1 00:00:05,181 --> 00:00:09,537 - We are condemned to useless labor. - Fourth circle of hell. 2 00:00:09,798 --> 00:00:13,631 Charting goes a lot faster when you eliminate all classic poetry. 3 00:00:13,979 --> 00:00:17,203 Writing down what we already know to be read by nobody. 4 00:00:17,290 --> 00:00:20,164 I'm sure Dante would agree that qualifies as useless. 5 00:00:20,261 --> 00:00:23,387 You're over two weeks behind in your charting. 6 00:00:24,435 --> 00:00:27,400 - Oops. I missed. - What are you, eight? 7 00:00:27,802 --> 00:00:29,616 Could an eight-year-old do this? 8 00:00:30,314 --> 00:00:32,232 Better stop or it'll stick that way. 9 00:00:33,209 --> 00:00:35,093 You have a patient in exam one. 10 00:00:35,196 --> 00:00:37,917 Yeah, see I'm--I'm off at 12:00, and it's already five of. 11 00:00:37,980 --> 00:00:40,184 She's been waiting for you since 11:00. 12 00:00:43,497 --> 00:00:45,837 Melancholy without hope. 13 00:00:47,323 --> 00:00:48,650 Which circle is that? 14 00:00:54,166 --> 00:00:54,724 Hi. 15 00:00:55,248 --> 00:00:56,608 I'm Dr. House. 16 00:00:56,795 --> 00:00:59,446 - What seems to be the problem? - Show him your hands, Augustine. 17 00:01:08,433 --> 00:01:10,771 It looks like stigmata. 18 00:01:10,875 --> 00:01:11,782 Pius. 19 00:01:11,852 --> 00:01:14,468 You must be all the talk around the holy water cooler. 20 00:01:15,410 --> 00:01:17,050 Been washing a lot of dishes recently? 21 00:01:17,221 --> 00:01:18,442 I help out in the kitchen. 22 00:01:18,609 --> 00:01:22,655 - Anything new in the kitchen? - We just got a donation of saucepans and pots this week. 23 00:01:23,004 --> 00:01:26,248 - I unpacked and washed them. - Should've spent your time saving souls. 24 00:01:26,283 --> 00:01:27,574 It's easier on the hands. 25 00:01:27,741 --> 00:01:30,950 This is contact dermatitis. You're allergic to dish soap. 26 00:01:31,334 --> 00:01:32,241 Nonsense. 27 00:01:32,345 --> 00:01:33,601 We've always used that soap. 28 00:01:33,872 --> 00:01:35,441 Why is there a problem now? 29 00:01:35,511 --> 00:01:37,744 I've been a doctor for years. 30 00:01:37,779 --> 00:01:40,046 Why do I have to keep assuring people that I know what I'm doing 31 00:01:40,099 --> 00:01:45,277 A person can become allergic to substances that they've had repeated and prolonged exposure to. 32 00:01:46,149 --> 00:01:49,038 The good news is, free samples. 33 00:01:49,310 --> 00:01:52,799 Diphenhydramine. It's an antihistamine. 34 00:01:52,908 --> 00:01:55,033 It'll stop the allergic reaction. 35 00:01:56,069 --> 00:01:57,704 Take one every eight hours. 36 00:01:57,759 --> 00:02:01,956 It might make you feel a little sleepy. And get some of that over-the-counter cortisone cream. 37 00:02:02,100 --> 00:02:04,008 - Thank you, Doctor. - You want some water? 38 00:02:04,062 --> 00:02:05,098 I have some tea. 39 00:02:05,316 --> 00:02:09,350 Well, you just relax for a few minutes. That stuff works pretty fast. 40 00:02:16,799 --> 00:02:18,652 Still out by 12:00. 41 00:02:18,816 --> 00:02:21,377 How do you solve a problem like dermatitis? 44 00:02:26,828 --> 00:02:28,627 Is she talkin' to you? 45 00:02:28,915 --> 00:02:30,986 I don't know. She's certainly looking at me. 46 00:02:31,422 --> 00:02:34,693 Oh, it's good to get a secular diagnosis. 47 00:02:35,001 --> 00:02:38,489 The sisters tend to interpret their illnesses as divine intervention. 48 00:02:38,544 --> 00:02:41,324 And you don't? I mean, you're wearing an awfully funny hat. 49 00:02:41,558 --> 00:02:43,738 Ooh, boy. Excuse me 50 00:02:44,010 --> 00:02:47,335 If I break my leg, I believe it happened for a reason. 51 00:02:47,499 --> 00:02:49,624 I believe God wanted me to break my leg. 52 00:02:49,733 --> 00:02:52,677 I also believe he wants me to put a cast on it. 53 00:02:53,058 --> 00:02:54,693 Doctor? Something's wrong. 54 00:03:04,377 --> 00:03:05,794 Lift up your chin. 55 00:03:08,645 --> 00:03:11,697 Sister, you're having an asthma attack. I need you to relax. 56 00:03:11,861 --> 00:03:15,513 Roll up her sleeve, please. Gonna give you epinephrine. 57 00:03:15,731 --> 00:03:17,802 Open your lungs to help you breathe. 58 00:03:36,812 --> 00:03:38,501 What happened? 59 00:03:38,657 --> 00:03:40,619 - She take the pill? - Yes. 60 00:03:40,728 --> 00:03:42,581 It was probably an allergic reaction. 61 00:03:42,854 --> 00:03:45,470 She's allergic to an anti-allergy medicine? 62 00:03:45,634 --> 00:03:47,541 You figure somebody's out to get her? 63 00:03:47,814 --> 00:03:49,395 - How are you feeling? - Better. 64 00:03:49,465 --> 00:03:51,809 I'll put you on some steroids instead 65 00:03:52,354 --> 00:03:54,752 Is my heart supposed to be feeling so funny? 66 00:03:54,861 --> 00:03:57,314 It's called adrenaline. Makes your heart beat fast. 67 00:03:59,930 --> 00:04:03,637 But not this fast. Get a nurse, please. 68 00:04:03,727 --> 00:04:06,234 Lay down, come on. 69 00:04:06,343 --> 00:04:09,014 Help! Somebody help us! 70 00:04:12,121 --> 00:04:13,919 Somebody get in here! 71 00:04:16,225 --> 00:04:19,387 Call a code and charge up the defibrillator. She's got no pulse. 72 00:04:32,287 --> 00:04:38,143 House Episode 1x05 - Damned If You Do 73 00:04:38,781 --> 00:04:48,043 Transcript fourni par Raceman. Synchronisation : Silverado 74 00:04:48,895 --> 00:04:55,602 Merci à Katie. www.forom.com 75 00:05:17,035 --> 00:05:23,031 You diagnosed the patient with allergies and prescribed antihistamines. She went into respiratory distress. 76 00:05:23,167 --> 00:05:26,233 And you injected her with epinephrine. 77 00:05:26,841 --> 00:05:28,953 Presumable one cc. 78 00:05:29,022 --> 00:05:31,679 Point-one cc. That is the standard dose, that is what I gave her. 79 00:05:31,815 --> 00:05:34,472 People don't go into cardiac arrest from point-one cc epinephrine. 80 00:05:34,608 --> 00:05:37,879 She must have a pre-existing heart condition that got exacerbated by the epinephrine. 81 00:05:37,947 --> 00:05:39,991 It's too bad you didn't make a notation in the chart. 82 00:05:40,198 --> 00:05:41,560 - I can make it up right now. 83 00:05:41,697 --> 00:05:44,626 The drawer has syringes is with both dosages, you could've easily reached for the wrong... 84 00:05:44,694 --> 00:05:46,807 - But I didn't. - Everyone makes mistakes. 85 00:05:46,943 --> 00:05:49,532 This is why doctors pay through the nose for malpractice insurance. 86 00:05:49,668 --> 00:05:51,780 Relax, they're not gonna sue. 87 00:05:51,985 --> 00:05:54,165 Worst they'd do is whack my hand with a ruler. 88 00:05:54,235 --> 00:05:56,416 And the discipline board, are they gonna whack your hand too? 89 00:05:56,552 --> 00:05:58,664 - You're gonna report me? - What choice do I have? 90 00:05:58,937 --> 00:06:02,003 How about not report me? 91 00:06:03,638 --> 00:06:07,726 I can justify keeping her here for a 24-hour observation. 92 00:06:07,930 --> 00:06:12,904 If you haven't found an underlying cause for the cardiac arrest by then, I will have to notify our attorneys. 