Show: House M.D. - 4x11
Doc, help, doc!
It stopped bleeding that's because your blood's freezing as it's hitting the air.
Here, apply pressureon it.
I think my legis frozen.
That's the leastof your problems.
The blade severedyour femoral artery.
Am I gonna lose my leg?
Frostbite's not too bad but I gotta fix your artery now.
This is gonna hurt.
You're gonna put that in me?
Glue's the best wayto repair your artery at this temperature.
It looks okay.
Here, tear offsome pieces.
I have to check your foot.
Blood flow looks good.
Your leg should be okay.
I thought I was done.
Yeah, like I'd let anything happen to you.
You're the only one who can fix the generators.
One...
Two...
Three.
Cate, cate, are you okay?
Are you okay?
I--i--i need help.
Who am I supposed to get?
Made by: www.ragbear.com Edited by: SubtitleSource.org why do I even give you an office?
New case.
Psych department asked for you personally.
Patient's a crazy person?
You're a crazy person.
Patient's a psychiatrist.
There's something wrong with coma guy's cable.
He seems fine with it.
Your patient is an adjunct faculty member here but currently-- the budget committee voted to charge for cable in the patient rooms.
Slippery slope.
Today we with hold porn, tomorrow it's clean bandages.
Talk to carlson in derm-- he runs the budget committee-- after you look at this.
After you talk to carlson, -maybe I'll-- -the patient is trapped at the south pole.
Any possibility of evacuating her?
That wouldn't be any fun.
And for the next two months, winds make it impossible to fly anything in or out.
Could be appendicitis or a gallstone.
Or a kidney stone.
That wouldn't be any fun.
If it's appendicitis down there, her appendix ruptures, she dies, there's nothing we can do.
If it's stones, she takes pain meds, the stone passes, there's nothing we need to do.
Could be a struvite kidney stone.
Most kidney stones are calcium and benign.
Why would you suspect a struvite stone?
'Cause he said kidney stones were boring.
It's possible.
She's on birth control.
Lots of sex could lead to urinary tract infection, which could lead to an infection-laced struvite kidney stone.
Excessive antarctic drilling.
Bad for the environment and the ladies.
If it's a struvite stone she needs to break it up quickly before the infection shuts down her kidneys.
This is where it gets fun.
These are the supplies and medications she has available.
Nothing here that can break up a kidney stone.
What else do they have down there?
I just said-- I don't mean medical stuff.
Other stuff.
Some geological equipment breaks ice and rock the same way we break kidney stones.
Uh, discovery channel.
I like watching them blow stuff up.
Who doesn't?
That reminds me.
Coma guy needs cable.
Women's billiard is the only thing that's keeping him alive.
I'm sure carlson will be moved by his plight.
Carlson won't listen to me since I hit on his wife.
You knew!
God no, I thought I was hitting on his daughter.
Look, you're on the committee.
He'll listen to you.
I'm an avid reader of "committees with hotties" message boards.
I'm not oxicillin,500 milligrams I.
V.
Studies conducted in major hospitals indicate that happy patients recover faster.
Studies conducted in my apartment show that tv makes people happy.
Premium channels have a particularly striking effect.
Charging patients for cable is bringing in 13 grand a month.
Until this injustice is righted, I am going to waste 13 grand a day.
It's $2.
49 Down.
Get an ekg and a cardiac enzyme.
If those check out, discharge him and tell him to get a snow blower.
How much is 13 grand divided by $.
04?
I am not giving you cable.
You're gonna have to somehow survive with the broadcast networks alone.
I'll be fine on tuesdays.
If sound waves from the flaw detector break the egg, it should safely dissolve your kidney stone.
This isn't going to work.
There's no reason it shouldn't.
Sound waves are sound waves.
Stones are stones.
Some are bigger than others.
Some are inside me.
How's it going, team macgyver?
Oh, great.
I can't get cable, but I can get the south poleon hi-def.
We're almost readyto start the test.
Test?
Did ford test the edsel?
Did coke test new coke?
Did shakespeare test his final play: snow dogs?
I'm guessing you're doctor house?
I was wonderingwhen you might drop by.
Could she see me?
Oh, yeah.
Think jagger shows up for the sound check?
Okay--roadies, off the stage.
Go help cameron in the e.
R.
Why?
No way you're just doing her a favor.
E.
R.
Is standing room only.
Which means cameron's bound to make a mistake.
Find it so I can blackmail her.
As far as you know, this is way more than just some silly battle over cable.
Ready.
You-you might wanna just dial it down a smidge.
I am not doing this.
Your kidney stone theory hinges on me having sex, but- let me guess.
You're as pure as the driven snow.
Only if the snow likes to be on top.
But I am here doing psychological research.
Generally not a good idea to swap fluids with your subjects.
Struvite stones are possible in people who don't have sex.
They're certainly possible in people who claim- I have had no u.
T.
I.
S.
No pain on urination.
You do realize that only one of us is a real doctor.
You do realize only one of us has any control over my actions.
Dr.
Milton, are you able to run a chem 7?
Yes.
That'll tell us if her kidney function's declining.
If it is, he's right.
Struvite stone's most likely explanation.
If not, she's right.
Sorry, I know how you like to avoid avoiding confrontation.
While we're waiting for that test to prove me right, start I.
V.
Cefuroxime.
Keep the infection in the stone from wiping out your kidneys.
I'll send the chem 7 results when I'm done.
She's a great psychiatrist.
One session, I have got shrinkage.
House wants us to spy on you, report back.
And you're telling me this because...
We don't want to do it.
I don't see a problem so far.
If our choice is between pissing house off or pissing you off, that's not much of a choice.
So unless I give house cable, you're gonna make my life miserable.
Yes.
And you're telling me this so you won't feel as guilty when you do it.
Yes.
Accommodating house's every whim is not my job anymore.
But it is ours.
House will get what he wants.
Maybe we should just pay for it ourselves and tell him she folded.
No.
Your chem 7 results show that your kidney function is declining.
Sounds like a kidney stone to me.
The decreased function could be from dehydration caused by vomiting due to a gallstone.
You agreed that the chem 7 would decide if it was a struvite stone.
I agreed to do the test.
The results are up for interpretation.
I'll redo the test in an hour when I'm rehydrated.
Have you noticed any improvement since starting the cefuroxime?
Not really.
The pain's about the same.
While you're waiting, we should run another test with the geology equipment.
You're not taking the cefuroxime.
She's right handed.
Means she would've put the I.
V.
In her left arm.
Catheter in the arm makes it hard to bend the elbow the way people do when they drink!
