,125 --> 00:20:53,625 He's not-- 520 00:20:53,625 --> 00:20:55,792 He was the only one who seemed to have any idea 521 00:20:55,792 --> 00:20:56,917 what was wrong with her. 522 00:20:56,917 --> 00:20:58,375 He better be really damn sick. 523 00:20:58,375 --> 00:21:01,458 He is. 524 00:21:04,542 --> 00:21:07,917 (House) Unless you got Vicodin, go away. 525 00:21:07,917 --> 00:21:10,125 House, it's me. I, uh-- 526 00:21:12,834 --> 00:21:14,375 Oh, God. 527 00:21:15,959 --> 00:21:17,625 I don't have-- 528 00:21:17,625 --> 00:21:20,709 No pills, no eggnog. 529 00:21:22,709 --> 00:21:23,959 What happened to your arm? 530 00:21:25,834 --> 00:21:27,750 Cut myself. 531 00:21:31,542 --> 00:21:34,917 Wilson was wrong about lymphoma. 532 00:21:34,917 --> 00:21:37,375 Kid's not losing any weight, no night sweats. 533 00:21:37,375 --> 00:21:38,917 Cuddy send you? 534 00:21:38,917 --> 00:21:42,542 No, she doesn't trust me not to give you pills. 535 00:21:42,542 --> 00:21:44,583 Is she right? 536 00:21:44,583 --> 00:21:49,000 House, these cuts are straight in a row. 537 00:21:49,000 --> 00:21:52,959 You did this on purpose. 538 00:21:52,959 --> 00:21:55,792 Cutting releases endorphins. 539 00:21:55,792 --> 00:21:57,333 Endorphins relieve pain. 540 00:21:57,333 --> 00:22:00,000 You gonna get me some pills? 541 00:22:00,000 --> 00:22:01,792 No. 542 00:22:01,792 --> 00:22:04,083 Then you can leave. 543 00:22:04,083 --> 00:22:07,000 No constitutional symptoms means-- 544 00:22:07,000 --> 00:22:08,542 Soon as the kid gets cured, 545 00:22:08,542 --> 00:22:10,959 Cuddy's got no pressure to fold. 546 00:22:10,959 --> 00:22:13,291 You really think she's gonna fold? 547 00:22:18,959 --> 00:22:22,709 Autoimmune fits better than cancer. 548 00:22:22,709 --> 00:22:26,917 But lupus loves kidneys, usually attacks them first. 549 00:22:26,917 --> 00:22:29,458 Kidneys are fine, right? Yeah. 550 00:22:29,458 --> 00:22:32,625 House, take the deal. 551 00:22:32,625 --> 00:22:34,583 You can survive without Vicodin. 552 00:22:34,583 --> 00:22:37,834 After you were shot, you stayed clean for months. 553 00:22:37,834 --> 00:22:39,667 Yeah, I wonder if it had something to do 554 00:22:39,667 --> 00:22:41,041 with the absence of pain. 555 00:22:41,041 --> 00:22:42,333 Leave that. 556 00:22:42,333 --> 00:22:43,625 I want to be able to pour alcohol on it 557 00:22:43,625 --> 00:22:44,834 so I can distract myself. 558 00:22:44,834 --> 00:22:47,041 Then you can rip off the bandage. 559 00:22:52,375 --> 00:22:54,125 Kid been sick lately? 560 00:22:54,125 --> 00:22:55,875 There's a history of ear infections. 561 00:22:59,166 --> 00:23:02,834 Say Abigail's immune system 562 00:23:02,834 --> 00:23:05,709 is like a shy guy in a bar. 563 00:23:05,709 --> 00:23:07,709 And the ear infections, 564 00:23:07,709 --> 00:23:11,166 they come in and try to coax him to-- 565 00:23:11,166 --> 00:23:13,125 [sighs] 566 00:23:13,125 --> 00:23:16,208 To hell with the metaphor. You get the point, right? 