93 00:06:19,805 --> 00:06:23,075 Her hands were red and swollen. Maybe she has a skin infection, cellulitis? 94 00:06:23,144 --> 00:06:25,528 That could manifest with hypo-cardio. There's no history of fever. 95 00:06:25,665 --> 00:06:27,845 Results from the CVC didn't indicate an infection. 96 00:06:27,913 --> 00:06:29,276 The centifills were mildly elevated. 97 00:06:29,398 --> 00:06:31,919 Rates up a bit. Could we be looking at a systemic allergic response? 98 00:06:31,987 --> 00:06:34,780 It's no allergic, and allergies don't cause cardiac arrest like this. 99 00:06:34,848 --> 00:06:37,097 - Could be inflammation of the blood vessels. - Vasculitis? 100 00:06:37,165 --> 00:06:39,141 That wouldn't give you an elevated eosinophil count. 101 00:06:39,279 --> 00:06:40,983 Churg Strauss Vasculitis would. 102 00:06:41,187 --> 00:06:45,888 Blood vessels of the heart, lungs, and skin become inflamed, causing the asthma, rash, and heart problems. 103 00:06:46,433 --> 00:06:49,091 Covers all her symptoms. Need a biopsy to diagnose. 104 00:06:49,159 --> 00:06:52,293 - Chest CT would be quicker. - The lady just came in with a rash. 105 00:06:53,179 --> 00:06:54,746 What the hell are those? 106 00:06:55,223 --> 00:06:56,449 Candy canes. 107 00:06:56,994 --> 00:06:58,834 Candy canes? 108 00:06:59,245 --> 00:07:00,812 Are you mocking me? 109 00:07:01,016 --> 00:07:06,126 No, i-it's Christmas, and I-- I--I thought-- 110 00:07:06,262 --> 00:07:08,102 Relax. It was a joke. 111 00:07:08,170 --> 00:07:11,577 - Isn't the prognosis for Churg Strauss a bit grim? - Yeah. 112 00:07:12,089 --> 00:07:16,109 Untreated, only 33% of patients survive past a year, treated, five years. 113 00:07:16,245 --> 00:07:17,948 Then I definitely suggest treatment. 114 00:07:18,017 --> 00:07:23,058 If it was any other attending doctor, I'd say that he made a mistake and gave her too much epinephrine. 115 00:07:23,129 --> 00:07:28,103 Saying you wouldn't say it was my mistake. Saying it was my mistake. 116 00:07:28,784 --> 00:07:31,237 Everyone screws up. Your rule. 117 00:07:31,509 --> 00:07:35,052 - I think you fit within the subset of everyone. - I didn't screw up. 118 00:07:36,008 --> 00:07:40,505 Order a chest CT and start the sister on Prednisone. 40 milligrams, TID. 119 00:07:40,641 --> 00:07:41,595 The sister? 120 00:07:41,731 --> 00:07:45,411 Oh, didn't I mention? Patient's a nun. Sister Augustine. 121 00:07:46,773 --> 00:07:48,749 I hate nuns. 122 00:07:49,771 --> 00:07:51,134 Who doesn't? 123 00:08:04,130 --> 00:08:05,765 Sister Augustine? 124 00:08:06,515 --> 00:08:10,603 We weren't watching. We were trying to see if this is the bed control. 125 00:08:10,728 --> 00:08:15,020 Oh, um, this one's the bed control. And that's the TV control. 126 00:08:15,497 --> 00:08:19,108 I'm Dr. Cameron. This is Dr. Chase and Dr. Forman. 127 00:08:19,245 --> 00:08:21,970 I haven't seen television in over 20 years. 128 00:08:22,106 --> 00:08:26,194 Do you consider it the work of the Devil, or do you just not get cable where you live? 129 00:08:28,104 --> 00:08:29,671 How are you feeling, Sister? 130 00:08:30,080 --> 00:08:32,669 I seem to be a little better. They gave me some medication. 131 00:08:32,805 --> 00:08:35,326 Prednisone. It's a steroid to help with the inflammation. 132 00:08:35,394 --> 00:08:38,392 Has Dr. House figured out what I have? Will I be okay? 133 00:08:38,460 --> 00:08:39,687 We're not sure what's wrong yet. 134 00:08:39,823 --> 00:08:43,025 You'll have a chest CT scan this afternoon that'll help the diagnosis. 135 00:08:43,094 --> 00:08:46,568 Dr. House was giving her medication, and he doesn't know what she has yet? 136 00:08:46,606 --> 00:08:49,399 Trust, Sister Pious. It all happens for a reason. 137 00:08:50,080 --> 00:08:51,716 He doesn't know what he's doing. 138 00:08:51,852 --> 00:08:54,714 The only problem that woman has is that House grabbed the wrong syringe. 139 00:08:54,782 --> 00:08:55,804 You don't trust him? 140 00:08:56,165 --> 00:08:58,886 I don't trust a man who won't admit he might be wrong. 141 00:08:58,981 --> 00:09:02,888 I notice you weren't so quick to tell her she's got Churg Strauss and only has a couple of years to live. 142 00:09:02,923 --> 00:09:04,423 I don't tell patients bad news unless it's conclusive. 143 00:09:04,492 --> 00:09:06,341 Because you know he might be wrong. 144 00:09:06,400 --> 00:09:08,774 About Churg Strauss, not about what happened in the clinic. 145 00:09:09,787 --> 00:09:12,127 What about you, Chase? You think he's infallible too? 146 00:09:12,533 --> 00:09:16,720 All I know is, if House didn't make a mistake, and Sister Augustine has Churg Strauss, 147 00:09:16,791 --> 00:09:19,408 he'll be self-satisfied, and our lives will be good for a few weeks. 148 00:09:19,470 --> 00:09:23,830 If House did make a mistake, he'll be upset and our lives will be miserable for months. 149 00:09:23,900 --> 00:09:24,807 There is that. 150 00:09:24,912 --> 00:09:28,784 If Cuddy thinks I made a mistake, the least she could do is suspend me from clinic duty. 151 00:09:28,916 --> 00:09:31,706 She doesn't confuse making a mistake with being incompetent. 152 00:09:31,776 --> 00:09:34,079 Oh, here we go. Lesson time. 153 00:09:35,544 --> 00:09:38,125 I recognize that confidence is not my short suit. 154 00:09:38,186 --> 00:09:40,942 I also recognize that I am human and capable of error. 155 00:09:41,082 --> 00:09:42,756 So you might've screwed this up? 156 00:09:43,175 --> 00:09:43,803 No. 157 00:09:43,969 --> 00:09:46,307 So it's merely a theoretical capacity for error. 158 00:09:46,376 --> 00:09:47,388 Good point. 159 00:09:47,563 --> 00:09:49,725 Maybe there isn't one. Maybe that's my error. 160 00:09:50,249 --> 00:09:53,737 You know, most people who think as much of themselves as you do like to talk about themselves. 161 00:09:53,764 --> 00:09:54,950 Most people don't like to listen. 162 00:09:55,055 --> 00:09:55,997 So what's wrong with you? 163 00:10:08,495 --> 00:10:09,402 Lemme guess. 164 00:10:09,507 --> 00:10:11,181 Inflammatory bowel. 165 00:10:11,295 --> 00:10:13,841 Wow, yeah. Is it that bad? 166 00:10:14,330 --> 00:10:14,923 Yes. 167 00:10:15,822 --> 00:10:17,706 It's also written on your chart. 168 00:10:18,578 --> 00:10:20,810 Bloody diarrhea, gas, pain. 169 00:10:20,845 --> 00:10:22,903 Took sulfasalazine, but it didn't work. 170 00:10:24,012 --> 00:10:29,384 Next tried steroid enemas, oral corticosteroids, 5ASA, 6-mercaptopuine. 171 00:10:29,454 --> 00:10:31,442 - I'm impressed. - By my medical history? 172 00:10:31,574 --> 00:10:33,667 By how well your last doctor charted. 173 00:10:33,981 --> 00:10:38,656 It's one thing to have to go to the bathroom every hour, but when the kids sit on my lap, it's... 174 00:10:39,388 --> 00:10:41,168 The store sent me home. They're gonna fire me. 175 00:10:41,237 --> 00:10:43,679 Can't you put me back on 5ASA? Maybe it'll work this time. 176 00:10:43,714 --> 00:10:46,016 Not likely. I'm giving you a prescription. 