We have a limited supply of medication and I'm not about to waste it.
Last I checked, you had a limited supply of doctors.
Right before I got sick, one of my crew members severed his femoral artery.
He needs the cefuroxime.
Right, he called dibs.
His need is definitive.
Mine is speculative.
You're breathing fast.
It's because I'm pissed off!
Lift up your chin.
Show me your windpipe.
Ah!
My chest hurts.
It's deviating to the left.
Means her right lung is collapsing.
Cate, is anyone there with you?
Sean went to the mess.
You need to call someone- there's no time.
Get a syringe and a needle.
Why am I doing- shut up and look.
She could pass out.
She needs- she needs to reinflate that lung okay, now pull out the plunger.
I want you to stab yourself in your right side between the second and third rib in the mid-clavicular line.
By the time we get someone else there, you'll have suffocated.
Just do it.
See all the good stuff that happens when you listen to me?
Means it's not a kidney stone.
Right side pain, vomiting, and now a lung that gets traumatized without any trauma.
Sounds odd.
Probably is odd.
We should discuss this, then call her back.
Oh, that's fine.
I made sure we got the south pole long distance plan.
Your latest kidney function test shows- i know what it shows.
I ran it.
The more you interrupt, the longer my grandstanding is gonna take.
Since when do you let patients participate in differentials?
Since the patient and her doctor happen to be the same person.
Your kidney function is still declining.
Means you have a kidney problem.
But not one that needed antibiotics.
Makes us equally wrong.
No, makes us both wrong.
Not equally.
You were at least six wronger.
They run a ppd before you shipped out?
On me and everybody else here.
It's not t.
B.
Excuse us a second.
Cancer explains the symptoms.
A tumor in her lung or kidney that threw a clot to the other organ.
And you're worried the tumor might overhear, realize we're on to it.
Cancer's a hard diagnosis for patients even when they're not in the south pole.
We should figure this out, maybe bring wilson in.
Obviously you two think I'm in bad shape.
Only if you count the tumor.
House!
Probably in your abdomen.
But you don't have any advanced imaging equipment.
You also don't have a surgeon to biopsy it, any stains to use on the slide, or an oncologist to analyze it.
Too far away to hold her hand.
I have cancer?
Possibly.
Since the only imaging equipment you have is x-ray, let's start there.
X- ray your entire body.
I'll upload the images when I'm done.
Good for you.
She's annoying.
Refused to take the antibiotics because other people might need them.
She said she cares about other people?
What a poser.
K.
U.
B.
Is clean.
You don't like her because she's a psychiatrist.
I'm a complicated man.
I loathe her for many reasons.
Never before has a profession been so decried by someone who needed it so badly.
You talk a lot of smack about tranny hookers.
Enlarged mediastinal node.
Lymphoma.
Probably, but we can't confirm it without a biopsy.
You can't analyze a biopsy without a stain.
We can't biopsy.
'Cause they don't have stains down there.
We need a substitute.
She can't biopsy that node without a surgical team and an o.
R.
Anything with a strong color could work as a stain.
Printer ink, food coloring, coffee.
No thanks.
???
One she can biopsy.
That makes sense.
That makes sense?
I said it first.
In a shockingly calm manner after I'd just been jerking you around for 30 seconds without you complaining or analyzing said jerking.
I was being mature.
In a lavender shirt.
You for some reason are happy.
How dare you?
The x-rays don't show any other abnormal nodes.
Abnormal nodes can be felt before they can be seen on an x-ray.
You're wearing that shirt for someone.
The health department.
They frown on topless oncology.
You're gonna do a physical?
Have to.
You and foreman are gonna be here looking for a stain.
I can do the physical.
There's no reason to watch.
I can think of at least three reasons.
One of them's medical.
Where are you?
Not in your office.
You're not in the hospital.
No reason for me to be.
I am not undressing for you in your apartment.
You're not in my apartment.
You're three quarters of a world away.
I promise not to get fresh.
I'm not taking off my clothes.
One of us has to.
Show me your place.
Uh, it's got walls, a floor, and in some places, a roof.
I am not exposing myself without some reciprocity.
It's my apartment.
It's not my soul.
Living room.
Slow down.
Huh, lots of books.
I'm betting all medical.
Only if you count jenna jameson's autobiography as a gynecological text.
Fiction is a waste of time unless you can laugh at it.
I love to laugh.
Moving on.
Back up.
How bad is the insomnia?
Let me clarify that.
Do you drink two or three scotches before passing out in front of the tv?
You are so far off.
It's bourbon.
No photos anywhere.
Family and friends aren't important?
Well, you're sick.
You got 20 people down the hall and you've had exactly one visitor.
I don't want to panic anyone.
You don't like people.
You hide on that ice cube so people- stop projecting.
You're anti-social, so you assume I'm anti-social.
How about if I just get naked and you shut up?
If I thought I could get you naked, I would've led with that.
You'd rather show me your soul than your leg.
Great, you got me all figured out.
You gonna try and fix me now?
I never said you needed fixing.
He's letting her take part in the differentials.
Of course he is.
He likes her.
Big shock, spaghetti sauce doesn't work as a lymph tissue stain.
I'll try the coffee.
He's annoyed by her, doesn't respect her as a doctor, constantly insults her.
That's house's version of courtship.
Oh, god.
He's been wooing me for years.
She's the perfect woman for him.
Willing to literally go to the end of the earth for her career, making her unavailable for a real relationship.
And she's afflicted with a mysterious illness.
Soy sauce is a no-go.
We're gonna be here all night.
How long does it take you to get naked?
It's the south pole.
I wear a lot of layers.
Okay, ready.
Bah!
I saw socks.
That's not naked.
Have I mentioned it's freezing here?
When they discover lymph nodes in feet, I will take off my socks.
Use your right hand to palpate the nodes.
Any node you can feel is one you can biopsy.
Let's start with your breasts, move down to the ass, then- i was thinking go from the neck and work my way down.
Well you could, but I'd never forgive myself if we found something before we got to your breasts.
I'm starting with the anterior cervical nodes.
Turn your head.
Locate the scm muscle.
I know how to find my lymph nodes.
They teach you that before or after the class on fondling your inner child?
No swelling, no tenderness, and I can hear that, house.
Just thought it might help you relax.
Anything in the axillary nodes?
All clear.
Both sides.
Slide your hand to your sternum, probe for nodes.
Moving slowly downward.
Down to what, house?
Sorry, can't hear you on account of your heavy breathing.
I'm supposed to be on oxygen, you tool.