567 00:23:16,208 --> 00:23:19,041 Nerd gets drunk. Trashes the bar. 568 00:23:19,041 --> 00:23:22,542 One of the autoimmunes triggered by a minor infection. 569 00:23:22,542 --> 00:23:26,125 Factor in her age, elevated sed-rate, anemia... 570 00:23:26,125 --> 00:23:28,333 It's Still's disease. 571 00:23:28,333 --> 00:23:31,917 You start her on prednisone, methotrexate, cyclosporin. 572 00:23:33,750 --> 00:23:35,542 House. 573 00:23:35,542 --> 00:23:37,667 Stop this. 574 00:23:37,667 --> 00:23:38,959 Please. 575 00:24:02,750 --> 00:24:04,375 What'd he say? 576 00:24:04,375 --> 00:24:07,291 Still's disease. It's chronic, but manageable. 577 00:24:07,291 --> 00:24:09,000 A diagnosis that's virtually unconfirmable. 578 00:24:09,000 --> 00:24:10,250 And with a treatment that's more dangerous 579 00:24:10,250 --> 00:24:13,792 than what we were considering for lupus. 580 00:24:13,792 --> 00:24:15,333 How bad is he? 581 00:24:15,333 --> 00:24:17,250 Are you asking because you care, 582 00:24:17,250 --> 00:24:19,792 or because you're wondering whether to trust his opinion? 583 00:24:19,792 --> 00:24:22,750 Both. He's detoxing. 584 00:24:22,750 --> 00:24:24,458 In agony. 585 00:24:24,458 --> 00:24:27,792 He started cutting himself. 586 00:24:27,792 --> 00:24:30,208 But he's still House. 587 00:24:31,959 --> 00:24:34,750 I'll order the treatment. 588 00:24:44,917 --> 00:24:46,959 [elevator pings] 589 00:24:54,834 --> 00:24:57,083 Ahem! 590 00:24:57,083 --> 00:24:58,583 Your plan isn't working. 591 00:24:58,583 --> 00:25:02,291 Two days down, one to go. 592 00:25:02,291 --> 00:25:04,834 Figured I'd show you how much it isn't working. 593 00:25:04,834 --> 00:25:08,333 Yeah, clearly the drugs have no hold on you. 594 00:25:08,333 --> 00:25:12,333 We both know that my pride 595 00:25:12,333 --> 00:25:14,500 far surpasses my instinct for self-preservation. 596 00:25:14,500 --> 00:25:17,166 You want to redeem yourself? Give up now. 597 00:25:17,166 --> 00:25:19,000 And you'll go to jail. 598 00:25:19,000 --> 00:25:21,417 I've done nothing wrong. 599 00:25:21,417 --> 00:25:25,834 And you'll go to jail. 600 00:25:25,834 --> 00:25:27,875 Which makes this your last chance 601 00:25:27,875 --> 00:25:30,458 to do me a kindness before ruining my life forever. 602 00:25:33,041 --> 00:25:35,375 The nausea's bad this time. 603 00:25:38,208 --> 00:25:40,041 You can write me a scrip for metoclopramide 604 00:25:40,041 --> 00:25:41,792 so I can stop puking. 605 00:25:43,417 --> 00:25:45,667 They'd give me that in rehab. 606 00:25:45,667 --> 00:25:49,709 Then you should go to rehab. 607 00:25:49,709 --> 00:25:51,208 I have a patient. 608 00:26:06,834 --> 00:26:09,667 I'm so sorry for your loss. 609 00:26:09,667 --> 00:26:13,458 I know it's little solace, but he went without pain. 610 00:26:16,583 --> 00:26:18,792 House. 611 00:26:18,792 --> 00:26:20,917 Well, look on the bright side. 612 00:26:20,917 --> 00:26:23,917 At least you don't have to go by Mrs. Zebalusky anymore. 613 00:26:23,917 --> 00:26:25,709 That's gotta be a relief. 614 00:26:25,709 --> 00:26:27,834 You know this man? 615 00:26:27,834 --> 00:26:29,250 I'm sorry. He's sick-- 616 00:26:29,250 --> 00:26:31,208 Did you hear my diagnosis on the dwarf? 