177 00:10:46,191 --> 00:10:49,749 It's cheap, which is good, 'cause your insurance company won't pay for it. 178 00:10:57,861 --> 00:11:01,165 - Cogaritis? - Cigarettes. 179 00:11:01,653 --> 00:11:03,746 One twice a day. No more, no less. 180 00:11:03,811 --> 00:11:08,799 Studies have shown that cigarette smoking is one of the most effective ways to control inflammatory bowel. 181 00:11:09,205 --> 00:11:12,205 Plus it's been well-established that you'll look 30% cooler. 182 00:11:12,310 --> 00:11:15,519 - Are you kidding me? - About the looking cooler? Yeah. 183 00:11:15,589 --> 00:11:18,414 - The rest is true. - Isn't it addictive and dangerous? 184 00:11:18,691 --> 00:11:21,935 Pretty much all the drugs I prescribe are addictive and dangerous 185 00:11:22,075 --> 00:11:24,691 The only difference with this one is it's completely legal. 186 00:11:26,884 --> 00:11:28,000 Merry Christmas. 187 00:11:29,326 --> 00:11:31,070 I was talking to the nurse. 188 00:11:31,209 --> 00:11:33,058 Arsenio. Do you know him? 189 00:11:33,501 --> 00:11:36,466 - Not really. - He can take pictures with his phone. 190 00:11:36,849 --> 00:11:37,791 Cool. 191 00:11:38,202 --> 00:11:40,435 That woman from the lab was interesting too. 192 00:11:40,470 --> 00:11:43,365 She studied astrophysics before becoming a nurse. 193 00:11:43,505 --> 00:11:45,388 You know this stuff better than I do. 194 00:11:45,485 --> 00:11:47,265 Well, I love to hear all about people. 195 00:11:47,265 --> 00:11:48,869 You live in a monastery. 196 00:11:48,974 --> 00:11:51,695 It's where I serve our Lord and the world best. 197 00:11:51,765 --> 00:11:53,299 Our Lord, maybe. 198 00:11:53,815 --> 00:11:57,583 The rest of the world, on the other hand, would probably get more out of feeding the homeless or... 199 00:11:57,617 --> 00:11:58,734 Healing the sick? 200 00:11:59,013 --> 00:12:01,908 - As an example, yeah. - Did you always want to be a doctor? 201 00:12:02,658 --> 00:12:03,704 Always. 202 00:12:03,809 --> 00:12:05,030 You always want to be a nun 203 00:12:05,065 --> 00:12:07,053 My parents died when I was six. 204 00:12:07,123 --> 00:12:10,332 I was raised in a foster home run by the Church. 205 00:12:10,541 --> 00:12:14,448 When I was 18, I went to the monastery, where they let me take my vows. 206 00:12:14,834 --> 00:12:17,520 I've known no other life, and I haven't wanted to. 207 00:12:18,454 --> 00:12:21,454 Okay, Sister, we need you to lie as still as possible. 208 00:12:21,594 --> 00:12:23,478 If you get scared, just let us know. 209 00:12:23,582 --> 00:12:26,094 As Jonah said from inside the whale, 210 00:12:26,261 --> 00:12:30,168 "When I lost all hope, I turned my thoughts to the Lord." 211 00:12:31,110 --> 00:12:32,679 She's got God on her side. 212 00:12:32,749 --> 00:12:33,865 I don't believe it God. 213 00:12:33,962 --> 00:12:35,880 You're not even a little agnostic? 214 00:12:36,194 --> 00:12:37,834 Is it supposed to smell funny? 215 00:12:38,000 --> 00:12:41,349 Someone ralphed in there this morning. We cleaned it up, but... 216 00:12:41,628 --> 00:12:45,047 It's normal, Sister. I-it's just a few more minutes. 217 00:12:45,842 --> 00:12:51,109 I believe in a higher order, that can control what happens, but not one anthropomorphic entity called "God" 218 00:12:51,179 --> 00:12:53,446 that's concerned with the everyday workings of you and me. 219 00:12:53,509 --> 00:12:56,544 What else is there to control but the everyday workings of you and me? 220 00:12:56,613 --> 00:12:58,637 It's always about you, Foreman. 221 00:12:58,706 --> 00:13:02,020 What are you talking about? The trees, the fish? Should they be the ones that think it's all about them? 222 00:13:02,230 --> 00:13:04,358 What about you, Chase? You believe in God? 223 00:13:06,478 --> 00:13:09,652 I believe Sister Augustine has no vascular pathology. 224 00:13:09,714 --> 00:13:12,400 - Which means no Churg Strauss. - Which means House made a mistake. 225 00:13:12,434 --> 00:13:14,632 No, not necessarily. It could be something else. 226 00:13:14,667 --> 00:13:16,481 Thyrotoxicosis, or carcinoid... 227 00:13:16,543 --> 00:13:20,904 You don't believe in God, but you're willing to put complete faith in one man? 228 00:13:21,043 --> 00:13:23,206 Please...the smell. 229 00:13:23,415 --> 00:13:24,636 Let's get her out of there. 230 00:13:27,280 --> 00:13:28,675 I'm coming, Sister. 231 00:13:29,084 --> 00:13:30,454 Oh, the smell. 232 00:13:30,594 --> 00:13:31,885 I'm gonna be sick, sick. 233 00:13:31,919 --> 00:13:33,803 - There's no smell. - Oh--oh, God! 234 00:13:35,330 --> 00:13:38,261 Oh, it's Jesus. It's Jesus. 235 00:13:38,540 --> 00:13:40,458 He's coming for me! 236 00:13:40,590 --> 00:13:43,346 He's burning me with his touch! 237 00:13:43,486 --> 00:13:44,846 Let's get her on some Ativan. 238 00:13:44,881 --> 00:13:45,439 Please! 239 00:13:45,474 --> 00:13:49,102 Smells, religious visions, symptomatic type of lobe swelling. 240 00:13:49,163 --> 00:13:50,105 We don't... we don't want her to... 241 00:13:51,082 --> 00:13:52,059 She's seizing. 242 00:13:52,373 --> 00:13:53,210 Jaw block. 243 00:13:53,314 --> 00:13:54,605 Help me get her on her side. 244 00:13:56,935 --> 00:13:58,574 - Religious visions? - Yeah. 245 00:13:59,272 --> 00:14:00,632 And next comes... 246 00:14:07,409 --> 00:14:09,746 Patient tested positive for herpetic encephalitis. 247 00:14:09,857 --> 00:14:12,474 - So what's that tell us? - Her immune systemis severely compromised. 248 00:14:12,501 --> 00:14:15,571 Oh, I know. Prednisone compromises the immune system. 249 00:14:15,676 --> 00:14:18,082 Isn't that the medicinethat you gave her for that thing she doesn't have? 250 00:14:18,145 --> 00:14:20,831 Yeah, the... hey. 251 00:14:21,598 --> 00:14:23,168 I'm thinking that's a trick question. 252 00:14:23,203 --> 00:14:27,528 Her immune system is severely compromised. Two doses of Prednisone wouldn't do that. 253 00:14:27,555 --> 00:14:29,927 Are you hanging your diagnosis on an adverb? 254 00:14:30,032 --> 00:14:34,008 In 10 seconds, I'm going to announce that I gave her the wrong dose in the clinic. 255 00:14:34,036 --> 00:14:36,582 - You're gonna admit negligence? - Unless you leave the room. 256 00:14:36,791 --> 00:14:38,605 If you stay, you'll have to testify. 257 00:14:39,861 --> 00:14:44,710 Five... four... three... two... 258 00:14:44,842 --> 00:14:50,807 So there I was in the clinic, drunk. I open the drawer, close my eyes, take the first syringe I can find... 259 00:14:53,381 --> 00:14:56,660 So, what are the options for compromised immune system? 260 00:14:56,765 --> 00:14:58,579 Mixed connective tissue disease. 261 00:14:58,640 --> 00:15:01,152 It'd explain why she was feeling better on the Prednisone. 262 00:15:01,396 --> 00:15:04,500 Sure she was feeling better right up to the moment when it almost killed her. 263 00:15:04,570 --> 00:15:07,047 On the other hand, it explains the symptoms. 264 00:15:07,249 --> 00:15:10,702 Swollen hands, pulmonary problems, cardiac problems, it all fits. 265 00:15:10,772 --> 00:15:12,865 - Except her ANA was normal. - So redraw the blood. 