Hold it.
Your fingers didn't go quite as deep.
Feel that node again.
It-it's swollen.
Looks like you're doing a biopsy.
It's pretty numb.
Okay, take a deep breath and insert the needle into the node.
Come on, cate.
Let's get this over with.
You used her name.
Just trying to move things along, bob.
Okay, I'm in.
You need to pull back on the syringe.
You need to pull harder.
You okay?
Yeah. "
Are you okay?"
It's a valid medical question.
I have never heard you ask a patient that question.
You've never asked me that question, and you've seen me fall down a flight of stairs drunk.
You've slept with her.
She's 9,000 miles away.
And while a certain part of me unfurled- no, you- somehow you've been intimate with her.
Why are you following me?
Thought you were following me.
No, you are definitely following me.
Where are you going?
Out to lunch.
You never go out to lunch.
Means there's a reason you're going out to lunch.
I assume that reason is a human being.
Or a sandwich.
Sandwiches can come here.
So can human beings.
Yet she's not, which I find interesting.
I'm leaving now.
Small world.
Are you going to follow me into my car?
It's got two doors.
Okay, look- the reason I haven't told you is- call off your dogs, house.
Your little helpers are interrogating my patients, swiping my charts, intercepting prescriptions.
Why would you think that I'm- because I'm not a moron.
You had to be pulling the strings here.
You think that because they make me miserable I'm gonna give you cable?
Let's assume that's true.
And it certainly sounds like it might be.
What are you gonna do?
Nothing.
I resigned from the budget committee.
I only joined the committee to help the hospital.
You made me a liability.
I now have zero influence over the hospital's cable policy.
Well done.
It didn't work.
There's nothing more that- put these up. "
Free rottweiler puppies.
Please call after 11:00 pm and before 5:00 am. "
Is this cameron's home number?
I love a new puppy.
That last one was delicious.
In torturing her.
S no point if she can resign, she can unresign.
Go to defcon one.
Forget waiting for a mistake, make her make one.
You want us to sabotage another doctor, possibly harm a patient, all so you can have cable.
Harm suggests permanent damage.
Get her to screw up, then fix it.
Oh, and this time don't tell her what you're gonna do before you do it.
So, um, how long do I let the lymph node marinate in the red wine?
It should be ready now.
Try increasing the magnification on the camera.
You know, I e-mailed a couple colleagues at the hospital about you.
You're checking up on me, not house?
Yeah, well house is straightforward, brilliant, and an ass.
Two out of three good qualities, clear majority.
Whereas you, on the other hand, have a perfect score.
You are responsible, nice, human.
And yet you're house's best friend.
Hold there.
Makes you think he's secretly nicer than he seems?
Makes me think that you're secretly a lot less nice than you seem.
Do you always insult your doctors?
It's not an insult.
Indiscriminate niceness is overrated.
No wonder he likes you.
Based on this slide, you do not have cancer.
Oh.
Thank god.
I do see some inflammation which could mean- ah-mm- cate?
You all right?
My left side...
Hurts.
Um...
It's the same pain that I had on the right.
Your other kidney.
No, I hope it's something, um- it's maybe- ah!
Oh, no!
I'm screwed.
Bad news is you're 0 for 2 in the kidney department.
Is there good news?
You're back at home.
Of course.
There's cable.
And the freedom to work pant-free.
That is good news.
Wilson found signs of inflammation in your biopsy.
That plus the two failing kidneys points to autoimmune disease.
Probably sle or vasculitis.
Treatment for both is prednisone.
Start with 100 milligrams- autoimmune is just your latest theory.
Like cancer before that, and a kidney stone before.
Take the prednisone, you'll get better, that'll be your confirmation.
You practice medicine like it's a fire sale.
You've wasted antibiotics, x- rays- that was not a waste.
We ruled out- we have a crew member here who has asthma.
If he has an episode after I have used up the prednisone, he'll die.
There's a good chance he's gonna die anyway, since there won't be a doctor there to help him.
Show me proof that it's autoimmune and then I'll take the prednisone.
We should send her outside.
Right, just tell her to head north until she runs into a hospital.
Autoimmune diseases are basically inflammation running wild.
Extreme cold has been used as treatment, like putting ice on a sprained ankle.
She starts to feel better outside, we know it's autoimmune.
Is that my wallet?
Yeah, you can have it back.
I've already been through it.
I like your "ice on a sprain" metaphor.
Makes it seem like we're not killing her.
She'd only need to be outside five minutes.
Without her mittens.
Mom told me that was a bad idea.
Especially that winter it was 70 below and I had dual kidney failure.
This is a good idea.
It's perfect for you- experimental, risky.
Wilson's right.
You care about- you didn't touch the cash, but you took the receipts?
$190 Restaurant tab.
That's dessert, probably booze.
Means you lingered.
Means it's at least the third date.
Means- where are you going?
To talk to the people I pay to come up with medical ideas.
There are no ideas.
The test for autoimmune is a.
N.
A.
Unless penguins poop immuno analyzers, she's not- before a.
N.
A.
Testing, people had autoimmune diseases.
How did they know?
C3.
Before that.
L.
E.
Prep.
But she doesn't have any controlled pore glass beads.
You don't need them.
When you shake the test tube, the paperclip will damage some of your blood cells.
If you have an autoimmune disease, your immune system will gorge it'self on the damaged cells.
They'll get big and fat so you can see 'em under a microscope.
How you doing?
No change.
So how long should I give the cells to fatten up before I check them?
Couple hours.
Or you could stop being a hypocrite and take the prednisone now.
Not bending to your will makes me a hypocrite?
If your psych patients demanded lab results, you'd never make a diagnosis.
So I'm wrong.
You sleep like a baby, your life is unfolding as you dreamed.
Everyone is miserable.
You don't change that because people don't change.
You want to believe that because then you're freed from any responsibility for your misery.
Oh, shut up.
I get enough of this from wilson.
And yet you keep hanging out with him.
And from what I hear, you have spent more time with me than with any other patient.
Sorry about that.
Call me when you get the results.
How's your patient?
She has an autoimmune disease.
Tell the psych department she's in denial.
I had to fire cameron.
What?
What happened?
65-Year-old man came into the e.
R.
With a hip fracture.
Cameron gave him demerol.
The guy was on an m.
A.
O.
I.
Put him into a hypertensive crisis.
Is he gonna live?
Taub caught the error in time.
If she'd just admitted the mistake, maybe I could've just suspended her.
But she's packing up, if you want to say good-bye.