617 00:26:31,208 --> 00:26:32,875 Still's disease. 618 00:26:32,875 --> 00:26:35,375 Did you even consider those ear infections, 619 00:26:35,375 --> 00:26:37,917 or you just wrote it off as a dwarf thing? 620 00:26:37,917 --> 00:26:39,125 You sure he's dead? 621 00:26:39,125 --> 00:26:41,709 Dr. Wilson sometimes misses things. 622 00:26:41,709 --> 00:26:43,750 Trying to embarrass me in front of grieving widow 623 00:26:43,750 --> 00:26:45,041 crosses lines that even-- 624 00:26:45,041 --> 00:26:47,792 Right! I'm pathetic. 625 00:26:47,792 --> 00:26:49,625 I'm stung out, haven't slept, 626 00:26:49,625 --> 00:26:51,917 puking every hour, and I still out-diagnosed you. 627 00:26:51,917 --> 00:26:53,625 But I'm supposed to let you decide what's best-- 628 00:26:53,625 --> 00:26:54,709 Please! 629 00:26:56,000 --> 00:26:58,000 Please leave. 630 00:27:00,083 --> 00:27:02,458 Sorry. 631 00:27:02,458 --> 00:27:03,709 I'm done. 632 00:27:05,792 --> 00:27:06,875 House. 633 00:27:12,083 --> 00:27:13,875 You didn't come in here just to embarrass me. 634 00:27:13,875 --> 00:27:15,542 You could do that any time. 635 00:27:18,125 --> 00:27:19,792 Stealing Oxy from a dead man. 636 00:27:19,792 --> 00:27:21,625 Yeah, you don't have a problem. 637 00:27:31,250 --> 00:27:32,542 [door opens] 638 00:27:35,834 --> 00:27:37,125 How's the girl? 639 00:27:37,125 --> 00:27:38,250 Much better. 640 00:27:40,333 --> 00:27:41,542 House was right. 641 00:27:41,542 --> 00:27:43,291 It happens. 642 00:27:43,291 --> 00:27:46,834 I thought we could handle this. 643 00:27:46,834 --> 00:27:48,792 Still's disease never crossed my mind. 644 00:27:48,792 --> 00:27:51,542 Don't beat yourself up. I didn't get it either. 645 00:27:55,041 --> 00:27:56,667 Whew. 646 00:28:03,166 --> 00:28:08,667 [chuckles] I feel like a mob informant. 647 00:28:08,667 --> 00:28:11,166 You wanna go inside? 648 00:28:11,166 --> 00:28:13,208 Got a cafeteria in there, right? 649 00:28:13,208 --> 00:28:14,959 I can't testify. 650 00:28:17,417 --> 00:28:20,667 Drug addicts hurt the people around them with their habit. 651 00:28:20,667 --> 00:28:24,583 House has hurt plenty of people, you included. 652 00:28:24,583 --> 00:28:26,542 He saves lives. 653 00:28:26,542 --> 00:28:27,792 People that no one else can save. 654 00:28:27,792 --> 00:28:31,417 And no matter how much of an ass he is, 655 00:28:31,417 --> 00:28:34,417 statistically House is a positive force 656 00:28:34,417 --> 00:28:36,917 in the universe. 657 00:28:36,917 --> 00:28:38,333 The pills let him do that. 658 00:28:38,333 --> 00:28:42,333 Vicodin does not make House a genius. 659 00:28:42,333 --> 00:28:46,208 Whatever he does on the pills, he can do off. 660 00:28:46,208 --> 00:28:47,750 He's just not willing to try. 661 00:28:50,917 --> 00:28:54,792 I won't testify against him. 662 00:28:54,792 --> 00:28:56,917 Then we'll subpoena you. 663 00:28:56,917 --> 00:29:00,500 And your previous statement will be read into evidence. 