266 00:15:12,962 --> 00:15:15,125 But the treatment is corticosteroids, Prednisone. 267 00:15:15,230 --> 00:15:17,218 And we can't go there because of the encephalitis. 268 00:15:17,253 --> 00:15:21,125 Well, treat it with something that modulates the immune system, but doesn't suppress it. 269 00:15:21,292 --> 00:15:22,966 Hyperbaric oxygen chamber. 270 00:15:23,036 --> 00:15:26,489 There's no protocol for putting a patient in a high-pressure oxygen room... 271 00:15:26,656 --> 00:15:31,366 - ... to treat autoimmune problems. - Oh, you people, always with the protocols. 272 00:15:32,482 --> 00:15:34,121 Prep the nun. 273 00:15:34,400 --> 00:15:36,180 And discontinue the Prednisone. 274 00:15:42,399 --> 00:15:47,492 I am both amused and annoyed that you think I should be less stubborn than you are. 275 00:15:48,829 --> 00:15:51,654 You are aware of the Hippocratic Oath, right? 276 00:15:52,038 --> 00:15:54,549 The one that starts "First, do nor harm," 277 00:15:54,619 --> 00:15:59,398 and then goes on to tell us no abortions, no seductions, and definitely no cutting of those who labor beneath the stone? 278 00:15:59,416 --> 00:16:01,265 Yeah, I took a read once, wasn't impressed. 279 00:16:01,334 --> 00:16:05,625 Hyperbaric treatments could cause oxygen toxicity, lung and eye damage. 280 00:16:05,653 --> 00:16:06,943 Every treatment has its dangers. 281 00:16:06,978 --> 00:16:11,269 Which is why we only treat if we're convinced the patient actually needs the treatment. 282 00:16:11,304 --> 00:16:13,815 I'm convinced. You're not. 283 00:16:14,373 --> 00:16:16,397 The question is, what are you gonna do about it? 284 00:16:19,981 --> 00:16:23,225 I have an opening Thursday at 3:00. Do you have a fourth? 285 00:16:24,055 --> 00:16:25,241 Is he any good? 286 00:16:26,636 --> 00:16:28,695 Uh, can I call you right back? Okay. 287 00:16:30,983 --> 00:16:31,925 What's up? 288 00:16:35,900 --> 00:16:39,389 The pressure will force the oxygen into your system, and saturate your blood. 289 00:16:39,633 --> 00:16:42,563 It will enhance white cell activity, reduce the inflammation. 290 00:16:42,668 --> 00:16:46,191 And that will help with this mixed connective tissue disease? 291 00:16:46,253 --> 00:16:48,974 We'll be doing about 10 treatments, and then we'll reevaluate. 292 00:16:49,637 --> 00:16:52,916 The last treatment with Prednisone caused the seizures, right? 293 00:16:53,187 --> 00:16:55,768 How confident is Dr. House about this? 294 00:16:56,256 --> 00:17:01,559 That you reacted so strongly to the Prednisone let us know that you had an underlying problem with your immune system. 295 00:17:01,656 --> 00:17:03,330 Then I guess it was a blessing. 296 00:17:04,237 --> 00:17:05,423 Of sorts. 297 00:17:09,174 --> 00:17:11,686 So who's your favorite reindeer, Nurse Arnold? 298 00:17:11,965 --> 00:17:13,918 - Rudolph. - I would have thought it was Vixen. 299 00:17:13,988 --> 00:17:16,255 - What are you implying? - Nothing. 300 00:17:16,745 --> 00:17:22,711 But I saw you at the Christmas party with Dr. Miles and Dr. Jargons and Nurse Crandall. 301 00:17:22,780 --> 00:17:24,699 I was just doing some Christmas dancing. 302 00:17:24,761 --> 00:17:26,471 This is a chapel. 303 00:17:26,924 --> 00:17:28,459 A house of prayer. 304 00:17:29,261 --> 00:17:31,389 A house of prayer. Huh. 305 00:17:32,113 --> 00:17:33,718 Well, that explainsthe good reception. 306 00:17:33,927 --> 00:17:36,648 Also why nobody's ever here. 307 00:17:38,838 --> 00:17:40,687 I need to talk with you, Dr. House. 308 00:17:41,071 --> 00:17:43,827 Sister Augustine believes in things that aren't real. 309 00:17:45,431 --> 00:17:47,873 I thought that was a job requirement for you people. 310 00:17:48,598 --> 00:17:50,133 She's been known to lie. 311 00:17:51,075 --> 00:17:53,831 To get sympathy. She's a hypochondriac. 312 00:17:54,451 --> 00:17:58,602 So you're warning me that I may be treating a non-existent ailment. 313 00:17:58,707 --> 00:18:01,079 Sore throats, joint pains. 314 00:18:01,358 --> 00:18:02,649 There's always something wrong. 315 00:18:02,745 --> 00:18:04,140 And there's never a reason for it. 316 00:18:04,140 --> 00:18:06,233 Mother Superior plays right into it. 317 00:18:07,001 --> 00:18:09,094 Lets Augustine off work duties. 318 00:18:09,261 --> 00:18:12,330 Treating her as...fragile. Special. 319 00:18:12,470 --> 00:18:13,900 That must make you angry. 320 00:18:15,470 --> 00:18:16,516 It bothers me. 321 00:18:16,788 --> 00:18:19,334 It's not really in Augustine's best interest. 322 00:18:23,869 --> 00:18:24,916 Want some? 323 00:18:27,069 --> 00:18:28,220 I shouldn't. 324 00:18:34,005 --> 00:18:38,017 I guess you gotta be good at reading people to be a good infirmarian, huh? 325 00:18:39,892 --> 00:18:43,729 So we got pride, anger, envy, gluttony. 326 00:18:44,462 --> 00:18:47,392 That four out of seven deadly sins in under two minutes. 327 00:18:47,699 --> 00:18:51,152 Do you people keep records of these things? Is there a Cath-lympics? 328 00:18:52,826 --> 00:18:55,896 - They say you have a gift. - They like to talk. 329 00:18:55,993 --> 00:18:57,703 You hide behind your intelligence. 330 00:18:57,772 --> 00:18:59,028 Yeah, that's pretty stupid. 331 00:18:59,098 --> 00:19:01,889 And you make jokes because you're afraid to take anything seriously. 332 00:19:02,684 --> 00:19:05,056 Because if you take things seriously, they matter. 333 00:19:05,125 --> 00:19:07,846 - And if they matter... - Then when things go wrong, I get hurt. 334 00:19:08,056 --> 00:19:10,672 - I'm not tough, I'm vulnerable. - I barely know you. 335 00:19:11,327 --> 00:19:14,153 And I don't know if I'm right. I just hope I am. 336 00:19:14,711 --> 00:19:16,455 Because the alternative is, 337 00:19:17,292 --> 00:19:19,595 you really are as miserable as you seem to be. 338 00:19:22,795 --> 00:19:25,307 You know, from the way you're looking at me right now, 339 00:19:25,683 --> 00:19:27,497 I'd say you just hit number five. 340 00:19:28,823 --> 00:19:29,904 Lust. 341 00:19:42,936 --> 00:19:46,529 Dr. Brown, I love you too. 342 00:19:54,994 --> 00:19:55,901 How you feeling? 343 00:19:56,669 --> 00:19:59,320 - A little weak. - That's from the oxygen. 344 00:19:59,524 --> 00:20:00,815 My mouth is dry. 345 00:20:01,024 --> 00:20:04,164 Okay, well, uh, I'll get you some of your tea. 346 00:20:06,625 --> 00:20:09,869 Mixed connective tissue disease? Her ANA is barely elevated. 347 00:20:10,462 --> 00:20:13,392 Well, thanks for checking upon her. Good to know you got my back. 348 00:20:13,463 --> 00:20:17,195 O2 sats down to 83. Pulmonary problems, breathing problems... 349 00:20:17,230 --> 00:20:19,079 Irritation from the oxygen is typical. 350 00:20:19,106 --> 00:20:22,106 She comes in with a rash, and you put herinto cardiac arrest. 351 00:20:22,141 --> 00:20:24,269 That well just never runs dry, does it? 352 00:20:24,374 --> 00:20:27,897 If there was no underlying problem, why is she still having the rapid heart rate? 353 00:20:27,958 --> 00:20:31,098 Maybe from the herpetic encephalitis caused by you giving her Prednisone. 