We should be hearing from the south pole in a few minutes.
That's it?
There's nothing to be done.
She screwed up.
She's got no one to blame but herself.
I gotta go talk to cameron.
Cuddy wouldn't can her for one screw-up.
And if she did, she wouldn't come to me.
And if she did, she wouldn't open with, "how's your patient. "
And if she did- why would she lie?
Timeless question.
In this case, she conspired with your coworkers to teach me that some things are more important than cable.
And I'm gonna have to teach them that they're wrong.
Come on, south pole really should be calling.
L.
E.
Prep test was negative.
It's not autoimmune.
You're basing that on a test done with a paperclip.
Just take the prednisone.
Either find another diagnosis or find another test.
There is one way.
You can take this experimental drug called...
Prednisone!
Your kidneys start working- there is another test.
Oh, I-I think foreman may've just broken up there.
What he actually said was "there is no other test. "
If you have an autoimmune disease, exposure to the cold should decrease your kidney pain.
If I go outside, we'll have our answer?
And you knew about this?
I rejected it because if you're frozen solid, it's hard to get the needles into your arms.
How long do I need to stay out?
At least five minutes.
Eight minutes outside would kill a healthy person.
And healthy people don't suck on oxygen masks.
Healthy people can pee.
I'll go get sean, have him come with me.
Just take the prednisone.
Once I come inside.
If it's autoimmune.
Are you all right?
Oh, I'm sure she's just fine.
Cate?
See if there's anye down there who has a cell phone.
Took the station mechanic 20 minutes to respond.
She'd already slipped into a coma.
Started her on prednisone, but no improvement.
Means it's not autoimmune.
Good thing she's in a coma, or we'd have to listen to her gloat.
And where are we going?
To find the useful members of my team.
You're letting him off the hook?
Happy?
Because of you, I'm not gonna be able to watch law and order in korean why am I here?
Because I want to ask you about your girlfriend.
I must know who she is or you'd have told me her name.
She doesn't have a name.
It's some sort of birth defect.
There's only about 12 people we both know.
I can't remember five of their names, so we're down to...
Cuddy..
Your ex-wife your mama.
You need to run a kidney function test.
Yes, if only she wasn't in a coma we could get her to run a test to find out why she's in a coma.
The results would likely be paradoxical.
Can't be cuddy, 'cause you're straight.
Can't be- we could talk the mechanic through the test.
Too complicated.
Unless he's thirsty.
Drink her urine?
If it has a strong, concentrated taste, it means the problem's in her kidneys.
Watery taste means it's her brain and then you can fix it?
Let's say yeah.
How do I get the urine out of her?
Take a straight catheter and insert it- these are your only questions?
Not, "is it safe?"
Or, "is there another way?"
Or, "are you out of your minds?"
You wouldn't ask me if- wait a second.
You're in love with her.
That explains why you're so eager to get her naked, then have a drink.
'Cause most guys like to go the other way around.
Why do you care how I feel about her?
Because now I know that I can get you to do anything to save her.
Tell him how to tap the keg.
You got cameron fired.
Uh, cuddy wasn't supposed to find out.
No kidding!
Get me cable.
How tough can that be?
Cost a woman her job.
There's only one thing you can say to keep me from firing you.
Cameron wasn't fired.
Wrong.
You know?
We'r still fired?
That should be a hint as to what you're supposed to say.
We're sorry.
Wrong.
I love you.
Wrong.
This is a game?
First we have to screw with our coworker and now we have to try to figure out what you want us to say?
This is insane.
I'm not playing.
Right.
Should've said this two days ago.
Do not play games with me.
Number one, you're going to lose.
You're just not ready.
Number two, the game was to force you to stop playing games.
I need you to stand up to me.
Challenge me.
I need you to stop worrying about getting fired.
Go pay for my cable.
No!
I didn't mean on this.
Seriously, I need cable.
Milk, milk, lemonade.
Uh, this tastes kind of watery.
That's bad news.
Either increased intracranial pressure or something's wrong with her hypothalamus.
How do you figure out which one it is?
We don't do anything.
You're gonna drill a hole in her skull.
If she regains consciousness, it's increased intracranial pressure.
And if it's the other thing?
She'll die.
But if it's the hypothalamus, she's dead anyway.
If the problem is the pressure in her brain, and I fix it, is she gonna be all better?
Nope, but it'll give us more time to figure out what's wrong.
I have to get someone else.
I can't do this.
You love her, right?
You'd do anything to save her.
Not this.
I can't do this.
If-if she dies because of something that I did, then i- listen, listen.
I am not going to let you hurt her.
Okay?
Now please...
This is her only chance.
Okay.
Well, that was easy.
Okay, her head is stabilized and the drill bit is sterile.
Place the drill bit against the upper left part of her forehead.
About an inch above the temple.
It's not going anywhere.
Bone's harder than wood.
Lean into it.
The skull's only a quarter-inch thick.
Once you're midway through, drill in shorter bursts.
If it comes out the other side, you've gone too far.
Okay, now what?
Now what?
Let the fluid drain.
She's waking up.
She's waking up.
Sean?
What's going on?
South pole doc is out of her coma, and now we have a new symptom: increased intracranial pressure.
Why are we out here?
That's the patient room.
Icp plus kidney problems plus lung collapse equals?
The most likely suspect is a tumor throwing off clots.
We ruled out cancer.
But not clots.
What causes blood clots?
Bacterial endocarditis.
Not without a fever.
Deep vein thrombosis plus an existing pfo.
Pfo would've been discovered in her pre-south pole physical exam.
What if the clots aren't clots?
Atherosclerosis.
Fatty plaque builds up on the arterial walls, pieces break off, block blood flow.
Explains everything.
She has zero risk factors.
Forget fat, think clots.
No.
You're standing up to me?
Maybe.
Just to clarify.
You should do that when you're right.
Sorry for the confusion.
How could a clot- could be a different kind of fat, fat emboli.
That's a perfect fit...
Except it's completely impossible!
Fat emboli requires an unrepaired bone break.
Between the x-ray and the exam, I have seen her entire- see, that's what I'm talking about.
Take off her socks.
I could-i could do it.
No, I got it.
Your toe is broken.
Oh, my god.
Bit's of bone marrow have been leaking into your blood stream.
Those fat emboli have caused blockages in your kidney, lungs, and brain.
It doesn't even hurt.
Cold numbs everything.
Does a particularly great job on the extremities.
You'll need to close the break so stop the marrow from leaking.
This one you will feel.
Will you do it?
He drilled a hole in your skull after drinking your pee.