664 00:29:00,500 --> 00:29:03,166 And you will be charged with interfering 665 00:29:03,166 --> 00:29:05,750 with an investigation. 666 00:29:05,750 --> 00:29:07,208 And you will go to jail. 667 00:29:13,041 --> 00:29:17,125 Again, statistically, better me than him. 668 00:29:17,125 --> 00:29:19,041 Statistically... 669 00:29:19,041 --> 00:29:22,250 the two of you will be in jail. 670 00:29:25,625 --> 00:29:28,917 [water running] 671 00:29:56,875 --> 00:29:58,875 Dr. Cameron, come quick. 672 00:29:58,875 --> 00:30:00,667 There's something wrong with Abby. 673 00:30:00,667 --> 00:30:02,667 Couldn't be too severe. Her cardiac alarm didn't go off. 674 00:30:02,667 --> 00:30:06,166 It's not her heart. She's bleeding. 675 00:30:08,083 --> 00:30:11,375 Picking up a scrip. Under Zebalusky. 676 00:30:16,625 --> 00:30:19,291 This is, uh, Dr. Wilson's patient. 677 00:30:19,291 --> 00:30:21,125 Yeah. 678 00:30:21,125 --> 00:30:22,500 Wilson's busy right now. 679 00:30:22,500 --> 00:30:25,792 What with Mr. Zebalusky dying in agony 680 00:30:25,792 --> 00:30:27,667 on account of his metastic lung cancer 681 00:30:27,667 --> 00:30:30,208 and not having the pills to relieve that agony 682 00:30:30,208 --> 00:30:32,792 because of some moron pharmacist. 683 00:30:34,333 --> 00:30:35,417 Sign the book. 684 00:31:03,917 --> 00:31:06,458 Bleeding wasn't a ruptured eardrum, ear infection, 685 00:31:06,458 --> 00:31:08,208 or bleeding disorder. 686 00:31:08,208 --> 00:31:10,000 Her heart rate's climbing. Blood pressure's dropping. 687 00:31:10,000 --> 00:31:12,417 She's on the verge of a multi-system failure. 688 00:31:12,417 --> 00:31:14,125 Head CT was clean. 689 00:31:14,125 --> 00:31:15,542 Means it's not a neurological problem. 690 00:31:15,542 --> 00:31:17,041 Basically we have nothing. 691 00:31:17,041 --> 00:31:18,417 Cancer is still on the table. 692 00:31:18,417 --> 00:31:20,834 Spinal fluid was negative for lymphoma. 693 00:31:20,834 --> 00:31:22,375 What other-- Leukemia. 694 00:31:22,375 --> 00:31:23,959 We need to do a bone marrow biopsy. 695 00:31:23,959 --> 00:31:25,375 None of the blood tests suggest leukemia. 696 00:31:25,375 --> 00:31:28,375 Cancer doesn't explain the collapsed lung. 697 00:31:28,375 --> 00:31:30,542 Unless a small clot lead to a pulmonary infarct. 698 00:31:30,542 --> 00:31:31,959 It's a long shot. Autoimmune is way more likely. 699 00:31:31,959 --> 00:31:33,208 Autoimmune diseases respond to steroids, 700 00:31:33,208 --> 00:31:34,333 which we've given her. 701 00:31:34,333 --> 00:31:35,959 And she got better for a while. 702 00:31:35,959 --> 00:31:37,500 We stopped the treatment too soon. Because she crashed. 703 00:31:37,500 --> 00:31:39,291 All we're doing is bouncing back and forth 704 00:31:39,291 --> 00:31:40,458 between cancer and autoimmune. 705 00:31:40,458 --> 00:31:42,458 We're going in circles. 