354 00:20:31,133 --> 00:20:32,807 Her reaction is a symptom, not an error. 355 00:20:32,807 --> 00:20:35,214 - There's always an explanation, isn't there? - Yes, there is, 356 00:20:35,241 --> 00:20:36,637 and if this one doesn't work, we'll find another. 357 00:20:36,671 --> 00:20:38,171 But never one involving you screwing up. 358 00:20:38,206 --> 00:20:40,055 One that fits all the facts. 359 00:20:40,195 --> 00:20:43,439 Look, we obviously have a difference of opinion, and that's fine. 360 00:20:43,501 --> 00:20:47,757 I used up all the time I budgeted today for banging my head against a wall. 361 00:20:47,819 --> 00:20:50,505 I am gonna do you the biggest favor one doctor can do for another. 362 00:20:50,575 --> 00:20:53,226 I am gonna stop you from killing your patient. 363 00:20:53,610 --> 00:20:54,831 You're off the case. 364 00:21:15,065 --> 00:21:16,181 We're gonna treat the symptoms. 365 00:21:16,251 --> 00:21:18,798 - Not the underlying condition? - There is no underlying condition. 366 00:21:18,839 --> 00:21:19,782 What's her status? 367 00:21:19,884 --> 00:21:21,670 The sister's breathing is labored. 368 00:21:21,992 --> 00:21:26,442 Pneumonitis from the hyperbaric chamber. Put her on 40% oxygen until her O2 sats increase. 369 00:21:26,476 --> 00:21:30,217 BUN and creatinine's rising. ALT and AST twice the normal range. 370 00:21:30,240 --> 00:21:32,128 Could be from the hypotensive episode. 371 00:21:32,262 --> 00:21:33,981 Let's follow them with labs. 372 00:21:34,116 --> 00:21:37,352 She still has the rash and joint pain she came in with. 373 00:21:37,678 --> 00:21:39,330 Order a non-steroidal anti-inflammatory. 374 00:21:39,397 --> 00:21:42,161 When we were looking at the differential diagnosis with Dr. House, we were considering... 375 00:21:42,195 --> 00:21:44,319 I don't need to hear what Dr. House was considering. 376 00:21:44,476 --> 00:21:48,049 All of this woman's symptoms can be traced to Dr. House's considerations. 377 00:21:50,746 --> 00:21:51,757 Okay. 378 00:21:53,196 --> 00:21:55,117 Let's just get this patient healthy. 379 00:21:55,252 --> 00:21:57,645 I want her going out the front door and not the back. 380 00:21:59,656 --> 00:22:01,949 Hey, it's not like I betrayed him. 381 00:22:02,016 --> 00:22:04,409 Cuddy would've found out about the hyperbaric treatments eventually. 382 00:22:04,477 --> 00:22:06,331 You did what you felt you had to. 383 00:22:23,192 --> 00:22:24,675 Can't get enough of this place, huh? 384 00:22:27,260 --> 00:22:29,148 I came for my stethoscope. 385 00:22:29,317 --> 00:22:34,137 So I shouldn't read too much into the fact that you were looking for it in the drawer with the epinephrine syringes in it? 386 00:22:36,195 --> 00:22:39,532 Okay. Yeah. I'd like to cure my reputation. 387 00:22:39,599 --> 00:22:42,566 Oh, right, I forgot how much you care about what people think. 388 00:22:42,936 --> 00:22:45,094 Prescribing cigarettes for inflammatory bowel? 389 00:22:46,342 --> 00:22:47,926 They cause lung cancer, you know. 390 00:22:48,162 --> 00:22:50,657 You know why they have ribbons for breast cancer, 391 00:22:50,781 --> 00:22:54,050 colorectal cancer, prostate cancer, and not for lung cancer 392 00:22:54,556 --> 00:22:56,646 They...ran out of colors? 393 00:22:56,702 --> 00:22:59,163 It's because people blame lung cancer patients. 394 00:22:59,331 --> 00:23:03,410 They smoke, they screwed up, they deserve to die. The reason people die from lung cancer is guilt. 395 00:23:05,523 --> 00:23:08,489 Well, guilt does a lot of damage. 396 00:23:09,264 --> 00:23:11,152 You said that with great significance. 397 00:23:11,657 --> 00:23:13,275 You're not here to find your stethoscope. 398 00:23:13,702 --> 00:23:15,724 You're not here to clear your reputation. 399 00:23:16,499 --> 00:23:18,589 You're here because you're having doubts. 400 00:23:18,780 --> 00:23:19,758 You might've screwed off. 401 00:23:19,859 --> 00:23:22,691 I'm here because if I'm right, Cuddy is killing that patient. 402 00:23:22,758 --> 00:23:23,432 Okay. 403 00:23:23,769 --> 00:23:25,017 But if you're wrong? 404 00:23:27,803 --> 00:23:29,590 - Then she's saving her. - Fine. 405 00:23:29,657 --> 00:23:34,208 You're gonna have to go through every record of every patient who's been through this clinic in the last two days. 406 00:23:34,365 --> 00:23:37,129 And you're gonna have to hope that those records can be trusted. 407 00:23:37,534 --> 00:23:39,927 Which, by the way, yours can't. 408 00:23:50,453 --> 00:23:53,688 These pills'll help your kidneys function a little better, Sister. 409 00:24:00,849 --> 00:24:01,995 Get your wrist. 410 00:24:05,255 --> 00:24:06,266 What's it at? 411 00:24:07,108 --> 00:24:08,322 104. 412 00:24:09,266 --> 00:24:10,243 Is that good? 413 00:24:11,423 --> 00:24:12,097 It's fine. 414 00:24:13,614 --> 00:24:15,805 You're a lousy liar, Dr. Chase. 415 00:24:23,662 --> 00:24:25,887 I have to get this. Excuse me. 416 00:24:28,820 --> 00:24:30,674 My mother's been dead for ten years. 417 00:24:32,163 --> 00:24:34,051 But she's always with you in spirit. 418 00:24:34,411 --> 00:24:36,433 - What do you know about the nun? - Which one? 419 00:24:37,377 --> 00:24:39,366 The cute one. I think she likes me. 420 00:24:40,208 --> 00:24:41,793 The sick one, obviously. 421 00:24:41,984 --> 00:24:45,388 Her parents died when she was a child. And she's been with the Church ever since. 422 00:24:45,456 --> 00:24:47,310 - What's she lying about? - Why do you say that? 423 00:24:47,703 --> 00:24:48,681 I always say that. 424 00:24:49,052 --> 00:24:52,153 And the old nun thinks the sick nun is a big, fat nun liar. 425 00:24:52,254 --> 00:24:54,445 - You know nuns. What do you think? - I don't know nuns. 426 00:24:54,546 --> 00:24:55,962 You hate nuns. 427 00:24:56,086 --> 00:24:57,737 You can't hate someone if you don't know them. 428 00:24:58,142 --> 00:25:00,299 Know any Nazis? Maybe I hate them on principle. 429 00:25:01,243 --> 00:25:04,647 I have a theory about what makes good boys good. 430 00:25:04,771 --> 00:25:07,030 It's not because of some moral imperative. 431 00:25:07,501 --> 00:25:09,827 Good boys have the fear of God put into them. 432 00:25:10,220 --> 00:25:12,950 Catholic Church specializes in that kind of training. 433 00:25:13,624 --> 00:25:16,422 To make good boys afraid of divine retribution. 434 00:25:16,489 --> 00:25:18,445 So they'll do what their daddies tell 'em. 435 00:25:18,771 --> 00:25:22,546 Like, for example, going into medical school when it's the last thing they want to do. 436 00:25:23,389 --> 00:25:24,265 What do you think? 437 00:25:26,243 --> 00:25:28,670 I think if she did have a secret, her boss would know. 438 00:25:35,194 --> 00:25:37,553 Did you paint or put in new carpets recently? 439 00:25:37,587 --> 00:25:38,295 No. 440 00:25:38,396 --> 00:25:40,284 Any way she could've got access to drugs? 