I think he's up for this.
It stopped bleeding that's because your blood's freezing as it's hitting the air.
Here, apply pressureon it.
I think my legis frozen.
That's the leastof your problems.
The blade severedyour femoral artery.
Am I gonna lose my leg?
Frostbite's not too bad but I gotta fix your artery now.
This is gonna hurt.
You're gonna put that in me?
Glue's the best wayto repair your artery at this temperature.
It looks okay.
Here, tear offsome pieces.
I have to check your foot.
Blood flow looks good.
Your leg should be okay.
I thought I was done.
Yeah, like I'd let anything happen to you.
You're the only one who can fix the generators.
One...
Two...
Three.
Cate, cate, are you okay?
Are you okay?
I--i--i need help.
Who am I supposed to get?
Made by: www.ragbear.com Edited by: SubtitleSource.org why do I even give you an office?
New case.
Psych department asked for you personally.
Patient's a crazy person?
You're a crazy person.
Patient's a psychiatrist.
There's something wrong with coma guy's cable.
He seems fine with it.
Your patient is an adjunct faculty member here but currently-- the budget committee voted to charge for cable in the patient rooms.
Slippery slope.
Today we with hold porn, tomorrow it's clean bandages.
Talk to carlson in derm-- he runs the budget committee-- after you look at this.
After you talk to carlson, -maybe I'll-- -the patient is trapped at the south pole.
Any possibility of evacuating her?
That wouldn't be any fun.
And for the next two months, winds make it impossible to fly anything in or out.
Could be appendicitis or a gallstone.
Or a kidney stone.
That wouldn't be any fun.
If it's appendicitis down there, her appendix ruptures, she dies, there's nothing we can do.
If it's stones, she takes pain meds, the stone passes, there's nothing we need to do.
Could be a struvite kidney stone.
Most kidney stones are calcium and benign.
Why would you suspect a struvite stone?
'Cause he said kidney stones were boring.
It's possible.
She's on birth control.
Lots of sex could lead to urinary tract infection, which could lead to an infection-laced struvite kidney stone.
Excessive antarctic drilling.
Bad for the environment and the ladies.
If it's a struvite stone she needs to break it up quickly before the infection shuts down her kidneys.
This is where it gets fun.
These are the supplies and medications she has available.
Nothing here that can break up a kidney stone.
What else do they have down there?
I just said-- I don't mean medical stuff.
Other stuff.
Some geological equipment breaks ice and rock the same way we break kidney stones.
Uh, discovery channel.
I like watching them blow stuff up.
Who doesn't?
That reminds me.
Coma guy needs cable.
Women's billiard is the only thing that's keeping him alive.
I'm sure carlson will be moved by his plight.
Carlson won't listen to me since I hit on his wife.
You knew!
God no, I thought I was hitting on his daughter.
Look, you're on the committee.
He'll listen to you.
I'm an avid reader of "committees with hotties" message boards.
I'm not oxicillin,500 milligrams I.
V.
Studies conducted in major hospitals indicate that happy patients recover faster.
Studies conducted in my apartment show that tv makes people happy.
Premium channels have a particularly striking effect.
Charging patients for cable is bringing in 13 grand a month.
Until this injustice is righted, I am going to waste 13 grand a day.
It's $2.
49 Down.
Get an ekg and a cardiac enzyme.
If those check out, discharge him and tell him to get a snow blower.
How much is 13 grand divided by $.
04?
I am not giving you cable.
You're gonna have to somehow survive with the broadcast networks alone.
I'll be fine on tuesdays.
If sound waves from the flaw detector break the egg, it should safely dissolve your kidney stone.
This isn't going to work.
There's no reason it shouldn't.
Sound waves are sound waves.
Stones are stones.
Some are bigger than others.
Some are inside me.
How's it going, team macgyver?
Oh, great.
I can't get cable, but I can get the south poleon hi-def.
We're almost readyto start the test.
Test?
Did ford test the edsel?
Did coke test new coke?
Did shakespeare test his final play: snow dogs?
I'm guessing you're doctor house?
I was wonderingwhen you might drop by.
Could she see me?
Oh, yeah.
Think jagger shows up for the sound check?
Okay--roadies, off the stage.
Go help cameron in the e.
R.
Why?
No way you're just doing her a favor.
E.
R.
Is standing room only.
Which means cameron's bound to make a mistake.
Find it so I can blackmail her.
As far as you know, this is way more than just some silly battle over cable.
Ready.
You-you might wanna just dial it down a smidge.
I am not doing this.
Your kidney stone theory hinges on me having sex, but- let me guess.
You're as pure as the driven snow.
Only if the snow likes to be on top.
But I am here doing psychological research.
Generally not a good idea to swap fluids with your subjects.
Struvite stones are possible in people who don't have sex.
They're certainly possible in people who claim- I have had no u.
T.
I.
S.
No pain on urination.
You do realize that only one of us is a real doctor.
You do realize only one of us has any control over my actions.
Dr.
Milton, are you able to run a chem 7?
Yes.
That'll tell us if her kidney function's declining.
If it is, he's right.
Struvite stone's most likely explanation.
If not, she's right.
Sorry, I know how you like to avoid avoiding confrontation.
While we're waiting for that test to prove me right, start I.
V.
Cefuroxime.
Keep the infection in the stone from wiping out your kidneys.
I'll send the chem 7 results when I'm done.
She's a great psychiatrist.
One session, I have got shrinkage.
House wants us to spy on you, report back.
And you're telling me this because...
We don't want to do it.
I don't see a problem so far.
If our choice is between pissing house off or pissing you off, that's not much of a choice.
So unless I give house cable, you're gonna make my life miserable.
Yes.
And you're telling me this so you won't feel as guilty when you do it.
Yes.
Accommodating house's every whim is not my job anymore.
But it is ours.
House will get what he wants.
Maybe we should just pay for it ourselves and tell him she folded.
No.
Your chem 7 results show that your kidney function is declining.
Sounds like a kidney stone to me.
The decreased function could be from dehydration caused by vomiting due to a gallstone.
You agreed that the chem 7 would decide if it was a struvite stone.
I agreed to do the test.
The results are up for interpretation.
I'll redo the test in an hour when I'm rehydrated.
Have you noticed any improvement since starting the cefuroxime?
Not really.
The pain's about the same.
While you're waiting, we should run another test with the geology equipment.
You're not taking the cefuroxime.
She's right handed.
Means she would've put the I.
V.
In her left arm.
Catheter in the arm makes it hard to bend the elbow the way people do when they drink!