706 00:31:49,959 --> 00:31:52,917 Give me half an hour. 707 00:31:52,917 --> 00:31:55,875 [children laughing and shouting] 708 00:32:01,291 --> 00:32:02,625 Can I have a French fry? 709 00:32:02,625 --> 00:32:05,208 Get your own. 710 00:32:05,208 --> 00:32:07,667 You took the last ones. 711 00:32:07,667 --> 00:32:09,959 What's wrong with you? 712 00:32:09,959 --> 00:32:12,458 I got spinal muscular atrophy. 713 00:32:12,458 --> 00:32:14,208 [sighs] 714 00:32:14,208 --> 00:32:17,625 Guess it's not contagious. 715 00:32:17,625 --> 00:32:19,542 Nice bear. 716 00:32:19,542 --> 00:32:21,291 It's a dog. 717 00:32:21,291 --> 00:32:22,458 (Cuddy) House. 718 00:32:22,458 --> 00:32:24,542 It's not Still's. 719 00:32:24,542 --> 00:32:25,834 Steroids helped until the patient 720 00:32:25,834 --> 00:32:28,625 started bleeding from the ears and mouth. 721 00:32:28,625 --> 00:32:30,709 That's a bear. 722 00:32:30,709 --> 00:32:32,959 His name is Bill. He's a dog. 723 00:32:32,959 --> 00:32:36,625 You win. You can have Vicodin. 724 00:32:36,625 --> 00:32:38,959 Words have set meanings for a reason. 725 00:32:38,959 --> 00:32:40,083 If you see an animal like Bill 726 00:32:40,083 --> 00:32:41,709 and you try to play fetch, 727 00:32:41,709 --> 00:32:44,000 Bill's gonna eat you because Bill's a bear. 728 00:32:44,000 --> 00:32:45,750 Are you on something? 729 00:32:47,250 --> 00:32:48,834 You got your hands on pain meds. 730 00:32:48,834 --> 00:32:52,792 Bill has fur, four legs, and a collar. 731 00:32:52,792 --> 00:32:54,166 He's a dog. 732 00:32:54,166 --> 00:32:56,750 It's between cancer and autoimmune. 733 00:32:56,750 --> 00:32:58,917 See, that's what we call a faulty syllogism. 734 00:32:58,917 --> 00:33:00,959 Just because you call Bill a dog 735 00:33:00,959 --> 00:33:05,834 doesn't mean that he is... a dog. 736 00:33:11,750 --> 00:33:13,834 We gotta x-ray our patient's leg. 737 00:33:17,083 --> 00:33:19,500 Her leg looks fine. 738 00:33:19,500 --> 00:33:20,792 Weird, huh? 739 00:33:20,792 --> 00:33:22,583 Why aren't you detoxing? 740 00:33:22,583 --> 00:33:24,250 Will power. 741 00:33:24,250 --> 00:33:25,917 What--what-- 742 00:33:25,917 --> 00:33:28,250 Normal's not normal if you're not normal. 743 00:33:28,250 --> 00:33:29,375 Did you just take a pill? 744 00:33:29,375 --> 00:33:31,083 No. 745 00:33:31,083 --> 00:33:33,166 So how does a dwarf 746 00:33:33,166 --> 00:33:35,500 have completely normal growth plates? 747 00:33:35,500 --> 00:33:37,208 It's impossible. 748 00:33:37,208 --> 00:33:38,458 We must be missing something. 749 00:33:38,458 --> 00:33:40,208 How many pills have you taken? 750 00:33:40,208 --> 00:33:42,542 Not nearly as many as I'm gonna take. 751 00:33:42,542 --> 00:33:44,125 Forgotten how delicious they were. 752 00:33:44,125 --> 00:33:46,750 I didn't give them to him. 753 00:33:46,750 --> 00:33:48,500 Can we forget my vices, get back to my virtues? 754 00:33:48,500 --> 00:33:50,667 We were missing the fact that just because 755 00:33:50,667 --> 00:33:54,208 we called her a dwarf doesn't mean she is a dwarf. 756 00:33:54,208 --> 00:33:55,875 Everyone assumed she was because of her mother. 757 00:33:55,875 --> 00:33:57,792 There's not test for CHH dwarfism. 758 00:33:57,792 --> 00:34:00,875 So she lost an identity, but we gained a symptom. 