441 00:25:40,385 --> 00:25:44,801 Well, we lock all our medications in the infirmary, and we don't keep prescription drugs here. 442 00:25:45,019 --> 00:25:48,389 Why haven't you asked Sister Augustine about these things directly? 443 00:25:49,569 --> 00:25:54,693 I found that when you want to know the truth about someone, that someone is probably the last person you should ask. 444 00:25:55,489 --> 00:25:57,949 And have you been speaking to Sister Eucharist? 445 00:25:58,387 --> 00:26:00,848 She ratted out her fellow sister pretty quickly. 446 00:26:01,151 --> 00:26:03,916 If I were you, I'd have her repeat a year of nun school. 447 00:26:04,387 --> 00:26:06,680 Becoming a nun doesn't make you a saint. 448 00:26:06,827 --> 00:26:08,647 Becoming a doctor doesn't make you a healer. 449 00:26:09,355 --> 00:26:14,883 And just because we live in a monastery and we spend most of our time in prayer doesn't mean we don't find time for drama. 450 00:26:15,187 --> 00:26:17,917 So what is the sick one's drama? 451 00:26:18,445 --> 00:26:21,783 Sister Augustine lived in Catholic foster care... 452 00:26:21,850 --> 00:26:23,400 ... until she came to us. 453 00:26:25,323 --> 00:26:26,165 Tea? 454 00:26:26,604 --> 00:26:27,345 Sure. 455 00:26:30,851 --> 00:26:32,368 Do all of you lie? 456 00:26:33,109 --> 00:26:34,356 It's a good strategy. 457 00:26:34,435 --> 00:26:36,255 It's simpler when you tell the same lie. 458 00:26:36,322 --> 00:26:39,289 But she does not spend her entire life as a good Catholic. 459 00:26:39,412 --> 00:26:42,884 When she had a cardiac arrest, I had to open her blouse to do CPR. 460 00:26:42,952 --> 00:26:44,401 And I learned two things. 461 00:26:44,469 --> 00:26:46,289 Nuns can have nice breasts. 462 00:26:46,446 --> 00:26:48,536 And she has a tattoo on her shoulder. 463 00:26:48,738 --> 00:26:50,019 Of a skunk. 464 00:26:51,806 --> 00:26:54,267 Now, maybe this was the sacred skunk of Joseph, 465 00:26:54,323 --> 00:26:56,008 but as far as I know, 466 00:26:56,447 --> 00:27:00,896 Catholic foster care and monasteries do not keep tattoo parlors in their refectories. 467 00:27:01,087 --> 00:27:03,379 We consider that our life begins... 468 00:27:03,582 --> 00:27:05,975 ... when we put on our habits and take our vows. 469 00:27:07,896 --> 00:27:09,278 What happens before then... 470 00:27:09,334 --> 00:27:12,165 It's irrelevant to you. But it's relevant to me. 471 00:27:15,929 --> 00:27:19,469 Sister Augustine went into foster care when she was six years old. 472 00:27:19,536 --> 00:27:21,592 But she left when she was 12. 473 00:27:22,323 --> 00:27:24,885 She lived on the streets, she got into drugs. 474 00:27:26,267 --> 00:27:28,525 When she was 15, she became pregnant. 475 00:27:28,761 --> 00:27:30,143 Tried to self-abort. 476 00:27:30,806 --> 00:27:33,334 She lost the child, she became ill. 477 00:27:33,570 --> 00:27:35,424 We took her in when she came back. 478 00:27:35,829 --> 00:27:39,301 If we had thought that it was medically relevant, we would have told you. 479 00:27:41,818 --> 00:27:43,233 It's not. 480 00:27:52,310 --> 00:27:53,928 This tea is delicious. 481 00:27:55,144 --> 00:27:56,256 Local herbs? 482 00:27:57,503 --> 00:27:58,818 Any change with the medication? 483 00:27:58,874 --> 00:28:02,043 Yeah, she's getting worse. Lung functions deteriorating, 484 00:28:02,077 --> 00:28:03,964 BUN and creatinine continuing to rise. 485 00:28:04,032 --> 00:28:06,122 She's starting to run a fever, and the rash is spreading. 486 00:28:06,480 --> 00:28:08,806 - At this rate,she's not gonna make Christmas. - Maybe House was right. 487 00:28:08,941 --> 00:28:11,031 Maybe there is an underlying condition that explains the symptoms. 488 00:28:11,098 --> 00:28:12,581 Something we haven't considered. 489 00:28:12,649 --> 00:28:13,222 Like what? 490 00:28:13,559 --> 00:28:15,143 It could be a metabolic disorder. 491 00:28:15,200 --> 00:28:16,750 - Specifically? - Might be genetic. 492 00:28:16,784 --> 00:28:18,200 Specifically? 493 00:28:18,267 --> 00:28:20,424 - I'm just saying that... - You're just saying you think House is right. 494 00:28:20,616 --> 00:28:21,897 Might be right. 495 00:28:21,964 --> 00:28:24,458 Of course he might be right. It might be the hand of God at work. 496 00:28:24,526 --> 00:28:27,357 Don't say it's something else unless you've got something concrete to offer. 497 00:28:31,550 --> 00:28:32,494 What's this? Hemlock? 498 00:28:32,595 --> 00:28:35,831 I'm gonna do you the biggest favor one doctor can do another. 499 00:28:36,067 --> 00:28:38,291 I'm gonna stop you from killing your patient. 500 00:28:39,134 --> 00:28:40,921 It's figwort tea. 501 00:28:41,088 --> 00:28:43,447 Great for that little pick-me-up we're all looking for in the morning. 502 00:28:43,504 --> 00:28:46,706 Opens the lungs, increases the blood pressure, stimulates the heart. 503 00:28:46,841 --> 00:28:51,729 Unfortunately, if you then get injected with even point-one cc of epinephrine, 504 00:28:52,055 --> 00:28:53,909 instant cardiac arrest. 505 00:28:54,448 --> 00:28:56,032 Still, what the hell, it tastes great. 506 00:28:56,369 --> 00:28:59,639 - Sister Augustine... - ...has been drinking it religiously, so to speak. 507 00:29:00,853 --> 00:29:02,842 And if you take the cardiac arrest out of the equation... 508 00:29:02,876 --> 00:29:06,887 all the rest of the symptoms can be explained by a severe long-term allergic reaction. 509 00:29:06,988 --> 00:29:09,246 Well, that's what Cameron said in the beginning. 510 00:29:09,381 --> 00:29:10,797 Yes. She did. 511 00:29:12,043 --> 00:29:13,189 Well done. 512 00:29:13,897 --> 00:29:17,841 But your unwillingness to stick by your diagnosis almost killed this woman. 513 00:29:18,549 --> 00:29:21,110 Take a lesson from Foreman and stand up for what you believe. 514 00:29:22,404 --> 00:29:25,438 Okay. Let's go figure out how to save a nun. 515 00:29:26,112 --> 00:29:28,775 Damned if you do, damned if you don't. 516 00:29:30,257 --> 00:29:37,066 'Cause it's been untreated for so long, it's gone from a simple watery eyes, scratchy throat allergy to a whopping I'm-gonna-kick-your-ass allergy. 517 00:29:37,122 --> 00:29:41,134 Compromising her immune system, diminishing her ability to heal, and breaking down her organ systems. 518 00:29:41,201 --> 00:29:42,920 So what's the source? 519 00:29:43,257 --> 00:29:44,235 The dish soap. 520 00:29:44,527 --> 00:29:47,864 No, symptoms persisted days after the dish washing episode. 521 00:29:47,898 --> 00:29:50,898 It's gotta be something she's been exposed to here in the hospital, as well as the monastery. 522 00:29:50,954 --> 00:29:55,033 - Well, what about the tea? It caused her arrhythmia. - Aah, could be, but it's not definitive. 523 00:29:55,134 --> 00:29:57,965 - We'll skin test for allergies. - Not yet, she's too reactive. 524 00:29:58,056 --> 00:30:00,280 She'll test positiveto everything. We need to stabilize her, 525 00:30:00,348 --> 00:30:03,247 isolate her from all possible allergens and give her system a rest. 526 00:30:03,280 --> 00:30:04,359 Get her in the clean room. 527 00:30:04,448 --> 00:30:07,853 Okay, then we'll gradually introduce allergens to see how she responds. 