We have a limited supply of medication and I'm not about to waste it.
Last I checked, you had a limited supply of doctors.
Right before I got sick, one of my crew members severed his femoral artery.
He needs the cefuroxime.
Right, he called dibs.
His need is definitive.
Mine is speculative.
You're breathing fast.
It's because I'm pissed off!
Lift up your chin.
Show me your windpipe.
Ah!
My chest hurts.
It's deviating to the left.
Means her right lung is collapsing.
Cate, is anyone there with you?
Sean went to the mess.
You need to call someone- there's no time.
Get a syringe and a needle.
Why am I doing- shut up and look.
She could pass out.
She needs- she needs to reinflate that lung okay, now pull out the plunger.
I want you to stab yourself in your right side between the second and third rib in the mid-clavicular line.
By the time we get someone else there, you'll have suffocated.
Just do it.
See all the good stuff that happens when you listen to me?
Means it's not a kidney stone.
Right side pain, vomiting, and now a lung that gets traumatized without any trauma.
Sounds odd.
Probably is odd.
We should discuss this, then call her back.
Oh, that's fine.
I made sure we got the south pole long distance plan.
Your latest kidney function test shows- i know what it shows.
I ran it.
The more you interrupt, the longer my grandstanding is gonna take.
Since when do you let patients participate in differentials?
Since the patient and her doctor happen to be the same person.
Your kidney function is still declining.
Means you have a kidney problem.
But not one that needed antibiotics.
Makes us equally wrong.
No, makes us both wrong.
Not equally.
You were at least six wronger.
They run a ppd before you shipped out?
On me and everybody else here.
It's not t.
B.
Excuse us a second.
Cancer explains the symptoms.
A tumor in her lung or kidney that threw a clot to the other organ.
And you're worried the tumor might overhear, realize we're on to it.
Cancer's a hard diagnosis for patients even when they're not in the south pole.
We should figure this out, maybe bring wilson in.
Obviously you two think I'm in bad shape.
Only if you count the tumor.
House!
Probably in your abdomen.
But you don't have any advanced imaging equipment.
You also don't have a surgeon to biopsy it, any stains to use on the slide, or an oncologist to analyze it.
Too far away to hold her hand.
I have cancer?
Possibly.
Since the only imaging equipment you have is x-ray, let's start there.
X- ray your entire body.
I'll upload the images when I'm done.
Good for you.
She's annoying.
Refused to take the antibiotics because other people might need them.
She said she cares about other people?
What a poser.
K.
U.
B.
Is clean.
You don't like her because she's a psychiatrist.
I'm a complicated man.
I loathe her for many reasons.
Never before has a profession been so decried by someone who needed it so badly.
You talk a lot of smack about tranny hookers.
Enlarged mediastinal node.
Lymphoma.
Probably, but we can't confirm it without a biopsy.
You can't analyze a biopsy without a stain.
We can't biopsy.
'Cause they don't have stains down there.
We need a substitute.
She can't biopsy that node without a surgical team and an o.
R.
Anything with a strong color could work as a stain.
Printer ink, food coloring, coffee.
No thanks.
???
One she can biopsy.
That makes sense.
That makes sense?
I said it first.
In a shockingly calm manner after I'd just been jerking you around for 30 seconds without you complaining or analyzing said jerking.
I was being mature.
In a lavender shirt.
You for some reason are happy.
How dare you?
The x-rays don't show any other abnormal nodes.
Abnormal nodes can be felt before they can be seen on an x-ray.
You're wearing that shirt for someone.
The health department.
They frown on topless oncology.
You're gonna do a physical?
Have to.
You and foreman are gonna be here looking for a stain.
I can do the physical.
There's no reason to watch.
I can think of at least three reasons.
One of them's medical.
Where are you?
Not in your office.
You're not in the hospital.
No reason for me to be.
I am not undressing for you in your apartment.
You're not in my apartment.
You're three quarters of a world away.
I promise not to get fresh.
I'm not taking off my clothes.
One of us has to.
Show me your place.
Uh, it's got walls, a floor, and in some places, a roof.
I am not exposing myself without some reciprocity.
It's my apartment.
It's not my soul.
Living room.
Slow down.
Huh, lots of books.
I'm betting all medical.
Only if you count jenna jameson's autobiography as a gynecological text.
Fiction is a waste of time unless you can laugh at it.
I love to laugh.
Moving on.
Back up.
How bad is the insomnia?
Let me clarify that.
Do you drink two or three scotches before passing out in front of the tv?
You are so far off.
It's bourbon.
No photos anywhere.
Family and friends aren't important?
Well, you're sick.
You got 20 people down the hall and you've had exactly one visitor.
I don't want to panic anyone.
You don't like people.
You hide on that ice cube so people- stop projecting.
You're anti-social, so you assume I'm anti-social.
How about if I just get naked and you shut up?
If I thought I could get you naked, I would've led with that.
You'd rather show me your soul than your leg.
Great, you got me all figured out.
You gonna try and fix me now?
I never said you needed fixing.
He's letting her take part in the differentials.
Of course he is.
He likes her.
Big shock, spaghetti sauce doesn't work as a lymph tissue stain.
I'll try the coffee.
He's annoyed by her, doesn't respect her as a doctor, constantly insults her.
That's house's version of courtship.
Oh, god.
He's been wooing me for years.
She's the perfect woman for him.
Willing to literally go to the end of the earth for her career, making her unavailable for a real relationship.
And she's afflicted with a mysterious illness.
Soy sauce is a no-go.
We're gonna be here all night.
How long does it take you to get naked?
It's the south pole.
I wear a lot of layers.
Okay, ready.
Bah!
I saw socks.
That's not naked.
Have I mentioned it's freezing here?
When they discover lymph nodes in feet, I will take off my socks.
Use your right hand to palpate the nodes.
Any node you can feel is one you can biopsy.
Let's start with your breasts, move down to the ass, then- i was thinking go from the neck and work my way down.
Well you could, but I'd never forgive myself if we found something before we got to your breasts.
I'm starting with the anterior cervical nodes.
Turn your head.
Locate the scm muscle.
I know how to find my lymph nodes.
They teach you that before or after the class on fondling your inner child?
No swelling, no tenderness, and I can hear that, house.
Just thought it might help you relax.
Anything in the axillary nodes?
All clear.
Both sides.
Slide your hand to your sternum, probe for nodes.
Moving slowly downward.
Down to what, house?
Sorry, can't hear you on account of your heavy breathing.
I'm supposed to be on oxygen, you tool.