759 00:34:00,875 --> 00:34:03,583 If she doesn't have skeletal dwarfism, 760 00:34:03,583 --> 00:34:06,542 then her short stature must be caused 761 00:34:06,542 --> 00:34:08,417 by growth hormone deficiency. 762 00:34:08,417 --> 00:34:10,375 And something's wrong with her pituitary gland. 763 00:34:10,375 --> 00:34:12,625 And based on her size, it's been wrong for a while. 764 00:34:12,625 --> 00:34:16,041 So what connects a long-term pituitary issue 765 00:34:16,041 --> 00:34:18,542 with problems in the lungs, liver, and pancreas? 766 00:34:18,542 --> 00:34:21,000 Oh, you guys and your bickering. 767 00:34:21,000 --> 00:34:22,709 Cancer versus autoimmune. 768 00:34:22,709 --> 00:34:24,208 Obviously you think it's something else. 769 00:34:24,208 --> 00:34:27,333 Nope. I think it's both. 770 00:34:27,333 --> 00:34:29,500 Langerhans cell histiocytosis. 771 00:34:29,500 --> 00:34:31,166 Also known as, 772 00:34:31,166 --> 00:34:33,417 "you got your cancer in my autoimmune" disease. 773 00:34:33,417 --> 00:34:36,166 The immune component responded to the Still's treatment. 774 00:34:36,166 --> 00:34:37,792 lead to the short-term improvement. 775 00:34:37,792 --> 00:34:38,917 The cancer portion didn't. 776 00:34:38,917 --> 00:34:40,875 We dismissed this earlier 777 00:34:40,875 --> 00:34:42,375 because there were no neurological symptoms. 778 00:34:42,375 --> 00:34:44,834 Yeah. It's not your fault. 779 00:34:44,834 --> 00:34:47,333 The only neurological symptom was her height. 780 00:34:47,333 --> 00:34:48,834 Who could've noticed? 781 00:34:59,166 --> 00:35:01,208 This is your pituitary gland. 782 00:35:01,208 --> 00:35:03,667 And this is the granuloma that's been crushing it. 783 00:35:03,667 --> 00:35:06,250 No pituitary equals no growth hormone 784 00:35:06,250 --> 00:35:08,000 equals about that much. 785 00:35:08,000 --> 00:35:10,041 She's not a dwarf? 786 00:35:10,041 --> 00:35:12,834 Just hormonally challenged. 787 00:35:12,834 --> 00:35:14,917 What about my mom? 788 00:35:14,917 --> 00:35:16,250 Your mom's the real deal. 789 00:35:16,250 --> 00:35:18,291 But you're just a tiny little poser. 790 00:35:18,291 --> 00:35:21,291 Your recent ear infections caused your body 791 00:35:21,291 --> 00:35:22,583 to release a cascade of the same cells 792 00:35:22,583 --> 00:35:24,250 that made the granuloma. 793 00:35:24,250 --> 00:35:26,291 They attacked your lungs, moved down to your liver, 794 00:35:26,291 --> 00:35:27,792 then hitched a ride over to your pancreas. 795 00:35:27,792 --> 00:35:30,375 We can nuke them with a mild course of chemo 796 00:35:30,375 --> 00:35:31,750 and then remove the granuloma. 797 00:35:31,750 --> 00:35:33,166 And then what? 798 00:35:33,166 --> 00:35:35,917 What will happen to her then? 799 00:35:35,917 --> 00:35:39,125 Let me see if I can make this clear. 800 00:35:39,125 --> 00:35:43,291 This pill represents... a pill. 801 00:35:43,291 --> 00:35:48,250 And my mouth represents your daughter's mouth. 802 00:35:48,250 --> 00:35:51,250 We deposit the pill in the mouth. 