528 00:30:07,886 --> 00:30:10,077 When she reacts to something, we'll know that's what's killing her. 529 00:30:12,156 --> 00:30:14,718 There you go. No television, no books. 530 00:30:14,886 --> 00:30:15,999 Not even my Bible? 531 00:30:16,100 --> 00:30:19,302 I'm afraid not. This room has filtered air, filtered water. 532 00:30:19,673 --> 00:30:20,954 You even have silk sheets. 533 00:30:21,078 --> 00:30:23,235 Very decadent and hypoallergenic. 534 00:30:23,673 --> 00:30:25,156 You should be feeling better her 535 00:30:29,394 --> 00:30:31,956 We'll be back to check on you in a little while. 536 00:30:32,057 --> 00:30:35,900 Can the other sisters come in and pray with me? 537 00:30:37,134 --> 00:30:39,494 It'd be better if you don't have any visitors. 538 00:30:40,090 --> 00:30:44,438 Once we isolate what's causing your allergy, then we can be a little more relax. 539 00:30:55,617 --> 00:30:57,134 I-I can pray with you. 540 00:30:58,314 --> 00:30:59,729 I don't want to die. 541 00:31:01,116 --> 00:31:03,273 Why has He left me? 542 00:31:13,425 --> 00:31:14,942 I was in seminary school. 543 00:31:17,167 --> 00:31:19,729 They asked us once what our favorite passage was. 544 00:31:19,998 --> 00:31:22,931 I chose First Peter 1:7. 545 00:31:25,124 --> 00:31:29,270 "These trials only test your faith "to see whether or notit is strong and pure. 546 00:31:29,674 --> 00:31:31,393 "Your faith is being tested. 547 00:31:32,135 --> 00:31:34,292 "As fire tests gold and purifies it. 548 00:31:34,483 --> 00:31:37,450 "And your faith is far more precious "to the Lord than mere gold. 549 00:31:37,787 --> 00:31:41,798 "So if your faith remains strong "after being tested,it will bring you 550 00:31:41,922 --> 00:31:45,023 "much praise and glory and honor 551 00:31:46,439 --> 00:31:48,023 "on the day of His return." 552 00:31:49,197 --> 00:31:50,478 He hasn't left you. 553 00:31:54,152 --> 00:31:57,658 The only thing in the way of you knowing He's there is your fear. 554 00:31:57,827 --> 00:32:00,726 You have a choice. Faith or fear. 555 00:32:02,180 --> 00:32:03,191 That's the test. 556 00:32:03,292 --> 00:32:05,618 Choosing faith doesn't mean I won't die. 557 00:32:05,719 --> 00:32:08,180 But it will affect how you will experience your death. 558 00:32:08,989 --> 00:32:10,640 And therefore your life. 559 00:32:10,775 --> 00:32:11,719 It's up to you. 560 00:32:12,551 --> 00:32:14,944 Why did you leave seminary school? 561 00:32:16,933 --> 00:32:18,011 That test... 562 00:32:19,686 --> 00:32:20,798 ...you passed, 563 00:32:21,573 --> 00:32:22,484 I didn't. 564 00:32:23,899 --> 00:32:25,517 We'll call you if anything changes. 565 00:32:25,574 --> 00:32:27,091 Will she be all right? 566 00:32:27,192 --> 00:32:31,136 As long as she's not exposed to anything that can aggravate her allergy, she'll be fine. 567 00:32:32,439 --> 00:32:33,686 Need some help in here. 568 00:32:40,046 --> 00:32:42,304 Screw the procedure. She's in anaphylactic shock. 569 00:32:42,372 --> 00:32:44,394 No way, she's in the damn clean room! Are you kidding me? 570 00:32:44,529 --> 00:32:45,338 Get in here! 571 00:32:47,967 --> 00:32:49,315 Point-one cc of epi. 572 00:32:49,810 --> 00:32:51,159 We've got to intubate. 573 00:32:51,192 --> 00:32:52,878 I got it. Get the ambu bag. 574 00:33:06,181 --> 00:33:07,058 I'm in. 575 00:33:20,377 --> 00:33:21,624 Breathing stabilized. 576 00:33:24,126 --> 00:33:25,508 It's a clean room. 577 00:33:34,043 --> 00:33:37,110 How do you get an allergic reaction in a clean room? 578 00:33:37,998 --> 00:33:41,133 - Maybe it was the preservatives in the IV. - Checked that. 579 00:33:42,058 --> 00:33:44,755 - Latex tubing? - Checked that. Checked everything. 580 00:33:45,586 --> 00:33:49,463 Well, it could bemast cell leukemia. It can cause anaphylaxis. 581 00:33:49,598 --> 00:33:50,845 We checked the blood levels. 582 00:33:50,901 --> 00:33:55,351 And it's not eosinophilia odiopathic anaphylaxis. 583 00:33:55,755 --> 00:33:57,946 Maybe it's just divine will. 584 00:33:59,261 --> 00:34:01,418 It's not my will. 585 00:34:05,080 --> 00:34:08,249 You do realize, if you're wrong... 586 00:34:08,305 --> 00:34:09,990 about the big picture, that is... 587 00:34:10,092 --> 00:34:11,440 you're going to burn, right? 588 00:34:11,642 --> 00:34:14,069 What do you want me to do? Just accept it, pack it in? 589 00:34:14,159 --> 00:34:17,901 Yeah, I want you to accept that sometimes patients die against all reason. 590 00:34:17,968 --> 00:34:21,743 - And sometimes they get better against all reason. - No, they don't. We just don't know the reason. 591 00:34:21,867 --> 00:34:24,261 I think the nuns would agree with you on that. 592 00:34:34,004 --> 00:34:37,071 I just wanted to say that I know you did everything you could. 593 00:34:37,206 --> 00:34:40,206 I don't need verification from you to know that I'm doing my job well. 594 00:34:40,519 --> 00:34:41,969 That's your problem, not mine. 595 00:34:42,137 --> 00:34:43,486 I was just being nice. 596 00:34:43,553 --> 00:34:45,845 Yeah, well, you don't need to always do that. 597 00:34:48,723 --> 00:34:49,937 Merry Christmas. 598 00:35:01,493 --> 00:35:03,616 Sister Augustine's been extubated. 599 00:35:05,807 --> 00:35:06,414 Good. 600 00:35:06,632 --> 00:35:09,261 She's requested to check out against medical advice. 601 00:35:09,429 --> 00:35:11,081 She wants to go back to the monastery. 602 00:35:11,890 --> 00:35:13,137 Well, talk her out of it. 603 00:35:14,340 --> 00:35:16,328 I think I may have talked her into it. 604 00:35:33,657 --> 00:35:35,679 Room's paid up for the rest of the week. 605 00:35:37,297 --> 00:35:38,848 Might as well stick around. 606 00:35:39,421 --> 00:35:43,061 This illness is a test of my faith. 607 00:35:43,723 --> 00:35:45,880 If it's His will to take me, 608 00:35:46,217 --> 00:35:48,037 it doesn't matter where I am. 609 00:35:48,239 --> 00:35:49,723 I can accept that. 610 00:35:50,756 --> 00:35:53,386 Does anybody believe anything you say? 611 00:35:55,206 --> 00:35:56,689 You're not accepting. 612 00:35:58,666 --> 00:36:00,149 You're running away. 613 00:36:00,317 --> 00:36:02,037 Just like you always do. 614 00:36:03,014 --> 00:36:05,778 You ran away from the monastery to get laid. 615 00:36:06,778 --> 00:36:10,453 You ran away from the real world when getting laid didn't work out so good. 616 00:36:10,924 --> 00:36:13,958 Now things aren't working out again, so off you go. 617 00:36:14,655 --> 00:36:17,486 Why is it so difficult for you to believe in God? 618 00:36:18,756 --> 00:36:22,498 What I have difficulty with is the whole concept of belief. 619 00:36:23,037 --> 00:36:25,532 Faith isn't based on logic and experience. 620 00:36:25,700 --> 00:36:28,734 I experience God on a daily basis. 621 00:36:29,696 --> 00:36:32,123 And the miracle of life all around. 622 00:36:32,595 --> 00:36:34,280 The miracle of birth. 