Hold it.
Your fingers didn't go quite as deep.
Feel that node again.
It-it's swollen.
Looks like you're doing a biopsy.
It's pretty numb.
Okay, take a deep breath and insert the needle into the node.
Come on, cate.
Let's get this over with.
You used her name.
Just trying to move things along, bob.
Okay, I'm in.
You need to pull back on the syringe.
You need to pull harder.
You okay?
Yeah. "
Are you okay?"
It's a valid medical question.
I have never heard you ask a patient that question.
You've never asked me that question, and you've seen me fall down a flight of stairs drunk.
You've slept with her.
She's 9,000 miles away.
And while a certain part of me unfurled- no, you- somehow you've been intimate with her.
Why are you following me?
Thought you were following me.
No, you are definitely following me.
Where are you going?
Out to lunch.
You never go out to lunch.
Means there's a reason you're going out to lunch.
I assume that reason is a human being.
Or a sandwich.
Sandwiches can come here.
So can human beings.
Yet she's not, which I find interesting.
I'm leaving now.
Small world.
Are you going to follow me into my car?
It's got two doors.
Okay, look- the reason I haven't told you is- call off your dogs, house.
Your little helpers are interrogating my patients, swiping my charts, intercepting prescriptions.
Why would you think that I'm- because I'm not a moron.
You had to be pulling the strings here.
You think that because they make me miserable I'm gonna give you cable?
Let's assume that's true.
And it certainly sounds like it might be.
What are you gonna do?
Nothing.
I resigned from the budget committee.
I only joined the committee to help the hospital.
You made me a liability.
I now have zero influence over the hospital's cable policy.
Well done.
It didn't work.
There's nothing more that- put these up. "
Free rottweiler puppies.
Please call after 11:00 pm and before 5:00 am. "
Is this cameron's home number?
I love a new puppy.
That last one was delicious.
In torturing her.
S no point if she can resign, she can unresign.
Go to defcon one.
Forget waiting for a mistake, make her make one.
You want us to sabotage another doctor, possibly harm a patient, all so you can have cable.
Harm suggests permanent damage.
Get her to screw up, then fix it.
Oh, and this time don't tell her what you're gonna do before you do it.
So, um, how long do I let the lymph node marinate in the red wine?
It should be ready now.
Try increasing the magnification on the camera.
You know, I e-mailed a couple colleagues at the hospital about you.
You're checking up on me, not house?
Yeah, well house is straightforward, brilliant, and an ass.
Two out of three good qualities, clear majority.
Whereas you, on the other hand, have a perfect score.
You are responsible, nice, human.
And yet you're house's best friend.
Hold there.
Makes you think he's secretly nicer than he seems?
Makes me think that you're secretly a lot less nice than you seem.
Do you always insult your doctors?
It's not an insult.
Indiscriminate niceness is overrated.
No wonder he likes you.
Based on this slide, you do not have cancer.
Oh.
Thank god.
I do see some inflammation which could mean- ah-mm- cate?
You all right?
My left side...
Hurts.
Um...
It's the same pain that I had on the right.
Your other kidney.
No, I hope it's something, um- it's maybe- ah!
Oh, no!
I'm screwed.
Bad news is you're 0 for 2 in the kidney department.
Is there good news?
You're back at home.
Of course.
There's cable.
And the freedom to work pant-free.
That is good news.
Wilson found signs of inflammation in your biopsy.
That plus the two failing kidneys points to autoimmune disease.
Probably sle or vasculitis.
Treatment for both is prednisone.
Start with 100 milligrams- autoimmune is just your latest theory.
Like cancer before that, and a kidney stone before.
Take the prednisone, you'll get better, that'll be your confirmation.
You practice medicine like it's a fire sale.
You've wasted antibiotics, x- rays- that was not a waste.
We ruled out- we have a crew member here who has asthma.
If he has an episode after I have used up the prednisone, he'll die.
There's a good chance he's gonna die anyway, since there won't be a doctor there to help him.
Show me proof that it's autoimmune and then I'll take the prednisone.
We should send her outside.
Right, just tell her to head north until she runs into a hospital.
Autoimmune diseases are basically inflammation running wild.
Extreme cold has been used as treatment, like putting ice on a sprained ankle.
She starts to feel better outside, we know it's autoimmune.
Is that my wallet?
Yeah, you can have it back.
I've already been through it.
I like your "ice on a sprain" metaphor.
Makes it seem like we're not killing her.
She'd only need to be outside five minutes.
Without her mittens.
Mom told me that was a bad idea.
Especially that winter it was 70 below and I had dual kidney failure.
This is a good idea.
It's perfect for you- experimental, risky.
Wilson's right.
You care about- you didn't touch the cash, but you took the receipts?
$190 Restaurant tab.
That's dessert, probably booze.
Means you lingered.
Means it's at least the third date.
Means- where are you going?
To talk to the people I pay to come up with medical ideas.
There are no ideas.
The test for autoimmune is a.
N.
A.
Unless penguins poop immuno analyzers, she's not- before a.
N.
A.
Testing, people had autoimmune diseases.
How did they know?
C3.
Before that.
L.
E.
Prep.
But she doesn't have any controlled pore glass beads.
You don't need them.
When you shake the test tube, the paperclip will damage some of your blood cells.
If you have an autoimmune disease, your immune system will gorge it'self on the damaged cells.
They'll get big and fat so you can see 'em under a microscope.
How you doing?
No change.
So how long should I give the cells to fatten up before I check them?
Couple hours.
Or you could stop being a hypocrite and take the prednisone now.
Not bending to your will makes me a hypocrite?
If your psych patients demanded lab results, you'd never make a diagnosis.
So I'm wrong.
You sleep like a baby, your life is unfolding as you dreamed.
Everyone is miserable.
You don't change that because people don't change.
You want to believe that because then you're freed from any responsibility for your misery.
Oh, shut up.
I get enough of this from wilson.
And yet you keep hanging out with him.
And from what I hear, you have spent more time with me than with any other patient.
Sorry about that.
Call me when you get the results.
How's your patient?
She has an autoimmune disease.
Tell the psych department she's in denial.
I had to fire cameron.
What?
What happened?
65-Year-old man came into the e.
R.
With a hip fracture.
Cameron gave him demerol.
The guy was on an m.
A.
O.
I.
Put him into a hypertensive crisis.
Is he gonna live?
Taub caught the error in time.
If she'd just admitted the mistake, maybe I could've just suspended her.
But she's packing up, if you want to say good-bye.
We should be hearing from the south pole in a few minutes.