803 00:35:56,250 --> 00:35:58,583 You may be tall enough to play in the WNBA, 804 00:35:58,583 --> 00:36:00,375 but you'll be able to post up your mom no problem. 805 00:36:02,792 --> 00:36:04,458 What if I don't take the pills? 806 00:36:04,458 --> 00:36:07,917 What if you remove the thing in my head 807 00:36:07,917 --> 00:36:10,458 and give me the chemo, but not the pills? 808 00:36:10,458 --> 00:36:11,834 Would I still get better? 809 00:36:11,834 --> 00:36:13,417 Your body needs growth hormone 810 00:36:13,417 --> 00:36:14,792 from lots of things. 811 00:36:14,792 --> 00:36:16,750 Like...to grow. 812 00:36:16,750 --> 00:36:18,625 I like who I am now. 813 00:36:18,625 --> 00:36:21,417 Nobody your age likes who they are now. 814 00:36:21,417 --> 00:36:22,500 I do. 815 00:36:25,125 --> 00:36:26,667 You like needing help 816 00:36:26,667 --> 00:36:28,291 when you want something off a high shelf? 817 00:36:28,291 --> 00:36:29,458 Not being able to press an elevator button 818 00:36:29,458 --> 00:36:31,083 above the eighth floor? 819 00:36:31,083 --> 00:36:33,083 Having to smell ass every time you stand in line? 820 00:36:33,083 --> 00:36:34,834 You don't need growth hormone. 821 00:36:34,834 --> 00:36:38,291 It's just your ticket out of the freak show. 822 00:36:52,208 --> 00:36:54,125 Can't you deliver a diagnosis 823 00:36:54,125 --> 00:36:56,458 without making her feel that her life isn't worth living? 824 00:36:56,458 --> 00:36:57,667 I'm trying to help her. 825 00:36:57,667 --> 00:37:00,291 You're trying to make her taller. 826 00:37:00,291 --> 00:37:02,291 Not too tall. 827 00:37:02,291 --> 00:37:04,709 Just tall enough to wipe her own butt. 828 00:37:04,709 --> 00:37:06,125 [House chuckles] 829 00:37:07,875 --> 00:37:09,125 Are you high? 830 00:37:09,125 --> 00:37:10,542 Higher than you. 831 00:37:10,542 --> 00:37:13,166 If my daughter doesn't want to choose 832 00:37:13,166 --> 00:37:15,500 the easy path, I won't force her to. 833 00:37:15,500 --> 00:37:16,875 Then you're a lousy mom. 834 00:37:16,875 --> 00:37:19,291 You want your daughter to be a freak. 835 00:37:19,291 --> 00:37:20,417 We're not freaks. 836 00:37:20,417 --> 00:37:22,959 You want her to overcome adversity. 837 00:37:22,959 --> 00:37:24,166 Yes. 838 00:37:24,166 --> 00:37:25,709 Then why stop at height? 839 00:37:25,709 --> 00:37:27,417 Poke a stick in her eye. 840 00:37:27,417 --> 00:37:29,375 Imagine how interesting she'll be then. 841 00:37:29,375 --> 00:37:31,125 Being little is not the same as-- 842 00:37:31,125 --> 00:37:34,083 You and I have found out that being normal sucks 843 00:37:34,083 --> 00:37:36,375 because we're freaks. 844 00:37:36,375 --> 00:37:40,125 The advantage of being a freak is it makes your stronger. 845 00:37:40,125 --> 00:37:42,625 Now, how strong do you really want her to have to be? 846 00:37:45,083 --> 00:37:48,166 I told her what you had to tell her. 847 00:37:48,166 --> 00:37:50,458 Now, you tell her you lied. 848 00:37:52,250 --> 00:37:55,125 Even if you didn't. 849 00:38:01,458 --> 00:38:04,166 This is who you were supposed to be. 850 00:38:04,166 --> 00:38:05,750 You hate normal. 