623 00:36:34,955 --> 00:36:36,842 The miracle of love. 624 00:36:37,550 --> 00:36:39,303 He is always with me. 625 00:36:39,633 --> 00:36:43,779 Where is the miracle in delivering a crack-addicted baby? 626 00:36:46,195 --> 00:36:49,836 And watching her mother abandon her 'cause she needs another score. 627 00:36:50,366 --> 00:36:51,478 Miracle of love. 628 00:36:52,523 --> 00:36:57,714 You are over twice as likely to be killed by the person you love than by a stranger. 629 00:36:58,557 --> 00:37:00,815 Are you trying to talk me out of my faith? 630 00:37:01,240 --> 00:37:05,284 You can have all the faith you want in spirits and the afterlife. 631 00:37:05,476 --> 00:37:06,925 And heaven and hell. 632 00:37:08,139 --> 00:37:10,903 But when it comes to this world, don't be an idiot. 633 00:37:12,004 --> 00:37:15,442 'Cause you can tell me that you put your faith in God to get you through the day. 634 00:37:15,611 --> 00:37:18,644 But when it comes time to cross the road, I know you look both ways. 635 00:37:18,735 --> 00:37:23,117 I don't believe He is inside me and is going to save me. 636 00:37:23,487 --> 00:37:28,308 I believe He is inside me whether I live or die. 637 00:37:28,364 --> 00:37:30,083 Then you might as well live. 638 00:37:32,274 --> 00:37:34,701 You got a better shot betting on me than on Him. 639 00:37:36,443 --> 00:37:38,061 When I was 15, 640 00:37:38,836 --> 00:37:42,241 I was on every kind of birth control known to man. 641 00:37:43,510 --> 00:37:45,432 And I still got pregnant. 642 00:37:47,185 --> 00:37:48,668 I blamed God. 643 00:37:49,095 --> 00:37:51,893 I hated Him for ruining my life. 644 00:37:51,994 --> 00:37:54,016 But then I realized something. 645 00:37:54,510 --> 00:37:59,364 You can't be angry with God and not believe in Him at the same time. 646 00:37:59,566 --> 00:38:01,049 No one can. 647 00:38:01,555 --> 00:38:03,544 Not even you, Dr. House. 648 00:38:08,818 --> 00:38:09,863 How'd it go? 649 00:38:10,234 --> 00:38:12,694 She has God inside her. 650 00:38:12,892 --> 00:38:15,016 Would've been easier to deal with a tumor. 651 00:38:16,128 --> 00:38:17,847 Maybe she's allergic to God. 652 00:38:23,259 --> 00:38:27,574 We've looked everywhere for an allergen that could be causing this reaction except one place. 653 00:38:27,634 --> 00:38:28,612 Inside her. 654 00:38:28,679 --> 00:38:30,904 On her medical history, she didn't mention any surgery. 655 00:38:30,960 --> 00:38:31,803 She had one. 656 00:38:31,871 --> 00:38:34,972 - Can we get her records? What hospital was it at? - She didn't have it at a hospital. 657 00:38:35,612 --> 00:38:37,062 Order a full body scan. 658 00:38:37,129 --> 00:38:38,612 What if she refuses? 659 00:38:38,747 --> 00:38:40,432 Tell her I'm looking for a miracle. 660 00:38:43,219 --> 00:38:45,781 No piercings. No fillings. 661 00:38:46,455 --> 00:38:48,882 No surgical pins in the arm. 662 00:38:49,208 --> 00:38:51,433 - No implants. - It's clean as a whistle. 663 00:38:51,601 --> 00:38:53,118 What's House looking for? 664 00:38:55,006 --> 00:38:56,253 What is that? 665 00:38:57,185 --> 00:38:58,061 Don't know. 666 00:38:58,398 --> 00:39:01,162 Lock on it. Get a 3-D representation. 667 00:39:06,655 --> 00:39:07,667 Oh, my God. 668 00:39:11,893 --> 00:39:13,342 The copper cross. 669 00:39:13,511 --> 00:39:16,309 A form of birth control pulled off the market in the '80s. 670 00:39:16,612 --> 00:39:18,500 So she's allergic to copper? 671 00:39:18,657 --> 00:39:20,309 Rare, but it happens. 672 00:39:20,376 --> 00:39:22,096 Didn't she knowshe had an IUD? 673 00:39:22,264 --> 00:39:23,275 She had an abortion. 674 00:39:23,433 --> 00:39:27,377 IUD must have been left in, embedded in the endometrial tissue where it couldn't be detected. 675 00:39:28,489 --> 00:39:31,051 So all we have to do is remove the IUD. 676 00:39:31,118 --> 00:39:32,770 Then the symptoms should subside. 677 00:39:33,399 --> 00:39:35,927 I got this IUD when I was 15. 678 00:39:36,062 --> 00:39:38,253 I-it's been more than 20 years. 679 00:39:38,321 --> 00:39:40,950 Well, prolonged exposure to an allergen with minimal symptoms. 680 00:39:41,411 --> 00:39:45,759 But at some point, all it takes is one last contact to cause a full-blown reaction. 681 00:39:46,018 --> 00:39:49,287 It's like a balloon filled with air. One last breath, it explodes. 682 00:39:50,197 --> 00:39:54,209 The first time I got the rash was when I was washing the copper cookware. 683 00:39:54,197 --> 00:39:57,500 And all your subsequent symptoms came from ingesting food prepared in it. 684 00:39:58,478 --> 00:40:00,601 Dr. House found his miracle. 685 00:40:01,309 --> 00:40:03,096 I doubt he'll interpret it that way. 686 00:40:05,478 --> 00:40:07,601 You told me your favorite passage. 687 00:40:07,938 --> 00:40:09,725 Would you like to hear mine? 688 00:40:11,399 --> 00:40:13,759 "Celebrate and be glad, 689 00:40:13,894 --> 00:40:16,759 "because your brother was dead and is alive again." 690 00:40:16,903 --> 00:40:17,914 The prodigal son. 691 00:40:20,105 --> 00:40:22,633 He'll be waiting for you when you're ready. 692 00:40:25,060 --> 00:40:27,150 We'll schedule your surgery for tomorrow. 693 00:40:34,238 --> 00:40:36,395 The sixth circle of hell. 694 00:40:36,501 --> 00:40:40,176 Confined in a sweat box with a bloody nose, and all the tissues are soggy. 695 00:40:40,243 --> 00:40:41,861 I think that's the seventh. 696 00:40:41,895 --> 00:40:44,220 - No, the seventh is... - God, you must be fun at parties. 697 00:40:44,311 --> 00:40:46,266 I think we both know the flawin that theory. 698 00:40:46,333 --> 00:40:49,872 - How's the sister? - Heart rate is normal, kidney is functioning. 699 00:40:50,176 --> 00:40:53,412 You know how it is with nuns, you take out their IUDs, they just bounce right back. 700 00:40:53,602 --> 00:40:55,928 - Great. - Told you I didn't screw up. 701 00:40:57,613 --> 00:40:58,388 You screwed up. 702 00:40:58,512 --> 00:41:00,838 I gave her point-one cc of epinephrine. 703 00:41:00,905 --> 00:41:03,434 Yeah, and if Cuddy hadn't taken you off the case, you would've killed her. 704 00:41:05,827 --> 00:41:07,479 You wanna come over for Christmas dinner? 705 00:41:08,917 --> 00:41:10,265 You're Jewish. 706 00:41:10,906 --> 00:41:14,378 Yeah, Hanukkah dinner. Wh-what do you care? It's food, it's people. 707 00:41:14,445 --> 00:41:15,389 No thanks. 708 00:41:17,265 --> 00:41:18,782 Maybe I'll come to your place. 709 00:41:19,591 --> 00:41:21,883 Your wife doesn't mind being alone at Christmas? 710 00:41:21,951 --> 00:41:23,973 I'm a doctor, she's used to being alone. 711 00:41:26,558 --> 00:41:28,445 - I don't want to talk about it. - Neither do I. 712 00:41:33,268 --> 00:41:34,988 You did good. With the nun. 713 00:41:35,695 --> 00:41:37,111 Congratulations. 714 00:41:38,561 --> 00:41:39,268 Thank you. 715 00:41:40,415 --> 00:41:41,999 Merry Christmas, Dr. House. 716 00:41:42,783 --> 00:41:43,862 Dr. Wilson. 717 00:41:45,432 --> 00:41:46,342 Good night. 718 00:41:49,005 --> 00:41:50,151 That was sweet.