That's it?
There's nothing to be done.
She screwed up.
She's got no one to blame but herself.
I gotta go talk to cameron.
Cuddy wouldn't can her for one screw-up.
And if she did, she wouldn't come to me.
And if she did, she wouldn't open with, "how's your patient. "
And if she did- why would she lie?
Timeless question.
In this case, she conspired with your coworkers to teach me that some things are more important than cable.
And I'm gonna have to teach them that they're wrong.
Come on, south pole really should be calling.
L.
E.
Prep test was negative.
It's not autoimmune.
You're basing that on a test done with a paperclip.
Just take the prednisone.
Either find another diagnosis or find another test.
There is one way.
You can take this experimental drug called...
Prednisone!
Your kidneys start working- there is another test.
Oh, I-I think foreman may've just broken up there.
What he actually said was "there is no other test. "
If you have an autoimmune disease, exposure to the cold should decrease your kidney pain.
If I go outside, we'll have our answer?
And you knew about this?
I rejected it because if you're frozen solid, it's hard to get the needles into your arms.
How long do I need to stay out?
At least five minutes.
Eight minutes outside would kill a healthy person.
And healthy people don't suck on oxygen masks.
Healthy people can pee.
I'll go get sean, have him come with me.
Just take the prednisone.
Once I come inside.
If it's autoimmune.
Are you all right?
Oh, I'm sure she's just fine.
Cate?
See if there's anye down there who has a cell phone.
Took the station mechanic 20 minutes to respond.
She'd already slipped into a coma.
Started her on prednisone, but no improvement.
Means it's not autoimmune.
Good thing she's in a coma, or we'd have to listen to her gloat.
And where are we going?
To find the useful members of my team.
You're letting him off the hook?
Happy?
Because of you, I'm not gonna be able to watch law and order in korean why am I here?
Because I want to ask you about your girlfriend.
I must know who she is or you'd have told me her name.
She doesn't have a name.
It's some sort of birth defect.
There's only about 12 people we both know.
I can't remember five of their names, so we're down to...
Cuddy..
Your ex-wife your mama.
You need to run a kidney function test.
Yes, if only she wasn't in a coma we could get her to run a test to find out why she's in a coma.
The results would likely be paradoxical.
Can't be cuddy, 'cause you're straight.
Can't be- we could talk the mechanic through the test.
Too complicated.
Unless he's thirsty.
Drink her urine?
If it has a strong, concentrated taste, it means the problem's in her kidneys.
Watery taste means it's her brain and then you can fix it?
Let's say yeah.
How do I get the urine out of her?
Take a straight catheter and insert it- these are your only questions?
Not, "is it safe?"
Or, "is there another way?"
Or, "are you out of your minds?"
You wouldn't ask me if- wait a second.
You're in love with her.
That explains why you're so eager to get her naked, then have a drink.
'Cause most guys like to go the other way around.
Why do you care how I feel about her?
Because now I know that I can get you to do anything to save her.
Tell him how to tap the keg.
You got cameron fired.
Uh, cuddy wasn't supposed to find out.
No kidding!
Get me cable.
How tough can that be?
Cost a woman her job.
There's only one thing you can say to keep me from firing you.
Cameron wasn't fired.
Wrong.
You know?
We'r still fired?
That should be a hint as to what you're supposed to say.
We're sorry.
Wrong.
I love you.
Wrong.
This is a game?
First we have to screw with our coworker and now we have to try to figure out what you want us to say?
This is insane.
I'm not playing.
Right.
Should've said this two days ago.
Do not play games with me.
Number one, you're going to lose.
You're just not ready.
Number two, the game was to force you to stop playing games.
I need you to stand up to me.
Challenge me.
I need you to stop worrying about getting fired.
Go pay for my cable.
No!
I didn't mean on this.
Seriously, I need cable.
Milk, milk, lemonade.
Uh, this tastes kind of watery.
That's bad news.
Either increased intracranial pressure or something's wrong with her hypothalamus.
How do you figure out which one it is?
We don't do anything.
You're gonna drill a hole in her skull.
If she regains consciousness, it's increased intracranial pressure.
And if it's the other thing?
She'll die.
But if it's the hypothalamus, she's dead anyway.
If the problem is the pressure in her brain, and I fix it, is she gonna be all better?
Nope, but it'll give us more time to figure out what's wrong.
I have to get someone else.
I can't do this.
You love her, right?
You'd do anything to save her.
Not this.
I can't do this.
If-if she dies because of something that I did, then i- listen, listen.
I am not going to let you hurt her.
Okay?
Now please...
This is her only chance.
Okay.
Well, that was easy.
Okay, her head is stabilized and the drill bit is sterile.
Place the drill bit against the upper left part of her forehead.
About an inch above the temple.
It's not going anywhere.
Bone's harder than wood.
Lean into it.
The skull's only a quarter-inch thick.
Once you're midway through, drill in shorter bursts.
If it comes out the other side, you've gone too far.
Okay, now what?
Now what?
Let the fluid drain.
She's waking up.
She's waking up.
Sean?
What's going on?
South pole doc is out of her coma, and now we have a new symptom: increased intracranial pressure.
Why are we out here?
That's the patient room.
Icp plus kidney problems plus lung collapse equals?
The most likely suspect is a tumor throwing off clots.
We ruled out cancer.
But not clots.
What causes blood clots?
Bacterial endocarditis.
Not without a fever.
Deep vein thrombosis plus an existing pfo.
Pfo would've been discovered in her pre-south pole physical exam.
What if the clots aren't clots?
Atherosclerosis.
Fatty plaque builds up on the arterial walls, pieces break off, block blood flow.
Explains everything.
She has zero risk factors.
Forget fat, think clots.
No.
You're standing up to me?
Maybe.
Just to clarify.
You should do that when you're right.
Sorry for the confusion.
How could a clot- could be a different kind of fat, fat emboli.
That's a perfect fit...
Except it's completely impossible!
Fat emboli requires an unrepaired bone break.
Between the x-ray and the exam, I have seen her entire- see, that's what I'm talking about.
Take off her socks.
I could-i could do it.
No, I got it.
Your toe is broken.
Oh, my god.
Bit's of bone marrow have been leaking into your blood stream.
Those fat emboli have caused blockages in your kidney, lungs, and brain.
It doesn't even hurt.
Cold numbs everything.
Does a particularly great job on the extremities.
You'll need to close the break so stop the marrow from leaking.
This one you will feel.
Will you do it?
He drilled a hole in your skull after drinking your pee.
I think he's up for this.