851 00:38:05,750 --> 00:38:08,834 It's not that simple. 852 00:38:08,834 --> 00:38:12,500 If I grow, I'll fade into the background. 853 00:38:12,500 --> 00:38:14,542 I'll be boring. 854 00:38:17,875 --> 00:38:19,375 We'll get you a funny hat. 855 00:38:24,041 --> 00:38:25,625 You could never be boring. 856 00:38:25,625 --> 00:38:29,333 You want me to be like everybody else? 857 00:38:34,917 --> 00:38:36,875 I want you to have what I can't. 858 00:38:55,041 --> 00:38:57,333 Abigail agreed-- 859 00:38:57,333 --> 00:38:59,625 Abigail agreed to take growth hormone. 860 00:38:59,625 --> 00:39:01,208 Who's Abigail? 861 00:39:01,208 --> 00:39:04,250 Your non-dwarf dwarf patient. 862 00:39:04,250 --> 00:39:07,333 Oh, good. 863 00:39:07,333 --> 00:39:10,208 Then the growth hormone makes sense. 864 00:39:10,208 --> 00:39:12,542 Christmas Eve. 865 00:39:12,542 --> 00:39:14,959 Yeah, I know. 866 00:39:14,959 --> 00:39:16,083 Deal expires tomorrow. 867 00:39:16,083 --> 00:39:18,458 You have plans for tonight? 868 00:39:18,458 --> 00:39:21,125 You worried I'm gonna be popping more pills? 869 00:39:21,125 --> 00:39:25,291 Thought you might prefer people over pills. 870 00:39:26,792 --> 00:39:27,875 [scoffs] 871 00:39:54,792 --> 00:39:57,166 Hey, Mom. 872 00:39:57,166 --> 00:40:02,166 I guess you guys are already up at Aunt Sarah's. 873 00:40:02,166 --> 00:40:03,917 I'm sure Dad's in the eggnog 874 00:40:03,917 --> 00:40:05,458 and you're probably suffering through 875 00:40:05,458 --> 00:40:07,583 another dried out turkey. 876 00:40:15,041 --> 00:40:18,000 I just wanted to say Merry Christmas. 877 00:40:43,375 --> 00:40:45,667 [knock on door] 878 00:40:45,667 --> 00:40:47,125 (Wilson) House? 879 00:40:47,125 --> 00:40:48,250 [knocking continues] 880 00:40:48,250 --> 00:40:49,375 Are you okay? 881 00:40:49,375 --> 00:40:50,583 I called three times. 882 00:41:43,583 --> 00:41:46,583 [Have Yourself a Merry Little Christmas by Ella Fitzgerald] 883 00:41:46,583 --> 00:41:48,542 ♪ ♪ 884 00:42:05,000 --> 00:42:07,458 I'm ready to take the deal. 885 00:42:07,458 --> 00:42:10,166 Well, that's off the table. 886 00:42:12,166 --> 00:42:14,166 The clock doesn't expire until-- 887 00:42:14,166 --> 00:42:15,458 Got new evidence. 888 00:42:15,458 --> 00:42:17,333 We don't need Wilson anymore. 889 00:42:17,333 --> 00:42:20,125 The thing about addicts 890 00:42:20,125 --> 00:42:22,875 is, uh... 891 00:42:22,875 --> 00:42:25,166 no matter how smart they are, 892 00:42:25,166 --> 00:42:29,458 they are dumb when it comes to drugs. 893 00:42:29,458 --> 00:42:32,083 So, uh, I've been keeping an eye on the pharmacy log. 894 00:42:32,083 --> 00:42:36,208 Seems some patient of Wilson's named Zebalusky 895 00:42:36,208 --> 00:42:40,125 managed to pick up his Oxy prescription 896 00:42:40,125 --> 00:42:42,291 after he died. 897 00:42:44,417 --> 00:42:46,125 [Tritter laughs] 898 00:42:49,291 --> 00:42:50,709 Jesus walks, huh? 899 00:42:59,041 --> 00:43:01,000 Merry Christmas.